Hospital_Name,Last_updated_on,Version,Hospital_Location,Hospital_Address,License_Number	"DE,""To the best of its knowledge and belief, the hospital has included all applicable standard charge information in accordance with the requirements of 45 CFR 180.50, and the information encoded is true, accurate, and complete as of the date indicated."",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"																																						
Bayhealth Medical Center Inc,12/31/2024,csv_wide,Bayhealth Hospital Kent Campus	Bayhealth Outpatient Center Middletown	Bayhealth Outpatient Center Smyrna	Bayhealth Outpatient Center Dover	Bayhealth Outpatient Center Eden Hill	Bayhealth Primary Care Dover West	Bayhealth Primary Care Middletown	Bayhealth Primary Care Smyrna	Bayhealth Cardiology Consultants Dover	Bayhealth Cardiology Consultants Smyrna	Bayhealth Heart and Vascular Eden Hill	Bayhealth Heart and Vascular Smyrna	Bayhealth ENT Dover	Bayhealth Endocrinology Dover	Bayhealth Gastroenterology Dover	Bayhealth General Surgery Dover	 Bayhealth Maternal Fetal Medicine	Bayhealth Orthopaedic Dover	 Bayhealth Orthopaedic Smyrna	 Bayhealth Palliative Care and Pulmonary	Bayhealth Wound Care Dover	" ,""640 South State Street, Dover, DE 19901"	209 East Main Street, Middletown DE 19709	401 North Carter Road, Smyrna, DE 19977	540 South Governors Ave, Suite 101B, Dover DE 19904	200 Banning St, Suite 140, Dover, DE 19904	720 South Queen St, Dover, DE 19904	209 E Main St, Suite 3, Middletown, DE 19709	401 North Carter Rd, Suite 20793 S. Queen St. Dover DE 199041, Smyrna, DE 19977	540 South Governors Ave, Suite 201, Dover, DE 19904	315 North Carter Rd, Smyrna, DE 19977	200 Banning St, Suite 340, Dover, DE 19904	 826 South Governors Ave, Dover, DE	 1058 South Governors Ave, Suite 101, Dover, DE 19904	724 South New St, Dover, DE 19904	640 South State St, 6th Floor, Dover, DE 19901	651 Bay Rd, Suite 1F, Dover, DE 19901	530 South State St, Suite 107, Dover, DE 19901	640 South State St, 2nd Floor, Dover, DE 19901	",HSPTL005,TRUE,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
DESCRIPTION,CODE|1,CODE|1|TYPE,CODE|2,CODE|2|TYPE,MODIFIERS,SETTING,DRUG_UNIT_OF_MEASUREMENT,DRUG_TYPE_OF_MEASUREMENT,STANDARD_CHARGE|GROSS,STANDARD_CHARGE|DISCOUNTED_CASH,STANDARD_CHARGE|AETNA|HMO|NEGOTIATED_DOLLAR,STANDARD_CHARGE|AETNA|HMO|NEGOTIATED_PERCENTAGE,STANDARD_CHARGE|AETNA|HMO|NEGOTIATED_ALGORITHM,STANDARD_CHARGE|AETNA|HMO|METHODOLOGY,ESTIMATED_AMOUNT|AETNA|HMO,ADDITIONAL_PAYER_NOTES|AETNA|HMO,STANDARD_CHARGE|AETNA|OPEN_ACCESS|NEGOTIATED_DOLLAR,STANDARD_CHARGE|AETNA|OPEN_ACCESS|NEGOTIATED_PERCENTAGE,STANDARD_CHARGE|AETNA|OPEN_ACCESS|NEGOTIATED_ALGORITHM,STANDARD_CHARGE|AETNA|OPEN_ACCESS|METHODOLOGY,ESTIMATED_AMOUNT|AETNA|OPEN_ACCESS,ADDITIONAL_PAYER_NOTES|AETNA|OPEN_ACCESS,STANDARD_CHARGE|AETNA|POS|NEGOTIATED_DOLLAR,STANDARD_CHARGE|AETNA|POS|NEGOTIATED_PERCENTAGE,STANDARD_CHARGE|AETNA|POS|NEGOTIATED_ALGORITHM,STANDARD_CHARGE|AETNA|POS|METHODOLOGY,ESTIMATED_AMOUNT|AETNA|POS,ADDITIONAL_PAYER_NOTES|AETNA|POS,STANDARD_CHARGE|AETNA|PPO|NEGOTIATED_DOLLAR,STANDARD_CHARGE|AETNA|PPO|NEGOTIATED_PERCENTAGE,STANDARD_CHARGE|AETNA|PPO|NEGOTIATED_ALGORITHM,STANDARD_CHARGE|AETNA|PPO|METHODOLOGY,ESTIMATED_AMOUNT|AETNA|PPO,ADDITIONAL_PAYER_NOTES|AETNA|PPO,STANDARD_CHARGE|AETNA|ACA|NEGOTIATED_DOLLAR,STANDARD_CHARGE|AETNA|ACA|NEGOTIATED_PERCENTAGE,STANDARD_CHARGE|AETNA|ACA|NEGOTIATED_ALGORITHM,STANDARD_CHARGE|AETNA|ACA|METHODOLOGY,ESTIMATED_AMOUNT|AETNA|ACA,ADDITIONAL_PAYER_NOTES|AETNA|ACA,STANDARD_CHARGE|AETNA|TRUSTMARK|NEGOTIATED_DOLLAR,STANDARD_CHARGE|AETNA|TRUSTMARK|NEGOTIATED_PERCENTAGE,STANDARD_CHARGE|AETNA|TRUSTMARK|NEGOTIATED_ALGORITHM,STANDARD_CHARGE|AETNA|TRUSTMARK|METHODOLOGY,ESTIMATED_AMOUNT|AETNA|TRUSTMARK,ADDITIONAL_PAYER_NOTES|AETNA|TRUSTMARK,STANDARD_CHARGE|AMBETTER|NEGOTIATED_DOLLAR,STANDARD_CHARGE|AMBETTER|NEGOTIATED_PERCENTAGE,STANDARD_CHARGE|AMBETTER|NEGOTIATED_ALGORITHM,STANDARD_CHARGE|AMBETTER|METHODOLOGY,ESTIMATED_AMOUNT|AMBETTER,ADDITIONAL_PAYER_NOTES|AMBETTER,STANDARD_CHARGE|AMERIHEALTH_CARITAS_NEXT|NEGOTIATED_DOLLAR,STANDARD_CHARGE|AMERIHEALTH_CARITAS_NEXT|NEGOTIATED_PERCENTAGE,STANDARD_CHARGE|AMERIHEALTH_CARITAS_NEXT|NEGOTIATED_ALGORITHM,STANDARD_CHARGE|AMERIHEALTH_CARITAS_NEXT|METHODOLOGY,ESTIMATED_AMOUNT|AMERIHEALTH_CARITAS_NEXT,ADDITIONAL_PAYER_NOTES|MERIHEALTH_CARITAS_NEXT,STANDARD_CHARGE|CIGNA|ALLEGIANCE|NEGOTIATED_DOLLAR,STANDARD_CHARGE|CIGNA|ALLEGIANCE|NEGOTIATED_PERCENTAGE,STANDARD_CHARGE|CIGNA|ALLEGIANCE|NEGOTIATED_ALGORITHM,STANDARD_CHARGE|CIGNA|ALLEGIANCE|METHODOLOGY,ESTIMATED_AMOUNT|CIGNA|ALLEGIANCE,ADDITIONAL_PAYER_NOTES|CIGNA|ALLEGIANCE,STANDARD_CHARGE|CIGNA|OAP|NEGOTIATED_DOLLAR,STANDARD_CHARGE|CIGNA|OAP|NEGOTIATED_PERCENTAGE,STANDARD_CHARGE|CIGNA|OAP|NEGOTIATED_ALGORITHM,STANDARD_CHARGE|CIGNA|OAP|METHODOLOGY,ESTIMATED_AMOUNT|CIGNA|OAP,ADDITIONAL_PAYER_NOTES|CIGNA|OAP,STANDARD_CHARGE|CIGNA|POS|NEGOTIATED_DOLLAR,STANDARD_CHARGE|CIGNA|POS|NEGOTIATED_PERCENTAGE,STANDARD_CHARGE|CIGNA|POS|NEGOTIATED_ALGORITHM,STANDARD_CHARGE|CIGNA|POS|METHODOLOGY,ESTIMATED_AMOUNT|CIGNA|POS,ADDITIONAL_PAYER_NOTES|CIGNA|POS,STANDARD_CHARGE|CIGNA|PPO|NEGOTIATED_DOLLAR,STANDARD_CHARGE|CIGNA|PPO|NEGOTIATED_PERCENTAGE,STANDARD_CHARGE|CIGNA|PPO|NEGOTIATED_ALGORITHM,STANDARD_CHARGE|CIGNA|PPO|METHODOLOGY,ESTIMATED_AMOUNT|CIGNA|PPO,ADDITIONAL_PAYER_NOTES|CIGNA|PPO,STANDARD_CHARGE|FIRST_HEALTH|NEGOTIATED_DOLLAR,STANDARD_CHARGE|FIRST_HEALTH|NEGOTIATED_PERCENTAGE,STANDARD_CHARGE|FIRST_HEALTH|NEGOTIATED_ALGORITHM,STANDARD_CHARGE|FIRST_HEALTH|METHODOLOGY,ESTIMATED_AMOUNT|FIRST_HEALTH,ADDITIONAL_PAYER_NOTES|FIRST_HEALTH,STANDARD_CHARGE|HIGHMARK|EPO|NEGOTIATED_DOLLAR,STANDARD_CHARGE|HIGHMARK|EPO|NEGOTIATED_PERCENTAGE,STANDARD_CHARGE|HIGHMARK|EPO|NEGOTIATED_ALGORITHM,STANDARD_CHARGE|HIGHMARK|EPO|METHODOLOGY,ESTIMATED_AMOUNT|HIGHMARK|EPO,ADDITIONAL_PAYER_NOTES|HIGHMARK|EPO,STANDARD_CHARGE|HIGHMARK|FEDERAL|NEGOTIATED_DOLLAR,STANDARD_CHARGE|HIGHMARK|FEDERAL|NEGOTIATED_PERCENTAGE,STANDARD_CHARGE|HIGHMARK|FEDERAL|NEGOTIATED_ALGORITHM,STANDARD_CHARGE|HIGHMARK|FEDERAL|METHODOLOGY,ESTIMATED_AMOUNT|HIGHMARK|FEDERAL,ADDITIONAL_PAYER_NOTES|HIGHMARK|FEDERAL,STANDARD_CHARGE|HIGHMARK|HMO|NEGOTIATED_DOLLAR,STANDARD_CHARGE|HIGHMARK|HMO|NEGOTIATED_PERCENTAGE,STANDARD_CHARGE|HIGHMARK|HMO|NEGOTIATED_ALGORITHM,STANDARD_CHARGE|HIGHMARK|HMO|METHODOLOGY,ESTIMATED_AMOUNT|HIGHMARK|HMO,ADDITIONAL_PAYER_NOTES|HIGHMARK|HMO,STANDARD_CHARGE|HIGHMARK|POS|NEGOTIATED_DOLLAR,STANDARD_CHARGE|HIGHMARK|POS|NEGOTIATED_PERCENTAGE,STANDARD_CHARGE|HIGHMARK|POS|NEGOTIATED_ALGORITHM,STANDARD_CHARGE|HIGHMARK|POS|METHODOLOGY,ESTIMATED_AMOUNT|HIGHMARK|POS,ADDITIONAL_PAYER_NOTES|HIGHMARK|POS,STANDARD_CHARGE|HIGHMARK|PPO|NEGOTIATED_DOLLAR,STANDARD_CHARGE|HIGHMARK|PPO|NEGOTIATED_PERCENTAGE,STANDARD_CHARGE|HIGHMARK|PPO|NEGOTIATED_ALGORITHM,STANDARD_CHARGE|HIGHMARK|PPO|METHODOLOGY,ESTIMATED_AMOUNT|HIGHMARK|PPO,ADDITIONAL_PAYER_NOTES|HIGHMARK|PPO,STANDARD_CHARGE|HIGHMARK|STATE_OF_DE_EMPLOYEES|NEGOTIATED_DOLLAR,STANDARD_CHARGE|HIGHMARK|STATE_OF_DE_EMPLOYEES|NEGOTIATED_PERCENTAGE,STANDARD_CHARGE|HIGHMARK|STATE_OF_DE_EMPLOYEES|NEGOTIATED_ALGORITHM,STANDARD_CHARGE|HIGHMARK|STATE_OF_DE_EMPLOYEES|METHODOLOGY,ESTIMATED_AMOUNT|HIGHMARK|STATE_OF_DE_EMPLOYEES,ADDITIONAL_PAYER_NOTES|HIGHMARK|STATE_OF_DE_EMPLOYEES,STANDARD_CHARGE|HIGHMARK|DELAWARE_EXCHANGE|NEGOTIATED_DOLLAR,STANDARD_CHARGE|HIGHMARK|DELAWARE_EXCHANGE|NEGOTIATED_PERCENTAGE,STANDARD_CHARGE|HIGHMARK|DELAWARE_EXCHANGE|NEGOTIATED_ALGORITHM,STANDARD_CHARGE|HIGHMARK|DELAWARE_EXCHANGE|METHODOLOGY,ESTIMATED_AMOUNT|HIGHMARK|DELAWARE_EXCHANGE,ADDITIONAL_PAYER_NOTES|HIGHMARK|DELAWARE_EXCHANGE,STANDARD_CHARGE|UHC|CHOICE_PLUS|NEGOTIATED_DOLLAR,STANDARD_CHARGE|UHC|CHOICE_PLUS|NEGOTIATED_PERCENTAGE,STANDARD_CHARGE|UHC|CHOICE_PLUS|NEGOTIATED_ALGORITHM,STANDARD_CHARGE|UHC|CHOICE_PLUS|METHODOLOGY,ESTIMATED_AMOUNT|UHC|CHOICE_PLUS,ADDITIONAL_PAYER_NOTES|UHC|CHOICE_PLUS,STANDARD_CHARGE|UHC|EPO|NEGOTIATED_DOLLAR,STANDARD_CHARGE|UHC|EPO|NEGOTIATED_PERCENTAGE,STANDARD_CHARGE|UHC|EPO|NEGOTIATED_ALGORITHM,STANDARD_CHARGE|UHC|EPO|METHODOLOGY,ESTIMATED_AMOUNT|UHC|EPO,ADDITIONAL_PAYER_NOTES|UHC|EPO,STANDARD_CHARGE|UHC|HMO|NEGOTIATED_DOLLAR,STANDARD_CHARGE|UHC|HMO|NEGOTIATED_PERCENTAGE,STANDARD_CHARGE|UHC|HMO|NEGOTIATED_ALGORITHM,STANDARD_CHARGE|UHC|HMO|METHODOLOGY,ESTIMATED_AMOUNT|UHC|HMO,ADDITIONAL_PAYER_NOTES|UHC|HMO,STANDARD_CHARGE|UHC|OXFORD|NEGOTIATED_DOLLAR,STANDARD_CHARGE|UHC|OXFORD|NEGOTIATED_PERCENTAGE,STANDARD_CHARGE|UHC|OXFORD|NEGOTIATED_ALGORITHM,STANDARD_CHARGE|UHC|OXFORD|METHODOLOGY,ESTIMATED_AMOUNT|UHC|OXFORD,ADDITIONAL_PAYER_NOTES|UHC|OXFORD,STANDARD_CHARGE|WELSH_AND_ASSOCIATES|NEGOTIATED_DOLLAR,STANDARD_CHARGE|WELSH_AND_ASSOCIATES|NEGOTIATED_PERCENTAGE,STANDARD_CHARGE|WELSH_AND_ASSOCIATES|NEGOTIATED_ALGORITHM,STANDARD_CHARGE|WELSH_AND_ASSOCIATES|METHODOLOGY,ESTIMATED_AMOUNT|WELSH_AND_ASSOCIATES,ADDITIONAL_PAYER_NOTES|WELSH_AND_ASSOCIATES,STANDARD_CHARGE|AETNA_MA|PPO|NEGOTIATED_DOLLAR,STANDARD_CHARGE|AETNA_MA|PPO|NEGOTIATED_PERCENTAGE,STANDARD_CHARGE|AETNA_MA|PPO|NEGOTIATED_ALGORITHM,STANDARD_CHARGE|AETNA_MA|PPO|METHODOLOGY,ESTIMATED_AMOUNT|AETNA_MA|PPO,ADDITIONAL_PAYER_NOTES|AETNA_MA|PPO,STANDARD_CHARGE|AMERIHEALTH_CARITAS_VIP_CARE|NEGOTIATED_DOLLAR,STANDARD_CHARGE|AMERIHEALTH_CARITAS_VIP_CARE|NEGOTIATED_PERCENTAGE,STANDARD_CHARGE|AMERIHEALTH_CARITAS_VIP_CARE|NEGOTIATED_ALGORITHM,STANDARD_CHARGE|AMERIHEALTH_CARITAS_VIP_CARE|METHODOLOGY,ESTIMATED_AMOUNT|AMERIHEALTH_CARITAS_VIP_CARE,ADDITIONAL_PAYER_NOTES|AMERIHEALTH_CARITAS_VIP_CARE|PPO,STANDARD_CHARGE|CIGNA_MA|PREFERRED|NEGOTIATED_DOLLAR,STANDARD_CHARGE|CIGNA_MA|PREFERRED|NEGOTIATED_PERCENTAGE,STANDARD_CHARGE|CIGNA_MA|PREFERRED|NEGOTIATED_ALGORITHM,STANDARD_CHARGE|CIGNA_MA|PREFERRED|METHODOLOGY,ESTIMATED_AMOUNT|CIGNA_MA|PREFERRED,ADDITIONAL_PAYER_NOTES|CIGNA_MA|PREFERRED,STANDARD_CHARGE|HIGHMARK_MA|DISTINCT|NEGOTIATED_DOLLAR,STANDARD_CHARGE|HIGHMARK_MA|DISTINCT|NEGOTIATED_PERCENTAGE,STANDARD_CHARGE|HIGHMARK_MA|DISTINCT|NEGOTIATED_ALGORITHM,STANDARD_CHARGE|HIGHMARK_MA|DISTINCT|METHODOLOGY,ESTIMATED_AMOUNT|HIGHMARK_MA|DISTINCT,ADDITIONAL_PAYER_NOTES|HIGHMARK_MA|DISTINCT,STANDARD_CHARGE|HIGHMARK_MA|SIGNATURE|NEGOTIATED_DOLLAR,STANDARD_CHARGE|HIGHMARK_MA|SIGNATURE|NEGOTIATED_PERCENTAGE,STANDARD_CHARGE|HIGHMARK_MA|SIGNATURE|NEGOTIATED_ALGORITHM,STANDARD_CHARGE|HIGHMARK_MA|SIGNATURE|METHODOLOGY,ESTIMATED_AMOUNT|HIGHMARK_MA|SIGNATURE,ADDITIONAL_PAYER_NOTES|HIGHMARK_MA|SIGNATURE,STANDARD_CHARGE|HUMANA_MA|HMO|NEGOTIATED_DOLLAR,STANDARD_CHARGE|HUMANA_MA|HMO|NEGOTIATED_PERCENTAGE,STANDARD_CHARGE|HUMANA_MA|HMO|NEGOTIATED_ALGORITHM,STANDARD_CHARGE|HUMANA_MA|HMO|METHODOLOGY,ESTIMATED_AMOUNT|HUMANA_MA|HMO,ADDITIONAL_PAYER_NOTES|HUMANA_MA|HMO,STANDARD_CHARGE|HUMANA_MA|PPO|NEGOTIATED_DOLLAR,STANDARD_CHARGE|HUMANA_MA|PPO|NEGOTIATED_PERCENTAGE,STANDARD_CHARGE|HUMANA_MA|PPO|NEGOTIATED_ALGORITHM,STANDARD_CHARGE|HUMANA_MA|PPO|METHODOLOGY,ESTIMATED_AMOUNT|HUMANA_MA|PPO,ADDITIONAL_PAYER_NOTES|HUMANA_MA|PPO,STANDARD_CHARGE|UHC_MA|PPO|NEGOTIATED_DOLLAR,STANDARD_CHARGE|UHC_MA|PPO|NEGOTIATED_PERCENTAGE,STANDARD_CHARGE|UHC_MA|PPO|NEGOTIATED_ALGORITHM,STANDARD_CHARGE|UHC_MA|PPO|METHODOLOGY,ESTIMATED_AMOUNT|UHC_MA|PPO,ADDITIONAL_PAYER_NOTES|UHC_MA|PPO,STANDARD_CHARGE|UHC_MA|DSNP|NEGOTIATED_DOLLAR,STANDARD_CHARGE|UHC_MA|DSNP|NEGOTIATED_PERCENTAGE,STANDARD_CHARGE|UHC_MA|DSNP|NEGOTIATED_ALGORITHM,STANDARD_CHARGE|UHC_MA|DSNP|METHODOLOGY,ESTIMATED_AMOUNT|UHC_MA|DSNP,ADDITIONAL_PAYER_NOTES|UHC_MA|DSNP,STANDARD_CHARGE|UHC_AARP|PPO|NEGOTIATED_DOLLAR,STANDARD_CHARGE|UHC_AARP|PPO|NEGOTIATED_PERCENTAGE,STANDARD_CHARGE|UHC_AARP|PPO|NEGOTIATED_ALGORITHM,STANDARD_CHARGE|UHC_AARP|PPO|METHODOLOGY,ESTIMATED_AMOUNT|UHC_AARP|PPO,ADDITIONAL_PAYER_NOTES|UHC_AARP|PPO,STANDARD_CHARGE|UHC_AARP|HMO|NEGOTIATED_DOLLAR,STANDARD_CHARGE|UHC_AARP|HMO|NEGOTIATED_PERCENTAGE,STANDARD_CHARGE|UHC_AARP|HMO|NEGOTIATED_ALGORITHM,STANDARD_CHARGE|UHC_AARP|HMO|METHODOLOGY,ESTIMATED_AMOUNT|UHC_AARP|HMO,ADDITIONAL_PAYER_NOTES|UHC_AARP|HMO,STANDARD_CHARGE|WELLCARE|NEGOTIATED_DOLLAR,STANDARD_CHARGE|WELLCARE|NEGOTIATED_PERCENTAGE,STANDARD_CHARGE|WELLCARE|NEGOTIATED_ALGORITHM,STANDARD_CHARGE|WELLCARE|METHODOLOGY,ESTIMATED_AMOUNT|WELLCARE,ADDITIONAL_PAYER_NOTES|WELLCARE,STANDARD_CHARGE|AMERIHEALTH CARITAS|NEGOTIATED_DOLLAR,STANDARD_CHARGE|AMERIHEALTH CARITAS|NEGOTIATED_PERCENTAGE,STANDARD_CHARGE|AMERIHEALTH CARITAS|NEGOTIATED_ALGORITHM,STANDARD_CHARGE|AMERIHEALTH_CARITAS|METHODOLOGY,ESTIMATED_AMOUNT|AMERIHEALTH CARITAS,ADDITIONAL_PAYER_NOTES|AMERIHEALTH_CARITAS,STANDARD_CHARGE|HEALTH_OPTIONS|NEGOTIATED_DOLLAR,STANDARD_CHARGE|HEALTH_OPTIONS|NEGOTIATED_PERCENTAGE,STANDARD_CHARGE|HEALTH_OPTIONS|NEGOTIATED_ALGORITHM,STANDARD_CHARGE|HEALTH_OPTIONS|METHODOLOGY,ESTIMATED_AMOUNT|HEALTH_OPTIONS,ADDITIONAL_PAYER_NOTES|HEALTH_OPTIONS,STANDARD_CHARGE|DELAWARE_FIRST_HEALTH|NEGOTIATED_DOLLAR,STANDARD_CHARGE|DELAWARE_FIRST_HEALTH|NEGOTIATED_PERCENTAGE,STANDARD_CHARGE|DELAWARE_FIRST_HEALTH|NEGOTIATED_ALGORITHM,STANDARD_CHARGE|DELAWARE_FIRST_HEALTH|METHODOLOGY,ESTIMATED_AMOUNT|DELAWARE_FIRST_HEALTH,ADDITIONAL_PAYER_NOTES|DELAWARE_FIRST_HEALTH,STANDARD_CHARGE|MIN,STANDARD_CHARGE|MAX,ADDITIONAL_GENERIC_NOTES,ADDITIONAL_PAYER_SPECIFIC_NOTES
HC PRIVATE ROOM CHARGE,110,RC,,,,INPATIENT, , ,1943.55,1632.58,1788.07,92,,Percent of Total Billed Charges,1624.81,,1788.07,92,,Percent of Total Billed Charges,1595.65,,1788.07,92,,Percent of Total Billed Charges,1564.56,,1788.07,92,,Percent of Total Billed Charges,1622.86,,1788.07,92,,Percent of Total Billed Charges,1463.49,,1788.07,92,,Percent of Total Billed Charges,1214.72,,1749.2,90,,Percent of Total Billed Charges,969.83,,1729.76,89,,Percent of Total Billed Charges,932.9,,1601.49,82.4,,Percent of Total Billed Charges,1597.6,,1620.92,83.4,,Percent of Total Billed Charges,1512.08,,1620.92,83.4,,Percent of Total Billed Charges,1362.43,,1620.92,83.4,,Percent of Total Billed Charges,1582.05,,1749.2,90,,Percent of Total Billed Charges,1646.19,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1788.07,92,,Percent of Total Billed Charges,1576.22,,1788.07,92,,Percent of Total Billed Charges,1446,,1788.07,92,,Percent of Total Billed Charges,1521.8,,1788.07,92,,Percent of Total Billed Charges,1576.22,,1515.97,78,,Percent of Total Billed Charges,1515.97,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,9556.96, , ,Case Rate,4587.34,,9383.46,, ,Case Rate,5198.44,,9515.26,,,Case Rate,5271.45,,1601.49,9556.96,,
HC GYN PRIVATE ROOM CHARGE,111,RC,,,,INPATIENT, , ,1746.15,1466.77,1606.46,92,,Percent of Total Billed Charges,1459.78,,1606.46,92,,Percent of Total Billed Charges,1433.59,,1606.46,92,,Percent of Total Billed Charges,1405.65,,1606.46,92,,Percent of Total Billed Charges,1458.04,,1606.46,92,,Percent of Total Billed Charges,1314.85,,1606.46,92,,Percent of Total Billed Charges,1091.34,,1571.54,90,,Percent of Total Billed Charges,871.33,,1554.07,89,,Percent of Total Billed Charges,838.15,,1438.83,82.4,,Percent of Total Billed Charges,1435.34,,1456.29,83.4,,Percent of Total Billed Charges,1358.5,,1456.29,83.4,,Percent of Total Billed Charges,1224.05,,1456.29,83.4,,Percent of Total Billed Charges,1421.37,,1571.54,90,,Percent of Total Billed Charges,1478.99,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1606.46,92,,Percent of Total Billed Charges,1416.13,,1606.46,92,,Percent of Total Billed Charges,1299.14,,1606.46,92,,Percent of Total Billed Charges,1367.24,,1606.46,92,,Percent of Total Billed Charges,1416.13,,1362,78,,Percent of Total Billed Charges,1362,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, ,,,, ,, ,,,, ,, ,,,, ,,1438.83,1606.46,,
HC OB PRIVATE ROOM CHARGE,112,RC,,,,INPATIENT, , ,1746.15,1466.77,1606.46,92,,Percent of Total Billed Charges,1459.78,,1606.46,92,,Percent of Total Billed Charges,1433.59,,1606.46,92,,Percent of Total Billed Charges,1405.65,,1606.46,92,,Percent of Total Billed Charges,1458.04,,1606.46,92,,Percent of Total Billed Charges,1314.85,,1606.46,92,,Percent of Total Billed Charges,1091.34,,1571.54,90,,Percent of Total Billed Charges,871.33,,1554.07,89,,Percent of Total Billed Charges,838.15,,1438.83,82.4,,Percent of Total Billed Charges,1435.34,,1456.29,83.4,,Percent of Total Billed Charges,1358.5,,1456.29,83.4,,Percent of Total Billed Charges,1224.05,,1456.29,83.4,,Percent of Total Billed Charges,1421.37,,1571.54,90,,Percent of Total Billed Charges,1478.99,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1606.46,92,,Percent of Total Billed Charges,1416.13,,1606.46,92,,Percent of Total Billed Charges,1299.14,,1606.46,92,,Percent of Total Billed Charges,1367.24,,1606.46,92,,Percent of Total Billed Charges,1416.13,,1362,78,,Percent of Total Billed Charges,1362,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, ,,,, ,, ,,,, ,, ,,,, ,,1438.83,1606.46,,
HC PEDS PRIVATE ROOM CHARGE,113,RC,,,,INPATIENT, , ,1866.9,1568.2,1717.55,92,,Percent of Total Billed Charges,1560.73,,1717.55,92,,Percent of Total Billed Charges,1532.72,,1717.55,92,,Percent of Total Billed Charges,1502.85,,1717.55,92,,Percent of Total Billed Charges,1558.86,,1717.55,92,,Percent of Total Billed Charges,1405.78,,1717.55,92,,Percent of Total Billed Charges,1166.81,,1680.21,90,,Percent of Total Billed Charges,931.58,,1661.54,89,,Percent of Total Billed Charges,896.11,,1538.33,82.4,,Percent of Total Billed Charges,1534.59,,1556.99,83.4,,Percent of Total Billed Charges,1452.45,,1556.99,83.4,,Percent of Total Billed Charges,1308.7,,1556.99,83.4,,Percent of Total Billed Charges,1519.66,,1680.21,90,,Percent of Total Billed Charges,1581.26,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1717.55,92,,Percent of Total Billed Charges,1514.06,,1717.55,92,,Percent of Total Billed Charges,1388.97,,1717.55,92,,Percent of Total Billed Charges,1461.78,,1717.55,92,,Percent of Total Billed Charges,1514.06,,1456.18,78,,Percent of Total Billed Charges,1456.18,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, ,,,, ,, ,,,, ,, ,,,, ,,1538.33,1717.55,,
HC REHAB ROOM CHARGE,118,RC,,,,INPATIENT, , ,2369.85,1990.67,2180.26,92,,Percent of Total Billed Charges,1981.19,,2180.26,92,,Percent of Total Billed Charges,1945.65,,2180.26,92,,Percent of Total Billed Charges,1907.73,,2180.26,92,,Percent of Total Billed Charges,1978.82,,2180.26,92,,Percent of Total Billed Charges,1784.5,,2180.26,92,,Percent of Total Billed Charges,1481.16,,2132.87,90,,Percent of Total Billed Charges,1182.56,,2109.17,89,,Percent of Total Billed Charges,1137.53,,1952.76,82.4,,Percent of Total Billed Charges,1948.02,,1976.45,83.4,,Percent of Total Billed Charges,1843.74,,1976.45,83.4,,Percent of Total Billed Charges,1661.26,,1976.45,83.4,,Percent of Total Billed Charges,1929.06,,2132.87,90,,Percent of Total Billed Charges,2007.26,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2180.26,92,,Percent of Total Billed Charges,1921.95,,2180.26,92,,Percent of Total Billed Charges,1763.17,,2180.26,92,,Percent of Total Billed Charges,1855.59,,2180.26,92,,Percent of Total Billed Charges,1921.95,,1848.48,78,,Percent of Total Billed Charges,1848.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, ,,,, ,, ,,,, ,, ,,,, ,,1952.76,2180.26,,
HC SEMIPRIVATE ROOM CHARGE,120,RC,,,,INPATIENT, , ,1943.55,1632.58,1788.07,92,,Percent of Total Billed Charges,1624.81,,1788.07,92,,Percent of Total Billed Charges,1595.65,,1788.07,92,,Percent of Total Billed Charges,1564.56,,1788.07,92,,Percent of Total Billed Charges,1622.86,,1788.07,92,,Percent of Total Billed Charges,1463.49,,1788.07,92,,Percent of Total Billed Charges,1214.72,,1749.2,90,,Percent of Total Billed Charges,969.83,,1729.76,89,,Percent of Total Billed Charges,932.9,,1601.49,82.4,,Percent of Total Billed Charges,1597.6,,1620.92,83.4,,Percent of Total Billed Charges,1512.08,,1620.92,83.4,,Percent of Total Billed Charges,1362.43,,1620.92,83.4,,Percent of Total Billed Charges,1582.05,,1749.2,90,,Percent of Total Billed Charges,1646.19,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1788.07,92,,Percent of Total Billed Charges,1576.22,,1788.07,92,,Percent of Total Billed Charges,1446,,1788.07,92,,Percent of Total Billed Charges,1521.8,,1788.07,92,,Percent of Total Billed Charges,1576.22,,1515.97,78,,Percent of Total Billed Charges,1515.97,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, ,,,, ,, ,,,, ,, ,,,, ,,1601.49,1788.07,,
HC PEDS SEMIPRIVATE ROOM CHARGE,123,RC,,,,INPATIENT, , ,1866.9,1568.2,1717.55,92,,Percent of Total Billed Charges,1560.73,,1717.55,92,,Percent of Total Billed Charges,1532.72,,1717.55,92,,Percent of Total Billed Charges,1502.85,,1717.55,92,,Percent of Total Billed Charges,1558.86,,1717.55,92,,Percent of Total Billed Charges,1405.78,,1717.55,92,,Percent of Total Billed Charges,1166.81,,1680.21,90,,Percent of Total Billed Charges,931.58,,1661.54,89,,Percent of Total Billed Charges,896.11,,1538.33,82.4,,Percent of Total Billed Charges,1534.59,,1556.99,83.4,,Percent of Total Billed Charges,1452.45,,1556.99,83.4,,Percent of Total Billed Charges,1308.7,,1556.99,83.4,,Percent of Total Billed Charges,1519.66,,1680.21,90,,Percent of Total Billed Charges,1581.26,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1717.55,92,,Percent of Total Billed Charges,1514.06,,1717.55,92,,Percent of Total Billed Charges,1388.97,,1717.55,92,,Percent of Total Billed Charges,1461.78,,1717.55,92,,Percent of Total Billed Charges,1514.06,,1456.18,78,,Percent of Total Billed Charges,1456.18,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, ,,,, ,, ,,,, ,, ,,,, ,,1538.33,1717.55,,
HC REHAB SEMIPRIVATE ROOM CHARGE,128,RC,,,,INPATIENT, , ,2369.85,1990.67,2180.26,92,,Percent of Total Billed Charges,1981.19,,2180.26,92,,Percent of Total Billed Charges,1945.65,,2180.26,92,,Percent of Total Billed Charges,1907.73,,2180.26,92,,Percent of Total Billed Charges,1978.82,,2180.26,92,,Percent of Total Billed Charges,1784.5,,2180.26,92,,Percent of Total Billed Charges,1481.16,,2132.87,90,,Percent of Total Billed Charges,1182.56,,2109.17,89,,Percent of Total Billed Charges,1137.53,,1952.76,82.4,,Percent of Total Billed Charges,1948.02,,1976.45,83.4,,Percent of Total Billed Charges,1843.74,,1976.45,83.4,,Percent of Total Billed Charges,1661.26,,1976.45,83.4,,Percent of Total Billed Charges,1929.06,,2132.87,90,,Percent of Total Billed Charges,2007.26,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2180.26,92,,Percent of Total Billed Charges,1921.95,,2180.26,92,,Percent of Total Billed Charges,1763.17,,2180.26,92,,Percent of Total Billed Charges,1855.59,,2180.26,92,,Percent of Total Billed Charges,1921.95,,1848.48,78,,Percent of Total Billed Charges,1848.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, ,,,, ,, ,,,, ,, ,,,, ,,1952.76,2180.26,,
HC NEONATAL LEVEL 1,171,RC,,,,INPATIENT, , ,1274.7,1070.75,1172.72,92,,Percent of Total Billed Charges,1065.65,,1172.72,92,,Percent of Total Billed Charges,1046.53,,1172.72,92,,Percent of Total Billed Charges,1026.13,,1172.72,92,,Percent of Total Billed Charges,1064.37,,1172.72,92,,Percent of Total Billed Charges,959.85,,1172.72,92,,Percent of Total Billed Charges,796.69,,1147.23,90,,Percent of Total Billed Charges,636.08,,1134.48,89,,Percent of Total Billed Charges,611.86,,1050.35,82.4,,Percent of Total Billed Charges,1047.8,,1063.1,83.4,,Percent of Total Billed Charges,991.72,,1063.1,83.4,,Percent of Total Billed Charges,893.56,,1063.1,83.4,,Percent of Total Billed Charges,1037.61,,1147.23,90,,Percent of Total Billed Charges,1079.67,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1172.72,92,,Percent of Total Billed Charges,1033.78,,1172.72,92,,Percent of Total Billed Charges,948.38,,1172.72,92,,Percent of Total Billed Charges,998.09,,1172.72,92,,Percent of Total Billed Charges,1033.78,,994.27,78,,Percent of Total Billed Charges,994.27,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3662.02, , ,Case Rate,1757.77,,3160.08,, ,Case Rate,1750.68,,3646.05,, ,Case Rate,2019.91,,1050.35,3662.02,,
HC SURROGACY NEONATAL LEVEL 1,171,RC,,,,INPATIENT, , ,1799.7,1511.75,1655.72,92,,Percent of Total Billed Charges,1504.55,,1655.72,92,,Percent of Total Billed Charges,1477.55,,1655.72,92,,Percent of Total Billed Charges,1448.76,,1655.72,92,,Percent of Total Billed Charges,1502.75,,1655.72,92,,Percent of Total Billed Charges,1355.17,,1655.72,92,,Percent of Total Billed Charges,1124.81,,1619.73,90,,Percent of Total Billed Charges,898.05,,1601.73,89,,Percent of Total Billed Charges,863.86,,1482.95,82.4,,Percent of Total Billed Charges,1479.35,,1500.95,83.4,,Percent of Total Billed Charges,1400.17,,1500.95,83.4,,Percent of Total Billed Charges,1261.59,,1500.95,83.4,,Percent of Total Billed Charges,1464.96,,1619.73,90,,Percent of Total Billed Charges,1524.35,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1655.72,92,,Percent of Total Billed Charges,1459.56,,1655.72,92,,Percent of Total Billed Charges,1338.98,,1655.72,92,,Percent of Total Billed Charges,1409.17,,1655.72,92,,Percent of Total Billed Charges,1459.56,,1403.77,78,,Percent of Total Billed Charges,1403.77,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, ,,,, ,, ,,,, ,, ,,,, ,,1482.95,1655.72,,
HC NEONATAL LEVEL 2,172,RC,,,,INPATIENT, , ,2874.9,2414.92,2644.91,92,,Percent of Total Billed Charges,2403.42,,2644.91,92,,Percent of Total Billed Charges,2360.29,,2644.91,92,,Percent of Total Billed Charges,2314.29,,2644.91,92,,Percent of Total Billed Charges,2400.54,,2644.91,92,,Percent of Total Billed Charges,2164.8,,2644.91,92,,Percent of Total Billed Charges,1796.81,,2587.41,90,,Percent of Total Billed Charges,1434.58,,2558.66,89,,Percent of Total Billed Charges,1379.95,,2368.92,82.4,,Percent of Total Billed Charges,2363.17,,2397.67,83.4,,Percent of Total Billed Charges,2236.67,,2397.67,83.4,,Percent of Total Billed Charges,2015.3,,2397.67,83.4,,Percent of Total Billed Charges,2340.17,,2587.41,90,,Percent of Total Billed Charges,2435.04,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2644.91,92,,Percent of Total Billed Charges,2331.54,,2644.91,92,,Percent of Total Billed Charges,2138.93,,2644.91,92,,Percent of Total Billed Charges,2251.05,,2644.91,92,,Percent of Total Billed Charges,2331.54,,2242.42,78,,Percent of Total Billed Charges,2242.42,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, ,,,, ,, ,,,, ,, ,,,, ,,2368.92,2644.91,,
HC ICU ROOM CHARGE,200,RC,,,,INPATIENT, , ,4352.25,3655.89,4004.07,92,,Percent of Total Billed Charges,3638.48,,4004.07,92,,Percent of Total Billed Charges,3573.2,,4004.07,92,,Percent of Total Billed Charges,3503.56,,4004.07,92,,Percent of Total Billed Charges,3634.13,,4004.07,92,,Percent of Total Billed Charges,3277.24,,4004.07,92,,Percent of Total Billed Charges,2720.16,,3917.03,90,,Percent of Total Billed Charges,2171.77,,3873.5,89,,Percent of Total Billed Charges,2089.08,,3586.25,82.4,,Percent of Total Billed Charges,3577.55,,3629.78,83.4,,Percent of Total Billed Charges,3386.05,,3629.78,83.4,,Percent of Total Billed Charges,3050.93,,3629.78,83.4,,Percent of Total Billed Charges,3542.73,,3917.03,90,,Percent of Total Billed Charges,3686.36,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4004.07,92,,Percent of Total Billed Charges,3529.67,,4004.07,92,,Percent of Total Billed Charges,3238.07,,4004.07,92,,Percent of Total Billed Charges,3407.81,,4004.07,92,,Percent of Total Billed Charges,3529.67,,3394.76,78,,Percent of Total Billed Charges,3394.76,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, ,,,, ,, ,,,, ,, ,,,, ,,3586.25,4004.07,,
HC IMC PRIVATE ROOM CHARGE,206,RC,,,,INPATIENT, , ,2843.4,2388.46,2615.93,92,,Percent of Total Billed Charges,2377.08,,2615.93,92,,Percent of Total Billed Charges,2334.43,,2615.93,92,,Percent of Total Billed Charges,2288.94,,2615.93,92,,Percent of Total Billed Charges,2374.24,,2615.93,92,,Percent of Total Billed Charges,2141.08,,2615.93,92,,Percent of Total Billed Charges,1777.13,,2559.06,90,,Percent of Total Billed Charges,1418.86,,2530.63,89,,Percent of Total Billed Charges,1364.83,,2342.96,82.4,,Percent of Total Billed Charges,2337.27,,2371.4,83.4,,Percent of Total Billed Charges,2212.17,,2371.4,83.4,,Percent of Total Billed Charges,1993.22,,2371.4,83.4,,Percent of Total Billed Charges,2314.53,,2559.06,90,,Percent of Total Billed Charges,2408.36,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2615.93,92,,Percent of Total Billed Charges,2306,,2615.93,92,,Percent of Total Billed Charges,2115.49,,2615.93,92,,Percent of Total Billed Charges,2226.38,,2615.93,92,,Percent of Total Billed Charges,2306,,2217.85,78,,Percent of Total Billed Charges,2217.85,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, ,,,, ,, ,,,, ,, ,,,, ,,2342.96,2615.93,,
HC CV/SICU ROOM CHARGE,210,RC,,,,INPATIENT, , ,4895.1,4111.88,4503.49,92,,Percent of Total Billed Charges,4092.3,,4503.49,92,,Percent of Total Billed Charges,4018.88,,4503.49,92,,Percent of Total Billed Charges,3940.56,,4503.49,92,,Percent of Total Billed Charges,4087.41,,4503.49,92,,Percent of Total Billed Charges,3686.01,,4503.49,92,,Percent of Total Billed Charges,3059.44,,4405.59,90,,Percent of Total Billed Charges,2442.65,,4356.64,89,,Percent of Total Billed Charges,2349.65,,4033.56,82.4,,Percent of Total Billed Charges,4023.77,,4082.51,83.4,,Percent of Total Billed Charges,3808.39,,4082.51,83.4,,Percent of Total Billed Charges,3431.47,,4082.51,83.4,,Percent of Total Billed Charges,3984.61,,4405.59,90,,Percent of Total Billed Charges,4146.15,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4503.49,92,,Percent of Total Billed Charges,3969.93,,4503.49,92,,Percent of Total Billed Charges,3641.95,,4503.49,92,,Percent of Total Billed Charges,3832.86,,4503.49,92,,Percent of Total Billed Charges,3969.93,,3818.18,78,,Percent of Total Billed Charges,3818.18,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, ,,,, ,, ,,,, ,, ,,,, ,,4033.56,4503.49,,
HC NURSE TRANSPORT PER HOUR,230,RC,,,,INPATIENT, , ,379.05,318.4,348.73,92,,Percent of Total Billed Charges,316.89,,348.73,92,,Percent of Total Billed Charges,311.2,,348.73,92,,Percent of Total Billed Charges,305.14,,348.73,92,,Percent of Total Billed Charges,316.51,,348.73,92,,Percent of Total Billed Charges,285.42,,348.73,92,,Percent of Total Billed Charges,236.91,,341.15,90,,Percent of Total Billed Charges,189.15,,337.35,89,,Percent of Total Billed Charges,181.94,,312.34,82.4,,Percent of Total Billed Charges,311.58,,316.13,83.4,,Percent of Total Billed Charges,294.9,,316.13,83.4,,Percent of Total Billed Charges,265.71,,316.13,83.4,,Percent of Total Billed Charges,308.55,,341.15,90,,Percent of Total Billed Charges,321.06,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,348.73,92,,Percent of Total Billed Charges,307.41,,348.73,92,,Percent of Total Billed Charges,282.01,,348.73,92,,Percent of Total Billed Charges,296.8,,348.73,92,,Percent of Total Billed Charges,307.41,,295.66,78,,Percent of Total Billed Charges,295.66,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, ,,,, ,, ,,,, ,, ,,,, ,,312.34,348.73,,
HC NICU SURFACTANT,250,RC,,,,INPATIENT, , ,517.65,434.83,476.24,92,,Percent of Total Billed Charges,432.76,,476.24,92,,Percent of Total Billed Charges,424.99,,476.24,92,,Percent of Total Billed Charges,416.71,,476.24,92,,Percent of Total Billed Charges,432.24,,476.24,92,,Percent of Total Billed Charges,389.79,,476.24,92,,Percent of Total Billed Charges,323.53,,465.89,90,,Percent of Total Billed Charges,258.31,,460.71,89,,Percent of Total Billed Charges,248.47,,426.54,82.4,,Percent of Total Billed Charges,425.51,,431.72,83.4,,Percent of Total Billed Charges,402.73,,431.72,83.4,,Percent of Total Billed Charges,362.87,,431.72,83.4,,Percent of Total Billed Charges,421.37,,465.89,90,,Percent of Total Billed Charges,438.45,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,476.24,92,,Percent of Total Billed Charges,419.81,,476.24,92,,Percent of Total Billed Charges,385.13,,476.24,92,,Percent of Total Billed Charges,405.32,,476.24,92,,Percent of Total Billed Charges,419.81,,403.77,78,,Percent of Total Billed Charges,403.77,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, ,,,, ,, ,,,, ,, ,,,, ,,426.54,476.24,,
HC NITRIC OXIDEMEDICATION HRLY,250,RC,,,,BOTH, , ,66.15,55.57,60.86,92,,Percent of Total Billed Charges,55.3,,60.86,92,,Percent of Total Billed Charges,54.31,,60.86,92,,Percent of Total Billed Charges,53.25,,60.86,92,,Percent of Total Billed Charges,55.24,,60.86,92,,Percent of Total Billed Charges,49.81,,60.86,92,,Percent of Total Billed Charges,41.34,,59.54,90,,Percent of Total Billed Charges,33.01,,58.87,89,,Percent of Total Billed Charges,31.75,,54.51,82.4,,Percent of Total Billed Charges,54.38,,55.17,83.4,,Percent of Total Billed Charges,51.46,,55.17,83.4,,Percent of Total Billed Charges,46.37,,55.17,83.4,,Percent of Total Billed Charges,53.85,,59.54,90,,Percent of Total Billed Charges,56.03,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,60.86,92,,Percent of Total Billed Charges,53.65,,60.86,92,,Percent of Total Billed Charges,49.22,,60.86,92,,Percent of Total Billed Charges,51.8,,60.86,92,,Percent of Total Billed Charges,53.65,,51.6,78,,Percent of Total Billed Charges,51.6,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,35.61,53.83,,Percent of Total Billed Charges,33.41,,22.91,34.64,,Percent of Total Billed Charges,22.82,,33.06,49.98,,Percent of Total Billed Charges,25,,22.91,60.86,,
HC DEXTROSE 10% 1000ML,258,RC,,,,BOTH, , ,23.1,19.4,21.25,92,,Percent of "
otal Billed Charges,19.31,,21.25,92,,Percent of Total Billed Charges,18.97,,21.25,92,,Percent of Total Billed Charges,18.6,,21.25,92,,Percent of Total Billed Charges,19.29,,21.25,92,,Percent of Total Billed Charges,17.39,,21.25,92,,Percent of Total Billed Charges,14.44,,20.79,90,,Percent of Total Billed Charges,11.53,,20.56,89,,Percent of Total Billed Charges,11.09,,19.03,82.4,,Percent of Total Billed Charges,18.99,,19.27,83.4,,Percent of Total Billed Charges,17.97,,19.27,83.4,,Percent of Total Billed Charges,16.19,,19.27,83.4,,Percent of Total Billed Charges,18.8,,20.79,90,,Percent of Total Billed Charges,19.57,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,21.25,92,,Percent of Total Billed Charges,18.73,,21.25,92,,Percent of Total Billed Charges,17.19,,21.25,92,,Percent of Total Billed Charges,18.09,,21.25,92,,Percent of Total Billed Charges,18.73,,18.02,78,,Percent of Total Billed Charges,18.02,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,12.43,53.83,,Percent of Total Billed Charges,11.67,,8,34.64,,Percent of Total Billed Charges,7.97,,11.55,49.98,,Percent of Total Billed Charges,8.73,,8.00,21.25,,																																							
HC DEXTROSE 10% 500ML BAG,258,RC,,,,BOTH, , ,23.1,19.4,21.25,92,,Percent of Total Billed Charges,19.31,,21.25,92,,Percent of Total Billed Charges,18.97,,21.25,92,,Percent of Total Billed Charges,18.6,,21.25,92,,Percent of Total Billed Charges,19.29,,21.25,92,,Percent of Total Billed Charges,17.39,,21.25,92,,Percent of Total Billed Charges,14.44,,20.79,90,,Percent of Total Billed Charges,11.53,,20.56,89,,Percent of Total Billed Charges,11.09,,19.03,82.4,,Percent of Total Billed Charges,18.99,,19.27,83.4,,Percent of Total Billed Charges,17.97,,19.27,83.4,,Percent of Total Billed Charges,16.19,,19.27,83.4,,Percent of Total Billed Charges,18.8,,20.79,90,,Percent of Total Billed Charges,19.57,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,21.25,92,,Percent of Total Billed Charges,18.73,,21.25,92,,Percent of Total Billed Charges,17.19,,21.25,92,,Percent of Total Billed Charges,18.09,,21.25,92,,Percent of Total Billed Charges,18.73,,18.02,78,,Percent of Total Billed Charges,18.02,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,12.43,53.83,,Percent of Total Billed Charges,11.67,,8,34.64,,Percent of Total Billed Charges,7.97,,11.55,49.98,,Percent of Total Billed Charges,8.73,,8.00,21.25,,																																							
HC DEXTROSE 10%NSS 1000ML,258,RC,,,,BOTH, , ,238.35,200.21,219.28,92,,Percent of Total Billed Charges,199.26,,219.28,92,,Percent of Total Billed Charges,195.69,,219.28,92,,Percent of Total Billed Charges,191.87,,219.28,92,,Percent of Total Billed Charges,199.02,,219.28,92,,Percent of Total Billed Charges,179.48,,219.28,92,,Percent of Total Billed Charges,148.97,,214.52,90,,Percent of Total Billed Charges,118.94,,212.13,89,,Percent of Total Billed Charges,114.41,,196.4,82.4,,Percent of Total Billed Charges,195.92,,198.78,83.4,,Percent of Total Billed Charges,185.44,,198.78,83.4,,Percent of Total Billed Charges,167.08,,198.78,83.4,,Percent of Total Billed Charges,194.02,,214.52,90,,Percent of Total Billed Charges,201.88,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,219.28,92,,Percent of Total Billed Charges,193.3,,219.28,92,,Percent of Total Billed Charges,177.33,,219.28,92,,Percent of Total Billed Charges,186.63,,219.28,92,,Percent of Total Billed Charges,193.3,,185.91,78,,Percent of Total Billed Charges,185.91,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,128.3,53.83,,Percent of Total Billed Charges,120.37,,82.56,34.64,,Percent of Total Billed Charges,82.23,,119.13,49.98,,Percent of Total Billed Charges,90.1,,82.56,219.28,,																																							
HC DEXTROSE 5% 100ML PF,258,RC,,,,BOTH, , ,30.45,25.58,28.01,92,,Percent of Total Billed Charges,25.46,,28.01,92,,Percent of Total Billed Charges,25,,28.01,92,,Percent of Total Billed Charges,24.51,,28.01,92,,Percent of Total Billed Charges,25.43,,28.01,92,,Percent of Total Billed Charges,22.93,,28.01,92,,Percent of Total Billed Charges,19.03,,27.41,90,,Percent of Total Billed Charges,15.19,,27.1,89,,Percent of Total Billed Charges,14.62,,25.09,82.4,,Percent of Total Billed Charges,25.03,,25.4,83.4,,Percent of Total Billed Charges,23.69,,25.4,83.4,,Percent of Total Billed Charges,21.35,,25.4,83.4,,Percent of Total Billed Charges,24.79,,27.41,90,,Percent of Total Billed Charges,25.79,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,28.01,92,,Percent of Total Billed Charges,24.69,,28.01,92,,Percent of Total Billed Charges,22.65,,28.01,92,,Percent of Total Billed Charges,23.84,,28.01,92,,Percent of Total Billed Charges,24.69,,23.75,78,,Percent of Total Billed Charges,23.75,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,16.39,53.83,,Percent of Total Billed Charges,15.38,,10.55,34.64,,Percent of Total Billed Charges,10.51,,15.22,49.98,,Percent of Total Billed Charges,11.51,,10.55,28.01,,																																							
HC DEXTROSE 5% 150ML,258,RC,,,,BOTH, , ,23.1,19.4,21.25,92,,Percent of Total Billed Charges,19.31,,21.25,92,,Percent of Total Billed Charges,18.97,,21.25,92,,Percent of Total Billed Charges,18.6,,21.25,92,,Percent of Total Billed Charges,19.29,,21.25,92,,Percent of Total Billed Charges,17.39,,21.25,92,,Percent of Total Billed Charges,14.44,,20.79,90,,Percent of Total Billed Charges,11.53,,20.56,89,,Percent of Total Billed Charges,11.09,,19.03,82.4,,Percent of Total Billed Charges,18.99,,19.27,83.4,,Percent of Total Billed Charges,17.97,,19.27,83.4,,Percent of Total Billed Charges,16.19,,19.27,83.4,,Percent of Total Billed Charges,18.8,,20.79,90,,Percent of Total Billed Charges,19.57,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,21.25,92,,Percent of Total Billed Charges,18.73,,21.25,92,,Percent of Total Billed Charges,17.19,,21.25,92,,Percent of Total Billed Charges,18.09,,21.25,92,,Percent of Total Billed Charges,18.73,,18.02,78,,Percent of Total Billed Charges,18.02,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,12.43,53.83,,Percent of Total Billed Charges,11.67,,8,34.64,,Percent of Total Billed Charges,7.97,,11.55,49.98,,Percent of Total Billed Charges,8.73,,8.00,21.25,,																																							
HC DEXTROSE 5% 50ML PF,258,RC,,,,BOTH, , ,30.45,25.58,28.01,92,,Percent of Total Billed Charges,25.46,,28.01,92,,Percent of Total Billed Charges,25,,28.01,92,,Percent of Total Billed Charges,24.51,,28.01,92,,Percent of Total Billed Charges,25.43,,28.01,92,,Percent of Total Billed Charges,22.93,,28.01,92,,Percent of Total Billed Charges,19.03,,27.41,90,,Percent of Total Billed Charges,15.19,,27.1,89,,Percent of Total Billed Charges,14.62,,25.09,82.4,,Percent of Total Billed Charges,25.03,,25.4,83.4,,Percent of Total Billed Charges,23.69,,25.4,83.4,,Percent of Total Billed Charges,21.35,,25.4,83.4,,Percent of Total Billed Charges,24.79,,27.41,90,,Percent of Total Billed Charges,25.79,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,28.01,92,,Percent of Total Billed Charges,24.69,,28.01,92,,Percent of Total Billed Charges,22.65,,28.01,92,,Percent of Total Billed Charges,23.84,,28.01,92,,Percent of Total Billed Charges,24.69,,23.75,78,,Percent of Total Billed Charges,23.75,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,16.39,53.83,,Percent of Total Billed Charges,15.38,,10.55,34.64,,Percent of Total Billed Charges,10.51,,15.22,49.98,,Percent of Total Billed Charges,11.51,,10.55,28.01,,																																							
HC DEXTROSE 5%/.225% NACL 1000ML,258,RC,,,,BOTH, , ,8.4,7.06,7.73,92,,Percent of Total Billed Charges,7.02,,7.73,92,,Percent of Total Billed Charges,6.9,,7.73,92,,Percent of Total Billed Charges,6.76,,7.73,92,,Percent of Total Billed Charges,7.01,,7.73,92,,Percent of Total Billed Charges,6.33,,7.73,92,,Percent of Total Billed Charges,5.25,,7.56,90,,Percent of Total Billed Charges,4.19,,7.48,89,,Percent of Total Billed Charges,4.03,,6.92,82.4,,Percent of Total Billed Charges,6.9,,7.01,83.4,,Percent of Total Billed Charges,6.54,,7.01,83.4,,Percent of Total Billed Charges,5.89,,7.01,83.4,,Percent of Total Billed Charges,6.84,,7.56,90,,Percent of Total Billed Charges,7.11,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,7.73,92,,Percent of Total Billed Charges,6.81,,7.73,92,,Percent of Total Billed Charges,6.25,,7.73,92,,Percent of Total Billed Charges,6.58,,7.73,92,,Percent of Total Billed Charges,6.81,,6.55,78,,Percent of Total Billed Charges,6.55,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4.52,53.83,,Percent of Total Billed Charges,4.24,,2.91,34.64,,Percent of Total Billed Charges,2.9,,4.2,49.98,,Percent of Total Billed Charges,3.18,,2.91,7.73,,																																							
HC DEXTROSE 5%/.225% NACL 500ML,258,RC,,,,BOTH, , ,23.1,19.4,21.25,92,,Percent of Total Billed Charges,19.31,,21.25,92,,Percent of Total Billed Charges,18.97,,21.25,92,,Percent of Total Billed Charges,18.6,,21.25,92,,Percent of Total Billed Charges,19.29,,21.25,92,,Percent of Total Billed Charges,17.39,,21.25,92,,Percent of Total Billed Charges,14.44,,20.79,90,,Percent of Total Billed Charges,11.53,,20.56,89,,Percent of Total Billed Charges,11.09,,19.03,82.4,,Percent of Total Billed Charges,18.99,,19.27,83.4,,Percent of Total Billed Charges,17.97,,19.27,83.4,,Percent of Total Billed Charges,16.19,,19.27,83.4,,Percent of Total Billed Charges,18.8,,20.79,90,,Percent of Total Billed Charges,19.57,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,21.25,92,,Percent of Total Billed Charges,18.73,,21.25,92,,Percent of Total Billed Charges,17.19,,21.25,92,,Percent of Total Billed Charges,18.09,,21.25,92,,Percent of Total Billed Charges,18.73,,18.02,78,,Percent of Total Billed Charges,18.02,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,12.43,53.83,,Percent of Total Billed Charges,11.67,,8,34.64,,Percent of Total Billed Charges,7.97,,11.55,49.98,,Percent of Total Billed Charges,8.73,,8.00,21.25,,																																							
HC DEXTROSE 5%/.33% NACL 1000ML,258,RC,,,,BOTH, , ,27.3,22.93,25.12,92,,Percent of Total Billed Charges,22.82,,25.12,92,,Percent of Total Billed Charges,22.41,,25.12,92,,Percent of Total Billed Charges,21.98,,25.12,92,,Percent of Total Billed Charges,22.8,,25.12,92,,Percent of Total Billed Charges,20.56,,25.12,92,,Percent of Total Billed Charges,17.06,,24.57,90,,Percent of Total Billed Charges,13.62,,24.3,89,,Percent of Total Billed Charges,13.1,,22.5,82.4,,Percent of Total Billed Charges,22.44,,22.77,83.4,,Percent of Total Billed Charges,21.24,,22.77,83.4,,Percent of Total Billed Charges,19.14,,22.77,83.4,,Percent of Total Billed Charges,22.22,,24.57,90,,Percent of Total Billed Charges,23.12,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,25.12,92,,Percent of Total Billed Charges,22.14,,25.12,92,,Percent of Total Billed Charges,20.31,,25.12,92,,Percent of Total Billed Charges,21.38,,25.12,92,,Percent of Total Billed Charges,22.14,,21.29,78,,Percent of Total Billed Charges,21.29,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,14.7,53.83,,Percent of Total Billed Charges,13.79,,9.46,34.64,,Percent of Total Billed Charges,9.42,,13.64,49.98,,Percent of Total Billed Charges,10.32,,9.46,25.12,,																																							
HC DEXTROSE 5%/.45 NACL 500ML,258,RC,,,,BOTH, , ,23.1,19.4,21.25,92,,Percent of Total Billed Charges,19.31,,21.25,92,,Percent of Total Billed Charges,18.97,,21.25,92,,Percent of Total Billed Charges,18.6,,21.25,92,,Percent of Total Billed Charges,19.29,,21.25,92,,Percent of Total Billed Charges,17.39,,21.25,92,,Percent of Total Billed Charges,14.44,,20.79,90,,Percent of Total Billed Charges,11.53,,20.56,89,,Percent of Total Billed Charges,11.09,,19.03,82.4,,Percent of Total Billed Charges,18.99,,19.27,83.4,,Percent of Total Billed Charges,17.97,,19.27,83.4,,Percent of Total Billed Charges,16.19,,19.27,83.4,,Percent of Total Billed Charges,18.8,,20.79,90,,Percent of Total Billed Charges,19.57,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,21.25,92,,Percent of Total Billed Charges,18.73,,21.25,92,,Percent of Total Billed Charges,17.19,,21.25,92,,Percent of Total Billed Charges,18.09,,21.25,92,,Percent of Total Billed Charges,18.73,,18.02,78,,Percent of Total Billed Charges,18.02,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,12.43,53.83,,Percent of Total Billed Charges,11.67,,8,34.64,,Percent of Total Billed Charges,7.97,,11.55,49.98,,Percent of Total Billed Charges,8.73,,8.00,21.25,,																																							
HC DEXTROSE 5%/.45% NACL 1000ML,258,RC,,,,BOTH, , ,27.3,22.93,25.12,92,,Percent of Total Billed Charges,22.82,,25.12,92,,Percent of Total Billed Charges,22.41,,25.12,92,,Percent of Total Billed Charges,21.98,,25.12,92,,Percent of Total Billed Charges,22.8,,25.12,92,,Percent of Total Billed Charges,20.56,,25.12,92,,Percent of Total Billed Charges,17.06,,24.57,90,,Percent of Total Billed Charges,13.62,,24.3,89,,Percent of Total Billed Charges,13.1,,22.5,82.4,,Percent of Total Billed Charges,22.44,,22.77,83.4,,Percent of Total Billed Charges,21.24,,22.77,83.4,,Percent of Total Billed Charges,19.14,,22.77,83.4,,Percent of Total Billed Charges,22.22,,24.57,90,,Percent of Total Billed Charges,23.12,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,25.12,92,,Percent of Total Billed Charges,22.14,,25.12,92,,Percent of Total Billed Charges,20.31,,25.12,92,,Percent of Total Billed Charges,21.38,,25.12,92,,Percent of Total Billed Charges,22.14,,21.29,78,,Percent of Total Billed Charges,21.29,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,14.7,53.83,,Percent of Total Billed Charges,13.79,,9.46,34.64,,Percent of Total Billed Charges,9.42,,13.64,49.98,,Percent of Total Billed Charges,10.32,,9.46,25.12,,																																							
HC DEXTROSE 5%/20KCL 1000ML,258,RC,,,,BOTH, , ,14.7,12.35,13.52,92,,Percent of Total Billed Charges,12.29,,13.52,92,,Percent of Total Billed Charges,12.07,,13.52,92,,Percent of Total Billed Charges,11.83,,13.52,92,,Percent of Total Billed Charges,12.27,,13.52,92,,Percent of Total Billed Charges,11.07,,13.52,92,,Percent of Total Billed Charges,9.19,,13.23,90,,Percent of Total Billed Charges,7.34,,13.08,89,,Percent of Total Billed Charges,7.06,,12.11,82.4,,Percent of Total Billed Charges,12.08,,12.26,83.4,,Percent of Total Billed Charges,11.44,,12.26,83.4,,Percent of Total Billed Charges,10.3,,12.26,83.4,,Percent of Total Billed Charges,11.97,,13.23,90,,Percent of Total Billed Charges,12.45,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,13.52,92,,Percent of Total Billed Charges,11.92,,13.52,92,,Percent of Total Billed Charges,10.94,,13.52,92,,Percent of Total Billed Charges,11.51,,13.52,92,,Percent of Total Billed Charges,11.92,,11.47,78,,Percent of Total Billed Charges,11.47,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,7.91,53.83,,Percent of Total Billed Charges,7.42,,5.09,34.64,,Percent of Total Billed Charges,5.07,,7.35,49.98,,Percent of Total Billed Charges,5.56,,5.09,13.52,,																																							
HC DEXTROSE 5%/40KCL 1000ML,258,RC,,,,BOTH, , ,14.7,12.35,13.52,92,,Percent of Total Billed Charges,12.29,,13.52,92,,Percent of Total Billed Charges,12.07,,13.52,92,,Percent of Total Billed Charges,11.83,,13.52,92,,Percent of Total Billed Charges,12.27,,13.52,92,,Percent of Total Billed Charges,11.07,,13.52,92,,Percent of Total Billed Charges,9.19,,13.23,90,,Percent of Total Billed Charges,7.34,,13.08,89,,Percent of Total Billed Charges,7.06,,12.11,82.4,,Percent of Total Billed Charges,12.08,,12.26,83.4,,Percent of Total Billed Charges,11.44,,12.26,83.4,,Percent of Total Billed Charges,10.3,,12.26,83.4,,Percent of Total Billed Charges,11.97,,13.23,90,,Percent of Total Billed Charges,12.45,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,13.52,92,,Percent of Total Billed Charges,11.92,,13.52,92,,Percent of Total Billed Charges,10.94,,13.52,92,,Percent of Total Billed Charges,11.51,,13.52,92,,Percent of Total Billed Charges,11.92,,11.47,78,,Percent of Total Billed Charges,11.47,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,7.91,53.83,,Percent of Total Billed Charges,7.42,,5.09,34.64,,Percent of Total Billed Charges,5.07,,7.35,49.98,,Percent of Total Billed Charges,5.56,,5.09,13.52,,																																							
HC DEXTROSE 5%/LACT RING 1000ML,258,RC,,,,BOTH, , ,29.4,24.7,27.05,92,,Percent of Total Billed Charges,24.58,,27.05,92,,Percent of Total Billed Charges,24.14,,27.05,92,,Percent of Total Billed Charges,23.67,,27.05,92,,Percent of Total Billed Charges,24.55,,27.05,92,,Percent of Total Billed Charges,22.14,,27.05,92,,Percent of Total Billed Charges,18.38,,26.46,90,,Percent of Total Billed Charges,14.67,,26.17,89,,Percent of Total Billed Charges,14.11,,24.23,82.4,,Percent of Total Billed Charges,24.17,,24.52,83.4,,Percent of Total Billed Charges,22.87,,24.52,83.4,,Percent of Total Billed Charges,20.61,,24.52,83.4,,Percent of Total Billed Charges,23.93,,26.46,90,,Percent of Total Billed Charges,24.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,27.05,92,,Percent of Total Billed Charges,23.84,,27.05,92,,Percent of Total Billed Charges,21.87,,27.05,92,,Percent of Total Billed Charges,23.02,,27.05,92,,Percent of Total Billed Charges,23.84,,22.93,78,,Percent of Total Billed Charges,22.93,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,15.83,53.83,,Percent of Total Billed Charges,14.85,,10.18,34.64,,Percent of Total Billed Charges,10.14,,14.69,49.98,,Percent of Total Billed Charges,11.11,,10.18,27.05,,																																							
HC DEXTROSE 5%/LACT RINGERS 500ML,258,RC,,,,BOTH, , ,70.35,59.09,64.72,92,,Percent of Total Billed Charges,58.81,,64.72,92,,Percent of Total Billed Charges,57.76,,64.72,92,,Percent of Total Billed Charges,56.63,,64.72,92,,Percent of Total Billed Charges,58.74,,64.72,92,,Percent of Total Billed Charges,52.97,,64.72,92,,Percent of Total Billed Charges,43.97,,63.32,90,,Percent of Total Billed Charges,35.1,,62.61,89,,Percent of Total Billed Charges,33.77,,57.97,82.4,,Percent of Total Billed Charges,57.83,,58.67,83.4,,Percent of Total Billed Charges,54.73,,58.67,83.4,,Percent of Total Billed Charges,49.32,,58.67,83.4,,Percent of Total Billed Charges,57.26,,63.32,90,,Percent of Total Billed Charges,59.59,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,64.72,92,,Percent of Total Billed Charges,57.05,,64.72,92,,Percent of Total Billed Charges,52.34,,64.72,92,,Percent of Total Billed Charges,55.08,,64.72,92,,Percent of Total Billed Charges,57.05,,54.87,78,,Percent of Total Billed Charges,54.87,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,37.87,53.83,,Percent of Total Billed Charges,35.53,,24.37,34.64,,Percent of Total Billed Charges,24.27,,35.16,49.98,,Percent of Total Billed Charges,26.59,,24.37,64.72,,																																							
HC IV FLUIDS GROUP 1,258,RC,,,,BOTH, , ,9.45,7.94,8.69,92,,Percent of Total Billed Charges,7.9,,8.69,92,,Percent of Total Billed Charges,7.76,,8.69,92,,Percent of Total Billed Charges,7.61,,8.69,92,,Percent of Total Billed Charges,7.89,,8.69,92,,Percent of Total Billed Charges,7.12,,8.69,92,,Percent of Total Billed Charges,5.91,,8.51,90,,Percent of Total Billed Charges,4.72,,8.41,89,,Percent of Total Billed Charges,4.54,,7.79,82.4,,Percent of Total Billed Charges,7.77,,7.88,83.4,,Percent of Total Billed Charges,7.35,,7.88,83.4,,Percent of Total Billed Charges,6.62,,7.88,83.4,,Percent of Total Billed Charges,7.69,,8.51,90,,Percent of Total Billed Charges,8,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,8.69,92,,Percent of Total Billed Charges,7.66,,8.69,92,,Percent of Total Billed Charges,7.03,,8.69,92,,Percent of Total Billed Charges,7.4,,8.69,92,,Percent of Total Billed Charges,7.66,,7.37,78,,Percent of Total Billed Charges,7.37,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5.09,53.83,,Percent of Total Billed Charges,4.77,,3.27,34.64,,Percent of Total Billed Charges,3.26,,4.72,49.98,,Percent of Total Billed Charges,3.57,,3.27,8.69,,																																							
HC SODIUM CHLORIDE .45% 500ML,258,RC,,,,BOTH, , ,4.2,3.53,3.86,92,,Percent of Total Billed Charges,3.51,,3.86,92,,Percent of Total Billed Charges,3.45,,3.86,92,,Percent of Total Billed Charges,3.38,,3.86,92,,Percent of Total Billed Charges,3.51,,3.86,92,,Percent of Total Billed Charges,3.16,,3.86,92,,Percent of Total Billed Charges,2.63,,3.78,90,,Percent of Total Billed Charges,2.1,,3.74,89,,Percent of Total Billed Charges,2.02,,3.46,82.4,,Percent of Total Billed Charges,3.45,,3.5,83.4,,Percent of Total Billed Charges,3.27,,3.5,83.4,,Percent of Total Billed Charges,2.94,,3.5,83.4,,Percent of Total Billed Charges,3.42,,3.78,90,,Percent of Total Billed Charges,3.56,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3.86,92,,Percent of Total Billed Charges,3.41,,3.86,92,,Percent of Total Billed Charges,3.12,,3.86,92,,Percent of Total Billed Charges,3.29,,3.86,92,,Percent of Total Billed Charges,3.41,,3.28,78,,Percent of Total Billed Charges,3.28,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2.26,53.83,,Percent of Total Billed Charges,2.12,,1.45,34.64,,Percent of Total Billed Charges,1.45,,2.1,49.98,,Percent of Total Billed Charges,1.59,,1.45,3.86,,																																							
HC SODIUM CHLORIDE .9% 150 ML,258,RC,,,,BOTH, , ,23.1,19.4,21.25,92,,Percent of Total Billed Charges,19.31,,21.25,92,,Percent of Total Billed Charges,18.97,,21.25,92,,Percent of Total Billed Charges,18.6,,21.25,92,,Percent of Total Billed Charges,19.29,,21.25,92,,Percent of Total Billed Charges,17.39,,21.25,92,,Percent of Total Billed Charges,14.44,,20.79,90,,Percent of Total Billed Charges,11.53,,20.56,89,,Percent of Total Billed Charges,11.09,,19.03,82.4,,Percent of Total Billed Charges,18.99,,19.27,83.4,,Percent of Total Billed Charges,17.97,,19.27,83.4,,Percent of Total Billed Charges,16.19,,19.27,83.4,,Percent of Total Billed Charges,18.8,,20.79,90,,Percent of Total Billed Charges,19.57,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,21.25,92,,Percent of Total Billed Charges,18.73,,21.25,92,,Percent of Total Billed Charges,17.19,,21.25,92,,Percent of Total Billed Charges,18.09,,21.25,92,,Percent of Total Billed Charges,18.73,,18.02,78,,Percent of Total Billed Charges,18.02,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,12.43,53.83,,Percent of Total Billed Charges,11.67,,8,34.64,,Percent of Total Billed Charges,7.97,,11.55,49.98,,Percent of Total Billed Charges,8.73,,8.00,21.25,,																																							
HC SODIUM CHLORIDE .9% 50ML PF,258,RC,,,,BOTH, , ,29.4,24.7,27.05,92,,Percent of Total Billed Charges,24.58,,27.05,92,,Percent of Total Billed Charges,24.14,,27.05,92,,Percent of Total Billed Charges,23.67,,27.05,92,,Percent of Total Billed Charges,24.55,,27.05,92,,Percent of Total Billed Charges,22.14,,27.05,92,,Percent of Total Billed Charges,18.38,,26.46,90,,Percent of Total Billed Charges,14.67,,26.17,89,,Percent of Total Billed Charges,14.11,,24.23,82.4,,Percent of Total Billed Charges,24.17,,24.52,83.4,,Percent of Total Billed Charges,22.87,,24.52,83.4,,Percent of Total Billed Charges,20.61,,24.52,83.4,,Percent of Total Billed Charges,23.93,,26.46,90,,Percent of Total Billed Charges,24.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,27.05,92,,Percent of Total Billed Charges,23.84,,27.05,92,,Percent of Total Billed Charges,21.87,,27.05,92,,Percent of Total Billed Charges,23.02,,27.05,92,,Percent of Total Billed Charges,23.84,,22.93,78,,Percent of Total Billed Charges,22.93,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,15.83,53.83,,Percent of Total Billed Charges,14.85,,10.18,34.64,,Percent of Total Billed Charges,10.14,,14.69,49.98,,Percent of Total Billed Charges,11.11,,10.18,27.05,,																																							
HC SODIUM CHLORIDE.45% 1000ML,258,RC,,,,BOTH, , ,2.1,1.76,1.93,92,,Percent of Total Billed Charges,1.76,,1.93,92,,Percent of Total Billed Charges,1.72,,1.93,92,,Percent of Total Billed Charges,1.69,,1.93,92,,Percent of Total Billed Charges,1.75,,1.93,92,,Percent of Total Billed Charges,1.58,,1.93,92,,Percent of Total Billed Charges,1.31,,1.89,90,,Percent of Total Billed Charges,1.05,,1.87,89,,Percent of Total Billed Charges,1.01,,1.73,82.4,,Percent of Total Billed Charges,1.73,,1.75,83.4,,Percent of Total Billed Charges,1.63,,1.75,83.4,,Percent of Total Billed Charges,1.47,,1.75,83.4,,Percent of Total Billed Charges,1.71,,1.89,90,,Percent of Total Billed Charges,1.78,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1.93,92,,Percent of Total Billed Charges,1.7,,1.93,92,,Percent of Total Billed Charges,1.56,,1.93,92,,Percent of Total Billed Charges,1.64,,1.93,92,,Percent of Total Billed Charges,1.7,,1.64,78,,Percent of Total Billed Charges,1.64,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1.13,53.83,,Percent of Total Billed Charges,1.06,,0.73,34.64,,Percent of Total Billed Charges,0.72,,1.05,49.98,,Percent of Total Billed Charges,0.79,,0.73,1.93,,																																							
HC SODIUM CHLORIDE.9% 100ML PF,258,RC,,,,BOTH, , ,30.45,25.58,28.01,92,,Percent of Total Billed Charges,25.46,,28.01,92,,Percent of Total Billed Charges,25,,28.01,92,,Percent of Total Billed Charges,24.51,,28.01,92,,Percent of Total Billed Charges,25.43,,28.01,92,,Percent of Total Billed Charges,22.93,,28.01,92,,Percent of Total Billed Charges,19.03,,27.41,90,,Percent of Total Billed Charges,15.19,,27.1,89,,Percent of Total Billed Charges,14.62,,25.09,82.4,,Percent of Total Billed Charges,25.03,,25.4,83.4,,Percent of Total Billed Charges,23.69,,25.4,83.4,,Percent of Total Billed Charges,21.35,,25.4,83.4,,Percent of Total Billed Charges,24.79,,27.41,90,,Percent of Total Billed Charges,25.79,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,28.01,92,,Percent of Total Billed Charges,24.69,,28.01,92,,Percent of Total Billed Charges,22.65,,28.01,92,,Percent of Total Billed Charges,23.84,,28.01,92,,Percent of Total Billed Charges,24.69,,23.75,78,,Percent of Total Billed Charges,23.75,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,16.39,53.83,,Percent of Total Billed Charges,15.38,,10.55,34.64,,Percent of Total Billed Charges,10.51,,15.22,49.98,,Percent of Total Billed Charges,11.51,,10.55,28.01,,																																							
HC STAY SAFE SOLUTION 1.5% 2.5 L BAG,258,RC,,,,BOTH, , ,44.1,37.04,40.57,92,,Percent of Total Billed Charges,36.87,,40.57,92,,Percent of Total Billed Charges,36.21,,40.57,92,,Percent of Total Billed Charges,35.5,,40.57,92,,Percent of Total Billed Charges,36.82,,40.57,92,,Percent of Total Billed Charges,33.21,,40.57,92,,Percent of Total Billed Charges,27.56,,39.69,90,,Percent of Total Billed Charges,22.01,,39.25,89,,Percent of Total Billed Charges,21.17,,36.34,82.4,,Percent of Total Billed Charges,36.25,,36.78,83.4,,Percent of Total Billed Charges,34.31,,36.78,83.4,,Percent of Total Billed Charges,30.91,,36.78,83.4,,Percent of Total Billed Charges,35.9,,39.69,90,,Percent of Total Billed Charges,37.35,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,40.57,92,,Percent of Total Billed Charges,35.77,,40.57,92,,Percent of Total Billed Charges,32.81,,40.57,92,,Percent of Total Billed Charges,34.53,,40.57,92,,Percent of Total Billed Charges,35.77,,34.4,78,,Percent of Total Billed Charges,34.4,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,23.74,53.83,,Percent of Total Billed Charges,22.27,,15.28,34.64,,Percent of Total Billed Charges,15.21,,22.04,49.98,,Percent of Total Billed Charges,16.67,,15.28,40.57,,																																							
HC STAY SAFE SOLUTION 1.5% 2.5L BAG,258,RC,,,,BOTH, , ,44.1,37.04,40.57,92,,Percent of Total Billed Charges,36.87,,40.57,92,,Percent of Total Billed Charges,36.21,,40.57,92,,Percent of Total Billed Charges,35.5,,40.57,92,,Percent of Total Billed Charges,36.82,,40.57,92,,Percent of Total Billed Charges,33.21,,40.57,92,,Percent of Total Billed Charges,27.56,,39.69,90,,Percent of Total Billed Charges,22.01,,39.25,89,,Percent of Total Billed Charges,21.17,,36.34,82.4,,Percent of Total Billed Charges,36.25,,36.78,83.4,,Percent of Total Billed Charges,34.31,,36.78,83.4,,Percent of Total Billed Charges,30.91,,36.78,83.4,,Percent of Total Billed Charges,35.9,,39.69,90,,Percent of Total Billed Charges,37.35,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,40.57,92,,Percent of Total Billed Charges,35.77,,40.57,92,,Percent of Total Billed Charges,32.81,,40.57,92,,Percent of Total Billed Charges,34.53,,40.57,92,,Percent of Total Billed Charges,35.77,,34.4,78,,Percent of Total Billed Charges,34.4,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,23.74,53.83,,Percent of Total Billed Charges,22.27,,15.28,34.64,,Percent of Total Billed Charges,15.21,,22.04,49.98,,Percent of Total Billed Charges,16.67,,15.28,40.57,,																																							
HC STAY SAFE SOLUTION 2.5% 2.5L BAG,258,RC,,,,BOTH, , ,44.1,37.04,40.57,92,,Percent of Total Billed Charges,36.87,,40.57,92,,Percent of Total Billed Charges,36.21,,40.57,92,,Percent of Total Billed Charges,35.5,,40.57,92,,Percent of Total Billed Charges,36.82,,40.57,92,,Percent of Total Billed Charges,33.21,,40.57,92,,Percent of Total Billed Charges,27.56,,39.69,90,,Percent of Total Billed Charges,22.01,,39.25,89,,Percent of Total Billed Charges,21.17,,36.34,82.4,,Percent of Total Billed Charges,36.25,,36.78,83.4,,Percent of Total Billed Charges,34.31,,36.78,83.4,,Percent of Total Billed Charges,30.91,,36.78,83.4,,Percent of Total Billed Charges,35.9,,39.69,90,,Percent of Total Billed Charges,37.35,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,40.57,92,,Percent of Total Billed Charges,35.77,,40.57,92,,Percent of Total Billed Charges,32.81,,40.57,92,,Percent of Total Billed Charges,34.53,,40.57,92,,Percent of Total Billed Charges,35.77,,34.4,78,,Percent of Total Billed Charges,34.4,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,23.74,53.83,,Percent of Total Billed Charges,22.27,,15.28,34.64,,Percent of Total Billed Charges,15.21,,22.04,49.98,,Percent of Total Billed Charges,16.67,,15.28,40.57,,																																							
HC STAY SAFE SOLUTIONS 2.5% 2.5L BAG,258,RC,,,,BOTH, , ,44.1,37.04,40.57,92,,Percent of Total Billed Charges,36.87,,40.57,92,,Percent of Total Billed Charges,36.21,,40.57,92,,Percent of Total Billed Charges,35.5,,40.57,92,,Percent of Total Billed Charges,36.82,,40.57,92,,Percent of Total Billed Charges,33.21,,40.57,92,,Percent of Total Billed Charges,27.56,,39.69,90,,Percent of Total Billed Charges,22.01,,39.25,89,,Percent of Total Billed Charges,21.17,,36.34,82.4,,Percent of Total Billed Charges,36.25,,36.78,83.4,,Percent of Total Billed Charges,34.31,,36.78,83.4,,Percent of Total Billed Charges,30.91,,36.78,83.4,,Percent of Total Billed Charges,35.9,,39.69,90,,Percent of Total Billed Charges,37.35,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,40.57,92,,Percent of Total Billed Charges,35.77,,40.57,92,,Percent of Total Billed Charges,32.81,,40.57,92,,Percent of Total Billed Charges,34.53,,40.57,92,,Percent of Total Billed Charges,35.77,,34.4,78,,Percent of Total Billed Charges,34.4,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,23.74,53.83,,Percent of Total Billed Charges,22.27,,15.28,34.64,,Percent of Total Billed Charges,15.21,,22.04,49.98,,Percent of Total Billed Charges,16.67,,15.28,40.57,,																																							
HC STAYSAFE SOLUTION 1.5% 2L,258,RC,,,,BOTH, , ,43.05,36.16,39.61,92,,Percent of Total Billed Charges,35.99,,39.61,92,,Percent of Total Billed Charges,35.34,,39.61,92,,Percent of Total Billed Charges,34.66,,39.61,92,,Percent of Total Billed Charges,35.95,,39.61,92,,Percent of Total Billed Charges,32.42,,39.61,92,,Percent of Total Billed Charges,26.91,,38.75,90,,Percent of Total Billed Charges,21.48,,38.31,89,,Percent of Total Billed Charges,20.66,,35.47,82.4,,Percent of Total Billed Charges,35.39,,35.9,83.4,,Percent of Total Billed Charges,33.49,,35.9,83.4,,Percent of Total Billed Charges,30.18,,35.9,83.4,,Percent of Total Billed Charges,35.04,,38.75,90,,Percent of Total Billed Charges,36.46,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,39.61,92,,Percent of Total Billed Charges,34.91,,39.61,92,,Percent of Total Billed Charges,32.03,,39.61,92,,Percent of Total Billed Charges,33.71,,39.61,92,,Percent of Total Billed Charges,34.91,,33.58,78,,Percent of Total Billed Charges,33.58,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,23.17,53.83,,Percent of Total Billed Charges,21.74,,14.91,34.64,,Percent of Total Billed Charges,14.85,,21.52,49.98,,Percent of Total Billed Charges,16.27,,14.91,39.61,,																																							
HC STAYSAFE SOLUTION 2.5% 2L,258,RC,,,,BOTH, , ,43.05,36.16,39.61,92,,Percent of Total Billed Charges,35.99,,39.61,92,,Percent of Total Billed Charges,35.34,,39.61,92,,Percent of Total Billed Charges,34.66,,39.61,92,,Percent of Total Billed Charges,35.95,,39.61,92,,Percent of Total Billed Charges,32.42,,39.61,92,,Percent of Total Billed Charges,26.91,,38.75,90,,Percent of Total Billed Charges,21.48,,38.31,89,,Percent of Total Billed Charges,20.66,,35.47,82.4,,Percent of Total Billed Charges,35.39,,35.9,83.4,,Percent of Total Billed Charges,33.49,,35.9,83.4,,Percent of Total Billed Charges,30.18,,35.9,83.4,,Percent of Total Billed Charges,35.04,,38.75,90,,Percent of Total Billed Charges,36.46,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,39.61,92,,Percent of Total Billed Charges,34.91,,39.61,92,,Percent of Total Billed Charges,32.03,,39.61,92,,Percent of Total Billed Charges,33.71,,39.61,92,,Percent of Total Billed Charges,34.91,,33.58,78,,Percent of Total Billed Charges,33.58,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,23.17,53.83,,Percent of Total Billed Charges,21.74,,14.91,34.64,,Percent of Total Billed Charges,14.85,,21.52,49.98,,Percent of Total Billed Charges,16.27,,14.91,39.61,,																																							
HC STAYSAFE SOLUTIONS 2.5% 2L,258,RC,,,,BOTH, , ,43.05,36.16,39.61,92,,Percent of Total Billed Charges,35.99,,39.61,92,,Percent of Total Billed Charges,35.34,,39.61,92,,Percent of Total Billed Charges,34.66,,39.61,92,,Percent of Total Billed Charges,35.95,,39.61,92,,Percent of Total Billed Charges,32.42,,39.61,92,,Percent of Total Billed Charges,26.91,,38.75,90,,Percent of Total Billed Charges,21.48,,38.31,89,,Percent of Total Billed Charges,20.66,,35.47,82.4,,Percent of Total Billed Charges,35.39,,35.9,83.4,,Percent of Total Billed Charges,33.49,,35.9,83.4,,Percent of Total Billed Charges,30.18,,35.9,83.4,,Percent of Total Billed Charges,35.04,,38.75,90,,Percent of Total Billed Charges,36.46,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,39.61,92,,Percent of Total Billed Charges,34.91,,39.61,92,,Percent of Total Billed Charges,32.03,,39.61,92,,Percent of Total Billed Charges,33.71,,39.61,92,,Percent of Total Billed Charges,34.91,,33.58,78,,Percent of Total Billed Charges,33.58,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,23.17,53.83,,Percent of Total Billed Charges,21.74,,14.91,34.64,,Percent of Total Billed Charges,14.85,,21.52,49.98,,Percent of Total Billed Charges,16.27,,14.91,39.61,,																																							
HC IV INFUSION HYDRA INITIAL =< 1HR,96360,CPT,,,,BOTH, , ,833.7,700.31,767,92,,Percent of Total Billed Charges,696.97,,767,92,,Percent of Total Billed Charges,684.47,,767,92,,Percent of Total Billed Charges,671.13,,767,92,,Percent of Total Billed Charges,696.14,,767,92,,Percent of Total Billed Charges,627.78,,767,92,,Percent of Total Billed Charges,521.06,,750.33,90,,Percent of Total Billed Charges,416.02,,741.99,89,,Percent of Total Billed Charges,400.18,,686.97,82.4,,Percent of Total Billed Charges,685.3,,695.31,83.4,,Percent of Total Billed Charges,648.62,,695.31,83.4,,Percent of Total Billed Charges,584.42,,695.31,83.4,,Percent of Total Billed Charges,678.63,,750.33,90,,Percent of Total Billed Charges,706.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,767,92,,Percent of Total Billed Charges,676.13,,767,92,,Percent of Total Billed Charges,620.27,,767,92,,Percent of Total Billed Charges,652.79,,767,92,,Percent of Total Billed Charges,676.13,,650.29,78,,Percent of Total Billed Charges,650.29,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,448.78,53.83,,Percent of Total Billed Charges,421.02,,288.79,34.64,,Percent of Total Billed Charges,287.63,,416.68,49.98,,Percent of Total Billed Charges,315.14,,288.79,767,,																																							
HC IV INFUSION HYDRATION EA ADD'L HR,96361,CPT,,,,BOTH, , ,366.45,307.82,337.13,92,,Percent of Total Billed Charges,306.35,,337.13,92,,Percent of Total Billed Charges,300.86,,337.13,92,,Percent of Total Billed Charges,294.99,,337.13,92,,Percent of Total Billed Charges,305.99,,337.13,92,,Percent of Total Billed Charges,275.94,,337.13,92,,Percent of Total Billed Charges,229.03,,329.81,90,,Percent of Total Billed Charges,182.86,,326.14,89,,Percent of Total Billed Charges,175.9,,301.95,82.4,,Percent of Total Billed Charges,301.22,,305.62,83.4,,Percent of Total Billed Charges,285.1,,305.62,83.4,,Percent of Total Billed Charges,256.88,,305.62,83.4,,Percent of Total Billed Charges,298.29,,329.81,90,,Percent of Total Billed Charges,310.38,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,337.13,92,,Percent of Total Billed Charges,297.19,,337.13,92,,Percent of Total Billed Charges,272.64,,337.13,92,,Percent of Total Billed Charges,286.93,,337.13,92,,Percent of Total Billed Charges,297.19,,285.83,78,,Percent of Total Billed Charges,285.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,197.26,53.83,,Percent of Total Billed Charges,185.06,,126.94,34.64,,Percent of Total Billed Charges,126.43,,183.15,49.98,,Percent of Total Billed Charges,138.52,,126.94,337.13,,																																							
HC THER/PROPH/DIAG INJ SC/IM,96372,CPT,,,,BOTH, , ,154.35,129.65,142,92,,Percent of Total Billed Charges,129.04,,142,92,,Percent of Total Billed Charges,126.72,,142,92,,Percent of Total Billed Charges,124.25,,142,92,,Percent of Total Billed Charges,128.88,,142,92,,Percent of Total Billed Charges,116.23,,142,92,,Percent of Total Billed Charges,96.47,,138.92,90,,Percent of Total Billed Charges,77.02,,137.37,89,,Percent of Total Billed Charges,74.09,,127.18,82.4,,Percent of Total Billed Charges,126.88,,128.73,83.4,,Percent of Total Billed Charges,120.08,,128.73,83.4,,Percent of Total Billed Charges,108.2,,128.73,83.4,,Percent of Total Billed Charges,125.64,,138.92,90,,Percent of Total Billed Charges,130.73,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,142,92,,Percent of Total Billed Charges,125.18,,142,92,,Percent of Total Billed Charges,114.84,,142,92,,Percent of Total Billed Charges,120.86,,142,92,,Percent of Total Billed Charges,125.18,,120.39,78,,Percent of Total Billed Charges,120.39,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,83.09,53.83,,Percent of Total Billed Charges,77.95,,53.47,34.64,,Percent of Total Billed Charges,53.25,,77.14,49.98,,Percent of Total Billed Charges,58.34,,53.47,142,,																																							
HC APPL ONBODY INJECTOR FOR TIMED SUBQ INJECTION,96377,CPT,,,,BOTH, , ,14.7,12.35,13.52,92,,Percent of Total Billed Charges,12.29,,13.52,92,,Percent of Total Billed Charges,12.07,,13.52,92,,Percent of Total Billed Charges,11.83,,13.52,92,,Percent of Total Billed Charges,12.27,,13.52,92,,Percent of Total Billed Charges,11.07,,13.52,92,,Percent of Total Billed Charges,9.19,,13.23,90,,Percent of Total Billed Charges,7.34,,13.08,89,,Percent of Total Billed Charges,7.06,,12.11,82.4,,Percent of Total Billed Charges,12.08,,12.26,83.4,,Percent of Total Billed Charges,11.44,,12.26,83.4,,Percent of Total Billed Charges,10.3,,12.26,83.4,,Percent of Total Billed Charges,11.97,,13.23,90,,Percent of Total Billed Charges,12.45,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,13.52,92,,Percent of Total Billed Charges,11.92,,13.52,92,,Percent of Total Billed Charges,10.94,,13.52,92,,Percent of Total Billed Charges,11.51,,13.52,92,,Percent of Total Billed Charges,11.92,,11.47,78,,Percent of Total Billed Charges,11.47,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,7.91,53.83,,Percent of Total Billed Charges,7.42,,5.09,34.64,,Percent of Total Billed Charges,5.07,,7.35,49.98,,Percent of Total Billed Charges,5.56,,5.09,13.52,,																																							
HC LOW FLOW OXYGEN,270,RC,,,,BOTH, , ,153.3,128.77,141.04,92,,Percent of Total Billed Charges,128.16,,141.04,92,,Percent of Total Billed Charges,125.86,,141.04,92,,Percent of Total Billed Charges,123.41,,141.04,92,,Percent of Total Billed Charges,128.01,,141.04,92,,Percent of Total Billed Charges,115.43,,141.04,92,,Percent of Total Billed Charges,95.81,,137.97,90,,Percent of Total Billed Charges,76.5,,136.44,89,,Percent of Total Billed Charges,73.58,,126.32,82.4,,Percent of Total Billed Charges,126.01,,127.85,83.4,,Percent of Total Billed Charges,119.27,,127.85,83.4,,Percent of Total Billed Charges,107.46,,127.85,83.4,,Percent of Total Billed Charges,124.79,,137.97,90,,Percent of Total Billed Charges,129.85,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,141.04,92,,Percent of Total Billed Charges,124.33,,141.04,92,,Percent of Total Billed Charges,114.06,,141.04,92,,Percent of Total Billed Charges,120.03,,141.04,92,,Percent of Total Billed Charges,124.33,,119.57,78,,Percent of Total Billed Charges,119.57,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,82.52,53.83,,Percent of Total Billed Charges,77.42,,53.1,34.64,,Percent of Total Billed Charges,52.89,,76.62,49.98,,Percent of Total Billed Charges,57.95,,53.10,141.04,,																																							
HC HIGH FLOW OXYGEN,270,RC,,,,BOTH, , ,305.55,256.66,281.11,92,,Percent of Total Billed Charges,255.44,,281.11,92,,Percent of Total Billed Charges,250.86,,281.11,92,,Percent of Total Billed Charges,245.97,,281.11,92,,Percent of Total Billed Charges,255.13,,281.11,92,,Percent of Total Billed Charges,230.08,,281.11,92,,Percent of Total Billed Charges,190.97,,275,90,,Percent of Total Billed Charges,152.47,,271.94,89,,Percent of Total Billed Charges,146.66,,251.77,82.4,,Percent of Total Billed Charges,251.16,,254.83,83.4,,Percent of Total Billed Charges,237.72,,254.83,83.4,,Percent of Total Billed Charges,214.19,,254.83,83.4,,Percent of Total Billed Charges,248.72,,275,90,,Percent of Total Billed Charges,258.8,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,281.11,92,,Percent of Total Billed Charges,247.8,,281.11,92,,Percent of Total Billed Charges,227.33,,281.11,92,,Percent of Total Billed Charges,239.25,,281.11,92,,Percent of Total Billed Charges,247.8,,238.33,78,,Percent of Total Billed Charges,238.33,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,164.48,53.83,,Percent of Total Billed Charges,154.3,,105.84,34.64,,Percent of Total Billed Charges,105.41,,152.71,49.98,,Percent of Total Billed Charges,115.5,,105.84,281.11,,																																							
HC BIPAP/CPAP CIRCUIT CHANGE,270,RC,,,,BOTH, , ,97.65,82.03,89.84,92,,Percent of Total Billed Charges,81.64,,89.84,92,,Percent of Total Billed Charges,80.17,,89.84,92,,Percent of Total Billed Charges,78.61,,89.84,92,,Percent of Total Billed Charges,81.54,,89.84,92,,Percent of Total Billed Charges,73.53,,89.84,92,,Percent of Total Billed Charges,61.03,,87.89,90,,Percent of Total Billed Charges,48.73,,86.91,89,,Percent of Total Billed Charges,46.87,,80.46,82.4,,Percent of Total Billed Charges,80.27,,81.44,83.4,,Percent of Total Billed Charges,75.97,,81.44,83.4,,Percent of Total Billed Charges,68.45,,81.44,83.4,,Percent of Total Billed Charges,79.49,,87.89,90,,Percent of Total Billed Charges,82.71,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,89.84,92,,Percent of Total Billed Charges,79.19,,89.84,92,,Percent of Total Billed Charges,72.65,,89.84,92,,Percent of Total Billed Charges,76.46,,89.84,92,,Percent of Total Billed Charges,79.19,,76.17,78,,Percent of Total Billed Charges,76.17,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,52.56,53.83,,Percent of Total Billed Charges,49.31,,33.83,34.64,,Percent of Total Billed Charges,33.69,,48.81,49.98,,Percent of Total Billed Charges,36.91,,33.83,89.84,,																																							
HC MECH VENT CIRCUIT CHANGE,270,RC,,,,BOTH, , ,96.6,81.14,88.87,92,,Percent of Total Billed Charges,80.76,,88.87,92,,Percent of Total Billed Charges,79.31,,88.87,92,,Percent of Total Billed Charges,77.76,,88.87,92,,Percent of Total Billed Charges,80.66,,88.87,92,,Percent of Total Billed Charges,72.74,,88.87,92,,Percent of Total Billed Charges,60.38,,86.94,90,,Percent of Total Billed Charges,48.2,,85.97,89,,Percent of Total Billed Charges,46.37,,79.6,82.4,,Percent of Total Billed Charges,79.41,,80.56,83.4,,Percent of Total Billed Charges,75.15,,80.56,83.4,,Percent of Total Billed Charges,67.72,,80.56,83.4,,Percent of Total Billed Charges,78.63,,86.94,90,,Percent of Total Billed Charges,81.82,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,88.87,92,,Percent of Total Billed Charges,78.34,,88.87,92,,Percent of Total Billed Charges,71.87,,88.87,92,,Percent of Total Billed Charges,75.64,,88.87,92,,Percent of Total Billed Charges,78.34,,75.35,78,,Percent of Total Billed Charges,75.35,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,52,53.83,,Percent of Total Billed Charges,48.78,,33.46,34.64,,Percent of Total Billed Charges,33.33,,48.28,49.98,,Percent of Total Billed Charges,36.51,,33.46,88.87,,																																							
HC ARTERIAL BLOOD GAS KIT,270,RC,,,,BOTH, , ,3.15,2.65,2.9,92,,Percent of Total Billed Charges,2.63,,2.9,92,,Percent of Total Billed Charges,2.59,,2.9,92,,Percent of Total Billed Charges,2.54,,2.9,92,,Percent of Total Billed Charges,2.63,,2.9,92,,Percent of Total Billed Charges,2.37,,2.9,92,,Percent of Total Billed Charges,1.97,,2.84,90,,Percent of Total Billed Charges,1.57,,2.8,89,,Percent of Total Billed Charges,1.51,,2.6,82.4,,Percent of Total Billed Charges,2.59,,2.63,83.4,,Percent of Total Billed Charges,2.45,,2.63,83.4,,Percent of Total Billed Charges,2.21,,2.63,83.4,,Percent of Total Billed Charges,2.56,,2.84,90,,Percent of Total Billed Charges,2.67,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2.9,92,,Percent of Total Billed Charges,2.55,,2.9,92,,Percent of Total Billed Charges,2.34,,2.9,92,,Percent of Total Billed Charges,2.47,,2.9,92,,Percent of Total Billed Charges,2.55,,2.46,78,,Percent of Total Billed Charges,2.46,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1.7,53.83,,Percent of Total Billed Charges,1.59,,1.09,34.64,,Percent of Total Billed Charges,1.09,,1.57,49.98,,Percent of Total Billed Charges,1.19,,1.09,2.9,,																																							
HC ARTIFICIAL AIRWAY CHANGE,270,RC,,,,BOTH, , ,77.7,65.27,71.48,92,,Percent of Total Billed Charges,64.96,,71.48,92,,Percent of Total Billed Charges,63.79,,71.48,92,,Percent of Total Billed Charges,62.55,,71.48,92,,Percent of Total Billed Charges,64.88,,71.48,92,,Percent of Total Billed Charges,58.51,,71.48,92,,Percent of Total Billed Charges,48.56,,69.93,90,,Percent of Total Billed Charges,38.77,,69.15,89,,Percent of Total Billed Charges,37.3,,64.02,82.4,,Percent of Total Billed Charges,63.87,,64.8,83.4,,Percent of Total Billed Charges,60.45,,64.8,83.4,,Percent of Total Billed Charges,54.47,,64.8,83.4,,Percent of Total Billed Charges,63.25,,69.93,90,,Percent of Total Billed Charges,65.81,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,71.48,92,,Percent of Total Billed Charges,63.01,,71.48,92,,Percent of Total Billed Charges,57.81,,71.48,92,,Percent of Total Billed Charges,60.84,,71.48,92,,Percent of Total Billed Charges,63.01,,60.61,78,,Percent of Total Billed Charges,60.61,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,41.83,53.83,,Percent of Total Billed Charges,39.24,,26.92,34.64,,Percent of Total Billed Charges,26.81,,38.83,49.98,,Percent of Total Billed Charges,29.37,,26.92,71.48,,																																							
HC FIBER OPTIC STYLET,270,RC,,,,BOTH, , ,184.8,155.23,170.02,92,,Percent of Total Billed Charges,154.49,,170.02,92,,Percent of Total Billed Charges,151.72,,170.02,92,,Percent of Total Billed Charges,148.76,,170.02,92,,Percent of Total Billed Charges,154.31,,170.02,92,,Percent of Total Billed Charges,139.15,,170.02,92,,Percent of Total Billed Charges,115.5,,166.32,90,,Percent of Total Billed Charges,92.22,,164.47,89,,Percent of Total Billed Charges,88.7,,152.28,82.4,,Percent of Total Billed Charges,151.91,,154.12,83.4,,Percent of Total Billed Charges,143.77,,154.12,83.4,,Percent of Total Billed Charges,129.54,,154.12,83.4,,Percent of Total Billed Charges,150.43,,166.32,90,,Percent of Total Billed Charges,156.53,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,170.02,92,,Percent of Total Billed Charges,149.87,,170.02,92,,Percent of Total Billed Charges,137.49,,170.02,92,,Percent of Total Billed Charges,144.7,,170.02,92,,Percent of Total Billed Charges,149.87,,144.14,78,,Percent of Total Billed Charges,144.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,99.48,53.83,,Percent of Total Billed Charges,93.32,,64.01,34.64,,Percent of Total Billed Charges,63.76,,92.36,49.98,,Percent of Total Billed Charges,69.85,,64.01,170.02,,																																							
HC CRICOTHYROTOMY TRAY,270,RC,,,,BOTH, , ,331.8,278.71,305.26,92,,Percent of Total Billed Charges,277.38,,305.26,92,,Percent of Total Billed Charges,272.41,,305.26,92,,Percent of Total Billed Charges,267.1,,305.26,92,,Percent of Total Billed Charges,277.05,,305.26,92,,Percent of Total Billed Charges,249.85,,305.26,92,,Percent of Total Billed Charges,207.38,,298.62,90,,Percent of Total Billed Charges,165.57,,295.3,89,,Percent of Total Billed Charges,159.26,,273.4,82.4,,Percent of Total Billed Charges,272.74,,276.72,83.4,,Percent of Total Billed Charges,258.14,,276.72,83.4,,Percent of Total Billed Charges,232.59,,276.72,83.4,,Percent of Total Billed Charges,270.09,,298.62,90,,Percent of Total Billed Charges,281.03,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,305.26,92,,Percent of Total Billed Charges,269.09,,305.26,92,,Percent of Total Billed Charges,246.86,,305.26,92,,Percent of Total Billed Charges,259.8,,305.26,92,,Percent of Total Billed Charges,269.09,,258.8,78,,Percent of Total Billed Charges,258.8,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,178.61,53.83,,Percent of Total Billed Charges,167.56,,114.94,34.64,,Percent of Total Billed Charges,114.47,,165.83,49.98,,Percent of Total Billed Charges,125.42,,114.94,305.26,,																																							
HC RETROGRADE INTUBATION TRAY,270,RC,,,,BOTH, , ,247.8,208.15,227.98,92,,Percent of Total Billed Charges,207.16,,227.98,92,,Percent of Total Billed Charges,203.44,,227.98,92,,Percent of Total Billed Charges,199.48,,227.98,92,,Percent of Total Billed Charges,206.91,,227.98,92,,Percent of Total Billed Charges,186.59,,227.98,92,,Percent of Total Billed Charges,154.88,,223.02,90,,Percent of Total Billed Charges,123.65,,220.54,89,,Percent of Total Billed Charges,118.94,,204.19,82.4,,Percent of Total Billed Charges,203.69,,206.67,83.4,,Percent of Total Billed Charges,192.79,,206.67,83.4,,Percent of Total Billed Charges,173.71,,206.67,83.4,,Percent of Total Billed Charges,201.71,,223.02,90,,Percent of Total Billed Charges,209.89,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,227.98,92,,Percent of Total Billed Charges,200.97,,227.98,92,,Percent of Total Billed Charges,184.36,,227.98,92,,Percent of Total Billed Charges,194.03,,227.98,92,,Percent of Total Billed Charges,200.97,,193.28,78,,Percent of Total Billed Charges,193.28,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,133.39,53.83,,Percent of Total Billed Charges,125.14,,85.84,34.64,,Percent of Total Billed Charges,85.49,,123.85,49.98,,Percent of Total Billed Charges,93.67,,85.84,227.98,,																																							
HC ENDOTRACHEAL TUBE,270,RC,,,,BOTH, , ,39.9,33.52,36.71,92,,Percent of Total Billed Charges,33.36,,36.71,92,,Percent of Total Billed Charges,32.76,,36.71,92,,Percent of Total Billed Charges,32.12,,36.71,92,,Percent of Total Billed Charges,33.32,,36.71,92,,Percent of Total Billed Charges,30.04,,36.71,92,,Percent of Total Billed Charges,24.94,,35.91,90,,Percent of Total Billed Charges,19.91,,35.51,89,,Percent of Total Billed Charges,19.15,,32.88,82.4,,Percent of Total Billed Charges,32.8,,33.28,83.4,,Percent of Total Billed Charges,31.04,,33.28,83.4,,Percent of Total Billed Charges,27.97,,33.28,83.4,,Percent of Total Billed Charges,32.48,,35.91,90,,Percent of Total Billed Charges,33.8,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,36.71,92,,Percent of Total Billed Charges,32.36,,36.71,92,,Percent of Total Billed Charges,29.69,,36.71,92,,Percent of Total Billed Charges,31.24,,36.71,92,,Percent of Total Billed Charges,32.36,,31.12,78,,Percent of Total Billed Charges,31.12,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,21.48,53.83,,Percent of Total Billed Charges,20.15,,13.82,34.64,,Percent of Total Billed Charges,13.77,,19.94,49.98,,Percent of Total Billed Charges,15.08,,13.82,36.71,,																																							
HC INTUBATION STYLET,270,RC,,,,BOTH, , ,25.2,21.17,23.18,92,,Percent of Total Billed Charges,21.07,,23.18,92,,Percent of Total Billed Charges,20.69,,23.18,92,,Percent of Total Billed Charges,20.29,,23.18,92,,Percent of Total Billed Charges,21.04,,23.18,92,,Percent of Total Billed Charges,18.98,,23.18,92,,Percent of Total Billed Charges,15.75,,22.68,90,,Percent of Total Billed Charges,12.57,,22.43,89,,Percent of Total Billed Charges,12.1,,20.76,82.4,,Percent of Total Billed Charges,20.71,,21.02,83.4,,Percent of Total Billed Charges,19.61,,21.02,83.4,,Percent of Total Billed Charges,17.67,,21.02,83.4,,Percent of Total Billed Charges,20.51,,22.68,90,,Percent of Total Billed Charges,21.34,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,23.18,92,,Percent of Total Billed Charges,20.44,,23.18,92,,Percent of Total Billed Charges,18.75,,23.18,92,,Percent of Total Billed Charges,19.73,,23.18,92,,Percent of Total Billed Charges,20.44,,19.66,78,,Percent of Total Billed Charges,19.66,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,13.57,53.83,,Percent of Total Billed Charges,12.73,,8.73,34.64,,Percent of Total Billed Charges,8.69,,12.59,49.98,,Percent of Total Billed Charges,9.53,,8.73,23.18,,																																							
HC END TIDAL CO2 DETECTOR,270,RC,,,,BOTH, , ,133.35,112.01,122.68,92,,Percent of Total Billed Charges,111.48,,122.68,92,,Percent of Total Billed Charges,109.48,,122.68,92,,Percent of Total Billed Charges,107.35,,122.68,92,,Percent of Total Billed Charges,111.35,,122.68,92,,Percent of Total Billed Charges,100.41,,122.68,92,,Percent of Total Billed Charges,83.34,,120.02,90,,Percent of Total Billed Charges,66.54,,118.68,89,,Percent of Total Billed Charges,64.01,,109.88,82.4,,Percent of Total Billed Charges,109.61,,111.21,83.4,,Percent of Total Billed Charges,103.75,,111.21,83.4,,Percent of Total Billed Charges,93.48,,111.21,83.4,,Percent of Total Billed Charges,108.55,,120.02,90,,Percent of Total Billed Charges,112.95,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,122.68,92,,Percent of Total Billed Charges,108.15,,122.68,92,,Percent of Total Billed Charges,99.21,,122.68,92,,Percent of Total Billed Charges,104.41,,122.68,92,,Percent of Total Billed Charges,108.15,,104.01,78,,Percent of Total Billed Charges,104.01,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,71.78,53.83,,Percent of Total Billed Charges,67.34,,46.19,34.64,,Percent of Total Billed Charges,46.01,,66.65,49.98,,Percent of Total Billed Charges,50.41,,46.19,122.68,,																																							
HC SPLINT FINGR LMB SPG EXT SZ B/ D,272,RC,,,,BOTH, , ,72.45,60.86,66.65,92,,Percent of Total Billed Charges,60.57,,66.65,92,,Percent of Total Billed Charges,59.48,,66.65,92,,Percent of Total Billed Charges,58.32,,66.65,92,,Percent of Total Billed Charges,60.5,,66.65,92,,Percent of Total Billed Charges,54.55,,66.65,92,,Percent of Total Billed Charges,45.28,,65.21,90,,Percent of Total Billed Charges,36.15,,64.48,89,,Percent of Total Billed Charges,34.78,,59.7,82.4,,Percent of Total Billed Charges,59.55,,60.42,83.4,,Percent of Total Billed Charges,56.37,,60.42,83.4,,Percent of Total Billed Charges,50.79,,60.42,83.4,,Percent of Total Billed Charges,58.97,,65.21,90,,Percent of Total Billed Charges,61.37,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,66.65,92,,Percent of Total Billed Charges,58.76,,66.65,92,,Percent of Total Billed Charges,53.9,,66.65,92,,Percent of Total Billed Charges,56.73,,66.65,92,,Percent of Total Billed Charges,58.76,,56.51,78,,Percent of Total Billed Charges,56.51,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,39,53.83,,Percent of Total Billed Charges,36.59,,25.1,34.64,,Percent of Total Billed Charges,25,,36.21,49.98,,Percent of Total Billed Charges,27.39,,25.10,66.65,,																																							
HC KIT ECMO DISPOSABLES,272,RC,,,,BOTH, , ,38999.1,32759.24,35879.17,92,,Percent of Total Billed Charges,32603.25,,35879.17,92,,Percent of Total Billed Charges,32018.26,,35879.17,92,,Percent of Total Billed Charges,31394.28,,35879.17,92,,Percent of Total Billed Charges,32564.25,,35879.17,92,,Percent of Total Billed Charges,29366.32,,35879.17,92,,Percent of Total Billed Charges,24374.44,,35099.19,90,,Percent of Total Billed Charges,19460.55,,34709.2,89,,Percent of Total Billed Charges,18719.57,,32135.26,82.4,,Percent of Total Billed Charges,32057.26,,32525.25,83.4,,Percent of Total Billed Charges,30341.3,,32525.25,83.4,,Percent of Total Billed Charges,27338.37,,32525.25,83.4,,Percent of Total Billed Charges,31745.27,,35099.19,90,,Percent of Total Billed Charges,33032.24,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,35879.17,92,,Percent of Total Billed Charges,31628.27,,35879.17,92,,Percent of Total Billed Charges,29015.33,,35879.17,92,,Percent of Total Billed Charges,30536.3,,35879.17,92,,Percent of Total Billed Charges,31628.27,,30419.3,78,,Percent of Total Billed Charges,30419.3,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,20993.22,53.83,,Percent of Total Billed Charges,19694.55,,13509.29,34.64,,Percent of Total Billed Charges,13454.69,,19491.75,49.98,,Percent of Total Billed Charges,14741.66,,13509.29,35879.17,,																																							
HC ELBOW ORTHO W/O JOINTS CF,L3702,HCPCS,,,,BOTH, , ,1352.4,1136.02,1244.21,92,,Percent of Total Billed Charges,1130.61,,1244.21,92,,Percent of Total Billed Charges,1110.32,,1244.21,92,,Percent of Total Billed Charges,1088.68,,1244.21,92,,Percent of Total Billed Charges,1129.25,,1244.21,92,,Percent of Total Billed Charges,1018.36,,1244.21,92,,Percent of Total Billed Charges,845.25,,1217.16,90,,Percent of Total Billed Charges,674.85,,1203.64,89,,Percent of Total Billed Charges,649.15,,1114.38,82.4,,Percent of Total Billed Charges,1111.67,,1127.9,83.4,,Percent of Total Billed Charges,1052.17,,1127.9,83.4,,Percent of Total Billed Charges,948.03,,1127.9,83.4,,Percent of Total Billed Charges,1100.85,,1217.16,90,,Percent of Total Billed Charges,1145.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1244.21,92,,Percent of Total Billed Charges,1096.8,,1244.21,92,,Percent of Total Billed Charges,1006.19,,1244.21,92,,Percent of Total Billed Charges,1058.93,,1244.21,92,,Percent of Total Billed Charges,1096.8,,1054.87,78,,Percent of Total Billed Charges,1054.87,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,728,53.83,,Percent of Total Billed Charges,682.96,,468.47,34.64,,Percent of Total Billed Charges,466.58,,675.93,49.98,,Percent of Total Billed Charges,511.21,,468.47,1244.21,,																																							
HC E /W /H ORTHO RIGID W/O JNTS CF,L3763,HCPCS,,,,BOTH, , ,3287.55,2761.54,3024.55,92,,Percent of Total Billed Charges,2748.39,,3024.55,92,,Percent of Total Billed Charges,2699.08,,3024.55,92,,Percent of Total Billed Charges,2646.48,,3024.55,92,,Percent of Total Billed Charges,2745.1,,3024.55,92,,Percent of Total Billed Charges,2475.53,,3024.55,92,,Percent of Total Billed Charges,2054.72,,2958.8,90,,Percent of Total Billed Charges,1640.49,,2925.92,89,,Percent of Total Billed Charges,1578.02,,2708.94,82.4,,Percent of Total Billed Charges,2702.37,,2741.82,83.4,,Percent of Total Billed Charges,2557.71,,2741.82,83.4,,Percent of Total Billed Charges,2304.57,,2741.82,83.4,,Percent of Total Billed Charges,2676.07,,2958.8,90,,Percent of Total Billed Charges,2784.55,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3024.55,92,,Percent of Total Billed Charges,2666.2,,3024.55,92,,Percent of Total Billed Charges,2445.94,,3024.55,92,,Percent of Total Billed Charges,2574.15,,3024.55,92,,Percent of Total Billed Charges,2666.2,,2564.29,78,,Percent of Total Billed Charges,2564.29,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1769.69,53.83,,Percent of Total Billed Charges,1660.21,,1138.81,34.64,,Percent of Total Billed Charges,1134.2,,1643.12,49.98,,Percent of Total Billed Charges,1242.69,,1138.81,3024.55,,																																							
HC E/W/H ORTHOTIC W/ JOINTS,L3764,HCPCS,,,,BOTH, , ,3564.75,2994.39,3279.57,92,,Percent of Total Billed Charges,2980.13,,3279.57,92,,Percent of Total Billed Charges,2926.66,,3279.57,92,,Percent of Total Billed Charges,2869.62,,3279.57,92,,Percent of Total Billed Charges,2976.57,,3279.57,92,,Percent of Total Billed Charges,2684.26,,3279.57,92,,Percent of Total Billed Charges,2227.97,,3208.28,90,,Percent of Total Billed Charges,1778.81,,3172.63,89,,Percent of Total Billed Charges,1711.08,,2937.35,82.4,,Percent of Total Billed Charges,2930.22,,2973,83.4,,Percent of Total Billed Charges,2773.38,,2973,83.4,,Percent of Total Billed Charges,2498.89,,2973,83.4,,Percent of Total Billed Charges,2901.71,,3208.28,90,,Percent of Total Billed Charges,3019.34,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3279.57,92,,Percent of Total Billed Charges,2891.01,,3279.57,92,,Percent of Total Billed Charges,2652.17,,3279.57,92,,Percent of Total Billed Charges,2791.2,,3279.57,92,,Percent of Total Billed Charges,2891.01,,2780.51,78,,Percent of Total Billed Charges,2780.51,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1918.9,53.83,,Percent of Total Billed Charges,1800.2,,1234.83,34.64,,Percent of Total Billed Charges,1229.84,,1781.66,49.98,,Percent of Total Billed Charges,1347.48,,1234.83,3279.57,,																																							
HC WRST/HAN/FIN ORTHO W/JOINT(S) CF,L3806,HCPCS,,,,BOTH, , ,2126.25,1786.05,1956.15,92,,Percent of Total Billed Charges,1777.55,,1956.15,92,,Percent of Total Billed Charges,1745.65,,1956.15,92,,Percent of Total Billed Charges,1711.63,,1956.15,92,,Percent of Total Billed Charges,1775.42,,1956.15,92,,Percent of Total Billed Charges,1601.07,,1956.15,92,,Percent of Total Billed Charges,1328.91,,1913.63,90,,Percent of Total Billed Charges,1061,,1892.36,89,,Percent of Total Billed Charges,1020.6,,1752.03,82.4,,Percent of Total Billed Charges,1747.78,,1773.29,83.4,,Percent of Total Billed Charges,1654.22,,1773.29,83.4,,Percent of Total Billed Charges,1490.5,,1773.29,83.4,,Percent of Total Billed Charges,1730.77,,1913.63,90,,Percent of Total Billed Charges,1800.93,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1956.15,92,,Percent of Total Billed Charges,1724.39,,1956.15,92,,Percent of Total Billed Charges,1581.93,,1956.15,92,,Percent of Total Billed Charges,1664.85,,1956.15,92,,Percent of Total Billed Charges,1724.39,,1658.48,78,,Percent of Total Billed Charges,1658.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1144.56,53.83,,Percent of Total Billed Charges,1073.76,,736.53,34.64,,Percent of Total Billed Charges,733.56,,1062.7,49.98,,Percent of Total Billed Charges,803.72,,736.53,1956.15,,																																							
HC WRIST/HAND/FING ORTH RGD W/O JNTS,L3808,HCPCS,,,,BOTH, , ,1750.35,1470.29,1610.32,92,,Percent of Total Billed Charges,1463.29,,1610.32,92,,Percent of Total Billed Charges,1437.04,,1610.32,92,,Percent of Total Billed Charges,1409.03,,1610.32,92,,Percent of Total Billed Charges,1461.54,,1610.32,92,,Percent of Total Billed Charges,1318.01,,1610.32,92,,Percent of Total Billed Charges,1093.97,,1575.32,90,,Percent of Total Billed Charges,873.42,,1557.81,89,,Percent of Total Billed Charges,840.17,,1442.29,82.4,,Percent of Total Billed Charges,1438.79,,1459.79,83.4,,Percent of Total Billed Charges,1361.77,,1459.79,83.4,,Percent of Total Billed Charges,1227,,1459.79,83.4,,Percent of Total Billed Charges,1424.78,,1575.32,90,,Percent of Total Billed Charges,1482.55,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1610.32,92,,Percent of Total Billed Charges,1419.53,,1610.32,92,,Percent of Total Billed Charges,1302.26,,1610.32,92,,Percent of Total Billed Charges,1370.52,,1610.32,92,,Percent of Total Billed Charges,1419.53,,1365.27,78,,Percent of Total Billed Charges,1365.27,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,942.21,53.83,,Percent of Total Billed Charges,883.93,,606.32,34.64,,Percent of Total Billed Charges,603.87,,874.82,49.98,,Percent of Total Billed Charges,661.63,,606.32,1610.32,,																																							
HC WRST/HAN ORTH W/NONTORSION JNT CF,L3905,HCPCS,,,,BOTH, , ,4646.25,3902.85,4274.55,92,,Percent of Total Billed Charges,3884.27,,4274.55,92,,Percent of Total Billed Charges,3814.57,,4274.55,92,,Percent of Total Billed Charges,3740.23,,4274.55,92,,Percent of Total Billed Charges,3879.62,,4274.55,92,,Percent of Total Billed Charges,3498.63,,4274.55,92,,Percent of Total Billed Charges,2903.91,,4181.63,90,,Percent of Total Billed Charges,2318.48,,4135.16,89,,Percent of Total Billed Charges,2230.2,,3828.51,82.4,,Percent of Total Billed Charges,3819.22,,3874.97,83.4,,Percent of Total Billed Charges,3614.78,,3874.97,83.4,,Percent of Total Billed Charges,3257.02,,3874.97,83.4,,Percent of Total Billed Charges,3782.05,,4181.63,90,,Percent of Total Billed Charges,3935.37,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4274.55,92,,Percent of Total Billed Charges,3768.11,,4274.55,92,,Percent of Total Billed Charges,3456.81,,4274.55,92,,Percent of Total Billed Charges,3638.01,,4274.55,92,,Percent of Total Billed Charges,3768.11,,3624.08,78,,Percent of Total Billed Charges,3624.08,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2501.08,53.83,,Percent of Total Billed Charges,2346.36,,1609.46,34.64,,Percent of Total Billed Charges,1602.96,,2322.2,49.98,,Percent of Total Billed Charges,1756.28,,1609.46,4274.55,,																																							
HC WRIST / HAND ORTHO W/O JOINTS CF,L3906,HCPCS,,,,BOTH, , ,2063.25,1733.13,1898.19,92,,Percent of Total Billed Charges,1724.88,,1898.19,92,,Percent of Total Billed Charges,1693.93,,1898.19,92,,Percent of Total Billed Charges,1660.92,,1898.19,92,,Percent of Total Billed Charges,1722.81,,1898.19,92,,Percent of Total Billed Charges,1553.63,,1898.19,92,,Percent of Total Billed Charges,1289.53,,1856.93,90,,Percent of Total Billed Charges,1029.56,,1836.29,89,,Percent of Total Billed Charges,990.36,,1700.12,82.4,,Percent of Total Billed Charges,1695.99,,1720.75,83.4,,Percent of Total Billed Charges,1605.21,,1720.75,83.4,,Percent of Total Billed Charges,1446.34,,1720.75,83.4,,Percent of Total Billed Charges,1679.49,,1856.93,90,,Percent of Total Billed Charges,1747.57,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1898.19,92,,Percent of Total Billed Charges,1673.3,,1898.19,92,,Percent of Total Billed Charges,1535.06,,1898.19,92,,Percent of Total Billed Charges,1615.52,,1898.19,92,,Percent of Total Billed Charges,1673.3,,1609.34,78,,Percent of Total Billed Charges,1609.34,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1110.65,53.83,,Percent of Total Billed Charges,1041.94,,714.71,34.64,,Percent of Total Billed Charges,711.82,,1031.21,49.98,,Percent of Total Billed Charges,779.91,,714.71,1898.19,,																																							
HC HAND / FINGER ORTHO W/O JOINTS CF,L3913,HCPCS,,,,BOTH, , ,1269.45,1066.34,1167.89,92,,Percent of Total Billed Charges,1061.26,,1167.89,92,,Percent of Total Billed Charges,1042.22,,1167.89,92,,Percent of Total Billed Charges,1021.91,,1167.89,92,,Percent of Total Billed Charges,1059.99,,1167.89,92,,Percent of Total Billed Charges,955.9,,1167.89,92,,Percent of Total Billed Charges,793.41,,1142.51,90,,Percent of Total Billed Charges,633.46,,1129.81,89,,Percent of Total Billed Charges,609.34,,1046.03,82.4,,Percent of Total Billed Charges,1043.49,,1058.72,83.4,,Percent of Total Billed Charges,987.63,,1058.72,83.4,,Percent of Total Billed Charges,889.88,,1058.72,83.4,,Percent of Total Billed Charges,1033.33,,1142.51,90,,Percent of Total Billed Charges,1075.22,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1167.89,92,,Percent of Total Billed Charges,1029.52,,1167.89,92,,Percent of Total Billed Charges,944.47,,1167.89,92,,Percent of Total Billed Charges,993.98,,1167.89,92,,Percent of Total Billed Charges,1029.52,,990.17,78,,Percent of Total Billed Charges,990.17,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,683.34,53.83,,Percent of Total Billed Charges,641.07,,439.74,34.64,,Percent of Total Billed Charges,437.96,,634.47,49.98,,Percent of Total Billed Charges,479.85,,439.74,1167.89,,																																							
HC HAND ORTHO W/O JOINTS CF,L3919,HCPCS,,,,BOTH, , ,1269.45,1066.34,1167.89,92,,Percent of Total Billed Charges,1061.26,,1167.89,92,,Percent of Total Billed Charges,1042.22,,1167.89,92,,Percent of Total Billed Charges,1021.91,,1167.89,92,,Percent of Total Billed Charges,1059.99,,1167.89,92,,Percent of Total Billed Charges,955.9,,1167.89,92,,Percent of Total Billed Charges,793.41,,1142.51,90,,Percent of Total Billed Charges,633.46,,1129.81,89,,Percent of Total Billed Charges,609.34,,1046.03,82.4,,Percent of Total Billed Charges,1043.49,,1058.72,83.4,,Percent of Total Billed Charges,987.63,,1058.72,83.4,,Percent of Total Billed Charges,889.88,,1058.72,83.4,,Percent of Total Billed Charges,1033.33,,1142.51,90,,Percent of Total Billed Charges,1075.22,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1167.89,92,,Percent of Total Billed Charges,1029.52,,1167.89,92,,Percent of Total Billed Charges,944.47,,1167.89,92,,Percent of Total Billed Charges,993.98,,1167.89,92,,Percent of Total Billed Charges,1029.52,,990.17,78,,Percent of Total Billed Charges,990.17,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,683.34,53.83,,Percent of Total Billed Charges,641.07,,439.74,34.64,,Percent of Total Billed Charges,437.96,,634.47,49.98,,Percent of Total Billed Charges,479.85,,439.74,1167.89,,																																							
HC HAND / FINGER ORTHO W/JOINT(S) CF,L3921,HCPCS,,,,BOTH, , ,1505.7,1264.79,1385.24,92,,Percent of Total Billed Charges,1258.77,,1385.24,92,,Percent of Total Billed Charges,1236.18,,1385.24,92,,Percent of Total Billed Charges,1212.09,,1385.24,92,,Percent of Total Billed Charges,1257.26,,1385.24,92,,Percent of Total Billed Charges,1133.79,,1385.24,92,,Percent of Total Billed Charges,941.06,,1355.13,90,,Percent of Total Billed Charges,751.34,,1340.07,89,,Percent of Total Billed Charges,722.74,,1240.7,82.4,,Percent of Total Billed Charges,1237.69,,1255.75,83.4,,Percent of Total Billed Charges,1171.43,,1255.75,83.4,,Percent of Total Billed Charges,1055.5,,1255.75,83.4,,Percent of Total Billed Charges,1225.64,,1355.13,90,,Percent of Total Billed Charges,1275.33,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1385.24,92,,Percent of Total Billed Charges,1221.12,,1385.24,92,,Percent of Total Billed Charges,1120.24,,1385.24,92,,Percent of Total Billed Charges,1178.96,,1385.24,92,,Percent of Total Billed Charges,1221.12,,1174.45,78,,Percent of Total Billed Charges,1174.45,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,810.52,53.83,,Percent of Total Billed Charges,760.38,,521.57,34.64,,Percent of Total Billed Charges,519.47,,752.55,49.98,,Percent of Total Billed Charges,569.15,,521.57,1385.24,,																																							
HC FIN ORTH PIP DIP JNT/SPRG PRE OTS,L3925,HCPCS,,,,BOTH, , ,244.65,205.51,225.08,92,,Percent of Total Billed Charges,204.53,,225.08,92,,Percent of Total Billed Charges,200.86,,225.08,92,,Percent of Total Billed Charges,196.94,,225.08,92,,Percent of Total Billed Charges,204.28,,225.08,92,,Percent of Total Billed Charges,184.22,,225.08,92,,Percent of Total Billed Charges,152.91,,220.19,90,,Percent of Total Billed Charges,122.08,,217.74,89,,Percent of Total Billed Charges,117.43,,201.59,82.4,,Percent of Total Billed Charges,201.1,,204.04,83.4,,Percent of Total Billed Charges,190.34,,204.04,83.4,,Percent of Total Billed Charges,171.5,,204.04,83.4,,Percent of Total Billed Charges,199.15,,220.19,90,,Percent of Total Billed Charges,207.22,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,225.08,92,,Percent of Total Billed Charges,198.41,,225.08,92,,Percent of Total Billed Charges,182.02,,225.08,92,,Percent of Total Billed Charges,191.56,,225.08,92,,Percent of Total Billed Charges,198.41,,190.83,78,,Percent of Total Billed Charges,190.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,131.7,53.83,,Percent of Total Billed Charges,123.55,,84.75,34.64,,Percent of Total Billed Charges,84.4,,122.28,49.98,,Percent of Total Billed Charges,92.48,,84.75,225.08,,																																							
HC FG ORTH PIP DIP NO JT SPR PRE OTS,L3927,HCPCS,,,,BOTH, , ,160.65,134.95,147.8,92,,Percent of Total Billed Charges,134.3,,147.8,92,,Percent of Total Billed Charges,131.89,,147.8,92,,Percent of Total Billed Charges,129.32,,147.8,92,,Percent of Total Billed Charges,134.14,,147.8,92,,Percent of Total Billed Charges,120.97,,147.8,92,,Percent of Total Billed Charges,100.41,,144.59,90,,Percent of Total Billed Charges,80.16,,142.98,89,,Percent of Total Billed Charges,77.11,,132.38,82.4,,Percent of Total Billed Charges,132.05,,133.98,83.4,,Percent of Total Billed Charges,124.99,,133.98,83.4,,Percent of Total Billed Charges,112.62,,133.98,83.4,,Percent of Total Billed Charges,130.77,,144.59,90,,Percent of Total Billed Charges,136.07,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,147.8,92,,Percent of Total Billed Charges,130.29,,147.8,92,,Percent of Total Billed Charges,119.52,,147.8,92,,Percent of Total Billed Charges,125.79,,147.8,92,,Percent of Total Billed Charges,130.29,,125.31,78,,Percent of Total Billed Charges,125.31,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,86.48,53.83,,Percent of Total Billed Charges,81.13,,55.65,34.64,,Percent of Total Billed Charges,55.42,,80.29,49.98,,Percent of Total Billed Charges,60.73,,55.65,147.8,,																																							
HC FINGER ORTHO W/O JOINTS CF,L3933,HCPCS,,,,BOTH, , ,1000.65,840.55,920.6,92,,Percent of Total Billed Charges,836.54,,920.6,92,,Percent of Total Billed Charges,821.53,,920.6,92,,Percent of Total Billed Charges,805.52,,920.6,92,,Percent of Total Billed Charges,835.54,,920.6,92,,Percent of Total Billed Charges,753.49,,920.6,92,,Percent of Total Billed Charges,625.41,,900.59,90,,Percent of Total Billed Charges,499.32,,890.58,89,,Percent of Total Billed Charges,480.31,,824.54,82.4,,Percent of Total Billed Charges,822.53,,834.54,83.4,,Percent of Total Billed Charges,778.51,,834.54,83.4,,Percent of Total Billed Charges,701.46,,834.54,83.4,,Percent of Total Billed Charges,814.53,,900.59,90,,Percent of Total Billed Charges,847.55,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,920.6,92,,Percent of Total Billed Charges,811.53,,920.6,92,,Percent of Total Billed Charges,744.48,,920.6,92,,Percent of Total Billed Charges,783.51,,920.6,92,,Percent of Total Billed Charges,811.53,,780.51,78,,Percent of Total Billed Charges,780.51,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,538.65,53.83,,Percent of Total Billed Charges,505.33,,346.63,34.64,,Percent of Total Billed Charges,345.22,,500.12,49.98,,Percent of Total Billed Charges,378.25,,346.63,920.6,,																																							
HC S/E/W/H ORTH CAP DSGN W/O JNTS CF,L3961,HCPCS,,,,BOTH, , ,7869.75,6610.59,7240.17,92,,Percent of Total Billed Charges,6579.11,,7240.17,92,,Percent of Total Billed Charges,6461.06,,7240.17,92,,Percent of Total Billed Charges,6335.15,,7240.17,92,,Percent of Total Billed Charges,6571.24,,7240.17,92,,Percent of Total Billed Charges,5925.92,,7240.17,92,,Percent of Total Billed Charges,4918.59,,7082.78,90,,Percent of Total Billed Charges,3927.01,,7004.08,89,,Percent of Total Billed Charges,3777.48,,6484.67,82.4,,Percent of Total Billed Charges,6468.93,,6563.37,83.4,,Percent of Total Billed Charges,6122.67,,6563.37,83.4,,Percent of Total Billed Charges,5516.69,,6563.37,83.4,,Percent of Total Billed Charges,6405.98,,7082.78,90,,Percent of Total Billed Charges,6665.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,7240.17,92,,Percent of Total Billed Charges,6382.37,,7240.17,92,,Percent of Total Billed Charges,5855.09,,7240.17,92,,Percent of Total Billed Charges,6162.01,,7240.17,92,,Percent of Total Billed Charges,6382.37,,6138.41,78,,Percent of Total Billed Charges,6138.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4236.29,53.83,,Percent of Total Billed Charges,3974.22,,2726.08,34.64,,Percent of Total Billed Charges,2715.06,,3933.3,49.98,,Percent of Total Billed Charges,2974.77,,2726.08,7240.17,,																																							
HC WHO COCKUP NONMOLDE PRE OTS,L3908,HCPCS,,,,BOTH, , ,310.8,261.07,285.94,92,,Percent of Total Billed Charges,259.83,,285.94,92,,Percent of Total Billed Charges,255.17,,285.94,92,,Percent of Total Billed Charges,250.19,,285.94,92,,Percent of Total Billed Charges,259.52,,285.94,92,,Percent of Total Billed Charges,234.03,,285.94,92,,Percent of Total Billed Charges,194.25,,279.72,90,,Percent of Total Billed Charges,155.09,,276.61,89,,Percent of Total Billed Charges,149.18,,256.1,82.4,,Percent of Total Billed Charges,255.48,,259.21,83.4,,Percent of Total Billed Charges,241.8,,259.21,83.4,,Percent of Total Billed Charges,217.87,,259.21,83.4,,Percent of Total Billed Charges,252.99,,279.72,90,,Percent of Total Billed Charges,263.25,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,285.94,92,,Percent of Total Billed Charges,252.06,,285.94,92,,Percent of Total Billed Charges,231.24,,285.94,92,,Percent of Total Billed Charges,243.36,,285.94,92,,Percent of Total Billed Charges,252.06,,242.42,78,,Percent of Total Billed Charges,242.42,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,167.3,53.83,,Percent of Total Billed Charges,156.95,,107.66,34.64,,Percent of Total Billed Charges,107.23,,155.34,49.98,,Percent of Total Billed Charges,117.48,,107.66,285.94,,																																							
HC HFO FLEXION GLOVE PRE OTS,L3912,HCPCS,,,,BOTH, , ,544.95,457.76,501.35,92,,Percent of Total Billed Charges,455.58,,501.35,92,,Percent of Total Billed Charges,447.4,,501.35,92,,Percent of Total Billed Charges,438.68,,501.35,92,,Percent of Total Billed Charges,455.03,,501.35,92,,Percent of Total Billed Charges,410.35,,501.35,92,,Percent of Total Billed Charges,340.59,,490.46,90,,Percent of Total Billed Charges,271.93,,485.01,89,,Percent of Total Billed Charges,261.58,,449.04,82.4,,Percent of Total Billed Charges,447.95,,454.49,83.4,,Percent of Total Billed Charges,423.97,,454.49,83.4,,Percent of Total Billed Charges,382.01,,454.49,83.4,,Percent of Total Billed Charges,443.59,,490.46,90,,Percent of Total Billed Charges,461.57,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,501.35,92,,Percent of Total Billed Charges,441.95,,501.35,92,,Percent of Total Billed Charges,405.44,,501.35,92,,Percent of Total Billed Charges,426.7,,501.35,92,,Percent of Total Billed Charges,441.95,,425.06,78,,Percent of Total Billed Charges,425.06,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,293.35,53.83,,Percent of Total Billed Charges,275.2,,188.77,34.64,,Percent of Total Billed Charges,188.01,,272.37,49.98,,Percent of Total Billed Charges,205.99,,188.77,501.35,,																																							
HC AFO MOLDED TO PATIENT PLASTI,L1940,HCPCS,,,,BOTH, , ,1939.35,1629.05,1784.2,92,,Percent of Total Billed Charges,1621.3,,1784.2,92,,Percent of Total Billed Charges,1592.21,,1784.2,92,,Percent of Total Billed Charges,1561.18,,1784.2,92,,Percent of Total Billed Charges,1619.36,,1784.2,92,,Percent of Total Billed Charges,1460.33,,1784.2,92,,Percent of Total Billed Charges,1212.09,,1745.42,90,,Percent of Total Billed Charges,967.74,,1726.02,89,,Percent of Total Billed Charges,930.89,,1598.02,82.4,,Percent of Total Billed Charges,1594.15,,1617.42,83.4,,Percent of Total Billed Charges,1508.81,,1617.42,83.4,,Percent of Total Billed Charges,1359.48,,1617.42,83.4,,Percent of Total Billed Charges,1578.63,,1745.42,90,,Percent of Total Billed Charges,1642.63,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1784.2,92,,Percent of Total Billed Charges,1572.81,,1784.2,92,,Percent of Total Billed Charges,1442.88,,1784.2,92,,Percent of Total Billed Charges,1518.51,,1784.2,92,,Percent of Total Billed Charges,1572.81,,1512.69,78,,Percent of Total Billed Charges,1512.69,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1043.95,53.83,,Percent of Total Billed Charges,979.37,,671.79,34.64,,Percent of Total Billed Charges,669.08,,969.29,49.98,,Percent of Total Billed Charges,733.07,,671.79,1784.2,,																																							
HC HFO WITHOUT JOINTS PRE OTS,L3924,HCPCS,,,,BOTH, , ,333.9,280.48,307.19,92,,Percent of Total Billed Charges,279.14,,307.19,92,,Percent of Total Billed Charges,274.13,,307.19,92,,Percent of Total Billed Charges,268.79,,307.19,92,,Percent of Total Billed Charges,278.81,,307.19,92,,Percent of Total Billed Charges,251.43,,307.19,92,,Percent of Total Billed Charges,208.69,,300.51,90,,Percent of Total Billed Charges,166.62,,297.17,89,,Percent of Total Billed Charges,160.27,,275.13,82.4,,Percent of Total Billed Charges,274.47,,278.47,83.4,,Percent of Total Billed Charges,259.77,,278.47,83.4,,Percent of Total Billed Charges,234.06,,278.47,83.4,,Percent of Total Billed Charges,271.79,,300.51,90,,Percent of Total Billed Charges,282.81,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,307.19,92,,Percent of Total Billed Charges,270.79,,307.19,92,,Percent of Total Billed Charges,248.42,,307.19,92,,Percent of Total Billed Charges,261.44,,307.19,92,,Percent of Total Billed Charges,270.79,,260.44,78,,Percent of Total Billed Charges,260.44,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,179.74,53.83,,Percent of Total Billed Charges,168.62,,115.66,34.64,,Percent of Total Billed Charges,115.2,,166.88,49.98,,Percent of Total Billed Charges,126.21,,115.66,307.19,,																																							
HC COMFY REST HAND ORTHOSIS,L3807,HCPCS,,,,BOTH, , ,310.8,261.07,285.94,92,,Percent of Total Billed Charges,259.83,,285.94,92,,Percent of Total Billed Charges,255.17,,285.94,92,,Percent of Total Billed Charges,250.19,,285.94,92,,Percent of Total Billed Charges,259.52,,285.94,92,,Percent of Total Billed Charges,234.03,,285.94,92,,Percent of Total Billed Charges,194.25,,279.72,90,,Percent of Total Billed Charges,155.09,,276.61,89,,Percent of Total Billed Charges,149.18,,256.1,82.4,,Percent of Total Billed Charges,255.48,,259.21,83.4,,Percent of Total Billed Charges,241.8,,259.21,83.4,,Percent of Total Billed Charges,217.87,,259.21,83.4,,Percent of Total Billed Charges,252.99,,279.72,90,,Percent of Total Billed Charges,263.25,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,285.94,92,,Percent of Total Billed Charges,252.06,,285.94,92,,Percent of Total Billed Charges,231.24,,285.94,92,,Percent of Total Billed Charges,243.36,,285.94,92,,Percent of Total Billed Charges,252.06,,242.42,78,,Percent of Total Billed Charges,242.42,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,167.3,53.83,,Percent of Total Billed Charges,156.95,,107.66,34.64,,Percent of Total Billed Charges,107.23,,155.34,49.98,,Percent of Total Billed Charges,117.48,,107.66,285.94,,																																							
HC HC BENIK RADIAL NERVE W/WRIST,L3807,HCPCS,,,,BOTH, , ,837.9,703.84,770.87,92,,Percent of Total Billed Charges,700.48,,770.87,92,,Percent of Total Billed Charges,687.92,,770.87,92,,Percent of Total Billed Charges,674.51,,770.87,92,,Percent of Total Billed Charges,699.65,,770.87,92,,Percent of Total Billed Charges,630.94,,770.87,92,,Percent of Total Billed Charges,523.69,,754.11,90,,Percent of Total Billed Charges,418.11,,745.73,89,,Percent of Total Billed Charges,402.19,,690.43,82.4,,Percent of Total Billed Charges,688.75,,698.81,83.4,,Percent of Total Billed Charges,651.89,,698.81,83.4,,Percent of Total Billed Charges,587.37,,698.81,83.4,,Percent of Total Billed Charges,682.05,,754.11,90,,Percent of Total Billed Charges,709.7,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,770.87,92,,Percent of Total Billed Charges,679.54,,770.87,92,,Percent of Total Billed Charges,623.4,,770.87,92,,Percent of Total Billed Charges,656.08,,770.87,92,,Percent of Total Billed Charges,679.54,,653.56,78,,Percent of Total Billed Charges,653.56,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,451.04,53.83,,Percent of Total Billed Charges,423.14,,290.25,34.64,,Percent of Total Billed Charges,289.08,,418.78,49.98,,Percent of Total Billed Charges,316.73,,290.25,770.87,,																																							
HC HC SHOULDER ORTHO CAP DESIGN W/O JOINT OF,L3671,HCPCS,,,,BOTH, , ,3547.95,2980.28,3264.11,92,,Percent of Total Billed Charges,2966.09,,3264.11,92,,Percent of Total Billed Charges,2912.87,,3264.11,92,,Percent of Total Billed Charges,2856.1,,3264.11,92,,Percent of Total Billed Charges,2962.54,,3264.11,92,,Percent of Total Billed Charges,2671.61,,3264.11,92,,Percent of Total Billed Charges,2217.47,,3193.16,90,,Percent of Total Billed Charges,1770.43,,3157.68,89,,Percent of Total Billed Charges,1703.02,,2923.51,82.4,,Percent of Total Billed Charges,2916.41,,2958.99,83.4,,Percent of Total Billed Charges,2760.31,,2958.99,83.4,,Percent of Total Billed Charges,2487.11,,2958.99,83.4,,Percent of Total Billed Charges,2888.03,,3193.16,90,,Percent of Total Billed Charges,3005.11,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3264.11,92,,Percent of Total Billed Charges,2877.39,,3264.11,92,,Percent of Total Billed Charges,2639.67,,3264.11,92,,Percent of Total Billed Charges,2778.04,,3264.11,92,,Percent of Total Billed Charges,2877.39,,2767.4,78,,Percent of Total Billed Charges,2767.4,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1909.86,53.83,,Percent of Total Billed Charges,1791.71,,1229.01,34.64,,Percent of Total Billed Charges,1224.04,,1773.27,49.98,,Percent of Total Billed Charges,1341.13,,1229.01,3264.11,,																																							
HC SO VEST CANVAS/WEB PRE OTS,L3675,HCPCS,,,,BOTH, , ,683.55,574.18,628.87,92,,Percent of Total Billed Charges,571.45,,628.87,92,,Percent of Total Billed Charges,561.19,,628.87,92,,Percent of Total Billed Charges,550.26,,628.87,92,,Percent of Total Billed Charges,570.76,,628.87,92,,Percent of Total Billed Charges,514.71,,628.87,92,,Percent of Total Billed Charges,427.22,,615.2,90,,Percent of Total Billed Charges,341.09,,608.36,89,,Percent of Total Billed Charges,328.1,,563.25,82.4,,Percent of Total Billed Charges,561.88,,570.08,83.4,,Percent of Total Billed Charges,531.8,,570.08,83.4,,Percent of Total Billed Charges,479.17,,570.08,83.4,,Percent of Total Billed Charges,556.41,,615.2,90,,Percent of Total Billed Charges,578.97,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,628.87,92,,Percent of Total Billed Charges,554.36,,628.87,92,,Percent of Total Billed Charges,508.56,,628.87,92,,Percent of Total Billed Charges,535.22,,628.87,92,,Percent of Total Billed Charges,554.36,,533.17,78,,Percent of Total Billed Charges,533.17,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,367.95,53.83,,Percent of Total Billed Charges,345.19,,236.78,34.64,,Percent of Total Billed Charges,235.82,,341.64,49.98,,Percent of Total Billed Charges,258.38,,236.78,628.87,,																																							
HC EO ELAS W/METAL JNTS PRE OTS,L3710,HCPCS,,,,BOTH, , ,625.8,525.67,575.74,92,,Percent of Total Billed Charges,523.17,,575.74,92,,Percent of Total Billed Charges,513.78,,575.74,92,,Percent of Total Billed Charges,503.77,,575.74,92,,Percent of Total Billed Charges,522.54,,575.74,92,,Percent of Total Billed Charges,471.23,,575.74,92,,Percent of Total Billed Charges,391.13,,563.22,90,,Percent of Total Billed Charges,312.27,,556.96,89,,Percent of Total Billed Charges,300.38,,515.66,82.4,,Percent of Total Billed Charges,514.41,,521.92,83.4,,Percent of Total Billed Charges,486.87,,521.92,83.4,,Percent of Total Billed Charges,438.69,,521.92,83.4,,Percent of Total Billed Charges,509.4,,563.22,90,,Percent of Total Billed Charges,530.05,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,575.74,92,,Percent of Total Billed Charges,507.52,,575.74,92,,Percent of Total Billed Charges,465.6,,575.74,92,,Percent of Total Billed Charges,490,,575.74,92,,Percent of Total Billed Charges,507.52,,488.12,78,,Percent of Total Billed Charges,488.12,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,336.87,53.83,,Percent of Total Billed Charges,316.03,,216.78,34.64,,Percent of Total Billed Charges,215.9,,312.77,49.98,,Percent of Total Billed Charges,236.55,,216.78,575.74,,																																							
HC  FOREARM/ARM CUFFS FREE MOTIO,L3720,HCPCS,,,,BOTH, , ,2827.65,2375.23,2601.44,92,,Percent of Total Billed Charges,2363.92,,2601.44,92,,Percent of Total Billed Charges,2321.5,,2601.44,92,,Percent of Total Billed Charges,2276.26,,2601.44,92,,Percent of Total Billed Charges,2361.09,,2601.44,92,,Percent of Total Billed Charges,2129.22,,2601.44,92,,Percent of Total Billed Charges,1767.28,,2544.89,90,,Percent of Total Billed Charges,1411,,2516.61,89,,Percent of Total Billed Charges,1357.27,,2329.98,82.4,,Percent of Total Billed Charges,2324.33,,2358.26,83.4,,Percent of Total Billed Charges,2199.91,,2358.26,83.4,,Percent of Total Billed Charges,1982.18,,2358.26,83.4,,Percent of Total Billed Charges,2301.71,,2544.89,90,,Percent of Total Billed Charges,2395.02,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2601.44,92,,Percent of Total Billed Charges,2293.22,,2601.44,92,,Percent of Total Billed Charges,2103.77,,2601.44,92,,Percent of Total Billed Charges,2214.05,,2601.44,92,,Percent of Total Billed Charges,2293.22,,2205.57,78,,Percent of Total Billed Charges,2205.57,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1522.12,53.83,,Percent of Total Billed Charges,1427.96,,979.5,34.64,,Percent of Total Billed Charges,975.54,,1413.26,49.98,,Percent of Total Billed Charges,1068.85,,979.50,2601.44,,																																							
HC  FOREARM/ARM CUFFS EXT/FLEX A,L3730,HCPCS,,,,BOTH, , ,3656.1,3071.12,3363.61,92,,Percent of Total Billed Charges,3056.5,,3363.61,92,,Percent of Total Billed Charges,3001.66,,3363.61,92,,Percent of Total Billed Charges,2943.16,,3363.61,92,,Percent of Total Billed Charges,3052.84,,3363.61,92,,Percent of Total Billed Charges,2753.04,,3363.61,92,,Percent of Total Billed Charges,2285.06,,3290.49,90,,Percent of Total Billed Charges,1824.39,,3253.93,89,,Percent of Total Billed Charges,1754.93,,3012.63,82.4,,Percent of Total Billed Charges,3005.31,,3049.19,83.4,,Percent of Total Billed Charges,2844.45,,3049.19,83.4,,Percent of Total Billed Charges,2562.93,,3049.19,83.4,,Percent of Total Billed Charges,2976.07,,3290.49,90,,Percent of Total Billed Charges,3096.72,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3363.61,92,,Percent of Total Billed Charges,2965.1,,3363.61,92,,Percent of Total Billed Charges,2720.14,,3363.61,92,,Percent of Total Billed Charges,2862.73,,3363.61,92,,Percent of Total Billed Charges,2965.1,,2851.76,78,,Percent of Total Billed Charges,2851.76,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1968.08,53.83,,Percent of Total Billed Charges,1846.33,,1266.47,34.64,,Percent of Total Billed Charges,1261.35,,1827.32,49.98,,Percent of Total Billed Charges,1382.01,,1266.47,3363.61,,																																							
HC  EO ADJ JT PREFAB CUSTOM FIT,L3760,HCPCS,,,,BOTH, , ,1968.75,1653.75,1811.25,92,,Percent of Total Billed Charges,1645.88,,1811.25,92,,Percent of Total Billed Charges,1616.34,,1811.25,92,,Percent of Total Billed Charges,1584.84,,1811.25,92,,Percent of Total Billed Charges,1643.91,,1811.25,92,,Percent of Total Billed Charges,1482.47,,1811.25,92,,Percent of Total Billed Charges,1230.47,,1771.88,90,,Percent of Total Billed Charges,982.41,,1752.19,89,,Percent of Total Billed Charges,945,,1622.25,82.4,,Percent of Total Billed Charges,1618.31,,1641.94,83.4,,Percent of Total Billed Charges,1531.69,,1641.94,83.4,,Percent of Total Billed Charges,1380.09,,1641.94,83.4,,Percent of Total Billed Charges,1602.56,,1771.88,90,,Percent of Total Billed Charges,1667.53,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1811.25,92,,Percent of Total Billed Charges,1596.66,,1811.25,92,,Percent of Total Billed Charges,1464.75,,1811.25,92,,Percent of Total Billed Charges,1541.53,,1811.25,92,,Percent of Total Billed Charges,1596.66,,1535.63,78,,Percent of Total Billed Charges,1535.63,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1059.78,53.83,,Percent of Total Billed Charges,994.22,,681.98,34.64,,Percent of Total Billed Charges,679.22,,983.98,49.98,,Percent of Total Billed Charges,744.19,,681.98,1811.25,,																																							
HC  EO RIGID W/O JOINTS PRE OTS,L3762,HCPCS,,,,BOTH, , ,487.2,409.25,448.22,92,,Percent of Total Billed Charges,407.3,,448.22,92,,Percent of Total Billed Charges,399.99,,448.22,92,,Percent of Total Billed Charges,392.2,,448.22,92,,Percent of Total Billed Charges,406.81,,448.22,92,,Percent of Total Billed Charges,366.86,,448.22,92,,Percent of Total Billed Charges,304.5,,438.48,90,,Percent of Total Billed Charges,243.11,,433.61,89,,Percent of Total Billed Charges,233.86,,401.45,82.4,,Percent of Total Billed Charges,400.48,,406.32,83.4,,Percent of Total Billed Charges,379.04,,406.32,83.4,,Percent of Total Billed Charges,341.53,,406.32,83.4,,Percent of Total Billed Charges,396.58,,438.48,90,,Percent of Total Billed Charges,412.66,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,448.22,92,,Percent of Total Billed Charges,395.12,,448.22,92,,Percent of Total Billed Charges,362.48,,448.22,92,,Percent of Total Billed Charges,381.48,,448.22,92,,Percent of Total Billed Charges,395.12,,380.02,78,,Percent of Total Billed Charges,380.02,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,262.26,53.83,,Percent of Total Billed Charges,246.04,,168.77,34.64,,Percent of Total Billed Charges,168.08,,243.5,49.98,,Percent of Total Billed Charges,184.16,,168.77,448.22,,																																							
HC  EWHFO RIGID W/O JNTS CF,L3765,HCPCS,,,,BOTH, , ,5049.45,4241.54,4645.49,92,,Percent of Total Billed Charges,4221.34,,4645.49,92,,Percent of Total Billed Charges,4145.6,,4645.49,92,,Percent of Total Billed Charges,4064.81,,4645.49,92,,Percent of Total Billed Charges,4216.29,,4645.49,92,,Percent of Total Billed Charges,3802.24,,4645.49,92,,Percent of Total Billed Charges,3155.91,,4544.51,90,,Percent of Total Billed Charges,2519.68,,4494.01,89,,Percent of Total Billed Charges,2423.74,,4160.75,82.4,,Percent of Total Billed Charges,4150.65,,4211.24,83.4,,Percent of Total Billed Charges,3928.47,,4211.24,83.4,,Percent of Total Billed Charges,3539.66,,4211.24,83.4,,Percent of Total Billed Charges,4110.25,,4544.51,90,,Percent of Total Billed Charges,4276.88,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4645.49,92,,Percent of Total Billed Charges,4095.1,,4645.49,92,,Percent of Total Billed Charges,3756.79,,4645.49,92,,Percent of Total Billed Charges,3953.72,,4645.49,92,,Percent of Total Billed Charges,4095.1,,3938.57,78,,Percent of Total Billed Charges,3938.57,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2718.12,53.83,,Percent of Total Billed Charges,2549.97,,1749.13,34.64,,Percent of Total Billed Charges,1742.06,,2523.72,49.98,,Percent of Total Billed Charges,1908.69,,1749.13,4645.49,,																																							
HC  EWHFO W/JOINT(S) CF,L3766,HCPCS,,,,BOTH, , ,5345.55,4490.26,4917.91,92,,Percent of Total Billed Charges,4468.88,,4917.91,92,,Percent of Total Billed Charges,4388.7,,4917.91,92,,Percent of Total Billed Charges,4303.17,,4917.91,92,,Percent of Total Billed Charges,4463.53,,4917.91,92,,Percent of Total Billed Charges,4025.2,,4917.91,92,,Percent of Total Billed Charges,3340.97,,4811,90,,Percent of Total Billed Charges,2667.43,,4757.54,89,,Percent of Total Billed Charges,2565.86,,4404.73,82.4,,Percent of Total Billed Charges,4394.04,,4458.19,83.4,,Percent of Total Billed Charges,4158.84,,4458.19,83.4,,Percent of Total Billed Charges,3747.23,,4458.19,83.4,,Percent of Total Billed Charges,4351.28,,4811,90,,Percent of Total Billed Charges,4527.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4917.91,92,,Percent of Total Billed Charges,4335.24,,4917.91,92,,Percent of Total Billed Charges,3977.09,,4917.91,92,,Percent of Total Billed Charges,4185.57,,4917.91,92,,Percent of Total Billed Charges,4335.24,,4169.53,78,,Percent of Total Billed Charges,4169.53,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2877.51,53.83,,Percent of Total Billed Charges,2699.5,,1851.7,34.64,,Percent of Total Billed Charges,1844.21,,2671.71,49.98,,Percent of Total Billed Charges,2020.62,,1851.70,4917.91,,																																							
HC  WHFO W/O JOINTS PRE OTS,L3809,HCPCS,,,,BOTH, , ,972.3,816.73,894.52,92,,Percent of Total Billed Charges,812.84,,894.52,92,,Percent of Total Billed Charges,798.26,,894.52,92,,Percent of Total Billed Charges,782.7,,894.52,92,,Percent of Total Billed Charges,811.87,,894.52,92,,Percent of Total Billed Charges,732.14,,894.52,92,,Percent of Total Billed Charges,607.69,,875.07,90,,Percent of Total Billed Charges,485.18,,865.35,89,,Percent of Total Billed Charges,466.7,,801.18,82.4,,Percent of Total Billed Charges,799.23,,810.9,83.4,,Percent of Total Billed Charges,756.45,,810.9,83.4,,Percent of Total Billed Charges,681.58,,810.9,83.4,,Percent of Total Billed Charges,791.45,,875.07,90,,Percent of Total Billed Charges,823.54,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,894.52,92,,Percent of Total Billed Charges,788.54,,894.52,92,,Percent of Total Billed Charges,723.39,,894.52,92,,Percent of Total Billed Charges,761.31,,894.52,92,,Percent of Total Billed Charges,788.54,,758.39,78,,Percent of Total Billed Charges,758.39,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,523.39,53.83,,Percent of Total Billed Charges,491.01,,336.8,34.64,,Percent of Total Billed Charges,335.44,,485.96,49.98,,Percent of Total Billed Charges,367.53,,336.80,894.52,,																																							
HC  HINGE EXTENSION/FLEX WRIST/F,L3900,HCPCS,,,,BOTH, , ,5740.35,4821.89,5281.12,92,,Percent of Total Billed Charges,4798.93,,5281.12,92,,Percent of Total Billed Charges,4712.83,,5281.12,92,,Percent of Total Billed Charges,4620.98,,5281.12,92,,Percent of Total Billed Charges,4793.19,,5281.12,92,,Percent of Total Billed Charges,4322.48,,5281.12,92,,Percent of Total Billed Charges,3587.72,,5166.32,90,,Percent of Total Billed Charges,2864.43,,5108.91,89,,Percent of Total Billed Charges,2755.37,,4730.05,82.4,,Percent of Total Billed Charges,4718.57,,4787.45,83.4,,Percent of Total Billed Charges,4465.99,,4787.45,83.4,,Percent of Total Billed Charges,4023.99,,4787.45,83.4,,Percent of Total Billed Charges,4672.64,,5166.32,90,,Percent of Total Billed Charges,4862.08,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5281.12,92,,Percent of Total Billed Charges,4655.42,,5281.12,92,,Percent of Total Billed Charges,4270.82,,5281.12,92,,Percent of Total Billed Charges,4494.69,,5281.12,92,,Percent of Total Billed Charges,4655.42,,4477.47,78,,Percent of Total Billed Charges,4477.47,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3090.03,53.83,,Percent of Total Billed Charges,2898.88,,1988.46,34.64,,Percent of Total Billed Charges,1980.42,,2869.03,49.98,,Percent of Total Billed Charges,2169.85,,1988.46,5281.12,,																																							
HC  HINGE EXT/FLEX WRIST FINGER,L3901,HCPCS,,,,BOTH, , ,652.05,547.72,599.89,92,,Percent of Total Billed Charges,545.11,,599.89,92,,Percent of Total Billed Charges,535.33,,599.89,92,,Percent of Total Billed Charges,524.9,,599.89,92,,Percent of Total Billed Charges,544.46,,599.89,92,,Percent of Total Billed Charges,490.99,,599.89,92,,Percent of Total Billed Charges,407.53,,586.85,90,,Percent of Total Billed Charges,325.37,,580.32,89,,Percent of Total Billed Charges,312.98,,537.29,82.4,,Percent of Total Billed Charges,535.99,,543.81,83.4,,Percent of Total Billed Charges,507.29,,543.81,83.4,,Percent of Total Billed Charges,457.09,,543.81,83.4,,Percent of Total Billed Charges,530.77,,586.85,90,,Percent of Total Billed Charges,552.29,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,599.89,92,,Percent of Total Billed Charges,528.81,,599.89,92,,Percent of Total Billed Charges,485.13,,599.89,92,,Percent of Total Billed Charges,510.56,,599.89,92,,Percent of Total Billed Charges,528.81,,508.6,78,,Percent of Total Billed Charges,508.6,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,351,53.83,,Percent of Total Billed Charges,329.29,,225.87,34.64,,Percent of Total Billed Charges,224.96,,325.89,49.98,,Percent of Total Billed Charges,246.47,,225.87,599.89,,																																							
HC  HFO WITHOUT JOINTS PRE CST,L3923,HCPCS,,,,BOTH, , ,437.85,367.79,402.82,92,,Percent of Total Billed Charges,366.04,,402.82,92,,Percent of Total Billed Charges,359.47,,402.82,92,,Percent of Total Billed Charges,352.47,,402.82,92,,Percent of Total Billed Charges,365.6,,402.82,92,,Percent of Total Billed Charges,329.7,,402.82,92,,Percent of Total Billed Charges,273.66,,394.07,90,,Percent of Total Billed Charges,218.49,,389.69,89,,Percent of Total Billed Charges,210.17,,360.79,82.4,,Percent of Total Billed Charges,359.91,,365.17,83.4,,Percent of Total Billed Charges,340.65,,365.17,83.4,,Percent of Total Billed Charges,306.93,,365.17,83.4,,Percent of Total Billed Charges,356.41,,394.07,90,,Percent of Total Billed Charges,370.86,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,402.82,92,,Percent of Total Billed Charges,355.1,,402.82,92,,Percent of Total Billed Charges,325.76,,402.82,92,,Percent of Total Billed Charges,342.84,,402.82,92,,Percent of Total Billed Charges,355.1,,341.52,78,,Percent of Total Billed Charges,341.52,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,235.69,53.83,,Percent of Total Billed Charges,221.11,,151.67,34.64,,Percent of Total Billed Charges,151.06,,218.84,49.98,,Percent of Total Billed Charges,165.51,,151.67,402.82,,																																							
HC  METACARP FX ORTHOSIS PRE CST,L3917,HCPCS,,,,BOTH, , ,415.8,349.27,382.54,92,,Percent of Total Billed Charges,347.61,,382.54,92,,Percent of Total Billed Charges,341.37,,382.54,92,,Percent of Total Billed Charges,334.72,,382.54,92,,Percent of Total Billed Charges,347.19,,382.54,92,,Percent of Total Billed Charges,313.1,,382.54,92,,Percent of Total Billed Charges,259.88,,374.22,90,,Percent of Total Billed Charges,207.48,,370.06,89,,Percent of Total Billed Charges,199.58,,342.62,82.4,,Percent of Total Billed Charges,341.79,,346.78,83.4,,Percent of Total Billed Charges,323.49,,346.78,83.4,,Percent of Total Billed Charges,291.48,,346.78,83.4,,Percent of Total Billed Charges,338.46,,374.22,90,,Percent of Total Billed Charges,352.18,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,382.54,92,,Percent of Total Billed Charges,337.21,,382.54,92,,Percent of Total Billed Charges,309.36,,382.54,92,,Percent of Total Billed Charges,325.57,,382.54,92,,Percent of Total Billed Charges,337.21,,324.32,78,,Percent of Total Billed Charges,324.32,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,223.83,53.83,,Percent of Total Billed Charges,209.98,,144.03,34.64,,Percent of Total Billed Charges,143.45,,207.82,49.98,,Percent of Total Billed Charges,157.17,,144.03,382.54,,																																							
HC  WHO NONTORSION JNTS PRE CST,L3915,HCPCS,,,,BOTH, , ,2093.7,1758.71,1926.2,92,,Percent of Total Billed Charges,1750.33,,1926.2,92,,Percent of Total Billed Charges,1718.93,,1926.2,92,,Percent of Total Billed Charges,1685.43,,1926.2,92,,Percent of Total Billed Charges,1748.24,,1926.2,92,,Percent of Total Billed Charges,1576.56,,1926.2,92,,Percent of Total Billed Charges,1308.56,,1884.33,90,,Percent of Total Billed Charges,1044.76,,1863.39,89,,Percent of Total Billed Charges,1004.98,,1725.21,82.4,,Percent of Total Billed Charges,1721.02,,1746.15,83.4,,Percent of Total Billed Charges,1628.9,,1746.15,83.4,,Percent of Total Billed Charges,1467.68,,1746.15,83.4,,Percent of Total Billed Charges,1704.27,,1884.33,90,,Percent of Total Billed Charges,1773.36,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1926.2,92,,Percent of Total Billed Charges,1697.99,,1926.2,92,,Percent of Total Billed Charges,1557.71,,1926.2,92,,Percent of Total Billed Charges,1639.37,,1926.2,92,,Percent of Total Billed Charges,1697.99,,1633.09,78,,Percent of Total Billed Charges,1633.09,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1127.04,53.83,,Percent of Total Billed Charges,1057.32,,725.26,34.64,,Percent of Total Billed Charges,722.33,,1046.43,49.98,,Percent of Total Billed Charges,791.42,,725.26,1926.2,,																																							
HC  HFO NONTORSION JNTS PRE CST,L3929,HCPCS,,,,BOTH, , ,361.2,303.41,332.3,92,,Percent of Total Billed Charges,301.96,,332.3,92,,Percent of Total Billed Charges,296.55,,332.3,92,,Percent of Total Billed Charges,290.77,,332.3,92,,Percent of Total Billed Charges,301.6,,332.3,92,,Percent of Total Billed Charges,271.98,,332.3,92,,Percent of Total Billed Charges,225.75,,325.08,90,,Percent of Total Billed Charges,180.24,,321.47,89,,Percent of Total Billed Charges,173.38,,297.63,82.4,,Percent of Total Billed Charges,296.91,,301.24,83.4,,Percent of Total Billed Charges,281.01,,301.24,83.4,,Percent of Total Billed Charges,253.2,,301.24,83.4,,Percent of Total Billed Charges,294.02,,325.08,90,,Percent of Total Billed Charges,305.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,332.3,92,,Percent of Total Billed Charges,292.93,,332.3,92,,Percent of Total Billed Charges,268.73,,332.3,92,,Percent of Total Billed Charges,282.82,,332.3,92,,Percent of Total Billed Charges,292.93,,281.74,78,,Percent of Total Billed Charges,281.74,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,194.43,53.83,,Percent of Total Billed Charges,182.41,,125.12,34.64,,Percent of Total Billed Charges,124.61,,180.53,49.98,,Percent of Total Billed Charges,136.53,,125.12,332.3,,																																							
HC  FO NONTORSION JOINT CF,L3935,HCPCS,,,,BOTH, , ,869.4,730.3,799.85,92,,Percent of Total Billed Charges,726.82,,799.85,92,,Percent of Total Billed Charges,713.78,,799.85,92,,Percent of Total Billed Charges,699.87,,799.85,92,,Percent of Total Billed Charges,725.95,,799.85,92,,Percent of Total Billed Charges,654.66,,799.85,92,,Percent of Total Billed Charges,543.38,,782.46,90,,Percent of Total Billed Charges,433.83,,773.77,89,,Percent of Total Billed Charges,417.31,,716.39,82.4,,Percent of Total Billed Charges,714.65,,725.08,83.4,,Percent of Total Billed Charges,676.39,,725.08,83.4,,Percent of Total Billed Charges,609.45,,725.08,83.4,,Percent of Total Billed Charges,707.69,,782.46,90,,Percent of Total Billed Charges,736.38,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,799.85,92,,Percent of Total Billed Charges,705.08,,799.85,92,,Percent of Total Billed Charges,646.83,,799.85,92,,Percent of Total Billed Charges,680.74,,799.85,92,,Percent of Total Billed Charges,705.08,,678.13,78,,Percent of Total Billed Charges,678.13,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,468,53.83,,Percent of Total Billed Charges,439.05,,301.16,34.64,,Percent of Total Billed Charges,299.94,,434.53,49.98,,Percent of Total Billed Charges,328.63,,301.16,799.85,,																																							
HC  SEWHO CAP DESIGN W/JNT(S) CF,L3971,HCPCS,,,,BOTH, , ,741.3,622.69,682,92,,Percent of Total Billed Charges,619.73,,682,92,,Percent of Total Billed Charges,608.61,,682,92,,Percent of Total Billed Charges,596.75,,682,92,,Percent of Total Billed Charges,618.99,,682,92,,Percent of Total Billed Charges,558.2,,682,92,,Percent of Total Billed Charges,463.31,,667.17,90,,Percent of Total Billed Charges,369.91,,659.76,89,,Percent of Total Billed Charges,355.82,,610.83,82.4,,Percent of Total Billed Charges,609.35,,618.24,83.4,,Percent of Total Billed Charges,576.73,,618.24,83.4,,Percent of Total Billed Charges,519.65,,618.24,83.4,,Percent of Total Billed Charges,603.42,,667.17,90,,Percent of Total Billed Charges,627.88,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,682,92,,Percent of Total Billed Charges,601.19,,682,92,,Percent of Total Billed Charges,551.53,,682,92,,Percent of Total Billed Charges,580.44,,682,92,,Percent of Total Billed Charges,601.19,,578.21,78,,Percent of Total Billed Charges,578.21,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,399.04,53.83,,Percent of Total Billed Charges,374.36,,256.79,34.64,,Percent of Total Billed Charges,255.75,,370.5,49.98,,Percent of Total Billed Charges,280.21,,256.79,682,,																																							
HC  SEWHFO CAP DESIGN W/O JNT CF,L3975,HCPCS,,,,BOTH, , ,6616.05,5557.48,6086.77,92,,Percent of Total Billed Charges,5531.02,,6086.77,92,,Percent of Total Billed Charges,5431.78,,6086.77,92,,Percent of Total Billed Charges,5325.92,,6086.77,92,,Percent of Total Billed Charges,5524.4,,6086.77,92,,Percent of Total Billed Charges,4981.89,,6086.77,92,,Percent of Total Billed Charges,4135.03,,5954.45,90,,Percent of Total Billed Charges,3301.41,,5888.28,89,,Percent of Total Billed Charges,3175.7,,5451.63,82.4,,Percent of Total Billed Charges,5438.39,,5517.79,83.4,,Percent of Total Billed Charges,5147.29,,5517.79,83.4,,Percent of Total Billed Charges,4637.85,,5517.79,83.4,,Percent of Total Billed Charges,5385.46,,5954.45,90,,Percent of Total Billed Charges,5603.79,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6086.77,92,,Percent of Total Billed Charges,5365.62,,6086.77,92,,Percent of Total Billed Charges,4922.34,,6086.77,92,,Percent of Total Billed Charges,5180.37,,6086.77,92,,Percent of Total Billed Charges,5365.62,,5160.52,78,,Percent of Total Billed Charges,5160.52,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3561.42,53.83,,Percent of Total Billed Charges,3341.11,,2291.8,34.64,,Percent of Total Billed Charges,2282.54,,3306.7,49.98,,Percent of Total Billed Charges,2500.87,,2291.80,6086.77,,																																							
HC  SEWHFO CAP DESGN W/JNT(S) CF,L3977,HCPCS,,,,BOTH, , ,741.3,622.69,682,92,,Percent of Total Billed Charges,619.73,,682,92,,Percent of Total Billed Charges,608.61,,682,92,,Percent of Total Billed Charges,596.75,,682,92,,Percent of Total Billed Charges,618.99,,682,92,,Percent of Total Billed Charges,558.2,,682,92,,Percent of Total Billed Charges,463.31,,667.17,90,,Percent of Total Billed Charges,369.91,,659.76,89,,Percent of Total Billed Charges,355.82,,610.83,82.4,,Percent of Total Billed Charges,609.35,,618.24,83.4,,Percent of Total Billed Charges,576.73,,618.24,83.4,,Percent of Total Billed Charges,519.65,,618.24,83.4,,Percent of Total Billed Charges,603.42,,667.17,90,,Percent of Total Billed Charges,627.88,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,682,92,,Percent of Total Billed Charges,601.19,,682,92,,Percent of Total Billed Charges,551.53,,682,92,,Percent of Total Billed Charges,580.44,,682,92,,Percent of Total Billed Charges,601.19,,578.21,78,,Percent of Total Billed Charges,578.21,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,399.04,53.83,,Percent of Total Billed Charges,374.36,,256.79,34.64,,Percent of Total Billed Charges,255.75,,370.5,49.98,,Percent of Total Billed Charges,280.21,,256.79,682,,																																							
HC  UP EXT FX ORTHOS HUMERAL NOS,L3980,HCPCS,,,,BOTH, , ,1297.8,1090.15,1193.98,92,,Percent of Total Billed Charges,1084.96,,1193.98,92,,Percent of Total Billed Charges,1065.49,,1193.98,92,,Percent of Total Billed Charges,1044.73,,1193.98,92,,Percent of Total Billed Charges,1083.66,,1193.98,92,,Percent of Total Billed Charges,977.24,,1193.98,92,,Percent of Total Billed Charges,811.13,,1168.02,90,,Percent of Total Billed Charges,647.6,,1155.04,89,,Percent of Total Billed Charges,622.94,,1069.39,82.4,,Percent of Total Billed Charges,1066.79,,1082.37,83.4,,Percent of Total Billed Charges,1009.69,,1082.37,83.4,,Percent of Total Billed Charges,909.76,,1082.37,83.4,,Percent of Total Billed Charges,1056.41,,1168.02,90,,Percent of Total Billed Charges,1099.24,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1193.98,92,,Percent of Total Billed Charges,1052.52,,1193.98,92,,Percent of Total Billed Charges,965.56,,1193.98,92,,Percent of Total Billed Charges,1016.18,,1193.98,92,,Percent of Total Billed Charges,1052.52,,1012.28,78,,Percent of Total Billed Charges,1012.28,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,698.61,53.83,,Percent of Total Billed Charges,655.39,,449.56,34.64,,Percent of Total Billed Charges,447.74,,648.64,49.98,,Percent of Total Billed Charges,490.57,,449.56,1193.98,,																																							
HC  UE FX ORTH SHOUL CAP FOREARM,L3981,HCPCS,,,,BOTH, , ,3963.75,3329.55,3646.65,92,,Percent of Total Billed Charges,3313.7,,3646.65,92,,Percent of Total Billed Charges,3254.24,,3646.65,92,,Percent of Total Billed Charges,3190.82,,3646.65,92,,Percent of Total Billed Charges,3309.73,,3646.65,92,,Percent of Total Billed Charges,2984.7,,3646.65,92,,Percent of Total Billed Charges,2477.34,,3567.38,90,,Percent of Total Billed Charges,1977.91,,3527.74,89,,Percent of Total Billed Charges,1902.6,,3266.13,82.4,,Percent of Total Billed Charges,3258.2,,3305.77,83.4,,Percent of Total Billed Charges,3083.8,,3305.77,83.4,,Percent of Total Billed Charges,2778.59,,3305.77,83.4,,Percent of Total Billed Charges,3226.49,,3567.38,90,,Percent of Total Billed Charges,3357.3,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3646.65,92,,Percent of Total Billed Charges,3214.6,,3646.65,92,,Percent of Total Billed Charges,2949.03,,3646.65,92,,Percent of Total Billed Charges,3103.62,,3646.65,92,,Percent of Total Billed Charges,3214.6,,3091.73,78,,Percent of Total Billed Charges,3091.73,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2133.69,53.83,,Percent of Total Billed Charges,2001.69,,1373.04,34.64,,Percent of Total Billed Charges,1367.49,,1981.08,49.98,,Percent of Total Billed Charges,1498.3,,1373.04,3646.65,,																																							
HC  UPPER EXT FX ORTHOSIS RAD/UL,L3982,HCPCS,,,,BOTH, , ,1514.1,1271.84,1392.97,92,,Percent of Total Billed Charges,1265.79,,1392.97,92,,Percent of Total Billed Charges,1243.08,,1392.97,92,,Percent of Total Billed Charges,1218.85,,1392.97,92,,Percent of Total Billed Charges,1264.27,,1392.97,92,,Percent of Total Billed Charges,1140.12,,1392.97,92,,Percent of Total Billed Charges,946.31,,1362.69,90,,Percent of Total Billed Charges,755.54,,1347.55,89,,Percent of Total Billed Charges,726.77,,1247.62,82.4,,Percent of Total Billed Charges,1244.59,,1262.76,83.4,,Percent of Total Billed Charges,1177.97,,1262.76,83.4,,Percent of Total Billed Charges,1061.38,,1262.76,83.4,,Percent of Total Billed Charges,1232.48,,1362.69,90,,Percent of Total Billed Charges,1282.44,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1392.97,92,,Percent of Total Billed Charges,1227.94,,1392.97,92,,Percent of Total Billed Charges,1126.49,,1392.97,92,,Percent of Total Billed Charges,1185.54,,1392.97,92,,Percent of Total Billed Charges,1227.94,,1181,78,,Percent of Total Billed Charges,1181,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,815.04,53.83,,Percent of Total Billed Charges,764.62,,524.48,34.64,,Percent of Total Billed Charges,522.36,,756.75,49.98,,Percent of Total Billed Charges,572.33,,524.48,1392.97,,																																							
HC  UPPER EXT FX ORTHOSIS WRIST,L3984,HCPCS,,,,BOTH, , ,1394.4,1171.3,1282.85,92,,Percent of Total Billed Charges,1165.72,,1282.85,92,,Percent of Total Billed Charges,1144.8,,1282.85,92,,Percent of Total Billed Charges,1122.49,,1282.85,92,,Percent of Total Billed Charges,1164.32,,1282.85,92,,Percent of Total Billed Charges,1049.98,,1282.85,92,,Percent of Total Billed Charges,871.5,,1254.96,90,,Percent of Total Billed Charges,695.81,,1241.02,89,,Percent of Total Billed Charges,669.31,,1148.99,82.4,,Percent of Total Billed Charges,1146.2,,1162.93,83.4,,Percent of Total Billed Charges,1084.84,,1162.93,83.4,,Percent of Total Billed Charges,977.47,,1162.93,83.4,,Percent of Total Billed Charges,1135.04,,1254.96,90,,Percent of Total Billed Charges,1181.06,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1282.85,92,,Percent of Total Billed Charges,1130.86,,1282.85,92,,Percent of Total Billed Charges,1037.43,,1282.85,92,,Percent of Total Billed Charges,1091.82,,1282.85,92,,Percent of Total Billed Charges,1130.86,,1087.63,78,,Percent of Total Billed Charges,1087.63,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,750.61,53.83,,Percent of Total Billed Charges,704.17,,483.02,34.64,,Percent of Total Billed Charges,481.07,,696.92,49.98,,Percent of Total Billed Charges,527.08,,483.02,1282.85,,																																							
HC  SOCK FRACTURE OR EQUAL EACH,L3995,HCPCS,,,,BOTH, , ,166.95,140.24,153.59,92,,Percent of Total Billed Charges,139.57,,153.59,92,,Percent of Total Billed Charges,137.07,,153.59,92,,Percent of Total Billed Charges,134.39,,153.59,92,,Percent of Total Billed Charges,139.4,,153.59,92,,Percent of Total Billed Charges,125.71,,153.59,92,,Percent of Total Billed Charges,104.34,,150.26,90,,Percent of Total Billed Charges,83.31,,148.59,89,,Percent of Total Billed Charges,80.14,,137.57,82.4,,Percent of Total Billed Charges,137.23,,139.24,83.4,,Percent of Total Billed Charges,129.89,,139.24,83.4,,Percent of Total Billed Charges,117.03,,139.24,83.4,,Percent of Total Billed Charges,135.9,,150.26,90,,Percent of Total Billed Charges,141.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,153.59,92,,Percent of Total Billed Charges,135.4,,153.59,92,,Percent of Total Billed Charges,124.21,,153.59,92,,Percent of Total Billed Charges,130.72,,153.59,92,,Percent of Total Billed Charges,135.4,,130.22,78,,Percent of Total Billed Charges,130.22,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,89.87,53.83,,Percent of Total Billed Charges,84.31,,57.83,34.64,,Percent of Total Billed Charges,57.6,,83.44,49.98,,Percent of Total Billed Charges,63.11,,57.83,153.59,,																																							
HC NEWBORN SCREENING PANEL (HMD),300,RC,,,,BOTH, , ,508.2,426.89,467.54,92,,Percent of Total Billed Charges,424.86,,467.54,92,,Percent of Total Billed Charges,417.23,,467.54,92,,Percent of Total Billed Charges,409.1,,467.54,92,,Percent of Total Billed Charges,424.35,,467.54,92,,Percent of Total Billed Charges,382.67,,467.54,92,,Percent of Total Billed Charges,317.63,,457.38,90,,Percent of Total Billed Charges,253.59,,452.3,89,,Percent of Total Billed Charges,243.94,,418.76,82.4,,Percent of Total Billed Charges,417.74,,423.84,83.4,,Percent of Total Billed Charges,395.38,,423.84,83.4,,Percent of Total Billed Charges,356.25,,423.84,83.4,,Percent of Total Billed Charges,413.67,,457.38,90,,Percent of Total Billed Charges,430.45,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,467.54,92,,Percent of Total Billed Charges,412.15,,467.54,92,,Percent of Total Billed Charges,378.1,,467.54,92,,Percent of Total Billed Charges,397.92,,467.54,92,,Percent of Total Billed Charges,412.15,,396.4,78,,Percent of Total Billed Charges,396.4,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,273.56,53.83,,Percent of Total Billed Charges,256.64,,176.04,34.64,,Percent of Total Billed Charges,175.33,,254,49.98,,Percent of Total Billed Charges,192.1,,176.04,467.54,,																																							
HC VENIPUNCTURE,36415,CPT,,,,BOTH, , ,26.25,22.05,24.15,92,,Percent of Total Billed Charges,21.95,,24.15,92,,Percent of Total Billed Charges,21.55,,24.15,92,,Percent of Total Billed Charges,21.13,,24.15,92,,Percent of Total Billed Charges,21.92,,24.15,92,,Percent of Total Billed Charges,19.77,,24.15,92,,Percent of Total Billed Charges,16.41,,23.63,90,,Percent of Total Billed Charges,13.1,,23.36,89,,Percent of Total Billed Charges,12.6,,21.63,82.4,,Percent of Total Billed Charges,21.58,,21.89,83.4,,Percent of Total Billed Charges,20.42,,21.89,83.4,,Percent of Total Billed Charges,18.4,,21.89,83.4,,Percent of Total Billed Charges,21.37,,23.63,90,,Percent of Total Billed Charges,22.23,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,24.15,92,,Percent of Total Billed Charges,21.29,,24.15,92,,Percent of Total Billed Charges,19.53,,24.15,92,,Percent of Total Billed Charges,20.55,,24.15,92,,Percent of Total Billed Charges,21.29,,20.48,78,,Percent of Total Billed Charges,20.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,14.13,53.83,,Percent of Total Billed Charges,13.26,,9.09,34.64,,Percent of Total Billed Charges,9.06,,13.12,49.98,,Percent of Total Billed Charges,9.92,,9.09,24.15,,																																							
HC BLOOD DRAW  VAD,36591,CPT,,,,BOTH, , ,270.9,227.56,249.23,92,,Percent of Total Billed Charges,226.47,,249.23,92,,Percent of Total Billed Charges,222.41,,249.23,92,,Percent of Total Billed Charges,218.07,,249.23,92,,Percent of Total Billed Charges,226.2,,249.23,92,,Percent of Total Billed Charges,203.99,,249.23,92,,Percent of Total Billed Charges,169.31,,243.81,90,,Percent of Total Billed Charges,135.18,,241.1,89,,Percent of Total Billed Charges,130.03,,223.22,82.4,,Percent of Total Billed Charges,222.68,,225.93,83.4,,Percent of Total Billed Charges,210.76,,225.93,83.4,,Percent of Total Billed Charges,189.9,,225.93,83.4,,Percent of Total Billed Charges,220.51,,243.81,90,,Percent of Total Billed Charges,229.45,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,249.23,92,,Percent of Total Billed Charges,219.7,,249.23,92,,Percent of Total Billed Charges,201.55,,249.23,92,,Percent of Total Billed Charges,212.11,,249.23,92,,Percent of Total Billed Charges,219.7,,211.3,78,,Percent of Total Billed Charges,211.3,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,145.83,53.83,,Percent of Total Billed Charges,136.8,,93.84,34.64,,Percent of Total Billed Charges,93.46,,135.4,49.98,,Percent of Total Billed Charges,102.4,,93.84,249.23,,																																							
HC NEW COLLECTION BLOOD PICC LINE,36592,CPT,,,,BOTH, , ,270.9,227.56,249.23,92,,Percent of Total Billed Charges,226.47,,249.23,92,,Percent of Total Billed Charges,222.41,,249.23,92,,Percent of Total Billed Charges,218.07,,249.23,92,,Percent of Total Billed Charges,226.2,,249.23,92,,Percent of Total Billed Charges,203.99,,249.23,92,,Percent of Total Billed Charges,169.31,,243.81,90,,Percent of Total Billed Charges,135.18,,241.1,89,,Percent of Total Billed Charges,130.03,,223.22,82.4,,Percent of Total Billed Charges,222.68,,225.93,83.4,,Percent of Total Billed Charges,210.76,,225.93,83.4,,Percent of Total Billed Charges,189.9,,225.93,83.4,,Percent of Total Billed Charges,220.51,,243.81,90,,Percent of Total Billed Charges,229.45,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,249.23,92,,Percent of Total Billed Charges,219.7,,249.23,92,,Percent of Total Billed Charges,201.55,,249.23,92,,Percent of Total Billed Charges,212.11,,249.23,92,,Percent of Total Billed Charges,219.7,,211.3,78,,Percent of Total Billed Charges,211.3,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,145.83,53.83,,Percent of Total Billed Charges,136.8,,93.84,34.64,,Percent of Total Billed Charges,93.46,,135.4,49.98,,Percent of Total Billed Charges,102.4,,93.84,249.23,,																																							
HC ARTERIAL BLOOD GAS PUNCTURE,36600,CPT,,,,BOTH, , ,269.85,226.67,248.26,92,,Percent of Total Billed Charges,225.59,,248.26,92,,Percent of Total Billed Charges,221.55,,248.26,92,,Percent of Total Billed Charges,217.23,,248.26,92,,Percent of Total Billed Charges,225.32,,248.26,92,,Percent of Total Billed Charges,203.2,,248.26,92,,Percent of Total Billed Charges,168.66,,242.87,90,,Percent of Total Billed Charges,134.66,,240.17,89,,Percent of Total Billed Charges,129.53,,222.36,82.4,,Percent of Total Billed Charges,221.82,,225.05,83.4,,Percent of Total Billed Charges,209.94,,225.05,83.4,,Percent of Total Billed Charges,189.16,,225.05,83.4,,Percent of Total Billed Charges,219.66,,242.87,90,,Percent of Total Billed Charges,228.56,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,248.26,92,,Percent of Total Billed Charges,218.85,,248.26,92,,Percent of Total Billed Charges,200.77,,248.26,92,,Percent of Total Billed Charges,211.29,,248.26,92,,Percent of Total Billed Charges,218.85,,210.48,78,,Percent of Total Billed Charges,210.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,145.26,53.83,,Percent of Total Billed Charges,136.27,,93.48,34.64,,Percent of Total Billed Charges,93.1,,134.87,49.98,,Percent of Total Billed Charges,102,,93.48,248.26,,																																							
HC BASIC METABOLIC PANEL TOTAL CA,80048,CPT,,,,BOTH, , ,7.35,6.17,6.76,92,,Percent of Total Billed Charges,6.14,,6.76,92,,Percent of Total Billed Charges,6.03,,6.76,92,,Percent of Total Billed Charges,5.92,,6.76,92,,Percent of Total Billed Charges,6.14,,6.76,92,,Percent of Total Billed Charges,5.53,,6.76,92,,Percent of Total Billed Charges,4.59,,6.62,90,,Percent of Total Billed Charges,3.67,,6.54,89,,Percent of Total Billed Charges,3.53,,6.06,82.4,,Percent of Total Billed Charges,6.04,,6.13,83.4,,Percent of Total Billed Charges,5.72,,6.13,83.4,,Percent of Total Billed Charges,5.15,,6.13,83.4,,Percent of Total Billed Charges,5.98,,6.62,90,,Percent of Total Billed Charges,6.23,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6.76,92,,Percent of Total Billed Charges,5.96,,6.76,92,,Percent of Total Billed Charges,5.47,,6.76,92,,Percent of Total Billed Charges,5.76,,6.76,92,,Percent of Total Billed Charges,5.96,,5.73,78,,Percent of Total Billed Charges,5.73,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3.96,53.83,,Percent of Total Billed Charges,3.71,,2.55,34.64,,Percent of Total Billed Charges,2.54,,3.67,49.98,,Percent of Total Billed Charges,2.78,,2.55,6.76,,																																							
HC COMPREHENSIVE METABOLIC PANEL,80053,CPT,,,,BOTH, , ,8.4,7.06,7.73,92,,Percent of Total Billed Charges,7.02,,7.73,92,,Percent of Total Billed Charges,6.9,,7.73,92,,Percent of Total Billed Charges,6.76,,7.73,92,,Percent of Total Billed Charges,7.01,,7.73,92,,Percent of Total Billed Charges,6.33,,7.73,92,,Percent of Total Billed Charges,5.25,,7.56,90,,Percent of Total Billed Charges,4.19,,7.48,89,,Percent of Total Billed Charges,4.03,,6.92,82.4,,Percent of Total Billed Charges,6.9,,7.01,83.4,,Percent of Total Billed Charges,6.54,,7.01,83.4,,Percent of Total Billed Charges,5.89,,7.01,83.4,,Percent of Total Billed Charges,6.84,,7.56,90,,Percent of Total Billed Charges,7.11,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,7.73,92,,Percent of Total Billed Charges,6.81,,7.73,92,,Percent of Total Billed Charges,6.25,,7.73,92,,Percent of Total Billed Charges,6.58,,7.73,92,,Percent of Total Billed Charges,6.81,,6.55,78,,Percent of Total Billed Charges,6.55,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4.52,53.83,,Percent of Total Billed Charges,4.24,,2.91,34.64,,Percent of Total Billed Charges,2.9,,4.2,49.98,,Percent of Total Billed Charges,3.18,,2.91,7.73,,																																							
HC RENAL FUNCTION PANEL,80069,CPT,,,,BOTH, , ,79.8,67.03,73.42,92,,Percent of Total Billed Charges,66.71,,73.42,92,,Percent of Total Billed Charges,65.52,,73.42,92,,Percent of Total Billed Charges,64.24,,73.42,92,,Percent of Total Billed Charges,66.63,,73.42,92,,Percent of Total Billed Charges,60.09,,73.42,92,,Percent of Total Billed Charges,49.88,,71.82,90,,Percent of Total Billed Charges,39.82,,71.02,89,,Percent of Total Billed Charges,38.3,,65.76,82.4,,Percent of Total Billed Charges,65.6,,66.55,83.4,,Percent of Total Billed Charges,62.08,,66.55,83.4,,Percent of Total Billed Charges,55.94,,66.55,83.4,,Percent of Total Billed Charges,64.96,,71.82,90,,Percent of Total Billed Charges,67.59,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,73.42,92,,Percent of Total Billed Charges,64.72,,73.42,92,,Percent of Total Billed Charges,59.37,,73.42,92,,Percent of Total Billed Charges,62.48,,73.42,92,,Percent of Total Billed Charges,64.72,,62.24,78,,Percent of Total Billed Charges,62.24,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,42.96,53.83,,Percent of Total Billed Charges,40.3,,27.64,34.64,,Percent of Total Billed Charges,27.53,,39.88,49.98,,Percent of Total Billed Charges,30.16,,27.64,73.42,,																																							
HC HEPATITIS PANEL (A,B,C),80074,CPT,,,,BOTH, , ,269.85,226.67,248.26,92,,Percent of Total Billed Charges,225.59,,248.26,92,,Percent of Total Billed Charges,221.55,,248.26,92,,Percent of Total Billed Charges,217.23,,248.26,92,,Percent of Total Billed Charges,225.32,,248.26,92,,Percent of Total Billed Charges,203.2,,248.26,92,,Percent of Total Billed Charges,168.66,,242.87,90,,Percent of Total Billed Charges,134.66,,240.17,89,,Percent of Total Billed Charges,129.53,,222.36,82.4,,Percent of Total Billed Charges,221.82,,225.05,83.4,,Percent of Total Billed Charges,209.94,,225.05,83.4,,Percent of Total Billed Charges,189.16,,225.05,83.4,,Percent of Total Billed Charges,219.66,,242.87,90,,Percent of Total Billed Charges,228.56,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,248.26,92,,Percent of Total Billed Charges,218.85,,248.26,92,,Percent of Total Billed Charges,200.77,,248.26,92,,Percent of Total Billed Charges,211.29,,248.26,92,,Percent of Total Billed Charges,218.85,,210.48,78,,Percent of Total Billed Charges,210.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,145.26,53.83,,Percent of Total Billed Charges,136.27,,93.48,34.64,,Percent of Total Billed Charges,93.1,,134.87,49.98,,Percent of Total Billed Charges,102,,93.48,248.26,,																																							
HC ASSAY OF AMIKACIN,80150,CPT,,,,BOTH, , ,260.4,218.74,239.57,92,,Percent of Total Billed Charges,217.69,,239.57,92,,Percent of Total Billed Charges,213.79,,239.57,92,,Percent of Total Billed Charges,209.62,,239.57,92,,Percent of Total Billed Charges,217.43,,239.57,92,,Percent of Total Billed Charges,196.08,,239.57,92,,Percent of Total Billed Charges,162.75,,234.36,90,,Percent of Total Billed Charges,129.94,,231.76,89,,Percent of Total Billed Charges,124.99,,214.57,82.4,,Percent of Total Billed Charges,214.05,,217.17,83.4,,Percent of Total Billed Charges,202.59,,217.17,83.4,,Percent of Total Billed Charges,182.54,,217.17,83.4,,Percent of Total Billed Charges,211.97,,234.36,90,,Percent of Total Billed Charges,220.56,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,239.57,92,,Percent of Total Billed Charges,211.18,,239.57,92,,Percent of Total Billed Charges,193.74,,239.57,92,,Percent of Total Billed Charges,203.89,,239.57,92,,Percent of Total Billed Charges,211.18,,203.11,78,,Percent of Total Billed Charges,203.11,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,140.17,53.83,,Percent of Total Billed Charges,131.5,,90.2,34.64,,Percent of Total Billed Charges,89.84,,130.15,49.98,,Percent of Total Billed Charges,98.43,,90.20,239.57,,																																							
HC CYCLOSPORINE,80158,CPT,,,,BOTH, , ,488.25,410.13,449.19,92,,Percent of Total Billed Charges,408.18,,449.19,92,,Percent of Total Billed Charges,400.85,,449.19,92,,Percent of Total Billed Charges,393.04,,449.19,92,,Percent of Total Billed Charges,407.69,,449.19,92,,Percent of Total Billed Charges,367.65,,449.19,92,,Percent of Total Billed Charges,305.16,,439.43,90,,Percent of Total Billed Charges,243.64,,434.54,89,,Percent of Total Billed Charges,234.36,,402.32,82.4,,Percent of Total Billed Charges,401.34,,407.2,83.4,,Percent of Total Billed Charges,379.86,,407.2,83.4,,Percent of Total Billed Charges,342.26,,407.2,83.4,,Percent of Total Billed Charges,397.44,,439.43,90,,Percent of Total Billed Charges,413.55,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,449.19,92,,Percent of Total Billed Charges,395.97,,449.19,92,,Percent of Total Billed Charges,363.26,,449.19,92,,Percent of Total Billed Charges,382.3,,449.19,92,,Percent of Total Billed Charges,395.97,,380.84,78,,Percent of Total Billed Charges,380.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,262.82,53.83,,Percent of Total Billed Charges,246.57,,169.13,34.64,,Percent of Total Billed Charges,168.45,,244.03,49.98,,Percent of Total Billed Charges,184.56,,169.13,449.19,,																																							
HC ASSAY OF GENTAMICIN,80170,CPT,,,,BOTH, , ,331.8,278.71,305.26,92,,Percent of Total Billed Charges,277.38,,305.26,92,,Percent of Total Billed Charges,272.41,,305.26,92,,Percent of Total Billed Charges,267.1,,305.26,92,,Percent of Total Billed Charges,277.05,,305.26,92,,Percent of Total Billed Charges,249.85,,305.26,92,,Percent of Total Billed Charges,207.38,,298.62,90,,Percent of Total Billed Charges,165.57,,295.3,89,,Percent of Total Billed Charges,159.26,,273.4,82.4,,Percent of Total Billed Charges,272.74,,276.72,83.4,,Percent of Total Billed Charges,258.14,,276.72,83.4,,Percent of Total Billed Charges,232.59,,276.72,83.4,,Percent of Total Billed Charges,270.09,,298.62,90,,Percent of Total Billed Charges,281.03,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,305.26,92,,Percent of Total Billed Charges,269.09,,305.26,92,,Percent of Total Billed Charges,246.86,,305.26,92,,Percent of Total Billed Charges,259.8,,305.26,92,,Percent of Total Billed Charges,269.09,,258.8,78,,Percent of Total Billed Charges,258.8,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,178.61,53.83,,Percent of Total Billed Charges,167.56,,114.94,34.64,,Percent of Total Billed Charges,114.47,,165.83,49.98,,Percent of Total Billed Charges,125.42,,114.94,305.26,,																																							
HC ASSAY OF HALOPERIDOL,80173,CPT,,,,BOTH, , ,376.95,316.64,346.79,92,,Percent of Total Billed Charges,315.13,,346.79,92,,Percent of Total Billed Charges,309.48,,346.79,92,,Percent of Total Billed Charges,303.44,,346.79,92,,Percent of Total Billed Charges,314.75,,346.79,92,,Percent of Total Billed Charges,283.84,,346.79,92,,Percent of Total Billed Charges,235.59,,339.26,90,,Percent of Total Billed Charges,188.1,,335.49,89,,Percent of Total Billed Charges,180.94,,310.61,82.4,,Percent of Total Billed Charges,309.85,,314.38,83.4,,Percent of Total Billed Charges,293.27,,314.38,83.4,,Percent of Total Billed Charges,264.24,,314.38,83.4,,Percent of Total Billed Charges,306.84,,339.26,90,,Percent of Total Billed Charges,319.28,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,346.79,92,,Percent of Total Billed Charges,305.71,,346.79,92,,Percent of Total Billed Charges,280.45,,346.79,92,,Percent of Total Billed Charges,295.15,,346.79,92,,Percent of Total Billed Charges,305.71,,294.02,78,,Percent of Total Billed Charges,294.02,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,202.91,53.83,,Percent of Total Billed Charges,190.36,,130.58,34.64,,Percent of Total Billed Charges,130.05,,188.4,49.98,,Percent of Total Billed Charges,142.49,,130.58,346.79,,																																							
HC DRUG SCREEN QUAN LAMOTRIGINE,80175,CPT,,,,BOTH, , ,160.65,134.95,147.8,92,,Percent of Total Billed Charges,134.3,,147.8,92,,Percent of Total Billed Charges,131.89,,147.8,92,,Percent of Total Billed Charges,129.32,,147.8,92,,Percent of Total Billed Charges,134.14,,147.8,92,,Percent of Total Billed Charges,120.97,,147.8,92,,Percent of Total Billed Charges,100.41,,144.59,90,,Percent of Total Billed Charges,80.16,,142.98,89,,Percent of Total Billed Charges,77.11,,132.38,82.4,,Percent of Total Billed Charges,132.05,,133.98,83.4,,Percent of Total Billed Charges,124.99,,133.98,83.4,,Percent of Total Billed Charges,112.62,,133.98,83.4,,Percent of Total Billed Charges,130.77,,144.59,90,,Percent of Total Billed Charges,136.07,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,147.8,92,,Percent of Total Billed Charges,130.29,,147.8,92,,Percent of Total Billed Charges,119.52,,147.8,92,,Percent of Total Billed Charges,125.79,,147.8,92,,Percent of Total Billed Charges,130.29,,125.31,78,,Percent of Total Billed Charges,125.31,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,86.48,53.83,,Percent of Total Billed Charges,81.13,,55.65,34.64,,Percent of Total Billed Charges,55.42,,80.29,49.98,,Percent of Total Billed Charges,60.73,,55.65,147.8,,																																							
HC PHENOBARBITAL,80184,CPT,,,,BOTH, , ,171.15,143.77,157.46,92,,Percent of Total Billed Charges,143.08,,157.46,92,,Percent of Total Billed Charges,140.51,,157.46,92,,Percent of Total Billed Charges,137.78,,157.46,92,,Percent of Total Billed Charges,142.91,,157.46,92,,Percent of Total Billed Charges,128.88,,157.46,92,,Percent of Total Billed Charges,106.97,,154.04,90,,Percent of Total Billed Charges,85.4,,152.32,89,,Percent of Total Billed Charges,82.15,,141.03,82.4,,Percent of Total Billed Charges,140.69,,142.74,83.4,,Percent of Total Billed Charges,133.15,,142.74,83.4,,Percent of Total Billed Charges,119.98,,142.74,83.4,,Percent of Total Billed Charges,139.32,,154.04,90,,Percent of Total Billed Charges,144.96,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,157.46,92,,Percent of Total Billed Charges,138.8,,157.46,92,,Percent of Total Billed Charges,127.34,,157.46,92,,Percent of Total Billed Charges,134.01,,157.46,92,,Percent of Total Billed Charges,138.8,,133.5,78,,Percent of Total Billed Charges,133.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,92.13,53.83,,Percent of Total Billed Charges,86.43,,59.29,34.64,,Percent of Total Billed Charges,59.05,,85.54,49.98,,Percent of Total Billed Charges,64.69,,59.29,157.46,,																																							
HC PHENYTOIN, FREE,80186,CPT,,,,BOTH, , ,192.15,161.41,176.78,92,,Percent of Total Billed Charges,160.64,,176.78,92,,Percent of Total Billed Charges,157.76,,176.78,92,,Percent of Total Billed Charges,154.68,,176.78,92,,Percent of Total Billed Charges,160.45,,176.78,92,,Percent of Total Billed Charges,144.69,,176.78,92,,Percent of Total Billed Charges,120.09,,172.94,90,,Percent of Total Billed Charges,95.88,,171.01,89,,Percent of Total Billed Charges,92.23,,158.33,82.4,,Percent of Total Billed Charges,157.95,,160.25,83.4,,Percent of Total Billed Charges,149.49,,160.25,83.4,,Percent of Total Billed Charges,134.7,,160.25,83.4,,Percent of Total Billed Charges,156.41,,172.94,90,,Percent of Total Billed Charges,162.75,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,176.78,92,,Percent of Total Billed Charges,155.83,,176.78,92,,Percent of Total Billed Charges,142.96,,176.78,92,,Percent of Total Billed Charges,150.45,,176.78,92,,Percent of Total Billed Charges,155.83,,149.88,78,,Percent of Total Billed Charges,149.88,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,103.43,53.83,,Percent of Total Billed Charges,97.04,,66.56,34.64,,Percent of Total Billed Charges,66.29,,96.04,49.98,,Percent of Total Billed Charges,72.63,,66.56,176.78,,																																							
HC ASSAY OF PRIMIDONE,80188,CPT,,,,BOTH, , ,284.55,239.02,261.79,92,,Percent of Total Billed Charges,237.88,,261.79,92,,Percent of Total Billed Charges,233.62,,261.79,92,,Percent of Total Billed Charges,229.06,,261.79,92,,Percent of Total Billed Charges,237.6,,261.79,92,,Percent of Total Billed Charges,214.27,,261.79,92,,Percent of Total Billed Charges,177.84,,256.1,90,,Percent of Total Billed Charges,141.99,,253.25,89,,Percent of Total Billed Charges,136.58,,234.47,82.4,,Percent of Total Billed Charges,233.9,,237.31,83.4,,Percent of Total Billed Charges,221.38,,237.31,83.4,,Percent of Total Billed Charges,199.47,,237.31,83.4,,Percent of Total Billed Charges,231.62,,256.1,90,,Percent of Total Billed Charges,241.01,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,261.79,92,,Percent of Total Billed Charges,230.77,,261.79,92,,Percent of Total Billed Charges,211.71,,261.79,92,,Percent of Total Billed Charges,222.8,,261.79,92,,Percent of Total Billed Charges,230.77,,221.95,78,,Percent of Total Billed Charges,221.95,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,153.17,53.83,,Percent of Total Billed Charges,143.7,,98.57,34.64,,Percent of Total Billed Charges,98.17,,142.22,49.98,,Percent of Total Billed Charges,107.56,,98.57,261.79,,																																							
HC ASSAY OF SIROLIMUS,80195,CPT,,,,BOTH, , ,38.85,32.63,35.74,92,,Percent of Total Billed Charges,32.48,,35.74,92,,Percent of Total Billed Charges,31.9,,35.74,92,,Percent of Total Billed Charges,31.27,,35.74,92,,Percent of Total Billed Charges,32.44,,35.74,92,,Percent of Total Billed Charges,29.25,,35.74,92,,Percent of Total Billed Charges,24.28,,34.97,90,,Percent of Total Billed Charges,19.39,,34.58,89,,Percent of Total Billed Charges,18.65,,32.01,82.4,,Percent of Total Billed Charges,31.93,,32.4,83.4,,Percent of Total Billed Charges,30.23,,32.4,83.4,,Percent of Total Billed Charges,27.23,,32.4,83.4,,Percent of Total Billed Charges,31.62,,34.97,90,,Percent of Total Billed Charges,32.91,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,35.74,92,,Percent of Total Billed Charges,31.51,,35.74,92,,Percent of Total Billed Charges,28.9,,35.74,92,,Percent of Total Billed Charges,30.42,,35.74,92,,Percent of Total Billed Charges,31.51,,30.3,78,,Percent of Total Billed Charges,30.3,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,20.91,53.83,,Percent of Total Billed Charges,19.62,,13.46,34.64,,Percent of Total Billed Charges,13.4,,19.42,49.98,,Percent of Total Billed Charges,14.69,,13.46,35.74,,																																							
HC ASSAY OF TACROLIMUS,80197,CPT,,,,BOTH, , ,414.75,348.39,381.57,92,,Percent of Total Billed Charges,346.73,,381.57,92,,Percent of Total Billed Charges,340.51,,381.57,92,,Percent of Total Billed Charges,333.87,,381.57,92,,Percent of Total Billed Charges,346.32,,381.57,92,,Percent of Total Billed Charges,312.31,,381.57,92,,Percent of Total Billed Charges,259.22,,373.28,90,,Percent of Total Billed Charges,206.96,,369.13,89,,Percent of Total Billed Charges,199.08,,341.75,82.4,,Percent of Total Billed Charges,340.92,,345.9,83.4,,Percent of Total Billed Charges,322.68,,345.9,83.4,,Percent of Total Billed Charges,290.74,,345.9,83.4,,Percent of Total Billed Charges,337.61,,373.28,90,,Percent of Total Billed Charges,351.29,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,381.57,92,,Percent of Total Billed Charges,336.36,,381.57,92,,Percent of Total Billed Charges,308.57,,381.57,92,,Percent of Total Billed Charges,324.75,,381.57,92,,Percent of Total Billed Charges,336.36,,323.51,78,,Percent of Total Billed Charges,323.51,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,223.26,53.83,,Percent of Total Billed Charges,209.45,,143.67,34.64,,Percent of Total Billed Charges,143.09,,207.29,49.98,,Percent of Total Billed Charges,156.78,,143.67,381.57,,																																							
HC TOPIRAMATE,80201,CPT,,,,BOTH, , ,197.4,165.82,181.61,92,,Percent of Total Billed Charges,165.03,,181.61,92,,Percent of Total Billed Charges,162.07,,181.61,92,,Percent of Total Billed Charges,158.91,,181.61,92,,Percent of Total Billed Charges,164.83,,181.61,92,,Percent of Total Billed Charges,148.64,,181.61,92,,Percent of Total Billed Charges,123.38,,177.66,90,,Percent of Total Billed Charges,98.5,,175.69,89,,Percent of Total Billed Charges,94.75,,162.66,82.4,,Percent of Total Billed Charges,162.26,,164.63,83.4,,Percent of Total Billed Charges,153.58,,164.63,83.4,,Percent of Total Billed Charges,138.38,,164.63,83.4,,Percent of Total Billed Charges,160.68,,177.66,90,,Percent of Total Billed Charges,167.2,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,181.61,92,,Percent of Total Billed Charges,160.09,,181.61,92,,Percent of Total Billed Charges,146.87,,181.61,92,,Percent of Total Billed Charges,154.56,,181.61,92,,Percent of Total Billed Charges,160.09,,153.97,78,,Percent of Total Billed Charges,153.97,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,106.26,53.83,,Percent of Total Billed Charges,99.69,,68.38,34.64,,Percent of Total Billed Charges,68.1,,98.66,49.98,,Percent of Total Billed Charges,74.62,,68.38,181.61,,																																							
HC VANCOMYCIN,80202,CPT,,,,BOTH, , ,176.4,148.18,162.29,92,,Percent of Total Billed Charges,147.47,,162.29,92,,Percent of Total Billed Charges,144.82,,162.29,92,,Percent of Total Billed Charges,142,,162.29,92,,Percent of Total Billed Charges,147.29,,162.29,92,,Percent of Total Billed Charges,132.83,,162.29,92,,Percent of Total Billed Charges,110.25,,158.76,90,,Percent of Total Billed Charges,88.02,,157,89,,Percent of Total Billed Charges,84.67,,145.35,82.4,,Percent of Total Billed Charges,145,,147.12,83.4,,Percent of Total Billed Charges,137.24,,147.12,83.4,,Percent of Total Billed Charges,123.66,,147.12,83.4,,Percent of Total Billed Charges,143.59,,158.76,90,,Percent of Total Billed Charges,149.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,162.29,92,,Percent of Total Billed Charges,143.06,,162.29,92,,Percent of Total Billed Charges,131.24,,162.29,92,,Percent of Total Billed Charges,138.12,,162.29,92,,Percent of Total Billed Charges,143.06,,137.59,78,,Percent of Total Billed Charges,137.59,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,94.96,53.83,,Percent of Total Billed Charges,89.08,,61.1,34.64,,Percent of Total Billed Charges,60.86,,88.16,49.98,,Percent of Total Billed Charges,66.68,,61.10,162.29,,																																							
HC QUANTITATIVE ASSAY DRUG,80299,CPT,,,,BOTH, , ,284.55,239.02,261.79,92,,Percent of Total Billed Charges,237.88,,261.79,92,,Percent of Total Billed Charges,233.62,,261.79,92,,Percent of Total Billed Charges,229.06,,261.79,92,,Percent of Total Billed Charges,237.6,,261.79,92,,Percent of Total Billed Charges,214.27,,261.79,92,,Percent of Total Billed Charges,177.84,,256.1,90,,Percent of Total Billed Charges,141.99,,253.25,89,,Percent of Total Billed Charges,136.58,,234.47,82.4,,Percent of Total Billed Charges,233.9,,237.31,83.4,,Percent of Total Billed Charges,221.38,,237.31,83.4,,Percent of Total Billed Charges,199.47,,237.31,83.4,,Percent of Total Billed Charges,231.62,,256.1,90,,Percent of Total Billed Charges,241.01,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,261.79,92,,Percent of Total Billed Charges,230.77,,261.79,92,,Percent of Total Billed Charges,211.71,,261.79,92,,Percent of Total Billed Charges,222.8,,261.79,92,,Percent of Total Billed Charges,230.77,,221.95,78,,Percent of Total Billed Charges,221.95,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,153.17,53.83,,Percent of Total Billed Charges,143.7,,98.57,34.64,,Percent of Total Billed Charges,98.17,,142.22,49.98,,Percent of Total Billed Charges,107.56,,98.57,261.79,,																																							
HC ALKALOIDS NOS,80323,CPT,,,,BOTH, , ,169.05,142,155.53,92,,Percent of Total Billed Charges,141.33,,155.53,92,,Percent of Total Billed Charges,138.79,,155.53,92,,Percent of Total Billed Charges,136.09,,155.53,92,,Percent of Total Billed Charges,141.16,,155.53,92,,Percent of Total Billed Charges,127.29,,155.53,92,,Percent of Total Billed Charges,105.66,,152.15,90,,Percent of Total Billed Charges,84.36,,150.45,89,,Percent of Total Billed Charges,81.14,,139.3,82.4,,Percent of Total Billed Charges,138.96,,140.99,83.4,,Percent of Total Billed Charges,131.52,,140.99,83.4,,Percent of Total Billed Charges,118.5,,140.99,83.4,,Percent of Total Billed Charges,137.61,,152.15,90,,Percent of Total Billed Charges,143.19,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,155.53,92,,Percent of Total Billed Charges,137.1,,155.53,92,,Percent of Total Billed Charges,125.77,,155.53,92,,Percent of Total Billed Charges,132.37,,155.53,92,,Percent of Total Billed Charges,137.1,,131.86,78,,Percent of Total Billed Charges,131.86,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,91,53.83,,Percent of Total Billed Charges,85.37,,58.56,34.64,,Percent of Total Billed Charges,58.32,,84.49,49.98,,Percent of Total Billed Charges,63.9,,58.56,155.53,,																																							
HC ANABOLIC STEROID 1 OR 2,80327,CPT,,,,BOTH, , ,281.4,236.38,258.89,92,,Percent of Total Billed Charges,235.25,,258.89,92,,Percent of Total Billed Charges,231.03,,258.89,92,,Percent of Total Billed Charges,226.53,,258.89,92,,Percent of Total Billed Charges,234.97,,258.89,92,,Percent of Total Billed Charges,211.89,,258.89,92,,Percent of Total Billed Charges,175.88,,253.26,90,,Percent of Total Billed Charges,140.42,,250.45,89,,Percent of Total Billed Charges,135.07,,231.87,82.4,,Percent of Total Billed Charges,231.31,,234.69,83.4,,Percent of Total Billed Charges,218.93,,234.69,83.4,,Percent of Total Billed Charges,197.26,,234.69,83.4,,Percent of Total Billed Charges,229.06,,253.26,90,,Percent of Total Billed Charges,238.35,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,258.89,92,,Percent of Total Billed Charges,228.22,,258.89,92,,Percent of Total Billed Charges,209.36,,258.89,92,,Percent of Total Billed Charges,220.34,,258.89,92,,Percent of Total Billed Charges,228.22,,219.49,78,,Percent of Total Billed Charges,219.49,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,151.48,53.83,,Percent of Total Billed Charges,142.11,,97.48,34.64,,Percent of Total Billed Charges,97.08,,140.64,49.98,,Percent of Total Billed Charges,106.37,,97.48,258.89,,																																							
HC BENZODIAZEPINES112,80346,CPT,,,,BOTH, , ,274.05,230.2,252.13,92,,Percent of Total Billed Charges,229.11,,252.13,92,,Percent of Total Billed Charges,225,,252.13,92,,Percent of Total Billed Charges,220.61,,252.13,92,,Percent of Total Billed Charges,228.83,,252.13,92,,Percent of Total Billed Charges,206.36,,252.13,92,,Percent of Total Billed Charges,171.28,,246.65,90,,Percent of Total Billed Charges,136.75,,243.9,89,,Percent of Total Billed Charges,131.54,,225.82,82.4,,Percent of Total Billed Charges,225.27,,228.56,83.4,,Percent of Total Billed Charges,213.21,,228.56,83.4,,Percent of Total Billed Charges,192.11,,228.56,83.4,,Percent of Total Billed Charges,223.08,,246.65,90,,Percent of Total Billed Charges,232.12,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,252.13,92,,Percent of Total Billed Charges,222.25,,252.13,92,,Percent of Total Billed Charges,203.89,,252.13,92,,Percent of Total Billed Charges,214.58,,252.13,92,,Percent of Total Billed Charges,222.25,,213.76,78,,Percent of Total Billed Charges,213.76,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,147.52,53.83,,Percent of Total Billed Charges,138.4,,94.93,34.64,,Percent of Total Billed Charges,94.55,,136.97,49.98,,Percent of Total Billed Charges,103.59,,94.93,252.13,,																																							
HC DRUG SCREENING FENTANYL,80354,CPT,,,,BOTH, , ,158.55,133.18,145.87,92,,Percent of Total Billed Charges,132.55,,145.87,92,,Percent of Total Billed Charges,130.17,,145.87,92,,Percent of Total Billed Charges,127.63,,145.87,92,,Percent of Total Billed Charges,132.39,,145.87,92,,Percent of Total Billed Charges,119.39,,145.87,92,,Percent of Total Billed Charges,99.09,,142.7,90,,Percent of Total Billed Charges,79.12,,141.11,89,,Percent of Total Billed Charges,76.1,,130.65,82.4,,Percent of Total Billed Charges,130.33,,132.23,83.4,,Percent of Total Billed Charges,123.35,,132.23,83.4,,Percent of Total Billed Charges,111.14,,132.23,83.4,,Percent of Total Billed Charges,129.06,,142.7,90,,Percent of Total Billed Charges,134.29,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,145.87,92,,Percent of Total Billed Charges,128.58,,145.87,92,,Percent of Total Billed Charges,117.96,,145.87,92,,Percent of Total Billed Charges,124.14,,145.87,92,,Percent of Total Billed Charges,128.58,,123.67,78,,Percent of Total Billed Charges,123.67,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,85.35,53.83,,Percent of Total Billed Charges,80.07,,54.92,34.64,,Percent of Total Billed Charges,54.7,,79.24,49.98,,Percent of Total Billed Charges,59.93,,54.92,145.87,,																																							
HC DRUG SCREENING METHADONE,80358,CPT,,,,BOTH, , ,137.55,115.54,126.55,92,,Percent of Total Billed Charges,114.99,,126.55,92,,Percent of Total Billed Charges,112.93,,126.55,92,,Percent of Total Billed Charges,110.73,,126.55,92,,Percent of Total Billed Charges,114.85,,126.55,92,,Percent of Total Billed Charges,103.58,,126.55,92,,Percent of Total Billed Charges,85.97,,123.8,90,,Percent of Total Billed Charges,68.64,,122.42,89,,Percent of Total Billed Charges,66.02,,113.34,82.4,,Percent of Total Billed Charges,113.07,,114.72,83.4,,Percent of Total Billed Charges,107.01,,114.72,83.4,,Percent of Total Billed Charges,96.42,,114.72,83.4,,Percent of Total Billed Charges,111.97,,123.8,90,,Percent of Total Billed Charges,116.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,126.55,92,,Percent of Total Billed Charges,111.55,,126.55,92,,Percent of Total Billed Charges,102.34,,126.55,92,,Percent of Total Billed Charges,107.7,,126.55,92,,Percent of Total Billed Charges,111.55,,107.29,78,,Percent of Total Billed Charges,107.29,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,74.04,53.83,,Percent of Total Billed Charges,69.46,,47.65,34.64,,Percent of Total Billed Charges,47.45,,68.75,49.98,,Percent of Total Billed Charges,51.99,,47.65,126.55,,																																							
HC OPIOIDS & OPIATE ANALOGS 1/2,80362,CPT,,,,BOTH, , ,158.55,133.18,145.87,92,,Percent of Total Billed Charges,132.55,,145.87,92,,Percent of Total Billed Charges,130.17,,145.87,92,,Percent of Total Billed Charges,127.63,,145.87,92,,Percent of Total Billed Charges,132.39,,145.87,92,,Percent of Total Billed Charges,119.39,,145.87,92,,Percent of Total Billed Charges,99.09,,142.7,90,,Percent of Total Billed Charges,79.12,,141.11,89,,Percent of Total Billed Charges,76.1,,130.65,82.4,,Percent of Total Billed Charges,130.33,,132.23,83.4,,Percent of Total Billed Charges,123.35,,132.23,83.4,,Percent of Total Billed Charges,111.14,,132.23,83.4,,Percent of Total Billed Charges,129.06,,142.7,90,,Percent of Total Billed Charges,134.29,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,145.87,92,,Percent of Total Billed Charges,128.58,,145.87,92,,Percent of Total Billed Charges,117.96,,145.87,92,,Percent of Total Billed Charges,124.14,,145.87,92,,Percent of Total Billed Charges,128.58,,123.67,78,,Percent of Total Billed Charges,123.67,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,85.35,53.83,,Percent of Total Billed Charges,80.07,,54.92,34.64,,Percent of Total Billed Charges,54.7,,79.24,49.98,,Percent of Total Billed Charges,59.93,,54.92,145.87,,																																							
HC DRUG SCREENING OXYCODONE,80365,CPT,,,,BOTH, , ,179.55,150.82,165.19,92,,Percent of Total Billed Charges,150.1,,165.19,92,,Percent of Total Billed Charges,147.41,,165.19,92,,Percent of Total Billed Charges,144.54,,165.19,92,,Percent of Total Billed Charges,149.92,,165.19,92,,Percent of Total Billed Charges,135.2,,165.19,92,,Percent of Total Billed Charges,112.22,,161.6,90,,Percent of Total Billed Charges,89.6,,159.8,89,,Percent of Total Billed Charges,86.18,,147.95,82.4,,Percent of Total Billed Charges,147.59,,149.74,83.4,,Percent of Total Billed Charges,139.69,,149.74,83.4,,Percent of Total Billed Charges,125.86,,149.74,83.4,,Percent of Total Billed Charges,146.15,,161.6,90,,Percent of Total Billed Charges,152.08,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,165.19,92,,Percent of Total Billed Charges,145.62,,165.19,92,,Percent of Total Billed Charges,133.59,,165.19,92,,Percent of Total Billed Charges,140.59,,165.19,92,,Percent of Total Billed Charges,145.62,,140.05,78,,Percent of Total Billed Charges,140.05,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,96.65,53.83,,Percent of Total Billed Charges,90.67,,62.2,34.64,,Percent of Total Billed Charges,61.94,,89.74,49.98,,Percent of Total Billed Charges,67.87,,62.20,165.19,,																																							
HC DRUG SCREENING PROPOXYPHENE,80367,CPT,,,,BOTH, , ,193.2,162.29,177.74,92,,Percent of Total Billed Charges,161.52,,177.74,92,,Percent of Total Billed Charges,158.62,,177.74,92,,Percent of Total Billed Charges,155.53,,177.74,92,,Percent of Total Billed Charges,161.32,,177.74,92,,Percent of Total Billed Charges,145.48,,177.74,92,,Percent of Total Billed Charges,120.75,,173.88,90,,Percent of Total Billed Charges,96.41,,171.95,89,,Percent of Total Billed Charges,92.74,,159.2,82.4,,Percent of Total Billed Charges,158.81,,161.13,83.4,,Percent of Total Billed Charges,150.31,,161.13,83.4,,Percent of Total Billed Charges,135.43,,161.13,83.4,,Percent of Total Billed Charges,157.26,,173.88,90,,Percent of Total Billed Charges,163.64,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,177.74,92,,Percent of Total Billed Charges,156.69,,177.74,92,,Percent of Total Billed Charges,143.74,,177.74,92,,Percent of Total Billed Charges,151.28,,177.74,92,,Percent of Total Billed Charges,156.69,,150.7,78,,Percent of Total Billed Charges,150.7,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,104,53.83,,Percent of Total Billed Charges,97.57,,66.92,34.64,,Percent of Total Billed Charges,66.65,,96.56,49.98,,Percent of Total Billed Charges,73.03,,66.92,177.74,,																																							
HC STEREOISOMER ANALYSIS,80374,CPT,,,,BOTH, , ,19.95,16.76,18.35,92,,Percent of Total Billed Charges,16.68,,18.35,92,,Percent of Total Billed Charges,16.38,,18.35,92,,Percent of Total Billed Charges,16.06,,18.35,92,,Percent of Total Billed Charges,16.66,,18.35,92,,Percent of Total Billed Charges,15.02,,18.35,92,,Percent of Total Billed Charges,12.47,,17.96,90,,Percent of Total Billed Charges,9.96,,17.76,89,,Percent of Total Billed Charges,9.58,,16.44,82.4,,Percent of Total Billed Charges,16.4,,16.64,83.4,,Percent of Total Billed Charges,15.52,,16.64,83.4,,Percent of Total Billed Charges,13.98,,16.64,83.4,,Percent of Total Billed Charges,16.24,,17.96,90,,Percent of Total Billed Charges,16.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,18.35,92,,Percent of Total Billed Charges,16.18,,18.35,92,,Percent of Total Billed Charges,14.84,,18.35,92,,Percent of Total Billed Charges,15.62,,18.35,92,,Percent of Total Billed Charges,16.18,,15.56,78,,Percent of Total Billed Charges,15.56,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,10.74,53.83,,Percent of Total Billed Charges,10.07,,6.91,34.64,,Percent of Total Billed Charges,6.88,,9.97,49.98,,Percent of Total Billed Charges,7.54,,6.91,18.35,,																																							
HC DRUG/SUBSTANCE NOS 13,80375,CPT,,,,BOTH, , ,234.15,196.69,215.42,92,,Percent of Total Billed Charges,195.75,,215.42,92,,Percent of Total Billed Charges,192.24,,215.42,92,,Percent of Total Billed Charges,188.49,,215.42,92,,Percent of Total Billed Charges,195.52,,215.42,92,,Percent of Total Billed Charges,176.31,,215.42,92,,Percent of Total Billed Charges,146.34,,210.74,90,,Percent of Total Billed Charges,116.84,,208.39,89,,Percent of Total Billed Charges,112.39,,192.94,82.4,,Percent of Total Billed Charges,192.47,,195.28,83.4,,Percent of Total Billed Charges,182.17,,195.28,83.4,,Percent of Total Billed Charges,164.14,,195.28,83.4,,Percent of Total Billed Charges,190.6,,210.74,90,,Percent of Total Billed Charges,198.33,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,215.42,92,,Percent of Total Billed Charges,189.9,,215.42,92,,Percent of Total Billed Charges,174.21,,215.42,92,,Percent of Total Billed Charges,183.34,,215.42,92,,Percent of Total Billed Charges,189.9,,182.64,78,,Percent of Total Billed Charges,182.64,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,126.04,53.83,,Percent of Total Billed Charges,118.25,,81.11,34.64,,Percent of Total Billed Charges,80.78,,117.03,49.98,,Percent of Total Billed Charges,88.51,,81.11,215.42,,																																							
HC URINALYSIS NONAUTO W/O SCOPE,81002,CPT,,,,BOTH, , ,65.1,54.68,59.89,92,,Percent of Total Billed Charges,54.42,,59.89,92,,Percent of Total Billed Charges,53.45,,59.89,92,,Percent of Total Billed Charges,52.41,,59.89,92,,Percent of Total Billed Charges,54.36,,59.89,92,,Percent of Total Billed Charges,49.02,,59.89,92,,Percent of Total Billed Charges,40.69,,58.59,90,,Percent of Total Billed Charges,32.48,,57.94,89,,Percent of Total Billed Charges,31.25,,53.64,82.4,,Percent of Total Billed Charges,53.51,,54.29,83.4,,Percent of Total Billed Charges,50.65,,54.29,83.4,,Percent of Total Billed Charges,45.64,,54.29,83.4,,Percent of Total Billed Charges,52.99,,58.59,90,,Percent of Total Billed Charges,55.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,59.89,92,,Percent of Total Billed Charges,52.8,,59.89,92,,Percent of Total Billed Charges,48.43,,59.89,92,,Percent of Total Billed Charges,50.97,,59.89,92,,Percent of Total Billed Charges,52.8,,50.78,78,,Percent of Total Billed Charges,50.78,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,35.04,53.83,,Percent of Total Billed Charges,32.88,,22.55,34.64,,Percent of Total Billed Charges,22.46,,32.54,49.98,,Percent of Total Billed Charges,24.61,,22.55,59.89,,																																							
HC URINE PREGNANCY COLOR COMPARE,81025,CPT,,,,BOTH, , ,212.1,178.16,195.13,92,,Percent of Total Billed Charges,177.32,,195.13,92,,Percent of Total Billed Charges,174.13,,195.13,92,,Percent of Total Billed Charges,170.74,,195.13,92,,Percent of Total Billed Charges,177.1,,195.13,92,,Percent of Total Billed Charges,159.71,,195.13,92,,Percent of Total Billed Charges,132.56,,190.89,90,,Percent of Total Billed Charges,105.84,,188.77,89,,Percent of Total Billed Charges,101.81,,174.77,82.4,,Percent of Total Billed Charges,174.35,,176.89,83.4,,Percent of Total Billed Charges,165.01,,176.89,83.4,,Percent of Total Billed Charges,148.68,,176.89,83.4,,Percent of Total Billed Charges,172.65,,190.89,90,,Percent of Total Billed Charges,179.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,195.13,92,,Percent of Total Billed Charges,172.01,,195.13,92,,Percent of Total Billed Charges,157.8,,195.13,92,,Percent of Total Billed Charges,166.07,,195.13,92,,Percent of Total Billed Charges,172.01,,165.44,78,,Percent of Total Billed Charges,165.44,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,114.17,53.83,,Percent of Total Billed Charges,107.11,,73.47,34.64,,Percent of Total Billed Charges,73.17,,106.01,49.98,,Percent of Total Billed Charges,80.17,,73.47,195.13,,																																							
HC BCR/ABL1 GENE MAJOR BP,81206,CPT,,,,BOTH, , ,1250.55,1050.46,1150.51,92,,Percent of Total Billed Charges,1045.46,,1150.51,92,,Percent of Total Billed Charges,1026.7,,1150.51,92,,Percent of Total Billed Charges,1006.69,,1150.51,92,,Percent of Total Billed Charges,1044.21,,1150.51,92,,Percent of Total Billed Charges,941.66,,1150.51,92,,Percent of Total Billed Charges,781.59,,1125.5,90,,Percent of Total Billed Charges,624.02,,1112.99,89,,Percent of Total Billed Charges,600.26,,1030.45,82.4,,Percent of Total Billed Charges,1027.95,,1042.96,83.4,,Percent of Total Billed Charges,972.93,,1042.96,83.4,,Percent of Total Billed Charges,876.64,,1042.96,83.4,,Percent of Total Billed Charges,1017.95,,1125.5,90,,Percent of Total Billed Charges,1059.22,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1150.51,92,,Percent of Total Billed Charges,1014.2,,1150.51,92,,Percent of Total Billed Charges,930.41,,1150.51,92,,Percent of Total Billed Charges,979.18,,1150.51,92,,Percent of Total Billed Charges,1014.2,,975.43,78,,Percent of Total Billed Charges,975.43,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,673.17,53.83,,Percent of Total Billed Charges,631.53,,433.19,34.64,,Percent of Total Billed Charges,431.44,,625.02,49.98,,Percent of Total Billed Charges,472.71,,433.19,1150.51,,																																							
HC BRAF GENE ANALYSIS,81210,CPT,,,,BOTH, , ,1235.85,1038.11,1136.98,92,,Percent of Total Billed Charges,1033.17,,1136.98,92,,Percent of Total Billed Charges,1014.63,,1136.98,92,,Percent of Total Billed Charges,994.86,,1136.98,92,,Percent of Total Billed Charges,1031.93,,1136.98,92,,Percent of Total Billed Charges,930.6,,1136.98,92,,Percent of Total Billed Charges,772.41,,1112.27,90,,Percent of Total Billed Charges,616.69,,1099.91,89,,Percent of Total Billed Charges,593.21,,1018.34,82.4,,Percent of Total Billed Charges,1015.87,,1030.7,83.4,,Percent of Total Billed Charges,961.49,,1030.7,83.4,,Percent of Total Billed Charges,866.33,,1030.7,83.4,,Percent of Total Billed Charges,1005.98,,1112.27,90,,Percent of Total Billed Charges,1046.76,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1136.98,92,,Percent of Total Billed Charges,1002.27,,1136.98,92,,Percent of Total Billed Charges,919.47,,1136.98,92,,Percent of Total Billed Charges,967.67,,1136.98,92,,Percent of Total Billed Charges,1002.27,,963.96,78,,Percent of Total Billed Charges,963.96,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,665.26,53.83,,Percent of Total Billed Charges,624.1,,428.1,34.64,,Percent of Total Billed Charges,426.37,,617.68,49.98,,Percent of Total Billed Charges,467.15,,428.10,1136.98,,																																							
HC CFTR GENE COM VARIANTS,81220,CPT,,,,BOTH, , ,1254.75,1053.99,1154.37,92,,Percent of Total Billed Charges,1048.97,,1154.37,92,,Percent of Total Billed Charges,1030.15,,1154.37,92,,Percent of Total Billed Charges,1010.07,,1154.37,92,,Percent of Total Billed Charges,1047.72,,1154.37,92,,Percent of Total Billed Charges,944.83,,1154.37,92,,Percent of Total Billed Charges,784.22,,1129.28,90,,Percent of Total Billed Charges,626.12,,1116.73,89,,Percent of Total Billed Charges,602.28,,1033.91,82.4,,Percent of Total Billed Charges,1031.4,,1046.46,83.4,,Percent of Total Billed Charges,976.2,,1046.46,83.4,,Percent of Total Billed Charges,879.58,,1046.46,83.4,,Percent of Total Billed Charges,1021.37,,1129.28,90,,Percent of Total Billed Charges,1062.77,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1154.37,92,,Percent of Total Billed Charges,1017.6,,1154.37,92,,Percent of Total Billed Charges,933.53,,1154.37,92,,Percent of Total Billed Charges,982.47,,1154.37,92,,Percent of Total Billed Charges,1017.6,,978.71,78,,Percent of Total Billed Charges,978.71,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,675.43,53.83,,Percent of Total Billed Charges,633.65,,434.65,34.64,,Percent of Total Billed Charges,432.89,,627.12,49.98,,Percent of Total Billed Charges,474.3,,434.65,1154.37,,																																							
HC CYTOGEN M ARRAY COPY NO&SNP,81229,CPT,,,,BOTH, , ,3122.7,2623.07,2872.88,92,,Percent of Total Billed Charges,2610.58,,2872.88,92,,Percent of Total Billed Charges,2563.74,,2872.88,92,,Percent of Total Billed Charges,2513.77,,2872.88,92,,Percent of Total Billed Charges,2607.45,,2872.88,92,,Percent of Total Billed Charges,2351.39,,2872.88,92,,Percent of Total Billed Charges,1951.69,,2810.43,90,,Percent of Total Billed Charges,1558.23,,2779.2,89,,Percent of Total Billed Charges,1498.9,,2573.1,82.4,,Percent of Total Billed Charges,2566.86,,2604.33,83.4,,Percent of Total Billed Charges,2429.46,,2604.33,83.4,,Percent of Total Billed Charges,2189.01,,2604.33,83.4,,Percent of Total Billed Charges,2541.88,,2810.43,90,,Percent of Total Billed Charges,2644.93,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2872.88,92,,Percent of Total Billed Charges,2532.51,,2872.88,92,,Percent of Total Billed Charges,2323.29,,2872.88,92,,Percent of Total Billed Charges,2445.07,,2872.88,92,,Percent of Total Billed Charges,2532.51,,2435.71,78,,Percent of Total Billed Charges,2435.71,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1680.95,53.83,,Percent of Total Billed Charges,1576.96,,1081.7,34.64,,Percent of Total Billed Charges,1077.33,,1560.73,49.98,,Percent of Total Billed Charges,1180.38,,1081.70,2872.88,,																																							
HC EGFR GENE COM VARIANTS,81235,CPT,,,,BOTH, , ,1646.4,1382.98,1514.69,92,,Percent of Total Billed Charges,1376.39,,1514.69,92,,Percent of Total Billed Charges,1351.69,,1514.69,92,,Percent of Total Billed Charges,1325.35,,1514.69,92,,Percent of Total Billed Charges,1374.74,,1514.69,92,,Percent of Total Billed Charges,1239.74,,1514.69,92,,Percent of Total Billed Charges,1029,,1481.76,90,,Percent of Total Billed Charges,821.55,,1465.3,89,,Percent of Total Billed Charges,790.27,,1356.63,82.4,,Percent of Total Billed Charges,1353.34,,1373.1,83.4,,Percent of Total Billed Charges,1280.9,,1373.1,83.4,,Percent of Total Billed Charges,1154.13,,1373.1,83.4,,Percent of Total Billed Charges,1340.17,,1481.76,90,,Percent of Total Billed Charges,1394.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1514.69,92,,Percent of Total Billed Charges,1335.23,,1514.69,92,,Percent of Total Billed Charges,1224.92,,1514.69,92,,Percent of Total Billed Charges,1289.13,,1514.69,92,,Percent of Total Billed Charges,1335.23,,1284.19,78,,Percent of Total Billed Charges,1284.19,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,886.26,53.83,,Percent of Total Billed Charges,831.43,,570.31,34.64,,Percent of Total Billed Charges,568.01,,822.87,49.98,,Percent of Total Billed Charges,622.34,,570.31,1514.69,,																																							
HC F2 GENE ANALYSIS,81240,CPT,,,,BOTH, , ,456.75,383.67,420.21,92,,Percent of Total Billed Charges,381.84,,420.21,92,,Percent of Total Billed Charges,374.99,,420.21,92,,Percent of Total Billed Charges,367.68,,420.21,92,,Percent of Total Billed Charges,381.39,,420.21,92,,Percent of Total Billed Charges,343.93,,420.21,92,,Percent of Total Billed Charges,285.47,,411.08,90,,Percent of Total Billed Charges,227.92,,406.51,89,,Percent of Total Billed Charges,219.24,,376.36,82.4,,Percent of Total Billed Charges,375.45,,380.93,83.4,,Percent of Total Billed Charges,355.35,,380.93,83.4,,Percent of Total Billed Charges,320.18,,380.93,83.4,,Percent of Total Billed Charges,371.79,,411.08,90,,Percent of Total Billed Charges,386.87,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,420.21,92,,Percent of Total Billed Charges,370.42,,420.21,92,,Percent of Total Billed Charges,339.82,,420.21,92,,Percent of Total Billed Charges,357.64,,420.21,92,,Percent of Total Billed Charges,370.42,,356.27,78,,Percent of Total Billed Charges,356.27,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,245.87,53.83,,Percent of Total Billed Charges,230.66,,158.22,34.64,,Percent of Total Billed Charges,157.58,,228.28,49.98,,Percent of Total Billed Charges,172.65,,158.22,420.21,,																																							
HC F5 GENE ANALYSIS,81241,CPT,,,,BOTH, , ,530.25,445.41,487.83,92,,Percent of Total Billed Charges,443.29,,487.83,92,,Percent of Total Billed Charges,435.34,,487.83,92,,Percent of Total Billed Charges,426.85,,487.83,92,,Percent of Total Billed Charges,442.76,,487.83,92,,Percent of Total Billed Charges,399.28,,487.83,92,,Percent of Total Billed Charges,331.41,,477.23,90,,Percent of Total Billed Charges,264.59,,471.92,89,,Percent of Total Billed Charges,254.52,,436.93,82.4,,Percent of Total Billed Charges,435.87,,442.23,83.4,,Percent of Total Billed Charges,412.53,,442.23,83.4,,Percent of Total Billed Charges,371.71,,442.23,83.4,,Percent of Total Billed Charges,431.62,,477.23,90,,Percent of Total Billed Charges,449.12,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,487.83,92,,Percent of Total Billed Charges,430.03,,487.83,92,,Percent of Total Billed Charges,394.51,,487.83,92,,Percent of Total Billed Charges,415.19,,487.83,92,,Percent of Total Billed Charges,430.03,,413.6,78,,Percent of Total Billed Charges,413.6,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,285.43,53.83,,Percent of Total Billed Charges,267.78,,183.68,34.64,,Percent of Total Billed Charges,182.94,,265.02,49.98,,Percent of Total Billed Charges,200.43,,183.68,487.83,,																																							
HC FMR1 GENE DETECTION,81243,CPT,,,,BOTH, , ,37.8,31.75,34.78,92,,Percent of Total Billed Charges,31.6,,34.78,92,,Percent of Total Billed Charges,31.03,,34.78,92,,Percent of Total Billed Charges,30.43,,34.78,92,,Percent of Total Billed Charges,31.56,,34.78,92,,Percent of Total Billed Charges,28.46,,34.78,92,,Percent of Total Billed Charges,23.63,,34.02,90,,Percent of Total Billed Charges,18.86,,33.64,89,,Percent of Total Billed Charges,18.14,,31.15,82.4,,Percent of Total Billed Charges,31.07,,31.53,83.4,,Percent of Total Billed Charges,29.41,,31.53,83.4,,Percent of Total Billed Charges,26.5,,31.53,83.4,,Percent of Total Billed Charges,30.77,,34.02,90,,Percent of Total Billed Charges,32.02,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,34.78,92,,Percent of Total Billed Charges,30.66,,34.78,92,,Percent of Total Billed Charges,28.12,,34.78,92,,Percent of Total Billed Charges,29.6,,34.78,92,,Percent of Total Billed Charges,30.66,,29.48,78,,Percent of Total Billed Charges,29.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,20.35,53.83,,Percent of Total Billed Charges,19.09,,13.09,34.64,,Percent of Total Billed Charges,13.04,,18.89,49.98,,Percent of Total Billed Charges,14.29,,13.09,34.78,,																																							
HC HEMOCHROMATOSIS MUTATION ANALYSIS,81256,CPT,,,,BOTH, , ,658.35,553.01,605.68,92,,Percent of Total Billed Charges,550.38,,605.68,92,,Percent of Total Billed Charges,540.51,,605.68,92,,Percent of Total Billed Charges,529.97,,605.68,92,,Percent of Total Billed Charges,549.72,,605.68,92,,Percent of Total Billed Charges,495.74,,605.68,92,,Percent of Total Billed Charges,411.47,,592.52,90,,Percent of Total Billed Charges,328.52,,585.93,89,,Percent of Total Billed Charges,316.01,,542.48,82.4,,Percent of Total Billed Charges,541.16,,549.06,83.4,,Percent of Total Billed Charges,512.2,,549.06,83.4,,Percent of Total Billed Charges,461.5,,549.06,83.4,,Percent of Total Billed Charges,535.9,,592.52,90,,Percent of Total Billed Charges,557.62,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,605.68,92,,Percent of Total Billed Charges,533.92,,605.68,92,,Percent of Total Billed Charges,489.81,,605.68,92,,Percent of Total Billed Charges,515.49,,605.68,92,,Percent of Total Billed Charges,533.92,,513.51,78,,Percent of Total Billed Charges,513.51,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,354.39,53.83,,Percent of Total Billed Charges,332.47,,228.05,34.64,,Percent of Total Billed Charges,227.13,,329.04,49.98,,Percent of Total Billed Charges,248.86,,228.05,605.68,,																																							
HC IGH GENE REARRANGE AMP METHODOLOGY,81261,CPT,,,,BOTH, , ,238.35,200.21,219.28,92,,Percent of Total Billed Charges,199.26,,219.28,92,,Percent of Total Billed Charges,195.69,,219.28,92,,Percent of Total Billed Charges,191.87,,219.28,92,,Percent of Total Billed Charges,199.02,,219.28,92,,Percent of Total Billed Charges,179.48,,219.28,92,,Percent of Total Billed Charges,148.97,,214.52,90,,Percent of Total Billed Charges,118.94,,212.13,89,,Percent of Total Billed Charges,114.41,,196.4,82.4,,Percent of Total Billed Charges,195.92,,198.78,83.4,,Percent of Total Billed Charges,185.44,,198.78,83.4,,Percent of Total Billed Charges,167.08,,198.78,83.4,,Percent of Total Billed Charges,194.02,,214.52,90,,Percent of Total Billed Charges,201.88,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,219.28,92,,Percent of Total Billed Charges,193.3,,219.28,92,,Percent of Total Billed Charges,177.33,,219.28,92,,Percent of Total Billed Charges,186.63,,219.28,92,,Percent of Total Billed Charges,193.3,,185.91,78,,Percent of Total Billed Charges,185.91,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,128.3,53.83,,Percent of Total Billed Charges,120.37,,82.56,34.64,,Percent of Total Billed Charges,82.23,,119.13,49.98,,Percent of Total Billed Charges,90.1,,82.56,219.28,,																																							
HC IGH VARI REGIONAL MUTATION,81263,CPT,,,,BOTH, , ,1899.45,1595.54,1747.49,92,,Percent of Total Billed Charges,1587.94,,1747.49,92,,Percent of Total Billed Charges,1559.45,,1747.49,92,,Percent of Total Billed Charges,1529.06,,1747.49,92,,Percent of Total Billed Charges,1586.04,,1747.49,92,,Percent of Total Billed Charges,1430.29,,1747.49,92,,Percent of Total Billed Charges,1187.16,,1709.51,90,,Percent of Total Billed Charges,947.83,,1690.51,89,,Percent of Total Billed Charges,911.74,,1565.15,82.4,,Percent of Total Billed Charges,1561.35,,1584.14,83.4,,Percent of Total Billed Charges,1477.77,,1584.14,83.4,,Percent of Total Billed Charges,1331.51,,1584.14,83.4,,Percent of Total Billed Charges,1546.15,,1709.51,90,,Percent of Total Billed Charges,1608.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1747.49,92,,Percent of Total Billed Charges,1540.45,,1747.49,92,,Percent of Total Billed Charges,1413.19,,1747.49,92,,Percent of Total Billed Charges,1487.27,,1747.49,92,,Percent of Total Billed Charges,1540.45,,1481.57,78,,Percent of Total Billed Charges,1481.57,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1022.47,53.83,,Percent of Total Billed Charges,959.22,,657.97,34.64,,Percent of Total Billed Charges,655.31,,949.35,49.98,,Percent of Total Billed Charges,717.99,,657.97,1747.49,,																																							
HC JAK2 V617F GENE ANALYSIS,81270,CPT,,,,BOTH, , ,885.15,743.53,814.34,92,,Percent of Total Billed Charges,739.99,,814.34,92,,Percent of Total Billed Charges,726.71,,814.34,92,,Percent of Total Billed Charges,712.55,,814.34,92,,Percent of Total Billed Charges,739.1,,814.34,92,,Percent of Total Billed Charges,666.52,,814.34,92,,Percent of Total Billed Charges,553.22,,796.64,90,,Percent of Total Billed Charges,441.69,,787.78,89,,Percent of Total Billed Charges,424.87,,729.36,82.4,,Percent of Total Billed Charges,727.59,,738.22,83.4,,Percent of Total Billed Charges,688.65,,738.22,83.4,,Percent of Total Billed Charges,620.49,,738.22,83.4,,Percent of Total Billed Charges,720.51,,796.64,90,,Percent of Total Billed Charges,749.72,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,814.34,92,,Percent of Total Billed Charges,717.86,,814.34,92,,Percent of Total Billed Charges,658.55,,814.34,92,,Percent of Total Billed Charges,693.07,,814.34,92,,Percent of Total Billed Charges,717.86,,690.42,78,,Percent of Total Billed Charges,690.42,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,476.48,53.83,,Percent of Total Billed Charges,447,,306.62,34.64,,Percent of Total Billed Charges,305.38,,442.4,49.98,,Percent of Total Billed Charges,334.59,,306.62,814.34,,																																							
HC KRAS MUTATION ANALYSIS,81275,CPT,,,,BOTH, , ,908.25,762.93,835.59,92,,Percent of Total Billed Charges,759.3,,835.59,92,,Percent of Total Billed Charges,745.67,,835.59,92,,Percent of Total Billed Charges,731.14,,835.59,92,,Percent of Total Billed Charges,758.39,,835.59,92,,Percent of Total Billed Charges,683.91,,835.59,92,,Percent of Total Billed Charges,567.66,,817.43,90,,Percent of Total Billed Charges,453.22,,808.34,89,,Percent of Total Billed Charges,435.96,,748.4,82.4,,Percent of Total Billed Charges,746.58,,757.48,83.4,,Percent of Total Billed Charges,706.62,,757.48,83.4,,Percent of Total Billed Charges,636.68,,757.48,83.4,,Percent of Total Billed Charges,739.32,,817.43,90,,Percent of Total Billed Charges,769.29,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,835.59,92,,Percent of Total Billed Charges,736.59,,835.59,92,,Percent of Total Billed Charges,675.74,,835.59,92,,Percent of Total Billed Charges,711.16,,835.59,92,,Percent of Total Billed Charges,736.59,,708.44,78,,Percent of Total Billed Charges,708.44,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,488.91,53.83,,Percent of Total Billed Charges,458.67,,314.62,34.64,,Percent of Total Billed Charges,313.35,,453.94,49.98,,Percent of Total Billed Charges,343.32,,314.62,835.59,,																																							
HC METH 4 HYDROFOLATE REDUCE MUTATION,81291,CPT,,,,BOTH, , ,1331.4,1118.38,1224.89,92,,Percent of Total Billed Charges,1113.05,,1224.89,92,,Percent of Total Billed Charges,1093.08,,1224.89,92,,Percent of Total Billed Charges,1071.78,,1224.89,92,,Percent of Total Billed Charges,1111.72,,1224.89,92,,Percent of Total Billed Charges,1002.54,,1224.89,92,,Percent of Total Billed Charges,832.13,,1198.26,90,,Percent of Total Billed Charges,664.37,,1184.95,89,,Percent of Total Billed Charges,639.07,,1097.07,82.4,,Percent of Total Billed Charges,1094.41,,1110.39,83.4,,Percent of Total Billed Charges,1035.83,,1110.39,83.4,,Percent of Total Billed Charges,933.31,,1110.39,83.4,,Percent of Total Billed Charges,1083.76,,1198.26,90,,Percent of Total Billed Charges,1127.7,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1224.89,92,,Percent of Total Billed Charges,1079.77,,1224.89,92,,Percent of Total Billed Charges,990.56,,1224.89,92,,Percent of Total Billed Charges,1042.49,,1224.89,92,,Percent of Total Billed Charges,1079.77,,1038.49,78,,Percent of Total Billed Charges,1038.49,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,716.69,53.83,,Percent of Total Billed Charges,672.36,,461.2,34.64,,Percent of Total Billed Charges,459.33,,665.43,49.98,,Percent of Total Billed Charges,503.27,,461.20,1224.89,,																																							
HC MLH1 GENE KNOWN VARIANTS,81293,CPT,,,,BOTH, , ,69.3,58.21,63.76,92,,Percent of Total Billed Charges,57.93,,63.76,92,,Percent of Total Billed Charges,56.9,,63.76,92,,Percent of Total Billed Charges,55.79,,63.76,92,,Percent of Total Billed Charges,57.87,,63.76,92,,Percent of Total Billed Charges,52.18,,63.76,92,,Percent of Total Billed Charges,43.31,,62.37,90,,Percent of Total Billed Charges,34.58,,61.68,89,,Percent of Total Billed Charges,33.26,,57.1,82.4,,Percent of Total Billed Charges,56.96,,57.8,83.4,,Percent of Total Billed Charges,53.92,,57.8,83.4,,Percent of Total Billed Charges,48.58,,57.8,83.4,,Percent of Total Billed Charges,56.41,,62.37,90,,Percent of Total Billed Charges,58.7,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,63.76,92,,Percent of Total Billed Charges,56.2,,63.76,92,,Percent of Total Billed Charges,51.56,,63.76,92,,Percent of Total Billed Charges,54.26,,63.76,92,,Percent of Total Billed Charges,56.2,,54.05,78,,Percent of Total Billed Charges,54.05,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,37.3,53.83,,Percent of Total Billed Charges,35,,24.01,34.64,,Percent of Total Billed Charges,23.91,,34.64,49.98,,Percent of Total Billed Charges,26.2,,24.01,63.76,,																																							
HC MICROSATELLITE INSTABILITY,81301,CPT,,,,BOTH, , ,521.85,438.35,480.1,92,,Percent of Total Billed Charges,436.27,,480.1,92,,Percent of Total Billed Charges,428.44,,480.1,92,,Percent of Total Billed Charges,420.09,,480.1,92,,Percent of Total Billed Charges,435.74,,480.1,92,,Percent of Total Billed Charges,392.95,,480.1,92,,Percent of Total Billed Charges,326.16,,469.67,90,,Percent of Total Billed Charges,260.4,,464.45,89,,Percent of Total Billed Charges,250.49,,430,82.4,,Percent of Total Billed Charges,428.96,,435.22,83.4,,Percent of Total Billed Charges,406,,435.22,83.4,,Percent of Total Billed Charges,365.82,,435.22,83.4,,Percent of Total Billed Charges,424.79,,469.67,90,,Percent of Total Billed Charges,442.01,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,480.1,92,,Percent of Total Billed Charges,423.22,,480.1,92,,Percent of Total Billed Charges,388.26,,480.1,92,,Percent of Total Billed Charges,408.61,,480.1,92,,Percent of Total Billed Charges,423.22,,407.04,78,,Percent of Total Billed Charges,407.04,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,280.91,53.83,,Percent of Total Billed Charges,263.53,,180.77,34.64,,Percent of Total Billed Charges,180.04,,260.82,49.98,,Percent of Total Billed Charges,197.26,,180.77,480.1,,																																							
HC MYD88 GENE ANALYSIS P.LEU265 (L265P) VARIANT,81305,CPT,,,,BOTH, , ,737.1,619.16,678.13,92,,Percent of Total Billed Charges,616.22,,678.13,92,,Percent of Total Billed Charges,605.16,,678.13,92,,Percent of Total Billed Charges,593.37,,678.13,92,,Percent of Total Billed Charges,615.48,,678.13,92,,Percent of Total Billed Charges,555.04,,678.13,92,,Percent of Total Billed Charges,460.69,,663.39,90,,Percent of Total Billed Charges,367.81,,656.02,89,,Percent of Total Billed Charges,353.81,,607.37,82.4,,Percent of Total Billed Charges,605.9,,614.74,83.4,,Percent of Total Billed Charges,573.46,,614.74,83.4,,Percent of Total Billed Charges,516.71,,614.74,83.4,,Percent of Total Billed Charges,600,,663.39,90,,Percent of Total Billed Charges,624.32,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,678.13,92,,Percent of Total Billed Charges,597.79,,678.13,92,,Percent of Total Billed Charges,548.4,,678.13,92,,Percent of Total Billed Charges,577.15,,678.13,92,,Percent of Total Billed Charges,597.79,,574.94,78,,Percent of Total Billed Charges,574.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,396.78,53.83,,Percent of Total Billed Charges,372.24,,255.33,34.64,,Percent of Total Billed Charges,254.3,,368.4,49.98,,Percent of Total Billed Charges,278.62,,255.33,678.13,,																																							
HC PML/RARALPHA COM BREAKPOINTS,81315,CPT,,,,BOTH, , ,499.8,419.83,459.82,92,,Percent of Total Billed Charges,417.83,,459.82,92,,Percent of Total Billed Charges,410.34,,459.82,92,,Percent of Total Billed Charges,402.34,,459.82,92,,Percent of Total Billed Charges,417.33,,459.82,92,,Percent of Total Billed Charges,376.35,,459.82,92,,Percent of Total Billed Charges,312.38,,449.82,90,,Percent of Total Billed Charges,249.4,,444.82,89,,Percent of Total Billed Charges,239.9,,411.84,82.4,,Percent of Total Billed Charges,410.84,,416.83,83.4,,Percent of Total Billed Charges,388.84,,416.83,83.4,,Percent of Total Billed Charges,350.36,,416.83,83.4,,Percent of Total Billed Charges,406.84,,449.82,90,,Percent of Total Billed Charges,423.33,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,459.82,92,,Percent of Total Billed Charges,405.34,,459.82,92,,Percent of Total Billed Charges,371.85,,459.82,92,,Percent of Total Billed Charges,391.34,,459.82,92,,Percent of Total Billed Charges,405.34,,389.84,78,,Percent of Total Billed Charges,389.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,269.04,53.83,,Percent of Total Billed Charges,252.4,,173.13,34.64,,Percent of Total Billed Charges,172.43,,249.8,49.98,,Percent of Total Billed Charges,188.92,,173.13,459.82,,																																							
HC SERPINA1 GENE ANALYSIS,81332,CPT,,,,BOTH, , ,465.15,390.73,427.94,92,,Percent of Total Billed Charges,388.87,,427.94,92,,Percent of Total Billed Charges,381.89,,427.94,92,,Percent of Total Billed Charges,374.45,,427.94,92,,Percent of Total Billed Charges,388.4,,427.94,92,,Percent of Total Billed Charges,350.26,,427.94,92,,Percent of Total Billed Charges,290.72,,418.64,90,,Percent of Total Billed Charges,232.11,,413.98,89,,Percent of Total Billed Charges,223.27,,383.28,82.4,,Percent of Total Billed Charges,382.35,,387.94,83.4,,Percent of Total Billed Charges,361.89,,387.94,83.4,,Percent of Total Billed Charges,326.07,,387.94,83.4,,Percent of Total Billed Charges,378.63,,418.64,90,,Percent of Total Billed Charges,393.98,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,427.94,92,,Percent of Total Billed Charges,377.24,,427.94,92,,Percent of Total Billed Charges,346.07,,427.94,92,,Percent of Total Billed Charges,364.21,,427.94,92,,Percent of Total Billed Charges,377.24,,362.82,78,,Percent of Total Billed Charges,362.82,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,250.39,53.83,,Percent of Total Billed Charges,234.9,,161.13,34.64,,Percent of Total Billed Charges,160.48,,232.48,49.98,,Percent of Total Billed Charges,175.83,,161.13,427.94,,																																							
HC HLA I TYPING 1 LOCUS LR,81373,CPT,,,,BOTH, , ,323.4,271.66,297.53,92,,Percent of Total Billed Charges,270.36,,297.53,92,,Percent of Total Billed Charges,265.51,,297.53,92,,Percent of Total Billed Charges,260.34,,297.53,92,,Percent of Total Billed Charges,270.04,,297.53,92,,Percent of Total Billed Charges,243.52,,297.53,92,,Percent of Total Billed Charges,202.13,,291.06,90,,Percent of Total Billed Charges,161.38,,287.83,89,,Percent of Total Billed Charges,155.23,,266.48,82.4,,Percent of Total Billed Charges,265.83,,269.72,83.4,,Percent of Total Billed Charges,251.61,,269.72,83.4,,Percent of Total Billed Charges,226.7,,269.72,83.4,,Percent of Total Billed Charges,263.25,,291.06,90,,Percent of Total Billed Charges,273.92,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,297.53,92,,Percent of Total Billed Charges,262.28,,297.53,92,,Percent of Total Billed Charges,240.61,,297.53,92,,Percent of Total Billed Charges,253.22,,297.53,92,,Percent of Total Billed Charges,262.28,,252.25,78,,Percent of Total Billed Charges,252.25,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,174.09,53.83,,Percent of Total Billed Charges,163.32,,112.03,34.64,,Percent of Total Billed Charges,111.57,,161.64,49.98,,Percent of Total Billed Charges,122.25,,112.03,297.53,,																																							
HC HLA B27 DNA TYPING,81374,CPT,,,,BOTH, , ,434.7,365.15,399.92,92,,Percent of Total Billed Charges,363.41,,399.92,92,,Percent of Total Billed Charges,356.89,,399.92,92,,Percent of Total Billed Charges,349.93,,399.92,92,,Percent of Total Billed Charges,362.97,,399.92,92,,Percent of Total Billed Charges,327.33,,399.92,92,,Percent of Total Billed Charges,271.69,,391.23,90,,Percent of Total Billed Charges,216.92,,386.88,89,,Percent of Total Billed Charges,208.66,,358.19,82.4,,Percent of Total Billed Charges,357.32,,362.54,83.4,,Percent of Total Billed Charges,338.2,,362.54,83.4,,Percent of Total Billed Charges,304.72,,362.54,83.4,,Percent of Total Billed Charges,353.85,,391.23,90,,Percent of Total Billed Charges,368.19,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,399.92,92,,Percent of Total Billed Charges,352.54,,399.92,92,,Percent of Total Billed Charges,323.42,,399.92,92,,Percent of Total Billed Charges,340.37,,399.92,92,,Percent of Total Billed Charges,352.54,,339.07,78,,Percent of Total Billed Charges,339.07,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,234,53.83,,Percent of Total Billed Charges,219.52,,150.58,34.64,,Percent of Total Billed Charges,149.97,,217.26,49.98,,Percent of Total Billed Charges,164.32,,150.58,399.92,,																																							
HC HLA B5701 TYPING,81381,CPT,,,,BOTH, , ,762.3,640.33,701.32,92,,Percent of Total Billed Charges,637.28,,701.32,92,,Percent of Total Billed Charges,625.85,,701.32,92,,Percent of Total Billed Charges,613.65,,701.32,92,,Percent of Total Billed Charges,636.52,,701.32,92,,Percent of Total Billed Charges,574.01,,701.32,92,,Percent of Total Billed Charges,476.44,,686.07,90,,Percent of Total Billed Charges,380.39,,678.45,89,,Percent of Total Billed Charges,365.9,,628.14,82.4,,Percent of Total Billed Charges,626.61,,635.76,83.4,,Percent of Total Billed Charges,593.07,,635.76,83.4,,Percent of Total Billed Charges,534.37,,635.76,83.4,,Percent of Total Billed Charges,620.51,,686.07,90,,Percent of Total Billed Charges,645.67,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,701.32,92,,Percent of Total Billed Charges,618.23,,701.32,92,,Percent of Total Billed Charges,567.15,,701.32,92,,Percent of Total Billed Charges,596.88,,701.32,92,,Percent of Total Billed Charges,618.23,,594.59,78,,Percent of Total Billed Charges,594.59,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,410.35,53.83,,Percent of Total Billed Charges,384.96,,264.06,34.64,,Percent of Total Billed Charges,262.99,,381,49.98,,Percent of Total Billed Charges,288.15,,264.06,701.32,,																																							
HC HLA II TYPING 1 ALLELE HR,81383,CPT,,,,BOTH, , ,678.3,569.77,624.04,92,,Percent of Total Billed Charges,567.06,,624.04,92,,Percent of Total Billed Charges,556.88,,624.04,92,,Percent of Total Billed Charges,546.03,,624.04,92,,Percent of Total Billed Charges,566.38,,624.04,92,,Percent of Total Billed Charges,510.76,,624.04,92,,Percent of Total Billed Charges,423.94,,610.47,90,,Percent of Total Billed Charges,338.47,,603.69,89,,Percent of Total Billed Charges,325.58,,558.92,82.4,,Percent of Total Billed Charges,557.56,,565.7,83.4,,Percent of Total Billed Charges,527.72,,565.7,83.4,,Percent of Total Billed Charges,475.49,,565.7,83.4,,Percent of Total Billed Charges,552.14,,610.47,90,,Percent of Total Billed Charges,574.52,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,624.04,92,,Percent of Total Billed Charges,550.1,,624.04,92,,Percent of Total Billed Charges,504.66,,624.04,92,,Percent of Total Billed Charges,531.11,,624.04,92,,Percent of Total Billed Charges,550.1,,529.07,78,,Percent of Total Billed Charges,529.07,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,365.13,53.83,,Percent of Total Billed Charges,342.54,,234.96,34.64,,Percent of Total Billed Charges,234.01,,339.01,49.98,,Percent of Total Billed Charges,256.4,,234.96,624.04,,																																							
HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 1,81400,CPT,,,,BOTH, , ,35.7,29.99,32.84,92,,Percent of Total Billed Charges,29.85,,32.84,92,,Percent of Total Billed Charges,29.31,,32.84,92,,Percent of Total Billed Charges,28.74,,32.84,92,,Percent of Total Billed Charges,29.81,,32.84,92,,Percent of Total Billed Charges,26.88,,32.84,92,,Percent of Total Billed Charges,22.31,,32.13,90,,Percent of Total Billed Charges,17.81,,31.77,89,,Percent of Total Billed Charges,17.14,,29.42,82.4,,Percent of Total Billed Charges,29.35,,29.77,83.4,,Percent of Total Billed Charges,27.77,,29.77,83.4,,Percent of Total Billed Charges,25.03,,29.77,83.4,,Percent of Total Billed Charges,29.06,,32.13,90,,Percent of Total Billed Charges,30.24,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,32.84,92,,Percent of Total Billed Charges,28.95,,32.84,92,,Percent of Total Billed Charges,26.56,,32.84,92,,Percent of Total Billed Charges,27.95,,32.84,92,,Percent of Total Billed Charges,28.95,,27.85,78,,Percent of Total Billed Charges,27.85,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,19.22,53.83,,Percent of Total Billed Charges,18.03,,12.37,34.64,,Percent of Total Billed Charges,12.32,,17.84,49.98,,Percent of Total Billed Charges,13.49,,12.37,32.84,,																																							
HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 2,81401,CPT,,,,BOTH, , ,790.65,664.15,727.4,92,,Percent of Total Billed Charges,660.98,,727.4,92,,Percent of Total Billed Charges,649.12,,727.4,92,,Percent of Total Billed Charges,636.47,,727.4,92,,Percent of Total Billed Charges,660.19,,727.4,92,,Percent of Total Billed Charges,595.36,,727.4,92,,Percent of Total Billed Charges,494.16,,711.59,90,,Percent of Total Billed Charges,394.53,,703.68,89,,Percent of Total Billed Charges,379.51,,651.5,82.4,,Percent of Total Billed Charges,649.91,,659.4,83.4,,Percent of Total Billed Charges,615.13,,659.4,83.4,,Percent of Total Billed Charges,554.25,,659.4,83.4,,Percent of Total Billed Charges,643.59,,711.59,90,,Percent of Total Billed Charges,669.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,727.4,92,,Percent of Total Billed Charges,641.22,,727.4,92,,Percent of Total Billed Charges,588.24,,727.4,92,,Percent of Total Billed Charges,619.08,,727.4,92,,Percent of Total Billed Charges,641.22,,616.71,78,,Percent of Total Billed Charges,616.71,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,425.61,53.83,,Percent of Total Billed Charges,399.28,,273.88,34.64,,Percent of Total Billed Charges,272.77,,395.17,49.98,,Percent of Total Billed Charges,298.87,,273.88,727.4,,																																							
HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 3,81402,CPT,,,,BOTH, , ,1241.1,1042.52,1141.81,92,,Percent of Total Billed Charges,1037.56,,1141.81,92,,Percent of Total Billed Charges,1018.94,,1141.81,92,,Percent of Total Billed Charges,999.09,,1141.81,92,,Percent of Total Billed Charges,1036.32,,1141.81,92,,Percent of Total Billed Charges,934.55,,1141.81,92,,Percent of Total Billed Charges,775.69,,1116.99,90,,Percent of Total Billed Charges,619.31,,1104.58,89,,Percent of Total Billed Charges,595.73,,1022.67,82.4,,Percent of Total Billed Charges,1020.18,,1035.08,83.4,,Percent of Total Billed Charges,965.58,,1035.08,83.4,,Percent of Total Billed Charges,870.01,,1035.08,83.4,,Percent of Total Billed Charges,1010.26,,1116.99,90,,Percent of Total Billed Charges,1051.21,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1141.81,92,,Percent of Total Billed Charges,1006.53,,1141.81,92,,Percent of Total Billed Charges,923.38,,1141.81,92,,Percent of Total Billed Charges,971.78,,1141.81,92,,Percent of Total Billed Charges,1006.53,,968.06,78,,Percent of Total Billed Charges,968.06,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,668.08,53.83,,Percent of Total Billed Charges,626.76,,429.92,34.64,,Percent of Total Billed Charges,428.18,,620.3,49.98,,Percent of Total Billed Charges,469.14,,429.92,1141.81,,																																							
HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 4,81403,CPT,,,,BOTH, , ,854.7,717.95,786.32,92,,Percent of Total Billed Charges,714.53,,786.32,92,,Percent of Total Billed Charges,701.71,,786.32,92,,Percent of Total Billed Charges,688.03,,786.32,92,,Percent of Total Billed Charges,713.67,,786.32,92,,Percent of Total Billed Charges,643.59,,786.32,92,,Percent of Total Billed Charges,534.19,,769.23,90,,Percent of Total Billed Charges,426.5,,760.68,89,,Percent of Total Billed Charges,410.26,,704.27,82.4,,Percent of Total Billed Charges,702.56,,712.82,83.4,,Percent of Total Billed Charges,664.96,,712.82,83.4,,Percent of Total Billed Charges,599.14,,712.82,83.4,,Percent of Total Billed Charges,695.73,,769.23,90,,Percent of Total Billed Charges,723.93,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,786.32,92,,Percent of Total Billed Charges,693.16,,786.32,92,,Percent of Total Billed Charges,635.9,,786.32,92,,Percent of Total Billed Charges,669.23,,786.32,92,,Percent of Total Billed Charges,693.16,,666.67,78,,Percent of Total Billed Charges,666.67,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,460.09,53.83,,Percent of Total Billed Charges,431.62,,296.07,34.64,,Percent of Total Billed Charges,294.87,,427.18,49.98,,Percent of Total Billed Charges,323.08,,296.07,786.32,,																																							
HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 5,81404,CPT,,,,BOTH, , ,416.85,350.15,383.5,92,,Percent of Total Billed Charges,348.49,,383.5,92,,Percent of Total Billed Charges,342.23,,383.5,92,,Percent of Total Billed Charges,335.56,,383.5,92,,Percent of Total Billed Charges,348.07,,383.5,92,,Percent of Total Billed Charges,313.89,,383.5,92,,Percent of Total Billed Charges,260.53,,375.17,90,,Percent of Total Billed Charges,208.01,,371,89,,Percent of Total Billed Charges,200.09,,343.48,82.4,,Percent of Total Billed Charges,342.65,,347.65,83.4,,Percent of Total Billed Charges,324.31,,347.65,83.4,,Percent of Total Billed Charges,292.21,,347.65,83.4,,Percent of Total Billed Charges,339.32,,375.17,90,,Percent of Total Billed Charges,353.07,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,383.5,92,,Percent of Total Billed Charges,338.07,,383.5,92,,Percent of Total Billed Charges,310.14,,383.5,92,,Percent of Total Billed Charges,326.39,,383.5,92,,Percent of Total Billed Charges,338.07,,325.14,78,,Percent of Total Billed Charges,325.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,224.39,53.83,,Percent of Total Billed Charges,210.51,,144.4,34.64,,Percent of Total Billed Charges,143.81,,208.34,49.98,,Percent of Total Billed Charges,157.57,,144.40,383.5,,																																							
HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 7,81406,CPT,,,,BOTH, , ,2195.55,1844.26,2019.91,92,,Percent of Total Billed Charges,1835.48,,2019.91,92,,Percent of Total Billed Charges,1802.55,,2019.91,92,,Percent of Total Billed Charges,1767.42,,2019.91,92,,Percent of Total Billed Charges,1833.28,,2019.91,92,,Percent of Total Billed Charges,1653.25,,2019.91,92,,Percent of Total Billed Charges,1372.22,,1976,90,,Percent of Total Billed Charges,1095.58,,1954.04,89,,Percent of Total Billed Charges,1053.86,,1809.13,82.4,,Percent of Total Billed Charges,1804.74,,1831.09,83.4,,Percent of Total Billed Charges,1708.14,,1831.09,83.4,,Percent of Total Billed Charges,1539.08,,1831.09,83.4,,Percent of Total Billed Charges,1787.18,,1976,90,,Percent of Total Billed Charges,1859.63,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2019.91,92,,Percent of Total Billed Charges,1780.59,,2019.91,92,,Percent of Total Billed Charges,1633.49,,2019.91,92,,Percent of Total Billed Charges,1719.12,,2019.91,92,,Percent of Total Billed Charges,1780.59,,1712.53,78,,Percent of Total Billed Charges,1712.53,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1181.86,53.83,,Percent of Total Billed Charges,1108.75,,760.54,34.64,,Percent of Total Billed Charges,757.46,,1097.34,49.98,,Percent of Total Billed Charges,829.92,,760.54,2019.91,,																																							
HC UNLISTED MOLECULAR PATHOLOGY,81479,CPT,,,,BOTH, , ,317.1,266.36,291.73,92,,Percent of Total Billed Charges,265.1,,291.73,92,,Percent of Total Billed Charges,260.34,,291.73,92,,Percent of Total Billed Charges,255.27,,291.73,92,,Percent of Total Billed Charges,264.78,,291.73,92,,Percent of Total Billed Charges,238.78,,291.73,92,,Percent of Total Billed Charges,198.19,,285.39,90,,Percent of Total Billed Charges,158.23,,282.22,89,,Percent of Total Billed Charges,152.21,,261.29,82.4,,Percent of Total Billed Charges,260.66,,264.46,83.4,,Percent of Total Billed Charges,246.7,,264.46,83.4,,Percent of Total Billed Charges,222.29,,264.46,83.4,,Percent of Total Billed Charges,258.12,,285.39,90,,Percent of Total Billed Charges,268.58,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,291.73,92,,Percent of Total Billed Charges,257.17,,291.73,92,,Percent of Total Billed Charges,235.92,,291.73,92,,Percent of Total Billed Charges,248.29,,291.73,92,,Percent of Total Billed Charges,257.17,,247.34,78,,Percent of Total Billed Charges,247.34,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,170.69,53.83,,Percent of Total Billed Charges,160.14,,109.84,34.64,,Percent of Total Billed Charges,109.4,,158.49,49.98,,Percent of Total Billed Charges,119.86,,109.84,291.73,,																																							
HC ACETONE ASSAY,82010,CPT,,,,BOTH, , ,256.2,215.21,235.7,92,,Percent of Total Billed Charges,214.18,,235.7,92,,Percent of Total Billed Charges,210.34,,235.7,92,,Percent of Total Billed Charges,206.24,,235.7,92,,Percent of Total Billed Charges,213.93,,235.7,92,,Percent of Total Billed Charges,192.92,,235.7,92,,Percent of Total Billed Charges,160.13,,230.58,90,,Percent of Total Billed Charges,127.84,,228.02,89,,Percent of Total Billed Charges,122.98,,211.11,82.4,,Percent of Total Billed Charges,210.6,,213.67,83.4,,Percent of Total Billed Charges,199.32,,213.67,83.4,,Percent of Total Billed Charges,179.6,,213.67,83.4,,Percent of Total Billed Charges,208.55,,230.58,90,,Percent of Total Billed Charges,217,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,235.7,92,,Percent of Total Billed Charges,207.78,,235.7,92,,Percent of Total Billed Charges,190.61,,235.7,92,,Percent of Total Billed Charges,200.6,,235.7,92,,Percent of Total Billed Charges,207.78,,199.84,78,,Percent of Total Billed Charges,199.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,137.91,53.83,,Percent of Total Billed Charges,129.38,,88.75,34.64,,Percent of Total Billed Charges,88.39,,128.05,49.98,,Percent of Total Billed Charges,96.84,,88.75,235.7,,																																							
HC ACYLCARNITINES QUANT,82017,CPT,,,,BOTH, , ,50.4,42.34,46.37,92,,Percent of Total Billed Charges,42.13,,46.37,92,,Percent of Total Billed Charges,41.38,,46.37,92,,Percent of Total Billed Charges,40.57,,46.37,92,,Percent of Total Billed Charges,42.08,,46.37,92,,Percent of Total Billed Charges,37.95,,46.37,92,,Percent of Total Billed Charges,31.5,,45.36,90,,Percent of Total Billed Charges,25.15,,44.86,89,,Percent of Total Billed Charges,24.19,,41.53,82.4,,Percent of Total Billed Charges,41.43,,42.03,83.4,,Percent of Total Billed Charges,39.21,,42.03,83.4,,Percent of Total Billed Charges,35.33,,42.03,83.4,,Percent of Total Billed Charges,41.03,,45.36,90,,Percent of Total Billed Charges,42.69,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,46.37,92,,Percent of Total Billed Charges,40.87,,46.37,92,,Percent of Total Billed Charges,37.5,,46.37,92,,Percent of Total Billed Charges,39.46,,46.37,92,,Percent of Total Billed Charges,40.87,,39.31,78,,Percent of Total Billed Charges,39.31,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,27.13,53.83,,Percent of Total Billed Charges,25.45,,17.46,34.64,,Percent of Total Billed Charges,17.39,,25.19,49.98,,Percent of Total Billed Charges,19.05,,17.46,46.37,,																																							
HC ASSAY OF ALDOLASE,82085,CPT,,,,BOTH, , ,16.8,14.11,15.46,92,,Percent of Total Billed Charges,14.04,,15.46,92,,Percent of Total Billed Charges,13.79,,15.46,92,,Percent of Total Billed Charges,13.52,,15.46,92,,Percent of Total Billed Charges,14.03,,15.46,92,,Percent of Total Billed Charges,12.65,,15.46,92,,Percent of Total Billed Charges,10.5,,15.12,90,,Percent of Total Billed Charges,8.38,,14.95,89,,Percent of Total Billed Charges,8.06,,13.84,82.4,,Percent of Total Billed Charges,13.81,,14.01,83.4,,Percent of Total Billed Charges,13.07,,14.01,83.4,,Percent of Total Billed Charges,11.78,,14.01,83.4,,Percent of Total Billed Charges,13.68,,15.12,90,,Percent of Total Billed Charges,14.23,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,15.46,92,,Percent of Total Billed Charges,13.62,,15.46,92,,Percent of Total Billed Charges,12.5,,15.46,92,,Percent of Total Billed Charges,13.15,,15.46,92,,Percent of Total Billed Charges,13.62,,13.1,78,,Percent of Total Billed Charges,13.1,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,9.04,53.83,,Percent of Total Billed Charges,8.48,,5.82,34.64,,Percent of Total Billed Charges,5.8,,8.4,49.98,,Percent of Total Billed Charges,6.35,,5.82,15.46,,																																							
HC ASSAY OF ALDOSTERONE,82088,CPT,,,,BOTH, , ,480.9,403.96,442.43,92,,Percent of Total Billed Charges,402.03,,442.43,92,,Percent of Total Billed Charges,394.82,,442.43,92,,Percent of Total Billed Charges,387.12,,442.43,92,,Percent of Total Billed Charges,401.55,,442.43,92,,Percent of Total Billed Charges,362.12,,442.43,92,,Percent of Total Billed Charges,300.56,,432.81,90,,Percent of Total Billed Charges,239.97,,428,89,,Percent of Total Billed Charges,230.83,,396.26,82.4,,Percent of Total Billed Charges,395.3,,401.07,83.4,,Percent of Total Billed Charges,374.14,,401.07,83.4,,Percent of Total Billed Charges,337.11,,401.07,83.4,,Percent of Total Billed Charges,391.45,,432.81,90,,Percent of Total Billed Charges,407.32,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,442.43,92,,Percent of Total Billed Charges,390.01,,442.43,92,,Percent of Total Billed Charges,357.79,,442.43,92,,Percent of Total Billed Charges,376.54,,442.43,92,,Percent of Total Billed Charges,390.01,,375.1,78,,Percent of Total Billed Charges,375.1,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,258.87,53.83,,Percent of Total Billed Charges,242.85,,166.58,34.64,,Percent of Total Billed Charges,165.91,,240.35,49.98,,Percent of Total Billed Charges,181.78,,166.58,442.43,,																																							
HC ALPHA 1 ANTITRYPSIN TOTAL,82103,CPT,,,,BOTH, , ,218.4,183.46,200.93,92,,Percent of Total Billed Charges,182.58,,200.93,92,,Percent of Total Billed Charges,179.31,,200.93,92,,Percent of Total Billed Charges,175.81,,200.93,92,,Percent of Total Billed Charges,182.36,,200.93,92,,Percent of Total Billed Charges,164.46,,200.93,92,,Percent of Total Billed Charges,136.5,,196.56,90,,Percent of Total Billed Charges,108.98,,194.38,89,,Percent of Total Billed Charges,104.83,,179.96,82.4,,Percent of Total Billed Charges,179.52,,182.15,83.4,,Percent of Total Billed Charges,169.92,,182.15,83.4,,Percent of Total Billed Charges,153.1,,182.15,83.4,,Percent of Total Billed Charges,177.78,,196.56,90,,Percent of Total Billed Charges,184.98,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,200.93,92,,Percent of Total Billed Charges,177.12,,200.93,92,,Percent of Total Billed Charges,162.49,,200.93,92,,Percent of Total Billed Charges,171.01,,200.93,92,,Percent of Total Billed Charges,177.12,,170.35,78,,Percent of Total Billed Charges,170.35,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,117.56,53.83,,Percent of Total Billed Charges,110.29,,75.65,34.64,,Percent of Total Billed Charges,75.35,,109.16,49.98,,Percent of Total Billed Charges,82.56,,75.65,200.93,,																																							
HC ALPHA1ANTITRYPSIN PHENOTYPE,82104,CPT,,,,BOTH, , ,256.2,215.21,235.7,92,,Percent of Total Billed Charges,214.18,,235.7,92,,Percent of Total Billed Charges,210.34,,235.7,92,,Percent of Total Billed Charges,206.24,,235.7,92,,Percent of Total Billed Charges,213.93,,235.7,92,,Percent of Total Billed Charges,192.92,,235.7,92,,Percent of Total Billed Charges,160.13,,230.58,90,,Percent of Total Billed Charges,127.84,,228.02,89,,Percent of Total Billed Charges,122.98,,211.11,82.4,,Percent of Total Billed Charges,210.6,,213.67,83.4,,Percent of Total Billed Charges,199.32,,213.67,83.4,,Percent of Total Billed Charges,179.6,,213.67,83.4,,Percent of Total Billed Charges,208.55,,230.58,90,,Percent of Total Billed Charges,217,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,235.7,92,,Percent of Total Billed Charges,207.78,,235.7,92,,Percent of Total Billed Charges,190.61,,235.7,92,,Percent of Total Billed Charges,200.6,,235.7,92,,Percent of Total Billed Charges,207.78,,199.84,78,,Percent of Total Billed Charges,199.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,137.91,53.83,,Percent of Total Billed Charges,129.38,,88.75,34.64,,Percent of Total Billed Charges,88.39,,128.05,49.98,,Percent of Total Billed Charges,96.84,,88.75,235.7,,																																							
HC ALPHA FETOPROTEIN SERUM,82105,CPT,,,,BOTH, , ,256.2,215.21,235.7,92,,Percent of Total Billed Charges,214.18,,235.7,92,,Percent of Total Billed Charges,210.34,,235.7,92,,Percent of Total Billed Charges,206.24,,235.7,92,,Percent of Total Billed Charges,213.93,,235.7,92,,Percent of Total Billed Charges,192.92,,235.7,92,,Percent of Total Billed Charges,160.13,,230.58,90,,Percent of Total Billed Charges,127.84,,228.02,89,,Percent of Total Billed Charges,122.98,,211.11,82.4,,Percent of Total Billed Charges,210.6,,213.67,83.4,,Percent of Total Billed Charges,199.32,,213.67,83.4,,Percent of Total Billed Charges,179.6,,213.67,83.4,,Percent of Total Billed Charges,208.55,,230.58,90,,Percent of Total Billed Charges,217,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,235.7,92,,Percent of Total Billed Charges,207.78,,235.7,92,,Percent of Total Billed Charges,190.61,,235.7,92,,Percent of Total Billed Charges,200.6,,235.7,92,,Percent of Total Billed Charges,207.78,,199.84,78,,Percent of Total Billed Charges,199.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,137.91,53.83,,Percent of Total Billed Charges,129.38,,88.75,34.64,,Percent of Total Billed Charges,88.39,,128.05,49.98,,Percent of Total Billed Charges,96.84,,88.75,235.7,,																																							
HC ASSAY OF ALUMINUM,82108,CPT,,,,BOTH, , ,234.15,196.69,215.42,92,,Percent of Total Billed Charges,195.75,,215.42,92,,Percent of Total Billed Charges,192.24,,215.42,92,,Percent of Total Billed Charges,188.49,,215.42,92,,Percent of Total Billed Charges,195.52,,215.42,92,,Percent of Total Billed Charges,176.31,,215.42,92,,Percent of Total Billed Charges,146.34,,210.74,90,,Percent of Total Billed Charges,116.84,,208.39,89,,Percent of Total Billed Charges,112.39,,192.94,82.4,,Percent of Total Billed Charges,192.47,,195.28,83.4,,Percent of Total Billed Charges,182.17,,195.28,83.4,,Percent of Total Billed Charges,164.14,,195.28,83.4,,Percent of Total Billed Charges,190.6,,210.74,90,,Percent of Total Billed Charges,198.33,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,215.42,92,,Percent of Total Billed Charges,189.9,,215.42,92,,Percent of Total Billed Charges,174.21,,215.42,92,,Percent of Total Billed Charges,183.34,,215.42,92,,Percent of Total Billed Charges,189.9,,182.64,78,,Percent of Total Billed Charges,182.64,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,126.04,53.83,,Percent of Total Billed Charges,118.25,,81.11,34.64,,Percent of Total Billed Charges,80.78,,117.03,49.98,,Percent of Total Billed Charges,88.51,,81.11,215.42,,																																							
HC AMINOLEVULINIC ACID,82135,CPT,,,,BOTH, , ,269.85,226.67,248.26,92,,Percent of Total Billed Charges,225.59,,248.26,92,,Percent of Total Billed Charges,221.55,,248.26,92,,Percent of Total Billed Charges,217.23,,248.26,92,,Percent of Total Billed Charges,225.32,,248.26,92,,Percent of Total Billed Charges,203.2,,248.26,92,,Percent of Total Billed Charges,168.66,,242.87,90,,Percent of Total Billed Charges,134.66,,240.17,89,,Percent of Total Billed Charges,129.53,,222.36,82.4,,Percent of Total Billed Charges,221.82,,225.05,83.4,,Percent of Total Billed Charges,209.94,,225.05,83.4,,Percent of Total Billed Charges,189.16,,225.05,83.4,,Percent of Total Billed Charges,219.66,,242.87,90,,Percent of Total Billed Charges,228.56,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,248.26,92,,Percent of Total Billed Charges,218.85,,248.26,92,,Percent of Total Billed Charges,200.77,,248.26,92,,Percent of Total Billed Charges,211.29,,248.26,92,,Percent of Total Billed Charges,218.85,,210.48,78,,Percent of Total Billed Charges,210.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,145.26,53.83,,Percent of Total Billed Charges,136.27,,93.48,34.64,,Percent of Total Billed Charges,93.1,,134.87,49.98,,Percent of Total Billed Charges,102,,93.48,248.26,,																																							
HC AMINO ACID QUAN 6 OR MORE,82139,CPT,,,,BOTH, , ,245.7,206.39,226.04,92,,Percent of Total Billed Charges,205.41,,226.04,92,,Percent of Total Billed Charges,201.72,,226.04,92,,Percent of Total Billed Charges,197.79,,226.04,92,,Percent of Total Billed Charges,205.16,,226.04,92,,Percent of Total Billed Charges,185.01,,226.04,92,,Percent of Total Billed Charges,153.56,,221.13,90,,Percent of Total Billed Charges,122.6,,218.67,89,,Percent of Total Billed Charges,117.94,,202.46,82.4,,Percent of Total Billed Charges,201.97,,204.91,83.4,,Percent of Total Billed Charges,191.15,,204.91,83.4,,Percent of Total Billed Charges,172.24,,204.91,83.4,,Percent of Total Billed Charges,200,,221.13,90,,Percent of Total Billed Charges,208.11,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,226.04,92,,Percent of Total Billed Charges,199.26,,226.04,92,,Percent of Total Billed Charges,182.8,,226.04,92,,Percent of Total Billed Charges,192.38,,226.04,92,,Percent of Total Billed Charges,199.26,,191.65,78,,Percent of Total Billed Charges,191.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,132.26,53.83,,Percent of Total Billed Charges,124.08,,85.11,34.64,,Percent of Total Billed Charges,84.77,,122.8,49.98,,Percent of Total Billed Charges,92.87,,85.11,226.04,,																																							
HC ASSAY OF ANGIOTENSIN II,82163,CPT,,,,BOTH, , ,247.8,208.15,227.98,92,,Percent of Total Billed Charges,207.16,,227.98,92,,Percent of Total Billed Charges,203.44,,227.98,92,,Percent of Total Billed Charges,199.48,,227.98,92,,Percent of Total Billed Charges,206.91,,227.98,92,,Percent of Total Billed Charges,186.59,,227.98,92,,Percent of Total Billed Charges,154.88,,223.02,90,,Percent of Total Billed Charges,123.65,,220.54,89,,Percent of Total Billed Charges,118.94,,204.19,82.4,,Percent of Total Billed Charges,203.69,,206.67,83.4,,Percent of Total Billed Charges,192.79,,206.67,83.4,,Percent of Total Billed Charges,173.71,,206.67,83.4,,Percent of Total Billed Charges,201.71,,223.02,90,,Percent of Total Billed Charges,209.89,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,227.98,92,,Percent of Total Billed Charges,200.97,,227.98,92,,Percent of Total Billed Charges,184.36,,227.98,92,,Percent of Total Billed Charges,194.03,,227.98,92,,Percent of Total Billed Charges,200.97,,193.28,78,,Percent of Total Billed Charges,193.28,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,133.39,53.83,,Percent of Total Billed Charges,125.14,,85.84,34.64,,Percent of Total Billed Charges,85.49,,123.85,49.98,,Percent of Total Billed Charges,93.67,,85.84,227.98,,																																							
HC ANGIOTENSIN I ENZYME TEST,82164,CPT,,,,BOTH, , ,244.65,205.51,225.08,92,,Percent of Total Billed Charges,204.53,,225.08,92,,Percent of Total Billed Charges,200.86,,225.08,92,,Percent of Total Billed Charges,196.94,,225.08,92,,Percent of Total Billed Charges,204.28,,225.08,92,,Percent of Total Billed Charges,184.22,,225.08,92,,Percent of Total Billed Charges,152.91,,220.19,90,,Percent of Total Billed Charges,122.08,,217.74,89,,Percent of Total Billed Charges,117.43,,201.59,82.4,,Percent of Total Billed Charges,201.1,,204.04,83.4,,Percent of Total Billed Charges,190.34,,204.04,83.4,,Percent of Total Billed Charges,171.5,,204.04,83.4,,Percent of Total Billed Charges,199.15,,220.19,90,,Percent of Total Billed Charges,207.22,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,225.08,92,,Percent of Total Billed Charges,198.41,,225.08,92,,Percent of Total Billed Charges,182.02,,225.08,92,,Percent of Total Billed Charges,191.56,,225.08,92,,Percent of Total Billed Charges,198.41,,190.83,78,,Percent of Total Billed Charges,190.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,131.7,53.83,,Percent of Total Billed Charges,123.55,,84.75,34.64,,Percent of Total Billed Charges,84.4,,122.28,49.98,,Percent of Total Billed Charges,92.48,,84.75,225.08,,																																							
HC ASSAY OF APOLIPOPROTEIN,82172,CPT,,,,BOTH, , ,117.6,98.78,108.19,92,,Percent of Total Billed Charges,98.31,,108.19,92,,Percent of Total Billed Charges,96.55,,108.19,92,,Percent of Total Billed Charges,94.67,,108.19,92,,Percent of Total Billed Charges,98.2,,108.19,92,,Percent of Total Billed Charges,88.55,,108.19,92,,Percent of Total Billed Charges,73.5,,105.84,90,,Percent of Total Billed Charges,58.68,,104.66,89,,Percent of Total Billed Charges,56.45,,96.9,82.4,,Percent of Total Billed Charges,96.67,,98.08,83.4,,Percent of Total Billed Charges,91.49,,98.08,83.4,,Percent of Total Billed Charges,82.44,,98.08,83.4,,Percent of Total Billed Charges,95.73,,105.84,90,,Percent of Total Billed Charges,99.61,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,108.19,92,,Percent of Total Billed Charges,95.37,,108.19,92,,Percent of Total Billed Charges,87.49,,108.19,92,,Percent of Total Billed Charges,92.08,,108.19,92,,Percent of Total Billed Charges,95.37,,91.73,78,,Percent of Total Billed Charges,91.73,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,63.3,53.83,,Percent of Total Billed Charges,59.39,,40.74,34.64,,Percent of Total Billed Charges,40.57,,58.78,49.98,,Percent of Total Billed Charges,44.45,,40.74,108.19,,																																							
HC VITAMIN C,82180,CPT,,,,BOTH, , ,201.6,169.34,185.47,92,,Percent of Total Billed Charges,168.54,,185.47,92,,Percent of Total Billed Charges,165.51,,185.47,92,,Percent of Total Billed Charges,162.29,,185.47,92,,Percent of Total Billed Charges,168.34,,185.47,92,,Percent of Total Billed Charges,151.8,,185.47,92,,Percent of Total Billed Charges,126,,181.44,90,,Percent of Total Billed Charges,100.6,,179.42,89,,Percent of Total Billed Charges,96.77,,166.12,82.4,,Percent of Total Billed Charges,165.72,,168.13,83.4,,Percent of Total Billed Charges,156.84,,168.13,83.4,,Percent of Total Billed Charges,141.32,,168.13,83.4,,Percent of Total Billed Charges,164.1,,181.44,90,,Percent of Total Billed Charges,170.76,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,185.47,92,,Percent of Total Billed Charges,163.5,,185.47,92,,Percent of Total Billed Charges,149.99,,185.47,92,,Percent of Total Billed Charges,157.85,,185.47,92,,Percent of Total Billed Charges,163.5,,157.25,78,,Percent of Total Billed Charges,157.25,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,108.52,53.83,,Percent of Total Billed Charges,101.81,,69.83,34.64,,Percent of Total Billed Charges,69.55,,100.76,49.98,,Percent of Total Billed Charges,76.2,,69.83,185.47,,																																							
HC ATOMIC ABSORPTION,82190,CPT,,,,BOTH, , ,256.2,215.21,235.7,92,,Percent of Total Billed Charges,214.18,,235.7,92,,Percent of Total Billed Charges,210.34,,235.7,92,,Percent of Total Billed Charges,206.24,,235.7,92,,Percent of Total Billed Charges,213.93,,235.7,92,,Percent of Total Billed Charges,192.92,,235.7,92,,Percent of Total Billed Charges,160.13,,230.58,90,,Percent of Total Billed Charges,127.84,,228.02,89,,Percent of Total Billed Charges,122.98,,211.11,82.4,,Percent of Total Billed Charges,210.6,,213.67,83.4,,Percent of Total Billed Charges,199.32,,213.67,83.4,,Percent of Total Billed Charges,179.6,,213.67,83.4,,Percent of Total Billed Charges,208.55,,230.58,90,,Percent of Total Billed Charges,217,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,235.7,92,,Percent of Total Billed Charges,207.78,,235.7,92,,Percent of Total Billed Charges,190.61,,235.7,92,,Percent of Total Billed Charges,200.6,,235.7,92,,Percent of Total Billed Charges,207.78,,199.84,78,,Percent of Total Billed Charges,199.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,137.91,53.83,,Percent of Total Billed Charges,129.38,,88.75,34.64,,Percent of Total Billed Charges,88.39,,128.05,49.98,,Percent of Total Billed Charges,96.84,,88.75,235.7,,																																							
HC ASSAY OF BETA2 PROTEIN,82232,CPT,,,,BOTH, , ,266.7,224.03,245.36,92,,Percent of Total Billed Charges,222.96,,245.36,92,,Percent of Total Billed Charges,218.96,,245.36,92,,Percent of Total Billed Charges,214.69,,245.36,92,,Percent of Total Billed Charges,222.69,,245.36,92,,Percent of Total Billed Charges,200.83,,245.36,92,,Percent of Total Billed Charges,166.69,,240.03,90,,Percent of Total Billed Charges,133.08,,237.36,89,,Percent of Total Billed Charges,128.02,,219.76,82.4,,Percent of Total Billed Charges,219.23,,222.43,83.4,,Percent of Total Billed Charges,207.49,,222.43,83.4,,Percent of Total Billed Charges,186.96,,222.43,83.4,,Percent of Total Billed Charges,217.09,,240.03,90,,Percent of Total Billed Charges,225.89,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,245.36,92,,Percent of Total Billed Charges,216.29,,245.36,92,,Percent of Total Billed Charges,198.42,,245.36,92,,Percent of Total Billed Charges,208.83,,245.36,92,,Percent of Total Billed Charges,216.29,,208.03,78,,Percent of Total Billed Charges,208.03,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,143.56,53.83,,Percent of Total Billed Charges,134.68,,92.38,34.64,,Percent of Total Billed Charges,92.01,,133.3,49.98,,Percent of Total Billed Charges,100.81,,92.38,245.36,,																																							
HC BILE ACIDS TOTAL,82239,CPT,,,,BOTH, , ,171.15,143.77,157.46,92,,Percent of Total Billed Charges,143.08,,157.46,92,,Percent of Total Billed Charges,140.51,,157.46,92,,Percent of Total Billed Charges,137.78,,157.46,92,,Percent of Total Billed Charges,142.91,,157.46,92,,Percent of Total Billed Charges,128.88,,157.46,92,,Percent of Total Billed Charges,106.97,,154.04,90,,Percent of Total Billed Charges,85.4,,152.32,89,,Percent of Total Billed Charges,82.15,,141.03,82.4,,Percent of Total Billed Charges,140.69,,142.74,83.4,,Percent of Total Billed Charges,133.15,,142.74,83.4,,Percent of Total Billed Charges,119.98,,142.74,83.4,,Percent of Total Billed Charges,139.32,,154.04,90,,Percent of Total Billed Charges,144.96,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,157.46,92,,Percent of Total Billed Charges,138.8,,157.46,92,,Percent of Total Billed Charges,127.34,,157.46,92,,Percent of Total Billed Charges,134.01,,157.46,92,,Percent of Total Billed Charges,138.8,,133.5,78,,Percent of Total Billed Charges,133.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,92.13,53.83,,Percent of Total Billed Charges,86.43,,59.29,34.64,,Percent of Total Billed Charges,59.05,,85.54,49.98,,Percent of Total Billed Charges,64.69,,59.29,157.46,,																																							
HC OCCULT BLOOD OTHER SOURCES,82271,CPT,,,,BOTH, , ,55.65,46.75,51.2,92,,Percent of Total Billed Charges,46.52,,51.2,92,,Percent of Total Billed Charges,45.69,,51.2,92,,Percent of Total Billed Charges,44.8,,51.2,92,,Percent of Total Billed Charges,46.47,,51.2,92,,Percent of Total Billed Charges,41.9,,51.2,92,,Percent of Total Billed Charges,34.78,,50.09,90,,Percent of Total Billed Charges,27.77,,49.53,89,,Percent of Total Billed Charges,26.71,,45.86,82.4,,Percent of Total Billed Charges,45.74,,46.41,83.4,,Percent of Total Billed Charges,43.3,,46.41,83.4,,Percent of Total Billed Charges,39.01,,46.41,83.4,,Percent of Total Billed Charges,45.3,,50.09,90,,Percent of Total Billed Charges,47.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,51.2,92,,Percent of Total Billed Charges,45.13,,51.2,92,,Percent of Total Billed Charges,41.4,,51.2,92,,Percent of Total Billed Charges,43.57,,51.2,92,,Percent of Total Billed Charges,45.13,,43.41,78,,Percent of Total Billed Charges,43.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,29.96,53.83,,Percent of Total Billed Charges,28.1,,19.28,34.64,,Percent of Total Billed Charges,19.2,,27.81,49.98,,Percent of Total Billed Charges,21.04,,19.28,51.2,,																																							
HC CADMIUM,82300,CPT,,,,BOTH, , ,285.6,239.9,262.75,92,,Percent of Total Billed Charges,238.76,,262.75,92,,Percent of Total Billed Charges,234.48,,262.75,92,,Percent of Total Billed Charges,229.91,,262.75,92,,Percent of Total Billed Charges,238.48,,262.75,92,,Percent of Total Billed Charges,215.06,,262.75,92,,Percent of Total Billed Charges,178.5,,257.04,90,,Percent of Total Billed Charges,142.51,,254.18,89,,Percent of Total Billed Charges,137.09,,235.33,82.4,,Percent of Total Billed Charges,234.76,,238.19,83.4,,Percent of Total Billed Charges,222.2,,238.19,83.4,,Percent of Total Billed Charges,200.21,,238.19,83.4,,Percent of Total Billed Charges,232.48,,257.04,90,,Percent of Total Billed Charges,241.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,262.75,92,,Percent of Total Billed Charges,231.62,,262.75,92,,Percent of Total Billed Charges,212.49,,262.75,92,,Percent of Total Billed Charges,223.62,,262.75,92,,Percent of Total Billed Charges,231.62,,222.77,78,,Percent of Total Billed Charges,222.77,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,153.74,53.83,,Percent of Total Billed Charges,144.23,,98.93,34.64,,Percent of Total Billed Charges,98.53,,142.74,49.98,,Percent of Total Billed Charges,107.96,,98.93,262.75,,																																							
HC CALCITONIN,82308,CPT,,,,BOTH, , ,374.85,314.87,344.86,92,,Percent of Total Billed Charges,313.37,,344.86,92,,Percent of Total Billed Charges,307.75,,344.86,92,,Percent of Total Billed Charges,301.75,,344.86,92,,Percent of Total Billed Charges,313,,344.86,92,,Percent of Total Billed Charges,282.26,,344.86,92,,Percent of Total Billed Charges,234.28,,337.37,90,,Percent of Total Billed Charges,187.05,,333.62,89,,Percent of Total Billed Charges,179.93,,308.88,82.4,,Percent of Total Billed Charges,308.13,,312.62,83.4,,Percent of Total Billed Charges,291.63,,312.62,83.4,,Percent of Total Billed Charges,262.77,,312.62,83.4,,Percent of Total Billed Charges,305.13,,337.37,90,,Percent of Total Billed Charges,317.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,344.86,92,,Percent of Total Billed Charges,304,,344.86,92,,Percent of Total Billed Charges,278.89,,344.86,92,,Percent of Total Billed Charges,293.51,,344.86,92,,Percent of Total Billed Charges,304,,292.38,78,,Percent of Total Billed Charges,292.38,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,201.78,53.83,,Percent of Total Billed Charges,189.3,,129.85,34.64,,Percent of Total Billed Charges,129.32,,187.35,49.98,,Percent of Total Billed Charges,141.69,,129.85,344.86,,																																							
HC XRAY ASSAY CALCULUS,82370,CPT,,,,BOTH, , ,201.6,169.34,185.47,92,,Percent of Total Billed Charges,168.54,,185.47,92,,Percent of Total Billed Charges,165.51,,185.47,92,,Percent of Total Billed Charges,162.29,,185.47,92,,Percent of Total Billed Charges,168.34,,185.47,92,,Percent of Total Billed Charges,151.8,,185.47,92,,Percent of Total Billed Charges,126,,181.44,90,,Percent of Total Billed Charges,100.6,,179.42,89,,Percent of Total Billed Charges,96.77,,166.12,82.4,,Percent of Total Billed Charges,165.72,,168.13,83.4,,Percent of Total Billed Charges,156.84,,168.13,83.4,,Percent of Total Billed Charges,141.32,,168.13,83.4,,Percent of Total Billed Charges,164.1,,181.44,90,,Percent of Total Billed Charges,170.76,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,185.47,92,,Percent of Total Billed Charges,163.5,,185.47,92,,Percent of Total Billed Charges,149.99,,185.47,92,,Percent of Total Billed Charges,157.85,,185.47,92,,Percent of Total Billed Charges,163.5,,157.25,78,,Percent of Total Billed Charges,157.25,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,108.52,53.83,,Percent of Total Billed Charges,101.81,,69.83,34.64,,Percent of Total Billed Charges,69.55,,100.76,49.98,,Percent of Total Billed Charges,76.2,,69.83,185.47,,																																							
HC CARBOXYHEMOGLOBIN QUANTITATIVE,82375,CPT,,,,BOTH, , ,268.8,225.79,247.3,92,,Percent of Total Billed Charges,224.72,,247.3,92,,Percent of Total Billed Charges,220.68,,247.3,92,,Percent of Total Billed Charges,216.38,,247.3,92,,Percent of Total Billed Charges,224.45,,247.3,92,,Percent of Total Billed Charges,202.41,,247.3,92,,Percent of Total Billed Charges,168,,241.92,90,,Percent of Total Billed Charges,134.13,,239.23,89,,Percent of Total Billed Charges,129.02,,221.49,82.4,,Percent of Total Billed Charges,220.95,,224.18,83.4,,Percent of Total Billed Charges,209.13,,224.18,83.4,,Percent of Total Billed Charges,188.43,,224.18,83.4,,Percent of Total Billed Charges,218.8,,241.92,90,,Percent of Total Billed Charges,227.67,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,247.3,92,,Percent of Total Billed Charges,218,,247.3,92,,Percent of Total Billed Charges,199.99,,247.3,92,,Percent of Total Billed Charges,210.47,,247.3,92,,Percent of Total Billed Charges,218,,209.66,78,,Percent of Total Billed Charges,209.66,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,144.7,53.83,,Percent of Total Billed Charges,135.74,,93.11,34.64,,Percent of Total Billed Charges,92.74,,134.35,49.98,,Percent of Total Billed Charges,101.61,,93.11,247.3,,																																							
HC ASSAY OF CARNITINE,82379,CPT,,,,BOTH, , ,417.9,351.04,384.47,92,,Percent of Total Billed Charges,349.36,,384.47,92,,Percent of Total Billed Charges,343.1,,384.47,92,,Percent of Total Billed Charges,336.41,,384.47,92,,Percent of Total Billed Charges,348.95,,384.47,92,,Percent of Total Billed Charges,314.68,,384.47,92,,Percent of Total Billed Charges,261.19,,376.11,90,,Percent of Total Billed Charges,208.53,,371.93,89,,Percent of Total Billed Charges,200.59,,344.35,82.4,,Percent of Total Billed Charges,343.51,,348.53,83.4,,Percent of Total Billed Charges,325.13,,348.53,83.4,,Percent of Total Billed Charges,292.95,,348.53,83.4,,Percent of Total Billed Charges,340.17,,376.11,90,,Percent of Total Billed Charges,353.96,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,384.47,92,,Percent of Total Billed Charges,338.92,,384.47,92,,Percent of Total Billed Charges,310.92,,384.47,92,,Percent of Total Billed Charges,327.22,,384.47,92,,Percent of Total Billed Charges,338.92,,325.96,78,,Percent of Total Billed Charges,325.96,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,224.96,53.83,,Percent of Total Billed Charges,211.04,,144.76,34.64,,Percent of Total Billed Charges,144.18,,208.87,49.98,,Percent of Total Billed Charges,157.97,,144.76,384.47,,																																							
HC ASSAY OF CAROTENE,82380,CPT,,,,BOTH, , ,201.6,169.34,185.47,92,,Percent of Total Billed Charges,168.54,,185.47,92,,Percent of Total Billed Charges,165.51,,185.47,92,,Percent of Total Billed Charges,162.29,,185.47,92,,Percent of Total Billed Charges,168.34,,185.47,92,,Percent of Total Billed Charges,151.8,,185.47,92,,Percent of Total Billed Charges,126,,181.44,90,,Percent of Total Billed Charges,100.6,,179.42,89,,Percent of Total Billed Charges,96.77,,166.12,82.4,,Percent of Total Billed Charges,165.72,,168.13,83.4,,Percent of Total Billed Charges,156.84,,168.13,83.4,,Percent of Total Billed Charges,141.32,,168.13,83.4,,Percent of Total Billed Charges,164.1,,181.44,90,,Percent of Total Billed Charges,170.76,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,185.47,92,,Percent of Total Billed Charges,163.5,,185.47,92,,Percent of Total Billed Charges,149.99,,185.47,92,,Percent of Total Billed Charges,157.85,,185.47,92,,Percent of Total Billed Charges,163.5,,157.25,78,,Percent of Total Billed Charges,157.25,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,108.52,53.83,,Percent of Total Billed Charges,101.81,,69.83,34.64,,Percent of Total Billed Charges,69.55,,100.76,49.98,,Percent of Total Billed Charges,76.2,,69.83,185.47,,																																							
HC CATECHOLAMINES  TOTAL URINE,82382,CPT,,,,BOTH, , ,256.2,215.21,235.7,92,,Percent of Total Billed Charges,214.18,,235.7,92,,Percent of Total Billed Charges,210.34,,235.7,92,,Percent of Total Billed Charges,206.24,,235.7,92,,Percent of Total Billed Charges,213.93,,235.7,92,,Percent of Total Billed Charges,192.92,,235.7,92,,Percent of Total Billed Charges,160.13,,230.58,90,,Percent of Total Billed Charges,127.84,,228.02,89,,Percent of Total Billed Charges,122.98,,211.11,82.4,,Percent of Total Billed Charges,210.6,,213.67,83.4,,Percent of Total Billed Charges,199.32,,213.67,83.4,,Percent of Total Billed Charges,179.6,,213.67,83.4,,Percent of Total Billed Charges,208.55,,230.58,90,,Percent of Total Billed Charges,217,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,235.7,92,,Percent of Total Billed Charges,207.78,,235.7,92,,Percent of Total Billed Charges,190.61,,235.7,92,,Percent of Total Billed Charges,200.6,,235.7,92,,Percent of Total Billed Charges,207.78,,199.84,78,,Percent of Total Billed Charges,199.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,137.91,53.83,,Percent of Total Billed Charges,129.38,,88.75,34.64,,Percent of Total Billed Charges,88.39,,128.05,49.98,,Percent of Total Billed Charges,96.84,,88.75,235.7,,																																							
HC CERULOPLASMIN,82390,CPT,,,,BOTH, , ,171.15,143.77,157.46,92,,Percent of Total Billed Charges,143.08,,157.46,92,,Percent of Total Billed Charges,140.51,,157.46,92,,Percent of Total Billed Charges,137.78,,157.46,92,,Percent of Total Billed Charges,142.91,,157.46,92,,Percent of Total Billed Charges,128.88,,157.46,92,,Percent of Total Billed Charges,106.97,,154.04,90,,Percent of Total Billed Charges,85.4,,152.32,89,,Percent of Total Billed Charges,82.15,,141.03,82.4,,Percent of Total Billed Charges,140.69,,142.74,83.4,,Percent of Total Billed Charges,133.15,,142.74,83.4,,Percent of Total Billed Charges,119.98,,142.74,83.4,,Percent of Total Billed Charges,139.32,,154.04,90,,Percent of Total Billed Charges,144.96,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,157.46,92,,Percent of Total Billed Charges,138.8,,157.46,92,,Percent of Total Billed Charges,127.34,,157.46,92,,Percent of Total Billed Charges,134.01,,157.46,92,,Percent of Total Billed Charges,138.8,,133.5,78,,Percent of Total Billed Charges,133.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,92.13,53.83,,Percent of Total Billed Charges,86.43,,59.29,34.64,,Percent of Total Billed Charges,59.05,,85.54,49.98,,Percent of Total Billed Charges,64.69,,59.29,157.46,,																																							
HC ASSAY OTHER FLUID CHLORIDES,82438,CPT,,,,BOTH, , ,48.3,40.57,44.44,92,,Percent of Total Billed Charges,40.38,,44.44,92,,Percent of Total Billed Charges,39.65,,44.44,92,,Percent of Total Billed Charges,38.88,,44.44,92,,Percent of Total Billed Charges,40.33,,44.44,92,,Percent of Total Billed Charges,36.37,,44.44,92,,Percent of Total Billed Charges,30.19,,43.47,90,,Percent of Total Billed Charges,24.1,,42.99,89,,Percent of Total Billed Charges,23.18,,39.8,82.4,,Percent of Total Billed Charges,39.7,,40.28,83.4,,Percent of Total Billed Charges,37.58,,40.28,83.4,,Percent of Total Billed Charges,33.86,,40.28,83.4,,Percent of Total Billed Charges,39.32,,43.47,90,,Percent of Total Billed Charges,40.91,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,44.44,92,,Percent of Total Billed Charges,39.17,,44.44,92,,Percent of Total Billed Charges,35.94,,44.44,92,,Percent of Total Billed Charges,37.82,,44.44,92,,Percent of Total Billed Charges,39.17,,37.67,78,,Percent of Total Billed Charges,37.67,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,26,53.83,,Percent of Total Billed Charges,24.39,,16.73,34.64,,Percent of Total Billed Charges,16.66,,24.14,49.98,,Percent of Total Billed Charges,18.26,,16.73,44.44,,																																							
HC ASSAY SERUM CHOLINESTERASE,82480,CPT,,,,BOTH, , ,171.15,143.77,157.46,92,,Percent of Total Billed Charges,143.08,,157.46,92,,Percent of Total Billed Charges,140.51,,157.46,92,,Percent of Total Billed Charges,137.78,,157.46,92,,Percent of Total Billed Charges,142.91,,157.46,92,,Percent of Total Billed Charges,128.88,,157.46,92,,Percent of Total Billed Charges,106.97,,154.04,90,,Percent of Total Billed Charges,85.4,,152.32,89,,Percent of Total Billed Charges,82.15,,141.03,82.4,,Percent of Total Billed Charges,140.69,,142.74,83.4,,Percent of Total Billed Charges,133.15,,142.74,83.4,,Percent of Total Billed Charges,119.98,,142.74,83.4,,Percent of Total Billed Charges,139.32,,154.04,90,,Percent of Total Billed Charges,144.96,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,157.46,92,,Percent of Total Billed Charges,138.8,,157.46,92,,Percent of Total Billed Charges,127.34,,157.46,92,,Percent of Total Billed Charges,134.01,,157.46,92,,Percent of Total Billed Charges,138.8,,133.5,78,,Percent of Total Billed Charges,133.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,92.13,53.83,,Percent of Total Billed Charges,86.43,,59.29,34.64,,Percent of Total Billed Charges,59.05,,85.54,49.98,,Percent of Total Billed Charges,64.69,,59.29,157.46,,																																							
HC ASSAY RBC CHOLINESTERASE,82482,CPT,,,,BOTH, , ,108.15,90.85,99.5,92,,Percent of Total Billed Charges,90.41,,99.5,92,,Percent of Total Billed Charges,88.79,,99.5,92,,Percent of Total Billed Charges,87.06,,99.5,92,,Percent of Total Billed Charges,90.31,,99.5,92,,Percent of Total Billed Charges,81.44,,99.5,92,,Percent of Total Billed Charges,67.59,,97.34,90,,Percent of Total Billed Charges,53.97,,96.25,89,,Percent of Total Billed Charges,51.91,,89.12,82.4,,Percent of Total Billed Charges,88.9,,90.2,83.4,,Percent of Total Billed Charges,84.14,,90.2,83.4,,Percent of Total Billed Charges,75.81,,90.2,83.4,,Percent of Total Billed Charges,88.03,,97.34,90,,Percent of Total Billed Charges,91.6,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,99.5,92,,Percent of Total Billed Charges,87.71,,99.5,92,,Percent of Total Billed Charges,80.46,,99.5,92,,Percent of Total Billed Charges,84.68,,99.5,92,,Percent of Total Billed Charges,87.71,,84.36,78,,Percent of Total Billed Charges,84.36,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,58.22,53.83,,Percent of Total Billed Charges,54.62,,37.46,34.64,,Percent of Total Billed Charges,37.31,,54.05,49.98,,Percent of Total Billed Charges,40.88,,37.46,99.5,,																																							
HC ASSAY OF CHROMIUM,82495,CPT,,,,BOTH, , ,302.4,254.02,278.21,92,,Percent of Total Billed Charges,252.81,,278.21,92,,Percent of Total Billed Charges,248.27,,278.21,92,,Percent of Total Billed Charges,243.43,,278.21,92,,Percent of Total Billed Charges,252.5,,278.21,92,,Percent of Total Billed Charges,227.71,,278.21,92,,Percent of Total Billed Charges,189,,272.16,90,,Percent of Total Billed Charges,150.9,,269.14,89,,Percent of Total Billed Charges,145.15,,249.18,82.4,,Percent of Total Billed Charges,248.57,,252.2,83.4,,Percent of Total Billed Charges,235.27,,252.2,83.4,,Percent of Total Billed Charges,211.98,,252.2,83.4,,Percent of Total Billed Charges,246.15,,272.16,90,,Percent of Total Billed Charges,256.13,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,278.21,92,,Percent of Total Billed Charges,245.25,,278.21,92,,Percent of Total Billed Charges,224.99,,278.21,92,,Percent of Total Billed Charges,236.78,,278.21,92,,Percent of Total Billed Charges,245.25,,235.87,78,,Percent of Total Billed Charges,235.87,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,162.78,53.83,,Percent of Total Billed Charges,152.71,,104.75,34.64,,Percent of Total Billed Charges,104.33,,151.14,49.98,,Percent of Total Billed Charges,114.31,,104.75,278.21,,																																							
HC ASSAY OF CITRATE,82507,CPT,,,,BOTH, , ,484.05,406.6,445.33,92,,Percent of Total Billed Charges,404.67,,445.33,92,,Percent of Total Billed Charges,397.41,,445.33,92,,Percent of Total Billed Charges,389.66,,445.33,92,,Percent of Total Billed Charges,404.18,,445.33,92,,Percent of Total Billed Charges,364.49,,445.33,92,,Percent of Total Billed Charges,302.53,,435.65,90,,Percent of Total Billed Charges,241.54,,430.8,89,,Percent of Total Billed Charges,232.34,,398.86,82.4,,Percent of Total Billed Charges,397.89,,403.7,83.4,,Percent of Total Billed Charges,376.59,,403.7,83.4,,Percent of Total Billed Charges,339.32,,403.7,83.4,,Percent of Total Billed Charges,394.02,,435.65,90,,Percent of Total Billed Charges,409.99,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,445.33,92,,Percent of Total Billed Charges,392.56,,445.33,92,,Percent of Total Billed Charges,360.13,,445.33,92,,Percent of Total Billed Charges,379.01,,445.33,92,,Percent of Total Billed Charges,392.56,,377.56,78,,Percent of Total Billed Charges,377.56,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,260.56,53.83,,Percent of Total Billed Charges,244.45,,167.67,34.64,,Percent of Total Billed Charges,167,,241.93,49.98,,Percent of Total Billed Charges,182.97,,167.67,445.33,,																																							
HC COLLAGEN CROSSLINKS,82523,CPT,,,,BOTH, , ,289.8,243.43,266.62,92,,Percent of Total Billed Charges,242.27,,266.62,92,,Percent of Total Billed Charges,237.93,,266.62,92,,Percent of Total Billed Charges,233.29,,266.62,92,,Percent of Total Billed Charges,241.98,,266.62,92,,Percent of Total Billed Charges,218.22,,266.62,92,,Percent of Total Billed Charges,181.13,,260.82,90,,Percent of Total Billed Charges,144.61,,257.92,89,,Percent of Total Billed Charges,139.1,,238.8,82.4,,Percent of Total Billed Charges,238.22,,241.69,83.4,,Percent of Total Billed Charges,225.46,,241.69,83.4,,Percent of Total Billed Charges,203.15,,241.69,83.4,,Percent of Total Billed Charges,235.9,,260.82,90,,Percent of Total Billed Charges,245.46,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,266.62,92,,Percent of Total Billed Charges,235.03,,266.62,92,,Percent of Total Billed Charges,215.61,,266.62,92,,Percent of Total Billed Charges,226.91,,266.62,92,,Percent of Total Billed Charges,235.03,,226.04,78,,Percent of Total Billed Charges,226.04,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,156,53.83,,Percent of Total Billed Charges,146.35,,100.39,34.64,,Percent of Total Billed Charges,99.98,,144.84,49.98,,Percent of Total Billed Charges,109.54,,100.39,266.62,,																																							
HC ASSAY OF COPPER,82525,CPT,,,,BOTH, , ,137.55,115.54,126.55,92,,Percent of Total Billed Charges,114.99,,126.55,92,,Percent of Total Billed Charges,112.93,,126.55,92,,Percent of Total Billed Charges,110.73,,126.55,92,,Percent of Total Billed Charges,114.85,,126.55,92,,Percent of Total Billed Charges,103.58,,126.55,92,,Percent of Total Billed Charges,85.97,,123.8,90,,Percent of Total Billed Charges,68.64,,122.42,89,,Percent of Total Billed Charges,66.02,,113.34,82.4,,Percent of Total Billed Charges,113.07,,114.72,83.4,,Percent of Total Billed Charges,107.01,,114.72,83.4,,Percent of Total Billed Charges,96.42,,114.72,83.4,,Percent of Total Billed Charges,111.97,,123.8,90,,Percent of Total Billed Charges,116.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,126.55,92,,Percent of Total Billed Charges,111.55,,126.55,92,,Percent of Total Billed Charges,102.34,,126.55,92,,Percent of Total Billed Charges,107.7,,126.55,92,,Percent of Total Billed Charges,111.55,,107.29,78,,Percent of Total Billed Charges,107.29,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,74.04,53.83,,Percent of Total Billed Charges,69.46,,47.65,34.64,,Percent of Total Billed Charges,47.45,,68.75,49.98,,Percent of Total Billed Charges,51.99,,47.65,126.55,,																																							
HC CORTISOL TOTAL,82533,CPT,,,,BOTH, , ,134.4,112.9,123.65,92,,Percent of Total Billed Charges,112.36,,123.65,92,,Percent of Total Billed Charges,110.34,,123.65,92,,Percent of Total Billed Charges,108.19,,123.65,92,,Percent of Total Billed Charges,112.22,,123.65,92,,Percent of Total Billed Charges,101.2,,123.65,92,,Percent of Total Billed Charges,84,,120.96,90,,Percent of Total Billed Charges,67.07,,119.62,89,,Percent of Total Billed Charges,64.51,,110.75,82.4,,Percent of Total Billed Charges,110.48,,112.09,83.4,,Percent of Total Billed Charges,104.56,,112.09,83.4,,Percent of Total Billed Charges,94.21,,112.09,83.4,,Percent of Total Billed Charges,109.4,,120.96,90,,Percent of Total Billed Charges,113.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,123.65,92,,Percent of Total Billed Charges,109,,123.65,92,,Percent of Total Billed Charges,99.99,,123.65,92,,Percent of Total Billed Charges,105.24,,123.65,92,,Percent of Total Billed Charges,109,,104.83,78,,Percent of Total Billed Charges,104.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,72.35,53.83,,Percent of Total Billed Charges,67.87,,46.56,34.64,,Percent of Total Billed Charges,46.37,,67.17,49.98,,Percent of Total Billed Charges,50.8,,46.56,123.65,,																																							
HC COLUMN CHROMOTOGRAPHY QUANT,82542,CPT,,,,BOTH, , ,205.8,172.87,189.34,92,,Percent of Total Billed Charges,172.05,,189.34,92,,Percent of Total Billed Charges,168.96,,189.34,92,,Percent of Total Billed Charges,165.67,,189.34,92,,Percent of Total Billed Charges,171.84,,189.34,92,,Percent of Total Billed Charges,154.97,,189.34,92,,Percent of Total Billed Charges,128.63,,185.22,90,,Percent of Total Billed Charges,102.69,,183.16,89,,Percent of Total Billed Charges,98.78,,169.58,82.4,,Percent of Total Billed Charges,169.17,,171.64,83.4,,Percent of Total Billed Charges,160.11,,171.64,83.4,,Percent of Total Billed Charges,144.27,,171.64,83.4,,Percent of Total Billed Charges,167.52,,185.22,90,,Percent of Total Billed Charges,174.31,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,189.34,92,,Percent of Total Billed Charges,166.9,,189.34,92,,Percent of Total Billed Charges,153.12,,189.34,92,,Percent of Total Billed Charges,161.14,,189.34,92,,Percent of Total Billed Charges,166.9,,160.52,78,,Percent of Total Billed Charges,160.52,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,110.78,53.83,,Percent of Total Billed Charges,103.93,,71.29,34.64,,Percent of Total Billed Charges,71,,102.86,49.98,,Percent of Total Billed Charges,77.79,,71.29,189.34,,																																							
HC ASSAY OF CK IN BLOOD,82552,CPT,,,,BOTH, , ,128.1,107.6,117.85,92,,Percent of Total Billed Charges,107.09,,117.85,92,,Percent of Total Billed Charges,105.17,,117.85,92,,Percent of Total Billed Charges,103.12,,117.85,92,,Percent of Total Billed Charges,106.96,,117.85,92,,Percent of Total Billed Charges,96.46,,117.85,92,,Percent of Total Billed Charges,80.06,,115.29,90,,Percent of Total Billed Charges,63.92,,114.01,89,,Percent of Total Billed Charges,61.49,,105.55,82.4,,Percent of Total Billed Charges,105.3,,106.84,83.4,,Percent of Total Billed Charges,99.66,,106.84,83.4,,Percent of Total Billed Charges,89.8,,106.84,83.4,,Percent of Total Billed Charges,104.27,,115.29,90,,Percent of Total Billed Charges,108.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,117.85,92,,Percent of Total Billed Charges,103.89,,117.85,92,,Percent of Total Billed Charges,95.31,,117.85,92,,Percent of Total Billed Charges,100.3,,117.85,92,,Percent of Total Billed Charges,103.89,,99.92,78,,Percent of Total Billed Charges,99.92,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,68.96,53.83,,Percent of Total Billed Charges,64.69,,44.37,34.64,,Percent of Total Billed Charges,44.19,,64.02,49.98,,Percent of Total Billed Charges,48.42,,44.37,117.85,,																																							
HC ASSAY OF DIBUCAINE NUMBER,82638,CPT,,,,BOTH, , ,123.9,104.08,113.99,92,,Percent of Total Billed Charges,103.58,,113.99,92,,Percent of Total Billed Charges,101.72,,113.99,92,,Percent of Total Billed Charges,99.74,,113.99,92,,Percent of Total Billed Charges,103.46,,113.99,92,,Percent of Total Billed Charges,93.3,,113.99,92,,Percent of Total Billed Charges,77.44,,111.51,90,,Percent of Total Billed Charges,61.83,,110.27,89,,Percent of Total Billed Charges,59.47,,102.09,82.4,,Percent of Total Billed Charges,101.85,,103.33,83.4,,Percent of Total Billed Charges,96.39,,103.33,83.4,,Percent of Total Billed Charges,86.85,,103.33,83.4,,Percent of Total Billed Charges,100.85,,111.51,90,,Percent of Total Billed Charges,104.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,113.99,92,,Percent of Total Billed Charges,100.48,,113.99,92,,Percent of Total Billed Charges,92.18,,113.99,92,,Percent of Total Billed Charges,97.01,,113.99,92,,Percent of Total Billed Charges,100.48,,96.64,78,,Percent of Total Billed Charges,96.64,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,66.7,53.83,,Percent of Total Billed Charges,62.57,,42.92,34.64,,Percent of Total Billed Charges,42.75,,61.93,49.98,,Percent of Total Billed Charges,46.83,,42.92,113.99,,																																							
HC PANCREATIC ELASTASE FECAL,82656,CPT,,,,BOTH, , ,475.65,399.55,437.6,92,,Percent of Total Billed Charges,397.64,,437.6,92,,Percent of Total Billed Charges,390.51,,437.6,92,,Percent of Total Billed Charges,382.9,,437.6,92,,Percent of Total Billed Charges,397.17,,437.6,92,,Percent of Total Billed Charges,358.16,,437.6,92,,Percent of Total Billed Charges,297.28,,428.09,90,,Percent of Total Billed Charges,237.35,,423.33,89,,Percent of Total Billed Charges,228.31,,391.94,82.4,,Percent of Total Billed Charges,390.98,,396.69,83.4,,Percent of Total Billed Charges,370.06,,396.69,83.4,,Percent of Total Billed Charges,333.43,,396.69,83.4,,Percent of Total Billed Charges,387.18,,428.09,90,,Percent of Total Billed Charges,402.88,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,437.6,92,,Percent of Total Billed Charges,385.75,,437.6,92,,Percent of Total Billed Charges,353.88,,437.6,92,,Percent of Total Billed Charges,372.43,,437.6,92,,Percent of Total Billed Charges,385.75,,371.01,78,,Percent of Total Billed Charges,371.01,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,256.04,53.83,,Percent of Total Billed Charges,240.2,,164.77,34.64,,Percent of Total Billed Charges,164.1,,237.73,49.98,,Percent of Total Billed Charges,179.8,,164.77,437.6,,																																							
HC ERYTHROPOIETIN,82668,CPT,,,,BOTH, , ,321.3,269.89,295.6,92,,Percent of Total Billed Charges,268.61,,295.6,92,,Percent of Total Billed Charges,263.79,,295.6,92,,Percent of Total Billed Charges,258.65,,295.6,92,,Percent of Total Billed Charges,268.29,,295.6,92,,Percent of Total Billed Charges,241.94,,295.6,92,,Percent of Total Billed Charges,200.81,,289.17,90,,Percent of Total Billed Charges,160.33,,285.96,89,,Percent of Total Billed Charges,154.22,,264.75,82.4,,Percent of Total Billed Charges,264.11,,267.96,83.4,,Percent of Total Billed Charges,249.97,,267.96,83.4,,Percent of Total Billed Charges,225.23,,267.96,83.4,,Percent of Total Billed Charges,261.54,,289.17,90,,Percent of Total Billed Charges,272.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,295.6,92,,Percent of Total Billed Charges,260.57,,295.6,92,,Percent of Total Billed Charges,239.05,,295.6,92,,Percent of Total Billed Charges,251.58,,295.6,92,,Percent of Total Billed Charges,260.57,,250.61,78,,Percent of Total Billed Charges,250.61,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,172.96,53.83,,Percent of Total Billed Charges,162.26,,111.3,34.64,,Percent of Total Billed Charges,110.85,,160.59,49.98,,Percent of Total Billed Charges,121.45,,111.30,295.6,,																																							
HC ASSAY OF ESTRADIOL,82670,CPT,,,,BOTH, , ,192.15,161.41,176.78,92,,Percent of Total Billed Charges,160.64,,176.78,92,,Percent of Total Billed Charges,157.76,,176.78,92,,Percent of Total Billed Charges,154.68,,176.78,92,,Percent of Total Billed Charges,160.45,,176.78,92,,Percent of Total Billed Charges,144.69,,176.78,92,,Percent of Total Billed Charges,120.09,,172.94,90,,Percent of Total Billed Charges,95.88,,171.01,89,,Percent of Total Billed Charges,92.23,,158.33,82.4,,Percent of Total Billed Charges,157.95,,160.25,83.4,,Percent of Total Billed Charges,149.49,,160.25,83.4,,Percent of Total Billed Charges,134.7,,160.25,83.4,,Percent of Total Billed Charges,156.41,,172.94,90,,Percent of Total Billed Charges,162.75,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,176.78,92,,Percent of Total Billed Charges,155.83,,176.78,92,,Percent of Total Billed Charges,142.96,,176.78,92,,Percent of Total Billed Charges,150.45,,176.78,92,,Percent of Total Billed Charges,155.83,,149.88,78,,Percent of Total Billed Charges,149.88,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,103.43,53.83,,Percent of Total Billed Charges,97.04,,66.56,34.64,,Percent of Total Billed Charges,66.29,,96.04,49.98,,Percent of Total Billed Charges,72.63,,66.56,176.78,,																																							
HC ESTROGEN, TOTAL,82672,CPT,,,,BOTH, , ,310.8,261.07,285.94,92,,Percent of Total Billed Charges,259.83,,285.94,92,,Percent of Total Billed Charges,255.17,,285.94,92,,Percent of Total Billed Charges,250.19,,285.94,92,,Percent of Total Billed Charges,259.52,,285.94,92,,Percent of Total Billed Charges,234.03,,285.94,92,,Percent of Total Billed Charges,194.25,,279.72,90,,Percent of Total Billed Charges,155.09,,276.61,89,,Percent of Total Billed Charges,149.18,,256.1,82.4,,Percent of Total Billed Charges,255.48,,259.21,83.4,,Percent of Total Billed Charges,241.8,,259.21,83.4,,Percent of Total Billed Charges,217.87,,259.21,83.4,,Percent of Total Billed Charges,252.99,,279.72,90,,Percent of Total Billed Charges,263.25,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,285.94,92,,Percent of Total Billed Charges,252.06,,285.94,92,,Percent of Total Billed Charges,231.24,,285.94,92,,Percent of Total Billed Charges,243.36,,285.94,92,,Percent of Total Billed Charges,252.06,,242.42,78,,Percent of Total Billed Charges,242.42,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,167.3,53.83,,Percent of Total Billed Charges,156.95,,107.66,34.64,,Percent of Total Billed Charges,107.23,,155.34,49.98,,Percent of Total Billed Charges,117.48,,107.66,285.94,,																																							
HC ASSAY OF ESTRIOL,82677,CPT,,,,BOTH, , ,171.15,143.77,157.46,92,,Percent of Total Billed Charges,143.08,,157.46,92,,Percent of Total Billed Charges,140.51,,157.46,92,,Percent of Total Billed Charges,137.78,,157.46,92,,Percent of Total Billed Charges,142.91,,157.46,92,,Percent of Total Billed Charges,128.88,,157.46,92,,Percent of Total Billed Charges,106.97,,154.04,90,,Percent of Total Billed Charges,85.4,,152.32,89,,Percent of Total Billed Charges,82.15,,141.03,82.4,,Percent of Total Billed Charges,140.69,,142.74,83.4,,Percent of Total Billed Charges,133.15,,142.74,83.4,,Percent of Total Billed Charges,119.98,,142.74,83.4,,Percent of Total Billed Charges,139.32,,154.04,90,,Percent of Total Billed Charges,144.96,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,157.46,92,,Percent of Total Billed Charges,138.8,,157.46,92,,Percent of Total Billed Charges,127.34,,157.46,92,,Percent of Total Billed Charges,134.01,,157.46,92,,Percent of Total Billed Charges,138.8,,133.5,78,,Percent of Total Billed Charges,133.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,92.13,53.83,,Percent of Total Billed Charges,86.43,,59.29,34.64,,Percent of Total Billed Charges,59.05,,85.54,49.98,,Percent of Total Billed Charges,64.69,,59.29,157.46,,																																							
HC ETHYLENE GLYCOL,82693,CPT,,,,BOTH, , ,15.75,13.23,14.49,92,,Percent of Total Billed Charges,13.17,,14.49,92,,Percent of Total Billed Charges,12.93,,14.49,92,,Percent of Total Billed Charges,12.68,,14.49,92,,Percent of Total Billed Charges,13.15,,14.49,92,,Percent of Total Billed Charges,11.86,,14.49,92,,Percent of Total Billed Charges,9.84,,14.18,90,,Percent of Total Billed Charges,7.86,,14.02,89,,Percent of Total Billed Charges,7.56,,12.98,82.4,,Percent of Total Billed Charges,12.95,,13.14,83.4,,Percent of Total Billed Charges,12.25,,13.14,83.4,,Percent of Total Billed Charges,11.04,,13.14,83.4,,Percent of Total Billed Charges,12.82,,14.18,90,,Percent of Total Billed Charges,13.34,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,14.49,92,,Percent of Total Billed Charges,12.77,,14.49,92,,Percent of Total Billed Charges,11.72,,14.49,92,,Percent of Total Billed Charges,12.33,,14.49,92,,Percent of Total Billed Charges,12.77,,12.29,78,,Percent of Total Billed Charges,12.29,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,8.48,53.83,,Percent of Total Billed Charges,7.95,,5.46,34.64,,Percent of Total Billed Charges,5.43,,7.87,49.98,,Percent of Total Billed Charges,5.95,,5.46,14.49,,																																							
HC FETAL FIBRONECTIN,82731,CPT,,,,BOTH, , ,875.7,735.59,805.64,92,,Percent of Total Billed Charges,732.09,,805.64,92,,Percent of Total Billed Charges,718.95,,805.64,92,,Percent of Total Billed Charges,704.94,,805.64,92,,Percent of Total Billed Charges,731.21,,805.64,92,,Percent of Total Billed Charges,659.4,,805.64,92,,Percent of Total Billed Charges,547.31,,788.13,90,,Percent of Total Billed Charges,436.97,,779.37,89,,Percent of Total Billed Charges,420.34,,721.58,82.4,,Percent of Total Billed Charges,719.83,,730.33,83.4,,Percent of Total Billed Charges,681.29,,730.33,83.4,,Percent of Total Billed Charges,613.87,,730.33,83.4,,Percent of Total Billed Charges,712.82,,788.13,90,,Percent of Total Billed Charges,741.72,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,805.64,92,,Percent of Total Billed Charges,710.19,,805.64,92,,Percent of Total Billed Charges,651.52,,805.64,92,,Percent of Total Billed Charges,685.67,,805.64,92,,Percent of Total Billed Charges,710.19,,683.05,78,,Percent of Total Billed Charges,683.05,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,471.39,53.83,,Percent of Total Billed Charges,442.23,,303.34,34.64,,Percent of Total Billed Charges,302.12,,437.67,49.98,,Percent of Total Billed Charges,331.01,,303.34,805.64,,																																							
HC ASSAY IGA/IGD/IGG/IGM EACH,82784,CPT,,,,BOTH, , ,182.7,153.47,168.08,92,,Percent of Total Billed Charges,152.74,,168.08,92,,Percent of Total Billed Charges,150,,168.08,92,,Percent of Total Billed Charges,147.07,,168.08,92,,Percent of Total Billed Charges,152.55,,168.08,92,,Percent of Total Billed Charges,137.57,,168.08,92,,Percent of Total Billed Charges,114.19,,164.43,90,,Percent of Total Billed Charges,91.17,,162.6,89,,Percent of Total Billed Charges,87.7,,150.54,82.4,,Percent of Total Billed Charges,150.18,,152.37,83.4,,Percent of Total Billed Charges,142.14,,152.37,83.4,,Percent of Total Billed Charges,128.07,,152.37,83.4,,Percent of Total Billed Charges,148.72,,164.43,90,,Percent of Total Billed Charges,154.75,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,168.08,92,,Percent of Total Billed Charges,148.17,,168.08,92,,Percent of Total Billed Charges,135.93,,168.08,92,,Percent of Total Billed Charges,143.05,,168.08,92,,Percent of Total Billed Charges,148.17,,142.51,78,,Percent of Total Billed Charges,142.51,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,98.35,53.83,,Percent of Total Billed Charges,92.26,,63.29,34.64,,Percent of Total Billed Charges,63.03,,91.31,49.98,,Percent of Total Billed Charges,69.06,,63.29,168.08,,																																							
HC IMMUNOGLOBULIN E,82785,CPT,,,,BOTH, , ,132.3,111.13,121.72,92,,Percent of Total Billed Charges,110.6,,121.72,92,,Percent of Total Billed Charges,108.62,,121.72,92,,Percent of Total Billed Charges,106.5,,121.72,92,,Percent of Total Billed Charges,110.47,,121.72,92,,Percent of Total Billed Charges,99.62,,121.72,92,,Percent of Total Billed Charges,82.69,,119.07,90,,Percent of Total Billed Charges,66.02,,117.75,89,,Percent of Total Billed Charges,63.5,,109.02,82.4,,Percent of Total Billed Charges,108.75,,110.34,83.4,,Percent of Total Billed Charges,102.93,,110.34,83.4,,Percent of Total Billed Charges,92.74,,110.34,83.4,,Percent of Total Billed Charges,107.69,,119.07,90,,Percent of Total Billed Charges,112.06,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,121.72,92,,Percent of Total Billed Charges,107.3,,121.72,92,,Percent of Total Billed Charges,98.43,,121.72,92,,Percent of Total Billed Charges,103.59,,121.72,92,,Percent of Total Billed Charges,107.3,,103.19,78,,Percent of Total Billed Charges,103.19,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,71.22,53.83,,Percent of Total Billed Charges,66.81,,45.83,34.64,,Percent of Total Billed Charges,45.64,,66.12,49.98,,Percent of Total Billed Charges,50.01,,45.83,121.72,,																																							
HC PH BLOOD,82800,CPT,,,,BOTH, , ,68.25,57.33,62.79,92,,Percent of Total Billed Charges,57.06,,62.79,92,,Percent of Total Billed Charges,56.03,,62.79,92,,Percent of Total Billed Charges,54.94,,62.79,92,,Percent of Total Billed Charges,56.99,,62.79,92,,Percent of Total Billed Charges,51.39,,62.79,92,,Percent of Total Billed Charges,42.66,,61.43,90,,Percent of Total Billed Charges,34.06,,60.74,89,,Percent of Total Billed Charges,32.76,,56.24,82.4,,Percent of Total Billed Charges,56.1,,56.92,83.4,,Percent of Total Billed Charges,53.1,,56.92,83.4,,Percent of Total Billed Charges,47.84,,56.92,83.4,,Percent of Total Billed Charges,55.56,,61.43,90,,Percent of Total Billed Charges,57.81,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,62.79,92,,Percent of Total Billed Charges,55.35,,62.79,92,,Percent of Total Billed Charges,50.78,,62.79,92,,Percent of Total Billed Charges,53.44,,62.79,92,,Percent of Total Billed Charges,55.35,,53.24,78,,Percent of Total Billed Charges,53.24,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,36.74,53.83,,Percent of Total Billed Charges,34.47,,23.64,34.64,,Percent of Total Billed Charges,23.55,,34.11,49.98,,Percent of Total Billed Charges,25.8,,23.64,62.79,,																																							
HC ARTERIAL BLOOD GAS ANALYSIS,82803,CPT,,,,BOTH, , ,269.85,226.67,248.26,92,,Percent of Total Billed Charges,225.59,,248.26,92,,Percent of Total Billed Charges,221.55,,248.26,92,,Percent of Total Billed Charges,217.23,,248.26,92,,Percent of Total Billed Charges,225.32,,248.26,92,,Percent of Total Billed Charges,203.2,,248.26,92,,Percent of Total Billed Charges,168.66,,242.87,90,,Percent of Total Billed Charges,134.66,,240.17,89,,Percent of Total Billed Charges,129.53,,222.36,82.4,,Percent of Total Billed Charges,221.82,,225.05,83.4,,Percent of Total Billed Charges,209.94,,225.05,83.4,,Percent of Total Billed Charges,189.16,,225.05,83.4,,Percent of Total Billed Charges,219.66,,242.87,90,,Percent of Total Billed Charges,228.56,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,248.26,92,,Percent of Total Billed Charges,218.85,,248.26,92,,Percent of Total Billed Charges,200.77,,248.26,92,,Percent of Total Billed Charges,211.29,,248.26,92,,Percent of Total Billed Charges,218.85,,210.48,78,,Percent of Total Billed Charges,210.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,145.26,53.83,,Percent of Total Billed Charges,136.27,,93.48,34.64,,Percent of Total Billed Charges,93.1,,134.87,49.98,,Percent of Total Billed Charges,102,,93.48,248.26,,																																							
HC BLOOD GASES O2 SAT ONLY,82810,CPT,,,,BOTH, , ,46.2,38.81,42.5,92,,Percent of Total Billed Charges,38.62,,42.5,92,,Percent of Total Billed Charges,37.93,,42.5,92,,Percent of Total Billed Charges,37.19,,42.5,92,,Percent of Total Billed Charges,38.58,,42.5,92,,Percent of Total Billed Charges,34.79,,42.5,92,,Percent of Total Billed Charges,28.88,,41.58,90,,Percent of Total Billed Charges,23.05,,41.12,89,,Percent of Total Billed Charges,22.18,,38.07,82.4,,Percent of Total Billed Charges,37.98,,38.53,83.4,,Percent of Total Billed Charges,35.94,,38.53,83.4,,Percent of Total Billed Charges,32.39,,38.53,83.4,,Percent of Total Billed Charges,37.61,,41.58,90,,Percent of Total Billed Charges,39.13,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,42.5,92,,Percent of Total Billed Charges,37.47,,42.5,92,,Percent of Total Billed Charges,34.37,,42.5,92,,Percent of Total Billed Charges,36.17,,42.5,92,,Percent of Total Billed Charges,37.47,,36.04,78,,Percent of Total Billed Charges,36.04,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,24.87,53.83,,Percent of Total Billed Charges,23.33,,16,34.64,,Percent of Total Billed Charges,15.94,,23.09,49.98,,Percent of Total Billed Charges,17.46,,16.00,42.5,,																																							
HC GLUCOSE 6 PHOSPHATE DEHYDROGENASE QT,82955,CPT,,,,BOTH, , ,222.6,186.98,204.79,92,,Percent of Total Billed Charges,186.09,,204.79,92,,Percent of Total Billed Charges,182.75,,204.79,92,,Percent of Total Billed Charges,179.19,,204.79,92,,Percent of Total Billed Charges,185.87,,204.79,92,,Percent of Total Billed Charges,167.62,,204.79,92,,Percent of Total Billed Charges,139.13,,200.34,90,,Percent of Total Billed Charges,111.08,,198.11,89,,Percent of Total Billed Charges,106.85,,183.42,82.4,,Percent of Total Billed Charges,182.98,,185.65,83.4,,Percent of Total Billed Charges,173.18,,185.65,83.4,,Percent of Total Billed Charges,156.04,,185.65,83.4,,Percent of Total Billed Charges,181.2,,200.34,90,,Percent of Total Billed Charges,188.54,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,204.79,92,,Percent of Total Billed Charges,180.53,,204.79,92,,Percent of Total Billed Charges,165.61,,204.79,92,,Percent of Total Billed Charges,174.3,,204.79,92,,Percent of Total Billed Charges,180.53,,173.63,78,,Percent of Total Billed Charges,173.63,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,119.83,53.83,,Percent of Total Billed Charges,112.41,,77.11,34.64,,Percent of Total Billed Charges,76.8,,111.26,49.98,,Percent of Total Billed Charges,84.14,,77.11,204.79,,																																							
HC POC GLUCOSE,82962,CPT,,,,BOTH, , ,12.6,10.58,11.59,92,,Percent of Total Billed Charges,10.53,,11.59,92,,Percent of Total Billed Charges,10.34,,11.59,92,,Percent of Total Billed Charges,10.14,,11.59,92,,Percent of Total Billed Charges,10.52,,11.59,92,,Percent of Total Billed Charges,9.49,,11.59,92,,Percent of Total Billed Charges,7.88,,11.34,90,,Percent of Total Billed Charges,6.29,,11.21,89,,Percent of Total Billed Charges,6.05,,10.38,82.4,,Percent of Total Billed Charges,10.36,,10.51,83.4,,Percent of Total Billed Charges,9.8,,10.51,83.4,,Percent of Total Billed Charges,8.83,,10.51,83.4,,Percent of Total Billed Charges,10.26,,11.34,90,,Percent of Total Billed Charges,10.67,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,11.59,92,,Percent of Total Billed Charges,10.22,,11.59,92,,Percent of Total Billed Charges,9.37,,11.59,92,,Percent of Total Billed Charges,9.87,,11.59,92,,Percent of Total Billed Charges,10.22,,9.83,78,,Percent of Total Billed Charges,9.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6.78,53.83,,Percent of Total Billed Charges,6.36,,4.36,34.64,,Percent of Total Billed Charges,4.35,,6.3,49.98,,Percent of Total Billed Charges,4.76,,4.36,11.59,,																																							
HC ASSAY OF GLYCATED PROTEIN,82985,CPT,,,,BOTH, , ,14.7,12.35,13.52,92,,Percent of Total Billed Charges,12.29,,13.52,92,,Percent of Total Billed Charges,12.07,,13.52,92,,Percent of Total Billed Charges,11.83,,13.52,92,,Percent of Total Billed Charges,12.27,,13.52,92,,Percent of Total Billed Charges,11.07,,13.52,92,,Percent of Total Billed Charges,9.19,,13.23,90,,Percent of Total Billed Charges,7.34,,13.08,89,,Percent of Total Billed Charges,7.06,,12.11,82.4,,Percent of Total Billed Charges,12.08,,12.26,83.4,,Percent of Total Billed Charges,11.44,,12.26,83.4,,Percent of Total Billed Charges,10.3,,12.26,83.4,,Percent of Total Billed Charges,11.97,,13.23,90,,Percent of Total Billed Charges,12.45,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,13.52,92,,Percent of Total Billed Charges,11.92,,13.52,92,,Percent of Total Billed Charges,10.94,,13.52,92,,Percent of Total Billed Charges,11.51,,13.52,92,,Percent of Total Billed Charges,11.92,,11.47,78,,Percent of Total Billed Charges,11.47,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,7.91,53.83,,Percent of Total Billed Charges,7.42,,5.09,34.64,,Percent of Total Billed Charges,5.07,,7.35,49.98,,Percent of Total Billed Charges,5.56,,5.09,13.52,,																																							
HC ASSAY OF HAPTOGLOBIN QUANT,83010,CPT,,,,BOTH, , ,131.25,110.25,120.75,92,,Percent of Total Billed Charges,109.73,,120.75,92,,Percent of Total Billed Charges,107.76,,120.75,92,,Percent of Total Billed Charges,105.66,,120.75,92,,Percent of Total Billed Charges,109.59,,120.75,92,,Percent of Total Billed Charges,98.83,,120.75,92,,Percent of Total Billed Charges,82.03,,118.13,90,,Percent of Total Billed Charges,65.49,,116.81,89,,Percent of Total Billed Charges,63,,108.15,82.4,,Percent of Total Billed Charges,107.89,,109.46,83.4,,Percent of Total Billed Charges,102.11,,109.46,83.4,,Percent of Total Billed Charges,92.01,,109.46,83.4,,Percent of Total Billed Charges,106.84,,118.13,90,,Percent of Total Billed Charges,111.17,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,120.75,92,,Percent of Total Billed Charges,106.44,,120.75,92,,Percent of Total Billed Charges,97.65,,120.75,92,,Percent of Total Billed Charges,102.77,,120.75,92,,Percent of Total Billed Charges,106.44,,102.38,78,,Percent of Total Billed Charges,102.38,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,70.65,53.83,,Percent of Total Billed Charges,66.28,,45.47,34.64,,Percent of Total Billed Charges,45.28,,65.6,49.98,,Percent of Total Billed Charges,49.61,,45.47,120.75,,																																							
HC H PYLORI BREATH TEST,83013,CPT,,,,BOTH, , ,607.95,510.68,559.31,92,,Percent of Total Billed Charges,508.25,,559.31,92,,Percent of Total Billed Charges,499.13,,559.31,92,,Percent of Total Billed Charges,489.4,,559.31,92,,Percent of Total Billed Charges,507.64,,559.31,92,,Percent of Total Billed Charges,457.79,,559.31,92,,Percent of Total Billed Charges,379.97,,547.16,90,,Percent of Total Billed Charges,303.37,,541.08,89,,Percent of Total Billed Charges,291.82,,500.95,82.4,,Percent of Total Billed Charges,499.73,,507.03,83.4,,Percent of Total Billed Charges,472.99,,507.03,83.4,,Percent of Total Billed Charges,426.17,,507.03,83.4,,Percent of Total Billed Charges,494.87,,547.16,90,,Percent of Total Billed Charges,514.93,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,559.31,92,,Percent of Total Billed Charges,493.05,,559.31,92,,Percent of Total Billed Charges,452.31,,559.31,92,,Percent of Total Billed Charges,476.02,,559.31,92,,Percent of Total Billed Charges,493.05,,474.2,78,,Percent of Total Billed Charges,474.2,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,327.26,53.83,,Percent of Total Billed Charges,307.01,,210.59,34.64,,Percent of Total Billed Charges,209.74,,303.85,49.98,,Percent of Total Billed Charges,229.81,,210.59,559.31,,																																							
HC QUANTITATIVE SCREEN METALS,83018,CPT,,,,BOTH, , ,238.35,200.21,219.28,92,,Percent of Total Billed Charges,199.26,,219.28,92,,Percent of Total Billed Charges,195.69,,219.28,92,,Percent of Total Billed Charges,191.87,,219.28,92,,Percent of Total Billed Charges,199.02,,219.28,92,,Percent of Total Billed Charges,179.48,,219.28,92,,Percent of Total Billed Charges,148.97,,214.52,90,,Percent of Total Billed Charges,118.94,,212.13,89,,Percent of Total Billed Charges,114.41,,196.4,82.4,,Percent of Total Billed Charges,195.92,,198.78,83.4,,Percent of Total Billed Charges,185.44,,198.78,83.4,,Percent of Total Billed Charges,167.08,,198.78,83.4,,Percent of Total Billed Charges,194.02,,214.52,90,,Percent of Total Billed Charges,201.88,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,219.28,92,,Percent of Total Billed Charges,193.3,,219.28,92,,Percent of Total Billed Charges,177.33,,219.28,92,,Percent of Total Billed Charges,186.63,,219.28,92,,Percent of Total Billed Charges,193.3,,185.91,78,,Percent of Total Billed Charges,185.91,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,128.3,53.83,,Percent of Total Billed Charges,120.37,,82.56,34.64,,Percent of Total Billed Charges,82.23,,119.13,49.98,,Percent of Total Billed Charges,90.1,,82.56,219.28,,																																							
HC HEMOGLOBIN CHROMOTOGRAPHY,83021,CPT,,,,BOTH, , ,216.3,181.69,199,92,,Percent of Total Billed Charges,180.83,,199,92,,Percent of Total Billed Charges,177.58,,199,92,,Percent of Total Billed Charges,174.12,,199,92,,Percent of Total Billed Charges,180.61,,199,92,,Percent of Total Billed Charges,162.87,,199,92,,Percent of Total Billed Charges,135.19,,194.67,90,,Percent of Total Billed Charges,107.93,,192.51,89,,Percent of Total Billed Charges,103.82,,178.23,82.4,,Percent of Total Billed Charges,177.8,,180.39,83.4,,Percent of Total Billed Charges,168.28,,180.39,83.4,,Percent of Total Billed Charges,151.63,,180.39,83.4,,Percent of Total Billed Charges,176.07,,194.67,90,,Percent of Total Billed Charges,183.21,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,199,92,,Percent of Total Billed Charges,175.42,,199,92,,Percent of Total Billed Charges,160.93,,199,92,,Percent of Total Billed Charges,169.36,,199,92,,Percent of Total Billed Charges,175.42,,168.71,78,,Percent of Total Billed Charges,168.71,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,116.43,53.83,,Percent of Total Billed Charges,109.23,,74.93,34.64,,Percent of Total Billed Charges,74.62,,108.11,49.98,,Percent of Total Billed Charges,81.76,,74.93,199,,																																							
HC BLOOD METHEMOGLOBIN ASSAY,83050,CPT,,,,BOTH, , ,67.2,56.45,61.82,92,,Percent of Total Billed Charges,56.18,,61.82,92,,Percent of Total Billed Charges,55.17,,61.82,92,,Percent of Total Billed Charges,54.1,,61.82,92,,Percent of Total Billed Charges,56.11,,61.82,92,,Percent of Total Billed Charges,50.6,,61.82,92,,Percent of Total Billed Charges,42,,60.48,90,,Percent of Total Billed Charges,33.53,,59.81,89,,Percent of Total Billed Charges,32.26,,55.37,82.4,,Percent of Total Billed Charges,55.24,,56.04,83.4,,Percent of Total Billed Charges,52.28,,56.04,83.4,,Percent of Total Billed Charges,47.11,,56.04,83.4,,Percent of Total Billed Charges,54.7,,60.48,90,,Percent of Total Billed Charges,56.92,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,61.82,92,,Percent of Total Billed Charges,54.5,,61.82,92,,Percent of Total Billed Charges,50,,61.82,92,,Percent of Total Billed Charges,52.62,,61.82,92,,Percent of Total Billed Charges,54.5,,52.42,78,,Percent of Total Billed Charges,52.42,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,36.17,53.83,,Percent of Total Billed Charges,33.94,,23.28,34.64,,Percent of Total Billed Charges,23.18,,33.59,49.98,,Percent of Total Billed Charges,25.4,,23.28,61.82,,																																							
HC ASSAY OF HEMOSIDERIN QUAL,83070,CPT,,,,BOTH, , ,148.05,124.36,136.21,92,,Percent of Total Billed Charges,123.77,,136.21,92,,Percent of Total Billed Charges,121.55,,136.21,92,,Percent of Total Billed Charges,119.18,,136.21,92,,Percent of Total Billed Charges,123.62,,136.21,92,,Percent of Total Billed Charges,111.48,,136.21,92,,Percent of Total Billed Charges,92.53,,133.25,90,,Percent of Total Billed Charges,73.88,,131.76,89,,Percent of Total Billed Charges,71.06,,121.99,82.4,,Percent of Total Billed Charges,121.7,,123.47,83.4,,Percent of Total Billed Charges,115.18,,123.47,83.4,,Percent of Total Billed Charges,103.78,,123.47,83.4,,Percent of Total Billed Charges,120.51,,133.25,90,,Percent of Total Billed Charges,125.4,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,136.21,92,,Percent of Total Billed Charges,120.07,,136.21,92,,Percent of Total Billed Charges,110.15,,136.21,92,,Percent of Total Billed Charges,115.92,,136.21,92,,Percent of Total Billed Charges,120.07,,115.48,78,,Percent of Total Billed Charges,115.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,79.7,53.83,,Percent of Total Billed Charges,74.77,,51.28,34.64,,Percent of Total Billed Charges,51.08,,74,49.98,,Percent of Total Billed Charges,55.96,,51.28,136.21,,																																							
HC ASSAY OF HISTAMINE,83088,CPT,,,,BOTH, , ,456.75,383.67,420.21,92,,Percent of Total Billed Charges,381.84,,420.21,92,,Percent of Total Billed Charges,374.99,,420.21,92,,Percent of Total Billed Charges,367.68,,420.21,92,,Percent of Total Billed Charges,381.39,,420.21,92,,Percent of Total Billed Charges,343.93,,420.21,92,,Percent of Total Billed Charges,285.47,,411.08,90,,Percent of Total Billed Charges,227.92,,406.51,89,,Percent of Total Billed Charges,219.24,,376.36,82.4,,Percent of Total Billed Charges,375.45,,380.93,83.4,,Percent of Total Billed Charges,355.35,,380.93,83.4,,Percent of Total Billed Charges,320.18,,380.93,83.4,,Percent of Total Billed Charges,371.79,,411.08,90,,Percent of Total Billed Charges,386.87,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,420.21,92,,Percent of Total Billed Charges,370.42,,420.21,92,,Percent of Total Billed Charges,339.82,,420.21,92,,Percent of Total Billed Charges,357.64,,420.21,92,,Percent of Total Billed Charges,370.42,,356.27,78,,Percent of Total Billed Charges,356.27,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,245.87,53.83,,Percent of Total Billed Charges,230.66,,158.22,34.64,,Percent of Total Billed Charges,157.58,,228.28,49.98,,Percent of Total Billed Charges,172.65,,158.22,420.21,,																																							
HC ASSAY OF HOMOCYSTEINE,83090,CPT,,,,BOTH, , ,354.9,298.12,326.51,92,,Percent of Total Billed Charges,296.7,,326.51,92,,Percent of Total Billed Charges,291.37,,326.51,92,,Percent of Total Billed Charges,285.69,,326.51,92,,Percent of Total Billed Charges,296.34,,326.51,92,,Percent of Total Billed Charges,267.24,,326.51,92,,Percent of Total Billed Charges,221.81,,319.41,90,,Percent of Total Billed Charges,177.1,,315.86,89,,Percent of Total Billed Charges,170.35,,292.44,82.4,,Percent of Total Billed Charges,291.73,,295.99,83.4,,Percent of Total Billed Charges,276.11,,295.99,83.4,,Percent of Total Billed Charges,248.78,,295.99,83.4,,Percent of Total Billed Charges,288.89,,319.41,90,,Percent of Total Billed Charges,300.6,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,326.51,92,,Percent of Total Billed Charges,287.82,,326.51,92,,Percent of Total Billed Charges,264.05,,326.51,92,,Percent of Total Billed Charges,277.89,,326.51,92,,Percent of Total Billed Charges,287.82,,276.82,78,,Percent of Total Billed Charges,276.82,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,191.04,53.83,,Percent of Total Billed Charges,179.22,,122.94,34.64,,Percent of Total Billed Charges,122.44,,177.38,49.98,,Percent of Total Billed Charges,134.15,,122.94,326.51,,																																							
HC HOMOVANILLIC ACID,83150,CPT,,,,BOTH, , ,306.6,257.54,282.07,92,,Percent of Total Billed Charges,256.32,,282.07,92,,Percent of Total Billed Charges,251.72,,282.07,92,,Percent of Total Billed Charges,246.81,,282.07,92,,Percent of Total Billed Charges,256.01,,282.07,92,,Percent of Total Billed Charges,230.87,,282.07,92,,Percent of Total Billed Charges,191.63,,275.94,90,,Percent of Total Billed Charges,152.99,,272.87,89,,Percent of Total Billed Charges,147.17,,252.64,82.4,,Percent of Total Billed Charges,252.03,,255.7,83.4,,Percent of Total Billed Charges,238.53,,255.7,83.4,,Percent of Total Billed Charges,214.93,,255.7,83.4,,Percent of Total Billed Charges,249.57,,275.94,90,,Percent of Total Billed Charges,259.69,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,282.07,92,,Percent of Total Billed Charges,248.65,,282.07,92,,Percent of Total Billed Charges,228.11,,282.07,92,,Percent of Total Billed Charges,240.07,,282.07,92,,Percent of Total Billed Charges,248.65,,239.15,78,,Percent of Total Billed Charges,239.15,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,165.04,53.83,,Percent of Total Billed Charges,154.83,,106.21,34.64,,Percent of Total Billed Charges,105.78,,153.24,49.98,,Percent of Total Billed Charges,115.89,,106.21,282.07,,																																							
HC ASSAY OF CORTICOSTEROIDS 17,83491,CPT,,,,BOTH, , ,296.1,248.72,272.41,92,,Percent of Total Billed Charges,247.54,,272.41,92,,Percent of Total Billed Charges,243.1,,272.41,92,,Percent of Total Billed Charges,238.36,,272.41,92,,Percent of Total Billed Charges,247.24,,272.41,92,,Percent of Total Billed Charges,222.96,,272.41,92,,Percent of Total Billed Charges,185.06,,266.49,90,,Percent of Total Billed Charges,147.75,,263.53,89,,Percent of Total Billed Charges,142.13,,243.99,82.4,,Percent of Total Billed Charges,243.39,,246.95,83.4,,Percent of Total Billed Charges,230.37,,246.95,83.4,,Percent of Total Billed Charges,207.57,,246.95,83.4,,Percent of Total Billed Charges,241.03,,266.49,90,,Percent of Total Billed Charges,250.8,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,272.41,92,,Percent of Total Billed Charges,240.14,,272.41,92,,Percent of Total Billed Charges,220.3,,272.41,92,,Percent of Total Billed Charges,231.85,,272.41,92,,Percent of Total Billed Charges,240.14,,230.96,78,,Percent of Total Billed Charges,230.96,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,159.39,53.83,,Percent of Total Billed Charges,149.53,,102.57,34.64,,Percent of Total Billed Charges,102.15,,147.99,49.98,,Percent of Total Billed Charges,111.93,,102.57,272.41,,																																							
HC HYDROXYINDOLEACETIC ACID, 5(HIAA),83497,CPT,,,,BOTH, , ,212.1,178.16,195.13,92,,Percent of Total Billed Charges,177.32,,195.13,92,,Percent of Total Billed Charges,174.13,,195.13,92,,Percent of Total Billed Charges,170.74,,195.13,92,,Percent of Total Billed Charges,177.1,,195.13,92,,Percent of Total Billed Charges,159.71,,195.13,92,,Percent of Total Billed Charges,132.56,,190.89,90,,Percent of Total Billed Charges,105.84,,188.77,89,,Percent of Total Billed Charges,101.81,,174.77,82.4,,Percent of Total Billed Charges,174.35,,176.89,83.4,,Percent of Total Billed Charges,165.01,,176.89,83.4,,Percent of Total Billed Charges,148.68,,176.89,83.4,,Percent of Total Billed Charges,172.65,,190.89,90,,Percent of Total Billed Charges,179.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,195.13,92,,Percent of Total Billed Charges,172.01,,195.13,92,,Percent of Total Billed Charges,157.8,,195.13,92,,Percent of Total Billed Charges,166.07,,195.13,92,,Percent of Total Billed Charges,172.01,,165.44,78,,Percent of Total Billed Charges,165.44,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,114.17,53.83,,Percent of Total Billed Charges,107.11,,73.47,34.64,,Percent of Total Billed Charges,73.17,,106.01,49.98,,Percent of Total Billed Charges,80.17,,73.47,195.13,,																																							
HC IMMUNOASSAY NONANTIBODY,83516,CPT,,,,BOTH, , ,261.45,219.62,240.53,92,,Percent of Total Billed Charges,218.57,,240.53,92,,Percent of Total Billed Charges,214.65,,240.53,92,,Percent of Total Billed Charges,210.47,,240.53,92,,Percent of Total Billed Charges,218.31,,240.53,92,,Percent of Total Billed Charges,196.87,,240.53,92,,Percent of Total Billed Charges,163.41,,235.31,90,,Percent of Total Billed Charges,130.46,,232.69,89,,Percent of Total Billed Charges,125.5,,215.43,82.4,,Percent of Total Billed Charges,214.91,,218.05,83.4,,Percent of Total Billed Charges,203.41,,218.05,83.4,,Percent of Total Billed Charges,183.28,,218.05,83.4,,Percent of Total Billed Charges,212.82,,235.31,90,,Percent of Total Billed Charges,221.45,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,240.53,92,,Percent of Total Billed Charges,212.04,,240.53,92,,Percent of Total Billed Charges,194.52,,240.53,92,,Percent of Total Billed Charges,204.72,,240.53,92,,Percent of Total Billed Charges,212.04,,203.93,78,,Percent of Total Billed Charges,203.93,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,140.74,53.83,,Percent of Total Billed Charges,132.03,,90.57,34.64,,Percent of Total Billed Charges,90.2,,130.67,49.98,,Percent of Total Billed Charges,98.83,,90.57,240.53,,																																							
HC RIA NONANTIBODY,83519,CPT,,,,BOTH, , ,589.05,494.8,541.93,92,,Percent of Total Billed Charges,492.45,,541.93,92,,Percent of Total Billed Charges,483.61,,541.93,92,,Percent of Total Billed Charges,474.19,,541.93,92,,Percent of Total Billed Charges,491.86,,541.93,92,,Percent of Total Billed Charges,443.55,,541.93,92,,Percent of Total Billed Charges,368.16,,530.15,90,,Percent of Total Billed Charges,293.94,,524.25,89,,Percent of Total Billed Charges,282.74,,485.38,82.4,,Percent of Total Billed Charges,484.2,,491.27,83.4,,Percent of Total Billed Charges,458.28,,491.27,83.4,,Percent of Total Billed Charges,412.92,,491.27,83.4,,Percent of Total Billed Charges,479.49,,530.15,90,,Percent of Total Billed Charges,498.93,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,541.93,92,,Percent of Total Billed Charges,477.72,,541.93,92,,Percent of Total Billed Charges,438.25,,541.93,92,,Percent of Total Billed Charges,461.23,,541.93,92,,Percent of Total Billed Charges,477.72,,459.46,78,,Percent of Total Billed Charges,459.46,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,317.09,53.83,,Percent of Total Billed Charges,297.47,,204.05,34.64,,Percent of Total Billed Charges,203.22,,294.41,49.98,,Percent of Total Billed Charges,222.66,,204.05,541.93,,																																							
HC ASSAY OF INSULIN TOTAL,83525,CPT,,,,BOTH, , ,177.45,149.06,163.25,92,,Percent of Total Billed Charges,148.35,,163.25,92,,Percent of Total Billed Charges,145.69,,163.25,92,,Percent of Total Billed Charges,142.85,,163.25,92,,Percent of Total Billed Charges,148.17,,163.25,92,,Percent of Total Billed Charges,133.62,,163.25,92,,Percent of Total Billed Charges,110.91,,159.71,90,,Percent of Total Billed Charges,88.55,,157.93,89,,Percent of Total Billed Charges,85.18,,146.22,82.4,,Percent of Total Billed Charges,145.86,,147.99,83.4,,Percent of Total Billed Charges,138.06,,147.99,83.4,,Percent of Total Billed Charges,124.39,,147.99,83.4,,Percent of Total Billed Charges,144.44,,159.71,90,,Percent of Total Billed Charges,150.3,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,163.25,92,,Percent of Total Billed Charges,143.91,,163.25,92,,Percent of Total Billed Charges,132.02,,163.25,92,,Percent of Total Billed Charges,138.94,,163.25,92,,Percent of Total Billed Charges,143.91,,138.41,78,,Percent of Total Billed Charges,138.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,95.52,53.83,,Percent of Total Billed Charges,89.61,,61.47,34.64,,Percent of Total Billed Charges,61.22,,88.69,49.98,,Percent of Total Billed Charges,67.08,,61.47,163.25,,																																							
HC INSULIN FREE,83527,CPT,,,,BOTH, , ,25.2,21.17,23.18,92,,Percent of Total Billed Charges,21.07,,23.18,92,,Percent of Total Billed Charges,20.69,,23.18,92,,Percent of Total Billed Charges,20.29,,23.18,92,,Percent of Total Billed Charges,21.04,,23.18,92,,Percent of Total Billed Charges,18.98,,23.18,92,,Percent of Total Billed Charges,15.75,,22.68,90,,Percent of Total Billed Charges,12.57,,22.43,89,,Percent of Total Billed Charges,12.1,,20.76,82.4,,Percent of Total Billed Charges,20.71,,21.02,83.4,,Percent of Total Billed Charges,19.61,,21.02,83.4,,Percent of Total Billed Charges,17.67,,21.02,83.4,,Percent of Total Billed Charges,20.51,,22.68,90,,Percent of Total Billed Charges,21.34,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,23.18,92,,Percent of Total Billed Charges,20.44,,23.18,92,,Percent of Total Billed Charges,18.75,,23.18,92,,Percent of Total Billed Charges,19.73,,23.18,92,,Percent of Total Billed Charges,20.44,,19.66,78,,Percent of Total Billed Charges,19.66,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,13.57,53.83,,Percent of Total Billed Charges,12.73,,8.73,34.64,,Percent of Total Billed Charges,8.69,,12.59,49.98,,Percent of Total Billed Charges,9.53,,8.73,23.18,,																																							
HC ASSAY OF LEAD,83655,CPT,,,,BOTH, , ,194.25,163.17,178.71,92,,Percent of Total Billed Charges,162.39,,178.71,92,,Percent of Total Billed Charges,159.48,,178.71,92,,Percent of Total Billed Charges,156.37,,178.71,92,,Percent of Total Billed Charges,162.2,,178.71,92,,Percent of Total Billed Charges,146.27,,178.71,92,,Percent of Total Billed Charges,121.41,,174.83,90,,Percent of Total Billed Charges,96.93,,172.88,89,,Percent of Total Billed Charges,93.24,,160.06,82.4,,Percent of Total Billed Charges,159.67,,162,83.4,,Percent of Total Billed Charges,151.13,,162,83.4,,Percent of Total Billed Charges,136.17,,162,83.4,,Percent of Total Billed Charges,158.12,,174.83,90,,Percent of Total Billed Charges,164.53,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,178.71,92,,Percent of Total Billed Charges,157.54,,178.71,92,,Percent of Total Billed Charges,144.52,,178.71,92,,Percent of Total Billed Charges,152.1,,178.71,92,,Percent of Total Billed Charges,157.54,,151.52,78,,Percent of Total Billed Charges,151.52,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,104.56,53.83,,Percent of Total Billed Charges,98.1,,67.29,34.64,,Percent of Total Billed Charges,67.02,,97.09,49.98,,Percent of Total Billed Charges,73.43,,67.29,178.71,,																																							
HC LIPOPROTEIN A,83695,CPT,,,,BOTH, , ,276.15,231.97,254.06,92,,Percent of Total Billed Charges,230.86,,254.06,92,,Percent of Total Billed Charges,226.72,,254.06,92,,Percent of Total Billed Charges,222.3,,254.06,92,,Percent of Total Billed Charges,230.59,,254.06,92,,Percent of Total Billed Charges,207.94,,254.06,92,,Percent of Total Billed Charges,172.59,,248.54,90,,Percent of Total Billed Charges,137.8,,245.77,89,,Percent of Total Billed Charges,132.55,,227.55,82.4,,Percent of Total Billed Charges,227,,230.31,83.4,,Percent of Total Billed Charges,214.84,,230.31,83.4,,Percent of Total Billed Charges,193.58,,230.31,83.4,,Percent of Total Billed Charges,224.79,,248.54,90,,Percent of Total Billed Charges,233.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,254.06,92,,Percent of Total Billed Charges,223.96,,254.06,92,,Percent of Total Billed Charges,205.46,,254.06,92,,Percent of Total Billed Charges,216.23,,254.06,92,,Percent of Total Billed Charges,223.96,,215.4,78,,Percent of Total Billed Charges,215.4,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,148.65,53.83,,Percent of Total Billed Charges,139.46,,95.66,34.64,,Percent of Total Billed Charges,95.27,,138.02,49.98,,Percent of Total Billed Charges,104.38,,95.66,254.06,,																																							
HC LIPOPROTEIN BLD HR FRACTION,83701,CPT,,,,BOTH, , ,131.25,110.25,120.75,92,,Percent of Total Billed Charges,109.73,,120.75,92,,Percent of Total Billed Charges,107.76,,120.75,92,,Percent of Total Billed Charges,105.66,,120.75,92,,Percent of Total Billed Charges,109.59,,120.75,92,,Percent of Total Billed Charges,98.83,,120.75,92,,Percent of Total Billed Charges,82.03,,118.13,90,,Percent of Total Billed Charges,65.49,,116.81,89,,Percent of Total Billed Charges,63,,108.15,82.4,,Percent of Total Billed Charges,107.89,,109.46,83.4,,Percent of Total Billed Charges,102.11,,109.46,83.4,,Percent of Total Billed Charges,92.01,,109.46,83.4,,Percent of Total Billed Charges,106.84,,118.13,90,,Percent of Total Billed Charges,111.17,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,120.75,92,,Percent of Total Billed Charges,106.44,,120.75,92,,Percent of Total Billed Charges,97.65,,120.75,92,,Percent of Total Billed Charges,102.77,,120.75,92,,Percent of Total Billed Charges,106.44,,102.38,78,,Percent of Total Billed Charges,102.38,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,70.65,53.83,,Percent of Total Billed Charges,66.28,,45.47,34.64,,Percent of Total Billed Charges,45.28,,65.6,49.98,,Percent of Total Billed Charges,49.61,,45.47,120.75,,																																							
HC LIPOPROTEIN BLD BY NMR,83704,CPT,,,,BOTH, , ,371.7,312.23,341.96,92,,Percent of Total Billed Charges,310.74,,341.96,92,,Percent of Total Billed Charges,305.17,,341.96,92,,Percent of Total Billed Charges,299.22,,341.96,92,,Percent of Total Billed Charges,310.37,,341.96,92,,Percent of Total Billed Charges,279.89,,341.96,92,,Percent of Total Billed Charges,232.31,,334.53,90,,Percent of Total Billed Charges,185.48,,330.81,89,,Percent of Total Billed Charges,178.42,,306.28,82.4,,Percent of Total Billed Charges,305.54,,310,83.4,,Percent of Total Billed Charges,289.18,,310,83.4,,Percent of Total Billed Charges,260.56,,310,83.4,,Percent of Total Billed Charges,302.56,,334.53,90,,Percent of Total Billed Charges,314.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,341.96,92,,Percent of Total Billed Charges,301.45,,341.96,92,,Percent of Total Billed Charges,276.54,,341.96,92,,Percent of Total Billed Charges,291.04,,341.96,92,,Percent of Total Billed Charges,301.45,,289.93,78,,Percent of Total Billed Charges,289.93,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,200.09,53.83,,Percent of Total Billed Charges,187.71,,128.76,34.64,,Percent of Total Billed Charges,128.24,,185.78,49.98,,Percent of Total Billed Charges,140.5,,128.76,341.96,,																																							
HC VLDL CHOLESTEROL,83719,CPT,,,,BOTH, , ,108.15,90.85,99.5,92,,Percent of Total Billed Charges,90.41,,99.5,92,,Percent of Total Billed Charges,88.79,,99.5,92,,Percent of Total Billed Charges,87.06,,99.5,92,,Percent of Total Billed Charges,90.31,,99.5,92,,Percent of Total Billed Charges,81.44,,99.5,92,,Percent of Total Billed Charges,67.59,,97.34,90,,Percent of Total Billed Charges,53.97,,96.25,89,,Percent of Total Billed Charges,51.91,,89.12,82.4,,Percent of Total Billed Charges,88.9,,90.2,83.4,,Percent of Total Billed Charges,84.14,,90.2,83.4,,Percent of Total Billed Charges,75.81,,90.2,83.4,,Percent of Total Billed Charges,88.03,,97.34,90,,Percent of Total Billed Charges,91.6,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,99.5,92,,Percent of Total Billed Charges,87.71,,99.5,92,,Percent of Total Billed Charges,80.46,,99.5,92,,Percent of Total Billed Charges,84.68,,99.5,92,,Percent of Total Billed Charges,87.71,,84.36,78,,Percent of Total Billed Charges,84.36,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,58.22,53.83,,Percent of Total Billed Charges,54.62,,37.46,34.64,,Percent of Total Billed Charges,37.31,,54.05,49.98,,Percent of Total Billed Charges,40.88,,37.46,99.5,,																																							
HC LIPOPROTEIN, DIRECT LDL,83721,CPT,,,,BOTH, , ,55.65,46.75,51.2,92,,Percent of Total Billed Charges,46.52,,51.2,92,,Percent of Total Billed Charges,45.69,,51.2,92,,Percent of Total Billed Charges,44.8,,51.2,92,,Percent of Total Billed Charges,46.47,,51.2,92,,Percent of Total Billed Charges,41.9,,51.2,92,,Percent of Total Billed Charges,34.78,,50.09,90,,Percent of Total Billed Charges,27.77,,49.53,89,,Percent of Total Billed Charges,26.71,,45.86,82.4,,Percent of Total Billed Charges,45.74,,46.41,83.4,,Percent of Total Billed Charges,43.3,,46.41,83.4,,Percent of Total Billed Charges,39.01,,46.41,83.4,,Percent of Total Billed Charges,45.3,,50.09,90,,Percent of Total Billed Charges,47.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,51.2,92,,Percent of Total Billed Charges,45.13,,51.2,92,,Percent of Total Billed Charges,41.4,,51.2,92,,Percent of Total Billed Charges,43.57,,51.2,92,,Percent of Total Billed Charges,45.13,,43.41,78,,Percent of Total Billed Charges,43.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,29.96,53.83,,Percent of Total Billed Charges,28.1,,19.28,34.64,,Percent of Total Billed Charges,19.2,,27.81,49.98,,Percent of Total Billed Charges,21.04,,19.28,51.2,,																																							
HC MAGNESIUM (SENDOUT ONLY),83735,CPT,,,,BOTH, , ,74.55,62.62,68.59,92,,Percent of Total Billed Charges,62.32,,68.59,92,,Percent of Total Billed Charges,61.21,,68.59,92,,Percent of Total Billed Charges,60.01,,68.59,92,,Percent of Total Billed Charges,62.25,,68.59,92,,Percent of Total Billed Charges,56.14,,68.59,92,,Percent of Total Billed Charges,46.59,,67.1,90,,Percent of Total Billed Charges,37.2,,66.35,89,,Percent of Total Billed Charges,35.78,,61.43,82.4,,Percent of Total Billed Charges,61.28,,62.17,83.4,,Percent of Total Billed Charges,58,,62.17,83.4,,Percent of Total Billed Charges,52.26,,62.17,83.4,,Percent of Total Billed Charges,60.68,,67.1,90,,Percent of Total Billed Charges,63.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,68.59,92,,Percent of Total Billed Charges,60.46,,68.59,92,,Percent of Total Billed Charges,55.47,,68.59,92,,Percent of Total Billed Charges,58.37,,68.59,92,,Percent of Total Billed Charges,60.46,,58.15,78,,Percent of Total Billed Charges,58.15,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,40.13,53.83,,Percent of Total Billed Charges,37.65,,25.82,34.64,,Percent of Total Billed Charges,25.72,,37.26,49.98,,Percent of Total Billed Charges,28.18,,25.82,68.59,,																																							
HC MANGANESE,83785,CPT,,,,BOTH, , ,37.8,31.75,34.78,92,,Percent of Total Billed Charges,31.6,,34.78,92,,Percent of Total Billed Charges,31.03,,34.78,92,,Percent of Total Billed Charges,30.43,,34.78,92,,Percent of Total Billed Charges,31.56,,34.78,92,,Percent of Total Billed Charges,28.46,,34.78,92,,Percent of Total Billed Charges,23.63,,34.02,90,,Percent of Total Billed Charges,18.86,,33.64,89,,Percent of Total Billed Charges,18.14,,31.15,82.4,,Percent of Total Billed Charges,31.07,,31.53,83.4,,Percent of Total Billed Charges,29.41,,31.53,83.4,,Percent of Total Billed Charges,26.5,,31.53,83.4,,Percent of Total Billed Charges,30.77,,34.02,90,,Percent of Total Billed Charges,32.02,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,34.78,92,,Percent of Total Billed Charges,30.66,,34.78,92,,Percent of Total Billed Charges,28.12,,34.78,92,,Percent of Total Billed Charges,29.6,,34.78,92,,Percent of Total Billed Charges,30.66,,29.48,78,,Percent of Total Billed Charges,29.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,20.35,53.83,,Percent of Total Billed Charges,19.09,,13.09,34.64,,Percent of Total Billed Charges,13.04,,18.89,49.98,,Percent of Total Billed Charges,14.29,,13.09,34.78,,																																							
HC MASS SPECTROMETRY QUANITATIVE,83789,CPT,,,,BOTH, , ,66.15,55.57,60.86,92,,Percent of Total Billed Charges,55.3,,60.86,92,,Percent of Total Billed Charges,54.31,,60.86,92,,Percent of Total Billed Charges,53.25,,60.86,92,,Percent of Total Billed Charges,55.24,,60.86,92,,Percent of Total Billed Charges,49.81,,60.86,92,,Percent of Total Billed Charges,41.34,,59.54,90,,Percent of Total Billed Charges,33.01,,58.87,89,,Percent of Total Billed Charges,31.75,,54.51,82.4,,Percent of Total Billed Charges,54.38,,55.17,83.4,,Percent of Total Billed Charges,51.46,,55.17,83.4,,Percent of Total Billed Charges,46.37,,55.17,83.4,,Percent of Total Billed Charges,53.85,,59.54,90,,Percent of Total Billed Charges,56.03,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,60.86,92,,Percent of Total Billed Charges,53.65,,60.86,92,,Percent of Total Billed Charges,49.22,,60.86,92,,Percent of Total Billed Charges,51.8,,60.86,92,,Percent of Total Billed Charges,53.65,,51.6,78,,Percent of Total Billed Charges,51.6,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,35.61,53.83,,Percent of Total Billed Charges,33.41,,22.91,34.64,,Percent of Total Billed Charges,22.82,,33.06,49.98,,Percent of Total Billed Charges,25,,22.91,60.86,,																																							
HC ASSAY OF MERCURY,83825,CPT,,,,BOTH, , ,296.1,248.72,272.41,92,,Percent of Total Billed Charges,247.54,,272.41,92,,Percent of Total Billed Charges,243.1,,272.41,92,,Percent of Total Billed Charges,238.36,,272.41,92,,Percent of Total Billed Charges,247.24,,272.41,92,,Percent of Total Billed Charges,222.96,,272.41,92,,Percent of Total Billed Charges,185.06,,266.49,90,,Percent of Total Billed Charges,147.75,,263.53,89,,Percent of Total Billed Charges,142.13,,243.99,82.4,,Percent of Total Billed Charges,243.39,,246.95,83.4,,Percent of Total Billed Charges,230.37,,246.95,83.4,,Percent of Total Billed Charges,207.57,,246.95,83.4,,Percent of Total Billed Charges,241.03,,266.49,90,,Percent of Total Billed Charges,250.8,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,272.41,92,,Percent of Total Billed Charges,240.14,,272.41,92,,Percent of Total Billed Charges,220.3,,272.41,92,,Percent of Total Billed Charges,231.85,,272.41,92,,Percent of Total Billed Charges,240.14,,230.96,78,,Percent of Total Billed Charges,230.96,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,159.39,53.83,,Percent of Total Billed Charges,149.53,,102.57,34.64,,Percent of Total Billed Charges,102.15,,147.99,49.98,,Percent of Total Billed Charges,111.93,,102.57,272.41,,																																							
HC ASSAY OF METANEPHRINES,83835,CPT,,,,BOTH, , ,564.9,474.52,519.71,92,,Percent of Total Billed Charges,472.26,,519.71,92,,Percent of Total Billed Charges,463.78,,519.71,92,,Percent of Total Billed Charges,454.74,,519.71,92,,Percent of Total Billed Charges,471.69,,519.71,92,,Percent of Total Billed Charges,425.37,,519.71,92,,Percent of Total Billed Charges,353.06,,508.41,90,,Percent of Total Billed Charges,281.89,,502.76,89,,Percent of Total Billed Charges,271.15,,465.48,82.4,,Percent of Total Billed Charges,464.35,,471.13,83.4,,Percent of Total Billed Charges,439.49,,471.13,83.4,,Percent of Total Billed Charges,395.99,,471.13,83.4,,Percent of Total Billed Charges,459.83,,508.41,90,,Percent of Total Billed Charges,478.47,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,519.71,92,,Percent of Total Billed Charges,458.13,,519.71,92,,Percent of Total Billed Charges,420.29,,519.71,92,,Percent of Total Billed Charges,442.32,,519.71,92,,Percent of Total Billed Charges,458.13,,440.62,78,,Percent of Total Billed Charges,440.62,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,304.09,53.83,,Percent of Total Billed Charges,285.27,,195.68,34.64,,Percent of Total Billed Charges,194.89,,282.34,49.98,,Percent of Total Billed Charges,213.53,,195.68,519.71,,																																							
HC ASSAY NEPHELOMETRY NOT SPEC,83883,CPT,,,,BOTH, , ,274.05,230.2,252.13,92,,Percent of Total Billed Charges,229.11,,252.13,92,,Percent of Total Billed Charges,225,,252.13,92,,Percent of Total Billed Charges,220.61,,252.13,92,,Percent of Total Billed Charges,228.83,,252.13,92,,Percent of Total Billed Charges,206.36,,252.13,92,,Percent of Total Billed Charges,171.28,,246.65,90,,Percent of Total Billed Charges,136.75,,243.9,89,,Percent of Total Billed Charges,131.54,,225.82,82.4,,Percent of Total Billed Charges,225.27,,228.56,83.4,,Percent of Total Billed Charges,213.21,,228.56,83.4,,Percent of Total Billed Charges,192.11,,228.56,83.4,,Percent of Total Billed Charges,223.08,,246.65,90,,Percent of Total Billed Charges,232.12,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,252.13,92,,Percent of Total Billed Charges,222.25,,252.13,92,,Percent of Total Billed Charges,203.89,,252.13,92,,Percent of Total Billed Charges,214.58,,252.13,92,,Percent of Total Billed Charges,222.25,,213.76,78,,Percent of Total Billed Charges,213.76,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,147.52,53.83,,Percent of Total Billed Charges,138.4,,94.93,34.64,,Percent of Total Billed Charges,94.55,,136.97,49.98,,Percent of Total Billed Charges,103.59,,94.93,252.13,,																																							
HC 5NUCLEOTIDASE,83915,CPT,,,,BOTH, , ,177.45,149.06,163.25,92,,Percent of Total Billed Charges,148.35,,163.25,92,,Percent of Total Billed Charges,145.69,,163.25,92,,Percent of Total Billed Charges,142.85,,163.25,92,,Percent of Total Billed Charges,148.17,,163.25,92,,Percent of Total Billed Charges,133.62,,163.25,92,,Percent of Total Billed Charges,110.91,,159.71,90,,Percent of Total Billed Charges,88.55,,157.93,89,,Percent of Total Billed Charges,85.18,,146.22,82.4,,Percent of Total Billed Charges,145.86,,147.99,83.4,,Percent of Total Billed Charges,138.06,,147.99,83.4,,Percent of Total Billed Charges,124.39,,147.99,83.4,,Percent of Total Billed Charges,144.44,,159.71,90,,Percent of Total Billed Charges,150.3,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,163.25,92,,Percent of Total Billed Charges,143.91,,163.25,92,,Percent of Total Billed Charges,132.02,,163.25,92,,Percent of Total Billed Charges,138.94,,163.25,92,,Percent of Total Billed Charges,143.91,,138.41,78,,Percent of Total Billed Charges,138.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,95.52,53.83,,Percent of Total Billed Charges,89.61,,61.47,34.64,,Percent of Total Billed Charges,61.22,,88.69,49.98,,Percent of Total Billed Charges,67.08,,61.47,163.25,,																																							
HC ORGANIC ACIDS TOTAL QUANT,83918,CPT,,,,BOTH, , ,911.4,765.58,838.49,92,,Percent of Total Billed Charges,761.93,,838.49,92,,Percent of Total Billed Charges,748.26,,838.49,92,,Percent of Total Billed Charges,733.68,,838.49,92,,Percent of Total Billed Charges,761.02,,838.49,92,,Percent of Total Billed Charges,686.28,,838.49,92,,Percent of Total Billed Charges,569.63,,820.26,90,,Percent of Total Billed Charges,454.79,,811.15,89,,Percent of Total Billed Charges,437.47,,750.99,82.4,,Percent of Total Billed Charges,749.17,,760.11,83.4,,Percent of Total Billed Charges,709.07,,760.11,83.4,,Percent of Total Billed Charges,638.89,,760.11,83.4,,Percent of Total Billed Charges,741.88,,820.26,90,,Percent of Total Billed Charges,771.96,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,838.49,92,,Percent of Total Billed Charges,739.15,,838.49,92,,Percent of Total Billed Charges,678.08,,838.49,92,,Percent of Total Billed Charges,713.63,,838.49,92,,Percent of Total Billed Charges,739.15,,710.89,78,,Percent of Total Billed Charges,710.89,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,490.61,53.83,,Percent of Total Billed Charges,460.26,,315.71,34.64,,Percent of Total Billed Charges,314.43,,455.52,49.98,,Percent of Total Billed Charges,344.51,,315.71,838.49,,																																							
HC ORGANIC ACIDS QUAL EACH,83919,CPT,,,,BOTH, , ,307.65,258.43,283.04,92,,Percent of Total Billed Charges,257.2,,283.04,92,,Percent of Total Billed Charges,252.58,,283.04,92,,Percent of Total Billed Charges,247.66,,283.04,92,,Percent of Total Billed Charges,256.89,,283.04,92,,Percent of Total Billed Charges,231.66,,283.04,92,,Percent of Total Billed Charges,192.28,,276.89,90,,Percent of Total Billed Charges,153.52,,273.81,89,,Percent of Total Billed Charges,147.67,,253.5,82.4,,Percent of Total Billed Charges,252.89,,256.58,83.4,,Percent of Total Billed Charges,239.35,,256.58,83.4,,Percent of Total Billed Charges,215.66,,256.58,83.4,,Percent of Total Billed Charges,250.43,,276.89,90,,Percent of Total Billed Charges,260.58,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,283.04,92,,Percent of Total Billed Charges,249.5,,283.04,92,,Percent of Total Billed Charges,228.89,,283.04,92,,Percent of Total Billed Charges,240.89,,283.04,92,,Percent of Total Billed Charges,249.5,,239.97,78,,Percent of Total Billed Charges,239.97,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,165.61,53.83,,Percent of Total Billed Charges,155.36,,106.57,34.64,,Percent of Total Billed Charges,106.14,,153.76,49.98,,Percent of Total Billed Charges,116.29,,106.57,283.04,,																																							
HC ORGANIC ACID SINGLE QUANT,83921,CPT,,,,BOTH, , ,434.7,365.15,399.92,92,,Percent of Total Billed Charges,363.41,,399.92,92,,Percent of Total Billed Charges,356.89,,399.92,92,,Percent of Total Billed Charges,349.93,,399.92,92,,Percent of Total Billed Charges,362.97,,399.92,92,,Percent of Total Billed Charges,327.33,,399.92,92,,Percent of Total Billed Charges,271.69,,391.23,90,,Percent of Total Billed Charges,216.92,,386.88,89,,Percent of Total Billed Charges,208.66,,358.19,82.4,,Percent of Total Billed Charges,357.32,,362.54,83.4,,Percent of Total Billed Charges,338.2,,362.54,83.4,,Percent of Total Billed Charges,304.72,,362.54,83.4,,Percent of Total Billed Charges,353.85,,391.23,90,,Percent of Total Billed Charges,368.19,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,399.92,92,,Percent of Total Billed Charges,352.54,,399.92,92,,Percent of Total Billed Charges,323.42,,399.92,92,,Percent of Total Billed Charges,340.37,,399.92,92,,Percent of Total Billed Charges,352.54,,339.07,78,,Percent of Total Billed Charges,339.07,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,234,53.83,,Percent of Total Billed Charges,219.52,,150.58,34.64,,Percent of Total Billed Charges,149.97,,217.26,49.98,,Percent of Total Billed Charges,164.32,,150.58,399.92,,																																							
HC OSTEOCALCIN,83937,CPT,,,,BOTH, , ,340.2,285.77,312.98,92,,Percent of Total Billed Charges,284.41,,312.98,92,,Percent of Total Billed Charges,279.3,,312.98,92,,Percent of Total Billed Charges,273.86,,312.98,92,,Percent of Total Billed Charges,284.07,,312.98,92,,Percent of Total Billed Charges,256.17,,312.98,92,,Percent of Total Billed Charges,212.63,,306.18,90,,Percent of Total Billed Charges,169.76,,302.78,89,,Percent of Total Billed Charges,163.3,,280.32,82.4,,Percent of Total Billed Charges,279.64,,283.73,83.4,,Percent of Total Billed Charges,264.68,,283.73,83.4,,Percent of Total Billed Charges,238.48,,283.73,83.4,,Percent of Total Billed Charges,276.92,,306.18,90,,Percent of Total Billed Charges,288.15,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,312.98,92,,Percent of Total Billed Charges,275.9,,312.98,92,,Percent of Total Billed Charges,253.11,,312.98,92,,Percent of Total Billed Charges,266.38,,312.98,92,,Percent of Total Billed Charges,275.9,,265.36,78,,Percent of Total Billed Charges,265.36,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,183.13,53.83,,Percent of Total Billed Charges,171.8,,117.85,34.64,,Percent of Total Billed Charges,117.37,,170.03,49.98,,Percent of Total Billed Charges,128.6,,117.85,312.98,,																																							
HC ASSAY OF PARATHORMONE,83970,CPT,,,,BOTH, , ,233.1,195.8,214.45,92,,Percent of Total Billed Charges,194.87,,214.45,92,,Percent of Total Billed Charges,191.38,,214.45,92,,Percent of Total Billed Charges,187.65,,214.45,92,,Percent of Total Billed Charges,194.64,,214.45,92,,Percent of Total Billed Charges,175.52,,214.45,92,,Percent of Total Billed Charges,145.69,,209.79,90,,Percent of Total Billed Charges,116.32,,207.46,89,,Percent of Total Billed Charges,111.89,,192.07,82.4,,Percent of Total Billed Charges,191.61,,194.41,83.4,,Percent of Total Billed Charges,181.35,,194.41,83.4,,Percent of Total Billed Charges,163.4,,194.41,83.4,,Percent of Total Billed Charges,189.74,,209.79,90,,Percent of Total Billed Charges,197.44,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,214.45,92,,Percent of Total Billed Charges,189.04,,214.45,92,,Percent of Total Billed Charges,173.43,,214.45,92,,Percent of Total Billed Charges,182.52,,214.45,92,,Percent of Total Billed Charges,189.04,,181.82,78,,Percent of Total Billed Charges,181.82,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,125.48,53.83,,Percent of Total Billed Charges,117.72,,80.75,34.64,,Percent of Total Billed Charges,80.42,,116.5,49.98,,Percent of Total Billed Charges,88.11,,80.75,214.45,,																																							
HC CALPROTECTIN STOOL,83993,CPT,,,,BOTH, , ,344.4,289.3,316.85,92,,Percent of Total Billed Charges,287.92,,316.85,92,,Percent of Total Billed Charges,282.75,,316.85,92,,Percent of Total Billed Charges,277.24,,316.85,92,,Percent of Total Billed Charges,287.57,,316.85,92,,Percent of Total Billed Charges,259.33,,316.85,92,,Percent of Total Billed Charges,215.25,,309.96,90,,Percent of Total Billed Charges,171.86,,306.52,89,,Percent of Total Billed Charges,165.31,,283.79,82.4,,Percent of Total Billed Charges,283.1,,287.23,83.4,,Percent of Total Billed Charges,267.94,,287.23,83.4,,Percent of Total Billed Charges,241.42,,287.23,83.4,,Percent of Total Billed Charges,280.34,,309.96,90,,Percent of Total Billed Charges,291.71,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,316.85,92,,Percent of Total Billed Charges,279.31,,316.85,92,,Percent of Total Billed Charges,256.23,,316.85,92,,Percent of Total Billed Charges,269.67,,316.85,92,,Percent of Total Billed Charges,279.31,,268.63,78,,Percent of Total Billed Charges,268.63,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,185.39,53.83,,Percent of Total Billed Charges,173.92,,119.3,34.64,,Percent of Total Billed Charges,118.82,,172.13,49.98,,Percent of Total Billed Charges,130.18,,119.30,316.85,,																																							
HC PROSTATIC ACID PHOSPATASE,84066,CPT,,,,BOTH, , ,171.15,143.77,157.46,92,,Percent of Total Billed Charges,143.08,,157.46,92,,Percent of Total Billed Charges,140.51,,157.46,92,,Percent of Total Billed Charges,137.78,,157.46,92,,Percent of Total Billed Charges,142.91,,157.46,92,,Percent of Total Billed Charges,128.88,,157.46,92,,Percent of Total Billed Charges,106.97,,154.04,90,,Percent of Total Billed Charges,85.4,,152.32,89,,Percent of Total Billed Charges,82.15,,141.03,82.4,,Percent of Total Billed Charges,140.69,,142.74,83.4,,Percent of Total Billed Charges,133.15,,142.74,83.4,,Percent of Total Billed Charges,119.98,,142.74,83.4,,Percent of Total Billed Charges,139.32,,154.04,90,,Percent of Total Billed Charges,144.96,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,157.46,92,,Percent of Total Billed Charges,138.8,,157.46,92,,Percent of Total Billed Charges,127.34,,157.46,92,,Percent of Total Billed Charges,134.01,,157.46,92,,Percent of Total Billed Charges,138.8,,133.5,78,,Percent of Total Billed Charges,133.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,92.13,53.83,,Percent of Total Billed Charges,86.43,,59.29,34.64,,Percent of Total Billed Charges,59.05,,85.54,49.98,,Percent of Total Billed Charges,64.69,,59.29,157.46,,																																							
HC ASSAY ALKALINE PHOSPHATASES; ISOENZYMES,84080,CPT,,,,BOTH, , ,96.6,81.14,88.87,92,,Percent of Total Billed Charges,80.76,,88.87,92,,Percent of Total Billed Charges,79.31,,88.87,92,,Percent of Total Billed Charges,77.76,,88.87,92,,Percent of Total Billed Charges,80.66,,88.87,92,,Percent of Total Billed Charges,72.74,,88.87,92,,Percent of Total Billed Charges,60.38,,86.94,90,,Percent of Total Billed Charges,48.2,,85.97,89,,Percent of Total Billed Charges,46.37,,79.6,82.4,,Percent of Total Billed Charges,79.41,,80.56,83.4,,Percent of Total Billed Charges,75.15,,80.56,83.4,,Percent of Total Billed Charges,67.72,,80.56,83.4,,Percent of Total Billed Charges,78.63,,86.94,90,,Percent of Total Billed Charges,81.82,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,88.87,92,,Percent of Total Billed Charges,78.34,,88.87,92,,Percent of Total Billed Charges,71.87,,88.87,92,,Percent of Total Billed Charges,75.64,,88.87,92,,Percent of Total Billed Charges,78.34,,75.35,78,,Percent of Total Billed Charges,75.35,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,52,53.83,,Percent of Total Billed Charges,48.78,,33.46,34.64,,Percent of Total Billed Charges,33.33,,48.28,49.98,,Percent of Total Billed Charges,36.51,,33.46,88.87,,																																							
HC PORPHOBILINOGEN URINE,84110,CPT,,,,BOTH, , ,177.45,149.06,163.25,92,,Percent of Total Billed Charges,148.35,,163.25,92,,Percent of Total Billed Charges,145.69,,163.25,92,,Percent of Total Billed Charges,142.85,,163.25,92,,Percent of Total Billed Charges,148.17,,163.25,92,,Percent of Total Billed Charges,133.62,,163.25,92,,Percent of Total Billed Charges,110.91,,159.71,90,,Percent of Total Billed Charges,88.55,,157.93,89,,Percent of Total Billed Charges,85.18,,146.22,82.4,,Percent of Total Billed Charges,145.86,,147.99,83.4,,Percent of Total Billed Charges,138.06,,147.99,83.4,,Percent of Total Billed Charges,124.39,,147.99,83.4,,Percent of Total Billed Charges,144.44,,159.71,90,,Percent of Total Billed Charges,150.3,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,163.25,92,,Percent of Total Billed Charges,143.91,,163.25,92,,Percent of Total Billed Charges,132.02,,163.25,92,,Percent of Total Billed Charges,138.94,,163.25,92,,Percent of Total Billed Charges,143.91,,138.41,78,,Percent of Total Billed Charges,138.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,95.52,53.83,,Percent of Total Billed Charges,89.61,,61.47,34.64,,Percent of Total Billed Charges,61.22,,88.69,49.98,,Percent of Total Billed Charges,67.08,,61.47,163.25,,																																							
HC RUPTURED MEMBRANES TEST AMNISURE,84112,CPT,,,,BOTH, , ,58.8,49.39,54.1,92,,Percent of Total Billed Charges,49.16,,54.1,92,,Percent of Total Billed Charges,48.27,,54.1,92,,Percent of Total Billed Charges,47.33,,54.1,92,,Percent of Total Billed Charges,49.1,,54.1,92,,Percent of Total Billed Charges,44.28,,54.1,92,,Percent of Total Billed Charges,36.75,,52.92,90,,Percent of Total Billed Charges,29.34,,52.33,89,,Percent of Total Billed Charges,28.22,,48.45,82.4,,Percent of Total Billed Charges,48.33,,49.04,83.4,,Percent of Total Billed Charges,45.75,,49.04,83.4,,Percent of Total Billed Charges,41.22,,49.04,83.4,,Percent of Total Billed Charges,47.86,,52.92,90,,Percent of Total Billed Charges,49.8,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,54.1,92,,Percent of Total Billed Charges,47.69,,54.1,92,,Percent of Total Billed Charges,43.75,,54.1,92,,Percent of Total Billed Charges,46.04,,54.1,92,,Percent of Total Billed Charges,47.69,,45.86,78,,Percent of Total Billed Charges,45.86,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,31.65,53.83,,Percent of Total Billed Charges,29.69,,20.37,34.64,,Percent of Total Billed Charges,20.29,,29.39,49.98,,Percent of Total Billed Charges,22.23,,20.37,54.1,,																																							
HC PORPHYRINS,URINE,84120,CPT,,,,BOTH, , ,337.05,283.12,310.09,92,,Percent of Total Billed Charges,281.77,,310.09,92,,Percent of Total Billed Charges,276.72,,310.09,92,,Percent of Total Billed Charges,271.33,,310.09,92,,Percent of Total Billed Charges,281.44,,310.09,92,,Percent of Total Billed Charges,253.8,,310.09,92,,Percent of Total Billed Charges,210.66,,303.35,90,,Percent of Total Billed Charges,168.19,,299.97,89,,Percent of Total Billed Charges,161.78,,277.73,82.4,,Percent of Total Billed Charges,277.06,,281.1,83.4,,Percent of Total Billed Charges,262.22,,281.1,83.4,,Percent of Total Billed Charges,236.27,,281.1,83.4,,Percent of Total Billed Charges,274.36,,303.35,90,,Percent of Total Billed Charges,285.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,310.09,92,,Percent of Total Billed Charges,273.35,,310.09,92,,Percent of Total Billed Charges,250.77,,310.09,92,,Percent of Total Billed Charges,263.91,,310.09,92,,Percent of Total Billed Charges,273.35,,262.9,78,,Percent of Total Billed Charges,262.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,181.43,53.83,,Percent of Total Billed Charges,170.21,,116.75,34.64,,Percent of Total Billed Charges,116.28,,168.46,49.98,,Percent of Total Billed Charges,127.4,,116.75,310.09,,																																							
HC PORPHYRINS; FECES,84126,CPT,,,,BOTH, , ,437.85,367.79,402.82,92,,Percent of Total Billed Charges,366.04,,402.82,92,,Percent of Total Billed Charges,359.47,,402.82,92,,Percent of Total Billed Charges,352.47,,402.82,92,,Percent of Total Billed Charges,365.6,,402.82,92,,Percent of Total Billed Charges,329.7,,402.82,92,,Percent of Total Billed Charges,273.66,,394.07,90,,Percent of Total Billed Charges,218.49,,389.69,89,,Percent of Total Billed Charges,210.17,,360.79,82.4,,Percent of Total Billed Charges,359.91,,365.17,83.4,,Percent of Total Billed Charges,340.65,,365.17,83.4,,Percent of Total Billed Charges,306.93,,365.17,83.4,,Percent of Total Billed Charges,356.41,,394.07,90,,Percent of Total Billed Charges,370.86,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,402.82,92,,Percent of Total Billed Charges,355.1,,402.82,92,,Percent of Total Billed Charges,325.76,,402.82,92,,Percent of Total Billed Charges,342.84,,402.82,92,,Percent of Total Billed Charges,355.1,,341.52,78,,Percent of Total Billed Charges,341.52,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,235.69,53.83,,Percent of Total Billed Charges,221.11,,151.67,34.64,,Percent of Total Billed Charges,151.06,,218.84,49.98,,Percent of Total Billed Charges,165.51,,151.67,402.82,,																																							
HC PREGNENOLONE,84140,CPT,,,,BOTH, , ,269.85,226.67,248.26,92,,Percent of Total Billed Charges,225.59,,248.26,92,,Percent of Total Billed Charges,221.55,,248.26,92,,Percent of Total Billed Charges,217.23,,248.26,92,,Percent of Total Billed Charges,225.32,,248.26,92,,Percent of Total Billed Charges,203.2,,248.26,92,,Percent of Total Billed Charges,168.66,,242.87,90,,Percent of Total Billed Charges,134.66,,240.17,89,,Percent of Total Billed Charges,129.53,,222.36,82.4,,Percent of Total Billed Charges,221.82,,225.05,83.4,,Percent of Total Billed Charges,209.94,,225.05,83.4,,Percent of Total Billed Charges,189.16,,225.05,83.4,,Percent of Total Billed Charges,219.66,,242.87,90,,Percent of Total Billed Charges,228.56,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,248.26,92,,Percent of Total Billed Charges,218.85,,248.26,92,,Percent of Total Billed Charges,200.77,,248.26,92,,Percent of Total Billed Charges,211.29,,248.26,92,,Percent of Total Billed Charges,218.85,,210.48,78,,Percent of Total Billed Charges,210.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,145.26,53.83,,Percent of Total Billed Charges,136.27,,93.48,34.64,,Percent of Total Billed Charges,93.1,,134.87,49.98,,Percent of Total Billed Charges,102,,93.48,248.26,,																																							
HC 17 OH HYDROXYPREGNENOLONE,84143,CPT,,,,BOTH, , ,276.15,231.97,254.06,92,,Percent of Total Billed Charges,230.86,,254.06,92,,Percent of Total Billed Charges,226.72,,254.06,92,,Percent of Total Billed Charges,222.3,,254.06,92,,Percent of Total Billed Charges,230.59,,254.06,92,,Percent of Total Billed Charges,207.94,,254.06,92,,Percent of Total Billed Charges,172.59,,248.54,90,,Percent of Total Billed Charges,137.8,,245.77,89,,Percent of Total Billed Charges,132.55,,227.55,82.4,,Percent of Total Billed Charges,227,,230.31,83.4,,Percent of Total Billed Charges,214.84,,230.31,83.4,,Percent of Total Billed Charges,193.58,,230.31,83.4,,Percent of Total Billed Charges,224.79,,248.54,90,,Percent of Total Billed Charges,233.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,254.06,92,,Percent of Total Billed Charges,223.96,,254.06,92,,Percent of Total Billed Charges,205.46,,254.06,92,,Percent of Total Billed Charges,216.23,,254.06,92,,Percent of Total Billed Charges,223.96,,215.4,78,,Percent of Total Billed Charges,215.4,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,148.65,53.83,,Percent of Total Billed Charges,139.46,,95.66,34.64,,Percent of Total Billed Charges,95.27,,138.02,49.98,,Percent of Total Billed Charges,104.38,,95.66,254.06,,																																							
HC PROGESTERONE,84144,CPT,,,,BOTH, , ,245.7,206.39,226.04,92,,Percent of Total Billed Charges,205.41,,226.04,92,,Percent of Total Billed Charges,201.72,,226.04,92,,Percent of Total Billed Charges,197.79,,226.04,92,,Percent of Total Billed Charges,205.16,,226.04,92,,Percent of Total Billed Charges,185.01,,226.04,92,,Percent of Total Billed Charges,153.56,,221.13,90,,Percent of Total Billed Charges,122.6,,218.67,89,,Percent of Total Billed Charges,117.94,,202.46,82.4,,Percent of Total Billed Charges,201.97,,204.91,83.4,,Percent of Total Billed Charges,191.15,,204.91,83.4,,Percent of Total Billed Charges,172.24,,204.91,83.4,,Percent of Total Billed Charges,200,,221.13,90,,Percent of Total Billed Charges,208.11,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,226.04,92,,Percent of Total Billed Charges,199.26,,226.04,92,,Percent of Total Billed Charges,182.8,,226.04,92,,Percent of Total Billed Charges,192.38,,226.04,92,,Percent of Total Billed Charges,199.26,,191.65,78,,Percent of Total Billed Charges,191.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,132.26,53.83,,Percent of Total Billed Charges,124.08,,85.11,34.64,,Percent of Total Billed Charges,84.77,,122.8,49.98,,Percent of Total Billed Charges,92.87,,85.11,226.04,,																																							
HC PROCALCITONIN (PCT),84145,CPT,,,,BOTH, , ,137.55,115.54,126.55,92,,Percent of Total Billed Charges,114.99,,126.55,92,,Percent of Total Billed Charges,112.93,,126.55,92,,Percent of Total Billed Charges,110.73,,126.55,92,,Percent of Total Billed Charges,114.85,,126.55,92,,Percent of Total Billed Charges,103.58,,126.55,92,,Percent of Total Billed Charges,85.97,,123.8,90,,Percent of Total Billed Charges,68.64,,122.42,89,,Percent of Total Billed Charges,66.02,,113.34,82.4,,Percent of Total Billed Charges,113.07,,114.72,83.4,,Percent of Total Billed Charges,107.01,,114.72,83.4,,Percent of Total Billed Charges,96.42,,114.72,83.4,,Percent of Total Billed Charges,111.97,,123.8,90,,Percent of Total Billed Charges,116.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,126.55,92,,Percent of Total Billed Charges,111.55,,126.55,92,,Percent of Total Billed Charges,102.34,,126.55,92,,Percent of Total Billed Charges,107.7,,126.55,92,,Percent of Total Billed Charges,111.55,,107.29,78,,Percent of Total Billed Charges,107.29,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,74.04,53.83,,Percent of Total Billed Charges,69.46,,47.65,34.64,,Percent of Total Billed Charges,47.45,,68.75,49.98,,Percent of Total Billed Charges,51.99,,47.65,126.55,,																																							
HC ASSAY OF PSA FREE,84154,CPT,,,,BOTH, , ,12.6,10.58,11.59,92,,Percent of Total Billed Charges,10.53,,11.59,92,,Percent of Total Billed Charges,10.34,,11.59,92,,Percent of Total Billed Charges,10.14,,11.59,92,,Percent of Total Billed Charges,10.52,,11.59,92,,Percent of Total Billed Charges,9.49,,11.59,92,,Percent of Total Billed Charges,7.88,,11.34,90,,Percent of Total Billed Charges,6.29,,11.21,89,,Percent of Total Billed Charges,6.05,,10.38,82.4,,Percent of Total Billed Charges,10.36,,10.51,83.4,,Percent of Total Billed Charges,9.8,,10.51,83.4,,Percent of Total Billed Charges,8.83,,10.51,83.4,,Percent of Total Billed Charges,10.26,,11.34,90,,Percent of Total Billed Charges,10.67,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,11.59,92,,Percent of Total Billed Charges,10.22,,11.59,92,,Percent of Total Billed Charges,9.37,,11.59,92,,Percent of Total Billed Charges,9.87,,11.59,92,,Percent of Total Billed Charges,10.22,,9.83,78,,Percent of Total Billed Charges,9.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6.78,53.83,,Percent of Total Billed Charges,6.36,,4.36,34.64,,Percent of Total Billed Charges,4.35,,6.3,49.98,,Percent of Total Billed Charges,4.76,,4.36,11.59,,																																							
HC PROTEIN URINE,84156,CPT,,,,BOTH, , ,85.05,71.44,78.25,92,,Percent of Total Billed Charges,71.1,,78.25,92,,Percent of Total Billed Charges,69.83,,78.25,92,,Percent of Total Billed Charges,68.47,,78.25,92,,Percent of Total Billed Charges,71.02,,78.25,92,,Percent of Total Billed Charges,64.04,,78.25,92,,Percent of Total Billed Charges,53.16,,76.55,90,,Percent of Total Billed Charges,42.44,,75.69,89,,Percent of Total Billed Charges,40.82,,70.08,82.4,,Percent of Total Billed Charges,69.91,,70.93,83.4,,Percent of Total Billed Charges,66.17,,70.93,83.4,,Percent of Total Billed Charges,59.62,,70.93,83.4,,Percent of Total Billed Charges,69.23,,76.55,90,,Percent of Total Billed Charges,72.04,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,78.25,92,,Percent of Total Billed Charges,68.98,,78.25,92,,Percent of Total Billed Charges,63.28,,78.25,92,,Percent of Total Billed Charges,66.59,,78.25,92,,Percent of Total Billed Charges,68.98,,66.34,78,,Percent of Total Billed Charges,66.34,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,45.78,53.83,,Percent of Total Billed Charges,42.95,,29.46,34.64,,Percent of Total Billed Charges,29.34,,42.51,49.98,,Percent of Total Billed Charges,32.15,,29.46,78.25,,																																							
HC PROTEIN ELECTROPHORESIS SERUM,84165,CPT,,,,BOTH, , ,187.95,157.88,172.91,92,,Percent of Total Billed Charges,157.13,,172.91,92,,Percent of Total Billed Charges,154.31,,172.91,92,,Percent of Total Billed Charges,151.3,,172.91,92,,Percent of Total Billed Charges,156.94,,172.91,92,,Percent of Total Billed Charges,141.53,,172.91,92,,Percent of Total Billed Charges,117.47,,169.16,90,,Percent of Total Billed Charges,93.79,,167.28,89,,Percent of Total Billed Charges,90.22,,154.87,82.4,,Percent of Total Billed Charges,154.49,,156.75,83.4,,Percent of Total Billed Charges,146.23,,156.75,83.4,,Percent of Total Billed Charges,131.75,,156.75,83.4,,Percent of Total Billed Charges,152.99,,169.16,90,,Percent of Total Billed Charges,159.19,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,172.91,92,,Percent of Total Billed Charges,152.43,,172.91,92,,Percent of Total Billed Charges,139.83,,172.91,92,,Percent of Total Billed Charges,147.16,,172.91,92,,Percent of Total Billed Charges,152.43,,146.6,78,,Percent of Total Billed Charges,146.6,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,101.17,53.83,,Percent of Total Billed Charges,94.91,,65.11,34.64,,Percent of Total Billed Charges,64.84,,93.94,49.98,,Percent of Total Billed Charges,71.05,,65.11,172.91,,																																							
HC PROTEIN EPHORESIS/URINE/CSF,84166,CPT,,,,BOTH, , ,107.1,89.96,98.53,92,,Percent of Total Billed Charges,89.54,,98.53,92,,Percent of Total Billed Charges,87.93,,98.53,92,,Percent of Total Billed Charges,86.22,,98.53,92,,Percent of Total Billed Charges,89.43,,98.53,92,,Percent of Total Billed Charges,80.65,,98.53,92,,Percent of Total Billed Charges,66.94,,96.39,90,,Percent of Total Billed Charges,53.44,,95.32,89,,Percent of Total Billed Charges,51.41,,88.25,82.4,,Percent of Total Billed Charges,88.04,,89.32,83.4,,Percent of Total Billed Charges,83.32,,89.32,83.4,,Percent of Total Billed Charges,75.08,,89.32,83.4,,Percent of Total Billed Charges,87.18,,96.39,90,,Percent of Total Billed Charges,90.71,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,98.53,92,,Percent of Total Billed Charges,86.86,,98.53,92,,Percent of Total Billed Charges,79.68,,98.53,92,,Percent of Total Billed Charges,83.86,,98.53,92,,Percent of Total Billed Charges,86.86,,83.54,78,,Percent of Total Billed Charges,83.54,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,57.65,53.83,,Percent of Total Billed Charges,54.09,,37.1,34.64,,Percent of Total Billed Charges,36.95,,53.53,49.98,,Percent of Total Billed Charges,40.48,,37.10,98.53,,																																							
HC PROTEIN WESTERN BLOT TEST,84182,CPT,,,,BOTH, , ,296.1,248.72,272.41,92,,Percent of Total Billed Charges,247.54,,272.41,92,,Percent of Total Billed Charges,243.1,,272.41,92,,Percent of Total Billed Charges,238.36,,272.41,92,,Percent of Total Billed Charges,247.24,,272.41,92,,Percent of Total Billed Charges,222.96,,272.41,92,,Percent of Total Billed Charges,185.06,,266.49,90,,Percent of Total Billed Charges,147.75,,263.53,89,,Percent of Total Billed Charges,142.13,,243.99,82.4,,Percent of Total Billed Charges,243.39,,246.95,83.4,,Percent of Total Billed Charges,230.37,,246.95,83.4,,Percent of Total Billed Charges,207.57,,246.95,83.4,,Percent of Total Billed Charges,241.03,,266.49,90,,Percent of Total Billed Charges,250.8,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,272.41,92,,Percent of Total Billed Charges,240.14,,272.41,92,,Percent of Total Billed Charges,220.3,,272.41,92,,Percent of Total Billed Charges,231.85,,272.41,92,,Percent of Total Billed Charges,240.14,,230.96,78,,Percent of Total Billed Charges,230.96,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,159.39,53.83,,Percent of Total Billed Charges,149.53,,102.57,34.64,,Percent of Total Billed Charges,102.15,,147.99,49.98,,Percent of Total Billed Charges,111.93,,102.57,272.41,,																																							
HC PROINSULIN,84206,CPT,,,,BOTH, , ,569.1,478.04,523.57,92,,Percent of Total Billed Charges,475.77,,523.57,92,,Percent of Total Billed Charges,467.23,,523.57,92,,Percent of Total Billed Charges,458.13,,523.57,92,,Percent of Total Billed Charges,475.2,,523.57,92,,Percent of Total Billed Charges,428.53,,523.57,92,,Percent of Total Billed Charges,355.69,,512.19,90,,Percent of Total Billed Charges,283.98,,506.5,89,,Percent of Total Billed Charges,273.17,,468.94,82.4,,Percent of Total Billed Charges,467.8,,474.63,83.4,,Percent of Total Billed Charges,442.76,,474.63,83.4,,Percent of Total Billed Charges,398.94,,474.63,83.4,,Percent of Total Billed Charges,463.25,,512.19,90,,Percent of Total Billed Charges,482.03,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,523.57,92,,Percent of Total Billed Charges,461.54,,523.57,92,,Percent of Total Billed Charges,423.41,,523.57,92,,Percent of Total Billed Charges,445.61,,523.57,92,,Percent of Total Billed Charges,461.54,,443.9,78,,Percent of Total Billed Charges,443.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,306.35,53.83,,Percent of Total Billed Charges,287.4,,197.14,34.64,,Percent of Total Billed Charges,196.34,,284.44,49.98,,Percent of Total Billed Charges,215.12,,197.14,523.57,,																																							
HC ASSAY OF ENDOCRINE HORMONE,84235,CPT,,,,BOTH, , ,307.65,258.43,283.04,92,,Percent of Total Billed Charges,257.2,,283.04,92,,Percent of Total Billed Charges,252.58,,283.04,92,,Percent of Total Billed Charges,247.66,,283.04,92,,Percent of Total Billed Charges,256.89,,283.04,92,,Percent of Total Billed Charges,231.66,,283.04,92,,Percent of Total Billed Charges,192.28,,276.89,90,,Percent of Total Billed Charges,153.52,,273.81,89,,Percent of Total Billed Charges,147.67,,253.5,82.4,,Percent of Total Billed Charges,252.89,,256.58,83.4,,Percent of Total Billed Charges,239.35,,256.58,83.4,,Percent of Total Billed Charges,215.66,,256.58,83.4,,Percent of Total Billed Charges,250.43,,276.89,90,,Percent of Total Billed Charges,260.58,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,283.04,92,,Percent of Total Billed Charges,249.5,,283.04,92,,Percent of Total Billed Charges,228.89,,283.04,92,,Percent of Total Billed Charges,240.89,,283.04,92,,Percent of Total Billed Charges,249.5,,239.97,78,,Percent of Total Billed Charges,239.97,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,165.61,53.83,,Percent of Total Billed Charges,155.36,,106.57,34.64,,Percent of Total Billed Charges,106.14,,153.76,49.98,,Percent of Total Billed Charges,116.29,,106.57,283.04,,																																							
HC ASSAY NONENDOCRINE RECEPTOR,84238,CPT,,,,BOTH, , ,50.4,42.34,46.37,92,,Percent of Total Billed Charges,42.13,,46.37,92,,Percent of Total Billed Charges,41.38,,46.37,92,,Percent of Total Billed Charges,40.57,,46.37,92,,Percent of Total Billed Charges,42.08,,46.37,92,,Percent of Total Billed Charges,37.95,,46.37,92,,Percent of Total Billed Charges,31.5,,45.36,90,,Percent of Total Billed Charges,25.15,,44.86,89,,Percent of Total Billed Charges,24.19,,41.53,82.4,,Percent of Total Billed Charges,41.43,,42.03,83.4,,Percent of Total Billed Charges,39.21,,42.03,83.4,,Percent of Total Billed Charges,35.33,,42.03,83.4,,Percent of Total Billed Charges,41.03,,45.36,90,,Percent of Total Billed Charges,42.69,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,46.37,92,,Percent of Total Billed Charges,40.87,,46.37,92,,Percent of Total Billed Charges,37.5,,46.37,92,,Percent of Total Billed Charges,39.46,,46.37,92,,Percent of Total Billed Charges,40.87,,39.31,78,,Percent of Total Billed Charges,39.31,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,27.13,53.83,,Percent of Total Billed Charges,25.45,,17.46,34.64,,Percent of Total Billed Charges,17.39,,25.19,49.98,,Percent of Total Billed Charges,19.05,,17.46,46.37,,																																							
HC RENIN,84244,CPT,,,,BOTH, , ,296.1,248.72,272.41,92,,Percent of Total Billed Charges,247.54,,272.41,92,,Percent of Total Billed Charges,243.1,,272.41,92,,Percent of Total Billed Charges,238.36,,272.41,92,,Percent of Total Billed Charges,247.24,,272.41,92,,Percent of Total Billed Charges,222.96,,272.41,92,,Percent of Total Billed Charges,185.06,,266.49,90,,Percent of Total Billed Charges,147.75,,263.53,89,,Percent of Total Billed Charges,142.13,,243.99,82.4,,Percent of Total Billed Charges,243.39,,246.95,83.4,,Percent of Total Billed Charges,230.37,,246.95,83.4,,Percent of Total Billed Charges,207.57,,246.95,83.4,,Percent of Total Billed Charges,241.03,,266.49,90,,Percent of Total Billed Charges,250.8,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,272.41,92,,Percent of Total Billed Charges,240.14,,272.41,92,,Percent of Total Billed Charges,220.3,,272.41,92,,Percent of Total Billed Charges,231.85,,272.41,92,,Percent of Total Billed Charges,240.14,,230.96,78,,Percent of Total Billed Charges,230.96,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,159.39,53.83,,Percent of Total Billed Charges,149.53,,102.57,34.64,,Percent of Total Billed Charges,102.15,,147.99,49.98,,Percent of Total Billed Charges,111.93,,102.57,272.41,,																																							
HC VITAMIN B2,84252,CPT,,,,BOTH, , ,38.85,32.63,35.74,92,,Percent of Total Billed Charges,32.48,,35.74,92,,Percent of Total Billed Charges,31.9,,35.74,92,,Percent of Total Billed Charges,31.27,,35.74,92,,Percent of Total Billed Charges,32.44,,35.74,92,,Percent of Total Billed Charges,29.25,,35.74,92,,Percent of Total Billed Charges,24.28,,34.97,90,,Percent of Total Billed Charges,19.39,,34.58,89,,Percent of Total Billed Charges,18.65,,32.01,82.4,,Percent of Total Billed Charges,31.93,,32.4,83.4,,Percent of Total Billed Charges,30.23,,32.4,83.4,,Percent of Total Billed Charges,27.23,,32.4,83.4,,Percent of Total Billed Charges,31.62,,34.97,90,,Percent of Total Billed Charges,32.91,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,35.74,92,,Percent of Total Billed Charges,31.51,,35.74,92,,Percent of Total Billed Charges,28.9,,35.74,92,,Percent of Total Billed Charges,30.42,,35.74,92,,Percent of Total Billed Charges,31.51,,30.3,78,,Percent of Total Billed Charges,30.3,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,20.91,53.83,,Percent of Total Billed Charges,19.62,,13.46,34.64,,Percent of Total Billed Charges,13.4,,19.42,49.98,,Percent of Total Billed Charges,14.69,,13.46,35.74,,																																							
HC ASSAY OF SELENIUM,84255,CPT,,,,BOTH, , ,249.9,209.92,229.91,92,,Percent of Total Billed Charges,208.92,,229.91,92,,Percent of Total Billed Charges,205.17,,229.91,92,,Percent of Total Billed Charges,201.17,,229.91,92,,Percent of Total Billed Charges,208.67,,229.91,92,,Percent of Total Billed Charges,188.17,,229.91,92,,Percent of Total Billed Charges,156.19,,224.91,90,,Percent of Total Billed Charges,124.7,,222.41,89,,Percent of Total Billed Charges,119.95,,205.92,82.4,,Percent of Total Billed Charges,205.42,,208.42,83.4,,Percent of Total Billed Charges,194.42,,208.42,83.4,,Percent of Total Billed Charges,175.18,,208.42,83.4,,Percent of Total Billed Charges,203.42,,224.91,90,,Percent of Total Billed Charges,211.67,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,229.91,92,,Percent of Total Billed Charges,202.67,,229.91,92,,Percent of Total Billed Charges,185.93,,229.91,92,,Percent of Total Billed Charges,195.67,,229.91,92,,Percent of Total Billed Charges,202.67,,194.92,78,,Percent of Total Billed Charges,194.92,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,134.52,53.83,,Percent of Total Billed Charges,126.2,,86.57,34.64,,Percent of Total Billed Charges,86.22,,124.9,49.98,,Percent of Total Billed Charges,94.46,,86.57,229.91,,																																							
HC SEROTONIN,84260,CPT,,,,BOTH, , ,634.2,532.73,583.46,92,,Percent of Total Billed Charges,530.19,,583.46,92,,Percent of Total Billed Charges,520.68,,583.46,92,,Percent of Total Billed Charges,510.53,,583.46,92,,Percent of Total Billed Charges,529.56,,583.46,92,,Percent of Total Billed Charges,477.55,,583.46,92,,Percent of Total Billed Charges,396.38,,570.78,90,,Percent of Total Billed Charges,316.47,,564.44,89,,Percent of Total Billed Charges,304.42,,522.58,82.4,,Percent of Total Billed Charges,521.31,,528.92,83.4,,Percent of Total Billed Charges,493.41,,528.92,83.4,,Percent of Total Billed Charges,444.57,,528.92,83.4,,Percent of Total Billed Charges,516.24,,570.78,90,,Percent of Total Billed Charges,537.17,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,583.46,92,,Percent of Total Billed Charges,514.34,,583.46,92,,Percent of Total Billed Charges,471.84,,583.46,92,,Percent of Total Billed Charges,496.58,,583.46,92,,Percent of Total Billed Charges,514.34,,494.68,78,,Percent of Total Billed Charges,494.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,341.39,53.83,,Percent of Total Billed Charges,320.27,,219.69,34.64,,Percent of Total Billed Charges,218.8,,316.97,49.98,,Percent of Total Billed Charges,239.73,,219.69,583.46,,																																							
HC SOMATOMEDIN,84305,CPT,,,,BOTH, , ,480.9,403.96,442.43,92,,Percent of Total Billed Charges,402.03,,442.43,92,,Percent of Total Billed Charges,394.82,,442.43,92,,Percent of Total Billed Charges,387.12,,442.43,92,,Percent of Total Billed Charges,401.55,,442.43,92,,Percent of Total Billed Charges,362.12,,442.43,92,,Percent of Total Billed Charges,300.56,,432.81,90,,Percent of Total Billed Charges,239.97,,428,89,,Percent of Total Billed Charges,230.83,,396.26,82.4,,Percent of Total Billed Charges,395.3,,401.07,83.4,,Percent of Total Billed Charges,374.14,,401.07,83.4,,Percent of Total Billed Charges,337.11,,401.07,83.4,,Percent of Total Billed Charges,391.45,,432.81,90,,Percent of Total Billed Charges,407.32,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,442.43,92,,Percent of Total Billed Charges,390.01,,442.43,92,,Percent of Total Billed Charges,357.79,,442.43,92,,Percent of Total Billed Charges,376.54,,442.43,92,,Percent of Total Billed Charges,390.01,,375.1,78,,Percent of Total Billed Charges,375.1,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,258.87,53.83,,Percent of Total Billed Charges,242.85,,166.58,34.64,,Percent of Total Billed Charges,165.91,,240.35,49.98,,Percent of Total Billed Charges,181.78,,166.58,442.43,,																																							
HC SOMATOSTATIN,84307,CPT,,,,BOTH, , ,344.4,289.3,316.85,92,,Percent of Total Billed Charges,287.92,,316.85,92,,Percent of Total Billed Charges,282.75,,316.85,92,,Percent of Total Billed Charges,277.24,,316.85,92,,Percent of Total Billed Charges,287.57,,316.85,92,,Percent of Total Billed Charges,259.33,,316.85,92,,Percent of Total Billed Charges,215.25,,309.96,90,,Percent of Total Billed Charges,171.86,,306.52,89,,Percent of Total Billed Charges,165.31,,283.79,82.4,,Percent of Total Billed Charges,283.1,,287.23,83.4,,Percent of Total Billed Charges,267.94,,287.23,83.4,,Percent of Total Billed Charges,241.42,,287.23,83.4,,Percent of Total Billed Charges,280.34,,309.96,90,,Percent of Total Billed Charges,291.71,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,316.85,92,,Percent of Total Billed Charges,279.31,,316.85,92,,Percent of Total Billed Charges,256.23,,316.85,92,,Percent of Total Billed Charges,269.67,,316.85,92,,Percent of Total Billed Charges,279.31,,268.63,78,,Percent of Total Billed Charges,268.63,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,185.39,53.83,,Percent of Total Billed Charges,173.92,,119.3,34.64,,Percent of Total Billed Charges,118.82,,172.13,49.98,,Percent of Total Billed Charges,130.18,,119.30,316.85,,																																							
HC SPECTROPHOTOMETRY,84311,CPT,,,,BOTH, , ,39.9,33.52,36.71,92,,Percent of Total Billed Charges,33.36,,36.71,92,,Percent of Total Billed Charges,32.76,,36.71,92,,Percent of Total Billed Charges,32.12,,36.71,92,,Percent of Total Billed Charges,33.32,,36.71,92,,Percent of Total Billed Charges,30.04,,36.71,92,,Percent of Total Billed Charges,24.94,,35.91,90,,Percent of Total Billed Charges,19.91,,35.51,89,,Percent of Total Billed Charges,19.15,,32.88,82.4,,Percent of Total Billed Charges,32.8,,33.28,83.4,,Percent of Total Billed Charges,31.04,,33.28,83.4,,Percent of Total Billed Charges,27.97,,33.28,83.4,,Percent of Total Billed Charges,32.48,,35.91,90,,Percent of Total Billed Charges,33.8,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,36.71,92,,Percent of Total Billed Charges,32.36,,36.71,92,,Percent of Total Billed Charges,29.69,,36.71,92,,Percent of Total Billed Charges,31.24,,36.71,92,,Percent of Total Billed Charges,32.36,,31.12,78,,Percent of Total Billed Charges,31.12,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,21.48,53.83,,Percent of Total Billed Charges,20.15,,13.82,34.64,,Percent of Total Billed Charges,13.77,,19.94,49.98,,Percent of Total Billed Charges,15.08,,13.82,36.71,,																																							
HC SUGARS SINGLE QUANT,84378,CPT,,,,BOTH, , ,166.95,140.24,153.59,92,,Percent of Total Billed Charges,139.57,,153.59,92,,Percent of Total Billed Charges,137.07,,153.59,92,,Percent of Total Billed Charges,134.39,,153.59,92,,Percent of Total Billed Charges,139.4,,153.59,92,,Percent of Total Billed Charges,125.71,,153.59,92,,Percent of Total Billed Charges,104.34,,150.26,90,,Percent of Total Billed Charges,83.31,,148.59,89,,Percent of Total Billed Charges,80.14,,137.57,82.4,,Percent of Total Billed Charges,137.23,,139.24,83.4,,Percent of Total Billed Charges,129.89,,139.24,83.4,,Percent of Total Billed Charges,117.03,,139.24,83.4,,Percent of Total Billed Charges,135.9,,150.26,90,,Percent of Total Billed Charges,141.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,153.59,92,,Percent of Total Billed Charges,135.4,,153.59,92,,Percent of Total Billed Charges,124.21,,153.59,92,,Percent of Total Billed Charges,130.72,,153.59,92,,Percent of Total Billed Charges,135.4,,130.22,78,,Percent of Total Billed Charges,130.22,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,89.87,53.83,,Percent of Total Billed Charges,84.31,,57.83,34.64,,Percent of Total Billed Charges,57.6,,83.44,49.98,,Percent of Total Billed Charges,63.11,,57.83,153.59,,																																							
HC TESTOSTERONE,FREE,84402,CPT,,,,BOTH, , ,237.3,199.33,218.32,92,,Percent of Total Billed Charges,198.38,,218.32,92,,Percent of Total Billed Charges,194.82,,218.32,92,,Percent of Total Billed Charges,191.03,,218.32,92,,Percent of Total Billed Charges,198.15,,218.32,92,,Percent of Total Billed Charges,178.69,,218.32,92,,Percent of Total Billed Charges,148.31,,213.57,90,,Percent of Total Billed Charges,118.41,,211.2,89,,Percent of Total Billed Charges,113.9,,195.54,82.4,,Percent of Total Billed Charges,195.06,,197.91,83.4,,Percent of Total Billed Charges,184.62,,197.91,83.4,,Percent of Total Billed Charges,166.35,,197.91,83.4,,Percent of Total Billed Charges,193.16,,213.57,90,,Percent of Total Billed Charges,200.99,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,218.32,92,,Percent of Total Billed Charges,192.45,,218.32,92,,Percent of Total Billed Charges,176.55,,218.32,92,,Percent of Total Billed Charges,185.81,,218.32,92,,Percent of Total Billed Charges,192.45,,185.09,78,,Percent of Total Billed Charges,185.09,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,127.74,53.83,,Percent of Total Billed Charges,119.84,,82.2,34.64,,Percent of Total Billed Charges,81.87,,118.6,49.98,,Percent of Total Billed Charges,89.7,,82.20,218.32,,																																							
HC VITAMIN B1 THIAMINE (LC/MS/MS),84425,CPT,,,,BOTH, , ,400.05,336.04,368.05,92,,Percent of Total Billed Charges,334.44,,368.05,92,,Percent of Total Billed Charges,328.44,,368.05,92,,Percent of Total Billed Charges,322.04,,368.05,92,,Percent of Total Billed Charges,334.04,,368.05,92,,Percent of Total Billed Charges,301.24,,368.05,92,,Percent of Total Billed Charges,250.03,,360.05,90,,Percent of Total Billed Charges,199.62,,356.04,89,,Percent of Total Billed Charges,192.02,,329.64,82.4,,Percent of Total Billed Charges,328.84,,333.64,83.4,,Percent of Total Billed Charges,311.24,,333.64,83.4,,Percent of Total Billed Charges,280.44,,333.64,83.4,,Percent of Total Billed Charges,325.64,,360.05,90,,Percent of Total Billed Charges,338.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,368.05,92,,Percent of Total Billed Charges,324.44,,368.05,92,,Percent of Total Billed Charges,297.64,,368.05,92,,Percent of Total Billed Charges,313.24,,368.05,92,,Percent of Total Billed Charges,324.44,,312.04,78,,Percent of Total Billed Charges,312.04,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,215.35,53.83,,Percent of Total Billed Charges,202.03,,138.58,34.64,,Percent of Total Billed Charges,138.02,,199.94,49.98,,Percent of Total Billed Charges,151.22,,138.58,368.05,,																																							
HC VITAMIN E,84446,CPT,,,,BOTH, , ,245.7,206.39,226.04,92,,Percent of Total Billed Charges,205.41,,226.04,92,,Percent of Total Billed Charges,201.72,,226.04,92,,Percent of Total Billed Charges,197.79,,226.04,92,,Percent of Total Billed Charges,205.16,,226.04,92,,Percent of Total Billed Charges,185.01,,226.04,92,,Percent of Total Billed Charges,153.56,,221.13,90,,Percent of Total Billed Charges,122.6,,218.67,89,,Percent of Total Billed Charges,117.94,,202.46,82.4,,Percent of Total Billed Charges,201.97,,204.91,83.4,,Percent of Total Billed Charges,191.15,,204.91,83.4,,Percent of Total Billed Charges,172.24,,204.91,83.4,,Percent of Total Billed Charges,200,,221.13,90,,Percent of Total Billed Charges,208.11,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,226.04,92,,Percent of Total Billed Charges,199.26,,226.04,92,,Percent of Total Billed Charges,182.8,,226.04,92,,Percent of Total Billed Charges,192.38,,226.04,92,,Percent of Total Billed Charges,199.26,,191.65,78,,Percent of Total Billed Charges,191.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,132.26,53.83,,Percent of Total Billed Charges,124.08,,85.11,34.64,,Percent of Total Billed Charges,84.77,,122.8,49.98,,Percent of Total Billed Charges,92.87,,85.11,226.04,,																																							
HC T3, FREE,84481,CPT,,,,BOTH, , ,354.9,298.12,326.51,92,,Percent of Total Billed Charges,296.7,,326.51,92,,Percent of Total Billed Charges,291.37,,326.51,92,,Percent of Total Billed Charges,285.69,,326.51,92,,Percent of Total Billed Charges,296.34,,326.51,92,,Percent of Total Billed Charges,267.24,,326.51,92,,Percent of Total Billed Charges,221.81,,319.41,90,,Percent of Total Billed Charges,177.1,,315.86,89,,Percent of Total Billed Charges,170.35,,292.44,82.4,,Percent of Total Billed Charges,291.73,,295.99,83.4,,Percent of Total Billed Charges,276.11,,295.99,83.4,,Percent of Total Billed Charges,248.78,,295.99,83.4,,Percent of Total Billed Charges,288.89,,319.41,90,,Percent of Total Billed Charges,300.6,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,326.51,92,,Percent of Total Billed Charges,287.82,,326.51,92,,Percent of Total Billed Charges,264.05,,326.51,92,,Percent of Total Billed Charges,277.89,,326.51,92,,Percent of Total Billed Charges,287.82,,276.82,78,,Percent of Total Billed Charges,276.82,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,191.04,53.83,,Percent of Total Billed Charges,179.22,,122.94,34.64,,Percent of Total Billed Charges,122.44,,177.38,49.98,,Percent of Total Billed Charges,134.15,,122.94,326.51,,																																							
HC T3 REVERSE,84482,CPT,,,,BOTH, , ,480.9,403.96,442.43,92,,Percent of Total Billed Charges,402.03,,442.43,92,,Percent of Total Billed Charges,394.82,,442.43,92,,Percent of Total Billed Charges,387.12,,442.43,92,,Percent of Total Billed Charges,401.55,,442.43,92,,Percent of Total Billed Charges,362.12,,442.43,92,,Percent of Total Billed Charges,300.56,,432.81,90,,Percent of Total Billed Charges,239.97,,428,89,,Percent of Total Billed Charges,230.83,,396.26,82.4,,Percent of Total Billed Charges,395.3,,401.07,83.4,,Percent of Total Billed Charges,374.14,,401.07,83.4,,Percent of Total Billed Charges,337.11,,401.07,83.4,,Percent of Total Billed Charges,391.45,,432.81,90,,Percent of Total Billed Charges,407.32,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,442.43,92,,Percent of Total Billed Charges,390.01,,442.43,92,,Percent of Total Billed Charges,357.79,,442.43,92,,Percent of Total Billed Charges,376.54,,442.43,92,,Percent of Total Billed Charges,390.01,,375.1,78,,Percent of Total Billed Charges,375.1,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,258.87,53.83,,Percent of Total Billed Charges,242.85,,166.58,34.64,,Percent of Total Billed Charges,165.91,,240.35,49.98,,Percent of Total Billed Charges,181.78,,166.58,442.43,,																																							
HC UREA NITROGEN ; URINE,84540,CPT,,,,BOTH, , ,72.45,60.86,66.65,92,,Percent of Total Billed Charges,60.57,,66.65,92,,Percent of Total Billed Charges,59.48,,66.65,92,,Percent of Total Billed Charges,58.32,,66.65,92,,Percent of Total Billed Charges,60.5,,66.65,92,,Percent of Total Billed Charges,54.55,,66.65,92,,Percent of Total Billed Charges,45.28,,65.21,90,,Percent of Total Billed Charges,36.15,,64.48,89,,Percent of Total Billed Charges,34.78,,59.7,82.4,,Percent of Total Billed Charges,59.55,,60.42,83.4,,Percent of Total Billed Charges,56.37,,60.42,83.4,,Percent of Total Billed Charges,50.79,,60.42,83.4,,Percent of Total Billed Charges,58.97,,65.21,90,,Percent of Total Billed Charges,61.37,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,66.65,92,,Percent of Total Billed Charges,58.76,,66.65,92,,Percent of Total Billed Charges,53.9,,66.65,92,,Percent of Total Billed Charges,56.73,,66.65,92,,Percent of Total Billed Charges,58.76,,56.51,78,,Percent of Total Billed Charges,56.51,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,39,53.83,,Percent of Total Billed Charges,36.59,,25.1,34.64,,Percent of Total Billed Charges,25,,36.21,49.98,,Percent of Total Billed Charges,27.39,,25.10,66.65,,																																							
HC VANILLYMANDELIC ACID,84585,CPT,,,,BOTH, , ,245.7,206.39,226.04,92,,Percent of Total Billed Charges,205.41,,226.04,92,,Percent of Total Billed Charges,201.72,,226.04,92,,Percent of Total Billed Charges,197.79,,226.04,92,,Percent of Total Billed Charges,205.16,,226.04,92,,Percent of Total Billed Charges,185.01,,226.04,92,,Percent of Total Billed Charges,153.56,,221.13,90,,Percent of Total Billed Charges,122.6,,218.67,89,,Percent of Total Billed Charges,117.94,,202.46,82.4,,Percent of Total Billed Charges,201.97,,204.91,83.4,,Percent of Total Billed Charges,191.15,,204.91,83.4,,Percent of Total Billed Charges,172.24,,204.91,83.4,,Percent of Total Billed Charges,200,,221.13,90,,Percent of Total Billed Charges,208.11,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,226.04,92,,Percent of Total Billed Charges,199.26,,226.04,92,,Percent of Total Billed Charges,182.8,,226.04,92,,Percent of Total Billed Charges,192.38,,226.04,92,,Percent of Total Billed Charges,199.26,,191.65,78,,Percent of Total Billed Charges,191.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,132.26,53.83,,Percent of Total Billed Charges,124.08,,85.11,34.64,,Percent of Total Billed Charges,84.77,,122.8,49.98,,Percent of Total Billed Charges,92.87,,85.11,226.04,,																																							
HC VASOACTIVE INTESTINAL PEPTIDE,84586,CPT,,,,BOTH, , ,51.45,43.22,47.33,92,,Percent of Total Billed Charges,43.01,,47.33,92,,Percent of Total Billed Charges,42.24,,47.33,92,,Percent of Total Billed Charges,41.42,,47.33,92,,Percent of Total Billed Charges,42.96,,47.33,92,,Percent of Total Billed Charges,38.74,,47.33,92,,Percent of Total Billed Charges,32.16,,46.31,90,,Percent of Total Billed Charges,25.67,,45.79,89,,Percent of Total Billed Charges,24.7,,42.39,82.4,,Percent of Total Billed Charges,42.29,,42.91,83.4,,Percent of Total Billed Charges,40.03,,42.91,83.4,,Percent of Total Billed Charges,36.07,,42.91,83.4,,Percent of Total Billed Charges,41.88,,46.31,90,,Percent of Total Billed Charges,43.58,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,47.33,92,,Percent of Total Billed Charges,41.73,,47.33,92,,Percent of Total Billed Charges,38.28,,47.33,92,,Percent of Total Billed Charges,40.29,,47.33,92,,Percent of Total Billed Charges,41.73,,40.13,78,,Percent of Total Billed Charges,40.13,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,27.7,53.83,,Percent of Total Billed Charges,25.98,,17.82,34.64,,Percent of Total Billed Charges,17.75,,25.71,49.98,,Percent of Total Billed Charges,19.45,,17.82,47.33,,																																							
HC ARGININE VASOPRESSIN (ADH),84588,CPT,,,,BOTH, , ,490.35,411.89,451.12,92,,Percent of Total Billed Charges,409.93,,451.12,92,,Percent of Total Billed Charges,402.58,,451.12,92,,Percent of Total Billed Charges,394.73,,451.12,92,,Percent of Total Billed Charges,409.44,,451.12,92,,Percent of Total Billed Charges,369.23,,451.12,92,,Percent of Total Billed Charges,306.47,,441.32,90,,Percent of Total Billed Charges,244.68,,436.41,89,,Percent of Total Billed Charges,235.37,,404.05,82.4,,Percent of Total Billed Charges,403.07,,408.95,83.4,,Percent of Total Billed Charges,381.49,,408.95,83.4,,Percent of Total Billed Charges,343.74,,408.95,83.4,,Percent of Total Billed Charges,399.14,,441.32,90,,Percent of Total Billed Charges,415.33,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,451.12,92,,Percent of Total Billed Charges,397.67,,451.12,92,,Percent of Total Billed Charges,364.82,,451.12,92,,Percent of Total Billed Charges,383.94,,451.12,92,,Percent of Total Billed Charges,397.67,,382.47,78,,Percent of Total Billed Charges,382.47,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,263.96,53.83,,Percent of Total Billed Charges,247.63,,169.86,34.64,,Percent of Total Billed Charges,169.17,,245.08,49.98,,Percent of Total Billed Charges,185.35,,169.86,451.12,,																																							
HC VITAMIN A,84590,CPT,,,,BOTH, , ,287.7,241.67,264.68,92,,Percent of Total Billed Charges,240.52,,264.68,92,,Percent of Total Billed Charges,236.2,,264.68,92,,Percent of Total Billed Charges,231.6,,264.68,92,,Percent of Total Billed Charges,240.23,,264.68,92,,Percent of Total Billed Charges,216.64,,264.68,92,,Percent of Total Billed Charges,179.81,,258.93,90,,Percent of Total Billed Charges,143.56,,256.05,89,,Percent of Total Billed Charges,138.1,,237.06,82.4,,Percent of Total Billed Charges,236.49,,239.94,83.4,,Percent of Total Billed Charges,223.83,,239.94,83.4,,Percent of Total Billed Charges,201.68,,239.94,83.4,,Percent of Total Billed Charges,234.19,,258.93,90,,Percent of Total Billed Charges,243.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,264.68,92,,Percent of Total Billed Charges,233.32,,264.68,92,,Percent of Total Billed Charges,214.05,,264.68,92,,Percent of Total Billed Charges,225.27,,264.68,92,,Percent of Total Billed Charges,233.32,,224.41,78,,Percent of Total Billed Charges,224.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,154.87,53.83,,Percent of Total Billed Charges,145.29,,99.66,34.64,,Percent of Total Billed Charges,99.26,,143.79,49.98,,Percent of Total Billed Charges,108.75,,99.66,264.68,,																																							
HC ASSAY OF NOS VITAMIN,84591,CPT,,,,BOTH, , ,10.5,8.82,9.66,92,,Percent of Total Billed Charges,8.78,,9.66,92,,Percent of Total Billed Charges,8.62,,9.66,92,,Percent of Total Billed Charges,8.45,,9.66,92,,Percent of Total Billed Charges,8.77,,9.66,92,,Percent of Total Billed Charges,7.91,,9.66,92,,Percent of Total Billed Charges,6.56,,9.45,90,,Percent of Total Billed Charges,5.24,,9.35,89,,Percent of Total Billed Charges,5.04,,8.65,82.4,,Percent of Total Billed Charges,8.63,,8.76,83.4,,Percent of Total Billed Charges,8.17,,8.76,83.4,,Percent of Total Billed Charges,7.36,,8.76,83.4,,Percent of Total Billed Charges,8.55,,9.45,90,,Percent of Total Billed Charges,8.89,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,9.66,92,,Percent of Total Billed Charges,8.52,,9.66,92,,Percent of Total Billed Charges,7.81,,9.66,92,,Percent of Total Billed Charges,8.22,,9.66,92,,Percent of Total Billed Charges,8.52,,8.19,78,,Percent of Total Billed Charges,8.19,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5.65,53.83,,Percent of Total Billed Charges,5.3,,3.64,34.64,,Percent of Total Billed Charges,3.62,,5.25,49.98,,Percent of Total Billed Charges,3.97,,3.64,9.66,,																																							
HC ZINC,84630,CPT,,,,BOTH, , ,180.6,151.7,166.15,92,,Percent of Total Billed Charges,150.98,,166.15,92,,Percent of Total Billed Charges,148.27,,166.15,92,,Percent of Total Billed Charges,145.38,,166.15,92,,Percent of Total Billed Charges,150.8,,166.15,92,,Percent of Total Billed Charges,135.99,,166.15,92,,Percent of Total Billed Charges,112.88,,162.54,90,,Percent of Total Billed Charges,90.12,,160.73,89,,Percent of Total Billed Charges,86.69,,148.81,82.4,,Percent of Total Billed Charges,148.45,,150.62,83.4,,Percent of Total Billed Charges,140.51,,150.62,83.4,,Percent of Total Billed Charges,126.6,,150.62,83.4,,Percent of Total Billed Charges,147.01,,162.54,90,,Percent of Total Billed Charges,152.97,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,166.15,92,,Percent of Total Billed Charges,146.47,,166.15,92,,Percent of Total Billed Charges,134.37,,166.15,92,,Percent of Total Billed Charges,141.41,,166.15,92,,Percent of Total Billed Charges,146.47,,140.87,78,,Percent of Total Billed Charges,140.87,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,97.22,53.83,,Percent of Total Billed Charges,91.2,,62.56,34.64,,Percent of Total Billed Charges,62.31,,90.26,49.98,,Percent of Total Billed Charges,68.27,,62.56,166.15,,																																							
HC CPEPTIDE,84681,CPT,,,,BOTH, , ,320.25,269.01,294.63,92,,Percent of Total Billed Charges,267.73,,294.63,92,,Percent of Total Billed Charges,262.93,,294.63,92,,Percent of Total Billed Charges,257.8,,294.63,92,,Percent of Total Billed Charges,267.41,,294.63,92,,Percent of Total Billed Charges,241.15,,294.63,92,,Percent of Total Billed Charges,200.16,,288.23,90,,Percent of Total Billed Charges,159.8,,285.02,89,,Percent of Total Billed Charges,153.72,,263.89,82.4,,Percent of Total Billed Charges,263.25,,267.09,83.4,,Percent of Total Billed Charges,249.15,,267.09,83.4,,Percent of Total Billed Charges,224.5,,267.09,83.4,,Percent of Total Billed Charges,260.68,,288.23,90,,Percent of Total Billed Charges,271.25,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,294.63,92,,Percent of Total Billed Charges,259.72,,294.63,92,,Percent of Total Billed Charges,238.27,,294.63,92,,Percent of Total Billed Charges,250.76,,294.63,92,,Percent of Total Billed Charges,259.72,,249.8,78,,Percent of Total Billed Charges,249.8,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,172.39,53.83,,Percent of Total Billed Charges,161.73,,110.93,34.64,,Percent of Total Billed Charges,110.49,,160.06,49.98,,Percent of Total Billed Charges,121.05,,110.93,294.63,,																																							
HC RBC COUNT AUTOMATED,85041,CPT,,,,BOTH, , ,9.45,7.94,8.69,92,,Percent of Total Billed Charges,7.9,,8.69,92,,Percent of Total Billed Charges,7.76,,8.69,92,,Percent of Total Billed Charges,7.61,,8.69,92,,Percent of Total Billed Charges,7.89,,8.69,92,,Percent of Total Billed Charges,7.12,,8.69,92,,Percent of Total Billed Charges,5.91,,8.51,90,,Percent of Total Billed Charges,4.72,,8.41,89,,Percent of Total Billed Charges,4.54,,7.79,82.4,,Percent of Total Billed Charges,7.77,,7.88,83.4,,Percent of Total Billed Charges,7.35,,7.88,83.4,,Percent of Total Billed Charges,6.62,,7.88,83.4,,Percent of Total Billed Charges,7.69,,8.51,90,,Percent of Total Billed Charges,8,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,8.69,92,,Percent of Total Billed Charges,7.66,,8.69,92,,Percent of Total Billed Charges,7.03,,8.69,92,,Percent of Total Billed Charges,7.4,,8.69,92,,Percent of Total Billed Charges,7.66,,7.37,78,,Percent of Total Billed Charges,7.37,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5.09,53.83,,Percent of Total Billed Charges,4.77,,3.27,34.64,,Percent of Total Billed Charges,3.26,,4.72,49.98,,Percent of Total Billed Charges,3.57,,3.27,8.69,,																																							
HC BONE MARROW INTERPRETATION,85097,CPT,,,,BOTH, , ,1888.95,1586.72,1737.83,92,,Percent of Total Billed Charges,1579.16,,1737.83,92,,Percent of Total Billed Charges,1550.83,,1737.83,92,,Percent of Total Billed Charges,1520.6,,1737.83,92,,Percent of Total Billed Charges,1577.27,,1737.83,92,,Percent of Total Billed Charges,1422.38,,1737.83,92,,Percent of Total Billed Charges,1180.59,,1700.06,90,,Percent of Total Billed Charges,942.59,,1681.17,89,,Percent of Total Billed Charges,906.7,,1556.49,82.4,,Percent of Total Billed Charges,1552.72,,1575.38,83.4,,Percent of Total Billed Charges,1469.6,,1575.38,83.4,,Percent of Total Billed Charges,1324.15,,1575.38,83.4,,Percent of Total Billed Charges,1537.61,,1700.06,90,,Percent of Total Billed Charges,1599.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1737.83,92,,Percent of Total Billed Charges,1531.94,,1737.83,92,,Percent of Total Billed Charges,1405.38,,1737.83,92,,Percent of Total Billed Charges,1479.05,,1737.83,92,,Percent of Total Billed Charges,1531.94,,1473.38,78,,Percent of Total Billed Charges,1473.38,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1016.82,53.83,,Percent of Total Billed Charges,953.92,,654.33,34.64,,Percent of Total Billed Charges,651.69,,944.1,49.98,,Percent of Total Billed Charges,714.02,,654.33,1737.83,,																																							
HC BLOOD CLOT LYSIS TIME,85175,CPT,,,,BOTH, , ,33.6,28.22,30.91,92,,Percent of Total Billed Charges,28.09,,30.91,92,,Percent of Total Billed Charges,27.59,,30.91,92,,Percent of Total Billed Charges,27.05,,30.91,92,,Percent of Total Billed Charges,28.06,,30.91,92,,Percent of Total Billed Charges,25.3,,30.91,92,,Percent of Total Billed Charges,21,,30.24,90,,Percent of Total Billed Charges,16.77,,29.9,89,,Percent of Total Billed Charges,16.13,,27.69,82.4,,Percent of Total Billed Charges,27.62,,28.02,83.4,,Percent of Total Billed Charges,26.14,,28.02,83.4,,Percent of Total Billed Charges,23.55,,28.02,83.4,,Percent of Total Billed Charges,27.35,,30.24,90,,Percent of Total Billed Charges,28.46,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,30.91,92,,Percent of Total Billed Charges,27.25,,30.91,92,,Percent of Total Billed Charges,25,,30.91,92,,Percent of Total Billed Charges,26.31,,30.91,92,,Percent of Total Billed Charges,27.25,,26.21,78,,Percent of Total Billed Charges,26.21,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,18.09,53.83,,Percent of Total Billed Charges,16.97,,11.64,34.64,,Percent of Total Billed Charges,11.59,,16.79,49.98,,Percent of Total Billed Charges,12.7,,11.64,30.91,,																																							
HC CLOT FACTOR II PROTHROM SPEC,85210,CPT,,,,BOTH, , ,364.35,306.05,335.2,92,,Percent of Total Billed Charges,304.6,,335.2,92,,Percent of Total Billed Charges,299.13,,335.2,92,,Percent of Total Billed Charges,293.3,,335.2,92,,Percent of Total Billed Charges,304.23,,335.2,92,,Percent of Total Billed Charges,274.36,,335.2,92,,Percent of Total Billed Charges,227.72,,327.92,90,,Percent of Total Billed Charges,181.81,,324.27,89,,Percent of Total Billed Charges,174.89,,300.22,82.4,,Percent of Total Billed Charges,299.5,,303.87,83.4,,Percent of Total Billed Charges,283.46,,303.87,83.4,,Percent of Total Billed Charges,255.41,,303.87,83.4,,Percent of Total Billed Charges,296.58,,327.92,90,,Percent of Total Billed Charges,308.6,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,335.2,92,,Percent of Total Billed Charges,295.49,,335.2,92,,Percent of Total Billed Charges,271.08,,335.2,92,,Percent of Total Billed Charges,285.29,,335.2,92,,Percent of Total Billed Charges,295.49,,284.19,78,,Percent of Total Billed Charges,284.19,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,196.13,53.83,,Percent of Total Billed Charges,184,,126.21,34.64,,Percent of Total Billed Charges,125.7,,182.1,49.98,,Percent of Total Billed Charges,137.72,,126.21,335.2,,																																							
HC BLOOD CLOT FACTOR V TEST,85220,CPT,,,,BOTH, , ,386.4,324.58,355.49,92,,Percent of Total Billed Charges,323.03,,355.49,92,,Percent of Total Billed Charges,317.23,,355.49,92,,Percent of Total Billed Charges,311.05,,355.49,92,,Percent of Total Billed Charges,322.64,,355.49,92,,Percent of Total Billed Charges,290.96,,355.49,92,,Percent of Total Billed Charges,241.5,,347.76,90,,Percent of Total Billed Charges,192.81,,343.9,89,,Percent of Total Billed Charges,185.47,,318.39,82.4,,Percent of Total Billed Charges,317.62,,322.26,83.4,,Percent of Total Billed Charges,300.62,,322.26,83.4,,Percent of Total Billed Charges,270.87,,322.26,83.4,,Percent of Total Billed Charges,314.53,,347.76,90,,Percent of Total Billed Charges,327.28,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,355.49,92,,Percent of Total Billed Charges,313.37,,355.49,92,,Percent of Total Billed Charges,287.48,,355.49,92,,Percent of Total Billed Charges,302.55,,355.49,92,,Percent of Total Billed Charges,313.37,,301.39,78,,Percent of Total Billed Charges,301.39,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,208,53.83,,Percent of Total Billed Charges,195.13,,133.85,34.64,,Percent of Total Billed Charges,133.31,,193.12,49.98,,Percent of Total Billed Charges,146.06,,133.85,355.49,,																																							
HC CLOT FACTOR VII PROCONVERTIN,85230,CPT,,,,BOTH, , ,386.4,324.58,355.49,92,,Percent of Total Billed Charges,323.03,,355.49,92,,Percent of Total Billed Charges,317.23,,355.49,92,,Percent of Total Billed Charges,311.05,,355.49,92,,Percent of Total Billed Charges,322.64,,355.49,92,,Percent of Total Billed Charges,290.96,,355.49,92,,Percent of Total Billed Charges,241.5,,347.76,90,,Percent of Total Billed Charges,192.81,,343.9,89,,Percent of Total Billed Charges,185.47,,318.39,82.4,,Percent of Total Billed Charges,317.62,,322.26,83.4,,Percent of Total Billed Charges,300.62,,322.26,83.4,,Percent of Total Billed Charges,270.87,,322.26,83.4,,Percent of Total Billed Charges,314.53,,347.76,90,,Percent of Total Billed Charges,327.28,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,355.49,92,,Percent of Total Billed Charges,313.37,,355.49,92,,Percent of Total Billed Charges,287.48,,355.49,92,,Percent of Total Billed Charges,302.55,,355.49,92,,Percent of Total Billed Charges,313.37,,301.39,78,,Percent of Total Billed Charges,301.39,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,208,53.83,,Percent of Total Billed Charges,195.13,,133.85,34.64,,Percent of Total Billed Charges,133.31,,193.12,49.98,,Percent of Total Billed Charges,146.06,,133.85,355.49,,																																							
HC CLOT FACTOR VIII VW RISTOCTN,85245,CPT,,,,BOTH, , ,331.8,278.71,305.26,92,,Percent of Total Billed Charges,277.38,,305.26,92,,Percent of Total Billed Charges,272.41,,305.26,92,,Percent of Total Billed Charges,267.1,,305.26,92,,Percent of Total Billed Charges,277.05,,305.26,92,,Percent of Total Billed Charges,249.85,,305.26,92,,Percent of Total Billed Charges,207.38,,298.62,90,,Percent of Total Billed Charges,165.57,,295.3,89,,Percent of Total Billed Charges,159.26,,273.4,82.4,,Percent of Total Billed Charges,272.74,,276.72,83.4,,Percent of Total Billed Charges,258.14,,276.72,83.4,,Percent of Total Billed Charges,232.59,,276.72,83.4,,Percent of Total Billed Charges,270.09,,298.62,90,,Percent of Total Billed Charges,281.03,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,305.26,92,,Percent of Total Billed Charges,269.09,,305.26,92,,Percent of Total Billed Charges,246.86,,305.26,92,,Percent of Total Billed Charges,259.8,,305.26,92,,Percent of Total Billed Charges,269.09,,258.8,78,,Percent of Total Billed Charges,258.8,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,178.61,53.83,,Percent of Total Billed Charges,167.56,,114.94,34.64,,Percent of Total Billed Charges,114.47,,165.83,49.98,,Percent of Total Billed Charges,125.42,,114.94,305.26,,																																							
HC CLOT FACTOR VIII VW ANTIGEN,85246,CPT,,,,BOTH, , ,326.55,274.3,300.43,92,,Percent of Total Billed Charges,273,,300.43,92,,Percent of Total Billed Charges,268.1,,300.43,92,,Percent of Total Billed Charges,262.87,,300.43,92,,Percent of Total Billed Charges,272.67,,300.43,92,,Percent of Total Billed Charges,245.89,,300.43,92,,Percent of Total Billed Charges,204.09,,293.9,90,,Percent of Total Billed Charges,162.95,,290.63,89,,Percent of Total Billed Charges,156.74,,269.08,82.4,,Percent of Total Billed Charges,268.42,,272.34,83.4,,Percent of Total Billed Charges,254.06,,272.34,83.4,,Percent of Total Billed Charges,228.91,,272.34,83.4,,Percent of Total Billed Charges,265.81,,293.9,90,,Percent of Total Billed Charges,276.59,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,300.43,92,,Percent of Total Billed Charges,264.83,,300.43,92,,Percent of Total Billed Charges,242.95,,300.43,92,,Percent of Total Billed Charges,255.69,,300.43,92,,Percent of Total Billed Charges,264.83,,254.71,78,,Percent of Total Billed Charges,254.71,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,175.78,53.83,,Percent of Total Billed Charges,164.91,,113.12,34.64,,Percent of Total Billed Charges,112.66,,163.21,49.98,,Percent of Total Billed Charges,123.44,,113.12,300.43,,																																							
HC CLOT FACTOR VIII MULTIMETRIC,85247,CPT,,,,BOTH, , ,266.7,224.03,245.36,92,,Percent of Total Billed Charges,222.96,,245.36,92,,Percent of Total Billed Charges,218.96,,245.36,92,,Percent of Total Billed Charges,214.69,,245.36,92,,Percent of Total Billed Charges,222.69,,245.36,92,,Percent of Total Billed Charges,200.83,,245.36,92,,Percent of Total Billed Charges,166.69,,240.03,90,,Percent of Total Billed Charges,133.08,,237.36,89,,Percent of Total Billed Charges,128.02,,219.76,82.4,,Percent of Total Billed Charges,219.23,,222.43,83.4,,Percent of Total Billed Charges,207.49,,222.43,83.4,,Percent of Total Billed Charges,186.96,,222.43,83.4,,Percent of Total Billed Charges,217.09,,240.03,90,,Percent of Total Billed Charges,225.89,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,245.36,92,,Percent of Total Billed Charges,216.29,,245.36,92,,Percent of Total Billed Charges,198.42,,245.36,92,,Percent of Total Billed Charges,208.83,,245.36,92,,Percent of Total Billed Charges,216.29,,208.03,78,,Percent of Total Billed Charges,208.03,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,143.56,53.83,,Percent of Total Billed Charges,134.68,,92.38,34.64,,Percent of Total Billed Charges,92.01,,133.3,49.98,,Percent of Total Billed Charges,100.81,,92.38,245.36,,																																							
HC CLOT FACTOR IX PTC/CHRSTMAS,85250,CPT,,,,BOTH, , ,364.35,306.05,335.2,92,,Percent of Total Billed Charges,304.6,,335.2,92,,Percent of Total Billed Charges,299.13,,335.2,92,,Percent of Total Billed Charges,293.3,,335.2,92,,Percent of Total Billed Charges,304.23,,335.2,92,,Percent of Total Billed Charges,274.36,,335.2,92,,Percent of Total Billed Charges,227.72,,327.92,90,,Percent of Total Billed Charges,181.81,,324.27,89,,Percent of Total Billed Charges,174.89,,300.22,82.4,,Percent of Total Billed Charges,299.5,,303.87,83.4,,Percent of Total Billed Charges,283.46,,303.87,83.4,,Percent of Total Billed Charges,255.41,,303.87,83.4,,Percent of Total Billed Charges,296.58,,327.92,90,,Percent of Total Billed Charges,308.6,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,335.2,92,,Percent of Total Billed Charges,295.49,,335.2,92,,Percent of Total Billed Charges,271.08,,335.2,92,,Percent of Total Billed Charges,285.29,,335.2,92,,Percent of Total Billed Charges,295.49,,284.19,78,,Percent of Total Billed Charges,284.19,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,196.13,53.83,,Percent of Total Billed Charges,184,,126.21,34.64,,Percent of Total Billed Charges,125.7,,182.1,49.98,,Percent of Total Billed Charges,137.72,,126.21,335.2,,																																							
HC CLOT FACTOR X STUARTPOWER,85260,CPT,,,,BOTH, , ,364.35,306.05,335.2,92,,Percent of Total Billed Charges,304.6,,335.2,92,,Percent of Total Billed Charges,299.13,,335.2,92,,Percent of Total Billed Charges,293.3,,335.2,92,,Percent of Total Billed Charges,304.23,,335.2,92,,Percent of Total Billed Charges,274.36,,335.2,92,,Percent of Total Billed Charges,227.72,,327.92,90,,Percent of Total Billed Charges,181.81,,324.27,89,,Percent of Total Billed Charges,174.89,,300.22,82.4,,Percent of Total Billed Charges,299.5,,303.87,83.4,,Percent of Total Billed Charges,283.46,,303.87,83.4,,Percent of Total Billed Charges,255.41,,303.87,83.4,,Percent of Total Billed Charges,296.58,,327.92,90,,Percent of Total Billed Charges,308.6,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,335.2,92,,Percent of Total Billed Charges,295.49,,335.2,92,,Percent of Total Billed Charges,271.08,,335.2,92,,Percent of Total Billed Charges,285.29,,335.2,92,,Percent of Total Billed Charges,295.49,,284.19,78,,Percent of Total Billed Charges,284.19,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,196.13,53.83,,Percent of Total Billed Charges,184,,126.21,34.64,,Percent of Total Billed Charges,125.7,,182.1,49.98,,Percent of Total Billed Charges,137.72,,126.21,335.2,,																																							
HC CLOT FACTOR XI PTA,85270,CPT,,,,BOTH, , ,386.4,324.58,355.49,92,,Percent of Total Billed Charges,323.03,,355.49,92,,Percent of Total Billed Charges,317.23,,355.49,92,,Percent of Total Billed Charges,311.05,,355.49,92,,Percent of Total Billed Charges,322.64,,355.49,92,,Percent of Total Billed Charges,290.96,,355.49,92,,Percent of Total Billed Charges,241.5,,347.76,90,,Percent of Total Billed Charges,192.81,,343.9,89,,Percent of Total Billed Charges,185.47,,318.39,82.4,,Percent of Total Billed Charges,317.62,,322.26,83.4,,Percent of Total Billed Charges,300.62,,322.26,83.4,,Percent of Total Billed Charges,270.87,,322.26,83.4,,Percent of Total Billed Charges,314.53,,347.76,90,,Percent of Total Billed Charges,327.28,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,355.49,92,,Percent of Total Billed Charges,313.37,,355.49,92,,Percent of Total Billed Charges,287.48,,355.49,92,,Percent of Total Billed Charges,302.55,,355.49,92,,Percent of Total Billed Charges,313.37,,301.39,78,,Percent of Total Billed Charges,301.39,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,208,53.83,,Percent of Total Billed Charges,195.13,,133.85,34.64,,Percent of Total Billed Charges,133.31,,193.12,49.98,,Percent of Total Billed Charges,146.06,,133.85,355.49,,																																							
HC CLOT FACTOR XIII FIBRIN STAB,85290,CPT,,,,BOTH, , ,309.75,260.19,284.97,92,,Percent of Total Billed Charges,258.95,,284.97,92,,Percent of Total Billed Charges,254.3,,284.97,92,,Percent of Total Billed Charges,249.35,,284.97,92,,Percent of Total Billed Charges,258.64,,284.97,92,,Percent of Total Billed Charges,233.24,,284.97,92,,Percent of Total Billed Charges,193.59,,278.78,90,,Percent of Total Billed Charges,154.57,,275.68,89,,Percent of Total Billed Charges,148.68,,255.23,82.4,,Percent of Total Billed Charges,254.61,,258.33,83.4,,Percent of Total Billed Charges,240.99,,258.33,83.4,,Percent of Total Billed Charges,217.13,,258.33,83.4,,Percent of Total Billed Charges,252.14,,278.78,90,,Percent of Total Billed Charges,262.36,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,284.97,92,,Percent of Total Billed Charges,251.21,,284.97,92,,Percent of Total Billed Charges,230.45,,284.97,92,,Percent of Total Billed Charges,242.53,,284.97,92,,Percent of Total Billed Charges,251.21,,241.61,78,,Percent of Total Billed Charges,241.61,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,166.74,53.83,,Percent of Total Billed Charges,156.42,,107.3,34.64,,Percent of Total Billed Charges,106.86,,154.81,49.98,,Percent of Total Billed Charges,117.09,,107.30,284.97,,																																							
HC ANTITHROMBIN III ACT.,85300,CPT,,,,BOTH, , ,362.25,304.29,333.27,92,,Percent of Total Billed Charges,302.84,,333.27,92,,Percent of Total Billed Charges,297.41,,333.27,92,,Percent of Total Billed Charges,291.61,,333.27,92,,Percent of Total Billed Charges,302.48,,333.27,92,,Percent of Total Billed Charges,272.77,,333.27,92,,Percent of Total Billed Charges,226.41,,326.03,90,,Percent of Total Billed Charges,180.76,,322.4,89,,Percent of Total Billed Charges,173.88,,298.49,82.4,,Percent of Total Billed Charges,297.77,,302.12,83.4,,Percent of Total Billed Charges,281.83,,302.12,83.4,,Percent of Total Billed Charges,253.94,,302.12,83.4,,Percent of Total Billed Charges,294.87,,326.03,90,,Percent of Total Billed Charges,306.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,333.27,92,,Percent of Total Billed Charges,293.78,,333.27,92,,Percent of Total Billed Charges,269.51,,333.27,92,,Percent of Total Billed Charges,283.64,,333.27,92,,Percent of Total Billed Charges,293.78,,282.56,78,,Percent of Total Billed Charges,282.56,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,195,53.83,,Percent of Total Billed Charges,182.94,,125.48,34.64,,Percent of Total Billed Charges,124.98,,181.05,49.98,,Percent of Total Billed Charges,136.93,,125.48,333.27,,																																							
HC ANTITHROMBIN III ANTIGEN,85301,CPT,,,,BOTH, , ,362.25,304.29,333.27,92,,Percent of Total Billed Charges,302.84,,333.27,92,,Percent of Total Billed Charges,297.41,,333.27,92,,Percent of Total Billed Charges,291.61,,333.27,92,,Percent of Total Billed Charges,302.48,,333.27,92,,Percent of Total Billed Charges,272.77,,333.27,92,,Percent of Total Billed Charges,226.41,,326.03,90,,Percent of Total Billed Charges,180.76,,322.4,89,,Percent of Total Billed Charges,173.88,,298.49,82.4,,Percent of Total Billed Charges,297.77,,302.12,83.4,,Percent of Total Billed Charges,281.83,,302.12,83.4,,Percent of Total Billed Charges,253.94,,302.12,83.4,,Percent of Total Billed Charges,294.87,,326.03,90,,Percent of Total Billed Charges,306.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,333.27,92,,Percent of Total Billed Charges,293.78,,333.27,92,,Percent of Total Billed Charges,269.51,,333.27,92,,Percent of Total Billed Charges,283.64,,333.27,92,,Percent of Total Billed Charges,293.78,,282.56,78,,Percent of Total Billed Charges,282.56,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,195,53.83,,Percent of Total Billed Charges,182.94,,125.48,34.64,,Percent of Total Billed Charges,124.98,,181.05,49.98,,Percent of Total Billed Charges,136.93,,125.48,333.27,,																																							
HC CLOT INHIBIT PROTEIN C ANTIGEN,85302,CPT,,,,BOTH, , ,387.45,325.46,356.45,92,,Percent of Total Billed Charges,323.91,,356.45,92,,Percent of Total Billed Charges,318.1,,356.45,92,,Percent of Total Billed Charges,311.9,,356.45,92,,Percent of Total Billed Charges,323.52,,356.45,92,,Percent of Total Billed Charges,291.75,,356.45,92,,Percent of Total Billed Charges,242.16,,348.71,90,,Percent of Total Billed Charges,193.34,,344.83,89,,Percent of Total Billed Charges,185.98,,319.26,82.4,,Percent of Total Billed Charges,318.48,,323.13,83.4,,Percent of Total Billed Charges,301.44,,323.13,83.4,,Percent of Total Billed Charges,271.6,,323.13,83.4,,Percent of Total Billed Charges,315.38,,348.71,90,,Percent of Total Billed Charges,328.17,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,356.45,92,,Percent of Total Billed Charges,314.22,,356.45,92,,Percent of Total Billed Charges,288.26,,356.45,92,,Percent of Total Billed Charges,303.37,,356.45,92,,Percent of Total Billed Charges,314.22,,302.21,78,,Percent of Total Billed Charges,302.21,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,208.56,53.83,,Percent of Total Billed Charges,195.66,,134.21,34.64,,Percent of Total Billed Charges,133.67,,193.65,49.98,,Percent of Total Billed Charges,146.46,,134.21,356.45,,																																							
HC CLOT INHIBIT PROT S TOTAL,85305,CPT,,,,BOTH, , ,400.05,336.04,368.05,92,,Percent of Total Billed Charges,334.44,,368.05,92,,Percent of Total Billed Charges,328.44,,368.05,92,,Percent of Total Billed Charges,322.04,,368.05,92,,Percent of Total Billed Charges,334.04,,368.05,92,,Percent of Total Billed Charges,301.24,,368.05,92,,Percent of Total Billed Charges,250.03,,360.05,90,,Percent of Total Billed Charges,199.62,,356.04,89,,Percent of Total Billed Charges,192.02,,329.64,82.4,,Percent of Total Billed Charges,328.84,,333.64,83.4,,Percent of Total Billed Charges,311.24,,333.64,83.4,,Percent of Total Billed Charges,280.44,,333.64,83.4,,Percent of Total Billed Charges,325.64,,360.05,90,,Percent of Total Billed Charges,338.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,368.05,92,,Percent of Total Billed Charges,324.44,,368.05,92,,Percent of Total Billed Charges,297.64,,368.05,92,,Percent of Total Billed Charges,313.24,,368.05,92,,Percent of Total Billed Charges,324.44,,312.04,78,,Percent of Total Billed Charges,312.04,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,215.35,53.83,,Percent of Total Billed Charges,202.03,,138.58,34.64,,Percent of Total Billed Charges,138.02,,199.94,49.98,,Percent of Total Billed Charges,151.22,,138.58,368.05,,																																							
HC CLOT INHIBIT PROT S FREE,85306,CPT,,,,BOTH, , ,324.45,272.54,298.49,92,,Percent of Total Billed Charges,271.24,,298.49,92,,Percent of Total Billed Charges,266.37,,298.49,92,,Percent of Total Billed Charges,261.18,,298.49,92,,Percent of Total Billed Charges,270.92,,298.49,92,,Percent of Total Billed Charges,244.31,,298.49,92,,Percent of Total Billed Charges,202.78,,292.01,90,,Percent of Total Billed Charges,161.9,,288.76,89,,Percent of Total Billed Charges,155.74,,267.35,82.4,,Percent of Total Billed Charges,266.7,,270.59,83.4,,Percent of Total Billed Charges,252.42,,270.59,83.4,,Percent of Total Billed Charges,227.44,,270.59,83.4,,Percent of Total Billed Charges,264.1,,292.01,90,,Percent of Total Billed Charges,274.81,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,298.49,92,,Percent of Total Billed Charges,263.13,,298.49,92,,Percent of Total Billed Charges,241.39,,298.49,92,,Percent of Total Billed Charges,254.04,,298.49,92,,Percent of Total Billed Charges,263.13,,253.07,78,,Percent of Total Billed Charges,253.07,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,174.65,53.83,,Percent of Total Billed Charges,163.85,,112.39,34.64,,Percent of Total Billed Charges,111.94,,162.16,49.98,,Percent of Total Billed Charges,122.64,,112.39,298.49,,																																							
HC ASSAY ACTIVATED PROTEIN C,85307,CPT,,,,BOTH, , ,195.3,164.05,179.68,92,,Percent of Total Billed Charges,163.27,,179.68,92,,Percent of Total Billed Charges,160.34,,179.68,92,,Percent of Total Billed Charges,157.22,,179.68,92,,Percent of Total Billed Charges,163.08,,179.68,92,,Percent of Total Billed Charges,147.06,,179.68,92,,Percent of Total Billed Charges,122.06,,175.77,90,,Percent of Total Billed Charges,97.45,,173.82,89,,Percent of Total Billed Charges,93.74,,160.93,82.4,,Percent of Total Billed Charges,160.54,,162.88,83.4,,Percent of Total Billed Charges,151.94,,162.88,83.4,,Percent of Total Billed Charges,136.91,,162.88,83.4,,Percent of Total Billed Charges,158.97,,175.77,90,,Percent of Total Billed Charges,165.42,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,179.68,92,,Percent of Total Billed Charges,158.39,,179.68,92,,Percent of Total Billed Charges,145.3,,179.68,92,,Percent of Total Billed Charges,152.92,,179.68,92,,Percent of Total Billed Charges,158.39,,152.33,78,,Percent of Total Billed Charges,152.33,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,105.13,53.83,,Percent of Total Billed Charges,98.63,,67.65,34.64,,Percent of Total Billed Charges,67.38,,97.61,49.98,,Percent of Total Billed Charges,73.82,,67.65,179.68,,																																							
HC COAGULATION TIME ACTIVATED,85347,CPT,,,,BOTH, , ,29.4,24.7,27.05,92,,Percent of Total Billed Charges,24.58,,27.05,92,,Percent of Total Billed Charges,24.14,,27.05,92,,Percent of Total Billed Charges,23.67,,27.05,92,,Percent of Total Billed Charges,24.55,,27.05,92,,Percent of Total Billed Charges,22.14,,27.05,92,,Percent of Total Billed Charges,18.38,,26.46,90,,Percent of Total Billed Charges,14.67,,26.17,89,,Percent of Total Billed Charges,14.11,,24.23,82.4,,Percent of Total Billed Charges,24.17,,24.52,83.4,,Percent of Total Billed Charges,22.87,,24.52,83.4,,Percent of Total Billed Charges,20.61,,24.52,83.4,,Percent of Total Billed Charges,23.93,,26.46,90,,Percent of Total Billed Charges,24.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,27.05,92,,Percent of Total Billed Charges,23.84,,27.05,92,,Percent of Total Billed Charges,21.87,,27.05,92,,Percent of Total Billed Charges,23.02,,27.05,92,,Percent of Total Billed Charges,23.84,,22.93,78,,Percent of Total Billed Charges,22.93,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,15.83,53.83,,Percent of Total Billed Charges,14.85,,10.18,34.64,,Percent of Total Billed Charges,10.14,,14.69,49.98,,Percent of Total Billed Charges,11.11,,10.18,27.05,,																																							
HC EUGLOBULIN CLOT LYSIS TIME,85360,CPT,,,,BOTH, , ,224.7,188.75,206.72,92,,Percent of Total Billed Charges,187.85,,206.72,92,,Percent of Total Billed Charges,184.48,,206.72,92,,Percent of Total Billed Charges,180.88,,206.72,92,,Percent of Total Billed Charges,187.62,,206.72,92,,Percent of Total Billed Charges,169.2,,206.72,92,,Percent of Total Billed Charges,140.44,,202.23,90,,Percent of Total Billed Charges,112.13,,199.98,89,,Percent of Total Billed Charges,107.86,,185.15,82.4,,Percent of Total Billed Charges,184.7,,187.4,83.4,,Percent of Total Billed Charges,174.82,,187.4,83.4,,Percent of Total Billed Charges,157.51,,187.4,83.4,,Percent of Total Billed Charges,182.91,,202.23,90,,Percent of Total Billed Charges,190.32,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,206.72,92,,Percent of Total Billed Charges,182.23,,206.72,92,,Percent of Total Billed Charges,167.18,,206.72,92,,Percent of Total Billed Charges,175.94,,206.72,92,,Percent of Total Billed Charges,182.23,,175.27,78,,Percent of Total Billed Charges,175.27,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,120.96,53.83,,Percent of Total Billed Charges,113.47,,77.84,34.64,,Percent of Total Billed Charges,77.52,,112.31,49.98,,Percent of Total Billed Charges,84.94,,77.84,206.72,,																																							
HC FIBRINOLYSINS SCREEN I&R,85390,CPT,,,,BOTH, , ,37.8,31.75,34.78,92,,Percent of Total Billed Charges,31.6,,34.78,92,,Percent of Total Billed Charges,31.03,,34.78,92,,Percent of Total Billed Charges,30.43,,34.78,92,,Percent of Total Billed Charges,31.56,,34.78,92,,Percent of Total Billed Charges,28.46,,34.78,92,,Percent of Total Billed Charges,23.63,,34.02,90,,Percent of Total Billed Charges,18.86,,33.64,89,,Percent of Total Billed Charges,18.14,,31.15,82.4,,Percent of Total Billed Charges,31.07,,31.53,83.4,,Percent of Total Billed Charges,29.41,,31.53,83.4,,Percent of Total Billed Charges,26.5,,31.53,83.4,,Percent of Total Billed Charges,30.77,,34.02,90,,Percent of Total Billed Charges,32.02,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,34.78,92,,Percent of Total Billed Charges,30.66,,34.78,92,,Percent of Total Billed Charges,28.12,,34.78,92,,Percent of Total Billed Charges,29.6,,34.78,92,,Percent of Total Billed Charges,30.66,,29.48,78,,Percent of Total Billed Charges,29.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,20.35,53.83,,Percent of Total Billed Charges,19.09,,13.09,34.64,,Percent of Total Billed Charges,13.04,,18.89,49.98,,Percent of Total Billed Charges,14.29,,13.09,34.78,,																																							
HC CLOTTING FUNCT ACTIVITY,85397,CPT,,,,BOTH, , ,327.6,275.18,301.39,92,,Percent of Total Billed Charges,273.87,,301.39,92,,Percent of Total Billed Charges,268.96,,301.39,92,,Percent of Total Billed Charges,263.72,,301.39,92,,Percent of Total Billed Charges,273.55,,301.39,92,,Percent of Total Billed Charges,246.68,,301.39,92,,Percent of Total Billed Charges,204.75,,294.84,90,,Percent of Total Billed Charges,163.47,,291.56,89,,Percent of Total Billed Charges,157.25,,269.94,82.4,,Percent of Total Billed Charges,269.29,,273.22,83.4,,Percent of Total Billed Charges,254.87,,273.22,83.4,,Percent of Total Billed Charges,229.65,,273.22,83.4,,Percent of Total Billed Charges,266.67,,294.84,90,,Percent of Total Billed Charges,277.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,301.39,92,,Percent of Total Billed Charges,265.68,,301.39,92,,Percent of Total Billed Charges,243.73,,301.39,92,,Percent of Total Billed Charges,256.51,,301.39,92,,Percent of Total Billed Charges,265.68,,255.53,78,,Percent of Total Billed Charges,255.53,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,176.35,53.83,,Percent of Total Billed Charges,165.44,,113.48,34.64,,Percent of Total Billed Charges,113.02,,163.73,49.98,,Percent of Total Billed Charges,123.83,,113.48,301.39,,																																							
HC FIBRINOLYTIC ANTIPLASMIN,85410,CPT,,,,BOTH, , ,217.35,182.57,199.96,92,,Percent of Total Billed Charges,181.7,,199.96,92,,Percent of Total Billed Charges,178.44,,199.96,92,,Percent of Total Billed Charges,174.97,,199.96,92,,Percent of Total Billed Charges,181.49,,199.96,92,,Percent of Total Billed Charges,163.66,,199.96,92,,Percent of Total Billed Charges,135.84,,195.62,90,,Percent of Total Billed Charges,108.46,,193.44,89,,Percent of Total Billed Charges,104.33,,179.1,82.4,,Percent of Total Billed Charges,178.66,,181.27,83.4,,Percent of Total Billed Charges,169.1,,181.27,83.4,,Percent of Total Billed Charges,152.36,,181.27,83.4,,Percent of Total Billed Charges,176.92,,195.62,90,,Percent of Total Billed Charges,184.1,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,199.96,92,,Percent of Total Billed Charges,176.27,,199.96,92,,Percent of Total Billed Charges,161.71,,199.96,92,,Percent of Total Billed Charges,170.19,,199.96,92,,Percent of Total Billed Charges,176.27,,169.53,78,,Percent of Total Billed Charges,169.53,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,117,53.83,,Percent of Total Billed Charges,109.76,,75.29,34.64,,Percent of Total Billed Charges,74.99,,108.63,49.98,,Percent of Total Billed Charges,82.16,,75.29,199.96,,																																							
HC HEMOGLOBIN FETAL; ROSETTE,85461,CPT,,,,BOTH, , ,30.45,25.58,28.01,92,,Percent of Total Billed Charges,25.46,,28.01,92,,Percent of Total Billed Charges,25,,28.01,92,,Percent of Total Billed Charges,24.51,,28.01,92,,Percent of Total Billed Charges,25.43,,28.01,92,,Percent of Total Billed Charges,22.93,,28.01,92,,Percent of Total Billed Charges,19.03,,27.41,90,,Percent of Total Billed Charges,15.19,,27.1,89,,Percent of Total Billed Charges,14.62,,25.09,82.4,,Percent of Total Billed Charges,25.03,,25.4,83.4,,Percent of Total Billed Charges,23.69,,25.4,83.4,,Percent of Total Billed Charges,21.35,,25.4,83.4,,Percent of Total Billed Charges,24.79,,27.41,90,,Percent of Total Billed Charges,25.79,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,28.01,92,,Percent of Total Billed Charges,24.69,,28.01,92,,Percent of Total Billed Charges,22.65,,28.01,92,,Percent of Total Billed Charges,23.84,,28.01,92,,Percent of Total Billed Charges,24.69,,23.75,78,,Percent of Total Billed Charges,23.75,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,16.39,53.83,,Percent of Total Billed Charges,15.38,,10.55,34.64,,Percent of Total Billed Charges,10.51,,15.22,49.98,,Percent of Total Billed Charges,11.51,,10.55,28.01,,																																							
HC HEPARIN ASSAY,85520,CPT,,,,BOTH, , ,344.4,289.3,316.85,92,,Percent of Total Billed Charges,287.92,,316.85,92,,Percent of Total Billed Charges,282.75,,316.85,92,,Percent of Total Billed Charges,277.24,,316.85,92,,Percent of Total Billed Charges,287.57,,316.85,92,,Percent of Total Billed Charges,259.33,,316.85,92,,Percent of Total Billed Charges,215.25,,309.96,90,,Percent of Total Billed Charges,171.86,,306.52,89,,Percent of Total Billed Charges,165.31,,283.79,82.4,,Percent of Total Billed Charges,283.1,,287.23,83.4,,Percent of Total Billed Charges,267.94,,287.23,83.4,,Percent of Total Billed Charges,241.42,,287.23,83.4,,Percent of Total Billed Charges,280.34,,309.96,90,,Percent of Total Billed Charges,291.71,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,316.85,92,,Percent of Total Billed Charges,279.31,,316.85,92,,Percent of Total Billed Charges,256.23,,316.85,92,,Percent of Total Billed Charges,269.67,,316.85,92,,Percent of Total Billed Charges,279.31,,268.63,78,,Percent of Total Billed Charges,268.63,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,185.39,53.83,,Percent of Total Billed Charges,173.92,,119.3,34.64,,Percent of Total Billed Charges,118.82,,172.13,49.98,,Percent of Total Billed Charges,130.18,,119.30,316.85,,																																							
HC MURAMIDASE,85549,CPT,,,,BOTH, , ,235.2,197.57,216.38,92,,Percent of Total Billed Charges,196.63,,216.38,92,,Percent of Total Billed Charges,193.1,,216.38,92,,Percent of Total Billed Charges,189.34,,216.38,92,,Percent of Total Billed Charges,196.39,,216.38,92,,Percent of Total Billed Charges,177.11,,216.38,92,,Percent of Total Billed Charges,147,,211.68,90,,Percent of Total Billed Charges,117.36,,209.33,89,,Percent of Total Billed Charges,112.9,,193.8,82.4,,Percent of Total Billed Charges,193.33,,196.16,83.4,,Percent of Total Billed Charges,182.99,,196.16,83.4,,Percent of Total Billed Charges,164.88,,196.16,83.4,,Percent of Total Billed Charges,191.45,,211.68,90,,Percent of Total Billed Charges,199.21,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,216.38,92,,Percent of Total Billed Charges,190.75,,216.38,92,,Percent of Total Billed Charges,174.99,,216.38,92,,Percent of Total Billed Charges,184.16,,216.38,92,,Percent of Total Billed Charges,190.75,,183.46,78,,Percent of Total Billed Charges,183.46,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,126.61,53.83,,Percent of Total Billed Charges,118.78,,81.47,34.64,,Percent of Total Billed Charges,81.14,,117.55,49.98,,Percent of Total Billed Charges,88.91,,81.47,216.38,,																																							
HC PLATELET AGGREGATIN EA AGENT,85576,CPT,,,,BOTH, , ,140.7,118.19,129.44,92,,Percent of Total Billed Charges,117.63,,129.44,92,,Percent of Total Billed Charges,115.51,,129.44,92,,Percent of Total Billed Charges,113.26,,129.44,92,,Percent of Total Billed Charges,117.48,,129.44,92,,Percent of Total Billed Charges,105.95,,129.44,92,,Percent of Total Billed Charges,87.94,,126.63,90,,Percent of Total Billed Charges,70.21,,125.22,89,,Percent of Total Billed Charges,67.54,,115.94,82.4,,Percent of Total Billed Charges,115.66,,117.34,83.4,,Percent of Total Billed Charges,109.46,,117.34,83.4,,Percent of Total Billed Charges,98.63,,117.34,83.4,,Percent of Total Billed Charges,114.53,,126.63,90,,Percent of Total Billed Charges,119.17,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,129.44,92,,Percent of Total Billed Charges,114.11,,129.44,92,,Percent of Total Billed Charges,104.68,,129.44,92,,Percent of Total Billed Charges,110.17,,129.44,92,,Percent of Total Billed Charges,114.11,,109.75,78,,Percent of Total Billed Charges,109.75,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,75.74,53.83,,Percent of Total Billed Charges,71.05,,48.74,34.64,,Percent of Total Billed Charges,48.54,,70.32,49.98,,Percent of Total Billed Charges,53.18,,48.74,129.44,,																																							
HC PHOSPHOLIPID PLTLT NEUTRALIZATI,85597,CPT,,,,BOTH, , ,128.1,107.6,117.85,92,,Percent of Total Billed Charges,107.09,,117.85,92,,Percent of Total Billed Charges,105.17,,117.85,92,,Percent of Total Billed Charges,103.12,,117.85,92,,Percent of Total Billed Charges,106.96,,117.85,92,,Percent of Total Billed Charges,96.46,,117.85,92,,Percent of Total Billed Charges,80.06,,115.29,90,,Percent of Total Billed Charges,63.92,,114.01,89,,Percent of Total Billed Charges,61.49,,105.55,82.4,,Percent of Total Billed Charges,105.3,,106.84,83.4,,Percent of Total Billed Charges,99.66,,106.84,83.4,,Percent of Total Billed Charges,89.8,,106.84,83.4,,Percent of Total Billed Charges,104.27,,115.29,90,,Percent of Total Billed Charges,108.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,117.85,92,,Percent of Total Billed Charges,103.89,,117.85,92,,Percent of Total Billed Charges,95.31,,117.85,92,,Percent of Total Billed Charges,100.3,,117.85,92,,Percent of Total Billed Charges,103.89,,99.92,78,,Percent of Total Billed Charges,99.92,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,68.96,53.83,,Percent of Total Billed Charges,64.69,,44.37,34.64,,Percent of Total Billed Charges,44.19,,64.02,49.98,,Percent of Total Billed Charges,48.42,,44.37,117.85,,																																							
HC PROTHROMBIN TEST,85611,CPT,,,,BOTH, , ,6.3,5.29,5.8,92,,Percent of Total Billed Charges,5.27,,5.8,92,,Percent of Total Billed Charges,5.17,,5.8,92,,Percent of Total Billed Charges,5.07,,5.8,92,,Percent of Total Billed Charges,5.26,,5.8,92,,Percent of Total Billed Charges,4.74,,5.8,92,,Percent of Total Billed Charges,3.94,,5.67,90,,Percent of Total Billed Charges,3.14,,5.61,89,,Percent of Total Billed Charges,3.02,,5.19,82.4,,Percent of Total Billed Charges,5.18,,5.25,83.4,,Percent of Total Billed Charges,4.9,,5.25,83.4,,Percent of Total Billed Charges,4.42,,5.25,83.4,,Percent of Total Billed Charges,5.13,,5.67,90,,Percent of Total Billed Charges,5.34,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5.8,92,,Percent of Total Billed Charges,5.11,,5.8,92,,Percent of Total Billed Charges,4.69,,5.8,92,,Percent of Total Billed Charges,4.93,,5.8,92,,Percent of Total Billed Charges,5.11,,4.91,78,,Percent of Total Billed Charges,4.91,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3.39,53.83,,Percent of Total Billed Charges,3.18,,2.18,34.64,,Percent of Total Billed Charges,2.17,,3.15,49.98,,Percent of Total Billed Charges,2.38,,2.18,5.8,,																																							
HC RUSSELL VIPER VENOM DILUTED,85613,CPT,,,,BOTH, , ,88.2,74.09,81.14,92,,Percent of Total Billed Charges,73.74,,81.14,92,,Percent of Total Billed Charges,72.41,,81.14,92,,Percent of Total Billed Charges,71,,81.14,92,,Percent of Total Billed Charges,73.65,,81.14,92,,Percent of Total Billed Charges,66.41,,81.14,92,,Percent of Total Billed Charges,55.13,,79.38,90,,Percent of Total Billed Charges,44.01,,78.5,89,,Percent of Total Billed Charges,42.34,,72.68,82.4,,Percent of Total Billed Charges,72.5,,73.56,83.4,,Percent of Total Billed Charges,68.62,,73.56,83.4,,Percent of Total Billed Charges,61.83,,73.56,83.4,,Percent of Total Billed Charges,71.79,,79.38,90,,Percent of Total Billed Charges,74.71,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,81.14,92,,Percent of Total Billed Charges,71.53,,81.14,92,,Percent of Total Billed Charges,65.62,,81.14,92,,Percent of Total Billed Charges,69.06,,81.14,92,,Percent of Total Billed Charges,71.53,,68.8,78,,Percent of Total Billed Charges,68.8,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,47.48,53.83,,Percent of Total Billed Charges,44.54,,30.55,34.64,,Percent of Total Billed Charges,30.43,,44.08,49.98,,Percent of Total Billed Charges,33.34,,30.55,81.14,,																																							
HC REPTILASE CLOTTING TEST,85635,CPT,,,,BOTH, , ,213.15,179.05,196.1,92,,Percent of Total Billed Charges,178.19,,196.1,92,,Percent of Total Billed Charges,175,,196.1,92,,Percent of Total Billed Charges,171.59,,196.1,92,,Percent of Total Billed Charges,177.98,,196.1,92,,Percent of Total Billed Charges,160.5,,196.1,92,,Percent of Total Billed Charges,133.22,,191.84,90,,Percent of Total Billed Charges,106.36,,189.7,89,,Percent of Total Billed Charges,102.31,,175.64,82.4,,Percent of Total Billed Charges,175.21,,177.77,83.4,,Percent of Total Billed Charges,165.83,,177.77,83.4,,Percent of Total Billed Charges,149.42,,177.77,83.4,,Percent of Total Billed Charges,173.5,,191.84,90,,Percent of Total Billed Charges,180.54,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,196.1,92,,Percent of Total Billed Charges,172.86,,196.1,92,,Percent of Total Billed Charges,158.58,,196.1,92,,Percent of Total Billed Charges,166.9,,196.1,92,,Percent of Total Billed Charges,172.86,,166.26,78,,Percent of Total Billed Charges,166.26,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,114.74,53.83,,Percent of Total Billed Charges,107.64,,73.84,34.64,,Percent of Total Billed Charges,73.54,,106.53,49.98,,Percent of Total Billed Charges,80.57,,73.84,196.1,,																																							
HC THROMBIN TIME PLASMA,85670,CPT,,,,BOTH, , ,8.4,7.06,7.73,92,,Percent of Total Billed Charges,7.02,,7.73,92,,Percent of Total Billed Charges,6.9,,7.73,92,,Percent of Total Billed Charges,6.76,,7.73,92,,Percent of Total Billed Charges,7.01,,7.73,92,,Percent of Total Billed Charges,6.33,,7.73,92,,Percent of Total Billed Charges,5.25,,7.56,90,,Percent of Total Billed Charges,4.19,,7.48,89,,Percent of Total Billed Charges,4.03,,6.92,82.4,,Percent of Total Billed Charges,6.9,,7.01,83.4,,Percent of Total Billed Charges,6.54,,7.01,83.4,,Percent of Total Billed Charges,5.89,,7.01,83.4,,Percent of Total Billed Charges,6.84,,7.56,90,,Percent of Total Billed Charges,7.11,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,7.73,92,,Percent of Total Billed Charges,6.81,,7.73,92,,Percent of Total Billed Charges,6.25,,7.73,92,,Percent of Total Billed Charges,6.58,,7.73,92,,Percent of Total Billed Charges,6.81,,6.55,78,,Percent of Total Billed Charges,6.55,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4.52,53.83,,Percent of Total Billed Charges,4.24,,2.91,34.64,,Percent of Total Billed Charges,2.9,,4.2,49.98,,Percent of Total Billed Charges,3.18,,2.91,7.73,,																																							
HC THROMBOPLASTIN TIME PARTIAL PLASMA,85732,CPT,,,,BOTH, , ,6.3,5.29,5.8,92,,Percent of Total Billed Charges,5.27,,5.8,92,,Percent of Total Billed Charges,5.17,,5.8,92,,Percent of Total Billed Charges,5.07,,5.8,92,,Percent of Total Billed Charges,5.26,,5.8,92,,Percent of Total Billed Charges,4.74,,5.8,92,,Percent of Total Billed Charges,3.94,,5.67,90,,Percent of Total Billed Charges,3.14,,5.61,89,,Percent of Total Billed Charges,3.02,,5.19,82.4,,Percent of Total Billed Charges,5.18,,5.25,83.4,,Percent of Total Billed Charges,4.9,,5.25,83.4,,Percent of Total Billed Charges,4.42,,5.25,83.4,,Percent of Total Billed Charges,5.13,,5.67,90,,Percent of Total Billed Charges,5.34,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5.8,92,,Percent of Total Billed Charges,5.11,,5.8,92,,Percent of Total Billed Charges,4.69,,5.8,92,,Percent of Total Billed Charges,4.93,,5.8,92,,Percent of Total Billed Charges,5.11,,4.91,78,,Percent of Total Billed Charges,4.91,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3.39,53.83,,Percent of Total Billed Charges,3.18,,2.18,34.64,,Percent of Total Billed Charges,2.17,,3.15,49.98,,Percent of Total Billed Charges,2.38,,2.18,5.8,,																																							
HC VISCOSITY,85810,CPT,,,,BOTH, , ,193.2,162.29,177.74,92,,Percent of Total Billed Charges,161.52,,177.74,92,,Percent of Total Billed Charges,158.62,,177.74,92,,Percent of Total Billed Charges,155.53,,177.74,92,,Percent of Total Billed Charges,161.32,,177.74,92,,Percent of Total Billed Charges,145.48,,177.74,92,,Percent of Total Billed Charges,120.75,,173.88,90,,Percent of Total Billed Charges,96.41,,171.95,89,,Percent of Total Billed Charges,92.74,,159.2,82.4,,Percent of Total Billed Charges,158.81,,161.13,83.4,,Percent of Total Billed Charges,150.31,,161.13,83.4,,Percent of Total Billed Charges,135.43,,161.13,83.4,,Percent of Total Billed Charges,157.26,,173.88,90,,Percent of Total Billed Charges,163.64,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,177.74,92,,Percent of Total Billed Charges,156.69,,177.74,92,,Percent of Total Billed Charges,143.74,,177.74,92,,Percent of Total Billed Charges,151.28,,177.74,92,,Percent of Total Billed Charges,156.69,,150.7,78,,Percent of Total Billed Charges,150.7,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,104,53.83,,Percent of Total Billed Charges,97.57,,66.92,34.64,,Percent of Total Billed Charges,66.65,,96.56,49.98,,Percent of Total Billed Charges,73.03,,66.92,177.74,,																																							
HC HEMATOLOGY PROCEDURE,85999,CPT,,,,BOTH, , ,110.25,92.61,101.43,92,,Percent of Total Billed Charges,92.17,,101.43,92,,Percent of Total Billed Charges,90.52,,101.43,92,,Percent of Total Billed Charges,88.75,,101.43,92,,Percent of Total Billed Charges,92.06,,101.43,92,,Percent of Total Billed Charges,83.02,,101.43,92,,Percent of Total Billed Charges,68.91,,99.23,90,,Percent of Total Billed Charges,55.01,,98.12,89,,Percent of Total Billed Charges,52.92,,90.85,82.4,,Percent of Total Billed Charges,90.63,,91.95,83.4,,Percent of Total Billed Charges,85.77,,91.95,83.4,,Percent of Total Billed Charges,77.29,,91.95,83.4,,Percent of Total Billed Charges,89.74,,99.23,90,,Percent of Total Billed Charges,93.38,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,101.43,92,,Percent of Total Billed Charges,89.41,,101.43,92,,Percent of Total Billed Charges,82.03,,101.43,92,,Percent of Total Billed Charges,86.33,,101.43,92,,Percent of Total Billed Charges,89.41,,86,78,,Percent of Total Billed Charges,86,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,59.35,53.83,,Percent of Total Billed Charges,55.68,,38.19,34.64,,Percent of Total Billed Charges,38.04,,55.1,49.98,,Percent of Total Billed Charges,41.67,,38.19,101.43,,																																							
HC AGGLUTININS FEBRILE ANTIGEN,86000,CPT,,,,BOTH, , ,224.7,188.75,206.72,92,,Percent of Total Billed Charges,187.85,,206.72,92,,Percent of Total Billed Charges,184.48,,206.72,92,,Percent of Total Billed Charges,180.88,,206.72,92,,Percent of Total Billed Charges,187.62,,206.72,92,,Percent of Total Billed Charges,169.2,,206.72,92,,Percent of Total Billed Charges,140.44,,202.23,90,,Percent of Total Billed Charges,112.13,,199.98,89,,Percent of Total Billed Charges,107.86,,185.15,82.4,,Percent of Total Billed Charges,184.7,,187.4,83.4,,Percent of Total Billed Charges,174.82,,187.4,83.4,,Percent of Total Billed Charges,157.51,,187.4,83.4,,Percent of Total Billed Charges,182.91,,202.23,90,,Percent of Total Billed Charges,190.32,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,206.72,92,,Percent of Total Billed Charges,182.23,,206.72,92,,Percent of Total Billed Charges,167.18,,206.72,92,,Percent of Total Billed Charges,175.94,,206.72,92,,Percent of Total Billed Charges,182.23,,175.27,78,,Percent of Total Billed Charges,175.27,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,120.96,53.83,,Percent of Total Billed Charges,113.47,,77.84,34.64,,Percent of Total Billed Charges,77.52,,112.31,49.98,,Percent of Total Billed Charges,84.94,,77.84,206.72,,																																							
HC WBC ANTIBODY IDENTIFICATION,86021,CPT,,,,BOTH, , ,323.4,271.66,297.53,92,,Percent of Total Billed Charges,270.36,,297.53,92,,Percent of Total Billed Charges,265.51,,297.53,92,,Percent of Total Billed Charges,260.34,,297.53,92,,Percent of Total Billed Charges,270.04,,297.53,92,,Percent of Total Billed Charges,243.52,,297.53,92,,Percent of Total Billed Charges,202.13,,291.06,90,,Percent of Total Billed Charges,161.38,,287.83,89,,Percent of Total Billed Charges,155.23,,266.48,82.4,,Percent of Total Billed Charges,265.83,,269.72,83.4,,Percent of Total Billed Charges,251.61,,269.72,83.4,,Percent of Total Billed Charges,226.7,,269.72,83.4,,Percent of Total Billed Charges,263.25,,291.06,90,,Percent of Total Billed Charges,273.92,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,297.53,92,,Percent of Total Billed Charges,262.28,,297.53,92,,Percent of Total Billed Charges,240.61,,297.53,92,,Percent of Total Billed Charges,253.22,,297.53,92,,Percent of Total Billed Charges,262.28,,252.25,78,,Percent of Total Billed Charges,252.25,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,174.09,53.83,,Percent of Total Billed Charges,163.32,,112.03,34.64,,Percent of Total Billed Charges,111.57,,161.64,49.98,,Percent of Total Billed Charges,122.25,,112.03,297.53,,																																							
HC PLATELET ANTIBODIES,86022,CPT,,,,BOTH, , ,321.3,269.89,295.6,92,,Percent of Total Billed Charges,268.61,,295.6,92,,Percent of Total Billed Charges,263.79,,295.6,92,,Percent of Total Billed Charges,258.65,,295.6,92,,Percent of Total Billed Charges,268.29,,295.6,92,,Percent of Total Billed Charges,241.94,,295.6,92,,Percent of Total Billed Charges,200.81,,289.17,90,,Percent of Total Billed Charges,160.33,,285.96,89,,Percent of Total Billed Charges,154.22,,264.75,82.4,,Percent of Total Billed Charges,264.11,,267.96,83.4,,Percent of Total Billed Charges,249.97,,267.96,83.4,,Percent of Total Billed Charges,225.23,,267.96,83.4,,Percent of Total Billed Charges,261.54,,289.17,90,,Percent of Total Billed Charges,272.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,295.6,92,,Percent of Total Billed Charges,260.57,,295.6,92,,Percent of Total Billed Charges,239.05,,295.6,92,,Percent of Total Billed Charges,251.58,,295.6,92,,Percent of Total Billed Charges,260.57,,250.61,78,,Percent of Total Billed Charges,250.61,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,172.96,53.83,,Percent of Total Billed Charges,162.26,,111.3,34.64,,Percent of Total Billed Charges,110.85,,160.59,49.98,,Percent of Total Billed Charges,121.45,,111.30,295.6,,																																							
HC ANTINUCLEAR ANTIBODIES,86038,CPT,,,,BOTH, , ,177.45,149.06,163.25,92,,Percent of Total Billed Charges,148.35,,163.25,92,,Percent of Total Billed Charges,145.69,,163.25,92,,Percent of Total Billed Charges,142.85,,163.25,92,,Percent of Total Billed Charges,148.17,,163.25,92,,Percent of Total Billed Charges,133.62,,163.25,92,,Percent of Total Billed Charges,110.91,,159.71,90,,Percent of Total Billed Charges,88.55,,157.93,89,,Percent of Total Billed Charges,85.18,,146.22,82.4,,Percent of Total Billed Charges,145.86,,147.99,83.4,,Percent of Total Billed Charges,138.06,,147.99,83.4,,Percent of Total Billed Charges,124.39,,147.99,83.4,,Percent of Total Billed Charges,144.44,,159.71,90,,Percent of Total Billed Charges,150.3,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,163.25,92,,Percent of Total Billed Charges,143.91,,163.25,92,,Percent of Total Billed Charges,132.02,,163.25,92,,Percent of Total Billed Charges,138.94,,163.25,92,,Percent of Total Billed Charges,143.91,,138.41,78,,Percent of Total Billed Charges,138.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,95.52,53.83,,Percent of Total Billed Charges,89.61,,61.47,34.64,,Percent of Total Billed Charges,61.22,,88.69,49.98,,Percent of Total Billed Charges,67.08,,61.47,163.25,,																																							
HC ANTISTREPTOLYSIN O SCREEN,86063,CPT,,,,BOTH, , ,99.75,83.79,91.77,92,,Percent of Total Billed Charges,83.39,,91.77,92,,Percent of Total Billed Charges,81.89,,91.77,92,,Percent of Total Billed Charges,80.3,,91.77,92,,Percent of Total Billed Charges,83.29,,91.77,92,,Percent of Total Billed Charges,75.11,,91.77,92,,Percent of Total Billed Charges,62.34,,89.78,90,,Percent of Total Billed Charges,49.78,,88.78,89,,Percent of Total Billed Charges,47.88,,82.19,82.4,,Percent of Total Billed Charges,81.99,,83.19,83.4,,Percent of Total Billed Charges,77.61,,83.19,83.4,,Percent of Total Billed Charges,69.92,,83.19,83.4,,Percent of Total Billed Charges,81.2,,89.78,90,,Percent of Total Billed Charges,84.49,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,91.77,92,,Percent of Total Billed Charges,80.9,,91.77,92,,Percent of Total Billed Charges,74.21,,91.77,92,,Percent of Total Billed Charges,78.1,,91.77,92,,Percent of Total Billed Charges,80.9,,77.81,78,,Percent of Total Billed Charges,77.81,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,53.7,53.83,,Percent of Total Billed Charges,50.37,,34.55,34.64,,Percent of Total Billed Charges,34.41,,49.86,49.98,,Percent of Total Billed Charges,37.71,,34.55,91.77,,																																							
HC CREACTIVE PROTEIN HS,86141,CPT,,,,BOTH, , ,106.05,89.08,97.57,92,,Percent of Total Billed Charges,88.66,,97.57,92,,Percent of Total Billed Charges,87.07,,97.57,92,,Percent of Total Billed Charges,85.37,,97.57,92,,Percent of Total Billed Charges,88.55,,97.57,92,,Percent of Total Billed Charges,79.86,,97.57,92,,Percent of Total Billed Charges,66.28,,95.45,90,,Percent of Total Billed Charges,52.92,,94.38,89,,Percent of Total Billed Charges,50.9,,87.39,82.4,,Percent of Total Billed Charges,87.17,,88.45,83.4,,Percent of Total Billed Charges,82.51,,88.45,83.4,,Percent of Total Billed Charges,74.34,,88.45,83.4,,Percent of Total Billed Charges,86.32,,95.45,90,,Percent of Total Billed Charges,89.82,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,97.57,92,,Percent of Total Billed Charges,86.01,,97.57,92,,Percent of Total Billed Charges,78.9,,97.57,92,,Percent of Total Billed Charges,83.04,,97.57,92,,Percent of Total Billed Charges,86.01,,82.72,78,,Percent of Total Billed Charges,82.72,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,57.09,53.83,,Percent of Total Billed Charges,53.56,,36.74,34.64,,Percent of Total Billed Charges,36.59,,53,49.98,,Percent of Total Billed Charges,40.09,,36.74,97.57,,																																							
HC BETA2 GLYCOPROTEIN ANTIBODY,86146,CPT,,,,BOTH, , ,153.3,128.77,141.04,92,,Percent of Total Billed Charges,128.16,,141.04,92,,Percent of Total Billed Charges,125.86,,141.04,92,,Percent of Total Billed Charges,123.41,,141.04,92,,Percent of Total Billed Charges,128.01,,141.04,92,,Percent of Total Billed Charges,115.43,,141.04,92,,Percent of Total Billed Charges,95.81,,137.97,90,,Percent of Total Billed Charges,76.5,,136.44,89,,Percent of Total Billed Charges,73.58,,126.32,82.4,,Percent of Total Billed Charges,126.01,,127.85,83.4,,Percent of Total Billed Charges,119.27,,127.85,83.4,,Percent of Total Billed Charges,107.46,,127.85,83.4,,Percent of Total Billed Charges,124.79,,137.97,90,,Percent of Total Billed Charges,129.85,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,141.04,92,,Percent of Total Billed Charges,124.33,,141.04,92,,Percent of Total Billed Charges,114.06,,141.04,92,,Percent of Total Billed Charges,120.03,,141.04,92,,Percent of Total Billed Charges,124.33,,119.57,78,,Percent of Total Billed Charges,119.57,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,82.52,53.83,,Percent of Total Billed Charges,77.42,,53.1,34.64,,Percent of Total Billed Charges,52.89,,76.62,49.98,,Percent of Total Billed Charges,57.95,,53.10,141.04,,																																							
HC CARDIOLIPIN ANTIBODY IG,86147,CPT,,,,BOTH, , ,141.75,119.07,130.41,92,,Percent of Total Billed Charges,118.5,,130.41,92,,Percent of Total Billed Charges,116.38,,130.41,92,,Percent of Total Billed Charges,114.11,,130.41,92,,Percent of Total Billed Charges,118.36,,130.41,92,,Percent of Total Billed Charges,106.74,,130.41,92,,Percent of Total Billed Charges,88.59,,127.58,90,,Percent of Total Billed Charges,70.73,,126.16,89,,Percent of Total Billed Charges,68.04,,116.8,82.4,,Percent of Total Billed Charges,116.52,,118.22,83.4,,Percent of Total Billed Charges,110.28,,118.22,83.4,,Percent of Total Billed Charges,99.37,,118.22,83.4,,Percent of Total Billed Charges,115.38,,127.58,90,,Percent of Total Billed Charges,120.06,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,130.41,92,,Percent of Total Billed Charges,114.96,,130.41,92,,Percent of Total Billed Charges,105.46,,130.41,92,,Percent of Total Billed Charges,110.99,,130.41,92,,Percent of Total Billed Charges,114.96,,110.57,78,,Percent of Total Billed Charges,110.57,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,76.3,53.83,,Percent of Total Billed Charges,71.58,,49.1,34.64,,Percent of Total Billed Charges,48.9,,70.85,49.98,,Percent of Total Billed Charges,53.58,,49.10,130.41,,																																							
HC ANTIPHOSPHATIDYLSERINE ANTIBODY,86148,CPT,,,,BOTH, , ,156.45,131.42,143.93,92,,Percent of Total Billed Charges,130.79,,143.93,92,,Percent of Total Billed Charges,128.45,,143.93,92,,Percent of Total Billed Charges,125.94,,143.93,92,,Percent of Total Billed Charges,130.64,,143.93,92,,Percent of Total Billed Charges,117.81,,143.93,92,,Percent of Total Billed Charges,97.78,,140.81,90,,Percent of Total Billed Charges,78.07,,139.24,89,,Percent of Total Billed Charges,75.1,,128.91,82.4,,Percent of Total Billed Charges,128.6,,130.48,83.4,,Percent of Total Billed Charges,121.72,,130.48,83.4,,Percent of Total Billed Charges,109.67,,130.48,83.4,,Percent of Total Billed Charges,127.35,,140.81,90,,Percent of Total Billed Charges,132.51,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,143.93,92,,Percent of Total Billed Charges,126.88,,143.93,92,,Percent of Total Billed Charges,116.4,,143.93,92,,Percent of Total Billed Charges,122.5,,143.93,92,,Percent of Total Billed Charges,126.88,,122.03,78,,Percent of Total Billed Charges,122.03,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,84.22,53.83,,Percent of Total Billed Charges,79.01,,54.19,34.64,,Percent of Total Billed Charges,53.98,,78.19,49.98,,Percent of Total Billed Charges,59.14,,54.19,143.93,,																																							
HC COLD AGGLUTININS,86157,CPT,,,,BOTH, , ,132.3,111.13,121.72,92,,Percent of Total Billed Charges,110.6,,121.72,92,,Percent of Total Billed Charges,108.62,,121.72,92,,Percent of Total Billed Charges,106.5,,121.72,92,,Percent of Total Billed Charges,110.47,,121.72,92,,Percent of Total Billed Charges,99.62,,121.72,92,,Percent of Total Billed Charges,82.69,,119.07,90,,Percent of Total Billed Charges,66.02,,117.75,89,,Percent of Total Billed Charges,63.5,,109.02,82.4,,Percent of Total Billed Charges,108.75,,110.34,83.4,,Percent of Total Billed Charges,102.93,,110.34,83.4,,Percent of Total Billed Charges,92.74,,110.34,83.4,,Percent of Total Billed Charges,107.69,,119.07,90,,Percent of Total Billed Charges,112.06,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,121.72,92,,Percent of Total Billed Charges,107.3,,121.72,92,,Percent of Total Billed Charges,98.43,,121.72,92,,Percent of Total Billed Charges,103.59,,121.72,92,,Percent of Total Billed Charges,107.3,,103.19,78,,Percent of Total Billed Charges,103.19,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,71.22,53.83,,Percent of Total Billed Charges,66.81,,45.83,34.64,,Percent of Total Billed Charges,45.64,,66.12,49.98,,Percent of Total Billed Charges,50.01,,45.83,121.72,,																																							
HC COMPLEMENT TOTAL,86162,CPT,,,,BOTH, , ,318.15,267.25,292.7,92,,Percent of Total Billed Charges,265.97,,292.7,92,,Percent of Total Billed Charges,261.2,,292.7,92,,Percent of Total Billed Charges,256.11,,292.7,92,,Percent of Total Billed Charges,265.66,,292.7,92,,Percent of Total Billed Charges,239.57,,292.7,92,,Percent of Total Billed Charges,198.84,,286.34,90,,Percent of Total Billed Charges,158.76,,283.15,89,,Percent of Total Billed Charges,152.71,,262.16,82.4,,Percent of Total Billed Charges,261.52,,265.34,83.4,,Percent of Total Billed Charges,247.52,,265.34,83.4,,Percent of Total Billed Charges,223.02,,265.34,83.4,,Percent of Total Billed Charges,258.97,,286.34,90,,Percent of Total Billed Charges,269.47,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,292.7,92,,Percent of Total Billed Charges,258.02,,292.7,92,,Percent of Total Billed Charges,236.7,,292.7,92,,Percent of Total Billed Charges,249.11,,292.7,92,,Percent of Total Billed Charges,258.02,,248.16,78,,Percent of Total Billed Charges,248.16,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,171.26,53.83,,Percent of Total Billed Charges,160.67,,110.21,34.64,,Percent of Total Billed Charges,109.76,,159.01,49.98,,Percent of Total Billed Charges,120.26,,110.21,292.7,,																																							
HC CYCLIC CITRULLINATED PEPTIDE,86200,CPT,,,,BOTH, , ,232.05,194.92,213.49,92,,Percent of Total Billed Charges,193.99,,213.49,92,,Percent of Total Billed Charges,190.51,,213.49,92,,Percent of Total Billed Charges,186.8,,213.49,92,,Percent of Total Billed Charges,193.76,,213.49,92,,Percent of Total Billed Charges,174.73,,213.49,92,,Percent of Total Billed Charges,145.03,,208.85,90,,Percent of Total Billed Charges,115.79,,206.52,89,,Percent of Total Billed Charges,111.38,,191.21,82.4,,Percent of Total Billed Charges,190.75,,193.53,83.4,,Percent of Total Billed Charges,180.53,,193.53,83.4,,Percent of Total Billed Charges,162.67,,193.53,83.4,,Percent of Total Billed Charges,188.89,,208.85,90,,Percent of Total Billed Charges,196.55,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,213.49,92,,Percent of Total Billed Charges,188.19,,213.49,92,,Percent of Total Billed Charges,172.65,,213.49,92,,Percent of Total Billed Charges,181.7,,213.49,92,,Percent of Total Billed Charges,188.19,,181,78,,Percent of Total Billed Charges,181,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,124.91,53.83,,Percent of Total Billed Charges,117.19,,80.38,34.64,,Percent of Total Billed Charges,80.06,,115.98,49.98,,Percent of Total Billed Charges,87.71,,80.38,213.49,,																																							
HC DEOXYRIBONUCLEASE ANTIBODY,86215,CPT,,,,BOTH, , ,276.15,231.97,254.06,92,,Percent of Total Billed Charges,230.86,,254.06,92,,Percent of Total Billed Charges,226.72,,254.06,92,,Percent of Total Billed Charges,222.3,,254.06,92,,Percent of Total Billed Charges,230.59,,254.06,92,,Percent of Total Billed Charges,207.94,,254.06,92,,Percent of Total Billed Charges,172.59,,248.54,90,,Percent of Total Billed Charges,137.8,,245.77,89,,Percent of Total Billed Charges,132.55,,227.55,82.4,,Percent of Total Billed Charges,227,,230.31,83.4,,Percent of Total Billed Charges,214.84,,230.31,83.4,,Percent of Total Billed Charges,193.58,,230.31,83.4,,Percent of Total Billed Charges,224.79,,248.54,90,,Percent of Total Billed Charges,233.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,254.06,92,,Percent of Total Billed Charges,223.96,,254.06,92,,Percent of Total Billed Charges,205.46,,254.06,92,,Percent of Total Billed Charges,216.23,,254.06,92,,Percent of Total Billed Charges,223.96,,215.4,78,,Percent of Total Billed Charges,215.4,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,148.65,53.83,,Percent of Total Billed Charges,139.46,,95.66,34.64,,Percent of Total Billed Charges,95.27,,138.02,49.98,,Percent of Total Billed Charges,104.38,,95.66,254.06,,																																							
HC DNA ANTIBODY NATIVE,86225,CPT,,,,BOTH, , ,217.35,182.57,199.96,92,,Percent of Total Billed Charges,181.7,,199.96,92,,Percent of Total Billed Charges,178.44,,199.96,92,,Percent of Total Billed Charges,174.97,,199.96,92,,Percent of Total Billed Charges,181.49,,199.96,92,,Percent of Total Billed Charges,163.66,,199.96,92,,Percent of Total Billed Charges,135.84,,195.62,90,,Percent of Total Billed Charges,108.46,,193.44,89,,Percent of Total Billed Charges,104.33,,179.1,82.4,,Percent of Total Billed Charges,178.66,,181.27,83.4,,Percent of Total Billed Charges,169.1,,181.27,83.4,,Percent of Total Billed Charges,152.36,,181.27,83.4,,Percent of Total Billed Charges,176.92,,195.62,90,,Percent of Total Billed Charges,184.1,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,199.96,92,,Percent of Total Billed Charges,176.27,,199.96,92,,Percent of Total Billed Charges,161.71,,199.96,92,,Percent of Total Billed Charges,170.19,,199.96,92,,Percent of Total Billed Charges,176.27,,169.53,78,,Percent of Total Billed Charges,169.53,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,117,53.83,,Percent of Total Billed Charges,109.76,,75.29,34.64,,Percent of Total Billed Charges,74.99,,108.63,49.98,,Percent of Total Billed Charges,82.16,,75.29,199.96,,																																							
HC NUCLEAR ANTIGEN ANTIBODY,86235,CPT,,,,BOTH, , ,225.75,189.63,207.69,92,,Percent of Total Billed Charges,188.73,,207.69,92,,Percent of Total Billed Charges,185.34,,207.69,92,,Percent of Total Billed Charges,181.73,,207.69,92,,Percent of Total Billed Charges,188.5,,207.69,92,,Percent of Total Billed Charges,169.99,,207.69,92,,Percent of Total Billed Charges,141.09,,203.18,90,,Percent of Total Billed Charges,112.65,,200.92,89,,Percent of Total Billed Charges,108.36,,186.02,82.4,,Percent of Total Billed Charges,185.57,,188.28,83.4,,Percent of Total Billed Charges,175.63,,188.28,83.4,,Percent of Total Billed Charges,158.25,,188.28,83.4,,Percent of Total Billed Charges,183.76,,203.18,90,,Percent of Total Billed Charges,191.21,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,207.69,92,,Percent of Total Billed Charges,183.08,,207.69,92,,Percent of Total Billed Charges,167.96,,207.69,92,,Percent of Total Billed Charges,176.76,,207.69,92,,Percent of Total Billed Charges,183.08,,176.09,78,,Percent of Total Billed Charges,176.09,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,121.52,53.83,,Percent of Total Billed Charges,114,,78.2,34.64,,Percent of Total Billed Charges,77.88,,112.83,49.98,,Percent of Total Billed Charges,85.33,,78.20,207.69,,																																							
HC FLUORESCENT ANTIBODY TITTER,86256,CPT,,,,BOTH, , ,286.65,240.79,263.72,92,,Percent of Total Billed Charges,239.64,,263.72,92,,Percent of Total Billed Charges,235.34,,263.72,92,,Percent of Total Billed Charges,230.75,,263.72,92,,Percent of Total Billed Charges,239.35,,263.72,92,,Percent of Total Billed Charges,215.85,,263.72,92,,Percent of Total Billed Charges,179.16,,257.99,90,,Percent of Total Billed Charges,143.04,,255.12,89,,Percent of Total Billed Charges,137.59,,236.2,82.4,,Percent of Total Billed Charges,235.63,,239.07,83.4,,Percent of Total Billed Charges,223.01,,239.07,83.4,,Percent of Total Billed Charges,200.94,,239.07,83.4,,Percent of Total Billed Charges,233.33,,257.99,90,,Percent of Total Billed Charges,242.79,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,263.72,92,,Percent of Total Billed Charges,232.47,,263.72,92,,Percent of Total Billed Charges,213.27,,263.72,92,,Percent of Total Billed Charges,224.45,,263.72,92,,Percent of Total Billed Charges,232.47,,223.59,78,,Percent of Total Billed Charges,223.59,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,154.3,53.83,,Percent of Total Billed Charges,144.76,,99.3,34.64,,Percent of Total Billed Charges,98.89,,143.27,49.98,,Percent of Total Billed Charges,108.35,,99.30,263.72,,																																							
HC IMMUNOASSAY TUMOR CA 153,86300,CPT,,,,BOTH, , ,289.8,243.43,266.62,92,,Percent of Total Billed Charges,242.27,,266.62,92,,Percent of Total Billed Charges,237.93,,266.62,92,,Percent of Total Billed Charges,233.29,,266.62,92,,Percent of Total Billed Charges,241.98,,266.62,92,,Percent of Total Billed Charges,218.22,,266.62,92,,Percent of Total Billed Charges,181.13,,260.82,90,,Percent of Total Billed Charges,144.61,,257.92,89,,Percent of Total Billed Charges,139.1,,238.8,82.4,,Percent of Total Billed Charges,238.22,,241.69,83.4,,Percent of Total Billed Charges,225.46,,241.69,83.4,,Percent of Total Billed Charges,203.15,,241.69,83.4,,Percent of Total Billed Charges,235.9,,260.82,90,,Percent of Total Billed Charges,245.46,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,266.62,92,,Percent of Total Billed Charges,235.03,,266.62,92,,Percent of Total Billed Charges,215.61,,266.62,92,,Percent of Total Billed Charges,226.91,,266.62,92,,Percent of Total Billed Charges,235.03,,226.04,78,,Percent of Total Billed Charges,226.04,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,156,53.83,,Percent of Total Billed Charges,146.35,,100.39,34.64,,Percent of Total Billed Charges,99.98,,144.84,49.98,,Percent of Total Billed Charges,109.54,,100.39,266.62,,																																							
HC IMMUNOASSAY TUMOR CA 199,86301,CPT,,,,BOTH, , ,322.35,270.77,296.56,92,,Percent of Total Billed Charges,269.48,,296.56,92,,Percent of Total Billed Charges,264.65,,296.56,92,,Percent of Total Billed Charges,259.49,,296.56,92,,Percent of Total Billed Charges,269.16,,296.56,92,,Percent of Total Billed Charges,242.73,,296.56,92,,Percent of Total Billed Charges,201.47,,290.12,90,,Percent of Total Billed Charges,160.85,,286.89,89,,Percent of Total Billed Charges,154.73,,265.62,82.4,,Percent of Total Billed Charges,264.97,,268.84,83.4,,Percent of Total Billed Charges,250.79,,268.84,83.4,,Percent of Total Billed Charges,225.97,,268.84,83.4,,Percent of Total Billed Charges,262.39,,290.12,90,,Percent of Total Billed Charges,273.03,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,296.56,92,,Percent of Total Billed Charges,261.43,,296.56,92,,Percent of Total Billed Charges,239.83,,296.56,92,,Percent of Total Billed Charges,252.4,,296.56,92,,Percent of Total Billed Charges,261.43,,251.43,78,,Percent of Total Billed Charges,251.43,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,173.52,53.83,,Percent of Total Billed Charges,162.79,,111.66,34.64,,Percent of Total Billed Charges,111.21,,161.11,49.98,,Percent of Total Billed Charges,121.85,,111.66,296.56,,																																							
HC IMMUNOASSAY TUMOR CA 125,86304,CPT,,,,BOTH, , ,134.4,112.9,123.65,92,,Percent of Total Billed Charges,112.36,,123.65,92,,Percent of Total Billed Charges,110.34,,123.65,92,,Percent of Total Billed Charges,108.19,,123.65,92,,Percent of Total Billed Charges,112.22,,123.65,92,,Percent of Total Billed Charges,101.2,,123.65,92,,Percent of Total Billed Charges,84,,120.96,90,,Percent of Total Billed Charges,67.07,,119.62,89,,Percent of Total Billed Charges,64.51,,110.75,82.4,,Percent of Total Billed Charges,110.48,,112.09,83.4,,Percent of Total Billed Charges,104.56,,112.09,83.4,,Percent of Total Billed Charges,94.21,,112.09,83.4,,Percent of Total Billed Charges,109.4,,120.96,90,,Percent of Total Billed Charges,113.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,123.65,92,,Percent of Total Billed Charges,109,,123.65,92,,Percent of Total Billed Charges,99.99,,123.65,92,,Percent of Total Billed Charges,105.24,,123.65,92,,Percent of Total Billed Charges,109,,104.83,78,,Percent of Total Billed Charges,104.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,72.35,53.83,,Percent of Total Billed Charges,67.87,,46.56,34.64,,Percent of Total Billed Charges,46.37,,67.17,49.98,,Percent of Total Billed Charges,50.8,,46.56,123.65,,																																							
HC HUMAN EPIDIDYMIS PROTEIN 4,86305,CPT,,,,BOTH, , ,500.85,420.71,460.78,92,,Percent of Total Billed Charges,418.71,,460.78,92,,Percent of Total Billed Charges,411.2,,460.78,92,,Percent of Total Billed Charges,403.18,,460.78,92,,Percent of Total Billed Charges,418.21,,460.78,92,,Percent of Total Billed Charges,377.14,,460.78,92,,Percent of Total Billed Charges,313.03,,450.77,90,,Percent of Total Billed Charges,249.92,,445.76,89,,Percent of Total Billed Charges,240.41,,412.7,82.4,,Percent of Total Billed Charges,411.7,,417.71,83.4,,Percent of Total Billed Charges,389.66,,417.71,83.4,,Percent of Total Billed Charges,351.1,,417.71,83.4,,Percent of Total Billed Charges,407.69,,450.77,90,,Percent of Total Billed Charges,424.22,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,460.78,92,,Percent of Total Billed Charges,406.19,,460.78,92,,Percent of Total Billed Charges,372.63,,460.78,92,,Percent of Total Billed Charges,392.17,,460.78,92,,Percent of Total Billed Charges,406.19,,390.66,78,,Percent of Total Billed Charges,390.66,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,269.61,53.83,,Percent of Total Billed Charges,252.93,,173.49,34.64,,Percent of Total Billed Charges,172.79,,250.32,49.98,,Percent of Total Billed Charges,189.32,,173.49,460.78,,																																							
HC IMMUNOASSAY TUMOR OTHER QUANTITATIVE,86316,CPT,,,,BOTH, , ,370.65,311.35,341,92,,Percent of Total Billed Charges,309.86,,341,92,,Percent of Total Billed Charges,304.3,,341,92,,Percent of Total Billed Charges,298.37,,341,92,,Percent of Total Billed Charges,309.49,,341,92,,Percent of Total Billed Charges,279.1,,341,92,,Percent of Total Billed Charges,231.66,,333.59,90,,Percent of Total Billed Charges,184.95,,329.88,89,,Percent of Total Billed Charges,177.91,,305.42,82.4,,Percent of Total Billed Charges,304.67,,309.12,83.4,,Percent of Total Billed Charges,288.37,,309.12,83.4,,Percent of Total Billed Charges,259.83,,309.12,83.4,,Percent of Total Billed Charges,301.71,,333.59,90,,Percent of Total Billed Charges,313.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,341,92,,Percent of Total Billed Charges,300.6,,341,92,,Percent of Total Billed Charges,275.76,,341,92,,Percent of Total Billed Charges,290.22,,341,92,,Percent of Total Billed Charges,300.6,,289.11,78,,Percent of Total Billed Charges,289.11,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,199.52,53.83,,Percent of Total Billed Charges,187.18,,128.39,34.64,,Percent of Total Billed Charges,127.87,,185.25,49.98,,Percent of Total Billed Charges,140.11,,128.39,341,,																																							
HC IMMUNOASSAY INFECTIOUS AGENT QUANTITATIVE,86317,CPT,,,,BOTH, , ,8.4,7.06,7.73,92,,Percent of Total Billed Charges,7.02,,7.73,92,,Percent of Total Billed Charges,6.9,,7.73,92,,Percent of Total Billed Charges,6.76,,7.73,92,,Percent of Total Billed Charges,7.01,,7.73,92,,Percent of Total Billed Charges,6.33,,7.73,92,,Percent of Total Billed Charges,5.25,,7.56,90,,Percent of Total Billed Charges,4.19,,7.48,89,,Percent of Total Billed Charges,4.03,,6.92,82.4,,Percent of Total Billed Charges,6.9,,7.01,83.4,,Percent of Total Billed Charges,6.54,,7.01,83.4,,Percent of Total Billed Charges,5.89,,7.01,83.4,,Percent of Total Billed Charges,6.84,,7.56,90,,Percent of Total Billed Charges,7.11,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,7.73,92,,Percent of Total Billed Charges,6.81,,7.73,92,,Percent of Total Billed Charges,6.25,,7.73,92,,Percent of Total Billed Charges,6.58,,7.73,92,,Percent of Total Billed Charges,6.81,,6.55,78,,Percent of Total Billed Charges,6.55,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4.52,53.83,,Percent of Total Billed Charges,4.24,,2.91,34.64,,Percent of Total Billed Charges,2.9,,4.2,49.98,,Percent of Total Billed Charges,3.18,,2.91,7.73,,																																							
HC IMMUNE COMPLEX ASSAY,86332,CPT,,,,BOTH, , ,312.9,262.84,287.87,92,,Percent of Total Billed Charges,261.58,,287.87,92,,Percent of Total Billed Charges,256.89,,287.87,92,,Percent of Total Billed Charges,251.88,,287.87,92,,Percent of Total Billed Charges,261.27,,287.87,92,,Percent of Total Billed Charges,235.61,,287.87,92,,Percent of Total Billed Charges,195.56,,281.61,90,,Percent of Total Billed Charges,156.14,,278.48,89,,Percent of Total Billed Charges,150.19,,257.83,82.4,,Percent of Total Billed Charges,257.2,,260.96,83.4,,Percent of Total Billed Charges,243.44,,260.96,83.4,,Percent of Total Billed Charges,219.34,,260.96,83.4,,Percent of Total Billed Charges,254.7,,281.61,90,,Percent of Total Billed Charges,265.03,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,287.87,92,,Percent of Total Billed Charges,253.76,,287.87,92,,Percent of Total Billed Charges,232.8,,287.87,92,,Percent of Total Billed Charges,245,,287.87,92,,Percent of Total Billed Charges,253.76,,244.06,78,,Percent of Total Billed Charges,244.06,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,168.43,53.83,,Percent of Total Billed Charges,158.01,,108.39,34.64,,Percent of Total Billed Charges,107.95,,156.39,49.98,,Percent of Total Billed Charges,118.28,,108.39,287.87,,																																							
HC IMMUNOFIXATION EPHORESIS SERUM,86334,CPT,,,,BOTH, , ,366.45,307.82,337.13,92,,Percent of Total Billed Charges,306.35,,337.13,92,,Percent of Total Billed Charges,300.86,,337.13,92,,Percent of Total Billed Charges,294.99,,337.13,92,,Percent of Total Billed Charges,305.99,,337.13,92,,Percent of Total Billed Charges,275.94,,337.13,92,,Percent of Total Billed Charges,229.03,,329.81,90,,Percent of Total Billed Charges,182.86,,326.14,89,,Percent of Total Billed Charges,175.9,,301.95,82.4,,Percent of Total Billed Charges,301.22,,305.62,83.4,,Percent of Total Billed Charges,285.1,,305.62,83.4,,Percent of Total Billed Charges,256.88,,305.62,83.4,,Percent of Total Billed Charges,298.29,,329.81,90,,Percent of Total Billed Charges,310.38,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,337.13,92,,Percent of Total Billed Charges,297.19,,337.13,92,,Percent of Total Billed Charges,272.64,,337.13,92,,Percent of Total Billed Charges,286.93,,337.13,92,,Percent of Total Billed Charges,297.19,,285.83,78,,Percent of Total Billed Charges,285.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,197.26,53.83,,Percent of Total Billed Charges,185.06,,126.94,34.64,,Percent of Total Billed Charges,126.43,,183.15,49.98,,Percent of Total Billed Charges,138.52,,126.94,337.13,,																																							
HC INHIBIN A,86336,CPT,,,,BOTH, , ,177.45,149.06,163.25,92,,Percent of Total Billed Charges,148.35,,163.25,92,,Percent of Total Billed Charges,145.69,,163.25,92,,Percent of Total Billed Charges,142.85,,163.25,92,,Percent of Total Billed Charges,148.17,,163.25,92,,Percent of Total Billed Charges,133.62,,163.25,92,,Percent of Total Billed Charges,110.91,,159.71,90,,Percent of Total Billed Charges,88.55,,157.93,89,,Percent of Total Billed Charges,85.18,,146.22,82.4,,Percent of Total Billed Charges,145.86,,147.99,83.4,,Percent of Total Billed Charges,138.06,,147.99,83.4,,Percent of Total Billed Charges,124.39,,147.99,83.4,,Percent of Total Billed Charges,144.44,,159.71,90,,Percent of Total Billed Charges,150.3,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,163.25,92,,Percent of Total Billed Charges,143.91,,163.25,92,,Percent of Total Billed Charges,132.02,,163.25,92,,Percent of Total Billed Charges,138.94,,163.25,92,,Percent of Total Billed Charges,143.91,,138.41,78,,Percent of Total Billed Charges,138.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,95.52,53.83,,Percent of Total Billed Charges,89.61,,61.47,34.64,,Percent of Total Billed Charges,61.22,,88.69,49.98,,Percent of Total Billed Charges,67.08,,61.47,163.25,,																																							
HC INSULIN ANTIBODIES,86337,CPT,,,,BOTH, , ,344.4,289.3,316.85,92,,Percent of Total Billed Charges,287.92,,316.85,92,,Percent of Total Billed Charges,282.75,,316.85,92,,Percent of Total Billed Charges,277.24,,316.85,92,,Percent of Total Billed Charges,287.57,,316.85,92,,Percent of Total Billed Charges,259.33,,316.85,92,,Percent of Total Billed Charges,215.25,,309.96,90,,Percent of Total Billed Charges,171.86,,306.52,89,,Percent of Total Billed Charges,165.31,,283.79,82.4,,Percent of Total Billed Charges,283.1,,287.23,83.4,,Percent of Total Billed Charges,267.94,,287.23,83.4,,Percent of Total Billed Charges,241.42,,287.23,83.4,,Percent of Total Billed Charges,280.34,,309.96,90,,Percent of Total Billed Charges,291.71,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,316.85,92,,Percent of Total Billed Charges,279.31,,316.85,92,,Percent of Total Billed Charges,256.23,,316.85,92,,Percent of Total Billed Charges,269.67,,316.85,92,,Percent of Total Billed Charges,279.31,,268.63,78,,Percent of Total Billed Charges,268.63,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,185.39,53.83,,Percent of Total Billed Charges,173.92,,119.3,34.64,,Percent of Total Billed Charges,118.82,,172.13,49.98,,Percent of Total Billed Charges,130.18,,119.30,316.85,,																																							
HC INTRINSIC FACTOR ANTIBODY,86340,CPT,,,,BOTH, , ,286.65,240.79,263.72,92,,Percent of Total Billed Charges,239.64,,263.72,92,,Percent of Total Billed Charges,235.34,,263.72,92,,Percent of Total Billed Charges,230.75,,263.72,92,,Percent of Total Billed Charges,239.35,,263.72,92,,Percent of Total Billed Charges,215.85,,263.72,92,,Percent of Total Billed Charges,179.16,,257.99,90,,Percent of Total Billed Charges,143.04,,255.12,89,,Percent of Total Billed Charges,137.59,,236.2,82.4,,Percent of Total Billed Charges,235.63,,239.07,83.4,,Percent of Total Billed Charges,223.01,,239.07,83.4,,Percent of Total Billed Charges,200.94,,239.07,83.4,,Percent of Total Billed Charges,233.33,,257.99,90,,Percent of Total Billed Charges,242.79,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,263.72,92,,Percent of Total Billed Charges,232.47,,263.72,92,,Percent of Total Billed Charges,213.27,,263.72,92,,Percent of Total Billed Charges,224.45,,263.72,92,,Percent of Total Billed Charges,232.47,,223.59,78,,Percent of Total Billed Charges,223.59,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,154.3,53.83,,Percent of Total Billed Charges,144.76,,99.3,34.64,,Percent of Total Billed Charges,98.89,,143.27,49.98,,Percent of Total Billed Charges,108.35,,99.30,263.72,,																																							
HC ISLET CELL ANTIBODY,86341,CPT,,,,BOTH, , ,254.1,213.44,233.77,92,,Percent of Total Billed Charges,212.43,,233.77,92,,Percent of Total Billed Charges,208.62,,233.77,92,,Percent of Total Billed Charges,204.55,,233.77,92,,Percent of Total Billed Charges,212.17,,233.77,92,,Percent of Total Billed Charges,191.34,,233.77,92,,Percent of Total Billed Charges,158.81,,228.69,90,,Percent of Total Billed Charges,126.8,,226.15,89,,Percent of Total Billed Charges,121.97,,209.38,82.4,,Percent of Total Billed Charges,208.87,,211.92,83.4,,Percent of Total Billed Charges,197.69,,211.92,83.4,,Percent of Total Billed Charges,178.12,,211.92,83.4,,Percent of Total Billed Charges,206.84,,228.69,90,,Percent of Total Billed Charges,215.22,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,233.77,92,,Percent of Total Billed Charges,206.08,,233.77,92,,Percent of Total Billed Charges,189.05,,233.77,92,,Percent of Total Billed Charges,198.96,,233.77,92,,Percent of Total Billed Charges,206.08,,198.2,78,,Percent of Total Billed Charges,198.2,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,136.78,53.83,,Percent of Total Billed Charges,128.32,,88.02,34.64,,Percent of Total Billed Charges,87.66,,127,49.98,,Percent of Total Billed Charges,96.05,,88.02,233.77,,																																							
HC LYMPHOCYTE TRANSFORMATION,86353,CPT,,,,BOTH, , ,457.8,384.55,421.18,92,,Percent of Total Billed Charges,382.72,,421.18,92,,Percent of Total Billed Charges,375.85,,421.18,92,,Percent of Total Billed Charges,368.53,,421.18,92,,Percent of Total Billed Charges,382.26,,421.18,92,,Percent of Total Billed Charges,344.72,,421.18,92,,Percent of Total Billed Charges,286.13,,412.02,90,,Percent of Total Billed Charges,228.44,,407.44,89,,Percent of Total Billed Charges,219.74,,377.23,82.4,,Percent of Total Billed Charges,376.31,,381.81,83.4,,Percent of Total Billed Charges,356.17,,381.81,83.4,,Percent of Total Billed Charges,320.92,,381.81,83.4,,Percent of Total Billed Charges,372.65,,412.02,90,,Percent of Total Billed Charges,387.76,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,421.18,92,,Percent of Total Billed Charges,371.28,,421.18,92,,Percent of Total Billed Charges,340.6,,421.18,92,,Percent of Total Billed Charges,358.46,,421.18,92,,Percent of Total Billed Charges,371.28,,357.08,78,,Percent of Total Billed Charges,357.08,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,246.43,53.83,,Percent of Total Billed Charges,231.19,,158.58,34.64,,Percent of Total Billed Charges,157.94,,228.81,49.98,,Percent of Total Billed Charges,173.05,,158.58,421.18,,																																							
HC B CELLS TOTAL COUNT,86355,CPT,,,,BOTH, , ,182.7,153.47,168.08,92,,Percent of Total Billed Charges,152.74,,168.08,92,,Percent of Total Billed Charges,150,,168.08,92,,Percent of Total Billed Charges,147.07,,168.08,92,,Percent of Total Billed Charges,152.55,,168.08,92,,Percent of Total Billed Charges,137.57,,168.08,92,,Percent of Total Billed Charges,114.19,,164.43,90,,Percent of Total Billed Charges,91.17,,162.6,89,,Percent of Total Billed Charges,87.7,,150.54,82.4,,Percent of Total Billed Charges,150.18,,152.37,83.4,,Percent of Total Billed Charges,142.14,,152.37,83.4,,Percent of Total Billed Charges,128.07,,152.37,83.4,,Percent of Total Billed Charges,148.72,,164.43,90,,Percent of Total Billed Charges,154.75,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,168.08,92,,Percent of Total Billed Charges,148.17,,168.08,92,,Percent of Total Billed Charges,135.93,,168.08,92,,Percent of Total Billed Charges,143.05,,168.08,92,,Percent of Total Billed Charges,148.17,,142.51,78,,Percent of Total Billed Charges,142.51,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,98.35,53.83,,Percent of Total Billed Charges,92.26,,63.29,34.64,,Percent of Total Billed Charges,63.03,,91.31,49.98,,Percent of Total Billed Charges,69.06,,63.29,168.08,,																																							
HC NK CELLS TOTAL COUNT,86357,CPT,,,,BOTH, , ,182.7,153.47,168.08,92,,Percent of Total Billed Charges,152.74,,168.08,92,,Percent of Total Billed Charges,150,,168.08,92,,Percent of Total Billed Charges,147.07,,168.08,92,,Percent of Total Billed Charges,152.55,,168.08,92,,Percent of Total Billed Charges,137.57,,168.08,92,,Percent of Total Billed Charges,114.19,,164.43,90,,Percent of Total Billed Charges,91.17,,162.6,89,,Percent of Total Billed Charges,87.7,,150.54,82.4,,Percent of Total Billed Charges,150.18,,152.37,83.4,,Percent of Total Billed Charges,142.14,,152.37,83.4,,Percent of Total Billed Charges,128.07,,152.37,83.4,,Percent of Total Billed Charges,148.72,,164.43,90,,Percent of Total Billed Charges,154.75,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,168.08,92,,Percent of Total Billed Charges,148.17,,168.08,92,,Percent of Total Billed Charges,135.93,,168.08,92,,Percent of Total Billed Charges,143.05,,168.08,92,,Percent of Total Billed Charges,148.17,,142.51,78,,Percent of Total Billed Charges,142.51,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,98.35,53.83,,Percent of Total Billed Charges,92.26,,63.29,34.64,,Percent of Total Billed Charges,63.03,,91.31,49.98,,Percent of Total Billed Charges,69.06,,63.29,168.08,,																																							
HC T CELLS TOTAL COUNT,86359,CPT,,,,BOTH, , ,182.7,153.47,168.08,92,,Percent of Total Billed Charges,152.74,,168.08,92,,Percent of Total Billed Charges,150,,168.08,92,,Percent of Total Billed Charges,147.07,,168.08,92,,Percent of Total Billed Charges,152.55,,168.08,92,,Percent of Total Billed Charges,137.57,,168.08,92,,Percent of Total Billed Charges,114.19,,164.43,90,,Percent of Total Billed Charges,91.17,,162.6,89,,Percent of Total Billed Charges,87.7,,150.54,82.4,,Percent of Total Billed Charges,150.18,,152.37,83.4,,Percent of Total Billed Charges,142.14,,152.37,83.4,,Percent of Total Billed Charges,128.07,,152.37,83.4,,Percent of Total Billed Charges,148.72,,164.43,90,,Percent of Total Billed Charges,154.75,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,168.08,92,,Percent of Total Billed Charges,148.17,,168.08,92,,Percent of Total Billed Charges,135.93,,168.08,92,,Percent of Total Billed Charges,143.05,,168.08,92,,Percent of Total Billed Charges,148.17,,142.51,78,,Percent of Total Billed Charges,142.51,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,98.35,53.83,,Percent of Total Billed Charges,92.26,,63.29,34.64,,Percent of Total Billed Charges,63.03,,91.31,49.98,,Percent of Total Billed Charges,69.06,,63.29,168.08,,																																							
HC T CELL ABSOLUTE COUNT/RATIO,86360,CPT,,,,BOTH, , ,576.45,484.22,530.33,92,,Percent of Total Billed Charges,481.91,,530.33,92,,Percent of Total Billed Charges,473.27,,530.33,92,,Percent of Total Billed Charges,464.04,,530.33,92,,Percent of Total Billed Charges,481.34,,530.33,92,,Percent of Total Billed Charges,434.07,,530.33,92,,Percent of Total Billed Charges,360.28,,518.81,90,,Percent of Total Billed Charges,287.65,,513.04,89,,Percent of Total Billed Charges,276.7,,474.99,82.4,,Percent of Total Billed Charges,473.84,,480.76,83.4,,Percent of Total Billed Charges,448.48,,480.76,83.4,,Percent of Total Billed Charges,404.09,,480.76,83.4,,Percent of Total Billed Charges,469.23,,518.81,90,,Percent of Total Billed Charges,488.25,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,530.33,92,,Percent of Total Billed Charges,467.5,,530.33,92,,Percent of Total Billed Charges,428.88,,530.33,92,,Percent of Total Billed Charges,451.36,,530.33,92,,Percent of Total Billed Charges,467.5,,449.63,78,,Percent of Total Billed Charges,449.63,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,310.3,53.83,,Percent of Total Billed Charges,291.11,,199.68,34.64,,Percent of Total Billed Charges,198.88,,288.11,49.98,,Percent of Total Billed Charges,217.9,,199.68,530.33,,																																							
HC T CELL ABSOLUTE COUNT,86361,CPT,,,,BOTH, , ,365.4,306.94,336.17,92,,Percent of Total Billed Charges,305.47,,336.17,92,,Percent of Total Billed Charges,299.99,,336.17,92,,Percent of Total Billed Charges,294.15,,336.17,92,,Percent of Total Billed Charges,305.11,,336.17,92,,Percent of Total Billed Charges,275.15,,336.17,92,,Percent of Total Billed Charges,228.38,,328.86,90,,Percent of Total Billed Charges,182.33,,325.21,89,,Percent of Total Billed Charges,175.39,,301.09,82.4,,Percent of Total Billed Charges,300.36,,304.74,83.4,,Percent of Total Billed Charges,284.28,,304.74,83.4,,Percent of Total Billed Charges,256.15,,304.74,83.4,,Percent of Total Billed Charges,297.44,,328.86,90,,Percent of Total Billed Charges,309.49,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,336.17,92,,Percent of Total Billed Charges,296.34,,336.17,92,,Percent of Total Billed Charges,271.86,,336.17,92,,Percent of Total Billed Charges,286.11,,336.17,92,,Percent of Total Billed Charges,296.34,,285.01,78,,Percent of Total Billed Charges,285.01,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,196.69,53.83,,Percent of Total Billed Charges,184.53,,126.57,34.64,,Percent of Total Billed Charges,126.06,,182.63,49.98,,Percent of Total Billed Charges,138.12,,126.57,336.17,,																																							
HC MICROSOMAL ANTIBODY EACH,86376,CPT,,,,BOTH, , ,224.7,188.75,206.72,92,,Percent of Total Billed Charges,187.85,,206.72,92,,Percent of Total Billed Charges,184.48,,206.72,92,,Percent of Total Billed Charges,180.88,,206.72,92,,Percent of Total Billed Charges,187.62,,206.72,92,,Percent of Total Billed Charges,169.2,,206.72,92,,Percent of Total Billed Charges,140.44,,202.23,90,,Percent of Total Billed Charges,112.13,,199.98,89,,Percent of Total Billed Charges,107.86,,185.15,82.4,,Percent of Total Billed Charges,184.7,,187.4,83.4,,Percent of Total Billed Charges,174.82,,187.4,83.4,,Percent of Total Billed Charges,157.51,,187.4,83.4,,Percent of Total Billed Charges,182.91,,202.23,90,,Percent of Total Billed Charges,190.32,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,206.72,92,,Percent of Total Billed Charges,182.23,,206.72,92,,Percent of Total Billed Charges,167.18,,206.72,92,,Percent of Total Billed Charges,175.94,,206.72,92,,Percent of Total Billed Charges,182.23,,175.27,78,,Percent of Total Billed Charges,175.27,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,120.96,53.83,,Percent of Total Billed Charges,113.47,,77.84,34.64,,Percent of Total Billed Charges,77.52,,112.31,49.98,,Percent of Total Billed Charges,84.94,,77.84,206.72,,																																							
HC PARTICLE AGGLUTINATION ANTIBODY SCREEN,86403,CPT,,,,BOTH, , ,279.3,234.61,256.96,92,,Percent of Total Billed Charges,233.49,,256.96,92,,Percent of Total Billed Charges,229.31,,256.96,92,,Percent of Total Billed Charges,224.84,,256.96,92,,Percent of Total Billed Charges,233.22,,256.96,92,,Percent of Total Billed Charges,210.31,,256.96,92,,Percent of Total Billed Charges,174.56,,251.37,90,,Percent of Total Billed Charges,139.37,,248.58,89,,Percent of Total Billed Charges,134.06,,230.14,82.4,,Percent of Total Billed Charges,229.58,,232.94,83.4,,Percent of Total Billed Charges,217.3,,232.94,83.4,,Percent of Total Billed Charges,195.79,,232.94,83.4,,Percent of Total Billed Charges,227.35,,251.37,90,,Percent of Total Billed Charges,236.57,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,256.96,92,,Percent of Total Billed Charges,226.51,,256.96,92,,Percent of Total Billed Charges,207.8,,256.96,92,,Percent of Total Billed Charges,218.69,,256.96,92,,Percent of Total Billed Charges,226.51,,217.85,78,,Percent of Total Billed Charges,217.85,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,150.35,53.83,,Percent of Total Billed Charges,141.05,,96.75,34.64,,Percent of Total Billed Charges,96.36,,139.59,49.98,,Percent of Total Billed Charges,105.58,,96.75,256.96,,																																							
HC RHEUMATOID FACTOR TEST QUAL,86430,CPT,,,,BOTH, , ,118.65,99.67,109.16,92,,Percent of Total Billed Charges,99.19,,109.16,92,,Percent of Total Billed Charges,97.41,,109.16,92,,Percent of Total Billed Charges,95.51,,109.16,92,,Percent of Total Billed Charges,99.07,,109.16,92,,Percent of Total Billed Charges,89.34,,109.16,92,,Percent of Total Billed Charges,74.16,,106.79,90,,Percent of Total Billed Charges,59.21,,105.6,89,,Percent of Total Billed Charges,56.95,,97.77,82.4,,Percent of Total Billed Charges,97.53,,98.95,83.4,,Percent of Total Billed Charges,92.31,,98.95,83.4,,Percent of Total Billed Charges,83.17,,98.95,83.4,,Percent of Total Billed Charges,96.58,,106.79,90,,Percent of Total Billed Charges,100.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,109.16,92,,Percent of Total Billed Charges,96.23,,109.16,92,,Percent of Total Billed Charges,88.28,,109.16,92,,Percent of Total Billed Charges,92.9,,109.16,92,,Percent of Total Billed Charges,96.23,,92.55,78,,Percent of Total Billed Charges,92.55,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,63.87,53.83,,Percent of Total Billed Charges,59.92,,41.1,34.64,,Percent of Total Billed Charges,40.93,,59.3,49.98,,Percent of Total Billed Charges,44.85,,41.10,109.16,,																																							
HC RHEUMATOID FACTOR QUANT,86431,CPT,,,,BOTH, , ,40.95,34.4,37.67,92,,Percent of Total Billed Charges,34.23,,37.67,92,,Percent of Total Billed Charges,33.62,,37.67,92,,Percent of Total Billed Charges,32.96,,37.67,92,,Percent of Total Billed Charges,34.19,,37.67,92,,Percent of Total Billed Charges,30.84,,37.67,92,,Percent of Total Billed Charges,25.59,,36.86,90,,Percent of Total Billed Charges,20.43,,36.45,89,,Percent of Total Billed Charges,19.66,,33.74,82.4,,Percent of Total Billed Charges,33.66,,34.15,83.4,,Percent of Total Billed Charges,31.86,,34.15,83.4,,Percent of Total Billed Charges,28.71,,34.15,83.4,,Percent of Total Billed Charges,33.33,,36.86,90,,Percent of Total Billed Charges,34.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,37.67,92,,Percent of Total Billed Charges,33.21,,37.67,92,,Percent of Total Billed Charges,30.47,,37.67,92,,Percent of Total Billed Charges,32.06,,37.67,92,,Percent of Total Billed Charges,33.21,,31.94,78,,Percent of Total Billed Charges,31.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,22.04,53.83,,Percent of Total Billed Charges,20.68,,14.19,34.64,,Percent of Total Billed Charges,14.13,,20.47,49.98,,Percent of Total Billed Charges,15.48,,14.19,37.67,,																																							
HC TB TEST CELL IMMUN MEASURE,86480,CPT,,,,BOTH, , ,471.45,396.02,433.73,92,,Percent of Total Billed Charges,394.13,,433.73,92,,Percent of Total Billed Charges,387.06,,433.73,92,,Percent of Total Billed Charges,379.52,,433.73,92,,Percent of Total Billed Charges,393.66,,433.73,92,,Percent of Total Billed Charges,355,,433.73,92,,Percent of Total Billed Charges,294.66,,424.31,90,,Percent of Total Billed Charges,235.25,,419.59,89,,Percent of Total Billed Charges,226.3,,388.47,82.4,,Percent of Total Billed Charges,387.53,,393.19,83.4,,Percent of Total Billed Charges,366.79,,393.19,83.4,,Percent of Total Billed Charges,330.49,,393.19,83.4,,Percent of Total Billed Charges,383.76,,424.31,90,,Percent of Total Billed Charges,399.32,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,433.73,92,,Percent of Total Billed Charges,382.35,,433.73,92,,Percent of Total Billed Charges,350.76,,433.73,92,,Percent of Total Billed Charges,369.15,,433.73,92,,Percent of Total Billed Charges,382.35,,367.73,78,,Percent of Total Billed Charges,367.73,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,253.78,53.83,,Percent of Total Billed Charges,238.08,,163.31,34.64,,Percent of Total Billed Charges,162.65,,235.63,49.98,,Percent of Total Billed Charges,178.21,,163.31,433.73,,																																							
HC ADENOVIRUS ANTIBODY,86603,CPT,,,,BOTH, , ,263.55,221.38,242.47,92,,Percent of Total Billed Charges,220.33,,242.47,92,,Percent of Total Billed Charges,216.37,,242.47,92,,Percent of Total Billed Charges,212.16,,242.47,92,,Percent of Total Billed Charges,220.06,,242.47,92,,Percent of Total Billed Charges,198.45,,242.47,92,,Percent of Total Billed Charges,164.72,,237.2,90,,Percent of Total Billed Charges,131.51,,234.56,89,,Percent of Total Billed Charges,126.5,,217.17,82.4,,Percent of Total Billed Charges,216.64,,219.8,83.4,,Percent of Total Billed Charges,205.04,,219.8,83.4,,Percent of Total Billed Charges,184.75,,219.8,83.4,,Percent of Total Billed Charges,214.53,,237.2,90,,Percent of Total Billed Charges,223.23,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,242.47,92,,Percent of Total Billed Charges,213.74,,242.47,92,,Percent of Total Billed Charges,196.08,,242.47,92,,Percent of Total Billed Charges,206.36,,242.47,92,,Percent of Total Billed Charges,213.74,,205.57,78,,Percent of Total Billed Charges,205.57,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,141.87,53.83,,Percent of Total Billed Charges,133.09,,91.29,34.64,,Percent of Total Billed Charges,90.92,,131.72,49.98,,Percent of Total Billed Charges,99.62,,91.29,242.47,,																																							
HC BACTERIUM ANTIBODY,86609,CPT,,,,BOTH, , ,124.95,104.96,114.95,92,,Percent of Total Billed Charges,104.46,,114.95,92,,Percent of Total Billed Charges,102.58,,114.95,92,,Percent of Total Billed Charges,100.58,,114.95,92,,Percent of Total Billed Charges,104.33,,114.95,92,,Percent of Total Billed Charges,94.09,,114.95,92,,Percent of Total Billed Charges,78.09,,112.46,90,,Percent of Total Billed Charges,62.35,,111.21,89,,Percent of Total Billed Charges,59.98,,102.96,82.4,,Percent of Total Billed Charges,102.71,,104.21,83.4,,Percent of Total Billed Charges,97.21,,104.21,83.4,,Percent of Total Billed Charges,87.59,,104.21,83.4,,Percent of Total Billed Charges,101.71,,112.46,90,,Percent of Total Billed Charges,105.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,114.95,92,,Percent of Total Billed Charges,101.33,,114.95,92,,Percent of Total Billed Charges,92.96,,114.95,92,,Percent of Total Billed Charges,97.84,,114.95,92,,Percent of Total Billed Charges,101.33,,97.46,78,,Percent of Total Billed Charges,97.46,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,67.26,53.83,,Percent of Total Billed Charges,63.1,,43.28,34.64,,Percent of Total Billed Charges,43.11,,62.45,49.98,,Percent of Total Billed Charges,47.23,,43.28,114.95,,																																							
HC BARTONELLA ANTIBODY,86611,CPT,,,,BOTH, , ,207.9,174.64,191.27,92,,Percent of Total Billed Charges,173.8,,191.27,92,,Percent of Total Billed Charges,170.69,,191.27,92,,Percent of Total Billed Charges,167.36,,191.27,92,,Percent of Total Billed Charges,173.6,,191.27,92,,Percent of Total Billed Charges,156.55,,191.27,92,,Percent of Total Billed Charges,129.94,,187.11,90,,Percent of Total Billed Charges,103.74,,185.03,89,,Percent of Total Billed Charges,99.79,,171.31,82.4,,Percent of Total Billed Charges,170.89,,173.39,83.4,,Percent of Total Billed Charges,161.75,,173.39,83.4,,Percent of Total Billed Charges,145.74,,173.39,83.4,,Percent of Total Billed Charges,169.23,,187.11,90,,Percent of Total Billed Charges,176.09,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,191.27,92,,Percent of Total Billed Charges,168.61,,191.27,92,,Percent of Total Billed Charges,154.68,,191.27,92,,Percent of Total Billed Charges,162.79,,191.27,92,,Percent of Total Billed Charges,168.61,,162.16,78,,Percent of Total Billed Charges,162.16,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,111.91,53.83,,Percent of Total Billed Charges,104.99,,72.02,34.64,,Percent of Total Billed Charges,71.73,,103.91,49.98,,Percent of Total Billed Charges,78.59,,72.02,191.27,,																																							
HC BORDETELLA ANTIBODY,86615,CPT,,,,BOTH, , ,69.3,58.21,63.76,92,,Percent of Total Billed Charges,57.93,,63.76,92,,Percent of Total Billed Charges,56.9,,63.76,92,,Percent of Total Billed Charges,55.79,,63.76,92,,Percent of Total Billed Charges,57.87,,63.76,92,,Percent of Total Billed Charges,52.18,,63.76,92,,Percent of Total Billed Charges,43.31,,62.37,90,,Percent of Total Billed Charges,34.58,,61.68,89,,Percent of Total Billed Charges,33.26,,57.1,82.4,,Percent of Total Billed Charges,56.96,,57.8,83.4,,Percent of Total Billed Charges,53.92,,57.8,83.4,,Percent of Total Billed Charges,48.58,,57.8,83.4,,Percent of Total Billed Charges,56.41,,62.37,90,,Percent of Total Billed Charges,58.7,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,63.76,92,,Percent of Total Billed Charges,56.2,,63.76,92,,Percent of Total Billed Charges,51.56,,63.76,92,,Percent of Total Billed Charges,54.26,,63.76,92,,Percent of Total Billed Charges,56.2,,54.05,78,,Percent of Total Billed Charges,54.05,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,37.3,53.83,,Percent of Total Billed Charges,35,,24.01,34.64,,Percent of Total Billed Charges,23.91,,34.64,49.98,,Percent of Total Billed Charges,26.2,,24.01,63.76,,																																							
HC LYME DISEASE ANTIBODY CONFIRMATORY TEST,86617,CPT,,,,BOTH, , ,169.05,142,155.53,92,,Percent of Total Billed Charges,141.33,,155.53,92,,Percent of Total Billed Charges,138.79,,155.53,92,,Percent of Total Billed Charges,136.09,,155.53,92,,Percent of Total Billed Charges,141.16,,155.53,92,,Percent of Total Billed Charges,127.29,,155.53,92,,Percent of Total Billed Charges,105.66,,152.15,90,,Percent of Total Billed Charges,84.36,,150.45,89,,Percent of Total Billed Charges,81.14,,139.3,82.4,,Percent of Total Billed Charges,138.96,,140.99,83.4,,Percent of Total Billed Charges,131.52,,140.99,83.4,,Percent of Total Billed Charges,118.5,,140.99,83.4,,Percent of Total Billed Charges,137.61,,152.15,90,,Percent of Total Billed Charges,143.19,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,155.53,92,,Percent of Total Billed Charges,137.1,,155.53,92,,Percent of Total Billed Charges,125.77,,155.53,92,,Percent of Total Billed Charges,132.37,,155.53,92,,Percent of Total Billed Charges,137.1,,131.86,78,,Percent of Total Billed Charges,131.86,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,91,53.83,,Percent of Total Billed Charges,85.37,,58.56,34.64,,Percent of Total Billed Charges,58.32,,84.49,49.98,,Percent of Total Billed Charges,63.9,,58.56,155.53,,																																							
HC CANDIDA ANTIBODY,86628,CPT,,,,BOTH, , ,193.2,162.29,177.74,92,,Percent of Total Billed Charges,161.52,,177.74,92,,Percent of Total Billed Charges,158.62,,177.74,92,,Percent of Total Billed Charges,155.53,,177.74,92,,Percent of Total Billed Charges,161.32,,177.74,92,,Percent of Total Billed Charges,145.48,,177.74,92,,Percent of Total Billed Charges,120.75,,173.88,90,,Percent of Total Billed Charges,96.41,,171.95,89,,Percent of Total Billed Charges,92.74,,159.2,82.4,,Percent of Total Billed Charges,158.81,,161.13,83.4,,Percent of Total Billed Charges,150.31,,161.13,83.4,,Percent of Total Billed Charges,135.43,,161.13,83.4,,Percent of Total Billed Charges,157.26,,173.88,90,,Percent of Total Billed Charges,163.64,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,177.74,92,,Percent of Total Billed Charges,156.69,,177.74,92,,Percent of Total Billed Charges,143.74,,177.74,92,,Percent of Total Billed Charges,151.28,,177.74,92,,Percent of Total Billed Charges,156.69,,150.7,78,,Percent of Total Billed Charges,150.7,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,104,53.83,,Percent of Total Billed Charges,97.57,,66.92,34.64,,Percent of Total Billed Charges,66.65,,96.56,49.98,,Percent of Total Billed Charges,73.03,,66.92,177.74,,																																							
HC CHLAMYDIA ANTIBODY,86631,CPT,,,,BOTH, , ,106.05,89.08,97.57,92,,Percent of Total Billed Charges,88.66,,97.57,92,,Percent of Total Billed Charges,87.07,,97.57,92,,Percent of Total Billed Charges,85.37,,97.57,92,,Percent of Total Billed Charges,88.55,,97.57,92,,Percent of Total Billed Charges,79.86,,97.57,92,,Percent of Total Billed Charges,66.28,,95.45,90,,Percent of Total Billed Charges,52.92,,94.38,89,,Percent of Total Billed Charges,50.9,,87.39,82.4,,Percent of Total Billed Charges,87.17,,88.45,83.4,,Percent of Total Billed Charges,82.51,,88.45,83.4,,Percent of Total Billed Charges,74.34,,88.45,83.4,,Percent of Total Billed Charges,86.32,,95.45,90,,Percent of Total Billed Charges,89.82,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,97.57,92,,Percent of Total Billed Charges,86.01,,97.57,92,,Percent of Total Billed Charges,78.9,,97.57,92,,Percent of Total Billed Charges,83.04,,97.57,92,,Percent of Total Billed Charges,86.01,,82.72,78,,Percent of Total Billed Charges,82.72,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,57.09,53.83,,Percent of Total Billed Charges,53.56,,36.74,34.64,,Percent of Total Billed Charges,36.59,,53,49.98,,Percent of Total Billed Charges,40.09,,36.74,97.57,,																																							
HC CHLAMYDIA IGM ANTIBODY,86632,CPT,,,,BOTH, , ,106.05,89.08,97.57,92,,Percent of Total Billed Charges,88.66,,97.57,92,,Percent of Total Billed Charges,87.07,,97.57,92,,Percent of Total Billed Charges,85.37,,97.57,92,,Percent of Total Billed Charges,88.55,,97.57,92,,Percent of Total Billed Charges,79.86,,97.57,92,,Percent of Total Billed Charges,66.28,,95.45,90,,Percent of Total Billed Charges,52.92,,94.38,89,,Percent of Total Billed Charges,50.9,,87.39,82.4,,Percent of Total Billed Charges,87.17,,88.45,83.4,,Percent of Total Billed Charges,82.51,,88.45,83.4,,Percent of Total Billed Charges,74.34,,88.45,83.4,,Percent of Total Billed Charges,86.32,,95.45,90,,Percent of Total Billed Charges,89.82,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,97.57,92,,Percent of Total Billed Charges,86.01,,97.57,92,,Percent of Total Billed Charges,78.9,,97.57,92,,Percent of Total Billed Charges,83.04,,97.57,92,,Percent of Total Billed Charges,86.01,,82.72,78,,Percent of Total Billed Charges,82.72,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,57.09,53.83,,Percent of Total Billed Charges,53.56,,36.74,34.64,,Percent of Total Billed Charges,36.59,,53,49.98,,Percent of Total Billed Charges,40.09,,36.74,97.57,,																																							
HC COCCIDIOIDES ANTIBODY,86635,CPT,,,,BOTH, , ,109.2,91.73,100.46,92,,Percent of Total Billed Charges,91.29,,100.46,92,,Percent of Total Billed Charges,89.65,,100.46,92,,Percent of Total Billed Charges,87.91,,100.46,92,,Percent of Total Billed Charges,91.18,,100.46,92,,Percent of Total Billed Charges,82.23,,100.46,92,,Percent of Total Billed Charges,68.25,,98.28,90,,Percent of Total Billed Charges,54.49,,97.19,89,,Percent of Total Billed Charges,52.42,,89.98,82.4,,Percent of Total Billed Charges,89.76,,91.07,83.4,,Percent of Total Billed Charges,84.96,,91.07,83.4,,Percent of Total Billed Charges,76.55,,91.07,83.4,,Percent of Total Billed Charges,88.89,,98.28,90,,Percent of Total Billed Charges,92.49,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,100.46,92,,Percent of Total Billed Charges,88.56,,100.46,92,,Percent of Total Billed Charges,81.24,,100.46,92,,Percent of Total Billed Charges,85.5,,100.46,92,,Percent of Total Billed Charges,88.56,,85.18,78,,Percent of Total Billed Charges,85.18,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,58.78,53.83,,Percent of Total Billed Charges,55.15,,37.83,34.64,,Percent of Total Billed Charges,37.67,,54.58,49.98,,Percent of Total Billed Charges,41.28,,37.83,100.46,,																																							
HC Q FEVER ANTIBODY,86638,CPT,,,,BOTH, , ,170.1,142.88,156.49,92,,Percent of Total Billed Charges,142.2,,156.49,92,,Percent of Total Billed Charges,139.65,,156.49,92,,Percent of Total Billed Charges,136.93,,156.49,92,,Percent of Total Billed Charges,142.03,,156.49,92,,Percent of Total Billed Charges,128.09,,156.49,92,,Percent of Total Billed Charges,106.31,,153.09,90,,Percent of Total Billed Charges,84.88,,151.39,89,,Percent of Total Billed Charges,81.65,,140.16,82.4,,Percent of Total Billed Charges,139.82,,141.86,83.4,,Percent of Total Billed Charges,132.34,,141.86,83.4,,Percent of Total Billed Charges,119.24,,141.86,83.4,,Percent of Total Billed Charges,138.46,,153.09,90,,Percent of Total Billed Charges,144.07,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,156.49,92,,Percent of Total Billed Charges,137.95,,156.49,92,,Percent of Total Billed Charges,126.55,,156.49,92,,Percent of Total Billed Charges,133.19,,156.49,92,,Percent of Total Billed Charges,137.95,,132.68,78,,Percent of Total Billed Charges,132.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,91.56,53.83,,Percent of Total Billed Charges,85.9,,58.92,34.64,,Percent of Total Billed Charges,58.68,,85.02,49.98,,Percent of Total Billed Charges,64.3,,58.92,156.49,,																																							
HC CMV ANTIBODY,86644,CPT,,,,BOTH, , ,254.1,213.44,233.77,92,,Percent of Total Billed Charges,212.43,,233.77,92,,Percent of Total Billed Charges,208.62,,233.77,92,,Percent of Total Billed Charges,204.55,,233.77,92,,Percent of Total Billed Charges,212.17,,233.77,92,,Percent of Total Billed Charges,191.34,,233.77,92,,Percent of Total Billed Charges,158.81,,228.69,90,,Percent of Total Billed Charges,126.8,,226.15,89,,Percent of Total Billed Charges,121.97,,209.38,82.4,,Percent of Total Billed Charges,208.87,,211.92,83.4,,Percent of Total Billed Charges,197.69,,211.92,83.4,,Percent of Total Billed Charges,178.12,,211.92,83.4,,Percent of Total Billed Charges,206.84,,228.69,90,,Percent of Total Billed Charges,215.22,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,233.77,92,,Percent of Total Billed Charges,206.08,,233.77,92,,Percent of Total Billed Charges,189.05,,233.77,92,,Percent of Total Billed Charges,198.96,,233.77,92,,Percent of Total Billed Charges,206.08,,198.2,78,,Percent of Total Billed Charges,198.2,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,136.78,53.83,,Percent of Total Billed Charges,128.32,,88.02,34.64,,Percent of Total Billed Charges,87.66,,127,49.98,,Percent of Total Billed Charges,96.05,,88.02,233.77,,																																							
HC CMV ANTIBODY IGM,86645,CPT,,,,BOTH, , ,254.1,213.44,233.77,92,,Percent of Total Billed Charges,212.43,,233.77,92,,Percent of Total Billed Charges,208.62,,233.77,92,,Percent of Total Billed Charges,204.55,,233.77,92,,Percent of Total Billed Charges,212.17,,233.77,92,,Percent of Total Billed Charges,191.34,,233.77,92,,Percent of Total Billed Charges,158.81,,228.69,90,,Percent of Total Billed Charges,126.8,,226.15,89,,Percent of Total Billed Charges,121.97,,209.38,82.4,,Percent of Total Billed Charges,208.87,,211.92,83.4,,Percent of Total Billed Charges,197.69,,211.92,83.4,,Percent of Total Billed Charges,178.12,,211.92,83.4,,Percent of Total Billed Charges,206.84,,228.69,90,,Percent of Total Billed Charges,215.22,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,233.77,92,,Percent of Total Billed Charges,206.08,,233.77,92,,Percent of Total Billed Charges,189.05,,233.77,92,,Percent of Total Billed Charges,198.96,,233.77,92,,Percent of Total Billed Charges,206.08,,198.2,78,,Percent of Total Billed Charges,198.2,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,136.78,53.83,,Percent of Total Billed Charges,128.32,,88.02,34.64,,Percent of Total Billed Charges,87.66,,127,49.98,,Percent of Total Billed Charges,96.05,,88.02,233.77,,																																							
HC DIPHTHERIA ANTIBODY,86648,CPT,,,,BOTH, , ,307.65,258.43,283.04,92,,Percent of Total Billed Charges,257.2,,283.04,92,,Percent of Total Billed Charges,252.58,,283.04,92,,Percent of Total Billed Charges,247.66,,283.04,92,,Percent of Total Billed Charges,256.89,,283.04,92,,Percent of Total Billed Charges,231.66,,283.04,92,,Percent of Total Billed Charges,192.28,,276.89,90,,Percent of Total Billed Charges,153.52,,273.81,89,,Percent of Total Billed Charges,147.67,,253.5,82.4,,Percent of Total Billed Charges,252.89,,256.58,83.4,,Percent of Total Billed Charges,239.35,,256.58,83.4,,Percent of Total Billed Charges,215.66,,256.58,83.4,,Percent of Total Billed Charges,250.43,,276.89,90,,Percent of Total Billed Charges,260.58,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,283.04,92,,Percent of Total Billed Charges,249.5,,283.04,92,,Percent of Total Billed Charges,228.89,,283.04,92,,Percent of Total Billed Charges,240.89,,283.04,92,,Percent of Total Billed Charges,249.5,,239.97,78,,Percent of Total Billed Charges,239.97,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,165.61,53.83,,Percent of Total Billed Charges,155.36,,106.57,34.64,,Percent of Total Billed Charges,106.14,,153.76,49.98,,Percent of Total Billed Charges,116.29,,106.57,283.04,,																																							
HC ENCEPHALITIS CALIFORNIA ANTIBODY,86651,CPT,,,,BOTH, , ,25.2,21.17,23.18,92,,Percent of Total Billed Charges,21.07,,23.18,92,,Percent of Total Billed Charges,20.69,,23.18,92,,Percent of Total Billed Charges,20.29,,23.18,92,,Percent of Total Billed Charges,21.04,,23.18,92,,Percent of Total Billed Charges,18.98,,23.18,92,,Percent of Total Billed Charges,15.75,,22.68,90,,Percent of Total Billed Charges,12.57,,22.43,89,,Percent of Total Billed Charges,12.1,,20.76,82.4,,Percent of Total Billed Charges,20.71,,21.02,83.4,,Percent of Total Billed Charges,19.61,,21.02,83.4,,Percent of Total Billed Charges,17.67,,21.02,83.4,,Percent of Total Billed Charges,20.51,,22.68,90,,Percent of Total Billed Charges,21.34,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,23.18,92,,Percent of Total Billed Charges,20.44,,23.18,92,,Percent of Total Billed Charges,18.75,,23.18,92,,Percent of Total Billed Charges,19.73,,23.18,92,,Percent of Total Billed Charges,20.44,,19.66,78,,Percent of Total Billed Charges,19.66,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,13.57,53.83,,Percent of Total Billed Charges,12.73,,8.73,34.64,,Percent of Total Billed Charges,8.69,,12.59,49.98,,Percent of Total Billed Charges,9.53,,8.73,23.18,,																																							
HC ENCEPHALITIS EAST EQUINE ANTIBODY,86652,CPT,,,,BOTH, , ,181.65,152.59,167.12,92,,Percent of Total Billed Charges,151.86,,167.12,92,,Percent of Total Billed Charges,149.13,,167.12,92,,Percent of Total Billed Charges,146.23,,167.12,92,,Percent of Total Billed Charges,151.68,,167.12,92,,Percent of Total Billed Charges,136.78,,167.12,92,,Percent of Total Billed Charges,113.53,,163.49,90,,Percent of Total Billed Charges,90.64,,161.67,89,,Percent of Total Billed Charges,87.19,,149.68,82.4,,Percent of Total Billed Charges,149.32,,151.5,83.4,,Percent of Total Billed Charges,141.32,,151.5,83.4,,Percent of Total Billed Charges,127.34,,151.5,83.4,,Percent of Total Billed Charges,147.86,,163.49,90,,Percent of Total Billed Charges,153.86,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,167.12,92,,Percent of Total Billed Charges,147.32,,167.12,92,,Percent of Total Billed Charges,135.15,,167.12,92,,Percent of Total Billed Charges,142.23,,167.12,92,,Percent of Total Billed Charges,147.32,,141.69,78,,Percent of Total Billed Charges,141.69,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,97.78,53.83,,Percent of Total Billed Charges,91.73,,62.92,34.64,,Percent of Total Billed Charges,62.67,,90.79,49.98,,Percent of Total Billed Charges,68.66,,62.92,167.12,,																																							
HC ENCEPHALITIS ST LOUIS ANTIBODY,86653,CPT,,,,BOTH, , ,25.2,21.17,23.18,92,,Percent of Total Billed Charges,21.07,,23.18,92,,Percent of Total Billed Charges,20.69,,23.18,92,,Percent of Total Billed Charges,20.29,,23.18,92,,Percent of Total Billed Charges,21.04,,23.18,92,,Percent of Total Billed Charges,18.98,,23.18,92,,Percent of Total Billed Charges,15.75,,22.68,90,,Percent of Total Billed Charges,12.57,,22.43,89,,Percent of Total Billed Charges,12.1,,20.76,82.4,,Percent of Total Billed Charges,20.71,,21.02,83.4,,Percent of Total Billed Charges,19.61,,21.02,83.4,,Percent of Total Billed Charges,17.67,,21.02,83.4,,Percent of Total Billed Charges,20.51,,22.68,90,,Percent of Total Billed Charges,21.34,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,23.18,92,,Percent of Total Billed Charges,20.44,,23.18,92,,Percent of Total Billed Charges,18.75,,23.18,92,,Percent of Total Billed Charges,19.73,,23.18,92,,Percent of Total Billed Charges,20.44,,19.66,78,,Percent of Total Billed Charges,19.66,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,13.57,53.83,,Percent of Total Billed Charges,12.73,,8.73,34.64,,Percent of Total Billed Charges,8.69,,12.59,49.98,,Percent of Total Billed Charges,9.53,,8.73,23.18,,																																							
HC ENCEPHALITIS WEST EQUINE ANTIBODY,86654,CPT,,,,BOTH, , ,25.2,21.17,23.18,92,,Percent of Total Billed Charges,21.07,,23.18,92,,Percent of Total Billed Charges,20.69,,23.18,92,,Percent of Total Billed Charges,20.29,,23.18,92,,Percent of Total Billed Charges,21.04,,23.18,92,,Percent of Total Billed Charges,18.98,,23.18,92,,Percent of Total Billed Charges,15.75,,22.68,90,,Percent of Total Billed Charges,12.57,,22.43,89,,Percent of Total Billed Charges,12.1,,20.76,82.4,,Percent of Total Billed Charges,20.71,,21.02,83.4,,Percent of Total Billed Charges,19.61,,21.02,83.4,,Percent of Total Billed Charges,17.67,,21.02,83.4,,Percent of Total Billed Charges,20.51,,22.68,90,,Percent of Total Billed Charges,21.34,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,23.18,92,,Percent of Total Billed Charges,20.44,,23.18,92,,Percent of Total Billed Charges,18.75,,23.18,92,,Percent of Total Billed Charges,19.73,,23.18,92,,Percent of Total Billed Charges,20.44,,19.66,78,,Percent of Total Billed Charges,19.66,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,13.57,53.83,,Percent of Total Billed Charges,12.73,,8.73,34.64,,Percent of Total Billed Charges,8.69,,12.59,49.98,,Percent of Total Billed Charges,9.53,,8.73,23.18,,																																							
HC ECHOVIRUS ANTIBODY,86658,CPT,,,,BOTH, , ,59.85,50.27,55.06,92,,Percent of Total Billed Charges,50.03,,55.06,92,,Percent of Total Billed Charges,49.14,,55.06,92,,Percent of Total Billed Charges,48.18,,55.06,92,,Percent of Total Billed Charges,49.97,,55.06,92,,Percent of Total Billed Charges,45.07,,55.06,92,,Percent of Total Billed Charges,37.41,,53.87,90,,Percent of Total Billed Charges,29.87,,53.27,89,,Percent of Total Billed Charges,28.73,,49.32,82.4,,Percent of Total Billed Charges,49.2,,49.91,83.4,,Percent of Total Billed Charges,46.56,,49.91,83.4,,Percent of Total Billed Charges,41.95,,49.91,83.4,,Percent of Total Billed Charges,48.72,,53.87,90,,Percent of Total Billed Charges,50.69,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,55.06,92,,Percent of Total Billed Charges,48.54,,55.06,92,,Percent of Total Billed Charges,44.53,,55.06,92,,Percent of Total Billed Charges,46.86,,55.06,92,,Percent of Total Billed Charges,48.54,,46.68,78,,Percent of Total Billed Charges,46.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,32.22,53.83,,Percent of Total Billed Charges,30.22,,20.73,34.64,,Percent of Total Billed Charges,20.65,,29.91,49.98,,Percent of Total Billed Charges,22.62,,20.73,55.06,,																																							
HC EPSTEINBARR ANTIBODY,86663,CPT,,,,BOTH, , ,375.9,315.76,345.83,92,,Percent of Total Billed Charges,314.25,,345.83,92,,Percent of Total Billed Charges,308.61,,345.83,92,,Percent of Total Billed Charges,302.6,,345.83,92,,Percent of Total Billed Charges,313.88,,345.83,92,,Percent of Total Billed Charges,283.05,,345.83,92,,Percent of Total Billed Charges,234.94,,338.31,90,,Percent of Total Billed Charges,187.57,,334.55,89,,Percent of Total Billed Charges,180.43,,309.74,82.4,,Percent of Total Billed Charges,308.99,,313.5,83.4,,Percent of Total Billed Charges,292.45,,313.5,83.4,,Percent of Total Billed Charges,263.51,,313.5,83.4,,Percent of Total Billed Charges,305.98,,338.31,90,,Percent of Total Billed Charges,318.39,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,345.83,92,,Percent of Total Billed Charges,304.85,,345.83,92,,Percent of Total Billed Charges,279.67,,345.83,92,,Percent of Total Billed Charges,294.33,,345.83,92,,Percent of Total Billed Charges,304.85,,293.2,78,,Percent of Total Billed Charges,293.2,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,202.35,53.83,,Percent of Total Billed Charges,189.83,,130.21,34.64,,Percent of Total Billed Charges,129.69,,187.87,49.98,,Percent of Total Billed Charges,142.09,,130.21,345.83,,																																							
HC EPSTEINBARR NUCLEAR ANTIGEN,86664,CPT,,,,BOTH, , ,100.8,84.67,92.74,92,,Percent of Total Billed Charges,84.27,,92.74,92,,Percent of Total Billed Charges,82.76,,92.74,92,,Percent of Total Billed Charges,81.14,,92.74,92,,Percent of Total Billed Charges,84.17,,92.74,92,,Percent of Total Billed Charges,75.9,,92.74,92,,Percent of Total Billed Charges,63,,90.72,90,,Percent of Total Billed Charges,50.3,,89.71,89,,Percent of Total Billed Charges,48.38,,83.06,82.4,,Percent of Total Billed Charges,82.86,,84.07,83.4,,Percent of Total Billed Charges,78.42,,84.07,83.4,,Percent of Total Billed Charges,70.66,,84.07,83.4,,Percent of Total Billed Charges,82.05,,90.72,90,,Percent of Total Billed Charges,85.38,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,92.74,92,,Percent of Total Billed Charges,81.75,,92.74,92,,Percent of Total Billed Charges,75,,92.74,92,,Percent of Total Billed Charges,78.93,,92.74,92,,Percent of Total Billed Charges,81.75,,78.62,78,,Percent of Total Billed Charges,78.62,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,54.26,53.83,,Percent of Total Billed Charges,50.9,,34.92,34.64,,Percent of Total Billed Charges,34.78,,50.38,49.98,,Percent of Total Billed Charges,38.1,,34.92,92.74,,																																							
HC EPSTEINBARR CAPSID VCA,86665,CPT,,,,BOTH, , ,100.8,84.67,92.74,92,,Percent of Total Billed Charges,84.27,,92.74,92,,Percent of Total Billed Charges,82.76,,92.74,92,,Percent of Total Billed Charges,81.14,,92.74,92,,Percent of Total Billed Charges,84.17,,92.74,92,,Percent of Total Billed Charges,75.9,,92.74,92,,Percent of Total Billed Charges,63,,90.72,90,,Percent of Total Billed Charges,50.3,,89.71,89,,Percent of Total Billed Charges,48.38,,83.06,82.4,,Percent of Total Billed Charges,82.86,,84.07,83.4,,Percent of Total Billed Charges,78.42,,84.07,83.4,,Percent of Total Billed Charges,70.66,,84.07,83.4,,Percent of Total Billed Charges,82.05,,90.72,90,,Percent of Total Billed Charges,85.38,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,92.74,92,,Percent of Total Billed Charges,81.75,,92.74,92,,Percent of Total Billed Charges,75,,92.74,92,,Percent of Total Billed Charges,78.93,,92.74,92,,Percent of Total Billed Charges,81.75,,78.62,78,,Percent of Total Billed Charges,78.62,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,54.26,53.83,,Percent of Total Billed Charges,50.9,,34.92,34.64,,Percent of Total Billed Charges,34.78,,50.38,49.98,,Percent of Total Billed Charges,38.1,,34.92,92.74,,																																							
HC ERHLICHIA ANTIBODY,86666,CPT,,,,BOTH, , ,225.75,189.63,207.69,92,,Percent of Total Billed Charges,188.73,,207.69,92,,Percent of Total Billed Charges,185.34,,207.69,92,,Percent of Total Billed Charges,181.73,,207.69,92,,Percent of Total Billed Charges,188.5,,207.69,92,,Percent of Total Billed Charges,169.99,,207.69,92,,Percent of Total Billed Charges,141.09,,203.18,90,,Percent of Total Billed Charges,112.65,,200.92,89,,Percent of Total Billed Charges,108.36,,186.02,82.4,,Percent of Total Billed Charges,185.57,,188.28,83.4,,Percent of Total Billed Charges,175.63,,188.28,83.4,,Percent of Total Billed Charges,158.25,,188.28,83.4,,Percent of Total Billed Charges,183.76,,203.18,90,,Percent of Total Billed Charges,191.21,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,207.69,92,,Percent of Total Billed Charges,183.08,,207.69,92,,Percent of Total Billed Charges,167.96,,207.69,92,,Percent of Total Billed Charges,176.76,,207.69,92,,Percent of Total Billed Charges,183.08,,176.09,78,,Percent of Total Billed Charges,176.09,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,121.52,53.83,,Percent of Total Billed Charges,114,,78.2,34.64,,Percent of Total Billed Charges,77.88,,112.83,49.98,,Percent of Total Billed Charges,85.33,,78.20,207.69,,																																							
HC FUNGUS NES ANTIBODY,86671,CPT,,,,BOTH, , ,279.3,234.61,256.96,92,,Percent of Total Billed Charges,233.49,,256.96,92,,Percent of Total Billed Charges,229.31,,256.96,92,,Percent of Total Billed Charges,224.84,,256.96,92,,Percent of Total Billed Charges,233.22,,256.96,92,,Percent of Total Billed Charges,210.31,,256.96,92,,Percent of Total Billed Charges,174.56,,251.37,90,,Percent of Total Billed Charges,139.37,,248.58,89,,Percent of Total Billed Charges,134.06,,230.14,82.4,,Percent of Total Billed Charges,229.58,,232.94,83.4,,Percent of Total Billed Charges,217.3,,232.94,83.4,,Percent of Total Billed Charges,195.79,,232.94,83.4,,Percent of Total Billed Charges,227.35,,251.37,90,,Percent of Total Billed Charges,236.57,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,256.96,92,,Percent of Total Billed Charges,226.51,,256.96,92,,Percent of Total Billed Charges,207.8,,256.96,92,,Percent of Total Billed Charges,218.69,,256.96,92,,Percent of Total Billed Charges,226.51,,217.85,78,,Percent of Total Billed Charges,217.85,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,150.35,53.83,,Percent of Total Billed Charges,141.05,,96.75,34.64,,Percent of Total Billed Charges,96.36,,139.59,49.98,,Percent of Total Billed Charges,105.58,,96.75,256.96,,																																							
HC HELICOBACTER PYLORI ANTIBODY,86677,CPT,,,,BOTH, , ,109.2,91.73,100.46,92,,Percent of Total Billed Charges,91.29,,100.46,92,,Percent of Total Billed Charges,89.65,,100.46,92,,Percent of Total Billed Charges,87.91,,100.46,92,,Percent of Total Billed Charges,91.18,,100.46,92,,Percent of Total Billed Charges,82.23,,100.46,92,,Percent of Total Billed Charges,68.25,,98.28,90,,Percent of Total Billed Charges,54.49,,97.19,89,,Percent of Total Billed Charges,52.42,,89.98,82.4,,Percent of Total Billed Charges,89.76,,91.07,83.4,,Percent of Total Billed Charges,84.96,,91.07,83.4,,Percent of Total Billed Charges,76.55,,91.07,83.4,,Percent of Total Billed Charges,88.89,,98.28,90,,Percent of Total Billed Charges,92.49,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,100.46,92,,Percent of Total Billed Charges,88.56,,100.46,92,,Percent of Total Billed Charges,81.24,,100.46,92,,Percent of Total Billed Charges,85.5,,100.46,92,,Percent of Total Billed Charges,88.56,,85.18,78,,Percent of Total Billed Charges,85.18,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,58.78,53.83,,Percent of Total Billed Charges,55.15,,37.83,34.64,,Percent of Total Billed Charges,37.67,,54.58,49.98,,Percent of Total Billed Charges,41.28,,37.83,100.46,,																																							
HC HELMINTH ANTIBODY,86682,CPT,,,,BOTH, , ,35.7,29.99,32.84,92,,Percent of Total Billed Charges,29.85,,32.84,92,,Percent of Total Billed Charges,29.31,,32.84,92,,Percent of Total Billed Charges,28.74,,32.84,92,,Percent of Total Billed Charges,29.81,,32.84,92,,Percent of Total Billed Charges,26.88,,32.84,92,,Percent of Total Billed Charges,22.31,,32.13,90,,Percent of Total Billed Charges,17.81,,31.77,89,,Percent of Total Billed Charges,17.14,,29.42,82.4,,Percent of Total Billed Charges,29.35,,29.77,83.4,,Percent of Total Billed Charges,27.77,,29.77,83.4,,Percent of Total Billed Charges,25.03,,29.77,83.4,,Percent of Total Billed Charges,29.06,,32.13,90,,Percent of Total Billed Charges,30.24,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,32.84,92,,Percent of Total Billed Charges,28.95,,32.84,92,,Percent of Total Billed Charges,26.56,,32.84,92,,Percent of Total Billed Charges,27.95,,32.84,92,,Percent of Total Billed Charges,28.95,,27.85,78,,Percent of Total Billed Charges,27.85,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,19.22,53.83,,Percent of Total Billed Charges,18.03,,12.37,34.64,,Percent of Total Billed Charges,12.32,,17.84,49.98,,Percent of Total Billed Charges,13.49,,12.37,32.84,,																																							
HC HAEMOPHILUS INFLUENZA ANTIBODY,86684,CPT,,,,BOTH, , ,212.1,178.16,195.13,92,,Percent of Total Billed Charges,177.32,,195.13,92,,Percent of Total Billed Charges,174.13,,195.13,92,,Percent of Total Billed Charges,170.74,,195.13,92,,Percent of Total Billed Charges,177.1,,195.13,92,,Percent of Total Billed Charges,159.71,,195.13,92,,Percent of Total Billed Charges,132.56,,190.89,90,,Percent of Total Billed Charges,105.84,,188.77,89,,Percent of Total Billed Charges,101.81,,174.77,82.4,,Percent of Total Billed Charges,174.35,,176.89,83.4,,Percent of Total Billed Charges,165.01,,176.89,83.4,,Percent of Total Billed Charges,148.68,,176.89,83.4,,Percent of Total Billed Charges,172.65,,190.89,90,,Percent of Total Billed Charges,179.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,195.13,92,,Percent of Total Billed Charges,172.01,,195.13,92,,Percent of Total Billed Charges,157.8,,195.13,92,,Percent of Total Billed Charges,166.07,,195.13,92,,Percent of Total Billed Charges,172.01,,165.44,78,,Percent of Total Billed Charges,165.44,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,114.17,53.83,,Percent of Total Billed Charges,107.11,,73.47,34.64,,Percent of Total Billed Charges,73.17,,106.01,49.98,,Percent of Total Billed Charges,80.17,,73.47,195.13,,																																							
HC HEPATITIS DELTA AGENT ANTIBODY,86692,CPT,,,,BOTH, , ,237.3,199.33,218.32,92,,Percent of Total Billed Charges,198.38,,218.32,92,,Percent of Total Billed Charges,194.82,,218.32,92,,Percent of Total Billed Charges,191.03,,218.32,92,,Percent of Total Billed Charges,198.15,,218.32,92,,Percent of Total Billed Charges,178.69,,218.32,92,,Percent of Total Billed Charges,148.31,,213.57,90,,Percent of Total Billed Charges,118.41,,211.2,89,,Percent of Total Billed Charges,113.9,,195.54,82.4,,Percent of Total Billed Charges,195.06,,197.91,83.4,,Percent of Total Billed Charges,184.62,,197.91,83.4,,Percent of Total Billed Charges,166.35,,197.91,83.4,,Percent of Total Billed Charges,193.16,,213.57,90,,Percent of Total Billed Charges,200.99,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,218.32,92,,Percent of Total Billed Charges,192.45,,218.32,92,,Percent of Total Billed Charges,176.55,,218.32,92,,Percent of Total Billed Charges,185.81,,218.32,92,,Percent of Total Billed Charges,192.45,,185.09,78,,Percent of Total Billed Charges,185.09,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,127.74,53.83,,Percent of Total Billed Charges,119.84,,82.2,34.64,,Percent of Total Billed Charges,81.87,,118.6,49.98,,Percent of Total Billed Charges,89.7,,82.20,218.32,,																																							
HC HERPES SIMPLEX NES ANTBDY,86694,CPT,,,,BOTH, , ,439.95,369.56,404.75,92,,Percent of Total Billed Charges,367.8,,404.75,92,,Percent of Total Billed Charges,361.2,,404.75,92,,Percent of Total Billed Charges,354.16,,404.75,92,,Percent of Total Billed Charges,367.36,,404.75,92,,Percent of Total Billed Charges,331.28,,404.75,92,,Percent of Total Billed Charges,274.97,,395.96,90,,Percent of Total Billed Charges,219.54,,391.56,89,,Percent of Total Billed Charges,211.18,,362.52,82.4,,Percent of Total Billed Charges,361.64,,366.92,83.4,,Percent of Total Billed Charges,342.28,,366.92,83.4,,Percent of Total Billed Charges,308.4,,366.92,83.4,,Percent of Total Billed Charges,358.12,,395.96,90,,Percent of Total Billed Charges,372.64,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,404.75,92,,Percent of Total Billed Charges,356.8,,404.75,92,,Percent of Total Billed Charges,327.32,,404.75,92,,Percent of Total Billed Charges,344.48,,404.75,92,,Percent of Total Billed Charges,356.8,,343.16,78,,Percent of Total Billed Charges,343.16,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,236.83,53.83,,Percent of Total Billed Charges,222.17,,152.4,34.64,,Percent of Total Billed Charges,151.78,,219.89,49.98,,Percent of Total Billed Charges,166.3,,152.40,404.75,,																																							
HC HERPES SIMPLEX TYPE 1 TEST,86695,CPT,,,,BOTH, , ,212.1,178.16,195.13,92,,Percent of Total Billed Charges,177.32,,195.13,92,,Percent of Total Billed Charges,174.13,,195.13,92,,Percent of Total Billed Charges,170.74,,195.13,92,,Percent of Total Billed Charges,177.1,,195.13,92,,Percent of Total Billed Charges,159.71,,195.13,92,,Percent of Total Billed Charges,132.56,,190.89,90,,Percent of Total Billed Charges,105.84,,188.77,89,,Percent of Total Billed Charges,101.81,,174.77,82.4,,Percent of Total Billed Charges,174.35,,176.89,83.4,,Percent of Total Billed Charges,165.01,,176.89,83.4,,Percent of Total Billed Charges,148.68,,176.89,83.4,,Percent of Total Billed Charges,172.65,,190.89,90,,Percent of Total Billed Charges,179.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,195.13,92,,Percent of Total Billed Charges,172.01,,195.13,92,,Percent of Total Billed Charges,157.8,,195.13,92,,Percent of Total Billed Charges,166.07,,195.13,92,,Percent of Total Billed Charges,172.01,,165.44,78,,Percent of Total Billed Charges,165.44,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,114.17,53.83,,Percent of Total Billed Charges,107.11,,73.47,34.64,,Percent of Total Billed Charges,73.17,,106.01,49.98,,Percent of Total Billed Charges,80.17,,73.47,195.13,,																																							
HC HERPES SIMPLEX TYPE 2 TEST,86696,CPT,,,,BOTH, , ,212.1,178.16,195.13,92,,Percent of Total Billed Charges,177.32,,195.13,92,,Percent of Total Billed Charges,174.13,,195.13,92,,Percent of Total Billed Charges,170.74,,195.13,92,,Percent of Total Billed Charges,177.1,,195.13,92,,Percent of Total Billed Charges,159.71,,195.13,92,,Percent of Total Billed Charges,132.56,,190.89,90,,Percent of Total Billed Charges,105.84,,188.77,89,,Percent of Total Billed Charges,101.81,,174.77,82.4,,Percent of Total Billed Charges,174.35,,176.89,83.4,,Percent of Total Billed Charges,165.01,,176.89,83.4,,Percent of Total Billed Charges,148.68,,176.89,83.4,,Percent of Total Billed Charges,172.65,,190.89,90,,Percent of Total Billed Charges,179.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,195.13,92,,Percent of Total Billed Charges,172.01,,195.13,92,,Percent of Total Billed Charges,157.8,,195.13,92,,Percent of Total Billed Charges,166.07,,195.13,92,,Percent of Total Billed Charges,172.01,,165.44,78,,Percent of Total Billed Charges,165.44,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,114.17,53.83,,Percent of Total Billed Charges,107.11,,73.47,34.64,,Percent of Total Billed Charges,73.17,,106.01,49.98,,Percent of Total Billed Charges,80.17,,73.47,195.13,,																																							
HC HISTOPLASMA ANTIBODY,86698,CPT,,,,BOTH, , ,285.6,239.9,262.75,92,,Percent of Total Billed Charges,238.76,,262.75,92,,Percent of Total Billed Charges,234.48,,262.75,92,,Percent of Total Billed Charges,229.91,,262.75,92,,Percent of Total Billed Charges,238.48,,262.75,92,,Percent of Total Billed Charges,215.06,,262.75,92,,Percent of Total Billed Charges,178.5,,257.04,90,,Percent of Total Billed Charges,142.51,,254.18,89,,Percent of Total Billed Charges,137.09,,235.33,82.4,,Percent of Total Billed Charges,234.76,,238.19,83.4,,Percent of Total Billed Charges,222.2,,238.19,83.4,,Percent of Total Billed Charges,200.21,,238.19,83.4,,Percent of Total Billed Charges,232.48,,257.04,90,,Percent of Total Billed Charges,241.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,262.75,92,,Percent of Total Billed Charges,231.62,,262.75,92,,Percent of Total Billed Charges,212.49,,262.75,92,,Percent of Total Billed Charges,223.62,,262.75,92,,Percent of Total Billed Charges,231.62,,222.77,78,,Percent of Total Billed Charges,222.77,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,153.74,53.83,,Percent of Total Billed Charges,144.23,,98.93,34.64,,Percent of Total Billed Charges,98.53,,142.74,49.98,,Percent of Total Billed Charges,107.96,,98.93,262.75,,																																							
HC HIV2 ANTIBODY,86702,CPT,,,,BOTH, , ,149.1,125.24,137.17,92,,Percent of Total Billed Charges,124.65,,137.17,92,,Percent of Total Billed Charges,122.41,,137.17,92,,Percent of Total Billed Charges,120.03,,137.17,92,,Percent of Total Billed Charges,124.5,,137.17,92,,Percent of Total Billed Charges,112.27,,137.17,92,,Percent of Total Billed Charges,93.19,,134.19,90,,Percent of Total Billed Charges,74.4,,132.7,89,,Percent of Total Billed Charges,71.57,,122.86,82.4,,Percent of Total Billed Charges,122.56,,124.35,83.4,,Percent of Total Billed Charges,116,,124.35,83.4,,Percent of Total Billed Charges,104.52,,124.35,83.4,,Percent of Total Billed Charges,121.37,,134.19,90,,Percent of Total Billed Charges,126.29,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,137.17,92,,Percent of Total Billed Charges,120.92,,137.17,92,,Percent of Total Billed Charges,110.93,,137.17,92,,Percent of Total Billed Charges,116.75,,137.17,92,,Percent of Total Billed Charges,120.92,,116.3,78,,Percent of Total Billed Charges,116.3,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,80.26,53.83,,Percent of Total Billed Charges,75.3,,51.65,34.64,,Percent of Total Billed Charges,51.44,,74.52,49.98,,Percent of Total Billed Charges,56.36,,51.65,137.17,,																																							
HC HIV1/HIV2 1 RESULT ANTBDY,86703,CPT,,,,BOTH, , ,100.8,84.67,92.74,92,,Percent of Total Billed Charges,84.27,,92.74,92,,Percent of Total Billed Charges,82.76,,92.74,92,,Percent of Total Billed Charges,81.14,,92.74,92,,Percent of Total Billed Charges,84.17,,92.74,92,,Percent of Total Billed Charges,75.9,,92.74,92,,Percent of Total Billed Charges,63,,90.72,90,,Percent of Total Billed Charges,50.3,,89.71,89,,Percent of Total Billed Charges,48.38,,83.06,82.4,,Percent of Total Billed Charges,82.86,,84.07,83.4,,Percent of Total Billed Charges,78.42,,84.07,83.4,,Percent of Total Billed Charges,70.66,,84.07,83.4,,Percent of Total Billed Charges,82.05,,90.72,90,,Percent of Total Billed Charges,85.38,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,92.74,92,,Percent of Total Billed Charges,81.75,,92.74,92,,Percent of Total Billed Charges,75,,92.74,92,,Percent of Total Billed Charges,78.93,,92.74,92,,Percent of Total Billed Charges,81.75,,78.62,78,,Percent of Total Billed Charges,78.62,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,54.26,53.83,,Percent of Total Billed Charges,50.9,,34.92,34.64,,Percent of Total Billed Charges,34.78,,50.38,49.98,,Percent of Total Billed Charges,38.1,,34.92,92.74,,																																							
HC HEPATITIS B CORE TOTAL ANTIBODY,86704,CPT,,,,BOTH, , ,261.45,219.62,240.53,92,,Percent of Total Billed Charges,218.57,,240.53,92,,Percent of Total Billed Charges,214.65,,240.53,92,,Percent of Total Billed Charges,210.47,,240.53,92,,Percent of Total Billed Charges,218.31,,240.53,92,,Percent of Total Billed Charges,196.87,,240.53,92,,Percent of Total Billed Charges,163.41,,235.31,90,,Percent of Total Billed Charges,130.46,,232.69,89,,Percent of Total Billed Charges,125.5,,215.43,82.4,,Percent of Total Billed Charges,214.91,,218.05,83.4,,Percent of Total Billed Charges,203.41,,218.05,83.4,,Percent of Total Billed Charges,183.28,,218.05,83.4,,Percent of Total Billed Charges,212.82,,235.31,90,,Percent of Total Billed Charges,221.45,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,240.53,92,,Percent of Total Billed Charges,212.04,,240.53,92,,Percent of Total Billed Charges,194.52,,240.53,92,,Percent of Total Billed Charges,204.72,,240.53,92,,Percent of Total Billed Charges,212.04,,203.93,78,,Percent of Total Billed Charges,203.93,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,140.74,53.83,,Percent of Total Billed Charges,132.03,,90.57,34.64,,Percent of Total Billed Charges,90.2,,130.67,49.98,,Percent of Total Billed Charges,98.83,,90.57,240.53,,																																							
HC HEPATITIS B CORE IGM ANTIBODY,86705,CPT,,,,BOTH, , ,112.35,94.37,103.36,92,,Percent of Total Billed Charges,93.92,,103.36,92,,Percent of Total Billed Charges,92.24,,103.36,92,,Percent of Total Billed Charges,90.44,,103.36,92,,Percent of Total Billed Charges,93.81,,103.36,92,,Percent of Total Billed Charges,84.6,,103.36,92,,Percent of Total Billed Charges,70.22,,101.12,90,,Percent of Total Billed Charges,56.06,,99.99,89,,Percent of Total Billed Charges,53.93,,92.58,82.4,,Percent of Total Billed Charges,92.35,,93.7,83.4,,Percent of Total Billed Charges,87.41,,93.7,83.4,,Percent of Total Billed Charges,78.76,,93.7,83.4,,Percent of Total Billed Charges,91.45,,101.12,90,,Percent of Total Billed Charges,95.16,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,103.36,92,,Percent of Total Billed Charges,91.12,,103.36,92,,Percent of Total Billed Charges,83.59,,103.36,92,,Percent of Total Billed Charges,87.97,,103.36,92,,Percent of Total Billed Charges,91.12,,87.63,78,,Percent of Total Billed Charges,87.63,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,60.48,53.83,,Percent of Total Billed Charges,56.74,,38.92,34.64,,Percent of Total Billed Charges,38.76,,56.15,49.98,,Percent of Total Billed Charges,42.47,,38.92,103.36,,																																							
HC HEP B SURFACE ANTIBODY,86706,CPT,,,,BOTH, , ,185.85,156.11,170.98,92,,Percent of Total Billed Charges,155.37,,170.98,92,,Percent of Total Billed Charges,152.58,,170.98,92,,Percent of Total Billed Charges,149.61,,170.98,92,,Percent of Total Billed Charges,155.18,,170.98,92,,Percent of Total Billed Charges,139.95,,170.98,92,,Percent of Total Billed Charges,116.16,,167.27,90,,Percent of Total Billed Charges,92.74,,165.41,89,,Percent of Total Billed Charges,89.21,,153.14,82.4,,Percent of Total Billed Charges,152.77,,155,83.4,,Percent of Total Billed Charges,144.59,,155,83.4,,Percent of Total Billed Charges,130.28,,155,83.4,,Percent of Total Billed Charges,151.28,,167.27,90,,Percent of Total Billed Charges,157.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,170.98,92,,Percent of Total Billed Charges,150.72,,170.98,92,,Percent of Total Billed Charges,138.27,,170.98,92,,Percent of Total Billed Charges,145.52,,170.98,92,,Percent of Total Billed Charges,150.72,,144.96,78,,Percent of Total Billed Charges,144.96,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,100.04,53.83,,Percent of Total Billed Charges,93.85,,64.38,34.64,,Percent of Total Billed Charges,64.12,,92.89,49.98,,Percent of Total Billed Charges,70.25,,64.38,170.98,,																																							
HC HEPATITIS BE ANTIBODY,86707,CPT,,,,BOTH, , ,193.2,162.29,177.74,92,,Percent of Total Billed Charges,161.52,,177.74,92,,Percent of Total Billed Charges,158.62,,177.74,92,,Percent of Total Billed Charges,155.53,,177.74,92,,Percent of Total Billed Charges,161.32,,177.74,92,,Percent of Total Billed Charges,145.48,,177.74,92,,Percent of Total Billed Charges,120.75,,173.88,90,,Percent of Total Billed Charges,96.41,,171.95,89,,Percent of Total Billed Charges,92.74,,159.2,82.4,,Percent of Total Billed Charges,158.81,,161.13,83.4,,Percent of Total Billed Charges,150.31,,161.13,83.4,,Percent of Total Billed Charges,135.43,,161.13,83.4,,Percent of Total Billed Charges,157.26,,173.88,90,,Percent of Total Billed Charges,163.64,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,177.74,92,,Percent of Total Billed Charges,156.69,,177.74,92,,Percent of Total Billed Charges,143.74,,177.74,92,,Percent of Total Billed Charges,151.28,,177.74,92,,Percent of Total Billed Charges,156.69,,150.7,78,,Percent of Total Billed Charges,150.7,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,104,53.83,,Percent of Total Billed Charges,97.57,,66.92,34.64,,Percent of Total Billed Charges,66.65,,96.56,49.98,,Percent of Total Billed Charges,73.03,,66.92,177.74,,																																							
HC HEPATITIS A IGM ANTIBODY,86709,CPT,,,,BOTH, , ,109.2,91.73,100.46,92,,Percent of Total Billed Charges,91.29,,100.46,92,,Percent of Total Billed Charges,89.65,,100.46,92,,Percent of Total Billed Charges,87.91,,100.46,92,,Percent of Total Billed Charges,91.18,,100.46,92,,Percent of Total Billed Charges,82.23,,100.46,92,,Percent of Total Billed Charges,68.25,,98.28,90,,Percent of Total Billed Charges,54.49,,97.19,89,,Percent of Total Billed Charges,52.42,,89.98,82.4,,Percent of Total Billed Charges,89.76,,91.07,83.4,,Percent of Total Billed Charges,84.96,,91.07,83.4,,Percent of Total Billed Charges,76.55,,91.07,83.4,,Percent of Total Billed Charges,88.89,,98.28,90,,Percent of Total Billed Charges,92.49,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,100.46,92,,Percent of Total Billed Charges,88.56,,100.46,92,,Percent of Total Billed Charges,81.24,,100.46,92,,Percent of Total Billed Charges,85.5,,100.46,92,,Percent of Total Billed Charges,88.56,,85.18,78,,Percent of Total Billed Charges,85.18,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,58.78,53.83,,Percent of Total Billed Charges,55.15,,37.83,34.64,,Percent of Total Billed Charges,37.67,,54.58,49.98,,Percent of Total Billed Charges,41.28,,37.83,100.46,,																																							
HC INFLUENZA VIRUS ANTIBODY,86710,CPT,,,,BOTH, , ,25.2,21.17,23.18,92,,Percent of Total Billed Charges,21.07,,23.18,92,,Percent of Total Billed Charges,20.69,,23.18,92,,Percent of Total Billed Charges,20.29,,23.18,92,,Percent of Total Billed Charges,21.04,,23.18,92,,Percent of Total Billed Charges,18.98,,23.18,92,,Percent of Total Billed Charges,15.75,,22.68,90,,Percent of Total Billed Charges,12.57,,22.43,89,,Percent of Total Billed Charges,12.1,,20.76,82.4,,Percent of Total Billed Charges,20.71,,21.02,83.4,,Percent of Total Billed Charges,19.61,,21.02,83.4,,Percent of Total Billed Charges,17.67,,21.02,83.4,,Percent of Total Billed Charges,20.51,,22.68,90,,Percent of Total Billed Charges,21.34,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,23.18,92,,Percent of Total Billed Charges,20.44,,23.18,92,,Percent of Total Billed Charges,18.75,,23.18,92,,Percent of Total Billed Charges,19.73,,23.18,92,,Percent of Total Billed Charges,20.44,,19.66,78,,Percent of Total Billed Charges,19.66,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,13.57,53.83,,Percent of Total Billed Charges,12.73,,8.73,34.64,,Percent of Total Billed Charges,8.69,,12.59,49.98,,Percent of Total Billed Charges,9.53,,8.73,23.18,,																																							
HC LEGIONELLA ANTIBODY,86713,CPT,,,,BOTH, , ,177.45,149.06,163.25,92,,Percent of Total Billed Charges,148.35,,163.25,92,,Percent of Total Billed Charges,145.69,,163.25,92,,Percent of Total Billed Charges,142.85,,163.25,92,,Percent of Total Billed Charges,148.17,,163.25,92,,Percent of Total Billed Charges,133.62,,163.25,92,,Percent of Total Billed Charges,110.91,,159.71,90,,Percent of Total Billed Charges,88.55,,157.93,89,,Percent of Total Billed Charges,85.18,,146.22,82.4,,Percent of Total Billed Charges,145.86,,147.99,83.4,,Percent of Total Billed Charges,138.06,,147.99,83.4,,Percent of Total Billed Charges,124.39,,147.99,83.4,,Percent of Total Billed Charges,144.44,,159.71,90,,Percent of Total Billed Charges,150.3,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,163.25,92,,Percent of Total Billed Charges,143.91,,163.25,92,,Percent of Total Billed Charges,132.02,,163.25,92,,Percent of Total Billed Charges,138.94,,163.25,92,,Percent of Total Billed Charges,143.91,,138.41,78,,Percent of Total Billed Charges,138.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,95.52,53.83,,Percent of Total Billed Charges,89.61,,61.47,34.64,,Percent of Total Billed Charges,61.22,,88.69,49.98,,Percent of Total Billed Charges,67.08,,61.47,163.25,,																																							
HC LEPTOSPIRA ANTIBODIES,86720,CPT,,,,BOTH, , ,22.05,18.52,20.29,92,,Percent of Total Billed Charges,18.43,,20.29,92,,Percent of Total Billed Charges,18.1,,20.29,92,,Percent of Total Billed Charges,17.75,,20.29,92,,Percent of Total Billed Charges,18.41,,20.29,92,,Percent of Total Billed Charges,16.6,,20.29,92,,Percent of Total Billed Charges,13.78,,19.85,90,,Percent of Total Billed Charges,11,,19.62,89,,Percent of Total Billed Charges,10.58,,18.17,82.4,,Percent of Total Billed Charges,18.13,,18.39,83.4,,Percent of Total Billed Charges,17.15,,18.39,83.4,,Percent of Total Billed Charges,15.46,,18.39,83.4,,Percent of Total Billed Charges,17.95,,19.85,90,,Percent of Total Billed Charges,18.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,20.29,92,,Percent of Total Billed Charges,17.88,,20.29,92,,Percent of Total Billed Charges,16.41,,20.29,92,,Percent of Total Billed Charges,17.27,,20.29,92,,Percent of Total Billed Charges,17.88,,17.2,78,,Percent of Total Billed Charges,17.2,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,11.87,53.83,,Percent of Total Billed Charges,11.14,,7.64,34.64,,Percent of Total Billed Charges,7.61,,11.02,49.98,,Percent of Total Billed Charges,8.33,,7.64,20.29,,																																							
HC LYMPH CHORIOMENINGITIS ANTIBODY,86727,CPT,,,,BOTH, , ,16.8,14.11,15.46,92,,Percent of Total Billed Charges,14.04,,15.46,92,,Percent of Total Billed Charges,13.79,,15.46,92,,Percent of Total Billed Charges,13.52,,15.46,92,,Percent of Total Billed Charges,14.03,,15.46,92,,Percent of Total Billed Charges,12.65,,15.46,92,,Percent of Total Billed Charges,10.5,,15.12,90,,Percent of Total Billed Charges,8.38,,14.95,89,,Percent of Total Billed Charges,8.06,,13.84,82.4,,Percent of Total Billed Charges,13.81,,14.01,83.4,,Percent of Total Billed Charges,13.07,,14.01,83.4,,Percent of Total Billed Charges,11.78,,14.01,83.4,,Percent of Total Billed Charges,13.68,,15.12,90,,Percent of Total Billed Charges,14.23,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,15.46,92,,Percent of Total Billed Charges,13.62,,15.46,92,,Percent of Total Billed Charges,12.5,,15.46,92,,Percent of Total Billed Charges,13.15,,15.46,92,,Percent of Total Billed Charges,13.62,,13.1,78,,Percent of Total Billed Charges,13.1,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,9.04,53.83,,Percent of Total Billed Charges,8.48,,5.82,34.64,,Percent of Total Billed Charges,5.8,,8.4,49.98,,Percent of Total Billed Charges,6.35,,5.82,15.46,,																																							
HC MUMPS ANTIBODY,86735,CPT,,,,BOTH, , ,263.55,221.38,242.47,92,,Percent of Total Billed Charges,220.33,,242.47,92,,Percent of Total Billed Charges,216.37,,242.47,92,,Percent of Total Billed Charges,212.16,,242.47,92,,Percent of Total Billed Charges,220.06,,242.47,92,,Percent of Total Billed Charges,198.45,,242.47,92,,Percent of Total Billed Charges,164.72,,237.2,90,,Percent of Total Billed Charges,131.51,,234.56,89,,Percent of Total Billed Charges,126.5,,217.17,82.4,,Percent of Total Billed Charges,216.64,,219.8,83.4,,Percent of Total Billed Charges,205.04,,219.8,83.4,,Percent of Total Billed Charges,184.75,,219.8,83.4,,Percent of Total Billed Charges,214.53,,237.2,90,,Percent of Total Billed Charges,223.23,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,242.47,92,,Percent of Total Billed Charges,213.74,,242.47,92,,Percent of Total Billed Charges,196.08,,242.47,92,,Percent of Total Billed Charges,206.36,,242.47,92,,Percent of Total Billed Charges,213.74,,205.57,78,,Percent of Total Billed Charges,205.57,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,141.87,53.83,,Percent of Total Billed Charges,133.09,,91.29,34.64,,Percent of Total Billed Charges,90.92,,131.72,49.98,,Percent of Total Billed Charges,99.62,,91.29,242.47,,																																							
HC MYCOPLASMA ANTIBODY,86738,CPT,,,,BOTH, , ,22.05,18.52,20.29,92,,Percent of Total Billed Charges,18.43,,20.29,92,,Percent of Total Billed Charges,18.1,,20.29,92,,Percent of Total Billed Charges,17.75,,20.29,92,,Percent of Total Billed Charges,18.41,,20.29,92,,Percent of Total Billed Charges,16.6,,20.29,92,,Percent of Total Billed Charges,13.78,,19.85,90,,Percent of Total Billed Charges,11,,19.62,89,,Percent of Total Billed Charges,10.58,,18.17,82.4,,Percent of Total Billed Charges,18.13,,18.39,83.4,,Percent of Total Billed Charges,17.15,,18.39,83.4,,Percent of Total Billed Charges,15.46,,18.39,83.4,,Percent of Total Billed Charges,17.95,,19.85,90,,Percent of Total Billed Charges,18.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,20.29,92,,Percent of Total Billed Charges,17.88,,20.29,92,,Percent of Total Billed Charges,16.41,,20.29,92,,Percent of Total Billed Charges,17.27,,20.29,92,,Percent of Total Billed Charges,17.88,,17.2,78,,Percent of Total Billed Charges,17.2,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,11.87,53.83,,Percent of Total Billed Charges,11.14,,7.64,34.64,,Percent of Total Billed Charges,7.61,,11.02,49.98,,Percent of Total Billed Charges,8.33,,7.64,20.29,,																																							
HC PARVOVIRUS ANTIBODY,86747,CPT,,,,BOTH, , ,177.45,149.06,163.25,92,,Percent of Total Billed Charges,148.35,,163.25,92,,Percent of Total Billed Charges,145.69,,163.25,92,,Percent of Total Billed Charges,142.85,,163.25,92,,Percent of Total Billed Charges,148.17,,163.25,92,,Percent of Total Billed Charges,133.62,,163.25,92,,Percent of Total Billed Charges,110.91,,159.71,90,,Percent of Total Billed Charges,88.55,,157.93,89,,Percent of Total Billed Charges,85.18,,146.22,82.4,,Percent of Total Billed Charges,145.86,,147.99,83.4,,Percent of Total Billed Charges,138.06,,147.99,83.4,,Percent of Total Billed Charges,124.39,,147.99,83.4,,Percent of Total Billed Charges,144.44,,159.71,90,,Percent of Total Billed Charges,150.3,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,163.25,92,,Percent of Total Billed Charges,143.91,,163.25,92,,Percent of Total Billed Charges,132.02,,163.25,92,,Percent of Total Billed Charges,138.94,,163.25,92,,Percent of Total Billed Charges,143.91,,138.41,78,,Percent of Total Billed Charges,138.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,95.52,53.83,,Percent of Total Billed Charges,89.61,,61.47,34.64,,Percent of Total Billed Charges,61.22,,88.69,49.98,,Percent of Total Billed Charges,67.08,,61.47,163.25,,																																							
HC PROTOZOA ANTIBODY NOS,86753,CPT,,,,BOTH, , ,144.9,121.72,133.31,92,,Percent of Total Billed Charges,121.14,,133.31,92,,Percent of Total Billed Charges,118.96,,133.31,92,,Percent of Total Billed Charges,116.64,,133.31,92,,Percent of Total Billed Charges,120.99,,133.31,92,,Percent of Total Billed Charges,109.11,,133.31,92,,Percent of Total Billed Charges,90.56,,130.41,90,,Percent of Total Billed Charges,72.31,,128.96,89,,Percent of Total Billed Charges,69.55,,119.4,82.4,,Percent of Total Billed Charges,119.11,,120.85,83.4,,Percent of Total Billed Charges,112.73,,120.85,83.4,,Percent of Total Billed Charges,101.57,,120.85,83.4,,Percent of Total Billed Charges,117.95,,130.41,90,,Percent of Total Billed Charges,122.73,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,133.31,92,,Percent of Total Billed Charges,117.51,,133.31,92,,Percent of Total Billed Charges,107.81,,133.31,92,,Percent of Total Billed Charges,113.46,,133.31,92,,Percent of Total Billed Charges,117.51,,113.02,78,,Percent of Total Billed Charges,113.02,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,78,53.83,,Percent of Total Billed Charges,73.17,,50.19,34.64,,Percent of Total Billed Charges,49.99,,72.42,49.98,,Percent of Total Billed Charges,54.77,,50.19,133.31,,																																							
HC RICKETTSIA ANTIBODY,86757,CPT,,,,BOTH, , ,123.9,104.08,113.99,92,,Percent of Total Billed Charges,103.58,,113.99,92,,Percent of Total Billed Charges,101.72,,113.99,92,,Percent of Total Billed Charges,99.74,,113.99,92,,Percent of Total Billed Charges,103.46,,113.99,92,,Percent of Total Billed Charges,93.3,,113.99,92,,Percent of Total Billed Charges,77.44,,111.51,90,,Percent of Total Billed Charges,61.83,,110.27,89,,Percent of Total Billed Charges,59.47,,102.09,82.4,,Percent of Total Billed Charges,101.85,,103.33,83.4,,Percent of Total Billed Charges,96.39,,103.33,83.4,,Percent of Total Billed Charges,86.85,,103.33,83.4,,Percent of Total Billed Charges,100.85,,111.51,90,,Percent of Total Billed Charges,104.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,113.99,92,,Percent of Total Billed Charges,100.48,,113.99,92,,Percent of Total Billed Charges,92.18,,113.99,92,,Percent of Total Billed Charges,97.01,,113.99,92,,Percent of Total Billed Charges,100.48,,96.64,78,,Percent of Total Billed Charges,96.64,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,66.7,53.83,,Percent of Total Billed Charges,62.57,,42.92,34.64,,Percent of Total Billed Charges,42.75,,61.93,49.98,,Percent of Total Billed Charges,46.83,,42.92,113.99,,																																							
HC RUBEOLA ANTIBODY,86765,CPT,,,,BOTH, , ,261.45,219.62,240.53,92,,Percent of Total Billed Charges,218.57,,240.53,92,,Percent of Total Billed Charges,214.65,,240.53,92,,Percent of Total Billed Charges,210.47,,240.53,92,,Percent of Total Billed Charges,218.31,,240.53,92,,Percent of Total Billed Charges,196.87,,240.53,92,,Percent of Total Billed Charges,163.41,,235.31,90,,Percent of Total Billed Charges,130.46,,232.69,89,,Percent of Total Billed Charges,125.5,,215.43,82.4,,Percent of Total Billed Charges,214.91,,218.05,83.4,,Percent of Total Billed Charges,203.41,,218.05,83.4,,Percent of Total Billed Charges,183.28,,218.05,83.4,,Percent of Total Billed Charges,212.82,,235.31,90,,Percent of Total Billed Charges,221.45,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,240.53,92,,Percent of Total Billed Charges,212.04,,240.53,92,,Percent of Total Billed Charges,194.52,,240.53,92,,Percent of Total Billed Charges,204.72,,240.53,92,,Percent of Total Billed Charges,212.04,,203.93,78,,Percent of Total Billed Charges,203.93,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,140.74,53.83,,Percent of Total Billed Charges,132.03,,90.57,34.64,,Percent of Total Billed Charges,90.2,,130.67,49.98,,Percent of Total Billed Charges,98.83,,90.57,240.53,,																																							
HC TETANUS ANTIBODY,86774,CPT,,,,BOTH, , ,254.1,213.44,233.77,92,,Percent of Total Billed Charges,212.43,,233.77,92,,Percent of Total Billed Charges,208.62,,233.77,92,,Percent of Total Billed Charges,204.55,,233.77,92,,Percent of Total Billed Charges,212.17,,233.77,92,,Percent of Total Billed Charges,191.34,,233.77,92,,Percent of Total Billed Charges,158.81,,228.69,90,,Percent of Total Billed Charges,126.8,,226.15,89,,Percent of Total Billed Charges,121.97,,209.38,82.4,,Percent of Total Billed Charges,208.87,,211.92,83.4,,Percent of Total Billed Charges,197.69,,211.92,83.4,,Percent of Total Billed Charges,178.12,,211.92,83.4,,Percent of Total Billed Charges,206.84,,228.69,90,,Percent of Total Billed Charges,215.22,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,233.77,92,,Percent of Total Billed Charges,206.08,,233.77,92,,Percent of Total Billed Charges,189.05,,233.77,92,,Percent of Total Billed Charges,198.96,,233.77,92,,Percent of Total Billed Charges,206.08,,198.2,78,,Percent of Total Billed Charges,198.2,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,136.78,53.83,,Percent of Total Billed Charges,128.32,,88.02,34.64,,Percent of Total Billed Charges,87.66,,127,49.98,,Percent of Total Billed Charges,96.05,,88.02,233.77,,																																							
HC TOXOPLASMA ANTIBODY,86777,CPT,,,,BOTH, , ,254.1,213.44,233.77,92,,Percent of Total Billed Charges,212.43,,233.77,92,,Percent of Total Billed Charges,208.62,,233.77,92,,Percent of Total Billed Charges,204.55,,233.77,92,,Percent of Total Billed Charges,212.17,,233.77,92,,Percent of Total Billed Charges,191.34,,233.77,92,,Percent of Total Billed Charges,158.81,,228.69,90,,Percent of Total Billed Charges,126.8,,226.15,89,,Percent of Total Billed Charges,121.97,,209.38,82.4,,Percent of Total Billed Charges,208.87,,211.92,83.4,,Percent of Total Billed Charges,197.69,,211.92,83.4,,Percent of Total Billed Charges,178.12,,211.92,83.4,,Percent of Total Billed Charges,206.84,,228.69,90,,Percent of Total Billed Charges,215.22,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,233.77,92,,Percent of Total Billed Charges,206.08,,233.77,92,,Percent of Total Billed Charges,189.05,,233.77,92,,Percent of Total Billed Charges,198.96,,233.77,92,,Percent of Total Billed Charges,206.08,,198.2,78,,Percent of Total Billed Charges,198.2,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,136.78,53.83,,Percent of Total Billed Charges,128.32,,88.02,34.64,,Percent of Total Billed Charges,87.66,,127,49.98,,Percent of Total Billed Charges,96.05,,88.02,233.77,,																																							
HC TOXOPLASMA ANTIBODY IGM,86778,CPT,,,,BOTH, , ,158.55,133.18,145.87,92,,Percent of Total Billed Charges,132.55,,145.87,92,,Percent of Total Billed Charges,130.17,,145.87,92,,Percent of Total Billed Charges,127.63,,145.87,92,,Percent of Total Billed Charges,132.39,,145.87,92,,Percent of Total Billed Charges,119.39,,145.87,92,,Percent of Total Billed Charges,99.09,,142.7,90,,Percent of Total Billed Charges,79.12,,141.11,89,,Percent of Total Billed Charges,76.1,,130.65,82.4,,Percent of Total Billed Charges,130.33,,132.23,83.4,,Percent of Total Billed Charges,123.35,,132.23,83.4,,Percent of Total Billed Charges,111.14,,132.23,83.4,,Percent of Total Billed Charges,129.06,,142.7,90,,Percent of Total Billed Charges,134.29,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,145.87,92,,Percent of Total Billed Charges,128.58,,145.87,92,,Percent of Total Billed Charges,117.96,,145.87,92,,Percent of Total Billed Charges,124.14,,145.87,92,,Percent of Total Billed Charges,128.58,,123.67,78,,Percent of Total Billed Charges,123.67,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,85.35,53.83,,Percent of Total Billed Charges,80.07,,54.92,34.64,,Percent of Total Billed Charges,54.7,,79.24,49.98,,Percent of Total Billed Charges,59.93,,54.92,145.87,,																																							
HC TREPONEMA PALLIDUM,86780,CPT,,,,BOTH, , ,9.45,7.94,8.69,92,,Percent of Total Billed Charges,7.9,,8.69,92,,Percent of Total Billed Charges,7.76,,8.69,92,,Percent of Total Billed Charges,7.61,,8.69,92,,Percent of Total Billed Charges,7.89,,8.69,92,,Percent of Total Billed Charges,7.12,,8.69,92,,Percent of Total Billed Charges,5.91,,8.51,90,,Percent of Total Billed Charges,4.72,,8.41,89,,Percent of Total Billed Charges,4.54,,7.79,82.4,,Percent of Total Billed Charges,7.77,,7.88,83.4,,Percent of Total Billed Charges,7.35,,7.88,83.4,,Percent of Total Billed Charges,6.62,,7.88,83.4,,Percent of Total Billed Charges,7.69,,8.51,90,,Percent of Total Billed Charges,8,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,8.69,92,,Percent of Total Billed Charges,7.66,,8.69,92,,Percent of Total Billed Charges,7.03,,8.69,92,,Percent of Total Billed Charges,7.4,,8.69,92,,Percent of Total Billed Charges,7.66,,7.37,78,,Percent of Total Billed Charges,7.37,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5.09,53.83,,Percent of Total Billed Charges,4.77,,3.27,34.64,,Percent of Total Billed Charges,3.26,,4.72,49.98,,Percent of Total Billed Charges,3.57,,3.27,8.69,,																																							
HC VARICELLAZOSTER ANTIBODY,86787,CPT,,,,BOTH, , ,266.7,224.03,245.36,92,,Percent of Total Billed Charges,222.96,,245.36,92,,Percent of Total Billed Charges,218.96,,245.36,92,,Percent of Total Billed Charges,214.69,,245.36,92,,Percent of Total Billed Charges,222.69,,245.36,92,,Percent of Total Billed Charges,200.83,,245.36,92,,Percent of Total Billed Charges,166.69,,240.03,90,,Percent of Total Billed Charges,133.08,,237.36,89,,Percent of Total Billed Charges,128.02,,219.76,82.4,,Percent of Total Billed Charges,219.23,,222.43,83.4,,Percent of Total Billed Charges,207.49,,222.43,83.4,,Percent of Total Billed Charges,186.96,,222.43,83.4,,Percent of Total Billed Charges,217.09,,240.03,90,,Percent of Total Billed Charges,225.89,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,245.36,92,,Percent of Total Billed Charges,216.29,,245.36,92,,Percent of Total Billed Charges,198.42,,245.36,92,,Percent of Total Billed Charges,208.83,,245.36,92,,Percent of Total Billed Charges,216.29,,208.03,78,,Percent of Total Billed Charges,208.03,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,143.56,53.83,,Percent of Total Billed Charges,134.68,,92.38,34.64,,Percent of Total Billed Charges,92.01,,133.3,49.98,,Percent of Total Billed Charges,100.81,,92.38,245.36,,																																							
HC WEST NILE VIRUS AB IGM,86788,CPT,,,,BOTH, , ,144.9,121.72,133.31,92,,Percent of Total Billed Charges,121.14,,133.31,92,,Percent of Total Billed Charges,118.96,,133.31,92,,Percent of Total Billed Charges,116.64,,133.31,92,,Percent of Total Billed Charges,120.99,,133.31,92,,Percent of Total Billed Charges,109.11,,133.31,92,,Percent of Total Billed Charges,90.56,,130.41,90,,Percent of Total Billed Charges,72.31,,128.96,89,,Percent of Total Billed Charges,69.55,,119.4,82.4,,Percent of Total Billed Charges,119.11,,120.85,83.4,,Percent of Total Billed Charges,112.73,,120.85,83.4,,Percent of Total Billed Charges,101.57,,120.85,83.4,,Percent of Total Billed Charges,117.95,,130.41,90,,Percent of Total Billed Charges,122.73,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,133.31,92,,Percent of Total Billed Charges,117.51,,133.31,92,,Percent of Total Billed Charges,107.81,,133.31,92,,Percent of Total Billed Charges,113.46,,133.31,92,,Percent of Total Billed Charges,117.51,,113.02,78,,Percent of Total Billed Charges,113.02,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,78,53.83,,Percent of Total Billed Charges,73.17,,50.19,34.64,,Percent of Total Billed Charges,49.99,,72.42,49.98,,Percent of Total Billed Charges,54.77,,50.19,133.31,,																																							
HC WEST NILE VIRUS ANTIBODY,86789,CPT,,,,BOTH, , ,144.9,121.72,133.31,92,,Percent of Total Billed Charges,121.14,,133.31,92,,Percent of Total Billed Charges,118.96,,133.31,92,,Percent of Total Billed Charges,116.64,,133.31,92,,Percent of Total Billed Charges,120.99,,133.31,92,,Percent of Total Billed Charges,109.11,,133.31,92,,Percent of Total Billed Charges,90.56,,130.41,90,,Percent of Total Billed Charges,72.31,,128.96,89,,Percent of Total Billed Charges,69.55,,119.4,82.4,,Percent of Total Billed Charges,119.11,,120.85,83.4,,Percent of Total Billed Charges,112.73,,120.85,83.4,,Percent of Total Billed Charges,101.57,,120.85,83.4,,Percent of Total Billed Charges,117.95,,130.41,90,,Percent of Total Billed Charges,122.73,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,133.31,92,,Percent of Total Billed Charges,117.51,,133.31,92,,Percent of Total Billed Charges,107.81,,133.31,92,,Percent of Total Billed Charges,113.46,,133.31,92,,Percent of Total Billed Charges,117.51,,113.02,78,,Percent of Total Billed Charges,113.02,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,78,53.83,,Percent of Total Billed Charges,73.17,,50.19,34.64,,Percent of Total Billed Charges,49.99,,72.42,49.98,,Percent of Total Billed Charges,54.77,,50.19,133.31,,																																							
HC VIRUS ANTIBODY NOS,86790,CPT,,,,BOTH, , ,307.65,258.43,283.04,92,,Percent of Total Billed Charges,257.2,,283.04,92,,Percent of Total Billed Charges,252.58,,283.04,92,,Percent of Total Billed Charges,247.66,,283.04,92,,Percent of Total Billed Charges,256.89,,283.04,92,,Percent of Total Billed Charges,231.66,,283.04,92,,Percent of Total Billed Charges,192.28,,276.89,90,,Percent of Total Billed Charges,153.52,,273.81,89,,Percent of Total Billed Charges,147.67,,253.5,82.4,,Percent of Total Billed Charges,252.89,,256.58,83.4,,Percent of Total Billed Charges,239.35,,256.58,83.4,,Percent of Total Billed Charges,215.66,,256.58,83.4,,Percent of Total Billed Charges,250.43,,276.89,90,,Percent of Total Billed Charges,260.58,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,283.04,92,,Percent of Total Billed Charges,249.5,,283.04,92,,Percent of Total Billed Charges,228.89,,283.04,92,,Percent of Total Billed Charges,240.89,,283.04,92,,Percent of Total Billed Charges,249.5,,239.97,78,,Percent of Total Billed Charges,239.97,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,165.61,53.83,,Percent of Total Billed Charges,155.36,,106.57,34.64,,Percent of Total Billed Charges,106.14,,153.76,49.98,,Percent of Total Billed Charges,116.29,,106.57,283.04,,																																							
HC THYROGLOBULIN ANTIBODY,86800,CPT,,,,BOTH, , ,224.7,188.75,206.72,92,,Percent of Total Billed Charges,187.85,,206.72,92,,Percent of Total Billed Charges,184.48,,206.72,92,,Percent of Total Billed Charges,180.88,,206.72,92,,Percent of Total Billed Charges,187.62,,206.72,92,,Percent of Total Billed Charges,169.2,,206.72,92,,Percent of Total Billed Charges,140.44,,202.23,90,,Percent of Total Billed Charges,112.13,,199.98,89,,Percent of Total Billed Charges,107.86,,185.15,82.4,,Percent of Total Billed Charges,184.7,,187.4,83.4,,Percent of Total Billed Charges,174.82,,187.4,83.4,,Percent of Total Billed Charges,157.51,,187.4,83.4,,Percent of Total Billed Charges,182.91,,202.23,90,,Percent of Total Billed Charges,190.32,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,206.72,92,,Percent of Total Billed Charges,182.23,,206.72,92,,Percent of Total Billed Charges,167.18,,206.72,92,,Percent of Total Billed Charges,175.94,,206.72,92,,Percent of Total Billed Charges,182.23,,175.27,78,,Percent of Total Billed Charges,175.27,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,120.96,53.83,,Percent of Total Billed Charges,113.47,,77.84,34.64,,Percent of Total Billed Charges,77.52,,112.31,49.98,,Percent of Total Billed Charges,84.94,,77.84,206.72,,																																							
HC HEPATITIS C ANTIBODY,86803,CPT,,,,BOTH, , ,141.75,119.07,130.41,92,,Percent of Total Billed Charges,118.5,,130.41,92,,Percent of Total Billed Charges,116.38,,130.41,92,,Percent of Total Billed Charges,114.11,,130.41,92,,Percent of Total Billed Charges,118.36,,130.41,92,,Percent of Total Billed Charges,106.74,,130.41,92,,Percent of Total Billed Charges,88.59,,127.58,90,,Percent of Total Billed Charges,70.73,,126.16,89,,Percent of Total Billed Charges,68.04,,116.8,82.4,,Percent of Total Billed Charges,116.52,,118.22,83.4,,Percent of Total Billed Charges,110.28,,118.22,83.4,,Percent of Total Billed Charges,99.37,,118.22,83.4,,Percent of Total Billed Charges,115.38,,127.58,90,,Percent of Total Billed Charges,120.06,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,130.41,92,,Percent of Total Billed Charges,114.96,,130.41,92,,Percent of Total Billed Charges,105.46,,130.41,92,,Percent of Total Billed Charges,110.99,,130.41,92,,Percent of Total Billed Charges,114.96,,110.57,78,,Percent of Total Billed Charges,110.57,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,76.3,53.83,,Percent of Total Billed Charges,71.58,,49.1,34.64,,Percent of Total Billed Charges,48.9,,70.85,49.98,,Percent of Total Billed Charges,53.58,,49.10,130.41,,																																							
HC CYTOTOXIC ANTIBODY SCREENING,86807,CPT,,,,BOTH, , ,92.4,77.62,85.01,92,,Percent of Total Billed Charges,77.25,,85.01,92,,Percent of Total Billed Charges,75.86,,85.01,92,,Percent of Total Billed Charges,74.38,,85.01,92,,Percent of Total Billed Charges,77.15,,85.01,92,,Percent of Total Billed Charges,69.58,,85.01,92,,Percent of Total Billed Charges,57.75,,83.16,90,,Percent of Total Billed Charges,46.11,,82.24,89,,Percent of Total Billed Charges,44.35,,76.14,82.4,,Percent of Total Billed Charges,75.95,,77.06,83.4,,Percent of Total Billed Charges,71.89,,77.06,83.4,,Percent of Total Billed Charges,64.77,,77.06,83.4,,Percent of Total Billed Charges,75.21,,83.16,90,,Percent of Total Billed Charges,78.26,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,85.01,92,,Percent of Total Billed Charges,74.94,,85.01,92,,Percent of Total Billed Charges,68.75,,85.01,92,,Percent of Total Billed Charges,72.35,,85.01,92,,Percent of Total Billed Charges,74.94,,72.07,78,,Percent of Total Billed Charges,72.07,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,49.74,53.83,,Percent of Total Billed Charges,46.66,,32.01,34.64,,Percent of Total Billed Charges,31.88,,46.18,49.98,,Percent of Total Billed Charges,34.93,,32.01,85.01,,																																							
HC HLA TYPING A B OR C, MULTIPLE,86813,CPT,,,,BOTH, , ,604.8,508.03,556.42,92,,Percent of Total Billed Charges,505.61,,556.42,92,,Percent of Total Billed Charges,496.54,,556.42,92,,Percent of Total Billed Charges,486.86,,556.42,92,,Percent of Total Billed Charges,505.01,,556.42,92,,Percent of Total Billed Charges,455.41,,556.42,92,,Percent of Total Billed Charges,378,,544.32,90,,Percent of Total Billed Charges,301.8,,538.27,89,,Percent of Total Billed Charges,290.3,,498.36,82.4,,Percent of Total Billed Charges,497.15,,504.4,83.4,,Percent of Total Billed Charges,470.53,,504.4,83.4,,Percent of Total Billed Charges,423.96,,504.4,83.4,,Percent of Total Billed Charges,492.31,,544.32,90,,Percent of Total Billed Charges,512.27,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,556.42,92,,Percent of Total Billed Charges,490.49,,556.42,92,,Percent of Total Billed Charges,449.97,,556.42,92,,Percent of Total Billed Charges,473.56,,556.42,92,,Percent of Total Billed Charges,490.49,,471.74,78,,Percent of Total Billed Charges,471.74,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,325.56,53.83,,Percent of Total Billed Charges,305.42,,209.5,34.64,,Percent of Total Billed Charges,208.66,,302.28,49.98,,Percent of Total Billed Charges,228.61,,209.50,556.42,,																																							
HC RBC ANTIBODY SCREEN,86850,CPT,,,,BOTH, , ,124.95,104.96,114.95,92,,Percent of Total Billed Charges,104.46,,114.95,92,,Percent of Total Billed Charges,102.58,,114.95,92,,Percent of Total Billed Charges,100.58,,114.95,92,,Percent of Total Billed Charges,104.33,,114.95,92,,Percent of Total Billed Charges,94.09,,114.95,92,,Percent of Total Billed Charges,78.09,,112.46,90,,Percent of Total Billed Charges,62.35,,111.21,89,,Percent of Total Billed Charges,59.98,,102.96,82.4,,Percent of Total Billed Charges,102.71,,104.21,83.4,,Percent of Total Billed Charges,97.21,,104.21,83.4,,Percent of Total Billed Charges,87.59,,104.21,83.4,,Percent of Total Billed Charges,101.71,,112.46,90,,Percent of Total Billed Charges,105.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,114.95,92,,Percent of Total Billed Charges,101.33,,114.95,92,,Percent of Total Billed Charges,92.96,,114.95,92,,Percent of Total Billed Charges,97.84,,114.95,92,,Percent of Total Billed Charges,101.33,,97.46,78,,Percent of Total Billed Charges,97.46,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,67.26,53.83,,Percent of Total Billed Charges,63.1,,43.28,34.64,,Percent of Total Billed Charges,43.11,,62.45,49.98,,Percent of Total Billed Charges,47.23,,43.28,114.95,,																																							
HC RBC ANTIBODY ELUTION,86860,CPT,,,,BOTH, , ,215.25,180.81,198.03,92,,Percent of Total Billed Charges,179.95,,198.03,92,,Percent of Total Billed Charges,176.72,,198.03,92,,Percent of Total Billed Charges,173.28,,198.03,92,,Percent of Total Billed Charges,179.73,,198.03,92,,Percent of Total Billed Charges,162.08,,198.03,92,,Percent of Total Billed Charges,134.53,,193.73,90,,Percent of Total Billed Charges,107.41,,191.57,89,,Percent of Total Billed Charges,103.32,,177.37,82.4,,Percent of Total Billed Charges,176.94,,179.52,83.4,,Percent of Total Billed Charges,167.46,,179.52,83.4,,Percent of Total Billed Charges,150.89,,179.52,83.4,,Percent of Total Billed Charges,175.21,,193.73,90,,Percent of Total Billed Charges,182.32,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,198.03,92,,Percent of Total Billed Charges,174.57,,198.03,92,,Percent of Total Billed Charges,160.15,,198.03,92,,Percent of Total Billed Charges,168.54,,198.03,92,,Percent of Total Billed Charges,174.57,,167.9,78,,Percent of Total Billed Charges,167.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,115.87,53.83,,Percent of Total Billed Charges,108.7,,74.56,34.64,,Percent of Total Billed Charges,74.26,,107.58,49.98,,Percent of Total Billed Charges,81.36,,74.56,198.03,,																																							
HC RBC ANTIBODY IDENTIFICATION,86870,CPT,,,,BOTH, , ,858.9,721.48,790.19,92,,Percent of Total Billed Charges,718.04,,790.19,92,,Percent of Total Billed Charges,705.16,,790.19,92,,Percent of Total Billed Charges,691.41,,790.19,92,,Percent of Total Billed Charges,717.18,,790.19,92,,Percent of Total Billed Charges,646.75,,790.19,92,,Percent of Total Billed Charges,536.81,,773.01,90,,Percent of Total Billed Charges,428.59,,764.42,89,,Percent of Total Billed Charges,412.27,,707.73,82.4,,Percent of Total Billed Charges,706.02,,716.32,83.4,,Percent of Total Billed Charges,668.22,,716.32,83.4,,Percent of Total Billed Charges,602.09,,716.32,83.4,,Percent of Total Billed Charges,699.14,,773.01,90,,Percent of Total Billed Charges,727.49,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,790.19,92,,Percent of Total Billed Charges,696.57,,790.19,92,,Percent of Total Billed Charges,639.02,,790.19,92,,Percent of Total Billed Charges,672.52,,790.19,92,,Percent of Total Billed Charges,696.57,,669.94,78,,Percent of Total Billed Charges,669.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,462.35,53.83,,Percent of Total Billed Charges,433.74,,297.52,34.64,,Percent of Total Billed Charges,296.32,,429.28,49.98,,Percent of Total Billed Charges,324.66,,297.52,790.19,,																																							
HC COOMBS TEST DIRECT,86880,CPT,,,,BOTH, , ,215.25,180.81,198.03,92,,Percent of Total Billed Charges,179.95,,198.03,92,,Percent of Total Billed Charges,176.72,,198.03,92,,Percent of Total Billed Charges,173.28,,198.03,92,,Percent of Total Billed Charges,179.73,,198.03,92,,Percent of Total Billed Charges,162.08,,198.03,92,,Percent of Total Billed Charges,134.53,,193.73,90,,Percent of Total Billed Charges,107.41,,191.57,89,,Percent of Total Billed Charges,103.32,,177.37,82.4,,Percent of Total Billed Charges,176.94,,179.52,83.4,,Percent of Total Billed Charges,167.46,,179.52,83.4,,Percent of Total Billed Charges,150.89,,179.52,83.4,,Percent of Total Billed Charges,175.21,,193.73,90,,Percent of Total Billed Charges,182.32,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,198.03,92,,Percent of Total Billed Charges,174.57,,198.03,92,,Percent of Total Billed Charges,160.15,,198.03,92,,Percent of Total Billed Charges,168.54,,198.03,92,,Percent of Total Billed Charges,174.57,,167.9,78,,Percent of Total Billed Charges,167.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,115.87,53.83,,Percent of Total Billed Charges,108.7,,74.56,34.64,,Percent of Total Billed Charges,74.26,,107.58,49.98,,Percent of Total Billed Charges,81.36,,74.56,198.03,,																																							
HC COOMBS TEST INDIRECT QUAL,86885,CPT,,,,BOTH, , ,439.95,369.56,404.75,92,,Percent of Total Billed Charges,367.8,,404.75,92,,Percent of Total Billed Charges,361.2,,404.75,92,,Percent of Total Billed Charges,354.16,,404.75,92,,Percent of Total Billed Charges,367.36,,404.75,92,,Percent of Total Billed Charges,331.28,,404.75,92,,Percent of Total Billed Charges,274.97,,395.96,90,,Percent of Total Billed Charges,219.54,,391.56,89,,Percent of Total Billed Charges,211.18,,362.52,82.4,,Percent of Total Billed Charges,361.64,,366.92,83.4,,Percent of Total Billed Charges,342.28,,366.92,83.4,,Percent of Total Billed Charges,308.4,,366.92,83.4,,Percent of Total Billed Charges,358.12,,395.96,90,,Percent of Total Billed Charges,372.64,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,404.75,92,,Percent of Total Billed Charges,356.8,,404.75,92,,Percent of Total Billed Charges,327.32,,404.75,92,,Percent of Total Billed Charges,344.48,,404.75,92,,Percent of Total Billed Charges,356.8,,343.16,78,,Percent of Total Billed Charges,343.16,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,236.83,53.83,,Percent of Total Billed Charges,222.17,,152.4,34.64,,Percent of Total Billed Charges,151.78,,219.89,49.98,,Percent of Total Billed Charges,166.3,,152.40,404.75,,																																							
HC COOMBS TEST INDIRECT TITER,86886,CPT,,,,BOTH, , ,439.95,369.56,404.75,92,,Percent of Total Billed Charges,367.8,,404.75,92,,Percent of Total Billed Charges,361.2,,404.75,92,,Percent of Total Billed Charges,354.16,,404.75,92,,Percent of Total Billed Charges,367.36,,404.75,92,,Percent of Total Billed Charges,331.28,,404.75,92,,Percent of Total Billed Charges,274.97,,395.96,90,,Percent of Total Billed Charges,219.54,,391.56,89,,Percent of Total Billed Charges,211.18,,362.52,82.4,,Percent of Total Billed Charges,361.64,,366.92,83.4,,Percent of Total Billed Charges,342.28,,366.92,83.4,,Percent of Total Billed Charges,308.4,,366.92,83.4,,Percent of Total Billed Charges,358.12,,395.96,90,,Percent of Total Billed Charges,372.64,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,404.75,92,,Percent of Total Billed Charges,356.8,,404.75,92,,Percent of Total Billed Charges,327.32,,404.75,92,,Percent of Total Billed Charges,344.48,,404.75,92,,Percent of Total Billed Charges,356.8,,343.16,78,,Percent of Total Billed Charges,343.16,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,236.83,53.83,,Percent of Total Billed Charges,222.17,,152.4,34.64,,Percent of Total Billed Charges,151.78,,219.89,49.98,,Percent of Total Billed Charges,166.3,,152.40,404.75,,																																							
HC BBD AUTOLOGOUS BLOOD PROCESS DONOR,86890,CPT,,,,BOTH, , ,532.35,447.17,489.76,92,,Percent of Total Billed Charges,445.04,,489.76,92,,Percent of Total Billed Charges,437.06,,489.76,92,,Percent of Total Billed Charges,428.54,,489.76,92,,Percent of Total Billed Charges,444.51,,489.76,92,,Percent of Total Billed Charges,400.86,,489.76,92,,Percent of Total Billed Charges,332.72,,479.12,90,,Percent of Total Billed Charges,265.64,,473.79,89,,Percent of Total Billed Charges,255.53,,438.66,82.4,,Percent of Total Billed Charges,437.59,,443.98,83.4,,Percent of Total Billed Charges,414.17,,443.98,83.4,,Percent of Total Billed Charges,373.18,,443.98,83.4,,Percent of Total Billed Charges,433.33,,479.12,90,,Percent of Total Billed Charges,450.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,489.76,92,,Percent of Total Billed Charges,431.74,,489.76,92,,Percent of Total Billed Charges,396.07,,489.76,92,,Percent of Total Billed Charges,416.83,,489.76,92,,Percent of Total Billed Charges,431.74,,415.23,78,,Percent of Total Billed Charges,415.23,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,286.56,53.83,,Percent of Total Billed Charges,268.84,,184.41,34.64,,Percent of Total Billed Charges,183.66,,266.07,49.98,,Percent of Total Billed Charges,201.23,,184.41,489.76,,																																							
HC BLOOD TYPING SEROLOGIC ABO,86900,CPT,,,,BOTH, , ,137.55,115.54,126.55,92,,Percent of Total Billed Charges,114.99,,126.55,92,,Percent of Total Billed Charges,112.93,,126.55,92,,Percent of Total Billed Charges,110.73,,126.55,92,,Percent of Total Billed Charges,114.85,,126.55,92,,Percent of Total Billed Charges,103.58,,126.55,92,,Percent of Total Billed Charges,85.97,,123.8,90,,Percent of Total Billed Charges,68.64,,122.42,89,,Percent of Total Billed Charges,66.02,,113.34,82.4,,Percent of Total Billed Charges,113.07,,114.72,83.4,,Percent of Total Billed Charges,107.01,,114.72,83.4,,Percent of Total Billed Charges,96.42,,114.72,83.4,,Percent of Total Billed Charges,111.97,,123.8,90,,Percent of Total Billed Charges,116.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,126.55,92,,Percent of Total Billed Charges,111.55,,126.55,92,,Percent of Total Billed Charges,102.34,,126.55,92,,Percent of Total Billed Charges,107.7,,126.55,92,,Percent of Total Billed Charges,111.55,,107.29,78,,Percent of Total Billed Charges,107.29,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,74.04,53.83,,Percent of Total Billed Charges,69.46,,47.65,34.64,,Percent of Total Billed Charges,47.45,,68.75,49.98,,Percent of Total Billed Charges,51.99,,47.65,126.55,,																																							
HC BLOOD TYPING RH (D),86901,CPT,,,,BOTH, , ,131.25,110.25,120.75,92,,Percent of Total Billed Charges,109.73,,120.75,92,,Percent of Total Billed Charges,107.76,,120.75,92,,Percent of Total Billed Charges,105.66,,120.75,92,,Percent of Total Billed Charges,109.59,,120.75,92,,Percent of Total Billed Charges,98.83,,120.75,92,,Percent of Total Billed Charges,82.03,,118.13,90,,Percent of Total Billed Charges,65.49,,116.81,89,,Percent of Total Billed Charges,63,,108.15,82.4,,Percent of Total Billed Charges,107.89,,109.46,83.4,,Percent of Total Billed Charges,102.11,,109.46,83.4,,Percent of Total Billed Charges,92.01,,109.46,83.4,,Percent of Total Billed Charges,106.84,,118.13,90,,Percent of Total Billed Charges,111.17,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,120.75,92,,Percent of Total Billed Charges,106.44,,120.75,92,,Percent of Total Billed Charges,97.65,,120.75,92,,Percent of Total Billed Charges,102.77,,120.75,92,,Percent of Total Billed Charges,106.44,,102.38,78,,Percent of Total Billed Charges,102.38,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,70.65,53.83,,Percent of Total Billed Charges,66.28,,45.47,34.64,,Percent of Total Billed Charges,45.28,,65.6,49.98,,Percent of Total Billed Charges,49.61,,45.47,120.75,,																																							
HC BLOOD TYPE ANTIGEN DONOR EA,86902,CPT,,,,BOTH, , ,858.9,721.48,790.19,92,,Percent of Total Billed Charges,718.04,,790.19,92,,Percent of Total Billed Charges,705.16,,790.19,92,,Percent of Total Billed Charges,691.41,,790.19,92,,Percent of Total Billed Charges,717.18,,790.19,92,,Percent of Total Billed Charges,646.75,,790.19,92,,Percent of Total Billed Charges,536.81,,773.01,90,,Percent of Total Billed Charges,428.59,,764.42,89,,Percent of Total Billed Charges,412.27,,707.73,82.4,,Percent of Total Billed Charges,706.02,,716.32,83.4,,Percent of Total Billed Charges,668.22,,716.32,83.4,,Percent of Total Billed Charges,602.09,,716.32,83.4,,Percent of Total Billed Charges,699.14,,773.01,90,,Percent of Total Billed Charges,727.49,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,790.19,92,,Percent of Total Billed Charges,696.57,,790.19,92,,Percent of Total Billed Charges,639.02,,790.19,92,,Percent of Total Billed Charges,672.52,,790.19,92,,Percent of Total Billed Charges,696.57,,669.94,78,,Percent of Total Billed Charges,669.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,462.35,53.83,,Percent of Total Billed Charges,433.74,,297.52,34.64,,Percent of Total Billed Charges,296.32,,429.28,49.98,,Percent of Total Billed Charges,324.66,,297.52,790.19,,																																							
HC BLOOD TYPING RBC ANTIGENS,86905,CPT,,,,BOTH, , ,858.9,721.48,790.19,92,,Percent of Total Billed Charges,718.04,,790.19,92,,Percent of Total Billed Charges,705.16,,790.19,92,,Percent of Total Billed Charges,691.41,,790.19,92,,Percent of Total Billed Charges,717.18,,790.19,92,,Percent of Total Billed Charges,646.75,,790.19,92,,Percent of Total Billed Charges,536.81,,773.01,90,,Percent of Total Billed Charges,428.59,,764.42,89,,Percent of Total Billed Charges,412.27,,707.73,82.4,,Percent of Total Billed Charges,706.02,,716.32,83.4,,Percent of Total Billed Charges,668.22,,716.32,83.4,,Percent of Total Billed Charges,602.09,,716.32,83.4,,Percent of Total Billed Charges,699.14,,773.01,90,,Percent of Total Billed Charges,727.49,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,790.19,92,,Percent of Total Billed Charges,696.57,,790.19,92,,Percent of Total Billed Charges,639.02,,790.19,92,,Percent of Total Billed Charges,672.52,,790.19,92,,Percent of Total Billed Charges,696.57,,669.94,78,,Percent of Total Billed Charges,669.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,462.35,53.83,,Percent of Total Billed Charges,433.74,,297.52,34.64,,Percent of Total Billed Charges,296.32,,429.28,49.98,,Percent of Total Billed Charges,324.66,,297.52,790.19,,																																							
HC BLOOD TYPING RH PHENOTYPE,86906,CPT,,,,BOTH, , ,140.7,118.19,129.44,92,,Percent of Total Billed Charges,117.63,,129.44,92,,Percent of Total Billed Charges,115.51,,129.44,92,,Percent of Total Billed Charges,113.26,,129.44,92,,Percent of Total Billed Charges,117.48,,129.44,92,,Percent of Total Billed Charges,105.95,,129.44,92,,Percent of Total Billed Charges,87.94,,126.63,90,,Percent of Total Billed Charges,70.21,,125.22,89,,Percent of Total Billed Charges,67.54,,115.94,82.4,,Percent of Total Billed Charges,115.66,,117.34,83.4,,Percent of Total Billed Charges,109.46,,117.34,83.4,,Percent of Total Billed Charges,98.63,,117.34,83.4,,Percent of Total Billed Charges,114.53,,126.63,90,,Percent of Total Billed Charges,119.17,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,129.44,92,,Percent of Total Billed Charges,114.11,,129.44,92,,Percent of Total Billed Charges,104.68,,129.44,92,,Percent of Total Billed Charges,110.17,,129.44,92,,Percent of Total Billed Charges,114.11,,109.75,78,,Percent of Total Billed Charges,109.75,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,75.74,53.83,,Percent of Total Billed Charges,71.05,,48.74,34.64,,Percent of Total Billed Charges,48.54,,70.32,49.98,,Percent of Total Billed Charges,53.18,,48.74,129.44,,																																							
HC COMPATIBILITY TEST SPIN,86920,CPT,,,,BOTH, , ,439.95,369.56,404.75,92,,Percent of Total Billed Charges,367.8,,404.75,92,,Percent of Total Billed Charges,361.2,,404.75,92,,Percent of Total Billed Charges,354.16,,404.75,92,,Percent of Total Billed Charges,367.36,,404.75,92,,Percent of Total Billed Charges,331.28,,404.75,92,,Percent of Total Billed Charges,274.97,,395.96,90,,Percent of Total Billed Charges,219.54,,391.56,89,,Percent of Total Billed Charges,211.18,,362.52,82.4,,Percent of Total Billed Charges,361.64,,366.92,83.4,,Percent of Total Billed Charges,342.28,,366.92,83.4,,Percent of Total Billed Charges,308.4,,366.92,83.4,,Percent of Total Billed Charges,358.12,,395.96,90,,Percent of Total Billed Charges,372.64,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,404.75,92,,Percent of Total Billed Charges,356.8,,404.75,92,,Percent of Total Billed Charges,327.32,,404.75,92,,Percent of Total Billed Charges,344.48,,404.75,92,,Percent of Total Billed Charges,356.8,,343.16,78,,Percent of Total Billed Charges,343.16,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,236.83,53.83,,Percent of Total Billed Charges,222.17,,152.4,34.64,,Percent of Total Billed Charges,151.78,,219.89,49.98,,Percent of Total Billed Charges,166.3,,152.40,404.75,,																																							
HC COMPATIBILITY TEST INCUBATE,86921,CPT,,,,BOTH, , ,439.95,369.56,404.75,92,,Percent of Total Billed Charges,367.8,,404.75,92,,Percent of Total Billed Charges,361.2,,404.75,92,,Percent of Total Billed Charges,354.16,,404.75,92,,Percent of Total Billed Charges,367.36,,404.75,92,,Percent of Total Billed Charges,331.28,,404.75,92,,Percent of Total Billed Charges,274.97,,395.96,90,,Percent of Total Billed Charges,219.54,,391.56,89,,Percent of Total Billed Charges,211.18,,362.52,82.4,,Percent of Total Billed Charges,361.64,,366.92,83.4,,Percent of Total Billed Charges,342.28,,366.92,83.4,,Percent of Total Billed Charges,308.4,,366.92,83.4,,Percent of Total Billed Charges,358.12,,395.96,90,,Percent of Total Billed Charges,372.64,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,404.75,92,,Percent of Total Billed Charges,356.8,,404.75,92,,Percent of Total Billed Charges,327.32,,404.75,92,,Percent of Total Billed Charges,344.48,,404.75,92,,Percent of Total Billed Charges,356.8,,343.16,78,,Percent of Total Billed Charges,343.16,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,236.83,53.83,,Percent of Total Billed Charges,222.17,,152.4,34.64,,Percent of Total Billed Charges,151.78,,219.89,49.98,,Percent of Total Billed Charges,166.3,,152.40,404.75,,																																							
HC COMPATIBILITY TEST ANTIGLOB,86922,CPT,,,,BOTH, , ,215.25,180.81,198.03,92,,Percent of Total Billed Charges,179.95,,198.03,92,,Percent of Total Billed Charges,176.72,,198.03,92,,Percent of Total Billed Charges,173.28,,198.03,92,,Percent of Total Billed Charges,179.73,,198.03,92,,Percent of Total Billed Charges,162.08,,198.03,92,,Percent of Total Billed Charges,134.53,,193.73,90,,Percent of Total Billed Charges,107.41,,191.57,89,,Percent of Total Billed Charges,103.32,,177.37,82.4,,Percent of Total Billed Charges,176.94,,179.52,83.4,,Percent of Total Billed Charges,167.46,,179.52,83.4,,Percent of Total Billed Charges,150.89,,179.52,83.4,,Percent of Total Billed Charges,175.21,,193.73,90,,Percent of Total Billed Charges,182.32,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,198.03,92,,Percent of Total Billed Charges,174.57,,198.03,92,,Percent of Total Billed Charges,160.15,,198.03,92,,Percent of Total Billed Charges,168.54,,198.03,92,,Percent of Total Billed Charges,174.57,,167.9,78,,Percent of Total Billed Charges,167.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,115.87,53.83,,Percent of Total Billed Charges,108.7,,74.56,34.64,,Percent of Total Billed Charges,74.26,,107.58,49.98,,Percent of Total Billed Charges,81.36,,74.56,198.03,,																																							
HC COMPATIBILITY TEST ELECTRIC,86923,CPT,,,,BOTH, , ,215.25,180.81,198.03,92,,Percent of Total Billed Charges,179.95,,198.03,92,,Percent of Total Billed Charges,176.72,,198.03,92,,Percent of Total Billed Charges,173.28,,198.03,92,,Percent of Total Billed Charges,179.73,,198.03,92,,Percent of Total Billed Charges,162.08,,198.03,92,,Percent of Total Billed Charges,134.53,,193.73,90,,Percent of Total Billed Charges,107.41,,191.57,89,,Percent of Total Billed Charges,103.32,,177.37,82.4,,Percent of Total Billed Charges,176.94,,179.52,83.4,,Percent of Total Billed Charges,167.46,,179.52,83.4,,Percent of Total Billed Charges,150.89,,179.52,83.4,,Percent of Total Billed Charges,175.21,,193.73,90,,Percent of Total Billed Charges,182.32,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,198.03,92,,Percent of Total Billed Charges,174.57,,198.03,92,,Percent of Total Billed Charges,160.15,,198.03,92,,Percent of Total Billed Charges,168.54,,198.03,92,,Percent of Total Billed Charges,174.57,,167.9,78,,Percent of Total Billed Charges,167.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,115.87,53.83,,Percent of Total Billed Charges,108.7,,74.56,34.64,,Percent of Total Billed Charges,74.26,,107.58,49.98,,Percent of Total Billed Charges,81.36,,74.56,198.03,,																																							
HC BLOOD PRODUCT/IRRADIATION,86945,CPT,,,,BOTH, , ,86.1,72.32,79.21,92,,Percent of Total Billed Charges,71.98,,79.21,92,,Percent of Total Billed Charges,70.69,,79.21,92,,Percent of Total Billed Charges,69.31,,79.21,92,,Percent of Total Billed Charges,71.89,,79.21,92,,Percent of Total Billed Charges,64.83,,79.21,92,,Percent of Total Billed Charges,53.81,,77.49,90,,Percent of Total Billed Charges,42.96,,76.63,89,,Percent of Total Billed Charges,41.33,,70.95,82.4,,Percent of Total Billed Charges,70.77,,71.81,83.4,,Percent of Total Billed Charges,66.99,,71.81,83.4,,Percent of Total Billed Charges,60.36,,71.81,83.4,,Percent of Total Billed Charges,70.09,,77.49,90,,Percent of Total Billed Charges,72.93,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,79.21,92,,Percent of Total Billed Charges,69.83,,79.21,92,,Percent of Total Billed Charges,64.06,,79.21,92,,Percent of Total Billed Charges,67.42,,79.21,92,,Percent of Total Billed Charges,69.83,,67.16,78,,Percent of Total Billed Charges,67.16,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,46.35,53.83,,Percent of Total Billed Charges,43.48,,29.83,34.64,,Percent of Total Billed Charges,29.7,,43.03,49.98,,Percent of Total Billed Charges,32.55,,29.83,79.21,,																																							
HC RBC PRETX INCUBATJ W/CHEMICAL,86970,CPT,,,,BOTH, , ,111.3,93.49,102.4,92,,Percent of Total Billed Charges,93.05,,102.4,92,,Percent of Total Billed Charges,91.38,,102.4,92,,Percent of Total Billed Charges,89.6,,102.4,92,,Percent of Total Billed Charges,92.94,,102.4,92,,Percent of Total Billed Charges,83.81,,102.4,92,,Percent of Total Billed Charges,69.56,,100.17,90,,Percent of Total Billed Charges,55.54,,99.06,89,,Percent of Total Billed Charges,53.42,,91.71,82.4,,Percent of Total Billed Charges,91.49,,92.82,83.4,,Percent of Total Billed Charges,86.59,,92.82,83.4,,Percent of Total Billed Charges,78.02,,92.82,83.4,,Percent of Total Billed Charges,90.6,,100.17,90,,Percent of Total Billed Charges,94.27,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,102.4,92,,Percent of Total Billed Charges,90.26,,102.4,92,,Percent of Total Billed Charges,82.81,,102.4,92,,Percent of Total Billed Charges,87.15,,102.4,92,,Percent of Total Billed Charges,90.26,,86.81,78,,Percent of Total Billed Charges,86.81,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,59.91,53.83,,Percent of Total Billed Charges,56.21,,38.55,34.64,,Percent of Total Billed Charges,38.4,,55.63,49.98,,Percent of Total Billed Charges,42.07,,38.55,102.4,,																																							
HC RBC PRETX INCUBATJ W/ENZYMES,86971,CPT,,,,BOTH, , ,858.9,721.48,790.19,92,,Percent of Total Billed Charges,718.04,,790.19,92,,Percent of Total Billed Charges,705.16,,790.19,92,,Percent of Total Billed Charges,691.41,,790.19,92,,Percent of Total Billed Charges,717.18,,790.19,92,,Percent of Total Billed Charges,646.75,,790.19,92,,Percent of Total Billed Charges,536.81,,773.01,90,,Percent of Total Billed Charges,428.59,,764.42,89,,Percent of Total Billed Charges,412.27,,707.73,82.4,,Percent of Total Billed Charges,706.02,,716.32,83.4,,Percent of Total Billed Charges,668.22,,716.32,83.4,,Percent of Total Billed Charges,602.09,,716.32,83.4,,Percent of Total Billed Charges,699.14,,773.01,90,,Percent of Total Billed Charges,727.49,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,790.19,92,,Percent of Total Billed Charges,696.57,,790.19,92,,Percent of Total Billed Charges,639.02,,790.19,92,,Percent of Total Billed Charges,672.52,,790.19,92,,Percent of Total Billed Charges,696.57,,669.94,78,,Percent of Total Billed Charges,669.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,462.35,53.83,,Percent of Total Billed Charges,433.74,,297.52,34.64,,Percent of Total Billed Charges,296.32,,429.28,49.98,,Percent of Total Billed Charges,324.66,,297.52,790.19,,																																							
HC RBC SERUM PRETX ID DILUTION,86976,CPT,,,,BOTH, , ,49.35,41.45,45.4,92,,Percent of Total Billed Charges,41.26,,45.4,92,,Percent of Total Billed Charges,40.52,,45.4,92,,Percent of Total Billed Charges,39.73,,45.4,92,,Percent of Total Billed Charges,41.21,,45.4,92,,Percent of Total Billed Charges,37.16,,45.4,92,,Percent of Total Billed Charges,30.84,,44.42,90,,Percent of Total Billed Charges,24.63,,43.92,89,,Percent of Total Billed Charges,23.69,,40.66,82.4,,Percent of Total Billed Charges,40.57,,41.16,83.4,,Percent of Total Billed Charges,38.39,,41.16,83.4,,Percent of Total Billed Charges,34.59,,41.16,83.4,,Percent of Total Billed Charges,40.17,,44.42,90,,Percent of Total Billed Charges,41.8,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,45.4,92,,Percent of Total Billed Charges,40.02,,45.4,92,,Percent of Total Billed Charges,36.72,,45.4,92,,Percent of Total Billed Charges,38.64,,45.4,92,,Percent of Total Billed Charges,40.02,,38.49,78,,Percent of Total Billed Charges,38.49,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,26.57,53.83,,Percent of Total Billed Charges,24.92,,17.09,34.64,,Percent of Total Billed Charges,17.03,,24.67,49.98,,Percent of Total Billed Charges,18.65,,17.09,45.4,,																																							
HC RBC PRETREATMENT SERUM,86978,CPT,,,,BOTH, , ,156.45,131.42,143.93,92,,Percent of Total Billed Charges,130.79,,143.93,92,,Percent of Total Billed Charges,128.45,,143.93,92,,Percent of Total Billed Charges,125.94,,143.93,92,,Percent of Total Billed Charges,130.64,,143.93,92,,Percent of Total Billed Charges,117.81,,143.93,92,,Percent of Total Billed Charges,97.78,,140.81,90,,Percent of Total Billed Charges,78.07,,139.24,89,,Percent of Total Billed Charges,75.1,,128.91,82.4,,Percent of Total Billed Charges,128.6,,130.48,83.4,,Percent of Total Billed Charges,121.72,,130.48,83.4,,Percent of Total Billed Charges,109.67,,130.48,83.4,,Percent of Total Billed Charges,127.35,,140.81,90,,Percent of Total Billed Charges,132.51,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,143.93,92,,Percent of Total Billed Charges,126.88,,143.93,92,,Percent of Total Billed Charges,116.4,,143.93,92,,Percent of Total Billed Charges,122.5,,143.93,92,,Percent of Total Billed Charges,126.88,,122.03,78,,Percent of Total Billed Charges,122.03,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,84.22,53.83,,Percent of Total Billed Charges,79.01,,54.19,34.64,,Percent of Total Billed Charges,53.98,,78.19,49.98,,Percent of Total Billed Charges,59.14,,54.19,143.93,,																																							
HC SPLIT BLOOD OR PRODUCTS,86985,CPT,,,,BOTH, , ,213.15,179.05,196.1,92,,Percent of Total Billed Charges,178.19,,196.1,92,,Percent of Total Billed Charges,175,,196.1,92,,Percent of Total Billed Charges,171.59,,196.1,92,,Percent of Total Billed Charges,177.98,,196.1,92,,Percent of Total Billed Charges,160.5,,196.1,92,,Percent of Total Billed Charges,133.22,,191.84,90,,Percent of Total Billed Charges,106.36,,189.7,89,,Percent of Total Billed Charges,102.31,,175.64,82.4,,Percent of Total Billed Charges,175.21,,177.77,83.4,,Percent of Total Billed Charges,165.83,,177.77,83.4,,Percent of Total Billed Charges,149.42,,177.77,83.4,,Percent of Total Billed Charges,173.5,,191.84,90,,Percent of Total Billed Charges,180.54,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,196.1,92,,Percent of Total Billed Charges,172.86,,196.1,92,,Percent of Total Billed Charges,158.58,,196.1,92,,Percent of Total Billed Charges,166.9,,196.1,92,,Percent of Total Billed Charges,172.86,,166.26,78,,Percent of Total Billed Charges,166.26,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,114.74,53.83,,Percent of Total Billed Charges,107.64,,73.84,34.64,,Percent of Total Billed Charges,73.54,,106.53,49.98,,Percent of Total Billed Charges,80.57,,73.84,196.1,,																																							
HC TRANSFUSION PROCEDURE,86999,CPT,,,,BOTH, , ,66.15,55.57,60.86,92,,Percent of Total Billed Charges,55.3,,60.86,92,,Percent of Total Billed Charges,54.31,,60.86,92,,Percent of Total Billed Charges,53.25,,60.86,92,,Percent of Total Billed Charges,55.24,,60.86,92,,Percent of Total Billed Charges,49.81,,60.86,92,,Percent of Total Billed Charges,41.34,,59.54,90,,Percent of Total Billed Charges,33.01,,58.87,89,,Percent of Total Billed Charges,31.75,,54.51,82.4,,Percent of Total Billed Charges,54.38,,55.17,83.4,,Percent of Total Billed Charges,51.46,,55.17,83.4,,Percent of Total Billed Charges,46.37,,55.17,83.4,,Percent of Total Billed Charges,53.85,,59.54,90,,Percent of Total Billed Charges,56.03,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,60.86,92,,Percent of Total Billed Charges,53.65,,60.86,92,,Percent of Total Billed Charges,49.22,,60.86,92,,Percent of Total Billed Charges,51.8,,60.86,92,,Percent of Total Billed Charges,53.65,,51.6,78,,Percent of Total Billed Charges,51.6,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,35.61,53.83,,Percent of Total Billed Charges,33.41,,22.91,34.64,,Percent of Total Billed Charges,22.82,,33.06,49.98,,Percent of Total Billed Charges,25,,22.91,60.86,,																																							
HC CULTURE AEROBIC IDENTIFY,87077,CPT,,,,BOTH, , ,72.45,60.86,66.65,92,,Percent of Total Billed Charges,60.57,,66.65,92,,Percent of Total Billed Charges,59.48,,66.65,92,,Percent of Total Billed Charges,58.32,,66.65,92,,Percent of Total Billed Charges,60.5,,66.65,92,,Percent of Total Billed Charges,54.55,,66.65,92,,Percent of Total Billed Charges,45.28,,65.21,90,,Percent of Total Billed Charges,36.15,,64.48,89,,Percent of Total Billed Charges,34.78,,59.7,82.4,,Percent of Total Billed Charges,59.55,,60.42,83.4,,Percent of Total Billed Charges,56.37,,60.42,83.4,,Percent of Total Billed Charges,50.79,,60.42,83.4,,Percent of Total Billed Charges,58.97,,65.21,90,,Percent of Total Billed Charges,61.37,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,66.65,92,,Percent of Total Billed Charges,58.76,,66.65,92,,Percent of Total Billed Charges,53.9,,66.65,92,,Percent of Total Billed Charges,56.73,,66.65,92,,Percent of Total Billed Charges,58.76,,56.51,78,,Percent of Total Billed Charges,56.51,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,39,53.83,,Percent of Total Billed Charges,36.59,,25.1,34.64,,Percent of Total Billed Charges,25,,36.21,49.98,,Percent of Total Billed Charges,27.39,,25.10,66.65,,																																							
HC FUNGUS ISOLATION CULTURE,87102,CPT,,,,BOTH, , ,109.2,91.73,100.46,92,,Percent of Total Billed Charges,91.29,,100.46,92,,Percent of Total Billed Charges,89.65,,100.46,92,,Percent of Total Billed Charges,87.91,,100.46,92,,Percent of Total Billed Charges,91.18,,100.46,92,,Percent of Total Billed Charges,82.23,,100.46,92,,Percent of Total Billed Charges,68.25,,98.28,90,,Percent of Total Billed Charges,54.49,,97.19,89,,Percent of Total Billed Charges,52.42,,89.98,82.4,,Percent of Total Billed Charges,89.76,,91.07,83.4,,Percent of Total Billed Charges,84.96,,91.07,83.4,,Percent of Total Billed Charges,76.55,,91.07,83.4,,Percent of Total Billed Charges,88.89,,98.28,90,,Percent of Total Billed Charges,92.49,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,100.46,92,,Percent of Total Billed Charges,88.56,,100.46,92,,Percent of Total Billed Charges,81.24,,100.46,92,,Percent of Total Billed Charges,85.5,,100.46,92,,Percent of Total Billed Charges,88.56,,85.18,78,,Percent of Total Billed Charges,85.18,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,58.78,53.83,,Percent of Total Billed Charges,55.15,,37.83,34.64,,Percent of Total Billed Charges,37.67,,54.58,49.98,,Percent of Total Billed Charges,41.28,,37.83,100.46,,																																							
HC FUNGI IDENTIFICATION YEAST,87106,CPT,,,,BOTH, , ,144.9,121.72,133.31,92,,Percent of Total Billed Charges,121.14,,133.31,92,,Percent of Total Billed Charges,118.96,,133.31,92,,Percent of Total Billed Charges,116.64,,133.31,92,,Percent of Total Billed Charges,120.99,,133.31,92,,Percent of Total Billed Charges,109.11,,133.31,92,,Percent of Total Billed Charges,90.56,,130.41,90,,Percent of Total Billed Charges,72.31,,128.96,89,,Percent of Total Billed Charges,69.55,,119.4,82.4,,Percent of Total Billed Charges,119.11,,120.85,83.4,,Percent of Total Billed Charges,112.73,,120.85,83.4,,Percent of Total Billed Charges,101.57,,120.85,83.4,,Percent of Total Billed Charges,117.95,,130.41,90,,Percent of Total Billed Charges,122.73,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,133.31,92,,Percent of Total Billed Charges,117.51,,133.31,92,,Percent of Total Billed Charges,107.81,,133.31,92,,Percent of Total Billed Charges,113.46,,133.31,92,,Percent of Total Billed Charges,117.51,,113.02,78,,Percent of Total Billed Charges,113.02,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,78,53.83,,Percent of Total Billed Charges,73.17,,50.19,34.64,,Percent of Total Billed Charges,49.99,,72.42,49.98,,Percent of Total Billed Charges,54.77,,50.19,133.31,,																																							
HC FUNGI IDENTIFICATION MOLD,87107,CPT,,,,BOTH, , ,8.4,7.06,7.73,92,,Percent of Total Billed Charges,7.02,,7.73,92,,Percent of Total Billed Charges,6.9,,7.73,92,,Percent of Total Billed Charges,6.76,,7.73,92,,Percent of Total Billed Charges,7.01,,7.73,92,,Percent of Total Billed Charges,6.33,,7.73,92,,Percent of Total Billed Charges,5.25,,7.56,90,,Percent of Total Billed Charges,4.19,,7.48,89,,Percent of Total Billed Charges,4.03,,6.92,82.4,,Percent of Total Billed Charges,6.9,,7.01,83.4,,Percent of Total Billed Charges,6.54,,7.01,83.4,,Percent of Total Billed Charges,5.89,,7.01,83.4,,Percent of Total Billed Charges,6.84,,7.56,90,,Percent of Total Billed Charges,7.11,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,7.73,92,,Percent of Total Billed Charges,6.81,,7.73,92,,Percent of Total Billed Charges,6.25,,7.73,92,,Percent of Total Billed Charges,6.58,,7.73,92,,Percent of Total Billed Charges,6.81,,6.55,78,,Percent of Total Billed Charges,6.55,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4.52,53.83,,Percent of Total Billed Charges,4.24,,2.91,34.64,,Percent of Total Billed Charges,2.9,,4.2,49.98,,Percent of Total Billed Charges,3.18,,2.91,7.73,,																																							
HC MYCOPLASMA,87109,CPT,,,,BOTH, , ,31.5,26.46,28.98,92,,Percent of Total Billed Charges,26.33,,28.98,92,,Percent of Total Billed Charges,25.86,,28.98,92,,Percent of Total Billed Charges,25.36,,28.98,92,,Percent of Total Billed Charges,26.3,,28.98,92,,Percent of Total Billed Charges,23.72,,28.98,92,,Percent of Total Billed Charges,19.69,,28.35,90,,Percent of Total Billed Charges,15.72,,28.04,89,,Percent of Total Billed Charges,15.12,,25.96,82.4,,Percent of Total Billed Charges,25.89,,26.27,83.4,,Percent of Total Billed Charges,24.51,,26.27,83.4,,Percent of Total Billed Charges,22.08,,26.27,83.4,,Percent of Total Billed Charges,25.64,,28.35,90,,Percent of Total Billed Charges,26.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,28.98,92,,Percent of Total Billed Charges,25.55,,28.98,92,,Percent of Total Billed Charges,23.44,,28.98,92,,Percent of Total Billed Charges,24.66,,28.98,92,,Percent of Total Billed Charges,25.55,,24.57,78,,Percent of Total Billed Charges,24.57,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,16.96,53.83,,Percent of Total Billed Charges,15.91,,10.91,34.64,,Percent of Total Billed Charges,10.87,,15.74,49.98,,Percent of Total Billed Charges,11.91,,10.91,28.98,,																																							
HC CHLAMYDIA CULTURE,87110,CPT,,,,BOTH, , ,352.8,296.35,324.58,92,,Percent of Total Billed Charges,294.94,,324.58,92,,Percent of Total Billed Charges,289.65,,324.58,92,,Percent of Total Billed Charges,284,,324.58,92,,Percent of Total Billed Charges,294.59,,324.58,92,,Percent of Total Billed Charges,265.66,,324.58,92,,Percent of Total Billed Charges,220.5,,317.52,90,,Percent of Total Billed Charges,176.05,,313.99,89,,Percent of Total Billed Charges,169.34,,290.71,82.4,,Percent of Total Billed Charges,290,,294.24,83.4,,Percent of Total Billed Charges,274.48,,294.24,83.4,,Percent of Total Billed Charges,247.31,,294.24,83.4,,Percent of Total Billed Charges,287.18,,317.52,90,,Percent of Total Billed Charges,298.82,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,324.58,92,,Percent of Total Billed Charges,286.12,,324.58,92,,Percent of Total Billed Charges,262.48,,324.58,92,,Percent of Total Billed Charges,276.24,,324.58,92,,Percent of Total Billed Charges,286.12,,275.18,78,,Percent of Total Billed Charges,275.18,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,189.91,53.83,,Percent of Total Billed Charges,178.16,,122.21,34.64,,Percent of Total Billed Charges,121.72,,176.33,49.98,,Percent of Total Billed Charges,133.36,,122.21,324.58,,																																							
HC CULTURE TYPING GLC/HPLC,87143,CPT,,,,BOTH, , ,8.4,7.06,7.73,92,,Percent of Total Billed Charges,7.02,,7.73,92,,Percent of Total Billed Charges,6.9,,7.73,92,,Percent of Total Billed Charges,6.76,,7.73,92,,Percent of Total Billed Charges,7.01,,7.73,92,,Percent of Total Billed Charges,6.33,,7.73,92,,Percent of Total Billed Charges,5.25,,7.56,90,,Percent of Total Billed Charges,4.19,,7.48,89,,Percent of Total Billed Charges,4.03,,6.92,82.4,,Percent of Total Billed Charges,6.9,,7.01,83.4,,Percent of Total Billed Charges,6.54,,7.01,83.4,,Percent of Total Billed Charges,5.89,,7.01,83.4,,Percent of Total Billed Charges,6.84,,7.56,90,,Percent of Total Billed Charges,7.11,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,7.73,92,,Percent of Total Billed Charges,6.81,,7.73,92,,Percent of Total Billed Charges,6.25,,7.73,92,,Percent of Total Billed Charges,6.58,,7.73,92,,Percent of Total Billed Charges,6.81,,6.55,78,,Percent of Total Billed Charges,6.55,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4.52,53.83,,Percent of Total Billed Charges,4.24,,2.91,34.64,,Percent of Total Billed Charges,2.9,,4.2,49.98,,Percent of Total Billed Charges,3.18,,2.91,7.73,,																																							
HC CULTURE TYPE IMMUNOLOGIC,87147,CPT,,,,BOTH, , ,36.75,30.87,33.81,92,,Percent of Total Billed Charges,30.72,,33.81,92,,Percent of Total Billed Charges,30.17,,33.81,92,,Percent of Total Billed Charges,29.58,,33.81,92,,Percent of Total Billed Charges,30.69,,33.81,92,,Percent of Total Billed Charges,27.67,,33.81,92,,Percent of Total Billed Charges,22.97,,33.08,90,,Percent of Total Billed Charges,18.34,,32.71,89,,Percent of Total Billed Charges,17.64,,30.28,82.4,,Percent of Total Billed Charges,30.21,,30.65,83.4,,Percent of Total Billed Charges,28.59,,30.65,83.4,,Percent of Total Billed Charges,25.76,,30.65,83.4,,Percent of Total Billed Charges,29.91,,33.08,90,,Percent of Total Billed Charges,31.13,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,33.81,92,,Percent of Total Billed Charges,29.8,,33.81,92,,Percent of Total Billed Charges,27.34,,33.81,92,,Percent of Total Billed Charges,28.78,,33.81,92,,Percent of Total Billed Charges,29.8,,28.67,78,,Percent of Total Billed Charges,28.67,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,19.78,53.83,,Percent of Total Billed Charges,18.56,,12.73,34.64,,Percent of Total Billed Charges,12.68,,18.37,49.98,,Percent of Total Billed Charges,13.89,,12.73,33.81,,																																							
HC DNA/RNA AMPLIFIED PROBE,87150,CPT,,,,BOTH, , ,324.45,272.54,298.49,92,,Percent of Total Billed Charges,271.24,,298.49,92,,Percent of Total Billed Charges,266.37,,298.49,92,,Percent of Total Billed Charges,261.18,,298.49,92,,Percent of Total Billed Charges,270.92,,298.49,92,,Percent of Total Billed Charges,244.31,,298.49,92,,Percent of Total Billed Charges,202.78,,292.01,90,,Percent of Total Billed Charges,161.9,,288.76,89,,Percent of Total Billed Charges,155.74,,267.35,82.4,,Percent of Total Billed Charges,266.7,,270.59,83.4,,Percent of Total Billed Charges,252.42,,270.59,83.4,,Percent of Total Billed Charges,227.44,,270.59,83.4,,Percent of Total Billed Charges,264.1,,292.01,90,,Percent of Total Billed Charges,274.81,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,298.49,92,,Percent of Total Billed Charges,263.13,,298.49,92,,Percent of Total Billed Charges,241.39,,298.49,92,,Percent of Total Billed Charges,254.04,,298.49,92,,Percent of Total Billed Charges,263.13,,253.07,78,,Percent of Total Billed Charges,253.07,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,174.65,53.83,,Percent of Total Billed Charges,163.85,,112.39,34.64,,Percent of Total Billed Charges,111.94,,162.16,49.98,,Percent of Total Billed Charges,122.64,,112.39,298.49,,																																							
HC CULTURE TYPING ADDED METHOD,87158,CPT,,,,BOTH, , ,316.05,265.48,290.77,92,,Percent of Total Billed Charges,264.22,,290.77,92,,Percent of Total Billed Charges,259.48,,290.77,92,,Percent of Total Billed Charges,254.42,,290.77,92,,Percent of Total Billed Charges,263.9,,290.77,92,,Percent of Total Billed Charges,237.99,,290.77,92,,Percent of Total Billed Charges,197.53,,284.45,90,,Percent of Total Billed Charges,157.71,,281.28,89,,Percent of Total Billed Charges,151.7,,260.43,82.4,,Percent of Total Billed Charges,259.79,,263.59,83.4,,Percent of Total Billed Charges,245.89,,263.59,83.4,,Percent of Total Billed Charges,221.55,,263.59,83.4,,Percent of Total Billed Charges,257.26,,284.45,90,,Percent of Total Billed Charges,267.69,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,290.77,92,,Percent of Total Billed Charges,256.32,,290.77,92,,Percent of Total Billed Charges,235.14,,290.77,92,,Percent of Total Billed Charges,247.47,,290.77,92,,Percent of Total Billed Charges,256.32,,246.52,78,,Percent of Total Billed Charges,246.52,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,170.13,53.83,,Percent of Total Billed Charges,159.61,,109.48,34.64,,Percent of Total Billed Charges,109.04,,157.96,49.98,,Percent of Total Billed Charges,119.47,,109.48,290.77,,																																							
HC OVA AND PARASITES SMEARS,87177,CPT,,,,BOTH, , ,85.05,71.44,78.25,92,,Percent of Total Billed Charges,71.1,,78.25,92,,Percent of Total Billed Charges,69.83,,78.25,92,,Percent of Total Billed Charges,68.47,,78.25,92,,Percent of Total Billed Charges,71.02,,78.25,92,,Percent of Total Billed Charges,64.04,,78.25,92,,Percent of Total Billed Charges,53.16,,76.55,90,,Percent of Total Billed Charges,42.44,,75.69,89,,Percent of Total Billed Charges,40.82,,70.08,82.4,,Percent of Total Billed Charges,69.91,,70.93,83.4,,Percent of Total Billed Charges,66.17,,70.93,83.4,,Percent of Total Billed Charges,59.62,,70.93,83.4,,Percent of Total Billed Charges,69.23,,76.55,90,,Percent of Total Billed Charges,72.04,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,78.25,92,,Percent of Total Billed Charges,68.98,,78.25,92,,Percent of Total Billed Charges,63.28,,78.25,92,,Percent of Total Billed Charges,66.59,,78.25,92,,Percent of Total Billed Charges,68.98,,66.34,78,,Percent of Total Billed Charges,66.34,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,45.78,53.83,,Percent of Total Billed Charges,42.95,,29.46,34.64,,Percent of Total Billed Charges,29.34,,42.51,49.98,,Percent of Total Billed Charges,32.15,,29.46,78.25,,																																							
HC MICROBE SUSCEPTIBLE DIFFUSE,87181,CPT,,,,BOTH, , ,30.45,25.58,28.01,92,,Percent of Total Billed Charges,25.46,,28.01,92,,Percent of Total Billed Charges,25,,28.01,92,,Percent of Total Billed Charges,24.51,,28.01,92,,Percent of Total Billed Charges,25.43,,28.01,92,,Percent of Total Billed Charges,22.93,,28.01,92,,Percent of Total Billed Charges,19.03,,27.41,90,,Percent of Total Billed Charges,15.19,,27.1,89,,Percent of Total Billed Charges,14.62,,25.09,82.4,,Percent of Total Billed Charges,25.03,,25.4,83.4,,Percent of Total Billed Charges,23.69,,25.4,83.4,,Percent of Total Billed Charges,21.35,,25.4,83.4,,Percent of Total Billed Charges,24.79,,27.41,90,,Percent of Total Billed Charges,25.79,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,28.01,92,,Percent of Total Billed Charges,24.69,,28.01,92,,Percent of Total Billed Charges,22.65,,28.01,92,,Percent of Total Billed Charges,23.84,,28.01,92,,Percent of Total Billed Charges,24.69,,23.75,78,,Percent of Total Billed Charges,23.75,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,16.39,53.83,,Percent of Total Billed Charges,15.38,,10.55,34.64,,Percent of Total Billed Charges,10.51,,15.22,49.98,,Percent of Total Billed Charges,11.51,,10.55,28.01,,																																							
HC MICROBE SUSCEPT MACROBROTH,87188,CPT,,,,BOTH, , ,87.15,73.21,80.18,92,,Percent of Total Billed Charges,72.86,,80.18,92,,Percent of Total Billed Charges,71.55,,80.18,92,,Percent of Total Billed Charges,70.16,,80.18,92,,Percent of Total Billed Charges,72.77,,80.18,92,,Percent of Total Billed Charges,65.62,,80.18,92,,Percent of Total Billed Charges,54.47,,78.44,90,,Percent of Total Billed Charges,43.49,,77.56,89,,Percent of Total Billed Charges,41.83,,71.81,82.4,,Percent of Total Billed Charges,71.64,,72.68,83.4,,Percent of Total Billed Charges,67.8,,72.68,83.4,,Percent of Total Billed Charges,61.09,,72.68,83.4,,Percent of Total Billed Charges,70.94,,78.44,90,,Percent of Total Billed Charges,73.82,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,80.18,92,,Percent of Total Billed Charges,70.68,,80.18,92,,Percent of Total Billed Charges,64.84,,80.18,92,,Percent of Total Billed Charges,68.24,,80.18,92,,Percent of Total Billed Charges,70.68,,67.98,78,,Percent of Total Billed Charges,67.98,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,46.91,53.83,,Percent of Total Billed Charges,44.01,,30.19,34.64,,Percent of Total Billed Charges,30.07,,43.56,49.98,,Percent of Total Billed Charges,32.94,,30.19,80.18,,																																							
HC MICROBE SUSCEPT MYCOBACTERI,87190,CPT,,,,BOTH, , ,45.15,37.93,41.54,92,,Percent of Total Billed Charges,37.75,,41.54,92,,Percent of Total Billed Charges,37.07,,41.54,92,,Percent of Total Billed Charges,36.35,,41.54,92,,Percent of Total Billed Charges,37.7,,41.54,92,,Percent of Total Billed Charges,34,,41.54,92,,Percent of Total Billed Charges,28.22,,40.64,90,,Percent of Total Billed Charges,22.53,,40.18,89,,Percent of Total Billed Charges,21.67,,37.2,82.4,,Percent of Total Billed Charges,37.11,,37.66,83.4,,Percent of Total Billed Charges,35.13,,37.66,83.4,,Percent of Total Billed Charges,31.65,,37.66,83.4,,Percent of Total Billed Charges,36.75,,40.64,90,,Percent of Total Billed Charges,38.24,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,41.54,92,,Percent of Total Billed Charges,36.62,,41.54,92,,Percent of Total Billed Charges,33.59,,41.54,92,,Percent of Total Billed Charges,35.35,,41.54,92,,Percent of Total Billed Charges,36.62,,35.22,78,,Percent of Total Billed Charges,35.22,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,24.3,53.83,,Percent of Total Billed Charges,22.8,,15.64,34.64,,Percent of Total Billed Charges,15.58,,22.57,49.98,,Percent of Total Billed Charges,17.07,,15.64,41.54,,																																							
HC SMEAR COMPLEX STAIN,87209,CPT,,,,BOTH, , ,143.85,120.83,132.34,92,,Percent of Total Billed Charges,120.26,,132.34,92,,Percent of Total Billed Charges,118.1,,132.34,92,,Percent of Total Billed Charges,115.8,,132.34,92,,Percent of Total Billed Charges,120.11,,132.34,92,,Percent of Total Billed Charges,108.32,,132.34,92,,Percent of Total Billed Charges,89.91,,129.47,90,,Percent of Total Billed Charges,71.78,,128.03,89,,Percent of Total Billed Charges,69.05,,118.53,82.4,,Percent of Total Billed Charges,118.24,,119.97,83.4,,Percent of Total Billed Charges,111.92,,119.97,83.4,,Percent of Total Billed Charges,100.84,,119.97,83.4,,Percent of Total Billed Charges,117.09,,129.47,90,,Percent of Total Billed Charges,121.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,132.34,92,,Percent of Total Billed Charges,116.66,,132.34,92,,Percent of Total Billed Charges,107.02,,132.34,92,,Percent of Total Billed Charges,112.63,,132.34,92,,Percent of Total Billed Charges,116.66,,112.2,78,,Percent of Total Billed Charges,112.2,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,77.43,53.83,,Percent of Total Billed Charges,72.64,,49.83,34.64,,Percent of Total Billed Charges,49.63,,71.9,49.98,,Percent of Total Billed Charges,54.38,,49.83,132.34,,																																							
HC VIRUS INOCULATION TISSUE,87252,CPT,,,,BOTH, , ,576.45,484.22,530.33,92,,Percent of Total Billed Charges,481.91,,530.33,92,,Percent of Total Billed Charges,473.27,,530.33,92,,Percent of Total Billed Charges,464.04,,530.33,92,,Percent of Total Billed Charges,481.34,,530.33,92,,Percent of Total Billed Charges,434.07,,530.33,92,,Percent of Total Billed Charges,360.28,,518.81,90,,Percent of Total Billed Charges,287.65,,513.04,89,,Percent of Total Billed Charges,276.7,,474.99,82.4,,Percent of Total Billed Charges,473.84,,480.76,83.4,,Percent of Total Billed Charges,448.48,,480.76,83.4,,Percent of Total Billed Charges,404.09,,480.76,83.4,,Percent of Total Billed Charges,469.23,,518.81,90,,Percent of Total Billed Charges,488.25,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,530.33,92,,Percent of Total Billed Charges,467.5,,530.33,92,,Percent of Total Billed Charges,428.88,,530.33,92,,Percent of Total Billed Charges,451.36,,530.33,92,,Percent of Total Billed Charges,467.5,,449.63,78,,Percent of Total Billed Charges,449.63,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,310.3,53.83,,Percent of Total Billed Charges,291.11,,199.68,34.64,,Percent of Total Billed Charges,198.88,,288.11,49.98,,Percent of Total Billed Charges,217.9,,199.68,530.33,,																																							
HC VIRUS INOCULATION SHELL VIA,87254,CPT,,,,BOTH, , ,276.15,231.97,254.06,92,,Percent of Total Billed Charges,230.86,,254.06,92,,Percent of Total Billed Charges,226.72,,254.06,92,,Percent of Total Billed Charges,222.3,,254.06,92,,Percent of Total Billed Charges,230.59,,254.06,92,,Percent of Total Billed Charges,207.94,,254.06,92,,Percent of Total Billed Charges,172.59,,248.54,90,,Percent of Total Billed Charges,137.8,,245.77,89,,Percent of Total Billed Charges,132.55,,227.55,82.4,,Percent of Total Billed Charges,227,,230.31,83.4,,Percent of Total Billed Charges,214.84,,230.31,83.4,,Percent of Total Billed Charges,193.58,,230.31,83.4,,Percent of Total Billed Charges,224.79,,248.54,90,,Percent of Total Billed Charges,233.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,254.06,92,,Percent of Total Billed Charges,223.96,,254.06,92,,Percent of Total Billed Charges,205.46,,254.06,92,,Percent of Total Billed Charges,216.23,,254.06,92,,Percent of Total Billed Charges,223.96,,215.4,78,,Percent of Total Billed Charges,215.4,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,148.65,53.83,,Percent of Total Billed Charges,139.46,,95.66,34.64,,Percent of Total Billed Charges,95.27,,138.02,49.98,,Percent of Total Billed Charges,104.38,,95.66,254.06,,																																							
HC GENET VIRUS ISOLATE HSV,87255,CPT,,,,BOTH, , ,487.2,409.25,448.22,92,,Percent of Total Billed Charges,407.3,,448.22,92,,Percent of Total Billed Charges,399.99,,448.22,92,,Percent of Total Billed Charges,392.2,,448.22,92,,Percent of Total Billed Charges,406.81,,448.22,92,,Percent of Total Billed Charges,366.86,,448.22,92,,Percent of Total Billed Charges,304.5,,438.48,90,,Percent of Total Billed Charges,243.11,,433.61,89,,Percent of Total Billed Charges,233.86,,401.45,82.4,,Percent of Total Billed Charges,400.48,,406.32,83.4,,Percent of Total Billed Charges,379.04,,406.32,83.4,,Percent of Total Billed Charges,341.53,,406.32,83.4,,Percent of Total Billed Charges,396.58,,438.48,90,,Percent of Total Billed Charges,412.66,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,448.22,92,,Percent of Total Billed Charges,395.12,,448.22,92,,Percent of Total Billed Charges,362.48,,448.22,92,,Percent of Total Billed Charges,381.48,,448.22,92,,Percent of Total Billed Charges,395.12,,380.02,78,,Percent of Total Billed Charges,380.02,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,262.26,53.83,,Percent of Total Billed Charges,246.04,,168.77,34.64,,Percent of Total Billed Charges,168.08,,243.5,49.98,,Percent of Total Billed Charges,184.16,,168.77,448.22,,																																							
HC ADENOVIRUS AG IF,87260,CPT,,,,BOTH, , ,321.3,269.89,295.6,92,,Percent of Total Billed Charges,268.61,,295.6,92,,Percent of Total Billed Charges,263.79,,295.6,92,,Percent of Total Billed Charges,258.65,,295.6,92,,Percent of Total Billed Charges,268.29,,295.6,92,,Percent of Total Billed Charges,241.94,,295.6,92,,Percent of Total Billed Charges,200.81,,289.17,90,,Percent of Total Billed Charges,160.33,,285.96,89,,Percent of Total Billed Charges,154.22,,264.75,82.4,,Percent of Total Billed Charges,264.11,,267.96,83.4,,Percent of Total Billed Charges,249.97,,267.96,83.4,,Percent of Total Billed Charges,225.23,,267.96,83.4,,Percent of Total Billed Charges,261.54,,289.17,90,,Percent of Total Billed Charges,272.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,295.6,92,,Percent of Total Billed Charges,260.57,,295.6,92,,Percent of Total Billed Charges,239.05,,295.6,92,,Percent of Total Billed Charges,251.58,,295.6,92,,Percent of Total Billed Charges,260.57,,250.61,78,,Percent of Total Billed Charges,250.61,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,172.96,53.83,,Percent of Total Billed Charges,162.26,,111.3,34.64,,Percent of Total Billed Charges,110.85,,160.59,49.98,,Percent of Total Billed Charges,121.45,,111.30,295.6,,																																							
HC CRYPTOSPORIDIUM AG IF,87272,CPT,,,,BOTH, , ,102.9,86.44,94.67,92,,Percent of Total Billed Charges,86.02,,94.67,92,,Percent of Total Billed Charges,84.48,,94.67,92,,Percent of Total Billed Charges,82.83,,94.67,92,,Percent of Total Billed Charges,85.92,,94.67,92,,Percent of Total Billed Charges,77.48,,94.67,92,,Percent of Total Billed Charges,64.31,,92.61,90,,Percent of Total Billed Charges,51.35,,91.58,89,,Percent of Total Billed Charges,49.39,,84.79,82.4,,Percent of Total Billed Charges,84.58,,85.82,83.4,,Percent of Total Billed Charges,80.06,,85.82,83.4,,Percent of Total Billed Charges,72.13,,85.82,83.4,,Percent of Total Billed Charges,83.76,,92.61,90,,Percent of Total Billed Charges,87.16,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,94.67,92,,Percent of Total Billed Charges,83.45,,94.67,92,,Percent of Total Billed Charges,76.56,,94.67,92,,Percent of Total Billed Charges,80.57,,94.67,92,,Percent of Total Billed Charges,83.45,,80.26,78,,Percent of Total Billed Charges,80.26,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,55.39,53.83,,Percent of Total Billed Charges,51.96,,35.64,34.64,,Percent of Total Billed Charges,35.5,,51.43,49.98,,Percent of Total Billed Charges,38.9,,35.64,94.67,,																																							
HC PARAINFLUENZA AG IF,87279,CPT,,,,BOTH, , ,71.4,59.98,65.69,92,,Percent of Total Billed Charges,59.69,,65.69,92,,Percent of Total Billed Charges,58.62,,65.69,92,,Percent of Total Billed Charges,57.48,,65.69,92,,Percent of Total Billed Charges,59.62,,65.69,92,,Percent of Total Billed Charges,53.76,,65.69,92,,Percent of Total Billed Charges,44.63,,64.26,90,,Percent of Total Billed Charges,35.63,,63.55,89,,Percent of Total Billed Charges,34.27,,58.83,82.4,,Percent of Total Billed Charges,58.69,,59.55,83.4,,Percent of Total Billed Charges,55.55,,59.55,83.4,,Percent of Total Billed Charges,50.05,,59.55,83.4,,Percent of Total Billed Charges,58.12,,64.26,90,,Percent of Total Billed Charges,60.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,65.69,92,,Percent of Total Billed Charges,57.91,,65.69,92,,Percent of Total Billed Charges,53.12,,65.69,92,,Percent of Total Billed Charges,55.91,,65.69,92,,Percent of Total Billed Charges,57.91,,55.69,78,,Percent of Total Billed Charges,55.69,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,38.43,53.83,,Percent of Total Billed Charges,36.06,,24.73,34.64,,Percent of Total Billed Charges,24.63,,35.69,49.98,,Percent of Total Billed Charges,26.99,,24.73,65.69,,																																							
HC ASPERGILLUS AG EIA,87305,CPT,,,,BOTH, , ,264.6,222.26,243.43,92,,Percent of Total Billed Charges,221.21,,243.43,92,,Percent of Total Billed Charges,217.24,,243.43,92,,Percent of Total Billed Charges,213,,243.43,92,,Percent of Total Billed Charges,220.94,,243.43,92,,Percent of Total Billed Charges,199.24,,243.43,92,,Percent of Total Billed Charges,165.38,,238.14,90,,Percent of Total Billed Charges,132.04,,235.49,89,,Percent of Total Billed Charges,127.01,,218.03,82.4,,Percent of Total Billed Charges,217.5,,220.68,83.4,,Percent of Total Billed Charges,205.86,,220.68,83.4,,Percent of Total Billed Charges,185.48,,220.68,83.4,,Percent of Total Billed Charges,215.38,,238.14,90,,Percent of Total Billed Charges,224.12,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,243.43,92,,Percent of Total Billed Charges,214.59,,243.43,92,,Percent of Total Billed Charges,196.86,,243.43,92,,Percent of Total Billed Charges,207.18,,243.43,92,,Percent of Total Billed Charges,214.59,,206.39,78,,Percent of Total Billed Charges,206.39,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,142.43,53.83,,Percent of Total Billed Charges,133.62,,91.66,34.64,,Percent of Total Billed Charges,91.29,,132.25,49.98,,Percent of Total Billed Charges,100.02,,91.66,243.43,,																																							
HC CLOSTRIDIUM AG EIA,87324,CPT,,,,BOTH, , ,11.55,9.7,10.63,92,,Percent of Total Billed Charges,9.66,,10.63,92,,Percent of Total Billed Charges,9.48,,10.63,92,,Percent of Total Billed Charges,9.3,,10.63,92,,Percent of Total Billed Charges,9.64,,10.63,92,,Percent of Total Billed Charges,8.7,,10.63,92,,Percent of Total Billed Charges,7.22,,10.4,90,,Percent of Total Billed Charges,5.76,,10.28,89,,Percent of Total Billed Charges,5.54,,9.52,82.4,,Percent of Total Billed Charges,9.49,,9.63,83.4,,Percent of Total Billed Charges,8.99,,9.63,83.4,,Percent of Total Billed Charges,8.1,,9.63,83.4,,Percent of Total Billed Charges,9.4,,10.4,90,,Percent of Total Billed Charges,9.78,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,10.63,92,,Percent of Total Billed Charges,9.37,,10.63,92,,Percent of Total Billed Charges,8.59,,10.63,92,,Percent of Total Billed Charges,9.04,,10.63,92,,Percent of Total Billed Charges,9.37,,9.01,78,,Percent of Total Billed Charges,9.01,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6.22,53.83,,Percent of Total Billed Charges,5.83,,4,34.64,,Percent of Total Billed Charges,3.98,,5.77,49.98,,Percent of Total Billed Charges,4.37,,4.00,10.63,,																																							
HC GIARDIA AG EIA,87329,CPT,,,,BOTH, , ,197.4,165.82,181.61,92,,Percent of Total Billed Charges,165.03,,181.61,92,,Percent of Total Billed Charges,162.07,,181.61,92,,Percent of Total Billed Charges,158.91,,181.61,92,,Percent of Total Billed Charges,164.83,,181.61,92,,Percent of Total Billed Charges,148.64,,181.61,92,,Percent of Total Billed Charges,123.38,,177.66,90,,Percent of Total Billed Charges,98.5,,175.69,89,,Percent of Total Billed Charges,94.75,,162.66,82.4,,Percent of Total Billed Charges,162.26,,164.63,83.4,,Percent of Total Billed Charges,153.58,,164.63,83.4,,Percent of Total Billed Charges,138.38,,164.63,83.4,,Percent of Total Billed Charges,160.68,,177.66,90,,Percent of Total Billed Charges,167.2,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,181.61,92,,Percent of Total Billed Charges,160.09,,181.61,92,,Percent of Total Billed Charges,146.87,,181.61,92,,Percent of Total Billed Charges,154.56,,181.61,92,,Percent of Total Billed Charges,160.09,,153.97,78,,Percent of Total Billed Charges,153.97,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,106.26,53.83,,Percent of Total Billed Charges,99.69,,68.38,34.64,,Percent of Total Billed Charges,68.1,,98.66,49.98,,Percent of Total Billed Charges,74.62,,68.38,181.61,,																																							
HC HELICOBACTER PYLORI ANTIGEN STOOL,87338,CPT,,,,BOTH, , ,337.05,283.12,310.09,92,,Percent of Total Billed Charges,281.77,,310.09,92,,Percent of Total Billed Charges,276.72,,310.09,92,,Percent of Total Billed Charges,271.33,,310.09,92,,Percent of Total Billed Charges,281.44,,310.09,92,,Percent of Total Billed Charges,253.8,,310.09,92,,Percent of Total Billed Charges,210.66,,303.35,90,,Percent of Total Billed Charges,168.19,,299.97,89,,Percent of Total Billed Charges,161.78,,277.73,82.4,,Percent of Total Billed Charges,277.06,,281.1,83.4,,Percent of Total Billed Charges,262.22,,281.1,83.4,,Percent of Total Billed Charges,236.27,,281.1,83.4,,Percent of Total Billed Charges,274.36,,303.35,90,,Percent of Total Billed Charges,285.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,310.09,92,,Percent of Total Billed Charges,273.35,,310.09,92,,Percent of Total Billed Charges,250.77,,310.09,92,,Percent of Total Billed Charges,263.91,,310.09,92,,Percent of Total Billed Charges,273.35,,262.9,78,,Percent of Total Billed Charges,262.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,181.43,53.83,,Percent of Total Billed Charges,170.21,,116.75,34.64,,Percent of Total Billed Charges,116.28,,168.46,49.98,,Percent of Total Billed Charges,127.4,,116.75,310.09,,																																							
HC HEPATITIS B SURFACE AG EIA,87340,CPT,,,,BOTH, , ,9.45,7.94,8.69,92,,Percent of Total Billed Charges,7.9,,8.69,92,,Percent of Total Billed Charges,7.76,,8.69,92,,Percent of Total Billed Charges,7.61,,8.69,92,,Percent of Total Billed Charges,7.89,,8.69,92,,Percent of Total Billed Charges,7.12,,8.69,92,,Percent of Total Billed Charges,5.91,,8.51,90,,Percent of Total Billed Charges,4.72,,8.41,89,,Percent of Total Billed Charges,4.54,,7.79,82.4,,Percent of Total Billed Charges,7.77,,7.88,83.4,,Percent of Total Billed Charges,7.35,,7.88,83.4,,Percent of Total Billed Charges,6.62,,7.88,83.4,,Percent of Total Billed Charges,7.69,,8.51,90,,Percent of Total Billed Charges,8,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,8.69,92,,Percent of Total Billed Charges,7.66,,8.69,92,,Percent of Total Billed Charges,7.03,,8.69,92,,Percent of Total Billed Charges,7.4,,8.69,92,,Percent of Total Billed Charges,7.66,,7.37,78,,Percent of Total Billed Charges,7.37,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5.09,53.83,,Percent of Total Billed Charges,4.77,,3.27,34.64,,Percent of Total Billed Charges,3.26,,4.72,49.98,,Percent of Total Billed Charges,3.57,,3.27,8.69,,																																							
HC HEPATITIS BE AG EIA,87350,CPT,,,,BOTH, , ,207.9,174.64,191.27,92,,Percent of Total Billed Charges,173.8,,191.27,92,,Percent of Total Billed Charges,170.69,,191.27,92,,Percent of Total Billed Charges,167.36,,191.27,92,,Percent of Total Billed Charges,173.6,,191.27,92,,Percent of Total Billed Charges,156.55,,191.27,92,,Percent of Total Billed Charges,129.94,,187.11,90,,Percent of Total Billed Charges,103.74,,185.03,89,,Percent of Total Billed Charges,99.79,,171.31,82.4,,Percent of Total Billed Charges,170.89,,173.39,83.4,,Percent of Total Billed Charges,161.75,,173.39,83.4,,Percent of Total Billed Charges,145.74,,173.39,83.4,,Percent of Total Billed Charges,169.23,,187.11,90,,Percent of Total Billed Charges,176.09,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,191.27,92,,Percent of Total Billed Charges,168.61,,191.27,92,,Percent of Total Billed Charges,154.68,,191.27,92,,Percent of Total Billed Charges,162.79,,191.27,92,,Percent of Total Billed Charges,168.61,,162.16,78,,Percent of Total Billed Charges,162.16,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,111.91,53.83,,Percent of Total Billed Charges,104.99,,72.02,34.64,,Percent of Total Billed Charges,71.73,,103.91,49.98,,Percent of Total Billed Charges,78.59,,72.02,191.27,,																																							
HC INFLUENZA A/B AG EIA,87400,CPT,,,,BOTH, , ,10.5,8.82,9.66,92,,Percent of Total Billed Charges,8.78,,9.66,92,,Percent of Total Billed Charges,8.62,,9.66,92,,Percent of Total Billed Charges,8.45,,9.66,92,,Percent of Total Billed Charges,8.77,,9.66,92,,Percent of Total Billed Charges,7.91,,9.66,92,,Percent of Total Billed Charges,6.56,,9.45,90,,Percent of Total Billed Charges,5.24,,9.35,89,,Percent of Total Billed Charges,5.04,,8.65,82.4,,Percent of Total Billed Charges,8.63,,8.76,83.4,,Percent of Total Billed Charges,8.17,,8.76,83.4,,Percent of Total Billed Charges,7.36,,8.76,83.4,,Percent of Total Billed Charges,8.55,,9.45,90,,Percent of Total Billed Charges,8.89,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,9.66,92,,Percent of Total Billed Charges,8.52,,9.66,92,,Percent of Total Billed Charges,7.81,,9.66,92,,Percent of Total Billed Charges,8.22,,9.66,92,,Percent of Total Billed Charges,8.52,,8.19,78,,Percent of Total Billed Charges,8.19,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5.65,53.83,,Percent of Total Billed Charges,5.3,,3.64,34.64,,Percent of Total Billed Charges,3.62,,5.25,49.98,,Percent of Total Billed Charges,3.97,,3.64,9.66,,																																							
HC ROTAVIRUS AG EIA,87425,CPT,,,,BOTH, , ,349.65,293.71,321.68,92,,Percent of Total Billed Charges,292.31,,321.68,92,,Percent of Total Billed Charges,287.06,,321.68,92,,Percent of Total Billed Charges,281.47,,321.68,92,,Percent of Total Billed Charges,291.96,,321.68,92,,Percent of Total Billed Charges,263.29,,321.68,92,,Percent of Total Billed Charges,218.53,,314.69,90,,Percent of Total Billed Charges,174.48,,311.19,89,,Percent of Total Billed Charges,167.83,,288.11,82.4,,Percent of Total Billed Charges,287.41,,291.61,83.4,,Percent of Total Billed Charges,272.03,,291.61,83.4,,Percent of Total Billed Charges,245.1,,291.61,83.4,,Percent of Total Billed Charges,284.62,,314.69,90,,Percent of Total Billed Charges,296.15,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,321.68,92,,Percent of Total Billed Charges,283.57,,321.68,92,,Percent of Total Billed Charges,260.14,,321.68,92,,Percent of Total Billed Charges,273.78,,321.68,92,,Percent of Total Billed Charges,283.57,,272.73,78,,Percent of Total Billed Charges,272.73,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,188.22,53.83,,Percent of Total Billed Charges,176.57,,121.12,34.64,,Percent of Total Billed Charges,120.63,,174.76,49.98,,Percent of Total Billed Charges,132.17,,121.12,321.68,,																																							
HC SHIGALIKE TOXIN AG EIA,87427,CPT,,,,BOTH, , ,179.55,150.82,165.19,92,,Percent of Total Billed Charges,150.1,,165.19,92,,Percent of Total Billed Charges,147.41,,165.19,92,,Percent of Total Billed Charges,144.54,,165.19,92,,Percent of Total Billed Charges,149.92,,165.19,92,,Percent of Total Billed Charges,135.2,,165.19,92,,Percent of Total Billed Charges,112.22,,161.6,90,,Percent of Total Billed Charges,89.6,,159.8,89,,Percent of Total Billed Charges,86.18,,147.95,82.4,,Percent of Total Billed Charges,147.59,,149.74,83.4,,Percent of Total Billed Charges,139.69,,149.74,83.4,,Percent of Total Billed Charges,125.86,,149.74,83.4,,Percent of Total Billed Charges,146.15,,161.6,90,,Percent of Total Billed Charges,152.08,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,165.19,92,,Percent of Total Billed Charges,145.62,,165.19,92,,Percent of Total Billed Charges,133.59,,165.19,92,,Percent of Total Billed Charges,140.59,,165.19,92,,Percent of Total Billed Charges,145.62,,140.05,78,,Percent of Total Billed Charges,140.05,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,96.65,53.83,,Percent of Total Billed Charges,90.67,,62.2,34.64,,Percent of Total Billed Charges,61.94,,89.74,49.98,,Percent of Total Billed Charges,67.87,,62.20,165.19,,																																							
HC AG DETECT NOS EIA MULT,87449,CPT,,,,BOTH, , ,383.25,321.93,352.59,92,,Percent of Total Billed Charges,320.4,,352.59,92,,Percent of Total Billed Charges,314.65,,352.59,92,,Percent of Total Billed Charges,308.52,,352.59,92,,Percent of Total Billed Charges,320.01,,352.59,92,,Percent of Total Billed Charges,288.59,,352.59,92,,Percent of Total Billed Charges,239.53,,344.93,90,,Percent of Total Billed Charges,191.24,,341.09,89,,Percent of Total Billed Charges,183.96,,315.8,82.4,,Percent of Total Billed Charges,315.03,,319.63,83.4,,Percent of Total Billed Charges,298.17,,319.63,83.4,,Percent of Total Billed Charges,268.66,,319.63,83.4,,Percent of Total Billed Charges,311.97,,344.93,90,,Percent of Total Billed Charges,324.61,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,352.59,92,,Percent of Total Billed Charges,310.82,,352.59,92,,Percent of Total Billed Charges,285.14,,352.59,92,,Percent of Total Billed Charges,300.08,,352.59,92,,Percent of Total Billed Charges,310.82,,298.94,78,,Percent of Total Billed Charges,298.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,206.3,53.83,,Percent of Total Billed Charges,193.54,,132.76,34.64,,Percent of Total Billed Charges,132.22,,191.55,49.98,,Percent of Total Billed Charges,144.87,,132.76,352.59,,																																							
HC LYME DIS DNA AMP PROBE,87476,CPT,,,,BOTH, , ,731.85,614.75,673.3,92,,Percent of Total Billed Charges,611.83,,673.3,92,,Percent of Total Billed Charges,600.85,,673.3,92,,Percent of Total Billed Charges,589.14,,673.3,92,,Percent of Total Billed Charges,611.09,,673.3,92,,Percent of Total Billed Charges,551.08,,673.3,92,,Percent of Total Billed Charges,457.41,,658.67,90,,Percent of Total Billed Charges,365.19,,651.35,89,,Percent of Total Billed Charges,351.29,,603.04,82.4,,Percent of Total Billed Charges,601.58,,610.36,83.4,,Percent of Total Billed Charges,569.38,,610.36,83.4,,Percent of Total Billed Charges,513.03,,610.36,83.4,,Percent of Total Billed Charges,595.73,,658.67,90,,Percent of Total Billed Charges,619.88,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,673.3,92,,Percent of Total Billed Charges,593.53,,673.3,92,,Percent of Total Billed Charges,544.5,,673.3,92,,Percent of Total Billed Charges,573.04,,673.3,92,,Percent of Total Billed Charges,593.53,,570.84,78,,Percent of Total Billed Charges,570.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,393.95,53.83,,Percent of Total Billed Charges,369.58,,253.51,34.64,,Percent of Total Billed Charges,252.49,,365.78,49.98,,Percent of Total Billed Charges,276.64,,253.51,673.3,,																																							
HC CHYLMD TRACH DNA AMP PROBE,87491,CPT,,,,BOTH, , ,26.25,22.05,24.15,92,,Percent of Total Billed Charges,21.95,,24.15,92,,Percent of Total Billed Charges,21.55,,24.15,92,,Percent of Total Billed Charges,21.13,,24.15,92,,Percent of Total Billed Charges,21.92,,24.15,92,,Percent of Total Billed Charges,19.77,,24.15,92,,Percent of Total Billed Charges,16.41,,23.63,90,,Percent of Total Billed Charges,13.1,,23.36,89,,Percent of Total Billed Charges,12.6,,21.63,82.4,,Percent of Total Billed Charges,21.58,,21.89,83.4,,Percent of Total Billed Charges,20.42,,21.89,83.4,,Percent of Total Billed Charges,18.4,,21.89,83.4,,Percent of Total Billed Charges,21.37,,23.63,90,,Percent of Total Billed Charges,22.23,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,24.15,92,,Percent of Total Billed Charges,21.29,,24.15,92,,Percent of Total Billed Charges,19.53,,24.15,92,,Percent of Total Billed Charges,20.55,,24.15,92,,Percent of Total Billed Charges,21.29,,20.48,78,,Percent of Total Billed Charges,20.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,14.13,53.83,,Percent of Total Billed Charges,13.26,,9.09,34.64,,Percent of Total Billed Charges,9.06,,13.12,49.98,,Percent of Total Billed Charges,9.92,,9.09,24.15,,																																							
HC C DIFF AMPLIFIED PROBE,87493,CPT,,,,BOTH, , ,400.05,336.04,368.05,92,,Percent of Total Billed Charges,334.44,,368.05,92,,Percent of Total Billed Charges,328.44,,368.05,92,,Percent of Total Billed Charges,322.04,,368.05,92,,Percent of Total Billed Charges,334.04,,368.05,92,,Percent of Total Billed Charges,301.24,,368.05,92,,Percent of Total Billed Charges,250.03,,360.05,90,,Percent of Total Billed Charges,199.62,,356.04,89,,Percent of Total Billed Charges,192.02,,329.64,82.4,,Percent of Total Billed Charges,328.84,,333.64,83.4,,Percent of Total Billed Charges,311.24,,333.64,83.4,,Percent of Total Billed Charges,280.44,,333.64,83.4,,Percent of Total Billed Charges,325.64,,360.05,90,,Percent of Total Billed Charges,338.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,368.05,92,,Percent of Total Billed Charges,324.44,,368.05,92,,Percent of Total Billed Charges,297.64,,368.05,92,,Percent of Total Billed Charges,313.24,,368.05,92,,Percent of Total Billed Charges,324.44,,312.04,78,,Percent of Total Billed Charges,312.04,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,215.35,53.83,,Percent of Total Billed Charges,202.03,,138.58,34.64,,Percent of Total Billed Charges,138.02,,199.94,49.98,,Percent of Total Billed Charges,151.22,,138.58,368.05,,																																							
HC CYTOMEG DNA AMP PROBE,87496,CPT,,,,BOTH, , ,711.9,598,654.95,92,,Percent of Total Billed Charges,595.15,,654.95,92,,Percent of Total Billed Charges,584.47,,654.95,92,,Percent of Total Billed Charges,573.08,,654.95,92,,Percent of Total Billed Charges,594.44,,654.95,92,,Percent of Total Billed Charges,536.06,,654.95,92,,Percent of Total Billed Charges,444.94,,640.71,90,,Percent of Total Billed Charges,355.24,,633.59,89,,Percent of Total Billed Charges,341.71,,586.61,82.4,,Percent of Total Billed Charges,585.18,,593.72,83.4,,Percent of Total Billed Charges,553.86,,593.72,83.4,,Percent of Total Billed Charges,499.04,,593.72,83.4,,Percent of Total Billed Charges,579.49,,640.71,90,,Percent of Total Billed Charges,602.98,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,654.95,92,,Percent of Total Billed Charges,577.35,,654.95,92,,Percent of Total Billed Charges,529.65,,654.95,92,,Percent of Total Billed Charges,557.42,,654.95,92,,Percent of Total Billed Charges,577.35,,555.28,78,,Percent of Total Billed Charges,555.28,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,383.22,53.83,,Percent of Total Billed Charges,359.51,,246.6,34.64,,Percent of Total Billed Charges,245.61,,355.81,49.98,,Percent of Total Billed Charges,269.1,,246.60,654.95,,																																							
HC CYTOMEG DNA QUANT,87497,CPT,,,,BOTH, , ,802.2,673.85,738.02,92,,Percent of Total Billed Charges,670.64,,738.02,92,,Percent of Total Billed Charges,658.61,,738.02,92,,Percent of Total Billed Charges,645.77,,738.02,92,,Percent of Total Billed Charges,669.84,,738.02,92,,Percent of Total Billed Charges,604.06,,738.02,92,,Percent of Total Billed Charges,501.38,,721.98,90,,Percent of Total Billed Charges,400.3,,713.96,89,,Percent of Total Billed Charges,385.06,,661.01,82.4,,Percent of Total Billed Charges,659.41,,669.03,83.4,,Percent of Total Billed Charges,624.11,,669.03,83.4,,Percent of Total Billed Charges,562.34,,669.03,83.4,,Percent of Total Billed Charges,652.99,,721.98,90,,Percent of Total Billed Charges,679.46,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,738.02,92,,Percent of Total Billed Charges,650.58,,738.02,92,,Percent of Total Billed Charges,596.84,,738.02,92,,Percent of Total Billed Charges,628.12,,738.02,92,,Percent of Total Billed Charges,650.58,,625.72,78,,Percent of Total Billed Charges,625.72,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,431.82,53.83,,Percent of Total Billed Charges,405.11,,277.88,34.64,,Percent of Total Billed Charges,276.76,,400.94,49.98,,Percent of Total Billed Charges,303.23,,277.88,738.02,,																																							
HC ENTEROVIRUS PROBE&REVRS TRNS,87498,CPT,,,,BOTH, , ,815.85,685.31,750.58,92,,Percent of Total Billed Charges,682.05,,750.58,92,,Percent of Total Billed Charges,669.81,,750.58,92,,Percent of Total Billed Charges,656.76,,750.58,92,,Percent of Total Billed Charges,681.23,,750.58,92,,Percent of Total Billed Charges,614.34,,750.58,92,,Percent of Total Billed Charges,509.91,,734.27,90,,Percent of Total Billed Charges,407.11,,726.11,89,,Percent of Total Billed Charges,391.61,,672.26,82.4,,Percent of Total Billed Charges,670.63,,680.42,83.4,,Percent of Total Billed Charges,634.73,,680.42,83.4,,Percent of Total Billed Charges,571.91,,680.42,83.4,,Percent of Total Billed Charges,664.1,,734.27,90,,Percent of Total Billed Charges,691.02,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,750.58,92,,Percent of Total Billed Charges,661.65,,750.58,92,,Percent of Total Billed Charges,606.99,,750.58,92,,Percent of Total Billed Charges,638.81,,750.58,92,,Percent of Total Billed Charges,661.65,,636.36,78,,Percent of Total Billed Charges,636.36,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,439.17,53.83,,Percent of Total Billed Charges,412,,282.61,34.64,,Percent of Total Billed Charges,281.47,,407.76,49.98,,Percent of Total Billed Charges,308.39,,282.61,750.58,,																																							
HC INFLUENZA DNA AMP PROBE,87502,CPT,,,,BOTH, , ,975.45,819.38,897.41,92,,Percent of Total Billed Charges,815.48,,897.41,92,,Percent of Total Billed Charges,800.84,,897.41,92,,Percent of Total Billed Charges,785.24,,897.41,92,,Percent of Total Billed Charges,814.5,,897.41,92,,Percent of Total Billed Charges,734.51,,897.41,92,,Percent of Total Billed Charges,609.66,,877.91,90,,Percent of Total Billed Charges,486.75,,868.15,89,,Percent of Total Billed Charges,468.22,,803.77,82.4,,Percent of Total Billed Charges,801.82,,813.53,83.4,,Percent of Total Billed Charges,758.9,,813.53,83.4,,Percent of Total Billed Charges,683.79,,813.53,83.4,,Percent of Total Billed Charges,794.02,,877.91,90,,Percent of Total Billed Charges,826.21,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,897.41,92,,Percent of Total Billed Charges,791.09,,897.41,92,,Percent of Total Billed Charges,725.73,,897.41,92,,Percent of Total Billed Charges,763.78,,897.41,92,,Percent of Total Billed Charges,791.09,,760.85,78,,Percent of Total Billed Charges,760.85,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,525.08,53.83,,Percent of Total Billed Charges,492.6,,337.9,34.64,,Percent of Total Billed Charges,336.53,,487.53,49.98,,Percent of Total Billed Charges,368.72,,337.90,897.41,,																																							
HC INFLUENZA DNA AMP PROB ADDL,87503,CPT,,,,BOTH, , ,238.35,200.21,219.28,92,,Percent of Total Billed Charges,199.26,,219.28,92,,Percent of Total Billed Charges,195.69,,219.28,92,,Percent of Total Billed Charges,191.87,,219.28,92,,Percent of Total Billed Charges,199.02,,219.28,92,,Percent of Total Billed Charges,179.48,,219.28,92,,Percent of Total Billed Charges,148.97,,214.52,90,,Percent of Total Billed Charges,118.94,,212.13,89,,Percent of Total Billed Charges,114.41,,196.4,82.4,,Percent of Total Billed Charges,195.92,,198.78,83.4,,Percent of Total Billed Charges,185.44,,198.78,83.4,,Percent of Total Billed Charges,167.08,,198.78,83.4,,Percent of Total Billed Charges,194.02,,214.52,90,,Percent of Total Billed Charges,201.88,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,219.28,92,,Percent of Total Billed Charges,193.3,,219.28,92,,Percent of Total Billed Charges,177.33,,219.28,92,,Percent of Total Billed Charges,186.63,,219.28,92,,Percent of Total Billed Charges,193.3,,185.91,78,,Percent of Total Billed Charges,185.91,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,128.3,53.83,,Percent of Total Billed Charges,120.37,,82.56,34.64,,Percent of Total Billed Charges,82.23,,119.13,49.98,,Percent of Total Billed Charges,90.1,,82.56,219.28,,																																							
HC HEPATITIS B DNA QUANT,87517,CPT,,,,BOTH, , ,508.2,426.89,467.54,92,,Percent of Total Billed Charges,424.86,,467.54,92,,Percent of Total Billed Charges,417.23,,467.54,92,,Percent of Total Billed Charges,409.1,,467.54,92,,Percent of Total Billed Charges,424.35,,467.54,92,,Percent of Total Billed Charges,382.67,,467.54,92,,Percent of Total Billed Charges,317.63,,457.38,90,,Percent of Total Billed Charges,253.59,,452.3,89,,Percent of Total Billed Charges,243.94,,418.76,82.4,,Percent of Total Billed Charges,417.74,,423.84,83.4,,Percent of Total Billed Charges,395.38,,423.84,83.4,,Percent of Total Billed Charges,356.25,,423.84,83.4,,Percent of Total Billed Charges,413.67,,457.38,90,,Percent of Total Billed Charges,430.45,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,467.54,92,,Percent of Total Billed Charges,412.15,,467.54,92,,Percent of Total Billed Charges,378.1,,467.54,92,,Percent of Total Billed Charges,397.92,,467.54,92,,Percent of Total Billed Charges,412.15,,396.4,78,,Percent of Total Billed Charges,396.4,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,273.56,53.83,,Percent of Total Billed Charges,256.64,,176.04,34.64,,Percent of Total Billed Charges,175.33,,254,49.98,,Percent of Total Billed Charges,192.1,,176.04,467.54,,																																							
HC HEPATITIS C PROBE&RVRS TRNSC,87521,CPT,,,,BOTH, , ,656.25,551.25,603.75,92,,Percent of Total Billed Charges,548.63,,603.75,92,,Percent of Total Billed Charges,538.78,,603.75,92,,Percent of Total Billed Charges,528.28,,603.75,92,,Percent of Total Billed Charges,547.97,,603.75,92,,Percent of Total Billed Charges,494.16,,603.75,92,,Percent of Total Billed Charges,410.16,,590.63,90,,Percent of Total Billed Charges,327.47,,584.06,89,,Percent of Total Billed Charges,315,,540.75,82.4,,Percent of Total Billed Charges,539.44,,547.31,83.4,,Percent of Total Billed Charges,510.56,,547.31,83.4,,Percent of Total Billed Charges,460.03,,547.31,83.4,,Percent of Total Billed Charges,534.19,,590.63,90,,Percent of Total Billed Charges,555.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,603.75,92,,Percent of Total Billed Charges,532.22,,603.75,92,,Percent of Total Billed Charges,488.25,,603.75,92,,Percent of Total Billed Charges,513.84,,603.75,92,,Percent of Total Billed Charges,532.22,,511.88,78,,Percent of Total Billed Charges,511.88,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,353.26,53.83,,Percent of Total Billed Charges,331.41,,227.33,34.64,,Percent of Total Billed Charges,226.41,,327.99,49.98,,Percent of Total Billed Charges,248.06,,227.33,603.75,,																																							
HC HEPATITIS C REVRS TRNSCRPJ,87522,CPT,,,,BOTH, , ,752.85,632.39,692.62,92,,Percent of Total Billed Charges,629.38,,692.62,92,,Percent of Total Billed Charges,618.09,,692.62,92,,Percent of Total Billed Charges,606.04,,692.62,92,,Percent of Total Billed Charges,628.63,,692.62,92,,Percent of Total Billed Charges,566.9,,692.62,92,,Percent of Total Billed Charges,470.53,,677.57,90,,Percent of Total Billed Charges,375.67,,670.04,89,,Percent of Total Billed Charges,361.37,,620.35,82.4,,Percent of Total Billed Charges,618.84,,627.88,83.4,,Percent of Total Billed Charges,585.72,,627.88,83.4,,Percent of Total Billed Charges,527.75,,627.88,83.4,,Percent of Total Billed Charges,612.82,,677.57,90,,Percent of Total Billed Charges,637.66,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,692.62,92,,Percent of Total Billed Charges,610.56,,692.62,92,,Percent of Total Billed Charges,560.12,,692.62,92,,Percent of Total Billed Charges,589.48,,692.62,92,,Percent of Total Billed Charges,610.56,,587.22,78,,Percent of Total Billed Charges,587.22,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,405.26,53.83,,Percent of Total Billed Charges,380.19,,260.79,34.64,,Percent of Total Billed Charges,259.73,,376.27,49.98,,Percent of Total Billed Charges,284.58,,260.79,692.62,,																																							
HC HSV DNA AMP PROBE,87529,CPT,,,,BOTH, , ,212.1,178.16,195.13,92,,Percent of Total Billed Charges,177.32,,195.13,92,,Percent of Total Billed Charges,174.13,,195.13,92,,Percent of Total Billed Charges,170.74,,195.13,92,,Percent of Total Billed Charges,177.1,,195.13,92,,Percent of Total Billed Charges,159.71,,195.13,92,,Percent of Total Billed Charges,132.56,,190.89,90,,Percent of Total Billed Charges,105.84,,188.77,89,,Percent of Total Billed Charges,101.81,,174.77,82.4,,Percent of Total Billed Charges,174.35,,176.89,83.4,,Percent of Total Billed Charges,165.01,,176.89,83.4,,Percent of Total Billed Charges,148.68,,176.89,83.4,,Percent of Total Billed Charges,172.65,,190.89,90,,Percent of Total Billed Charges,179.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,195.13,92,,Percent of Total Billed Charges,172.01,,195.13,92,,Percent of Total Billed Charges,157.8,,195.13,92,,Percent of Total Billed Charges,166.07,,195.13,92,,Percent of Total Billed Charges,172.01,,165.44,78,,Percent of Total Billed Charges,165.44,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,114.17,53.83,,Percent of Total Billed Charges,107.11,,73.47,34.64,,Percent of Total Billed Charges,73.17,,106.01,49.98,,Percent of Total Billed Charges,80.17,,73.47,195.13,,																																							
HC HIV1 PROBE&REVERSE TRNSCRPJ,87535,CPT,,,,BOTH, , ,684.6,575.06,629.83,92,,Percent of Total Billed Charges,572.33,,629.83,92,,Percent of Total Billed Charges,562.06,,629.83,92,,Percent of Total Billed Charges,551.1,,629.83,92,,Percent of Total Billed Charges,571.64,,629.83,92,,Percent of Total Billed Charges,515.5,,629.83,92,,Percent of Total Billed Charges,427.88,,616.14,90,,Percent of Total Billed Charges,341.62,,609.29,89,,Percent of Total Billed Charges,328.61,,564.11,82.4,,Percent of Total Billed Charges,562.74,,570.96,83.4,,Percent of Total Billed Charges,532.62,,570.96,83.4,,Percent of Total Billed Charges,479.9,,570.96,83.4,,Percent of Total Billed Charges,557.26,,616.14,90,,Percent of Total Billed Charges,579.86,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,629.83,92,,Percent of Total Billed Charges,555.21,,629.83,92,,Percent of Total Billed Charges,509.34,,629.83,92,,Percent of Total Billed Charges,536.04,,629.83,92,,Percent of Total Billed Charges,555.21,,533.99,78,,Percent of Total Billed Charges,533.99,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,368.52,53.83,,Percent of Total Billed Charges,345.72,,237.15,34.64,,Percent of Total Billed Charges,236.19,,342.16,49.98,,Percent of Total Billed Charges,258.78,,237.15,629.83,,																																							
HC HIV1 QUANT&REVRSE TRNSCRPJ,87536,CPT,,,,BOTH, , ,64.05,53.8,58.93,92,,Percent of Total Billed Charges,53.55,,58.93,92,,Percent of Total Billed Charges,52.59,,58.93,92,,Percent of Total Billed Charges,51.56,,58.93,92,,Percent of Total Billed Charges,53.48,,58.93,92,,Percent of Total Billed Charges,48.23,,58.93,92,,Percent of Total Billed Charges,40.03,,57.65,90,,Percent of Total Billed Charges,31.96,,57,89,,Percent of Total Billed Charges,30.74,,52.78,82.4,,Percent of Total Billed Charges,52.65,,53.42,83.4,,Percent of Total Billed Charges,49.83,,53.42,83.4,,Percent of Total Billed Charges,44.9,,53.42,83.4,,Percent of Total Billed Charges,52.14,,57.65,90,,Percent of Total Billed Charges,54.25,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,58.93,92,,Percent of Total Billed Charges,51.94,,58.93,92,,Percent of Total Billed Charges,47.65,,58.93,92,,Percent of Total Billed Charges,50.15,,58.93,92,,Percent of Total Billed Charges,51.94,,49.96,78,,Percent of Total Billed Charges,49.96,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,34.48,53.83,,Percent of Total Billed Charges,32.35,,22.19,34.64,,Percent of Total Billed Charges,22.1,,32.01,49.98,,Percent of Total Billed Charges,24.21,,22.19,58.93,,																																							
HC M.TUBERCULO DNA AMP PROBE,87556,CPT,,,,BOTH, , ,522.9,439.24,481.07,92,,Percent of Total Billed Charges,437.14,,481.07,92,,Percent of Total Billed Charges,429.3,,481.07,92,,Percent of Total Billed Charges,420.93,,481.07,92,,Percent of Total Billed Charges,436.62,,481.07,92,,Percent of Total Billed Charges,393.74,,481.07,92,,Percent of Total Billed Charges,326.81,,470.61,90,,Percent of Total Billed Charges,260.93,,465.38,89,,Percent of Total Billed Charges,250.99,,430.87,82.4,,Percent of Total Billed Charges,429.82,,436.1,83.4,,Percent of Total Billed Charges,406.82,,436.1,83.4,,Percent of Total Billed Charges,366.55,,436.1,83.4,,Percent of Total Billed Charges,425.64,,470.61,90,,Percent of Total Billed Charges,442.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,481.07,92,,Percent of Total Billed Charges,424.07,,481.07,92,,Percent of Total Billed Charges,389.04,,481.07,92,,Percent of Total Billed Charges,409.43,,481.07,92,,Percent of Total Billed Charges,424.07,,407.86,78,,Percent of Total Billed Charges,407.86,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,281.48,53.83,,Percent of Total Billed Charges,264.06,,181.13,34.64,,Percent of Total Billed Charges,180.4,,261.35,49.98,,Percent of Total Billed Charges,197.66,,181.13,481.07,,																																							
HC N.GONORRHOEAE DNA AMP PROB,87591,CPT,,,,BOTH, , ,212.1,178.16,195.13,92,,Percent of Total Billed Charges,177.32,,195.13,92,,Percent of Total Billed Charges,174.13,,195.13,92,,Percent of Total Billed Charges,170.74,,195.13,92,,Percent of Total Billed Charges,177.1,,195.13,92,,Percent of Total Billed Charges,159.71,,195.13,92,,Percent of Total Billed Charges,132.56,,190.89,90,,Percent of Total Billed Charges,105.84,,188.77,89,,Percent of Total Billed Charges,101.81,,174.77,82.4,,Percent of Total Billed Charges,174.35,,176.89,83.4,,Percent of Total Billed Charges,165.01,,176.89,83.4,,Percent of Total Billed Charges,148.68,,176.89,83.4,,Percent of Total Billed Charges,172.65,,190.89,90,,Percent of Total Billed Charges,179.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,195.13,92,,Percent of Total Billed Charges,172.01,,195.13,92,,Percent of Total Billed Charges,157.8,,195.13,92,,Percent of Total Billed Charges,166.07,,195.13,92,,Percent of Total Billed Charges,172.01,,165.44,78,,Percent of Total Billed Charges,165.44,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,114.17,53.83,,Percent of Total Billed Charges,107.11,,73.47,34.64,,Percent of Total Billed Charges,73.17,,106.01,49.98,,Percent of Total Billed Charges,80.17,,73.47,195.13,,																																							
HC HPV HIGHRISK TYPES,87624,CPT,,,,BOTH, , ,345.45,290.18,317.81,92,,Percent of Total Billed Charges,288.8,,317.81,92,,Percent of Total Billed Charges,283.61,,317.81,92,,Percent of Total Billed Charges,278.09,,317.81,92,,Percent of Total Billed Charges,288.45,,317.81,92,,Percent of Total Billed Charges,260.12,,317.81,92,,Percent of Total Billed Charges,215.91,,310.91,90,,Percent of Total Billed Charges,172.38,,307.45,89,,Percent of Total Billed Charges,165.82,,284.65,82.4,,Percent of Total Billed Charges,283.96,,288.11,83.4,,Percent of Total Billed Charges,268.76,,288.11,83.4,,Percent of Total Billed Charges,242.16,,288.11,83.4,,Percent of Total Billed Charges,281.2,,310.91,90,,Percent of Total Billed Charges,292.6,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,317.81,92,,Percent of Total Billed Charges,280.16,,317.81,92,,Percent of Total Billed Charges,257.01,,317.81,92,,Percent of Total Billed Charges,270.49,,317.81,92,,Percent of Total Billed Charges,280.16,,269.45,78,,Percent of Total Billed Charges,269.45,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,185.96,53.83,,Percent of Total Billed Charges,174.45,,119.66,34.64,,Percent of Total Billed Charges,119.18,,172.66,49.98,,Percent of Total Billed Charges,130.58,,119.66,317.81,,																																							
HC RESP VIRUS 35 TARGETS,87631,CPT,,,,BOTH, , ,963.9,809.68,886.79,92,,Percent of Total Billed Charges,805.82,,886.79,92,,Percent of Total Billed Charges,791.36,,886.79,92,,Percent of Total Billed Charges,775.94,,886.79,92,,Percent of Total Billed Charges,804.86,,886.79,92,,Percent of Total Billed Charges,725.82,,886.79,92,,Percent of Total Billed Charges,602.44,,867.51,90,,Percent of Total Billed Charges,480.99,,857.87,89,,Percent of Total Billed Charges,462.67,,794.25,82.4,,Percent of Total Billed Charges,792.33,,803.89,83.4,,Percent of Total Billed Charges,749.91,,803.89,83.4,,Percent of Total Billed Charges,675.69,,803.89,83.4,,Percent of Total Billed Charges,784.61,,867.51,90,,Percent of Total Billed Charges,816.42,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,886.79,92,,Percent of Total Billed Charges,781.72,,886.79,92,,Percent of Total Billed Charges,717.14,,886.79,92,,Percent of Total Billed Charges,754.73,,886.79,92,,Percent of Total Billed Charges,781.72,,751.84,78,,Percent of Total Billed Charges,751.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,518.87,53.83,,Percent of Total Billed Charges,486.77,,333.89,34.64,,Percent of Total Billed Charges,332.55,,481.76,49.98,,Percent of Total Billed Charges,364.35,,333.89,886.79,,																																							
HC DETECT AGENT NOS DNA QUANT,87799,CPT,,,,BOTH, , ,744.45,625.34,684.89,92,,Percent of Total Billed Charges,622.36,,684.89,92,,Percent of Total Billed Charges,611.19,,684.89,92,,Percent of Total Billed Charges,599.28,,684.89,92,,Percent of Total Billed Charges,621.62,,684.89,92,,Percent of Total Billed Charges,560.57,,684.89,92,,Percent of Total Billed Charges,465.28,,670.01,90,,Percent of Total Billed Charges,371.48,,662.56,89,,Percent of Total Billed Charges,357.34,,613.43,82.4,,Percent of Total Billed Charges,611.94,,620.87,83.4,,Percent of Total Billed Charges,579.18,,620.87,83.4,,Percent of Total Billed Charges,521.86,,620.87,83.4,,Percent of Total Billed Charges,605.98,,670.01,90,,Percent of Total Billed Charges,630.55,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,684.89,92,,Percent of Total Billed Charges,603.75,,684.89,92,,Percent of Total Billed Charges,553.87,,684.89,92,,Percent of Total Billed Charges,582.9,,684.89,92,,Percent of Total Billed Charges,603.75,,580.67,78,,Percent of Total Billed Charges,580.67,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,400.74,53.83,,Percent of Total Billed Charges,375.95,,257.88,34.64,,Percent of Total Billed Charges,256.84,,372.08,49.98,,Percent of Total Billed Charges,281.4,,257.88,684.89,,																																							
HC STREP A ASSAY W/OPTIC,87880,CPT,,,,BOTH, , ,116.55,97.9,107.23,92,,Percent of Total Billed Charges,97.44,,107.23,92,,Percent of Total Billed Charges,95.69,,107.23,92,,Percent of Total Billed Charges,93.82,,107.23,92,,Percent of Total Billed Charges,97.32,,107.23,92,,Percent of Total Billed Charges,87.76,,107.23,92,,Percent of Total Billed Charges,72.84,,104.9,90,,Percent of Total Billed Charges,58.16,,103.73,89,,Percent of Total Billed Charges,55.94,,96.04,82.4,,Percent of Total Billed Charges,95.8,,97.2,83.4,,Percent of Total Billed Charges,90.68,,97.2,83.4,,Percent of Total Billed Charges,81.7,,97.2,83.4,,Percent of Total Billed Charges,94.87,,104.9,90,,Percent of Total Billed Charges,98.72,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,107.23,92,,Percent of Total Billed Charges,94.52,,107.23,92,,Percent of Total Billed Charges,86.71,,107.23,92,,Percent of Total Billed Charges,91.26,,107.23,92,,Percent of Total Billed Charges,94.52,,90.91,78,,Percent of Total Billed Charges,90.91,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,62.74,53.83,,Percent of Total Billed Charges,58.86,,40.37,34.64,,Percent of Total Billed Charges,40.21,,58.25,49.98,,Percent of Total Billed Charges,44.06,,40.37,107.23,,																																							
HC GENOTYPE DNA HIV REVERSE T,87901,CPT,,,,BOTH, , ,1544.55,1297.42,1420.99,92,,Percent of Total Billed Charges,1291.24,,1420.99,92,,Percent of Total Billed Charges,1268.08,,1420.99,92,,Percent of Total Billed Charges,1243.36,,1420.99,92,,Percent of Total Billed Charges,1289.7,,1420.99,92,,Percent of Total Billed Charges,1163.05,,1420.99,92,,Percent of Total Billed Charges,965.34,,1390.1,90,,Percent of Total Billed Charges,770.73,,1374.65,89,,Percent of Total Billed Charges,741.38,,1272.71,82.4,,Percent of Total Billed Charges,1269.62,,1288.15,83.4,,Percent of Total Billed Charges,1201.66,,1288.15,83.4,,Percent of Total Billed Charges,1082.73,,1288.15,83.4,,Percent of Total Billed Charges,1257.26,,1390.1,90,,Percent of Total Billed Charges,1308.23,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1420.99,92,,Percent of Total Billed Charges,1252.63,,1420.99,92,,Percent of Total Billed Charges,1149.15,,1420.99,92,,Percent of Total Billed Charges,1209.38,,1420.99,92,,Percent of Total Billed Charges,1252.63,,1204.75,78,,Percent of Total Billed Charges,1204.75,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,831.43,53.83,,Percent of Total Billed Charges,780,,535.03,34.64,,Percent of Total Billed Charges,532.87,,771.97,49.98,,Percent of Total Billed Charges,583.84,,535.03,1420.99,,																																							
HC GENOTYPE DNA/RNA HEP C,87902,CPT,,,,BOTH, , ,1544.55,1297.42,1420.99,92,,Percent of Total Billed Charges,1291.24,,1420.99,92,,Percent of Total Billed Charges,1268.08,,1420.99,92,,Percent of Total Billed Charges,1243.36,,1420.99,92,,Percent of Total Billed Charges,1289.7,,1420.99,92,,Percent of Total Billed Charges,1163.05,,1420.99,92,,Percent of Total Billed Charges,965.34,,1390.1,90,,Percent of Total Billed Charges,770.73,,1374.65,89,,Percent of Total Billed Charges,741.38,,1272.71,82.4,,Percent of Total Billed Charges,1269.62,,1288.15,83.4,,Percent of Total Billed Charges,1201.66,,1288.15,83.4,,Percent of Total Billed Charges,1082.73,,1288.15,83.4,,Percent of Total Billed Charges,1257.26,,1390.1,90,,Percent of Total Billed Charges,1308.23,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1420.99,92,,Percent of Total Billed Charges,1252.63,,1420.99,92,,Percent of Total Billed Charges,1149.15,,1420.99,92,,Percent of Total Billed Charges,1209.38,,1420.99,92,,Percent of Total Billed Charges,1252.63,,1204.75,78,,Percent of Total Billed Charges,1204.75,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,831.43,53.83,,Percent of Total Billed Charges,780,,535.03,34.64,,Percent of Total Billed Charges,532.87,,771.97,49.98,,Percent of Total Billed Charges,583.84,,535.03,1420.99,,																																							
HC PHENOTYPE DNA HIV W/CULTURE,87903,CPT,,,,BOTH, , ,1651.65,1387.39,1519.52,92,,Percent of Total Billed Charges,1380.78,,1519.52,92,,Percent of Total Billed Charges,1356,,1519.52,92,,Percent of Total Billed Charges,1329.58,,1519.52,92,,Percent of Total Billed Charges,1379.13,,1519.52,92,,Percent of Total Billed Charges,1243.69,,1519.52,92,,Percent of Total Billed Charges,1032.28,,1486.49,90,,Percent of Total Billed Charges,824.17,,1469.97,89,,Percent of Total Billed Charges,792.79,,1360.96,82.4,,Percent of Total Billed Charges,1357.66,,1377.48,83.4,,Percent of Total Billed Charges,1284.98,,1377.48,83.4,,Percent of Total Billed Charges,1157.81,,1377.48,83.4,,Percent of Total Billed Charges,1344.44,,1486.49,90,,Percent of Total Billed Charges,1398.95,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1519.52,92,,Percent of Total Billed Charges,1339.49,,1519.52,92,,Percent of Total Billed Charges,1228.83,,1519.52,92,,Percent of Total Billed Charges,1293.24,,1519.52,92,,Percent of Total Billed Charges,1339.49,,1288.29,78,,Percent of Total Billed Charges,1288.29,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,889.08,53.83,,Percent of Total Billed Charges,834.08,,572.13,34.64,,Percent of Total Billed Charges,569.82,,825.49,49.98,,Percent of Total Billed Charges,624.32,,572.13,1519.52,,																																							
HC PHENOTYPE DNA HIV W/CLT ADD,87904,CPT,,,,BOTH, , ,348.6,292.82,320.71,92,,Percent of Total Billed Charges,291.43,,320.71,92,,Percent of Total Billed Charges,286.2,,320.71,92,,Percent of Total Billed Charges,280.62,,320.71,92,,Percent of Total Billed Charges,291.08,,320.71,92,,Percent of Total Billed Charges,262.5,,320.71,92,,Percent of Total Billed Charges,217.88,,313.74,90,,Percent of Total Billed Charges,173.95,,310.25,89,,Percent of Total Billed Charges,167.33,,287.25,82.4,,Percent of Total Billed Charges,286.55,,290.73,83.4,,Percent of Total Billed Charges,271.21,,290.73,83.4,,Percent of Total Billed Charges,244.37,,290.73,83.4,,Percent of Total Billed Charges,283.76,,313.74,90,,Percent of Total Billed Charges,295.26,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,320.71,92,,Percent of Total Billed Charges,282.71,,320.71,92,,Percent of Total Billed Charges,259.36,,320.71,92,,Percent of Total Billed Charges,272.95,,320.71,92,,Percent of Total Billed Charges,282.71,,271.91,78,,Percent of Total Billed Charges,271.91,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,187.65,53.83,,Percent of Total Billed Charges,176.04,,120.76,34.64,,Percent of Total Billed Charges,120.27,,174.23,49.98,,Percent of Total Billed Charges,131.77,,120.76,320.71,,																																							
HC GENOTYPE DNA HEPATITIS B,87912,CPT,,,,BOTH, , ,1292.55,1085.74,1189.15,92,,Percent of Total Billed Charges,1080.57,,1189.15,92,,Percent of Total Billed Charges,1061.18,,1189.15,92,,Percent of Total Billed Charges,1040.5,,1189.15,92,,Percent of Total Billed Charges,1079.28,,1189.15,92,,Percent of Total Billed Charges,973.29,,1189.15,92,,Percent of Total Billed Charges,807.84,,1163.3,90,,Percent of Total Billed Charges,644.98,,1150.37,89,,Percent of Total Billed Charges,620.42,,1065.06,82.4,,Percent of Total Billed Charges,1062.48,,1077.99,83.4,,Percent of Total Billed Charges,1005.6,,1077.99,83.4,,Percent of Total Billed Charges,906.08,,1077.99,83.4,,Percent of Total Billed Charges,1052.14,,1163.3,90,,Percent of Total Billed Charges,1094.79,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1189.15,92,,Percent of Total Billed Charges,1048.26,,1189.15,92,,Percent of Total Billed Charges,961.66,,1189.15,92,,Percent of Total Billed Charges,1012.07,,1189.15,92,,Percent of Total Billed Charges,1048.26,,1008.19,78,,Percent of Total Billed Charges,1008.19,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,695.78,53.83,,Percent of Total Billed Charges,652.74,,447.74,34.64,,Percent of Total Billed Charges,445.93,,646.02,49.98,,Percent of Total Billed Charges,488.58,,447.74,1189.15,,																																							
HC CYTOPATH FL NONGYN SMEARS,88104,CPT,,,,BOTH, , ,161.7,135.83,148.76,92,,Percent of Total Billed Charges,135.18,,148.76,92,,Percent of Total Billed Charges,132.76,,148.76,92,,Percent of Total Billed Charges,130.17,,148.76,92,,Percent of Total Billed Charges,135.02,,148.76,92,,Percent of Total Billed Charges,121.76,,148.76,92,,Percent of Total Billed Charges,101.06,,145.53,90,,Percent of Total Billed Charges,80.69,,143.91,89,,Percent of Total Billed Charges,77.62,,133.24,82.4,,Percent of Total Billed Charges,132.92,,134.86,83.4,,Percent of Total Billed Charges,125.8,,134.86,83.4,,Percent of Total Billed Charges,113.35,,134.86,83.4,,Percent of Total Billed Charges,131.62,,145.53,90,,Percent of Total Billed Charges,136.96,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,148.76,92,,Percent of Total Billed Charges,131.14,,148.76,92,,Percent of Total Billed Charges,120.3,,148.76,92,,Percent of Total Billed Charges,126.61,,148.76,92,,Percent of Total Billed Charges,131.14,,126.13,78,,Percent of Total Billed Charges,126.13,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,87.04,53.83,,Percent of Total Billed Charges,81.66,,56.01,34.64,,Percent of Total Billed Charges,55.79,,80.82,49.98,,Percent of Total Billed Charges,61.12,,56.01,148.76,,																																							
HC CYTOPATH C/V THIN LAYER,88142,CPT,,,,BOTH, , ,200.55,168.46,184.51,92,,Percent of Total Billed Charges,167.66,,184.51,92,,Percent of Total Billed Charges,164.65,,184.51,92,,Percent of Total Billed Charges,161.44,,184.51,92,,Percent of Total Billed Charges,167.46,,184.51,92,,Percent of Total Billed Charges,151.01,,184.51,92,,Percent of Total Billed Charges,125.34,,180.5,90,,Percent of Total Billed Charges,100.07,,178.49,89,,Percent of Total Billed Charges,96.26,,165.25,82.4,,Percent of Total Billed Charges,164.85,,167.26,83.4,,Percent of Total Billed Charges,156.03,,167.26,83.4,,Percent of Total Billed Charges,140.59,,167.26,83.4,,Percent of Total Billed Charges,163.25,,180.5,90,,Percent of Total Billed Charges,169.87,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,184.51,92,,Percent of Total Billed Charges,162.65,,184.51,92,,Percent of Total Billed Charges,149.21,,184.51,92,,Percent of Total Billed Charges,157.03,,184.51,92,,Percent of Total Billed Charges,162.65,,156.43,78,,Percent of Total Billed Charges,156.43,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,107.96,53.83,,Percent of Total Billed Charges,101.28,,69.47,34.64,,Percent of Total Billed Charges,69.19,,100.23,49.98,,Percent of Total Billed Charges,75.81,,69.47,184.51,,																																							
HC CYTOPATH C/V INDEX ADDON,88155,CPT,,,,BOTH, , ,36.75,30.87,33.81,92,,Percent of Total Billed Charges,30.72,,33.81,92,,Percent of Total Billed Charges,30.17,,33.81,92,,Percent of Total Billed Charges,29.58,,33.81,92,,Percent of Total Billed Charges,30.69,,33.81,92,,Percent of Total Billed Charges,27.67,,33.81,92,,Percent of Total Billed Charges,22.97,,33.08,90,,Percent of Total Billed Charges,18.34,,32.71,89,,Percent of Total Billed Charges,17.64,,30.28,82.4,,Percent of Total Billed Charges,30.21,,30.65,83.4,,Percent of Total Billed Charges,28.59,,30.65,83.4,,Percent of Total Billed Charges,25.76,,30.65,83.4,,Percent of Total Billed Charges,29.91,,33.08,90,,Percent of Total Billed Charges,31.13,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,33.81,92,,Percent of Total Billed Charges,29.8,,33.81,92,,Percent of Total Billed Charges,27.34,,33.81,92,,Percent of Total Billed Charges,28.78,,33.81,92,,Percent of Total Billed Charges,29.8,,28.67,78,,Percent of Total Billed Charges,28.67,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,19.78,53.83,,Percent of Total Billed Charges,18.56,,12.73,34.64,,Percent of Total Billed Charges,12.68,,18.37,49.98,,Percent of Total Billed Charges,13.89,,12.73,33.81,,																																							
HC CYTOPATH SMEAR OTHER SOURCE,88160,CPT,,,,BOTH, , ,19.95,16.76,18.35,92,,Percent of Total Billed Charges,16.68,,18.35,92,,Percent of Total Billed Charges,16.38,,18.35,92,,Percent of Total Billed Charges,16.06,,18.35,92,,Percent of Total Billed Charges,16.66,,18.35,92,,Percent of Total Billed Charges,15.02,,18.35,92,,Percent of Total Billed Charges,12.47,,17.96,90,,Percent of Total Billed Charges,9.96,,17.76,89,,Percent of Total Billed Charges,9.58,,16.44,82.4,,Percent of Total Billed Charges,16.4,,16.64,83.4,,Percent of Total Billed Charges,15.52,,16.64,83.4,,Percent of Total Billed Charges,13.98,,16.64,83.4,,Percent of Total Billed Charges,16.24,,17.96,90,,Percent of Total Billed Charges,16.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,18.35,92,,Percent of Total Billed Charges,16.18,,18.35,92,,Percent of Total Billed Charges,14.84,,18.35,92,,Percent of Total Billed Charges,15.62,,18.35,92,,Percent of Total Billed Charges,16.18,,15.56,78,,Percent of Total Billed Charges,15.56,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,10.74,53.83,,Percent of Total Billed Charges,10.07,,6.91,34.64,,Percent of Total Billed Charges,6.88,,9.97,49.98,,Percent of Total Billed Charges,7.54,,6.91,18.35,,																																							
HC CYTOPATH SMEAR OTHER SOURCE; PREPARATION,88161,CPT,,,,BOTH, , ,232.05,194.92,213.49,92,,Percent of Total Billed Charges,193.99,,213.49,92,,Percent of Total Billed Charges,190.51,,213.49,92,,Percent of Total Billed Charges,186.8,,213.49,92,,Percent of Total Billed Charges,193.76,,213.49,92,,Percent of Total Billed Charges,174.73,,213.49,92,,Percent of Total Billed Charges,145.03,,208.85,90,,Percent of Total Billed Charges,115.79,,206.52,89,,Percent of Total Billed Charges,111.38,,191.21,82.4,,Percent of Total Billed Charges,190.75,,193.53,83.4,,Percent of Total Billed Charges,180.53,,193.53,83.4,,Percent of Total Billed Charges,162.67,,193.53,83.4,,Percent of Total Billed Charges,188.89,,208.85,90,,Percent of Total Billed Charges,196.55,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,213.49,92,,Percent of Total Billed Charges,188.19,,213.49,92,,Percent of Total Billed Charges,172.65,,213.49,92,,Percent of Total Billed Charges,181.7,,213.49,92,,Percent of Total Billed Charges,188.19,,181,78,,Percent of Total Billed Charges,181,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,124.91,53.83,,Percent of Total Billed Charges,117.19,,80.38,34.64,,Percent of Total Billed Charges,80.06,,115.98,49.98,,Percent of Total Billed Charges,87.71,,80.38,213.49,,																																							
HC CYTOPATH SMEAR OTHER SOURCE; EXTENDED,88162,CPT,,,,BOTH, , ,245.7,206.39,226.04,92,,Percent of Total Billed Charges,205.41,,226.04,92,,Percent of Total Billed Charges,201.72,,226.04,92,,Percent of Total Billed Charges,197.79,,226.04,92,,Percent of Total Billed Charges,205.16,,226.04,92,,Percent of Total Billed Charges,185.01,,226.04,92,,Percent of Total Billed Charges,153.56,,221.13,90,,Percent of Total Billed Charges,122.6,,218.67,89,,Percent of Total Billed Charges,117.94,,202.46,82.4,,Percent of Total Billed Charges,201.97,,204.91,83.4,,Percent of Total Billed Charges,191.15,,204.91,83.4,,Percent of Total Billed Charges,172.24,,204.91,83.4,,Percent of Total Billed Charges,200,,221.13,90,,Percent of Total Billed Charges,208.11,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,226.04,92,,Percent of Total Billed Charges,199.26,,226.04,92,,Percent of Total Billed Charges,182.8,,226.04,92,,Percent of Total Billed Charges,192.38,,226.04,92,,Percent of Total Billed Charges,199.26,,191.65,78,,Percent of Total Billed Charges,191.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,132.26,53.83,,Percent of Total Billed Charges,124.08,,85.11,34.64,,Percent of Total Billed Charges,84.77,,122.8,49.98,,Percent of Total Billed Charges,92.87,,85.11,226.04,,																																							
HC CYTOPATH TBS C/V MANUAL,88164,CPT,,,,BOTH, , ,128.1,107.6,117.85,92,,Percent of Total Billed Charges,107.09,,117.85,92,,Percent of Total Billed Charges,105.17,,117.85,92,,Percent of Total Billed Charges,103.12,,117.85,92,,Percent of Total Billed Charges,106.96,,117.85,92,,Percent of Total Billed Charges,96.46,,117.85,92,,Percent of Total Billed Charges,80.06,,115.29,90,,Percent of Total Billed Charges,63.92,,114.01,89,,Percent of Total Billed Charges,61.49,,105.55,82.4,,Percent of Total Billed Charges,105.3,,106.84,83.4,,Percent of Total Billed Charges,99.66,,106.84,83.4,,Percent of Total Billed Charges,89.8,,106.84,83.4,,Percent of Total Billed Charges,104.27,,115.29,90,,Percent of Total Billed Charges,108.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,117.85,92,,Percent of Total Billed Charges,103.89,,117.85,92,,Percent of Total Billed Charges,95.31,,117.85,92,,Percent of Total Billed Charges,100.3,,117.85,92,,Percent of Total Billed Charges,103.89,,99.92,78,,Percent of Total Billed Charges,99.92,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,68.96,53.83,,Percent of Total Billed Charges,64.69,,44.37,34.64,,Percent of Total Billed Charges,44.19,,64.02,49.98,,Percent of Total Billed Charges,48.42,,44.37,117.85,,																																							
HC CYTP DX EVAL FNA 1ST EA SITE,88172,CPT,,,,BOTH, , ,328.65,276.07,302.36,92,,Percent of Total Billed Charges,274.75,,302.36,92,,Percent of Total Billed Charges,269.82,,302.36,92,,Percent of Total Billed Charges,264.56,,302.36,92,,Percent of Total Billed Charges,274.42,,302.36,92,,Percent of Total Billed Charges,247.47,,302.36,92,,Percent of Total Billed Charges,205.41,,295.79,90,,Percent of Total Billed Charges,164,,292.5,89,,Percent of Total Billed Charges,157.75,,270.81,82.4,,Percent of Total Billed Charges,270.15,,274.09,83.4,,Percent of Total Billed Charges,255.69,,274.09,83.4,,Percent of Total Billed Charges,230.38,,274.09,83.4,,Percent of Total Billed Charges,267.52,,295.79,90,,Percent of Total Billed Charges,278.37,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,302.36,92,,Percent of Total Billed Charges,266.54,,302.36,92,,Percent of Total Billed Charges,244.52,,302.36,92,,Percent of Total Billed Charges,257.33,,302.36,92,,Percent of Total Billed Charges,266.54,,256.35,78,,Percent of Total Billed Charges,256.35,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,176.91,53.83,,Percent of Total Billed Charges,165.97,,113.84,34.64,,Percent of Total Billed Charges,113.38,,164.26,49.98,,Percent of Total Billed Charges,124.23,,113.84,302.36,,																																							
HC FLOW CYTOMETRY; CELL CYCLE OR DNA ANALYSIS,88182,CPT,,,,BOTH, , ,488.25,410.13,449.19,92,,Percent of Total Billed Charges,408.18,,449.19,92,,Percent of Total Billed Charges,400.85,,449.19,92,,Percent of Total Billed Charges,393.04,,449.19,92,,Percent of Total Billed Charges,407.69,,449.19,92,,Percent of Total Billed Charges,367.65,,449.19,92,,Percent of Total Billed Charges,305.16,,439.43,90,,Percent of Total Billed Charges,243.64,,434.54,89,,Percent of Total Billed Charges,234.36,,402.32,82.4,,Percent of Total Billed Charges,401.34,,407.2,83.4,,Percent of Total Billed Charges,379.86,,407.2,83.4,,Percent of Total Billed Charges,342.26,,407.2,83.4,,Percent of Total Billed Charges,397.44,,439.43,90,,Percent of Total Billed Charges,413.55,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,449.19,92,,Percent of Total Billed Charges,395.97,,449.19,92,,Percent of Total Billed Charges,363.26,,449.19,92,,Percent of Total Billed Charges,382.3,,449.19,92,,Percent of Total Billed Charges,395.97,,380.84,78,,Percent of Total Billed Charges,380.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,262.82,53.83,,Percent of Total Billed Charges,246.57,,169.13,34.64,,Percent of Total Billed Charges,168.45,,244.03,49.98,,Percent of Total Billed Charges,184.56,,169.13,449.19,,																																							
HC FLOWCYTOMETRY/ TC 1 MARKER,88184,CPT,,,,BOTH, , ,858.9,721.48,790.19,92,,Percent of Total Billed Charges,718.04,,790.19,92,,Percent of Total Billed Charges,705.16,,790.19,92,,Percent of Total Billed Charges,691.41,,790.19,92,,Percent of Total Billed Charges,717.18,,790.19,92,,Percent of Total Billed Charges,646.75,,790.19,92,,Percent of Total Billed Charges,536.81,,773.01,90,,Percent of Total Billed Charges,428.59,,764.42,89,,Percent of Total Billed Charges,412.27,,707.73,82.4,,Percent of Total Billed Charges,706.02,,716.32,83.4,,Percent of Total Billed Charges,668.22,,716.32,83.4,,Percent of Total Billed Charges,602.09,,716.32,83.4,,Percent of Total Billed Charges,699.14,,773.01,90,,Percent of Total Billed Charges,727.49,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,790.19,92,,Percent of Total Billed Charges,696.57,,790.19,92,,Percent of Total Billed Charges,639.02,,790.19,92,,Percent of Total Billed Charges,672.52,,790.19,92,,Percent of Total Billed Charges,696.57,,669.94,78,,Percent of Total Billed Charges,669.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,462.35,53.83,,Percent of Total Billed Charges,433.74,,297.52,34.64,,Percent of Total Billed Charges,296.32,,429.28,49.98,,Percent of Total Billed Charges,324.66,,297.52,790.19,,																																							
HC FLOWCYTOMETRY/ TC ADD ON,88185,CPT,,,,BOTH, , ,26.25,22.05,24.15,92,,Percent of Total Billed Charges,21.95,,24.15,92,,Percent of Total Billed Charges,21.55,,24.15,92,,Percent of Total Billed Charges,21.13,,24.15,92,,Percent of Total Billed Charges,21.92,,24.15,92,,Percent of Total Billed Charges,19.77,,24.15,92,,Percent of Total Billed Charges,16.41,,23.63,90,,Percent of Total Billed Charges,13.1,,23.36,89,,Percent of Total Billed Charges,12.6,,21.63,82.4,,Percent of Total Billed Charges,21.58,,21.89,83.4,,Percent of Total Billed Charges,20.42,,21.89,83.4,,Percent of Total Billed Charges,18.4,,21.89,83.4,,Percent of Total Billed Charges,21.37,,23.63,90,,Percent of Total Billed Charges,22.23,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,24.15,92,,Percent of Total Billed Charges,21.29,,24.15,92,,Percent of Total Billed Charges,19.53,,24.15,92,,Percent of Total Billed Charges,20.55,,24.15,92,,Percent of Total Billed Charges,21.29,,20.48,78,,Percent of Total Billed Charges,20.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,14.13,53.83,,Percent of Total Billed Charges,13.26,,9.09,34.64,,Percent of Total Billed Charges,9.06,,13.12,49.98,,Percent of Total Billed Charges,9.92,,9.09,24.15,,																																							
HC FLOWCYTOMETRY/READ 28,88187,CPT,,,,BOTH, , ,37.8,31.75,34.78,92,,Percent of Total Billed Charges,31.6,,34.78,92,,Percent of Total Billed Charges,31.03,,34.78,92,,Percent of Total Billed Charges,30.43,,34.78,92,,Percent of Total Billed Charges,31.56,,34.78,92,,Percent of Total Billed Charges,28.46,,34.78,92,,Percent of Total Billed Charges,23.63,,34.02,90,,Percent of Total Billed Charges,18.86,,33.64,89,,Percent of Total Billed Charges,18.14,,31.15,82.4,,Percent of Total Billed Charges,31.07,,31.53,83.4,,Percent of Total Billed Charges,29.41,,31.53,83.4,,Percent of Total Billed Charges,26.5,,31.53,83.4,,Percent of Total Billed Charges,30.77,,34.02,90,,Percent of Total Billed Charges,32.02,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,34.78,92,,Percent of Total Billed Charges,30.66,,34.78,92,,Percent of Total Billed Charges,28.12,,34.78,92,,Percent of Total Billed Charges,29.6,,34.78,92,,Percent of Total Billed Charges,30.66,,29.48,78,,Percent of Total Billed Charges,29.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,20.35,53.83,,Percent of Total Billed Charges,19.09,,13.09,34.64,,Percent of Total Billed Charges,13.04,,18.89,49.98,,Percent of Total Billed Charges,14.29,,13.09,34.78,,																																							
HC FLOWCYTOMETRY/READ 915,88188,CPT,,,,BOTH, , ,1374.45,1154.54,1264.49,92,,Percent of Total Billed Charges,1149.04,,1264.49,92,,Percent of Total Billed Charges,1128.42,,1264.49,92,,Percent of Total Billed Charges,1106.43,,1264.49,92,,Percent of Total Billed Charges,1147.67,,1264.49,92,,Percent of Total Billed Charges,1034.96,,1264.49,92,,Percent of Total Billed Charges,859.03,,1237.01,90,,Percent of Total Billed Charges,685.85,,1223.26,89,,Percent of Total Billed Charges,659.74,,1132.55,82.4,,Percent of Total Billed Charges,1129.8,,1146.29,83.4,,Percent of Total Billed Charges,1069.32,,1146.29,83.4,,Percent of Total Billed Charges,963.49,,1146.29,83.4,,Percent of Total Billed Charges,1118.8,,1237.01,90,,Percent of Total Billed Charges,1164.16,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1264.49,92,,Percent of Total Billed Charges,1114.68,,1264.49,92,,Percent of Total Billed Charges,1022.59,,1264.49,92,,Percent of Total Billed Charges,1076.19,,1264.49,92,,Percent of Total Billed Charges,1114.68,,1072.07,78,,Percent of Total Billed Charges,1072.07,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,739.87,53.83,,Percent of Total Billed Charges,694.1,,476.11,34.64,,Percent of Total Billed Charges,474.19,,686.95,49.98,,Percent of Total Billed Charges,519.54,,476.11,1264.49,,																																							
HC TISSUE CULTURE BONE MARROW,88237,CPT,,,,BOTH, , ,515.55,433.06,474.31,92,,Percent of Total Billed Charges,431,,474.31,92,,Percent of Total Billed Charges,423.27,,474.31,92,,Percent of Total Billed Charges,415.02,,474.31,92,,Percent of Total Billed Charges,430.48,,474.31,92,,Percent of Total Billed Charges,388.21,,474.31,92,,Percent of Total Billed Charges,322.22,,464,90,,Percent of Total Billed Charges,257.26,,458.84,89,,Percent of Total Billed Charges,247.46,,424.81,82.4,,Percent of Total Billed Charges,423.78,,429.97,83.4,,Percent of Total Billed Charges,401.1,,429.97,83.4,,Percent of Total Billed Charges,361.4,,429.97,83.4,,Percent of Total Billed Charges,419.66,,464,90,,Percent of Total Billed Charges,436.67,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,474.31,92,,Percent of Total Billed Charges,418.11,,474.31,92,,Percent of Total Billed Charges,383.57,,474.31,92,,Percent of Total Billed Charges,403.68,,474.31,92,,Percent of Total Billed Charges,418.11,,402.13,78,,Percent of Total Billed Charges,402.13,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,277.52,53.83,,Percent of Total Billed Charges,260.35,,178.59,34.64,,Percent of Total Billed Charges,177.86,,257.67,49.98,,Percent of Total Billed Charges,194.88,,178.59,474.31,,																																							
HC CHROMOSOME ANALYSIS 2025,88264,CPT,,,,BOTH, , ,509.25,427.77,468.51,92,,Percent of Total Billed Charges,425.73,,468.51,92,,Percent of Total Billed Charges,418.09,,468.51,92,,Percent of Total Billed Charges,409.95,,468.51,92,,Percent of Total Billed Charges,425.22,,468.51,92,,Percent of Total Billed Charges,383.47,,468.51,92,,Percent of Total Billed Charges,318.28,,458.33,90,,Percent of Total Billed Charges,254.12,,453.23,89,,Percent of Total Billed Charges,244.44,,419.62,82.4,,Percent of Total Billed Charges,418.6,,424.71,83.4,,Percent of Total Billed Charges,396.2,,424.71,83.4,,Percent of Total Billed Charges,356.98,,424.71,83.4,,Percent of Total Billed Charges,414.53,,458.33,90,,Percent of Total Billed Charges,431.33,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,468.51,92,,Percent of Total Billed Charges,413,,468.51,92,,Percent of Total Billed Charges,378.88,,468.51,92,,Percent of Total Billed Charges,398.74,,468.51,92,,Percent of Total Billed Charges,413,,397.22,78,,Percent of Total Billed Charges,397.22,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,274.13,53.83,,Percent of Total Billed Charges,257.17,,176.4,34.64,,Percent of Total Billed Charges,175.69,,254.52,49.98,,Percent of Total Billed Charges,192.5,,176.40,468.51,,																																							
HC CYTOGENETICS DNA PROBE,88271,CPT,,,,BOTH, , ,22.05,18.52,20.29,92,,Percent of Total Billed Charges,18.43,,20.29,92,,Percent of Total Billed Charges,18.1,,20.29,92,,Percent of Total Billed Charges,17.75,,20.29,92,,Percent of Total Billed Charges,18.41,,20.29,92,,Percent of Total Billed Charges,16.6,,20.29,92,,Percent of Total Billed Charges,13.78,,19.85,90,,Percent of Total Billed Charges,11,,19.62,89,,Percent of Total Billed Charges,10.58,,18.17,82.4,,Percent of Total Billed Charges,18.13,,18.39,83.4,,Percent of Total Billed Charges,17.15,,18.39,83.4,,Percent of Total Billed Charges,15.46,,18.39,83.4,,Percent of Total Billed Charges,17.95,,19.85,90,,Percent of Total Billed Charges,18.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,20.29,92,,Percent of Total Billed Charges,17.88,,20.29,92,,Percent of Total Billed Charges,16.41,,20.29,92,,Percent of Total Billed Charges,17.27,,20.29,92,,Percent of Total Billed Charges,17.88,,17.2,78,,Percent of Total Billed Charges,17.2,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,11.87,53.83,,Percent of Total Billed Charges,11.14,,7.64,34.64,,Percent of Total Billed Charges,7.61,,11.02,49.98,,Percent of Total Billed Charges,8.33,,7.64,20.29,,																																							
HC CYTOGENETICS 2599,88274,CPT,,,,BOTH, , ,246.75,207.27,227.01,92,,Percent of Total Billed Charges,206.28,,227.01,92,,Percent of Total Billed Charges,202.58,,227.01,92,,Percent of Total Billed Charges,198.63,,227.01,92,,Percent of Total Billed Charges,206.04,,227.01,92,,Percent of Total Billed Charges,185.8,,227.01,92,,Percent of Total Billed Charges,154.22,,222.08,90,,Percent of Total Billed Charges,123.13,,219.61,89,,Percent of Total Billed Charges,118.44,,203.32,82.4,,Percent of Total Billed Charges,202.83,,205.79,83.4,,Percent of Total Billed Charges,191.97,,205.79,83.4,,Percent of Total Billed Charges,172.97,,205.79,83.4,,Percent of Total Billed Charges,200.85,,222.08,90,,Percent of Total Billed Charges,209,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,227.01,92,,Percent of Total Billed Charges,200.11,,227.01,92,,Percent of Total Billed Charges,183.58,,227.01,92,,Percent of Total Billed Charges,193.21,,227.01,92,,Percent of Total Billed Charges,200.11,,192.47,78,,Percent of Total Billed Charges,192.47,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,132.83,53.83,,Percent of Total Billed Charges,124.61,,85.47,34.64,,Percent of Total Billed Charges,85.13,,123.33,49.98,,Percent of Total Billed Charges,93.27,,85.47,227.01,,																																							
HC CYTOGENETICS 100300,88275,CPT,,,,BOTH, , ,284.55,239.02,261.79,92,,Percent of Total Billed Charges,237.88,,261.79,92,,Percent of Total Billed Charges,233.62,,261.79,92,,Percent of Total Billed Charges,229.06,,261.79,92,,Percent of Total Billed Charges,237.6,,261.79,92,,Percent of Total Billed Charges,214.27,,261.79,92,,Percent of Total Billed Charges,177.84,,256.1,90,,Percent of Total Billed Charges,141.99,,253.25,89,,Percent of Total Billed Charges,136.58,,234.47,82.4,,Percent of Total Billed Charges,233.9,,237.31,83.4,,Percent of Total Billed Charges,221.38,,237.31,83.4,,Percent of Total Billed Charges,199.47,,237.31,83.4,,Percent of Total Billed Charges,231.62,,256.1,90,,Percent of Total Billed Charges,241.01,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,261.79,92,,Percent of Total Billed Charges,230.77,,261.79,92,,Percent of Total Billed Charges,211.71,,261.79,92,,Percent of Total Billed Charges,222.8,,261.79,92,,Percent of Total Billed Charges,230.77,,221.95,78,,Percent of Total Billed Charges,221.95,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,153.17,53.83,,Percent of Total Billed Charges,143.7,,98.57,34.64,,Percent of Total Billed Charges,98.17,,142.22,49.98,,Percent of Total Billed Charges,107.56,,98.57,261.79,,																																							
HC CHROMOSOME KARYOTYPE STUDY,88280,CPT,,,,BOTH, , ,10.5,8.82,9.66,92,,Percent of Total Billed Charges,8.78,,9.66,92,,Percent of Total Billed Charges,8.62,,9.66,92,,Percent of Total Billed Charges,8.45,,9.66,92,,Percent of Total Billed Charges,8.77,,9.66,92,,Percent of Total Billed Charges,7.91,,9.66,92,,Percent of Total Billed Charges,6.56,,9.45,90,,Percent of Total Billed Charges,5.24,,9.35,89,,Percent of Total Billed Charges,5.04,,8.65,82.4,,Percent of Total Billed Charges,8.63,,8.76,83.4,,Percent of Total Billed Charges,8.17,,8.76,83.4,,Percent of Total Billed Charges,7.36,,8.76,83.4,,Percent of Total Billed Charges,8.55,,9.45,90,,Percent of Total Billed Charges,8.89,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,9.66,92,,Percent of Total Billed Charges,8.52,,9.66,92,,Percent of Total Billed Charges,7.81,,9.66,92,,Percent of Total Billed Charges,8.22,,9.66,92,,Percent of Total Billed Charges,8.52,,8.19,78,,Percent of Total Billed Charges,8.19,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5.65,53.83,,Percent of Total Billed Charges,5.3,,3.64,34.64,,Percent of Total Billed Charges,3.62,,5.25,49.98,,Percent of Total Billed Charges,3.97,,3.64,9.66,,																																							
HC HISTOCHEMICAL STAINS ADDON,88314,CPT,,,,BOTH, , ,355.95,299,327.47,92,,Percent of Total Billed Charges,297.57,,327.47,92,,Percent of Total Billed Charges,292.23,,327.47,92,,Percent of Total Billed Charges,286.54,,327.47,92,,Percent of Total Billed Charges,297.22,,327.47,92,,Percent of Total Billed Charges,268.03,,327.47,92,,Percent of Total Billed Charges,222.47,,320.36,90,,Percent of Total Billed Charges,177.62,,316.8,89,,Percent of Total Billed Charges,170.86,,293.3,82.4,,Percent of Total Billed Charges,292.59,,296.86,83.4,,Percent of Total Billed Charges,276.93,,296.86,83.4,,Percent of Total Billed Charges,249.52,,296.86,83.4,,Percent of Total Billed Charges,289.74,,320.36,90,,Percent of Total Billed Charges,301.49,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,327.47,92,,Percent of Total Billed Charges,288.68,,327.47,92,,Percent of Total Billed Charges,264.83,,327.47,92,,Percent of Total Billed Charges,278.71,,327.47,92,,Percent of Total Billed Charges,288.68,,277.64,78,,Percent of Total Billed Charges,277.64,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,191.61,53.83,,Percent of Total Billed Charges,179.75,,123.3,34.64,,Percent of Total Billed Charges,122.8,,177.9,49.98,,Percent of Total Billed Charges,134.55,,123.30,327.47,,																																							
HC CONSULT REFERRED SLIDES,88321,CPT,,,,BOTH, , ,445.2,373.97,409.58,92,,Percent of Total Billed Charges,372.19,,409.58,92,,Percent of Total Billed Charges,365.51,,409.58,92,,Percent of Total Billed Charges,358.39,,409.58,92,,Percent of Total Billed Charges,371.74,,409.58,92,,Percent of Total Billed Charges,335.24,,409.58,92,,Percent of Total Billed Charges,278.25,,400.68,90,,Percent of Total Billed Charges,222.15,,396.23,89,,Percent of Total Billed Charges,213.7,,366.84,82.4,,Percent of Total Billed Charges,365.95,,371.3,83.4,,Percent of Total Billed Charges,346.37,,371.3,83.4,,Percent of Total Billed Charges,312.09,,371.3,83.4,,Percent of Total Billed Charges,362.39,,400.68,90,,Percent of Total Billed Charges,377.08,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,409.58,92,,Percent of Total Billed Charges,361.06,,409.58,92,,Percent of Total Billed Charges,331.23,,409.58,92,,Percent of Total Billed Charges,348.59,,409.58,92,,Percent of Total Billed Charges,361.06,,347.26,78,,Percent of Total Billed Charges,347.26,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,239.65,53.83,,Percent of Total Billed Charges,224.83,,154.22,34.64,,Percent of Total Billed Charges,153.59,,222.51,49.98,,Percent of Total Billed Charges,168.29,,154.22,409.58,,																																							
HC CONSULT & REPORT REFERRED MATTER,88323,CPT,,,,BOTH, , ,400.05,336.04,368.05,92,,Percent of Total Billed Charges,334.44,,368.05,92,,Percent of Total Billed Charges,328.44,,368.05,92,,Percent of Total Billed Charges,322.04,,368.05,92,,Percent of Total Billed Charges,334.04,,368.05,92,,Percent of Total Billed Charges,301.24,,368.05,92,,Percent of Total Billed Charges,250.03,,360.05,90,,Percent of Total Billed Charges,199.62,,356.04,89,,Percent of Total Billed Charges,192.02,,329.64,82.4,,Percent of Total Billed Charges,328.84,,333.64,83.4,,Percent of Total Billed Charges,311.24,,333.64,83.4,,Percent of Total Billed Charges,280.44,,333.64,83.4,,Percent of Total Billed Charges,325.64,,360.05,90,,Percent of Total Billed Charges,338.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,368.05,92,,Percent of Total Billed Charges,324.44,,368.05,92,,Percent of Total Billed Charges,297.64,,368.05,92,,Percent of Total Billed Charges,313.24,,368.05,92,,Percent of Total Billed Charges,324.44,,312.04,78,,Percent of Total Billed Charges,312.04,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,215.35,53.83,,Percent of Total Billed Charges,202.03,,138.58,34.64,,Percent of Total Billed Charges,138.02,,199.94,49.98,,Percent of Total Billed Charges,151.22,,138.58,368.05,,																																							
HC IHC QUAL EACH ADD STAIN,88341,CPT,,,,BOTH, , ,324.45,272.54,298.49,92,,Percent of Total Billed Charges,271.24,,298.49,92,,Percent of Total Billed Charges,266.37,,298.49,92,,Percent of Total Billed Charges,261.18,,298.49,92,,Percent of Total Billed Charges,270.92,,298.49,92,,Percent of Total Billed Charges,244.31,,298.49,92,,Percent of Total Billed Charges,202.78,,292.01,90,,Percent of Total Billed Charges,161.9,,288.76,89,,Percent of Total Billed Charges,155.74,,267.35,82.4,,Percent of Total Billed Charges,266.7,,270.59,83.4,,Percent of Total Billed Charges,252.42,,270.59,83.4,,Percent of Total Billed Charges,227.44,,270.59,83.4,,Percent of Total Billed Charges,264.1,,292.01,90,,Percent of Total Billed Charges,274.81,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,298.49,92,,Percent of Total Billed Charges,263.13,,298.49,92,,Percent of Total Billed Charges,241.39,,298.49,92,,Percent of Total Billed Charges,254.04,,298.49,92,,Percent of Total Billed Charges,263.13,,253.07,78,,Percent of Total Billed Charges,253.07,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,174.65,53.83,,Percent of Total Billed Charges,163.85,,112.39,34.64,,Percent of Total Billed Charges,111.94,,162.16,49.98,,Percent of Total Billed Charges,122.64,,112.39,298.49,,																																							
HC IHC QUAL EA STAIN MULTIPLEX,88344,CPT,,,,BOTH, , ,547.05,459.52,503.29,92,,Percent of Total Billed Charges,457.33,,503.29,92,,Percent of Total Billed Charges,449.13,,503.29,92,,Percent of Total Billed Charges,440.38,,503.29,92,,Percent of Total Billed Charges,456.79,,503.29,92,,Percent of Total Billed Charges,411.93,,503.29,92,,Percent of Total Billed Charges,341.91,,492.35,90,,Percent of Total Billed Charges,272.98,,486.87,89,,Percent of Total Billed Charges,262.58,,450.77,82.4,,Percent of Total Billed Charges,449.68,,456.24,83.4,,Percent of Total Billed Charges,425.6,,456.24,83.4,,Percent of Total Billed Charges,383.48,,456.24,83.4,,Percent of Total Billed Charges,445.3,,492.35,90,,Percent of Total Billed Charges,463.35,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,503.29,92,,Percent of Total Billed Charges,443.66,,503.29,92,,Percent of Total Billed Charges,407.01,,503.29,92,,Percent of Total Billed Charges,428.34,,503.29,92,,Percent of Total Billed Charges,443.66,,426.7,78,,Percent of Total Billed Charges,426.7,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,294.48,53.83,,Percent of Total Billed Charges,276.26,,189.5,34.64,,Percent of Total Billed Charges,188.73,,273.42,49.98,,Percent of Total Billed Charges,206.78,,189.50,503.29,,																																							
HC MORPHOMETRIC ANALYSIS TUMOR,88358,CPT,,,,BOTH, , ,26.25,22.05,24.15,92,,Percent of Total Billed Charges,21.95,,24.15,92,,Percent of Total Billed Charges,21.55,,24.15,92,,Percent of Total Billed Charges,21.13,,24.15,92,,Percent of Total Billed Charges,21.92,,24.15,92,,Percent of Total Billed Charges,19.77,,24.15,92,,Percent of Total Billed Charges,16.41,,23.63,90,,Percent of Total Billed Charges,13.1,,23.36,89,,Percent of Total Billed Charges,12.6,,21.63,82.4,,Percent of Total Billed Charges,21.58,,21.89,83.4,,Percent of Total Billed Charges,20.42,,21.89,83.4,,Percent of Total Billed Charges,18.4,,21.89,83.4,,Percent of Total Billed Charges,21.37,,23.63,90,,Percent of Total Billed Charges,22.23,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,24.15,92,,Percent of Total Billed Charges,21.29,,24.15,92,,Percent of Total Billed Charges,19.53,,24.15,92,,Percent of Total Billed Charges,20.55,,24.15,92,,Percent of Total Billed Charges,21.29,,20.48,78,,Percent of Total Billed Charges,20.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,14.13,53.83,,Percent of Total Billed Charges,13.26,,9.09,34.64,,Percent of Total Billed Charges,9.06,,13.12,49.98,,Percent of Total Billed Charges,9.92,,9.09,24.15,,																																							
HC INSITU HYBRIDIZATION (FISH),88365,CPT,,,,BOTH, , ,416.85,350.15,383.5,92,,Percent of Total Billed Charges,348.49,,383.5,92,,Percent of Total Billed Charges,342.23,,383.5,92,,Percent of Total Billed Charges,335.56,,383.5,92,,Percent of Total Billed Charges,348.07,,383.5,92,,Percent of Total Billed Charges,313.89,,383.5,92,,Percent of Total Billed Charges,260.53,,375.17,90,,Percent of Total Billed Charges,208.01,,371,89,,Percent of Total Billed Charges,200.09,,343.48,82.4,,Percent of Total Billed Charges,342.65,,347.65,83.4,,Percent of Total Billed Charges,324.31,,347.65,83.4,,Percent of Total Billed Charges,292.21,,347.65,83.4,,Percent of Total Billed Charges,339.32,,375.17,90,,Percent of Total Billed Charges,353.07,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,383.5,92,,Percent of Total Billed Charges,338.07,,383.5,92,,Percent of Total Billed Charges,310.14,,383.5,92,,Percent of Total Billed Charges,326.39,,383.5,92,,Percent of Total Billed Charges,338.07,,325.14,78,,Percent of Total Billed Charges,325.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,224.39,53.83,,Percent of Total Billed Charges,210.51,,144.4,34.64,,Percent of Total Billed Charges,143.81,,208.34,49.98,,Percent of Total Billed Charges,157.57,,144.40,383.5,,																																							
HC MICRODISSECTION MANUAL,88381,CPT,,,,BOTH, , ,907.2,762.05,834.62,92,,Percent of Total Billed Charges,758.42,,834.62,92,,Percent of Total Billed Charges,744.81,,834.62,92,,Percent of Total Billed Charges,730.3,,834.62,92,,Percent of Total Billed Charges,757.51,,834.62,92,,Percent of Total Billed Charges,683.12,,834.62,92,,Percent of Total Billed Charges,567,,816.48,90,,Percent of Total Billed Charges,452.69,,807.41,89,,Percent of Total Billed Charges,435.46,,747.53,82.4,,Percent of Total Billed Charges,745.72,,756.6,83.4,,Percent of Total Billed Charges,705.8,,756.6,83.4,,Percent of Total Billed Charges,635.95,,756.6,83.4,,Percent of Total Billed Charges,738.46,,816.48,90,,Percent of Total Billed Charges,768.4,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,834.62,92,,Percent of Total Billed Charges,735.74,,834.62,92,,Percent of Total Billed Charges,674.96,,834.62,92,,Percent of Total Billed Charges,710.34,,834.62,92,,Percent of Total Billed Charges,735.74,,707.62,78,,Percent of Total Billed Charges,707.62,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,488.35,53.83,,Percent of Total Billed Charges,458.14,,314.25,34.64,,Percent of Total Billed Charges,312.98,,453.42,49.98,,Percent of Total Billed Charges,342.92,,314.25,834.62,,																																							
HC BILIRUBIN TRANSCUTANEOUS; TOTAL,88720,CPT,,,,BOTH, , ,24.15,20.29,22.22,92,,Percent of Total Billed Charges,20.19,,22.22,92,,Percent of Total Billed Charges,19.83,,22.22,92,,Percent of Total Billed Charges,19.44,,22.22,92,,Percent of Total Billed Charges,20.17,,22.22,92,,Percent of Total Billed Charges,18.18,,22.22,92,,Percent of Total Billed Charges,15.09,,21.74,90,,Percent of Total Billed Charges,12.05,,21.49,89,,Percent of Total Billed Charges,11.59,,19.9,82.4,,Percent of Total Billed Charges,19.85,,20.14,83.4,,Percent of Total Billed Charges,18.79,,20.14,83.4,,Percent of Total Billed Charges,16.93,,20.14,83.4,,Percent of Total Billed Charges,19.66,,21.74,90,,Percent of Total Billed Charges,20.46,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,22.22,92,,Percent of Total Billed Charges,19.59,,22.22,92,,Percent of Total Billed Charges,17.97,,22.22,92,,Percent of Total Billed Charges,18.91,,22.22,92,,Percent of Total Billed Charges,19.59,,18.84,78,,Percent of Total Billed Charges,18.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,13,53.83,,Percent of Total Billed Charges,12.2,,8.37,34.64,,Percent of Total Billed Charges,8.33,,12.07,49.98,,Percent of Total Billed Charges,9.13,,8.37,22.22,,																																							
HC BODY FLUID CELL COUNT,89051,CPT,,,,BOTH, , ,176.4,148.18,162.29,92,,Percent of Total Billed Charges,147.47,,162.29,92,,Percent of Total Billed Charges,144.82,,162.29,92,,Percent of Total Billed Charges,142,,162.29,92,,Percent of Total Billed Charges,147.29,,162.29,92,,Percent of Total Billed Charges,132.83,,162.29,92,,Percent of Total Billed Charges,110.25,,158.76,90,,Percent of Total Billed Charges,88.02,,157,89,,Percent of Total Billed Charges,84.67,,145.35,82.4,,Percent of Total Billed Charges,145,,147.12,83.4,,Percent of Total Billed Charges,137.24,,147.12,83.4,,Percent of Total Billed Charges,123.66,,147.12,83.4,,Percent of Total Billed Charges,143.59,,158.76,90,,Percent of Total Billed Charges,149.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,162.29,92,,Percent of Total Billed Charges,143.06,,162.29,92,,Percent of Total Billed Charges,131.24,,162.29,92,,Percent of Total Billed Charges,138.12,,162.29,92,,Percent of Total Billed Charges,143.06,,137.59,78,,Percent of Total Billed Charges,137.59,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,94.96,53.83,,Percent of Total Billed Charges,89.08,,61.1,34.64,,Percent of Total Billed Charges,60.86,,88.16,49.98,,Percent of Total Billed Charges,66.68,,61.10,162.29,,																																							
HC EXAM SYNOVIAL FLUID CRYSTALS,89060,CPT,,,,BOTH, , ,128.1,107.6,117.85,92,,Percent of Total Billed Charges,107.09,,117.85,92,,Percent of Total Billed Charges,105.17,,117.85,92,,Percent of Total Billed Charges,103.12,,117.85,92,,Percent of Total Billed Charges,106.96,,117.85,92,,Percent of Total Billed Charges,96.46,,117.85,92,,Percent of Total Billed Charges,80.06,,115.29,90,,Percent of Total Billed Charges,63.92,,114.01,89,,Percent of Total Billed Charges,61.49,,105.55,82.4,,Percent of Total Billed Charges,105.3,,106.84,83.4,,Percent of Total Billed Charges,99.66,,106.84,83.4,,Percent of Total Billed Charges,89.8,,106.84,83.4,,Percent of Total Billed Charges,104.27,,115.29,90,,Percent of Total Billed Charges,108.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,117.85,92,,Percent of Total Billed Charges,103.89,,117.85,92,,Percent of Total Billed Charges,95.31,,117.85,92,,Percent of Total Billed Charges,100.3,,117.85,92,,Percent of Total Billed Charges,103.89,,99.92,78,,Percent of Total Billed Charges,99.92,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,68.96,53.83,,Percent of Total Billed Charges,64.69,,44.37,34.64,,Percent of Total Billed Charges,44.19,,64.02,49.98,,Percent of Total Billed Charges,48.42,,44.37,117.85,,																																							
HC SEMEN ANALYSIS VOLUME/COUNT/MOTILITY,89320,CPT,,,,BOTH, , ,296.1,248.72,272.41,92,,Percent of Total Billed Charges,247.54,,272.41,92,,Percent of Total Billed Charges,243.1,,272.41,92,,Percent of Total Billed Charges,238.36,,272.41,92,,Percent of Total Billed Charges,247.24,,272.41,92,,Percent of Total Billed Charges,222.96,,272.41,92,,Percent of Total Billed Charges,185.06,,266.49,90,,Percent of Total Billed Charges,147.75,,263.53,89,,Percent of Total Billed Charges,142.13,,243.99,82.4,,Percent of Total Billed Charges,243.39,,246.95,83.4,,Percent of Total Billed Charges,230.37,,246.95,83.4,,Percent of Total Billed Charges,207.57,,246.95,83.4,,Percent of Total Billed Charges,241.03,,266.49,90,,Percent of Total Billed Charges,250.8,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,272.41,92,,Percent of Total Billed Charges,240.14,,272.41,92,,Percent of Total Billed Charges,220.3,,272.41,92,,Percent of Total Billed Charges,231.85,,272.41,92,,Percent of Total Billed Charges,240.14,,230.96,78,,Percent of Total Billed Charges,230.96,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,159.39,53.83,,Percent of Total Billed Charges,149.53,,102.57,34.64,,Percent of Total Billed Charges,102.15,,147.99,49.98,,Percent of Total Billed Charges,111.93,,102.57,272.41,,																																							
HC SEMEN ANALYSIS SPERM DETECTION,89321,CPT,,,,BOTH, , ,187.95,157.88,172.91,92,,Percent of Total Billed Charges,157.13,,172.91,92,,Percent of Total Billed Charges,154.31,,172.91,92,,Percent of Total Billed Charges,151.3,,172.91,92,,Percent of Total Billed Charges,156.94,,172.91,92,,Percent of Total Billed Charges,141.53,,172.91,92,,Percent of Total Billed Charges,117.47,,169.16,90,,Percent of Total Billed Charges,93.79,,167.28,89,,Percent of Total Billed Charges,90.22,,154.87,82.4,,Percent of Total Billed Charges,154.49,,156.75,83.4,,Percent of Total Billed Charges,146.23,,156.75,83.4,,Percent of Total Billed Charges,131.75,,156.75,83.4,,Percent of Total Billed Charges,152.99,,169.16,90,,Percent of Total Billed Charges,159.19,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,172.91,92,,Percent of Total Billed Charges,152.43,,172.91,92,,Percent of Total Billed Charges,139.83,,172.91,92,,Percent of Total Billed Charges,147.16,,172.91,92,,Percent of Total Billed Charges,152.43,,146.6,78,,Percent of Total Billed Charges,146.6,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,101.17,53.83,,Percent of Total Billed Charges,94.91,,65.11,34.64,,Percent of Total Billed Charges,64.84,,93.94,49.98,,Percent of Total Billed Charges,71.05,,65.11,172.91,,																																							
HC PSA SCREEN,G0103,CPT,,,,BOTH, , ,13.65,11.47,12.56,92,,Percent of Total Billed Charges,11.41,,12.56,92,,Percent of Total Billed Charges,11.21,,12.56,92,,Percent of Total Billed Charges,10.99,,12.56,92,,Percent of Total Billed Charges,11.4,,12.56,92,,Percent of Total Billed Charges,10.28,,12.56,92,,Percent of Total Billed Charges,8.53,,12.29,90,,Percent of Total Billed Charges,6.81,,12.15,89,,Percent of Total Billed Charges,6.55,,11.25,82.4,,Percent of Total Billed Charges,11.22,,11.38,83.4,,Percent of Total Billed Charges,10.62,,11.38,83.4,,Percent of Total Billed Charges,9.57,,11.38,83.4,,Percent of Total Billed Charges,11.11,,12.29,90,,Percent of Total Billed Charges,11.56,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,12.56,92,,Percent of Total Billed Charges,11.07,,12.56,92,,Percent of Total Billed Charges,10.16,,12.56,92,,Percent of Total Billed Charges,10.69,,12.56,92,,Percent of Total Billed Charges,11.07,,10.65,78,,Percent of Total Billed Charges,10.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,7.35,53.83,,Percent of Total Billed Charges,6.89,,4.73,34.64,,Percent of Total Billed Charges,4.71,,6.82,49.98,,Percent of Total Billed Charges,5.16,,4.73,12.56,,																																							
HC CATHETERIZE FOR URINE SPEC,P9612,CPT,,,,BOTH, , ,332.85,279.59,306.22,92,,Percent of Total Billed Charges,278.26,,306.22,92,,Percent of Total Billed Charges,273.27,,306.22,92,,Percent of Total Billed Charges,267.94,,306.22,92,,Percent of Total Billed Charges,277.93,,306.22,92,,Percent of Total Billed Charges,250.64,,306.22,92,,Percent of Total Billed Charges,208.03,,299.57,90,,Percent of Total Billed Charges,166.09,,296.24,89,,Percent of Total Billed Charges,159.77,,274.27,82.4,,Percent of Total Billed Charges,273.6,,277.6,83.4,,Percent of Total Billed Charges,258.96,,277.6,83.4,,Percent of Total Billed Charges,233.33,,277.6,83.4,,Percent of Total Billed Charges,270.94,,299.57,90,,Percent of Total Billed Charges,281.92,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,306.22,92,,Percent of Total Billed Charges,269.94,,306.22,92,,Percent of Total Billed Charges,247.64,,306.22,92,,Percent of Total Billed Charges,260.62,,306.22,92,,Percent of Total Billed Charges,269.94,,259.62,78,,Percent of Total Billed Charges,259.62,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,179.17,53.83,,Percent of Total Billed Charges,168.09,,115.3,34.64,,Percent of Total Billed Charges,114.83,,166.36,49.98,,Percent of Total Billed Charges,125.82,,115.30,306.22,,																																							
HC FETAL HEMOGLOBIN, APT TEST,83033,CPT,,,,BOTH, , ,79.8,67.03,73.42,92,,Percent of Total Billed Charges,66.71,,73.42,92,,Percent of Total Billed Charges,65.52,,73.42,92,,Percent of Total Billed Charges,64.24,,73.42,92,,Percent of Total Billed Charges,66.63,,73.42,92,,Percent of Total Billed Charges,60.09,,73.42,92,,Percent of Total Billed Charges,49.88,,71.82,90,,Percent of Total Billed Charges,39.82,,71.02,89,,Percent of Total Billed Charges,38.3,,65.76,82.4,,Percent of Total Billed Charges,65.6,,66.55,83.4,,Percent of Total Billed Charges,62.08,,66.55,83.4,,Percent of Total Billed Charges,55.94,,66.55,83.4,,Percent of Total Billed Charges,64.96,,71.82,90,,Percent of Total Billed Charges,67.59,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,73.42,92,,Percent of Total Billed Charges,64.72,,73.42,92,,Percent of Total Billed Charges,59.37,,73.42,92,,Percent of Total Billed Charges,62.48,,73.42,92,,Percent of Total Billed Charges,64.72,,62.24,78,,Percent of Total Billed Charges,62.24,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,42.96,53.83,,Percent of Total Billed Charges,40.3,,27.64,34.64,,Percent of Total Billed Charges,27.53,,39.88,49.98,,Percent of Total Billed Charges,30.16,,27.64,73.42,,																																							
HC L/S RATIO, LAMELLAR BODY DENSITY,83664,CPT,,,,BOTH, , ,121.8,102.31,112.06,92,,Percent of Total Billed Charges,101.82,,112.06,92,,Percent of Total Billed Charges,100,,112.06,92,,Percent of Total Billed Charges,98.05,,112.06,92,,Percent of Total Billed Charges,101.7,,112.06,92,,Percent of Total Billed Charges,91.72,,112.06,92,,Percent of Total Billed Charges,76.13,,109.62,90,,Percent of Total Billed Charges,60.78,,108.4,89,,Percent of Total Billed Charges,58.46,,100.36,82.4,,Percent of Total Billed Charges,100.12,,101.58,83.4,,Percent of Total Billed Charges,94.76,,101.58,83.4,,Percent of Total Billed Charges,85.38,,101.58,83.4,,Percent of Total Billed Charges,99.15,,109.62,90,,Percent of Total Billed Charges,103.16,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,112.06,92,,Percent of Total Billed Charges,98.78,,112.06,92,,Percent of Total Billed Charges,90.62,,112.06,92,,Percent of Total Billed Charges,95.37,,112.06,92,,Percent of Total Billed Charges,98.78,,95,78,,Percent of Total Billed Charges,95,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,65.56,53.83,,Percent of Total Billed Charges,61.51,,42.19,34.64,,Percent of Total Billed Charges,42.02,,60.88,49.98,,Percent of Total Billed Charges,46.04,,42.19,112.06,,																																							
HC HOMOGENIZATION, TISSUE, FOR CULTURE,87176,CPT,,,,BOTH, , ,40.95,34.4,37.67,92,,Percent of Total Billed Charges,34.23,,37.67,92,,Percent of Total Billed Charges,33.62,,37.67,92,,Percent of Total Billed Charges,32.96,,37.67,92,,Percent of Total Billed Charges,34.19,,37.67,92,,Percent of Total Billed Charges,30.84,,37.67,92,,Percent of Total Billed Charges,25.59,,36.86,90,,Percent of Total Billed Charges,20.43,,36.45,89,,Percent of Total Billed Charges,19.66,,33.74,82.4,,Percent of Total Billed Charges,33.66,,34.15,83.4,,Percent of Total Billed Charges,31.86,,34.15,83.4,,Percent of Total Billed Charges,28.71,,34.15,83.4,,Percent of Total Billed Charges,33.33,,36.86,90,,Percent of Total Billed Charges,34.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,37.67,92,,Percent of Total Billed Charges,33.21,,37.67,92,,Percent of Total Billed Charges,30.47,,37.67,92,,Percent of Total Billed Charges,32.06,,37.67,92,,Percent of Total Billed Charges,33.21,,31.94,78,,Percent of Total Billed Charges,31.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,22.04,53.83,,Percent of Total Billed Charges,20.68,,14.19,34.64,,Percent of Total Billed Charges,14.13,,20.47,49.98,,Percent of Total Billed Charges,15.48,,14.19,37.67,,																																							
HC NASAL SMEAR FOR EOSINOPHILS,89190,CPT,,,,BOTH, , ,78.75,66.15,72.45,92,,Percent of Total Billed Charges,65.84,,72.45,92,,Percent of Total Billed Charges,64.65,,72.45,92,,Percent of Total Billed Charges,63.39,,72.45,92,,Percent of Total Billed Charges,65.76,,72.45,92,,Percent of Total Billed Charges,59.3,,72.45,92,,Percent of Total Billed Charges,49.22,,70.88,90,,Percent of Total Billed Charges,39.3,,70.09,89,,Percent of Total Billed Charges,37.8,,64.89,82.4,,Percent of Total Billed Charges,64.73,,65.68,83.4,,Percent of Total Billed Charges,61.27,,65.68,83.4,,Percent of Total Billed Charges,55.2,,65.68,83.4,,Percent of Total Billed Charges,64.1,,70.88,90,,Percent of Total Billed Charges,66.7,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,72.45,92,,Percent of Total Billed Charges,63.87,,72.45,92,,Percent of Total Billed Charges,58.59,,72.45,92,,Percent of Total Billed Charges,61.66,,72.45,92,,Percent of Total Billed Charges,63.87,,61.43,78,,Percent of Total Billed Charges,61.43,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,42.39,53.83,,Percent of Total Billed Charges,39.77,,27.28,34.64,,Percent of Total Billed Charges,27.17,,39.36,49.98,,Percent of Total Billed Charges,29.77,,27.28,72.45,,																																							
HC ASSAY OF THYROGLOBULIN,84432,CPT,,,,BOTH, , ,342.3,287.53,314.92,92,,Percent of Total Billed Charges,286.16,,314.92,92,,Percent of Total Billed Charges,281.03,,314.92,92,,Percent of Total Billed Charges,275.55,,314.92,92,,Percent of Total Billed Charges,285.82,,314.92,92,,Percent of Total Billed Charges,257.75,,314.92,92,,Percent of Total Billed Charges,213.94,,308.07,90,,Percent of Total Billed Charges,170.81,,304.65,89,,Percent of Total Billed Charges,164.3,,282.06,82.4,,Percent of Total Billed Charges,281.37,,285.48,83.4,,Percent of Total Billed Charges,266.31,,285.48,83.4,,Percent of Total Billed Charges,239.95,,285.48,83.4,,Percent of Total Billed Charges,278.63,,308.07,90,,Percent of Total Billed Charges,289.93,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,314.92,92,,Percent of Total Billed Charges,277.61,,314.92,92,,Percent of Total Billed Charges,254.67,,314.92,92,,Percent of Total Billed Charges,268.02,,314.92,92,,Percent of Total Billed Charges,277.61,,266.99,78,,Percent of Total Billed Charges,266.99,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,184.26,53.83,,Percent of Total Billed Charges,172.86,,118.57,34.64,,Percent of Total Billed Charges,118.09,,171.08,49.98,,Percent of Total Billed Charges,129.39,,118.57,314.92,,																																							
HC CULTURE TYPING, FLUORESCENT,87140,CPT,,,,BOTH, , ,13.65,11.47,12.56,92,,Percent of Total Billed Charges,11.41,,12.56,92,,Percent of Total Billed Charges,11.21,,12.56,92,,Percent of Total Billed Charges,10.99,,12.56,92,,Percent of Total Billed Charges,11.4,,12.56,92,,Percent of Total Billed Charges,10.28,,12.56,92,,Percent of Total Billed Charges,8.53,,12.29,90,,Percent of Total Billed Charges,6.81,,12.15,89,,Percent of Total Billed Charges,6.55,,11.25,82.4,,Percent of Total Billed Charges,11.22,,11.38,83.4,,Percent of Total Billed Charges,10.62,,11.38,83.4,,Percent of Total Billed Charges,9.57,,11.38,83.4,,Percent of Total Billed Charges,11.11,,12.29,90,,Percent of Total Billed Charges,11.56,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,12.56,92,,Percent of Total Billed Charges,11.07,,12.56,92,,Percent of Total Billed Charges,10.16,,12.56,92,,Percent of Total Billed Charges,10.69,,12.56,92,,Percent of Total Billed Charges,11.07,,10.65,78,,Percent of Total Billed Charges,10.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,7.35,53.83,,Percent of Total Billed Charges,6.89,,4.73,34.64,,Percent of Total Billed Charges,4.71,,6.82,49.98,,Percent of Total Billed Charges,5.16,,4.73,12.56,,																																							
HC ASSAY OF OXALATE,83945,CPT,,,,BOTH, , ,21,17.64,19.32,92,,Percent of Total Billed Charges,17.56,,19.32,92,,Percent of Total Billed Charges,17.24,,19.32,92,,Percent of Total Billed Charges,16.91,,19.32,92,,Percent of Total Billed Charges,17.54,,19.32,92,,Percent of Total Billed Charges,15.81,,19.32,92,,Percent of Total Billed Charges,13.13,,18.9,90,,Percent of Total Billed Charges,10.48,,18.69,89,,Percent of Total Billed Charges,10.08,,17.3,82.4,,Percent of Total Billed Charges,17.26,,17.51,83.4,,Percent of Total Billed Charges,16.34,,17.51,83.4,,Percent of Total Billed Charges,14.72,,17.51,83.4,,Percent of Total Billed Charges,17.09,,18.9,90,,Percent of Total Billed Charges,17.79,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,19.32,92,,Percent of Total Billed Charges,17.03,,19.32,92,,Percent of Total Billed Charges,15.62,,19.32,92,,Percent of Total Billed Charges,16.44,,19.32,92,,Percent of Total Billed Charges,17.03,,16.38,78,,Percent of Total Billed Charges,16.38,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,11.3,53.83,,Percent of Total Billed Charges,10.61,,7.27,34.64,,Percent of Total Billed Charges,7.25,,10.5,49.98,,Percent of Total Billed Charges,7.94,,7.27,19.32,,																																							
HC FATS/LIPIDS, FECES, QUALITATIVE,82705,CPT,,,,BOTH, , ,180.6,151.7,166.15,92,,Percent of Total Billed Charges,150.98,,166.15,92,,Percent of Total Billed Charges,148.27,,166.15,92,,Percent of Total Billed Charges,145.38,,166.15,92,,Percent of Total Billed Charges,150.8,,166.15,92,,Percent of Total Billed Charges,135.99,,166.15,92,,Percent of Total Billed Charges,112.88,,162.54,90,,Percent of Total Billed Charges,90.12,,160.73,89,,Percent of Total Billed Charges,86.69,,148.81,82.4,,Percent of Total Billed Charges,148.45,,150.62,83.4,,Percent of Total Billed Charges,140.51,,150.62,83.4,,Percent of Total Billed Charges,126.6,,150.62,83.4,,Percent of Total Billed Charges,147.01,,162.54,90,,Percent of Total Billed Charges,152.97,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,166.15,92,,Percent of Total Billed Charges,146.47,,166.15,92,,Percent of Total Billed Charges,134.37,,166.15,92,,Percent of Total Billed Charges,141.41,,166.15,92,,Percent of Total Billed Charges,146.47,,140.87,78,,Percent of Total Billed Charges,140.87,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,97.22,53.83,,Percent of Total Billed Charges,91.2,,62.56,34.64,,Percent of Total Billed Charges,62.31,,90.26,49.98,,Percent of Total Billed Charges,68.27,,62.56,166.15,,																																							
HC DRUG SCREEN QUANTITATIVE GABAPENTIN,80171,CPT,,,,BOTH, , ,87.15,73.21,80.18,92,,Percent of Total Billed Charges,72.86,,80.18,92,,Percent of Total Billed Charges,71.55,,80.18,92,,Percent of Total Billed Charges,70.16,,80.18,92,,Percent of Total Billed Charges,72.77,,80.18,92,,Percent of Total Billed Charges,65.62,,80.18,92,,Percent of Total Billed Charges,54.47,,78.44,90,,Percent of Total Billed Charges,43.49,,77.56,89,,Percent of Total Billed Charges,41.83,,71.81,82.4,,Percent of Total Billed Charges,71.64,,72.68,83.4,,Percent of Total Billed Charges,67.8,,72.68,83.4,,Percent of Total Billed Charges,61.09,,72.68,83.4,,Percent of Total Billed Charges,70.94,,78.44,90,,Percent of Total Billed Charges,73.82,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,80.18,92,,Percent of Total Billed Charges,70.68,,80.18,92,,Percent of Total Billed Charges,64.84,,80.18,92,,Percent of Total Billed Charges,68.24,,80.18,92,,Percent of Total Billed Charges,70.68,,67.98,78,,Percent of Total Billed Charges,67.98,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,46.91,53.83,,Percent of Total Billed Charges,44.01,,30.19,34.64,,Percent of Total Billed Charges,30.07,,43.56,49.98,,Percent of Total Billed Charges,32.94,,30.19,80.18,,																																							
HC ASSAY OF LDH ISOENZYMES,83625,CPT,,,,BOTH, , ,21,17.64,19.32,92,,Percent of Total Billed Charges,17.56,,19.32,92,,Percent of Total Billed Charges,17.24,,19.32,92,,Percent of Total Billed Charges,16.91,,19.32,92,,Percent of Total Billed Charges,17.54,,19.32,92,,Percent of Total Billed Charges,15.81,,19.32,92,,Percent of Total Billed Charges,13.13,,18.9,90,,Percent of Total Billed Charges,10.48,,18.69,89,,Percent of Total Billed Charges,10.08,,17.3,82.4,,Percent of Total Billed Charges,17.26,,17.51,83.4,,Percent of Total Billed Charges,16.34,,17.51,83.4,,Percent of Total Billed Charges,14.72,,17.51,83.4,,Percent of Total Billed Charges,17.09,,18.9,90,,Percent of Total Billed Charges,17.79,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,19.32,92,,Percent of Total Billed Charges,17.03,,19.32,92,,Percent of Total Billed Charges,15.62,,19.32,92,,Percent of Total Billed Charges,16.44,,19.32,92,,Percent of Total Billed Charges,17.03,,16.38,78,,Percent of Total Billed Charges,16.38,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,11.3,53.83,,Percent of Total Billed Charges,10.61,,7.27,34.64,,Percent of Total Billed Charges,7.25,,10.5,49.98,,Percent of Total Billed Charges,7.94,,7.27,19.32,,																																							
HC ASSAY RBC PROTOPORPHYRIN,84202,CPT,,,,BOTH, , ,324.45,272.54,298.49,92,,Percent of Total Billed Charges,271.24,,298.49,92,,Percent of Total Billed Charges,266.37,,298.49,92,,Percent of Total Billed Charges,261.18,,298.49,92,,Percent of Total Billed Charges,270.92,,298.49,92,,Percent of Total Billed Charges,244.31,,298.49,92,,Percent of Total Billed Charges,202.78,,292.01,90,,Percent of Total Billed Charges,161.9,,288.76,89,,Percent of Total Billed Charges,155.74,,267.35,82.4,,Percent of Total Billed Charges,266.7,,270.59,83.4,,Percent of Total Billed Charges,252.42,,270.59,83.4,,Percent of Total Billed Charges,227.44,,270.59,83.4,,Percent of Total Billed Charges,264.1,,292.01,90,,Percent of Total Billed Charges,274.81,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,298.49,92,,Percent of Total Billed Charges,263.13,,298.49,92,,Percent of Total Billed Charges,241.39,,298.49,92,,Percent of Total Billed Charges,254.04,,298.49,92,,Percent of Total Billed Charges,263.13,,253.07,78,,Percent of Total Billed Charges,253.07,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,174.65,53.83,,Percent of Total Billed Charges,163.85,,112.39,34.64,,Percent of Total Billed Charges,111.94,,162.16,49.98,,Percent of Total Billed Charges,122.64,,112.39,298.49,,																																							
HC ASSAY OF CRYOGLOBULIN,82595,CPT,,,,BOTH, , ,194.25,163.17,178.71,92,,Percent of Total Billed Charges,162.39,,178.71,92,,Percent of Total Billed Charges,159.48,,178.71,92,,Percent of Total Billed Charges,156.37,,178.71,92,,Percent of Total Billed Charges,162.2,,178.71,92,,Percent of Total Billed Charges,146.27,,178.71,92,,Percent of Total Billed Charges,121.41,,174.83,90,,Percent of Total Billed Charges,96.93,,172.88,89,,Percent of Total Billed Charges,93.24,,160.06,82.4,,Percent of Total Billed Charges,159.67,,162,83.4,,Percent of Total Billed Charges,151.13,,162,83.4,,Percent of Total Billed Charges,136.17,,162,83.4,,Percent of Total Billed Charges,158.12,,174.83,90,,Percent of Total Billed Charges,164.53,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,178.71,92,,Percent of Total Billed Charges,157.54,,178.71,92,,Percent of Total Billed Charges,144.52,,178.71,92,,Percent of Total Billed Charges,152.1,,178.71,92,,Percent of Total Billed Charges,157.54,,151.52,78,,Percent of Total Billed Charges,151.52,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,104.56,53.83,,Percent of Total Billed Charges,98.1,,67.29,34.64,,Percent of Total Billed Charges,67.02,,97.09,49.98,,Percent of Total Billed Charges,73.43,,67.29,178.71,,																																							
HC DRUG SCREEN QUANTITATIVE CAFFEINE,80155,CPT,,,,BOTH, , ,92.4,77.62,85.01,92,,Percent of Total Billed Charges,77.25,,85.01,92,,Percent of Total Billed Charges,75.86,,85.01,92,,Percent of Total Billed Charges,74.38,,85.01,92,,Percent of Total Billed Charges,77.15,,85.01,92,,Percent of Total Billed Charges,69.58,,85.01,92,,Percent of Total Billed Charges,57.75,,83.16,90,,Percent of Total Billed Charges,46.11,,82.24,89,,Percent of Total Billed Charges,44.35,,76.14,82.4,,Percent of Total Billed Charges,75.95,,77.06,83.4,,Percent of Total Billed Charges,71.89,,77.06,83.4,,Percent of Total Billed Charges,64.77,,77.06,83.4,,Percent of Total Billed Charges,75.21,,83.16,90,,Percent of Total Billed Charges,78.26,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,85.01,92,,Percent of Total Billed Charges,74.94,,85.01,92,,Percent of Total Billed Charges,68.75,,85.01,92,,Percent of Total Billed Charges,72.35,,85.01,92,,Percent of Total Billed Charges,74.94,,72.07,78,,Percent of Total Billed Charges,72.07,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,49.74,53.83,,Percent of Total Billed Charges,46.66,,32.01,34.64,,Percent of Total Billed Charges,31.88,,46.18,49.98,,Percent of Total Billed Charges,34.93,,32.01,85.01,,																																							
HC IMMUNFIX EPHORSIS/URINE/CSF,86335,CPT,,,,BOTH, , ,312.9,262.84,287.87,92,,Percent of Total Billed Charges,261.58,,287.87,92,,Percent of Total Billed Charges,256.89,,287.87,92,,Percent of Total Billed Charges,251.88,,287.87,92,,Percent of Total Billed Charges,261.27,,287.87,92,,Percent of Total Billed Charges,235.61,,287.87,92,,Percent of Total Billed Charges,195.56,,281.61,90,,Percent of Total Billed Charges,156.14,,278.48,89,,Percent of Total Billed Charges,150.19,,257.83,82.4,,Percent of Total Billed Charges,257.2,,260.96,83.4,,Percent of Total Billed Charges,243.44,,260.96,83.4,,Percent of Total Billed Charges,219.34,,260.96,83.4,,Percent of Total Billed Charges,254.7,,281.61,90,,Percent of Total Billed Charges,265.03,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,287.87,92,,Percent of Total Billed Charges,253.76,,287.87,92,,Percent of Total Billed Charges,232.8,,287.87,92,,Percent of Total Billed Charges,245,,287.87,92,,Percent of Total Billed Charges,253.76,,244.06,78,,Percent of Total Billed Charges,244.06,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,168.43,53.83,,Percent of Total Billed Charges,158.01,,108.39,34.64,,Percent of Total Billed Charges,107.95,,156.39,49.98,,Percent of Total Billed Charges,118.28,,108.39,287.87,,																																							
HC SUGARS SINGLE QUALITATIVE, EACH SPECIMEN,84376,CPT,,,,BOTH, , ,46.2,38.81,42.5,92,,Percent of Total Billed Charges,38.62,,42.5,92,,Percent of Total Billed Charges,37.93,,42.5,92,,Percent of Total Billed Charges,37.19,,42.5,92,,Percent of Total Billed Charges,38.58,,42.5,92,,Percent of Total Billed Charges,34.79,,42.5,92,,Percent of Total Billed Charges,28.88,,41.58,90,,Percent of Total Billed Charges,23.05,,41.12,89,,Percent of Total Billed Charges,22.18,,38.07,82.4,,Percent of Total Billed Charges,37.98,,38.53,83.4,,Percent of Total Billed Charges,35.94,,38.53,83.4,,Percent of Total Billed Charges,32.39,,38.53,83.4,,Percent of Total Billed Charges,37.61,,41.58,90,,Percent of Total Billed Charges,39.13,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,42.5,92,,Percent of Total Billed Charges,37.47,,42.5,92,,Percent of Total Billed Charges,34.37,,42.5,92,,Percent of Total Billed Charges,36.17,,42.5,92,,Percent of Total Billed Charges,37.47,,36.04,78,,Percent of Total Billed Charges,36.04,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,24.87,53.83,,Percent of Total Billed Charges,23.33,,16,34.64,,Percent of Total Billed Charges,15.94,,23.09,49.98,,Percent of Total Billed Charges,17.46,,16.00,42.5,,																																							
HC ASSAY 17(17KS)KETOSTEROIDS,83586,CPT,,,,BOTH, , ,211.05,177.28,194.17,92,,Percent of Total Billed Charges,176.44,,194.17,92,,Percent of Total Billed Charges,173.27,,194.17,92,,Percent of Total Billed Charges,169.9,,194.17,92,,Percent of Total Billed Charges,176.23,,194.17,92,,Percent of Total Billed Charges,158.92,,194.17,92,,Percent of Total Billed Charges,131.91,,189.95,90,,Percent of Total Billed Charges,105.31,,187.83,89,,Percent of Total Billed Charges,101.3,,173.91,82.4,,Percent of Total Billed Charges,173.48,,176.02,83.4,,Percent of Total Billed Charges,164.2,,176.02,83.4,,Percent of Total Billed Charges,147.95,,176.02,83.4,,Percent of Total Billed Charges,171.79,,189.95,90,,Percent of Total Billed Charges,178.76,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,194.17,92,,Percent of Total Billed Charges,171.16,,194.17,92,,Percent of Total Billed Charges,157.02,,194.17,92,,Percent of Total Billed Charges,165.25,,194.17,92,,Percent of Total Billed Charges,171.16,,164.62,78,,Percent of Total Billed Charges,164.62,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,113.61,53.83,,Percent of Total Billed Charges,106.58,,73.11,34.64,,Percent of Total Billed Charges,72.81,,105.48,49.98,,Percent of Total Billed Charges,79.78,,73.11,194.17,,																																							
HC IHC QUAL INITIAL STAIN (SENDOUT),88342,CPT,,,,BOTH, , ,373.8,313.99,343.9,92,,Percent of Total Billed Charges,312.5,,343.9,92,,Percent of Total Billed Charges,306.89,,343.9,92,,Percent of Total Billed Charges,300.91,,343.9,92,,Percent of Total Billed Charges,312.12,,343.9,92,,Percent of Total Billed Charges,281.47,,343.9,92,,Percent of Total Billed Charges,233.63,,336.42,90,,Percent of Total Billed Charges,186.53,,332.68,89,,Percent of Total Billed Charges,179.42,,308.01,82.4,,Percent of Total Billed Charges,307.26,,311.75,83.4,,Percent of Total Billed Charges,290.82,,311.75,83.4,,Percent of Total Billed Charges,262.03,,311.75,83.4,,Percent of Total Billed Charges,304.27,,336.42,90,,Percent of Total Billed Charges,316.61,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,343.9,92,,Percent of Total Billed Charges,303.15,,343.9,92,,Percent of Total Billed Charges,278.11,,343.9,92,,Percent of Total Billed Charges,292.69,,343.9,92,,Percent of Total Billed Charges,303.15,,291.56,78,,Percent of Total Billed Charges,291.56,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,201.22,53.83,,Percent of Total Billed Charges,188.77,,129.48,34.64,,Percent of Total Billed Charges,128.96,,186.83,49.98,,Percent of Total Billed Charges,141.3,,129.48,343.9,,																																							
HC IHC QUAL EACH ADD STAIN (SENDOUT),88341,CPT,,,,BOTH, , ,324.45,272.54,298.49,92,,Percent of Total Billed Charges,271.24,,298.49,92,,Percent of Total Billed Charges,266.37,,298.49,92,,Percent of Total Billed Charges,261.18,,298.49,92,,Percent of Total Billed Charges,270.92,,298.49,92,,Percent of Total Billed Charges,244.31,,298.49,92,,Percent of Total Billed Charges,202.78,,292.01,90,,Percent of Total Billed Charges,161.9,,288.76,89,,Percent of Total Billed Charges,155.74,,267.35,82.4,,Percent of Total Billed Charges,266.7,,270.59,83.4,,Percent of Total Billed Charges,252.42,,270.59,83.4,,Percent of Total Billed Charges,227.44,,270.59,83.4,,Percent of Total Billed Charges,264.1,,292.01,90,,Percent of Total Billed Charges,274.81,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,298.49,92,,Percent of Total Billed Charges,263.13,,298.49,92,,Percent of Total Billed Charges,241.39,,298.49,92,,Percent of Total Billed Charges,254.04,,298.49,92,,Percent of Total Billed Charges,263.13,,253.07,78,,Percent of Total Billed Charges,253.07,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,174.65,53.83,,Percent of Total Billed Charges,163.85,,112.39,34.64,,Percent of Total Billed Charges,111.94,,162.16,49.98,,Percent of Total Billed Charges,122.64,,112.39,298.49,,																																							
HC CONSULT & REPORT REFERRED MATTER (SENDOUT),88323,CPT,,,,BOTH, , ,400.05,336.04,368.05,92,,Percent of Total Billed Charges,334.44,,368.05,92,,Percent of Total Billed Charges,328.44,,368.05,92,,Percent of Total Billed Charges,322.04,,368.05,92,,Percent of Total Billed Charges,334.04,,368.05,92,,Percent of Total Billed Charges,301.24,,368.05,92,,Percent of Total Billed Charges,250.03,,360.05,90,,Percent of Total Billed Charges,199.62,,356.04,89,,Percent of Total Billed Charges,192.02,,329.64,82.4,,Percent of Total Billed Charges,328.84,,333.64,83.4,,Percent of Total Billed Charges,311.24,,333.64,83.4,,Percent of Total Billed Charges,280.44,,333.64,83.4,,Percent of Total Billed Charges,325.64,,360.05,90,,Percent of Total Billed Charges,338.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,368.05,92,,Percent of Total Billed Charges,324.44,,368.05,92,,Percent of Total Billed Charges,297.64,,368.05,92,,Percent of Total Billed Charges,313.24,,368.05,92,,Percent of Total Billed Charges,324.44,,312.04,78,,Percent of Total Billed Charges,312.04,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,215.35,53.83,,Percent of Total Billed Charges,202.03,,138.58,34.64,,Percent of Total Billed Charges,138.02,,199.94,49.98,,Percent of Total Billed Charges,151.22,,138.58,368.05,,																																							
HC CHG ANTIBIOTIC SENS,ENZYME DETECTION,EACH,87185,CPT,,,,BOTH, , ,30.45,25.58,28.01,92,,Percent of Total Billed Charges,25.46,,28.01,92,,Percent of Total Billed Charges,25,,28.01,92,,Percent of Total Billed Charges,24.51,,28.01,92,,Percent of Total Billed Charges,25.43,,28.01,92,,Percent of Total Billed Charges,22.93,,28.01,92,,Percent of Total Billed Charges,19.03,,27.41,90,,Percent of Total Billed Charges,15.19,,27.1,89,,Percent of Total Billed Charges,14.62,,25.09,82.4,,Percent of Total Billed Charges,25.03,,25.4,83.4,,Percent of Total Billed Charges,23.69,,25.4,83.4,,Percent of Total Billed Charges,21.35,,25.4,83.4,,Percent of Total Billed Charges,24.79,,27.41,90,,Percent of Total Billed Charges,25.79,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,28.01,92,,Percent of Total Billed Charges,24.69,,28.01,92,,Percent of Total Billed Charges,22.65,,28.01,92,,Percent of Total Billed Charges,23.84,,28.01,92,,Percent of Total Billed Charges,24.69,,23.75,78,,Percent of Total Billed Charges,23.75,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,16.39,53.83,,Percent of Total Billed Charges,15.38,,10.55,34.64,,Percent of Total Billed Charges,10.51,,15.22,49.98,,Percent of Total Billed Charges,11.51,,10.55,28.01,,																																							
HC FECAL BLOOD SCRN IMMUNOASSAY,G0328,CPT,,,,BOTH, , ,100.8,84.67,92.74,92,,Percent of Total Billed Charges,84.27,,92.74,92,,Percent of Total Billed Charges,82.76,,92.74,92,,Percent of Total Billed Charges,81.14,,92.74,92,,Percent of Total Billed Charges,84.17,,92.74,92,,Percent of Total Billed Charges,75.9,,92.74,92,,Percent of Total Billed Charges,63,,90.72,90,,Percent of Total Billed Charges,50.3,,89.71,89,,Percent of Total Billed Charges,48.38,,83.06,82.4,,Percent of Total Billed Charges,82.86,,84.07,83.4,,Percent of Total Billed Charges,78.42,,84.07,83.4,,Percent of Total Billed Charges,70.66,,84.07,83.4,,Percent of Total Billed Charges,82.05,,90.72,90,,Percent of Total Billed Charges,85.38,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,92.74,92,,Percent of Total Billed Charges,81.75,,92.74,92,,Percent of Total Billed Charges,75,,92.74,92,,Percent of Total Billed Charges,78.93,,92.74,92,,Percent of Total Billed Charges,81.75,,78.62,78,,Percent of Total Billed Charges,78.62,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,54.26,53.83,,Percent of Total Billed Charges,50.9,,34.92,34.64,,Percent of Total Billed Charges,34.78,,50.38,49.98,,Percent of Total Billed Charges,38.1,,34.92,92.74,,																																							
HC DRUG SCREENING METHYLENEDIOXYAMPHETAMINES,80359,CPT,,,,BOTH, , ,280.35,235.49,257.92,92,,Percent of Total Billed Charges,234.37,,257.92,92,,Percent of Total Billed Charges,230.17,,257.92,92,,Percent of Total Billed Charges,225.68,,257.92,92,,Percent of Total Billed Charges,234.09,,257.92,92,,Percent of Total Billed Charges,211.1,,257.92,92,,Percent of Total Billed Charges,175.22,,252.32,90,,Percent of Total Billed Charges,139.89,,249.51,89,,Percent of Total Billed Charges,134.57,,231.01,82.4,,Percent of Total Billed Charges,230.45,,233.81,83.4,,Percent of Total Billed Charges,218.11,,233.81,83.4,,Percent of Total Billed Charges,196.53,,233.81,83.4,,Percent of Total Billed Charges,228.2,,252.32,90,,Percent of Total Billed Charges,237.46,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,257.92,92,,Percent of Total Billed Charges,227.36,,257.92,92,,Percent of Total Billed Charges,208.58,,257.92,92,,Percent of Total Billed Charges,219.51,,257.92,92,,Percent of Total Billed Charges,227.36,,218.67,78,,Percent of Total Billed Charges,218.67,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,150.91,53.83,,Percent of Total Billed Charges,141.58,,97.11,34.64,,Percent of Total Billed Charges,96.72,,140.12,49.98,,Percent of Total Billed Charges,105.97,,97.11,257.92,,																																							
HC LEUKOCYTE ASSMT FECAL QUAL/SEMIQUANTITATIVE,89055,CPT,,,,BOTH, , ,26.25,22.05,24.15,92,,Percent of Total Billed Charges,21.95,,24.15,92,,Percent of Total Billed Charges,21.55,,24.15,92,,Percent of Total Billed Charges,21.13,,24.15,92,,Percent of Total Billed Charges,21.92,,24.15,92,,Percent of Total Billed Charges,19.77,,24.15,92,,Percent of Total Billed Charges,16.41,,23.63,90,,Percent of Total Billed Charges,13.1,,23.36,89,,Percent of Total Billed Charges,12.6,,21.63,82.4,,Percent of Total Billed Charges,21.58,,21.89,83.4,,Percent of Total Billed Charges,20.42,,21.89,83.4,,Percent of Total Billed Charges,18.4,,21.89,83.4,,Percent of Total Billed Charges,21.37,,23.63,90,,Percent of Total Billed Charges,22.23,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,24.15,92,,Percent of Total Billed Charges,21.29,,24.15,92,,Percent of Total Billed Charges,19.53,,24.15,92,,Percent of Total Billed Charges,20.55,,24.15,92,,Percent of Total Billed Charges,21.29,,20.48,78,,Percent of Total Billed Charges,20.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,14.13,53.83,,Percent of Total Billed Charges,13.26,,9.09,34.64,,Percent of Total Billed Charges,9.06,,13.12,49.98,,Percent of Total Billed Charges,9.92,,9.09,24.15,,																																							
HC ONCOLOGY COLON MRNA GENE EXPRESSION 12 GENES,81525,CPT,,,,BOTH, , ,954.45,801.74,878.09,92,,Percent of Total Billed Charges,797.92,,878.09,92,,Percent of Total Billed Charges,783.6,,878.09,92,,Percent of Total Billed Charges,768.33,,878.09,92,,Percent of Total Billed Charges,796.97,,878.09,92,,Percent of Total Billed Charges,718.7,,878.09,92,,Percent of Total Billed Charges,596.53,,859.01,90,,Percent of Total Billed Charges,476.27,,849.46,89,,Percent of Total Billed Charges,458.14,,786.47,82.4,,Percent of Total Billed Charges,784.56,,796.01,83.4,,Percent of Total Billed Charges,742.56,,796.01,83.4,,Percent of Total Billed Charges,669.07,,796.01,83.4,,Percent of Total Billed Charges,776.92,,859.01,90,,Percent of Total Billed Charges,808.42,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,878.09,92,,Percent of Total Billed Charges,774.06,,878.09,92,,Percent of Total Billed Charges,710.11,,878.09,92,,Percent of Total Billed Charges,747.33,,878.09,92,,Percent of Total Billed Charges,774.06,,744.47,78,,Percent of Total Billed Charges,744.47,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,513.78,53.83,,Percent of Total Billed Charges,482,,330.62,34.64,,Percent of Total Billed Charges,329.29,,477.03,49.98,,Percent of Total Billed Charges,360.78,,330.62,878.09,,																																							
HC OBSTETRIC PANEL W/ HIV,80081,CPT,,,,BOTH, , ,366.45,307.82,337.13,92,,Percent of Total Billed Charges,306.35,,337.13,92,,Percent of Total Billed Charges,300.86,,337.13,92,,Percent of Total Billed Charges,294.99,,337.13,92,,Percent of Total Billed Charges,305.99,,337.13,92,,Percent of Total Billed Charges,275.94,,337.13,92,,Percent of Total Billed Charges,229.03,,329.81,90,,Percent of Total Billed Charges,182.86,,326.14,89,,Percent of Total Billed Charges,175.9,,301.95,82.4,,Percent of Total Billed Charges,301.22,,305.62,83.4,,Percent of Total Billed Charges,285.1,,305.62,83.4,,Percent of Total Billed Charges,256.88,,305.62,83.4,,Percent of Total Billed Charges,298.29,,329.81,90,,Percent of Total Billed Charges,310.38,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,337.13,92,,Percent of Total Billed Charges,297.19,,337.13,92,,Percent of Total Billed Charges,272.64,,337.13,92,,Percent of Total Billed Charges,286.93,,337.13,92,,Percent of Total Billed Charges,297.19,,285.83,78,,Percent of Total Billed Charges,285.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,197.26,53.83,,Percent of Total Billed Charges,185.06,,126.94,34.64,,Percent of Total Billed Charges,126.43,,183.15,49.98,,Percent of Total Billed Charges,138.52,,126.94,337.13,,																																							
HC UGT1A1 GENE ANALYSIS COMMON VARIANTS,81350,CPT,,,,BOTH, , ,1109.85,932.27,1021.06,92,,Percent of Total Billed Charges,927.83,,1021.06,92,,Percent of Total Billed Charges,911.19,,1021.06,92,,Percent of Total Billed Charges,893.43,,1021.06,92,,Percent of Total Billed Charges,926.72,,1021.06,92,,Percent of Total Billed Charges,835.72,,1021.06,92,,Percent of Total Billed Charges,693.66,,998.87,90,,Percent of Total Billed Charges,553.82,,987.77,89,,Percent of Total Billed Charges,532.73,,914.52,82.4,,Percent of Total Billed Charges,912.3,,925.61,83.4,,Percent of Total Billed Charges,863.46,,925.61,83.4,,Percent of Total Billed Charges,778,,925.61,83.4,,Percent of Total Billed Charges,903.42,,998.87,90,,Percent of Total Billed Charges,940.04,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1021.06,92,,Percent of Total Billed Charges,900.09,,1021.06,92,,Percent of Total Billed Charges,825.73,,1021.06,92,,Percent of Total Billed Charges,869.01,,1021.06,92,,Percent of Total Billed Charges,900.09,,865.68,78,,Percent of Total Billed Charges,865.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,597.43,53.83,,Percent of Total Billed Charges,560.47,,384.45,34.64,,Percent of Total Billed Charges,382.9,,554.7,49.98,,Percent of Total Billed Charges,419.52,,384.45,1021.06,,																																							
HC ANTIBODY TRICHINELLA,86784,CPT,,,,BOTH, , ,61.95,52.04,56.99,92,,Percent of Total Billed Charges,51.79,,56.99,92,,Percent of Total Billed Charges,50.86,,56.99,92,,Percent of Total Billed Charges,49.87,,56.99,92,,Percent of Total Billed Charges,51.73,,56.99,92,,Percent of Total Billed Charges,46.65,,56.99,92,,Percent of Total Billed Charges,38.72,,55.76,90,,Percent of Total Billed Charges,30.91,,55.14,89,,Percent of Total Billed Charges,29.74,,51.05,82.4,,Percent of Total Billed Charges,50.92,,51.67,83.4,,Percent of Total Billed Charges,48.2,,51.67,83.4,,Percent of Total Billed Charges,43.43,,51.67,83.4,,Percent of Total Billed Charges,50.43,,55.76,90,,Percent of Total Billed Charges,52.47,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,56.99,92,,Percent of Total Billed Charges,50.24,,56.99,92,,Percent of Total Billed Charges,46.09,,56.99,92,,Percent of Total Billed Charges,48.51,,56.99,92,,Percent of Total Billed Charges,50.24,,48.32,78,,Percent of Total Billed Charges,48.32,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,33.35,53.83,,Percent of Total Billed Charges,31.28,,21.46,34.64,,Percent of Total Billed Charges,21.37,,30.96,49.98,,Percent of Total Billed Charges,23.42,,21.46,56.99,,																																							
HC THROMBOXANE METABOLITE W/WO THROMBOXANE URINE,84431,CPT,,,,BOTH, , ,134.4,112.9,123.65,92,,Percent of Total Billed Charges,112.36,,123.65,92,,Percent of Total Billed Charges,110.34,,123.65,92,,Percent of Total Billed Charges,108.19,,123.65,92,,Percent of Total Billed Charges,112.22,,123.65,92,,Percent of Total Billed Charges,101.2,,123.65,92,,Percent of Total Billed Charges,84,,120.96,90,,Percent of Total Billed Charges,67.07,,119.62,89,,Percent of Total Billed Charges,64.51,,110.75,82.4,,Percent of Total Billed Charges,110.48,,112.09,83.4,,Percent of Total Billed Charges,104.56,,112.09,83.4,,Percent of Total Billed Charges,94.21,,112.09,83.4,,Percent of Total Billed Charges,109.4,,120.96,90,,Percent of Total Billed Charges,113.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,123.65,92,,Percent of Total Billed Charges,109,,123.65,92,,Percent of Total Billed Charges,99.99,,123.65,92,,Percent of Total Billed Charges,105.24,,123.65,92,,Percent of Total Billed Charges,109,,104.83,78,,Percent of Total Billed Charges,104.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,72.35,53.83,,Percent of Total Billed Charges,67.87,,46.56,34.64,,Percent of Total Billed Charges,46.37,,67.17,49.98,,Percent of Total Billed Charges,50.8,,46.56,123.65,,																																							
HC CYP2C19 GENE ANALYSIS COMMON VARIANTS,81225,CPT,,,,BOTH, , ,1382.85,1161.59,1272.22,92,,Percent of Total Billed Charges,1156.06,,1272.22,92,,Percent of Total Billed Charges,1135.32,,1272.22,92,,Percent of Total Billed Charges,1113.19,,1272.22,92,,Percent of Total Billed Charges,1154.68,,1272.22,92,,Percent of Total Billed Charges,1041.29,,1272.22,92,,Percent of Total Billed Charges,864.28,,1244.57,90,,Percent of Total Billed Charges,690.04,,1230.74,89,,Percent of Total Billed Charges,663.77,,1139.47,82.4,,Percent of Total Billed Charges,1136.7,,1153.3,83.4,,Percent of Total Billed Charges,1075.86,,1153.3,83.4,,Percent of Total Billed Charges,969.38,,1153.3,83.4,,Percent of Total Billed Charges,1125.64,,1244.57,90,,Percent of Total Billed Charges,1171.27,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1272.22,92,,Percent of Total Billed Charges,1121.49,,1272.22,92,,Percent of Total Billed Charges,1028.84,,1272.22,92,,Percent of Total Billed Charges,1082.77,,1272.22,92,,Percent of Total Billed Charges,1121.49,,1078.62,78,,Percent of Total Billed Charges,1078.62,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,744.39,53.83,,Percent of Total Billed Charges,698.34,,479.02,34.64,,Percent of Total Billed Charges,477.08,,691.15,49.98,,Percent of Total Billed Charges,522.72,,479.02,1272.22,,																																							
HC ABL1 GENE ANALYSIS KINASE DOMAIN VARIANTS,81170,CPT,,,,BOTH, , ,1219.05,1024,1121.53,92,,Percent of Total Billed Charges,1019.13,,1121.53,92,,Percent of Total Billed Charges,1000.84,,1121.53,92,,Percent of Total Billed Charges,981.34,,1121.53,92,,Percent of Total Billed Charges,1017.91,,1121.53,92,,Percent of Total Billed Charges,917.94,,1121.53,92,,Percent of Total Billed Charges,761.91,,1097.15,90,,Percent of Total Billed Charges,608.31,,1084.95,89,,Percent of Total Billed Charges,585.14,,1004.5,82.4,,Percent of Total Billed Charges,1002.06,,1016.69,83.4,,Percent of Total Billed Charges,948.42,,1016.69,83.4,,Percent of Total Billed Charges,854.55,,1016.69,83.4,,Percent of Total Billed Charges,992.31,,1097.15,90,,Percent of Total Billed Charges,1032.54,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1121.53,92,,Percent of Total Billed Charges,988.65,,1121.53,92,,Percent of Total Billed Charges,906.97,,1121.53,92,,Percent of Total Billed Charges,954.52,,1121.53,92,,Percent of Total Billed Charges,988.65,,950.86,78,,Percent of Total Billed Charges,950.86,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,656.21,53.83,,Percent of Total Billed Charges,615.62,,422.28,34.64,,Percent of Total Billed Charges,420.57,,609.28,49.98,,Percent of Total Billed Charges,460.8,,422.28,1121.53,,																																							
HC ASSAY OF CYANIDE,82600,CPT,,,,BOTH, , ,82.95,69.68,76.31,92,,Percent of Total Billed Charges,69.35,,76.31,92,,Percent of Total Billed Charges,68.1,,76.31,92,,Percent of Total Billed Charges,66.77,,76.31,92,,Percent of Total Billed Charges,69.26,,76.31,92,,Percent of Total Billed Charges,62.46,,76.31,92,,Percent of Total Billed Charges,51.84,,74.66,90,,Percent of Total Billed Charges,41.39,,73.83,89,,Percent of Total Billed Charges,39.82,,68.35,82.4,,Percent of Total Billed Charges,68.18,,69.18,83.4,,Percent of Total Billed Charges,64.54,,69.18,83.4,,Percent of Total Billed Charges,58.15,,69.18,83.4,,Percent of Total Billed Charges,67.52,,74.66,90,,Percent of Total Billed Charges,70.26,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,76.31,92,,Percent of Total Billed Charges,67.27,,76.31,92,,Percent of Total Billed Charges,61.71,,76.31,92,,Percent of Total Billed Charges,64.95,,76.31,92,,Percent of Total Billed Charges,67.27,,64.7,78,,Percent of Total Billed Charges,64.7,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,44.65,53.83,,Percent of Total Billed Charges,41.89,,28.73,34.64,,Percent of Total Billed Charges,28.62,,41.46,49.98,,Percent of Total Billed Charges,31.36,,28.73,76.31,,																																							
HC FETAL CHROMOSOMAL MICRODELTJ GENOMIC SEQ ANALYS,81422,CPT,,,,BOTH, , ,3600.45,3024.38,3312.41,92,,Percent of Total Billed Charges,3009.98,,3312.41,92,,Percent of Total Billed Charges,2955.97,,3312.41,92,,Percent of Total Billed Charges,2898.36,,3312.41,92,,Percent of Total Billed Charges,3006.38,,3312.41,92,,Percent of Total Billed Charges,2711.14,,3312.41,92,,Percent of Total Billed Charges,2250.28,,3240.41,90,,Percent of Total Billed Charges,1796.62,,3204.4,89,,Percent of Total Billed Charges,1728.22,,2966.77,82.4,,Percent of Total Billed Charges,2959.57,,3002.78,83.4,,Percent of Total Billed Charges,2801.15,,3002.78,83.4,,Percent of Total Billed Charges,2523.92,,3002.78,83.4,,Percent of Total Billed Charges,2930.77,,3240.41,90,,Percent of Total Billed Charges,3049.58,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3312.41,92,,Percent of Total Billed Charges,2919.96,,3312.41,92,,Percent of Total Billed Charges,2678.73,,3312.41,92,,Percent of Total Billed Charges,2819.15,,3312.41,92,,Percent of Total Billed Charges,2919.96,,2808.35,78,,Percent of Total Billed Charges,2808.35,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1938.12,53.83,,Percent of Total Billed Charges,1818.23,,1247.2,34.64,,Percent of Total Billed Charges,1242.16,,1799.5,49.98,,Percent of Total Billed Charges,1360.97,,1247.20,3312.41,,																																							
HC SMN1 GENE ANALYSIS DOSAGE/DELET ALYS W/SMN2 ALYS,81329,CPT,,,,BOTH, , ,2222.85,1867.19,2045.02,92,,Percent of Total Billed Charges,1858.3,,2045.02,92,,Percent of Total Billed Charges,1824.96,,2045.02,92,,Percent of Total Billed Charges,1789.39,,2045.02,92,,Percent of Total Billed Charges,1856.08,,2045.02,92,,Percent of Total Billed Charges,1673.81,,2045.02,92,,Percent of Total Billed Charges,1389.28,,2000.57,90,,Percent of Total Billed Charges,1109.2,,1978.34,89,,Percent of Total Billed Charges,1066.97,,1831.63,82.4,,Percent of Total Billed Charges,1827.18,,1853.86,83.4,,Percent of Total Billed Charges,1729.38,,1853.86,83.4,,Percent of Total Billed Charges,1558.22,,1853.86,83.4,,Percent of Total Billed Charges,1809.4,,2000.57,90,,Percent of Total Billed Charges,1882.75,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2045.02,92,,Percent of Total Billed Charges,1802.73,,2045.02,92,,Percent of Total Billed Charges,1653.8,,2045.02,92,,Percent of Total Billed Charges,1740.49,,2045.02,92,,Percent of Total Billed Charges,1802.73,,1733.82,78,,Percent of Total Billed Charges,1733.82,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1196.56,53.83,,Percent of Total Billed Charges,1122.54,,770,34.64,,Percent of Total Billed Charges,766.88,,1110.98,49.98,,Percent of Total Billed Charges,840.24,,770.00,2045.02,,																																							
HC  DRUG ASSAY EVEROLIMUS,80169,CPT,,,,BOTH, , ,492.45,413.66,453.05,92,,Percent of Total Billed Charges,411.69,,453.05,92,,Percent of Total Billed Charges,404.3,,453.05,92,,Percent of Total Billed Charges,396.42,,453.05,92,,Percent of Total Billed Charges,411.2,,453.05,92,,Percent of Total Billed Charges,370.81,,453.05,92,,Percent of Total Billed Charges,307.78,,443.21,90,,Percent of Total Billed Charges,245.73,,438.28,89,,Percent of Total Billed Charges,236.38,,405.78,82.4,,Percent of Total Billed Charges,404.79,,410.7,83.4,,Percent of Total Billed Charges,383.13,,410.7,83.4,,Percent of Total Billed Charges,345.21,,410.7,83.4,,Percent of Total Billed Charges,400.85,,443.21,90,,Percent of Total Billed Charges,417.11,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,453.05,92,,Percent of Total Billed Charges,399.38,,453.05,92,,Percent of Total Billed Charges,366.38,,453.05,92,,Percent of Total Billed Charges,385.59,,453.05,92,,Percent of Total Billed Charges,399.38,,384.11,78,,Percent of Total Billed Charges,384.11,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,265.09,53.83,,Percent of Total Billed Charges,248.69,,170.58,34.64,,Percent of Total Billed Charges,169.9,,246.13,49.98,,Percent of Total Billed Charges,186.15,,170.58,453.05,,																																							
HC CLOTTING FACTOR XIII FIBRN STABILIZ SCREEN SOLUB,85291,CPT,,,,BOTH, , ,87.15,73.21,80.18,92,,Percent of Total Billed Charges,72.86,,80.18,92,,Percent of Total Billed Charges,71.55,,80.18,92,,Percent of Total Billed Charges,70.16,,80.18,92,,Percent of Total Billed Charges,72.77,,80.18,92,,Percent of Total Billed Charges,65.62,,80.18,92,,Percent of Total Billed Charges,54.47,,78.44,90,,Percent of Total Billed Charges,43.49,,77.56,89,,Percent of Total Billed Charges,41.83,,71.81,82.4,,Percent of Total Billed Charges,71.64,,72.68,83.4,,Percent of Total Billed Charges,67.8,,72.68,83.4,,Percent of Total Billed Charges,61.09,,72.68,83.4,,Percent of Total Billed Charges,70.94,,78.44,90,,Percent of Total Billed Charges,73.82,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,80.18,92,,Percent of Total Billed Charges,70.68,,80.18,92,,Percent of Total Billed Charges,64.84,,80.18,92,,Percent of Total Billed Charges,68.24,,80.18,92,,Percent of Total Billed Charges,70.68,,67.98,78,,Percent of Total Billed Charges,67.98,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,46.91,53.83,,Percent of Total Billed Charges,44.01,,30.19,34.64,,Percent of Total Billed Charges,30.07,,43.56,49.98,,Percent of Total Billed Charges,32.94,,30.19,80.18,,																																							
HC CLOTTING FACTOR XII HAGEMAN,85280,CPT,,,,BOTH, , ,82.95,69.68,76.31,92,,Percent of Total Billed Charges,69.35,,76.31,92,,Percent of Total Billed Charges,68.1,,76.31,92,,Percent of Total Billed Charges,66.77,,76.31,92,,Percent of Total Billed Charges,69.26,,76.31,92,,Percent of Total Billed Charges,62.46,,76.31,92,,Percent of Total Billed Charges,51.84,,74.66,90,,Percent of Total Billed Charges,41.39,,73.83,89,,Percent of Total Billed Charges,39.82,,68.35,82.4,,Percent of Total Billed Charges,68.18,,69.18,83.4,,Percent of Total Billed Charges,64.54,,69.18,83.4,,Percent of Total Billed Charges,58.15,,69.18,83.4,,Percent of Total Billed Charges,67.52,,74.66,90,,Percent of Total Billed Charges,70.26,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,76.31,92,,Percent of Total Billed Charges,67.27,,76.31,92,,Percent of Total Billed Charges,61.71,,76.31,92,,Percent of Total Billed Charges,64.95,,76.31,92,,Percent of Total Billed Charges,67.27,,64.7,78,,Percent of Total Billed Charges,64.7,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,44.65,53.83,,Percent of Total Billed Charges,41.89,,28.73,34.64,,Percent of Total Billed Charges,28.62,,41.46,49.98,,Percent of Total Billed Charges,31.36,,28.73,76.31,,																																							
HC DIHYDROTESTOSTERONE,82642,CPT,,,,BOTH, , ,111.3,93.49,102.4,92,,Percent of Total Billed Charges,93.05,,102.4,92,,Percent of Total Billed Charges,91.38,,102.4,92,,Percent of Total Billed Charges,89.6,,102.4,92,,Percent of Total Billed Charges,92.94,,102.4,92,,Percent of Total Billed Charges,83.81,,102.4,92,,Percent of Total Billed Charges,69.56,,100.17,90,,Percent of Total Billed Charges,55.54,,99.06,89,,Percent of Total Billed Charges,53.42,,91.71,82.4,,Percent of Total Billed Charges,91.49,,92.82,83.4,,Percent of Total Billed Charges,86.59,,92.82,83.4,,Percent of Total Billed Charges,78.02,,92.82,83.4,,Percent of Total Billed Charges,90.6,,100.17,90,,Percent of Total Billed Charges,94.27,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,102.4,92,,Percent of Total Billed Charges,90.26,,102.4,92,,Percent of Total Billed Charges,82.81,,102.4,92,,Percent of Total Billed Charges,87.15,,102.4,92,,Percent of Total Billed Charges,90.26,,86.81,78,,Percent of Total Billed Charges,86.81,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,59.91,53.83,,Percent of Total Billed Charges,56.21,,38.55,34.64,,Percent of Total Billed Charges,38.4,,55.63,49.98,,Percent of Total Billed Charges,42.07,,38.55,102.4,,																																							
HC  TOXI NTITOXIN ASSAY TISSUE CULTURE,87230,CPT,,,,BOTH, , ,161.7,135.83,148.76,92,,Percent of Total Billed Charges,135.18,,148.76,92,,Percent of Total Billed Charges,132.76,,148.76,92,,Percent of Total Billed Charges,130.17,,148.76,92,,Percent of Total Billed Charges,135.02,,148.76,92,,Percent of Total Billed Charges,121.76,,148.76,92,,Percent of Total Billed Charges,101.06,,145.53,90,,Percent of Total Billed Charges,80.69,,143.91,89,,Percent of Total Billed Charges,77.62,,133.24,82.4,,Percent of Total Billed Charges,132.92,,134.86,83.4,,Percent of Total Billed Charges,125.8,,134.86,83.4,,Percent of Total Billed Charges,113.35,,134.86,83.4,,Percent of Total Billed Charges,131.62,,145.53,90,,Percent of Total Billed Charges,136.96,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,148.76,92,,Percent of Total Billed Charges,131.14,,148.76,92,,Percent of Total Billed Charges,120.3,,148.76,92,,Percent of Total Billed Charges,126.61,,148.76,92,,Percent of Total Billed Charges,131.14,,126.13,78,,Percent of Total Billed Charges,126.13,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,87.04,53.83,,Percent of Total Billed Charges,81.66,,56.01,34.64,,Percent of Total Billed Charges,55.79,,80.82,49.98,,Percent of Total Billed Charges,61.12,,56.01,148.76,,																																							
HC ANTIDEPRESSANTS SEROTONERGIC CLASS 1 OR 2,80332,CPT,,,,BOTH, , ,438.9,368.68,403.79,92,,Percent of Total Billed Charges,366.92,,403.79,92,,Percent of Total Billed Charges,360.34,,403.79,92,,Percent of Total Billed Charges,353.31,,403.79,92,,Percent of Total Billed Charges,366.48,,403.79,92,,Percent of Total Billed Charges,330.49,,403.79,92,,Percent of Total Billed Charges,274.31,,395.01,90,,Percent of Total Billed Charges,219.01,,390.62,89,,Percent of Total Billed Charges,210.67,,361.65,82.4,,Percent of Total Billed Charges,360.78,,366.04,83.4,,Percent of Total Billed Charges,341.46,,366.04,83.4,,Percent of Total Billed Charges,307.67,,366.04,83.4,,Percent of Total Billed Charges,357.26,,395.01,90,,Percent of Total Billed Charges,371.75,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,403.79,92,,Percent of Total Billed Charges,355.95,,403.79,92,,Percent of Total Billed Charges,326.54,,403.79,92,,Percent of Total Billed Charges,343.66,,403.79,92,,Percent of Total Billed Charges,355.95,,342.34,78,,Percent of Total Billed Charges,342.34,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,236.26,53.83,,Percent of Total Billed Charges,221.64,,152.03,34.64,,Percent of Total Billed Charges,151.42,,219.36,49.98,,Percent of Total Billed Charges,165.9,,152.03,403.79,,																																							
HC ASSAY OF LRH HORMONE,83727,CPT,,,,BOTH, , ,410.55,344.86,377.71,92,,Percent of Total Billed Charges,343.22,,377.71,92,,Percent of Total Billed Charges,337.06,,377.71,92,,Percent of Total Billed Charges,330.49,,377.71,92,,Percent of Total Billed Charges,342.81,,377.71,92,,Percent of Total Billed Charges,309.14,,377.71,92,,Percent of Total Billed Charges,256.59,,369.5,90,,Percent of Total Billed Charges,204.86,,365.39,89,,Percent of Total Billed Charges,197.06,,338.29,82.4,,Percent of Total Billed Charges,337.47,,342.4,83.4,,Percent of Total Billed Charges,319.41,,342.4,83.4,,Percent of Total Billed Charges,287.8,,342.4,83.4,,Percent of Total Billed Charges,334.19,,369.5,90,,Percent of Total Billed Charges,347.74,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,377.71,92,,Percent of Total Billed Charges,332.96,,377.71,92,,Percent of Total Billed Charges,305.45,,377.71,92,,Percent of Total Billed Charges,321.46,,377.71,92,,Percent of Total Billed Charges,332.96,,320.23,78,,Percent of Total Billed Charges,320.23,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,221,53.83,,Percent of Total Billed Charges,207.33,,142.21,34.64,,Percent of Total Billed Charges,141.64,,205.19,49.98,,Percent of Total Billed Charges,155.19,,142.21,377.71,,																																							
HC M. GENITALIUM AMP PROBE,87563,CPT,,,,BOTH, , ,134.4,112.9,123.65,92,,Percent of Total Billed Charges,112.36,,123.65,92,,Percent of Total Billed Charges,110.34,,123.65,92,,Percent of Total Billed Charges,108.19,,123.65,92,,Percent of Total Billed Charges,112.22,,123.65,92,,Percent of Total Billed Charges,101.2,,123.65,92,,Percent of Total Billed Charges,84,,120.96,90,,Percent of Total Billed Charges,67.07,,119.62,89,,Percent of Total Billed Charges,64.51,,110.75,82.4,,Percent of Total Billed Charges,110.48,,112.09,83.4,,Percent of Total Billed Charges,104.56,,112.09,83.4,,Percent of Total Billed Charges,94.21,,112.09,83.4,,Percent of Total Billed Charges,109.4,,120.96,90,,Percent of Total Billed Charges,113.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,123.65,92,,Percent of Total Billed Charges,109,,123.65,92,,Percent of Total Billed Charges,99.99,,123.65,92,,Percent of Total Billed Charges,105.24,,123.65,92,,Percent of Total Billed Charges,109,,104.83,78,,Percent of Total Billed Charges,104.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,72.35,53.83,,Percent of Total Billed Charges,67.87,,46.56,34.64,,Percent of Total Billed Charges,46.37,,67.17,49.98,,Percent of Total Billed Charges,50.8,,46.56,123.65,,																																							
HC VENIPUNCTURE, BLOOD DRAW KIT, SENDOUT,36415,CPT,,,,BOTH, , ,25.2,21.17,23.18,92,,Percent of Total Billed Charges,21.07,,23.18,92,,Percent of Total Billed Charges,20.69,,23.18,92,,Percent of Total Billed Charges,20.29,,23.18,92,,Percent of Total Billed Charges,21.04,,23.18,92,,Percent of Total Billed Charges,18.98,,23.18,92,,Percent of Total Billed Charges,15.75,,22.68,90,,Percent of Total Billed Charges,12.57,,22.43,89,,Percent of Total Billed Charges,12.1,,20.76,82.4,,Percent of Total Billed Charges,20.71,,21.02,83.4,,Percent of Total Billed Charges,19.61,,21.02,83.4,,Percent of Total Billed Charges,17.67,,21.02,83.4,,Percent of Total Billed Charges,20.51,,22.68,90,,Percent of Total Billed Charges,21.34,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,23.18,92,,Percent of Total Billed Charges,20.44,,23.18,92,,Percent of Total Billed Charges,18.75,,23.18,92,,Percent of Total Billed Charges,19.73,,23.18,92,,Percent of Total Billed Charges,20.44,,19.66,78,,Percent of Total Billed Charges,19.66,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,13.57,53.83,,Percent of Total Billed Charges,12.73,,8.73,34.64,,Percent of Total Billed Charges,8.69,,12.59,49.98,,Percent of Total Billed Charges,9.53,,8.73,23.18,,																																							
HC HPA1 GENOTYPING GENE ANALYSIS COMMON VARIANT,81105,CPT,,,,BOTH, , ,579.6,486.86,533.23,92,,Percent of Total Billed Charges,484.55,,533.23,92,,Percent of Total Billed Charges,475.85,,533.23,92,,Percent of Total Billed Charges,466.58,,533.23,92,,Percent of Total Billed Charges,483.97,,533.23,92,,Percent of Total Billed Charges,436.44,,533.23,92,,Percent of Total Billed Charges,362.25,,521.64,90,,Percent of Total Billed Charges,289.22,,515.84,89,,Percent of Total Billed Charges,278.21,,477.59,82.4,,Percent of Total Billed Charges,476.43,,483.39,83.4,,Percent of Total Billed Charges,450.93,,483.39,83.4,,Percent of Total Billed Charges,406.3,,483.39,83.4,,Percent of Total Billed Charges,471.79,,521.64,90,,Percent of Total Billed Charges,490.92,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,533.23,92,,Percent of Total Billed Charges,470.06,,533.23,92,,Percent of Total Billed Charges,431.22,,533.23,92,,Percent of Total Billed Charges,453.83,,533.23,92,,Percent of Total Billed Charges,470.06,,452.09,78,,Percent of Total Billed Charges,452.09,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,312,53.83,,Percent of Total Billed Charges,292.7,,200.77,34.64,,Percent of Total Billed Charges,199.96,,289.68,49.98,,Percent of Total Billed Charges,219.09,,200.77,533.23,,																																							
HC DRUG ASSAY LACOSAMIDE,80235,CPT,,,,BOTH, , ,10.5,8.82,9.66,92,,Percent of Total Billed Charges,8.78,,9.66,92,,Percent of Total Billed Charges,8.62,,9.66,92,,Percent of Total Billed Charges,8.45,,9.66,92,,Percent of Total Billed Charges,8.77,,9.66,92,,Percent of Total Billed Charges,7.91,,9.66,92,,Percent of Total Billed Charges,6.56,,9.45,90,,Percent of Total Billed Charges,5.24,,9.35,89,,Percent of Total Billed Charges,5.04,,8.65,82.4,,Percent of Total Billed Charges,8.63,,8.76,83.4,,Percent of Total Billed Charges,8.17,,8.76,83.4,,Percent of Total Billed Charges,7.36,,8.76,83.4,,Percent of Total Billed Charges,8.55,,9.45,90,,Percent of Total Billed Charges,8.89,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,9.66,92,,Percent of Total Billed Charges,8.52,,9.66,92,,Percent of Total Billed Charges,7.81,,9.66,92,,Percent of Total Billed Charges,8.22,,9.66,92,,Percent of Total Billed Charges,8.52,,8.19,78,,Percent of Total Billed Charges,8.19,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5.65,53.83,,Percent of Total Billed Charges,5.3,,3.64,34.64,,Percent of Total Billed Charges,3.62,,5.25,49.98,,Percent of Total Billed Charges,3.97,,3.64,9.66,,																																							
HC TPMT GENE COM VARIANTS,81335,CPT,,,,BOTH, , ,830.55,697.66,764.11,92,,Percent of Total Billed Charges,694.34,,764.11,92,,Percent of Total Billed Charges,681.88,,764.11,92,,Percent of Total Billed Charges,668.59,,764.11,92,,Percent of Total Billed Charges,693.51,,764.11,92,,Percent of Total Billed Charges,625.4,,764.11,92,,Percent of Total Billed Charges,519.09,,747.5,90,,Percent of Total Billed Charges,414.44,,739.19,89,,Percent of Total Billed Charges,398.66,,684.37,82.4,,Percent of Total Billed Charges,682.71,,692.68,83.4,,Percent of Total Billed Charges,646.17,,692.68,83.4,,Percent of Total Billed Charges,582.22,,692.68,83.4,,Percent of Total Billed Charges,676.07,,747.5,90,,Percent of Total Billed Charges,703.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,764.11,92,,Percent of Total Billed Charges,673.58,,764.11,92,,Percent of Total Billed Charges,617.93,,764.11,92,,Percent of Total Billed Charges,650.32,,764.11,92,,Percent of Total Billed Charges,673.58,,647.83,78,,Percent of Total Billed Charges,647.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,447.09,53.83,,Percent of Total Billed Charges,419.43,,287.7,34.64,,Percent of Total Billed Charges,286.54,,415.11,49.98,,Percent of Total Billed Charges,313.95,,287.70,764.11,,																																							
HC DRUG ASSAY VORICONAZOLE,80285,CPT,,,,BOTH, , ,326.55,274.3,300.43,92,,Percent of Total Billed Charges,273,,300.43,92,,Percent of Total Billed Charges,268.1,,300.43,92,,Percent of Total Billed Charges,262.87,,300.43,92,,Percent of Total Billed Charges,272.67,,300.43,92,,Percent of Total Billed Charges,245.89,,300.43,92,,Percent of Total Billed Charges,204.09,,293.9,90,,Percent of Total Billed Charges,162.95,,290.63,89,,Percent of Total Billed Charges,156.74,,269.08,82.4,,Percent of Total Billed Charges,268.42,,272.34,83.4,,Percent of Total Billed Charges,254.06,,272.34,83.4,,Percent of Total Billed Charges,228.91,,272.34,83.4,,Percent of Total Billed Charges,265.81,,293.9,90,,Percent of Total Billed Charges,276.59,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,300.43,92,,Percent of Total Billed Charges,264.83,,300.43,92,,Percent of Total Billed Charges,242.95,,300.43,92,,Percent of Total Billed Charges,255.69,,300.43,92,,Percent of Total Billed Charges,264.83,,254.71,78,,Percent of Total Billed Charges,254.71,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,175.78,53.83,,Percent of Total Billed Charges,164.91,,113.12,34.64,,Percent of Total Billed Charges,112.66,,163.21,49.98,,Percent of Total Billed Charges,123.44,,113.12,300.43,,																																							
HC DRUG ASSAY ADALIMUMAB,80145,CPT,,,,BOTH, , ,421.05,353.68,387.37,92,,Percent of Total Billed Charges,352,,387.37,92,,Percent of Total Billed Charges,345.68,,387.37,92,,Percent of Total Billed Charges,338.95,,387.37,92,,Percent of Total Billed Charges,351.58,,387.37,92,,Percent of Total Billed Charges,317.05,,387.37,92,,Percent of Total Billed Charges,263.16,,378.95,90,,Percent of Total Billed Charges,210.1,,374.73,89,,Percent of Total Billed Charges,202.1,,346.95,82.4,,Percent of Total Billed Charges,346.1,,351.16,83.4,,Percent of Total Billed Charges,327.58,,351.16,83.4,,Percent of Total Billed Charges,295.16,,351.16,83.4,,Percent of Total Billed Charges,342.73,,378.95,90,,Percent of Total Billed Charges,356.63,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,387.37,92,,Percent of Total Billed Charges,341.47,,387.37,92,,Percent of Total Billed Charges,313.26,,387.37,92,,Percent of Total Billed Charges,329.68,,387.37,92,,Percent of Total Billed Charges,341.47,,328.42,78,,Percent of Total Billed Charges,328.42,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,226.65,53.83,,Percent of Total Billed Charges,212.63,,145.85,34.64,,Percent of Total Billed Charges,145.26,,210.44,49.98,,Percent of Total Billed Charges,159.16,,145.85,387.37,,																																							
HC SARSCOV2 PCR,87635,CPT,,,,BOTH, , ,22.05,18.52,20.29,92,,Percent of Total Billed Charges,18.43,,20.29,92,,Percent of Total Billed Charges,18.1,,20.29,92,,Percent of Total Billed Charges,17.75,,20.29,92,,Percent of Total Billed Charges,18.41,,20.29,92,,Percent of Total Billed Charges,16.6,,20.29,92,,Percent of Total Billed Charges,13.78,,19.85,90,,Percent of Total Billed Charges,11,,19.62,89,,Percent of Total Billed Charges,10.58,,18.17,82.4,,Percent of Total Billed Charges,18.13,,18.39,83.4,,Percent of Total Billed Charges,17.15,,18.39,83.4,,Percent of Total Billed Charges,15.46,,18.39,83.4,,Percent of Total Billed Charges,17.95,,19.85,90,,Percent of Total Billed Charges,18.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,20.29,92,,Percent of Total Billed Charges,17.88,,20.29,92,,Percent of Total Billed Charges,16.41,,20.29,92,,Percent of Total Billed Charges,17.27,,20.29,92,,Percent of Total Billed Charges,17.88,,17.2,78,,Percent of Total Billed Charges,17.2,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,11.87,53.83,,Percent of Total Billed Charges,11.14,,7.64,34.64,,Percent of Total Billed Charges,7.61,,11.02,49.98,,Percent of Total Billed Charges,8.33,,7.64,20.29,,																																							
HC DRUG/SUBSTANCE NOS 46,80376,CPT,,,,BOTH, , ,438.9,368.68,403.79,92,,Percent of Total Billed Charges,366.92,,403.79,92,,Percent of Total Billed Charges,360.34,,403.79,92,,Percent of Total Billed Charges,353.31,,403.79,92,,Percent of Total Billed Charges,366.48,,403.79,92,,Percent of Total Billed Charges,330.49,,403.79,92,,Percent of Total Billed Charges,274.31,,395.01,90,,Percent of Total Billed Charges,219.01,,390.62,89,,Percent of Total Billed Charges,210.67,,361.65,82.4,,Percent of Total Billed Charges,360.78,,366.04,83.4,,Percent of Total Billed Charges,341.46,,366.04,83.4,,Percent of Total Billed Charges,307.67,,366.04,83.4,,Percent of Total Billed Charges,357.26,,395.01,90,,Percent of Total Billed Charges,371.75,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,403.79,92,,Percent of Total Billed Charges,355.95,,403.79,92,,Percent of Total Billed Charges,326.54,,403.79,92,,Percent of Total Billed Charges,343.66,,403.79,92,,Percent of Total Billed Charges,355.95,,342.34,78,,Percent of Total Billed Charges,342.34,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,236.26,53.83,,Percent of Total Billed Charges,221.64,,152.03,34.64,,Percent of Total Billed Charges,151.42,,219.36,49.98,,Percent of Total Billed Charges,165.9,,152.03,403.79,,																																							
HC ONCO (OVAR) TWO PROTEINS,81500,CPT,,,,BOTH, , ,99.75,83.79,91.77,92,,Percent of Total Billed Charges,83.39,,91.77,92,,Percent of Total Billed Charges,81.89,,91.77,92,,Percent of Total Billed Charges,80.3,,91.77,92,,Percent of Total Billed Charges,83.29,,91.77,92,,Percent of Total Billed Charges,75.11,,91.77,92,,Percent of Total Billed Charges,62.34,,89.78,90,,Percent of Total Billed Charges,49.78,,88.78,89,,Percent of Total Billed Charges,47.88,,82.19,82.4,,Percent of Total Billed Charges,81.99,,83.19,83.4,,Percent of Total Billed Charges,77.61,,83.19,83.4,,Percent of Total Billed Charges,69.92,,83.19,83.4,,Percent of Total Billed Charges,81.2,,89.78,90,,Percent of Total Billed Charges,84.49,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,91.77,92,,Percent of Total Billed Charges,80.9,,91.77,92,,Percent of Total Billed Charges,74.21,,91.77,92,,Percent of Total Billed Charges,78.1,,91.77,92,,Percent of Total Billed Charges,80.9,,77.81,78,,Percent of Total Billed Charges,77.81,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,53.7,53.83,,Percent of Total Billed Charges,50.37,,34.55,34.64,,Percent of Total Billed Charges,34.41,,49.86,49.98,,Percent of Total Billed Charges,37.71,,34.55,91.77,,																																							
HC HBB FULL GENE SEQUENCE,81364,CPT,,,,BOTH, , ,1540.35,1293.89,1417.12,92,,Percent of Total Billed Charges,1287.73,,1417.12,92,,Percent of Total Billed Charges,1264.63,,1417.12,92,,Percent of Total Billed Charges,1239.98,,1417.12,92,,Percent of Total Billed Charges,1286.19,,1417.12,92,,Percent of Total Billed Charges,1159.88,,1417.12,92,,Percent of Total Billed Charges,962.72,,1386.32,90,,Percent of Total Billed Charges,768.63,,1370.91,89,,Percent of Total Billed Charges,739.37,,1269.25,82.4,,Percent of Total Billed Charges,1266.17,,1284.65,83.4,,Percent of Total Billed Charges,1198.39,,1284.65,83.4,,Percent of Total Billed Charges,1079.79,,1284.65,83.4,,Percent of Total Billed Charges,1253.84,,1386.32,90,,Percent of Total Billed Charges,1304.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1417.12,92,,Percent of Total Billed Charges,1249.22,,1417.12,92,,Percent of Total Billed Charges,1146.02,,1417.12,92,,Percent of Total Billed Charges,1206.09,,1417.12,92,,Percent of Total Billed Charges,1249.22,,1201.47,78,,Percent of Total Billed Charges,1201.47,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,829.17,53.83,,Percent of Total Billed Charges,777.88,,533.58,34.64,,Percent of Total Billed Charges,531.42,,769.87,49.98,,Percent of Total Billed Charges,582.25,,533.58,1417.12,,																																							
HC BLOOD OCCULT FECAL HGB DETER IA QUAL FECES 13,82274,CPT,,,,BOTH, , ,61.95,52.04,56.99,92,,Percent of Total Billed Charges,51.79,,56.99,92,,Percent of Total Billed Charges,50.86,,56.99,92,,Percent of Total Billed Charges,49.87,,56.99,92,,Percent of Total Billed Charges,51.73,,56.99,92,,Percent of Total Billed Charges,46.65,,56.99,92,,Percent of Total Billed Charges,38.72,,55.76,90,,Percent of Total Billed Charges,30.91,,55.14,89,,Percent of Total Billed Charges,29.74,,51.05,82.4,,Percent of Total Billed Charges,50.92,,51.67,83.4,,Percent of Total Billed Charges,48.2,,51.67,83.4,,Percent of Total Billed Charges,43.43,,51.67,83.4,,Percent of Total Billed Charges,50.43,,55.76,90,,Percent of Total Billed Charges,52.47,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,56.99,92,,Percent of Total Billed Charges,50.24,,56.99,92,,Percent of Total Billed Charges,46.09,,56.99,92,,Percent of Total Billed Charges,48.51,,56.99,92,,Percent of Total Billed Charges,50.24,,48.32,78,,Percent of Total Billed Charges,48.32,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,33.35,53.83,,Percent of Total Billed Charges,31.28,,21.46,34.64,,Percent of Total Billed Charges,21.37,,30.96,49.98,,Percent of Total Billed Charges,23.42,,21.46,56.99,,																																							
HC SARSCOV2 COVID19 ANTIBODY,86769,CPT,,,,BOTH, , ,143.85,120.83,132.34,92,,Percent of Total Billed Charges,120.26,,132.34,92,,Percent of Total Billed Charges,118.1,,132.34,92,,Percent of Total Billed Charges,115.8,,132.34,92,,Percent of Total Billed Charges,120.11,,132.34,92,,Percent of Total Billed Charges,108.32,,132.34,92,,Percent of Total Billed Charges,89.91,,129.47,90,,Percent of Total Billed Charges,71.78,,128.03,89,,Percent of Total Billed Charges,69.05,,118.53,82.4,,Percent of Total Billed Charges,118.24,,119.97,83.4,,Percent of Total Billed Charges,111.92,,119.97,83.4,,Percent of Total Billed Charges,100.84,,119.97,83.4,,Percent of Total Billed Charges,117.09,,129.47,90,,Percent of Total Billed Charges,121.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,132.34,92,,Percent of Total Billed Charges,116.66,,132.34,92,,Percent of Total Billed Charges,107.02,,132.34,92,,Percent of Total Billed Charges,112.63,,132.34,92,,Percent of Total Billed Charges,116.66,,112.2,78,,Percent of Total Billed Charges,112.2,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,77.43,53.83,,Percent of Total Billed Charges,72.64,,49.83,34.64,,Percent of Total Billed Charges,49.63,,71.9,49.98,,Percent of Total Billed Charges,54.38,,49.83,132.34,,																																							
HC HEMOGLOBIN FRACTJ/QUANTJ ELECTROPHORESIS,83020,CPT,,,,BOTH, , ,48.3,40.57,44.44,92,,Percent of Total Billed Charges,40.38,,44.44,92,,Percent of Total Billed Charges,39.65,,44.44,92,,Percent of Total Billed Charges,38.88,,44.44,92,,Percent of Total Billed Charges,40.33,,44.44,92,,Percent of Total Billed Charges,36.37,,44.44,92,,Percent of Total Billed Charges,30.19,,43.47,90,,Percent of Total Billed Charges,24.1,,42.99,89,,Percent of Total Billed Charges,23.18,,39.8,82.4,,Percent of Total Billed Charges,39.7,,40.28,83.4,,Percent of Total Billed Charges,37.58,,40.28,83.4,,Percent of Total Billed Charges,33.86,,40.28,83.4,,Percent of Total Billed Charges,39.32,,43.47,90,,Percent of Total Billed Charges,40.91,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,44.44,92,,Percent of Total Billed Charges,39.17,,44.44,92,,Percent of Total Billed Charges,35.94,,44.44,92,,Percent of Total Billed Charges,37.82,,44.44,92,,Percent of Total Billed Charges,39.17,,37.67,78,,Percent of Total Billed Charges,37.67,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,26,53.83,,Percent of Total Billed Charges,24.39,,16.73,34.64,,Percent of Total Billed Charges,16.66,,24.14,49.98,,Percent of Total Billed Charges,18.26,,16.73,44.44,,																																							
HC HEMOGLOBINOXYGEN AFFINITY,82820,CPT,,,,BOTH, , ,50.4,42.34,46.37,92,,Percent of Total Billed Charges,42.13,,46.37,92,,Percent of Total Billed Charges,41.38,,46.37,92,,Percent of Total Billed Charges,40.57,,46.37,92,,Percent of Total Billed Charges,42.08,,46.37,92,,Percent of Total Billed Charges,37.95,,46.37,92,,Percent of Total Billed Charges,31.5,,45.36,90,,Percent of Total Billed Charges,25.15,,44.86,89,,Percent of Total Billed Charges,24.19,,41.53,82.4,,Percent of Total Billed Charges,41.43,,42.03,83.4,,Percent of Total Billed Charges,39.21,,42.03,83.4,,Percent of Total Billed Charges,35.33,,42.03,83.4,,Percent of Total Billed Charges,41.03,,45.36,90,,Percent of Total Billed Charges,42.69,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,46.37,92,,Percent of Total Billed Charges,40.87,,46.37,92,,Percent of Total Billed Charges,37.5,,46.37,92,,Percent of Total Billed Charges,39.46,,46.37,92,,Percent of Total Billed Charges,40.87,,39.31,78,,Percent of Total Billed Charges,39.31,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,27.13,53.83,,Percent of Total Billed Charges,25.45,,17.46,34.64,,Percent of Total Billed Charges,17.39,,25.19,49.98,,Percent of Total Billed Charges,19.05,,17.46,46.37,,																																							
HC DETECT AGENT NOS DNA AMP PARVO B19 DNA,87798,CPT,,,,BOTH, , ,134.4,112.9,123.65,92,,Percent of Total Billed Charges,112.36,,123.65,92,,Percent of Total Billed Charges,110.34,,123.65,92,,Percent of Total Billed Charges,108.19,,123.65,92,,Percent of Total Billed Charges,112.22,,123.65,92,,Percent of Total Billed Charges,101.2,,123.65,92,,Percent of Total Billed Charges,84,,120.96,90,,Percent of Total Billed Charges,67.07,,119.62,89,,Percent of Total Billed Charges,64.51,,110.75,82.4,,Percent of Total Billed Charges,110.48,,112.09,83.4,,Percent of Total Billed Charges,104.56,,112.09,83.4,,Percent of Total Billed Charges,94.21,,112.09,83.4,,Percent of Total Billed Charges,109.4,,120.96,90,,Percent of Total Billed Charges,113.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,123.65,92,,Percent of Total Billed Charges,109,,123.65,92,,Percent of Total Billed Charges,99.99,,123.65,92,,Percent of Total Billed Charges,105.24,,123.65,92,,Percent of Total Billed Charges,109,,104.83,78,,Percent of Total Billed Charges,104.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,72.35,53.83,,Percent of Total Billed Charges,67.87,,46.56,34.64,,Percent of Total Billed Charges,46.37,,67.17,49.98,,Percent of Total Billed Charges,50.8,,46.56,123.65,,																																							
HC DETECT AGENT NOS DNA AMP JC POLY DNA,87798,CPT,,,,BOTH, , ,34.65,29.11,31.88,92,,Percent of Total Billed Charges,28.97,,31.88,92,,Percent of Total Billed Charges,28.45,,31.88,92,,Percent of Total Billed Charges,27.89,,31.88,92,,Percent of Total Billed Charges,28.93,,31.88,92,,Percent of Total Billed Charges,26.09,,31.88,92,,Percent of Total Billed Charges,21.66,,31.19,90,,Percent of Total Billed Charges,17.29,,30.84,89,,Percent of Total Billed Charges,16.63,,28.55,82.4,,Percent of Total Billed Charges,28.48,,28.9,83.4,,Percent of Total Billed Charges,26.96,,28.9,83.4,,Percent of Total Billed Charges,24.29,,28.9,83.4,,Percent of Total Billed Charges,28.21,,31.19,90,,Percent of Total Billed Charges,29.35,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,31.88,92,,Percent of Total Billed Charges,28.1,,31.88,92,,Percent of Total Billed Charges,25.78,,31.88,92,,Percent of Total Billed Charges,27.13,,31.88,92,,Percent of Total Billed Charges,28.1,,27.03,78,,Percent of Total Billed Charges,27.03,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,18.65,53.83,,Percent of Total Billed Charges,17.5,,12,34.64,,Percent of Total Billed Charges,11.95,,17.32,49.98,,Percent of Total Billed Charges,13.1,,12.00,31.88,,																																							
HC DETECT AGENT NOS DNA AMP BORD PERTUSSIS PCR,87798,CPT,,,,BOTH, , ,453.6,381.02,417.31,92,,Percent of Total Billed Charges,379.21,,417.31,92,,Percent of Total Billed Charges,372.41,,417.31,92,,Percent of Total Billed Charges,365.15,,417.31,92,,Percent of Total Billed Charges,378.76,,417.31,92,,Percent of Total Billed Charges,341.56,,417.31,92,,Percent of Total Billed Charges,283.5,,408.24,90,,Percent of Total Billed Charges,226.35,,403.7,89,,Percent of Total Billed Charges,217.73,,373.77,82.4,,Percent of Total Billed Charges,372.86,,378.3,83.4,,Percent of Total Billed Charges,352.9,,378.3,83.4,,Percent of Total Billed Charges,317.97,,378.3,83.4,,Percent of Total Billed Charges,369.23,,408.24,90,,Percent of Total Billed Charges,384.2,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,417.31,92,,Percent of Total Billed Charges,367.87,,417.31,92,,Percent of Total Billed Charges,337.48,,417.31,92,,Percent of Total Billed Charges,355.17,,417.31,92,,Percent of Total Billed Charges,367.87,,353.81,78,,Percent of Total Billed Charges,353.81,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,244.17,53.83,,Percent of Total Billed Charges,229.07,,157.13,34.64,,Percent of Total Billed Charges,156.49,,226.71,49.98,,Percent of Total Billed Charges,171.46,,157.13,417.31,,																																							
HC DETECT AGENT NOS DNA AMP TOXOPLASMA DNA,87798,CPT,,,,BOTH, , ,31.5,26.46,28.98,92,,Percent of Total Billed Charges,26.33,,28.98,92,,Percent of Total Billed Charges,25.86,,28.98,92,,Percent of Total Billed Charges,25.36,,28.98,92,,Percent of Total Billed Charges,26.3,,28.98,92,,Percent of Total Billed Charges,23.72,,28.98,92,,Percent of Total Billed Charges,19.69,,28.35,90,,Percent of Total Billed Charges,15.72,,28.04,89,,Percent of Total Billed Charges,15.12,,25.96,82.4,,Percent of Total Billed Charges,25.89,,26.27,83.4,,Percent of Total Billed Charges,24.51,,26.27,83.4,,Percent of Total Billed Charges,22.08,,26.27,83.4,,Percent of Total Billed Charges,25.64,,28.35,90,,Percent of Total Billed Charges,26.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,28.98,92,,Percent of Total Billed Charges,25.55,,28.98,92,,Percent of Total Billed Charges,23.44,,28.98,92,,Percent of Total Billed Charges,24.66,,28.98,92,,Percent of Total Billed Charges,25.55,,24.57,78,,Percent of Total Billed Charges,24.57,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,16.96,53.83,,Percent of Total Billed Charges,15.91,,10.91,34.64,,Percent of Total Billed Charges,10.87,,15.74,49.98,,Percent of Total Billed Charges,11.91,,10.91,28.98,,																																							
HC DETECT AGENT NOS DNA AMP EHRLICHIA DNA,87798,CPT,,,,BOTH, , ,328.65,276.07,302.36,92,,Percent of Total Billed Charges,274.75,,302.36,92,,Percent of Total Billed Charges,269.82,,302.36,92,,Percent of Total Billed Charges,264.56,,302.36,92,,Percent of Total Billed Charges,274.42,,302.36,92,,Percent of Total Billed Charges,247.47,,302.36,92,,Percent of Total Billed Charges,205.41,,295.79,90,,Percent of Total Billed Charges,164,,292.5,89,,Percent of Total Billed Charges,157.75,,270.81,82.4,,Percent of Total Billed Charges,270.15,,274.09,83.4,,Percent of Total Billed Charges,255.69,,274.09,83.4,,Percent of Total Billed Charges,230.38,,274.09,83.4,,Percent of Total Billed Charges,267.52,,295.79,90,,Percent of Total Billed Charges,278.37,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,302.36,92,,Percent of Total Billed Charges,266.54,,302.36,92,,Percent of Total Billed Charges,244.52,,302.36,92,,Percent of Total Billed Charges,257.33,,302.36,92,,Percent of Total Billed Charges,266.54,,256.35,78,,Percent of Total Billed Charges,256.35,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,176.91,53.83,,Percent of Total Billed Charges,165.97,,113.84,34.64,,Percent of Total Billed Charges,113.38,,164.26,49.98,,Percent of Total Billed Charges,124.23,,113.84,302.36,,																																							
HC DETECT AGENT NOS DNA AMP BABESIA MICROTI DNA,87798,CPT,,,,BOTH, , ,578.55,485.98,532.27,92,,Percent of Total Billed Charges,483.67,,532.27,92,,Percent of Total Billed Charges,474.99,,532.27,92,,Percent of Total Billed Charges,465.73,,532.27,92,,Percent of Total Billed Charges,483.09,,532.27,92,,Percent of Total Billed Charges,435.65,,532.27,92,,Percent of Total Billed Charges,361.59,,520.7,90,,Percent of Total Billed Charges,288.7,,514.91,89,,Percent of Total Billed Charges,277.7,,476.73,82.4,,Percent of Total Billed Charges,475.57,,482.51,83.4,,Percent of Total Billed Charges,450.11,,482.51,83.4,,Percent of Total Billed Charges,405.56,,482.51,83.4,,Percent of Total Billed Charges,470.94,,520.7,90,,Percent of Total Billed Charges,490.03,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,532.27,92,,Percent of Total Billed Charges,469.2,,532.27,92,,Percent of Total Billed Charges,430.44,,532.27,92,,Percent of Total Billed Charges,453,,532.27,92,,Percent of Total Billed Charges,469.2,,451.27,78,,Percent of Total Billed Charges,451.27,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,311.43,53.83,,Percent of Total Billed Charges,292.17,,200.41,34.64,,Percent of Total Billed Charges,199.6,,289.16,49.98,,Percent of Total Billed Charges,218.69,,200.41,532.27,,																																							
HC DRUG ASSAY VEDOLIZUMAB,80280,CPT,,,,BOTH, , ,885.15,743.53,814.34,92,,Percent of Total Billed Charges,739.99,,814.34,92,,Percent of Total Billed Charges,726.71,,814.34,92,,Percent of Total Billed Charges,712.55,,814.34,92,,Percent of Total Billed Charges,739.1,,814.34,92,,Percent of Total Billed Charges,666.52,,814.34,92,,Percent of Total Billed Charges,553.22,,796.64,90,,Percent of Total Billed Charges,441.69,,787.78,89,,Percent of Total Billed Charges,424.87,,729.36,82.4,,Percent of Total Billed Charges,727.59,,738.22,83.4,,Percent of Total Billed Charges,688.65,,738.22,83.4,,Percent of Total Billed Charges,620.49,,738.22,83.4,,Percent of Total Billed Charges,720.51,,796.64,90,,Percent of Total Billed Charges,749.72,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,814.34,92,,Percent of Total Billed Charges,717.86,,814.34,92,,Percent of Total Billed Charges,658.55,,814.34,92,,Percent of Total Billed Charges,693.07,,814.34,92,,Percent of Total Billed Charges,717.86,,690.42,78,,Percent of Total Billed Charges,690.42,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,476.48,53.83,,Percent of Total Billed Charges,447,,306.62,34.64,,Percent of Total Billed Charges,305.38,,442.4,49.98,,Percent of Total Billed Charges,334.59,,306.62,814.34,,																																							
HC DETECT AGENT NOS DNA AMP BORD PERTUSSIS PCR (RP),87798,CPT,,,,BOTH, , ,134.4,112.9,123.65,92,,Percent of Total Billed Charges,112.36,,123.65,92,,Percent of Total Billed Charges,110.34,,123.65,92,,Percent of Total Billed Charges,108.19,,123.65,92,,Percent of Total Billed Charges,112.22,,123.65,92,,Percent of Total Billed Charges,101.2,,123.65,92,,Percent of Total Billed Charges,84,,120.96,90,,Percent of Total Billed Charges,67.07,,119.62,89,,Percent of Total Billed Charges,64.51,,110.75,82.4,,Percent of Total Billed Charges,110.48,,112.09,83.4,,Percent of Total Billed Charges,104.56,,112.09,83.4,,Percent of Total Billed Charges,94.21,,112.09,83.4,,Percent of Total Billed Charges,109.4,,120.96,90,,Percent of Total Billed Charges,113.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,123.65,92,,Percent of Total Billed Charges,109,,123.65,92,,Percent of Total Billed Charges,99.99,,123.65,92,,Percent of Total Billed Charges,105.24,,123.65,92,,Percent of Total Billed Charges,109,,104.83,78,,Percent of Total Billed Charges,104.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,72.35,53.83,,Percent of Total Billed Charges,67.87,,46.56,34.64,,Percent of Total Billed Charges,46.37,,67.17,49.98,,Percent of Total Billed Charges,50.8,,46.56,123.65,,																																							
HC ANTIBODY HLA CLASS I & CLASS II ANTIGENS QUAL,86828,CPT,,,,BOTH, , ,245.7,206.39,226.04,92,,Percent of Total Billed Charges,205.41,,226.04,92,,Percent of Total Billed Charges,201.72,,226.04,92,,Percent of Total Billed Charges,197.79,,226.04,92,,Percent of Total Billed Charges,205.16,,226.04,92,,Percent of Total Billed Charges,185.01,,226.04,92,,Percent of Total Billed Charges,153.56,,221.13,90,,Percent of Total Billed Charges,122.6,,218.67,89,,Percent of Total Billed Charges,117.94,,202.46,82.4,,Percent of Total Billed Charges,201.97,,204.91,83.4,,Percent of Total Billed Charges,191.15,,204.91,83.4,,Percent of Total Billed Charges,172.24,,204.91,83.4,,Percent of Total Billed Charges,200,,221.13,90,,Percent of Total Billed Charges,208.11,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,226.04,92,,Percent of Total Billed Charges,199.26,,226.04,92,,Percent of Total Billed Charges,182.8,,226.04,92,,Percent of Total Billed Charges,192.38,,226.04,92,,Percent of Total Billed Charges,199.26,,191.65,78,,Percent of Total Billed Charges,191.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,132.26,53.83,,Percent of Total Billed Charges,124.08,,85.11,34.64,,Percent of Total Billed Charges,84.77,,122.8,49.98,,Percent of Total Billed Charges,92.87,,85.11,226.04,,																																							
HC DETECT AGENT NOS DNA AMP V ZOSTER DNA,87798,CPT,,,,BOTH, , ,245.7,206.39,226.04,92,,Percent of Total Billed Charges,205.41,,226.04,92,,Percent of Total Billed Charges,201.72,,226.04,92,,Percent of Total Billed Charges,197.79,,226.04,92,,Percent of Total Billed Charges,205.16,,226.04,92,,Percent of Total Billed Charges,185.01,,226.04,92,,Percent of Total Billed Charges,153.56,,221.13,90,,Percent of Total Billed Charges,122.6,,218.67,89,,Percent of Total Billed Charges,117.94,,202.46,82.4,,Percent of Total Billed Charges,201.97,,204.91,83.4,,Percent of Total Billed Charges,191.15,,204.91,83.4,,Percent of Total Billed Charges,172.24,,204.91,83.4,,Percent of Total Billed Charges,200,,221.13,90,,Percent of Total Billed Charges,208.11,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,226.04,92,,Percent of Total Billed Charges,199.26,,226.04,92,,Percent of Total Billed Charges,182.8,,226.04,92,,Percent of Total Billed Charges,192.38,,226.04,92,,Percent of Total Billed Charges,199.26,,191.65,78,,Percent of Total Billed Charges,191.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,132.26,53.83,,Percent of Total Billed Charges,124.08,,85.11,34.64,,Percent of Total Billed Charges,84.77,,122.8,49.98,,Percent of Total Billed Charges,92.87,,85.11,226.04,,																																							
HC  DETECT AGENT NOS DNA AMP HEP D RNA PCR,87798,CPT,,,,BOTH, , ,383.25,321.93,352.59,92,,Percent of Total Billed Charges,320.4,,352.59,92,,Percent of Total Billed Charges,314.65,,352.59,92,,Percent of Total Billed Charges,308.52,,352.59,92,,Percent of Total Billed Charges,320.01,,352.59,92,,Percent of Total Billed Charges,288.59,,352.59,92,,Percent of Total Billed Charges,239.53,,344.93,90,,Percent of Total Billed Charges,191.24,,341.09,89,,Percent of Total Billed Charges,183.96,,315.8,82.4,,Percent of Total Billed Charges,315.03,,319.63,83.4,,Percent of Total Billed Charges,298.17,,319.63,83.4,,Percent of Total Billed Charges,268.66,,319.63,83.4,,Percent of Total Billed Charges,311.97,,344.93,90,,Percent of Total Billed Charges,324.61,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,352.59,92,,Percent of Total Billed Charges,310.82,,352.59,92,,Percent of Total Billed Charges,285.14,,352.59,92,,Percent of Total Billed Charges,300.08,,352.59,92,,Percent of Total Billed Charges,310.82,,298.94,78,,Percent of Total Billed Charges,298.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,206.3,53.83,,Percent of Total Billed Charges,193.54,,132.76,34.64,,Percent of Total Billed Charges,132.22,,191.55,49.98,,Percent of Total Billed Charges,144.87,,132.76,352.59,,																																							
HC FACTOR INHIBITOR TEST,85335,CPT,,,,BOTH, , ,123.9,104.08,113.99,92,,Percent of Total Billed Charges,103.58,,113.99,92,,Percent of Total Billed Charges,101.72,,113.99,92,,Percent of Total Billed Charges,99.74,,113.99,92,,Percent of Total Billed Charges,103.46,,113.99,92,,Percent of Total Billed Charges,93.3,,113.99,92,,Percent of Total Billed Charges,77.44,,111.51,90,,Percent of Total Billed Charges,61.83,,110.27,89,,Percent of Total Billed Charges,59.47,,102.09,82.4,,Percent of Total Billed Charges,101.85,,103.33,83.4,,Percent of Total Billed Charges,96.39,,103.33,83.4,,Percent of Total Billed Charges,86.85,,103.33,83.4,,Percent of Total Billed Charges,100.85,,111.51,90,,Percent of Total Billed Charges,104.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,113.99,92,,Percent of Total Billed Charges,100.48,,113.99,92,,Percent of Total Billed Charges,92.18,,113.99,92,,Percent of Total Billed Charges,97.01,,113.99,92,,Percent of Total Billed Charges,100.48,,96.64,78,,Percent of Total Billed Charges,96.64,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,66.7,53.83,,Percent of Total Billed Charges,62.57,,42.92,34.64,,Percent of Total Billed Charges,42.75,,61.93,49.98,,Percent of Total Billed Charges,46.83,,42.92,113.99,,																																							
HC TPMT NUDT15 GENE ANALYSIS COMMON VARIANTS,0034U,CPT,,,,BOTH, , ,1786.05,1500.28,1643.17,92,,Percent of Total Billed Charges,1493.14,,1643.17,92,,Percent of Total Billed Charges,1466.35,,1643.17,92,,Percent of Total Billed Charges,1437.77,,1643.17,92,,Percent of Total Billed Charges,1491.35,,1643.17,92,,Percent of Total Billed Charges,1344.9,,1643.17,92,,Percent of Total Billed Charges,1116.28,,1607.45,90,,Percent of Total Billed Charges,891.24,,1589.58,89,,Percent of Total Billed Charges,857.3,,1471.71,82.4,,Percent of Total Billed Charges,1468.13,,1489.57,83.4,,Percent of Total Billed Charges,1389.55,,1489.57,83.4,,Percent of Total Billed Charges,1252.02,,1489.57,83.4,,Percent of Total Billed Charges,1453.84,,1607.45,90,,Percent of Total Billed Charges,1512.78,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1643.17,92,,Percent of Total Billed Charges,1448.49,,1643.17,92,,Percent of Total Billed Charges,1328.82,,1643.17,92,,Percent of Total Billed Charges,1398.48,,1643.17,92,,Percent of Total Billed Charges,1448.49,,1393.12,78,,Percent of Total Billed Charges,1393.12,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,961.43,53.83,,Percent of Total Billed Charges,901.96,,618.69,34.64,,Percent of Total Billed Charges,616.19,,892.67,49.98,,Percent of Total Billed Charges,675.13,,618.69,1643.17,,																																							
HC PCA3/KLK3 ANTIGEN,81313,CPT,,,,BOTH, , ,1210.65,1016.95,1113.8,92,,Percent of Total Billed Charges,1012.1,,1113.8,92,,Percent of Total Billed Charges,993.94,,1113.8,92,,Percent of Total Billed Charges,974.57,,1113.8,92,,Percent of Total Billed Charges,1010.89,,1113.8,92,,Percent of Total Billed Charges,911.62,,1113.8,92,,Percent of Total Billed Charges,756.66,,1089.59,90,,Percent of Total Billed Charges,604.11,,1077.48,89,,Percent of Total Billed Charges,581.11,,997.58,82.4,,Percent of Total Billed Charges,995.15,,1009.68,83.4,,Percent of Total Billed Charges,941.89,,1009.68,83.4,,Percent of Total Billed Charges,848.67,,1009.68,83.4,,Percent of Total Billed Charges,985.47,,1089.59,90,,Percent of Total Billed Charges,1025.42,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1113.8,92,,Percent of Total Billed Charges,981.84,,1113.8,92,,Percent of Total Billed Charges,900.72,,1113.8,92,,Percent of Total Billed Charges,947.94,,1113.8,92,,Percent of Total Billed Charges,981.84,,944.31,78,,Percent of Total Billed Charges,944.31,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,651.69,53.83,,Percent of Total Billed Charges,611.38,,419.37,34.64,,Percent of Total Billed Charges,417.67,,605.08,49.98,,Percent of Total Billed Charges,457.63,,419.37,1113.8,,																																							
HC  DRUG ASSAY INFLIXIMAB,80230,CPT,,,,BOTH, , ,885.15,743.53,814.34,92,,Percent of Total Billed Charges,739.99,,814.34,92,,Percent of Total Billed Charges,726.71,,814.34,92,,Percent of Total Billed Charges,712.55,,814.34,92,,Percent of Total Billed Charges,739.1,,814.34,92,,Percent of Total Billed Charges,666.52,,814.34,92,,Percent of Total Billed Charges,553.22,,796.64,90,,Percent of Total Billed Charges,441.69,,787.78,89,,Percent of Total Billed Charges,424.87,,729.36,82.4,,Percent of Total Billed Charges,727.59,,738.22,83.4,,Percent of Total Billed Charges,688.65,,738.22,83.4,,Percent of Total Billed Charges,620.49,,738.22,83.4,,Percent of Total Billed Charges,720.51,,796.64,90,,Percent of Total Billed Charges,749.72,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,814.34,92,,Percent of Total Billed Charges,717.86,,814.34,92,,Percent of Total Billed Charges,658.55,,814.34,92,,Percent of Total Billed Charges,693.07,,814.34,92,,Percent of Total Billed Charges,717.86,,690.42,78,,Percent of Total Billed Charges,690.42,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,476.48,53.83,,Percent of Total Billed Charges,447,,306.62,34.64,,Percent of Total Billed Charges,305.38,,442.4,49.98,,Percent of Total Billed Charges,334.59,,306.62,814.34,,																																							
HC  HSV DNA QUANT,87530,CPT,,,,BOTH, , ,162.75,136.71,149.73,92,,Percent of Total Billed Charges,136.06,,149.73,92,,Percent of Total Billed Charges,133.62,,149.73,92,,Percent of Total Billed Charges,131.01,,149.73,92,,Percent of Total Billed Charges,135.9,,149.73,92,,Percent of Total Billed Charges,122.55,,149.73,92,,Percent of Total Billed Charges,101.72,,146.48,90,,Percent of Total Billed Charges,81.21,,144.85,89,,Percent of Total Billed Charges,78.12,,134.11,82.4,,Percent of Total Billed Charges,133.78,,135.73,83.4,,Percent of Total Billed Charges,126.62,,135.73,83.4,,Percent of Total Billed Charges,114.09,,135.73,83.4,,Percent of Total Billed Charges,132.48,,146.48,90,,Percent of Total Billed Charges,137.85,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,149.73,92,,Percent of Total Billed Charges,131.99,,149.73,92,,Percent of Total Billed Charges,121.09,,149.73,92,,Percent of Total Billed Charges,127.43,,149.73,92,,Percent of Total Billed Charges,131.99,,126.95,78,,Percent of Total Billed Charges,126.95,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,87.61,53.83,,Percent of Total Billed Charges,82.19,,56.38,34.64,,Percent of Total Billed Charges,56.15,,81.34,49.98,,Percent of Total Billed Charges,61.52,,56.38,149.73,,																																							
HC GALECTIN3,82777,CPT,,,,BOTH, , ,170.1,142.88,156.49,92,,Percent of Total Billed Charges,142.2,,156.49,92,,Percent of Total Billed Charges,139.65,,156.49,92,,Percent of Total Billed Charges,136.93,,156.49,92,,Percent of Total Billed Charges,142.03,,156.49,92,,Percent of Total Billed Charges,128.09,,156.49,92,,Percent of Total Billed Charges,106.31,,153.09,90,,Percent of Total Billed Charges,84.88,,151.39,89,,Percent of Total Billed Charges,81.65,,140.16,82.4,,Percent of Total Billed Charges,139.82,,141.86,83.4,,Percent of Total Billed Charges,132.34,,141.86,83.4,,Percent of Total Billed Charges,119.24,,141.86,83.4,,Percent of Total Billed Charges,138.46,,153.09,90,,Percent of Total Billed Charges,144.07,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,156.49,92,,Percent of Total Billed Charges,137.95,,156.49,92,,Percent of Total Billed Charges,126.55,,156.49,92,,Percent of Total Billed Charges,133.19,,156.49,92,,Percent of Total Billed Charges,137.95,,132.68,78,,Percent of Total Billed Charges,132.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,91.56,53.83,,Percent of Total Billed Charges,85.9,,58.92,34.64,,Percent of Total Billed Charges,58.68,,85.02,49.98,,Percent of Total Billed Charges,64.3,,58.92,156.49,,																																							
HC HBB GENE COM VARIANTS,81361,CPT,,,,BOTH, , ,830.55,697.66,764.11,92,,Percent of Total Billed Charges,694.34,,764.11,92,,Percent of Total Billed Charges,681.88,,764.11,92,,Percent of Total Billed Charges,668.59,,764.11,92,,Percent of Total Billed Charges,693.51,,764.11,92,,Percent of Total Billed Charges,625.4,,764.11,92,,Percent of Total Billed Charges,519.09,,747.5,90,,Percent of Total Billed Charges,414.44,,739.19,89,,Percent of Total Billed Charges,398.66,,684.37,82.4,,Percent of Total Billed Charges,682.71,,692.68,83.4,,Percent of Total Billed Charges,646.17,,692.68,83.4,,Percent of Total Billed Charges,582.22,,692.68,83.4,,Percent of Total Billed Charges,676.07,,747.5,90,,Percent of Total Billed Charges,703.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,764.11,92,,Percent of Total Billed Charges,673.58,,764.11,92,,Percent of Total Billed Charges,617.93,,764.11,92,,Percent of Total Billed Charges,650.32,,764.11,92,,Percent of Total Billed Charges,673.58,,647.83,78,,Percent of Total Billed Charges,647.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,447.09,53.83,,Percent of Total Billed Charges,419.43,,287.7,34.64,,Percent of Total Billed Charges,286.54,,415.11,49.98,,Percent of Total Billed Charges,313.95,,287.70,764.11,,																																							
HC ASPA GENE,81200,CPT,,,,BOTH, , ,223.65,187.87,205.76,92,,Percent of Total Billed Charges,186.97,,205.76,92,,Percent of Total Billed Charges,183.62,,205.76,92,,Percent of Total Billed Charges,180.04,,205.76,92,,Percent of Total Billed Charges,186.75,,205.76,92,,Percent of Total Billed Charges,168.41,,205.76,92,,Percent of Total Billed Charges,139.78,,201.29,90,,Percent of Total Billed Charges,111.6,,199.05,89,,Percent of Total Billed Charges,107.35,,184.29,82.4,,Percent of Total Billed Charges,183.84,,186.52,83.4,,Percent of Total Billed Charges,174,,186.52,83.4,,Percent of Total Billed Charges,156.78,,186.52,83.4,,Percent of Total Billed Charges,182.05,,201.29,90,,Percent of Total Billed Charges,189.43,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,205.76,92,,Percent of Total Billed Charges,181.38,,205.76,92,,Percent of Total Billed Charges,166.4,,205.76,92,,Percent of Total Billed Charges,175.12,,205.76,92,,Percent of Total Billed Charges,181.38,,174.45,78,,Percent of Total Billed Charges,174.45,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,120.39,53.83,,Percent of Total Billed Charges,112.94,,77.47,34.64,,Percent of Total Billed Charges,77.16,,111.78,49.98,,Percent of Total Billed Charges,84.54,,77.47,205.76,,																																							
HC BLM GENE,81209,CPT,,,,BOTH, , ,187.95,157.88,172.91,92,,Percent of Total Billed Charges,157.13,,172.91,92,,Percent of Total Billed Charges,154.31,,172.91,92,,Percent of Total Billed Charges,151.3,,172.91,92,,Percent of Total Billed Charges,156.94,,172.91,92,,Percent of Total Billed Charges,141.53,,172.91,92,,Percent of Total Billed Charges,117.47,,169.16,90,,Percent of Total Billed Charges,93.79,,167.28,89,,Percent of Total Billed Charges,90.22,,154.87,82.4,,Percent of Total Billed Charges,154.49,,156.75,83.4,,Percent of Total Billed Charges,146.23,,156.75,83.4,,Percent of Total Billed Charges,131.75,,156.75,83.4,,Percent of Total Billed Charges,152.99,,169.16,90,,Percent of Total Billed Charges,159.19,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,172.91,92,,Percent of Total Billed Charges,152.43,,172.91,92,,Percent of Total Billed Charges,139.83,,172.91,92,,Percent of Total Billed Charges,147.16,,172.91,92,,Percent of Total Billed Charges,152.43,,146.6,78,,Percent of Total Billed Charges,146.6,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,101.17,53.83,,Percent of Total Billed Charges,94.91,,65.11,34.64,,Percent of Total Billed Charges,64.84,,93.94,49.98,,Percent of Total Billed Charges,71.05,,65.11,172.91,,																																							
HC FANCC GENE ANALYSIS COMMON VARIANT,81242,CPT,,,,BOTH, , ,172.2,144.65,158.42,92,,Percent of Total Billed Charges,143.96,,158.42,92,,Percent of Total Billed Charges,141.38,,158.42,92,,Percent of Total Billed Charges,138.62,,158.42,92,,Percent of Total Billed Charges,143.79,,158.42,92,,Percent of Total Billed Charges,129.67,,158.42,92,,Percent of Total Billed Charges,107.63,,154.98,90,,Percent of Total Billed Charges,85.93,,153.26,89,,Percent of Total Billed Charges,82.66,,141.89,82.4,,Percent of Total Billed Charges,141.55,,143.61,83.4,,Percent of Total Billed Charges,133.97,,143.61,83.4,,Percent of Total Billed Charges,120.71,,143.61,83.4,,Percent of Total Billed Charges,140.17,,154.98,90,,Percent of Total Billed Charges,145.85,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,158.42,92,,Percent of Total Billed Charges,139.65,,158.42,92,,Percent of Total Billed Charges,128.12,,158.42,92,,Percent of Total Billed Charges,134.83,,158.42,92,,Percent of Total Billed Charges,139.65,,134.32,78,,Percent of Total Billed Charges,134.32,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,92.7,53.83,,Percent of Total Billed Charges,86.96,,59.65,34.64,,Percent of Total Billed Charges,59.41,,86.07,49.98,,Percent of Total Billed Charges,65.09,,59.65,158.42,,																																							
HC GBA GENE,81251,CPT,,,,BOTH, , ,223.65,187.87,205.76,92,,Percent of Total Billed Charges,186.97,,205.76,92,,Percent of Total Billed Charges,183.62,,205.76,92,,Percent of Total Billed Charges,180.04,,205.76,92,,Percent of Total Billed Charges,186.75,,205.76,92,,Percent of Total Billed Charges,168.41,,205.76,92,,Percent of Total Billed Charges,139.78,,201.29,90,,Percent of Total Billed Charges,111.6,,199.05,89,,Percent of Total Billed Charges,107.35,,184.29,82.4,,Percent of Total Billed Charges,183.84,,186.52,83.4,,Percent of Total Billed Charges,174,,186.52,83.4,,Percent of Total Billed Charges,156.78,,186.52,83.4,,Percent of Total Billed Charges,182.05,,201.29,90,,Percent of Total Billed Charges,189.43,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,205.76,92,,Percent of Total Billed Charges,181.38,,205.76,92,,Percent of Total Billed Charges,166.4,,205.76,92,,Percent of Total Billed Charges,175.12,,205.76,92,,Percent of Total Billed Charges,181.38,,174.45,78,,Percent of Total Billed Charges,174.45,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,120.39,53.83,,Percent of Total Billed Charges,112.94,,77.47,34.64,,Percent of Total Billed Charges,77.16,,111.78,49.98,,Percent of Total Billed Charges,84.54,,77.47,205.76,,																																							
HC HEXA GENE,81255,CPT,,,,BOTH, , ,244.65,205.51,225.08,92,,Percent of Total Billed Charges,204.53,,225.08,92,,Percent of Total Billed Charges,200.86,,225.08,92,,Percent of Total Billed Charges,196.94,,225.08,92,,Percent of Total Billed Charges,204.28,,225.08,92,,Percent of Total Billed Charges,184.22,,225.08,92,,Percent of Total Billed Charges,152.91,,220.19,90,,Percent of Total Billed Charges,122.08,,217.74,89,,Percent of Total Billed Charges,117.43,,201.59,82.4,,Percent of Total Billed Charges,201.1,,204.04,83.4,,Percent of Total Billed Charges,190.34,,204.04,83.4,,Percent of Total Billed Charges,171.5,,204.04,83.4,,Percent of Total Billed Charges,199.15,,220.19,90,,Percent of Total Billed Charges,207.22,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,225.08,92,,Percent of Total Billed Charges,198.41,,225.08,92,,Percent of Total Billed Charges,182.02,,225.08,92,,Percent of Total Billed Charges,191.56,,225.08,92,,Percent of Total Billed Charges,198.41,,190.83,78,,Percent of Total Billed Charges,190.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,131.7,53.83,,Percent of Total Billed Charges,123.55,,84.75,34.64,,Percent of Total Billed Charges,84.4,,122.28,49.98,,Percent of Total Billed Charges,92.48,,84.75,225.08,,																																							
HC IKBKAP GENE,81260,CPT,,,,BOTH, , ,435.75,366.03,400.89,92,,Percent of Total Billed Charges,364.29,,400.89,92,,Percent of Total Billed Charges,357.75,,400.89,92,,Percent of Total Billed Charges,350.78,,400.89,92,,Percent of Total Billed Charges,363.85,,400.89,92,,Percent of Total Billed Charges,328.12,,400.89,92,,Percent of Total Billed Charges,272.34,,392.18,90,,Percent of Total Billed Charges,217.44,,387.82,89,,Percent of Total Billed Charges,209.16,,359.06,82.4,,Percent of Total Billed Charges,358.19,,363.42,83.4,,Percent of Total Billed Charges,339.01,,363.42,83.4,,Percent of Total Billed Charges,305.46,,363.42,83.4,,Percent of Total Billed Charges,354.7,,392.18,90,,Percent of Total Billed Charges,369.08,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,400.89,92,,Percent of Total Billed Charges,353.39,,400.89,92,,Percent of Total Billed Charges,324.2,,400.89,92,,Percent of Total Billed Charges,341.19,,400.89,92,,Percent of Total Billed Charges,353.39,,339.89,78,,Percent of Total Billed Charges,339.89,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,234.56,53.83,,Percent of Total Billed Charges,220.05,,150.94,34.64,,Percent of Total Billed Charges,150.33,,217.79,49.98,,Percent of Total Billed Charges,164.71,,150.94,400.89,,																																							
HC MCOLN1 GENE,81290,CPT,,,,BOTH, , ,422.1,354.56,388.33,92,,Percent of Total Billed Charges,352.88,,388.33,92,,Percent of Total Billed Charges,346.54,,388.33,92,,Percent of Total Billed Charges,339.79,,388.33,92,,Percent of Total Billed Charges,352.45,,388.33,92,,Percent of Total Billed Charges,317.84,,388.33,92,,Percent of Total Billed Charges,263.81,,379.89,90,,Percent of Total Billed Charges,210.63,,375.67,89,,Percent of Total Billed Charges,202.61,,347.81,82.4,,Percent of Total Billed Charges,346.97,,352.03,83.4,,Percent of Total Billed Charges,328.39,,352.03,83.4,,Percent of Total Billed Charges,295.89,,352.03,83.4,,Percent of Total Billed Charges,343.59,,379.89,90,,Percent of Total Billed Charges,357.52,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,388.33,92,,Percent of Total Billed Charges,342.32,,388.33,92,,Percent of Total Billed Charges,314.04,,388.33,92,,Percent of Total Billed Charges,330.5,,388.33,92,,Percent of Total Billed Charges,342.32,,329.24,78,,Percent of Total Billed Charges,329.24,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,227.22,53.83,,Percent of Total Billed Charges,213.16,,146.22,34.64,,Percent of Total Billed Charges,145.62,,210.97,49.98,,Percent of Total Billed Charges,159.55,,146.22,388.33,,																																							
HC SMPD1 GENE COMMON VARIANTS,81330,CPT,,,,BOTH, , ,223.65,187.87,205.76,92,,Percent of Total Billed Charges,186.97,,205.76,92,,Percent of Total Billed Charges,183.62,,205.76,92,,Percent of Total Billed Charges,180.04,,205.76,92,,Percent of Total Billed Charges,186.75,,205.76,92,,Percent of Total Billed Charges,168.41,,205.76,92,,Percent of Total Billed Charges,139.78,,201.29,90,,Percent of Total Billed Charges,111.6,,199.05,89,,Percent of Total Billed Charges,107.35,,184.29,82.4,,Percent of Total Billed Charges,183.84,,186.52,83.4,,Percent of Total Billed Charges,174,,186.52,83.4,,Percent of Total Billed Charges,156.78,,186.52,83.4,,Percent of Total Billed Charges,182.05,,201.29,90,,Percent of Total Billed Charges,189.43,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,205.76,92,,Percent of Total Billed Charges,181.38,,205.76,92,,Percent of Total Billed Charges,166.4,,205.76,92,,Percent of Total Billed Charges,175.12,,205.76,92,,Percent of Total Billed Charges,181.38,,174.45,78,,Percent of Total Billed Charges,174.45,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,120.39,53.83,,Percent of Total Billed Charges,112.94,,77.47,34.64,,Percent of Total Billed Charges,77.16,,111.78,49.98,,Percent of Total Billed Charges,84.54,,77.47,205.76,,																																							
HC HHV6 DNA QUANT,87533,CPT,,,,BOTH, , ,521.85,438.35,480.1,92,,Percent of Total Billed Charges,436.27,,480.1,92,,Percent of Total Billed Charges,428.44,,480.1,92,,Percent of Total Billed Charges,420.09,,480.1,92,,Percent of Total Billed Charges,435.74,,480.1,92,,Percent of Total Billed Charges,392.95,,480.1,92,,Percent of Total Billed Charges,326.16,,469.67,90,,Percent of Total Billed Charges,260.4,,464.45,89,,Percent of Total Billed Charges,250.49,,430,82.4,,Percent of Total Billed Charges,428.96,,435.22,83.4,,Percent of Total Billed Charges,406,,435.22,83.4,,Percent of Total Billed Charges,365.82,,435.22,83.4,,Percent of Total Billed Charges,424.79,,469.67,90,,Percent of Total Billed Charges,442.01,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,480.1,92,,Percent of Total Billed Charges,423.22,,480.1,92,,Percent of Total Billed Charges,388.26,,480.1,92,,Percent of Total Billed Charges,408.61,,480.1,92,,Percent of Total Billed Charges,423.22,,407.04,78,,Percent of Total Billed Charges,407.04,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,280.91,53.83,,Percent of Total Billed Charges,263.53,,180.77,34.64,,Percent of Total Billed Charges,180.04,,260.82,49.98,,Percent of Total Billed Charges,197.26,,180.77,480.1,,																																							
HC  DRUG SCREEN QUANTITATIVE LIDOCAINE,80176,CPT,,,,BOTH, , ,195.3,164.05,179.68,92,,Percent of Total Billed Charges,163.27,,179.68,92,,Percent of Total Billed Charges,160.34,,179.68,92,,Percent of Total Billed Charges,157.22,,179.68,92,,Percent of Total Billed Charges,163.08,,179.68,92,,Percent of Total Billed Charges,147.06,,179.68,92,,Percent of Total Billed Charges,122.06,,175.77,90,,Percent of Total Billed Charges,97.45,,173.82,89,,Percent of Total Billed Charges,93.74,,160.93,82.4,,Percent of Total Billed Charges,160.54,,162.88,83.4,,Percent of Total Billed Charges,151.94,,162.88,83.4,,Percent of Total Billed Charges,136.91,,162.88,83.4,,Percent of Total Billed Charges,158.97,,175.77,90,,Percent of Total Billed Charges,165.42,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,179.68,92,,Percent of Total Billed Charges,158.39,,179.68,92,,Percent of Total Billed Charges,145.3,,179.68,92,,Percent of Total Billed Charges,152.92,,179.68,92,,Percent of Total Billed Charges,158.39,,152.33,78,,Percent of Total Billed Charges,152.33,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,105.13,53.83,,Percent of Total Billed Charges,98.63,,67.65,34.64,,Percent of Total Billed Charges,67.38,,97.61,49.98,,Percent of Total Billed Charges,73.82,,67.65,179.68,,																																							
HC  GENETIC TESTING FOR SEVERE INHERITED CONDITIONS,81443,CPT,,,,BOTH, , ,3476.55,2920.3,3198.43,92,,Percent of Total Billed Charges,2906.4,,3198.43,92,,Percent of Total Billed Charges,2854.25,,3198.43,92,,Percent of Total Billed Charges,2798.62,,3198.43,92,,Percent of Total Billed Charges,2902.92,,3198.43,92,,Percent of Total Billed Charges,2617.84,,3198.43,92,,Percent of Total Billed Charges,2172.84,,3128.9,90,,Percent of Total Billed Charges,1734.8,,3094.13,89,,Percent of Total Billed Charges,1668.74,,2864.68,82.4,,Percent of Total Billed Charges,2857.72,,2899.44,83.4,,Percent of Total Billed Charges,2704.76,,2899.44,83.4,,Percent of Total Billed Charges,2437.06,,2899.44,83.4,,Percent of Total Billed Charges,2829.91,,3128.9,90,,Percent of Total Billed Charges,2944.64,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3198.43,92,,Percent of Total Billed Charges,2819.48,,3198.43,92,,Percent of Total Billed Charges,2586.55,,3198.43,92,,Percent of Total Billed Charges,2722.14,,3198.43,92,,Percent of Total Billed Charges,2819.48,,2711.71,78,,Percent of Total Billed Charges,2711.71,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1871.43,53.83,,Percent of Total Billed Charges,1755.66,,1204.28,34.64,,Percent of Total Billed Charges,1199.41,,1737.58,49.98,,Percent of Total Billed Charges,1314.14,,1204.28,3198.43,,																																							
HC JAK2 GENE TRGT SEQUENCE ALYS,81279,CPT,,,,BOTH, , ,835.8,702.07,768.94,92,,Percent of Total Billed Charges,698.73,,768.94,92,,Percent of Total Billed Charges,686.19,,768.94,92,,Percent of Total Billed Charges,672.82,,768.94,92,,Percent of Total Billed Charges,697.89,,768.94,92,,Percent of Total Billed Charges,629.36,,768.94,92,,Percent of Total Billed Charges,522.38,,752.22,90,,Percent of Total Billed Charges,417.06,,743.86,89,,Percent of Total Billed Charges,401.18,,688.7,82.4,,Percent of Total Billed Charges,687.03,,697.06,83.4,,Percent of Total Billed Charges,650.25,,697.06,83.4,,Percent of Total Billed Charges,585.9,,697.06,83.4,,Percent of Total Billed Charges,680.34,,752.22,90,,Percent of Total Billed Charges,707.92,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,768.94,92,,Percent of Total Billed Charges,677.83,,768.94,92,,Percent of Total Billed Charges,621.84,,768.94,92,,Percent of Total Billed Charges,654.43,,768.94,92,,Percent of Total Billed Charges,677.83,,651.92,78,,Percent of Total Billed Charges,651.92,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,449.91,53.83,,Percent of Total Billed Charges,422.08,,289.52,34.64,,Percent of Total Billed Charges,288.35,,417.73,49.98,,Percent of Total Billed Charges,315.93,,289.52,768.94,,																																							
HC  DRUG ASSAY METHOTREXATE,80204,CPT,,,,BOTH, , ,140.7,118.19,129.44,92,,Percent of Total Billed Charges,117.63,,129.44,92,,Percent of Total Billed Charges,115.51,,129.44,92,,Percent of Total Billed Charges,113.26,,129.44,92,,Percent of Total Billed Charges,117.48,,129.44,92,,Percent of Total Billed Charges,105.95,,129.44,92,,Percent of Total Billed Charges,87.94,,126.63,90,,Percent of Total Billed Charges,70.21,,125.22,89,,Percent of Total Billed Charges,67.54,,115.94,82.4,,Percent of Total Billed Charges,115.66,,117.34,83.4,,Percent of Total Billed Charges,109.46,,117.34,83.4,,Percent of Total Billed Charges,98.63,,117.34,83.4,,Percent of Total Billed Charges,114.53,,126.63,90,,Percent of Total Billed Charges,119.17,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,129.44,92,,Percent of Total Billed Charges,114.11,,129.44,92,,Percent of Total Billed Charges,104.68,,129.44,92,,Percent of Total Billed Charges,110.17,,129.44,92,,Percent of Total Billed Charges,114.11,,109.75,78,,Percent of Total Billed Charges,109.75,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,75.74,53.83,,Percent of Total Billed Charges,71.05,,48.74,34.64,,Percent of Total Billed Charges,48.54,,70.32,49.98,,Percent of Total Billed Charges,53.18,,48.74,129.44,,																																							
HC  JAK2 GENE ANALYSIS TRGT SEQ ALYS EXONS 1215,0027U,CPT,,,,BOTH, , ,900.9,756.76,828.83,92,,Percent of Total Billed Charges,753.15,,828.83,92,,Percent of Total Billed Charges,739.64,,828.83,92,,Percent of Total Billed Charges,725.22,,828.83,92,,Percent of Total Billed Charges,752.25,,828.83,92,,Percent of Total Billed Charges,678.38,,828.83,92,,Percent of Total Billed Charges,563.06,,810.81,90,,Percent of Total Billed Charges,449.55,,801.8,89,,Percent of Total Billed Charges,432.43,,742.34,82.4,,Percent of Total Billed Charges,740.54,,751.35,83.4,,Percent of Total Billed Charges,700.9,,751.35,83.4,,Percent of Total Billed Charges,631.53,,751.35,83.4,,Percent of Total Billed Charges,733.33,,810.81,90,,Percent of Total Billed Charges,763.06,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,828.83,92,,Percent of Total Billed Charges,730.63,,828.83,92,,Percent of Total Billed Charges,670.27,,828.83,92,,Percent of Total Billed Charges,705.4,,828.83,92,,Percent of Total Billed Charges,730.63,,702.7,78,,Percent of Total Billed Charges,702.7,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,484.95,53.83,,Percent of Total Billed Charges,454.95,,312.07,34.64,,Percent of Total Billed Charges,310.81,,450.27,49.98,,Percent of Total Billed Charges,340.54,,312.07,828.83,,																																							
HC MPL GENE COMMON VARIANTS,81338,CPT,,,,BOTH, , ,678.3,569.77,624.04,92,,Percent of Total Billed Charges,567.06,,624.04,92,,Percent of Total Billed Charges,556.88,,624.04,92,,Percent of Total Billed Charges,546.03,,624.04,92,,Percent of Total Billed Charges,566.38,,624.04,92,,Percent of Total Billed Charges,510.76,,624.04,92,,Percent of Total Billed Charges,423.94,,610.47,90,,Percent of Total Billed Charges,338.47,,603.69,89,,Percent of Total Billed Charges,325.58,,558.92,82.4,,Percent of Total Billed Charges,557.56,,565.7,83.4,,Percent of Total Billed Charges,527.72,,565.7,83.4,,Percent of Total Billed Charges,475.49,,565.7,83.4,,Percent of Total Billed Charges,552.14,,610.47,90,,Percent of Total Billed Charges,574.52,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,624.04,92,,Percent of Total Billed Charges,550.1,,624.04,92,,Percent of Total Billed Charges,504.66,,624.04,92,,Percent of Total Billed Charges,531.11,,624.04,92,,Percent of Total Billed Charges,550.1,,529.07,78,,Percent of Total Billed Charges,529.07,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,365.13,53.83,,Percent of Total Billed Charges,342.54,,234.96,34.64,,Percent of Total Billed Charges,234.01,,339.01,49.98,,Percent of Total Billed Charges,256.4,,234.96,624.04,,																																							
HC  DRUG ASSAY FELBAMATE,80167,CPT,,,,BOTH, , ,67.2,56.45,61.82,92,,Percent of Total Billed Charges,56.18,,61.82,92,,Percent of Total Billed Charges,55.17,,61.82,92,,Percent of Total Billed Charges,54.1,,61.82,92,,Percent of Total Billed Charges,56.11,,61.82,92,,Percent of Total Billed Charges,50.6,,61.82,92,,Percent of Total Billed Charges,42,,60.48,90,,Percent of Total Billed Charges,33.53,,59.81,89,,Percent of Total Billed Charges,32.26,,55.37,82.4,,Percent of Total Billed Charges,55.24,,56.04,83.4,,Percent of Total Billed Charges,52.28,,56.04,83.4,,Percent of Total Billed Charges,47.11,,56.04,83.4,,Percent of Total Billed Charges,54.7,,60.48,90,,Percent of Total Billed Charges,56.92,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,61.82,92,,Percent of Total Billed Charges,54.5,,61.82,92,,Percent of Total Billed Charges,50,,61.82,92,,Percent of Total Billed Charges,52.62,,61.82,92,,Percent of Total Billed Charges,54.5,,52.42,78,,Percent of Total Billed Charges,52.42,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,36.17,53.83,,Percent of Total Billed Charges,33.94,,23.28,34.64,,Percent of Total Billed Charges,23.18,,33.59,49.98,,Percent of Total Billed Charges,25.4,,23.28,61.82,,																																							
HC HLA II TYPING 1 LOC HR,81382,CPT,,,,BOTH, , ,558.6,469.22,513.91,92,,Percent of Total Billed Charges,466.99,,513.91,92,,Percent of Total Billed Charges,458.61,,513.91,92,,Percent of Total Billed Charges,449.67,,513.91,92,,Percent of Total Billed Charges,466.43,,513.91,92,,Percent of Total Billed Charges,420.63,,513.91,92,,Percent of Total Billed Charges,349.13,,502.74,90,,Percent of Total Billed Charges,278.74,,497.15,89,,Percent of Total Billed Charges,268.13,,460.29,82.4,,Percent of Total Billed Charges,459.17,,465.87,83.4,,Percent of Total Billed Charges,434.59,,465.87,83.4,,Percent of Total Billed Charges,391.58,,465.87,83.4,,Percent of Total Billed Charges,454.7,,502.74,90,,Percent of Total Billed Charges,473.13,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,513.91,92,,Percent of Total Billed Charges,453.02,,513.91,92,,Percent of Total Billed Charges,415.6,,513.91,92,,Percent of Total Billed Charges,437.38,,513.91,92,,Percent of Total Billed Charges,453.02,,435.71,78,,Percent of Total Billed Charges,435.71,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,300.69,53.83,,Percent of Total Billed Charges,282.09,,193.5,34.64,,Percent of Total Billed Charges,192.72,,279.19,49.98,,Percent of Total Billed Charges,211.15,,193.50,513.91,,																																							
HC HLA II TYPING 1 LOCUS LR,81376,CPT,,,,BOTH, , ,552.3,463.93,508.12,92,,Percent of Total Billed Charges,461.72,,508.12,92,,Percent of Total Billed Charges,453.44,,508.12,92,,Percent of Total Billed Charges,444.6,,508.12,92,,Percent of Total Billed Charges,461.17,,508.12,92,,Percent of Total Billed Charges,415.88,,508.12,92,,Percent of Total Billed Charges,345.19,,497.07,90,,Percent of Total Billed Charges,275.6,,491.55,89,,Percent of Total Billed Charges,265.1,,455.1,82.4,,Percent of Total Billed Charges,453.99,,460.62,83.4,,Percent of Total Billed Charges,429.69,,460.62,83.4,,Percent of Total Billed Charges,387.16,,460.62,83.4,,Percent of Total Billed Charges,449.57,,497.07,90,,Percent of Total Billed Charges,467.8,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,508.12,92,,Percent of Total Billed Charges,447.92,,508.12,92,,Percent of Total Billed Charges,410.91,,508.12,92,,Percent of Total Billed Charges,432.45,,508.12,92,,Percent of Total Billed Charges,447.92,,430.79,78,,Percent of Total Billed Charges,430.79,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,297.3,53.83,,Percent of Total Billed Charges,278.91,,191.32,34.64,,Percent of Total Billed Charges,190.54,,276.04,49.98,,Percent of Total Billed Charges,208.77,,191.32,508.12,,																																							
HC MPL GENE SEQ ALYS EXON 11,81339,CPT,,,,BOTH, , ,835.8,702.07,768.94,92,,Percent of Total Billed Charges,698.73,,768.94,92,,Percent of Total Billed Charges,686.19,,768.94,92,,Percent of Total Billed Charges,672.82,,768.94,92,,Percent of Total Billed Charges,697.89,,768.94,92,,Percent of Total Billed Charges,629.36,,768.94,92,,Percent of Total Billed Charges,522.38,,752.22,90,,Percent of Total Billed Charges,417.06,,743.86,89,,Percent of Total Billed Charges,401.18,,688.7,82.4,,Percent of Total Billed Charges,687.03,,697.06,83.4,,Percent of Total Billed Charges,650.25,,697.06,83.4,,Percent of Total Billed Charges,585.9,,697.06,83.4,,Percent of Total Billed Charges,680.34,,752.22,90,,Percent of Total Billed Charges,707.92,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,768.94,92,,Percent of Total Billed Charges,677.83,,768.94,92,,Percent of Total Billed Charges,621.84,,768.94,92,,Percent of Total Billed Charges,654.43,,768.94,92,,Percent of Total Billed Charges,677.83,,651.92,78,,Percent of Total Billed Charges,651.92,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,449.91,53.83,,Percent of Total Billed Charges,422.08,,289.52,34.64,,Percent of Total Billed Charges,288.35,,417.73,49.98,,Percent of Total Billed Charges,315.93,,289.52,768.94,,																																							
HC ASSAY OF ESTROGENS FRACTIONATED,82671,CPT,,,,BOTH, , ,518.7,435.71,477.2,92,,Percent of Total Billed Charges,433.63,,477.2,92,,Percent of Total Billed Charges,425.85,,477.2,92,,Percent of Total Billed Charges,417.55,,477.2,92,,Percent of Total Billed Charges,433.11,,477.2,92,,Percent of Total Billed Charges,390.58,,477.2,92,,Percent of Total Billed Charges,324.19,,466.83,90,,Percent of Total Billed Charges,258.83,,461.64,89,,Percent of Total Billed Charges,248.98,,427.41,82.4,,Percent of Total Billed Charges,426.37,,432.6,83.4,,Percent of Total Billed Charges,403.55,,432.6,83.4,,Percent of Total Billed Charges,363.61,,432.6,83.4,,Percent of Total Billed Charges,422.22,,466.83,90,,Percent of Total Billed Charges,439.34,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,477.2,92,,Percent of Total Billed Charges,420.67,,477.2,92,,Percent of Total Billed Charges,385.91,,477.2,92,,Percent of Total Billed Charges,406.14,,477.2,92,,Percent of Total Billed Charges,420.67,,404.59,78,,Percent of Total Billed Charges,404.59,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,279.22,53.83,,Percent of Total Billed Charges,261.94,,179.68,34.64,,Percent of Total Billed Charges,178.95,,259.25,49.98,,Percent of Total Billed Charges,196.07,,179.68,477.2,,																																							
HC ZIKA VIRUS DNA/RNA AMP PROBE,87662,CPT,,,,BOTH, , ,187.95,157.88,172.91,92,,Percent of Total Billed Charges,157.13,,172.91,92,,Percent of Total Billed Charges,154.31,,172.91,92,,Percent of Total Billed Charges,151.3,,172.91,92,,Percent of Total Billed Charges,156.94,,172.91,92,,Percent of Total Billed Charges,141.53,,172.91,92,,Percent of Total Billed Charges,117.47,,169.16,90,,Percent of Total Billed Charges,93.79,,167.28,89,,Percent of Total Billed Charges,90.22,,154.87,82.4,,Percent of Total Billed Charges,154.49,,156.75,83.4,,Percent of Total Billed Charges,146.23,,156.75,83.4,,Percent of Total Billed Charges,131.75,,156.75,83.4,,Percent of Total Billed Charges,152.99,,169.16,90,,Percent of Total Billed Charges,159.19,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,172.91,92,,Percent of Total Billed Charges,152.43,,172.91,92,,Percent of Total Billed Charges,139.83,,172.91,92,,Percent of Total Billed Charges,147.16,,172.91,92,,Percent of Total Billed Charges,152.43,,146.6,78,,Percent of Total Billed Charges,146.6,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,101.17,53.83,,Percent of Total Billed Charges,94.91,,65.11,34.64,,Percent of Total Billed Charges,64.84,,93.94,49.98,,Percent of Total Billed Charges,71.05,,65.11,172.91,,																																							
HC CCND1/IGH TRANSLOCATION ALYS,81168,CPT,,,,BOTH, , ,935.55,785.86,860.71,92,,Percent of Total Billed Charges,782.12,,860.71,92,,Percent of Total Billed Charges,768.09,,860.71,92,,Percent of Total Billed Charges,753.12,,860.71,92,,Percent of Total Billed Charges,781.18,,860.71,92,,Percent of Total Billed Charges,704.47,,860.71,92,,Percent of Total Billed Charges,584.72,,842,90,,Percent of Total Billed Charges,466.84,,832.64,89,,Percent of Total Billed Charges,449.06,,770.89,82.4,,Percent of Total Billed Charges,769.02,,780.25,83.4,,Percent of Total Billed Charges,727.86,,780.25,83.4,,Percent of Total Billed Charges,655.82,,780.25,83.4,,Percent of Total Billed Charges,761.54,,842,90,,Percent of Total Billed Charges,792.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,860.71,92,,Percent of Total Billed Charges,758.73,,860.71,92,,Percent of Total Billed Charges,696.05,,860.71,92,,Percent of Total Billed Charges,732.54,,860.71,92,,Percent of Total Billed Charges,758.73,,729.73,78,,Percent of Total Billed Charges,729.73,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,503.61,53.83,,Percent of Total Billed Charges,472.45,,324.07,34.64,,Percent of Total Billed Charges,322.76,,467.59,49.98,,Percent of Total Billed Charges,353.64,,324.07,860.71,,																																							
HC IAAD IA CRYPTOSPORIDIUM,87328,CPT,,,,BOTH, , ,11.55,9.7,10.63,92,,Percent of Total Billed Charges,9.66,,10.63,92,,Percent of Total Billed Charges,9.48,,10.63,92,,Percent of Total Billed Charges,9.3,,10.63,92,,Percent of Total Billed Charges,9.64,,10.63,92,,Percent of Total Billed Charges,8.7,,10.63,92,,Percent of Total Billed Charges,7.22,,10.4,90,,Percent of Total Billed Charges,5.76,,10.28,89,,Percent of Total Billed Charges,5.54,,9.52,82.4,,Percent of Total Billed Charges,9.49,,9.63,83.4,,Percent of Total Billed Charges,8.99,,9.63,83.4,,Percent of Total Billed Charges,8.1,,9.63,83.4,,Percent of Total Billed Charges,9.4,,10.4,90,,Percent of Total Billed Charges,9.78,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,10.63,92,,Percent of Total Billed Charges,9.37,,10.63,92,,Percent of Total Billed Charges,8.59,,10.63,92,,Percent of Total Billed Charges,9.04,,10.63,92,,Percent of Total Billed Charges,9.37,,9.01,78,,Percent of Total Billed Charges,9.01,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6.22,53.83,,Percent of Total Billed Charges,5.83,,4,34.64,,Percent of Total Billed Charges,3.98,,5.77,49.98,,Percent of Total Billed Charges,4.37,,4.00,10.63,,																																							
HC LIPOPROTEINASSOCIATED PHOSPHOLIPASE A3,83698,CPT,,,,BOTH, , ,194.25,163.17,178.71,92,,Percent of Total Billed Charges,162.39,,178.71,92,,Percent of Total Billed Charges,159.48,,178.71,92,,Percent of Total Billed Charges,156.37,,178.71,92,,Percent of Total Billed Charges,162.2,,178.71,92,,Percent of Total Billed Charges,146.27,,178.71,92,,Percent of Total Billed Charges,121.41,,174.83,90,,Percent of Total Billed Charges,96.93,,172.88,89,,Percent of Total Billed Charges,93.24,,160.06,82.4,,Percent of Total Billed Charges,159.67,,162,83.4,,Percent of Total Billed Charges,151.13,,162,83.4,,Percent of Total Billed Charges,136.17,,162,83.4,,Percent of Total Billed Charges,158.12,,174.83,90,,Percent of Total Billed Charges,164.53,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,178.71,92,,Percent of Total Billed Charges,157.54,,178.71,92,,Percent of Total Billed Charges,144.52,,178.71,92,,Percent of Total Billed Charges,152.1,,178.71,92,,Percent of Total Billed Charges,157.54,,151.52,78,,Percent of Total Billed Charges,151.52,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,104.56,53.83,,Percent of Total Billed Charges,98.1,,67.29,34.64,,Percent of Total Billed Charges,67.02,,97.09,49.98,,Percent of Total Billed Charges,73.43,,67.29,178.71,,																																							
HC DPYD GENE COMMON VARIANTS,81232,CPT,,,,BOTH, , ,736.05,618.28,677.17,92,,Percent of Total Billed Charges,615.34,,677.17,92,,Percent of Total Billed Charges,604.3,,677.17,92,,Percent of Total Billed Charges,592.52,,677.17,92,,Percent of Total Billed Charges,614.6,,677.17,92,,Percent of Total Billed Charges,554.25,,677.17,92,,Percent of Total Billed Charges,460.03,,662.45,90,,Percent of Total Billed Charges,367.29,,655.08,89,,Percent of Total Billed Charges,353.3,,606.51,82.4,,Percent of Total Billed Charges,605.03,,613.87,83.4,,Percent of Total Billed Charges,572.65,,613.87,83.4,,Percent of Total Billed Charges,515.97,,613.87,83.4,,Percent of Total Billed Charges,599.14,,662.45,90,,Percent of Total Billed Charges,623.43,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,677.17,92,,Percent of Total Billed Charges,596.94,,677.17,92,,Percent of Total Billed Charges,547.62,,677.17,92,,Percent of Total Billed Charges,576.33,,677.17,92,,Percent of Total Billed Charges,596.94,,574.12,78,,Percent of Total Billed Charges,574.12,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,396.22,53.83,,Percent of Total Billed Charges,371.71,,254.97,34.64,,Percent of Total Billed Charges,253.94,,367.88,49.98,,Percent of Total Billed Charges,278.23,,254.97,677.17,,																																							
HC CRYPTOCOCCUS ANTIBODY,86641,CPT,,,,BOTH, , ,60.9,51.16,56.03,92,,Percent of Total Billed Charges,50.91,,56.03,92,,Percent of Total Billed Charges,50,,56.03,92,,Percent of Total Billed Charges,49.02,,56.03,92,,Percent of Total Billed Charges,50.85,,56.03,92,,Percent of Total Billed Charges,45.86,,56.03,92,,Percent of Total Billed Charges,38.06,,54.81,90,,Percent of Total Billed Charges,30.39,,54.2,89,,Percent of Total Billed Charges,29.23,,50.18,82.4,,Percent of Total Billed Charges,50.06,,50.79,83.4,,Percent of Total Billed Charges,47.38,,50.79,83.4,,Percent of Total Billed Charges,42.69,,50.79,83.4,,Percent of Total Billed Charges,49.57,,54.81,90,,Percent of Total Billed Charges,51.58,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,56.03,92,,Percent of Total Billed Charges,49.39,,56.03,92,,Percent of Total Billed Charges,45.31,,56.03,92,,Percent of Total Billed Charges,47.68,,56.03,92,,Percent of Total Billed Charges,49.39,,47.5,78,,Percent of Total Billed Charges,47.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,32.78,53.83,,Percent of Total Billed Charges,30.75,,21.1,34.64,,Percent of Total Billed Charges,21.01,,30.44,49.98,,Percent of Total Billed Charges,23.02,,21.10,56.03,,																																							
HC BASIC METABOLIC PANEL CALCIUM IONIZED,80047,CPT,,,,BOTH, , ,58.8,49.39,54.1,92,,Percent of Total Billed Charges,49.16,,54.1,92,,Percent of Total Billed Charges,48.27,,54.1,92,,Percent of Total Billed Charges,47.33,,54.1,92,,Percent of Total Billed Charges,49.1,,54.1,92,,Percent of Total Billed Charges,44.28,,54.1,92,,Percent of Total Billed Charges,36.75,,52.92,90,,Percent of Total Billed Charges,29.34,,52.33,89,,Percent of Total Billed Charges,28.22,,48.45,82.4,,Percent of Total Billed Charges,48.33,,49.04,83.4,,Percent of Total Billed Charges,45.75,,49.04,83.4,,Percent of Total Billed Charges,41.22,,49.04,83.4,,Percent of Total Billed Charges,47.86,,52.92,90,,Percent of Total Billed Charges,49.8,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,54.1,92,,Percent of Total Billed Charges,47.69,,54.1,92,,Percent of Total Billed Charges,43.75,,54.1,92,,Percent of Total Billed Charges,46.04,,54.1,92,,Percent of Total Billed Charges,47.69,,45.86,78,,Percent of Total Billed Charges,45.86,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,31.65,53.83,,Percent of Total Billed Charges,29.69,,20.37,34.64,,Percent of Total Billed Charges,20.29,,29.39,49.98,,Percent of Total Billed Charges,22.23,,20.37,54.1,,																																							
HC ASSAY OF CREATINE,82540,CPT,,,,BOTH, , ,19.95,16.76,18.35,92,,Percent of Total Billed Charges,16.68,,18.35,92,,Percent of Total Billed Charges,16.38,,18.35,92,,Percent of Total Billed Charges,16.06,,18.35,92,,Percent of Total Billed Charges,16.66,,18.35,92,,Percent of Total Billed Charges,15.02,,18.35,92,,Percent of Total Billed Charges,12.47,,17.96,90,,Percent of Total Billed Charges,9.96,,17.76,89,,Percent of Total Billed Charges,9.58,,16.44,82.4,,Percent of Total Billed Charges,16.4,,16.64,83.4,,Percent of Total Billed Charges,15.52,,16.64,83.4,,Percent of Total Billed Charges,13.98,,16.64,83.4,,Percent of Total Billed Charges,16.24,,17.96,90,,Percent of Total Billed Charges,16.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,18.35,92,,Percent of Total Billed Charges,16.18,,18.35,92,,Percent of Total Billed Charges,14.84,,18.35,92,,Percent of Total Billed Charges,15.62,,18.35,92,,Percent of Total Billed Charges,16.18,,15.56,78,,Percent of Total Billed Charges,15.56,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,10.74,53.83,,Percent of Total Billed Charges,10.07,,6.91,34.64,,Percent of Total Billed Charges,6.88,,9.97,49.98,,Percent of Total Billed Charges,7.54,,6.91,18.35,,																																							
HC ZIKA VIRUS IGM ANTIBODY,86794,CPT,,,,BOTH, , ,614.25,515.97,565.11,92,,Percent of Total Billed Charges,513.51,,565.11,92,,Percent of Total Billed Charges,504.3,,565.11,92,,Percent of Total Billed Charges,494.47,,565.11,92,,Percent of Total Billed Charges,512.9,,565.11,92,,Percent of Total Billed Charges,462.53,,565.11,92,,Percent of Total Billed Charges,383.91,,552.83,90,,Percent of Total Billed Charges,306.51,,546.68,89,,Percent of Total Billed Charges,294.84,,506.14,82.4,,Percent of Total Billed Charges,504.91,,512.28,83.4,,Percent of Total Billed Charges,477.89,,512.28,83.4,,Percent of Total Billed Charges,430.59,,512.28,83.4,,Percent of Total Billed Charges,500,,552.83,90,,Percent of Total Billed Charges,520.27,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,565.11,92,,Percent of Total Billed Charges,498.16,,565.11,92,,Percent of Total Billed Charges,457,,565.11,92,,Percent of Total Billed Charges,480.96,,565.11,92,,Percent of Total Billed Charges,498.16,,479.12,78,,Percent of Total Billed Charges,479.12,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,330.65,53.83,,Percent of Total Billed Charges,310.2,,212.78,34.64,,Percent of Total Billed Charges,211.92,,307,49.98,,Percent of Total Billed Charges,232.19,,212.78,565.11,,																																							
HC CYP2D6 GENE COM VARIANTS,81226,CPT,,,,BOTH, , ,1086.75,912.87,999.81,92,,Percent of Total Billed Charges,908.52,,999.81,92,,Percent of Total Billed Charges,892.22,,999.81,92,,Percent of Total Billed Charges,874.83,,999.81,92,,Percent of Total Billed Charges,907.44,,999.81,92,,Percent of Total Billed Charges,818.32,,999.81,92,,Percent of Total Billed Charges,679.22,,978.08,90,,Percent of Total Billed Charges,542.29,,967.21,89,,Percent of Total Billed Charges,521.64,,895.48,82.4,,Percent of Total Billed Charges,893.31,,906.35,83.4,,Percent of Total Billed Charges,845.49,,906.35,83.4,,Percent of Total Billed Charges,761.81,,906.35,83.4,,Percent of Total Billed Charges,884.61,,978.08,90,,Percent of Total Billed Charges,920.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,999.81,92,,Percent of Total Billed Charges,881.35,,999.81,92,,Percent of Total Billed Charges,808.54,,999.81,92,,Percent of Total Billed Charges,850.93,,999.81,92,,Percent of Total Billed Charges,881.35,,847.67,78,,Percent of Total Billed Charges,847.67,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,585,53.83,,Percent of Total Billed Charges,548.81,,376.45,34.64,,Percent of Total Billed Charges,374.93,,543.16,49.98,,Percent of Total Billed Charges,410.79,,376.45,999.81,,																																							
HC TP53 GENE FULL GENE SEQUENCE,81351,CPT,,,,BOTH, , ,2599.8,2183.83,2391.82,92,,Percent of Total Billed Charges,2173.43,,2391.82,92,,Percent of Total Billed Charges,2134.44,,2391.82,92,,Percent of Total Billed Charges,2092.84,,2391.82,92,,Percent of Total Billed Charges,2170.83,,2391.82,92,,Percent of Total Billed Charges,1957.65,,2391.82,92,,Percent of Total Billed Charges,1624.88,,2339.82,90,,Percent of Total Billed Charges,1297.3,,2313.82,89,,Percent of Total Billed Charges,1247.9,,2142.24,82.4,,Percent of Total Billed Charges,2137.04,,2168.23,83.4,,Percent of Total Billed Charges,2022.64,,2168.23,83.4,,Percent of Total Billed Charges,1822.46,,2168.23,83.4,,Percent of Total Billed Charges,2116.24,,2339.82,90,,Percent of Total Billed Charges,2202.03,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2391.82,92,,Percent of Total Billed Charges,2108.44,,2391.82,92,,Percent of Total Billed Charges,1934.25,,2391.82,92,,Percent of Total Billed Charges,2035.64,,2391.82,92,,Percent of Total Billed Charges,2108.44,,2027.84,78,,Percent of Total Billed Charges,2027.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1399.47,53.83,,Percent of Total Billed Charges,1312.9,,900.57,34.64,,Percent of Total Billed Charges,896.93,,1299.38,49.98,,Percent of Total Billed Charges,982.72,,900.57,2391.82,,																																							
HC ASSAY OF DIGOXIN FREE,80163,CPT,,,,BOTH, , ,350.7,294.59,322.64,92,,Percent of Total Billed Charges,293.19,,322.64,92,,Percent of Total Billed Charges,287.92,,322.64,92,,Percent of Total Billed Charges,282.31,,322.64,92,,Percent of Total Billed Charges,292.83,,322.64,92,,Percent of Total Billed Charges,264.08,,322.64,92,,Percent of Total Billed Charges,219.19,,315.63,90,,Percent of Total Billed Charges,175,,312.12,89,,Percent of Total Billed Charges,168.34,,288.98,82.4,,Percent of Total Billed Charges,288.28,,292.48,83.4,,Percent of Total Billed Charges,272.84,,292.48,83.4,,Percent of Total Billed Charges,245.84,,292.48,83.4,,Percent of Total Billed Charges,285.47,,315.63,90,,Percent of Total Billed Charges,297.04,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,322.64,92,,Percent of Total Billed Charges,284.42,,322.64,92,,Percent of Total Billed Charges,260.92,,322.64,92,,Percent of Total Billed Charges,274.6,,322.64,92,,Percent of Total Billed Charges,284.42,,273.55,78,,Percent of Total Billed Charges,273.55,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,188.78,53.83,,Percent of Total Billed Charges,177.1,,121.48,34.64,,Percent of Total Billed Charges,120.99,,175.28,49.98,,Percent of Total Billed Charges,132.56,,121.48,322.64,,																																							
HC ANCA TITER EACH ANTIBODY,86037,CPT,,,,BOTH, , ,48.3,40.57,44.44,92,,Percent of Total Billed Charges,40.38,,44.44,92,,Percent of Total Billed Charges,39.65,,44.44,92,,Percent of Total Billed Charges,38.88,,44.44,92,,Percent of Total Billed Charges,40.33,,44.44,92,,Percent of Total Billed Charges,36.37,,44.44,92,,Percent of Total Billed Charges,30.19,,43.47,90,,Percent of Total Billed Charges,24.1,,42.99,89,,Percent of Total Billed Charges,23.18,,39.8,82.4,,Percent of Total Billed Charges,39.7,,40.28,83.4,,Percent of Total Billed Charges,37.58,,40.28,83.4,,Percent of Total Billed Charges,33.86,,40.28,83.4,,Percent of Total Billed Charges,39.32,,43.47,90,,Percent of Total Billed Charges,40.91,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,44.44,92,,Percent of Total Billed Charges,39.17,,44.44,92,,Percent of Total Billed Charges,35.94,,44.44,92,,Percent of Total Billed Charges,37.82,,44.44,92,,Percent of Total Billed Charges,39.17,,37.67,78,,Percent of Total Billed Charges,37.67,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,26,53.83,,Percent of Total Billed Charges,24.39,,16.73,34.64,,Percent of Total Billed Charges,16.66,,24.14,49.98,,Percent of Total Billed Charges,18.26,,16.73,44.44,,																																							
HC ASSAY OF INTERLEUKIN6 (IL6),83529,CPT,,,,BOTH, , ,197.4,165.82,181.61,92,,Percent of Total Billed Charges,165.03,,181.61,92,,Percent of Total Billed Charges,162.07,,181.61,92,,Percent of Total Billed Charges,158.91,,181.61,92,,Percent of Total Billed Charges,164.83,,181.61,92,,Percent of Total Billed Charges,148.64,,181.61,92,,Percent of Total Billed Charges,123.38,,177.66,90,,Percent of Total Billed Charges,98.5,,175.69,89,,Percent of Total Billed Charges,94.75,,162.66,82.4,,Percent of Total Billed Charges,162.26,,164.63,83.4,,Percent of Total Billed Charges,153.58,,164.63,83.4,,Percent of Total Billed Charges,138.38,,164.63,83.4,,Percent of Total Billed Charges,160.68,,177.66,90,,Percent of Total Billed Charges,167.2,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,181.61,92,,Percent of Total Billed Charges,160.09,,181.61,92,,Percent of Total Billed Charges,146.87,,181.61,92,,Percent of Total Billed Charges,154.56,,181.61,92,,Percent of Total Billed Charges,160.09,,153.97,78,,Percent of Total Billed Charges,153.97,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,106.26,53.83,,Percent of Total Billed Charges,99.69,,68.38,34.64,,Percent of Total Billed Charges,68.1,,98.66,49.98,,Percent of Total Billed Charges,74.62,,68.38,181.61,,																																							
HC SARSCOV2 & INF A&B AMP PRB,87636,CPT,,,,BOTH, , ,57.75,48.51,53.13,92,,Percent of Total Billed Charges,48.28,,53.13,92,,Percent of Total Billed Charges,47.41,,53.13,92,,Percent of Total Billed Charges,46.49,,53.13,92,,Percent of Total Billed Charges,48.22,,53.13,92,,Percent of Total Billed Charges,43.49,,53.13,92,,Percent of Total Billed Charges,36.09,,51.98,90,,Percent of Total Billed Charges,28.82,,51.4,89,,Percent of Total Billed Charges,27.72,,47.59,82.4,,Percent of Total Billed Charges,47.47,,48.16,83.4,,Percent of Total Billed Charges,44.93,,48.16,83.4,,Percent of Total Billed Charges,40.48,,48.16,83.4,,Percent of Total Billed Charges,47.01,,51.98,90,,Percent of Total Billed Charges,48.91,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,53.13,92,,Percent of Total Billed Charges,46.84,,53.13,92,,Percent of Total Billed Charges,42.97,,53.13,92,,Percent of Total Billed Charges,45.22,,53.13,92,,Percent of Total Billed Charges,46.84,,45.05,78,,Percent of Total Billed Charges,45.05,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,31.09,53.83,,Percent of Total Billed Charges,29.16,,20,34.64,,Percent of Total Billed Charges,19.92,,28.86,49.98,,Percent of Total Billed Charges,21.83,,20.00,53.13,,																																							
HC MOGIGG1 ANTB CBA EACH,86362,CPT,,,,BOTH, , ,65.1,54.68,59.89,92,,Percent of Total Billed Charges,54.42,,59.89,92,,Percent of Total Billed Charges,53.45,,59.89,92,,Percent of Total Billed Charges,52.41,,59.89,92,,Percent of Total Billed Charges,54.36,,59.89,92,,Percent of Total Billed Charges,49.02,,59.89,92,,Percent of Total Billed Charges,40.69,,58.59,90,,Percent of Total Billed Charges,32.48,,57.94,89,,Percent of Total Billed Charges,31.25,,53.64,82.4,,Percent of Total Billed Charges,53.51,,54.29,83.4,,Percent of Total Billed Charges,50.65,,54.29,83.4,,Percent of Total Billed Charges,45.64,,54.29,83.4,,Percent of Total Billed Charges,52.99,,58.59,90,,Percent of Total Billed Charges,55.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,59.89,92,,Percent of Total Billed Charges,52.8,,59.89,92,,Percent of Total Billed Charges,48.43,,59.89,92,,Percent of Total Billed Charges,50.97,,59.89,92,,Percent of Total Billed Charges,52.8,,50.78,78,,Percent of Total Billed Charges,50.78,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,35.04,53.83,,Percent of Total Billed Charges,32.88,,22.55,34.64,,Percent of Total Billed Charges,22.46,,32.54,49.98,,Percent of Total Billed Charges,24.61,,22.55,59.89,,																																							
HC TISS TRNSGLTMNASE EA IG CLAS,86364,CPT,,,,BOTH, , ,46.2,38.81,42.5,92,,Percent of Total Billed Charges,38.62,,42.5,92,,Percent of Total Billed Charges,37.93,,42.5,92,,Percent of Total Billed Charges,37.19,,42.5,92,,Percent of Total Billed Charges,38.58,,42.5,92,,Percent of Total Billed Charges,34.79,,42.5,92,,Percent of Total Billed Charges,28.88,,41.58,90,,Percent of Total Billed Charges,23.05,,41.12,89,,Percent of Total Billed Charges,22.18,,38.07,82.4,,Percent of Total Billed Charges,37.98,,38.53,83.4,,Percent of Total Billed Charges,35.94,,38.53,83.4,,Percent of Total Billed Charges,32.39,,38.53,83.4,,Percent of Total Billed Charges,37.61,,41.58,90,,Percent of Total Billed Charges,39.13,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,42.5,92,,Percent of Total Billed Charges,37.47,,42.5,92,,Percent of Total Billed Charges,34.37,,42.5,92,,Percent of Total Billed Charges,36.17,,42.5,92,,Percent of Total Billed Charges,37.47,,36.04,78,,Percent of Total Billed Charges,36.04,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,24.87,53.83,,Percent of Total Billed Charges,23.33,,16,34.64,,Percent of Total Billed Charges,15.94,,23.09,49.98,,Percent of Total Billed Charges,17.46,,16.00,42.5,,																																							
HC ELASTASE PANCREATIC FECAL QUANTITATIVE,82653,CPT,,,,BOTH, , ,92.4,77.62,85.01,92,,Percent of Total Billed Charges,77.25,,85.01,92,,Percent of Total Billed Charges,75.86,,85.01,92,,Percent of Total Billed Charges,74.38,,85.01,92,,Percent of Total Billed Charges,77.15,,85.01,92,,Percent of Total Billed Charges,69.58,,85.01,92,,Percent of Total Billed Charges,57.75,,83.16,90,,Percent of Total Billed Charges,46.11,,82.24,89,,Percent of Total Billed Charges,44.35,,76.14,82.4,,Percent of Total Billed Charges,75.95,,77.06,83.4,,Percent of Total Billed Charges,71.89,,77.06,83.4,,Percent of Total Billed Charges,64.77,,77.06,83.4,,Percent of Total Billed Charges,75.21,,83.16,90,,Percent of Total Billed Charges,78.26,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,85.01,92,,Percent of Total Billed Charges,74.94,,85.01,92,,Percent of Total Billed Charges,68.75,,85.01,92,,Percent of Total Billed Charges,72.35,,85.01,92,,Percent of Total Billed Charges,74.94,,72.07,78,,Percent of Total Billed Charges,72.07,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,49.74,53.83,,Percent of Total Billed Charges,46.66,,32.01,34.64,,Percent of Total Billed Charges,31.88,,46.18,49.98,,Percent of Total Billed Charges,34.93,,32.01,85.01,,																																							
HC IG LIGHT CHAINS FREE EACH,83521,CPT,,,,BOTH, , ,69.3,58.21,63.76,92,,Percent of Total Billed Charges,57.93,,63.76,92,,Percent of Total Billed Charges,56.9,,63.76,92,,Percent of Total Billed Charges,55.79,,63.76,92,,Percent of Total Billed Charges,57.87,,63.76,92,,Percent of Total Billed Charges,52.18,,63.76,92,,Percent of Total Billed Charges,43.31,,62.37,90,,Percent of Total Billed Charges,34.58,,61.68,89,,Percent of Total Billed Charges,33.26,,57.1,82.4,,Percent of Total Billed Charges,56.96,,57.8,83.4,,Percent of Total Billed Charges,53.92,,57.8,83.4,,Percent of Total Billed Charges,48.58,,57.8,83.4,,Percent of Total Billed Charges,56.41,,62.37,90,,Percent of Total Billed Charges,58.7,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,63.76,92,,Percent of Total Billed Charges,56.2,,63.76,92,,Percent of Total Billed Charges,51.56,,63.76,92,,Percent of Total Billed Charges,54.26,,63.76,92,,Percent of Total Billed Charges,56.2,,54.05,78,,Percent of Total Billed Charges,54.05,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,37.3,53.83,,Percent of Total Billed Charges,35,,24.01,34.64,,Percent of Total Billed Charges,23.91,,34.64,49.98,,Percent of Total Billed Charges,26.2,,24.01,63.76,,																																							
HC ACTIN ANTIBODY EACH,86015,CPT,,,,BOTH, , ,46.2,38.81,42.5,92,,Percent of Total Billed Charges,38.62,,42.5,92,,Percent of Total Billed Charges,37.93,,42.5,92,,Percent of Total Billed Charges,37.19,,42.5,92,,Percent of Total Billed Charges,38.58,,42.5,92,,Percent of Total Billed Charges,34.79,,42.5,92,,Percent of Total Billed Charges,28.88,,41.58,90,,Percent of Total Billed Charges,23.05,,41.12,89,,Percent of Total Billed Charges,22.18,,38.07,82.4,,Percent of Total Billed Charges,37.98,,38.53,83.4,,Percent of Total Billed Charges,35.94,,38.53,83.4,,Percent of Total Billed Charges,32.39,,38.53,83.4,,Percent of Total Billed Charges,37.61,,41.58,90,,Percent of Total Billed Charges,39.13,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,42.5,92,,Percent of Total Billed Charges,37.47,,42.5,92,,Percent of Total Billed Charges,34.37,,42.5,92,,Percent of Total Billed Charges,36.17,,42.5,92,,Percent of Total Billed Charges,37.47,,36.04,78,,Percent of Total Billed Charges,36.04,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,24.87,53.83,,Percent of Total Billed Charges,23.33,,16,34.64,,Percent of Total Billed Charges,15.94,,23.09,49.98,,Percent of Total Billed Charges,17.46,,16.00,42.5,,																																							
HC ANCA SCREEN EACH ANTIBODY,86036,CPT,,,,BOTH, , ,48.3,40.57,44.44,92,,Percent of Total Billed Charges,40.38,,44.44,92,,Percent of Total Billed Charges,39.65,,44.44,92,,Percent of Total Billed Charges,38.88,,44.44,92,,Percent of Total Billed Charges,40.33,,44.44,92,,Percent of Total Billed Charges,36.37,,44.44,92,,Percent of Total Billed Charges,30.19,,43.47,90,,Percent of Total Billed Charges,24.1,,42.99,89,,Percent of Total Billed Charges,23.18,,39.8,82.4,,Percent of Total Billed Charges,39.7,,40.28,83.4,,Percent of Total Billed Charges,37.58,,40.28,83.4,,Percent of Total Billed Charges,33.86,,40.28,83.4,,Percent of Total Billed Charges,39.32,,43.47,90,,Percent of Total Billed Charges,40.91,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,44.44,92,,Percent of Total Billed Charges,39.17,,44.44,92,,Percent of Total Billed Charges,35.94,,44.44,92,,Percent of Total Billed Charges,37.82,,44.44,92,,Percent of Total Billed Charges,39.17,,37.67,78,,Percent of Total Billed Charges,37.67,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,26,53.83,,Percent of Total Billed Charges,24.39,,16.73,34.64,,Percent of Total Billed Charges,16.66,,24.14,49.98,,Percent of Total Billed Charges,18.26,,16.73,44.44,,																																							
HC AQUAPORIN4 ANTB ELISA,86051,CPT,,,,BOTH, , ,347.55,291.94,319.75,92,,Percent of Total Billed Charges,290.55,,319.75,92,,Percent of Total Billed Charges,285.34,,319.75,92,,Percent of Total Billed Charges,279.78,,319.75,92,,Percent of Total Billed Charges,290.2,,319.75,92,,Percent of Total Billed Charges,261.71,,319.75,92,,Percent of Total Billed Charges,217.22,,312.8,90,,Percent of Total Billed Charges,173.43,,309.32,89,,Percent of Total Billed Charges,166.82,,286.38,82.4,,Percent of Total Billed Charges,285.69,,289.86,83.4,,Percent of Total Billed Charges,270.39,,289.86,83.4,,Percent of Total Billed Charges,243.63,,289.86,83.4,,Percent of Total Billed Charges,282.91,,312.8,90,,Percent of Total Billed Charges,294.37,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,319.75,92,,Percent of Total Billed Charges,281.86,,319.75,92,,Percent of Total Billed Charges,258.58,,319.75,92,,Percent of Total Billed Charges,272.13,,319.75,92,,Percent of Total Billed Charges,281.86,,271.09,78,,Percent of Total Billed Charges,271.09,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,187.09,53.83,,Percent of Total Billed Charges,175.51,,120.39,34.64,,Percent of Total Billed Charges,119.9,,173.71,49.98,,Percent of Total Billed Charges,131.37,,120.39,319.75,,																																							
HC AQUAPORIN4 ANTB CBA EACH,86052,CPT,,,,BOTH, , ,822.15,690.61,756.38,92,,Percent of Total Billed Charges,687.32,,756.38,92,,Percent of Total Billed Charges,674.99,,756.38,92,,Percent of Total Billed Charges,661.83,,756.38,92,,Percent of Total Billed Charges,686.5,,756.38,92,,Percent of Total Billed Charges,619.08,,756.38,92,,Percent of Total Billed Charges,513.84,,739.94,90,,Percent of Total Billed Charges,410.25,,731.71,89,,Percent of Total Billed Charges,394.63,,677.45,82.4,,Percent of Total Billed Charges,675.81,,685.67,83.4,,Percent of Total Billed Charges,639.63,,685.67,83.4,,Percent of Total Billed Charges,576.33,,685.67,83.4,,Percent of Total Billed Charges,669.23,,739.94,90,,Percent of Total Billed Charges,696.36,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,756.38,92,,Percent of Total Billed Charges,666.76,,756.38,92,,Percent of Total Billed Charges,611.68,,756.38,92,,Percent of Total Billed Charges,643.74,,756.38,92,,Percent of Total Billed Charges,666.76,,641.28,78,,Percent of Total Billed Charges,641.28,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,442.56,53.83,,Percent of Total Billed Charges,415.19,,284.79,34.64,,Percent of Total Billed Charges,283.64,,410.91,49.98,,Percent of Total Billed Charges,310.77,,284.79,756.38,,																																							
HC EMA EACH IG CLASS,86231,CPT,,,,BOTH, , ,48.3,40.57,44.44,92,,Percent of Total Billed Charges,40.38,,44.44,92,,Percent of Total Billed Charges,39.65,,44.44,92,,Percent of Total Billed Charges,38.88,,44.44,92,,Percent of Total Billed Charges,40.33,,44.44,92,,Percent of Total Billed Charges,36.37,,44.44,92,,Percent of Total Billed Charges,30.19,,43.47,90,,Percent of Total Billed Charges,24.1,,42.99,89,,Percent of Total Billed Charges,23.18,,39.8,82.4,,Percent of Total Billed Charges,39.7,,40.28,83.4,,Percent of Total Billed Charges,37.58,,40.28,83.4,,Percent of Total Billed Charges,33.86,,40.28,83.4,,Percent of Total Billed Charges,39.32,,43.47,90,,Percent of Total Billed Charges,40.91,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,44.44,92,,Percent of Total Billed Charges,39.17,,44.44,92,,Percent of Total Billed Charges,35.94,,44.44,92,,Percent of Total Billed Charges,37.82,,44.44,92,,Percent of Total Billed Charges,39.17,,37.67,78,,Percent of Total Billed Charges,37.67,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,26,53.83,,Percent of Total Billed Charges,24.39,,16.73,34.64,,Percent of Total Billed Charges,16.66,,24.14,49.98,,Percent of Total Billed Charges,18.26,,16.73,44.44,,																																							
HC GLIADIN ANTIBODY EA IG CLASS,86258,CPT,,,,BOTH, , ,46.2,38.81,42.5,92,,Percent of Total Billed Charges,38.62,,42.5,92,,Percent of Total Billed Charges,37.93,,42.5,92,,Percent of Total Billed Charges,37.19,,42.5,92,,Percent of Total Billed Charges,38.58,,42.5,92,,Percent of Total Billed Charges,34.79,,42.5,92,,Percent of Total Billed Charges,28.88,,41.58,90,,Percent of Total Billed Charges,23.05,,41.12,89,,Percent of Total Billed Charges,22.18,,38.07,82.4,,Percent of Total Billed Charges,37.98,,38.53,83.4,,Percent of Total Billed Charges,35.94,,38.53,83.4,,Percent of Total Billed Charges,32.39,,38.53,83.4,,Percent of Total Billed Charges,37.61,,41.58,90,,Percent of Total Billed Charges,39.13,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,42.5,92,,Percent of Total Billed Charges,37.47,,42.5,92,,Percent of Total Billed Charges,34.37,,42.5,92,,Percent of Total Billed Charges,36.17,,42.5,92,,Percent of Total Billed Charges,37.47,,36.04,78,,Percent of Total Billed Charges,36.04,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,24.87,53.83,,Percent of Total Billed Charges,23.33,,16,34.64,,Percent of Total Billed Charges,15.94,,23.09,49.98,,Percent of Total Billed Charges,17.46,,16.00,42.5,,																																							
HC MITOCHONDRIAL ANTIBODY EACH,86381,CPT,,,,BOTH, , ,102.9,86.44,94.67,92,,Percent of Total Billed Charges,86.02,,94.67,92,,Percent of Total Billed Charges,84.48,,94.67,92,,Percent of Total Billed Charges,82.83,,94.67,92,,Percent of Total Billed Charges,85.92,,94.67,92,,Percent of Total Billed Charges,77.48,,94.67,92,,Percent of Total Billed Charges,64.31,,92.61,90,,Percent of Total Billed Charges,51.35,,91.58,89,,Percent of Total Billed Charges,49.39,,84.79,82.4,,Percent of Total Billed Charges,84.58,,85.82,83.4,,Percent of Total Billed Charges,80.06,,85.82,83.4,,Percent of Total Billed Charges,72.13,,85.82,83.4,,Percent of Total Billed Charges,83.76,,92.61,90,,Percent of Total Billed Charges,87.16,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,94.67,92,,Percent of Total Billed Charges,83.45,,94.67,92,,Percent of Total Billed Charges,76.56,,94.67,92,,Percent of Total Billed Charges,80.57,,94.67,92,,Percent of Total Billed Charges,83.45,,80.26,78,,Percent of Total Billed Charges,80.26,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,55.39,53.83,,Percent of Total Billed Charges,51.96,,35.64,34.64,,Percent of Total Billed Charges,35.5,,51.43,49.98,,Percent of Total Billed Charges,38.9,,35.64,94.67,,																																							
HC VOLTAGEGTD CA CHNL ANTB EA,86596,CPT,,,,BOTH, , ,161.7,135.83,148.76,92,,Percent of Total Billed Charges,135.18,,148.76,92,,Percent of Total Billed Charges,132.76,,148.76,92,,Percent of Total Billed Charges,130.17,,148.76,92,,Percent of Total Billed Charges,135.02,,148.76,92,,Percent of Total Billed Charges,121.76,,148.76,92,,Percent of Total Billed Charges,101.06,,145.53,90,,Percent of Total Billed Charges,80.69,,143.91,89,,Percent of Total Billed Charges,77.62,,133.24,82.4,,Percent of Total Billed Charges,132.92,,134.86,83.4,,Percent of Total Billed Charges,125.8,,134.86,83.4,,Percent of Total Billed Charges,113.35,,134.86,83.4,,Percent of Total Billed Charges,131.62,,145.53,90,,Percent of Total Billed Charges,136.96,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,148.76,92,,Percent of Total Billed Charges,131.14,,148.76,92,,Percent of Total Billed Charges,120.3,,148.76,92,,Percent of Total Billed Charges,126.61,,148.76,92,,Percent of Total Billed Charges,131.14,,126.13,78,,Percent of Total Billed Charges,126.13,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,87.04,53.83,,Percent of Total Billed Charges,81.66,,56.01,34.64,,Percent of Total Billed Charges,55.79,,80.82,49.98,,Percent of Total Billed Charges,61.12,,56.01,148.76,,																																							
HC ASSAY DIR MEAS FR ESTRADIOL,82681,CPT,,,,BOTH, , ,113.4,95.26,104.33,92,,Percent of Total Billed Charges,94.8,,104.33,92,,Percent of Total Billed Charges,93.1,,104.33,92,,Percent of Total Billed Charges,91.29,,104.33,92,,Percent of Total Billed Charges,94.69,,104.33,92,,Percent of Total Billed Charges,85.39,,104.33,92,,Percent of Total Billed Charges,70.88,,102.06,90,,Percent of Total Billed Charges,56.59,,100.93,89,,Percent of Total Billed Charges,54.43,,93.44,82.4,,Percent of Total Billed Charges,93.21,,94.58,83.4,,Percent of Total Billed Charges,88.23,,94.58,83.4,,Percent of Total Billed Charges,79.49,,94.58,83.4,,Percent of Total Billed Charges,92.31,,102.06,90,,Percent of Total Billed Charges,96.05,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,104.33,92,,Percent of Total Billed Charges,91.97,,104.33,92,,Percent of Total Billed Charges,84.37,,104.33,92,,Percent of Total Billed Charges,88.79,,104.33,92,,Percent of Total Billed Charges,91.97,,88.45,78,,Percent of Total Billed Charges,88.45,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,61.04,53.83,,Percent of Total Billed Charges,57.27,,39.28,34.64,,Percent of Total Billed Charges,39.12,,56.68,49.98,,Percent of Total Billed Charges,42.87,,39.28,104.33,,																																							
HC FIBRINOGEN ANTIGEN,85385,CPT,,,,BOTH, , ,59.85,50.27,55.06,92,,Percent of Total Billed Charges,50.03,,55.06,92,,Percent of Total Billed Charges,49.14,,55.06,92,,Percent of Total Billed Charges,48.18,,55.06,92,,Percent of Total Billed Charges,49.97,,55.06,92,,Percent of Total Billed Charges,45.07,,55.06,92,,Percent of Total Billed Charges,37.41,,53.87,90,,Percent of Total Billed Charges,29.87,,53.27,89,,Percent of Total Billed Charges,28.73,,49.32,82.4,,Percent of Total Billed Charges,49.2,,49.91,83.4,,Percent of Total Billed Charges,46.56,,49.91,83.4,,Percent of Total Billed Charges,41.95,,49.91,83.4,,Percent of Total Billed Charges,48.72,,53.87,90,,Percent of Total Billed Charges,50.69,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,55.06,92,,Percent of Total Billed Charges,48.54,,55.06,92,,Percent of Total Billed Charges,44.53,,55.06,92,,Percent of Total Billed Charges,46.86,,55.06,92,,Percent of Total Billed Charges,48.54,,46.68,78,,Percent of Total Billed Charges,46.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,32.22,53.83,,Percent of Total Billed Charges,30.22,,20.73,34.64,,Percent of Total Billed Charges,20.65,,29.91,49.98,,Percent of Total Billed Charges,22.62,,20.73,55.06,,																																							
HC FIBRINOLYTIC PLASMINOGEN,85415,CPT,,,,BOTH, , ,169.05,142,155.53,92,,Percent of Total Billed Charges,141.33,,155.53,92,,Percent of Total Billed Charges,138.79,,155.53,92,,Percent of Total Billed Charges,136.09,,155.53,92,,Percent of Total Billed Charges,141.16,,155.53,92,,Percent of Total Billed Charges,127.29,,155.53,92,,Percent of Total Billed Charges,105.66,,152.15,90,,Percent of Total Billed Charges,84.36,,150.45,89,,Percent of Total Billed Charges,81.14,,139.3,82.4,,Percent of Total Billed Charges,138.96,,140.99,83.4,,Percent of Total Billed Charges,131.52,,140.99,83.4,,Percent of Total Billed Charges,118.5,,140.99,83.4,,Percent of Total Billed Charges,137.61,,152.15,90,,Percent of Total Billed Charges,143.19,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,155.53,92,,Percent of Total Billed Charges,137.1,,155.53,92,,Percent of Total Billed Charges,125.77,,155.53,92,,Percent of Total Billed Charges,132.37,,155.53,92,,Percent of Total Billed Charges,137.1,,131.86,78,,Percent of Total Billed Charges,131.86,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,91,53.83,,Percent of Total Billed Charges,85.37,,58.56,34.64,,Percent of Total Billed Charges,58.32,,84.49,49.98,,Percent of Total Billed Charges,63.9,,58.56,155.53,,																																							
HC PATH CLIN CONSLTJ SF 521,80503,CPT,,,,BOTH, , ,214.2,179.93,197.06,92,,Percent of Total Billed Charges,179.07,,197.06,92,,Percent of Total Billed Charges,175.86,,197.06,92,,Percent of Total Billed Charges,172.43,,197.06,92,,Percent of Total Billed Charges,178.86,,197.06,92,,Percent of Total Billed Charges,161.29,,197.06,92,,Percent of Total Billed Charges,133.88,,192.78,90,,Percent of Total Billed Charges,106.89,,190.64,89,,Percent of Total Billed Charges,102.82,,176.5,82.4,,Percent of Total Billed Charges,176.07,,178.64,83.4,,Percent of Total Billed Charges,166.65,,178.64,83.4,,Percent of Total Billed Charges,150.15,,178.64,83.4,,Percent of Total Billed Charges,174.36,,192.78,90,,Percent of Total Billed Charges,181.43,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,197.06,92,,Percent of Total Billed Charges,173.72,,197.06,92,,Percent of Total Billed Charges,159.36,,197.06,92,,Percent of Total Billed Charges,167.72,,197.06,92,,Percent of Total Billed Charges,173.72,,167.08,78,,Percent of Total Billed Charges,167.08,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,115.3,53.83,,Percent of Total Billed Charges,108.17,,74.2,34.64,,Percent of Total Billed Charges,73.9,,107.06,49.98,,Percent of Total Billed Charges,80.97,,74.20,197.06,,																																							
HC HTT GENE ANALYSIS DETECT ABNORMAL ALLELES,81271,CPT,,,,BOTH, , ,555.45,466.58,511.01,92,,Percent of Total Billed Charges,464.36,,511.01,92,,Percent of Total Billed Charges,456.02,,511.01,92,,Percent of Total Billed Charges,447.14,,511.01,92,,Percent of Total Billed Charges,463.8,,511.01,92,,Percent of Total Billed Charges,418.25,,511.01,92,,Percent of Total Billed Charges,347.16,,499.91,90,,Percent of Total Billed Charges,277.17,,494.35,89,,Percent of Total Billed Charges,266.62,,457.69,82.4,,Percent of Total Billed Charges,456.58,,463.25,83.4,,Percent of Total Billed Charges,432.14,,463.25,83.4,,Percent of Total Billed Charges,389.37,,463.25,83.4,,Percent of Total Billed Charges,452.14,,499.91,90,,Percent of Total Billed Charges,470.47,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,511.01,92,,Percent of Total Billed Charges,450.47,,511.01,92,,Percent of Total Billed Charges,413.25,,511.01,92,,Percent of Total Billed Charges,434.92,,511.01,92,,Percent of Total Billed Charges,450.47,,433.25,78,,Percent of Total Billed Charges,433.25,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,299,53.83,,Percent of Total Billed Charges,280.5,,192.41,34.64,,Percent of Total Billed Charges,191.63,,277.61,49.98,,Percent of Total Billed Charges,209.96,,192.41,511.01,,																																							
HC CFTR GENE DUP/DELET VARIANTS,81222,CPT,,,,BOTH, , ,1762.95,1480.88,1621.91,92,,Percent of Total Billed Charges,1473.83,,1621.91,92,,Percent of Total Billed Charges,1447.38,,1621.91,92,,Percent of Total Billed Charges,1419.17,,1621.91,92,,Percent of Total Billed Charges,1472.06,,1621.91,92,,Percent of Total Billed Charges,1327.5,,1621.91,92,,Percent of Total Billed Charges,1101.84,,1586.66,90,,Percent of Total Billed Charges,879.71,,1569.03,89,,Percent of Total Billed Charges,846.22,,1452.67,82.4,,Percent of Total Billed Charges,1449.14,,1470.3,83.4,,Percent of Total Billed Charges,1371.58,,1470.3,83.4,,Percent of Total Billed Charges,1235.83,,1470.3,83.4,,Percent of Total Billed Charges,1435.04,,1586.66,90,,Percent of Total Billed Charges,1493.22,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1621.91,92,,Percent of Total Billed Charges,1429.75,,1621.91,92,,Percent of Total Billed Charges,1311.63,,1621.91,92,,Percent of Total Billed Charges,1380.39,,1621.91,92,,Percent of Total Billed Charges,1429.75,,1375.1,78,,Percent of Total Billed Charges,1375.1,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,949,53.83,,Percent of Total Billed Charges,890.29,,610.69,34.64,,Percent of Total Billed Charges,608.22,,881.12,49.98,,Percent of Total Billed Charges,666.4,,610.69,1621.91,,																																							
HC CFTR GENE FULL SEQUENCE,81223,CPT,,,,BOTH, , ,2022.3,1698.73,1860.52,92,,Percent of Total Billed Charges,1690.64,,1860.52,92,,Percent of Total Billed Charges,1660.31,,1860.52,92,,Percent of Total Billed Charges,1627.95,,1860.52,92,,Percent of Total Billed Charges,1688.62,,1860.52,92,,Percent of Total Billed Charges,1522.79,,1860.52,92,,Percent of Total Billed Charges,1263.94,,1820.07,90,,Percent of Total Billed Charges,1009.13,,1799.85,89,,Percent of Total Billed Charges,970.7,,1666.38,82.4,,Percent of Total Billed Charges,1662.33,,1686.6,83.4,,Percent of Total Billed Charges,1573.35,,1686.6,83.4,,Percent of Total Billed Charges,1417.63,,1686.6,83.4,,Percent of Total Billed Charges,1646.15,,1820.07,90,,Percent of Total Billed Charges,1712.89,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1860.52,92,,Percent of Total Billed Charges,1640.09,,1860.52,92,,Percent of Total Billed Charges,1504.59,,1860.52,92,,Percent of Total Billed Charges,1583.46,,1860.52,92,,Percent of Total Billed Charges,1640.09,,1577.39,78,,Percent of Total Billed Charges,1577.39,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1088.6,53.83,,Percent of Total Billed Charges,1021.26,,700.52,34.64,,Percent of Total Billed Charges,697.69,,1010.75,49.98,,Percent of Total Billed Charges,764.43,,700.52,1860.52,,																																							
HC PNEUMOCYSTIS CARINII AG IF,87281,CPT,,,,BOTH, , ,48.3,40.57,44.44,92,,Percent of Total Billed Charges,40.38,,44.44,92,,Percent of Total Billed Charges,39.65,,44.44,92,,Percent of Total Billed Charges,38.88,,44.44,92,,Percent of Total Billed Charges,40.33,,44.44,92,,Percent of Total Billed Charges,36.37,,44.44,92,,Percent of Total Billed Charges,30.19,,43.47,90,,Percent of Total Billed Charges,24.1,,42.99,89,,Percent of Total Billed Charges,23.18,,39.8,82.4,,Percent of Total Billed Charges,39.7,,40.28,83.4,,Percent of Total Billed Charges,37.58,,40.28,83.4,,Percent of Total Billed Charges,33.86,,40.28,83.4,,Percent of Total Billed Charges,39.32,,43.47,90,,Percent of Total Billed Charges,40.91,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,44.44,92,,Percent of Total Billed Charges,39.17,,44.44,92,,Percent of Total Billed Charges,35.94,,44.44,92,,Percent of Total Billed Charges,37.82,,44.44,92,,Percent of Total Billed Charges,39.17,,37.67,78,,Percent of Total Billed Charges,37.67,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,26,53.83,,Percent of Total Billed Charges,24.39,,16.73,34.64,,Percent of Total Billed Charges,16.66,,24.14,49.98,,Percent of Total Billed Charges,18.26,,16.73,44.44,,																																							
HC DRUG ASY HYDROXYCHLOROQUINE,80220,CPT,,,,BOTH, , ,606.9,509.8,558.35,92,,Percent of Total Billed Charges,507.37,,558.35,92,,Percent of Total Billed Charges,498.26,,558.35,92,,Percent of Total Billed Charges,488.55,,558.35,92,,Percent of Total Billed Charges,506.76,,558.35,92,,Percent of Total Billed Charges,457,,558.35,92,,Percent of Total Billed Charges,379.31,,546.21,90,,Percent of Total Billed Charges,302.84,,540.14,89,,Percent of Total Billed Charges,291.31,,500.09,82.4,,Percent of Total Billed Charges,498.87,,506.15,83.4,,Percent of Total Billed Charges,472.17,,506.15,83.4,,Percent of Total Billed Charges,425.44,,506.15,83.4,,Percent of Total Billed Charges,494.02,,546.21,90,,Percent of Total Billed Charges,514.04,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,558.35,92,,Percent of Total Billed Charges,492.2,,558.35,92,,Percent of Total Billed Charges,451.53,,558.35,92,,Percent of Total Billed Charges,475.2,,558.35,92,,Percent of Total Billed Charges,492.2,,473.38,78,,Percent of Total Billed Charges,473.38,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,326.69,53.83,,Percent of Total Billed Charges,306.48,,210.23,34.64,,Percent of Total Billed Charges,209.38,,303.33,49.98,,Percent of Total Billed Charges,229.41,,210.23,558.35,,																																							
IADNA ORTHOPOXVIRUS AMPLIFIED PROBE TECHNIQUE EA,87593,CPT,,,,BOTH, , ,141.75,119.07,130.41,92,,Percent of Total Billed Charges,118.5,,130.41,92,,Percent of Total Billed Charges,116.38,,130.41,92,,Percent of Total Billed Charges,114.11,,130.41,92,,Percent of Total Billed Charges,118.36,,130.41,92,,Percent of Total Billed Charges,106.74,,130.41,92,,Percent of Total Billed Charges,88.59,,127.58,90,,Percent of Total Billed Charges,70.73,,126.16,89,,Percent of Total Billed Charges,68.04,,116.8,82.4,,Percent of Total Billed Charges,116.52,,118.22,83.4,,Percent of Total Billed Charges,110.28,,118.22,83.4,,Percent of Total Billed Charges,99.37,,118.22,83.4,,Percent of Total Billed Charges,115.38,,127.58,90,,Percent of Total Billed Charges,120.06,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,130.41,92,,Percent of Total Billed Charges,114.96,,130.41,92,,Percent of Total Billed Charges,105.46,,130.41,92,,Percent of Total Billed Charges,110.99,,130.41,92,,Percent of Total Billed Charges,114.96,,110.57,78,,Percent of Total Billed Charges,110.57,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,76.3,53.83,,Percent of Total Billed Charges,71.58,,49.1,34.64,,Percent of Total Billed Charges,48.9,,70.85,49.98,,Percent of Total Billed Charges,53.58,,49.10,130.41,,																																							
HC LIVER DS ALYS 3 BMRK SRM ALG,0014M,CPT,,,,BOTH, , ,71.4,59.98,65.69,92,,Percent of Total Billed Charges,59.69,,65.69,92,,Percent of Total Billed Charges,58.62,,65.69,92,,Percent of Total Billed Charges,57.48,,65.69,92,,Percent of Total Billed Charges,59.62,,65.69,92,,Percent of Total Billed Charges,53.76,,65.69,92,,Percent of Total Billed Charges,44.63,,64.26,90,,Percent of Total Billed Charges,35.63,,63.55,89,,Percent of Total Billed Charges,34.27,,58.83,82.4,,Percent of Total Billed Charges,58.69,,59.55,83.4,,Percent of Total Billed Charges,55.55,,59.55,83.4,,Percent of Total Billed Charges,50.05,,59.55,83.4,,Percent of Total Billed Charges,58.12,,64.26,90,,Percent of Total Billed Charges,60.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,65.69,92,,Percent of Total Billed Charges,57.91,,65.69,92,,Percent of Total Billed Charges,53.12,,65.69,92,,Percent of Total Billed Charges,55.91,,65.69,92,,Percent of Total Billed Charges,57.91,,55.69,78,,Percent of Total Billed Charges,55.69,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,38.43,53.83,,Percent of Total Billed Charges,36.06,,24.73,34.64,,Percent of Total Billed Charges,24.63,,35.69,49.98,,Percent of Total Billed Charges,26.99,,24.73,65.69,,																																							
HC AMINO ACIDS QUANT 26,82136,CPT,,,,BOTH, , ,254.1,213.44,233.77,92,,Percent of Total Billed Charges,212.43,,233.77,92,,Percent of Total Billed Charges,208.62,,233.77,92,,Percent of Total Billed Charges,204.55,,233.77,92,,Percent of Total Billed Charges,212.17,,233.77,92,,Percent of Total Billed Charges,191.34,,233.77,92,,Percent of Total Billed Charges,158.81,,228.69,90,,Percent of Total Billed Charges,126.8,,226.15,89,,Percent of Total Billed Charges,121.97,,209.38,82.4,,Percent of Total Billed Charges,208.87,,211.92,83.4,,Percent of Total Billed Charges,197.69,,211.92,83.4,,Percent of Total Billed Charges,178.12,,211.92,83.4,,Percent of Total Billed Charges,206.84,,228.69,90,,Percent of Total Billed Charges,215.22,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,233.77,92,,Percent of Total Billed Charges,206.08,,233.77,92,,Percent of Total Billed Charges,189.05,,233.77,92,,Percent of Total Billed Charges,198.96,,233.77,92,,Percent of Total Billed Charges,206.08,,198.2,78,,Percent of Total Billed Charges,198.2,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,136.78,53.83,,Percent of Total Billed Charges,128.32,,88.02,34.64,,Percent of Total Billed Charges,87.66,,127,49.98,,Percent of Total Billed Charges,96.05,,88.02,233.77,,																																							
HC BORRELIA ANTIBODY,86619,CPT,,,,BOTH, , ,151.2,127.01,139.1,92,,Percent of Total Billed Charges,126.4,,139.1,92,,Percent of Total Billed Charges,124.14,,139.1,92,,Percent of Total Billed Charges,121.72,,139.1,92,,Percent of Total Billed Charges,126.25,,139.1,92,,Percent of Total Billed Charges,113.85,,139.1,92,,Percent of Total Billed Charges,94.5,,136.08,90,,Percent of Total Billed Charges,75.45,,134.57,89,,Percent of Total Billed Charges,72.58,,124.59,82.4,,Percent of Total Billed Charges,124.29,,126.1,83.4,,Percent of Total Billed Charges,117.63,,126.1,83.4,,Percent of Total Billed Charges,105.99,,126.1,83.4,,Percent of Total Billed Charges,123.08,,136.08,90,,Percent of Total Billed Charges,128.07,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,139.1,92,,Percent of Total Billed Charges,122.62,,139.1,92,,Percent of Total Billed Charges,112.49,,139.1,92,,Percent of Total Billed Charges,118.39,,139.1,92,,Percent of Total Billed Charges,122.62,,117.94,78,,Percent of Total Billed Charges,117.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,81.39,53.83,,Percent of Total Billed Charges,76.36,,52.38,34.64,,Percent of Total Billed Charges,52.16,,75.57,49.98,,Percent of Total Billed Charges,57.15,,52.38,139.1,,																																							
HC LEGION PNEUMOPHILIA AG IF,87278,CPT,,,,BOTH, , ,60.9,51.16,56.03,92,,Percent of Total Billed Charges,50.91,,56.03,92,,Percent of Total Billed Charges,50,,56.03,92,,Percent of Total Billed Charges,49.02,,56.03,92,,Percent of Total Billed Charges,50.85,,56.03,92,,Percent of Total Billed Charges,45.86,,56.03,92,,Percent of Total Billed Charges,38.06,,54.81,90,,Percent of Total Billed Charges,30.39,,54.2,89,,Percent of Total Billed Charges,29.23,,50.18,82.4,,Percent of Total Billed Charges,50.06,,50.79,83.4,,Percent of Total Billed Charges,47.38,,50.79,83.4,,Percent of Total Billed Charges,42.69,,50.79,83.4,,Percent of Total Billed Charges,49.57,,54.81,90,,Percent of Total Billed Charges,51.58,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,56.03,92,,Percent of Total Billed Charges,49.39,,56.03,92,,Percent of Total Billed Charges,45.31,,56.03,92,,Percent of Total Billed Charges,47.68,,56.03,92,,Percent of Total Billed Charges,49.39,,47.5,78,,Percent of Total Billed Charges,47.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,32.78,53.83,,Percent of Total Billed Charges,30.75,,21.1,34.64,,Percent of Total Billed Charges,21.01,,30.44,49.98,,Percent of Total Billed Charges,23.02,,21.10,56.03,,																																							
HC VIRUS INOCULATE TISSUE ADDL,87253,CPT,,,,BOTH, , ,78.75,66.15,72.45,92,,Percent of Total Billed Charges,65.84,,72.45,92,,Percent of Total Billed Charges,64.65,,72.45,92,,Percent of Total Billed Charges,63.39,,72.45,92,,Percent of Total Billed Charges,65.76,,72.45,92,,Percent of Total Billed Charges,59.3,,72.45,92,,Percent of Total Billed Charges,49.22,,70.88,90,,Percent of Total Billed Charges,39.3,,70.09,89,,Percent of Total Billed Charges,37.8,,64.89,82.4,,Percent of Total Billed Charges,64.73,,65.68,83.4,,Percent of Total Billed Charges,61.27,,65.68,83.4,,Percent of Total Billed Charges,55.2,,65.68,83.4,,Percent of Total Billed Charges,64.1,,70.88,90,,Percent of Total Billed Charges,66.7,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,72.45,92,,Percent of Total Billed Charges,63.87,,72.45,92,,Percent of Total Billed Charges,58.59,,72.45,92,,Percent of Total Billed Charges,61.66,,72.45,92,,Percent of Total Billed Charges,63.87,,61.43,78,,Percent of Total Billed Charges,61.43,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,42.39,53.83,,Percent of Total Billed Charges,39.77,,27.28,34.64,,Percent of Total Billed Charges,27.17,,39.36,49.98,,Percent of Total Billed Charges,29.77,,27.28,72.45,,																																							
HC HLA I TYPING 1 LOCUS HR,81380,CPT,,,,BOTH, , ,683.55,574.18,628.87,92,,Percent of Total Billed Charges,571.45,,628.87,92,,Percent of Total Billed Charges,561.19,,628.87,92,,Percent of Total Billed Charges,550.26,,628.87,92,,Percent of Total Billed Charges,570.76,,628.87,92,,Percent of Total Billed Charges,514.71,,628.87,92,,Percent of Total Billed Charges,427.22,,615.2,90,,Percent of Total Billed Charges,341.09,,608.36,89,,Percent of Total Billed Charges,328.1,,563.25,82.4,,Percent of Total Billed Charges,561.88,,570.08,83.4,,Percent of Total Billed Charges,531.8,,570.08,83.4,,Percent of Total Billed Charges,479.17,,570.08,83.4,,Percent of Total Billed Charges,556.41,,615.2,90,,Percent of Total Billed Charges,578.97,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,628.87,92,,Percent of Total Billed Charges,554.36,,628.87,92,,Percent of Total Billed Charges,508.56,,628.87,92,,Percent of Total Billed Charges,535.22,,628.87,92,,Percent of Total Billed Charges,554.36,,533.17,78,,Percent of Total Billed Charges,533.17,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,367.95,53.83,,Percent of Total Billed Charges,345.19,,236.78,34.64,,Percent of Total Billed Charges,235.82,,341.64,49.98,,Percent of Total Billed Charges,258.38,,236.78,628.87,,																																							
HC CHRMSM COUNT 45 CELL MOSAICISM 2KARYOTYPE,88263,CPT,,,,BOTH, , ,579.6,486.86,533.23,92,,Percent of Total Billed Charges,484.55,,533.23,92,,Percent of Total Billed Charges,475.85,,533.23,92,,Percent of Total Billed Charges,466.58,,533.23,92,,Percent of Total Billed Charges,483.97,,533.23,92,,Percent of Total Billed Charges,436.44,,533.23,92,,Percent of Total Billed Charges,362.25,,521.64,90,,Percent of Total Billed Charges,289.22,,515.84,89,,Percent of Total Billed Charges,278.21,,477.59,82.4,,Percent of Total Billed Charges,476.43,,483.39,83.4,,Percent of Total Billed Charges,450.93,,483.39,83.4,,Percent of Total Billed Charges,406.3,,483.39,83.4,,Percent of Total Billed Charges,471.79,,521.64,90,,Percent of Total Billed Charges,490.92,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,533.23,92,,Percent of Total Billed Charges,470.06,,533.23,92,,Percent of Total Billed Charges,431.22,,533.23,92,,Percent of Total Billed Charges,453.83,,533.23,92,,Percent of Total Billed Charges,470.06,,452.09,78,,Percent of Total Billed Charges,452.09,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,312,53.83,,Percent of Total Billed Charges,292.7,,200.77,34.64,,Percent of Total Billed Charges,199.96,,289.68,49.98,,Percent of Total Billed Charges,219.09,,200.77,533.23,,																																							
HC UNLISTED MULTIANALYTE ASSAY ALGORITHMIC ANALYSIS,81599,CPT,,,,BOTH, , ,918.75,771.75,845.25,92,,Percent of Total Billed Charges,768.08,,845.25,92,,Percent of Total Billed Charges,754.29,,845.25,92,,Percent of Total Billed Charges,739.59,,845.25,92,,Percent of Total Billed Charges,767.16,,845.25,92,,Percent of Total Billed Charges,691.82,,845.25,92,,Percent of Total Billed Charges,574.22,,826.88,90,,Percent of Total Billed Charges,458.46,,817.69,89,,Percent of Total Billed Charges,441,,757.05,82.4,,Percent of Total Billed Charges,755.21,,766.24,83.4,,Percent of Total Billed Charges,714.79,,766.24,83.4,,Percent of Total Billed Charges,644.04,,766.24,83.4,,Percent of Total Billed Charges,747.86,,826.88,90,,Percent of Total Billed Charges,778.18,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,845.25,92,,Percent of Total Billed Charges,745.11,,845.25,92,,Percent of Total Billed Charges,683.55,,845.25,92,,Percent of Total Billed Charges,719.38,,845.25,92,,Percent of Total Billed Charges,745.11,,716.63,78,,Percent of Total Billed Charges,716.63,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,494.56,53.83,,Percent of Total Billed Charges,463.97,,318.26,34.64,,Percent of Total Billed Charges,316.97,,459.19,49.98,,Percent of Total Billed Charges,347.29,,318.26,845.25,,																																							
HC TISS CUL NEO DISORDERS SOLID TUMOR,88239,CPT,,,,BOTH, , ,569.1,478.04,523.57,92,,Percent of Total Billed Charges,475.77,,523.57,92,,Percent of Total Billed Charges,467.23,,523.57,92,,Percent of Total Billed Charges,458.13,,523.57,92,,Percent of Total Billed Charges,475.2,,523.57,92,,Percent of Total Billed Charges,428.53,,523.57,92,,Percent of Total Billed Charges,355.69,,512.19,90,,Percent of Total Billed Charges,283.98,,506.5,89,,Percent of Total Billed Charges,273.17,,468.94,82.4,,Percent of Total Billed Charges,467.8,,474.63,83.4,,Percent of Total Billed Charges,442.76,,474.63,83.4,,Percent of Total Billed Charges,398.94,,474.63,83.4,,Percent of Total Billed Charges,463.25,,512.19,90,,Percent of Total Billed Charges,482.03,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,523.57,92,,Percent of Total Billed Charges,461.54,,523.57,92,,Percent of Total Billed Charges,423.41,,523.57,92,,Percent of Total Billed Charges,445.61,,523.57,92,,Percent of Total Billed Charges,461.54,,443.9,78,,Percent of Total Billed Charges,443.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,306.35,53.83,,Percent of Total Billed Charges,287.4,,197.14,34.64,,Percent of Total Billed Charges,196.34,,284.44,49.98,,Percent of Total Billed Charges,215.12,,197.14,523.57,,																																							
HC BLOOD OCCULT FECAL HGB DETER IA QUAL FECES 13,82274,CPT,,,,BOTH, , ,61.95,52.04,56.99,92,,Percent of Total Billed Charges,51.79,,56.99,92,,Percent of Total Billed Charges,50.86,,56.99,92,,Percent of Total Billed Charges,49.87,,56.99,92,,Percent of Total Billed Charges,51.73,,56.99,92,,Percent of Total Billed Charges,46.65,,56.99,92,,Percent of Total Billed Charges,38.72,,55.76,90,,Percent of Total Billed Charges,30.91,,55.14,89,,Percent of Total Billed Charges,29.74,,51.05,82.4,,Percent of Total Billed Charges,50.92,,51.67,83.4,,Percent of Total Billed Charges,48.2,,51.67,83.4,,Percent of Total Billed Charges,43.43,,51.67,83.4,,Percent of Total Billed Charges,50.43,,55.76,90,,Percent of Total Billed Charges,52.47,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,56.99,92,,Percent of Total Billed Charges,50.24,,56.99,92,,Percent of Total Billed Charges,46.09,,56.99,92,,Percent of Total Billed Charges,48.51,,56.99,92,,Percent of Total Billed Charges,50.24,,48.32,78,,Percent of Total Billed Charges,48.32,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,33.35,53.83,,Percent of Total Billed Charges,31.28,,21.46,34.64,,Percent of Total Billed Charges,21.37,,30.96,49.98,,Percent of Total Billed Charges,23.42,,21.46,56.99,,																																							
HC GLYCA NUC MR SPECTRSC QUAN,0024U,CPT,,,,BOTH, , ,132.3,111.13,121.72,92,,Percent of Total Billed Charges,110.6,,121.72,92,,Percent of Total Billed Charges,108.62,,121.72,92,,Percent of Total Billed Charges,106.5,,121.72,92,,Percent of Total Billed Charges,110.47,,121.72,92,,Percent of Total Billed Charges,99.62,,121.72,92,,Percent of Total Billed Charges,82.69,,119.07,90,,Percent of Total Billed Charges,66.02,,117.75,89,,Percent of Total Billed Charges,63.5,,109.02,82.4,,Percent of Total Billed Charges,108.75,,110.34,83.4,,Percent of Total Billed Charges,102.93,,110.34,83.4,,Percent of Total Billed Charges,92.74,,110.34,83.4,,Percent of Total Billed Charges,107.69,,119.07,90,,Percent of Total Billed Charges,112.06,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,121.72,92,,Percent of Total Billed Charges,107.3,,121.72,92,,Percent of Total Billed Charges,98.43,,121.72,92,,Percent of Total Billed Charges,103.59,,121.72,92,,Percent of Total Billed Charges,107.3,,103.19,78,,Percent of Total Billed Charges,103.19,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,71.22,53.83,,Percent of Total Billed Charges,66.81,,45.83,34.64,,Percent of Total Billed Charges,45.64,,66.12,49.98,,Percent of Total Billed Charges,50.01,,45.83,121.72,,																																							
HC NEURO CSF PRION PRTN QUAL,0035U,CPT,,,,BOTH, , ,2087.4,1753.42,1920.41,92,,Percent of Total Billed Charges,1745.07,,1920.41,92,,Percent of Total Billed Charges,1713.76,,1920.41,92,,Percent of Total Billed Charges,1680.36,,1920.41,92,,Percent of Total Billed Charges,1742.98,,1920.41,92,,Percent of Total Billed Charges,1571.81,,1920.41,92,,Percent of Total Billed Charges,1304.63,,1878.66,90,,Percent of Total Billed Charges,1041.61,,1857.79,89,,Percent of Total Billed Charges,1001.95,,1720.02,82.4,,Percent of Total Billed Charges,1715.84,,1740.89,83.4,,Percent of Total Billed Charges,1624,,1740.89,83.4,,Percent of Total Billed Charges,1463.27,,1740.89,83.4,,Percent of Total Billed Charges,1699.14,,1878.66,90,,Percent of Total Billed Charges,1768.03,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1920.41,92,,Percent of Total Billed Charges,1692.88,,1920.41,92,,Percent of Total Billed Charges,1553.03,,1920.41,92,,Percent of Total Billed Charges,1634.43,,1920.41,92,,Percent of Total Billed Charges,1692.88,,1628.17,78,,Percent of Total Billed Charges,1628.17,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1123.65,53.83,,Percent of Total Billed Charges,1054.14,,723.08,34.64,,Percent of Total Billed Charges,720.15,,1043.28,49.98,,Percent of Total Billed Charges,789.04,,723.08,1920.41,,																																							
HC KIT GENE ANALYS D816 VARIANT,81273,CPT,,,,BOTH, , ,481.95,404.84,443.39,92,,Percent of Total Billed Charges,402.91,,443.39,92,,Percent of Total Billed Charges,395.68,,443.39,92,,Percent of Total Billed Charges,387.97,,443.39,92,,Percent of Total Billed Charges,402.43,,443.39,92,,Percent of Total Billed Charges,362.91,,443.39,92,,Percent of Total Billed Charges,301.22,,433.76,90,,Percent of Total Billed Charges,240.49,,428.94,89,,Percent of Total Billed Charges,231.34,,397.13,82.4,,Percent of Total Billed Charges,396.16,,401.95,83.4,,Percent of Total Billed Charges,374.96,,401.95,83.4,,Percent of Total Billed Charges,337.85,,401.95,83.4,,Percent of Total Billed Charges,392.31,,433.76,90,,Percent of Total Billed Charges,408.21,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,443.39,92,,Percent of Total Billed Charges,390.86,,443.39,92,,Percent of Total Billed Charges,358.57,,443.39,92,,Percent of Total Billed Charges,377.37,,443.39,92,,Percent of Total Billed Charges,390.86,,375.92,78,,Percent of Total Billed Charges,375.92,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,259.43,53.83,,Percent of Total Billed Charges,243.38,,166.95,34.64,,Percent of Total Billed Charges,166.27,,240.88,49.98,,Percent of Total Billed Charges,182.18,,166.95,443.39,,																																							
HC DRUG ASSAY POSACONAZOLE,80187,CPT,,,,BOTH, , ,352.8,296.35,324.58,92,,Percent of Total Billed Charges,294.94,,324.58,92,,Percent of Total Billed Charges,289.65,,324.58,92,,Percent of Total Billed Charges,284,,324.58,92,,Percent of Total Billed Charges,294.59,,324.58,92,,Percent of Total Billed Charges,265.66,,324.58,92,,Percent of Total Billed Charges,220.5,,317.52,90,,Percent of Total Billed Charges,176.05,,313.99,89,,Percent of Total Billed Charges,169.34,,290.71,82.4,,Percent of Total Billed Charges,290,,294.24,83.4,,Percent of Total Billed Charges,274.48,,294.24,83.4,,Percent of Total Billed Charges,247.31,,294.24,83.4,,Percent of Total Billed Charges,287.18,,317.52,90,,Percent of Total Billed Charges,298.82,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,324.58,92,,Percent of Total Billed Charges,286.12,,324.58,92,,Percent of Total Billed Charges,262.48,,324.58,92,,Percent of Total Billed Charges,276.24,,324.58,92,,Percent of Total Billed Charges,286.12,,275.18,78,,Percent of Total Billed Charges,275.18,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,189.91,53.83,,Percent of Total Billed Charges,178.16,,122.21,34.64,,Percent of Total Billed Charges,121.72,,176.33,49.98,,Percent of Total Billed Charges,133.36,,122.21,324.58,,																																							
HC ASSAY THIOPURINE SMETHYLTRANSFERASE,84433,CPT,,,,BOTH, , ,22.05,18.52,20.29,92,,Percent of Total Billed Charges,18.43,,20.29,92,,Percent of Total Billed Charges,18.1,,20.29,92,,Percent of Total Billed Charges,17.75,,20.29,92,,Percent of Total Billed Charges,18.41,,20.29,92,,Percent of Total Billed Charges,16.6,,20.29,92,,Percent of Total Billed Charges,13.78,,19.85,90,,Percent of Total Billed Charges,11,,19.62,89,,Percent of Total Billed Charges,10.58,,18.17,82.4,,Percent of Total Billed Charges,18.13,,18.39,83.4,,Percent of Total Billed Charges,17.15,,18.39,83.4,,Percent of Total Billed Charges,15.46,,18.39,83.4,,Percent of Total Billed Charges,17.95,,19.85,90,,Percent of Total Billed Charges,18.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,20.29,92,,Percent of Total Billed Charges,17.88,,20.29,92,,Percent of Total Billed Charges,16.41,,20.29,92,,Percent of Total Billed Charges,17.27,,20.29,92,,Percent of Total Billed Charges,17.88,,17.2,78,,Percent of Total Billed Charges,17.2,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,11.87,53.83,,Percent of Total Billed Charges,11.14,,7.64,34.64,,Percent of Total Billed Charges,7.61,,11.02,49.98,,Percent of Total Billed Charges,8.33,,7.64,20.29,,																																							
HC IADNA BABESIA MICROTI AMPLIFIED PROBE TECHNIQUE,87469,CPT,,,,BOTH, , ,135.45,113.78,124.61,92,,Percent of Total Billed Charges,113.24,,124.61,92,,Percent of Total Billed Charges,111.2,,124.61,92,,Percent of Total Billed Charges,109.04,,124.61,92,,Percent of Total Billed Charges,113.1,,124.61,92,,Percent of Total Billed Charges,101.99,,124.61,92,,Percent of Total Billed Charges,84.66,,121.91,90,,Percent of Total Billed Charges,67.59,,120.55,89,,Percent of Total Billed Charges,65.02,,111.61,82.4,,Percent of Total Billed Charges,111.34,,112.97,83.4,,Percent of Total Billed Charges,105.38,,112.97,83.4,,Percent of Total Billed Charges,94.95,,112.97,83.4,,Percent of Total Billed Charges,110.26,,121.91,90,,Percent of Total Billed Charges,114.73,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,124.61,92,,Percent of Total Billed Charges,109.85,,124.61,92,,Percent of Total Billed Charges,100.77,,124.61,92,,Percent of Total Billed Charges,106.06,,124.61,92,,Percent of Total Billed Charges,109.85,,105.65,78,,Percent of Total Billed Charges,105.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,72.91,53.83,,Percent of Total Billed Charges,68.4,,46.92,34.64,,Percent of Total Billed Charges,46.73,,67.7,49.98,,Percent of Total Billed Charges,51.2,,46.92,124.61,,																																							
HC NFCT DS BV RNA VAG FLU ALG,81513,CPT,,,,BOTH, , ,550.2,462.17,506.18,92,,Percent of Total Billed Charges,459.97,,506.18,92,,Percent of Total Billed Charges,451.71,,506.18,92,,Percent of Total Billed Charges,442.91,,506.18,92,,Percent of Total Billed Charges,459.42,,506.18,92,,Percent of Total Billed Charges,414.3,,506.18,92,,Percent of Total Billed Charges,343.88,,495.18,90,,Percent of Total Billed Charges,274.55,,489.68,89,,Percent of Total Billed Charges,264.1,,453.36,82.4,,Percent of Total Billed Charges,452.26,,458.87,83.4,,Percent of Total Billed Charges,428.06,,458.87,83.4,,Percent of Total Billed Charges,385.69,,458.87,83.4,,Percent of Total Billed Charges,447.86,,495.18,90,,Percent of Total Billed Charges,466.02,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,506.18,92,,Percent of Total Billed Charges,446.21,,506.18,92,,Percent of Total Billed Charges,409.35,,506.18,92,,Percent of Total Billed Charges,430.81,,506.18,92,,Percent of Total Billed Charges,446.21,,429.16,78,,Percent of Total Billed Charges,429.16,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,296.17,53.83,,Percent of Total Billed Charges,277.85,,190.59,34.64,,Percent of Total Billed Charges,189.82,,274.99,49.98,,Percent of Total Billed Charges,207.98,,190.59,506.18,,																																							
HC HEPARIN NEUTRALIZATION,85525,CPT,,,,BOTH, , ,45.15,37.93,41.54,92,,Percent of Total Billed Charges,37.75,,41.54,92,,Percent of Total Billed Charges,37.07,,41.54,92,,Percent of Total Billed Charges,36.35,,41.54,92,,Percent of Total Billed Charges,37.7,,41.54,92,,Percent of Total Billed Charges,34,,41.54,92,,Percent of Total Billed Charges,28.22,,40.64,90,,Percent of Total Billed Charges,22.53,,40.18,89,,Percent of Total Billed Charges,21.67,,37.2,82.4,,Percent of Total Billed Charges,37.11,,37.66,83.4,,Percent of Total Billed Charges,35.13,,37.66,83.4,,Percent of Total Billed Charges,31.65,,37.66,83.4,,Percent of Total Billed Charges,36.75,,40.64,90,,Percent of Total Billed Charges,38.24,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,41.54,92,,Percent of Total Billed Charges,36.62,,41.54,92,,Percent of Total Billed Charges,33.59,,41.54,92,,Percent of Total Billed Charges,35.35,,41.54,92,,Percent of Total Billed Charges,36.62,,35.22,78,,Percent of Total Billed Charges,35.22,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,24.3,53.83,,Percent of Total Billed Charges,22.8,,15.64,34.64,,Percent of Total Billed Charges,15.58,,22.57,49.98,,Percent of Total Billed Charges,17.07,,15.64,41.54,,																																							
HC HOPD COVID19 SPEC COLLECT,C9803,CPT,,,,BOTH, , ,33.6,28.22,30.91,92,,Percent of Total Billed Charges,28.09,,30.91,92,,Percent of Total Billed Charges,27.59,,30.91,92,,Percent of Total Billed Charges,27.05,,30.91,92,,Percent of Total Billed Charges,28.06,,30.91,92,,Percent of Total Billed Charges,25.3,,30.91,92,,Percent of Total Billed Charges,21,,30.24,90,,Percent of Total Billed Charges,16.77,,29.9,89,,Percent of Total Billed Charges,16.13,,27.69,82.4,,Percent of Total Billed Charges,27.62,,28.02,83.4,,Percent of Total Billed Charges,26.14,,28.02,83.4,,Percent of Total Billed Charges,23.55,,28.02,83.4,,Percent of Total Billed Charges,27.35,,30.24,90,,Percent of Total Billed Charges,28.46,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,30.91,92,,Percent of Total Billed Charges,27.25,,30.91,92,,Percent of Total Billed Charges,25,,30.91,92,,Percent of Total Billed Charges,26.31,,30.91,92,,Percent of Total Billed Charges,27.25,,26.21,78,,Percent of Total Billed Charges,26.21,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,18.09,53.83,,Percent of Total Billed Charges,16.97,,11.64,34.64,,Percent of Total Billed Charges,11.59,,16.79,49.98,,Percent of Total Billed Charges,12.7,,11.64,30.91,,																																							
HC DRUG ASSAY ACETAMINOPHEN,80143,CPT,,,,BOTH, , ,71.4,59.98,65.69,92,,Percent of Total Billed Charges,59.69,,65.69,92,,Percent of Total Billed Charges,58.62,,65.69,92,,Percent of Total Billed Charges,57.48,,65.69,92,,Percent of Total Billed Charges,59.62,,65.69,92,,Percent of Total Billed Charges,53.76,,65.69,92,,Percent of Total Billed Charges,44.63,,64.26,90,,Percent of Total Billed Charges,35.63,,63.55,89,,Percent of Total Billed Charges,34.27,,58.83,82.4,,Percent of Total Billed Charges,58.69,,59.55,83.4,,Percent of Total Billed Charges,55.55,,59.55,83.4,,Percent of Total Billed Charges,50.05,,59.55,83.4,,Percent of Total Billed Charges,58.12,,64.26,90,,Percent of Total Billed Charges,60.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,65.69,92,,Percent of Total Billed Charges,57.91,,65.69,92,,Percent of Total Billed Charges,53.12,,65.69,92,,Percent of Total Billed Charges,55.91,,65.69,92,,Percent of Total Billed Charges,57.91,,55.69,78,,Percent of Total Billed Charges,55.69,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,38.43,53.83,,Percent of Total Billed Charges,36.06,,24.73,34.64,,Percent of Total Billed Charges,24.63,,35.69,49.98,,Percent of Total Billed Charges,26.99,,24.73,65.69,,																																							
HC DRUG ASSAY SALICYLATE,80179,CPT,,,,BOTH, , ,71.4,59.98,65.69,92,,Percent of Total Billed Charges,59.69,,65.69,92,,Percent of Total Billed Charges,58.62,,65.69,92,,Percent of Total Billed Charges,57.48,,65.69,92,,Percent of Total Billed Charges,59.62,,65.69,92,,Percent of Total Billed Charges,53.76,,65.69,92,,Percent of Total Billed Charges,44.63,,64.26,90,,Percent of Total Billed Charges,35.63,,63.55,89,,Percent of Total Billed Charges,34.27,,58.83,82.4,,Percent of Total Billed Charges,58.69,,59.55,83.4,,Percent of Total Billed Charges,55.55,,59.55,83.4,,Percent of Total Billed Charges,50.05,,59.55,83.4,,Percent of Total Billed Charges,58.12,,64.26,90,,Percent of Total Billed Charges,60.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,65.69,92,,Percent of Total Billed Charges,57.91,,65.69,92,,Percent of Total Billed Charges,53.12,,65.69,92,,Percent of Total Billed Charges,55.91,,65.69,92,,Percent of Total Billed Charges,57.91,,55.69,78,,Percent of Total Billed Charges,55.69,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,38.43,53.83,,Percent of Total Billed Charges,36.06,,24.73,34.64,,Percent of Total Billed Charges,24.63,,35.69,49.98,,Percent of Total Billed Charges,26.99,,24.73,65.69,,																																							
HC ASSAY OF NICKEL,83885,CPT,,,,BOTH, , ,9.45,7.94,8.69,92,,Percent of Total Billed Charges,7.9,,8.69,92,,Percent of Total Billed Charges,7.76,,8.69,92,,Percent of Total Billed Charges,7.61,,8.69,92,,Percent of Total Billed Charges,7.89,,8.69,92,,Percent of Total Billed Charges,7.12,,8.69,92,,Percent of Total Billed Charges,5.91,,8.51,90,,Percent of Total Billed Charges,4.72,,8.41,89,,Percent of Total Billed Charges,4.54,,7.79,82.4,,Percent of Total Billed Charges,7.77,,7.88,83.4,,Percent of Total Billed Charges,7.35,,7.88,83.4,,Percent of Total Billed Charges,6.62,,7.88,83.4,,Percent of Total Billed Charges,7.69,,8.51,90,,Percent of Total Billed Charges,8,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,8.69,92,,Percent of Total Billed Charges,7.66,,8.69,92,,Percent of Total Billed Charges,7.03,,8.69,92,,Percent of Total Billed Charges,7.4,,8.69,92,,Percent of Total Billed Charges,7.66,,7.37,78,,Percent of Total Billed Charges,7.37,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5.09,53.83,,Percent of Total Billed Charges,4.77,,3.27,34.64,,Percent of Total Billed Charges,3.26,,4.72,49.98,,Percent of Total Billed Charges,3.57,,3.27,8.69,,																																							
HC ONCOPROTEIN HER2/NEU,83950,CPT,,,,BOTH, , ,764.4,642.1,703.25,92,,Percent of Total Billed Charges,639.04,,703.25,92,,Percent of Total Billed Charges,627.57,,703.25,92,,Percent of Total Billed Charges,615.34,,703.25,92,,Percent of Total Billed Charges,638.27,,703.25,92,,Percent of Total Billed Charges,575.59,,703.25,92,,Percent of Total Billed Charges,477.75,,687.96,90,,Percent of Total Billed Charges,381.44,,680.32,89,,Percent of Total Billed Charges,366.91,,629.87,82.4,,Percent of Total Billed Charges,628.34,,637.51,83.4,,Percent of Total Billed Charges,594.7,,637.51,83.4,,Percent of Total Billed Charges,535.84,,637.51,83.4,,Percent of Total Billed Charges,622.22,,687.96,90,,Percent of Total Billed Charges,647.45,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,703.25,92,,Percent of Total Billed Charges,619.93,,703.25,92,,Percent of Total Billed Charges,568.71,,703.25,92,,Percent of Total Billed Charges,598.53,,703.25,92,,Percent of Total Billed Charges,619.93,,596.23,78,,Percent of Total Billed Charges,596.23,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,411.48,53.83,,Percent of Total Billed Charges,386.02,,264.79,34.64,,Percent of Total Billed Charges,263.72,,382.05,49.98,,Percent of Total Billed Charges,288.94,,264.79,703.25,,																																							
HC ANAPLSMA PHGCYTOPHLM AMP PRB,87468,CPT,,,,BOTH, , ,129.15,108.49,118.82,92,,Percent of Total Billed Charges,107.97,,118.82,92,,Percent of Total Billed Charges,106.03,,118.82,92,,Percent of Total Billed Charges,103.97,,118.82,92,,Percent of Total Billed Charges,107.84,,118.82,92,,Percent of Total Billed Charges,97.25,,118.82,92,,Percent of Total Billed Charges,80.72,,116.24,90,,Percent of Total Billed Charges,64.45,,114.94,89,,Percent of Total Billed Charges,61.99,,106.42,82.4,,Percent of Total Billed Charges,106.16,,107.71,83.4,,Percent of Total Billed Charges,100.48,,107.71,83.4,,Percent of Total Billed Charges,90.53,,107.71,83.4,,Percent of Total Billed Charges,105.13,,116.24,90,,Percent of Total Billed Charges,109.39,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,118.82,92,,Percent of Total Billed Charges,104.74,,118.82,92,,Percent of Total Billed Charges,96.09,,118.82,92,,Percent of Total Billed Charges,101.12,,118.82,92,,Percent of Total Billed Charges,104.74,,100.74,78,,Percent of Total Billed Charges,100.74,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,69.52,53.83,,Percent of Total Billed Charges,65.22,,44.74,34.64,,Percent of Total Billed Charges,44.56,,64.55,49.98,,Percent of Total Billed Charges,48.82,,44.74,118.82,,																																							
HC AQUAPORIN4 ANTIBODY FLOW CYTOMETRY EACH,86053,CPT,,,,BOTH, , ,518.7,435.71,477.2,92,,Percent of Total Billed Charges,433.63,,477.2,92,,Percent of Total Billed Charges,425.85,,477.2,92,,Percent of Total Billed Charges,417.55,,477.2,92,,Percent of Total Billed Charges,433.11,,477.2,92,,Percent of Total Billed Charges,390.58,,477.2,92,,Percent of Total Billed Charges,324.19,,466.83,90,,Percent of Total Billed Charges,258.83,,461.64,89,,Percent of Total Billed Charges,248.98,,427.41,82.4,,Percent of Total Billed Charges,426.37,,432.6,83.4,,Percent of Total Billed Charges,403.55,,432.6,83.4,,Percent of Total Billed Charges,363.61,,432.6,83.4,,Percent of Total Billed Charges,422.22,,466.83,90,,Percent of Total Billed Charges,439.34,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,477.2,92,,Percent of Total Billed Charges,420.67,,477.2,92,,Percent of Total Billed Charges,385.91,,477.2,92,,Percent of Total Billed Charges,406.14,,477.2,92,,Percent of Total Billed Charges,420.67,,404.59,78,,Percent of Total Billed Charges,404.59,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,279.22,53.83,,Percent of Total Billed Charges,261.94,,179.68,34.64,,Percent of Total Billed Charges,178.95,,259.25,49.98,,Percent of Total Billed Charges,196.07,,179.68,477.2,,																																							
HC DRUG ASSAY CARBAMAZEPINE FREE,80157,CPT,,,,BOTH, , ,112.35,94.37,103.36,92,,Percent of Total Billed Charges,93.92,,103.36,92,,Percent of Total Billed Charges,92.24,,103.36,92,,Percent of Total Billed Charges,90.44,,103.36,92,,Percent of Total Billed Charges,93.81,,103.36,92,,Percent of Total Billed Charges,84.6,,103.36,92,,Percent of Total Billed Charges,70.22,,101.12,90,,Percent of Total Billed Charges,56.06,,99.99,89,,Percent of Total Billed Charges,53.93,,92.58,82.4,,Percent of Total Billed Charges,92.35,,93.7,83.4,,Percent of Total Billed Charges,87.41,,93.7,83.4,,Percent of Total Billed Charges,78.76,,93.7,83.4,,Percent of Total Billed Charges,91.45,,101.12,90,,Percent of Total Billed Charges,95.16,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,103.36,92,,Percent of Total Billed Charges,91.12,,103.36,92,,Percent of Total Billed Charges,83.59,,103.36,92,,Percent of Total Billed Charges,87.97,,103.36,92,,Percent of Total Billed Charges,91.12,,87.63,78,,Percent of Total Billed Charges,87.63,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,60.48,53.83,,Percent of Total Billed Charges,56.74,,38.92,34.64,,Percent of Total Billed Charges,38.76,,56.15,49.98,,Percent of Total Billed Charges,42.47,,38.92,103.36,,																																							
HC ELECTROLYTES,80051,CPT,,,,BOTH, , ,6.3,5.29,5.8,92,,Percent of Total Billed Charges,5.27,,5.8,92,,Percent of Total Billed Charges,5.17,,5.8,92,,Percent of Total Billed Charges,5.07,,5.8,92,,Percent of Total Billed Charges,5.26,,5.8,92,,Percent of Total Billed Charges,4.74,,5.8,92,,Percent of Total Billed Charges,3.94,,5.67,90,,Percent of Total Billed Charges,3.14,,5.61,89,,Percent of Total Billed Charges,3.02,,5.19,82.4,,Percent of Total Billed Charges,5.18,,5.25,83.4,,Percent of Total Billed Charges,4.9,,5.25,83.4,,Percent of Total Billed Charges,4.42,,5.25,83.4,,Percent of Total Billed Charges,5.13,,5.67,90,,Percent of Total Billed Charges,5.34,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5.8,92,,Percent of Total Billed Charges,5.11,,5.8,92,,Percent of Total Billed Charges,4.69,,5.8,92,,Percent of Total Billed Charges,4.93,,5.8,92,,Percent of Total Billed Charges,5.11,,4.91,78,,Percent of Total Billed Charges,4.91,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3.39,53.83,,Percent of Total Billed Charges,3.18,,2.18,34.64,,Percent of Total Billed Charges,2.17,,3.15,49.98,,Percent of Total Billed Charges,2.38,,2.18,5.8,,																																							
HC LIPID PANEL,80061,CPT,,,,BOTH, , ,72.45,60.86,66.65,92,,Percent of Total Billed Charges,60.57,,66.65,92,,Percent of Total Billed Charges,59.48,,66.65,92,,Percent of Total Billed Charges,58.32,,66.65,92,,Percent of Total Billed Charges,60.5,,66.65,92,,Percent of Total Billed Charges,54.55,,66.65,92,,Percent of Total Billed Charges,45.28,,65.21,90,,Percent of Total Billed Charges,36.15,,64.48,89,,Percent of Total Billed Charges,34.78,,59.7,82.4,,Percent of Total Billed Charges,59.55,,60.42,83.4,,Percent of Total Billed Charges,56.37,,60.42,83.4,,Percent of Total Billed Charges,50.79,,60.42,83.4,,Percent of Total Billed Charges,58.97,,65.21,90,,Percent of Total Billed Charges,61.37,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,66.65,92,,Percent of Total Billed Charges,58.76,,66.65,92,,Percent of Total Billed Charges,53.9,,66.65,92,,Percent of Total Billed Charges,56.73,,66.65,92,,Percent of Total Billed Charges,58.76,,56.51,78,,Percent of Total Billed Charges,56.51,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,39,53.83,,Percent of Total Billed Charges,36.59,,25.1,34.64,,Percent of Total Billed Charges,25,,36.21,49.98,,Percent of Total Billed Charges,27.39,,25.10,66.65,,																																							
HC HEPATIC FUNCTION PANEL,80076,CPT,,,,BOTH, , ,79.8,67.03,73.42,92,,Percent of Total Billed Charges,66.71,,73.42,92,,Percent of Total Billed Charges,65.52,,73.42,92,,Percent of Total Billed Charges,64.24,,73.42,92,,Percent of Total Billed Charges,66.63,,73.42,92,,Percent of Total Billed Charges,60.09,,73.42,92,,Percent of Total Billed Charges,49.88,,71.82,90,,Percent of Total Billed Charges,39.82,,71.02,89,,Percent of Total Billed Charges,38.3,,65.76,82.4,,Percent of Total Billed Charges,65.6,,66.55,83.4,,Percent of Total Billed Charges,62.08,,66.55,83.4,,Percent of Total Billed Charges,55.94,,66.55,83.4,,Percent of Total Billed Charges,64.96,,71.82,90,,Percent of Total Billed Charges,67.59,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,73.42,92,,Percent of Total Billed Charges,64.72,,73.42,92,,Percent of Total Billed Charges,59.37,,73.42,92,,Percent of Total Billed Charges,62.48,,73.42,92,,Percent of Total Billed Charges,64.72,,62.24,78,,Percent of Total Billed Charges,62.24,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,42.96,53.83,,Percent of Total Billed Charges,40.3,,27.64,34.64,,Percent of Total Billed Charges,27.53,,39.88,49.98,,Percent of Total Billed Charges,30.16,,27.64,73.42,,																																							
HC CARBAMAZEPINE TOTAL,80156,CPT,,,,BOTH, , ,170.1,142.88,156.49,92,,Percent of Total Billed Charges,142.2,,156.49,92,,Percent of Total Billed Charges,139.65,,156.49,92,,Percent of Total Billed Charges,136.93,,156.49,92,,Percent of Total Billed Charges,142.03,,156.49,92,,Percent of Total Billed Charges,128.09,,156.49,92,,Percent of Total Billed Charges,106.31,,153.09,90,,Percent of Total Billed Charges,84.88,,151.39,89,,Percent of Total Billed Charges,81.65,,140.16,82.4,,Percent of Total Billed Charges,139.82,,141.86,83.4,,Percent of Total Billed Charges,132.34,,141.86,83.4,,Percent of Total Billed Charges,119.24,,141.86,83.4,,Percent of Total Billed Charges,138.46,,153.09,90,,Percent of Total Billed Charges,144.07,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,156.49,92,,Percent of Total Billed Charges,137.95,,156.49,92,,Percent of Total Billed Charges,126.55,,156.49,92,,Percent of Total Billed Charges,133.19,,156.49,92,,Percent of Total Billed Charges,137.95,,132.68,78,,Percent of Total Billed Charges,132.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,91.56,53.83,,Percent of Total Billed Charges,85.9,,58.92,34.64,,Percent of Total Billed Charges,58.68,,85.02,49.98,,Percent of Total Billed Charges,64.3,,58.92,156.49,,																																							
HC DIGOXIN TOTAL,80162,CPT,,,,BOTH, , ,179.55,150.82,165.19,92,,Percent of Total Billed Charges,150.1,,165.19,92,,Percent of Total Billed Charges,147.41,,165.19,92,,Percent of Total Billed Charges,144.54,,165.19,92,,Percent of Total Billed Charges,149.92,,165.19,92,,Percent of Total Billed Charges,135.2,,165.19,92,,Percent of Total Billed Charges,112.22,,161.6,90,,Percent of Total Billed Charges,89.6,,159.8,89,,Percent of Total Billed Charges,86.18,,147.95,82.4,,Percent of Total Billed Charges,147.59,,149.74,83.4,,Percent of Total Billed Charges,139.69,,149.74,83.4,,Percent of Total Billed Charges,125.86,,149.74,83.4,,Percent of Total Billed Charges,146.15,,161.6,90,,Percent of Total Billed Charges,152.08,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,165.19,92,,Percent of Total Billed Charges,145.62,,165.19,92,,Percent of Total Billed Charges,133.59,,165.19,92,,Percent of Total Billed Charges,140.59,,165.19,92,,Percent of Total Billed Charges,145.62,,140.05,78,,Percent of Total Billed Charges,140.05,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,96.65,53.83,,Percent of Total Billed Charges,90.67,,62.2,34.64,,Percent of Total Billed Charges,61.94,,89.74,49.98,,Percent of Total Billed Charges,67.87,,62.20,165.19,,																																							
HC VALPROIC ACID TOTAL,80164,CPT,,,,BOTH, , ,171.15,143.77,157.46,92,,Percent of Total Billed Charges,143.08,,157.46,92,,Percent of Total Billed Charges,140.51,,157.46,92,,Percent of Total Billed Charges,137.78,,157.46,92,,Percent of Total Billed Charges,142.91,,157.46,92,,Percent of Total Billed Charges,128.88,,157.46,92,,Percent of Total Billed Charges,106.97,,154.04,90,,Percent of Total Billed Charges,85.4,,152.32,89,,Percent of Total Billed Charges,82.15,,141.03,82.4,,Percent of Total Billed Charges,140.69,,142.74,83.4,,Percent of Total Billed Charges,133.15,,142.74,83.4,,Percent of Total Billed Charges,119.98,,142.74,83.4,,Percent of Total Billed Charges,139.32,,154.04,90,,Percent of Total Billed Charges,144.96,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,157.46,92,,Percent of Total Billed Charges,138.8,,157.46,92,,Percent of Total Billed Charges,127.34,,157.46,92,,Percent of Total Billed Charges,134.01,,157.46,92,,Percent of Total Billed Charges,138.8,,133.5,78,,Percent of Total Billed Charges,133.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,92.13,53.83,,Percent of Total Billed Charges,86.43,,59.29,34.64,,Percent of Total Billed Charges,59.05,,85.54,49.98,,Percent of Total Billed Charges,64.69,,59.29,157.46,,																																							
HC ASSAY OF ETHOSUXIMIDE,80168,CPT,,,,BOTH, , ,247.8,208.15,227.98,92,,Percent of Total Billed Charges,207.16,,227.98,92,,Percent of Total Billed Charges,203.44,,227.98,92,,Percent of Total Billed Charges,199.48,,227.98,92,,Percent of Total Billed Charges,206.91,,227.98,92,,Percent of Total Billed Charges,186.59,,227.98,92,,Percent of Total Billed Charges,154.88,,223.02,90,,Percent of Total Billed Charges,123.65,,220.54,89,,Percent of Total Billed Charges,118.94,,204.19,82.4,,Percent of Total Billed Charges,203.69,,206.67,83.4,,Percent of Total Billed Charges,192.79,,206.67,83.4,,Percent of Total Billed Charges,173.71,,206.67,83.4,,Percent of Total Billed Charges,201.71,,223.02,90,,Percent of Total Billed Charges,209.89,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,227.98,92,,Percent of Total Billed Charges,200.97,,227.98,92,,Percent of Total Billed Charges,184.36,,227.98,92,,Percent of Total Billed Charges,194.03,,227.98,92,,Percent of Total Billed Charges,200.97,,193.28,78,,Percent of Total Billed Charges,193.28,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,133.39,53.83,,Percent of Total Billed Charges,125.14,,85.84,34.64,,Percent of Total Billed Charges,85.49,,123.85,49.98,,Percent of Total Billed Charges,93.67,,85.84,227.98,,																																							
HC LITHIUM,80178,CPT,,,,BOTH, , ,163.8,137.59,150.7,92,,Percent of Total Billed Charges,136.94,,150.7,92,,Percent of Total Billed Charges,134.48,,150.7,92,,Percent of Total Billed Charges,131.86,,150.7,92,,Percent of Total Billed Charges,136.77,,150.7,92,,Percent of Total Billed Charges,123.34,,150.7,92,,Percent of Total Billed Charges,102.38,,147.42,90,,Percent of Total Billed Charges,81.74,,145.78,89,,Percent of Total Billed Charges,78.62,,134.97,82.4,,Percent of Total Billed Charges,134.64,,136.61,83.4,,Percent of Total Billed Charges,127.44,,136.61,83.4,,Percent of Total Billed Charges,114.82,,136.61,83.4,,Percent of Total Billed Charges,133.33,,147.42,90,,Percent of Total Billed Charges,138.74,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,150.7,92,,Percent of Total Billed Charges,132.84,,150.7,92,,Percent of Total Billed Charges,121.87,,150.7,92,,Percent of Total Billed Charges,128.26,,150.7,92,,Percent of Total Billed Charges,132.84,,127.76,78,,Percent of Total Billed Charges,127.76,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,88.17,53.83,,Percent of Total Billed Charges,82.72,,56.74,34.64,,Percent of Total Billed Charges,56.51,,81.87,49.98,,Percent of Total Billed Charges,61.92,,56.74,150.7,,																																							
HC PHENYTOIN, TOTAL,80185,CPT,,,,BOTH, , ,177.45,149.06,163.25,92,,Percent of Total Billed Charges,148.35,,163.25,92,,Percent of Total Billed Charges,145.69,,163.25,92,,Percent of Total Billed Charges,142.85,,163.25,92,,Percent of Total Billed Charges,148.17,,163.25,92,,Percent of Total Billed Charges,133.62,,163.25,92,,Percent of Total Billed Charges,110.91,,159.71,90,,Percent of Total Billed Charges,88.55,,157.93,89,,Percent of Total Billed Charges,85.18,,146.22,82.4,,Percent of Total Billed Charges,145.86,,147.99,83.4,,Percent of Total Billed Charges,138.06,,147.99,83.4,,Percent of Total Billed Charges,124.39,,147.99,83.4,,Percent of Total Billed Charges,144.44,,159.71,90,,Percent of Total Billed Charges,150.3,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,163.25,92,,Percent of Total Billed Charges,143.91,,163.25,92,,Percent of Total Billed Charges,132.02,,163.25,92,,Percent of Total Billed Charges,138.94,,163.25,92,,Percent of Total Billed Charges,143.91,,138.41,78,,Percent of Total Billed Charges,138.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,95.52,53.83,,Percent of Total Billed Charges,89.61,,61.47,34.64,,Percent of Total Billed Charges,61.22,,88.69,49.98,,Percent of Total Billed Charges,67.08,,61.47,163.25,,																																							
HC THEOPHYLLINE,80198,CPT,,,,BOTH, , ,221.55,186.1,203.83,92,,Percent of Total Billed Charges,185.22,,203.83,92,,Percent of Total Billed Charges,181.89,,203.83,92,,Percent of Total Billed Charges,178.35,,203.83,92,,Percent of Total Billed Charges,184.99,,203.83,92,,Percent of Total Billed Charges,166.83,,203.83,92,,Percent of Total Billed Charges,138.47,,199.4,90,,Percent of Total Billed Charges,110.55,,197.18,89,,Percent of Total Billed Charges,106.34,,182.56,82.4,,Percent of Total Billed Charges,182.11,,184.77,83.4,,Percent of Total Billed Charges,172.37,,184.77,83.4,,Percent of Total Billed Charges,155.31,,184.77,83.4,,Percent of Total Billed Charges,180.34,,199.4,90,,Percent of Total Billed Charges,187.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,203.83,92,,Percent of Total Billed Charges,179.68,,203.83,92,,Percent of Total Billed Charges,164.83,,203.83,92,,Percent of Total Billed Charges,173.47,,203.83,92,,Percent of Total Billed Charges,179.68,,172.81,78,,Percent of Total Billed Charges,172.81,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,119.26,53.83,,Percent of Total Billed Charges,111.88,,76.74,34.64,,Percent of Total Billed Charges,76.43,,110.73,49.98,,Percent of Total Billed Charges,83.75,,76.74,203.83,,																																							
HC TOBRAMYCIN,80200,CPT,,,,BOTH, , ,153.3,128.77,141.04,92,,Percent of Total Billed Charges,128.16,,141.04,92,,Percent of Total Billed Charges,125.86,,141.04,92,,Percent of Total Billed Charges,123.41,,141.04,92,,Percent of Total Billed Charges,128.01,,141.04,92,,Percent of Total Billed Charges,115.43,,141.04,92,,Percent of Total Billed Charges,95.81,,137.97,90,,Percent of Total Billed Charges,76.5,,136.44,89,,Percent of Total Billed Charges,73.58,,126.32,82.4,,Percent of Total Billed Charges,126.01,,127.85,83.4,,Percent of Total Billed Charges,119.27,,127.85,83.4,,Percent of Total Billed Charges,107.46,,127.85,83.4,,Percent of Total Billed Charges,124.79,,137.97,90,,Percent of Total Billed Charges,129.85,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,141.04,92,,Percent of Total Billed Charges,124.33,,141.04,92,,Percent of Total Billed Charges,114.06,,141.04,92,,Percent of Total Billed Charges,120.03,,141.04,92,,Percent of Total Billed Charges,124.33,,119.57,78,,Percent of Total Billed Charges,119.57,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,82.52,53.83,,Percent of Total Billed Charges,77.42,,53.1,34.64,,Percent of Total Billed Charges,52.89,,76.62,49.98,,Percent of Total Billed Charges,57.95,,53.10,141.04,,																																							
HC DRUG SCREEN QUANTALCOHOLS,80320,CPT,,,,BOTH, , ,25.2,21.17,23.18,92,,Percent of Total Billed Charges,21.07,,23.18,92,,Percent of Total Billed Charges,20.69,,23.18,92,,Percent of Total Billed Charges,20.29,,23.18,92,,Percent of Total Billed Charges,21.04,,23.18,92,,Percent of Total Billed Charges,18.98,,23.18,92,,Percent of Total Billed Charges,15.75,,22.68,90,,Percent of Total Billed Charges,12.57,,22.43,89,,Percent of Total Billed Charges,12.1,,20.76,82.4,,Percent of Total Billed Charges,20.71,,21.02,83.4,,Percent of Total Billed Charges,19.61,,21.02,83.4,,Percent of Total Billed Charges,17.67,,21.02,83.4,,Percent of Total Billed Charges,20.51,,22.68,90,,Percent of Total Billed Charges,21.34,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,23.18,92,,Percent of Total Billed Charges,20.44,,23.18,92,,Percent of Total Billed Charges,18.75,,23.18,92,,Percent of Total Billed Charges,19.73,,23.18,92,,Percent of Total Billed Charges,20.44,,19.66,78,,Percent of Total Billed Charges,19.66,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,13.57,53.83,,Percent of Total Billed Charges,12.73,,8.73,34.64,,Percent of Total Billed Charges,8.69,,12.59,49.98,,Percent of Total Billed Charges,9.53,,8.73,23.18,,																																							
HC ANALGESICS NONOPIOID 1 OR 2,80329,CPT,,,,BOTH, , ,256.2,215.21,235.7,92,,Percent of Total Billed Charges,214.18,,235.7,92,,Percent of Total Billed Charges,210.34,,235.7,92,,Percent of Total Billed Charges,206.24,,235.7,92,,Percent of Total Billed Charges,213.93,,235.7,92,,Percent of Total Billed Charges,192.92,,235.7,92,,Percent of Total Billed Charges,160.13,,230.58,90,,Percent of Total Billed Charges,127.84,,228.02,89,,Percent of Total Billed Charges,122.98,,211.11,82.4,,Percent of Total Billed Charges,210.6,,213.67,83.4,,Percent of Total Billed Charges,199.32,,213.67,83.4,,Percent of Total Billed Charges,179.6,,213.67,83.4,,Percent of Total Billed Charges,208.55,,230.58,90,,Percent of Total Billed Charges,217,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,235.7,92,,Percent of Total Billed Charges,207.78,,235.7,92,,Percent of Total Billed Charges,190.61,,235.7,92,,Percent of Total Billed Charges,200.6,,235.7,92,,Percent of Total Billed Charges,207.78,,199.84,78,,Percent of Total Billed Charges,199.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,137.91,53.83,,Percent of Total Billed Charges,129.38,,88.75,34.64,,Percent of Total Billed Charges,88.39,,128.05,49.98,,Percent of Total Billed Charges,96.84,,88.75,235.7,,																																							
HC DRUG SCREENING BUPRENORPHINE,80348,CPT,,,,BOTH, , ,158.55,133.18,145.87,92,,Percent of Total Billed Charges,132.55,,145.87,92,,Percent of Total Billed Charges,130.17,,145.87,92,,Percent of Total Billed Charges,127.63,,145.87,92,,Percent of Total Billed Charges,132.39,,145.87,92,,Percent of Total Billed Charges,119.39,,145.87,92,,Percent of Total Billed Charges,99.09,,142.7,90,,Percent of Total Billed Charges,79.12,,141.11,89,,Percent of Total Billed Charges,76.1,,130.65,82.4,,Percent of Total Billed Charges,130.33,,132.23,83.4,,Percent of Total Billed Charges,123.35,,132.23,83.4,,Percent of Total Billed Charges,111.14,,132.23,83.4,,Percent of Total Billed Charges,129.06,,142.7,90,,Percent of Total Billed Charges,134.29,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,145.87,92,,Percent of Total Billed Charges,128.58,,145.87,92,,Percent of Total Billed Charges,117.96,,145.87,92,,Percent of Total Billed Charges,124.14,,145.87,92,,Percent of Total Billed Charges,128.58,,123.67,78,,Percent of Total Billed Charges,123.67,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,85.35,53.83,,Percent of Total Billed Charges,80.07,,54.92,34.64,,Percent of Total Billed Charges,54.7,,79.24,49.98,,Percent of Total Billed Charges,59.93,,54.92,145.87,,																																							
HC OPIATES 1 OR MORE,80361,CPT,,,,BOTH, , ,137.55,115.54,126.55,92,,Percent of Total Billed Charges,114.99,,126.55,92,,Percent of Total Billed Charges,112.93,,126.55,92,,Percent of Total Billed Charges,110.73,,126.55,92,,Percent of Total Billed Charges,114.85,,126.55,92,,Percent of Total Billed Charges,103.58,,126.55,92,,Percent of Total Billed Charges,85.97,,123.8,90,,Percent of Total Billed Charges,68.64,,122.42,89,,Percent of Total Billed Charges,66.02,,113.34,82.4,,Percent of Total Billed Charges,113.07,,114.72,83.4,,Percent of Total Billed Charges,107.01,,114.72,83.4,,Percent of Total Billed Charges,96.42,,114.72,83.4,,Percent of Total Billed Charges,111.97,,123.8,90,,Percent of Total Billed Charges,116.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,126.55,92,,Percent of Total Billed Charges,111.55,,126.55,92,,Percent of Total Billed Charges,102.34,,126.55,92,,Percent of Total Billed Charges,107.7,,126.55,92,,Percent of Total Billed Charges,111.55,,107.29,78,,Percent of Total Billed Charges,107.29,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,74.04,53.83,,Percent of Total Billed Charges,69.46,,47.65,34.64,,Percent of Total Billed Charges,47.45,,68.75,49.98,,Percent of Total Billed Charges,51.99,,47.65,126.55,,																																							
HC ALPHA GLOBIN COMMON MUTATION ANLS,81257,CPT,,,,BOTH, , ,952.35,799.97,876.16,92,,Percent of Total Billed Charges,796.16,,876.16,92,,Percent of Total Billed Charges,781.88,,876.16,92,,Percent of Total Billed Charges,766.64,,876.16,92,,Percent of Total Billed Charges,795.21,,876.16,92,,Percent of Total Billed Charges,717.12,,876.16,92,,Percent of Total Billed Charges,595.22,,857.12,90,,Percent of Total Billed Charges,475.22,,847.59,89,,Percent of Total Billed Charges,457.13,,784.74,82.4,,Percent of Total Billed Charges,782.83,,794.26,83.4,,Percent of Total Billed Charges,740.93,,794.26,83.4,,Percent of Total Billed Charges,667.6,,794.26,83.4,,Percent of Total Billed Charges,775.21,,857.12,90,,Percent of Total Billed Charges,806.64,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,876.16,92,,Percent of Total Billed Charges,772.36,,876.16,92,,Percent of Total Billed Charges,708.55,,876.16,92,,Percent of Total Billed Charges,745.69,,876.16,92,,Percent of Total Billed Charges,772.36,,742.83,78,,Percent of Total Billed Charges,742.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,512.65,53.83,,Percent of Total Billed Charges,480.94,,329.89,34.64,,Percent of Total Billed Charges,328.56,,475.98,49.98,,Percent of Total Billed Charges,359.99,,329.89,876.16,,																																							
HC TEST FOR ACETONE/KETONES,82009,CPT,,,,BOTH, , ,58.8,49.39,54.1,92,,Percent of Total Billed Charges,49.16,,54.1,92,,Percent of Total Billed Charges,48.27,,54.1,92,,Percent of Total Billed Charges,47.33,,54.1,92,,Percent of Total Billed Charges,49.1,,54.1,92,,Percent of Total Billed Charges,44.28,,54.1,92,,Percent of Total Billed Charges,36.75,,52.92,90,,Percent of Total Billed Charges,29.34,,52.33,89,,Percent of Total Billed Charges,28.22,,48.45,82.4,,Percent of Total Billed Charges,48.33,,49.04,83.4,,Percent of Total Billed Charges,45.75,,49.04,83.4,,Percent of Total Billed Charges,41.22,,49.04,83.4,,Percent of Total Billed Charges,47.86,,52.92,90,,Percent of Total Billed Charges,49.8,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,54.1,92,,Percent of Total Billed Charges,47.69,,54.1,92,,Percent of Total Billed Charges,43.75,,54.1,92,,Percent of Total Billed Charges,46.04,,54.1,92,,Percent of Total Billed Charges,47.69,,45.86,78,,Percent of Total Billed Charges,45.86,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,31.65,53.83,,Percent of Total Billed Charges,29.69,,20.37,34.64,,Percent of Total Billed Charges,20.29,,29.39,49.98,,Percent of Total Billed Charges,22.23,,20.37,54.1,,																																							
HC ADRENOCORTICOTROPIC HORMONE,82024,CPT,,,,BOTH, , ,480.9,403.96,442.43,92,,Percent of Total Billed Charges,402.03,,442.43,92,,Percent of Total Billed Charges,394.82,,442.43,92,,Percent of Total Billed Charges,387.12,,442.43,92,,Percent of Total Billed Charges,401.55,,442.43,92,,Percent of Total Billed Charges,362.12,,442.43,92,,Percent of Total Billed Charges,300.56,,432.81,90,,Percent of Total Billed Charges,239.97,,428,89,,Percent of Total Billed Charges,230.83,,396.26,82.4,,Percent of Total Billed Charges,395.3,,401.07,83.4,,Percent of Total Billed Charges,374.14,,401.07,83.4,,Percent of Total Billed Charges,337.11,,401.07,83.4,,Percent of Total Billed Charges,391.45,,432.81,90,,Percent of Total Billed Charges,407.32,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,442.43,92,,Percent of Total Billed Charges,390.01,,442.43,92,,Percent of Total Billed Charges,357.79,,442.43,92,,Percent of Total Billed Charges,376.54,,442.43,92,,Percent of Total Billed Charges,390.01,,375.1,78,,Percent of Total Billed Charges,375.1,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,258.87,53.83,,Percent of Total Billed Charges,242.85,,166.58,34.64,,Percent of Total Billed Charges,165.91,,240.35,49.98,,Percent of Total Billed Charges,181.78,,166.58,442.43,,																																							
HC ASSAY OF SERUM ALBUMIN,82040,CPT,,,,BOTH, , ,66.15,55.57,60.86,92,,Percent of Total Billed Charges,55.3,,60.86,92,,Percent of Total Billed Charges,54.31,,60.86,92,,Percent of Total Billed Charges,53.25,,60.86,92,,Percent of Total Billed Charges,55.24,,60.86,92,,Percent of Total Billed Charges,49.81,,60.86,92,,Percent of Total Billed Charges,41.34,,59.54,90,,Percent of Total Billed Charges,33.01,,58.87,89,,Percent of Total Billed Charges,31.75,,54.51,82.4,,Percent of Total Billed Charges,54.38,,55.17,83.4,,Percent of Total Billed Charges,51.46,,55.17,83.4,,Percent of Total Billed Charges,46.37,,55.17,83.4,,Percent of Total Billed Charges,53.85,,59.54,90,,Percent of Total Billed Charges,56.03,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,60.86,92,,Percent of Total Billed Charges,53.65,,60.86,92,,Percent of Total Billed Charges,49.22,,60.86,92,,Percent of Total Billed Charges,51.8,,60.86,92,,Percent of Total Billed Charges,53.65,,51.6,78,,Percent of Total Billed Charges,51.6,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,35.61,53.83,,Percent of Total Billed Charges,33.41,,22.91,34.64,,Percent of Total Billed Charges,22.82,,33.06,49.98,,Percent of Total Billed Charges,25,,22.91,60.86,,																																							
HC ASSAY OF URINE ALBUMIN,82042,CPT,,,,BOTH, , ,70.35,59.09,64.72,92,,Percent of Total Billed Charges,58.81,,64.72,92,,Percent of Total Billed Charges,57.76,,64.72,92,,Percent of Total Billed Charges,56.63,,64.72,92,,Percent of Total Billed Charges,58.74,,64.72,92,,Percent of Total Billed Charges,52.97,,64.72,92,,Percent of Total Billed Charges,43.97,,63.32,90,,Percent of Total Billed Charges,35.1,,62.61,89,,Percent of Total Billed Charges,33.77,,57.97,82.4,,Percent of Total Billed Charges,57.83,,58.67,83.4,,Percent of Total Billed Charges,54.73,,58.67,83.4,,Percent of Total Billed Charges,49.32,,58.67,83.4,,Percent of Total Billed Charges,57.26,,63.32,90,,Percent of Total Billed Charges,59.59,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,64.72,92,,Percent of Total Billed Charges,57.05,,64.72,92,,Percent of Total Billed Charges,52.34,,64.72,92,,Percent of Total Billed Charges,55.08,,64.72,92,,Percent of Total Billed Charges,57.05,,54.87,78,,Percent of Total Billed Charges,54.87,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,37.87,53.83,,Percent of Total Billed Charges,35.53,,24.37,34.64,,Percent of Total Billed Charges,24.27,,35.16,49.98,,Percent of Total Billed Charges,26.59,,24.37,64.72,,																																							
HC MICROALBUMIN QUANTITATIVE,82043,CPT,,,,BOTH, , ,101.85,85.55,93.7,92,,Percent of Total Billed Charges,85.15,,93.7,92,,Percent of Total Billed Charges,83.62,,93.7,92,,Percent of Total Billed Charges,81.99,,93.7,92,,Percent of Total Billed Charges,85.04,,93.7,92,,Percent of Total Billed Charges,76.69,,93.7,92,,Percent of Total Billed Charges,63.66,,91.67,90,,Percent of Total Billed Charges,50.82,,90.65,89,,Percent of Total Billed Charges,48.89,,83.92,82.4,,Percent of Total Billed Charges,83.72,,84.94,83.4,,Percent of Total Billed Charges,79.24,,84.94,83.4,,Percent of Total Billed Charges,71.4,,84.94,83.4,,Percent of Total Billed Charges,82.91,,91.67,90,,Percent of Total Billed Charges,86.27,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,93.7,92,,Percent of Total Billed Charges,82.6,,93.7,92,,Percent of Total Billed Charges,75.78,,93.7,92,,Percent of Total Billed Charges,79.75,,93.7,92,,Percent of Total Billed Charges,82.6,,79.44,78,,Percent of Total Billed Charges,79.44,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,54.83,53.83,,Percent of Total Billed Charges,51.43,,35.28,34.64,,Percent of Total Billed Charges,35.14,,50.9,49.98,,Percent of Total Billed Charges,38.5,,35.28,93.7,,																																							
HC ASSAY OF AMMONIA,82140,CPT,,,,BOTH, , ,111.3,93.49,102.4,92,,Percent of Total Billed Charges,93.05,,102.4,92,,Percent of Total Billed Charges,91.38,,102.4,92,,Percent of Total Billed Charges,89.6,,102.4,92,,Percent of Total Billed Charges,92.94,,102.4,92,,Percent of Total Billed Charges,83.81,,102.4,92,,Percent of Total Billed Charges,69.56,,100.17,90,,Percent of Total Billed Charges,55.54,,99.06,89,,Percent of Total Billed Charges,53.42,,91.71,82.4,,Percent of Total Billed Charges,91.49,,92.82,83.4,,Percent of Total Billed Charges,86.59,,92.82,83.4,,Percent of Total Billed Charges,78.02,,92.82,83.4,,Percent of Total Billed Charges,90.6,,100.17,90,,Percent of Total Billed Charges,94.27,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,102.4,92,,Percent of Total Billed Charges,90.26,,102.4,92,,Percent of Total Billed Charges,82.81,,102.4,92,,Percent of Total Billed Charges,87.15,,102.4,92,,Percent of Total Billed Charges,90.26,,86.81,78,,Percent of Total Billed Charges,86.81,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,59.91,53.83,,Percent of Total Billed Charges,56.21,,38.55,34.64,,Percent of Total Billed Charges,38.4,,55.63,49.98,,Percent of Total Billed Charges,42.07,,38.55,102.4,,																																							
HC ASSAY OF AMYLASE,82150,CPT,,,,BOTH, , ,203.7,171.11,187.4,92,,Percent of Total Billed Charges,170.29,,187.4,92,,Percent of Total Billed Charges,167.24,,187.4,92,,Percent of Total Billed Charges,163.98,,187.4,92,,Percent of Total Billed Charges,170.09,,187.4,92,,Percent of Total Billed Charges,153.39,,187.4,92,,Percent of Total Billed Charges,127.31,,183.33,90,,Percent of Total Billed Charges,101.65,,181.29,89,,Percent of Total Billed Charges,97.78,,167.85,82.4,,Percent of Total Billed Charges,167.44,,169.89,83.4,,Percent of Total Billed Charges,158.48,,169.89,83.4,,Percent of Total Billed Charges,142.79,,169.89,83.4,,Percent of Total Billed Charges,165.81,,183.33,90,,Percent of Total Billed Charges,172.53,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,187.4,92,,Percent of Total Billed Charges,165.2,,187.4,92,,Percent of Total Billed Charges,151.55,,187.4,92,,Percent of Total Billed Charges,159.5,,187.4,92,,Percent of Total Billed Charges,165.2,,158.89,78,,Percent of Total Billed Charges,158.89,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,109.65,53.83,,Percent of Total Billed Charges,102.87,,70.56,34.64,,Percent of Total Billed Charges,70.28,,101.81,49.98,,Percent of Total Billed Charges,77,,70.56,187.4,,																																							
HC ASSAY OF ANDROSTENEDIONE,82157,CPT,,,,BOTH, , ,411.6,345.74,378.67,92,,Percent of Total Billed Charges,344.1,,378.67,92,,Percent of Total Billed Charges,337.92,,378.67,92,,Percent of Total Billed Charges,331.34,,378.67,92,,Percent of Total Billed Charges,343.69,,378.67,92,,Percent of Total Billed Charges,309.93,,378.67,92,,Percent of Total Billed Charges,257.25,,370.44,90,,Percent of Total Billed Charges,205.39,,366.32,89,,Percent of Total Billed Charges,197.57,,339.16,82.4,,Percent of Total Billed Charges,338.34,,343.27,83.4,,Percent of Total Billed Charges,320.22,,343.27,83.4,,Percent of Total Billed Charges,288.53,,343.27,83.4,,Percent of Total Billed Charges,335.04,,370.44,90,,Percent of Total Billed Charges,348.63,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,378.67,92,,Percent of Total Billed Charges,333.81,,378.67,92,,Percent of Total Billed Charges,306.23,,378.67,92,,Percent of Total Billed Charges,322.28,,378.67,92,,Percent of Total Billed Charges,333.81,,321.05,78,,Percent of Total Billed Charges,321.05,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,221.56,53.83,,Percent of Total Billed Charges,207.86,,142.58,34.64,,Percent of Total Billed Charges,142,,205.72,49.98,,Percent of Total Billed Charges,155.58,,142.58,378.67,,																																							
HC ASSAY OF ARSENIC,82175,CPT,,,,BOTH, , ,349.65,293.71,321.68,92,,Percent of Total Billed Charges,292.31,,321.68,92,,Percent of Total Billed Charges,287.06,,321.68,92,,Percent of Total Billed Charges,281.47,,321.68,92,,Percent of Total Billed Charges,291.96,,321.68,92,,Percent of Total Billed Charges,263.29,,321.68,92,,Percent of Total Billed Charges,218.53,,314.69,90,,Percent of Total Billed Charges,174.48,,311.19,89,,Percent of Total Billed Charges,167.83,,288.11,82.4,,Percent of Total Billed Charges,287.41,,291.61,83.4,,Percent of Total Billed Charges,272.03,,291.61,83.4,,Percent of Total Billed Charges,245.1,,291.61,83.4,,Percent of Total Billed Charges,284.62,,314.69,90,,Percent of Total Billed Charges,296.15,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,321.68,92,,Percent of Total Billed Charges,283.57,,321.68,92,,Percent of Total Billed Charges,260.14,,321.68,92,,Percent of Total Billed Charges,273.78,,321.68,92,,Percent of Total Billed Charges,283.57,,272.73,78,,Percent of Total Billed Charges,272.73,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,188.22,53.83,,Percent of Total Billed Charges,176.57,,121.12,34.64,,Percent of Total Billed Charges,120.63,,174.76,49.98,,Percent of Total Billed Charges,132.17,,121.12,321.68,,																																							
HC BILIRUBIN TOTAL,82247,CPT,,,,BOTH, , ,134.4,112.9,123.65,92,,Percent of Total Billed Charges,112.36,,123.65,92,,Percent of Total Billed Charges,110.34,,123.65,92,,Percent of Total Billed Charges,108.19,,123.65,92,,Percent of Total Billed Charges,112.22,,123.65,92,,Percent of Total Billed Charges,101.2,,123.65,92,,Percent of Total Billed Charges,84,,120.96,90,,Percent of Total Billed Charges,67.07,,119.62,89,,Percent of Total Billed Charges,64.51,,110.75,82.4,,Percent of Total Billed Charges,110.48,,112.09,83.4,,Percent of Total Billed Charges,104.56,,112.09,83.4,,Percent of Total Billed Charges,94.21,,112.09,83.4,,Percent of Total Billed Charges,109.4,,120.96,90,,Percent of Total Billed Charges,113.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,123.65,92,,Percent of Total Billed Charges,109,,123.65,92,,Percent of Total Billed Charges,99.99,,123.65,92,,Percent of Total Billed Charges,105.24,,123.65,92,,Percent of Total Billed Charges,109,,104.83,78,,Percent of Total Billed Charges,104.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,72.35,53.83,,Percent of Total Billed Charges,67.87,,46.56,34.64,,Percent of Total Billed Charges,46.37,,67.17,49.98,,Percent of Total Billed Charges,50.8,,46.56,123.65,,																																							
HC BILIRUBIN DIRECT,82248,CPT,,,,BOTH, , ,134.4,112.9,123.65,92,,Percent of Total Billed Charges,112.36,,123.65,92,,Percent of Total Billed Charges,110.34,,123.65,92,,Percent of Total Billed Charges,108.19,,123.65,92,,Percent of Total Billed Charges,112.22,,123.65,92,,Percent of Total Billed Charges,101.2,,123.65,92,,Percent of Total Billed Charges,84,,120.96,90,,Percent of Total Billed Charges,67.07,,119.62,89,,Percent of Total Billed Charges,64.51,,110.75,82.4,,Percent of Total Billed Charges,110.48,,112.09,83.4,,Percent of Total Billed Charges,104.56,,112.09,83.4,,Percent of Total Billed Charges,94.21,,112.09,83.4,,Percent of Total Billed Charges,109.4,,120.96,90,,Percent of Total Billed Charges,113.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,123.65,92,,Percent of Total Billed Charges,109,,123.65,92,,Percent of Total Billed Charges,99.99,,123.65,92,,Percent of Total Billed Charges,105.24,,123.65,92,,Percent of Total Billed Charges,109,,104.83,78,,Percent of Total Billed Charges,104.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,72.35,53.83,,Percent of Total Billed Charges,67.87,,46.56,34.64,,Percent of Total Billed Charges,46.37,,67.17,49.98,,Percent of Total Billed Charges,50.8,,46.56,123.65,,																																							
HC OCCULT BLOOD FECES 13,82270,CPT,,,,BOTH, , ,55.65,46.75,51.2,92,,Percent of Total Billed Charges,46.52,,51.2,92,,Percent of Total Billed Charges,45.69,,51.2,92,,Percent of Total Billed Charges,44.8,,51.2,92,,Percent of Total Billed Charges,46.47,,51.2,92,,Percent of Total Billed Charges,41.9,,51.2,92,,Percent of Total Billed Charges,34.78,,50.09,90,,Percent of Total Billed Charges,27.77,,49.53,89,,Percent of Total Billed Charges,26.71,,45.86,82.4,,Percent of Total Billed Charges,45.74,,46.41,83.4,,Percent of Total Billed Charges,43.3,,46.41,83.4,,Percent of Total Billed Charges,39.01,,46.41,83.4,,Percent of Total Billed Charges,45.3,,50.09,90,,Percent of Total Billed Charges,47.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,51.2,92,,Percent of Total Billed Charges,45.13,,51.2,92,,Percent of Total Billed Charges,41.4,,51.2,92,,Percent of Total Billed Charges,43.57,,51.2,92,,Percent of Total Billed Charges,45.13,,43.41,78,,Percent of Total Billed Charges,43.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,29.96,53.83,,Percent of Total Billed Charges,28.1,,19.28,34.64,,Percent of Total Billed Charges,19.2,,27.81,49.98,,Percent of Total Billed Charges,21.04,,19.28,51.2,,																																							
HC VITAMIN D 25HYDROXY,82306,CPT,,,,BOTH, , ,279.3,234.61,256.96,92,,Percent of Total Billed Charges,233.49,,256.96,92,,Percent of Total Billed Charges,229.31,,256.96,92,,Percent of Total Billed Charges,224.84,,256.96,92,,Percent of Total Billed Charges,233.22,,256.96,92,,Percent of Total Billed Charges,210.31,,256.96,92,,Percent of Total Billed Charges,174.56,,251.37,90,,Percent of Total Billed Charges,139.37,,248.58,89,,Percent of Total Billed Charges,134.06,,230.14,82.4,,Percent of Total Billed Charges,229.58,,232.94,83.4,,Percent of Total Billed Charges,217.3,,232.94,83.4,,Percent of Total Billed Charges,195.79,,232.94,83.4,,Percent of Total Billed Charges,227.35,,251.37,90,,Percent of Total Billed Charges,236.57,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,256.96,92,,Percent of Total Billed Charges,226.51,,256.96,92,,Percent of Total Billed Charges,207.8,,256.96,92,,Percent of Total Billed Charges,218.69,,256.96,92,,Percent of Total Billed Charges,226.51,,217.85,78,,Percent of Total Billed Charges,217.85,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,150.35,53.83,,Percent of Total Billed Charges,141.05,,96.75,34.64,,Percent of Total Billed Charges,96.36,,139.59,49.98,,Percent of Total Billed Charges,105.58,,96.75,256.96,,																																							
HC CALCIUM TOTAL,82310,CPT,,,,BOTH, , ,78.75,66.15,72.45,92,,Percent of Total Billed Charges,65.84,,72.45,92,,Percent of Total Billed Charges,64.65,,72.45,92,,Percent of Total Billed Charges,63.39,,72.45,92,,Percent of Total Billed Charges,65.76,,72.45,92,,Percent of Total Billed Charges,59.3,,72.45,92,,Percent of Total Billed Charges,49.22,,70.88,90,,Percent of Total Billed Charges,39.3,,70.09,89,,Percent of Total Billed Charges,37.8,,64.89,82.4,,Percent of Total Billed Charges,64.73,,65.68,83.4,,Percent of Total Billed Charges,61.27,,65.68,83.4,,Percent of Total Billed Charges,55.2,,65.68,83.4,,Percent of Total Billed Charges,64.1,,70.88,90,,Percent of Total Billed Charges,66.7,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,72.45,92,,Percent of Total Billed Charges,63.87,,72.45,92,,Percent of Total Billed Charges,58.59,,72.45,92,,Percent of Total Billed Charges,61.66,,72.45,92,,Percent of Total Billed Charges,63.87,,61.43,78,,Percent of Total Billed Charges,61.43,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,42.39,53.83,,Percent of Total Billed Charges,39.77,,27.28,34.64,,Percent of Total Billed Charges,27.17,,39.36,49.98,,Percent of Total Billed Charges,29.77,,27.28,72.45,,																																							
HC IONIZED CALCIUM,82330,CPT,,,,BOTH, , ,187.95,157.88,172.91,92,,Percent of Total Billed Charges,157.13,,172.91,92,,Percent of Total Billed Charges,154.31,,172.91,92,,Percent of Total Billed Charges,151.3,,172.91,92,,Percent of Total Billed Charges,156.94,,172.91,92,,Percent of Total Billed Charges,141.53,,172.91,92,,Percent of Total Billed Charges,117.47,,169.16,90,,Percent of Total Billed Charges,93.79,,167.28,89,,Percent of Total Billed Charges,90.22,,154.87,82.4,,Percent of Total Billed Charges,154.49,,156.75,83.4,,Percent of Total Billed Charges,146.23,,156.75,83.4,,Percent of Total Billed Charges,131.75,,156.75,83.4,,Percent of Total Billed Charges,152.99,,169.16,90,,Percent of Total Billed Charges,159.19,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,172.91,92,,Percent of Total Billed Charges,152.43,,172.91,92,,Percent of Total Billed Charges,139.83,,172.91,92,,Percent of Total Billed Charges,147.16,,172.91,92,,Percent of Total Billed Charges,152.43,,146.6,78,,Percent of Total Billed Charges,146.6,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,101.17,53.83,,Percent of Total Billed Charges,94.91,,65.11,34.64,,Percent of Total Billed Charges,64.84,,93.94,49.98,,Percent of Total Billed Charges,71.05,,65.11,172.91,,																																							
HC ASSAY OF CALCIUM IN URINE,82340,CPT,,,,BOTH, , ,78.75,66.15,72.45,92,,Percent of Total Billed Charges,65.84,,72.45,92,,Percent of Total Billed Charges,64.65,,72.45,92,,Percent of Total Billed Charges,63.39,,72.45,92,,Percent of Total Billed Charges,65.76,,72.45,92,,Percent of Total Billed Charges,59.3,,72.45,92,,Percent of Total Billed Charges,49.22,,70.88,90,,Percent of Total Billed Charges,39.3,,70.09,89,,Percent of Total Billed Charges,37.8,,64.89,82.4,,Percent of Total Billed Charges,64.73,,65.68,83.4,,Percent of Total Billed Charges,61.27,,65.68,83.4,,Percent of Total Billed Charges,55.2,,65.68,83.4,,Percent of Total Billed Charges,64.1,,70.88,90,,Percent of Total Billed Charges,66.7,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,72.45,92,,Percent of Total Billed Charges,63.87,,72.45,92,,Percent of Total Billed Charges,58.59,,72.45,92,,Percent of Total Billed Charges,61.66,,72.45,92,,Percent of Total Billed Charges,63.87,,61.43,78,,Percent of Total Billed Charges,61.43,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,42.39,53.83,,Percent of Total Billed Charges,39.77,,27.28,34.64,,Percent of Total Billed Charges,27.17,,39.36,49.98,,Percent of Total Billed Charges,29.77,,27.28,72.45,,																																							
HC CARBON DIOXIDE,82374,CPT,,,,BOTH, , ,72.45,60.86,66.65,92,,Percent of Total Billed Charges,60.57,,66.65,92,,Percent of Total Billed Charges,59.48,,66.65,92,,Percent of Total Billed Charges,58.32,,66.65,92,,Percent of Total Billed Charges,60.5,,66.65,92,,Percent of Total Billed Charges,54.55,,66.65,92,,Percent of Total Billed Charges,45.28,,65.21,90,,Percent of Total Billed Charges,36.15,,64.48,89,,Percent of Total Billed Charges,34.78,,59.7,82.4,,Percent of Total Billed Charges,59.55,,60.42,83.4,,Percent of Total Billed Charges,56.37,,60.42,83.4,,Percent of Total Billed Charges,50.79,,60.42,83.4,,Percent of Total Billed Charges,58.97,,65.21,90,,Percent of Total Billed Charges,61.37,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,66.65,92,,Percent of Total Billed Charges,58.76,,66.65,92,,Percent of Total Billed Charges,53.9,,66.65,92,,Percent of Total Billed Charges,56.73,,66.65,92,,Percent of Total Billed Charges,58.76,,56.51,78,,Percent of Total Billed Charges,56.51,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,39,53.83,,Percent of Total Billed Charges,36.59,,25.1,34.64,,Percent of Total Billed Charges,25,,36.21,49.98,,Percent of Total Billed Charges,27.39,,25.10,66.65,,																																							
HC CARCINOEMBRYONIC ANTIGEN,82378,CPT,,,,BOTH, , ,152.25,127.89,140.07,92,,Percent of Total Billed Charges,127.28,,140.07,92,,Percent of Total Billed Charges,125,,140.07,92,,Percent of Total Billed Charges,122.56,,140.07,92,,Percent of Total Billed Charges,127.13,,140.07,92,,Percent of Total Billed Charges,114.64,,140.07,92,,Percent of Total Billed Charges,95.16,,137.03,90,,Percent of Total Billed Charges,75.97,,135.5,89,,Percent of Total Billed Charges,73.08,,125.45,82.4,,Percent of Total Billed Charges,125.15,,126.98,83.4,,Percent of Total Billed Charges,118.45,,126.98,83.4,,Percent of Total Billed Charges,106.73,,126.98,83.4,,Percent of Total Billed Charges,123.93,,137.03,90,,Percent of Total Billed Charges,128.96,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,140.07,92,,Percent of Total Billed Charges,123.47,,140.07,92,,Percent of Total Billed Charges,113.27,,140.07,92,,Percent of Total Billed Charges,119.21,,140.07,92,,Percent of Total Billed Charges,123.47,,118.76,78,,Percent of Total Billed Charges,118.76,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,81.96,53.83,,Percent of Total Billed Charges,76.89,,52.74,34.64,,Percent of Total Billed Charges,52.53,,76.09,49.98,,Percent of Total Billed Charges,57.55,,52.74,140.07,,																																							
HC ASSAY THREE CATECHOLAMINES,82384,CPT,,,,BOTH, , ,43.05,36.16,39.61,92,,Percent of Total Billed Charges,35.99,,39.61,92,,Percent of Total Billed Charges,35.34,,39.61,92,,Percent of Total Billed Charges,34.66,,39.61,92,,Percent of Total Billed Charges,35.95,,39.61,92,,Percent of Total Billed Charges,32.42,,39.61,92,,Percent of Total Billed Charges,26.91,,38.75,90,,Percent of Total Billed Charges,21.48,,38.31,89,,Percent of Total Billed Charges,20.66,,35.47,82.4,,Percent of Total Billed Charges,35.39,,35.9,83.4,,Percent of Total Billed Charges,33.49,,35.9,83.4,,Percent of Total Billed Charges,30.18,,35.9,83.4,,Percent of Total Billed Charges,35.04,,38.75,90,,Percent of Total Billed Charges,36.46,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,39.61,92,,Percent of Total Billed Charges,34.91,,39.61,92,,Percent of Total Billed Charges,32.03,,39.61,92,,Percent of Total Billed Charges,33.71,,39.61,92,,Percent of Total Billed Charges,34.91,,33.58,78,,Percent of Total Billed Charges,33.58,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,23.17,53.83,,Percent of Total Billed Charges,21.74,,14.91,34.64,,Percent of Total Billed Charges,14.85,,21.52,49.98,,Percent of Total Billed Charges,16.27,,14.91,39.61,,																																							
HC CHEMILUMINESCENT ASSAY,82397,CPT,,,,BOTH, , ,383.25,321.93,352.59,92,,Percent of Total Billed Charges,320.4,,352.59,92,,Percent of Total Billed Charges,314.65,,352.59,92,,Percent of Total Billed Charges,308.52,,352.59,92,,Percent of Total Billed Charges,320.01,,352.59,92,,Percent of Total Billed Charges,288.59,,352.59,92,,Percent of Total Billed Charges,239.53,,344.93,90,,Percent of Total Billed Charges,191.24,,341.09,89,,Percent of Total Billed Charges,183.96,,315.8,82.4,,Percent of Total Billed Charges,315.03,,319.63,83.4,,Percent of Total Billed Charges,298.17,,319.63,83.4,,Percent of Total Billed Charges,268.66,,319.63,83.4,,Percent of Total Billed Charges,311.97,,344.93,90,,Percent of Total Billed Charges,324.61,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,352.59,92,,Percent of Total Billed Charges,310.82,,352.59,92,,Percent of Total Billed Charges,285.14,,352.59,92,,Percent of Total Billed Charges,300.08,,352.59,92,,Percent of Total Billed Charges,310.82,,298.94,78,,Percent of Total Billed Charges,298.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,206.3,53.83,,Percent of Total Billed Charges,193.54,,132.76,34.64,,Percent of Total Billed Charges,132.22,,191.55,49.98,,Percent of Total Billed Charges,144.87,,132.76,352.59,,																																							
HC ASSAY OF BLOOD CHLORIDE,82435,CPT,,,,BOTH, , ,58.8,49.39,54.1,92,,Percent of Total Billed Charges,49.16,,54.1,92,,Percent of Total Billed Charges,48.27,,54.1,92,,Percent of Total Billed Charges,47.33,,54.1,92,,Percent of Total Billed Charges,49.1,,54.1,92,,Percent of Total Billed Charges,44.28,,54.1,92,,Percent of Total Billed Charges,36.75,,52.92,90,,Percent of Total Billed Charges,29.34,,52.33,89,,Percent of Total Billed Charges,28.22,,48.45,82.4,,Percent of Total Billed Charges,48.33,,49.04,83.4,,Percent of Total Billed Charges,45.75,,49.04,83.4,,Percent of Total Billed Charges,41.22,,49.04,83.4,,Percent of Total Billed Charges,47.86,,52.92,90,,Percent of Total Billed Charges,49.8,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,54.1,92,,Percent of Total Billed Charges,47.69,,54.1,92,,Percent of Total Billed Charges,43.75,,54.1,92,,Percent of Total Billed Charges,46.04,,54.1,92,,Percent of Total Billed Charges,47.69,,45.86,78,,Percent of Total Billed Charges,45.86,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,31.65,53.83,,Percent of Total Billed Charges,29.69,,20.37,34.64,,Percent of Total Billed Charges,20.29,,29.39,49.98,,Percent of Total Billed Charges,22.23,,20.37,54.1,,																																							
HC ASSAY OF URINE CHLORIDE,82436,CPT,,,,BOTH, , ,58.8,49.39,54.1,92,,Percent of Total Billed Charges,49.16,,54.1,92,,Percent of Total Billed Charges,48.27,,54.1,92,,Percent of Total Billed Charges,47.33,,54.1,92,,Percent of Total Billed Charges,49.1,,54.1,92,,Percent of Total Billed Charges,44.28,,54.1,92,,Percent of Total Billed Charges,36.75,,52.92,90,,Percent of Total Billed Charges,29.34,,52.33,89,,Percent of Total Billed Charges,28.22,,48.45,82.4,,Percent of Total Billed Charges,48.33,,49.04,83.4,,Percent of Total Billed Charges,45.75,,49.04,83.4,,Percent of Total Billed Charges,41.22,,49.04,83.4,,Percent of Total Billed Charges,47.86,,52.92,90,,Percent of Total Billed Charges,49.8,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,54.1,92,,Percent of Total Billed Charges,47.69,,54.1,92,,Percent of Total Billed Charges,43.75,,54.1,92,,Percent of Total Billed Charges,46.04,,54.1,92,,Percent of Total Billed Charges,47.69,,45.86,78,,Percent of Total Billed Charges,45.86,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,31.65,53.83,,Percent of Total Billed Charges,29.69,,20.37,34.64,,Percent of Total Billed Charges,20.29,,29.39,49.98,,Percent of Total Billed Charges,22.23,,20.37,54.1,,																																							
HC ASSAY BLD/SERUM CHOLESTEROL,82465,CPT,,,,BOTH, , ,69.3,58.21,63.76,92,,Percent of Total Billed Charges,57.93,,63.76,92,,Percent of Total Billed Charges,56.9,,63.76,92,,Percent of Total Billed Charges,55.79,,63.76,92,,Percent of Total Billed Charges,57.87,,63.76,92,,Percent of Total Billed Charges,52.18,,63.76,92,,Percent of Total Billed Charges,43.31,,62.37,90,,Percent of Total Billed Charges,34.58,,61.68,89,,Percent of Total Billed Charges,33.26,,57.1,82.4,,Percent of Total Billed Charges,56.96,,57.8,83.4,,Percent of Total Billed Charges,53.92,,57.8,83.4,,Percent of Total Billed Charges,48.58,,57.8,83.4,,Percent of Total Billed Charges,56.41,,62.37,90,,Percent of Total Billed Charges,58.7,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,63.76,92,,Percent of Total Billed Charges,56.2,,63.76,92,,Percent of Total Billed Charges,51.56,,63.76,92,,Percent of Total Billed Charges,54.26,,63.76,92,,Percent of Total Billed Charges,56.2,,54.05,78,,Percent of Total Billed Charges,54.05,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,37.3,53.83,,Percent of Total Billed Charges,35,,24.01,34.64,,Percent of Total Billed Charges,23.91,,34.64,49.98,,Percent of Total Billed Charges,26.2,,24.01,63.76,,																																							
HC CORTISOL FREE,82530,CPT,,,,BOTH, , ,245.7,206.39,226.04,92,,Percent of Total Billed Charges,205.41,,226.04,92,,Percent of Total Billed Charges,201.72,,226.04,92,,Percent of Total Billed Charges,197.79,,226.04,92,,Percent of Total Billed Charges,205.16,,226.04,92,,Percent of Total Billed Charges,185.01,,226.04,92,,Percent of Total Billed Charges,153.56,,221.13,90,,Percent of Total Billed Charges,122.6,,218.67,89,,Percent of Total Billed Charges,117.94,,202.46,82.4,,Percent of Total Billed Charges,201.97,,204.91,83.4,,Percent of Total Billed Charges,191.15,,204.91,83.4,,Percent of Total Billed Charges,172.24,,204.91,83.4,,Percent of Total Billed Charges,200,,221.13,90,,Percent of Total Billed Charges,208.11,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,226.04,92,,Percent of Total Billed Charges,199.26,,226.04,92,,Percent of Total Billed Charges,182.8,,226.04,92,,Percent of Total Billed Charges,192.38,,226.04,92,,Percent of Total Billed Charges,199.26,,191.65,78,,Percent of Total Billed Charges,191.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,132.26,53.83,,Percent of Total Billed Charges,124.08,,85.11,34.64,,Percent of Total Billed Charges,84.77,,122.8,49.98,,Percent of Total Billed Charges,92.87,,85.11,226.04,,																																							
HC ASSAY OF CK (PK),82550,CPT,,,,BOTH, , ,69.3,58.21,63.76,92,,Percent of Total Billed Charges,57.93,,63.76,92,,Percent of Total Billed Charges,56.9,,63.76,92,,Percent of Total Billed Charges,55.79,,63.76,92,,Percent of Total Billed Charges,57.87,,63.76,92,,Percent of Total Billed Charges,52.18,,63.76,92,,Percent of Total Billed Charges,43.31,,62.37,90,,Percent of Total Billed Charges,34.58,,61.68,89,,Percent of Total Billed Charges,33.26,,57.1,82.4,,Percent of Total Billed Charges,56.96,,57.8,83.4,,Percent of Total Billed Charges,53.92,,57.8,83.4,,Percent of Total Billed Charges,48.58,,57.8,83.4,,Percent of Total Billed Charges,56.41,,62.37,90,,Percent of Total Billed Charges,58.7,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,63.76,92,,Percent of Total Billed Charges,56.2,,63.76,92,,Percent of Total Billed Charges,51.56,,63.76,92,,Percent of Total Billed Charges,54.26,,63.76,92,,Percent of Total Billed Charges,56.2,,54.05,78,,Percent of Total Billed Charges,54.05,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,37.3,53.83,,Percent of Total Billed Charges,35,,24.01,34.64,,Percent of Total Billed Charges,23.91,,34.64,49.98,,Percent of Total Billed Charges,26.2,,24.01,63.76,,																																							
HC CREATINE MB FRACTION,82553,CPT,,,,BOTH, , ,143.85,120.83,132.34,92,,Percent of Total Billed Charges,120.26,,132.34,92,,Percent of Total Billed Charges,118.1,,132.34,92,,Percent of Total Billed Charges,115.8,,132.34,92,,Percent of Total Billed Charges,120.11,,132.34,92,,Percent of Total Billed Charges,108.32,,132.34,92,,Percent of Total Billed Charges,89.91,,129.47,90,,Percent of Total Billed Charges,71.78,,128.03,89,,Percent of Total Billed Charges,69.05,,118.53,82.4,,Percent of Total Billed Charges,118.24,,119.97,83.4,,Percent of Total Billed Charges,111.92,,119.97,83.4,,Percent of Total Billed Charges,100.84,,119.97,83.4,,Percent of Total Billed Charges,117.09,,129.47,90,,Percent of Total Billed Charges,121.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,132.34,92,,Percent of Total Billed Charges,116.66,,132.34,92,,Percent of Total Billed Charges,107.02,,132.34,92,,Percent of Total Billed Charges,112.63,,132.34,92,,Percent of Total Billed Charges,116.66,,112.2,78,,Percent of Total Billed Charges,112.2,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,77.43,53.83,,Percent of Total Billed Charges,72.64,,49.83,34.64,,Percent of Total Billed Charges,49.63,,71.9,49.98,,Percent of Total Billed Charges,54.38,,49.83,132.34,,																																							
HC ASSAY OF CREATININE,82565,CPT,,,,BOTH, , ,71.4,59.98,65.69,92,,Percent of Total Billed Charges,59.69,,65.69,92,,Percent of Total Billed Charges,58.62,,65.69,92,,Percent of Total Billed Charges,57.48,,65.69,92,,Percent of Total Billed Charges,59.62,,65.69,92,,Percent of Total Billed Charges,53.76,,65.69,92,,Percent of Total Billed Charges,44.63,,64.26,90,,Percent of Total Billed Charges,35.63,,63.55,89,,Percent of Total Billed Charges,34.27,,58.83,82.4,,Percent of Total Billed Charges,58.69,,59.55,83.4,,Percent of Total Billed Charges,55.55,,59.55,83.4,,Percent of Total Billed Charges,50.05,,59.55,83.4,,Percent of Total Billed Charges,58.12,,64.26,90,,Percent of Total Billed Charges,60.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,65.69,92,,Percent of Total Billed Charges,57.91,,65.69,92,,Percent of Total Billed Charges,53.12,,65.69,92,,Percent of Total Billed Charges,55.91,,65.69,92,,Percent of Total Billed Charges,57.91,,55.69,78,,Percent of Total Billed Charges,55.69,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,38.43,53.83,,Percent of Total Billed Charges,36.06,,24.73,34.64,,Percent of Total Billed Charges,24.63,,35.69,49.98,,Percent of Total Billed Charges,26.99,,24.73,65.69,,																																							
HC ASSAY OF URINE CREATININE,82570,CPT,,,,BOTH, , ,50.4,42.34,46.37,92,,Percent of Total Billed Charges,42.13,,46.37,92,,Percent of Total Billed Charges,41.38,,46.37,92,,Percent of Total Billed Charges,40.57,,46.37,92,,Percent of Total Billed Charges,42.08,,46.37,92,,Percent of Total Billed Charges,37.95,,46.37,92,,Percent of Total Billed Charges,31.5,,45.36,90,,Percent of Total Billed Charges,25.15,,44.86,89,,Percent of Total Billed Charges,24.19,,41.53,82.4,,Percent of Total Billed Charges,41.43,,42.03,83.4,,Percent of Total Billed Charges,39.21,,42.03,83.4,,Percent of Total Billed Charges,35.33,,42.03,83.4,,Percent of Total Billed Charges,41.03,,45.36,90,,Percent of Total Billed Charges,42.69,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,46.37,92,,Percent of Total Billed Charges,40.87,,46.37,92,,Percent of Total Billed Charges,37.5,,46.37,92,,Percent of Total Billed Charges,39.46,,46.37,92,,Percent of Total Billed Charges,40.87,,39.31,78,,Percent of Total Billed Charges,39.31,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,27.13,53.83,,Percent of Total Billed Charges,25.45,,17.46,34.64,,Percent of Total Billed Charges,17.39,,25.19,49.98,,Percent of Total Billed Charges,19.05,,17.46,46.37,,																																							
HC CREATININE CLEARANCE TEST,82575,CPT,,,,BOTH, , ,135.45,113.78,124.61,92,,Percent of Total Billed Charges,113.24,,124.61,92,,Percent of Total Billed Charges,111.2,,124.61,92,,Percent of Total Billed Charges,109.04,,124.61,92,,Percent of Total Billed Charges,113.1,,124.61,92,,Percent of Total Billed Charges,101.99,,124.61,92,,Percent of Total Billed Charges,84.66,,121.91,90,,Percent of Total Billed Charges,67.59,,120.55,89,,Percent of Total Billed Charges,65.02,,111.61,82.4,,Percent of Total Billed Charges,111.34,,112.97,83.4,,Percent of Total Billed Charges,105.38,,112.97,83.4,,Percent of Total Billed Charges,94.95,,112.97,83.4,,Percent of Total Billed Charges,110.26,,121.91,90,,Percent of Total Billed Charges,114.73,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,124.61,92,,Percent of Total Billed Charges,109.85,,124.61,92,,Percent of Total Billed Charges,100.77,,124.61,92,,Percent of Total Billed Charges,106.06,,124.61,92,,Percent of Total Billed Charges,109.85,,105.65,78,,Percent of Total Billed Charges,105.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,72.91,53.83,,Percent of Total Billed Charges,68.4,,46.92,34.64,,Percent of Total Billed Charges,46.73,,67.7,49.98,,Percent of Total Billed Charges,51.2,,46.92,124.61,,																																							
HC ASSAY OF CRYOFIBRINOGEN,82585,CPT,,,,BOTH, , ,143.85,120.83,132.34,92,,Percent of Total Billed Charges,120.26,,132.34,92,,Percent of Total Billed Charges,118.1,,132.34,92,,Percent of Total Billed Charges,115.8,,132.34,92,,Percent of Total Billed Charges,120.11,,132.34,92,,Percent of Total Billed Charges,108.32,,132.34,92,,Percent of Total Billed Charges,89.91,,129.47,90,,Percent of Total Billed Charges,71.78,,128.03,89,,Percent of Total Billed Charges,69.05,,118.53,82.4,,Percent of Total Billed Charges,118.24,,119.97,83.4,,Percent of Total Billed Charges,111.92,,119.97,83.4,,Percent of Total Billed Charges,100.84,,119.97,83.4,,Percent of Total Billed Charges,117.09,,129.47,90,,Percent of Total Billed Charges,121.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,132.34,92,,Percent of Total Billed Charges,116.66,,132.34,92,,Percent of Total Billed Charges,107.02,,132.34,92,,Percent of Total Billed Charges,112.63,,132.34,92,,Percent of Total Billed Charges,116.66,,112.2,78,,Percent of Total Billed Charges,112.2,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,77.43,53.83,,Percent of Total Billed Charges,72.64,,49.83,34.64,,Percent of Total Billed Charges,49.63,,71.9,49.98,,Percent of Total Billed Charges,54.38,,49.83,132.34,,																																							
HC VITAMIN B12,82607,CPT,,,,BOTH, , ,233.1,195.8,214.45,92,,Percent of Total Billed Charges,194.87,,214.45,92,,Percent of Total Billed Charges,191.38,,214.45,92,,Percent of Total Billed Charges,187.65,,214.45,92,,Percent of Total Billed Charges,194.64,,214.45,92,,Percent of Total Billed Charges,175.52,,214.45,92,,Percent of Total Billed Charges,145.69,,209.79,90,,Percent of Total Billed Charges,116.32,,207.46,89,,Percent of Total Billed Charges,111.89,,192.07,82.4,,Percent of Total Billed Charges,191.61,,194.41,83.4,,Percent of Total Billed Charges,181.35,,194.41,83.4,,Percent of Total Billed Charges,163.4,,194.41,83.4,,Percent of Total Billed Charges,189.74,,209.79,90,,Percent of Total Billed Charges,197.44,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,214.45,92,,Percent of Total Billed Charges,189.04,,214.45,92,,Percent of Total Billed Charges,173.43,,214.45,92,,Percent of Total Billed Charges,182.52,,214.45,92,,Percent of Total Billed Charges,189.04,,181.82,78,,Percent of Total Billed Charges,181.82,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,125.48,53.83,,Percent of Total Billed Charges,117.72,,80.75,34.64,,Percent of Total Billed Charges,80.42,,116.5,49.98,,Percent of Total Billed Charges,88.11,,80.75,214.45,,																																							
HC CYSTATIN C,82610,CPT,,,,BOTH, , ,128.1,107.6,117.85,92,,Percent of Total Billed Charges,107.09,,117.85,92,,Percent of Total Billed Charges,105.17,,117.85,92,,Percent of Total Billed Charges,103.12,,117.85,92,,Percent of Total Billed Charges,106.96,,117.85,92,,Percent of Total Billed Charges,96.46,,117.85,92,,Percent of Total Billed Charges,80.06,,115.29,90,,Percent of Total Billed Charges,63.92,,114.01,89,,Percent of Total Billed Charges,61.49,,105.55,82.4,,Percent of Total Billed Charges,105.3,,106.84,83.4,,Percent of Total Billed Charges,99.66,,106.84,83.4,,Percent of Total Billed Charges,89.8,,106.84,83.4,,Percent of Total Billed Charges,104.27,,115.29,90,,Percent of Total Billed Charges,108.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,117.85,92,,Percent of Total Billed Charges,103.89,,117.85,92,,Percent of Total Billed Charges,95.31,,117.85,92,,Percent of Total Billed Charges,100.3,,117.85,92,,Percent of Total Billed Charges,103.89,,99.92,78,,Percent of Total Billed Charges,99.92,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,68.96,53.83,,Percent of Total Billed Charges,64.69,,44.37,34.64,,Percent of Total Billed Charges,44.19,,64.02,49.98,,Percent of Total Billed Charges,48.42,,44.37,117.85,,																																							
HC DEHYDROEPIANDROSTERONE,82626,CPT,,,,BOTH, , ,51.45,43.22,47.33,92,,Percent of Total Billed Charges,43.01,,47.33,92,,Percent of Total Billed Charges,42.24,,47.33,92,,Percent of Total Billed Charges,41.42,,47.33,92,,Percent of Total Billed Charges,42.96,,47.33,92,,Percent of Total Billed Charges,38.74,,47.33,92,,Percent of Total Billed Charges,32.16,,46.31,90,,Percent of Total Billed Charges,25.67,,45.79,89,,Percent of Total Billed Charges,24.7,,42.39,82.4,,Percent of Total Billed Charges,42.29,,42.91,83.4,,Percent of Total Billed Charges,40.03,,42.91,83.4,,Percent of Total Billed Charges,36.07,,42.91,83.4,,Percent of Total Billed Charges,41.88,,46.31,90,,Percent of Total Billed Charges,43.58,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,47.33,92,,Percent of Total Billed Charges,41.73,,47.33,92,,Percent of Total Billed Charges,38.28,,47.33,92,,Percent of Total Billed Charges,40.29,,47.33,92,,Percent of Total Billed Charges,41.73,,40.13,78,,Percent of Total Billed Charges,40.13,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,27.7,53.83,,Percent of Total Billed Charges,25.98,,17.82,34.64,,Percent of Total Billed Charges,17.75,,25.71,49.98,,Percent of Total Billed Charges,19.45,,17.82,47.33,,																																							
HC DEHYDROEPIANDROSTERONE SULFATE,82627,CPT,,,,BOTH, , ,342.3,287.53,314.92,92,,Percent of Total Billed Charges,286.16,,314.92,92,,Percent of Total Billed Charges,281.03,,314.92,92,,Percent of Total Billed Charges,275.55,,314.92,92,,Percent of Total Billed Charges,285.82,,314.92,92,,Percent of Total Billed Charges,257.75,,314.92,92,,Percent of Total Billed Charges,213.94,,308.07,90,,Percent of Total Billed Charges,170.81,,304.65,89,,Percent of Total Billed Charges,164.3,,282.06,82.4,,Percent of Total Billed Charges,281.37,,285.48,83.4,,Percent of Total Billed Charges,266.31,,285.48,83.4,,Percent of Total Billed Charges,239.95,,285.48,83.4,,Percent of Total Billed Charges,278.63,,308.07,90,,Percent of Total Billed Charges,289.93,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,314.92,92,,Percent of Total Billed Charges,277.61,,314.92,92,,Percent of Total Billed Charges,254.67,,314.92,92,,Percent of Total Billed Charges,268.02,,314.92,92,,Percent of Total Billed Charges,277.61,,266.99,78,,Percent of Total Billed Charges,266.99,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,184.26,53.83,,Percent of Total Billed Charges,172.86,,118.57,34.64,,Percent of Total Billed Charges,118.09,,171.08,49.98,,Percent of Total Billed Charges,129.39,,118.57,314.92,,																																							
HC VITAMIN D 1,25 DIHYDROXY,82652,CPT,,,,BOTH, , ,454.65,381.91,418.28,92,,Percent of Total Billed Charges,380.09,,418.28,92,,Percent of Total Billed Charges,373.27,,418.28,92,,Percent of Total Billed Charges,365.99,,418.28,92,,Percent of Total Billed Charges,379.63,,418.28,92,,Percent of Total Billed Charges,342.35,,418.28,92,,Percent of Total Billed Charges,284.16,,409.19,90,,Percent of Total Billed Charges,226.87,,404.64,89,,Percent of Total Billed Charges,218.23,,374.63,82.4,,Percent of Total Billed Charges,373.72,,379.18,83.4,,Percent of Total Billed Charges,353.72,,379.18,83.4,,Percent of Total Billed Charges,318.71,,379.18,83.4,,Percent of Total Billed Charges,370.09,,409.19,90,,Percent of Total Billed Charges,385.09,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,418.28,92,,Percent of Total Billed Charges,368.72,,418.28,92,,Percent of Total Billed Charges,338.26,,418.28,92,,Percent of Total Billed Charges,355.99,,418.28,92,,Percent of Total Billed Charges,368.72,,354.63,78,,Percent of Total Billed Charges,354.63,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,244.74,53.83,,Percent of Total Billed Charges,229.6,,157.49,34.64,,Percent of Total Billed Charges,156.85,,227.23,49.98,,Percent of Total Billed Charges,171.86,,157.49,418.28,,																																							
HC ESTRONE,82679,CPT,,,,BOTH, , ,415.8,349.27,382.54,92,,Percent of Total Billed Charges,347.61,,382.54,92,,Percent of Total Billed Charges,341.37,,382.54,92,,Percent of Total Billed Charges,334.72,,382.54,92,,Percent of Total Billed Charges,347.19,,382.54,92,,Percent of Total Billed Charges,313.1,,382.54,92,,Percent of Total Billed Charges,259.88,,374.22,90,,Percent of Total Billed Charges,207.48,,370.06,89,,Percent of Total Billed Charges,199.58,,342.62,82.4,,Percent of Total Billed Charges,341.79,,346.78,83.4,,Percent of Total Billed Charges,323.49,,346.78,83.4,,Percent of Total Billed Charges,291.48,,346.78,83.4,,Percent of Total Billed Charges,338.46,,374.22,90,,Percent of Total Billed Charges,352.18,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,382.54,92,,Percent of Total Billed Charges,337.21,,382.54,92,,Percent of Total Billed Charges,309.36,,382.54,92,,Percent of Total Billed Charges,325.57,,382.54,92,,Percent of Total Billed Charges,337.21,,324.32,78,,Percent of Total Billed Charges,324.32,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,223.83,53.83,,Percent of Total Billed Charges,209.98,,144.03,34.64,,Percent of Total Billed Charges,143.45,,207.82,49.98,,Percent of Total Billed Charges,157.17,,144.03,382.54,,																																							
HC ASSAY OF BLOOD FATTY ACIDS,82725,CPT,,,,BOTH, , ,124.95,104.96,114.95,92,,Percent of Total Billed Charges,104.46,,114.95,92,,Percent of Total Billed Charges,102.58,,114.95,92,,Percent of Total Billed Charges,100.58,,114.95,92,,Percent of Total Billed Charges,104.33,,114.95,92,,Percent of Total Billed Charges,94.09,,114.95,92,,Percent of Total Billed Charges,78.09,,112.46,90,,Percent of Total Billed Charges,62.35,,111.21,89,,Percent of Total Billed Charges,59.98,,102.96,82.4,,Percent of Total Billed Charges,102.71,,104.21,83.4,,Percent of Total Billed Charges,97.21,,104.21,83.4,,Percent of Total Billed Charges,87.59,,104.21,83.4,,Percent of Total Billed Charges,101.71,,112.46,90,,Percent of Total Billed Charges,105.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,114.95,92,,Percent of Total Billed Charges,101.33,,114.95,92,,Percent of Total Billed Charges,92.96,,114.95,92,,Percent of Total Billed Charges,97.84,,114.95,92,,Percent of Total Billed Charges,101.33,,97.46,78,,Percent of Total Billed Charges,97.46,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,67.26,53.83,,Percent of Total Billed Charges,63.1,,43.28,34.64,,Percent of Total Billed Charges,43.11,,62.45,49.98,,Percent of Total Billed Charges,47.23,,43.28,114.95,,																																							
HC FERRITIN,82728,CPT,,,,BOTH, , ,118.65,99.67,109.16,92,,Percent of Total Billed Charges,99.19,,109.16,92,,Percent of Total Billed Charges,97.41,,109.16,92,,Percent of Total Billed Charges,95.51,,109.16,92,,Percent of Total Billed Charges,99.07,,109.16,92,,Percent of Total Billed Charges,89.34,,109.16,92,,Percent of Total Billed Charges,74.16,,106.79,90,,Percent of Total Billed Charges,59.21,,105.6,89,,Percent of Total Billed Charges,56.95,,97.77,82.4,,Percent of Total Billed Charges,97.53,,98.95,83.4,,Percent of Total Billed Charges,92.31,,98.95,83.4,,Percent of Total Billed Charges,83.17,,98.95,83.4,,Percent of Total Billed Charges,96.58,,106.79,90,,Percent of Total Billed Charges,100.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,109.16,92,,Percent of Total Billed Charges,96.23,,109.16,92,,Percent of Total Billed Charges,88.28,,109.16,92,,Percent of Total Billed Charges,92.9,,109.16,92,,Percent of Total Billed Charges,96.23,,92.55,78,,Percent of Total Billed Charges,92.55,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,63.87,53.83,,Percent of Total Billed Charges,59.92,,41.1,34.64,,Percent of Total Billed Charges,40.93,,59.3,49.98,,Percent of Total Billed Charges,44.85,,41.10,109.16,,																																							
HC ASSAY OF FOLIC ACID SERUM,82746,CPT,,,,BOTH, , ,245.7,206.39,226.04,92,,Percent of Total Billed Charges,205.41,,226.04,92,,Percent of Total Billed Charges,201.72,,226.04,92,,Percent of Total Billed Charges,197.79,,226.04,92,,Percent of Total Billed Charges,205.16,,226.04,92,,Percent of Total Billed Charges,185.01,,226.04,92,,Percent of Total Billed Charges,153.56,,221.13,90,,Percent of Total Billed Charges,122.6,,218.67,89,,Percent of Total Billed Charges,117.94,,202.46,82.4,,Percent of Total Billed Charges,201.97,,204.91,83.4,,Percent of Total Billed Charges,191.15,,204.91,83.4,,Percent of Total Billed Charges,172.24,,204.91,83.4,,Percent of Total Billed Charges,200,,221.13,90,,Percent of Total Billed Charges,208.11,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,226.04,92,,Percent of Total Billed Charges,199.26,,226.04,92,,Percent of Total Billed Charges,182.8,,226.04,92,,Percent of Total Billed Charges,192.38,,226.04,92,,Percent of Total Billed Charges,199.26,,191.65,78,,Percent of Total Billed Charges,191.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,132.26,53.83,,Percent of Total Billed Charges,124.08,,85.11,34.64,,Percent of Total Billed Charges,84.77,,122.8,49.98,,Percent of Total Billed Charges,92.87,,85.11,226.04,,																																							
HC FOLIC ACID RBC QUEST,82747,CPT,,,,BOTH, , ,321.3,269.89,295.6,92,,Percent of Total Billed Charges,268.61,,295.6,92,,Percent of Total Billed Charges,263.79,,295.6,92,,Percent of Total Billed Charges,258.65,,295.6,92,,Percent of Total Billed Charges,268.29,,295.6,92,,Percent of Total Billed Charges,241.94,,295.6,92,,Percent of Total Billed Charges,200.81,,289.17,90,,Percent of Total Billed Charges,160.33,,285.96,89,,Percent of Total Billed Charges,154.22,,264.75,82.4,,Percent of Total Billed Charges,264.11,,267.96,83.4,,Percent of Total Billed Charges,249.97,,267.96,83.4,,Percent of Total Billed Charges,225.23,,267.96,83.4,,Percent of Total Billed Charges,261.54,,289.17,90,,Percent of Total Billed Charges,272.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,295.6,92,,Percent of Total Billed Charges,260.57,,295.6,92,,Percent of Total Billed Charges,239.05,,295.6,92,,Percent of Total Billed Charges,251.58,,295.6,92,,Percent of Total Billed Charges,260.57,,250.61,78,,Percent of Total Billed Charges,250.61,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,172.96,53.83,,Percent of Total Billed Charges,162.26,,111.3,34.64,,Percent of Total Billed Charges,110.85,,160.59,49.98,,Percent of Total Billed Charges,121.45,,111.30,295.6,,																																							
HC IGG 1 2 3 OR 4 EACH,82787,CPT,,,,BOTH, , ,13.65,11.47,12.56,92,,Percent of Total Billed Charges,11.41,,12.56,92,,Percent of Total Billed Charges,11.21,,12.56,92,,Percent of Total Billed Charges,10.99,,12.56,92,,Percent of Total Billed Charges,11.4,,12.56,92,,Percent of Total Billed Charges,10.28,,12.56,92,,Percent of Total Billed Charges,8.53,,12.29,90,,Percent of Total Billed Charges,6.81,,12.15,89,,Percent of Total Billed Charges,6.55,,11.25,82.4,,Percent of Total Billed Charges,11.22,,11.38,83.4,,Percent of Total Billed Charges,10.62,,11.38,83.4,,Percent of Total Billed Charges,9.57,,11.38,83.4,,Percent of Total Billed Charges,11.11,,12.29,90,,Percent of Total Billed Charges,11.56,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,12.56,92,,Percent of Total Billed Charges,11.07,,12.56,92,,Percent of Total Billed Charges,10.16,,12.56,92,,Percent of Total Billed Charges,10.69,,12.56,92,,Percent of Total Billed Charges,11.07,,10.65,78,,Percent of Total Billed Charges,10.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,7.35,53.83,,Percent of Total Billed Charges,6.89,,4.73,34.64,,Percent of Total Billed Charges,4.71,,6.82,49.98,,Percent of Total Billed Charges,5.16,,4.73,12.56,,																																							
HC GASTRIN,82941,CPT,,,,BOTH, , ,218.4,183.46,200.93,92,,Percent of Total Billed Charges,182.58,,200.93,92,,Percent of Total Billed Charges,179.31,,200.93,92,,Percent of Total Billed Charges,175.81,,200.93,92,,Percent of Total Billed Charges,182.36,,200.93,92,,Percent of Total Billed Charges,164.46,,200.93,92,,Percent of Total Billed Charges,136.5,,196.56,90,,Percent of Total Billed Charges,108.98,,194.38,89,,Percent of Total Billed Charges,104.83,,179.96,82.4,,Percent of Total Billed Charges,179.52,,182.15,83.4,,Percent of Total Billed Charges,169.92,,182.15,83.4,,Percent of Total Billed Charges,153.1,,182.15,83.4,,Percent of Total Billed Charges,177.78,,196.56,90,,Percent of Total Billed Charges,184.98,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,200.93,92,,Percent of Total Billed Charges,177.12,,200.93,92,,Percent of Total Billed Charges,162.49,,200.93,92,,Percent of Total Billed Charges,171.01,,200.93,92,,Percent of Total Billed Charges,177.12,,170.35,78,,Percent of Total Billed Charges,170.35,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,117.56,53.83,,Percent of Total Billed Charges,110.29,,75.65,34.64,,Percent of Total Billed Charges,75.35,,109.16,49.98,,Percent of Total Billed Charges,82.56,,75.65,200.93,,																																							
HC GLUCAGON,82943,CPT,,,,BOTH, , ,324.45,272.54,298.49,92,,Percent of Total Billed Charges,271.24,,298.49,92,,Percent of Total Billed Charges,266.37,,298.49,92,,Percent of Total Billed Charges,261.18,,298.49,92,,Percent of Total Billed Charges,270.92,,298.49,92,,Percent of Total Billed Charges,244.31,,298.49,92,,Percent of Total Billed Charges,202.78,,292.01,90,,Percent of Total Billed Charges,161.9,,288.76,89,,Percent of Total Billed Charges,155.74,,267.35,82.4,,Percent of Total Billed Charges,266.7,,270.59,83.4,,Percent of Total Billed Charges,252.42,,270.59,83.4,,Percent of Total Billed Charges,227.44,,270.59,83.4,,Percent of Total Billed Charges,264.1,,292.01,90,,Percent of Total Billed Charges,274.81,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,298.49,92,,Percent of Total Billed Charges,263.13,,298.49,92,,Percent of Total Billed Charges,241.39,,298.49,92,,Percent of Total Billed Charges,254.04,,298.49,92,,Percent of Total Billed Charges,263.13,,253.07,78,,Percent of Total Billed Charges,253.07,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,174.65,53.83,,Percent of Total Billed Charges,163.85,,112.39,34.64,,Percent of Total Billed Charges,111.94,,162.16,49.98,,Percent of Total Billed Charges,122.64,,112.39,298.49,,																																							
HC GLUCOSE OTHER FLUID,82945,CPT,,,,BOTH, , ,45.15,37.93,41.54,92,,Percent of Total Billed Charges,37.75,,41.54,92,,Percent of Total Billed Charges,37.07,,41.54,92,,Percent of Total Billed Charges,36.35,,41.54,92,,Percent of Total Billed Charges,37.7,,41.54,92,,Percent of Total Billed Charges,34,,41.54,92,,Percent of Total Billed Charges,28.22,,40.64,90,,Percent of Total Billed Charges,22.53,,40.18,89,,Percent of Total Billed Charges,21.67,,37.2,82.4,,Percent of Total Billed Charges,37.11,,37.66,83.4,,Percent of Total Billed Charges,35.13,,37.66,83.4,,Percent of Total Billed Charges,31.65,,37.66,83.4,,Percent of Total Billed Charges,36.75,,40.64,90,,Percent of Total Billed Charges,38.24,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,41.54,92,,Percent of Total Billed Charges,36.62,,41.54,92,,Percent of Total Billed Charges,33.59,,41.54,92,,Percent of Total Billed Charges,35.35,,41.54,92,,Percent of Total Billed Charges,36.62,,35.22,78,,Percent of Total Billed Charges,35.22,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,24.3,53.83,,Percent of Total Billed Charges,22.8,,15.64,34.64,,Percent of Total Billed Charges,15.58,,22.57,49.98,,Percent of Total Billed Charges,17.07,,15.64,41.54,,																																							
HC ASSAY GLUCOSE BLOOD QUANT,82947,CPT,,,,BOTH, , ,45.15,37.93,41.54,92,,Percent of Total Billed Charges,37.75,,41.54,92,,Percent of Total Billed Charges,37.07,,41.54,92,,Percent of Total Billed Charges,36.35,,41.54,92,,Percent of Total Billed Charges,37.7,,41.54,92,,Percent of Total Billed Charges,34,,41.54,92,,Percent of Total Billed Charges,28.22,,40.64,90,,Percent of Total Billed Charges,22.53,,40.18,89,,Percent of Total Billed Charges,21.67,,37.2,82.4,,Percent of Total Billed Charges,37.11,,37.66,83.4,,Percent of Total Billed Charges,35.13,,37.66,83.4,,Percent of Total Billed Charges,31.65,,37.66,83.4,,Percent of Total Billed Charges,36.75,,40.64,90,,Percent of Total Billed Charges,38.24,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,41.54,92,,Percent of Total Billed Charges,36.62,,41.54,92,,Percent of Total Billed Charges,33.59,,41.54,92,,Percent of Total Billed Charges,35.35,,41.54,92,,Percent of Total Billed Charges,36.62,,35.22,78,,Percent of Total Billed Charges,35.22,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,24.3,53.83,,Percent of Total Billed Charges,22.8,,15.64,34.64,,Percent of Total Billed Charges,15.58,,22.57,49.98,,Percent of Total Billed Charges,17.07,,15.64,41.54,,																																							
HC GLUCOSE TEST,82950,CPT,,,,BOTH, , ,46.2,38.81,42.5,92,,Percent of Total Billed Charges,38.62,,42.5,92,,Percent of Total Billed Charges,37.93,,42.5,92,,Percent of Total Billed Charges,37.19,,42.5,92,,Percent of Total Billed Charges,38.58,,42.5,92,,Percent of Total Billed Charges,34.79,,42.5,92,,Percent of Total Billed Charges,28.88,,41.58,90,,Percent of Total Billed Charges,23.05,,41.12,89,,Percent of Total Billed Charges,22.18,,38.07,82.4,,Percent of Total Billed Charges,37.98,,38.53,83.4,,Percent of Total Billed Charges,35.94,,38.53,83.4,,Percent of Total Billed Charges,32.39,,38.53,83.4,,Percent of Total Billed Charges,37.61,,41.58,90,,Percent of Total Billed Charges,39.13,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,42.5,92,,Percent of Total Billed Charges,37.47,,42.5,92,,Percent of Total Billed Charges,34.37,,42.5,92,,Percent of Total Billed Charges,36.17,,42.5,92,,Percent of Total Billed Charges,37.47,,36.04,78,,Percent of Total Billed Charges,36.04,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,24.87,53.83,,Percent of Total Billed Charges,23.33,,16,34.64,,Percent of Total Billed Charges,15.94,,23.09,49.98,,Percent of Total Billed Charges,17.46,,16.00,42.5,,																																							
HC GLUCOSE TOLERANCE TEST 3 SPEC,82951,CPT,,,,BOTH, , ,140.7,118.19,129.44,92,,Percent of Total Billed Charges,117.63,,129.44,92,,Percent of Total Billed Charges,115.51,,129.44,92,,Percent of Total Billed Charges,113.26,,129.44,92,,Percent of Total Billed Charges,117.48,,129.44,92,,Percent of Total Billed Charges,105.95,,129.44,92,,Percent of Total Billed Charges,87.94,,126.63,90,,Percent of Total Billed Charges,70.21,,125.22,89,,Percent of Total Billed Charges,67.54,,115.94,82.4,,Percent of Total Billed Charges,115.66,,117.34,83.4,,Percent of Total Billed Charges,109.46,,117.34,83.4,,Percent of Total Billed Charges,98.63,,117.34,83.4,,Percent of Total Billed Charges,114.53,,126.63,90,,Percent of Total Billed Charges,119.17,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,129.44,92,,Percent of Total Billed Charges,114.11,,129.44,92,,Percent of Total Billed Charges,104.68,,129.44,92,,Percent of Total Billed Charges,110.17,,129.44,92,,Percent of Total Billed Charges,114.11,,109.75,78,,Percent of Total Billed Charges,109.75,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,75.74,53.83,,Percent of Total Billed Charges,71.05,,48.74,34.64,,Percent of Total Billed Charges,48.54,,70.32,49.98,,Percent of Total Billed Charges,53.18,,48.74,129.44,,																																							
HC GLUCOSE TOLERANCE TEST 3 SPEC ADD,82952,CPT,,,,BOTH, , ,30.45,25.58,28.01,92,,Percent of Total Billed Charges,25.46,,28.01,92,,Percent of Total Billed Charges,25,,28.01,92,,Percent of Total Billed Charges,24.51,,28.01,92,,Percent of Total Billed Charges,25.43,,28.01,92,,Percent of Total Billed Charges,22.93,,28.01,92,,Percent of Total Billed Charges,19.03,,27.41,90,,Percent of Total Billed Charges,15.19,,27.1,89,,Percent of Total Billed Charges,14.62,,25.09,82.4,,Percent of Total Billed Charges,25.03,,25.4,83.4,,Percent of Total Billed Charges,23.69,,25.4,83.4,,Percent of Total Billed Charges,21.35,,25.4,83.4,,Percent of Total Billed Charges,24.79,,27.41,90,,Percent of Total Billed Charges,25.79,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,28.01,92,,Percent of Total Billed Charges,24.69,,28.01,92,,Percent of Total Billed Charges,22.65,,28.01,92,,Percent of Total Billed Charges,23.84,,28.01,92,,Percent of Total Billed Charges,24.69,,23.75,78,,Percent of Total Billed Charges,23.75,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,16.39,53.83,,Percent of Total Billed Charges,15.38,,10.55,34.64,,Percent of Total Billed Charges,10.51,,15.22,49.98,,Percent of Total Billed Charges,11.51,,10.55,28.01,,																																							
HC ASSAY OF GGT,82977,CPT,,,,BOTH, , ,109.2,91.73,100.46,92,,Percent of Total Billed Charges,91.29,,100.46,92,,Percent of Total Billed Charges,89.65,,100.46,92,,Percent of Total Billed Charges,87.91,,100.46,92,,Percent of Total Billed Charges,91.18,,100.46,92,,Percent of Total Billed Charges,82.23,,100.46,92,,Percent of Total Billed Charges,68.25,,98.28,90,,Percent of Total Billed Charges,54.49,,97.19,89,,Percent of Total Billed Charges,52.42,,89.98,82.4,,Percent of Total Billed Charges,89.76,,91.07,83.4,,Percent of Total Billed Charges,84.96,,91.07,83.4,,Percent of Total Billed Charges,76.55,,91.07,83.4,,Percent of Total Billed Charges,88.89,,98.28,90,,Percent of Total Billed Charges,92.49,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,100.46,92,,Percent of Total Billed Charges,88.56,,100.46,92,,Percent of Total Billed Charges,81.24,,100.46,92,,Percent of Total Billed Charges,85.5,,100.46,92,,Percent of Total Billed Charges,88.56,,85.18,78,,Percent of Total Billed Charges,85.18,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,58.78,53.83,,Percent of Total Billed Charges,55.15,,37.83,34.64,,Percent of Total Billed Charges,37.67,,54.58,49.98,,Percent of Total Billed Charges,41.28,,37.83,100.46,,																																							
HC ASSAY OF GONADOTROPIN (FSH),83001,CPT,,,,BOTH, , ,198.45,166.7,182.57,92,,Percent of Total Billed Charges,165.9,,182.57,92,,Percent of Total Billed Charges,162.93,,182.57,92,,Percent of Total Billed Charges,159.75,,182.57,92,,Percent of Total Billed Charges,165.71,,182.57,92,,Percent of Total Billed Charges,149.43,,182.57,92,,Percent of Total Billed Charges,124.03,,178.61,90,,Percent of Total Billed Charges,99.03,,176.62,89,,Percent of Total Billed Charges,95.26,,163.52,82.4,,Percent of Total Billed Charges,163.13,,165.51,83.4,,Percent of Total Billed Charges,154.39,,165.51,83.4,,Percent of Total Billed Charges,139.11,,165.51,83.4,,Percent of Total Billed Charges,161.54,,178.61,90,,Percent of Total Billed Charges,168.09,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,182.57,92,,Percent of Total Billed Charges,160.94,,182.57,92,,Percent of Total Billed Charges,147.65,,182.57,92,,Percent of Total Billed Charges,155.39,,182.57,92,,Percent of Total Billed Charges,160.94,,154.79,78,,Percent of Total Billed Charges,154.79,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,106.83,53.83,,Percent of Total Billed Charges,100.22,,68.74,34.64,,Percent of Total Billed Charges,68.47,,99.19,49.98,,Percent of Total Billed Charges,75.01,,68.74,182.57,,																																							
HC ASSAY OF GONADOTROPIN (LH),83002,CPT,,,,BOTH, , ,266.7,224.03,245.36,92,,Percent of Total Billed Charges,222.96,,245.36,92,,Percent of Total Billed Charges,218.96,,245.36,92,,Percent of Total Billed Charges,214.69,,245.36,92,,Percent of Total Billed Charges,222.69,,245.36,92,,Percent of Total Billed Charges,200.83,,245.36,92,,Percent of Total Billed Charges,166.69,,240.03,90,,Percent of Total Billed Charges,133.08,,237.36,89,,Percent of Total Billed Charges,128.02,,219.76,82.4,,Percent of Total Billed Charges,219.23,,222.43,83.4,,Percent of Total Billed Charges,207.49,,222.43,83.4,,Percent of Total Billed Charges,186.96,,222.43,83.4,,Percent of Total Billed Charges,217.09,,240.03,90,,Percent of Total Billed Charges,225.89,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,245.36,92,,Percent of Total Billed Charges,216.29,,245.36,92,,Percent of Total Billed Charges,198.42,,245.36,92,,Percent of Total Billed Charges,208.83,,245.36,92,,Percent of Total Billed Charges,216.29,,208.03,78,,Percent of Total Billed Charges,208.03,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,143.56,53.83,,Percent of Total Billed Charges,134.68,,92.38,34.64,,Percent of Total Billed Charges,92.01,,133.3,49.98,,Percent of Total Billed Charges,100.81,,92.38,245.36,,																																							
HC GROWTH HORMONE,83003,CPT,,,,BOTH, , ,182.7,153.47,168.08,92,,Percent of Total Billed Charges,152.74,,168.08,92,,Percent of Total Billed Charges,150,,168.08,92,,Percent of Total Billed Charges,147.07,,168.08,92,,Percent of Total Billed Charges,152.55,,168.08,92,,Percent of Total Billed Charges,137.57,,168.08,92,,Percent of Total Billed Charges,114.19,,164.43,90,,Percent of Total Billed Charges,91.17,,162.6,89,,Percent of Total Billed Charges,87.7,,150.54,82.4,,Percent of Total Billed Charges,150.18,,152.37,83.4,,Percent of Total Billed Charges,142.14,,152.37,83.4,,Percent of Total Billed Charges,128.07,,152.37,83.4,,Percent of Total Billed Charges,148.72,,164.43,90,,Percent of Total Billed Charges,154.75,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,168.08,92,,Percent of Total Billed Charges,148.17,,168.08,92,,Percent of Total Billed Charges,135.93,,168.08,92,,Percent of Total Billed Charges,143.05,,168.08,92,,Percent of Total Billed Charges,148.17,,142.51,78,,Percent of Total Billed Charges,142.51,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,98.35,53.83,,Percent of Total Billed Charges,92.26,,63.29,34.64,,Percent of Total Billed Charges,63.03,,91.31,49.98,,Percent of Total Billed Charges,69.06,,63.29,168.08,,																																							
HC GLYCOSYLATED HEMOGLOBIN TEST,83036,CPT,,,,BOTH, , ,183.75,154.35,169.05,92,,Percent of Total Billed Charges,153.62,,169.05,92,,Percent of Total Billed Charges,150.86,,169.05,92,,Percent of Total Billed Charges,147.92,,169.05,92,,Percent of Total Billed Charges,153.43,,169.05,92,,Percent of Total Billed Charges,138.36,,169.05,92,,Percent of Total Billed Charges,114.84,,165.38,90,,Percent of Total Billed Charges,91.69,,163.54,89,,Percent of Total Billed Charges,88.2,,151.41,82.4,,Percent of Total Billed Charges,151.04,,153.25,83.4,,Percent of Total Billed Charges,142.96,,153.25,83.4,,Percent of Total Billed Charges,128.81,,153.25,83.4,,Percent of Total Billed Charges,149.57,,165.38,90,,Percent of Total Billed Charges,155.64,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,169.05,92,,Percent of Total Billed Charges,149.02,,169.05,92,,Percent of Total Billed Charges,136.71,,169.05,92,,Percent of Total Billed Charges,143.88,,169.05,92,,Percent of Total Billed Charges,149.02,,143.33,78,,Percent of Total Billed Charges,143.33,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,98.91,53.83,,Percent of Total Billed Charges,92.79,,63.65,34.64,,Percent of Total Billed Charges,63.39,,91.84,49.98,,Percent of Total Billed Charges,69.46,,63.65,169.05,,																																							
HC PLASMA HEMOGLOBIN,83051,CPT,,,,BOTH, , ,212.1,178.16,195.13,92,,Percent of Total Billed Charges,177.32,,195.13,92,,Percent of Total Billed Charges,174.13,,195.13,92,,Percent of Total Billed Charges,170.74,,195.13,92,,Percent of Total Billed Charges,177.1,,195.13,92,,Percent of Total Billed Charges,159.71,,195.13,92,,Percent of Total Billed Charges,132.56,,190.89,90,,Percent of Total Billed Charges,105.84,,188.77,89,,Percent of Total Billed Charges,101.81,,174.77,82.4,,Percent of Total Billed Charges,174.35,,176.89,83.4,,Percent of Total Billed Charges,165.01,,176.89,83.4,,Percent of Total Billed Charges,148.68,,176.89,83.4,,Percent of Total Billed Charges,172.65,,190.89,90,,Percent of Total Billed Charges,179.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,195.13,92,,Percent of Total Billed Charges,172.01,,195.13,92,,Percent of Total Billed Charges,157.8,,195.13,92,,Percent of Total Billed Charges,166.07,,195.13,92,,Percent of Total Billed Charges,172.01,,165.44,78,,Percent of Total Billed Charges,165.44,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,114.17,53.83,,Percent of Total Billed Charges,107.11,,73.47,34.64,,Percent of Total Billed Charges,73.17,,106.01,49.98,,Percent of Total Billed Charges,80.17,,73.47,195.13,,																																							
HC ASSAY OF PROGESTERONE 17D,83498,CPT,,,,BOTH, , ,349.65,293.71,321.68,92,,Percent of Total Billed Charges,292.31,,321.68,92,,Percent of Total Billed Charges,287.06,,321.68,92,,Percent of Total Billed Charges,281.47,,321.68,92,,Percent of Total Billed Charges,291.96,,321.68,92,,Percent of Total Billed Charges,263.29,,321.68,92,,Percent of Total Billed Charges,218.53,,314.69,90,,Percent of Total Billed Charges,174.48,,311.19,89,,Percent of Total Billed Charges,167.83,,288.11,82.4,,Percent of Total Billed Charges,287.41,,291.61,83.4,,Percent of Total Billed Charges,272.03,,291.61,83.4,,Percent of Total Billed Charges,245.1,,291.61,83.4,,Percent of Total Billed Charges,284.62,,314.69,90,,Percent of Total Billed Charges,296.15,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,321.68,92,,Percent of Total Billed Charges,283.57,,321.68,92,,Percent of Total Billed Charges,260.14,,321.68,92,,Percent of Total Billed Charges,273.78,,321.68,92,,Percent of Total Billed Charges,283.57,,272.73,78,,Percent of Total Billed Charges,272.73,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,188.22,53.83,,Percent of Total Billed Charges,176.57,,121.12,34.64,,Percent of Total Billed Charges,120.63,,174.76,49.98,,Percent of Total Billed Charges,132.17,,121.12,321.68,,																																							
HC IMMUNOASSAY QUANT NOS NONAB,83520,CPT,,,,BOTH, , ,411.6,345.74,378.67,92,,Percent of Total Billed Charges,344.1,,378.67,92,,Percent of Total Billed Charges,337.92,,378.67,92,,Percent of Total Billed Charges,331.34,,378.67,92,,Percent of Total Billed Charges,343.69,,378.67,92,,Percent of Total Billed Charges,309.93,,378.67,92,,Percent of Total Billed Charges,257.25,,370.44,90,,Percent of Total Billed Charges,205.39,,366.32,89,,Percent of Total Billed Charges,197.57,,339.16,82.4,,Percent of Total Billed Charges,338.34,,343.27,83.4,,Percent of Total Billed Charges,320.22,,343.27,83.4,,Percent of Total Billed Charges,288.53,,343.27,83.4,,Percent of Total Billed Charges,335.04,,370.44,90,,Percent of Total Billed Charges,348.63,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,378.67,92,,Percent of Total Billed Charges,333.81,,378.67,92,,Percent of Total Billed Charges,306.23,,378.67,92,,Percent of Total Billed Charges,322.28,,378.67,92,,Percent of Total Billed Charges,333.81,,321.05,78,,Percent of Total Billed Charges,321.05,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,221.56,53.83,,Percent of Total Billed Charges,207.86,,142.58,34.64,,Percent of Total Billed Charges,142,,205.72,49.98,,Percent of Total Billed Charges,155.58,,142.58,378.67,,																																							
HC ASSAY OF IRON,83540,CPT,,,,BOTH, , ,100.8,84.67,92.74,92,,Percent of Total Billed Charges,84.27,,92.74,92,,Percent of Total Billed Charges,82.76,,92.74,92,,Percent of Total Billed Charges,81.14,,92.74,92,,Percent of Total Billed Charges,84.17,,92.74,92,,Percent of Total Billed Charges,75.9,,92.74,92,,Percent of Total Billed Charges,63,,90.72,90,,Percent of Total Billed Charges,50.3,,89.71,89,,Percent of Total Billed Charges,48.38,,83.06,82.4,,Percent of Total Billed Charges,82.86,,84.07,83.4,,Percent of Total Billed Charges,78.42,,84.07,83.4,,Percent of Total Billed Charges,70.66,,84.07,83.4,,Percent of Total Billed Charges,82.05,,90.72,90,,Percent of Total Billed Charges,85.38,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,92.74,92,,Percent of Total Billed Charges,81.75,,92.74,92,,Percent of Total Billed Charges,75,,92.74,92,,Percent of Total Billed Charges,78.93,,92.74,92,,Percent of Total Billed Charges,81.75,,78.62,78,,Percent of Total Billed Charges,78.62,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,54.26,53.83,,Percent of Total Billed Charges,50.9,,34.92,34.64,,Percent of Total Billed Charges,34.78,,50.38,49.98,,Percent of Total Billed Charges,38.1,,34.92,92.74,,																																							
HC LACTIC ACID,83605,CPT,,,,BOTH, , ,9.45,7.94,8.69,92,,Percent of Total Billed Charges,7.9,,8.69,92,,Percent of Total Billed Charges,7.76,,8.69,92,,Percent of Total Billed Charges,7.61,,8.69,92,,Percent of Total Billed Charges,7.89,,8.69,92,,Percent of Total Billed Charges,7.12,,8.69,92,,Percent of Total Billed Charges,5.91,,8.51,90,,Percent of Total Billed Charges,4.72,,8.41,89,,Percent of Total Billed Charges,4.54,,7.79,82.4,,Percent of Total Billed Charges,7.77,,7.88,83.4,,Percent of Total Billed Charges,7.35,,7.88,83.4,,Percent of Total Billed Charges,6.62,,7.88,83.4,,Percent of Total Billed Charges,7.69,,8.51,90,,Percent of Total Billed Charges,8,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,8.69,92,,Percent of Total Billed Charges,7.66,,8.69,92,,Percent of Total Billed Charges,7.03,,8.69,92,,Percent of Total Billed Charges,7.4,,8.69,92,,Percent of Total Billed Charges,7.66,,7.37,78,,Percent of Total Billed Charges,7.37,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5.09,53.83,,Percent of Total Billed Charges,4.77,,3.27,34.64,,Percent of Total Billed Charges,3.26,,4.72,49.98,,Percent of Total Billed Charges,3.57,,3.27,8.69,,																																							
HC LACTATE (LD) (LDH) ENZYME,83615,CPT,,,,BOTH, , ,55.65,46.75,51.2,92,,Percent of Total Billed Charges,46.52,,51.2,92,,Percent of Total Billed Charges,45.69,,51.2,92,,Percent of Total Billed Charges,44.8,,51.2,92,,Percent of Total Billed Charges,46.47,,51.2,92,,Percent of Total Billed Charges,41.9,,51.2,92,,Percent of Total Billed Charges,34.78,,50.09,90,,Percent of Total Billed Charges,27.77,,49.53,89,,Percent of Total Billed Charges,26.71,,45.86,82.4,,Percent of Total Billed Charges,45.74,,46.41,83.4,,Percent of Total Billed Charges,43.3,,46.41,83.4,,Percent of Total Billed Charges,39.01,,46.41,83.4,,Percent of Total Billed Charges,45.3,,50.09,90,,Percent of Total Billed Charges,47.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,51.2,92,,Percent of Total Billed Charges,45.13,,51.2,92,,Percent of Total Billed Charges,41.4,,51.2,92,,Percent of Total Billed Charges,43.57,,51.2,92,,Percent of Total Billed Charges,45.13,,43.41,78,,Percent of Total Billed Charges,43.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,29.96,53.83,,Percent of Total Billed Charges,28.1,,19.28,34.64,,Percent of Total Billed Charges,19.2,,27.81,49.98,,Percent of Total Billed Charges,21.04,,19.28,51.2,,																																							
HC LIPASE,83690,CPT,,,,BOTH, , ,204.75,171.99,188.37,92,,Percent of Total Billed Charges,171.17,,188.37,92,,Percent of Total Billed Charges,168.1,,188.37,92,,Percent of Total Billed Charges,164.82,,188.37,92,,Percent of Total Billed Charges,170.97,,188.37,92,,Percent of Total Billed Charges,154.18,,188.37,92,,Percent of Total Billed Charges,127.97,,184.28,90,,Percent of Total Billed Charges,102.17,,182.23,89,,Percent of Total Billed Charges,98.28,,168.71,82.4,,Percent of Total Billed Charges,168.3,,170.76,83.4,,Percent of Total Billed Charges,159.3,,170.76,83.4,,Percent of Total Billed Charges,143.53,,170.76,83.4,,Percent of Total Billed Charges,166.67,,184.28,90,,Percent of Total Billed Charges,173.42,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,188.37,92,,Percent of Total Billed Charges,166.05,,188.37,92,,Percent of Total Billed Charges,152.33,,188.37,92,,Percent of Total Billed Charges,160.32,,188.37,92,,Percent of Total Billed Charges,166.05,,159.71,78,,Percent of Total Billed Charges,159.71,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,110.22,53.83,,Percent of Total Billed Charges,103.4,,70.93,34.64,,Percent of Total Billed Charges,70.64,,102.33,49.98,,Percent of Total Billed Charges,77.4,,70.93,188.37,,																																							
HC HDL CHOLESTEROL,83718,CPT,,,,BOTH, , ,92.4,77.62,85.01,92,,Percent of Total Billed Charges,77.25,,85.01,92,,Percent of Total Billed Charges,75.86,,85.01,92,,Percent of Total Billed Charges,74.38,,85.01,92,,Percent of Total Billed Charges,77.15,,85.01,92,,Percent of Total Billed Charges,69.58,,85.01,92,,Percent of Total Billed Charges,57.75,,83.16,90,,Percent of Total Billed Charges,46.11,,82.24,89,,Percent of Total Billed Charges,44.35,,76.14,82.4,,Percent of Total Billed Charges,75.95,,77.06,83.4,,Percent of Total Billed Charges,71.89,,77.06,83.4,,Percent of Total Billed Charges,64.77,,77.06,83.4,,Percent of Total Billed Charges,75.21,,83.16,90,,Percent of Total Billed Charges,78.26,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,85.01,92,,Percent of Total Billed Charges,74.94,,85.01,92,,Percent of Total Billed Charges,68.75,,85.01,92,,Percent of Total Billed Charges,72.35,,85.01,92,,Percent of Total Billed Charges,74.94,,72.07,78,,Percent of Total Billed Charges,72.07,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,49.74,53.83,,Percent of Total Billed Charges,46.66,,32.01,34.64,,Percent of Total Billed Charges,31.88,,46.18,49.98,,Percent of Total Billed Charges,34.93,,32.01,85.01,,																																							
HC MAGNESIUM,83735,CPT,,,,BOTH, , ,74.55,62.62,68.59,92,,Percent of Total Billed Charges,62.32,,68.59,92,,Percent of Total Billed Charges,61.21,,68.59,92,,Percent of Total Billed Charges,60.01,,68.59,92,,Percent of Total Billed Charges,62.25,,68.59,92,,Percent of Total Billed Charges,56.14,,68.59,92,,Percent of Total Billed Charges,46.59,,67.1,90,,Percent of Total Billed Charges,37.2,,66.35,89,,Percent of Total Billed Charges,35.78,,61.43,82.4,,Percent of Total Billed Charges,61.28,,62.17,83.4,,Percent of Total Billed Charges,58,,62.17,83.4,,Percent of Total Billed Charges,52.26,,62.17,83.4,,Percent of Total Billed Charges,60.68,,67.1,90,,Percent of Total Billed Charges,63.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,68.59,92,,Percent of Total Billed Charges,60.46,,68.59,92,,Percent of Total Billed Charges,55.47,,68.59,92,,Percent of Total Billed Charges,58.37,,68.59,92,,Percent of Total Billed Charges,60.46,,58.15,78,,Percent of Total Billed Charges,58.15,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,40.13,53.83,,Percent of Total Billed Charges,37.65,,25.82,34.64,,Percent of Total Billed Charges,25.72,,37.26,49.98,,Percent of Total Billed Charges,28.18,,25.82,68.59,,																																							
HC ASSAY OF CSF PROTEIN,83873,CPT,,,,BOTH, , ,307.65,258.43,283.04,92,,Percent of Total Billed Charges,257.2,,283.04,92,,Percent of Total Billed Charges,252.58,,283.04,92,,Percent of Total Billed Charges,247.66,,283.04,92,,Percent of Total Billed Charges,256.89,,283.04,92,,Percent of Total Billed Charges,231.66,,283.04,92,,Percent of Total Billed Charges,192.28,,276.89,90,,Percent of Total Billed Charges,153.52,,273.81,89,,Percent of Total Billed Charges,147.67,,253.5,82.4,,Percent of Total Billed Charges,252.89,,256.58,83.4,,Percent of Total Billed Charges,239.35,,256.58,83.4,,Percent of Total Billed Charges,215.66,,256.58,83.4,,Percent of Total Billed Charges,250.43,,276.89,90,,Percent of Total Billed Charges,260.58,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,283.04,92,,Percent of Total Billed Charges,249.5,,283.04,92,,Percent of Total Billed Charges,228.89,,283.04,92,,Percent of Total Billed Charges,240.89,,283.04,92,,Percent of Total Billed Charges,249.5,,239.97,78,,Percent of Total Billed Charges,239.97,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,165.61,53.83,,Percent of Total Billed Charges,155.36,,106.57,34.64,,Percent of Total Billed Charges,106.14,,153.76,49.98,,Percent of Total Billed Charges,116.29,,106.57,283.04,,																																							
HC MYOGLOBIN,83874,CPT,,,,BOTH, , ,163.8,137.59,150.7,92,,Percent of Total Billed Charges,136.94,,150.7,92,,Percent of Total Billed Charges,134.48,,150.7,92,,Percent of Total Billed Charges,131.86,,150.7,92,,Percent of Total Billed Charges,136.77,,150.7,92,,Percent of Total Billed Charges,123.34,,150.7,92,,Percent of Total Billed Charges,102.38,,147.42,90,,Percent of Total Billed Charges,81.74,,145.78,89,,Percent of Total Billed Charges,78.62,,134.97,82.4,,Percent of Total Billed Charges,134.64,,136.61,83.4,,Percent of Total Billed Charges,127.44,,136.61,83.4,,Percent of Total Billed Charges,114.82,,136.61,83.4,,Percent of Total Billed Charges,133.33,,147.42,90,,Percent of Total Billed Charges,138.74,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,150.7,92,,Percent of Total Billed Charges,132.84,,150.7,92,,Percent of Total Billed Charges,121.87,,150.7,92,,Percent of Total Billed Charges,128.26,,150.7,92,,Percent of Total Billed Charges,132.84,,127.76,78,,Percent of Total Billed Charges,127.76,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,88.17,53.83,,Percent of Total Billed Charges,82.72,,56.74,34.64,,Percent of Total Billed Charges,56.51,,81.87,49.98,,Percent of Total Billed Charges,61.92,,56.74,150.7,,																																							
HC ASSAY OF NATRIURETIC PEPTIDE,83880,CPT,,,,BOTH, , ,389.55,327.22,358.39,92,,Percent of Total Billed Charges,325.66,,358.39,92,,Percent of Total Billed Charges,319.82,,358.39,92,,Percent of Total Billed Charges,313.59,,358.39,92,,Percent of Total Billed Charges,325.27,,358.39,92,,Percent of Total Billed Charges,293.33,,358.39,92,,Percent of Total Billed Charges,243.47,,350.6,90,,Percent of Total Billed Charges,194.39,,346.7,89,,Percent of Total Billed Charges,186.98,,320.99,82.4,,Percent of Total Billed Charges,320.21,,324.88,83.4,,Percent of Total Billed Charges,303.07,,324.88,83.4,,Percent of Total Billed Charges,273.07,,324.88,83.4,,Percent of Total Billed Charges,317.09,,350.6,90,,Percent of Total Billed Charges,329.95,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,358.39,92,,Percent of Total Billed Charges,315.93,,358.39,92,,Percent of Total Billed Charges,289.83,,358.39,92,,Percent of Total Billed Charges,305.02,,358.39,92,,Percent of Total Billed Charges,315.93,,303.85,78,,Percent of Total Billed Charges,303.85,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,209.69,53.83,,Percent of Total Billed Charges,196.72,,134.94,34.64,,Percent of Total Billed Charges,134.39,,194.7,49.98,,Percent of Total Billed Charges,147.25,,134.94,358.39,,																																							
HC OLIGOCLONAL BANDS,83916,CPT,,,,BOTH, , ,281.4,236.38,258.89,92,,Percent of Total Billed Charges,235.25,,258.89,92,,Percent of Total Billed Charges,231.03,,258.89,92,,Percent of Total Billed Charges,226.53,,258.89,92,,Percent of Total Billed Charges,234.97,,258.89,92,,Percent of Total Billed Charges,211.89,,258.89,92,,Percent of Total Billed Charges,175.88,,253.26,90,,Percent of Total Billed Charges,140.42,,250.45,89,,Percent of Total Billed Charges,135.07,,231.87,82.4,,Percent of Total Billed Charges,231.31,,234.69,83.4,,Percent of Total Billed Charges,218.93,,234.69,83.4,,Percent of Total Billed Charges,197.26,,234.69,83.4,,Percent of Total Billed Charges,229.06,,253.26,90,,Percent of Total Billed Charges,238.35,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,258.89,92,,Percent of Total Billed Charges,228.22,,258.89,92,,Percent of Total Billed Charges,209.36,,258.89,92,,Percent of Total Billed Charges,220.34,,258.89,92,,Percent of Total Billed Charges,228.22,,219.49,78,,Percent of Total Billed Charges,219.49,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,151.48,53.83,,Percent of Total Billed Charges,142.11,,97.48,34.64,,Percent of Total Billed Charges,97.08,,140.64,49.98,,Percent of Total Billed Charges,106.37,,97.48,258.89,,																																							
HC OSMOLALITY; BLOOD,83930,CPT,,,,BOTH, , ,67.2,56.45,61.82,92,,Percent of Total Billed Charges,56.18,,61.82,92,,Percent of Total Billed Charges,55.17,,61.82,92,,Percent of Total Billed Charges,54.1,,61.82,92,,Percent of Total Billed Charges,56.11,,61.82,92,,Percent of Total Billed Charges,50.6,,61.82,92,,Percent of Total Billed Charges,42,,60.48,90,,Percent of Total Billed Charges,33.53,,59.81,89,,Percent of Total Billed Charges,32.26,,55.37,82.4,,Percent of Total Billed Charges,55.24,,56.04,83.4,,Percent of Total Billed Charges,52.28,,56.04,83.4,,Percent of Total Billed Charges,47.11,,56.04,83.4,,Percent of Total Billed Charges,54.7,,60.48,90,,Percent of Total Billed Charges,56.92,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,61.82,92,,Percent of Total Billed Charges,54.5,,61.82,92,,Percent of Total Billed Charges,50,,61.82,92,,Percent of Total Billed Charges,52.62,,61.82,92,,Percent of Total Billed Charges,54.5,,52.42,78,,Percent of Total Billed Charges,52.42,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,36.17,53.83,,Percent of Total Billed Charges,33.94,,23.28,34.64,,Percent of Total Billed Charges,23.18,,33.59,49.98,,Percent of Total Billed Charges,25.4,,23.28,61.82,,																																							
HC OSMOLALITY URINE,83935,CPT,,,,BOTH, , ,67.2,56.45,61.82,92,,Percent of Total Billed Charges,56.18,,61.82,92,,Percent of Total Billed Charges,55.17,,61.82,92,,Percent of Total Billed Charges,54.1,,61.82,92,,Percent of Total Billed Charges,56.11,,61.82,92,,Percent of Total Billed Charges,50.6,,61.82,92,,Percent of Total Billed Charges,42,,60.48,90,,Percent of Total Billed Charges,33.53,,59.81,89,,Percent of Total Billed Charges,32.26,,55.37,82.4,,Percent of Total Billed Charges,55.24,,56.04,83.4,,Percent of Total Billed Charges,52.28,,56.04,83.4,,Percent of Total Billed Charges,47.11,,56.04,83.4,,Percent of Total Billed Charges,54.7,,60.48,90,,Percent of Total Billed Charges,56.92,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,61.82,92,,Percent of Total Billed Charges,54.5,,61.82,92,,Percent of Total Billed Charges,50,,61.82,92,,Percent of Total Billed Charges,52.62,,61.82,92,,Percent of Total Billed Charges,54.5,,52.42,78,,Percent of Total Billed Charges,52.42,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,36.17,53.83,,Percent of Total Billed Charges,33.94,,23.28,34.64,,Percent of Total Billed Charges,23.18,,33.59,49.98,,Percent of Total Billed Charges,25.4,,23.28,61.82,,																																							
HC ASSAY PH BODY FLUID NOS,83986,CPT,,,,BOTH, , ,81.9,68.8,75.35,92,,Percent of Total Billed Charges,68.47,,75.35,92,,Percent of Total Billed Charges,67.24,,75.35,92,,Percent of Total Billed Charges,65.93,,75.35,92,,Percent of Total Billed Charges,68.39,,75.35,92,,Percent of Total Billed Charges,61.67,,75.35,92,,Percent of Total Billed Charges,51.19,,73.71,90,,Percent of Total Billed Charges,40.87,,72.89,89,,Percent of Total Billed Charges,39.31,,67.49,82.4,,Percent of Total Billed Charges,67.32,,68.3,83.4,,Percent of Total Billed Charges,63.72,,68.3,83.4,,Percent of Total Billed Charges,57.41,,68.3,83.4,,Percent of Total Billed Charges,66.67,,73.71,90,,Percent of Total Billed Charges,69.37,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,75.35,92,,Percent of Total Billed Charges,66.42,,75.35,92,,Percent of Total Billed Charges,60.93,,75.35,92,,Percent of Total Billed Charges,64.13,,75.35,92,,Percent of Total Billed Charges,66.42,,63.88,78,,Percent of Total Billed Charges,63.88,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,44.09,53.83,,Percent of Total Billed Charges,41.36,,28.37,34.64,,Percent of Total Billed Charges,28.26,,40.93,49.98,,Percent of Total Billed Charges,30.96,,28.37,75.35,,																																							
HC ASSAY ALKALINE PHOSPHATASE,84075,CPT,,,,BOTH, , ,112.35,94.37,103.36,92,,Percent of Total Billed Charges,93.92,,103.36,92,,Percent of Total Billed Charges,92.24,,103.36,92,,Percent of Total Billed Charges,90.44,,103.36,92,,Percent of Total Billed Charges,93.81,,103.36,92,,Percent of Total Billed Charges,84.6,,103.36,92,,Percent of Total Billed Charges,70.22,,101.12,90,,Percent of Total Billed Charges,56.06,,99.99,89,,Percent of Total Billed Charges,53.93,,92.58,82.4,,Percent of Total Billed Charges,92.35,,93.7,83.4,,Percent of Total Billed Charges,87.41,,93.7,83.4,,Percent of Total Billed Charges,78.76,,93.7,83.4,,Percent of Total Billed Charges,91.45,,101.12,90,,Percent of Total Billed Charges,95.16,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,103.36,92,,Percent of Total Billed Charges,91.12,,103.36,92,,Percent of Total Billed Charges,83.59,,103.36,92,,Percent of Total Billed Charges,87.97,,103.36,92,,Percent of Total Billed Charges,91.12,,87.63,78,,Percent of Total Billed Charges,87.63,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,60.48,53.83,,Percent of Total Billed Charges,56.74,,38.92,34.64,,Percent of Total Billed Charges,38.76,,56.15,49.98,,Percent of Total Billed Charges,42.47,,38.92,103.36,,																																							
HC PHOSPHORUS,84100,CPT,,,,BOTH, , ,55.65,46.75,51.2,92,,Percent of Total Billed Charges,46.52,,51.2,92,,Percent of Total Billed Charges,45.69,,51.2,92,,Percent of Total Billed Charges,44.8,,51.2,92,,Percent of Total Billed Charges,46.47,,51.2,92,,Percent of Total Billed Charges,41.9,,51.2,92,,Percent of Total Billed Charges,34.78,,50.09,90,,Percent of Total Billed Charges,27.77,,49.53,89,,Percent of Total Billed Charges,26.71,,45.86,82.4,,Percent of Total Billed Charges,45.74,,46.41,83.4,,Percent of Total Billed Charges,43.3,,46.41,83.4,,Percent of Total Billed Charges,39.01,,46.41,83.4,,Percent of Total Billed Charges,45.3,,50.09,90,,Percent of Total Billed Charges,47.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,51.2,92,,Percent of Total Billed Charges,45.13,,51.2,92,,Percent of Total Billed Charges,41.4,,51.2,92,,Percent of Total Billed Charges,43.57,,51.2,92,,Percent of Total Billed Charges,45.13,,43.41,78,,Percent of Total Billed Charges,43.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,29.96,53.83,,Percent of Total Billed Charges,28.1,,19.28,34.64,,Percent of Total Billed Charges,19.2,,27.81,49.98,,Percent of Total Billed Charges,21.04,,19.28,51.2,,																																							
HC PHOSPHORUS URINE,84105,CPT,,,,BOTH, , ,55.65,46.75,51.2,92,,Percent of Total Billed Charges,46.52,,51.2,92,,Percent of Total Billed Charges,45.69,,51.2,92,,Percent of Total Billed Charges,44.8,,51.2,92,,Percent of Total Billed Charges,46.47,,51.2,92,,Percent of Total Billed Charges,41.9,,51.2,92,,Percent of Total Billed Charges,34.78,,50.09,90,,Percent of Total Billed Charges,27.77,,49.53,89,,Percent of Total Billed Charges,26.71,,45.86,82.4,,Percent of Total Billed Charges,45.74,,46.41,83.4,,Percent of Total Billed Charges,43.3,,46.41,83.4,,Percent of Total Billed Charges,39.01,,46.41,83.4,,Percent of Total Billed Charges,45.3,,50.09,90,,Percent of Total Billed Charges,47.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,51.2,92,,Percent of Total Billed Charges,45.13,,51.2,92,,Percent of Total Billed Charges,41.4,,51.2,92,,Percent of Total Billed Charges,43.57,,51.2,92,,Percent of Total Billed Charges,45.13,,43.41,78,,Percent of Total Billed Charges,43.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,29.96,53.83,,Percent of Total Billed Charges,28.1,,19.28,34.64,,Percent of Total Billed Charges,19.2,,27.81,49.98,,Percent of Total Billed Charges,21.04,,19.28,51.2,,																																							
HC POTASSIUM,84132,CPT,,,,BOTH, , ,72.45,60.86,66.65,92,,Percent of Total Billed Charges,60.57,,66.65,92,,Percent of Total Billed Charges,59.48,,66.65,92,,Percent of Total Billed Charges,58.32,,66.65,92,,Percent of Total Billed Charges,60.5,,66.65,92,,Percent of Total Billed Charges,54.55,,66.65,92,,Percent of Total Billed Charges,45.28,,65.21,90,,Percent of Total Billed Charges,36.15,,64.48,89,,Percent of Total Billed Charges,34.78,,59.7,82.4,,Percent of Total Billed Charges,59.55,,60.42,83.4,,Percent of Total Billed Charges,56.37,,60.42,83.4,,Percent of Total Billed Charges,50.79,,60.42,83.4,,Percent of Total Billed Charges,58.97,,65.21,90,,Percent of Total Billed Charges,61.37,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,66.65,92,,Percent of Total Billed Charges,58.76,,66.65,92,,Percent of Total Billed Charges,53.9,,66.65,92,,Percent of Total Billed Charges,56.73,,66.65,92,,Percent of Total Billed Charges,58.76,,56.51,78,,Percent of Total Billed Charges,56.51,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,39,53.83,,Percent of Total Billed Charges,36.59,,25.1,34.64,,Percent of Total Billed Charges,25,,36.21,49.98,,Percent of Total Billed Charges,27.39,,25.10,66.65,,																																							
HC POTASSIUM; URINE,84133,CPT,,,,BOTH, , ,72.45,60.86,66.65,92,,Percent of Total Billed Charges,60.57,,66.65,92,,Percent of Total Billed Charges,59.48,,66.65,92,,Percent of Total Billed Charges,58.32,,66.65,92,,Percent of Total Billed Charges,60.5,,66.65,92,,Percent of Total Billed Charges,54.55,,66.65,92,,Percent of Total Billed Charges,45.28,,65.21,90,,Percent of Total Billed Charges,36.15,,64.48,89,,Percent of Total Billed Charges,34.78,,59.7,82.4,,Percent of Total Billed Charges,59.55,,60.42,83.4,,Percent of Total Billed Charges,56.37,,60.42,83.4,,Percent of Total Billed Charges,50.79,,60.42,83.4,,Percent of Total Billed Charges,58.97,,65.21,90,,Percent of Total Billed Charges,61.37,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,66.65,92,,Percent of Total Billed Charges,58.76,,66.65,92,,Percent of Total Billed Charges,53.9,,66.65,92,,Percent of Total Billed Charges,56.73,,66.65,92,,Percent of Total Billed Charges,58.76,,56.51,78,,Percent of Total Billed Charges,56.51,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,39,53.83,,Percent of Total Billed Charges,36.59,,25.1,34.64,,Percent of Total Billed Charges,25,,36.21,49.98,,Percent of Total Billed Charges,27.39,,25.10,66.65,,																																							
HC PREALBUMIN,84134,CPT,,,,BOTH, , ,10.5,8.82,9.66,92,,Percent of Total Billed Charges,8.78,,9.66,92,,Percent of Total Billed Charges,8.62,,9.66,92,,Percent of Total Billed Charges,8.45,,9.66,92,,Percent of Total Billed Charges,8.77,,9.66,92,,Percent of Total Billed Charges,7.91,,9.66,92,,Percent of Total Billed Charges,6.56,,9.45,90,,Percent of Total Billed Charges,5.24,,9.35,89,,Percent of Total Billed Charges,5.04,,8.65,82.4,,Percent of Total Billed Charges,8.63,,8.76,83.4,,Percent of Total Billed Charges,8.17,,8.76,83.4,,Percent of Total Billed Charges,7.36,,8.76,83.4,,Percent of Total Billed Charges,8.55,,9.45,90,,Percent of Total Billed Charges,8.89,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,9.66,92,,Percent of Total Billed Charges,8.52,,9.66,92,,Percent of Total Billed Charges,7.81,,9.66,92,,Percent of Total Billed Charges,8.22,,9.66,92,,Percent of Total Billed Charges,8.52,,8.19,78,,Percent of Total Billed Charges,8.19,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5.65,53.83,,Percent of Total Billed Charges,5.3,,3.64,34.64,,Percent of Total Billed Charges,3.62,,5.25,49.98,,Percent of Total Billed Charges,3.97,,3.64,9.66,,																																							
HC PROLACTIN,84146,CPT,,,,BOTH, , ,406.35,341.33,373.84,92,,Percent of Total Billed Charges,339.71,,373.84,92,,Percent of Total Billed Charges,333.61,,373.84,92,,Percent of Total Billed Charges,327.11,,373.84,92,,Percent of Total Billed Charges,339.3,,373.84,92,,Percent of Total Billed Charges,305.98,,373.84,92,,Percent of Total Billed Charges,253.97,,365.72,90,,Percent of Total Billed Charges,202.77,,361.65,89,,Percent of Total Billed Charges,195.05,,334.83,82.4,,Percent of Total Billed Charges,334.02,,338.9,83.4,,Percent of Total Billed Charges,316.14,,338.9,83.4,,Percent of Total Billed Charges,284.85,,338.9,83.4,,Percent of Total Billed Charges,330.77,,365.72,90,,Percent of Total Billed Charges,344.18,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,373.84,92,,Percent of Total Billed Charges,329.55,,373.84,92,,Percent of Total Billed Charges,302.32,,373.84,92,,Percent of Total Billed Charges,318.17,,373.84,92,,Percent of Total Billed Charges,329.55,,316.95,78,,Percent of Total Billed Charges,316.95,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,218.74,53.83,,Percent of Total Billed Charges,205.21,,140.76,34.64,,Percent of Total Billed Charges,140.19,,203.09,49.98,,Percent of Total Billed Charges,153.6,,140.76,373.84,,																																							
HC ASSAY OF PSA TOTAL,84153,CPT,,,,BOTH, , ,13.65,11.47,12.56,92,,Percent of Total Billed Charges,11.41,,12.56,92,,Percent of Total Billed Charges,11.21,,12.56,92,,Percent of Total Billed Charges,10.99,,12.56,92,,Percent of Total Billed Charges,11.4,,12.56,92,,Percent of Total Billed Charges,10.28,,12.56,92,,Percent of Total Billed Charges,8.53,,12.29,90,,Percent of Total Billed Charges,6.81,,12.15,89,,Percent of Total Billed Charges,6.55,,11.25,82.4,,Percent of Total Billed Charges,11.22,,11.38,83.4,,Percent of Total Billed Charges,10.62,,11.38,83.4,,Percent of Total Billed Charges,9.57,,11.38,83.4,,Percent of Total Billed Charges,11.11,,12.29,90,,Percent of Total Billed Charges,11.56,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,12.56,92,,Percent of Total Billed Charges,11.07,,12.56,92,,Percent of Total Billed Charges,10.16,,12.56,92,,Percent of Total Billed Charges,10.69,,12.56,92,,Percent of Total Billed Charges,11.07,,10.65,78,,Percent of Total Billed Charges,10.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,7.35,53.83,,Percent of Total Billed Charges,6.89,,4.73,34.64,,Percent of Total Billed Charges,4.71,,6.82,49.98,,Percent of Total Billed Charges,5.16,,4.73,12.56,,																																							
HC PROTEIN TOTAL,84155,CPT,,,,BOTH, , ,81.9,68.8,75.35,92,,Percent of Total Billed Charges,68.47,,75.35,92,,Percent of Total Billed Charges,67.24,,75.35,92,,Percent of Total Billed Charges,65.93,,75.35,92,,Percent of Total Billed Charges,68.39,,75.35,92,,Percent of Total Billed Charges,61.67,,75.35,92,,Percent of Total Billed Charges,51.19,,73.71,90,,Percent of Total Billed Charges,40.87,,72.89,89,,Percent of Total Billed Charges,39.31,,67.49,82.4,,Percent of Total Billed Charges,67.32,,68.3,83.4,,Percent of Total Billed Charges,63.72,,68.3,83.4,,Percent of Total Billed Charges,57.41,,68.3,83.4,,Percent of Total Billed Charges,66.67,,73.71,90,,Percent of Total Billed Charges,69.37,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,75.35,92,,Percent of Total Billed Charges,66.42,,75.35,92,,Percent of Total Billed Charges,60.93,,75.35,92,,Percent of Total Billed Charges,64.13,,75.35,92,,Percent of Total Billed Charges,66.42,,63.88,78,,Percent of Total Billed Charges,63.88,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,44.09,53.83,,Percent of Total Billed Charges,41.36,,28.37,34.64,,Percent of Total Billed Charges,28.26,,40.93,49.98,,Percent of Total Billed Charges,30.96,,28.37,75.35,,																																							
HC PROTEIN BODY FLUID,84157,CPT,,,,BOTH, , ,85.05,71.44,78.25,92,,Percent of Total Billed Charges,71.1,,78.25,92,,Percent of Total Billed Charges,69.83,,78.25,92,,Percent of Total Billed Charges,68.47,,78.25,92,,Percent of Total Billed Charges,71.02,,78.25,92,,Percent of Total Billed Charges,64.04,,78.25,92,,Percent of Total Billed Charges,53.16,,76.55,90,,Percent of Total Billed Charges,42.44,,75.69,89,,Percent of Total Billed Charges,40.82,,70.08,82.4,,Percent of Total Billed Charges,69.91,,70.93,83.4,,Percent of Total Billed Charges,66.17,,70.93,83.4,,Percent of Total Billed Charges,59.62,,70.93,83.4,,Percent of Total Billed Charges,69.23,,76.55,90,,Percent of Total Billed Charges,72.04,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,78.25,92,,Percent of Total Billed Charges,68.98,,78.25,92,,Percent of Total Billed Charges,63.28,,78.25,92,,Percent of Total Billed Charges,66.59,,78.25,92,,Percent of Total Billed Charges,68.98,,66.34,78,,Percent of Total Billed Charges,66.34,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,45.78,53.83,,Percent of Total Billed Charges,42.95,,29.46,34.64,,Percent of Total Billed Charges,29.34,,42.51,49.98,,Percent of Total Billed Charges,32.15,,29.46,78.25,,																																							
HC VITAMIN B6,84207,CPT,,,,BOTH, , ,480.9,403.96,442.43,92,,Percent of Total Billed Charges,402.03,,442.43,92,,Percent of Total Billed Charges,394.82,,442.43,92,,Percent of Total Billed Charges,387.12,,442.43,92,,Percent of Total Billed Charges,401.55,,442.43,92,,Percent of Total Billed Charges,362.12,,442.43,92,,Percent of Total Billed Charges,300.56,,432.81,90,,Percent of Total Billed Charges,239.97,,428,89,,Percent of Total Billed Charges,230.83,,396.26,82.4,,Percent of Total Billed Charges,395.3,,401.07,83.4,,Percent of Total Billed Charges,374.14,,401.07,83.4,,Percent of Total Billed Charges,337.11,,401.07,83.4,,Percent of Total Billed Charges,391.45,,432.81,90,,Percent of Total Billed Charges,407.32,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,442.43,92,,Percent of Total Billed Charges,390.01,,442.43,92,,Percent of Total Billed Charges,357.79,,442.43,92,,Percent of Total Billed Charges,376.54,,442.43,92,,Percent of Total Billed Charges,390.01,,375.1,78,,Percent of Total Billed Charges,375.1,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,258.87,53.83,,Percent of Total Billed Charges,242.85,,166.58,34.64,,Percent of Total Billed Charges,165.91,,240.35,49.98,,Percent of Total Billed Charges,181.78,,166.58,442.43,,																																							
HC PYRUVATE BLOOD,84210,CPT,,,,BOTH, , ,255.15,214.33,234.74,92,,Percent of Total Billed Charges,213.31,,234.74,92,,Percent of Total Billed Charges,209.48,,234.74,92,,Percent of Total Billed Charges,205.4,,234.74,92,,Percent of Total Billed Charges,213.05,,234.74,92,,Percent of Total Billed Charges,192.13,,234.74,92,,Percent of Total Billed Charges,159.47,,229.64,90,,Percent of Total Billed Charges,127.32,,227.08,89,,Percent of Total Billed Charges,122.47,,210.24,82.4,,Percent of Total Billed Charges,209.73,,212.8,83.4,,Percent of Total Billed Charges,198.51,,212.8,83.4,,Percent of Total Billed Charges,178.86,,212.8,83.4,,Percent of Total Billed Charges,207.69,,229.64,90,,Percent of Total Billed Charges,216.11,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,234.74,92,,Percent of Total Billed Charges,206.93,,234.74,92,,Percent of Total Billed Charges,189.83,,234.74,92,,Percent of Total Billed Charges,199.78,,234.74,92,,Percent of Total Billed Charges,206.93,,199.02,78,,Percent of Total Billed Charges,199.02,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,137.35,53.83,,Percent of Total Billed Charges,128.85,,88.38,34.64,,Percent of Total Billed Charges,88.03,,127.52,49.98,,Percent of Total Billed Charges,96.45,,88.38,234.74,,																																							
HC SEX HORMONE BINDING GLOBULIN,84270,CPT,,,,BOTH, , ,255.15,214.33,234.74,92,,Percent of Total Billed Charges,213.31,,234.74,92,,Percent of Total Billed Charges,209.48,,234.74,92,,Percent of Total Billed Charges,205.4,,234.74,92,,Percent of Total Billed Charges,213.05,,234.74,92,,Percent of Total Billed Charges,192.13,,234.74,92,,Percent of Total Billed Charges,159.47,,229.64,90,,Percent of Total Billed Charges,127.32,,227.08,89,,Percent of Total Billed Charges,122.47,,210.24,82.4,,Percent of Total Billed Charges,209.73,,212.8,83.4,,Percent of Total Billed Charges,198.51,,212.8,83.4,,Percent of Total Billed Charges,178.86,,212.8,83.4,,Percent of Total Billed Charges,207.69,,229.64,90,,Percent of Total Billed Charges,216.11,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,234.74,92,,Percent of Total Billed Charges,206.93,,234.74,92,,Percent of Total Billed Charges,189.83,,234.74,92,,Percent of Total Billed Charges,199.78,,234.74,92,,Percent of Total Billed Charges,206.93,,199.02,78,,Percent of Total Billed Charges,199.02,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,137.35,53.83,,Percent of Total Billed Charges,128.85,,88.38,34.64,,Percent of Total Billed Charges,88.03,,127.52,49.98,,Percent of Total Billed Charges,96.45,,88.38,234.74,,																																							
HC SODIUM,84295,CPT,,,,BOTH, , ,72.45,60.86,66.65,92,,Percent of Total Billed Charges,60.57,,66.65,92,,Percent of Total Billed Charges,59.48,,66.65,92,,Percent of Total Billed Charges,58.32,,66.65,92,,Percent of Total Billed Charges,60.5,,66.65,92,,Percent of Total Billed Charges,54.55,,66.65,92,,Percent of Total Billed Charges,45.28,,65.21,90,,Percent of Total Billed Charges,36.15,,64.48,89,,Percent of Total Billed Charges,34.78,,59.7,82.4,,Percent of Total Billed Charges,59.55,,60.42,83.4,,Percent of Total Billed Charges,56.37,,60.42,83.4,,Percent of Total Billed Charges,50.79,,60.42,83.4,,Percent of Total Billed Charges,58.97,,65.21,90,,Percent of Total Billed Charges,61.37,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,66.65,92,,Percent of Total Billed Charges,58.76,,66.65,92,,Percent of Total Billed Charges,53.9,,66.65,92,,Percent of Total Billed Charges,56.73,,66.65,92,,Percent of Total Billed Charges,58.76,,56.51,78,,Percent of Total Billed Charges,56.51,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,39,53.83,,Percent of Total Billed Charges,36.59,,25.1,34.64,,Percent of Total Billed Charges,25,,36.21,49.98,,Percent of Total Billed Charges,27.39,,25.10,66.65,,																																							
HC SODIUM URINE,84300,CPT,,,,BOTH, , ,72.45,60.86,66.65,92,,Percent of Total Billed Charges,60.57,,66.65,92,,Percent of Total Billed Charges,59.48,,66.65,92,,Percent of Total Billed Charges,58.32,,66.65,92,,Percent of Total Billed Charges,60.5,,66.65,92,,Percent of Total Billed Charges,54.55,,66.65,92,,Percent of Total Billed Charges,45.28,,65.21,90,,Percent of Total Billed Charges,36.15,,64.48,89,,Percent of Total Billed Charges,34.78,,59.7,82.4,,Percent of Total Billed Charges,59.55,,60.42,83.4,,Percent of Total Billed Charges,56.37,,60.42,83.4,,Percent of Total Billed Charges,50.79,,60.42,83.4,,Percent of Total Billed Charges,58.97,,65.21,90,,Percent of Total Billed Charges,61.37,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,66.65,92,,Percent of Total Billed Charges,58.76,,66.65,92,,Percent of Total Billed Charges,53.9,,66.65,92,,Percent of Total Billed Charges,56.73,,66.65,92,,Percent of Total Billed Charges,58.76,,56.51,78,,Percent of Total Billed Charges,56.51,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,39,53.83,,Percent of Total Billed Charges,36.59,,25.1,34.64,,Percent of Total Billed Charges,25,,36.21,49.98,,Percent of Total Billed Charges,27.39,,25.10,66.65,,																																							
HC ASSAY OF SWEAT SODIUM,84302,CPT,,,,BOTH, , ,4.2,3.53,3.86,92,,Percent of Total Billed Charges,3.51,,3.86,92,,Percent of Total Billed Charges,3.45,,3.86,92,,Percent of Total Billed Charges,3.38,,3.86,92,,Percent of Total Billed Charges,3.51,,3.86,92,,Percent of Total Billed Charges,3.16,,3.86,92,,Percent of Total Billed Charges,2.63,,3.78,90,,Percent of Total Billed Charges,2.1,,3.74,89,,Percent of Total Billed Charges,2.02,,3.46,82.4,,Percent of Total Billed Charges,3.45,,3.5,83.4,,Percent of Total Billed Charges,3.27,,3.5,83.4,,Percent of Total Billed Charges,2.94,,3.5,83.4,,Percent of Total Billed Charges,3.42,,3.78,90,,Percent of Total Billed Charges,3.56,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3.86,92,,Percent of Total Billed Charges,3.41,,3.86,92,,Percent of Total Billed Charges,3.12,,3.86,92,,Percent of Total Billed Charges,3.29,,3.86,92,,Percent of Total Billed Charges,3.41,,3.28,78,,Percent of Total Billed Charges,3.28,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2.26,53.83,,Percent of Total Billed Charges,2.12,,1.45,34.64,,Percent of Total Billed Charges,1.45,,2.1,49.98,,Percent of Total Billed Charges,1.59,,1.45,3.86,,																																							
HC SPECIFIC GRAVITY FLUID,84315,CPT,,,,BOTH, , ,7.35,6.17,6.76,92,,Percent of Total Billed Charges,6.14,,6.76,92,,Percent of Total Billed Charges,6.03,,6.76,92,,Percent of Total Billed Charges,5.92,,6.76,92,,Percent of Total Billed Charges,6.14,,6.76,92,,Percent of Total Billed Charges,5.53,,6.76,92,,Percent of Total Billed Charges,4.59,,6.62,90,,Percent of Total Billed Charges,3.67,,6.54,89,,Percent of Total Billed Charges,3.53,,6.06,82.4,,Percent of Total Billed Charges,6.04,,6.13,83.4,,Percent of Total Billed Charges,5.72,,6.13,83.4,,Percent of Total Billed Charges,5.15,,6.13,83.4,,Percent of Total Billed Charges,5.98,,6.62,90,,Percent of Total Billed Charges,6.23,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6.76,92,,Percent of Total Billed Charges,5.96,,6.76,92,,Percent of Total Billed Charges,5.47,,6.76,92,,Percent of Total Billed Charges,5.76,,6.76,92,,Percent of Total Billed Charges,5.96,,5.73,78,,Percent of Total Billed Charges,5.73,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3.96,53.83,,Percent of Total Billed Charges,3.71,,2.55,34.64,,Percent of Total Billed Charges,2.54,,3.67,49.98,,Percent of Total Billed Charges,2.78,,2.55,6.76,,																																							
HC TESTOSTERONE TOTAL,84403,CPT,,,,BOTH, , ,239.4,201.1,220.25,92,,Percent of Total Billed Charges,200.14,,220.25,92,,Percent of Total Billed Charges,196.55,,220.25,92,,Percent of Total Billed Charges,192.72,,220.25,92,,Percent of Total Billed Charges,199.9,,220.25,92,,Percent of Total Billed Charges,180.27,,220.25,92,,Percent of Total Billed Charges,149.63,,215.46,90,,Percent of Total Billed Charges,119.46,,213.07,89,,Percent of Total Billed Charges,114.91,,197.27,82.4,,Percent of Total Billed Charges,196.79,,199.66,83.4,,Percent of Total Billed Charges,186.25,,199.66,83.4,,Percent of Total Billed Charges,167.82,,199.66,83.4,,Percent of Total Billed Charges,194.87,,215.46,90,,Percent of Total Billed Charges,202.77,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,220.25,92,,Percent of Total Billed Charges,194.15,,220.25,92,,Percent of Total Billed Charges,178.11,,220.25,92,,Percent of Total Billed Charges,187.45,,220.25,92,,Percent of Total Billed Charges,194.15,,186.73,78,,Percent of Total Billed Charges,186.73,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,128.87,53.83,,Percent of Total Billed Charges,120.9,,82.93,34.64,,Percent of Total Billed Charges,82.59,,119.65,49.98,,Percent of Total Billed Charges,90.49,,82.93,220.25,,																																							
HC THYROXINE TOTAL,84436,CPT,,,,BOTH, , ,71.4,59.98,65.69,92,,Percent of Total Billed Charges,59.69,,65.69,92,,Percent of Total Billed Charges,58.62,,65.69,92,,Percent of Total Billed Charges,57.48,,65.69,92,,Percent of Total Billed Charges,59.62,,65.69,92,,Percent of Total Billed Charges,53.76,,65.69,92,,Percent of Total Billed Charges,44.63,,64.26,90,,Percent of Total Billed Charges,35.63,,63.55,89,,Percent of Total Billed Charges,34.27,,58.83,82.4,,Percent of Total Billed Charges,58.69,,59.55,83.4,,Percent of Total Billed Charges,55.55,,59.55,83.4,,Percent of Total Billed Charges,50.05,,59.55,83.4,,Percent of Total Billed Charges,58.12,,64.26,90,,Percent of Total Billed Charges,60.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,65.69,92,,Percent of Total Billed Charges,57.91,,65.69,92,,Percent of Total Billed Charges,53.12,,65.69,92,,Percent of Total Billed Charges,55.91,,65.69,92,,Percent of Total Billed Charges,57.91,,55.69,78,,Percent of Total Billed Charges,55.69,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,38.43,53.83,,Percent of Total Billed Charges,36.06,,24.73,34.64,,Percent of Total Billed Charges,24.63,,35.69,49.98,,Percent of Total Billed Charges,26.99,,24.73,65.69,,																																							
HC THYROXINE FREE,84439,CPT,,,,BOTH, , ,187.95,157.88,172.91,92,,Percent of Total Billed Charges,157.13,,172.91,92,,Percent of Total Billed Charges,154.31,,172.91,92,,Percent of Total Billed Charges,151.3,,172.91,92,,Percent of Total Billed Charges,156.94,,172.91,92,,Percent of Total Billed Charges,141.53,,172.91,92,,Percent of Total Billed Charges,117.47,,169.16,90,,Percent of Total Billed Charges,93.79,,167.28,89,,Percent of Total Billed Charges,90.22,,154.87,82.4,,Percent of Total Billed Charges,154.49,,156.75,83.4,,Percent of Total Billed Charges,146.23,,156.75,83.4,,Percent of Total Billed Charges,131.75,,156.75,83.4,,Percent of Total Billed Charges,152.99,,169.16,90,,Percent of Total Billed Charges,159.19,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,172.91,92,,Percent of Total Billed Charges,152.43,,172.91,92,,Percent of Total Billed Charges,139.83,,172.91,92,,Percent of Total Billed Charges,147.16,,172.91,92,,Percent of Total Billed Charges,152.43,,146.6,78,,Percent of Total Billed Charges,146.6,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,101.17,53.83,,Percent of Total Billed Charges,94.91,,65.11,34.64,,Percent of Total Billed Charges,64.84,,93.94,49.98,,Percent of Total Billed Charges,71.05,,65.11,172.91,,																																							
HC ASSAY THYROID STIM HORMONE,84443,CPT,,,,BOTH, , ,227.85,191.39,209.62,92,,Percent of Total Billed Charges,190.48,,209.62,92,,Percent of Total Billed Charges,187.06,,209.62,92,,Percent of Total Billed Charges,183.42,,209.62,92,,Percent of Total Billed Charges,190.25,,209.62,92,,Percent of Total Billed Charges,171.57,,209.62,92,,Percent of Total Billed Charges,142.41,,205.07,90,,Percent of Total Billed Charges,113.7,,202.79,89,,Percent of Total Billed Charges,109.37,,187.75,82.4,,Percent of Total Billed Charges,187.29,,190.03,83.4,,Percent of Total Billed Charges,177.27,,190.03,83.4,,Percent of Total Billed Charges,159.72,,190.03,83.4,,Percent of Total Billed Charges,185.47,,205.07,90,,Percent of Total Billed Charges,192.99,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,209.62,92,,Percent of Total Billed Charges,184.79,,209.62,92,,Percent of Total Billed Charges,169.52,,209.62,92,,Percent of Total Billed Charges,178.41,,209.62,92,,Percent of Total Billed Charges,184.79,,177.72,78,,Percent of Total Billed Charges,177.72,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,122.65,53.83,,Percent of Total Billed Charges,115.06,,78.93,34.64,,Percent of Total Billed Charges,78.61,,113.88,49.98,,Percent of Total Billed Charges,86.13,,78.93,209.62,,																																							
HC THYROID STIMULATING IMMUNOGLOBULIN,84445,CPT,,,,BOTH, , ,72.45,60.86,66.65,92,,Percent of Total Billed Charges,60.57,,66.65,92,,Percent of Total Billed Charges,59.48,,66.65,92,,Percent of Total Billed Charges,58.32,,66.65,92,,Percent of Total Billed Charges,60.5,,66.65,92,,Percent of Total Billed Charges,54.55,,66.65,92,,Percent of Total Billed Charges,45.28,,65.21,90,,Percent of Total Billed Charges,36.15,,64.48,89,,Percent of Total Billed Charges,34.78,,59.7,82.4,,Percent of Total Billed Charges,59.55,,60.42,83.4,,Percent of Total Billed Charges,56.37,,60.42,83.4,,Percent of Total Billed Charges,50.79,,60.42,83.4,,Percent of Total Billed Charges,58.97,,65.21,90,,Percent of Total Billed Charges,61.37,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,66.65,92,,Percent of Total Billed Charges,58.76,,66.65,92,,Percent of Total Billed Charges,53.9,,66.65,92,,Percent of Total Billed Charges,56.73,,66.65,92,,Percent of Total Billed Charges,58.76,,56.51,78,,Percent of Total Billed Charges,56.51,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,39,53.83,,Percent of Total Billed Charges,36.59,,25.1,34.64,,Percent of Total Billed Charges,25,,36.21,49.98,,Percent of Total Billed Charges,27.39,,25.10,66.65,,																																							
HC TRANSFERASE AST,84450,CPT,,,,BOTH, , ,99.75,83.79,91.77,92,,Percent of Total Billed Charges,83.39,,91.77,92,,Percent of Total Billed Charges,81.89,,91.77,92,,Percent of Total Billed Charges,80.3,,91.77,92,,Percent of Total Billed Charges,83.29,,91.77,92,,Percent of Total Billed Charges,75.11,,91.77,92,,Percent of Total Billed Charges,62.34,,89.78,90,,Percent of Total Billed Charges,49.78,,88.78,89,,Percent of Total Billed Charges,47.88,,82.19,82.4,,Percent of Total Billed Charges,81.99,,83.19,83.4,,Percent of Total Billed Charges,77.61,,83.19,83.4,,Percent of Total Billed Charges,69.92,,83.19,83.4,,Percent of Total Billed Charges,81.2,,89.78,90,,Percent of Total Billed Charges,84.49,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,91.77,92,,Percent of Total Billed Charges,80.9,,91.77,92,,Percent of Total Billed Charges,74.21,,91.77,92,,Percent of Total Billed Charges,78.1,,91.77,92,,Percent of Total Billed Charges,80.9,,77.81,78,,Percent of Total Billed Charges,77.81,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,53.7,53.83,,Percent of Total Billed Charges,50.37,,34.55,34.64,,Percent of Total Billed Charges,34.41,,49.86,49.98,,Percent of Total Billed Charges,37.71,,34.55,91.77,,																																							
HC ALANINE AMINO (ALT) (SGPT,84460,CPT,,,,BOTH, , ,99.75,83.79,91.77,92,,Percent of Total Billed Charges,83.39,,91.77,92,,Percent of Total Billed Charges,81.89,,91.77,92,,Percent of Total Billed Charges,80.3,,91.77,92,,Percent of Total Billed Charges,83.29,,91.77,92,,Percent of Total Billed Charges,75.11,,91.77,92,,Percent of Total Billed Charges,62.34,,89.78,90,,Percent of Total Billed Charges,49.78,,88.78,89,,Percent of Total Billed Charges,47.88,,82.19,82.4,,Percent of Total Billed Charges,81.99,,83.19,83.4,,Percent of Total Billed Charges,77.61,,83.19,83.4,,Percent of Total Billed Charges,69.92,,83.19,83.4,,Percent of Total Billed Charges,81.2,,89.78,90,,Percent of Total Billed Charges,84.49,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,91.77,92,,Percent of Total Billed Charges,80.9,,91.77,92,,Percent of Total Billed Charges,74.21,,91.77,92,,Percent of Total Billed Charges,78.1,,91.77,92,,Percent of Total Billed Charges,80.9,,77.81,78,,Percent of Total Billed Charges,77.81,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,53.7,53.83,,Percent of Total Billed Charges,50.37,,34.55,34.64,,Percent of Total Billed Charges,34.41,,49.86,49.98,,Percent of Total Billed Charges,37.71,,34.55,91.77,,																																							
HC TRANSFERRIN,84466,CPT,,,,BOTH, , ,14.7,12.35,13.52,92,,Percent of Total Billed Charges,12.29,,13.52,92,,Percent of Total Billed Charges,12.07,,13.52,92,,Percent of Total Billed Charges,11.83,,13.52,92,,Percent of Total Billed Charges,12.27,,13.52,92,,Percent of Total Billed Charges,11.07,,13.52,92,,Percent of Total Billed Charges,9.19,,13.23,90,,Percent of Total Billed Charges,7.34,,13.08,89,,Percent of Total Billed Charges,7.06,,12.11,82.4,,Percent of Total Billed Charges,12.08,,12.26,83.4,,Percent of Total Billed Charges,11.44,,12.26,83.4,,Percent of Total Billed Charges,10.3,,12.26,83.4,,Percent of Total Billed Charges,11.97,,13.23,90,,Percent of Total Billed Charges,12.45,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,13.52,92,,Percent of Total Billed Charges,11.92,,13.52,92,,Percent of Total Billed Charges,10.94,,13.52,92,,Percent of Total Billed Charges,11.51,,13.52,92,,Percent of Total Billed Charges,11.92,,11.47,78,,Percent of Total Billed Charges,11.47,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,7.91,53.83,,Percent of Total Billed Charges,7.42,,5.09,34.64,,Percent of Total Billed Charges,5.07,,7.35,49.98,,Percent of Total Billed Charges,5.56,,5.09,13.52,,																																							
HC TRIGLYCERIDES,84478,CPT,,,,BOTH, , ,69.3,58.21,63.76,92,,Percent of Total Billed Charges,57.93,,63.76,92,,Percent of Total Billed Charges,56.9,,63.76,92,,Percent of Total Billed Charges,55.79,,63.76,92,,Percent of Total Billed Charges,57.87,,63.76,92,,Percent of Total Billed Charges,52.18,,63.76,92,,Percent of Total Billed Charges,43.31,,62.37,90,,Percent of Total Billed Charges,34.58,,61.68,89,,Percent of Total Billed Charges,33.26,,57.1,82.4,,Percent of Total Billed Charges,56.96,,57.8,83.4,,Percent of Total Billed Charges,53.92,,57.8,83.4,,Percent of Total Billed Charges,48.58,,57.8,83.4,,Percent of Total Billed Charges,56.41,,62.37,90,,Percent of Total Billed Charges,58.7,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,63.76,92,,Percent of Total Billed Charges,56.2,,63.76,92,,Percent of Total Billed Charges,51.56,,63.76,92,,Percent of Total Billed Charges,54.26,,63.76,92,,Percent of Total Billed Charges,56.2,,54.05,78,,Percent of Total Billed Charges,54.05,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,37.3,53.83,,Percent of Total Billed Charges,35,,24.01,34.64,,Percent of Total Billed Charges,23.91,,34.64,49.98,,Percent of Total Billed Charges,26.2,,24.01,63.76,,																																							
HC ASSAY OF THYROID (T3 OR T4),84479,CPT,,,,BOTH, , ,10.5,8.82,9.66,92,,Percent of Total Billed Charges,8.78,,9.66,92,,Percent of Total Billed Charges,8.62,,9.66,92,,Percent of Total Billed Charges,8.45,,9.66,92,,Percent of Total Billed Charges,8.77,,9.66,92,,Percent of Total Billed Charges,7.91,,9.66,92,,Percent of Total Billed Charges,6.56,,9.45,90,,Percent of Total Billed Charges,5.24,,9.35,89,,Percent of Total Billed Charges,5.04,,8.65,82.4,,Percent of Total Billed Charges,8.63,,8.76,83.4,,Percent of Total Billed Charges,8.17,,8.76,83.4,,Percent of Total Billed Charges,7.36,,8.76,83.4,,Percent of Total Billed Charges,8.55,,9.45,90,,Percent of Total Billed Charges,8.89,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,9.66,92,,Percent of Total Billed Charges,8.52,,9.66,92,,Percent of Total Billed Charges,7.81,,9.66,92,,Percent of Total Billed Charges,8.22,,9.66,92,,Percent of Total Billed Charges,8.52,,8.19,78,,Percent of Total Billed Charges,8.19,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5.65,53.83,,Percent of Total Billed Charges,5.3,,3.64,34.64,,Percent of Total Billed Charges,3.62,,5.25,49.98,,Percent of Total Billed Charges,3.97,,3.64,9.66,,																																							
HC T3, TOTAL,84480,CPT,,,,BOTH, , ,245.7,206.39,226.04,92,,Percent of Total Billed Charges,205.41,,226.04,92,,Percent of Total Billed Charges,201.72,,226.04,92,,Percent of Total Billed Charges,197.79,,226.04,92,,Percent of Total Billed Charges,205.16,,226.04,92,,Percent of Total Billed Charges,185.01,,226.04,92,,Percent of Total Billed Charges,153.56,,221.13,90,,Percent of Total Billed Charges,122.6,,218.67,89,,Percent of Total Billed Charges,117.94,,202.46,82.4,,Percent of Total Billed Charges,201.97,,204.91,83.4,,Percent of Total Billed Charges,191.15,,204.91,83.4,,Percent of Total Billed Charges,172.24,,204.91,83.4,,Percent of Total Billed Charges,200,,221.13,90,,Percent of Total Billed Charges,208.11,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,226.04,92,,Percent of Total Billed Charges,199.26,,226.04,92,,Percent of Total Billed Charges,182.8,,226.04,92,,Percent of Total Billed Charges,192.38,,226.04,92,,Percent of Total Billed Charges,199.26,,191.65,78,,Percent of Total Billed Charges,191.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,132.26,53.83,,Percent of Total Billed Charges,124.08,,85.11,34.64,,Percent of Total Billed Charges,84.77,,122.8,49.98,,Percent of Total Billed Charges,92.87,,85.11,226.04,,																																							
HC TROPONIN,84484,CPT,,,,BOTH, , ,166.95,140.24,153.59,92,,Percent of Total Billed Charges,139.57,,153.59,92,,Percent of Total Billed Charges,137.07,,153.59,92,,Percent of Total Billed Charges,134.39,,153.59,92,,Percent of Total Billed Charges,139.4,,153.59,92,,Percent of Total Billed Charges,125.71,,153.59,92,,Percent of Total Billed Charges,104.34,,150.26,90,,Percent of Total Billed Charges,83.31,,148.59,89,,Percent of Total Billed Charges,80.14,,137.57,82.4,,Percent of Total Billed Charges,137.23,,139.24,83.4,,Percent of Total Billed Charges,129.89,,139.24,83.4,,Percent of Total Billed Charges,117.03,,139.24,83.4,,Percent of Total Billed Charges,135.9,,150.26,90,,Percent of Total Billed Charges,141.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,153.59,92,,Percent of Total Billed Charges,135.4,,153.59,92,,Percent of Total Billed Charges,124.21,,153.59,92,,Percent of Total Billed Charges,130.72,,153.59,92,,Percent of Total Billed Charges,135.4,,130.22,78,,Percent of Total Billed Charges,130.22,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,89.87,53.83,,Percent of Total Billed Charges,84.31,,57.83,34.64,,Percent of Total Billed Charges,57.6,,83.44,49.98,,Percent of Total Billed Charges,63.11,,57.83,153.59,,																																							
HC UREA NITROGEN,84520,CPT,,,,BOTH, , ,72.45,60.86,66.65,92,,Percent of Total Billed Charges,60.57,,66.65,92,,Percent of Total Billed Charges,59.48,,66.65,92,,Percent of Total Billed Charges,58.32,,66.65,92,,Percent of Total Billed Charges,60.5,,66.65,92,,Percent of Total Billed Charges,54.55,,66.65,92,,Percent of Total Billed Charges,45.28,,65.21,90,,Percent of Total Billed Charges,36.15,,64.48,89,,Percent of Total Billed Charges,34.78,,59.7,82.4,,Percent of Total Billed Charges,59.55,,60.42,83.4,,Percent of Total Billed Charges,56.37,,60.42,83.4,,Percent of Total Billed Charges,50.79,,60.42,83.4,,Percent of Total Billed Charges,58.97,,65.21,90,,Percent of Total Billed Charges,61.37,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,66.65,92,,Percent of Total Billed Charges,58.76,,66.65,92,,Percent of Total Billed Charges,53.9,,66.65,92,,Percent of Total Billed Charges,56.73,,66.65,92,,Percent of Total Billed Charges,58.76,,56.51,78,,Percent of Total Billed Charges,56.51,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,39,53.83,,Percent of Total Billed Charges,36.59,,25.1,34.64,,Percent of Total Billed Charges,25,,36.21,49.98,,Percent of Total Billed Charges,27.39,,25.10,66.65,,																																							
HC BLOOD/URIC ACID,84550,CPT,,,,BOTH, , ,7.35,6.17,6.76,92,,Percent of Total Billed Charges,6.14,,6.76,92,,Percent of Total Billed Charges,6.03,,6.76,92,,Percent of Total Billed Charges,5.92,,6.76,92,,Percent of Total Billed Charges,6.14,,6.76,92,,Percent of Total Billed Charges,5.53,,6.76,92,,Percent of Total Billed Charges,4.59,,6.62,90,,Percent of Total Billed Charges,3.67,,6.54,89,,Percent of Total Billed Charges,3.53,,6.06,82.4,,Percent of Total Billed Charges,6.04,,6.13,83.4,,Percent of Total Billed Charges,5.72,,6.13,83.4,,Percent of Total Billed Charges,5.15,,6.13,83.4,,Percent of Total Billed Charges,5.98,,6.62,90,,Percent of Total Billed Charges,6.23,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6.76,92,,Percent of Total Billed Charges,5.96,,6.76,92,,Percent of Total Billed Charges,5.47,,6.76,92,,Percent of Total Billed Charges,5.76,,6.76,92,,Percent of Total Billed Charges,5.96,,5.73,78,,Percent of Total Billed Charges,5.73,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3.96,53.83,,Percent of Total Billed Charges,3.71,,2.55,34.64,,Percent of Total Billed Charges,2.54,,3.67,49.98,,Percent of Total Billed Charges,2.78,,2.55,6.76,,																																							
HC URIC ACID; URINE,84560,CPT,,,,BOTH, , ,7.35,6.17,6.76,92,,Percent of Total Billed Charges,6.14,,6.76,92,,Percent of Total Billed Charges,6.03,,6.76,92,,Percent of Total Billed Charges,5.92,,6.76,92,,Percent of Total Billed Charges,6.14,,6.76,92,,Percent of Total Billed Charges,5.53,,6.76,92,,Percent of Total Billed Charges,4.59,,6.62,90,,Percent of Total Billed Charges,3.67,,6.54,89,,Percent of Total Billed Charges,3.53,,6.06,82.4,,Percent of Total Billed Charges,6.04,,6.13,83.4,,Percent of Total Billed Charges,5.72,,6.13,83.4,,Percent of Total Billed Charges,5.15,,6.13,83.4,,Percent of Total Billed Charges,5.98,,6.62,90,,Percent of Total Billed Charges,6.23,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6.76,92,,Percent of Total Billed Charges,5.96,,6.76,92,,Percent of Total Billed Charges,5.47,,6.76,92,,Percent of Total Billed Charges,5.76,,6.76,92,,Percent of Total Billed Charges,5.96,,5.73,78,,Percent of Total Billed Charges,5.73,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3.96,53.83,,Percent of Total Billed Charges,3.71,,2.55,34.64,,Percent of Total Billed Charges,2.54,,3.67,49.98,,Percent of Total Billed Charges,2.78,,2.55,6.76,,																																							
HC ASSAY OF VOLATILES,84600,CPT,,,,BOTH, , ,256.2,215.21,235.7,92,,Percent of Total Billed Charges,214.18,,235.7,92,,Percent of Total Billed Charges,210.34,,235.7,92,,Percent of Total Billed Charges,206.24,,235.7,92,,Percent of Total Billed Charges,213.93,,235.7,92,,Percent of Total Billed Charges,192.92,,235.7,92,,Percent of Total Billed Charges,160.13,,230.58,90,,Percent of Total Billed Charges,127.84,,228.02,89,,Percent of Total Billed Charges,122.98,,211.11,82.4,,Percent of Total Billed Charges,210.6,,213.67,83.4,,Percent of Total Billed Charges,199.32,,213.67,83.4,,Percent of Total Billed Charges,179.6,,213.67,83.4,,Percent of Total Billed Charges,208.55,,230.58,90,,Percent of Total Billed Charges,217,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,235.7,92,,Percent of Total Billed Charges,207.78,,235.7,92,,Percent of Total Billed Charges,190.61,,235.7,92,,Percent of Total Billed Charges,200.6,,235.7,92,,Percent of Total Billed Charges,207.78,,199.84,78,,Percent of Total Billed Charges,199.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,137.91,53.83,,Percent of Total Billed Charges,129.38,,88.75,34.64,,Percent of Total Billed Charges,88.39,,128.05,49.98,,Percent of Total Billed Charges,96.84,,88.75,235.7,,																																							
HC XYLOSE ABSORPTION TEST,84620,CPT,,,,BOTH, , ,255.15,214.33,234.74,92,,Percent of Total Billed Charges,213.31,,234.74,92,,Percent of Total Billed Charges,209.48,,234.74,92,,Percent of Total Billed Charges,205.4,,234.74,92,,Percent of Total Billed Charges,213.05,,234.74,92,,Percent of Total Billed Charges,192.13,,234.74,92,,Percent of Total Billed Charges,159.47,,229.64,90,,Percent of Total Billed Charges,127.32,,227.08,89,,Percent of Total Billed Charges,122.47,,210.24,82.4,,Percent of Total Billed Charges,209.73,,212.8,83.4,,Percent of Total Billed Charges,198.51,,212.8,83.4,,Percent of Total Billed Charges,178.86,,212.8,83.4,,Percent of Total Billed Charges,207.69,,229.64,90,,Percent of Total Billed Charges,216.11,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,234.74,92,,Percent of Total Billed Charges,206.93,,234.74,92,,Percent of Total Billed Charges,189.83,,234.74,92,,Percent of Total Billed Charges,199.78,,234.74,92,,Percent of Total Billed Charges,206.93,,199.02,78,,Percent of Total Billed Charges,199.02,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,137.35,53.83,,Percent of Total Billed Charges,128.85,,88.38,34.64,,Percent of Total Billed Charges,88.03,,127.52,49.98,,Percent of Total Billed Charges,96.45,,88.38,234.74,,																																							
HC GONADOTROPIN, CHORIONIC HCG QUANT,84702,CPT,,,,BOTH, , ,329.7,276.95,303.32,92,,Percent of Total Billed Charges,275.63,,303.32,92,,Percent of Total Billed Charges,270.68,,303.32,92,,Percent of Total Billed Charges,265.41,,303.32,92,,Percent of Total Billed Charges,275.3,,303.32,92,,Percent of Total Billed Charges,248.26,,303.32,92,,Percent of Total Billed Charges,206.06,,296.73,90,,Percent of Total Billed Charges,164.52,,293.43,89,,Percent of Total Billed Charges,158.26,,271.67,82.4,,Percent of Total Billed Charges,271.01,,274.97,83.4,,Percent of Total Billed Charges,256.51,,274.97,83.4,,Percent of Total Billed Charges,231.12,,274.97,83.4,,Percent of Total Billed Charges,268.38,,296.73,90,,Percent of Total Billed Charges,279.26,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,303.32,92,,Percent of Total Billed Charges,267.39,,303.32,92,,Percent of Total Billed Charges,245.3,,303.32,92,,Percent of Total Billed Charges,258.16,,303.32,92,,Percent of Total Billed Charges,267.39,,257.17,78,,Percent of Total Billed Charges,257.17,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,177.48,53.83,,Percent of Total Billed Charges,166.5,,114.21,34.64,,Percent of Total Billed Charges,113.75,,164.78,49.98,,Percent of Total Billed Charges,124.63,,114.21,303.32,,																																							
HC GONADOTROPIN, CHORIONIC HCG QUALITATIVE,84703,CPT,,,,BOTH, , ,198.45,166.7,182.57,92,,Percent of Total Billed Charges,165.9,,182.57,92,,Percent of Total Billed Charges,162.93,,182.57,92,,Percent of Total Billed Charges,159.75,,182.57,92,,Percent of Total Billed Charges,165.71,,182.57,92,,Percent of Total Billed Charges,149.43,,182.57,92,,Percent of Total Billed Charges,124.03,,178.61,90,,Percent of Total Billed Charges,99.03,,176.62,89,,Percent of Total Billed Charges,95.26,,163.52,82.4,,Percent of Total Billed Charges,163.13,,165.51,83.4,,Percent of Total Billed Charges,154.39,,165.51,83.4,,Percent of Total Billed Charges,139.11,,165.51,83.4,,Percent of Total Billed Charges,161.54,,178.61,90,,Percent of Total Billed Charges,168.09,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,182.57,92,,Percent of Total Billed Charges,160.94,,182.57,92,,Percent of Total Billed Charges,147.65,,182.57,92,,Percent of Total Billed Charges,155.39,,182.57,92,,Percent of Total Billed Charges,160.94,,154.79,78,,Percent of Total Billed Charges,154.79,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,106.83,53.83,,Percent of Total Billed Charges,100.22,,68.74,34.64,,Percent of Total Billed Charges,68.47,,99.19,49.98,,Percent of Total Billed Charges,75.01,,68.74,182.57,,																																							
HC CLINICAL CHEMISTRY TEST,84999,CPT,,,,BOTH, , ,227.85,191.39,209.62,92,,Percent of Total Billed Charges,190.48,,209.62,92,,Percent of Total Billed Charges,187.06,,209.62,92,,Percent of Total Billed Charges,183.42,,209.62,92,,Percent of Total Billed Charges,190.25,,209.62,92,,Percent of Total Billed Charges,171.57,,209.62,92,,Percent of Total Billed Charges,142.41,,205.07,90,,Percent of Total Billed Charges,113.7,,202.79,89,,Percent of Total Billed Charges,109.37,,187.75,82.4,,Percent of Total Billed Charges,187.29,,190.03,83.4,,Percent of Total Billed Charges,177.27,,190.03,83.4,,Percent of Total Billed Charges,159.72,,190.03,83.4,,Percent of Total Billed Charges,185.47,,205.07,90,,Percent of Total Billed Charges,192.99,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,209.62,92,,Percent of Total Billed Charges,184.79,,209.62,92,,Percent of Total Billed Charges,169.52,,209.62,92,,Percent of Total Billed Charges,178.41,,209.62,92,,Percent of Total Billed Charges,184.79,,177.72,78,,Percent of Total Billed Charges,177.72,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,122.65,53.83,,Percent of Total Billed Charges,115.06,,78.93,34.64,,Percent of Total Billed Charges,78.61,,113.88,49.98,,Percent of Total Billed Charges,86.13,,78.93,209.62,,																																							
HC LEUKOCYTE HISTAMINE RELEASE,86343,CPT,,,,BOTH, , ,118.65,99.67,109.16,92,,Percent of Total Billed Charges,99.19,,109.16,92,,Percent of Total Billed Charges,97.41,,109.16,92,,Percent of Total Billed Charges,95.51,,109.16,92,,Percent of Total Billed Charges,99.07,,109.16,92,,Percent of Total Billed Charges,89.34,,109.16,92,,Percent of Total Billed Charges,74.16,,106.79,90,,Percent of Total Billed Charges,59.21,,105.6,89,,Percent of Total Billed Charges,56.95,,97.77,82.4,,Percent of Total Billed Charges,97.53,,98.95,83.4,,Percent of Total Billed Charges,92.31,,98.95,83.4,,Percent of Total Billed Charges,83.17,,98.95,83.4,,Percent of Total Billed Charges,96.58,,106.79,90,,Percent of Total Billed Charges,100.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,109.16,92,,Percent of Total Billed Charges,96.23,,109.16,92,,Percent of Total Billed Charges,88.28,,109.16,92,,Percent of Total Billed Charges,92.9,,109.16,92,,Percent of Total Billed Charges,96.23,,92.55,78,,Percent of Total Billed Charges,92.55,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,63.87,53.83,,Percent of Total Billed Charges,59.92,,41.1,34.64,,Percent of Total Billed Charges,40.93,,59.3,49.98,,Percent of Total Billed Charges,44.85,,41.10,109.16,,																																							
HC DNA/RNA SEQUENCING,87153,CPT,,,,BOTH, , ,1044.75,877.59,961.17,92,,Percent of Total Billed Charges,873.41,,961.17,92,,Percent of Total Billed Charges,857.74,,961.17,92,,Percent of Total Billed Charges,841.02,,961.17,92,,Percent of Total Billed Charges,872.37,,961.17,92,,Percent of Total Billed Charges,786.7,,961.17,92,,Percent of Total Billed Charges,652.97,,940.28,90,,Percent of Total Billed Charges,521.33,,929.83,89,,Percent of Total Billed Charges,501.48,,860.87,82.4,,Percent of Total Billed Charges,858.78,,871.32,83.4,,Percent of Total Billed Charges,812.82,,871.32,83.4,,Percent of Total Billed Charges,732.37,,871.32,83.4,,Percent of Total Billed Charges,850.43,,940.28,90,,Percent of Total Billed Charges,884.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,961.17,92,,Percent of Total Billed Charges,847.29,,961.17,92,,Percent of Total Billed Charges,777.29,,961.17,92,,Percent of Total Billed Charges,818.04,,961.17,92,,Percent of Total Billed Charges,847.29,,814.91,78,,Percent of Total Billed Charges,814.91,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,562.39,53.83,,Percent of Total Billed Charges,527.6,,361.9,34.64,,Percent of Total Billed Charges,360.44,,522.17,49.98,,Percent of Total Billed Charges,394.92,,361.90,961.17,,																																							
HC MACROSCOPIC EXAM PARASITE,87169,CPT,,,,BOTH, , ,140.7,118.19,129.44,92,,Percent of Total Billed Charges,117.63,,129.44,92,,Percent of Total Billed Charges,115.51,,129.44,92,,Percent of Total Billed Charges,113.26,,129.44,92,,Percent of Total Billed Charges,117.48,,129.44,92,,Percent of Total Billed Charges,105.95,,129.44,92,,Percent of Total Billed Charges,87.94,,126.63,90,,Percent of Total Billed Charges,70.21,,125.22,89,,Percent of Total Billed Charges,67.54,,115.94,82.4,,Percent of Total Billed Charges,115.66,,117.34,83.4,,Percent of Total Billed Charges,109.46,,117.34,83.4,,Percent of Total Billed Charges,98.63,,117.34,83.4,,Percent of Total Billed Charges,114.53,,126.63,90,,Percent of Total Billed Charges,119.17,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,129.44,92,,Percent of Total Billed Charges,114.11,,129.44,92,,Percent of Total Billed Charges,104.68,,129.44,92,,Percent of Total Billed Charges,110.17,,129.44,92,,Percent of Total Billed Charges,114.11,,109.75,78,,Percent of Total Billed Charges,109.75,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,75.74,53.83,,Percent of Total Billed Charges,71.05,,48.74,34.64,,Percent of Total Billed Charges,48.54,,70.32,49.98,,Percent of Total Billed Charges,53.18,,48.74,129.44,,																																							
HC GENOTYPE DNA/RNA HIV,87906,CPT,,,,BOTH, , ,1332.45,1119.26,1225.85,92,,Percent of Total Billed Charges,1113.93,,1225.85,92,,Percent of Total Billed Charges,1093.94,,1225.85,92,,Percent of Total Billed Charges,1072.62,,1225.85,92,,Percent of Total Billed Charges,1112.6,,1225.85,92,,Percent of Total Billed Charges,1003.33,,1225.85,92,,Percent of Total Billed Charges,832.78,,1199.21,90,,Percent of Total Billed Charges,664.89,,1185.88,89,,Percent of Total Billed Charges,639.58,,1097.94,82.4,,Percent of Total Billed Charges,1095.27,,1111.26,83.4,,Percent of Total Billed Charges,1036.65,,1111.26,83.4,,Percent of Total Billed Charges,934.05,,1111.26,83.4,,Percent of Total Billed Charges,1084.61,,1199.21,90,,Percent of Total Billed Charges,1128.59,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1225.85,92,,Percent of Total Billed Charges,1080.62,,1225.85,92,,Percent of Total Billed Charges,991.34,,1225.85,92,,Percent of Total Billed Charges,1043.31,,1225.85,92,,Percent of Total Billed Charges,1080.62,,1039.31,78,,Percent of Total Billed Charges,1039.31,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,717.26,53.83,,Percent of Total Billed Charges,672.89,,461.56,34.64,,Percent of Total Billed Charges,459.7,,665.96,49.98,,Percent of Total Billed Charges,503.67,,461.56,1225.85,,																																							
HC CALCULUS SPECTROSCOPY,82365,CPT,,,,BOTH, , ,91.35,76.73,84.04,92,,Percent of Total Billed Charges,76.37,,84.04,92,,Percent of Total Billed Charges,75,,84.04,92,,Percent of Total Billed Charges,73.54,,84.04,92,,Percent of Total Billed Charges,76.28,,84.04,92,,Percent of Total Billed Charges,68.79,,84.04,92,,Percent of Total Billed Charges,57.09,,82.22,90,,Percent of Total Billed Charges,45.58,,81.3,89,,Percent of Total Billed Charges,43.85,,75.27,82.4,,Percent of Total Billed Charges,75.09,,76.19,83.4,,Percent of Total Billed Charges,71.07,,76.19,83.4,,Percent of Total Billed Charges,64.04,,76.19,83.4,,Percent of Total Billed Charges,74.36,,82.22,90,,Percent of Total Billed Charges,77.37,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,84.04,92,,Percent of Total Billed Charges,74.08,,84.04,92,,Percent of Total Billed Charges,67.96,,84.04,92,,Percent of Total Billed Charges,71.53,,84.04,92,,Percent of Total Billed Charges,74.08,,71.25,78,,Percent of Total Billed Charges,71.25,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,49.17,53.83,,Percent of Total Billed Charges,46.13,,31.64,34.64,,Percent of Total Billed Charges,31.52,,45.66,49.98,,Percent of Total Billed Charges,34.53,,31.64,84.04,,																																							
HC IRON BINDING TEST,83550,CPT,,,,BOTH, , ,225.75,189.63,207.69,92,,Percent of Total Billed Charges,188.73,,207.69,92,,Percent of Total Billed Charges,185.34,,207.69,92,,Percent of Total Billed Charges,181.73,,207.69,92,,Percent of Total Billed Charges,188.5,,207.69,92,,Percent of Total Billed Charges,169.99,,207.69,92,,Percent of Total Billed Charges,141.09,,203.18,90,,Percent of Total Billed Charges,112.65,,200.92,89,,Percent of Total Billed Charges,108.36,,186.02,82.4,,Percent of Total Billed Charges,185.57,,188.28,83.4,,Percent of Total Billed Charges,175.63,,188.28,83.4,,Percent of Total Billed Charges,158.25,,188.28,83.4,,Percent of Total Billed Charges,183.76,,203.18,90,,Percent of Total Billed Charges,191.21,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,207.69,92,,Percent of Total Billed Charges,183.08,,207.69,92,,Percent of Total Billed Charges,167.96,,207.69,92,,Percent of Total Billed Charges,176.76,,207.69,92,,Percent of Total Billed Charges,183.08,,176.09,78,,Percent of Total Billed Charges,176.09,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,121.52,53.83,,Percent of Total Billed Charges,114,,78.2,34.64,,Percent of Total Billed Charges,77.88,,112.83,49.98,,Percent of Total Billed Charges,85.33,,78.20,207.69,,																																							
HC DRUG SCRN QUAN LEVETIRACETAM,80177,CPT,,,,BOTH, , ,71.4,59.98,65.69,92,,Percent of Total Billed Charges,59.69,,65.69,92,,Percent of Total Billed Charges,58.62,,65.69,92,,Percent of Total Billed Charges,57.48,,65.69,92,,Percent of Total Billed Charges,59.62,,65.69,92,,Percent of Total Billed Charges,53.76,,65.69,92,,Percent of Total Billed Charges,44.63,,64.26,90,,Percent of Total Billed Charges,35.63,,63.55,89,,Percent of Total Billed Charges,34.27,,58.83,82.4,,Percent of Total Billed Charges,58.69,,59.55,83.4,,Percent of Total Billed Charges,55.55,,59.55,83.4,,Percent of Total Billed Charges,50.05,,59.55,83.4,,Percent of Total Billed Charges,58.12,,64.26,90,,Percent of Total Billed Charges,60.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,65.69,92,,Percent of Total Billed Charges,57.91,,65.69,92,,Percent of Total Billed Charges,53.12,,65.69,92,,Percent of Total Billed Charges,55.91,,65.69,92,,Percent of Total Billed Charges,57.91,,55.69,78,,Percent of Total Billed Charges,55.69,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,38.43,53.83,,Percent of Total Billed Charges,36.06,,24.73,34.64,,Percent of Total Billed Charges,24.63,,35.69,49.98,,Percent of Total Billed Charges,26.99,,24.73,65.69,,																																							
HC GENERAL HEALTH PANEL,80050,CPT,,,,BOTH, , ,305.55,256.66,281.11,92,,Percent of Total Billed Charges,255.44,,281.11,92,,Percent of Total Billed Charges,250.86,,281.11,92,,Percent of Total Billed Charges,245.97,,281.11,92,,Percent of Total Billed Charges,255.13,,281.11,92,,Percent of Total Billed Charges,230.08,,281.11,92,,Percent of Total Billed Charges,190.97,,275,90,,Percent of Total Billed Charges,152.47,,271.94,89,,Percent of Total Billed Charges,146.66,,251.77,82.4,,Percent of Total Billed Charges,251.16,,254.83,83.4,,Percent of Total Billed Charges,237.72,,254.83,83.4,,Percent of Total Billed Charges,214.19,,254.83,83.4,,Percent of Total Billed Charges,248.72,,275,90,,Percent of Total Billed Charges,258.8,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,281.11,92,,Percent of Total Billed Charges,247.8,,281.11,92,,Percent of Total Billed Charges,227.33,,281.11,92,,Percent of Total Billed Charges,239.25,,281.11,92,,Percent of Total Billed Charges,247.8,,238.33,78,,Percent of Total Billed Charges,238.33,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,164.48,53.83,,Percent of Total Billed Charges,154.3,,105.84,34.64,,Percent of Total Billed Charges,105.41,,152.71,49.98,,Percent of Total Billed Charges,115.5,,105.84,281.11,,																																							
HC DRUG TEST PRSMV CHEM ANLYZR,80307,CPT,,,,BOTH, , ,727.65,611.23,669.44,92,,Percent of Total Billed Charges,608.32,,669.44,92,,Percent of Total Billed Charges,597.4,,669.44,92,,Percent of Total Billed Charges,585.76,,669.44,92,,Percent of Total Billed Charges,607.59,,669.44,92,,Percent of Total Billed Charges,547.92,,669.44,92,,Percent of Total Billed Charges,454.78,,654.89,90,,Percent of Total Billed Charges,363.1,,647.61,89,,Percent of Total Billed Charges,349.27,,599.58,82.4,,Percent of Total Billed Charges,598.13,,606.86,83.4,,Percent of Total Billed Charges,566.11,,606.86,83.4,,Percent of Total Billed Charges,510.08,,606.86,83.4,,Percent of Total Billed Charges,592.31,,654.89,90,,Percent of Total Billed Charges,616.32,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,669.44,92,,Percent of Total Billed Charges,590.12,,669.44,92,,Percent of Total Billed Charges,541.37,,669.44,92,,Percent of Total Billed Charges,569.75,,669.44,92,,Percent of Total Billed Charges,590.12,,567.57,78,,Percent of Total Billed Charges,567.57,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,391.69,53.83,,Percent of Total Billed Charges,367.46,,252.06,34.64,,Percent of Total Billed Charges,251.04,,363.68,49.98,,Percent of Total Billed Charges,275.05,,252.06,669.44,,																																							
HC DRUG TEST PRSMV QUAL INSTRMNT OPTCL OBS PER DAY,80306,CPT,,,,BOTH, , ,108.15,90.85,99.5,92,,Percent of Total Billed Charges,90.41,,99.5,92,,Percent of Total Billed Charges,88.79,,99.5,92,,Percent of Total Billed Charges,87.06,,99.5,92,,Percent of Total Billed Charges,90.31,,99.5,92,,Percent of Total Billed Charges,81.44,,99.5,92,,Percent of Total Billed Charges,67.59,,97.34,90,,Percent of Total Billed Charges,53.97,,96.25,89,,Percent of Total Billed Charges,51.91,,89.12,82.4,,Percent of Total Billed Charges,88.9,,90.2,83.4,,Percent of Total Billed Charges,84.14,,90.2,83.4,,Percent of Total Billed Charges,75.81,,90.2,83.4,,Percent of Total Billed Charges,88.03,,97.34,90,,Percent of Total Billed Charges,91.6,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,99.5,92,,Percent of Total Billed Charges,87.71,,99.5,92,,Percent of Total Billed Charges,80.46,,99.5,92,,Percent of Total Billed Charges,84.68,,99.5,92,,Percent of Total Billed Charges,87.71,,84.36,78,,Percent of Total Billed Charges,84.36,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,58.22,53.83,,Percent of Total Billed Charges,54.62,,37.46,34.64,,Percent of Total Billed Charges,37.31,,54.05,49.98,,Percent of Total Billed Charges,40.88,,37.46,99.5,,																																							
HC LIPOPROTEIN BLOOD ELECTROPHORECTIC SEP&QUAN,83700,CPT,,,,BOTH, , ,7.35,6.17,6.76,92,,Percent of Total Billed Charges,6.14,,6.76,92,,Percent of Total Billed Charges,6.03,,6.76,92,,Percent of Total Billed Charges,5.92,,6.76,92,,Percent of Total Billed Charges,6.14,,6.76,92,,Percent of Total Billed Charges,5.53,,6.76,92,,Percent of Total Billed Charges,4.59,,6.62,90,,Percent of Total Billed Charges,3.67,,6.54,89,,Percent of Total Billed Charges,3.53,,6.06,82.4,,Percent of Total Billed Charges,6.04,,6.13,83.4,,Percent of Total Billed Charges,5.72,,6.13,83.4,,Percent of Total Billed Charges,5.15,,6.13,83.4,,Percent of Total Billed Charges,5.98,,6.62,90,,Percent of Total Billed Charges,6.23,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6.76,92,,Percent of Total Billed Charges,5.96,,6.76,92,,Percent of Total Billed Charges,5.47,,6.76,92,,Percent of Total Billed Charges,5.76,,6.76,92,,Percent of Total Billed Charges,5.96,,5.73,78,,Percent of Total Billed Charges,5.73,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3.96,53.83,,Percent of Total Billed Charges,3.71,,2.55,34.64,,Percent of Total Billed Charges,2.54,,3.67,49.98,,Percent of Total Billed Charges,2.78,,2.55,6.76,,																																							
HC DRUG SCREENING OPIOIDS AND OPIATE ANALOGS 3 OR 4,80363,CPT,,,,BOTH, , ,405.3,340.45,372.88,92,,Percent of Total Billed Charges,338.83,,372.88,92,,Percent of Total Billed Charges,332.75,,372.88,92,,Percent of Total Billed Charges,326.27,,372.88,92,,Percent of Total Billed Charges,338.43,,372.88,92,,Percent of Total Billed Charges,305.19,,372.88,92,,Percent of Total Billed Charges,253.31,,364.77,90,,Percent of Total Billed Charges,202.24,,360.72,89,,Percent of Total Billed Charges,194.54,,333.97,82.4,,Percent of Total Billed Charges,333.16,,338.02,83.4,,Percent of Total Billed Charges,315.32,,338.02,83.4,,Percent of Total Billed Charges,284.12,,338.02,83.4,,Percent of Total Billed Charges,329.91,,364.77,90,,Percent of Total Billed Charges,343.29,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,372.88,92,,Percent of Total Billed Charges,328.7,,372.88,92,,Percent of Total Billed Charges,301.54,,372.88,92,,Percent of Total Billed Charges,317.35,,372.88,92,,Percent of Total Billed Charges,328.7,,316.13,78,,Percent of Total Billed Charges,316.13,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,218.17,53.83,,Percent of Total Billed Charges,204.68,,140.4,34.64,,Percent of Total Billed Charges,139.83,,202.57,49.98,,Percent of Total Billed Charges,153.2,,140.40,372.88,,																																							
HC DRUG SCREENING OPIOIDS & OPIATE ANALOGS 5/MORE,80364,CPT,,,,BOTH, , ,405.3,340.45,372.88,92,,Percent of Total Billed Charges,338.83,,372.88,92,,Percent of Total Billed Charges,332.75,,372.88,92,,Percent of Total Billed Charges,326.27,,372.88,92,,Percent of Total Billed Charges,338.43,,372.88,92,,Percent of Total Billed Charges,305.19,,372.88,92,,Percent of Total Billed Charges,253.31,,364.77,90,,Percent of Total Billed Charges,202.24,,360.72,89,,Percent of Total Billed Charges,194.54,,333.97,82.4,,Percent of Total Billed Charges,333.16,,338.02,83.4,,Percent of Total Billed Charges,315.32,,338.02,83.4,,Percent of Total Billed Charges,284.12,,338.02,83.4,,Percent of Total Billed Charges,329.91,,364.77,90,,Percent of Total Billed Charges,343.29,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,372.88,92,,Percent of Total Billed Charges,328.7,,372.88,92,,Percent of Total Billed Charges,301.54,,372.88,92,,Percent of Total Billed Charges,317.35,,372.88,92,,Percent of Total Billed Charges,328.7,,316.13,78,,Percent of Total Billed Charges,316.13,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,218.17,53.83,,Percent of Total Billed Charges,204.68,,140.4,34.64,,Percent of Total Billed Charges,139.83,,202.57,49.98,,Percent of Total Billed Charges,153.2,,140.40,372.88,,																																							
HC ANTIDEPRESSANTS TRICYCLIC OTHER CYCLICALS 1 OR 2,80335,CPT,,,,BOTH, , ,224.7,188.75,206.72,92,,Percent of Total Billed Charges,187.85,,206.72,92,,Percent of Total Billed Charges,184.48,,206.72,92,,Percent of Total Billed Charges,180.88,,206.72,92,,Percent of Total Billed Charges,187.62,,206.72,92,,Percent of Total Billed Charges,169.2,,206.72,92,,Percent of Total Billed Charges,140.44,,202.23,90,,Percent of Total Billed Charges,112.13,,199.98,89,,Percent of Total Billed Charges,107.86,,185.15,82.4,,Percent of Total Billed Charges,184.7,,187.4,83.4,,Percent of Total Billed Charges,174.82,,187.4,83.4,,Percent of Total Billed Charges,157.51,,187.4,83.4,,Percent of Total Billed Charges,182.91,,202.23,90,,Percent of Total Billed Charges,190.32,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,206.72,92,,Percent of Total Billed Charges,182.23,,206.72,92,,Percent of Total Billed Charges,167.18,,206.72,92,,Percent of Total Billed Charges,175.94,,206.72,92,,Percent of Total Billed Charges,182.23,,175.27,78,,Percent of Total Billed Charges,175.27,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,120.96,53.83,,Percent of Total Billed Charges,113.47,,77.84,34.64,,Percent of Total Billed Charges,77.52,,112.31,49.98,,Percent of Total Billed Charges,84.94,,77.84,206.72,,																																							
HC ANTIDEPRESSANTS TRICYCLIC OTHER CYCLICALS 35,80336,CPT,,,,BOTH, , ,224.7,188.75,206.72,92,,Percent of Total Billed Charges,187.85,,206.72,92,,Percent of Total Billed Charges,184.48,,206.72,92,,Percent of Total Billed Charges,180.88,,206.72,92,,Percent of Total Billed Charges,187.62,,206.72,92,,Percent of Total Billed Charges,169.2,,206.72,92,,Percent of Total Billed Charges,140.44,,202.23,90,,Percent of Total Billed Charges,112.13,,199.98,89,,Percent of Total Billed Charges,107.86,,185.15,82.4,,Percent of Total Billed Charges,184.7,,187.4,83.4,,Percent of Total Billed Charges,174.82,,187.4,83.4,,Percent of Total Billed Charges,157.51,,187.4,83.4,,Percent of Total Billed Charges,182.91,,202.23,90,,Percent of Total Billed Charges,190.32,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,206.72,92,,Percent of Total Billed Charges,182.23,,206.72,92,,Percent of Total Billed Charges,167.18,,206.72,92,,Percent of Total Billed Charges,175.94,,206.72,92,,Percent of Total Billed Charges,182.23,,175.27,78,,Percent of Total Billed Charges,175.27,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,120.96,53.83,,Percent of Total Billed Charges,113.47,,77.84,34.64,,Percent of Total Billed Charges,77.52,,112.31,49.98,,Percent of Total Billed Charges,84.94,,77.84,206.72,,																																							
HC ANTIDEPRESSANTS TRICYCLIC OTHER CYCLICALS 6/MORE,80337,CPT,,,,BOTH, , ,224.7,188.75,206.72,92,,Percent of Total Billed Charges,187.85,,206.72,92,,Percent of Total Billed Charges,184.48,,206.72,92,,Percent of Total Billed Charges,180.88,,206.72,92,,Percent of Total Billed Charges,187.62,,206.72,92,,Percent of Total Billed Charges,169.2,,206.72,92,,Percent of Total Billed Charges,140.44,,202.23,90,,Percent of Total Billed Charges,112.13,,199.98,89,,Percent of Total Billed Charges,107.86,,185.15,82.4,,Percent of Total Billed Charges,184.7,,187.4,83.4,,Percent of Total Billed Charges,174.82,,187.4,83.4,,Percent of Total Billed Charges,157.51,,187.4,83.4,,Percent of Total Billed Charges,182.91,,202.23,90,,Percent of Total Billed Charges,190.32,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,206.72,92,,Percent of Total Billed Charges,182.23,,206.72,92,,Percent of Total Billed Charges,167.18,,206.72,92,,Percent of Total Billed Charges,175.94,,206.72,92,,Percent of Total Billed Charges,182.23,,175.27,78,,Percent of Total Billed Charges,175.27,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,120.96,53.83,,Percent of Total Billed Charges,113.47,,77.84,34.64,,Percent of Total Billed Charges,77.52,,112.31,49.98,,Percent of Total Billed Charges,84.94,,77.84,206.72,,																																							
HC ASSAY OF PROSTAGLNDIN EACH,84150,CPT,,,,BOTH, , ,154.35,129.65,142,92,,Percent of Total Billed Charges,129.04,,142,92,,Percent of Total Billed Charges,126.72,,142,92,,Percent of Total Billed Charges,124.25,,142,92,,Percent of Total Billed Charges,128.88,,142,92,,Percent of Total Billed Charges,116.23,,142,92,,Percent of Total Billed Charges,96.47,,138.92,90,,Percent of Total Billed Charges,77.02,,137.37,89,,Percent of Total Billed Charges,74.09,,127.18,82.4,,Percent of Total Billed Charges,126.88,,128.73,83.4,,Percent of Total Billed Charges,120.08,,128.73,83.4,,Percent of Total Billed Charges,108.2,,128.73,83.4,,Percent of Total Billed Charges,125.64,,138.92,90,,Percent of Total Billed Charges,130.73,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,142,92,,Percent of Total Billed Charges,125.18,,142,92,,Percent of Total Billed Charges,114.84,,142,92,,Percent of Total Billed Charges,120.86,,142,92,,Percent of Total Billed Charges,125.18,,120.39,78,,Percent of Total Billed Charges,120.39,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,83.09,53.83,,Percent of Total Billed Charges,77.95,,53.47,34.64,,Percent of Total Billed Charges,53.25,,77.14,49.98,,Percent of Total Billed Charges,58.34,,53.47,142,,																																							
HC ASSAY OF PYRUVATE KINASE,84220,CPT,,,,BOTH, , ,58.8,49.39,54.1,92,,Percent of Total Billed Charges,49.16,,54.1,92,,Percent of Total Billed Charges,48.27,,54.1,92,,Percent of Total Billed Charges,47.33,,54.1,92,,Percent of Total Billed Charges,49.1,,54.1,92,,Percent of Total Billed Charges,44.28,,54.1,92,,Percent of Total Billed Charges,36.75,,52.92,90,,Percent of Total Billed Charges,29.34,,52.33,89,,Percent of Total Billed Charges,28.22,,48.45,82.4,,Percent of Total Billed Charges,48.33,,49.04,83.4,,Percent of Total Billed Charges,45.75,,49.04,83.4,,Percent of Total Billed Charges,41.22,,49.04,83.4,,Percent of Total Billed Charges,47.86,,52.92,90,,Percent of Total Billed Charges,49.8,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,54.1,92,,Percent of Total Billed Charges,47.69,,54.1,92,,Percent of Total Billed Charges,43.75,,54.1,92,,Percent of Total Billed Charges,46.04,,54.1,92,,Percent of Total Billed Charges,47.69,,45.86,78,,Percent of Total Billed Charges,45.86,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,31.65,53.83,,Percent of Total Billed Charges,29.69,,20.37,34.64,,Percent of Total Billed Charges,20.29,,29.39,49.98,,Percent of Total Billed Charges,22.23,,20.37,54.1,,																																							
HC BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 13 SPEC,82272,CPT,,,,BOTH, , ,2.1,1.76,1.93,92,,Percent of Total Billed Charges,1.76,,1.93,92,,Percent of Total Billed Charges,1.72,,1.93,92,,Percent of Total Billed Charges,1.69,,1.93,92,,Percent of Total Billed Charges,1.75,,1.93,92,,Percent of Total Billed Charges,1.58,,1.93,92,,Percent of Total Billed Charges,1.31,,1.89,90,,Percent of Total Billed Charges,1.05,,1.87,89,,Percent of Total Billed Charges,1.01,,1.73,82.4,,Percent of Total Billed Charges,1.73,,1.75,83.4,,Percent of Total Billed Charges,1.63,,1.75,83.4,,Percent of Total Billed Charges,1.47,,1.75,83.4,,Percent of Total Billed Charges,1.71,,1.89,90,,Percent of Total Billed Charges,1.78,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1.93,92,,Percent of Total Billed Charges,1.7,,1.93,92,,Percent of Total Billed Charges,1.56,,1.93,92,,Percent of Total Billed Charges,1.64,,1.93,92,,Percent of Total Billed Charges,1.7,,1.64,78,,Percent of Total Billed Charges,1.64,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1.13,53.83,,Percent of Total Billed Charges,1.06,,0.73,34.64,,Percent of Total Billed Charges,0.72,,1.05,49.98,,Percent of Total Billed Charges,0.79,,0.73,1.93,,																																							
HC PHOSPHOLIPID NEUTRALIZATION HEXAGONAL,85598,CPT,,,,BOTH, , ,99.75,83.79,91.77,92,,Percent of Total Billed Charges,83.39,,91.77,92,,Percent of Total Billed Charges,81.89,,91.77,92,,Percent of Total Billed Charges,80.3,,91.77,92,,Percent of Total Billed Charges,83.29,,91.77,92,,Percent of Total Billed Charges,75.11,,91.77,92,,Percent of Total Billed Charges,62.34,,89.78,90,,Percent of Total Billed Charges,49.78,,88.78,89,,Percent of Total Billed Charges,47.88,,82.19,82.4,,Percent of Total Billed Charges,81.99,,83.19,83.4,,Percent of Total Billed Charges,77.61,,83.19,83.4,,Percent of Total Billed Charges,69.92,,83.19,83.4,,Percent of Total Billed Charges,81.2,,89.78,90,,Percent of Total Billed Charges,84.49,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,91.77,92,,Percent of Total Billed Charges,80.9,,91.77,92,,Percent of Total Billed Charges,74.21,,91.77,92,,Percent of Total Billed Charges,78.1,,91.77,92,,Percent of Total Billed Charges,80.9,,77.81,78,,Percent of Total Billed Charges,77.81,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,53.7,53.83,,Percent of Total Billed Charges,50.37,,34.55,34.64,,Percent of Total Billed Charges,34.41,,49.86,49.98,,Percent of Total Billed Charges,37.71,,34.55,91.77,,																																							
HC PROTEIN WESTRN BLOT I&R BLOOD/OTHER FLUID,84181,CPT,,,,BOTH, , ,254.1,213.44,233.77,92,,Percent of Total Billed Charges,212.43,,233.77,92,,Percent of Total Billed Charges,208.62,,233.77,92,,Percent of Total Billed Charges,204.55,,233.77,92,,Percent of Total Billed Charges,212.17,,233.77,92,,Percent of Total Billed Charges,191.34,,233.77,92,,Percent of Total Billed Charges,158.81,,228.69,90,,Percent of Total Billed Charges,126.8,,226.15,89,,Percent of Total Billed Charges,121.97,,209.38,82.4,,Percent of Total Billed Charges,208.87,,211.92,83.4,,Percent of Total Billed Charges,197.69,,211.92,83.4,,Percent of Total Billed Charges,178.12,,211.92,83.4,,Percent of Total Billed Charges,206.84,,228.69,90,,Percent of Total Billed Charges,215.22,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,233.77,92,,Percent of Total Billed Charges,206.08,,233.77,92,,Percent of Total Billed Charges,189.05,,233.77,92,,Percent of Total Billed Charges,198.96,,233.77,92,,Percent of Total Billed Charges,206.08,,198.2,78,,Percent of Total Billed Charges,198.2,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,136.78,53.83,,Percent of Total Billed Charges,128.32,,88.02,34.64,,Percent of Total Billed Charges,87.66,,127,49.98,,Percent of Total Billed Charges,96.05,,88.02,233.77,,																																							
HC GASTRIN SECRETIN STIMULATION TEST,82938,CPT,,,,BOTH, , ,130.2,109.37,119.78,92,,Percent of Total Billed Charges,108.85,,119.78,92,,Percent of Total Billed Charges,106.89,,119.78,92,,Percent of Total Billed Charges,104.81,,119.78,92,,Percent of Total Billed Charges,108.72,,119.78,92,,Percent of Total Billed Charges,98.04,,119.78,92,,Percent of Total Billed Charges,81.38,,117.18,90,,Percent of Total Billed Charges,64.97,,115.88,89,,Percent of Total Billed Charges,62.5,,107.28,82.4,,Percent of Total Billed Charges,107.02,,108.59,83.4,,Percent of Total Billed Charges,101.3,,108.59,83.4,,Percent of Total Billed Charges,91.27,,108.59,83.4,,Percent of Total Billed Charges,105.98,,117.18,90,,Percent of Total Billed Charges,110.28,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,119.78,92,,Percent of Total Billed Charges,105.59,,119.78,92,,Percent of Total Billed Charges,96.87,,119.78,92,,Percent of Total Billed Charges,101.95,,119.78,92,,Percent of Total Billed Charges,105.59,,101.56,78,,Percent of Total Billed Charges,101.56,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,70.09,53.83,,Percent of Total Billed Charges,65.75,,45.1,34.64,,Percent of Total Billed Charges,44.92,,65.07,49.98,,Percent of Total Billed Charges,49.22,,45.10,119.78,,																																							
HC DRUG SCREENING SEDATIVE HYPNOTICS,80368,CPT,,,,BOTH, , ,137.55,115.54,126.55,92,,Percent of Total Billed Charges,114.99,,126.55,92,,Percent of Total Billed Charges,112.93,,126.55,92,,Percent of Total Billed Charges,110.73,,126.55,92,,Percent of Total Billed Charges,114.85,,126.55,92,,Percent of Total Billed Charges,103.58,,126.55,92,,Percent of Total Billed Charges,85.97,,123.8,90,,Percent of Total Billed Charges,68.64,,122.42,89,,Percent of Total Billed Charges,66.02,,113.34,82.4,,Percent of Total Billed Charges,113.07,,114.72,83.4,,Percent of Total Billed Charges,107.01,,114.72,83.4,,Percent of Total Billed Charges,96.42,,114.72,83.4,,Percent of Total Billed Charges,111.97,,123.8,90,,Percent of Total Billed Charges,116.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,126.55,92,,Percent of Total Billed Charges,111.55,,126.55,92,,Percent of Total Billed Charges,102.34,,126.55,92,,Percent of Total Billed Charges,107.7,,126.55,92,,Percent of Total Billed Charges,111.55,,107.29,78,,Percent of Total Billed Charges,107.29,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,74.04,53.83,,Percent of Total Billed Charges,69.46,,47.65,34.64,,Percent of Total Billed Charges,47.45,,68.75,49.98,,Percent of Total Billed Charges,51.99,,47.65,126.55,,																																							
HC DRUG SCREEN QUANT AMPHETAMINES 1 OR 2,80324,CPT,,,,BOTH, , ,137.55,115.54,126.55,92,,Percent of Total Billed Charges,114.99,,126.55,92,,Percent of Total Billed Charges,112.93,,126.55,92,,Percent of Total Billed Charges,110.73,,126.55,92,,Percent of Total Billed Charges,114.85,,126.55,92,,Percent of Total Billed Charges,103.58,,126.55,92,,Percent of Total Billed Charges,85.97,,123.8,90,,Percent of Total Billed Charges,68.64,,122.42,89,,Percent of Total Billed Charges,66.02,,113.34,82.4,,Percent of Total Billed Charges,113.07,,114.72,83.4,,Percent of Total Billed Charges,107.01,,114.72,83.4,,Percent of Total Billed Charges,96.42,,114.72,83.4,,Percent of Total Billed Charges,111.97,,123.8,90,,Percent of Total Billed Charges,116.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,126.55,92,,Percent of Total Billed Charges,111.55,,126.55,92,,Percent of Total Billed Charges,102.34,,126.55,92,,Percent of Total Billed Charges,107.7,,126.55,92,,Percent of Total Billed Charges,111.55,,107.29,78,,Percent of Total Billed Charges,107.29,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,74.04,53.83,,Percent of Total Billed Charges,69.46,,47.65,34.64,,Percent of Total Billed Charges,47.45,,68.75,49.98,,Percent of Total Billed Charges,51.99,,47.65,126.55,,																																							
HC DRUG SCREENING BARBITURATES,80345,CPT,,,,BOTH, , ,137.55,115.54,126.55,92,,Percent of Total Billed Charges,114.99,,126.55,92,,Percent of Total Billed Charges,112.93,,126.55,92,,Percent of Total Billed Charges,110.73,,126.55,92,,Percent of Total Billed Charges,114.85,,126.55,92,,Percent of Total Billed Charges,103.58,,126.55,92,,Percent of Total Billed Charges,85.97,,123.8,90,,Percent of Total Billed Charges,68.64,,122.42,89,,Percent of Total Billed Charges,66.02,,113.34,82.4,,Percent of Total Billed Charges,113.07,,114.72,83.4,,Percent of Total Billed Charges,107.01,,114.72,83.4,,Percent of Total Billed Charges,96.42,,114.72,83.4,,Percent of Total Billed Charges,111.97,,123.8,90,,Percent of Total Billed Charges,116.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,126.55,92,,Percent of Total Billed Charges,111.55,,126.55,92,,Percent of Total Billed Charges,102.34,,126.55,92,,Percent of Total Billed Charges,107.7,,126.55,92,,Percent of Total Billed Charges,111.55,,107.29,78,,Percent of Total Billed Charges,107.29,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,74.04,53.83,,Percent of Total Billed Charges,69.46,,47.65,34.64,,Percent of Total Billed Charges,47.45,,68.75,49.98,,Percent of Total Billed Charges,51.99,,47.65,126.55,,																																							
HC DRUG SCREENING CANNABINOIDS NATURAL, MARIJUANA,80349,CPT,,,,BOTH, , ,149.1,125.24,137.17,92,,Percent of Total Billed Charges,124.65,,137.17,92,,Percent of Total Billed Charges,122.41,,137.17,92,,Percent of Total Billed Charges,120.03,,137.17,92,,Percent of Total Billed Charges,124.5,,137.17,92,,Percent of Total Billed Charges,112.27,,137.17,92,,Percent of Total Billed Charges,93.19,,134.19,90,,Percent of Total Billed Charges,74.4,,132.7,89,,Percent of Total Billed Charges,71.57,,122.86,82.4,,Percent of Total Billed Charges,122.56,,124.35,83.4,,Percent of Total Billed Charges,116,,124.35,83.4,,Percent of Total Billed Charges,104.52,,124.35,83.4,,Percent of Total Billed Charges,121.37,,134.19,90,,Percent of Total Billed Charges,126.29,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,137.17,92,,Percent of Total Billed Charges,120.92,,137.17,92,,Percent of Total Billed Charges,110.93,,137.17,92,,Percent of Total Billed Charges,116.75,,137.17,92,,Percent of Total Billed Charges,120.92,,116.3,78,,Percent of Total Billed Charges,116.3,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,80.26,53.83,,Percent of Total Billed Charges,75.3,,51.65,34.64,,Percent of Total Billed Charges,51.44,,74.52,49.98,,Percent of Total Billed Charges,56.36,,51.65,137.17,,																																							
HC DRUG SCREENING COCAINE,80353,CPT,,,,BOTH, , ,166.95,140.24,153.59,92,,Percent of Total Billed Charges,139.57,,153.59,92,,Percent of Total Billed Charges,137.07,,153.59,92,,Percent of Total Billed Charges,134.39,,153.59,92,,Percent of Total Billed Charges,139.4,,153.59,92,,Percent of Total Billed Charges,125.71,,153.59,92,,Percent of Total Billed Charges,104.34,,150.26,90,,Percent of Total Billed Charges,83.31,,148.59,89,,Percent of Total Billed Charges,80.14,,137.57,82.4,,Percent of Total Billed Charges,137.23,,139.24,83.4,,Percent of Total Billed Charges,129.89,,139.24,83.4,,Percent of Total Billed Charges,117.03,,139.24,83.4,,Percent of Total Billed Charges,135.9,,150.26,90,,Percent of Total Billed Charges,141.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,153.59,92,,Percent of Total Billed Charges,135.4,,153.59,92,,Percent of Total Billed Charges,124.21,,153.59,92,,Percent of Total Billed Charges,130.72,,153.59,92,,Percent of Total Billed Charges,135.4,,130.22,78,,Percent of Total Billed Charges,130.22,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,89.87,53.83,,Percent of Total Billed Charges,84.31,,57.83,34.64,,Percent of Total Billed Charges,57.6,,83.44,49.98,,Percent of Total Billed Charges,63.11,,57.83,153.59,,																																							
HC DRUG SCREENING TRAMADOL,80373,CPT,,,,BOTH, , ,143.85,120.83,132.34,92,,Percent of Total Billed Charges,120.26,,132.34,92,,Percent of Total Billed Charges,118.1,,132.34,92,,Percent of Total Billed Charges,115.8,,132.34,92,,Percent of Total Billed Charges,120.11,,132.34,92,,Percent of Total Billed Charges,108.32,,132.34,92,,Percent of Total Billed Charges,89.91,,129.47,90,,Percent of Total Billed Charges,71.78,,128.03,89,,Percent of Total Billed Charges,69.05,,118.53,82.4,,Percent of Total Billed Charges,118.24,,119.97,83.4,,Percent of Total Billed Charges,111.92,,119.97,83.4,,Percent of Total Billed Charges,100.84,,119.97,83.4,,Percent of Total Billed Charges,117.09,,129.47,90,,Percent of Total Billed Charges,121.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,132.34,92,,Percent of Total Billed Charges,116.66,,132.34,92,,Percent of Total Billed Charges,107.02,,132.34,92,,Percent of Total Billed Charges,112.63,,132.34,92,,Percent of Total Billed Charges,116.66,,112.2,78,,Percent of Total Billed Charges,112.2,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,77.43,53.83,,Percent of Total Billed Charges,72.64,,49.83,34.64,,Percent of Total Billed Charges,49.63,,71.9,49.98,,Percent of Total Billed Charges,54.38,,49.83,132.34,,																																							
HC DRUG/SUBSTANCE DEFINITIVE QUAL/QUANT NOS 7/MORE,80377,CPT,,,,BOTH, , ,200.55,168.46,184.51,92,,Percent of Total Billed Charges,167.66,,184.51,92,,Percent of Total Billed Charges,164.65,,184.51,92,,Percent of Total Billed Charges,161.44,,184.51,92,,Percent of Total Billed Charges,167.46,,184.51,92,,Percent of Total Billed Charges,151.01,,184.51,92,,Percent of Total Billed Charges,125.34,,180.5,90,,Percent of Total Billed Charges,100.07,,178.49,89,,Percent of Total Billed Charges,96.26,,165.25,82.4,,Percent of Total Billed Charges,164.85,,167.26,83.4,,Percent of Total Billed Charges,156.03,,167.26,83.4,,Percent of Total Billed Charges,140.59,,167.26,83.4,,Percent of Total Billed Charges,163.25,,180.5,90,,Percent of Total Billed Charges,169.87,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,184.51,92,,Percent of Total Billed Charges,162.65,,184.51,92,,Percent of Total Billed Charges,149.21,,184.51,92,,Percent of Total Billed Charges,157.03,,184.51,92,,Percent of Total Billed Charges,162.65,,156.43,78,,Percent of Total Billed Charges,156.43,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,107.96,53.83,,Percent of Total Billed Charges,101.28,,69.47,34.64,,Percent of Total Billed Charges,69.19,,100.23,49.98,,Percent of Total Billed Charges,75.81,,69.47,184.51,,																																							
HC CYANOCOBALAMIN VIT B12 UNSAT BINDING CAPACITY,82608,CPT,,,,BOTH, , ,238.35,200.21,219.28,92,,Percent of Total Billed Charges,199.26,,219.28,92,,Percent of Total Billed Charges,195.69,,219.28,92,,Percent of Total Billed Charges,191.87,,219.28,92,,Percent of Total Billed Charges,199.02,,219.28,92,,Percent of Total Billed Charges,179.48,,219.28,92,,Percent of Total Billed Charges,148.97,,214.52,90,,Percent of Total Billed Charges,118.94,,212.13,89,,Percent of Total Billed Charges,114.41,,196.4,82.4,,Percent of Total Billed Charges,195.92,,198.78,83.4,,Percent of Total Billed Charges,185.44,,198.78,83.4,,Percent of Total Billed Charges,167.08,,198.78,83.4,,Percent of Total Billed Charges,194.02,,214.52,90,,Percent of Total Billed Charges,201.88,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,219.28,92,,Percent of Total Billed Charges,193.3,,219.28,92,,Percent of Total Billed Charges,177.33,,219.28,92,,Percent of Total Billed Charges,186.63,,219.28,92,,Percent of Total Billed Charges,193.3,,185.91,78,,Percent of Total Billed Charges,185.91,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,128.3,53.83,,Percent of Total Billed Charges,120.37,,82.56,34.64,,Percent of Total Billed Charges,82.23,,119.13,49.98,,Percent of Total Billed Charges,90.1,,82.56,219.28,,																																							
HC ASSAY OF PHENCYCLIDINE,83992,CPT,,,,BOTH, , ,120.75,101.43,111.09,92,,Percent of Total Billed Charges,100.95,,111.09,92,,Percent of Total Billed Charges,99.14,,111.09,92,,Percent of Total Billed Charges,97.2,,111.09,92,,Percent of Total Billed Charges,100.83,,111.09,92,,Percent of Total Billed Charges,90.92,,111.09,92,,Percent of Total Billed Charges,75.47,,108.68,90,,Percent of Total Billed Charges,60.25,,107.47,89,,Percent of Total Billed Charges,57.96,,99.5,82.4,,Percent of Total Billed Charges,99.26,,100.71,83.4,,Percent of Total Billed Charges,93.94,,100.71,83.4,,Percent of Total Billed Charges,84.65,,100.71,83.4,,Percent of Total Billed Charges,98.29,,108.68,90,,Percent of Total Billed Charges,102.28,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,111.09,92,,Percent of Total Billed Charges,97.93,,111.09,92,,Percent of Total Billed Charges,89.84,,111.09,92,,Percent of Total Billed Charges,94.55,,111.09,92,,Percent of Total Billed Charges,97.93,,94.19,78,,Percent of Total Billed Charges,94.19,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,65,53.83,,Percent of Total Billed Charges,60.98,,41.83,34.64,,Percent of Total Billed Charges,41.66,,60.35,49.98,,Percent of Total Billed Charges,45.64,,41.83,111.09,,																																							
HC ASSAY OF TYROSINE,84510,CPT,,,,BOTH, , ,238.35,200.21,219.28,92,,Percent of Total Billed Charges,199.26,,219.28,92,,Percent of Total Billed Charges,195.69,,219.28,92,,Percent of Total Billed Charges,191.87,,219.28,92,,Percent of Total Billed Charges,199.02,,219.28,92,,Percent of Total Billed Charges,179.48,,219.28,92,,Percent of Total Billed Charges,148.97,,214.52,90,,Percent of Total Billed Charges,118.94,,212.13,89,,Percent of Total Billed Charges,114.41,,196.4,82.4,,Percent of Total Billed Charges,195.92,,198.78,83.4,,Percent of Total Billed Charges,185.44,,198.78,83.4,,Percent of Total Billed Charges,167.08,,198.78,83.4,,Percent of Total Billed Charges,194.02,,214.52,90,,Percent of Total Billed Charges,201.88,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,219.28,92,,Percent of Total Billed Charges,193.3,,219.28,92,,Percent of Total Billed Charges,177.33,,219.28,92,,Percent of Total Billed Charges,186.63,,219.28,92,,Percent of Total Billed Charges,193.3,,185.91,78,,Percent of Total Billed Charges,185.91,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,128.3,53.83,,Percent of Total Billed Charges,120.37,,82.56,34.64,,Percent of Total Billed Charges,82.23,,119.13,49.98,,Percent of Total Billed Charges,90.1,,82.56,219.28,,																																							
HC ENZYME CELL ACTIVITY, EACH,82657,CPT,,,,BOTH, , ,161.7,135.83,148.76,92,,Percent of Total Billed Charges,135.18,,148.76,92,,Percent of Total Billed Charges,132.76,,148.76,92,,Percent of Total Billed Charges,130.17,,148.76,92,,Percent of Total Billed Charges,135.02,,148.76,92,,Percent of Total Billed Charges,121.76,,148.76,92,,Percent of Total Billed Charges,101.06,,145.53,90,,Percent of Total Billed Charges,80.69,,143.91,89,,Percent of Total Billed Charges,77.62,,133.24,82.4,,Percent of Total Billed Charges,132.92,,134.86,83.4,,Percent of Total Billed Charges,125.8,,134.86,83.4,,Percent of Total Billed Charges,113.35,,134.86,83.4,,Percent of Total Billed Charges,131.62,,145.53,90,,Percent of Total Billed Charges,136.96,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,148.76,92,,Percent of Total Billed Charges,131.14,,148.76,92,,Percent of Total Billed Charges,120.3,,148.76,92,,Percent of Total Billed Charges,126.61,,148.76,92,,Percent of Total Billed Charges,131.14,,126.13,78,,Percent of Total Billed Charges,126.13,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,87.04,53.83,,Percent of Total Billed Charges,81.66,,56.01,34.64,,Percent of Total Billed Charges,55.79,,80.82,49.98,,Percent of Total Billed Charges,61.12,,56.01,148.76,,																																							
HC ELECTROPHORETIC TEST,82664,CPT,,,,BOTH, , ,246.75,207.27,227.01,92,,Percent of Total Billed Charges,206.28,,227.01,92,,Percent of Total Billed Charges,202.58,,227.01,92,,Percent of Total Billed Charges,198.63,,227.01,92,,Percent of Total Billed Charges,206.04,,227.01,92,,Percent of Total Billed Charges,185.8,,227.01,92,,Percent of Total Billed Charges,154.22,,222.08,90,,Percent of Total Billed Charges,123.13,,219.61,89,,Percent of Total Billed Charges,118.44,,203.32,82.4,,Percent of Total Billed Charges,202.83,,205.79,83.4,,Percent of Total Billed Charges,191.97,,205.79,83.4,,Percent of Total Billed Charges,172.97,,205.79,83.4,,Percent of Total Billed Charges,200.85,,222.08,90,,Percent of Total Billed Charges,209,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,227.01,92,,Percent of Total Billed Charges,200.11,,227.01,92,,Percent of Total Billed Charges,183.58,,227.01,92,,Percent of Total Billed Charges,193.21,,227.01,92,,Percent of Total Billed Charges,200.11,,192.47,78,,Percent of Total Billed Charges,192.47,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,132.83,53.83,,Percent of Total Billed Charges,124.61,,85.47,34.64,,Percent of Total Billed Charges,85.13,,123.33,49.98,,Percent of Total Billed Charges,93.27,,85.47,227.01,,																																							
HC URINE SULFATE,84392,CPT,,,,BOTH, , ,69.3,58.21,63.76,92,,Percent of Total Billed Charges,57.93,,63.76,92,,Percent of Total Billed Charges,56.9,,63.76,92,,Percent of Total Billed Charges,55.79,,63.76,92,,Percent of Total Billed Charges,57.87,,63.76,92,,Percent of Total Billed Charges,52.18,,63.76,92,,Percent of Total Billed Charges,43.31,,62.37,90,,Percent of Total Billed Charges,34.58,,61.68,89,,Percent of Total Billed Charges,33.26,,57.1,82.4,,Percent of Total Billed Charges,56.96,,57.8,83.4,,Percent of Total Billed Charges,53.92,,57.8,83.4,,Percent of Total Billed Charges,48.58,,57.8,83.4,,Percent of Total Billed Charges,56.41,,62.37,90,,Percent of Total Billed Charges,58.7,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,63.76,92,,Percent of Total Billed Charges,56.2,,63.76,92,,Percent of Total Billed Charges,51.56,,63.76,92,,Percent of Total Billed Charges,54.26,,63.76,92,,Percent of Total Billed Charges,56.2,,54.05,78,,Percent of Total Billed Charges,54.05,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,37.3,53.83,,Percent of Total Billed Charges,35,,24.01,34.64,,Percent of Total Billed Charges,23.91,,34.64,49.98,,Percent of Total Billed Charges,26.2,,24.01,63.76,,																																							
HC DRUG SCREEN QUANT, DIPROPYLACETIC ACID, FREE,80165,CPT,,,,BOTH, , ,109.2,91.73,100.46,92,,Percent of Total Billed Charges,91.29,,100.46,92,,Percent of Total Billed Charges,89.65,,100.46,92,,Percent of Total Billed Charges,87.91,,100.46,92,,Percent of Total Billed Charges,91.18,,100.46,92,,Percent of Total Billed Charges,82.23,,100.46,92,,Percent of Total Billed Charges,68.25,,98.28,90,,Percent of Total Billed Charges,54.49,,97.19,89,,Percent of Total Billed Charges,52.42,,89.98,82.4,,Percent of Total Billed Charges,89.76,,91.07,83.4,,Percent of Total Billed Charges,84.96,,91.07,83.4,,Percent of Total Billed Charges,76.55,,91.07,83.4,,Percent of Total Billed Charges,88.89,,98.28,90,,Percent of Total Billed Charges,92.49,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,100.46,92,,Percent of Total Billed Charges,88.56,,100.46,92,,Percent of Total Billed Charges,81.24,,100.46,92,,Percent of Total Billed Charges,85.5,,100.46,92,,Percent of Total Billed Charges,88.56,,85.18,78,,Percent of Total Billed Charges,85.18,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,58.78,53.83,,Percent of Total Billed Charges,55.15,,37.83,34.64,,Percent of Total Billed Charges,37.67,,54.58,49.98,,Percent of Total Billed Charges,41.28,,37.83,100.46,,																																							
HC HT STBL ALKALINE PHOSPHATASE,84078,CPT,,,,BOTH, , ,51.45,43.22,47.33,92,,Percent of Total Billed Charges,43.01,,47.33,92,,Percent of Total Billed Charges,42.24,,47.33,92,,Percent of Total Billed Charges,41.42,,47.33,92,,Percent of Total Billed Charges,42.96,,47.33,92,,Percent of Total Billed Charges,38.74,,47.33,92,,Percent of Total Billed Charges,32.16,,46.31,90,,Percent of Total Billed Charges,25.67,,45.79,89,,Percent of Total Billed Charges,24.7,,42.39,82.4,,Percent of Total Billed Charges,42.29,,42.91,83.4,,Percent of Total Billed Charges,40.03,,42.91,83.4,,Percent of Total Billed Charges,36.07,,42.91,83.4,,Percent of Total Billed Charges,41.88,,46.31,90,,Percent of Total Billed Charges,43.58,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,47.33,92,,Percent of Total Billed Charges,41.73,,47.33,92,,Percent of Total Billed Charges,38.28,,47.33,92,,Percent of Total Billed Charges,40.29,,47.33,92,,Percent of Total Billed Charges,41.73,,40.13,78,,Percent of Total Billed Charges,40.13,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,27.7,53.83,,Percent of Total Billed Charges,25.98,,17.82,34.64,,Percent of Total Billed Charges,17.75,,25.71,49.98,,Percent of Total Billed Charges,19.45,,17.82,47.33,,																																							
HC CARB DEFICIENT TRANSRERRIN,82373,CPT,,,,BOTH, , ,203.7,171.11,187.4,92,,Percent of Total Billed Charges,170.29,,187.4,92,,Percent of Total Billed Charges,167.24,,187.4,92,,Percent of Total Billed Charges,163.98,,187.4,92,,Percent of Total Billed Charges,170.09,,187.4,92,,Percent of Total Billed Charges,153.39,,187.4,92,,Percent of Total Billed Charges,127.31,,183.33,90,,Percent of Total Billed Charges,101.65,,181.29,89,,Percent of Total Billed Charges,97.78,,167.85,82.4,,Percent of Total Billed Charges,167.44,,169.89,83.4,,Percent of Total Billed Charges,158.48,,169.89,83.4,,Percent of Total Billed Charges,142.79,,169.89,83.4,,Percent of Total Billed Charges,165.81,,183.33,90,,Percent of Total Billed Charges,172.53,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,187.4,92,,Percent of Total Billed Charges,165.2,,187.4,92,,Percent of Total Billed Charges,151.55,,187.4,92,,Percent of Total Billed Charges,159.5,,187.4,92,,Percent of Total Billed Charges,165.2,,158.89,78,,Percent of Total Billed Charges,158.89,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,109.65,53.83,,Percent of Total Billed Charges,102.87,,70.56,34.64,,Percent of Total Billed Charges,70.28,,101.81,49.98,,Percent of Total Billed Charges,77,,70.56,187.4,,																																							
HC ASSAY OF THYROXINE BINDING GLOBULIN,84442,CPT,,,,BOTH, , ,101.85,85.55,93.7,92,,Percent of Total Billed Charges,85.15,,93.7,92,,Percent of Total Billed Charges,83.62,,93.7,92,,Percent of Total Billed Charges,81.99,,93.7,92,,Percent of Total Billed Charges,85.04,,93.7,92,,Percent of Total Billed Charges,76.69,,93.7,92,,Percent of Total Billed Charges,63.66,,91.67,90,,Percent of Total Billed Charges,50.82,,90.65,89,,Percent of Total Billed Charges,48.89,,83.92,82.4,,Percent of Total Billed Charges,83.72,,84.94,83.4,,Percent of Total Billed Charges,79.24,,84.94,83.4,,Percent of Total Billed Charges,71.4,,84.94,83.4,,Percent of Total Billed Charges,82.91,,91.67,90,,Percent of Total Billed Charges,86.27,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,93.7,92,,Percent of Total Billed Charges,82.6,,93.7,92,,Percent of Total Billed Charges,75.78,,93.7,92,,Percent of Total Billed Charges,79.75,,93.7,92,,Percent of Total Billed Charges,82.6,,79.44,78,,Percent of Total Billed Charges,79.44,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,54.83,53.83,,Percent of Total Billed Charges,51.43,,35.28,34.64,,Percent of Total Billed Charges,35.14,,50.9,49.98,,Percent of Total Billed Charges,38.5,,35.28,93.7,,																																							
HC DRUG SCREEN QUANTITATIVE MYCOPHENOLATE,80180,CPT,,,,BOTH, , ,9.45,7.94,8.69,92,,Percent of Total Billed Charges,7.9,,8.69,92,,Percent of Total Billed Charges,7.76,,8.69,92,,Percent of Total Billed Charges,7.61,,8.69,92,,Percent of Total Billed Charges,7.89,,8.69,92,,Percent of Total Billed Charges,7.12,,8.69,92,,Percent of Total Billed Charges,5.91,,8.51,90,,Percent of Total Billed Charges,4.72,,8.41,89,,Percent of Total Billed Charges,4.54,,7.79,82.4,,Percent of Total Billed Charges,7.77,,7.88,83.4,,Percent of Total Billed Charges,7.35,,7.88,83.4,,Percent of Total Billed Charges,6.62,,7.88,83.4,,Percent of Total Billed Charges,7.69,,8.51,90,,Percent of Total Billed Charges,8,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,8.69,92,,Percent of Total Billed Charges,7.66,,8.69,92,,Percent of Total Billed Charges,7.03,,8.69,92,,Percent of Total Billed Charges,7.4,,8.69,92,,Percent of Total Billed Charges,7.66,,7.37,78,,Percent of Total Billed Charges,7.37,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5.09,53.83,,Percent of Total Billed Charges,4.77,,3.27,34.64,,Percent of Total Billed Charges,3.26,,4.72,49.98,,Percent of Total Billed Charges,3.57,,3.27,8.69,,																																							
HC LACTOFERRIN FECAL QUANTITATIVE,83631,CPT,,,,BOTH, , ,134.4,112.9,123.65,92,,Percent of Total Billed Charges,112.36,,123.65,92,,Percent of Total Billed Charges,110.34,,123.65,92,,Percent of Total Billed Charges,108.19,,123.65,92,,Percent of Total Billed Charges,112.22,,123.65,92,,Percent of Total Billed Charges,101.2,,123.65,92,,Percent of Total Billed Charges,84,,120.96,90,,Percent of Total Billed Charges,67.07,,119.62,89,,Percent of Total Billed Charges,64.51,,110.75,82.4,,Percent of Total Billed Charges,110.48,,112.09,83.4,,Percent of Total Billed Charges,104.56,,112.09,83.4,,Percent of Total Billed Charges,94.21,,112.09,83.4,,Percent of Total Billed Charges,109.4,,120.96,90,,Percent of Total Billed Charges,113.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,123.65,92,,Percent of Total Billed Charges,109,,123.65,92,,Percent of Total Billed Charges,99.99,,123.65,92,,Percent of Total Billed Charges,105.24,,123.65,92,,Percent of Total Billed Charges,109,,104.83,78,,Percent of Total Billed Charges,104.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,72.35,53.83,,Percent of Total Billed Charges,67.87,,46.56,34.64,,Percent of Total Billed Charges,46.37,,67.17,49.98,,Percent of Total Billed Charges,50.8,,46.56,123.65,,																																							
HC DRUG SCRN QUANT OXCARBAZEPIN,80183,CPT,,,,BOTH, , ,69.3,58.21,63.76,92,,Percent of Total Billed Charges,57.93,,63.76,92,,Percent of Total Billed Charges,56.9,,63.76,92,,Percent of Total Billed Charges,55.79,,63.76,92,,Percent of Total Billed Charges,57.87,,63.76,92,,Percent of Total Billed Charges,52.18,,63.76,92,,Percent of Total Billed Charges,43.31,,62.37,90,,Percent of Total Billed Charges,34.58,,61.68,89,,Percent of Total Billed Charges,33.26,,57.1,82.4,,Percent of Total Billed Charges,56.96,,57.8,83.4,,Percent of Total Billed Charges,53.92,,57.8,83.4,,Percent of Total Billed Charges,48.58,,57.8,83.4,,Percent of Total Billed Charges,56.41,,62.37,90,,Percent of Total Billed Charges,58.7,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,63.76,92,,Percent of Total Billed Charges,56.2,,63.76,92,,Percent of Total Billed Charges,51.56,,63.76,92,,Percent of Total Billed Charges,54.26,,63.76,92,,Percent of Total Billed Charges,56.2,,54.05,78,,Percent of Total Billed Charges,54.05,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,37.3,53.83,,Percent of Total Billed Charges,35,,24.01,34.64,,Percent of Total Billed Charges,23.91,,34.64,49.98,,Percent of Total Billed Charges,26.2,,24.01,63.76,,																																							
HC ANTIEPILEPTICS NOS 13,80339,CPT,,,,BOTH, , ,158.55,133.18,145.87,92,,Percent of Total Billed Charges,132.55,,145.87,92,,Percent of Total Billed Charges,130.17,,145.87,92,,Percent of Total Billed Charges,127.63,,145.87,92,,Percent of Total Billed Charges,132.39,,145.87,92,,Percent of Total Billed Charges,119.39,,145.87,92,,Percent of Total Billed Charges,99.09,,142.7,90,,Percent of Total Billed Charges,79.12,,141.11,89,,Percent of Total Billed Charges,76.1,,130.65,82.4,,Percent of Total Billed Charges,130.33,,132.23,83.4,,Percent of Total Billed Charges,123.35,,132.23,83.4,,Percent of Total Billed Charges,111.14,,132.23,83.4,,Percent of Total Billed Charges,129.06,,142.7,90,,Percent of Total Billed Charges,134.29,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,145.87,92,,Percent of Total Billed Charges,128.58,,145.87,92,,Percent of Total Billed Charges,117.96,,145.87,92,,Percent of Total Billed Charges,124.14,,145.87,92,,Percent of Total Billed Charges,128.58,,123.67,78,,Percent of Total Billed Charges,123.67,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,85.35,53.83,,Percent of Total Billed Charges,80.07,,54.92,34.64,,Percent of Total Billed Charges,54.7,,79.24,49.98,,Percent of Total Billed Charges,59.93,,54.92,145.87,,																																							
HC DEOXYCORTISOL 11,82634,CPT,,,,BOTH, , ,201.6,169.34,185.47,92,,Percent of Total Billed Charges,168.54,,185.47,92,,Percent of Total Billed Charges,165.51,,185.47,92,,Percent of Total Billed Charges,162.29,,185.47,92,,Percent of Total Billed Charges,168.34,,185.47,92,,Percent of Total Billed Charges,151.8,,185.47,92,,Percent of Total Billed Charges,126,,181.44,90,,Percent of Total Billed Charges,100.6,,179.42,89,,Percent of Total Billed Charges,96.77,,166.12,82.4,,Percent of Total Billed Charges,165.72,,168.13,83.4,,Percent of Total Billed Charges,156.84,,168.13,83.4,,Percent of Total Billed Charges,141.32,,168.13,83.4,,Percent of Total Billed Charges,164.1,,181.44,90,,Percent of Total Billed Charges,170.76,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,185.47,92,,Percent of Total Billed Charges,163.5,,185.47,92,,Percent of Total Billed Charges,149.99,,185.47,92,,Percent of Total Billed Charges,157.85,,185.47,92,,Percent of Total Billed Charges,163.5,,157.25,78,,Percent of Total Billed Charges,157.25,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,108.52,53.83,,Percent of Total Billed Charges,101.81,,69.83,34.64,,Percent of Total Billed Charges,69.55,,100.76,49.98,,Percent of Total Billed Charges,76.2,,69.83,185.47,,																																							
HC DESOXYCORTICOSTERONE 11,82633,CPT,,,,BOTH, , ,213.15,179.05,196.1,92,,Percent of Total Billed Charges,178.19,,196.1,92,,Percent of Total Billed Charges,175,,196.1,92,,Percent of Total Billed Charges,171.59,,196.1,92,,Percent of Total Billed Charges,177.98,,196.1,92,,Percent of Total Billed Charges,160.5,,196.1,92,,Percent of Total Billed Charges,133.22,,191.84,90,,Percent of Total Billed Charges,106.36,,189.7,89,,Percent of Total Billed Charges,102.31,,175.64,82.4,,Percent of Total Billed Charges,175.21,,177.77,83.4,,Percent of Total Billed Charges,165.83,,177.77,83.4,,Percent of Total Billed Charges,149.42,,177.77,83.4,,Percent of Total Billed Charges,173.5,,191.84,90,,Percent of Total Billed Charges,180.54,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,196.1,92,,Percent of Total Billed Charges,172.86,,196.1,92,,Percent of Total Billed Charges,158.58,,196.1,92,,Percent of Total Billed Charges,166.9,,196.1,92,,Percent of Total Billed Charges,172.86,,166.26,78,,Percent of Total Billed Charges,166.26,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,114.74,53.83,,Percent of Total Billed Charges,107.64,,73.84,34.64,,Percent of Total Billed Charges,73.54,,106.53,49.98,,Percent of Total Billed Charges,80.57,,73.84,196.1,,																																							
HC DRUG SCREEN QUANTITATIVE ZONISAMIDE,80203,CPT,,,,BOTH, , ,6.3,5.29,5.8,92,,Percent of Total Billed Charges,5.27,,5.8,92,,Percent of Total Billed Charges,5.17,,5.8,92,,Percent of Total Billed Charges,5.07,,5.8,92,,Percent of Total Billed Charges,5.26,,5.8,92,,Percent of Total Billed Charges,4.74,,5.8,92,,Percent of Total Billed Charges,3.94,,5.67,90,,Percent of Total Billed Charges,3.14,,5.61,89,,Percent of Total Billed Charges,3.02,,5.19,82.4,,Percent of Total Billed Charges,5.18,,5.25,83.4,,Percent of Total Billed Charges,4.9,,5.25,83.4,,Percent of Total Billed Charges,4.42,,5.25,83.4,,Percent of Total Billed Charges,5.13,,5.67,90,,Percent of Total Billed Charges,5.34,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5.8,92,,Percent of Total Billed Charges,5.11,,5.8,92,,Percent of Total Billed Charges,4.69,,5.8,92,,Percent of Total Billed Charges,4.93,,5.8,92,,Percent of Total Billed Charges,5.11,,4.91,78,,Percent of Total Billed Charges,4.91,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3.39,53.83,,Percent of Total Billed Charges,3.18,,2.18,34.64,,Percent of Total Billed Charges,2.17,,3.15,49.98,,Percent of Total Billed Charges,2.38,,2.18,5.8,,																																							
HC DRUG SCREEN QUANT TIAGABINE,80199,CPT,,,,BOTH, , ,182.7,153.47,168.08,92,,Percent of Total Billed Charges,152.74,,168.08,92,,Percent of Total Billed Charges,150,,168.08,92,,Percent of Total Billed Charges,147.07,,168.08,92,,Percent of Total Billed Charges,152.55,,168.08,92,,Percent of Total Billed Charges,137.57,,168.08,92,,Percent of Total Billed Charges,114.19,,164.43,90,,Percent of Total Billed Charges,91.17,,162.6,89,,Percent of Total Billed Charges,87.7,,150.54,82.4,,Percent of Total Billed Charges,150.18,,152.37,83.4,,Percent of Total Billed Charges,142.14,,152.37,83.4,,Percent of Total Billed Charges,128.07,,152.37,83.4,,Percent of Total Billed Charges,148.72,,164.43,90,,Percent of Total Billed Charges,154.75,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,168.08,92,,Percent of Total Billed Charges,148.17,,168.08,92,,Percent of Total Billed Charges,135.93,,168.08,92,,Percent of Total Billed Charges,143.05,,168.08,92,,Percent of Total Billed Charges,148.17,,142.51,78,,Percent of Total Billed Charges,142.51,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,98.35,53.83,,Percent of Total Billed Charges,92.26,,63.29,34.64,,Percent of Total Billed Charges,63.03,,91.31,49.98,,Percent of Total Billed Charges,69.06,,63.29,168.08,,																																							
HC DRUG SCREENING HEROIN METABOLITE,80356,CPT,,,,BOTH, , ,476.7,400.43,438.56,92,,Percent of Total Billed Charges,398.52,,438.56,92,,Percent of Total Billed Charges,391.37,,438.56,92,,Percent of Total Billed Charges,383.74,,438.56,92,,Percent of Total Billed Charges,398.04,,438.56,92,,Percent of Total Billed Charges,358.96,,438.56,92,,Percent of Total Billed Charges,297.94,,429.03,90,,Percent of Total Billed Charges,237.87,,424.26,89,,Percent of Total Billed Charges,228.82,,392.8,82.4,,Percent of Total Billed Charges,391.85,,397.57,83.4,,Percent of Total Billed Charges,370.87,,397.57,83.4,,Percent of Total Billed Charges,334.17,,397.57,83.4,,Percent of Total Billed Charges,388.03,,429.03,90,,Percent of Total Billed Charges,403.76,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,438.56,92,,Percent of Total Billed Charges,386.6,,438.56,92,,Percent of Total Billed Charges,354.66,,438.56,92,,Percent of Total Billed Charges,373.26,,438.56,92,,Percent of Total Billed Charges,386.6,,371.83,78,,Percent of Total Billed Charges,371.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,256.61,53.83,,Percent of Total Billed Charges,240.73,,165.13,34.64,,Percent of Total Billed Charges,164.46,,238.25,49.98,,Percent of Total Billed Charges,180.19,,165.13,438.56,,																																							
HC CORTICOSTERONE,82528,CPT,,,,BOTH, , ,11.55,9.7,10.63,92,,Percent of Total Billed Charges,9.66,,10.63,92,,Percent of Total Billed Charges,9.48,,10.63,92,,Percent of Total Billed Charges,9.3,,10.63,92,,Percent of Total Billed Charges,9.64,,10.63,92,,Percent of Total Billed Charges,8.7,,10.63,92,,Percent of Total Billed Charges,7.22,,10.4,90,,Percent of Total Billed Charges,5.76,,10.28,89,,Percent of Total Billed Charges,5.54,,9.52,82.4,,Percent of Total Billed Charges,9.49,,9.63,83.4,,Percent of Total Billed Charges,8.99,,9.63,83.4,,Percent of Total Billed Charges,8.1,,9.63,83.4,,Percent of Total Billed Charges,9.4,,10.4,90,,Percent of Total Billed Charges,9.78,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,10.63,92,,Percent of Total Billed Charges,9.37,,10.63,92,,Percent of Total Billed Charges,8.59,,10.63,92,,Percent of Total Billed Charges,9.04,,10.63,92,,Percent of Total Billed Charges,9.37,,9.01,78,,Percent of Total Billed Charges,9.01,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6.22,53.83,,Percent of Total Billed Charges,5.83,,4,34.64,,Percent of Total Billed Charges,3.98,,5.77,49.98,,Percent of Total Billed Charges,4.37,,4.00,10.63,,																																							
HC FAT/LIPIDS FECES QUANTITATIVE,82710,CPT,,,,BOTH, , ,87.15,73.21,80.18,92,,Percent of Total Billed Charges,72.86,,80.18,92,,Percent of Total Billed Charges,71.55,,80.18,92,,Percent of Total Billed Charges,70.16,,80.18,92,,Percent of Total Billed Charges,72.77,,80.18,92,,Percent of Total Billed Charges,65.62,,80.18,92,,Percent of Total Billed Charges,54.47,,78.44,90,,Percent of Total Billed Charges,43.49,,77.56,89,,Percent of Total Billed Charges,41.83,,71.81,82.4,,Percent of Total Billed Charges,71.64,,72.68,83.4,,Percent of Total Billed Charges,67.8,,72.68,83.4,,Percent of Total Billed Charges,61.09,,72.68,83.4,,Percent of Total Billed Charges,70.94,,78.44,90,,Percent of Total Billed Charges,73.82,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,80.18,92,,Percent of Total Billed Charges,70.68,,80.18,92,,Percent of Total Billed Charges,64.84,,80.18,92,,Percent of Total Billed Charges,68.24,,80.18,92,,Percent of Total Billed Charges,70.68,,67.98,78,,Percent of Total Billed Charges,67.98,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,46.91,53.83,,Percent of Total Billed Charges,44.01,,30.19,34.64,,Percent of Total Billed Charges,30.07,,43.56,49.98,,Percent of Total Billed Charges,32.94,,30.19,80.18,,																																							
HC LACTOFERRIN FECAL (QUAL),83630,CPT,,,,BOTH, , ,100.8,84.67,92.74,92,,Percent of Total Billed Charges,84.27,,92.74,92,,Percent of Total Billed Charges,82.76,,92.74,92,,Percent of Total Billed Charges,81.14,,92.74,92,,Percent of Total Billed Charges,84.17,,92.74,92,,Percent of Total Billed Charges,75.9,,92.74,92,,Percent of Total Billed Charges,63,,90.72,90,,Percent of Total Billed Charges,50.3,,89.71,89,,Percent of Total Billed Charges,48.38,,83.06,82.4,,Percent of Total Billed Charges,82.86,,84.07,83.4,,Percent of Total Billed Charges,78.42,,84.07,83.4,,Percent of Total Billed Charges,70.66,,84.07,83.4,,Percent of Total Billed Charges,82.05,,90.72,90,,Percent of Total Billed Charges,85.38,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,92.74,92,,Percent of Total Billed Charges,81.75,,92.74,92,,Percent of Total Billed Charges,75,,92.74,92,,Percent of Total Billed Charges,78.93,,92.74,92,,Percent of Total Billed Charges,81.75,,78.62,78,,Percent of Total Billed Charges,78.62,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,54.26,53.83,,Percent of Total Billed Charges,50.9,,34.92,34.64,,Percent of Total Billed Charges,34.78,,50.38,49.98,,Percent of Total Billed Charges,38.1,,34.92,92.74,,																																							
HC AFPL3 FRACTION ISOFORM & TOTAL AFP W/RATIO,82107,CPT,,,,BOTH, , ,274.05,230.2,252.13,92,,Percent of Total Billed Charges,229.11,,252.13,92,,Percent of Total Billed Charges,225,,252.13,92,,Percent of Total Billed Charges,220.61,,252.13,92,,Percent of Total Billed Charges,228.83,,252.13,92,,Percent of Total Billed Charges,206.36,,252.13,92,,Percent of Total Billed Charges,171.28,,246.65,90,,Percent of Total Billed Charges,136.75,,243.9,89,,Percent of Total Billed Charges,131.54,,225.82,82.4,,Percent of Total Billed Charges,225.27,,228.56,83.4,,Percent of Total Billed Charges,213.21,,228.56,83.4,,Percent of Total Billed Charges,192.11,,228.56,83.4,,Percent of Total Billed Charges,223.08,,246.65,90,,Percent of Total Billed Charges,232.12,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,252.13,92,,Percent of Total Billed Charges,222.25,,252.13,92,,Percent of Total Billed Charges,203.89,,252.13,92,,Percent of Total Billed Charges,214.58,,252.13,92,,Percent of Total Billed Charges,222.25,,213.76,78,,Percent of Total Billed Charges,213.76,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,147.52,53.83,,Percent of Total Billed Charges,138.4,,94.93,34.64,,Percent of Total Billed Charges,94.55,,136.97,49.98,,Percent of Total Billed Charges,103.59,,94.93,252.13,,																																							
HC DRUG SCREEN QUANT ALCOHOLS BIOMARKERS 1 OR 2,80321,CPT,,,,BOTH, , ,235.2,197.57,216.38,92,,Percent of Total Billed Charges,196.63,,216.38,92,,Percent of Total Billed Charges,193.1,,216.38,92,,Percent of Total Billed Charges,189.34,,216.38,92,,Percent of Total Billed Charges,196.39,,216.38,92,,Percent of Total Billed Charges,177.11,,216.38,92,,Percent of Total Billed Charges,147,,211.68,90,,Percent of Total Billed Charges,117.36,,209.33,89,,Percent of Total Billed Charges,112.9,,193.8,82.4,,Percent of Total Billed Charges,193.33,,196.16,83.4,,Percent of Total Billed Charges,182.99,,196.16,83.4,,Percent of Total Billed Charges,164.88,,196.16,83.4,,Percent of Total Billed Charges,191.45,,211.68,90,,Percent of Total Billed Charges,199.21,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,216.38,92,,Percent of Total Billed Charges,190.75,,216.38,92,,Percent of Total Billed Charges,174.99,,216.38,92,,Percent of Total Billed Charges,184.16,,216.38,92,,Percent of Total Billed Charges,190.75,,183.46,78,,Percent of Total Billed Charges,183.46,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,126.61,53.83,,Percent of Total Billed Charges,118.78,,81.47,34.64,,Percent of Total Billed Charges,81.14,,117.55,49.98,,Percent of Total Billed Charges,88.91,,81.47,216.38,,																																							
HC DRUG SCREEN QUANT AMPHETAMINES 5 OR MORE,80326,CPT,,,,BOTH, , ,235.2,197.57,216.38,92,,Percent of Total Billed Charges,196.63,,216.38,92,,Percent of Total Billed Charges,193.1,,216.38,92,,Percent of Total Billed Charges,189.34,,216.38,92,,Percent of Total Billed Charges,196.39,,216.38,92,,Percent of Total Billed Charges,177.11,,216.38,92,,Percent of Total Billed Charges,147,,211.68,90,,Percent of Total Billed Charges,117.36,,209.33,89,,Percent of Total Billed Charges,112.9,,193.8,82.4,,Percent of Total Billed Charges,193.33,,196.16,83.4,,Percent of Total Billed Charges,182.99,,196.16,83.4,,Percent of Total Billed Charges,164.88,,196.16,83.4,,Percent of Total Billed Charges,191.45,,211.68,90,,Percent of Total Billed Charges,199.21,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,216.38,92,,Percent of Total Billed Charges,190.75,,216.38,92,,Percent of Total Billed Charges,174.99,,216.38,92,,Percent of Total Billed Charges,184.16,,216.38,92,,Percent of Total Billed Charges,190.75,,183.46,78,,Percent of Total Billed Charges,183.46,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,126.61,53.83,,Percent of Total Billed Charges,118.78,,81.47,34.64,,Percent of Total Billed Charges,81.14,,117.55,49.98,,Percent of Total Billed Charges,88.91,,81.47,216.38,,																																							
HC DRUG SCREEN ANALGESICS NONOPIOID 35,80330,CPT,,,,BOTH, , ,235.2,197.57,216.38,92,,Percent of Total Billed Charges,196.63,,216.38,92,,Percent of Total Billed Charges,193.1,,216.38,92,,Percent of Total Billed Charges,189.34,,216.38,92,,Percent of Total Billed Charges,196.39,,216.38,92,,Percent of Total Billed Charges,177.11,,216.38,92,,Percent of Total Billed Charges,147,,211.68,90,,Percent of Total Billed Charges,117.36,,209.33,89,,Percent of Total Billed Charges,112.9,,193.8,82.4,,Percent of Total Billed Charges,193.33,,196.16,83.4,,Percent of Total Billed Charges,182.99,,196.16,83.4,,Percent of Total Billed Charges,164.88,,196.16,83.4,,Percent of Total Billed Charges,191.45,,211.68,90,,Percent of Total Billed Charges,199.21,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,216.38,92,,Percent of Total Billed Charges,190.75,,216.38,92,,Percent of Total Billed Charges,174.99,,216.38,92,,Percent of Total Billed Charges,184.16,,216.38,92,,Percent of Total Billed Charges,190.75,,183.46,78,,Percent of Total Billed Charges,183.46,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,126.61,53.83,,Percent of Total Billed Charges,118.78,,81.47,34.64,,Percent of Total Billed Charges,81.14,,117.55,49.98,,Percent of Total Billed Charges,88.91,,81.47,216.38,,																																							
HC ANTIDEPRESSANTS NOT OTHERWISE SPECIFIED,80338,CPT,,,,BOTH, , ,176.4,148.18,162.29,92,,Percent of Total Billed Charges,147.47,,162.29,92,,Percent of Total Billed Charges,144.82,,162.29,92,,Percent of Total Billed Charges,142,,162.29,92,,Percent of Total Billed Charges,147.29,,162.29,92,,Percent of Total Billed Charges,132.83,,162.29,92,,Percent of Total Billed Charges,110.25,,158.76,90,,Percent of Total Billed Charges,88.02,,157,89,,Percent of Total Billed Charges,84.67,,145.35,82.4,,Percent of Total Billed Charges,145,,147.12,83.4,,Percent of Total Billed Charges,137.24,,147.12,83.4,,Percent of Total Billed Charges,123.66,,147.12,83.4,,Percent of Total Billed Charges,143.59,,158.76,90,,Percent of Total Billed Charges,149.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,162.29,92,,Percent of Total Billed Charges,143.06,,162.29,92,,Percent of Total Billed Charges,131.24,,162.29,92,,Percent of Total Billed Charges,138.12,,162.29,92,,Percent of Total Billed Charges,143.06,,137.59,78,,Percent of Total Billed Charges,137.59,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,94.96,53.83,,Percent of Total Billed Charges,89.08,,61.1,34.64,,Percent of Total Billed Charges,60.86,,88.16,49.98,,Percent of Total Billed Charges,66.68,,61.10,162.29,,																																							
HC ANTIDEPRESSANTS SEROTONERGIC CLASS 35,80333,CPT,,,,BOTH, , ,235.2,197.57,216.38,92,,Percent of Total Billed Charges,196.63,,216.38,92,,Percent of Total Billed Charges,193.1,,216.38,92,,Percent of Total Billed Charges,189.34,,216.38,92,,Percent of Total Billed Charges,196.39,,216.38,92,,Percent of Total Billed Charges,177.11,,216.38,92,,Percent of Total Billed Charges,147,,211.68,90,,Percent of Total Billed Charges,117.36,,209.33,89,,Percent of Total Billed Charges,112.9,,193.8,82.4,,Percent of Total Billed Charges,193.33,,196.16,83.4,,Percent of Total Billed Charges,182.99,,196.16,83.4,,Percent of Total Billed Charges,164.88,,196.16,83.4,,Percent of Total Billed Charges,191.45,,211.68,90,,Percent of Total Billed Charges,199.21,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,216.38,92,,Percent of Total Billed Charges,190.75,,216.38,92,,Percent of Total Billed Charges,174.99,,216.38,92,,Percent of Total Billed Charges,184.16,,216.38,92,,Percent of Total Billed Charges,190.75,,183.46,78,,Percent of Total Billed Charges,183.46,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,126.61,53.83,,Percent of Total Billed Charges,118.78,,81.47,34.64,,Percent of Total Billed Charges,81.14,,117.55,49.98,,Percent of Total Billed Charges,88.91,,81.47,216.38,,																																							
HC ANTIEPILEPTICS NOT OTHERWISE SPECIFIED 46,80340,CPT,,,,BOTH, , ,235.2,197.57,216.38,92,,Percent of Total Billed Charges,196.63,,216.38,92,,Percent of Total Billed Charges,193.1,,216.38,92,,Percent of Total Billed Charges,189.34,,216.38,92,,Percent of Total Billed Charges,196.39,,216.38,92,,Percent of Total Billed Charges,177.11,,216.38,92,,Percent of Total Billed Charges,147,,211.68,90,,Percent of Total Billed Charges,117.36,,209.33,89,,Percent of Total Billed Charges,112.9,,193.8,82.4,,Percent of Total Billed Charges,193.33,,196.16,83.4,,Percent of Total Billed Charges,182.99,,196.16,83.4,,Percent of Total Billed Charges,164.88,,196.16,83.4,,Percent of Total Billed Charges,191.45,,211.68,90,,Percent of Total Billed Charges,199.21,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,216.38,92,,Percent of Total Billed Charges,190.75,,216.38,92,,Percent of Total Billed Charges,174.99,,216.38,92,,Percent of Total Billed Charges,184.16,,216.38,92,,Percent of Total Billed Charges,190.75,,183.46,78,,Percent of Total Billed Charges,183.46,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,126.61,53.83,,Percent of Total Billed Charges,118.78,,81.47,34.64,,Percent of Total Billed Charges,81.14,,117.55,49.98,,Percent of Total Billed Charges,88.91,,81.47,216.38,,																																							
HC ANTIPSYCHOTICS NOT OTHERWISE SPECIFIED 7/MORE,80344,CPT,,,,BOTH, , ,285.6,239.9,262.75,92,,Percent of Total Billed Charges,238.76,,262.75,92,,Percent of Total Billed Charges,234.48,,262.75,92,,Percent of Total Billed Charges,229.91,,262.75,92,,Percent of Total Billed Charges,238.48,,262.75,92,,Percent of Total Billed Charges,215.06,,262.75,92,,Percent of Total Billed Charges,178.5,,257.04,90,,Percent of Total Billed Charges,142.51,,254.18,89,,Percent of Total Billed Charges,137.09,,235.33,82.4,,Percent of Total Billed Charges,234.76,,238.19,83.4,,Percent of Total Billed Charges,222.2,,238.19,83.4,,Percent of Total Billed Charges,200.21,,238.19,83.4,,Percent of Total Billed Charges,232.48,,257.04,90,,Percent of Total Billed Charges,241.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,262.75,92,,Percent of Total Billed Charges,231.62,,262.75,92,,Percent of Total Billed Charges,212.49,,262.75,92,,Percent of Total Billed Charges,223.62,,262.75,92,,Percent of Total Billed Charges,231.62,,222.77,78,,Percent of Total Billed Charges,222.77,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,153.74,53.83,,Percent of Total Billed Charges,144.23,,98.93,34.64,,Percent of Total Billed Charges,98.53,,142.74,49.98,,Percent of Total Billed Charges,107.96,,98.93,262.75,,																																							
HC DRUG SCREENING PREGABALIN,80366,CPT,,,,BOTH, , ,176.4,148.18,162.29,92,,Percent of Total Billed Charges,147.47,,162.29,92,,Percent of Total Billed Charges,144.82,,162.29,92,,Percent of Total Billed Charges,142,,162.29,92,,Percent of Total Billed Charges,147.29,,162.29,92,,Percent of Total Billed Charges,132.83,,162.29,92,,Percent of Total Billed Charges,110.25,,158.76,90,,Percent of Total Billed Charges,88.02,,157,89,,Percent of Total Billed Charges,84.67,,145.35,82.4,,Percent of Total Billed Charges,145,,147.12,83.4,,Percent of Total Billed Charges,137.24,,147.12,83.4,,Percent of Total Billed Charges,123.66,,147.12,83.4,,Percent of Total Billed Charges,143.59,,158.76,90,,Percent of Total Billed Charges,149.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,162.29,92,,Percent of Total Billed Charges,143.06,,162.29,92,,Percent of Total Billed Charges,131.24,,162.29,92,,Percent of Total Billed Charges,138.12,,162.29,92,,Percent of Total Billed Charges,143.06,,137.59,78,,Percent of Total Billed Charges,137.59,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,94.96,53.83,,Percent of Total Billed Charges,89.08,,61.1,34.64,,Percent of Total Billed Charges,60.86,,88.16,49.98,,Percent of Total Billed Charges,66.68,,61.10,162.29,,																																							
HC DRUG SCREENING TAPENTADOL,80372,CPT,,,,BOTH, , ,176.4,148.18,162.29,92,,Percent of Total Billed Charges,147.47,,162.29,92,,Percent of Total Billed Charges,144.82,,162.29,92,,Percent of Total Billed Charges,142,,162.29,92,,Percent of Total Billed Charges,147.29,,162.29,92,,Percent of Total Billed Charges,132.83,,162.29,92,,Percent of Total Billed Charges,110.25,,158.76,90,,Percent of Total Billed Charges,88.02,,157,89,,Percent of Total Billed Charges,84.67,,145.35,82.4,,Percent of Total Billed Charges,145,,147.12,83.4,,Percent of Total Billed Charges,137.24,,147.12,83.4,,Percent of Total Billed Charges,123.66,,147.12,83.4,,Percent of Total Billed Charges,143.59,,158.76,90,,Percent of Total Billed Charges,149.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,162.29,92,,Percent of Total Billed Charges,143.06,,162.29,92,,Percent of Total Billed Charges,131.24,,162.29,92,,Percent of Total Billed Charges,138.12,,162.29,92,,Percent of Total Billed Charges,143.06,,137.59,78,,Percent of Total Billed Charges,137.59,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,94.96,53.83,,Percent of Total Billed Charges,89.08,,61.1,34.64,,Percent of Total Billed Charges,60.86,,88.16,49.98,,Percent of Total Billed Charges,66.68,,61.10,162.29,,																																							
HC DRUG SCREENING GABAPENTIN NONBLOOD,80355,CPT,,,,BOTH, , ,176.4,148.18,162.29,92,,Percent of Total Billed Charges,147.47,,162.29,92,,Percent of Total Billed Charges,144.82,,162.29,92,,Percent of Total Billed Charges,142,,162.29,92,,Percent of Total Billed Charges,147.29,,162.29,92,,Percent of Total Billed Charges,132.83,,162.29,92,,Percent of Total Billed Charges,110.25,,158.76,90,,Percent of Total Billed Charges,88.02,,157,89,,Percent of Total Billed Charges,84.67,,145.35,82.4,,Percent of Total Billed Charges,145,,147.12,83.4,,Percent of Total Billed Charges,137.24,,147.12,83.4,,Percent of Total Billed Charges,123.66,,147.12,83.4,,Percent of Total Billed Charges,143.59,,158.76,90,,Percent of Total Billed Charges,149.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,162.29,92,,Percent of Total Billed Charges,143.06,,162.29,92,,Percent of Total Billed Charges,131.24,,162.29,92,,Percent of Total Billed Charges,138.12,,162.29,92,,Percent of Total Billed Charges,143.06,,137.59,78,,Percent of Total Billed Charges,137.59,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,94.96,53.83,,Percent of Total Billed Charges,89.08,,61.1,34.64,,Percent of Total Billed Charges,60.86,,88.16,49.98,,Percent of Total Billed Charges,66.68,,61.10,162.29,,																																							
HC DRUG SCREENING KETAMINE AND NORKETAMINE,80357,CPT,,,,BOTH, , ,176.4,148.18,162.29,92,,Percent of Total Billed Charges,147.47,,162.29,92,,Percent of Total Billed Charges,144.82,,162.29,92,,Percent of Total Billed Charges,142,,162.29,92,,Percent of Total Billed Charges,147.29,,162.29,92,,Percent of Total Billed Charges,132.83,,162.29,92,,Percent of Total Billed Charges,110.25,,158.76,90,,Percent of Total Billed Charges,88.02,,157,89,,Percent of Total Billed Charges,84.67,,145.35,82.4,,Percent of Total Billed Charges,145,,147.12,83.4,,Percent of Total Billed Charges,137.24,,147.12,83.4,,Percent of Total Billed Charges,123.66,,147.12,83.4,,Percent of Total Billed Charges,143.59,,158.76,90,,Percent of Total Billed Charges,149.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,162.29,92,,Percent of Total Billed Charges,143.06,,162.29,92,,Percent of Total Billed Charges,131.24,,162.29,92,,Percent of Total Billed Charges,138.12,,162.29,92,,Percent of Total Billed Charges,143.06,,137.59,78,,Percent of Total Billed Charges,137.59,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,94.96,53.83,,Percent of Total Billed Charges,89.08,,61.1,34.64,,Percent of Total Billed Charges,60.86,,88.16,49.98,,Percent of Total Billed Charges,66.68,,61.10,162.29,,																																							
HC DRUG SCREENING METHYLPHENIDATE,80360,CPT,,,,BOTH, , ,176.4,148.18,162.29,92,,Percent of Total Billed Charges,147.47,,162.29,92,,Percent of Total Billed Charges,144.82,,162.29,92,,Percent of Total Billed Charges,142,,162.29,92,,Percent of Total Billed Charges,147.29,,162.29,92,,Percent of Total Billed Charges,132.83,,162.29,92,,Percent of Total Billed Charges,110.25,,158.76,90,,Percent of Total Billed Charges,88.02,,157,89,,Percent of Total Billed Charges,84.67,,145.35,82.4,,Percent of Total Billed Charges,145,,147.12,83.4,,Percent of Total Billed Charges,137.24,,147.12,83.4,,Percent of Total Billed Charges,123.66,,147.12,83.4,,Percent of Total Billed Charges,143.59,,158.76,90,,Percent of Total Billed Charges,149.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,162.29,92,,Percent of Total Billed Charges,143.06,,162.29,92,,Percent of Total Billed Charges,131.24,,162.29,92,,Percent of Total Billed Charges,138.12,,162.29,92,,Percent of Total Billed Charges,143.06,,137.59,78,,Percent of Total Billed Charges,137.59,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,94.96,53.83,,Percent of Total Billed Charges,89.08,,61.1,34.64,,Percent of Total Billed Charges,60.86,,88.16,49.98,,Percent of Total Billed Charges,66.68,,61.10,162.29,,																																							
HC SKEL MUSC RELAXANT 3 OR MORE,80370,CPT,,,,BOTH, , ,235.2,197.57,216.38,92,,Percent of Total Billed Charges,196.63,,216.38,92,,Percent of Total Billed Charges,193.1,,216.38,92,,Percent of Total Billed Charges,189.34,,216.38,92,,Percent of Total Billed Charges,196.39,,216.38,92,,Percent of Total Billed Charges,177.11,,216.38,92,,Percent of Total Billed Charges,147,,211.68,90,,Percent of Total Billed Charges,117.36,,209.33,89,,Percent of Total Billed Charges,112.9,,193.8,82.4,,Percent of Total Billed Charges,193.33,,196.16,83.4,,Percent of Total Billed Charges,182.99,,196.16,83.4,,Percent of Total Billed Charges,164.88,,196.16,83.4,,Percent of Total Billed Charges,191.45,,211.68,90,,Percent of Total Billed Charges,199.21,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,216.38,92,,Percent of Total Billed Charges,190.75,,216.38,92,,Percent of Total Billed Charges,174.99,,216.38,92,,Percent of Total Billed Charges,184.16,,216.38,92,,Percent of Total Billed Charges,190.75,,183.46,78,,Percent of Total Billed Charges,183.46,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,126.61,53.83,,Percent of Total Billed Charges,118.78,,81.47,34.64,,Percent of Total Billed Charges,81.14,,117.55,49.98,,Percent of Total Billed Charges,88.91,,81.47,216.38,,																																							
HC HLA I TYPING COMPLETE LR,81372,CPT,,,,BOTH, , ,687.75,577.71,632.73,92,,Percent of Total Billed Charges,574.96,,632.73,92,,Percent of Total Billed Charges,564.64,,632.73,92,,Percent of Total Billed Charges,553.64,,632.73,92,,Percent of Total Billed Charges,574.27,,632.73,92,,Percent of Total Billed Charges,517.88,,632.73,92,,Percent of Total Billed Charges,429.84,,618.98,90,,Percent of Total Billed Charges,343.19,,612.1,89,,Percent of Total Billed Charges,330.12,,566.71,82.4,,Percent of Total Billed Charges,565.33,,573.58,83.4,,Percent of Total Billed Charges,535.07,,573.58,83.4,,Percent of Total Billed Charges,482.11,,573.58,83.4,,Percent of Total Billed Charges,559.83,,618.98,90,,Percent of Total Billed Charges,582.52,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,632.73,92,,Percent of Total Billed Charges,557.77,,632.73,92,,Percent of Total Billed Charges,511.69,,632.73,92,,Percent of Total Billed Charges,538.51,,632.73,92,,Percent of Total Billed Charges,557.77,,536.45,78,,Percent of Total Billed Charges,536.45,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,370.22,53.83,,Percent of Total Billed Charges,347.31,,238.24,34.64,,Percent of Total Billed Charges,237.27,,343.74,49.98,,Percent of Total Billed Charges,259.97,,238.24,632.73,,																																							
HC ALLERGEN SPECIFIC IGE,86003,CPT,,,,BOTH, , ,143.85,120.83,132.34,92,,Percent of Total Billed Charges,120.26,,132.34,92,,Percent of Total Billed Charges,118.1,,132.34,92,,Percent of Total Billed Charges,115.8,,132.34,92,,Percent of Total Billed Charges,120.11,,132.34,92,,Percent of Total Billed Charges,108.32,,132.34,92,,Percent of Total Billed Charges,89.91,,129.47,90,,Percent of Total Billed Charges,71.78,,128.03,89,,Percent of Total Billed Charges,69.05,,118.53,82.4,,Percent of Total Billed Charges,118.24,,119.97,83.4,,Percent of Total Billed Charges,111.92,,119.97,83.4,,Percent of Total Billed Charges,100.84,,119.97,83.4,,Percent of Total Billed Charges,117.09,,129.47,90,,Percent of Total Billed Charges,121.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,132.34,92,,Percent of Total Billed Charges,116.66,,132.34,92,,Percent of Total Billed Charges,107.02,,132.34,92,,Percent of Total Billed Charges,112.63,,132.34,92,,Percent of Total Billed Charges,116.66,,112.2,78,,Percent of Total Billed Charges,112.2,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,77.43,53.83,,Percent of Total Billed Charges,72.64,,49.83,34.64,,Percent of Total Billed Charges,49.63,,71.9,49.98,,Percent of Total Billed Charges,54.38,,49.83,132.34,,																																							
HC CREACTIVE PROTEIN,86140,CPT,,,,BOTH, , ,72.45,60.86,66.65,92,,Percent of Total Billed Charges,60.57,,66.65,92,,Percent of Total Billed Charges,59.48,,66.65,92,,Percent of Total Billed Charges,58.32,,66.65,92,,Percent of Total Billed Charges,60.5,,66.65,92,,Percent of Total Billed Charges,54.55,,66.65,92,,Percent of Total Billed Charges,45.28,,65.21,90,,Percent of Total Billed Charges,36.15,,64.48,89,,Percent of Total Billed Charges,34.78,,59.7,82.4,,Percent of Total Billed Charges,59.55,,60.42,83.4,,Percent of Total Billed Charges,56.37,,60.42,83.4,,Percent of Total Billed Charges,50.79,,60.42,83.4,,Percent of Total Billed Charges,58.97,,65.21,90,,Percent of Total Billed Charges,61.37,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,66.65,92,,Percent of Total Billed Charges,58.76,,66.65,92,,Percent of Total Billed Charges,53.9,,66.65,92,,Percent of Total Billed Charges,56.73,,66.65,92,,Percent of Total Billed Charges,58.76,,56.51,78,,Percent of Total Billed Charges,56.51,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,39,53.83,,Percent of Total Billed Charges,36.59,,25.1,34.64,,Percent of Total Billed Charges,25,,36.21,49.98,,Percent of Total Billed Charges,27.39,,25.10,66.65,,																																							
HC COMPLEMENT ANTIGEN,86160,CPT,,,,BOTH, , ,99.75,83.79,91.77,92,,Percent of Total Billed Charges,83.39,,91.77,92,,Percent of Total Billed Charges,81.89,,91.77,92,,Percent of Total Billed Charges,80.3,,91.77,92,,Percent of Total Billed Charges,83.29,,91.77,92,,Percent of Total Billed Charges,75.11,,91.77,92,,Percent of Total Billed Charges,62.34,,89.78,90,,Percent of Total Billed Charges,49.78,,88.78,89,,Percent of Total Billed Charges,47.88,,82.19,82.4,,Percent of Total Billed Charges,81.99,,83.19,83.4,,Percent of Total Billed Charges,77.61,,83.19,83.4,,Percent of Total Billed Charges,69.92,,83.19,83.4,,Percent of Total Billed Charges,81.2,,89.78,90,,Percent of Total Billed Charges,84.49,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,91.77,92,,Percent of Total Billed Charges,80.9,,91.77,92,,Percent of Total Billed Charges,74.21,,91.77,92,,Percent of Total Billed Charges,78.1,,91.77,92,,Percent of Total Billed Charges,80.9,,77.81,78,,Percent of Total Billed Charges,77.81,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,53.7,53.83,,Percent of Total Billed Charges,50.37,,34.55,34.64,,Percent of Total Billed Charges,34.41,,49.86,49.98,,Percent of Total Billed Charges,37.71,,34.55,91.77,,																																							
HC COMPLEMENT /FUNCTION ACTIVITY,86161,CPT,,,,BOTH, , ,212.1,178.16,195.13,92,,Percent of Total Billed Charges,177.32,,195.13,92,,Percent of Total Billed Charges,174.13,,195.13,92,,Percent of Total Billed Charges,170.74,,195.13,92,,Percent of Total Billed Charges,177.1,,195.13,92,,Percent of Total Billed Charges,159.71,,195.13,92,,Percent of Total Billed Charges,132.56,,190.89,90,,Percent of Total Billed Charges,105.84,,188.77,89,,Percent of Total Billed Charges,101.81,,174.77,82.4,,Percent of Total Billed Charges,174.35,,176.89,83.4,,Percent of Total Billed Charges,165.01,,176.89,83.4,,Percent of Total Billed Charges,148.68,,176.89,83.4,,Percent of Total Billed Charges,172.65,,190.89,90,,Percent of Total Billed Charges,179.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,195.13,92,,Percent of Total Billed Charges,172.01,,195.13,92,,Percent of Total Billed Charges,157.8,,195.13,92,,Percent of Total Billed Charges,166.07,,195.13,92,,Percent of Total Billed Charges,172.01,,165.44,78,,Percent of Total Billed Charges,165.44,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,114.17,53.83,,Percent of Total Billed Charges,107.11,,73.47,34.64,,Percent of Total Billed Charges,73.17,,106.01,49.98,,Percent of Total Billed Charges,80.17,,73.47,195.13,,																																							
HC FLUORESCENT ANTIBODY SCREEN,86255,CPT,,,,BOTH, , ,256.2,215.21,235.7,92,,Percent of Total Billed Charges,214.18,,235.7,92,,Percent of Total Billed Charges,210.34,,235.7,92,,Percent of Total Billed Charges,206.24,,235.7,92,,Percent of Total Billed Charges,213.93,,235.7,92,,Percent of Total Billed Charges,192.92,,235.7,92,,Percent of Total Billed Charges,160.13,,230.58,90,,Percent of Total Billed Charges,127.84,,228.02,89,,Percent of Total Billed Charges,122.98,,211.11,82.4,,Percent of Total Billed Charges,210.6,,213.67,83.4,,Percent of Total Billed Charges,199.32,,213.67,83.4,,Percent of Total Billed Charges,179.6,,213.67,83.4,,Percent of Total Billed Charges,208.55,,230.58,90,,Percent of Total Billed Charges,217,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,235.7,92,,Percent of Total Billed Charges,207.78,,235.7,92,,Percent of Total Billed Charges,190.61,,235.7,92,,Percent of Total Billed Charges,200.6,,235.7,92,,Percent of Total Billed Charges,207.78,,199.84,78,,Percent of Total Billed Charges,199.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,137.91,53.83,,Percent of Total Billed Charges,129.38,,88.75,34.64,,Percent of Total Billed Charges,88.39,,128.05,49.98,,Percent of Total Billed Charges,96.84,,88.75,235.7,,																																							
HC HETEROPHILE ANTIBODY SCREEN,86308,CPT,,,,BOTH, , ,153.3,128.77,141.04,92,,Percent of Total Billed Charges,128.16,,141.04,92,,Percent of Total Billed Charges,125.86,,141.04,92,,Percent of Total Billed Charges,123.41,,141.04,92,,Percent of Total Billed Charges,128.01,,141.04,92,,Percent of Total Billed Charges,115.43,,141.04,92,,Percent of Total Billed Charges,95.81,,137.97,90,,Percent of Total Billed Charges,76.5,,136.44,89,,Percent of Total Billed Charges,73.58,,126.32,82.4,,Percent of Total Billed Charges,126.01,,127.85,83.4,,Percent of Total Billed Charges,119.27,,127.85,83.4,,Percent of Total Billed Charges,107.46,,127.85,83.4,,Percent of Total Billed Charges,124.79,,137.97,90,,Percent of Total Billed Charges,129.85,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,141.04,92,,Percent of Total Billed Charges,124.33,,141.04,92,,Percent of Total Billed Charges,114.06,,141.04,92,,Percent of Total Billed Charges,120.03,,141.04,92,,Percent of Total Billed Charges,124.33,,119.57,78,,Percent of Total Billed Charges,119.57,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,82.52,53.83,,Percent of Total Billed Charges,77.42,,53.1,34.64,,Percent of Total Billed Charges,52.89,,76.62,49.98,,Percent of Total Billed Charges,57.95,,53.10,141.04,,																																							
HC IMMUNODIFFUSION OUCHTERLONY QUALITATIVE,86331,CPT,,,,BOTH, , ,67.2,56.45,61.82,92,,Percent of Total Billed Charges,56.18,,61.82,92,,Percent of Total Billed Charges,55.17,,61.82,92,,Percent of Total Billed Charges,54.1,,61.82,92,,Percent of Total Billed Charges,56.11,,61.82,92,,Percent of Total Billed Charges,50.6,,61.82,92,,Percent of Total Billed Charges,42,,60.48,90,,Percent of Total Billed Charges,33.53,,59.81,89,,Percent of Total Billed Charges,32.26,,55.37,82.4,,Percent of Total Billed Charges,55.24,,56.04,83.4,,Percent of Total Billed Charges,52.28,,56.04,83.4,,Percent of Total Billed Charges,47.11,,56.04,83.4,,Percent of Total Billed Charges,54.7,,60.48,90,,Percent of Total Billed Charges,56.92,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,61.82,92,,Percent of Total Billed Charges,54.5,,61.82,92,,Percent of Total Billed Charges,50,,61.82,92,,Percent of Total Billed Charges,52.62,,61.82,92,,Percent of Total Billed Charges,54.5,,52.42,78,,Percent of Total Billed Charges,52.42,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,36.17,53.83,,Percent of Total Billed Charges,33.94,,23.28,34.64,,Percent of Total Billed Charges,23.18,,33.59,49.98,,Percent of Total Billed Charges,25.4,,23.28,61.82,,																																							
HC RHEUMATOID FACTOR TEST QUANT,86431,CPT,,,,BOTH, , ,40.95,34.4,37.67,92,,Percent of Total Billed Charges,34.23,,37.67,92,,Percent of Total Billed Charges,33.62,,37.67,92,,Percent of Total Billed Charges,32.96,,37.67,92,,Percent of Total Billed Charges,34.19,,37.67,92,,Percent of Total Billed Charges,30.84,,37.67,92,,Percent of Total Billed Charges,25.59,,36.86,90,,Percent of Total Billed Charges,20.43,,36.45,89,,Percent of Total Billed Charges,19.66,,33.74,82.4,,Percent of Total Billed Charges,33.66,,34.15,83.4,,Percent of Total Billed Charges,31.86,,34.15,83.4,,Percent of Total Billed Charges,28.71,,34.15,83.4,,Percent of Total Billed Charges,33.33,,36.86,90,,Percent of Total Billed Charges,34.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,37.67,92,,Percent of Total Billed Charges,33.21,,37.67,92,,Percent of Total Billed Charges,30.47,,37.67,92,,Percent of Total Billed Charges,32.06,,37.67,92,,Percent of Total Billed Charges,33.21,,31.94,78,,Percent of Total Billed Charges,31.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,22.04,53.83,,Percent of Total Billed Charges,20.68,,14.19,34.64,,Percent of Total Billed Charges,14.13,,20.47,49.98,,Percent of Total Billed Charges,15.48,,14.19,37.67,,																																							
HC SYPHILIS TEST NONTREPONEMAL ANTIBODY QUALITATIVE,86592,CPT,,,,BOTH, , ,99.75,83.79,91.77,92,,Percent of Total Billed Charges,83.39,,91.77,92,,Percent of Total Billed Charges,81.89,,91.77,92,,Percent of Total Billed Charges,80.3,,91.77,92,,Percent of Total Billed Charges,83.29,,91.77,92,,Percent of Total Billed Charges,75.11,,91.77,92,,Percent of Total Billed Charges,62.34,,89.78,90,,Percent of Total Billed Charges,49.78,,88.78,89,,Percent of Total Billed Charges,47.88,,82.19,82.4,,Percent of Total Billed Charges,81.99,,83.19,83.4,,Percent of Total Billed Charges,77.61,,83.19,83.4,,Percent of Total Billed Charges,69.92,,83.19,83.4,,Percent of Total Billed Charges,81.2,,89.78,90,,Percent of Total Billed Charges,84.49,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,91.77,92,,Percent of Total Billed Charges,80.9,,91.77,92,,Percent of Total Billed Charges,74.21,,91.77,92,,Percent of Total Billed Charges,78.1,,91.77,92,,Percent of Total Billed Charges,80.9,,77.81,78,,Percent of Total Billed Charges,77.81,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,53.7,53.83,,Percent of Total Billed Charges,50.37,,34.55,34.64,,Percent of Total Billed Charges,34.41,,49.86,49.98,,Percent of Total Billed Charges,37.71,,34.55,91.77,,																																							
HC SYPHILIS TEST NONTREPONEMAL ANTIBODY QUANTITATIVE,86593,CPT,,,,BOTH, , ,203.7,171.11,187.4,92,,Percent of Total Billed Charges,170.29,,187.4,92,,Percent of Total Billed Charges,167.24,,187.4,92,,Percent of Total Billed Charges,163.98,,187.4,92,,Percent of Total Billed Charges,170.09,,187.4,92,,Percent of Total Billed Charges,153.39,,187.4,92,,Percent of Total Billed Charges,127.31,,183.33,90,,Percent of Total Billed Charges,101.65,,181.29,89,,Percent of Total Billed Charges,97.78,,167.85,82.4,,Percent of Total Billed Charges,167.44,,169.89,83.4,,Percent of Total Billed Charges,158.48,,169.89,83.4,,Percent of Total Billed Charges,142.79,,169.89,83.4,,Percent of Total Billed Charges,165.81,,183.33,90,,Percent of Total Billed Charges,172.53,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,187.4,92,,Percent of Total Billed Charges,165.2,,187.4,92,,Percent of Total Billed Charges,151.55,,187.4,92,,Percent of Total Billed Charges,159.5,,187.4,92,,Percent of Total Billed Charges,165.2,,158.89,78,,Percent of Total Billed Charges,158.89,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,109.65,53.83,,Percent of Total Billed Charges,102.87,,70.56,34.64,,Percent of Total Billed Charges,70.28,,101.81,49.98,,Percent of Total Billed Charges,77,,70.56,187.4,,																																							
HC ASPERGILLUS ANTIBODY,86606,CPT,,,,BOTH, , ,185.85,156.11,170.98,92,,Percent of Total Billed Charges,155.37,,170.98,92,,Percent of Total Billed Charges,152.58,,170.98,92,,Percent of Total Billed Charges,149.61,,170.98,92,,Percent of Total Billed Charges,155.18,,170.98,92,,Percent of Total Billed Charges,139.95,,170.98,92,,Percent of Total Billed Charges,116.16,,167.27,90,,Percent of Total Billed Charges,92.74,,165.41,89,,Percent of Total Billed Charges,89.21,,153.14,82.4,,Percent of Total Billed Charges,152.77,,155,83.4,,Percent of Total Billed Charges,144.59,,155,83.4,,Percent of Total Billed Charges,130.28,,155,83.4,,Percent of Total Billed Charges,151.28,,167.27,90,,Percent of Total Billed Charges,157.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,170.98,92,,Percent of Total Billed Charges,150.72,,170.98,92,,Percent of Total Billed Charges,138.27,,170.98,92,,Percent of Total Billed Charges,145.52,,170.98,92,,Percent of Total Billed Charges,150.72,,144.96,78,,Percent of Total Billed Charges,144.96,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,100.04,53.83,,Percent of Total Billed Charges,93.85,,64.38,34.64,,Percent of Total Billed Charges,64.12,,92.89,49.98,,Percent of Total Billed Charges,70.25,,64.38,170.98,,																																							
HC BLASTOMYCES ANTIBODY,86612,CPT,,,,BOTH, , ,185.85,156.11,170.98,92,,Percent of Total Billed Charges,155.37,,170.98,92,,Percent of Total Billed Charges,152.58,,170.98,92,,Percent of Total Billed Charges,149.61,,170.98,92,,Percent of Total Billed Charges,155.18,,170.98,92,,Percent of Total Billed Charges,139.95,,170.98,92,,Percent of Total Billed Charges,116.16,,167.27,90,,Percent of Total Billed Charges,92.74,,165.41,89,,Percent of Total Billed Charges,89.21,,153.14,82.4,,Percent of Total Billed Charges,152.77,,155,83.4,,Percent of Total Billed Charges,144.59,,155,83.4,,Percent of Total Billed Charges,130.28,,155,83.4,,Percent of Total Billed Charges,151.28,,167.27,90,,Percent of Total Billed Charges,157.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,170.98,92,,Percent of Total Billed Charges,150.72,,170.98,92,,Percent of Total Billed Charges,138.27,,170.98,92,,Percent of Total Billed Charges,145.52,,170.98,92,,Percent of Total Billed Charges,150.72,,144.96,78,,Percent of Total Billed Charges,144.96,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,100.04,53.83,,Percent of Total Billed Charges,93.85,,64.38,34.64,,Percent of Total Billed Charges,64.12,,92.89,49.98,,Percent of Total Billed Charges,70.25,,64.38,170.98,,																																							
HC LYME DISEASE ANTIBODY,86618,CPT,,,,BOTH, , ,185.85,156.11,170.98,92,,Percent of Total Billed Charges,155.37,,170.98,92,,Percent of Total Billed Charges,152.58,,170.98,92,,Percent of Total Billed Charges,149.61,,170.98,92,,Percent of Total Billed Charges,155.18,,170.98,92,,Percent of Total Billed Charges,139.95,,170.98,92,,Percent of Total Billed Charges,116.16,,167.27,90,,Percent of Total Billed Charges,92.74,,165.41,89,,Percent of Total Billed Charges,89.21,,153.14,82.4,,Percent of Total Billed Charges,152.77,,155,83.4,,Percent of Total Billed Charges,144.59,,155,83.4,,Percent of Total Billed Charges,130.28,,155,83.4,,Percent of Total Billed Charges,151.28,,167.27,90,,Percent of Total Billed Charges,157.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,170.98,92,,Percent of Total Billed Charges,150.72,,170.98,92,,Percent of Total Billed Charges,138.27,,170.98,92,,Percent of Total Billed Charges,145.52,,170.98,92,,Percent of Total Billed Charges,150.72,,144.96,78,,Percent of Total Billed Charges,144.96,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,100.04,53.83,,Percent of Total Billed Charges,93.85,,64.38,34.64,,Percent of Total Billed Charges,64.12,,92.89,49.98,,Percent of Total Billed Charges,70.25,,64.38,170.98,,																																							
HC HIV1 AB CONF BY WESTERN BLOT,86689,CPT,,,,BOTH, , ,383.25,321.93,352.59,92,,Percent of Total Billed Charges,320.4,,352.59,92,,Percent of Total Billed Charges,314.65,,352.59,92,,Percent of Total Billed Charges,308.52,,352.59,92,,Percent of Total Billed Charges,320.01,,352.59,92,,Percent of Total Billed Charges,288.59,,352.59,92,,Percent of Total Billed Charges,239.53,,344.93,90,,Percent of Total Billed Charges,191.24,,341.09,89,,Percent of Total Billed Charges,183.96,,315.8,82.4,,Percent of Total Billed Charges,315.03,,319.63,83.4,,Percent of Total Billed Charges,298.17,,319.63,83.4,,Percent of Total Billed Charges,268.66,,319.63,83.4,,Percent of Total Billed Charges,311.97,,344.93,90,,Percent of Total Billed Charges,324.61,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,352.59,92,,Percent of Total Billed Charges,310.82,,352.59,92,,Percent of Total Billed Charges,285.14,,352.59,92,,Percent of Total Billed Charges,300.08,,352.59,92,,Percent of Total Billed Charges,310.82,,298.94,78,,Percent of Total Billed Charges,298.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,206.3,53.83,,Percent of Total Billed Charges,193.54,,132.76,34.64,,Percent of Total Billed Charges,132.22,,191.55,49.98,,Percent of Total Billed Charges,144.87,,132.76,352.59,,																																							
HC HIV1ANTIBODY,86701,CPT,,,,BOTH, , ,124.95,104.96,114.95,92,,Percent of Total Billed Charges,104.46,,114.95,92,,Percent of Total Billed Charges,102.58,,114.95,92,,Percent of Total Billed Charges,100.58,,114.95,92,,Percent of Total Billed Charges,104.33,,114.95,92,,Percent of Total Billed Charges,94.09,,114.95,92,,Percent of Total Billed Charges,78.09,,112.46,90,,Percent of Total Billed Charges,62.35,,111.21,89,,Percent of Total Billed Charges,59.98,,102.96,82.4,,Percent of Total Billed Charges,102.71,,104.21,83.4,,Percent of Total Billed Charges,97.21,,104.21,83.4,,Percent of Total Billed Charges,87.59,,104.21,83.4,,Percent of Total Billed Charges,101.71,,112.46,90,,Percent of Total Billed Charges,105.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,114.95,92,,Percent of Total Billed Charges,101.33,,114.95,92,,Percent of Total Billed Charges,92.96,,114.95,92,,Percent of Total Billed Charges,97.84,,114.95,92,,Percent of Total Billed Charges,101.33,,97.46,78,,Percent of Total Billed Charges,97.46,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,67.26,53.83,,Percent of Total Billed Charges,63.1,,43.28,34.64,,Percent of Total Billed Charges,43.11,,62.45,49.98,,Percent of Total Billed Charges,47.23,,43.28,114.95,,																																							
HC HEPATITIS A TOTAL ANTIBODY,86708,CPT,,,,BOTH, , ,212.1,178.16,195.13,92,,Percent of Total Billed Charges,177.32,,195.13,92,,Percent of Total Billed Charges,174.13,,195.13,92,,Percent of Total Billed Charges,170.74,,195.13,92,,Percent of Total Billed Charges,177.1,,195.13,92,,Percent of Total Billed Charges,159.71,,195.13,92,,Percent of Total Billed Charges,132.56,,190.89,90,,Percent of Total Billed Charges,105.84,,188.77,89,,Percent of Total Billed Charges,101.81,,174.77,82.4,,Percent of Total Billed Charges,174.35,,176.89,83.4,,Percent of Total Billed Charges,165.01,,176.89,83.4,,Percent of Total Billed Charges,148.68,,176.89,83.4,,Percent of Total Billed Charges,172.65,,190.89,90,,Percent of Total Billed Charges,179.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,195.13,92,,Percent of Total Billed Charges,172.01,,195.13,92,,Percent of Total Billed Charges,157.8,,195.13,92,,Percent of Total Billed Charges,166.07,,195.13,92,,Percent of Total Billed Charges,172.01,,165.44,78,,Percent of Total Billed Charges,165.44,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,114.17,53.83,,Percent of Total Billed Charges,107.11,,73.47,34.64,,Percent of Total Billed Charges,73.17,,106.01,49.98,,Percent of Total Billed Charges,80.17,,73.47,195.13,,																																							
HC NOCARDIA ANTIBODY,86744,CPT,,,,BOTH, , ,72.45,60.86,66.65,92,,Percent of Total Billed Charges,60.57,,66.65,92,,Percent of Total Billed Charges,59.48,,66.65,92,,Percent of Total Billed Charges,58.32,,66.65,92,,Percent of Total Billed Charges,60.5,,66.65,92,,Percent of Total Billed Charges,54.55,,66.65,92,,Percent of Total Billed Charges,45.28,,65.21,90,,Percent of Total Billed Charges,36.15,,64.48,89,,Percent of Total Billed Charges,34.78,,59.7,82.4,,Percent of Total Billed Charges,59.55,,60.42,83.4,,Percent of Total Billed Charges,56.37,,60.42,83.4,,Percent of Total Billed Charges,50.79,,60.42,83.4,,Percent of Total Billed Charges,58.97,,65.21,90,,Percent of Total Billed Charges,61.37,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,66.65,92,,Percent of Total Billed Charges,58.76,,66.65,92,,Percent of Total Billed Charges,53.9,,66.65,92,,Percent of Total Billed Charges,56.73,,66.65,92,,Percent of Total Billed Charges,58.76,,56.51,78,,Percent of Total Billed Charges,56.51,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,39,53.83,,Percent of Total Billed Charges,36.59,,25.1,34.64,,Percent of Total Billed Charges,25,,36.21,49.98,,Percent of Total Billed Charges,27.39,,25.10,66.65,,																																							
HC RUBELLA ANTIBODY,86762,CPT,,,,BOTH, , ,102.9,86.44,94.67,92,,Percent of Total Billed Charges,86.02,,94.67,92,,Percent of Total Billed Charges,84.48,,94.67,92,,Percent of Total Billed Charges,82.83,,94.67,92,,Percent of Total Billed Charges,85.92,,94.67,92,,Percent of Total Billed Charges,77.48,,94.67,92,,Percent of Total Billed Charges,64.31,,92.61,90,,Percent of Total Billed Charges,51.35,,91.58,89,,Percent of Total Billed Charges,49.39,,84.79,82.4,,Percent of Total Billed Charges,84.58,,85.82,83.4,,Percent of Total Billed Charges,80.06,,85.82,83.4,,Percent of Total Billed Charges,72.13,,85.82,83.4,,Percent of Total Billed Charges,83.76,,92.61,90,,Percent of Total Billed Charges,87.16,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,94.67,92,,Percent of Total Billed Charges,83.45,,94.67,92,,Percent of Total Billed Charges,76.56,,94.67,92,,Percent of Total Billed Charges,80.57,,94.67,92,,Percent of Total Billed Charges,83.45,,80.26,78,,Percent of Total Billed Charges,80.26,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,55.39,53.83,,Percent of Total Billed Charges,51.96,,35.64,34.64,,Percent of Total Billed Charges,35.5,,51.43,49.98,,Percent of Total Billed Charges,38.9,,35.64,94.67,,																																							
HC HEP C AB TEST CONFIRM,86804,CPT,,,,BOTH, , ,455.7,382.79,419.24,92,,Percent of Total Billed Charges,380.97,,419.24,92,,Percent of Total Billed Charges,374.13,,419.24,92,,Percent of Total Billed Charges,366.84,,419.24,92,,Percent of Total Billed Charges,380.51,,419.24,92,,Percent of Total Billed Charges,343.14,,419.24,92,,Percent of Total Billed Charges,284.81,,410.13,90,,Percent of Total Billed Charges,227.39,,405.57,89,,Percent of Total Billed Charges,218.74,,375.5,82.4,,Percent of Total Billed Charges,374.59,,380.05,83.4,,Percent of Total Billed Charges,354.53,,380.05,83.4,,Percent of Total Billed Charges,319.45,,380.05,83.4,,Percent of Total Billed Charges,370.94,,410.13,90,,Percent of Total Billed Charges,385.98,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,419.24,92,,Percent of Total Billed Charges,369.57,,419.24,92,,Percent of Total Billed Charges,339.04,,419.24,92,,Percent of Total Billed Charges,356.81,,419.24,92,,Percent of Total Billed Charges,369.57,,355.45,78,,Percent of Total Billed Charges,355.45,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,245.3,53.83,,Percent of Total Billed Charges,230.13,,157.85,34.64,,Percent of Total Billed Charges,157.22,,227.76,49.98,,Percent of Total Billed Charges,172.25,,157.85,419.24,,																																							
HC HLA TYPING A B OR C, SINGLE,86812,CPT,,,,BOTH, , ,322.35,270.77,296.56,92,,Percent of Total Billed Charges,269.48,,296.56,92,,Percent of Total Billed Charges,264.65,,296.56,92,,Percent of Total Billed Charges,259.49,,296.56,92,,Percent of Total Billed Charges,269.16,,296.56,92,,Percent of Total Billed Charges,242.73,,296.56,92,,Percent of Total Billed Charges,201.47,,290.12,90,,Percent of Total Billed Charges,160.85,,286.89,89,,Percent of Total Billed Charges,154.73,,265.62,82.4,,Percent of Total Billed Charges,264.97,,268.84,83.4,,Percent of Total Billed Charges,250.79,,268.84,83.4,,Percent of Total Billed Charges,225.97,,268.84,83.4,,Percent of Total Billed Charges,262.39,,290.12,90,,Percent of Total Billed Charges,273.03,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,296.56,92,,Percent of Total Billed Charges,261.43,,296.56,92,,Percent of Total Billed Charges,239.83,,296.56,92,,Percent of Total Billed Charges,252.4,,296.56,92,,Percent of Total Billed Charges,261.43,,251.43,78,,Percent of Total Billed Charges,251.43,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,173.52,53.83,,Percent of Total Billed Charges,162.79,,111.66,34.64,,Percent of Total Billed Charges,111.21,,161.11,49.98,,Percent of Total Billed Charges,121.85,,111.66,296.56,,																																							
HC ANTISTREPTOLYSIN O TITER,86060,CPT,,,,BOTH, , ,99.75,83.79,91.77,92,,Percent of Total Billed Charges,83.39,,91.77,92,,Percent of Total Billed Charges,81.89,,91.77,92,,Percent of Total Billed Charges,80.3,,91.77,92,,Percent of Total Billed Charges,83.29,,91.77,92,,Percent of Total Billed Charges,75.11,,91.77,92,,Percent of Total Billed Charges,62.34,,89.78,90,,Percent of Total Billed Charges,49.78,,88.78,89,,Percent of Total Billed Charges,47.88,,82.19,82.4,,Percent of Total Billed Charges,81.99,,83.19,83.4,,Percent of Total Billed Charges,77.61,,83.19,83.4,,Percent of Total Billed Charges,69.92,,83.19,83.4,,Percent of Total Billed Charges,81.2,,89.78,90,,Percent of Total Billed Charges,84.49,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,91.77,92,,Percent of Total Billed Charges,80.9,,91.77,92,,Percent of Total Billed Charges,74.21,,91.77,92,,Percent of Total Billed Charges,78.1,,91.77,92,,Percent of Total Billed Charges,80.9,,77.81,78,,Percent of Total Billed Charges,77.81,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,53.7,53.83,,Percent of Total Billed Charges,50.37,,34.55,34.64,,Percent of Total Billed Charges,34.41,,49.86,49.98,,Percent of Total Billed Charges,37.71,,34.55,91.77,,																																							
HC TB AG RESPONSE TCELL SUSP,86481,CPT,,,,BOTH, , ,435.75,366.03,400.89,92,,Percent of Total Billed Charges,364.29,,400.89,92,,Percent of Total Billed Charges,357.75,,400.89,92,,Percent of Total Billed Charges,350.78,,400.89,92,,Percent of Total Billed Charges,363.85,,400.89,92,,Percent of Total Billed Charges,328.12,,400.89,92,,Percent of Total Billed Charges,272.34,,392.18,90,,Percent of Total Billed Charges,217.44,,387.82,89,,Percent of Total Billed Charges,209.16,,359.06,82.4,,Percent of Total Billed Charges,358.19,,363.42,83.4,,Percent of Total Billed Charges,339.01,,363.42,83.4,,Percent of Total Billed Charges,305.46,,363.42,83.4,,Percent of Total Billed Charges,354.7,,392.18,90,,Percent of Total Billed Charges,369.08,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,400.89,92,,Percent of Total Billed Charges,353.39,,400.89,92,,Percent of Total Billed Charges,324.2,,400.89,92,,Percent of Total Billed Charges,341.19,,400.89,92,,Percent of Total Billed Charges,353.39,,339.89,78,,Percent of Total Billed Charges,339.89,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,234.56,53.83,,Percent of Total Billed Charges,220.05,,150.94,34.64,,Percent of Total Billed Charges,150.33,,217.79,49.98,,Percent of Total Billed Charges,164.71,,150.94,400.89,,																																							
HC CELLULAR FUNCTION ASSAY STIMUL&DETECT BIOMARKER,86352,CPT,,,,BOTH, , ,1015.35,852.89,934.12,92,,Percent of Total Billed Charges,848.83,,934.12,92,,Percent of Total Billed Charges,833.6,,934.12,92,,Percent of Total Billed Charges,817.36,,934.12,92,,Percent of Total Billed Charges,847.82,,934.12,92,,Percent of Total Billed Charges,764.56,,934.12,92,,Percent of Total Billed Charges,634.59,,913.82,90,,Percent of Total Billed Charges,506.66,,903.66,89,,Percent of Total Billed Charges,487.37,,836.65,82.4,,Percent of Total Billed Charges,834.62,,846.8,83.4,,Percent of Total Billed Charges,789.94,,846.8,83.4,,Percent of Total Billed Charges,711.76,,846.8,83.4,,Percent of Total Billed Charges,826.49,,913.82,90,,Percent of Total Billed Charges,860,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,934.12,92,,Percent of Total Billed Charges,823.45,,934.12,92,,Percent of Total Billed Charges,755.42,,934.12,92,,Percent of Total Billed Charges,795.02,,934.12,92,,Percent of Total Billed Charges,823.45,,791.97,78,,Percent of Total Billed Charges,791.97,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,546.56,53.83,,Percent of Total Billed Charges,512.75,,351.72,34.64,,Percent of Total Billed Charges,350.3,,507.47,49.98,,Percent of Total Billed Charges,383.8,,351.72,934.12,,																																							
HC ANTIBODY SALMONELLA,86768,CPT,,,,BOTH, , ,99.75,83.79,91.77,92,,Percent of Total Billed Charges,83.39,,91.77,92,,Percent of Total Billed Charges,81.89,,91.77,92,,Percent of Total Billed Charges,80.3,,91.77,92,,Percent of Total Billed Charges,83.29,,91.77,92,,Percent of Total Billed Charges,75.11,,91.77,92,,Percent of Total Billed Charges,62.34,,89.78,90,,Percent of Total Billed Charges,49.78,,88.78,89,,Percent of Total Billed Charges,47.88,,82.19,82.4,,Percent of Total Billed Charges,81.99,,83.19,83.4,,Percent of Total Billed Charges,77.61,,83.19,83.4,,Percent of Total Billed Charges,69.92,,83.19,83.4,,Percent of Total Billed Charges,81.2,,89.78,90,,Percent of Total Billed Charges,84.49,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,91.77,92,,Percent of Total Billed Charges,80.9,,91.77,92,,Percent of Total Billed Charges,74.21,,91.77,92,,Percent of Total Billed Charges,78.1,,91.77,92,,Percent of Total Billed Charges,80.9,,77.81,78,,Percent of Total Billed Charges,77.81,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,53.7,53.83,,Percent of Total Billed Charges,50.37,,34.55,34.64,,Percent of Total Billed Charges,34.41,,49.86,49.98,,Percent of Total Billed Charges,37.71,,34.55,91.77,,																																							
HC DNA ANTIBODY SINGLE STRANDED,86226,CPT,,,,BOTH, , ,90.3,75.85,83.08,92,,Percent of Total Billed Charges,75.49,,83.08,92,,Percent of Total Billed Charges,74.14,,83.08,92,,Percent of Total Billed Charges,72.69,,83.08,92,,Percent of Total Billed Charges,75.4,,83.08,92,,Percent of Total Billed Charges,68,,83.08,92,,Percent of Total Billed Charges,56.44,,81.27,90,,Percent of Total Billed Charges,45.06,,80.37,89,,Percent of Total Billed Charges,43.34,,74.41,82.4,,Percent of Total Billed Charges,74.23,,75.31,83.4,,Percent of Total Billed Charges,70.25,,75.31,83.4,,Percent of Total Billed Charges,63.3,,75.31,83.4,,Percent of Total Billed Charges,73.5,,81.27,90,,Percent of Total Billed Charges,76.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,83.08,92,,Percent of Total Billed Charges,73.23,,83.08,92,,Percent of Total Billed Charges,67.18,,83.08,92,,Percent of Total Billed Charges,70.7,,83.08,92,,Percent of Total Billed Charges,73.23,,70.43,78,,Percent of Total Billed Charges,70.43,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,48.61,53.83,,Percent of Total Billed Charges,45.6,,31.28,34.64,,Percent of Total Billed Charges,31.15,,45.13,49.98,,Percent of Total Billed Charges,34.13,,31.28,83.08,,																																							
HC NEUTRALIZATION TEST, VIRAL,86382,CPT,,,,BOTH, , ,128.1,107.6,117.85,92,,Percent of Total Billed Charges,107.09,,117.85,92,,Percent of Total Billed Charges,105.17,,117.85,92,,Percent of Total Billed Charges,103.12,,117.85,92,,Percent of Total Billed Charges,106.96,,117.85,92,,Percent of Total Billed Charges,96.46,,117.85,92,,Percent of Total Billed Charges,80.06,,115.29,90,,Percent of Total Billed Charges,63.92,,114.01,89,,Percent of Total Billed Charges,61.49,,105.55,82.4,,Percent of Total Billed Charges,105.3,,106.84,83.4,,Percent of Total Billed Charges,99.66,,106.84,83.4,,Percent of Total Billed Charges,89.8,,106.84,83.4,,Percent of Total Billed Charges,104.27,,115.29,90,,Percent of Total Billed Charges,108.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,117.85,92,,Percent of Total Billed Charges,103.89,,117.85,92,,Percent of Total Billed Charges,95.31,,117.85,92,,Percent of Total Billed Charges,100.3,,117.85,92,,Percent of Total Billed Charges,103.89,,99.92,78,,Percent of Total Billed Charges,99.92,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,68.96,53.83,,Percent of Total Billed Charges,64.69,,44.37,34.64,,Percent of Total Billed Charges,44.19,,64.02,49.98,,Percent of Total Billed Charges,48.42,,44.37,117.85,,																																							
HC ALLERGEN SPECIFIC IGG QUAN/SEMIQUAN EA ALLERGEN,86001,CPT,,,,BOTH, , ,39.9,33.52,36.71,92,,Percent of Total Billed Charges,33.36,,36.71,92,,Percent of Total Billed Charges,32.76,,36.71,92,,Percent of Total Billed Charges,32.12,,36.71,92,,Percent of Total Billed Charges,33.32,,36.71,92,,Percent of Total Billed Charges,30.04,,36.71,92,,Percent of Total Billed Charges,24.94,,35.91,90,,Percent of Total Billed Charges,19.91,,35.51,89,,Percent of Total Billed Charges,19.15,,32.88,82.4,,Percent of Total Billed Charges,32.8,,33.28,83.4,,Percent of Total Billed Charges,31.04,,33.28,83.4,,Percent of Total Billed Charges,27.97,,33.28,83.4,,Percent of Total Billed Charges,32.48,,35.91,90,,Percent of Total Billed Charges,33.8,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,36.71,92,,Percent of Total Billed Charges,32.36,,36.71,92,,Percent of Total Billed Charges,29.69,,36.71,92,,Percent of Total Billed Charges,31.24,,36.71,92,,Percent of Total Billed Charges,32.36,,31.12,78,,Percent of Total Billed Charges,31.12,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,21.48,53.83,,Percent of Total Billed Charges,20.15,,13.82,34.64,,Percent of Total Billed Charges,13.77,,19.94,49.98,,Percent of Total Billed Charges,15.08,,13.82,36.71,,																																							
HC BRUCELLA ANTIBODIES,86622,CPT,,,,BOTH, , ,161.7,135.83,148.76,92,,Percent of Total Billed Charges,135.18,,148.76,92,,Percent of Total Billed Charges,132.76,,148.76,92,,Percent of Total Billed Charges,130.17,,148.76,92,,Percent of Total Billed Charges,135.02,,148.76,92,,Percent of Total Billed Charges,121.76,,148.76,92,,Percent of Total Billed Charges,101.06,,145.53,90,,Percent of Total Billed Charges,80.69,,143.91,89,,Percent of Total Billed Charges,77.62,,133.24,82.4,,Percent of Total Billed Charges,132.92,,134.86,83.4,,Percent of Total Billed Charges,125.8,,134.86,83.4,,Percent of Total Billed Charges,113.35,,134.86,83.4,,Percent of Total Billed Charges,131.62,,145.53,90,,Percent of Total Billed Charges,136.96,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,148.76,92,,Percent of Total Billed Charges,131.14,,148.76,92,,Percent of Total Billed Charges,120.3,,148.76,92,,Percent of Total Billed Charges,126.61,,148.76,92,,Percent of Total Billed Charges,131.14,,126.13,78,,Percent of Total Billed Charges,126.13,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,87.04,53.83,,Percent of Total Billed Charges,81.66,,56.01,34.64,,Percent of Total Billed Charges,55.79,,80.82,49.98,,Percent of Total Billed Charges,61.12,,56.01,148.76,,																																							
HC ANTIBODY YERSINIA,86793,CPT,,,,BOTH, , ,66.15,55.57,60.86,92,,Percent of Total Billed Charges,55.3,,60.86,92,,Percent of Total Billed Charges,54.31,,60.86,92,,Percent of Total Billed Charges,53.25,,60.86,92,,Percent of Total Billed Charges,55.24,,60.86,92,,Percent of Total Billed Charges,49.81,,60.86,92,,Percent of Total Billed Charges,41.34,,59.54,90,,Percent of Total Billed Charges,33.01,,58.87,89,,Percent of Total Billed Charges,31.75,,54.51,82.4,,Percent of Total Billed Charges,54.38,,55.17,83.4,,Percent of Total Billed Charges,51.46,,55.17,83.4,,Percent of Total Billed Charges,46.37,,55.17,83.4,,Percent of Total Billed Charges,53.85,,59.54,90,,Percent of Total Billed Charges,56.03,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,60.86,92,,Percent of Total Billed Charges,53.65,,60.86,92,,Percent of Total Billed Charges,49.22,,60.86,92,,Percent of Total Billed Charges,51.8,,60.86,92,,Percent of Total Billed Charges,53.65,,51.6,78,,Percent of Total Billed Charges,51.6,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,35.61,53.83,,Percent of Total Billed Charges,33.41,,22.91,34.64,,Percent of Total Billed Charges,22.82,,33.06,49.98,,Percent of Total Billed Charges,25,,22.91,60.86,,																																							
HC SERUM INCUBATION WITH INHIBITORS, EACH,86977,CPT,,,,BOTH, , ,507.15,426.01,466.58,92,,Percent of Total Billed Charges,423.98,,466.58,92,,Percent of Total Billed Charges,416.37,,466.58,92,,Percent of Total Billed Charges,408.26,,466.58,92,,Percent of Total Billed Charges,423.47,,466.58,92,,Percent of Total Billed Charges,381.88,,466.58,92,,Percent of Total Billed Charges,316.97,,456.44,90,,Percent of Total Billed Charges,253.07,,451.36,89,,Percent of Total Billed Charges,243.43,,417.89,82.4,,Percent of Total Billed Charges,416.88,,422.96,83.4,,Percent of Total Billed Charges,394.56,,422.96,83.4,,Percent of Total Billed Charges,355.51,,422.96,83.4,,Percent of Total Billed Charges,412.82,,456.44,90,,Percent of Total Billed Charges,429.56,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,466.58,92,,Percent of Total Billed Charges,411.3,,466.58,92,,Percent of Total Billed Charges,377.32,,466.58,92,,Percent of Total Billed Charges,397.1,,466.58,92,,Percent of Total Billed Charges,411.3,,395.58,78,,Percent of Total Billed Charges,395.58,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,273,53.83,,Percent of Total Billed Charges,256.11,,175.68,34.64,,Percent of Total Billed Charges,174.97,,253.47,49.98,,Percent of Total Billed Charges,191.7,,175.68,466.58,,																																							
HC AB; LEISHMANIA,86717,CPT,,,,BOTH, , ,143.85,120.83,132.34,92,,Percent of Total Billed Charges,120.26,,132.34,92,,Percent of Total Billed Charges,118.1,,132.34,92,,Percent of Total Billed Charges,115.8,,132.34,92,,Percent of Total Billed Charges,120.11,,132.34,92,,Percent of Total Billed Charges,108.32,,132.34,92,,Percent of Total Billed Charges,89.91,,129.47,90,,Percent of Total Billed Charges,71.78,,128.03,89,,Percent of Total Billed Charges,69.05,,118.53,82.4,,Percent of Total Billed Charges,118.24,,119.97,83.4,,Percent of Total Billed Charges,111.92,,119.97,83.4,,Percent of Total Billed Charges,100.84,,119.97,83.4,,Percent of Total Billed Charges,117.09,,129.47,90,,Percent of Total Billed Charges,121.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,132.34,92,,Percent of Total Billed Charges,116.66,,132.34,92,,Percent of Total Billed Charges,107.02,,132.34,92,,Percent of Total Billed Charges,112.63,,132.34,92,,Percent of Total Billed Charges,116.66,,112.2,78,,Percent of Total Billed Charges,112.2,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,77.43,53.83,,Percent of Total Billed Charges,72.64,,49.83,34.64,,Percent of Total Billed Charges,49.63,,71.9,49.98,,Percent of Total Billed Charges,54.38,,49.83,132.34,,																																							
HC LEGIONELLA PNEUMOPHILA ANTIBODY (IGG), IFA,86713,CPT,,,,BOTH, , ,177.45,149.06,163.25,92,,Percent of Total Billed Charges,148.35,,163.25,92,,Percent of Total Billed Charges,145.69,,163.25,92,,Percent of Total Billed Charges,142.85,,163.25,92,,Percent of Total Billed Charges,148.17,,163.25,92,,Percent of Total Billed Charges,133.62,,163.25,92,,Percent of Total Billed Charges,110.91,,159.71,90,,Percent of Total Billed Charges,88.55,,157.93,89,,Percent of Total Billed Charges,85.18,,146.22,82.4,,Percent of Total Billed Charges,145.86,,147.99,83.4,,Percent of Total Billed Charges,138.06,,147.99,83.4,,Percent of Total Billed Charges,124.39,,147.99,83.4,,Percent of Total Billed Charges,144.44,,159.71,90,,Percent of Total Billed Charges,150.3,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,163.25,92,,Percent of Total Billed Charges,143.91,,163.25,92,,Percent of Total Billed Charges,132.02,,163.25,92,,Percent of Total Billed Charges,138.94,,163.25,92,,Percent of Total Billed Charges,143.91,,138.41,78,,Percent of Total Billed Charges,138.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,95.52,53.83,,Percent of Total Billed Charges,89.61,,61.47,34.64,,Percent of Total Billed Charges,61.22,,88.69,49.98,,Percent of Total Billed Charges,67.08,,61.47,163.25,,																																							
HC ANTIBODY JOHN CUNNINGHAM VIRUS,86711,CPT,,,,BOTH, , ,102.9,86.44,94.67,92,,Percent of Total Billed Charges,86.02,,94.67,92,,Percent of Total Billed Charges,84.48,,94.67,92,,Percent of Total Billed Charges,82.83,,94.67,92,,Percent of Total Billed Charges,85.92,,94.67,92,,Percent of Total Billed Charges,77.48,,94.67,92,,Percent of Total Billed Charges,64.31,,92.61,90,,Percent of Total Billed Charges,51.35,,91.58,89,,Percent of Total Billed Charges,49.39,,84.79,82.4,,Percent of Total Billed Charges,84.58,,85.82,83.4,,Percent of Total Billed Charges,80.06,,85.82,83.4,,Percent of Total Billed Charges,72.13,,85.82,83.4,,Percent of Total Billed Charges,83.76,,92.61,90,,Percent of Total Billed Charges,87.16,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,94.67,92,,Percent of Total Billed Charges,83.45,,94.67,92,,Percent of Total Billed Charges,76.56,,94.67,92,,Percent of Total Billed Charges,80.57,,94.67,92,,Percent of Total Billed Charges,83.45,,80.26,78,,Percent of Total Billed Charges,80.26,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,55.39,53.83,,Percent of Total Billed Charges,51.96,,35.64,34.64,,Percent of Total Billed Charges,35.5,,51.43,49.98,,Percent of Total Billed Charges,38.9,,35.64,94.67,,																																							
HC PARTICLE AGGLUTINATION TITER EACH ANTIBODY,86406,CPT,,,,BOTH, , ,74.55,62.62,68.59,92,,Percent of Total Billed Charges,62.32,,68.59,92,,Percent of Total Billed Charges,61.21,,68.59,92,,Percent of Total Billed Charges,60.01,,68.59,92,,Percent of Total Billed Charges,62.25,,68.59,92,,Percent of Total Billed Charges,56.14,,68.59,92,,Percent of Total Billed Charges,46.59,,67.1,90,,Percent of Total Billed Charges,37.2,,66.35,89,,Percent of Total Billed Charges,35.78,,61.43,82.4,,Percent of Total Billed Charges,61.28,,62.17,83.4,,Percent of Total Billed Charges,58,,62.17,83.4,,Percent of Total Billed Charges,52.26,,62.17,83.4,,Percent of Total Billed Charges,60.68,,67.1,90,,Percent of Total Billed Charges,63.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,68.59,92,,Percent of Total Billed Charges,60.46,,68.59,92,,Percent of Total Billed Charges,55.47,,68.59,92,,Percent of Total Billed Charges,58.37,,68.59,92,,Percent of Total Billed Charges,60.46,,58.15,78,,Percent of Total Billed Charges,58.15,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,40.13,53.83,,Percent of Total Billed Charges,37.65,,25.82,34.64,,Percent of Total Billed Charges,25.72,,37.26,49.98,,Percent of Total Billed Charges,28.18,,25.82,68.59,,																																							
HC ANTINUCLEAR AB (ANA); TITER,86039,CPT,,,,BOTH, , ,79.8,67.03,73.42,92,,Percent of Total Billed Charges,66.71,,73.42,92,,Percent of Total Billed Charges,65.52,,73.42,92,,Percent of Total Billed Charges,64.24,,73.42,92,,Percent of Total Billed Charges,66.63,,73.42,92,,Percent of Total Billed Charges,60.09,,73.42,92,,Percent of Total Billed Charges,49.88,,71.82,90,,Percent of Total Billed Charges,39.82,,71.02,89,,Percent of Total Billed Charges,38.3,,65.76,82.4,,Percent of Total Billed Charges,65.6,,66.55,83.4,,Percent of Total Billed Charges,62.08,,66.55,83.4,,Percent of Total Billed Charges,55.94,,66.55,83.4,,Percent of Total Billed Charges,64.96,,71.82,90,,Percent of Total Billed Charges,67.59,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,73.42,92,,Percent of Total Billed Charges,64.72,,73.42,92,,Percent of Total Billed Charges,59.37,,73.42,92,,Percent of Total Billed Charges,62.48,,73.42,92,,Percent of Total Billed Charges,64.72,,62.24,78,,Percent of Total Billed Charges,62.24,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,42.96,53.83,,Percent of Total Billed Charges,40.3,,27.64,34.64,,Percent of Total Billed Charges,27.53,,39.88,49.98,,Percent of Total Billed Charges,30.16,,27.64,73.42,,																																							
HC ALLERGEN SPEC IGE RECOMBINANT/PURIFIED COMPNT EA,86008,CPT,,,,BOTH, , ,91.35,76.73,84.04,92,,Percent of Total Billed Charges,76.37,,84.04,92,,Percent of Total Billed Charges,75,,84.04,92,,Percent of Total Billed Charges,73.54,,84.04,92,,Percent of Total Billed Charges,76.28,,84.04,92,,Percent of Total Billed Charges,68.79,,84.04,92,,Percent of Total Billed Charges,57.09,,82.22,90,,Percent of Total Billed Charges,45.58,,81.3,89,,Percent of Total Billed Charges,43.85,,75.27,82.4,,Percent of Total Billed Charges,75.09,,76.19,83.4,,Percent of Total Billed Charges,71.07,,76.19,83.4,,Percent of Total Billed Charges,64.04,,76.19,83.4,,Percent of Total Billed Charges,74.36,,82.22,90,,Percent of Total Billed Charges,77.37,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,84.04,92,,Percent of Total Billed Charges,74.08,,84.04,92,,Percent of Total Billed Charges,67.96,,84.04,92,,Percent of Total Billed Charges,71.53,,84.04,92,,Percent of Total Billed Charges,74.08,,71.25,78,,Percent of Total Billed Charges,71.25,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,49.17,53.83,,Percent of Total Billed Charges,46.13,,31.64,34.64,,Percent of Total Billed Charges,31.52,,45.66,49.98,,Percent of Total Billed Charges,34.53,,31.64,84.04,,																																							
HC ANTIBODY IDENTIFICATION PLATELET IMMUNOGL ASSAY,86023,CPT,,,,BOTH, , ,65.1,54.68,59.89,92,,Percent of Total Billed Charges,54.42,,59.89,92,,Percent of Total Billed Charges,53.45,,59.89,92,,Percent of Total Billed Charges,52.41,,59.89,92,,Percent of Total Billed Charges,54.36,,59.89,92,,Percent of Total Billed Charges,49.02,,59.89,92,,Percent of Total Billed Charges,40.69,,58.59,90,,Percent of Total Billed Charges,32.48,,57.94,89,,Percent of Total Billed Charges,31.25,,53.64,82.4,,Percent of Total Billed Charges,53.51,,54.29,83.4,,Percent of Total Billed Charges,50.65,,54.29,83.4,,Percent of Total Billed Charges,45.64,,54.29,83.4,,Percent of Total Billed Charges,52.99,,58.59,90,,Percent of Total Billed Charges,55.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,59.89,92,,Percent of Total Billed Charges,52.8,,59.89,92,,Percent of Total Billed Charges,48.43,,59.89,92,,Percent of Total Billed Charges,50.97,,59.89,92,,Percent of Total Billed Charges,52.8,,50.78,78,,Percent of Total Billed Charges,50.78,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,35.04,53.83,,Percent of Total Billed Charges,32.88,,22.55,34.64,,Percent of Total Billed Charges,22.46,,32.54,49.98,,Percent of Total Billed Charges,24.61,,22.55,59.89,,																																							
HC IMMUNODIFFUSION NOT ELSEWHERE SPECIFIED,86329,CPT,,,,BOTH, , ,118.65,99.67,109.16,92,,Percent of Total Billed Charges,99.19,,109.16,92,,Percent of Total Billed Charges,97.41,,109.16,92,,Percent of Total Billed Charges,95.51,,109.16,92,,Percent of Total Billed Charges,99.07,,109.16,92,,Percent of Total Billed Charges,89.34,,109.16,92,,Percent of Total Billed Charges,74.16,,106.79,90,,Percent of Total Billed Charges,59.21,,105.6,89,,Percent of Total Billed Charges,56.95,,97.77,82.4,,Percent of Total Billed Charges,97.53,,98.95,83.4,,Percent of Total Billed Charges,92.31,,98.95,83.4,,Percent of Total Billed Charges,83.17,,98.95,83.4,,Percent of Total Billed Charges,96.58,,106.79,90,,Percent of Total Billed Charges,100.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,109.16,92,,Percent of Total Billed Charges,96.23,,109.16,92,,Percent of Total Billed Charges,88.28,,109.16,92,,Percent of Total Billed Charges,92.9,,109.16,92,,Percent of Total Billed Charges,96.23,,92.55,78,,Percent of Total Billed Charges,92.55,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,63.87,53.83,,Percent of Total Billed Charges,59.92,,41.1,34.64,,Percent of Total Billed Charges,40.93,,59.3,49.98,,Percent of Total Billed Charges,44.85,,41.10,109.16,,																																							
HC MONONUCLEAR CELL ANTIGEN QUANTITATIVE NOS EA,86356,CPT,,,,BOTH, , ,13.65,11.47,12.56,92,,Percent of Total Billed Charges,11.41,,12.56,92,,Percent of Total Billed Charges,11.21,,12.56,92,,Percent of Total Billed Charges,10.99,,12.56,92,,Percent of Total Billed Charges,11.4,,12.56,92,,Percent of Total Billed Charges,10.28,,12.56,92,,Percent of Total Billed Charges,8.53,,12.29,90,,Percent of Total Billed Charges,6.81,,12.15,89,,Percent of Total Billed Charges,6.55,,11.25,82.4,,Percent of Total Billed Charges,11.22,,11.38,83.4,,Percent of Total Billed Charges,10.62,,11.38,83.4,,Percent of Total Billed Charges,9.57,,11.38,83.4,,Percent of Total Billed Charges,11.11,,12.29,90,,Percent of Total Billed Charges,11.56,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,12.56,92,,Percent of Total Billed Charges,11.07,,12.56,92,,Percent of Total Billed Charges,10.16,,12.56,92,,Percent of Total Billed Charges,10.69,,12.56,92,,Percent of Total Billed Charges,11.07,,10.65,78,,Percent of Total Billed Charges,10.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,7.35,53.83,,Percent of Total Billed Charges,6.89,,4.73,34.64,,Percent of Total Billed Charges,4.71,,6.82,49.98,,Percent of Total Billed Charges,5.16,,4.73,12.56,,																																							
HC ANTIBODY; RESPIRATORY SYNCYTIAL VIRUS,86756,CPT,,,,BOTH, , ,67.2,56.45,61.82,92,,Percent of Total Billed Charges,56.18,,61.82,92,,Percent of Total Billed Charges,55.17,,61.82,92,,Percent of Total Billed Charges,54.1,,61.82,92,,Percent of Total Billed Charges,56.11,,61.82,92,,Percent of Total Billed Charges,50.6,,61.82,92,,Percent of Total Billed Charges,42,,60.48,90,,Percent of Total Billed Charges,33.53,,59.81,89,,Percent of Total Billed Charges,32.26,,55.37,82.4,,Percent of Total Billed Charges,55.24,,56.04,83.4,,Percent of Total Billed Charges,52.28,,56.04,83.4,,Percent of Total Billed Charges,47.11,,56.04,83.4,,Percent of Total Billed Charges,54.7,,60.48,90,,Percent of Total Billed Charges,56.92,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,61.82,92,,Percent of Total Billed Charges,54.5,,61.82,92,,Percent of Total Billed Charges,50,,61.82,92,,Percent of Total Billed Charges,52.62,,61.82,92,,Percent of Total Billed Charges,54.5,,52.42,78,,Percent of Total Billed Charges,52.42,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,36.17,53.83,,Percent of Total Billed Charges,33.94,,23.28,34.64,,Percent of Total Billed Charges,23.18,,33.59,49.98,,Percent of Total Billed Charges,25.4,,23.28,61.82,,																																							
HC CBC MANUAL DIFF,85007,CPT,,,,BOTH, , ,71.4,59.98,65.69,92,,Percent of Total Billed Charges,59.69,,65.69,92,,Percent of Total Billed Charges,58.62,,65.69,92,,Percent of Total Billed Charges,57.48,,65.69,92,,Percent of Total Billed Charges,59.62,,65.69,92,,Percent of Total Billed Charges,53.76,,65.69,92,,Percent of Total Billed Charges,44.63,,64.26,90,,Percent of Total Billed Charges,35.63,,63.55,89,,Percent of Total Billed Charges,34.27,,58.83,82.4,,Percent of Total Billed Charges,58.69,,59.55,83.4,,Percent of Total Billed Charges,55.55,,59.55,83.4,,Percent of Total Billed Charges,50.05,,59.55,83.4,,Percent of Total Billed Charges,58.12,,64.26,90,,Percent of Total Billed Charges,60.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,65.69,92,,Percent of Total Billed Charges,57.91,,65.69,92,,Percent of Total Billed Charges,53.12,,65.69,92,,Percent of Total Billed Charges,55.91,,65.69,92,,Percent of Total Billed Charges,57.91,,55.69,78,,Percent of Total Billed Charges,55.69,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,38.43,53.83,,Percent of Total Billed Charges,36.06,,24.73,34.64,,Percent of Total Billed Charges,24.63,,35.69,49.98,,Percent of Total Billed Charges,26.99,,24.73,65.69,,																																							
HC HEMATOCRIT,85014,CPT,,,,BOTH, , ,35.7,29.99,32.84,92,,Percent of Total Billed Charges,29.85,,32.84,92,,Percent of Total Billed Charges,29.31,,32.84,92,,Percent of Total Billed Charges,28.74,,32.84,92,,Percent of Total Billed Charges,29.81,,32.84,92,,Percent of Total Billed Charges,26.88,,32.84,92,,Percent of Total Billed Charges,22.31,,32.13,90,,Percent of Total Billed Charges,17.81,,31.77,89,,Percent of Total Billed Charges,17.14,,29.42,82.4,,Percent of Total Billed Charges,29.35,,29.77,83.4,,Percent of Total Billed Charges,27.77,,29.77,83.4,,Percent of Total Billed Charges,25.03,,29.77,83.4,,Percent of Total Billed Charges,29.06,,32.13,90,,Percent of Total Billed Charges,30.24,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,32.84,92,,Percent of Total Billed Charges,28.95,,32.84,92,,Percent of Total Billed Charges,26.56,,32.84,92,,Percent of Total Billed Charges,27.95,,32.84,92,,Percent of Total Billed Charges,28.95,,27.85,78,,Percent of Total Billed Charges,27.85,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,19.22,53.83,,Percent of Total Billed Charges,18.03,,12.37,34.64,,Percent of Total Billed Charges,12.32,,17.84,49.98,,Percent of Total Billed Charges,13.49,,12.37,32.84,,																																							
HC HEMOGLOBIN,85018,CPT,,,,BOTH, , ,33.6,28.22,30.91,92,,Percent of Total Billed Charges,28.09,,30.91,92,,Percent of Total Billed Charges,27.59,,30.91,92,,Percent of Total Billed Charges,27.05,,30.91,92,,Percent of Total Billed Charges,28.06,,30.91,92,,Percent of Total Billed Charges,25.3,,30.91,92,,Percent of Total Billed Charges,21,,30.24,90,,Percent of Total Billed Charges,16.77,,29.9,89,,Percent of Total Billed Charges,16.13,,27.69,82.4,,Percent of Total Billed Charges,27.62,,28.02,83.4,,Percent of Total Billed Charges,26.14,,28.02,83.4,,Percent of Total Billed Charges,23.55,,28.02,83.4,,Percent of Total Billed Charges,27.35,,30.24,90,,Percent of Total Billed Charges,28.46,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,30.91,92,,Percent of Total Billed Charges,27.25,,30.91,92,,Percent of Total Billed Charges,25,,30.91,92,,Percent of Total Billed Charges,26.31,,30.91,92,,Percent of Total Billed Charges,27.25,,26.21,78,,Percent of Total Billed Charges,26.21,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,18.09,53.83,,Percent of Total Billed Charges,16.97,,11.64,34.64,,Percent of Total Billed Charges,11.59,,16.79,49.98,,Percent of Total Billed Charges,12.7,,11.64,30.91,,																																							
HC COMPLETE CBC WITH DIFF,85025,CPT,,,,BOTH, , ,143.85,120.83,132.34,92,,Percent of Total Billed Charges,120.26,,132.34,92,,Percent of Total Billed Charges,118.1,,132.34,92,,Percent of Total Billed Charges,115.8,,132.34,92,,Percent of Total Billed Charges,120.11,,132.34,92,,Percent of Total Billed Charges,108.32,,132.34,92,,Percent of Total Billed Charges,89.91,,129.47,90,,Percent of Total Billed Charges,71.78,,128.03,89,,Percent of Total Billed Charges,69.05,,118.53,82.4,,Percent of Total Billed Charges,118.24,,119.97,83.4,,Percent of Total Billed Charges,111.92,,119.97,83.4,,Percent of Total Billed Charges,100.84,,119.97,83.4,,Percent of Total Billed Charges,117.09,,129.47,90,,Percent of Total Billed Charges,121.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,132.34,92,,Percent of Total Billed Charges,116.66,,132.34,92,,Percent of Total Billed Charges,107.02,,132.34,92,,Percent of Total Billed Charges,112.63,,132.34,92,,Percent of Total Billed Charges,116.66,,112.2,78,,Percent of Total Billed Charges,112.2,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,77.43,53.83,,Percent of Total Billed Charges,72.64,,49.83,34.64,,Percent of Total Billed Charges,49.63,,71.9,49.98,,Percent of Total Billed Charges,54.38,,49.83,132.34,,																																							
HC COMPLETE CBC WITHOUT DIFF,85027,CPT,,,,BOTH, , ,67.2,56.45,61.82,92,,Percent of Total Billed Charges,56.18,,61.82,92,,Percent of Total Billed Charges,55.17,,61.82,92,,Percent of Total Billed Charges,54.1,,61.82,92,,Percent of Total Billed Charges,56.11,,61.82,92,,Percent of Total Billed Charges,50.6,,61.82,92,,Percent of Total Billed Charges,42,,60.48,90,,Percent of Total Billed Charges,33.53,,59.81,89,,Percent of Total Billed Charges,32.26,,55.37,82.4,,Percent of Total Billed Charges,55.24,,56.04,83.4,,Percent of Total Billed Charges,52.28,,56.04,83.4,,Percent of Total Billed Charges,47.11,,56.04,83.4,,Percent of Total Billed Charges,54.7,,60.48,90,,Percent of Total Billed Charges,56.92,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,61.82,92,,Percent of Total Billed Charges,54.5,,61.82,92,,Percent of Total Billed Charges,50,,61.82,92,,Percent of Total Billed Charges,52.62,,61.82,92,,Percent of Total Billed Charges,54.5,,52.42,78,,Percent of Total Billed Charges,52.42,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,36.17,53.83,,Percent of Total Billed Charges,33.94,,23.28,34.64,,Percent of Total Billed Charges,23.18,,33.59,49.98,,Percent of Total Billed Charges,25.4,,23.28,61.82,,																																							
HC RETICULOCYTE COUNT,85045,CPT,,,,BOTH, , ,56.7,47.63,52.16,92,,Percent of Total Billed Charges,47.4,,52.16,92,,Percent of Total Billed Charges,46.55,,52.16,92,,Percent of Total Billed Charges,45.64,,52.16,92,,Percent of Total Billed Charges,47.34,,52.16,92,,Percent of Total Billed Charges,42.7,,52.16,92,,Percent of Total Billed Charges,35.44,,51.03,90,,Percent of Total Billed Charges,28.29,,50.46,89,,Percent of Total Billed Charges,27.22,,46.72,82.4,,Percent of Total Billed Charges,46.61,,47.29,83.4,,Percent of Total Billed Charges,44.11,,47.29,83.4,,Percent of Total Billed Charges,39.75,,47.29,83.4,,Percent of Total Billed Charges,46.15,,51.03,90,,Percent of Total Billed Charges,48.02,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,52.16,92,,Percent of Total Billed Charges,45.98,,52.16,92,,Percent of Total Billed Charges,42.18,,52.16,92,,Percent of Total Billed Charges,44.4,,52.16,92,,Percent of Total Billed Charges,45.98,,44.23,78,,Percent of Total Billed Charges,44.23,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,30.52,53.83,,Percent of Total Billed Charges,28.63,,19.64,34.64,,Percent of Total Billed Charges,19.56,,28.34,49.98,,Percent of Total Billed Charges,21.43,,19.64,52.16,,																																							
HC AUTOMATED LEUKOCYTE COUNT,85048,CPT,,,,BOTH, , ,33.6,28.22,30.91,92,,Percent of Total Billed Charges,28.09,,30.91,92,,Percent of Total Billed Charges,27.59,,30.91,92,,Percent of Total Billed Charges,27.05,,30.91,92,,Percent of Total Billed Charges,28.06,,30.91,92,,Percent of Total Billed Charges,25.3,,30.91,92,,Percent of Total Billed Charges,21,,30.24,90,,Percent of Total Billed Charges,16.77,,29.9,89,,Percent of Total Billed Charges,16.13,,27.69,82.4,,Percent of Total Billed Charges,27.62,,28.02,83.4,,Percent of Total Billed Charges,26.14,,28.02,83.4,,Percent of Total Billed Charges,23.55,,28.02,83.4,,Percent of Total Billed Charges,27.35,,30.24,90,,Percent of Total Billed Charges,28.46,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,30.91,92,,Percent of Total Billed Charges,27.25,,30.91,92,,Percent of Total Billed Charges,25,,30.91,92,,Percent of Total Billed Charges,26.31,,30.91,92,,Percent of Total Billed Charges,27.25,,26.21,78,,Percent of Total Billed Charges,26.21,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,18.09,53.83,,Percent of Total Billed Charges,16.97,,11.64,34.64,,Percent of Total Billed Charges,11.59,,16.79,49.98,,Percent of Total Billed Charges,12.7,,11.64,30.91,,																																							
HC PLATELET COUNT,85049,CPT,,,,BOTH, , ,79.8,67.03,73.42,92,,Percent of Total Billed Charges,66.71,,73.42,92,,Percent of Total Billed Charges,65.52,,73.42,92,,Percent of Total Billed Charges,64.24,,73.42,92,,Percent of Total Billed Charges,66.63,,73.42,92,,Percent of Total Billed Charges,60.09,,73.42,92,,Percent of Total Billed Charges,49.88,,71.82,90,,Percent of Total Billed Charges,39.82,,71.02,89,,Percent of Total Billed Charges,38.3,,65.76,82.4,,Percent of Total Billed Charges,65.6,,66.55,83.4,,Percent of Total Billed Charges,62.08,,66.55,83.4,,Percent of Total Billed Charges,55.94,,66.55,83.4,,Percent of Total Billed Charges,64.96,,71.82,90,,Percent of Total Billed Charges,67.59,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,73.42,92,,Percent of Total Billed Charges,64.72,,73.42,92,,Percent of Total Billed Charges,59.37,,73.42,92,,Percent of Total Billed Charges,62.48,,73.42,92,,Percent of Total Billed Charges,64.72,,62.24,78,,Percent of Total Billed Charges,62.24,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,42.96,53.83,,Percent of Total Billed Charges,40.3,,27.64,34.64,,Percent of Total Billed Charges,27.53,,39.88,49.98,,Percent of Total Billed Charges,30.16,,27.64,73.42,,																																							
HC CLOT FACTOR VIII AHG 1 STAGE,85240,CPT,,,,BOTH, , ,386.4,324.58,355.49,92,,Percent of Total Billed Charges,323.03,,355.49,92,,Percent of Total Billed Charges,317.23,,355.49,92,,Percent of Total Billed Charges,311.05,,355.49,92,,Percent of Total Billed Charges,322.64,,355.49,92,,Percent of Total Billed Charges,290.96,,355.49,92,,Percent of Total Billed Charges,241.5,,347.76,90,,Percent of Total Billed Charges,192.81,,343.9,89,,Percent of Total Billed Charges,185.47,,318.39,82.4,,Percent of Total Billed Charges,317.62,,322.26,83.4,,Percent of Total Billed Charges,300.62,,322.26,83.4,,Percent of Total Billed Charges,270.87,,322.26,83.4,,Percent of Total Billed Charges,314.53,,347.76,90,,Percent of Total Billed Charges,327.28,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,355.49,92,,Percent of Total Billed Charges,313.37,,355.49,92,,Percent of Total Billed Charges,287.48,,355.49,92,,Percent of Total Billed Charges,302.55,,355.49,92,,Percent of Total Billed Charges,313.37,,301.39,78,,Percent of Total Billed Charges,301.39,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,208,53.83,,Percent of Total Billed Charges,195.13,,133.85,34.64,,Percent of Total Billed Charges,133.31,,193.12,49.98,,Percent of Total Billed Charges,146.06,,133.85,355.49,,																																							
HC CLOT INHIBIT PROTEIN C ACTIVITY,85303,CPT,,,,BOTH, , ,313.95,263.72,288.83,92,,Percent of Total Billed Charges,262.46,,288.83,92,,Percent of Total Billed Charges,257.75,,288.83,92,,Percent of Total Billed Charges,252.73,,288.83,92,,Percent of Total Billed Charges,262.15,,288.83,92,,Percent of Total Billed Charges,236.4,,288.83,92,,Percent of Total Billed Charges,196.22,,282.56,90,,Percent of Total Billed Charges,156.66,,279.42,89,,Percent of Total Billed Charges,150.7,,258.69,82.4,,Percent of Total Billed Charges,258.07,,261.83,83.4,,Percent of Total Billed Charges,244.25,,261.83,83.4,,Percent of Total Billed Charges,220.08,,261.83,83.4,,Percent of Total Billed Charges,255.56,,282.56,90,,Percent of Total Billed Charges,265.92,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,288.83,92,,Percent of Total Billed Charges,254.61,,288.83,92,,Percent of Total Billed Charges,233.58,,288.83,92,,Percent of Total Billed Charges,245.82,,288.83,92,,Percent of Total Billed Charges,254.61,,244.88,78,,Percent of Total Billed Charges,244.88,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,169,53.83,,Percent of Total Billed Charges,158.54,,108.75,34.64,,Percent of Total Billed Charges,108.31,,156.91,49.98,,Percent of Total Billed Charges,118.67,,108.75,288.83,,																																							
HC FIBRIN DEGRADATION QUANT,85379,CPT,,,,BOTH, , ,279.3,234.61,256.96,92,,Percent of Total Billed Charges,233.49,,256.96,92,,Percent of Total Billed Charges,229.31,,256.96,92,,Percent of Total Billed Charges,224.84,,256.96,92,,Percent of Total Billed Charges,233.22,,256.96,92,,Percent of Total Billed Charges,210.31,,256.96,92,,Percent of Total Billed Charges,174.56,,251.37,90,,Percent of Total Billed Charges,139.37,,248.58,89,,Percent of Total Billed Charges,134.06,,230.14,82.4,,Percent of Total Billed Charges,229.58,,232.94,83.4,,Percent of Total Billed Charges,217.3,,232.94,83.4,,Percent of Total Billed Charges,195.79,,232.94,83.4,,Percent of Total Billed Charges,227.35,,251.37,90,,Percent of Total Billed Charges,236.57,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,256.96,92,,Percent of Total Billed Charges,226.51,,256.96,92,,Percent of Total Billed Charges,207.8,,256.96,92,,Percent of Total Billed Charges,218.69,,256.96,92,,Percent of Total Billed Charges,226.51,,217.85,78,,Percent of Total Billed Charges,217.85,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,150.35,53.83,,Percent of Total Billed Charges,141.05,,96.75,34.64,,Percent of Total Billed Charges,96.36,,139.59,49.98,,Percent of Total Billed Charges,105.58,,96.75,256.96,,																																							
HC FIBRINOGEN ACTIVITY,85384,CPT,,,,BOTH, , ,58.8,49.39,54.1,92,,Percent of Total Billed Charges,49.16,,54.1,92,,Percent of Total Billed Charges,48.27,,54.1,92,,Percent of Total Billed Charges,47.33,,54.1,92,,Percent of Total Billed Charges,49.1,,54.1,92,,Percent of Total Billed Charges,44.28,,54.1,92,,Percent of Total Billed Charges,36.75,,52.92,90,,Percent of Total Billed Charges,29.34,,52.33,89,,Percent of Total Billed Charges,28.22,,48.45,82.4,,Percent of Total Billed Charges,48.33,,49.04,83.4,,Percent of Total Billed Charges,45.75,,49.04,83.4,,Percent of Total Billed Charges,41.22,,49.04,83.4,,Percent of Total Billed Charges,47.86,,52.92,90,,Percent of Total Billed Charges,49.8,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,54.1,92,,Percent of Total Billed Charges,47.69,,54.1,92,,Percent of Total Billed Charges,43.75,,54.1,92,,Percent of Total Billed Charges,46.04,,54.1,92,,Percent of Total Billed Charges,47.69,,45.86,78,,Percent of Total Billed Charges,45.86,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,31.65,53.83,,Percent of Total Billed Charges,29.69,,20.37,34.64,,Percent of Total Billed Charges,20.29,,29.39,49.98,,Percent of Total Billed Charges,22.23,,20.37,54.1,,																																							
HC HEMOGLOBIN FETAL; DIFFERENTIAL LYSIS,85460,CPT,,,,BOTH, , ,91.35,76.73,84.04,92,,Percent of Total Billed Charges,76.37,,84.04,92,,Percent of Total Billed Charges,75,,84.04,92,,Percent of Total Billed Charges,73.54,,84.04,92,,Percent of Total Billed Charges,76.28,,84.04,92,,Percent of Total Billed Charges,68.79,,84.04,92,,Percent of Total Billed Charges,57.09,,82.22,90,,Percent of Total Billed Charges,45.58,,81.3,89,,Percent of Total Billed Charges,43.85,,75.27,82.4,,Percent of Total Billed Charges,75.09,,76.19,83.4,,Percent of Total Billed Charges,71.07,,76.19,83.4,,Percent of Total Billed Charges,64.04,,76.19,83.4,,Percent of Total Billed Charges,74.36,,82.22,90,,Percent of Total Billed Charges,77.37,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,84.04,92,,Percent of Total Billed Charges,74.08,,84.04,92,,Percent of Total Billed Charges,67.96,,84.04,92,,Percent of Total Billed Charges,71.53,,84.04,92,,Percent of Total Billed Charges,74.08,,71.25,78,,Percent of Total Billed Charges,71.25,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,49.17,53.83,,Percent of Total Billed Charges,46.13,,31.64,34.64,,Percent of Total Billed Charges,31.52,,45.66,49.98,,Percent of Total Billed Charges,34.53,,31.64,84.04,,																																							
HC PROTHROMBIN TIME,85610,CPT,,,,BOTH, , ,35.7,29.99,32.84,92,,Percent of Total Billed Charges,29.85,,32.84,92,,Percent of Total Billed Charges,29.31,,32.84,92,,Percent of Total Billed Charges,28.74,,32.84,92,,Percent of Total Billed Charges,29.81,,32.84,92,,Percent of Total Billed Charges,26.88,,32.84,92,,Percent of Total Billed Charges,22.31,,32.13,90,,Percent of Total Billed Charges,17.81,,31.77,89,,Percent of Total Billed Charges,17.14,,29.42,82.4,,Percent of Total Billed Charges,29.35,,29.77,83.4,,Percent of Total Billed Charges,27.77,,29.77,83.4,,Percent of Total Billed Charges,25.03,,29.77,83.4,,Percent of Total Billed Charges,29.06,,32.13,90,,Percent of Total Billed Charges,30.24,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,32.84,92,,Percent of Total Billed Charges,28.95,,32.84,92,,Percent of Total Billed Charges,26.56,,32.84,92,,Percent of Total Billed Charges,27.95,,32.84,92,,Percent of Total Billed Charges,28.95,,27.85,78,,Percent of Total Billed Charges,27.85,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,19.22,53.83,,Percent of Total Billed Charges,18.03,,12.37,34.64,,Percent of Total Billed Charges,12.32,,17.84,49.98,,Percent of Total Billed Charges,13.49,,12.37,32.84,,																																							
HC RBC SED RATE AUTOMATED,85652,CPT,,,,BOTH, , ,37.8,31.75,34.78,92,,Percent of Total Billed Charges,31.6,,34.78,92,,Percent of Total Billed Charges,31.03,,34.78,92,,Percent of Total Billed Charges,30.43,,34.78,92,,Percent of Total Billed Charges,31.56,,34.78,92,,Percent of Total Billed Charges,28.46,,34.78,92,,Percent of Total Billed Charges,23.63,,34.02,90,,Percent of Total Billed Charges,18.86,,33.64,89,,Percent of Total Billed Charges,18.14,,31.15,82.4,,Percent of Total Billed Charges,31.07,,31.53,83.4,,Percent of Total Billed Charges,29.41,,31.53,83.4,,Percent of Total Billed Charges,26.5,,31.53,83.4,,Percent of Total Billed Charges,30.77,,34.02,90,,Percent of Total Billed Charges,32.02,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,34.78,92,,Percent of Total Billed Charges,30.66,,34.78,92,,Percent of Total Billed Charges,28.12,,34.78,92,,Percent of Total Billed Charges,29.6,,34.78,92,,Percent of Total Billed Charges,30.66,,29.48,78,,Percent of Total Billed Charges,29.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,20.35,53.83,,Percent of Total Billed Charges,19.09,,13.09,34.64,,Percent of Total Billed Charges,13.04,,18.89,49.98,,Percent of Total Billed Charges,14.29,,13.09,34.78,,																																							
HC RBC SICKLE CELL TEST,85660,CPT,,,,BOTH, , ,95.55,80.26,87.91,92,,Percent of Total Billed Charges,79.88,,87.91,92,,Percent of Total Billed Charges,78.45,,87.91,92,,Percent of Total Billed Charges,76.92,,87.91,92,,Percent of Total Billed Charges,79.78,,87.91,92,,Percent of Total Billed Charges,71.95,,87.91,92,,Percent of Total Billed Charges,59.72,,86,90,,Percent of Total Billed Charges,47.68,,85.04,89,,Percent of Total Billed Charges,45.86,,78.73,82.4,,Percent of Total Billed Charges,78.54,,79.69,83.4,,Percent of Total Billed Charges,74.34,,79.69,83.4,,Percent of Total Billed Charges,66.98,,79.69,83.4,,Percent of Total Billed Charges,77.78,,86,90,,Percent of Total Billed Charges,80.93,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,87.91,92,,Percent of Total Billed Charges,77.49,,87.91,92,,Percent of Total Billed Charges,71.09,,87.91,92,,Percent of Total Billed Charges,74.82,,87.91,92,,Percent of Total Billed Charges,77.49,,74.53,78,,Percent of Total Billed Charges,74.53,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,51.43,53.83,,Percent of Total Billed Charges,48.25,,33.1,34.64,,Percent of Total Billed Charges,32.96,,47.76,49.98,,Percent of Total Billed Charges,36.12,,33.10,87.91,,																																							
HC THROMBOPLASTIN TIME PARTIAL,85730,CPT,,,,BOTH, , ,87.15,73.21,80.18,92,,Percent of Total Billed Charges,72.86,,80.18,92,,Percent of Total Billed Charges,71.55,,80.18,92,,Percent of Total Billed Charges,70.16,,80.18,92,,Percent of Total Billed Charges,72.77,,80.18,92,,Percent of Total Billed Charges,65.62,,80.18,92,,Percent of Total Billed Charges,54.47,,78.44,90,,Percent of Total Billed Charges,43.49,,77.56,89,,Percent of Total Billed Charges,41.83,,71.81,82.4,,Percent of Total Billed Charges,71.64,,72.68,83.4,,Percent of Total Billed Charges,67.8,,72.68,83.4,,Percent of Total Billed Charges,61.09,,72.68,83.4,,Percent of Total Billed Charges,70.94,,78.44,90,,Percent of Total Billed Charges,73.82,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,80.18,92,,Percent of Total Billed Charges,70.68,,80.18,92,,Percent of Total Billed Charges,64.84,,80.18,92,,Percent of Total Billed Charges,68.24,,80.18,92,,Percent of Total Billed Charges,70.68,,67.98,78,,Percent of Total Billed Charges,67.98,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,46.91,53.83,,Percent of Total Billed Charges,44.01,,30.19,34.64,,Percent of Total Billed Charges,30.07,,43.56,49.98,,Percent of Total Billed Charges,32.94,,30.19,80.18,,																																							
HC BLOOD SMEAR, PERIPHERAL, INTERPRET BY PHYSICIAN WITH WRITTEN REPORT,85060,CPT,,,,BOTH, , ,87.15,73.21,80.18,92,,Percent of Total Billed Charges,72.86,,80.18,92,,Percent of Total Billed Charges,71.55,,80.18,92,,Percent of Total Billed Charges,70.16,,80.18,92,,Percent of Total Billed Charges,72.77,,80.18,92,,Percent of Total Billed Charges,65.62,,80.18,92,,Percent of Total Billed Charges,54.47,,78.44,90,,Percent of Total Billed Charges,43.49,,77.56,89,,Percent of Total Billed Charges,41.83,,71.81,82.4,,Percent of Total Billed Charges,71.64,,72.68,83.4,,Percent of Total Billed Charges,67.8,,72.68,83.4,,Percent of Total Billed Charges,61.09,,72.68,83.4,,Percent of Total Billed Charges,70.94,,78.44,90,,Percent of Total Billed Charges,73.82,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,80.18,92,,Percent of Total Billed Charges,70.68,,80.18,92,,Percent of Total Billed Charges,64.84,,80.18,92,,Percent of Total Billed Charges,68.24,,80.18,92,,Percent of Total Billed Charges,70.68,,67.98,78,,Percent of Total Billed Charges,67.98,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,46.91,53.83,,Percent of Total Billed Charges,44.01,,30.19,34.64,,Percent of Total Billed Charges,30.07,,43.56,49.98,,Percent of Total Billed Charges,32.94,,30.19,80.18,,																																							
HC OSMOTIC FRAGILITY RBC; INCUBATED,85557,CPT,,,,BOTH, , ,81.9,68.8,75.35,92,,Percent of Total Billed Charges,68.47,,75.35,92,,Percent of Total Billed Charges,67.24,,75.35,92,,Percent of Total Billed Charges,65.93,,75.35,92,,Percent of Total Billed Charges,68.39,,75.35,92,,Percent of Total Billed Charges,61.67,,75.35,92,,Percent of Total Billed Charges,51.19,,73.71,90,,Percent of Total Billed Charges,40.87,,72.89,89,,Percent of Total Billed Charges,39.31,,67.49,82.4,,Percent of Total Billed Charges,67.32,,68.3,83.4,,Percent of Total Billed Charges,63.72,,68.3,83.4,,Percent of Total Billed Charges,57.41,,68.3,83.4,,Percent of Total Billed Charges,66.67,,73.71,90,,Percent of Total Billed Charges,69.37,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,75.35,92,,Percent of Total Billed Charges,66.42,,75.35,92,,Percent of Total Billed Charges,60.93,,75.35,92,,Percent of Total Billed Charges,64.13,,75.35,92,,Percent of Total Billed Charges,66.42,,63.88,78,,Percent of Total Billed Charges,63.88,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,44.09,53.83,,Percent of Total Billed Charges,41.36,,28.37,34.64,,Percent of Total Billed Charges,28.26,,40.93,49.98,,Percent of Total Billed Charges,30.96,,28.37,75.35,,																																							
HC FIBRIN DGRADJ SPLT PRODUXS AGGLUJ SLIDE SEMIQUAN,85362,CPT,,,,BOTH, , ,36.75,30.87,33.81,92,,Percent of Total Billed Charges,30.72,,33.81,92,,Percent of Total Billed Charges,30.17,,33.81,92,,Percent of Total Billed Charges,29.58,,33.81,92,,Percent of Total Billed Charges,30.69,,33.81,92,,Percent of Total Billed Charges,27.67,,33.81,92,,Percent of Total Billed Charges,22.97,,33.08,90,,Percent of Total Billed Charges,18.34,,32.71,89,,Percent of Total Billed Charges,17.64,,30.28,82.4,,Percent of Total Billed Charges,30.21,,30.65,83.4,,Percent of Total Billed Charges,28.59,,30.65,83.4,,Percent of Total Billed Charges,25.76,,30.65,83.4,,Percent of Total Billed Charges,29.91,,33.08,90,,Percent of Total Billed Charges,31.13,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,33.81,92,,Percent of Total Billed Charges,29.8,,33.81,92,,Percent of Total Billed Charges,27.34,,33.81,92,,Percent of Total Billed Charges,28.78,,33.81,92,,Percent of Total Billed Charges,29.8,,28.67,78,,Percent of Total Billed Charges,28.67,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,19.78,53.83,,Percent of Total Billed Charges,18.56,,12.73,34.64,,Percent of Total Billed Charges,12.68,,18.37,49.98,,Percent of Total Billed Charges,13.89,,12.73,33.81,,																																							
HC THROMBOPLASTIN INHIBITION TISSUE,85705,CPT,,,,BOTH, , ,49.35,41.45,45.4,92,,Percent of Total Billed Charges,41.26,,45.4,92,,Percent of Total Billed Charges,40.52,,45.4,92,,Percent of Total Billed Charges,39.73,,45.4,92,,Percent of Total Billed Charges,41.21,,45.4,92,,Percent of Total Billed Charges,37.16,,45.4,92,,Percent of Total Billed Charges,30.84,,44.42,90,,Percent of Total Billed Charges,24.63,,43.92,89,,Percent of Total Billed Charges,23.69,,40.66,82.4,,Percent of Total Billed Charges,40.57,,41.16,83.4,,Percent of Total Billed Charges,38.39,,41.16,83.4,,Percent of Total Billed Charges,34.59,,41.16,83.4,,Percent of Total Billed Charges,40.17,,44.42,90,,Percent of Total Billed Charges,41.8,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,45.4,92,,Percent of Total Billed Charges,40.02,,45.4,92,,Percent of Total Billed Charges,36.72,,45.4,92,,Percent of Total Billed Charges,38.64,,45.4,92,,Percent of Total Billed Charges,40.02,,38.49,78,,Percent of Total Billed Charges,38.49,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,26.57,53.83,,Percent of Total Billed Charges,24.92,,17.09,34.64,,Percent of Total Billed Charges,17.03,,24.67,49.98,,Percent of Total Billed Charges,18.65,,17.09,45.4,,																																							
HC RETICULATED PLATELET ASSAY,85055,CPT,,,,BOTH, , ,13.65,11.47,12.56,92,,Percent of Total Billed Charges,11.41,,12.56,92,,Percent of Total Billed Charges,11.21,,12.56,92,,Percent of Total Billed Charges,10.99,,12.56,92,,Percent of Total Billed Charges,11.4,,12.56,92,,Percent of Total Billed Charges,10.28,,12.56,92,,Percent of Total Billed Charges,8.53,,12.29,90,,Percent of Total Billed Charges,6.81,,12.15,89,,Percent of Total Billed Charges,6.55,,11.25,82.4,,Percent of Total Billed Charges,11.22,,11.38,83.4,,Percent of Total Billed Charges,10.62,,11.38,83.4,,Percent of Total Billed Charges,9.57,,11.38,83.4,,Percent of Total Billed Charges,11.11,,12.29,90,,Percent of Total Billed Charges,11.56,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,12.56,92,,Percent of Total Billed Charges,11.07,,12.56,92,,Percent of Total Billed Charges,10.16,,12.56,92,,Percent of Total Billed Charges,10.69,,12.56,92,,Percent of Total Billed Charges,11.07,,10.65,78,,Percent of Total Billed Charges,10.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,7.35,53.83,,Percent of Total Billed Charges,6.89,,4.73,34.64,,Percent of Total Billed Charges,4.71,,6.82,49.98,,Percent of Total Billed Charges,5.16,,4.73,12.56,,																																							
HC CLOTTING ASSAY WHOLE BLOOD,85396,CPT,,,,BOTH, , ,37.8,31.75,34.78,92,,Percent of Total Billed Charges,31.6,,34.78,92,,Percent of Total Billed Charges,31.03,,34.78,92,,Percent of Total Billed Charges,30.43,,34.78,92,,Percent of Total Billed Charges,31.56,,34.78,92,,Percent of Total Billed Charges,28.46,,34.78,92,,Percent of Total Billed Charges,23.63,,34.02,90,,Percent of Total Billed Charges,18.86,,33.64,89,,Percent of Total Billed Charges,18.14,,31.15,82.4,,Percent of Total Billed Charges,31.07,,31.53,83.4,,Percent of Total Billed Charges,29.41,,31.53,83.4,,Percent of Total Billed Charges,26.5,,31.53,83.4,,Percent of Total Billed Charges,30.77,,34.02,90,,Percent of Total Billed Charges,32.02,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,34.78,92,,Percent of Total Billed Charges,30.66,,34.78,92,,Percent of Total Billed Charges,28.12,,34.78,92,,Percent of Total Billed Charges,29.6,,34.78,92,,Percent of Total Billed Charges,30.66,,29.48,78,,Percent of Total Billed Charges,29.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,20.35,53.83,,Percent of Total Billed Charges,19.09,,13.09,34.64,,Percent of Total Billed Charges,13.04,,18.89,49.98,,Percent of Total Billed Charges,14.29,,13.09,34.78,,																																							
HC SPECIMEN INFECT AGNT CONCNTJ,87015,CPT,,,,BOTH, , ,60.9,51.16,56.03,92,,Percent of Total Billed Charges,50.91,,56.03,92,,Percent of Total Billed Charges,50,,56.03,92,,Percent of Total Billed Charges,49.02,,56.03,92,,Percent of Total Billed Charges,50.85,,56.03,92,,Percent of Total Billed Charges,45.86,,56.03,92,,Percent of Total Billed Charges,38.06,,54.81,90,,Percent of Total Billed Charges,30.39,,54.2,89,,Percent of Total Billed Charges,29.23,,50.18,82.4,,Percent of Total Billed Charges,50.06,,50.79,83.4,,Percent of Total Billed Charges,47.38,,50.79,83.4,,Percent of Total Billed Charges,42.69,,50.79,83.4,,Percent of Total Billed Charges,49.57,,54.81,90,,Percent of Total Billed Charges,51.58,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,56.03,92,,Percent of Total Billed Charges,49.39,,56.03,92,,Percent of Total Billed Charges,45.31,,56.03,92,,Percent of Total Billed Charges,47.68,,56.03,92,,Percent of Total Billed Charges,49.39,,47.5,78,,Percent of Total Billed Charges,47.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,32.78,53.83,,Percent of Total Billed Charges,30.75,,21.1,34.64,,Percent of Total Billed Charges,21.01,,30.44,49.98,,Percent of Total Billed Charges,23.02,,21.10,56.03,,																																							
HC BLOOD CULTURE FOR BACTERIA,87040,CPT,,,,BOTH, , ,183.75,154.35,169.05,92,,Percent of Total Billed Charges,153.62,,169.05,92,,Percent of Total Billed Charges,150.86,,169.05,92,,Percent of Total Billed Charges,147.92,,169.05,92,,Percent of Total Billed Charges,153.43,,169.05,92,,Percent of Total Billed Charges,138.36,,169.05,92,,Percent of Total Billed Charges,114.84,,165.38,90,,Percent of Total Billed Charges,91.69,,163.54,89,,Percent of Total Billed Charges,88.2,,151.41,82.4,,Percent of Total Billed Charges,151.04,,153.25,83.4,,Percent of Total Billed Charges,142.96,,153.25,83.4,,Percent of Total Billed Charges,128.81,,153.25,83.4,,Percent of Total Billed Charges,149.57,,165.38,90,,Percent of Total Billed Charges,155.64,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,169.05,92,,Percent of Total Billed Charges,149.02,,169.05,92,,Percent of Total Billed Charges,136.71,,169.05,92,,Percent of Total Billed Charges,143.88,,169.05,92,,Percent of Total Billed Charges,149.02,,143.33,78,,Percent of Total Billed Charges,143.33,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,98.91,53.83,,Percent of Total Billed Charges,92.79,,63.65,34.64,,Percent of Total Billed Charges,63.39,,91.84,49.98,,Percent of Total Billed Charges,69.46,,63.65,169.05,,																																							
HC FECES CULTURE AEROBIC BACT,87045,CPT,,,,BOTH, , ,280.35,235.49,257.92,92,,Percent of Total Billed Charges,234.37,,257.92,92,,Percent of Total Billed Charges,230.17,,257.92,92,,Percent of Total Billed Charges,225.68,,257.92,92,,Percent of Total Billed Charges,234.09,,257.92,92,,Percent of Total Billed Charges,211.1,,257.92,92,,Percent of Total Billed Charges,175.22,,252.32,90,,Percent of Total Billed Charges,139.89,,249.51,89,,Percent of Total Billed Charges,134.57,,231.01,82.4,,Percent of Total Billed Charges,230.45,,233.81,83.4,,Percent of Total Billed Charges,218.11,,233.81,83.4,,Percent of Total Billed Charges,196.53,,233.81,83.4,,Percent of Total Billed Charges,228.2,,252.32,90,,Percent of Total Billed Charges,237.46,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,257.92,92,,Percent of Total Billed Charges,227.36,,257.92,92,,Percent of Total Billed Charges,208.58,,257.92,92,,Percent of Total Billed Charges,219.51,,257.92,92,,Percent of Total Billed Charges,227.36,,218.67,78,,Percent of Total Billed Charges,218.67,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,150.91,53.83,,Percent of Total Billed Charges,141.58,,97.11,34.64,,Percent of Total Billed Charges,96.72,,140.12,49.98,,Percent of Total Billed Charges,105.97,,97.11,257.92,,																																							
HC STOOL CULTURE AEROBIC BACTERIA EACH,87046,CPT,,,,BOTH, , ,106.05,89.08,97.57,92,,Percent of Total Billed Charges,88.66,,97.57,92,,Percent of Total Billed Charges,87.07,,97.57,92,,Percent of Total Billed Charges,85.37,,97.57,92,,Percent of Total Billed Charges,88.55,,97.57,92,,Percent of Total Billed Charges,79.86,,97.57,92,,Percent of Total Billed Charges,66.28,,95.45,90,,Percent of Total Billed Charges,52.92,,94.38,89,,Percent of Total Billed Charges,50.9,,87.39,82.4,,Percent of Total Billed Charges,87.17,,88.45,83.4,,Percent of Total Billed Charges,82.51,,88.45,83.4,,Percent of Total Billed Charges,74.34,,88.45,83.4,,Percent of Total Billed Charges,86.32,,95.45,90,,Percent of Total Billed Charges,89.82,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,97.57,92,,Percent of Total Billed Charges,86.01,,97.57,92,,Percent of Total Billed Charges,78.9,,97.57,92,,Percent of Total Billed Charges,83.04,,97.57,92,,Percent of Total Billed Charges,86.01,,82.72,78,,Percent of Total Billed Charges,82.72,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,57.09,53.83,,Percent of Total Billed Charges,53.56,,36.74,34.64,,Percent of Total Billed Charges,36.59,,53,49.98,,Percent of Total Billed Charges,40.09,,36.74,97.57,,																																							
HC CULTURE OTHR SPECIMN AEROBIC,87070,CPT,,,,BOTH, , ,240.45,201.98,221.21,92,,Percent of Total Billed Charges,201.02,,221.21,92,,Percent of Total Billed Charges,197.41,,221.21,92,,Percent of Total Billed Charges,193.56,,221.21,92,,Percent of Total Billed Charges,200.78,,221.21,92,,Percent of Total Billed Charges,181.06,,221.21,92,,Percent of Total Billed Charges,150.28,,216.41,90,,Percent of Total Billed Charges,119.98,,214,89,,Percent of Total Billed Charges,115.42,,198.13,82.4,,Percent of Total Billed Charges,197.65,,200.54,83.4,,Percent of Total Billed Charges,187.07,,200.54,83.4,,Percent of Total Billed Charges,168.56,,200.54,83.4,,Percent of Total Billed Charges,195.73,,216.41,90,,Percent of Total Billed Charges,203.66,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,221.21,92,,Percent of Total Billed Charges,195,,221.21,92,,Percent of Total Billed Charges,178.89,,221.21,92,,Percent of Total Billed Charges,188.27,,221.21,92,,Percent of Total Billed Charges,195,,187.55,78,,Percent of Total Billed Charges,187.55,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,129.43,53.83,,Percent of Total Billed Charges,121.43,,83.29,34.64,,Percent of Total Billed Charges,82.96,,120.18,49.98,,Percent of Total Billed Charges,90.89,,83.29,221.21,,																																							
HC CULTR BACTERIA EXCEPT BLOOD,87075,CPT,,,,BOTH, , ,268.8,225.79,247.3,92,,Percent of Total Billed Charges,224.72,,247.3,92,,Percent of Total Billed Charges,220.68,,247.3,92,,Percent of Total Billed Charges,216.38,,247.3,92,,Percent of Total Billed Charges,224.45,,247.3,92,,Percent of Total Billed Charges,202.41,,247.3,92,,Percent of Total Billed Charges,168,,241.92,90,,Percent of Total Billed Charges,134.13,,239.23,89,,Percent of Total Billed Charges,129.02,,221.49,82.4,,Percent of Total Billed Charges,220.95,,224.18,83.4,,Percent of Total Billed Charges,209.13,,224.18,83.4,,Percent of Total Billed Charges,188.43,,224.18,83.4,,Percent of Total Billed Charges,218.8,,241.92,90,,Percent of Total Billed Charges,227.67,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,247.3,92,,Percent of Total Billed Charges,218,,247.3,92,,Percent of Total Billed Charges,199.99,,247.3,92,,Percent of Total Billed Charges,210.47,,247.3,92,,Percent of Total Billed Charges,218,,209.66,78,,Percent of Total Billed Charges,209.66,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,144.7,53.83,,Percent of Total Billed Charges,135.74,,93.11,34.64,,Percent of Total Billed Charges,92.74,,134.35,49.98,,Percent of Total Billed Charges,101.61,,93.11,247.3,,																																							
HC CULTURE SCREEN ONLY,87081,CPT,,,,BOTH, , ,112.35,94.37,103.36,92,,Percent of Total Billed Charges,93.92,,103.36,92,,Percent of Total Billed Charges,92.24,,103.36,92,,Percent of Total Billed Charges,90.44,,103.36,92,,Percent of Total Billed Charges,93.81,,103.36,92,,Percent of Total Billed Charges,84.6,,103.36,92,,Percent of Total Billed Charges,70.22,,101.12,90,,Percent of Total Billed Charges,56.06,,99.99,89,,Percent of Total Billed Charges,53.93,,92.58,82.4,,Percent of Total Billed Charges,92.35,,93.7,83.4,,Percent of Total Billed Charges,87.41,,93.7,83.4,,Percent of Total Billed Charges,78.76,,93.7,83.4,,Percent of Total Billed Charges,91.45,,101.12,90,,Percent of Total Billed Charges,95.16,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,103.36,92,,Percent of Total Billed Charges,91.12,,103.36,92,,Percent of Total Billed Charges,83.59,,103.36,92,,Percent of Total Billed Charges,87.97,,103.36,92,,Percent of Total Billed Charges,91.12,,87.63,78,,Percent of Total Billed Charges,87.63,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,60.48,53.83,,Percent of Total Billed Charges,56.74,,38.92,34.64,,Percent of Total Billed Charges,38.76,,56.15,49.98,,Percent of Total Billed Charges,42.47,,38.92,103.36,,																																							
HC URINE CULTURE/COLONY COUNT,87086,CPT,,,,BOTH, , ,132.3,111.13,121.72,92,,Percent of Total Billed Charges,110.6,,121.72,92,,Percent of Total Billed Charges,108.62,,121.72,92,,Percent of Total Billed Charges,106.5,,121.72,92,,Percent of Total Billed Charges,110.47,,121.72,92,,Percent of Total Billed Charges,99.62,,121.72,92,,Percent of Total Billed Charges,82.69,,119.07,90,,Percent of Total Billed Charges,66.02,,117.75,89,,Percent of Total Billed Charges,63.5,,109.02,82.4,,Percent of Total Billed Charges,108.75,,110.34,83.4,,Percent of Total Billed Charges,102.93,,110.34,83.4,,Percent of Total Billed Charges,92.74,,110.34,83.4,,Percent of Total Billed Charges,107.69,,119.07,90,,Percent of Total Billed Charges,112.06,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,121.72,92,,Percent of Total Billed Charges,107.3,,121.72,92,,Percent of Total Billed Charges,98.43,,121.72,92,,Percent of Total Billed Charges,103.59,,121.72,92,,Percent of Total Billed Charges,107.3,,103.19,78,,Percent of Total Billed Charges,103.19,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,71.22,53.83,,Percent of Total Billed Charges,66.81,,45.83,34.64,,Percent of Total Billed Charges,45.64,,66.12,49.98,,Percent of Total Billed Charges,50.01,,45.83,121.72,,																																							
HC BLOOD FUNGUS CULTURE,87103,CPT,,,,BOTH, , ,87.15,73.21,80.18,92,,Percent of Total Billed Charges,72.86,,80.18,92,,Percent of Total Billed Charges,71.55,,80.18,92,,Percent of Total Billed Charges,70.16,,80.18,92,,Percent of Total Billed Charges,72.77,,80.18,92,,Percent of Total Billed Charges,65.62,,80.18,92,,Percent of Total Billed Charges,54.47,,78.44,90,,Percent of Total Billed Charges,43.49,,77.56,89,,Percent of Total Billed Charges,41.83,,71.81,82.4,,Percent of Total Billed Charges,71.64,,72.68,83.4,,Percent of Total Billed Charges,67.8,,72.68,83.4,,Percent of Total Billed Charges,61.09,,72.68,83.4,,Percent of Total Billed Charges,70.94,,78.44,90,,Percent of Total Billed Charges,73.82,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,80.18,92,,Percent of Total Billed Charges,70.68,,80.18,92,,Percent of Total Billed Charges,64.84,,80.18,92,,Percent of Total Billed Charges,68.24,,80.18,92,,Percent of Total Billed Charges,70.68,,67.98,78,,Percent of Total Billed Charges,67.98,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,46.91,53.83,,Percent of Total Billed Charges,44.01,,30.19,34.64,,Percent of Total Billed Charges,30.07,,43.56,49.98,,Percent of Total Billed Charges,32.94,,30.19,80.18,,																																							
HC MYCOBACTERIA CULTURE,87116,CPT,,,,BOTH, , ,331.8,278.71,305.26,92,,Percent of Total Billed Charges,277.38,,305.26,92,,Percent of Total Billed Charges,272.41,,305.26,92,,Percent of Total Billed Charges,267.1,,305.26,92,,Percent of Total Billed Charges,277.05,,305.26,92,,Percent of Total Billed Charges,249.85,,305.26,92,,Percent of Total Billed Charges,207.38,,298.62,90,,Percent of Total Billed Charges,165.57,,295.3,89,,Percent of Total Billed Charges,159.26,,273.4,82.4,,Percent of Total Billed Charges,272.74,,276.72,83.4,,Percent of Total Billed Charges,258.14,,276.72,83.4,,Percent of Total Billed Charges,232.59,,276.72,83.4,,Percent of Total Billed Charges,270.09,,298.62,90,,Percent of Total Billed Charges,281.03,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,305.26,92,,Percent of Total Billed Charges,269.09,,305.26,92,,Percent of Total Billed Charges,246.86,,305.26,92,,Percent of Total Billed Charges,259.8,,305.26,92,,Percent of Total Billed Charges,269.09,,258.8,78,,Percent of Total Billed Charges,258.8,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,178.61,53.83,,Percent of Total Billed Charges,167.56,,114.94,34.64,,Percent of Total Billed Charges,114.47,,165.83,49.98,,Percent of Total Billed Charges,125.42,,114.94,305.26,,																																							
HC MACROSCOPIC EXAM ARTHROPOD,87168,CPT,,,,BOTH, , ,39.9,33.52,36.71,92,,Percent of Total Billed Charges,33.36,,36.71,92,,Percent of Total Billed Charges,32.76,,36.71,92,,Percent of Total Billed Charges,32.12,,36.71,92,,Percent of Total Billed Charges,33.32,,36.71,92,,Percent of Total Billed Charges,30.04,,36.71,92,,Percent of Total Billed Charges,24.94,,35.91,90,,Percent of Total Billed Charges,19.91,,35.51,89,,Percent of Total Billed Charges,19.15,,32.88,82.4,,Percent of Total Billed Charges,32.8,,33.28,83.4,,Percent of Total Billed Charges,31.04,,33.28,83.4,,Percent of Total Billed Charges,27.97,,33.28,83.4,,Percent of Total Billed Charges,32.48,,35.91,90,,Percent of Total Billed Charges,33.8,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,36.71,92,,Percent of Total Billed Charges,32.36,,36.71,92,,Percent of Total Billed Charges,29.69,,36.71,92,,Percent of Total Billed Charges,31.24,,36.71,92,,Percent of Total Billed Charges,32.36,,31.12,78,,Percent of Total Billed Charges,31.12,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,21.48,53.83,,Percent of Total Billed Charges,20.15,,13.82,34.64,,Percent of Total Billed Charges,13.77,,19.94,49.98,,Percent of Total Billed Charges,15.08,,13.82,36.71,,																																							
HC PINWORM EXAM,87172,CPT,,,,BOTH, , ,8.4,7.06,7.73,92,,Percent of Total Billed Charges,7.02,,7.73,92,,Percent of Total Billed Charges,6.9,,7.73,92,,Percent of Total Billed Charges,6.76,,7.73,92,,Percent of Total Billed Charges,7.01,,7.73,92,,Percent of Total Billed Charges,6.33,,7.73,92,,Percent of Total Billed Charges,5.25,,7.56,90,,Percent of Total Billed Charges,4.19,,7.48,89,,Percent of Total Billed Charges,4.03,,6.92,82.4,,Percent of Total Billed Charges,6.9,,7.01,83.4,,Percent of Total Billed Charges,6.54,,7.01,83.4,,Percent of Total Billed Charges,5.89,,7.01,83.4,,Percent of Total Billed Charges,6.84,,7.56,90,,Percent of Total Billed Charges,7.11,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,7.73,92,,Percent of Total Billed Charges,6.81,,7.73,92,,Percent of Total Billed Charges,6.25,,7.73,92,,Percent of Total Billed Charges,6.58,,7.73,92,,Percent of Total Billed Charges,6.81,,6.55,78,,Percent of Total Billed Charges,6.55,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4.52,53.83,,Percent of Total Billed Charges,4.24,,2.91,34.64,,Percent of Total Billed Charges,2.9,,4.2,49.98,,Percent of Total Billed Charges,3.18,,2.91,7.73,,																																							
HC MICROBE SUSCEPTIBLE DISK,87184,CPT,,,,BOTH, , ,124.95,104.96,114.95,92,,Percent of Total Billed Charges,104.46,,114.95,92,,Percent of Total Billed Charges,102.58,,114.95,92,,Percent of Total Billed Charges,100.58,,114.95,92,,Percent of Total Billed Charges,104.33,,114.95,92,,Percent of Total Billed Charges,94.09,,114.95,92,,Percent of Total Billed Charges,78.09,,112.46,90,,Percent of Total Billed Charges,62.35,,111.21,89,,Percent of Total Billed Charges,59.98,,102.96,82.4,,Percent of Total Billed Charges,102.71,,104.21,83.4,,Percent of Total Billed Charges,97.21,,104.21,83.4,,Percent of Total Billed Charges,87.59,,104.21,83.4,,Percent of Total Billed Charges,101.71,,112.46,90,,Percent of Total Billed Charges,105.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,114.95,92,,Percent of Total Billed Charges,101.33,,114.95,92,,Percent of Total Billed Charges,92.96,,114.95,92,,Percent of Total Billed Charges,97.84,,114.95,92,,Percent of Total Billed Charges,101.33,,97.46,78,,Percent of Total Billed Charges,97.46,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,67.26,53.83,,Percent of Total Billed Charges,63.1,,43.28,34.64,,Percent of Total Billed Charges,43.11,,62.45,49.98,,Percent of Total Billed Charges,47.23,,43.28,114.95,,																																							
HC MICROBE SUSCEPTIBLE MIC,87186,CPT,,,,BOTH, , ,124.95,104.96,114.95,92,,Percent of Total Billed Charges,104.46,,114.95,92,,Percent of Total Billed Charges,102.58,,114.95,92,,Percent of Total Billed Charges,100.58,,114.95,92,,Percent of Total Billed Charges,104.33,,114.95,92,,Percent of Total Billed Charges,94.09,,114.95,92,,Percent of Total Billed Charges,78.09,,112.46,90,,Percent of Total Billed Charges,62.35,,111.21,89,,Percent of Total Billed Charges,59.98,,102.96,82.4,,Percent of Total Billed Charges,102.71,,104.21,83.4,,Percent of Total Billed Charges,97.21,,104.21,83.4,,Percent of Total Billed Charges,87.59,,104.21,83.4,,Percent of Total Billed Charges,101.71,,112.46,90,,Percent of Total Billed Charges,105.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,114.95,92,,Percent of Total Billed Charges,101.33,,114.95,92,,Percent of Total Billed Charges,92.96,,114.95,92,,Percent of Total Billed Charges,97.84,,114.95,92,,Percent of Total Billed Charges,101.33,,97.46,78,,Percent of Total Billed Charges,97.46,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,67.26,53.83,,Percent of Total Billed Charges,63.1,,43.28,34.64,,Percent of Total Billed Charges,43.11,,62.45,49.98,,Percent of Total Billed Charges,47.23,,43.28,114.95,,																																							
HC SMEAR GRAM STAIN,87205,CPT,,,,BOTH, , ,78.75,66.15,72.45,92,,Percent of Total Billed Charges,65.84,,72.45,92,,Percent of Total Billed Charges,64.65,,72.45,92,,Percent of Total Billed Charges,63.39,,72.45,92,,Percent of Total Billed Charges,65.76,,72.45,92,,Percent of Total Billed Charges,59.3,,72.45,92,,Percent of Total Billed Charges,49.22,,70.88,90,,Percent of Total Billed Charges,39.3,,70.09,89,,Percent of Total Billed Charges,37.8,,64.89,82.4,,Percent of Total Billed Charges,64.73,,65.68,83.4,,Percent of Total Billed Charges,61.27,,65.68,83.4,,Percent of Total Billed Charges,55.2,,65.68,83.4,,Percent of Total Billed Charges,64.1,,70.88,90,,Percent of Total Billed Charges,66.7,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,72.45,92,,Percent of Total Billed Charges,63.87,,72.45,92,,Percent of Total Billed Charges,58.59,,72.45,92,,Percent of Total Billed Charges,61.66,,72.45,92,,Percent of Total Billed Charges,63.87,,61.43,78,,Percent of Total Billed Charges,61.43,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,42.39,53.83,,Percent of Total Billed Charges,39.77,,27.28,34.64,,Percent of Total Billed Charges,27.17,,39.36,49.98,,Percent of Total Billed Charges,29.77,,27.28,72.45,,																																							
HC SMEAR FLUORESCENT/ACID STAI,87206,CPT,,,,BOTH, , ,93.45,78.5,85.97,92,,Percent of Total Billed Charges,78.12,,85.97,92,,Percent of Total Billed Charges,76.72,,85.97,92,,Percent of Total Billed Charges,75.23,,85.97,92,,Percent of Total Billed Charges,78.03,,85.97,92,,Percent of Total Billed Charges,70.37,,85.97,92,,Percent of Total Billed Charges,58.41,,84.11,90,,Percent of Total Billed Charges,46.63,,83.17,89,,Percent of Total Billed Charges,44.86,,77,82.4,,Percent of Total Billed Charges,76.82,,77.94,83.4,,Percent of Total Billed Charges,72.7,,77.94,83.4,,Percent of Total Billed Charges,65.51,,77.94,83.4,,Percent of Total Billed Charges,76.07,,84.11,90,,Percent of Total Billed Charges,79.15,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,85.97,92,,Percent of Total Billed Charges,75.79,,85.97,92,,Percent of Total Billed Charges,69.53,,85.97,92,,Percent of Total Billed Charges,73.17,,85.97,92,,Percent of Total Billed Charges,75.79,,72.89,78,,Percent of Total Billed Charges,72.89,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,50.3,53.83,,Percent of Total Billed Charges,47.19,,32.37,34.64,,Percent of Total Billed Charges,32.24,,46.71,49.98,,Percent of Total Billed Charges,35.32,,32.37,85.97,,																																							
HC SMEAR SPECIAL STAIN,87207,CPT,,,,BOTH, , ,268.8,225.79,247.3,92,,Percent of Total Billed Charges,224.72,,247.3,92,,Percent of Total Billed Charges,220.68,,247.3,92,,Percent of Total Billed Charges,216.38,,247.3,92,,Percent of Total Billed Charges,224.45,,247.3,92,,Percent of Total Billed Charges,202.41,,247.3,92,,Percent of Total Billed Charges,168,,241.92,90,,Percent of Total Billed Charges,134.13,,239.23,89,,Percent of Total Billed Charges,129.02,,221.49,82.4,,Percent of Total Billed Charges,220.95,,224.18,83.4,,Percent of Total Billed Charges,209.13,,224.18,83.4,,Percent of Total Billed Charges,188.43,,224.18,83.4,,Percent of Total Billed Charges,218.8,,241.92,90,,Percent of Total Billed Charges,227.67,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,247.3,92,,Percent of Total Billed Charges,218,,247.3,92,,Percent of Total Billed Charges,199.99,,247.3,92,,Percent of Total Billed Charges,210.47,,247.3,92,,Percent of Total Billed Charges,218,,209.66,78,,Percent of Total Billed Charges,209.66,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,144.7,53.83,,Percent of Total Billed Charges,135.74,,93.11,34.64,,Percent of Total Billed Charges,92.74,,134.35,49.98,,Percent of Total Billed Charges,101.61,,93.11,247.3,,																																							
HC SMEAR WET MOUNT SALINE/INK,87210,CPT,,,,BOTH, , ,8.4,7.06,7.73,92,,Percent of Total Billed Charges,7.02,,7.73,92,,Percent of Total Billed Charges,6.9,,7.73,92,,Percent of Total Billed Charges,6.76,,7.73,92,,Percent of Total Billed Charges,7.01,,7.73,92,,Percent of Total Billed Charges,6.33,,7.73,92,,Percent of Total Billed Charges,5.25,,7.56,90,,Percent of Total Billed Charges,4.19,,7.48,89,,Percent of Total Billed Charges,4.03,,6.92,82.4,,Percent of Total Billed Charges,6.9,,7.01,83.4,,Percent of Total Billed Charges,6.54,,7.01,83.4,,Percent of Total Billed Charges,5.89,,7.01,83.4,,Percent of Total Billed Charges,6.84,,7.56,90,,Percent of Total Billed Charges,7.11,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,7.73,92,,Percent of Total Billed Charges,6.81,,7.73,92,,Percent of Total Billed Charges,6.25,,7.73,92,,Percent of Total Billed Charges,6.58,,7.73,92,,Percent of Total Billed Charges,6.81,,6.55,78,,Percent of Total Billed Charges,6.55,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4.52,53.83,,Percent of Total Billed Charges,4.24,,2.91,34.64,,Percent of Total Billed Charges,2.9,,4.2,49.98,,Percent of Total Billed Charges,3.18,,2.91,7.73,,																																							
HC TISSUE EXAM FOR FUNGI,87220,CPT,,,,BOTH, , ,85.05,71.44,78.25,92,,Percent of Total Billed Charges,71.1,,78.25,92,,Percent of Total Billed Charges,69.83,,78.25,92,,Percent of Total Billed Charges,68.47,,78.25,92,,Percent of Total Billed Charges,71.02,,78.25,92,,Percent of Total Billed Charges,64.04,,78.25,92,,Percent of Total Billed Charges,53.16,,76.55,90,,Percent of Total Billed Charges,42.44,,75.69,89,,Percent of Total Billed Charges,40.82,,70.08,82.4,,Percent of Total Billed Charges,69.91,,70.93,83.4,,Percent of Total Billed Charges,66.17,,70.93,83.4,,Percent of Total Billed Charges,59.62,,70.93,83.4,,Percent of Total Billed Charges,69.23,,76.55,90,,Percent of Total Billed Charges,72.04,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,78.25,92,,Percent of Total Billed Charges,68.98,,78.25,92,,Percent of Total Billed Charges,63.28,,78.25,92,,Percent of Total Billed Charges,66.59,,78.25,92,,Percent of Total Billed Charges,68.98,,66.34,78,,Percent of Total Billed Charges,66.34,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,45.78,53.83,,Percent of Total Billed Charges,42.95,,29.46,34.64,,Percent of Total Billed Charges,29.34,,42.51,49.98,,Percent of Total Billed Charges,32.15,,29.46,78.25,,																																							
HC HISTOPLASMA CAPSUL AG EIA,87385,CPT,,,,BOTH, , ,337.05,283.12,310.09,92,,Percent of Total Billed Charges,281.77,,310.09,92,,Percent of Total Billed Charges,276.72,,310.09,92,,Percent of Total Billed Charges,271.33,,310.09,92,,Percent of Total Billed Charges,281.44,,310.09,92,,Percent of Total Billed Charges,253.8,,310.09,92,,Percent of Total Billed Charges,210.66,,303.35,90,,Percent of Total Billed Charges,168.19,,299.97,89,,Percent of Total Billed Charges,161.78,,277.73,82.4,,Percent of Total Billed Charges,277.06,,281.1,83.4,,Percent of Total Billed Charges,262.22,,281.1,83.4,,Percent of Total Billed Charges,236.27,,281.1,83.4,,Percent of Total Billed Charges,274.36,,303.35,90,,Percent of Total Billed Charges,285.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,310.09,92,,Percent of Total Billed Charges,273.35,,310.09,92,,Percent of Total Billed Charges,250.77,,310.09,92,,Percent of Total Billed Charges,263.91,,310.09,92,,Percent of Total Billed Charges,273.35,,262.9,78,,Percent of Total Billed Charges,262.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,181.43,53.83,,Percent of Total Billed Charges,170.21,,116.75,34.64,,Percent of Total Billed Charges,116.28,,168.46,49.98,,Percent of Total Billed Charges,127.4,,116.75,310.09,,																																							
HC RESP SYNCYTIAL AG EIA,87420,CPT,,,,BOTH, , ,161.7,135.83,148.76,92,,Percent of Total Billed Charges,135.18,,148.76,92,,Percent of Total Billed Charges,132.76,,148.76,92,,Percent of Total Billed Charges,130.17,,148.76,92,,Percent of Total Billed Charges,135.02,,148.76,92,,Percent of Total Billed Charges,121.76,,148.76,92,,Percent of Total Billed Charges,101.06,,145.53,90,,Percent of Total Billed Charges,80.69,,143.91,89,,Percent of Total Billed Charges,77.62,,133.24,82.4,,Percent of Total Billed Charges,132.92,,134.86,83.4,,Percent of Total Billed Charges,125.8,,134.86,83.4,,Percent of Total Billed Charges,113.35,,134.86,83.4,,Percent of Total Billed Charges,131.62,,145.53,90,,Percent of Total Billed Charges,136.96,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,148.76,92,,Percent of Total Billed Charges,131.14,,148.76,92,,Percent of Total Billed Charges,120.3,,148.76,92,,Percent of Total Billed Charges,126.61,,148.76,92,,Percent of Total Billed Charges,131.14,,126.13,78,,Percent of Total Billed Charges,126.13,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,87.04,53.83,,Percent of Total Billed Charges,81.66,,56.01,34.64,,Percent of Total Billed Charges,55.79,,80.82,49.98,,Percent of Total Billed Charges,61.12,,56.01,148.76,,																																							
HC S. AUREUS, DNA, AMP PROBE,87640,CPT,,,,BOTH, , ,212.1,178.16,195.13,92,,Percent of Total Billed Charges,177.32,,195.13,92,,Percent of Total Billed Charges,174.13,,195.13,92,,Percent of Total Billed Charges,170.74,,195.13,92,,Percent of Total Billed Charges,177.1,,195.13,92,,Percent of Total Billed Charges,159.71,,195.13,92,,Percent of Total Billed Charges,132.56,,190.89,90,,Percent of Total Billed Charges,105.84,,188.77,89,,Percent of Total Billed Charges,101.81,,174.77,82.4,,Percent of Total Billed Charges,174.35,,176.89,83.4,,Percent of Total Billed Charges,165.01,,176.89,83.4,,Percent of Total Billed Charges,148.68,,176.89,83.4,,Percent of Total Billed Charges,172.65,,190.89,90,,Percent of Total Billed Charges,179.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,195.13,92,,Percent of Total Billed Charges,172.01,,195.13,92,,Percent of Total Billed Charges,157.8,,195.13,92,,Percent of Total Billed Charges,166.07,,195.13,92,,Percent of Total Billed Charges,172.01,,165.44,78,,Percent of Total Billed Charges,165.44,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,114.17,53.83,,Percent of Total Billed Charges,107.11,,73.47,34.64,,Percent of Total Billed Charges,73.17,,106.01,49.98,,Percent of Total Billed Charges,80.17,,73.47,195.13,,																																							
HC MRSA, DNA, AMP PROBE,87641,CPT,,,,BOTH, , ,212.1,178.16,195.13,92,,Percent of Total Billed Charges,177.32,,195.13,92,,Percent of Total Billed Charges,174.13,,195.13,92,,Percent of Total Billed Charges,170.74,,195.13,92,,Percent of Total Billed Charges,177.1,,195.13,92,,Percent of Total Billed Charges,159.71,,195.13,92,,Percent of Total Billed Charges,132.56,,190.89,90,,Percent of Total Billed Charges,105.84,,188.77,89,,Percent of Total Billed Charges,101.81,,174.77,82.4,,Percent of Total Billed Charges,174.35,,176.89,83.4,,Percent of Total Billed Charges,165.01,,176.89,83.4,,Percent of Total Billed Charges,148.68,,176.89,83.4,,Percent of Total Billed Charges,172.65,,190.89,90,,Percent of Total Billed Charges,179.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,195.13,92,,Percent of Total Billed Charges,172.01,,195.13,92,,Percent of Total Billed Charges,157.8,,195.13,92,,Percent of Total Billed Charges,166.07,,195.13,92,,Percent of Total Billed Charges,172.01,,165.44,78,,Percent of Total Billed Charges,165.44,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,114.17,53.83,,Percent of Total Billed Charges,107.11,,73.47,34.64,,Percent of Total Billed Charges,73.17,,106.01,49.98,,Percent of Total Billed Charges,80.17,,73.47,195.13,,																																							
HC CHG CULT SPEC, ANAERB W/ADDN METHODS,87076,CPT,,,,BOTH, , ,85.05,71.44,78.25,92,,Percent of Total Billed Charges,71.1,,78.25,92,,Percent of Total Billed Charges,69.83,,78.25,92,,Percent of Total Billed Charges,68.47,,78.25,92,,Percent of Total Billed Charges,71.02,,78.25,92,,Percent of Total Billed Charges,64.04,,78.25,92,,Percent of Total Billed Charges,53.16,,76.55,90,,Percent of Total Billed Charges,42.44,,75.69,89,,Percent of Total Billed Charges,40.82,,70.08,82.4,,Percent of Total Billed Charges,69.91,,70.93,83.4,,Percent of Total Billed Charges,66.17,,70.93,83.4,,Percent of Total Billed Charges,59.62,,70.93,83.4,,Percent of Total Billed Charges,69.23,,76.55,90,,Percent of Total Billed Charges,72.04,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,78.25,92,,Percent of Total Billed Charges,68.98,,78.25,92,,Percent of Total Billed Charges,63.28,,78.25,92,,Percent of Total Billed Charges,66.59,,78.25,92,,Percent of Total Billed Charges,68.98,,66.34,78,,Percent of Total Billed Charges,66.34,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,45.78,53.83,,Percent of Total Billed Charges,42.95,,29.46,34.64,,Percent of Total Billed Charges,29.34,,42.51,49.98,,Percent of Total Billed Charges,32.15,,29.46,78.25,,																																							
HC DETECT AGNT MULT DNA AMPLI,87801,CPT,,,,BOTH, , ,560.7,470.99,515.84,92,,Percent of Total Billed Charges,468.75,,515.84,92,,Percent of Total Billed Charges,460.33,,515.84,92,,Percent of Total Billed Charges,451.36,,515.84,92,,Percent of Total Billed Charges,468.18,,515.84,92,,Percent of Total Billed Charges,422.21,,515.84,92,,Percent of Total Billed Charges,350.44,,504.63,90,,Percent of Total Billed Charges,279.79,,499.02,89,,Percent of Total Billed Charges,269.14,,462.02,82.4,,Percent of Total Billed Charges,460.9,,467.62,83.4,,Percent of Total Billed Charges,436.22,,467.62,83.4,,Percent of Total Billed Charges,393.05,,467.62,83.4,,Percent of Total Billed Charges,456.41,,504.63,90,,Percent of Total Billed Charges,474.91,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,515.84,92,,Percent of Total Billed Charges,454.73,,515.84,92,,Percent of Total Billed Charges,417.16,,515.84,92,,Percent of Total Billed Charges,439.03,,515.84,92,,Percent of Total Billed Charges,454.73,,437.35,78,,Percent of Total Billed Charges,437.35,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,301.82,53.83,,Percent of Total Billed Charges,283.15,,194.23,34.64,,Percent of Total Billed Charges,193.44,,280.24,49.98,,Percent of Total Billed Charges,211.94,,194.23,515.84,,																																							
HC HHV6 DNA AMP PROBE,87532,CPT,,,,BOTH, , ,25.2,21.17,23.18,92,,Percent of Total Billed Charges,21.07,,23.18,92,,Percent of Total Billed Charges,20.69,,23.18,92,,Percent of Total Billed Charges,20.29,,23.18,92,,Percent of Total Billed Charges,21.04,,23.18,92,,Percent of Total Billed Charges,18.98,,23.18,92,,Percent of Total Billed Charges,15.75,,22.68,90,,Percent of Total Billed Charges,12.57,,22.43,89,,Percent of Total Billed Charges,12.1,,20.76,82.4,,Percent of Total Billed Charges,20.71,,21.02,83.4,,Percent of Total Billed Charges,19.61,,21.02,83.4,,Percent of Total Billed Charges,17.67,,21.02,83.4,,Percent of Total Billed Charges,20.51,,22.68,90,,Percent of Total Billed Charges,21.34,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,23.18,92,,Percent of Total Billed Charges,20.44,,23.18,92,,Percent of Total Billed Charges,18.75,,23.18,92,,Percent of Total Billed Charges,19.73,,23.18,92,,Percent of Total Billed Charges,20.44,,19.66,78,,Percent of Total Billed Charges,19.66,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,13.57,53.83,,Percent of Total Billed Charges,12.73,,8.73,34.64,,Percent of Total Billed Charges,8.69,,12.59,49.98,,Percent of Total Billed Charges,9.53,,8.73,23.18,,																																							
HC STREP B DNA AMP PROBE,87653,CPT,,,,BOTH, , ,25.2,21.17,23.18,92,,Percent of Total Billed Charges,21.07,,23.18,92,,Percent of Total Billed Charges,20.69,,23.18,92,,Percent of Total Billed Charges,20.29,,23.18,92,,Percent of Total Billed Charges,21.04,,23.18,92,,Percent of Total Billed Charges,18.98,,23.18,92,,Percent of Total Billed Charges,15.75,,22.68,90,,Percent of Total Billed Charges,12.57,,22.43,89,,Percent of Total Billed Charges,12.1,,20.76,82.4,,Percent of Total Billed Charges,20.71,,21.02,83.4,,Percent of Total Billed Charges,19.61,,21.02,83.4,,Percent of Total Billed Charges,17.67,,21.02,83.4,,Percent of Total Billed Charges,20.51,,22.68,90,,Percent of Total Billed Charges,21.34,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,23.18,92,,Percent of Total Billed Charges,20.44,,23.18,92,,Percent of Total Billed Charges,18.75,,23.18,92,,Percent of Total Billed Charges,19.73,,23.18,92,,Percent of Total Billed Charges,20.44,,19.66,78,,Percent of Total Billed Charges,19.66,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,13.57,53.83,,Percent of Total Billed Charges,12.73,,8.73,34.64,,Percent of Total Billed Charges,8.69,,12.59,49.98,,Percent of Total Billed Charges,9.53,,8.73,23.18,,																																							
HC CANDIDA DNA AMP PROBE,87481,CPT,,,,BOTH, , ,281.4,236.38,258.89,92,,Percent of Total Billed Charges,235.25,,258.89,92,,Percent of Total Billed Charges,231.03,,258.89,92,,Percent of Total Billed Charges,226.53,,258.89,92,,Percent of Total Billed Charges,234.97,,258.89,92,,Percent of Total Billed Charges,211.89,,258.89,92,,Percent of Total Billed Charges,175.88,,253.26,90,,Percent of Total Billed Charges,140.42,,250.45,89,,Percent of Total Billed Charges,135.07,,231.87,82.4,,Percent of Total Billed Charges,231.31,,234.69,83.4,,Percent of Total Billed Charges,218.93,,234.69,83.4,,Percent of Total Billed Charges,197.26,,234.69,83.4,,Percent of Total Billed Charges,229.06,,253.26,90,,Percent of Total Billed Charges,238.35,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,258.89,92,,Percent of Total Billed Charges,228.22,,258.89,92,,Percent of Total Billed Charges,209.36,,258.89,92,,Percent of Total Billed Charges,220.34,,258.89,92,,Percent of Total Billed Charges,228.22,,219.49,78,,Percent of Total Billed Charges,219.49,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,151.48,53.83,,Percent of Total Billed Charges,142.11,,97.48,34.64,,Percent of Total Billed Charges,97.08,,140.64,49.98,,Percent of Total Billed Charges,106.37,,97.48,258.89,,																																							
HC GARDNER VAG DNA QUANT,87512,CPT,,,,BOTH, , ,226.8,190.51,208.66,92,,Percent of Total Billed Charges,189.6,,208.66,92,,Percent of Total Billed Charges,186.2,,208.66,92,,Percent of Total Billed Charges,182.57,,208.66,92,,Percent of Total Billed Charges,189.38,,208.66,92,,Percent of Total Billed Charges,170.78,,208.66,92,,Percent of Total Billed Charges,141.75,,204.12,90,,Percent of Total Billed Charges,113.17,,201.85,89,,Percent of Total Billed Charges,108.86,,186.88,82.4,,Percent of Total Billed Charges,186.43,,189.15,83.4,,Percent of Total Billed Charges,176.45,,189.15,83.4,,Percent of Total Billed Charges,158.99,,189.15,83.4,,Percent of Total Billed Charges,184.62,,204.12,90,,Percent of Total Billed Charges,192.1,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,208.66,92,,Percent of Total Billed Charges,183.93,,208.66,92,,Percent of Total Billed Charges,168.74,,208.66,92,,Percent of Total Billed Charges,177.58,,208.66,92,,Percent of Total Billed Charges,183.93,,176.9,78,,Percent of Total Billed Charges,176.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,122.09,53.83,,Percent of Total Billed Charges,114.53,,78.56,34.64,,Percent of Total Billed Charges,78.25,,113.35,49.98,,Percent of Total Billed Charges,85.73,,78.56,208.66,,																																							
HC IADNA MYCOPLSM PNEUMONIAE AMPLIFIED PROBE TQ,87581,CPT,,,,BOTH, , ,240.45,201.98,221.21,92,,Percent of Total Billed Charges,201.02,,221.21,92,,Percent of Total Billed Charges,197.41,,221.21,92,,Percent of Total Billed Charges,193.56,,221.21,92,,Percent of Total Billed Charges,200.78,,221.21,92,,Percent of Total Billed Charges,181.06,,221.21,92,,Percent of Total Billed Charges,150.28,,216.41,90,,Percent of Total Billed Charges,119.98,,214,89,,Percent of Total Billed Charges,115.42,,198.13,82.4,,Percent of Total Billed Charges,197.65,,200.54,83.4,,Percent of Total Billed Charges,187.07,,200.54,83.4,,Percent of Total Billed Charges,168.56,,200.54,83.4,,Percent of Total Billed Charges,195.73,,216.41,90,,Percent of Total Billed Charges,203.66,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,221.21,92,,Percent of Total Billed Charges,195,,221.21,92,,Percent of Total Billed Charges,178.89,,221.21,92,,Percent of Total Billed Charges,188.27,,221.21,92,,Percent of Total Billed Charges,195,,187.55,78,,Percent of Total Billed Charges,187.55,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,129.43,53.83,,Percent of Total Billed Charges,121.43,,83.29,34.64,,Percent of Total Billed Charges,82.96,,120.18,49.98,,Percent of Total Billed Charges,90.89,,83.29,221.21,,																																							
HC IADNADNA/RNA GI PTHGN MULTIPLEX PROBE TQ 1225,87507,CPT,,,,BOTH, , ,299.25,251.37,275.31,92,,Percent of Total Billed Charges,250.17,,275.31,92,,Percent of Total Billed Charges,245.68,,275.31,92,,Percent of Total Billed Charges,240.9,,275.31,92,,Percent of Total Billed Charges,249.87,,275.31,92,,Percent of Total Billed Charges,225.34,,275.31,92,,Percent of Total Billed Charges,187.03,,269.33,90,,Percent of Total Billed Charges,149.33,,266.33,89,,Percent of Total Billed Charges,143.64,,246.58,82.4,,Percent of Total Billed Charges,245.98,,249.57,83.4,,Percent of Total Billed Charges,232.82,,249.57,83.4,,Percent of Total Billed Charges,209.77,,249.57,83.4,,Percent of Total Billed Charges,243.59,,269.33,90,,Percent of Total Billed Charges,253.46,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,275.31,92,,Percent of Total Billed Charges,242.69,,275.31,92,,Percent of Total Billed Charges,222.64,,275.31,92,,Percent of Total Billed Charges,234.31,,275.31,92,,Percent of Total Billed Charges,242.69,,233.42,78,,Percent of Total Billed Charges,233.42,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,161.09,53.83,,Percent of Total Billed Charges,151.12,,103.66,34.64,,Percent of Total Billed Charges,103.24,,149.57,49.98,,Percent of Total Billed Charges,113.12,,103.66,275.31,,																																							
HC CNS DNA/RNA AMP PROBE MULTIPLE SUBTYPES 1225,87483,CPT,,,,BOTH, , ,2872.8,2413.15,2642.98,92,,Percent of Total Billed Charges,2401.66,,2642.98,92,,Percent of Total Billed Charges,2358.57,,2642.98,92,,Percent of Total Billed Charges,2312.6,,2642.98,92,,Percent of Total Billed Charges,2398.79,,2642.98,92,,Percent of Total Billed Charges,2163.22,,2642.98,92,,Percent of Total Billed Charges,1795.5,,2585.52,90,,Percent of Total Billed Charges,1433.53,,2556.79,89,,Percent of Total Billed Charges,1378.94,,2367.19,82.4,,Percent of Total Billed Charges,2361.44,,2395.92,83.4,,Percent of Total Billed Charges,2235.04,,2395.92,83.4,,Percent of Total Billed Charges,2013.83,,2395.92,83.4,,Percent of Total Billed Charges,2338.46,,2585.52,90,,Percent of Total Billed Charges,2433.26,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2642.98,92,,Percent of Total Billed Charges,2329.84,,2642.98,92,,Percent of Total Billed Charges,2137.36,,2642.98,92,,Percent of Total Billed Charges,2249.4,,2642.98,92,,Percent of Total Billed Charges,2329.84,,2240.78,78,,Percent of Total Billed Charges,2240.78,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1546.43,53.83,,Percent of Total Billed Charges,1450.76,,995.14,34.64,,Percent of Total Billed Charges,991.12,,1435.83,49.98,,Percent of Total Billed Charges,1085.92,,995.14,2642.98,,																																							
HC IAAD IA HIV1 AG W/HIV1 & HIV2 ANTBDY SINGLE,87389,CPT,,,,BOTH, , ,232.05,194.92,213.49,92,,Percent of Total Billed Charges,193.99,,213.49,92,,Percent of Total Billed Charges,190.51,,213.49,92,,Percent of Total Billed Charges,186.8,,213.49,92,,Percent of Total Billed Charges,193.76,,213.49,92,,Percent of Total Billed Charges,174.73,,213.49,92,,Percent of Total Billed Charges,145.03,,208.85,90,,Percent of Total Billed Charges,115.79,,206.52,89,,Percent of Total Billed Charges,111.38,,191.21,82.4,,Percent of Total Billed Charges,190.75,,193.53,83.4,,Percent of Total Billed Charges,180.53,,193.53,83.4,,Percent of Total Billed Charges,162.67,,193.53,83.4,,Percent of Total Billed Charges,188.89,,208.85,90,,Percent of Total Billed Charges,196.55,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,213.49,92,,Percent of Total Billed Charges,188.19,,213.49,92,,Percent of Total Billed Charges,172.65,,213.49,92,,Percent of Total Billed Charges,181.7,,213.49,92,,Percent of Total Billed Charges,188.19,,181,78,,Percent of Total Billed Charges,181,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,124.91,53.83,,Percent of Total Billed Charges,117.19,,80.38,34.64,,Percent of Total Billed Charges,80.06,,115.98,49.98,,Percent of Total Billed Charges,87.71,,80.38,213.49,,																																							
HC RESPIR PROBE & REV TRANSCRIP 611 TARGETS,87632,CPT,,,,BOTH, , ,1719.9,1444.72,1582.31,92,,Percent of Total Billed Charges,1437.84,,1582.31,92,,Percent of Total Billed Charges,1412.04,,1582.31,92,,Percent of Total Billed Charges,1384.52,,1582.31,92,,Percent of Total Billed Charges,1436.12,,1582.31,92,,Percent of Total Billed Charges,1295.08,,1582.31,92,,Percent of Total Billed Charges,1074.94,,1547.91,90,,Percent of Total Billed Charges,858.23,,1530.71,89,,Percent of Total Billed Charges,825.55,,1417.2,82.4,,Percent of Total Billed Charges,1413.76,,1434.4,83.4,,Percent of Total Billed Charges,1338.08,,1434.4,83.4,,Percent of Total Billed Charges,1205.65,,1434.4,83.4,,Percent of Total Billed Charges,1400,,1547.91,90,,Percent of Total Billed Charges,1456.76,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1582.31,92,,Percent of Total Billed Charges,1394.84,,1582.31,92,,Percent of Total Billed Charges,1279.61,,1582.31,92,,Percent of Total Billed Charges,1346.68,,1582.31,92,,Percent of Total Billed Charges,1394.84,,1341.52,78,,Percent of Total Billed Charges,1341.52,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,925.82,53.83,,Percent of Total Billed Charges,868.55,,595.77,34.64,,Percent of Total Billed Charges,593.37,,859.61,49.98,,Percent of Total Billed Charges,650.12,,595.77,1582.31,,																																							
HC IADNA HIV2 AMP PROBE & REVERSE TRANSCRIPTION,87538,CPT,,,,BOTH, , ,652.05,547.72,599.89,92,,Percent of Total Billed Charges,545.11,,599.89,92,,Percent of Total Billed Charges,535.33,,599.89,92,,Percent of Total Billed Charges,524.9,,599.89,92,,Percent of Total Billed Charges,544.46,,599.89,92,,Percent of Total Billed Charges,490.99,,599.89,92,,Percent of Total Billed Charges,407.53,,586.85,90,,Percent of Total Billed Charges,325.37,,580.32,89,,Percent of Total Billed Charges,312.98,,537.29,82.4,,Percent of Total Billed Charges,535.99,,543.81,83.4,,Percent of Total Billed Charges,507.29,,543.81,83.4,,Percent of Total Billed Charges,457.09,,543.81,83.4,,Percent of Total Billed Charges,530.77,,586.85,90,,Percent of Total Billed Charges,552.29,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,599.89,92,,Percent of Total Billed Charges,528.81,,599.89,92,,Percent of Total Billed Charges,485.13,,599.89,92,,Percent of Total Billed Charges,510.56,,599.89,92,,Percent of Total Billed Charges,528.81,,508.6,78,,Percent of Total Billed Charges,508.6,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,351,53.83,,Percent of Total Billed Charges,329.29,,225.87,34.64,,Percent of Total Billed Charges,224.96,,325.89,49.98,,Percent of Total Billed Charges,246.47,,225.87,599.89,,																																							
HC IADNA RESPIRATRY PROBE & REV TRNSCR 1225 TARGET,87633,CPT,,,,BOTH, , ,1823.85,1532.03,1677.94,92,,Percent of Total Billed Charges,1524.74,,1677.94,92,,Percent of Total Billed Charges,1497.38,,1677.94,92,,Percent of Total Billed Charges,1468.2,,1677.94,92,,Percent of Total Billed Charges,1522.91,,1677.94,92,,Percent of Total Billed Charges,1373.36,,1677.94,92,,Percent of Total Billed Charges,1139.91,,1641.47,90,,Percent of Total Billed Charges,910.1,,1623.23,89,,Percent of Total Billed Charges,875.45,,1502.85,82.4,,Percent of Total Billed Charges,1499.2,,1521.09,83.4,,Percent of Total Billed Charges,1418.96,,1521.09,83.4,,Percent of Total Billed Charges,1278.52,,1521.09,83.4,,Percent of Total Billed Charges,1484.61,,1641.47,90,,Percent of Total Billed Charges,1544.8,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1677.94,92,,Percent of Total Billed Charges,1479.14,,1677.94,92,,Percent of Total Billed Charges,1356.94,,1677.94,92,,Percent of Total Billed Charges,1428.07,,1677.94,92,,Percent of Total Billed Charges,1479.14,,1422.6,78,,Percent of Total Billed Charges,1422.6,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,981.78,53.83,,Percent of Total Billed Charges,921.04,,631.78,34.64,,Percent of Total Billed Charges,629.23,,911.56,49.98,,Percent of Total Billed Charges,689.42,,631.78,1677.94,,																																							
HC IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECH,87661,CPT,,,,BOTH, , ,268.8,225.79,247.3,92,,Percent of Total Billed Charges,224.72,,247.3,92,,Percent of Total Billed Charges,220.68,,247.3,92,,Percent of Total Billed Charges,216.38,,247.3,92,,Percent of Total Billed Charges,224.45,,247.3,92,,Percent of Total Billed Charges,202.41,,247.3,92,,Percent of Total Billed Charges,168,,241.92,90,,Percent of Total Billed Charges,134.13,,239.23,89,,Percent of Total Billed Charges,129.02,,221.49,82.4,,Percent of Total Billed Charges,220.95,,224.18,83.4,,Percent of Total Billed Charges,209.13,,224.18,83.4,,Percent of Total Billed Charges,188.43,,224.18,83.4,,Percent of Total Billed Charges,218.8,,241.92,90,,Percent of Total Billed Charges,227.67,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,247.3,92,,Percent of Total Billed Charges,218,,247.3,92,,Percent of Total Billed Charges,199.99,,247.3,92,,Percent of Total Billed Charges,210.47,,247.3,92,,Percent of Total Billed Charges,218,,209.66,78,,Percent of Total Billed Charges,209.66,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,144.7,53.83,,Percent of Total Billed Charges,135.74,,93.11,34.64,,Percent of Total Billed Charges,92.74,,134.35,49.98,,Percent of Total Billed Charges,101.61,,93.11,247.3,,																																							
HC AGENT NOS ASSAY W/OPTIC,87899,CPT,,,,BOTH, , ,85.05,71.44,78.25,92,,Percent of Total Billed Charges,71.1,,78.25,92,,Percent of Total Billed Charges,69.83,,78.25,92,,Percent of Total Billed Charges,68.47,,78.25,92,,Percent of Total Billed Charges,71.02,,78.25,92,,Percent of Total Billed Charges,64.04,,78.25,92,,Percent of Total Billed Charges,53.16,,76.55,90,,Percent of Total Billed Charges,42.44,,75.69,89,,Percent of Total Billed Charges,40.82,,70.08,82.4,,Percent of Total Billed Charges,69.91,,70.93,83.4,,Percent of Total Billed Charges,66.17,,70.93,83.4,,Percent of Total Billed Charges,59.62,,70.93,83.4,,Percent of Total Billed Charges,69.23,,76.55,90,,Percent of Total Billed Charges,72.04,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,78.25,92,,Percent of Total Billed Charges,68.98,,78.25,92,,Percent of Total Billed Charges,63.28,,78.25,92,,Percent of Total Billed Charges,66.59,,78.25,92,,Percent of Total Billed Charges,68.98,,66.34,78,,Percent of Total Billed Charges,66.34,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,45.78,53.83,,Percent of Total Billed Charges,42.95,,29.46,34.64,,Percent of Total Billed Charges,29.34,,42.51,49.98,,Percent of Total Billed Charges,32.15,,29.46,78.25,,																																							
HC VARICELLA ZOSTER AG BY DFA,87290,CPT,,,,BOTH, , ,8.4,7.06,7.73,92,,Percent of Total Billed Charges,7.02,,7.73,92,,Percent of Total Billed Charges,6.9,,7.73,92,,Percent of Total Billed Charges,6.76,,7.73,92,,Percent of Total Billed Charges,7.01,,7.73,92,,Percent of Total Billed Charges,6.33,,7.73,92,,Percent of Total Billed Charges,5.25,,7.56,90,,Percent of Total Billed Charges,4.19,,7.48,89,,Percent of Total Billed Charges,4.03,,6.92,82.4,,Percent of Total Billed Charges,6.9,,7.01,83.4,,Percent of Total Billed Charges,6.54,,7.01,83.4,,Percent of Total Billed Charges,5.89,,7.01,83.4,,Percent of Total Billed Charges,6.84,,7.56,90,,Percent of Total Billed Charges,7.11,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,7.73,92,,Percent of Total Billed Charges,6.81,,7.73,92,,Percent of Total Billed Charges,6.25,,7.73,92,,Percent of Total Billed Charges,6.58,,7.73,92,,Percent of Total Billed Charges,6.81,,6.55,78,,Percent of Total Billed Charges,6.55,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4.52,53.83,,Percent of Total Billed Charges,4.24,,2.91,34.64,,Percent of Total Billed Charges,2.9,,4.2,49.98,,Percent of Total Billed Charges,3.18,,2.91,7.73,,																																							
HC NOS INFECTIOUS AG BY IF,87299,CPT,,,,BOTH, , ,89.25,74.97,82.11,92,,Percent of Total Billed Charges,74.61,,82.11,92,,Percent of Total Billed Charges,73.27,,82.11,92,,Percent of Total Billed Charges,71.85,,82.11,92,,Percent of Total Billed Charges,74.52,,82.11,92,,Percent of Total Billed Charges,67.21,,82.11,92,,Percent of Total Billed Charges,55.78,,80.33,90,,Percent of Total Billed Charges,44.54,,79.43,89,,Percent of Total Billed Charges,42.84,,73.54,82.4,,Percent of Total Billed Charges,73.36,,74.43,83.4,,Percent of Total Billed Charges,69.44,,74.43,83.4,,Percent of Total Billed Charges,62.56,,74.43,83.4,,Percent of Total Billed Charges,72.65,,80.33,90,,Percent of Total Billed Charges,75.59,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,82.11,92,,Percent of Total Billed Charges,72.38,,82.11,92,,Percent of Total Billed Charges,66.4,,82.11,92,,Percent of Total Billed Charges,69.88,,82.11,92,,Percent of Total Billed Charges,72.38,,69.62,78,,Percent of Total Billed Charges,69.62,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,48.04,53.83,,Percent of Total Billed Charges,45.07,,30.92,34.64,,Percent of Total Billed Charges,30.79,,44.61,49.98,,Percent of Total Billed Charges,33.74,,30.92,82.11,,																																							
HC ENTAMOEB HIST GROUP AG IA,87337,CPT,,,,BOTH, , ,900.9,756.76,828.83,92,,Percent of Total Billed Charges,753.15,,828.83,92,,Percent of Total Billed Charges,739.64,,828.83,92,,Percent of Total Billed Charges,725.22,,828.83,92,,Percent of Total Billed Charges,752.25,,828.83,92,,Percent of Total Billed Charges,678.38,,828.83,92,,Percent of Total Billed Charges,563.06,,810.81,90,,Percent of Total Billed Charges,449.55,,801.8,89,,Percent of Total Billed Charges,432.43,,742.34,82.4,,Percent of Total Billed Charges,740.54,,751.35,83.4,,Percent of Total Billed Charges,700.9,,751.35,83.4,,Percent of Total Billed Charges,631.53,,751.35,83.4,,Percent of Total Billed Charges,733.33,,810.81,90,,Percent of Total Billed Charges,763.06,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,828.83,92,,Percent of Total Billed Charges,730.63,,828.83,92,,Percent of Total Billed Charges,670.27,,828.83,92,,Percent of Total Billed Charges,705.4,,828.83,92,,Percent of Total Billed Charges,730.63,,702.7,78,,Percent of Total Billed Charges,702.7,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,484.95,53.83,,Percent of Total Billed Charges,454.95,,312.07,34.64,,Percent of Total Billed Charges,310.81,,450.27,49.98,,Percent of Total Billed Charges,340.54,,312.07,828.83,,																																							
HC CHYLMD PNEUM DNA AMP PROBE,87486,CPT,,,,BOTH, , ,1359.75,1142.19,1250.97,92,,Percent of Total Billed Charges,1136.75,,1250.97,92,,Percent of Total Billed Charges,1116.35,,1250.97,92,,Percent of Total Billed Charges,1094.6,,1250.97,92,,Percent of Total Billed Charges,1135.39,,1250.97,92,,Percent of Total Billed Charges,1023.89,,1250.97,92,,Percent of Total Billed Charges,849.84,,1223.78,90,,Percent of Total Billed Charges,678.52,,1210.18,89,,Percent of Total Billed Charges,652.68,,1120.43,82.4,,Percent of Total Billed Charges,1117.71,,1134.03,83.4,,Percent of Total Billed Charges,1057.89,,1134.03,83.4,,Percent of Total Billed Charges,953.18,,1134.03,83.4,,Percent of Total Billed Charges,1106.84,,1223.78,90,,Percent of Total Billed Charges,1151.71,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1250.97,92,,Percent of Total Billed Charges,1102.76,,1250.97,92,,Percent of Total Billed Charges,1011.65,,1250.97,92,,Percent of Total Billed Charges,1064.68,,1250.97,92,,Percent of Total Billed Charges,1102.76,,1060.61,78,,Percent of Total Billed Charges,1060.61,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,731.95,53.83,,Percent of Total Billed Charges,686.67,,471.02,34.64,,Percent of Total Billed Charges,469.11,,679.6,49.98,,Percent of Total Billed Charges,513.99,,471.02,1250.97,,																																							
HC PHENOTYPE INFECT AGENT DRUG,87900,CPT,,,,BOTH, , ,15.75,13.23,14.49,92,,Percent of Total Billed Charges,13.17,,14.49,92,,Percent of Total Billed Charges,12.93,,14.49,92,,Percent of Total Billed Charges,12.68,,14.49,92,,Percent of Total Billed Charges,13.15,,14.49,92,,Percent of Total Billed Charges,11.86,,14.49,92,,Percent of Total Billed Charges,9.84,,14.18,90,,Percent of Total Billed Charges,7.86,,14.02,89,,Percent of Total Billed Charges,7.56,,12.98,82.4,,Percent of Total Billed Charges,12.95,,13.14,83.4,,Percent of Total Billed Charges,12.25,,13.14,83.4,,Percent of Total Billed Charges,11.04,,13.14,83.4,,Percent of Total Billed Charges,12.82,,14.18,90,,Percent of Total Billed Charges,13.34,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,14.49,92,,Percent of Total Billed Charges,12.77,,14.49,92,,Percent of Total Billed Charges,11.72,,14.49,92,,Percent of Total Billed Charges,12.33,,14.49,92,,Percent of Total Billed Charges,12.77,,12.29,78,,Percent of Total Billed Charges,12.29,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,8.48,53.83,,Percent of Total Billed Charges,7.95,,5.46,34.64,,Percent of Total Billed Charges,5.43,,7.87,49.98,,Percent of Total Billed Charges,5.95,,5.46,14.49,,																																							
HC IADNA BARTONELLA AMPLIFIED PROBE TECHNIQUE,87471,CPT,,,,BOTH, , ,244.65,205.51,225.08,92,,Percent of Total Billed Charges,204.53,,225.08,92,,Percent of Total Billed Charges,200.86,,225.08,92,,Percent of Total Billed Charges,196.94,,225.08,92,,Percent of Total Billed Charges,204.28,,225.08,92,,Percent of Total Billed Charges,184.22,,225.08,92,,Percent of Total Billed Charges,152.91,,220.19,90,,Percent of Total Billed Charges,122.08,,217.74,89,,Percent of Total Billed Charges,117.43,,201.59,82.4,,Percent of Total Billed Charges,201.1,,204.04,83.4,,Percent of Total Billed Charges,190.34,,204.04,83.4,,Percent of Total Billed Charges,171.5,,204.04,83.4,,Percent of Total Billed Charges,199.15,,220.19,90,,Percent of Total Billed Charges,207.22,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,225.08,92,,Percent of Total Billed Charges,198.41,,225.08,92,,Percent of Total Billed Charges,182.02,,225.08,92,,Percent of Total Billed Charges,191.56,,225.08,92,,Percent of Total Billed Charges,198.41,,190.83,78,,Percent of Total Billed Charges,190.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,131.7,53.83,,Percent of Total Billed Charges,123.55,,84.75,34.64,,Percent of Total Billed Charges,84.4,,122.28,49.98,,Percent of Total Billed Charges,92.48,,84.75,225.08,,																																							
HC IADNA CANDIDA SPECIES DIRECT PROBE TQ,87480,CPT,,,,BOTH, , ,85.05,71.44,78.25,92,,Percent of Total Billed Charges,71.1,,78.25,92,,Percent of Total Billed Charges,69.83,,78.25,92,,Percent of Total Billed Charges,68.47,,78.25,92,,Percent of Total Billed Charges,71.02,,78.25,92,,Percent of Total Billed Charges,64.04,,78.25,92,,Percent of Total Billed Charges,53.16,,76.55,90,,Percent of Total Billed Charges,42.44,,75.69,89,,Percent of Total Billed Charges,40.82,,70.08,82.4,,Percent of Total Billed Charges,69.91,,70.93,83.4,,Percent of Total Billed Charges,66.17,,70.93,83.4,,Percent of Total Billed Charges,59.62,,70.93,83.4,,Percent of Total Billed Charges,69.23,,76.55,90,,Percent of Total Billed Charges,72.04,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,78.25,92,,Percent of Total Billed Charges,68.98,,78.25,92,,Percent of Total Billed Charges,63.28,,78.25,92,,Percent of Total Billed Charges,66.59,,78.25,92,,Percent of Total Billed Charges,68.98,,66.34,78,,Percent of Total Billed Charges,66.34,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,45.78,53.83,,Percent of Total Billed Charges,42.95,,29.46,34.64,,Percent of Total Billed Charges,29.34,,42.51,49.98,,Percent of Total Billed Charges,32.15,,29.46,78.25,,																																							
HC IADNA GARDNERELLA VAGINALIS DIRECT PROBE TQ,87510,CPT,,,,BOTH, , ,85.05,71.44,78.25,92,,Percent of Total Billed Charges,71.1,,78.25,92,,Percent of Total Billed Charges,69.83,,78.25,92,,Percent of Total Billed Charges,68.47,,78.25,92,,Percent of Total Billed Charges,71.02,,78.25,92,,Percent of Total Billed Charges,64.04,,78.25,92,,Percent of Total Billed Charges,53.16,,76.55,90,,Percent of Total Billed Charges,42.44,,75.69,89,,Percent of Total Billed Charges,40.82,,70.08,82.4,,Percent of Total Billed Charges,69.91,,70.93,83.4,,Percent of Total Billed Charges,66.17,,70.93,83.4,,Percent of Total Billed Charges,59.62,,70.93,83.4,,Percent of Total Billed Charges,69.23,,76.55,90,,Percent of Total Billed Charges,72.04,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,78.25,92,,Percent of Total Billed Charges,68.98,,78.25,92,,Percent of Total Billed Charges,63.28,,78.25,92,,Percent of Total Billed Charges,66.59,,78.25,92,,Percent of Total Billed Charges,68.98,,66.34,78,,Percent of Total Billed Charges,66.34,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,45.78,53.83,,Percent of Total Billed Charges,42.95,,29.46,34.64,,Percent of Total Billed Charges,29.34,,42.51,49.98,,Percent of Total Billed Charges,32.15,,29.46,78.25,,																																							
HC IADNA TRICHOMONAS VAGINALIS DIRECT PROBE TQ,87660,CPT,,,,BOTH, , ,85.05,71.44,78.25,92,,Percent of Total Billed Charges,71.1,,78.25,92,,Percent of Total Billed Charges,69.83,,78.25,92,,Percent of Total Billed Charges,68.47,,78.25,92,,Percent of Total Billed Charges,71.02,,78.25,92,,Percent of Total Billed Charges,64.04,,78.25,92,,Percent of Total Billed Charges,53.16,,76.55,90,,Percent of Total Billed Charges,42.44,,75.69,89,,Percent of Total Billed Charges,40.82,,70.08,82.4,,Percent of Total Billed Charges,69.91,,70.93,83.4,,Percent of Total Billed Charges,66.17,,70.93,83.4,,Percent of Total Billed Charges,59.62,,70.93,83.4,,Percent of Total Billed Charges,69.23,,76.55,90,,Percent of Total Billed Charges,72.04,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,78.25,92,,Percent of Total Billed Charges,68.98,,78.25,92,,Percent of Total Billed Charges,63.28,,78.25,92,,Percent of Total Billed Charges,66.59,,78.25,92,,Percent of Total Billed Charges,68.98,,66.34,78,,Percent of Total Billed Charges,66.34,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,45.78,53.83,,Percent of Total Billed Charges,42.95,,29.46,34.64,,Percent of Total Billed Charges,29.34,,42.51,49.98,,Percent of Total Billed Charges,32.15,,29.46,78.25,,																																							
HC SARSCOV2 PCR ARIES,87635,CPT,,,,BOTH, , ,22.05,18.52,20.29,92,,Percent of Total Billed Charges,18.43,,20.29,92,,Percent of Total Billed Charges,18.1,,20.29,92,,Percent of Total Billed Charges,17.75,,20.29,92,,Percent of Total Billed Charges,18.41,,20.29,92,,Percent of Total Billed Charges,16.6,,20.29,92,,Percent of Total Billed Charges,13.78,,19.85,90,,Percent of Total Billed Charges,11,,19.62,89,,Percent of Total Billed Charges,10.58,,18.17,82.4,,Percent of Total Billed Charges,18.13,,18.39,83.4,,Percent of Total Billed Charges,17.15,,18.39,83.4,,Percent of Total Billed Charges,15.46,,18.39,83.4,,Percent of Total Billed Charges,17.95,,19.85,90,,Percent of Total Billed Charges,18.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,20.29,92,,Percent of Total Billed Charges,17.88,,20.29,92,,Percent of Total Billed Charges,16.41,,20.29,92,,Percent of Total Billed Charges,17.27,,20.29,92,,Percent of Total Billed Charges,17.88,,17.2,78,,Percent of Total Billed Charges,17.2,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,11.87,53.83,,Percent of Total Billed Charges,11.14,,7.64,34.64,,Percent of Total Billed Charges,7.61,,11.02,49.98,,Percent of Total Billed Charges,8.33,,7.64,20.29,,																																							
HC IADNA DNA/RNA RSV AMPLIFIED PROBE TECHNIQUE,87634,CPT,,,,BOTH, , ,268.8,225.79,247.3,92,,Percent of Total Billed Charges,224.72,,247.3,92,,Percent of Total Billed Charges,220.68,,247.3,92,,Percent of Total Billed Charges,216.38,,247.3,92,,Percent of Total Billed Charges,224.45,,247.3,92,,Percent of Total Billed Charges,202.41,,247.3,92,,Percent of Total Billed Charges,168,,241.92,90,,Percent of Total Billed Charges,134.13,,239.23,89,,Percent of Total Billed Charges,129.02,,221.49,82.4,,Percent of Total Billed Charges,220.95,,224.18,83.4,,Percent of Total Billed Charges,209.13,,224.18,83.4,,Percent of Total Billed Charges,188.43,,224.18,83.4,,Percent of Total Billed Charges,218.8,,241.92,90,,Percent of Total Billed Charges,227.67,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,247.3,92,,Percent of Total Billed Charges,218,,247.3,92,,Percent of Total Billed Charges,199.99,,247.3,92,,Percent of Total Billed Charges,210.47,,247.3,92,,Percent of Total Billed Charges,218,,209.66,78,,Percent of Total Billed Charges,209.66,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,144.7,53.83,,Percent of Total Billed Charges,135.74,,93.11,34.64,,Percent of Total Billed Charges,92.74,,134.35,49.98,,Percent of Total Billed Charges,101.61,,93.11,247.3,,																																							
HC NFCT DS VIR RESP RNA 3 TRGT,0240U,CPT,,,,BOTH, , ,72.45,60.86,66.65,92,,Percent of Total Billed Charges,60.57,,66.65,92,,Percent of Total Billed Charges,59.48,,66.65,92,,Percent of Total Billed Charges,58.32,,66.65,92,,Percent of Total Billed Charges,60.5,,66.65,92,,Percent of Total Billed Charges,54.55,,66.65,92,,Percent of Total Billed Charges,45.28,,65.21,90,,Percent of Total Billed Charges,36.15,,64.48,89,,Percent of Total Billed Charges,34.78,,59.7,82.4,,Percent of Total Billed Charges,59.55,,60.42,83.4,,Percent of Total Billed Charges,56.37,,60.42,83.4,,Percent of Total Billed Charges,50.79,,60.42,83.4,,Percent of Total Billed Charges,58.97,,65.21,90,,Percent of Total Billed Charges,61.37,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,66.65,92,,Percent of Total Billed Charges,58.76,,66.65,92,,Percent of Total Billed Charges,53.9,,66.65,92,,Percent of Total Billed Charges,56.73,,66.65,92,,Percent of Total Billed Charges,58.76,,56.51,78,,Percent of Total Billed Charges,56.51,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,39,53.83,,Percent of Total Billed Charges,36.59,,25.1,34.64,,Percent of Total Billed Charges,25,,36.21,49.98,,Percent of Total Billed Charges,27.39,,25.10,66.65,,																																							
HC NFCT DS VIR RESP RNA 4 TRGT,0241U,CPT,,,,BOTH, , ,963.9,809.68,886.79,92,,Percent of Total Billed Charges,805.82,,886.79,92,,Percent of Total Billed Charges,791.36,,886.79,92,,Percent of Total Billed Charges,775.94,,886.79,92,,Percent of Total Billed Charges,804.86,,886.79,92,,Percent of Total Billed Charges,725.82,,886.79,92,,Percent of Total Billed Charges,602.44,,867.51,90,,Percent of Total Billed Charges,480.99,,857.87,89,,Percent of Total Billed Charges,462.67,,794.25,82.4,,Percent of Total Billed Charges,792.33,,803.89,83.4,,Percent of Total Billed Charges,749.91,,803.89,83.4,,Percent of Total Billed Charges,675.69,,803.89,83.4,,Percent of Total Billed Charges,784.61,,867.51,90,,Percent of Total Billed Charges,816.42,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,886.79,92,,Percent of Total Billed Charges,781.72,,886.79,92,,Percent of Total Billed Charges,717.14,,886.79,92,,Percent of Total Billed Charges,754.73,,886.79,92,,Percent of Total Billed Charges,781.72,,751.84,78,,Percent of Total Billed Charges,751.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,518.87,53.83,,Percent of Total Billed Charges,486.77,,333.89,34.64,,Percent of Total Billed Charges,332.55,,481.76,49.98,,Percent of Total Billed Charges,364.35,,333.89,886.79,,																																							
HC IADNADNA/RNA PROBE TQ 611,87506,CPT,,,,BOTH, , ,1005.9,844.96,925.43,92,,Percent of Total Billed Charges,840.93,,925.43,92,,Percent of Total Billed Charges,825.84,,925.43,92,,Percent of Total Billed Charges,809.75,,925.43,92,,Percent of Total Billed Charges,839.93,,925.43,92,,Percent of Total Billed Charges,757.44,,925.43,92,,Percent of Total Billed Charges,628.69,,905.31,90,,Percent of Total Billed Charges,501.94,,895.25,89,,Percent of Total Billed Charges,482.83,,828.86,82.4,,Percent of Total Billed Charges,826.85,,838.92,83.4,,Percent of Total Billed Charges,782.59,,838.92,83.4,,Percent of Total Billed Charges,705.14,,838.92,83.4,,Percent of Total Billed Charges,818.8,,905.31,90,,Percent of Total Billed Charges,852,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,925.43,92,,Percent of Total Billed Charges,815.78,,925.43,92,,Percent of Total Billed Charges,748.39,,925.43,92,,Percent of Total Billed Charges,787.62,,925.43,92,,Percent of Total Billed Charges,815.78,,784.6,78,,Percent of Total Billed Charges,784.6,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,541.48,53.83,,Percent of Total Billed Charges,507.98,,348.44,34.64,,Percent of Total Billed Charges,347.04,,502.75,49.98,,Percent of Total Billed Charges,380.23,,348.44,925.43,,																																							
HC IADNA STREPTOCOCCUS GROUP A AMPLIFIED PROBE TQ,87651,CPT,,,,BOTH, , ,148.05,124.36,136.21,92,,Percent of Total Billed Charges,123.77,,136.21,92,,Percent of Total Billed Charges,121.55,,136.21,92,,Percent of Total Billed Charges,119.18,,136.21,92,,Percent of Total Billed Charges,123.62,,136.21,92,,Percent of Total Billed Charges,111.48,,136.21,92,,Percent of Total Billed Charges,92.53,,133.25,90,,Percent of Total Billed Charges,73.88,,131.76,89,,Percent of Total Billed Charges,71.06,,121.99,82.4,,Percent of Total Billed Charges,121.7,,123.47,83.4,,Percent of Total Billed Charges,115.18,,123.47,83.4,,Percent of Total Billed Charges,103.78,,123.47,83.4,,Percent of Total Billed Charges,120.51,,133.25,90,,Percent of Total Billed Charges,125.4,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,136.21,92,,Percent of Total Billed Charges,120.07,,136.21,92,,Percent of Total Billed Charges,110.15,,136.21,92,,Percent of Total Billed Charges,115.92,,136.21,92,,Percent of Total Billed Charges,120.07,,115.48,78,,Percent of Total Billed Charges,115.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,79.7,53.83,,Percent of Total Billed Charges,74.77,,51.28,34.64,,Percent of Total Billed Charges,51.08,,74,49.98,,Percent of Total Billed Charges,55.96,,51.28,136.21,,																																							
HC DNA/RNA DIRECT PROBE,87149,CPT,,,,BOTH, , ,81.9,68.8,75.35,92,,Percent of Total Billed Charges,68.47,,75.35,92,,Percent of Total Billed Charges,67.24,,75.35,92,,Percent of Total Billed Charges,65.93,,75.35,92,,Percent of Total Billed Charges,68.39,,75.35,92,,Percent of Total Billed Charges,61.67,,75.35,92,,Percent of Total Billed Charges,51.19,,73.71,90,,Percent of Total Billed Charges,40.87,,72.89,89,,Percent of Total Billed Charges,39.31,,67.49,82.4,,Percent of Total Billed Charges,67.32,,68.3,83.4,,Percent of Total Billed Charges,63.72,,68.3,83.4,,Percent of Total Billed Charges,57.41,,68.3,83.4,,Percent of Total Billed Charges,66.67,,73.71,90,,Percent of Total Billed Charges,69.37,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,75.35,92,,Percent of Total Billed Charges,66.42,,75.35,92,,Percent of Total Billed Charges,60.93,,75.35,92,,Percent of Total Billed Charges,64.13,,75.35,92,,Percent of Total Billed Charges,66.42,,63.88,78,,Percent of Total Billed Charges,63.88,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,44.09,53.83,,Percent of Total Billed Charges,41.36,,28.37,34.64,,Percent of Total Billed Charges,28.26,,40.93,49.98,,Percent of Total Billed Charges,30.96,,28.37,75.35,,																																							
HC HEREDTRY NURONDCRN TUM DSRDR,81437,CPT,,,,BOTH, , ,5846.4,4910.98,5378.69,92,,Percent of Total Billed Charges,4887.59,,5378.69,92,,Percent of Total Billed Charges,4799.89,,5378.69,92,,Percent of Total Billed Charges,4706.35,,5378.69,92,,Percent of Total Billed Charges,4881.74,,5378.69,92,,Percent of Total Billed Charges,4402.34,,5378.69,92,,Percent of Total Billed Charges,3654,,5261.76,90,,Percent of Total Billed Charges,2917.35,,5203.3,89,,Percent of Total Billed Charges,2806.27,,4817.43,82.4,,Percent of Total Billed Charges,4805.74,,4875.9,83.4,,Percent of Total Billed Charges,4548.5,,4875.9,83.4,,Percent of Total Billed Charges,4098.33,,4875.9,83.4,,Percent of Total Billed Charges,4758.97,,5261.76,90,,Percent of Total Billed Charges,4951.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5378.69,92,,Percent of Total Billed Charges,4741.43,,5378.69,92,,Percent of Total Billed Charges,4349.72,,5378.69,92,,Percent of Total Billed Charges,4577.73,,5378.69,92,,Percent of Total Billed Charges,4741.43,,4560.19,78,,Percent of Total Billed Charges,4560.19,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3147.12,53.83,,Percent of Total Billed Charges,2952.43,,2025.19,34.64,,Percent of Total Billed Charges,2017.01,,2922.03,49.98,,Percent of Total Billed Charges,2209.94,,2025.19,5378.69,,																																							
HC AUTOIMMUNE RHEUMATOID ARTHR,81490,CPT,,,,BOTH, , ,3405.15,2860.33,3132.74,92,,Percent of Total Billed Charges,2846.71,,3132.74,92,,Percent of Total Billed Charges,2795.63,,3132.74,92,,Percent of Total Billed Charges,2741.15,,3132.74,92,,Percent of Total Billed Charges,2843.3,,3132.74,92,,Percent of Total Billed Charges,2564.08,,3132.74,92,,Percent of Total Billed Charges,2128.22,,3064.64,90,,Percent of Total Billed Charges,1699.17,,3030.58,89,,Percent of Total Billed Charges,1634.47,,2805.84,82.4,,Percent of Total Billed Charges,2799.03,,2839.9,83.4,,Percent of Total Billed Charges,2649.21,,2839.9,83.4,,Percent of Total Billed Charges,2387.01,,2839.9,83.4,,Percent of Total Billed Charges,2771.79,,3064.64,90,,Percent of Total Billed Charges,2884.16,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3132.74,92,,Percent of Total Billed Charges,2761.58,,3132.74,92,,Percent of Total Billed Charges,2533.43,,3132.74,92,,Percent of Total Billed Charges,2666.23,,3132.74,92,,Percent of Total Billed Charges,2761.58,,2656.02,78,,Percent of Total Billed Charges,2656.02,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1832.99,53.83,,Percent of Total Billed Charges,1719.6,,1179.54,34.64,,Percent of Total Billed Charges,1174.78,,1701.89,49.98,,Percent of Total Billed Charges,1287.15,,1179.54,3132.74,,																																							
HC CUL TYP ID BLD PTHGN 6+ TRGT,87154,CPT,,,,BOTH, , ,841.05,706.48,773.77,92,,Percent of Total Billed Charges,703.12,,773.77,92,,Percent of Total Billed Charges,690.5,,773.77,92,,Percent of Total Billed Charges,677.05,,773.77,92,,Percent of Total Billed Charges,702.28,,773.77,92,,Percent of Total Billed Charges,633.31,,773.77,92,,Percent of Total Billed Charges,525.66,,756.95,90,,Percent of Total Billed Charges,419.68,,748.53,89,,Percent of Total Billed Charges,403.7,,693.03,82.4,,Percent of Total Billed Charges,691.34,,701.44,83.4,,Percent of Total Billed Charges,654.34,,701.44,83.4,,Percent of Total Billed Charges,589.58,,701.44,83.4,,Percent of Total Billed Charges,684.61,,756.95,90,,Percent of Total Billed Charges,712.37,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,773.77,92,,Percent of Total Billed Charges,682.09,,773.77,92,,Percent of Total Billed Charges,625.74,,773.77,92,,Percent of Total Billed Charges,658.54,,773.77,92,,Percent of Total Billed Charges,682.09,,656.02,78,,Percent of Total Billed Charges,656.02,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,452.74,53.83,,Percent of Total Billed Charges,424.73,,291.34,34.64,,Percent of Total Billed Charges,290.16,,420.36,49.98,,Percent of Total Billed Charges,317.92,,291.34,773.77,,																																							
HC URINALYSIS AUTO W/SCOPE,81001,CPT,,,,BOTH, , ,9.45,7.94,8.69,92,,Percent of Total Billed Charges,7.9,,8.69,92,,Percent of Total Billed Charges,7.76,,8.69,92,,Percent of Total Billed Charges,7.61,,8.69,92,,Percent of Total Billed Charges,7.89,,8.69,92,,Percent of Total Billed Charges,7.12,,8.69,92,,Percent of Total Billed Charges,5.91,,8.51,90,,Percent of Total Billed Charges,4.72,,8.41,89,,Percent of Total Billed Charges,4.54,,7.79,82.4,,Percent of Total Billed Charges,7.77,,7.88,83.4,,Percent of Total Billed Charges,7.35,,7.88,83.4,,Percent of Total Billed Charges,6.62,,7.88,83.4,,Percent of Total Billed Charges,7.69,,8.51,90,,Percent of Total Billed Charges,8,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,8.69,92,,Percent of Total Billed Charges,7.66,,8.69,92,,Percent of Total Billed Charges,7.03,,8.69,92,,Percent of Total Billed Charges,7.4,,8.69,92,,Percent of Total Billed Charges,7.66,,7.37,78,,Percent of Total Billed Charges,7.37,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5.09,53.83,,Percent of Total Billed Charges,4.77,,3.27,34.64,,Percent of Total Billed Charges,3.26,,4.72,49.98,,Percent of Total Billed Charges,3.57,,3.27,8.69,,																																							
HC URINALYSIS AUTO W/O SCOPE,81003,CPT,,,,BOTH, , ,71.4,59.98,65.69,92,,Percent of Total Billed Charges,59.69,,65.69,92,,Percent of Total Billed Charges,58.62,,65.69,92,,Percent of Total Billed Charges,57.48,,65.69,92,,Percent of Total Billed Charges,59.62,,65.69,92,,Percent of Total Billed Charges,53.76,,65.69,92,,Percent of Total Billed Charges,44.63,,64.26,90,,Percent of Total Billed Charges,35.63,,63.55,89,,Percent of Total Billed Charges,34.27,,58.83,82.4,,Percent of Total Billed Charges,58.69,,59.55,83.4,,Percent of Total Billed Charges,55.55,,59.55,83.4,,Percent of Total Billed Charges,50.05,,59.55,83.4,,Percent of Total Billed Charges,58.12,,64.26,90,,Percent of Total Billed Charges,60.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,65.69,92,,Percent of Total Billed Charges,57.91,,65.69,92,,Percent of Total Billed Charges,53.12,,65.69,92,,Percent of Total Billed Charges,55.91,,65.69,92,,Percent of Total Billed Charges,57.91,,55.69,78,,Percent of Total Billed Charges,55.69,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,38.43,53.83,,Percent of Total Billed Charges,36.06,,24.73,34.64,,Percent of Total Billed Charges,24.63,,35.69,49.98,,Percent of Total Billed Charges,26.99,,24.73,65.69,,																																							
HC URINALYSIS QUAL,81005,CPT,,,,BOTH, , ,23.1,19.4,21.25,92,,Percent of Total Billed Charges,19.31,,21.25,92,,Percent of Total Billed Charges,18.97,,21.25,92,,Percent of Total Billed Charges,18.6,,21.25,92,,Percent of Total Billed Charges,19.29,,21.25,92,,Percent of Total Billed Charges,17.39,,21.25,92,,Percent of Total Billed Charges,14.44,,20.79,90,,Percent of Total Billed Charges,11.53,,20.56,89,,Percent of Total Billed Charges,11.09,,19.03,82.4,,Percent of Total Billed Charges,18.99,,19.27,83.4,,Percent of Total Billed Charges,17.97,,19.27,83.4,,Percent of Total Billed Charges,16.19,,19.27,83.4,,Percent of Total Billed Charges,18.8,,20.79,90,,Percent of Total Billed Charges,19.57,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,21.25,92,,Percent of Total Billed Charges,18.73,,21.25,92,,Percent of Total Billed Charges,17.19,,21.25,92,,Percent of Total Billed Charges,18.09,,21.25,92,,Percent of Total Billed Charges,18.73,,18.02,78,,Percent of Total Billed Charges,18.02,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,12.43,53.83,,Percent of Total Billed Charges,11.67,,8,34.64,,Percent of Total Billed Charges,7.97,,11.55,49.98,,Percent of Total Billed Charges,8.73,,8.00,21.25,,																																							
HC MICROSCOPIC EXAM OF URINE,81015,CPT,,,,BOTH, , ,23.1,19.4,21.25,92,,Percent of Total Billed Charges,19.31,,21.25,92,,Percent of Total Billed Charges,18.97,,21.25,92,,Percent of Total Billed Charges,18.6,,21.25,92,,Percent of Total Billed Charges,19.29,,21.25,92,,Percent of Total Billed Charges,17.39,,21.25,92,,Percent of Total Billed Charges,14.44,,20.79,90,,Percent of Total Billed Charges,11.53,,20.56,89,,Percent of Total Billed Charges,11.09,,19.03,82.4,,Percent of Total Billed Charges,18.99,,19.27,83.4,,Percent of Total Billed Charges,17.97,,19.27,83.4,,Percent of Total Billed Charges,16.19,,19.27,83.4,,Percent of Total Billed Charges,18.8,,20.79,90,,Percent of Total Billed Charges,19.57,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,21.25,92,,Percent of Total Billed Charges,18.73,,21.25,92,,Percent of Total Billed Charges,17.19,,21.25,92,,Percent of Total Billed Charges,18.09,,21.25,92,,Percent of Total Billed Charges,18.73,,18.02,78,,Percent of Total Billed Charges,18.02,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,12.43,53.83,,Percent of Total Billed Charges,11.67,,8,34.64,,Percent of Total Billed Charges,7.97,,11.55,49.98,,Percent of Total Billed Charges,8.73,,8.00,21.25,,																																							
HC SPECIMEN FAT STAIN,89125,CPT,,,,BOTH, , ,139.65,117.31,128.48,92,,Percent of Total Billed Charges,116.75,,128.48,92,,Percent of Total Billed Charges,114.65,,128.48,92,,Percent of Total Billed Charges,112.42,,128.48,92,,Percent of Total Billed Charges,116.61,,128.48,92,,Percent of Total Billed Charges,105.16,,128.48,92,,Percent of Total Billed Charges,87.28,,125.69,90,,Percent of Total Billed Charges,69.69,,124.29,89,,Percent of Total Billed Charges,67.03,,115.07,82.4,,Percent of Total Billed Charges,114.79,,116.47,83.4,,Percent of Total Billed Charges,108.65,,116.47,83.4,,Percent of Total Billed Charges,97.89,,116.47,83.4,,Percent of Total Billed Charges,113.68,,125.69,90,,Percent of Total Billed Charges,118.28,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,128.48,92,,Percent of Total Billed Charges,113.26,,128.48,92,,Percent of Total Billed Charges,103.9,,128.48,92,,Percent of Total Billed Charges,109.35,,128.48,92,,Percent of Total Billed Charges,113.26,,108.93,78,,Percent of Total Billed Charges,108.93,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,75.17,53.83,,Percent of Total Billed Charges,70.52,,48.37,34.64,,Percent of Total Billed Charges,48.18,,69.8,49.98,,Percent of Total Billed Charges,52.79,,48.37,128.48,,																																							
HC CYTOPATH CONCENTRATE TECHNIQUE,88108,CPT,,,,BOTH, , ,228.9,192.28,210.59,92,,Percent of Total Billed Charges,191.36,,210.59,92,,Percent of Total Billed Charges,187.93,,210.59,92,,Percent of Total Billed Charges,184.26,,210.59,92,,Percent of Total Billed Charges,191.13,,210.59,92,,Percent of Total Billed Charges,172.36,,210.59,92,,Percent of Total Billed Charges,143.06,,206.01,90,,Percent of Total Billed Charges,114.22,,203.72,89,,Percent of Total Billed Charges,109.87,,188.61,82.4,,Percent of Total Billed Charges,188.16,,190.9,83.4,,Percent of Total Billed Charges,178.08,,190.9,83.4,,Percent of Total Billed Charges,160.46,,190.9,83.4,,Percent of Total Billed Charges,186.32,,206.01,90,,Percent of Total Billed Charges,193.88,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,210.59,92,,Percent of Total Billed Charges,185.64,,210.59,92,,Percent of Total Billed Charges,170.3,,210.59,92,,Percent of Total Billed Charges,179.23,,210.59,92,,Percent of Total Billed Charges,185.64,,178.54,78,,Percent of Total Billed Charges,178.54,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,123.22,53.83,,Percent of Total Billed Charges,115.59,,79.29,34.64,,Percent of Total Billed Charges,78.97,,114.4,49.98,,Percent of Total Billed Charges,86.52,,79.29,210.59,,																																							
HC SURGICAL PATH LEVEL 1,88300,CPT,,,,BOTH, , ,245.7,206.39,226.04,92,,Percent of Total Billed Charges,205.41,,226.04,92,,Percent of Total Billed Charges,201.72,,226.04,92,,Percent of Total Billed Charges,197.79,,226.04,92,,Percent of Total Billed Charges,205.16,,226.04,92,,Percent of Total Billed Charges,185.01,,226.04,92,,Percent of Total Billed Charges,153.56,,221.13,90,,Percent of Total Billed Charges,122.6,,218.67,89,,Percent of Total Billed Charges,117.94,,202.46,82.4,,Percent of Total Billed Charges,201.97,,204.91,83.4,,Percent of Total Billed Charges,191.15,,204.91,83.4,,Percent of Total Billed Charges,172.24,,204.91,83.4,,Percent of Total Billed Charges,200,,221.13,90,,Percent of Total Billed Charges,208.11,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,226.04,92,,Percent of Total Billed Charges,199.26,,226.04,92,,Percent of Total Billed Charges,182.8,,226.04,92,,Percent of Total Billed Charges,192.38,,226.04,92,,Percent of Total Billed Charges,199.26,,191.65,78,,Percent of Total Billed Charges,191.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,132.26,53.83,,Percent of Total Billed Charges,124.08,,85.11,34.64,,Percent of Total Billed Charges,84.77,,122.8,49.98,,Percent of Total Billed Charges,92.87,,85.11,226.04,,																																							
HC SURGICAL PATH LEVEL 2,88302,CPT,,,,BOTH, , ,411.6,345.74,378.67,92,,Percent of Total Billed Charges,344.1,,378.67,92,,Percent of Total Billed Charges,337.92,,378.67,92,,Percent of Total Billed Charges,331.34,,378.67,92,,Percent of Total Billed Charges,343.69,,378.67,92,,Percent of Total Billed Charges,309.93,,378.67,92,,Percent of Total Billed Charges,257.25,,370.44,90,,Percent of Total Billed Charges,205.39,,366.32,89,,Percent of Total Billed Charges,197.57,,339.16,82.4,,Percent of Total Billed Charges,338.34,,343.27,83.4,,Percent of Total Billed Charges,320.22,,343.27,83.4,,Percent of Total Billed Charges,288.53,,343.27,83.4,,Percent of Total Billed Charges,335.04,,370.44,90,,Percent of Total Billed Charges,348.63,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,378.67,92,,Percent of Total Billed Charges,333.81,,378.67,92,,Percent of Total Billed Charges,306.23,,378.67,92,,Percent of Total Billed Charges,322.28,,378.67,92,,Percent of Total Billed Charges,333.81,,321.05,78,,Percent of Total Billed Charges,321.05,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,221.56,53.83,,Percent of Total Billed Charges,207.86,,142.58,34.64,,Percent of Total Billed Charges,142,,205.72,49.98,,Percent of Total Billed Charges,155.58,,142.58,378.67,,																																							
HC SURGICAL PATH LEVEL 3,88304,CPT,,,,BOTH, , ,527.1,442.76,484.93,92,,Percent of Total Billed Charges,440.66,,484.93,92,,Percent of Total Billed Charges,432.75,,484.93,92,,Percent of Total Billed Charges,424.32,,484.93,92,,Percent of Total Billed Charges,440.13,,484.93,92,,Percent of Total Billed Charges,396.91,,484.93,92,,Percent of Total Billed Charges,329.44,,474.39,90,,Percent of Total Billed Charges,263.02,,469.12,89,,Percent of Total Billed Charges,253.01,,434.33,82.4,,Percent of Total Billed Charges,433.28,,439.6,83.4,,Percent of Total Billed Charges,410.08,,439.6,83.4,,Percent of Total Billed Charges,369.5,,439.6,83.4,,Percent of Total Billed Charges,429.06,,474.39,90,,Percent of Total Billed Charges,446.45,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,484.93,92,,Percent of Total Billed Charges,427.48,,484.93,92,,Percent of Total Billed Charges,392.16,,484.93,92,,Percent of Total Billed Charges,412.72,,484.93,92,,Percent of Total Billed Charges,427.48,,411.14,78,,Percent of Total Billed Charges,411.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,283.74,53.83,,Percent of Total Billed Charges,266.19,,182.59,34.64,,Percent of Total Billed Charges,181.85,,263.44,49.98,,Percent of Total Billed Charges,199.24,,182.59,484.93,,																																							
HC SURGICAL PATH LEVEL 4,88305,CPT,,,,BOTH, , ,564.9,474.52,519.71,92,,Percent of Total Billed Charges,472.26,,519.71,92,,Percent of Total Billed Charges,463.78,,519.71,92,,Percent of Total Billed Charges,454.74,,519.71,92,,Percent of Total Billed Charges,471.69,,519.71,92,,Percent of Total Billed Charges,425.37,,519.71,92,,Percent of Total Billed Charges,353.06,,508.41,90,,Percent of Total Billed Charges,281.89,,502.76,89,,Percent of Total Billed Charges,271.15,,465.48,82.4,,Percent of Total Billed Charges,464.35,,471.13,83.4,,Percent of Total Billed Charges,439.49,,471.13,83.4,,Percent of Total Billed Charges,395.99,,471.13,83.4,,Percent of Total Billed Charges,459.83,,508.41,90,,Percent of Total Billed Charges,478.47,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,519.71,92,,Percent of Total Billed Charges,458.13,,519.71,92,,Percent of Total Billed Charges,420.29,,519.71,92,,Percent of Total Billed Charges,442.32,,519.71,92,,Percent of Total Billed Charges,458.13,,440.62,78,,Percent of Total Billed Charges,440.62,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,304.09,53.83,,Percent of Total Billed Charges,285.27,,195.68,34.64,,Percent of Total Billed Charges,194.89,,282.34,49.98,,Percent of Total Billed Charges,213.53,,195.68,519.71,,																																							
HC SURGICAL PATH LEVEL 5,88307,CPT,,,,BOTH, , ,1141.35,958.73,1050.04,92,,Percent of Total Billed Charges,954.17,,1050.04,92,,Percent of Total Billed Charges,937.05,,1050.04,92,,Percent of Total Billed Charges,918.79,,1050.04,92,,Percent of Total Billed Charges,953.03,,1050.04,92,,Percent of Total Billed Charges,859.44,,1050.04,92,,Percent of Total Billed Charges,713.34,,1027.22,90,,Percent of Total Billed Charges,569.53,,1015.8,89,,Percent of Total Billed Charges,547.85,,940.47,82.4,,Percent of Total Billed Charges,938.19,,951.89,83.4,,Percent of Total Billed Charges,887.97,,951.89,83.4,,Percent of Total Billed Charges,800.09,,951.89,83.4,,Percent of Total Billed Charges,929.06,,1027.22,90,,Percent of Total Billed Charges,966.72,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1050.04,92,,Percent of Total Billed Charges,925.63,,1050.04,92,,Percent of Total Billed Charges,849.16,,1050.04,92,,Percent of Total Billed Charges,893.68,,1050.04,92,,Percent of Total Billed Charges,925.63,,890.25,78,,Percent of Total Billed Charges,890.25,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,614.39,53.83,,Percent of Total Billed Charges,576.38,,395.36,34.64,,Percent of Total Billed Charges,393.77,,570.45,49.98,,Percent of Total Billed Charges,431.43,,395.36,1050.04,,																																							
HC SURGICAL PATH LEVEL 6,88309,CPT,,,,BOTH, , ,1846.95,1551.44,1699.19,92,,Percent of Total Billed Charges,1544.05,,1699.19,92,,Percent of Total Billed Charges,1516.35,,1699.19,92,,Percent of Total Billed Charges,1486.79,,1699.19,92,,Percent of Total Billed Charges,1542.2,,1699.19,92,,Percent of Total Billed Charges,1390.75,,1699.19,92,,Percent of Total Billed Charges,1154.34,,1662.26,90,,Percent of Total Billed Charges,921.63,,1643.79,89,,Percent of Total Billed Charges,886.54,,1521.89,82.4,,Percent of Total Billed Charges,1518.19,,1540.36,83.4,,Percent of Total Billed Charges,1436.93,,1540.36,83.4,,Percent of Total Billed Charges,1294.71,,1540.36,83.4,,Percent of Total Billed Charges,1503.42,,1662.26,90,,Percent of Total Billed Charges,1564.37,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1699.19,92,,Percent of Total Billed Charges,1497.88,,1699.19,92,,Percent of Total Billed Charges,1374.13,,1699.19,92,,Percent of Total Billed Charges,1446.16,,1699.19,92,,Percent of Total Billed Charges,1497.88,,1440.62,78,,Percent of Total Billed Charges,1440.62,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,994.21,53.83,,Percent of Total Billed Charges,932.71,,639.78,34.64,,Percent of Total Billed Charges,637.2,,923.11,49.98,,Percent of Total Billed Charges,698.15,,639.78,1699.19,,																																							
HC DECALCIFICATION PROCEDURE,88311,CPT,,,,BOTH, , ,163.8,137.59,150.7,92,,Percent of Total Billed Charges,136.94,,150.7,92,,Percent of Total Billed Charges,134.48,,150.7,92,,Percent of Total Billed Charges,131.86,,150.7,92,,Percent of Total Billed Charges,136.77,,150.7,92,,Percent of Total Billed Charges,123.34,,150.7,92,,Percent of Total Billed Charges,102.38,,147.42,90,,Percent of Total Billed Charges,81.74,,145.78,89,,Percent of Total Billed Charges,78.62,,134.97,82.4,,Percent of Total Billed Charges,134.64,,136.61,83.4,,Percent of Total Billed Charges,127.44,,136.61,83.4,,Percent of Total Billed Charges,114.82,,136.61,83.4,,Percent of Total Billed Charges,133.33,,147.42,90,,Percent of Total Billed Charges,138.74,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,150.7,92,,Percent of Total Billed Charges,132.84,,150.7,92,,Percent of Total Billed Charges,121.87,,150.7,92,,Percent of Total Billed Charges,128.26,,150.7,92,,Percent of Total Billed Charges,132.84,,127.76,78,,Percent of Total Billed Charges,127.76,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,88.17,53.83,,Percent of Total Billed Charges,82.72,,56.74,34.64,,Percent of Total Billed Charges,56.51,,81.87,49.98,,Percent of Total Billed Charges,61.92,,56.74,150.7,,																																							
HC SPECIAL STAIN GROUP 1,88312,CPT,,,,BOTH, , ,175.35,147.29,161.32,92,,Percent of Total Billed Charges,146.59,,161.32,92,,Percent of Total Billed Charges,143.96,,161.32,92,,Percent of Total Billed Charges,141.16,,161.32,92,,Percent of Total Billed Charges,146.42,,161.32,92,,Percent of Total Billed Charges,132.04,,161.32,92,,Percent of Total Billed Charges,109.59,,157.82,90,,Percent of Total Billed Charges,87.5,,156.06,89,,Percent of Total Billed Charges,84.17,,144.49,82.4,,Percent of Total Billed Charges,144.14,,146.24,83.4,,Percent of Total Billed Charges,136.42,,146.24,83.4,,Percent of Total Billed Charges,122.92,,146.24,83.4,,Percent of Total Billed Charges,142.73,,157.82,90,,Percent of Total Billed Charges,148.52,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,161.32,92,,Percent of Total Billed Charges,142.21,,161.32,92,,Percent of Total Billed Charges,130.46,,161.32,92,,Percent of Total Billed Charges,137.3,,161.32,92,,Percent of Total Billed Charges,142.21,,136.77,78,,Percent of Total Billed Charges,136.77,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,94.39,53.83,,Percent of Total Billed Charges,88.55,,60.74,34.64,,Percent of Total Billed Charges,60.5,,87.64,49.98,,Percent of Total Billed Charges,66.28,,60.74,161.32,,																																							
HC SPECIAL STAIN GROUP 2,88313,CPT,,,,BOTH, , ,330.75,277.83,304.29,92,,Percent of Total Billed Charges,276.51,,304.29,92,,Percent of Total Billed Charges,271.55,,304.29,92,,Percent of Total Billed Charges,266.25,,304.29,92,,Percent of Total Billed Charges,276.18,,304.29,92,,Percent of Total Billed Charges,249.05,,304.29,92,,Percent of Total Billed Charges,206.72,,297.68,90,,Percent of Total Billed Charges,165.04,,294.37,89,,Percent of Total Billed Charges,158.76,,272.54,82.4,,Percent of Total Billed Charges,271.88,,275.85,83.4,,Percent of Total Billed Charges,257.32,,275.85,83.4,,Percent of Total Billed Charges,231.86,,275.85,83.4,,Percent of Total Billed Charges,269.23,,297.68,90,,Percent of Total Billed Charges,280.15,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,304.29,92,,Percent of Total Billed Charges,268.24,,304.29,92,,Percent of Total Billed Charges,246.08,,304.29,92,,Percent of Total Billed Charges,258.98,,304.29,92,,Percent of Total Billed Charges,268.24,,257.99,78,,Percent of Total Billed Charges,257.99,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,178.04,53.83,,Percent of Total Billed Charges,167.03,,114.57,34.64,,Percent of Total Billed Charges,114.11,,165.31,49.98,,Percent of Total Billed Charges,125.02,,114.57,304.29,,																																							
HC PATH CONSULT INTROP,88329,CPT,,,,BOTH, , ,22.05,18.52,20.29,92,,Percent of Total Billed Charges,18.43,,20.29,92,,Percent of Total Billed Charges,18.1,,20.29,92,,Percent of Total Billed Charges,17.75,,20.29,92,,Percent of Total Billed Charges,18.41,,20.29,92,,Percent of Total Billed Charges,16.6,,20.29,92,,Percent of Total Billed Charges,13.78,,19.85,90,,Percent of Total Billed Charges,11,,19.62,89,,Percent of Total Billed Charges,10.58,,18.17,82.4,,Percent of Total Billed Charges,18.13,,18.39,83.4,,Percent of Total Billed Charges,17.15,,18.39,83.4,,Percent of Total Billed Charges,15.46,,18.39,83.4,,Percent of Total Billed Charges,17.95,,19.85,90,,Percent of Total Billed Charges,18.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,20.29,92,,Percent of Total Billed Charges,17.88,,20.29,92,,Percent of Total Billed Charges,16.41,,20.29,92,,Percent of Total Billed Charges,17.27,,20.29,92,,Percent of Total Billed Charges,17.88,,17.2,78,,Percent of Total Billed Charges,17.2,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,11.87,53.83,,Percent of Total Billed Charges,11.14,,7.64,34.64,,Percent of Total Billed Charges,7.61,,11.02,49.98,,Percent of Total Billed Charges,8.33,,7.64,20.29,,																																							
HC PATH CONSULT INTRAOP 1 BLOCK,88331,CPT,,,,BOTH, , ,448.35,376.61,412.48,92,,Percent of Total Billed Charges,374.82,,412.48,92,,Percent of Total Billed Charges,368.1,,412.48,92,,Percent of Total Billed Charges,360.92,,412.48,92,,Percent of Total Billed Charges,374.37,,412.48,92,,Percent of Total Billed Charges,337.61,,412.48,92,,Percent of Total Billed Charges,280.22,,403.52,90,,Percent of Total Billed Charges,223.73,,399.03,89,,Percent of Total Billed Charges,215.21,,369.44,82.4,,Percent of Total Billed Charges,368.54,,373.92,83.4,,Percent of Total Billed Charges,348.82,,373.92,83.4,,Percent of Total Billed Charges,314.29,,373.92,83.4,,Percent of Total Billed Charges,364.96,,403.52,90,,Percent of Total Billed Charges,379.75,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,412.48,92,,Percent of Total Billed Charges,363.61,,412.48,92,,Percent of Total Billed Charges,333.57,,412.48,92,,Percent of Total Billed Charges,351.06,,412.48,92,,Percent of Total Billed Charges,363.61,,349.71,78,,Percent of Total Billed Charges,349.71,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,241.35,53.83,,Percent of Total Billed Charges,226.42,,155.31,34.64,,Percent of Total Billed Charges,154.68,,224.09,49.98,,Percent of Total Billed Charges,169.48,,155.31,412.48,,																																							
HC PATH CONSULT INTRAOP ADDL,88332,CPT,,,,BOTH, , ,90.3,75.85,83.08,92,,Percent of Total Billed Charges,75.49,,83.08,92,,Percent of Total Billed Charges,74.14,,83.08,92,,Percent of Total Billed Charges,72.69,,83.08,92,,Percent of Total Billed Charges,75.4,,83.08,92,,Percent of Total Billed Charges,68,,83.08,92,,Percent of Total Billed Charges,56.44,,81.27,90,,Percent of Total Billed Charges,45.06,,80.37,89,,Percent of Total Billed Charges,43.34,,74.41,82.4,,Percent of Total Billed Charges,74.23,,75.31,83.4,,Percent of Total Billed Charges,70.25,,75.31,83.4,,Percent of Total Billed Charges,63.3,,75.31,83.4,,Percent of Total Billed Charges,73.5,,81.27,90,,Percent of Total Billed Charges,76.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,83.08,92,,Percent of Total Billed Charges,73.23,,83.08,92,,Percent of Total Billed Charges,67.18,,83.08,92,,Percent of Total Billed Charges,70.7,,83.08,92,,Percent of Total Billed Charges,73.23,,70.43,78,,Percent of Total Billed Charges,70.43,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,48.61,53.83,,Percent of Total Billed Charges,45.6,,31.28,34.64,,Percent of Total Billed Charges,31.15,,45.13,49.98,,Percent of Total Billed Charges,34.13,,31.28,83.08,,																																							
HC INTRAOP CYTO PATH CONSULT 1,88333,CPT,,,,BOTH, , ,1935.15,1625.53,1780.34,92,,Percent of Total Billed Charges,1617.79,,1780.34,92,,Percent of Total Billed Charges,1588.76,,1780.34,92,,Percent of Total Billed Charges,1557.8,,1780.34,92,,Percent of Total Billed Charges,1615.85,,1780.34,92,,Percent of Total Billed Charges,1457.17,,1780.34,92,,Percent of Total Billed Charges,1209.47,,1741.64,90,,Percent of Total Billed Charges,965.64,,1722.28,89,,Percent of Total Billed Charges,928.87,,1594.56,82.4,,Percent of Total Billed Charges,1590.69,,1613.92,83.4,,Percent of Total Billed Charges,1505.55,,1613.92,83.4,,Percent of Total Billed Charges,1356.54,,1613.92,83.4,,Percent of Total Billed Charges,1575.21,,1741.64,90,,Percent of Total Billed Charges,1639.07,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1780.34,92,,Percent of Total Billed Charges,1569.41,,1780.34,92,,Percent of Total Billed Charges,1439.75,,1780.34,92,,Percent of Total Billed Charges,1515.22,,1780.34,92,,Percent of Total Billed Charges,1569.41,,1509.42,78,,Percent of Total Billed Charges,1509.42,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1041.69,53.83,,Percent of Total Billed Charges,977.25,,670.34,34.64,,Percent of Total Billed Charges,667.63,,967.19,49.98,,Percent of Total Billed Charges,731.49,,670.34,1780.34,,																																							
HC IHC QUAL INITIAL STAIN,88342,CPT,,,,BOTH, , ,373.8,313.99,343.9,92,,Percent of Total Billed Charges,312.5,,343.9,92,,Percent of Total Billed Charges,306.89,,343.9,92,,Percent of Total Billed Charges,300.91,,343.9,92,,Percent of Total Billed Charges,312.12,,343.9,92,,Percent of Total Billed Charges,281.47,,343.9,92,,Percent of Total Billed Charges,233.63,,336.42,90,,Percent of Total Billed Charges,186.53,,332.68,89,,Percent of Total Billed Charges,179.42,,308.01,82.4,,Percent of Total Billed Charges,307.26,,311.75,83.4,,Percent of Total Billed Charges,290.82,,311.75,83.4,,Percent of Total Billed Charges,262.03,,311.75,83.4,,Percent of Total Billed Charges,304.27,,336.42,90,,Percent of Total Billed Charges,316.61,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,343.9,92,,Percent of Total Billed Charges,303.15,,343.9,92,,Percent of Total Billed Charges,278.11,,343.9,92,,Percent of Total Billed Charges,292.69,,343.9,92,,Percent of Total Billed Charges,303.15,,291.56,78,,Percent of Total Billed Charges,291.56,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,201.22,53.83,,Percent of Total Billed Charges,188.77,,129.48,34.64,,Percent of Total Billed Charges,128.96,,186.83,49.98,,Percent of Total Billed Charges,141.3,,129.48,343.9,,																																							
HC IMMUNOFLUORESCENT STUDY; DIRECT METHOD,88346,CPT,,,,BOTH, , ,444.15,373.09,408.62,92,,Percent of Total Billed Charges,371.31,,408.62,92,,Percent of Total Billed Charges,364.65,,408.62,92,,Percent of Total Billed Charges,357.54,,408.62,92,,Percent of Total Billed Charges,370.87,,408.62,92,,Percent of Total Billed Charges,334.44,,408.62,92,,Percent of Total Billed Charges,277.59,,399.74,90,,Percent of Total Billed Charges,221.63,,395.29,89,,Percent of Total Billed Charges,213.19,,365.98,82.4,,Percent of Total Billed Charges,365.09,,370.42,83.4,,Percent of Total Billed Charges,345.55,,370.42,83.4,,Percent of Total Billed Charges,311.35,,370.42,83.4,,Percent of Total Billed Charges,361.54,,399.74,90,,Percent of Total Billed Charges,376.2,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,408.62,92,,Percent of Total Billed Charges,360.21,,408.62,92,,Percent of Total Billed Charges,330.45,,408.62,92,,Percent of Total Billed Charges,347.77,,408.62,92,,Percent of Total Billed Charges,360.21,,346.44,78,,Percent of Total Billed Charges,346.44,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,239.09,53.83,,Percent of Total Billed Charges,224.3,,153.85,34.64,,Percent of Total Billed Charges,153.23,,221.99,49.98,,Percent of Total Billed Charges,167.89,,153.85,408.62,,																																							
HC ELECTRON MICROSCOPY, DIAGNOSTIC,88348,CPT,,,,BOTH, , ,1935.15,1625.53,1780.34,92,,Percent of Total Billed Charges,1617.79,,1780.34,92,,Percent of Total Billed Charges,1588.76,,1780.34,92,,Percent of Total Billed Charges,1557.8,,1780.34,92,,Percent of Total Billed Charges,1615.85,,1780.34,92,,Percent of Total Billed Charges,1457.17,,1780.34,92,,Percent of Total Billed Charges,1209.47,,1741.64,90,,Percent of Total Billed Charges,965.64,,1722.28,89,,Percent of Total Billed Charges,928.87,,1594.56,82.4,,Percent of Total Billed Charges,1590.69,,1613.92,83.4,,Percent of Total Billed Charges,1505.55,,1613.92,83.4,,Percent of Total Billed Charges,1356.54,,1613.92,83.4,,Percent of Total Billed Charges,1575.21,,1741.64,90,,Percent of Total Billed Charges,1639.07,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1780.34,92,,Percent of Total Billed Charges,1569.41,,1780.34,92,,Percent of Total Billed Charges,1439.75,,1780.34,92,,Percent of Total Billed Charges,1515.22,,1780.34,92,,Percent of Total Billed Charges,1569.41,,1509.42,78,,Percent of Total Billed Charges,1509.42,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1041.69,53.83,,Percent of Total Billed Charges,977.25,,670.34,34.64,,Percent of Total Billed Charges,667.63,,967.19,49.98,,Percent of Total Billed Charges,731.49,,670.34,1780.34,,																																							
HC TUMOR IMMUNOHISTOCHEM/COMPUTER (SENDOUT),88361,CPT,,,,BOTH, , ,858.9,721.48,790.19,92,,Percent of Total Billed Charges,718.04,,790.19,92,,Percent of Total Billed Charges,705.16,,790.19,92,,Percent of Total Billed Charges,691.41,,790.19,92,,Percent of Total Billed Charges,717.18,,790.19,92,,Percent of Total Billed Charges,646.75,,790.19,92,,Percent of Total Billed Charges,536.81,,773.01,90,,Percent of Total Billed Charges,428.59,,764.42,89,,Percent of Total Billed Charges,412.27,,707.73,82.4,,Percent of Total Billed Charges,706.02,,716.32,83.4,,Percent of Total Billed Charges,668.22,,716.32,83.4,,Percent of Total Billed Charges,602.09,,716.32,83.4,,Percent of Total Billed Charges,699.14,,773.01,90,,Percent of Total Billed Charges,727.49,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,790.19,92,,Percent of Total Billed Charges,696.57,,790.19,92,,Percent of Total Billed Charges,639.02,,790.19,92,,Percent of Total Billed Charges,672.52,,790.19,92,,Percent of Total Billed Charges,696.57,,669.94,78,,Percent of Total Billed Charges,669.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,462.35,53.83,,Percent of Total Billed Charges,433.74,,297.52,34.64,,Percent of Total Billed Charges,296.32,,429.28,49.98,,Percent of Total Billed Charges,324.66,,297.52,790.19,,																																							
HC XM ARCHIVE TISSUE MOLECULAR ANALYSIS,88363,CPT,,,,BOTH, , ,122.85,103.19,113.02,92,,Percent of Total Billed Charges,102.7,,113.02,92,,Percent of Total Billed Charges,100.86,,113.02,92,,Percent of Total Billed Charges,98.89,,113.02,92,,Percent of Total Billed Charges,102.58,,113.02,92,,Percent of Total Billed Charges,92.51,,113.02,92,,Percent of Total Billed Charges,76.78,,110.57,90,,Percent of Total Billed Charges,61.3,,109.34,89,,Percent of Total Billed Charges,58.97,,101.23,82.4,,Percent of Total Billed Charges,100.98,,102.46,83.4,,Percent of Total Billed Charges,95.58,,102.46,83.4,,Percent of Total Billed Charges,86.12,,102.46,83.4,,Percent of Total Billed Charges,100,,110.57,90,,Percent of Total Billed Charges,104.05,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,113.02,92,,Percent of Total Billed Charges,99.63,,113.02,92,,Percent of Total Billed Charges,91.4,,113.02,92,,Percent of Total Billed Charges,96.19,,113.02,92,,Percent of Total Billed Charges,99.63,,95.82,78,,Percent of Total Billed Charges,95.82,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,66.13,53.83,,Percent of Total Billed Charges,62.04,,42.56,34.64,,Percent of Total Billed Charges,42.38,,61.4,49.98,,Percent of Total Billed Charges,46.44,,42.56,113.02,,																																							
HC INSITU HYBRIDIZATION MANUAL,88368,CPT,,,,BOTH, , ,118.65,99.67,109.16,92,,Percent of Total Billed Charges,99.19,,109.16,92,,Percent of Total Billed Charges,97.41,,109.16,92,,Percent of Total Billed Charges,95.51,,109.16,92,,Percent of Total Billed Charges,99.07,,109.16,92,,Percent of Total Billed Charges,89.34,,109.16,92,,Percent of Total Billed Charges,74.16,,106.79,90,,Percent of Total Billed Charges,59.21,,105.6,89,,Percent of Total Billed Charges,56.95,,97.77,82.4,,Percent of Total Billed Charges,97.53,,98.95,83.4,,Percent of Total Billed Charges,92.31,,98.95,83.4,,Percent of Total Billed Charges,83.17,,98.95,83.4,,Percent of Total Billed Charges,96.58,,106.79,90,,Percent of Total Billed Charges,100.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,109.16,92,,Percent of Total Billed Charges,96.23,,109.16,92,,Percent of Total Billed Charges,88.28,,109.16,92,,Percent of Total Billed Charges,92.9,,109.16,92,,Percent of Total Billed Charges,96.23,,92.55,78,,Percent of Total Billed Charges,92.55,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,63.87,53.83,,Percent of Total Billed Charges,59.92,,41.1,34.64,,Percent of Total Billed Charges,40.93,,59.3,49.98,,Percent of Total Billed Charges,44.85,,41.10,109.16,,																																							
HC SPECIAL STAIN GROUP 1 (SENDOUT),88312,CPT,,,,BOTH, , ,175.35,147.29,161.32,92,,Percent of Total Billed Charges,146.59,,161.32,92,,Percent of Total Billed Charges,143.96,,161.32,92,,Percent of Total Billed Charges,141.16,,161.32,92,,Percent of Total Billed Charges,146.42,,161.32,92,,Percent of Total Billed Charges,132.04,,161.32,92,,Percent of Total Billed Charges,109.59,,157.82,90,,Percent of Total Billed Charges,87.5,,156.06,89,,Percent of Total Billed Charges,84.17,,144.49,82.4,,Percent of Total Billed Charges,144.14,,146.24,83.4,,Percent of Total Billed Charges,136.42,,146.24,83.4,,Percent of Total Billed Charges,122.92,,146.24,83.4,,Percent of Total Billed Charges,142.73,,157.82,90,,Percent of Total Billed Charges,148.52,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,161.32,92,,Percent of Total Billed Charges,142.21,,161.32,92,,Percent of Total Billed Charges,130.46,,161.32,92,,Percent of Total Billed Charges,137.3,,161.32,92,,Percent of Total Billed Charges,142.21,,136.77,78,,Percent of Total Billed Charges,136.77,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,94.39,53.83,,Percent of Total Billed Charges,88.55,,60.74,34.64,,Percent of Total Billed Charges,60.5,,87.64,49.98,,Percent of Total Billed Charges,66.28,,60.74,161.32,,																																							
HC SPECIAL STAIN GROUP 2 (SENDOUT),88313,CPT,,,,BOTH, , ,330.75,277.83,304.29,92,,Percent of Total Billed Charges,276.51,,304.29,92,,Percent of Total Billed Charges,271.55,,304.29,92,,Percent of Total Billed Charges,266.25,,304.29,92,,Percent of Total Billed Charges,276.18,,304.29,92,,Percent of Total Billed Charges,249.05,,304.29,92,,Percent of Total Billed Charges,206.72,,297.68,90,,Percent of Total Billed Charges,165.04,,294.37,89,,Percent of Total Billed Charges,158.76,,272.54,82.4,,Percent of Total Billed Charges,271.88,,275.85,83.4,,Percent of Total Billed Charges,257.32,,275.85,83.4,,Percent of Total Billed Charges,231.86,,275.85,83.4,,Percent of Total Billed Charges,269.23,,297.68,90,,Percent of Total Billed Charges,280.15,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,304.29,92,,Percent of Total Billed Charges,268.24,,304.29,92,,Percent of Total Billed Charges,246.08,,304.29,92,,Percent of Total Billed Charges,258.98,,304.29,92,,Percent of Total Billed Charges,268.24,,257.99,78,,Percent of Total Billed Charges,257.99,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,178.04,53.83,,Percent of Total Billed Charges,167.03,,114.57,34.64,,Percent of Total Billed Charges,114.11,,165.31,49.98,,Percent of Total Billed Charges,125.02,,114.57,304.29,,																																							
HC M/PHMTRC ALYS ISH QUANT/SEMIQ MNL EACH MULTIPRB,88377,CPT,,,,BOTH, , ,1015.35,852.89,934.12,92,,Percent of Total Billed Charges,848.83,,934.12,92,,Percent of Total Billed Charges,833.6,,934.12,92,,Percent of Total Billed Charges,817.36,,934.12,92,,Percent of Total Billed Charges,847.82,,934.12,92,,Percent of Total Billed Charges,764.56,,934.12,92,,Percent of Total Billed Charges,634.59,,913.82,90,,Percent of Total Billed Charges,506.66,,903.66,89,,Percent of Total Billed Charges,487.37,,836.65,82.4,,Percent of Total Billed Charges,834.62,,846.8,83.4,,Percent of Total Billed Charges,789.94,,846.8,83.4,,Percent of Total Billed Charges,711.76,,846.8,83.4,,Percent of Total Billed Charges,826.49,,913.82,90,,Percent of Total Billed Charges,860,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,934.12,92,,Percent of Total Billed Charges,823.45,,934.12,92,,Percent of Total Billed Charges,755.42,,934.12,92,,Percent of Total Billed Charges,795.02,,934.12,92,,Percent of Total Billed Charges,823.45,,791.97,78,,Percent of Total Billed Charges,791.97,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,546.56,53.83,,Percent of Total Billed Charges,512.75,,351.72,34.64,,Percent of Total Billed Charges,350.3,,507.47,49.98,,Percent of Total Billed Charges,383.8,,351.72,934.12,,																																							
HC INTRAOPERATIVE CYTO PATH CONSULT, ADD SITES,88334,CPT,,,,BOTH, , ,128.1,107.6,117.85,92,,Percent of Total Billed Charges,107.09,,117.85,92,,Percent of Total Billed Charges,105.17,,117.85,92,,Percent of Total Billed Charges,103.12,,117.85,92,,Percent of Total Billed Charges,106.96,,117.85,92,,Percent of Total Billed Charges,96.46,,117.85,92,,Percent of Total Billed Charges,80.06,,115.29,90,,Percent of Total Billed Charges,63.92,,114.01,89,,Percent of Total Billed Charges,61.49,,105.55,82.4,,Percent of Total Billed Charges,105.3,,106.84,83.4,,Percent of Total Billed Charges,99.66,,106.84,83.4,,Percent of Total Billed Charges,89.8,,106.84,83.4,,Percent of Total Billed Charges,104.27,,115.29,90,,Percent of Total Billed Charges,108.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,117.85,92,,Percent of Total Billed Charges,103.89,,117.85,92,,Percent of Total Billed Charges,95.31,,117.85,92,,Percent of Total Billed Charges,100.3,,117.85,92,,Percent of Total Billed Charges,103.89,,99.92,78,,Percent of Total Billed Charges,99.92,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,68.96,53.83,,Percent of Total Billed Charges,64.69,,44.37,34.64,,Percent of Total Billed Charges,44.19,,64.02,49.98,,Percent of Total Billed Charges,48.42,,44.37,117.85,,																																							
HC TUMOR IMMUNOHISTOCHEM/MANUAL,88360,CPT,,,,BOTH, , ,979.65,822.91,901.28,92,,Percent of Total Billed Charges,818.99,,901.28,92,,Percent of Total Billed Charges,804.29,,901.28,92,,Percent of Total Billed Charges,788.62,,901.28,92,,Percent of Total Billed Charges,818.01,,901.28,92,,Percent of Total Billed Charges,737.68,,901.28,92,,Percent of Total Billed Charges,612.28,,881.69,90,,Percent of Total Billed Charges,488.85,,871.89,89,,Percent of Total Billed Charges,470.23,,807.23,82.4,,Percent of Total Billed Charges,805.27,,817.03,83.4,,Percent of Total Billed Charges,762.17,,817.03,83.4,,Percent of Total Billed Charges,686.73,,817.03,83.4,,Percent of Total Billed Charges,797.44,,881.69,90,,Percent of Total Billed Charges,829.76,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,901.28,92,,Percent of Total Billed Charges,794.5,,901.28,92,,Percent of Total Billed Charges,728.86,,901.28,92,,Percent of Total Billed Charges,767.07,,901.28,92,,Percent of Total Billed Charges,794.5,,764.13,78,,Percent of Total Billed Charges,764.13,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,527.35,53.83,,Percent of Total Billed Charges,494.72,,339.35,34.64,,Percent of Total Billed Charges,337.98,,489.63,49.98,,Percent of Total Billed Charges,370.31,,339.35,901.28,,																																							
HC IN SITU HYBRIDIZATION (FISH) EA ADD SINGLE PROBE,88364,CPT,,,,BOTH, , ,290.85,244.31,267.58,92,,Percent of Total Billed Charges,243.15,,267.58,92,,Percent of Total Billed Charges,238.79,,267.58,92,,Percent of Total Billed Charges,234.13,,267.58,92,,Percent of Total Billed Charges,242.86,,267.58,92,,Percent of Total Billed Charges,219.01,,267.58,92,,Percent of Total Billed Charges,181.78,,261.77,90,,Percent of Total Billed Charges,145.13,,258.86,89,,Percent of Total Billed Charges,139.61,,239.66,82.4,,Percent of Total Billed Charges,239.08,,242.57,83.4,,Percent of Total Billed Charges,226.28,,242.57,83.4,,Percent of Total Billed Charges,203.89,,242.57,83.4,,Percent of Total Billed Charges,236.75,,261.77,90,,Percent of Total Billed Charges,246.35,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,267.58,92,,Percent of Total Billed Charges,235.88,,267.58,92,,Percent of Total Billed Charges,216.39,,267.58,92,,Percent of Total Billed Charges,227.74,,267.58,92,,Percent of Total Billed Charges,235.88,,226.86,78,,Percent of Total Billed Charges,226.86,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,156.56,53.83,,Percent of Total Billed Charges,146.88,,100.75,34.64,,Percent of Total Billed Charges,100.34,,145.37,49.98,,Percent of Total Billed Charges,109.94,,100.75,267.58,,																																							
HC TRB@ REARRANGEMENT ANAL AMPLIFICATION METHOD,81340,CPT,,,,BOTH, , ,1424.85,1196.87,1310.86,92,,Percent of Total Billed Charges,1191.17,,1310.86,92,,Percent of Total Billed Charges,1169.8,,1310.86,92,,Percent of Total Billed Charges,1147,,1310.86,92,,Percent of Total Billed Charges,1189.75,,1310.86,92,,Percent of Total Billed Charges,1072.91,,1310.86,92,,Percent of Total Billed Charges,890.53,,1282.37,90,,Percent of Total Billed Charges,711,,1268.12,89,,Percent of Total Billed Charges,683.93,,1174.08,82.4,,Percent of Total Billed Charges,1171.23,,1188.32,83.4,,Percent of Total Billed Charges,1108.53,,1188.32,83.4,,Percent of Total Billed Charges,998.82,,1188.32,83.4,,Percent of Total Billed Charges,1159.83,,1282.37,90,,Percent of Total Billed Charges,1206.85,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1310.86,92,,Percent of Total Billed Charges,1155.55,,1310.86,92,,Percent of Total Billed Charges,1060.09,,1310.86,92,,Percent of Total Billed Charges,1115.66,,1310.86,92,,Percent of Total Billed Charges,1155.55,,1111.38,78,,Percent of Total Billed Charges,1111.38,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,767,53.83,,Percent of Total Billed Charges,719.55,,493.57,34.64,,Percent of Total Billed Charges,491.57,,712.14,49.98,,Percent of Total Billed Charges,538.59,,493.57,1310.86,,																																							
HC TRG@ GENE REARRANGEMENT ANALYSIS,81342,CPT,,,,BOTH, , ,1371.3,1151.89,1261.6,92,,Percent of Total Billed Charges,1146.41,,1261.6,92,,Percent of Total Billed Charges,1125.84,,1261.6,92,,Percent of Total Billed Charges,1103.9,,1261.6,92,,Percent of Total Billed Charges,1145.04,,1261.6,92,,Percent of Total Billed Charges,1032.59,,1261.6,92,,Percent of Total Billed Charges,857.06,,1234.17,90,,Percent of Total Billed Charges,684.28,,1220.46,89,,Percent of Total Billed Charges,658.22,,1129.95,82.4,,Percent of Total Billed Charges,1127.21,,1143.66,83.4,,Percent of Total Billed Charges,1066.87,,1143.66,83.4,,Percent of Total Billed Charges,961.28,,1143.66,83.4,,Percent of Total Billed Charges,1116.24,,1234.17,90,,Percent of Total Billed Charges,1161.49,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1261.6,92,,Percent of Total Billed Charges,1112.12,,1261.6,92,,Percent of Total Billed Charges,1020.25,,1261.6,92,,Percent of Total Billed Charges,1073.73,,1261.6,92,,Percent of Total Billed Charges,1112.12,,1069.61,78,,Percent of Total Billed Charges,1069.61,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,738.17,53.83,,Percent of Total Billed Charges,692.51,,475.02,34.64,,Percent of Total Billed Charges,473.1,,685.38,49.98,,Percent of Total Billed Charges,518.35,,475.02,1261.6,,																																							
HC CEBPA GENE ANALYSIS FULL GENE SEQUENCE,81218,CPT,,,,BOTH, , ,1646.4,1382.98,1514.69,92,,Percent of Total Billed Charges,1376.39,,1514.69,92,,Percent of Total Billed Charges,1351.69,,1514.69,92,,Percent of Total Billed Charges,1325.35,,1514.69,92,,Percent of Total Billed Charges,1374.74,,1514.69,92,,Percent of Total Billed Charges,1239.74,,1514.69,92,,Percent of Total Billed Charges,1029,,1481.76,90,,Percent of Total Billed Charges,821.55,,1465.3,89,,Percent of Total Billed Charges,790.27,,1356.63,82.4,,Percent of Total Billed Charges,1353.34,,1373.1,83.4,,Percent of Total Billed Charges,1280.9,,1373.1,83.4,,Percent of Total Billed Charges,1154.13,,1373.1,83.4,,Percent of Total Billed Charges,1340.17,,1481.76,90,,Percent of Total Billed Charges,1394.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1514.69,92,,Percent of Total Billed Charges,1335.23,,1514.69,92,,Percent of Total Billed Charges,1224.92,,1514.69,92,,Percent of Total Billed Charges,1289.13,,1514.69,92,,Percent of Total Billed Charges,1335.23,,1284.19,78,,Percent of Total Billed Charges,1284.19,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,886.26,53.83,,Percent of Total Billed Charges,831.43,,570.31,34.64,,Percent of Total Billed Charges,568.01,,822.87,49.98,,Percent of Total Billed Charges,622.34,,570.31,1514.69,,																																							
HC CALR GENE ANALYSIS COMMON VARIANTS IN EXON 9,81219,CPT,,,,BOTH, , ,830.55,697.66,764.11,92,,Percent of Total Billed Charges,694.34,,764.11,92,,Percent of Total Billed Charges,681.88,,764.11,92,,Percent of Total Billed Charges,668.59,,764.11,92,,Percent of Total Billed Charges,693.51,,764.11,92,,Percent of Total Billed Charges,625.4,,764.11,92,,Percent of Total Billed Charges,519.09,,747.5,90,,Percent of Total Billed Charges,414.44,,739.19,89,,Percent of Total Billed Charges,398.66,,684.37,82.4,,Percent of Total Billed Charges,682.71,,692.68,83.4,,Percent of Total Billed Charges,646.17,,692.68,83.4,,Percent of Total Billed Charges,582.22,,692.68,83.4,,Percent of Total Billed Charges,676.07,,747.5,90,,Percent of Total Billed Charges,703.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,764.11,92,,Percent of Total Billed Charges,673.58,,764.11,92,,Percent of Total Billed Charges,617.93,,764.11,92,,Percent of Total Billed Charges,650.32,,764.11,92,,Percent of Total Billed Charges,673.58,,647.83,78,,Percent of Total Billed Charges,647.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,447.09,53.83,,Percent of Total Billed Charges,419.43,,287.7,34.64,,Percent of Total Billed Charges,286.54,,415.11,49.98,,Percent of Total Billed Charges,313.95,,287.70,764.11,,																																							
HC FLT3 GENE ANALYSIS INTERNAL TANDEM DUP VARIANTS,81245,CPT,,,,BOTH, , ,830.55,697.66,764.11,92,,Percent of Total Billed Charges,694.34,,764.11,92,,Percent of Total Billed Charges,681.88,,764.11,92,,Percent of Total Billed Charges,668.59,,764.11,92,,Percent of Total Billed Charges,693.51,,764.11,92,,Percent of Total Billed Charges,625.4,,764.11,92,,Percent of Total Billed Charges,519.09,,747.5,90,,Percent of Total Billed Charges,414.44,,739.19,89,,Percent of Total Billed Charges,398.66,,684.37,82.4,,Percent of Total Billed Charges,682.71,,692.68,83.4,,Percent of Total Billed Charges,646.17,,692.68,83.4,,Percent of Total Billed Charges,582.22,,692.68,83.4,,Percent of Total Billed Charges,676.07,,747.5,90,,Percent of Total Billed Charges,703.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,764.11,92,,Percent of Total Billed Charges,673.58,,764.11,92,,Percent of Total Billed Charges,617.93,,764.11,92,,Percent of Total Billed Charges,650.32,,764.11,92,,Percent of Total Billed Charges,673.58,,647.83,78,,Percent of Total Billed Charges,647.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,447.09,53.83,,Percent of Total Billed Charges,419.43,,287.7,34.64,,Percent of Total Billed Charges,286.54,,415.11,49.98,,Percent of Total Billed Charges,313.95,,287.70,764.11,,																																							
HC FLT3 GENE ANLYS TYROSINE KINASE DOMAIN VARIANTS,81246,CPT,,,,BOTH, , ,414.75,348.39,381.57,92,,Percent of Total Billed Charges,346.73,,381.57,92,,Percent of Total Billed Charges,340.51,,381.57,92,,Percent of Total Billed Charges,333.87,,381.57,92,,Percent of Total Billed Charges,346.32,,381.57,92,,Percent of Total Billed Charges,312.31,,381.57,92,,Percent of Total Billed Charges,259.22,,373.28,90,,Percent of Total Billed Charges,206.96,,369.13,89,,Percent of Total Billed Charges,199.08,,341.75,82.4,,Percent of Total Billed Charges,340.92,,345.9,83.4,,Percent of Total Billed Charges,322.68,,345.9,83.4,,Percent of Total Billed Charges,290.74,,345.9,83.4,,Percent of Total Billed Charges,337.61,,373.28,90,,Percent of Total Billed Charges,351.29,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,381.57,92,,Percent of Total Billed Charges,336.36,,381.57,92,,Percent of Total Billed Charges,308.57,,381.57,92,,Percent of Total Billed Charges,324.75,,381.57,92,,Percent of Total Billed Charges,336.36,,323.51,78,,Percent of Total Billed Charges,323.51,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,223.26,53.83,,Percent of Total Billed Charges,209.45,,143.67,34.64,,Percent of Total Billed Charges,143.09,,207.29,49.98,,Percent of Total Billed Charges,156.78,,143.67,381.57,,																																							
HC KIT GENE ANALYSIS TARGETED SEQUENCE ANALYSIS,81272,CPT,,,,BOTH, , ,1646.4,1382.98,1514.69,92,,Percent of Total Billed Charges,1376.39,,1514.69,92,,Percent of Total Billed Charges,1351.69,,1514.69,92,,Percent of Total Billed Charges,1325.35,,1514.69,92,,Percent of Total Billed Charges,1374.74,,1514.69,92,,Percent of Total Billed Charges,1239.74,,1514.69,92,,Percent of Total Billed Charges,1029,,1481.76,90,,Percent of Total Billed Charges,821.55,,1465.3,89,,Percent of Total Billed Charges,790.27,,1356.63,82.4,,Percent of Total Billed Charges,1353.34,,1373.1,83.4,,Percent of Total Billed Charges,1280.9,,1373.1,83.4,,Percent of Total Billed Charges,1154.13,,1373.1,83.4,,Percent of Total Billed Charges,1340.17,,1481.76,90,,Percent of Total Billed Charges,1394.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1514.69,92,,Percent of Total Billed Charges,1335.23,,1514.69,92,,Percent of Total Billed Charges,1224.92,,1514.69,92,,Percent of Total Billed Charges,1289.13,,1514.69,92,,Percent of Total Billed Charges,1335.23,,1284.19,78,,Percent of Total Billed Charges,1284.19,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,886.26,53.83,,Percent of Total Billed Charges,831.43,,570.31,34.64,,Percent of Total Billed Charges,568.01,,822.87,49.98,,Percent of Total Billed Charges,622.34,,570.31,1514.69,,																																							
HC KRAS GENE ANALYSIS ADDITIONAL VARIANT(S),81276,CPT,,,,BOTH, , ,985.95,828.2,907.07,92,,Percent of Total Billed Charges,824.25,,907.07,92,,Percent of Total Billed Charges,809.46,,907.07,92,,Percent of Total Billed Charges,793.69,,907.07,92,,Percent of Total Billed Charges,823.27,,907.07,92,,Percent of Total Billed Charges,742.42,,907.07,92,,Percent of Total Billed Charges,616.22,,887.36,90,,Percent of Total Billed Charges,491.99,,877.5,89,,Percent of Total Billed Charges,473.26,,812.42,82.4,,Percent of Total Billed Charges,810.45,,822.28,83.4,,Percent of Total Billed Charges,767.07,,822.28,83.4,,Percent of Total Billed Charges,691.15,,822.28,83.4,,Percent of Total Billed Charges,802.56,,887.36,90,,Percent of Total Billed Charges,835.1,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,907.07,92,,Percent of Total Billed Charges,799.61,,907.07,92,,Percent of Total Billed Charges,733.55,,907.07,92,,Percent of Total Billed Charges,772,,907.07,92,,Percent of Total Billed Charges,799.61,,769.04,78,,Percent of Total Billed Charges,769.04,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,530.74,53.83,,Percent of Total Billed Charges,497.9,,341.53,34.64,,Percent of Total Billed Charges,340.15,,492.78,49.98,,Percent of Total Billed Charges,372.69,,341.53,907.07,,																																							
HC MGMT METHYLATION ANALYSIS,81287,CPT,,,,BOTH, , ,414.75,348.39,381.57,92,,Percent of Total Billed Charges,346.73,,381.57,92,,Percent of Total Billed Charges,340.51,,381.57,92,,Percent of Total Billed Charges,333.87,,381.57,92,,Percent of Total Billed Charges,346.32,,381.57,92,,Percent of Total Billed Charges,312.31,,381.57,92,,Percent of Total Billed Charges,259.22,,373.28,90,,Percent of Total Billed Charges,206.96,,369.13,89,,Percent of Total Billed Charges,199.08,,341.75,82.4,,Percent of Total Billed Charges,340.92,,345.9,83.4,,Percent of Total Billed Charges,322.68,,345.9,83.4,,Percent of Total Billed Charges,290.74,,345.9,83.4,,Percent of Total Billed Charges,337.61,,373.28,90,,Percent of Total Billed Charges,351.29,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,381.57,92,,Percent of Total Billed Charges,336.36,,381.57,92,,Percent of Total Billed Charges,308.57,,381.57,92,,Percent of Total Billed Charges,324.75,,381.57,92,,Percent of Total Billed Charges,336.36,,323.51,78,,Percent of Total Billed Charges,323.51,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,223.26,53.83,,Percent of Total Billed Charges,209.45,,143.67,34.64,,Percent of Total Billed Charges,143.09,,207.29,49.98,,Percent of Total Billed Charges,156.78,,143.67,381.57,,																																							
HC NPM1 NUCLEOPHOSMIN GENE ANAL EXON 12 VARIANTS,81310,CPT,,,,BOTH, , ,1233.75,1036.35,1135.05,92,,Percent of Total Billed Charges,1031.42,,1135.05,92,,Percent of Total Billed Charges,1012.91,,1135.05,92,,Percent of Total Billed Charges,993.17,,1135.05,92,,Percent of Total Billed Charges,1030.18,,1135.05,92,,Percent of Total Billed Charges,929.01,,1135.05,92,,Percent of Total Billed Charges,771.09,,1110.38,90,,Percent of Total Billed Charges,615.64,,1098.04,89,,Percent of Total Billed Charges,592.2,,1016.61,82.4,,Percent of Total Billed Charges,1014.14,,1028.95,83.4,,Percent of Total Billed Charges,959.86,,1028.95,83.4,,Percent of Total Billed Charges,864.86,,1028.95,83.4,,Percent of Total Billed Charges,1004.27,,1110.38,90,,Percent of Total Billed Charges,1044.99,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1135.05,92,,Percent of Total Billed Charges,1000.57,,1135.05,92,,Percent of Total Billed Charges,917.91,,1135.05,92,,Percent of Total Billed Charges,966.03,,1135.05,92,,Percent of Total Billed Charges,1000.57,,962.33,78,,Percent of Total Billed Charges,962.33,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,664.13,53.83,,Percent of Total Billed Charges,623.04,,427.37,34.64,,Percent of Total Billed Charges,425.64,,616.63,49.98,,Percent of Total Billed Charges,466.36,,427.37,1135.05,,																																							
HC MICRODISSECTION PREP IDENTIFIED TARGET LASER,88380,CPT,,,,BOTH, , ,3473.4,2917.66,3195.53,92,,Percent of Total Billed Charges,2903.76,,3195.53,92,,Percent of Total Billed Charges,2851.66,,3195.53,92,,Percent of Total Billed Charges,2796.09,,3195.53,92,,Percent of Total Billed Charges,2900.29,,3195.53,92,,Percent of Total Billed Charges,2615.47,,3195.53,92,,Percent of Total Billed Charges,2170.88,,3126.06,90,,Percent of Total Billed Charges,1733.23,,3091.33,89,,Percent of Total Billed Charges,1667.23,,2862.08,82.4,,Percent of Total Billed Charges,2855.13,,2896.82,83.4,,Percent of Total Billed Charges,2702.31,,2896.82,83.4,,Percent of Total Billed Charges,2434.85,,2896.82,83.4,,Percent of Total Billed Charges,2827.35,,3126.06,90,,Percent of Total Billed Charges,2941.97,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3195.53,92,,Percent of Total Billed Charges,2816.93,,3195.53,92,,Percent of Total Billed Charges,2584.21,,3195.53,92,,Percent of Total Billed Charges,2719.67,,3195.53,92,,Percent of Total Billed Charges,2816.93,,2709.25,78,,Percent of Total Billed Charges,2709.25,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1869.73,53.83,,Percent of Total Billed Charges,1754.07,,1203.19,34.64,,Percent of Total Billed Charges,1198.32,,1736.01,49.98,,Percent of Total Billed Charges,1312.95,,1203.19,3195.53,,																																							
HC BCR/ABL1 MINOR BREAKPNT QUALITATIVE/QUANTITATIVE,81207,CPT,,,,BOTH, , ,985.95,828.2,907.07,92,,Percent of Total Billed Charges,824.25,,907.07,92,,Percent of Total Billed Charges,809.46,,907.07,92,,Percent of Total Billed Charges,793.69,,907.07,92,,Percent of Total Billed Charges,823.27,,907.07,92,,Percent of Total Billed Charges,742.42,,907.07,92,,Percent of Total Billed Charges,616.22,,887.36,90,,Percent of Total Billed Charges,491.99,,877.5,89,,Percent of Total Billed Charges,473.26,,812.42,82.4,,Percent of Total Billed Charges,810.45,,822.28,83.4,,Percent of Total Billed Charges,767.07,,822.28,83.4,,Percent of Total Billed Charges,691.15,,822.28,83.4,,Percent of Total Billed Charges,802.56,,887.36,90,,Percent of Total Billed Charges,835.1,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,907.07,92,,Percent of Total Billed Charges,799.61,,907.07,92,,Percent of Total Billed Charges,733.55,,907.07,92,,Percent of Total Billed Charges,772,,907.07,92,,Percent of Total Billed Charges,799.61,,769.04,78,,Percent of Total Billed Charges,769.04,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,530.74,53.83,,Percent of Total Billed Charges,497.9,,341.53,34.64,,Percent of Total Billed Charges,340.15,,492.78,49.98,,Percent of Total Billed Charges,372.69,,341.53,907.07,,																																							
HC HLA II LOW RESOLUTION ONE ANTIGEN EQUIVALENT, EACH,81377,CPT,,,,BOTH, , ,729.75,612.99,671.37,92,,Percent of Total Billed Charges,610.07,,671.37,92,,Percent of Total Billed Charges,599.12,,671.37,92,,Percent of Total Billed Charges,587.45,,671.37,92,,Percent of Total Billed Charges,609.34,,671.37,92,,Percent of Total Billed Charges,549.5,,671.37,92,,Percent of Total Billed Charges,456.09,,656.78,90,,Percent of Total Billed Charges,364.15,,649.48,89,,Percent of Total Billed Charges,350.28,,601.31,82.4,,Percent of Total Billed Charges,599.85,,608.61,83.4,,Percent of Total Billed Charges,567.75,,608.61,83.4,,Percent of Total Billed Charges,511.55,,608.61,83.4,,Percent of Total Billed Charges,594.02,,656.78,90,,Percent of Total Billed Charges,618.1,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,671.37,92,,Percent of Total Billed Charges,591.83,,671.37,92,,Percent of Total Billed Charges,542.93,,671.37,92,,Percent of Total Billed Charges,571.39,,671.37,92,,Percent of Total Billed Charges,591.83,,569.21,78,,Percent of Total Billed Charges,569.21,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,392.82,53.83,,Percent of Total Billed Charges,368.52,,252.79,34.64,,Percent of Total Billed Charges,251.76,,364.73,49.98,,Percent of Total Billed Charges,275.85,,252.79,671.37,,																																							
HC GENE REARRANGEMENT DETECTION ABNORMAL CLONAL POP,81264,CPT,,,,BOTH, , ,1187.55,997.54,1092.55,92,,Percent of Total Billed Charges,992.79,,1092.55,92,,Percent of Total Billed Charges,974.98,,1092.55,92,,Percent of Total Billed Charges,955.98,,1092.55,92,,Percent of Total Billed Charges,991.6,,1092.55,92,,Percent of Total Billed Charges,894.23,,1092.55,92,,Percent of Total Billed Charges,742.22,,1068.8,90,,Percent of Total Billed Charges,592.59,,1056.92,89,,Percent of Total Billed Charges,570.02,,978.54,82.4,,Percent of Total Billed Charges,976.17,,990.42,83.4,,Percent of Total Billed Charges,923.91,,990.42,83.4,,Percent of Total Billed Charges,832.47,,990.42,83.4,,Percent of Total Billed Charges,966.67,,1068.8,90,,Percent of Total Billed Charges,1005.85,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1092.55,92,,Percent of Total Billed Charges,963.1,,1092.55,92,,Percent of Total Billed Charges,883.54,,1092.55,92,,Percent of Total Billed Charges,929.85,,1092.55,92,,Percent of Total Billed Charges,963.1,,926.29,78,,Percent of Total Billed Charges,926.29,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,639.26,53.83,,Percent of Total Billed Charges,599.71,,411.37,34.64,,Percent of Total Billed Charges,409.7,,593.54,49.98,,Percent of Total Billed Charges,448.89,,411.37,1092.55,,																																							
HC VKORCI GENE ANALYSIS VARIANTS,81355,CPT,,,,BOTH, , ,471.45,396.02,433.73,92,,Percent of Total Billed Charges,394.13,,433.73,92,,Percent of Total Billed Charges,387.06,,433.73,92,,Percent of Total Billed Charges,379.52,,433.73,92,,Percent of Total Billed Charges,393.66,,433.73,92,,Percent of Total Billed Charges,355,,433.73,92,,Percent of Total Billed Charges,294.66,,424.31,90,,Percent of Total Billed Charges,235.25,,419.59,89,,Percent of Total Billed Charges,226.3,,388.47,82.4,,Percent of Total Billed Charges,387.53,,393.19,83.4,,Percent of Total Billed Charges,366.79,,393.19,83.4,,Percent of Total Billed Charges,330.49,,393.19,83.4,,Percent of Total Billed Charges,383.76,,424.31,90,,Percent of Total Billed Charges,399.32,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,433.73,92,,Percent of Total Billed Charges,382.35,,433.73,92,,Percent of Total Billed Charges,350.76,,433.73,92,,Percent of Total Billed Charges,369.15,,433.73,92,,Percent of Total Billed Charges,382.35,,367.73,78,,Percent of Total Billed Charges,367.73,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,253.78,53.83,,Percent of Total Billed Charges,238.08,,163.31,34.64,,Percent of Total Billed Charges,162.65,,235.63,49.98,,Percent of Total Billed Charges,178.21,,163.31,433.73,,																																							
HC CYP2C9 GENE ANALYSIS COMMON VARIANTS,81227,CPT,,,,BOTH, , ,1019.55,856.42,937.99,92,,Percent of Total Billed Charges,852.34,,937.99,92,,Percent of Total Billed Charges,837.05,,937.99,92,,Percent of Total Billed Charges,820.74,,937.99,92,,Percent of Total Billed Charges,851.32,,937.99,92,,Percent of Total Billed Charges,767.72,,937.99,92,,Percent of Total Billed Charges,637.22,,917.6,90,,Percent of Total Billed Charges,508.76,,907.4,89,,Percent of Total Billed Charges,489.38,,840.11,82.4,,Percent of Total Billed Charges,838.07,,850.3,83.4,,Percent of Total Billed Charges,793.21,,850.3,83.4,,Percent of Total Billed Charges,714.7,,850.3,83.4,,Percent of Total Billed Charges,829.91,,917.6,90,,Percent of Total Billed Charges,863.56,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,937.99,92,,Percent of Total Billed Charges,826.86,,937.99,92,,Percent of Total Billed Charges,758.55,,937.99,92,,Percent of Total Billed Charges,798.31,,937.99,92,,Percent of Total Billed Charges,826.86,,795.25,78,,Percent of Total Billed Charges,795.25,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,548.82,53.83,,Percent of Total Billed Charges,514.87,,353.17,34.64,,Percent of Total Billed Charges,351.74,,509.57,49.98,,Percent of Total Billed Charges,385.39,,353.17,937.99,,																																							
HC MECP2 GENE ANALYSIS FULL SEQUENCE,81302,CPT,,,,BOTH, , ,2129.4,1788.7,1959.05,92,,Percent of Total Billed Charges,1780.18,,1959.05,92,,Percent of Total Billed Charges,1748.24,,1959.05,92,,Percent of Total Billed Charges,1714.17,,1959.05,92,,Percent of Total Billed Charges,1778.05,,1959.05,92,,Percent of Total Billed Charges,1603.44,,1959.05,92,,Percent of Total Billed Charges,1330.88,,1916.46,90,,Percent of Total Billed Charges,1062.57,,1895.17,89,,Percent of Total Billed Charges,1022.11,,1754.63,82.4,,Percent of Total Billed Charges,1750.37,,1775.92,83.4,,Percent of Total Billed Charges,1656.67,,1775.92,83.4,,Percent of Total Billed Charges,1492.71,,1775.92,83.4,,Percent of Total Billed Charges,1733.33,,1916.46,90,,Percent of Total Billed Charges,1803.6,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1959.05,92,,Percent of Total Billed Charges,1726.94,,1959.05,92,,Percent of Total Billed Charges,1584.27,,1959.05,92,,Percent of Total Billed Charges,1667.32,,1959.05,92,,Percent of Total Billed Charges,1726.94,,1660.93,78,,Percent of Total Billed Charges,1660.93,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1146.26,53.83,,Percent of Total Billed Charges,1075.35,,737.62,34.64,,Percent of Total Billed Charges,734.64,,1064.27,49.98,,Percent of Total Billed Charges,804.91,,737.62,1959.05,,																																							
HC INHERITED CARDMYPTHY 5 GNS,81439,CPT,,,,BOTH, , ,4015.2,3372.77,3693.98,92,,Percent of Total Billed Charges,3356.71,,3693.98,92,,Percent of Total Billed Charges,3296.48,,3693.98,92,,Percent of Total Billed Charges,3232.24,,3693.98,92,,Percent of Total Billed Charges,3352.69,,3693.98,92,,Percent of Total Billed Charges,3023.45,,3693.98,92,,Percent of Total Billed Charges,2509.5,,3613.68,90,,Percent of Total Billed Charges,2003.58,,3573.53,89,,Percent of Total Billed Charges,1927.3,,3308.52,82.4,,Percent of Total Billed Charges,3300.49,,3348.68,83.4,,Percent of Total Billed Charges,3123.83,,3348.68,83.4,,Percent of Total Billed Charges,2814.66,,3348.68,83.4,,Percent of Total Billed Charges,3268.37,,3613.68,90,,Percent of Total Billed Charges,3400.87,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3693.98,92,,Percent of Total Billed Charges,3256.33,,3693.98,92,,Percent of Total Billed Charges,2987.31,,3693.98,92,,Percent of Total Billed Charges,3143.9,,3693.98,92,,Percent of Total Billed Charges,3256.33,,3131.86,78,,Percent of Total Billed Charges,3131.86,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2161.38,53.83,,Percent of Total Billed Charges,2027.68,,1390.87,34.64,,Percent of Total Billed Charges,1385.24,,2006.8,49.98,,Percent of Total Billed Charges,1517.75,,1390.87,3693.98,,																																							
HC NRAS GENE ANALYSIS VARIANTS IN EXON 2&3,81311,CPT,,,,BOTH, , ,164.85,138.47,151.66,92,,Percent of Total Billed Charges,137.81,,151.66,92,,Percent of Total Billed Charges,135.34,,151.66,92,,Percent of Total Billed Charges,132.7,,151.66,92,,Percent of Total Billed Charges,137.65,,151.66,92,,Percent of Total Billed Charges,124.13,,151.66,92,,Percent of Total Billed Charges,103.03,,148.37,90,,Percent of Total Billed Charges,82.26,,146.72,89,,Percent of Total Billed Charges,79.13,,135.84,82.4,,Percent of Total Billed Charges,135.51,,137.48,83.4,,Percent of Total Billed Charges,128.25,,137.48,83.4,,Percent of Total Billed Charges,115.56,,137.48,83.4,,Percent of Total Billed Charges,134.19,,148.37,90,,Percent of Total Billed Charges,139.63,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,151.66,92,,Percent of Total Billed Charges,133.69,,151.66,92,,Percent of Total Billed Charges,122.65,,151.66,92,,Percent of Total Billed Charges,129.08,,151.66,92,,Percent of Total Billed Charges,133.69,,128.58,78,,Percent of Total Billed Charges,128.58,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,88.74,53.83,,Percent of Total Billed Charges,83.25,,57.1,34.64,,Percent of Total Billed Charges,56.87,,82.39,49.98,,Percent of Total Billed Charges,62.31,,57.10,151.66,,																																							
HC PDGFRA GENE ANALYS TARGETED SEQUENCE ANALYS,81314,CPT,,,,BOTH, , ,1833.3,1539.97,1686.64,92,,Percent of Total Billed Charges,1532.64,,1686.64,92,,Percent of Total Billed Charges,1505.14,,1686.64,92,,Percent of Total Billed Charges,1475.81,,1686.64,92,,Percent of Total Billed Charges,1530.81,,1686.64,92,,Percent of Total Billed Charges,1380.47,,1686.64,92,,Percent of Total Billed Charges,1145.81,,1649.97,90,,Percent of Total Billed Charges,914.82,,1631.64,89,,Percent of Total Billed Charges,879.98,,1510.64,82.4,,Percent of Total Billed Charges,1506.97,,1528.97,83.4,,Percent of Total Billed Charges,1426.31,,1528.97,83.4,,Percent of Total Billed Charges,1285.14,,1528.97,83.4,,Percent of Total Billed Charges,1492.31,,1649.97,90,,Percent of Total Billed Charges,1552.81,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1686.64,92,,Percent of Total Billed Charges,1486.81,,1686.64,92,,Percent of Total Billed Charges,1363.98,,1686.64,92,,Percent of Total Billed Charges,1435.47,,1686.64,92,,Percent of Total Billed Charges,1486.81,,1429.97,78,,Percent of Total Billed Charges,1429.97,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,986.87,53.83,,Percent of Total Billed Charges,925.82,,635.06,34.64,,Percent of Total Billed Charges,632.49,,916.28,49.98,,Percent of Total Billed Charges,692.99,,635.06,1686.64,,																																							
HC BRCA1&2 SEQ & FULL DUP/DEL,81162,CPT,,,,BOTH, , ,13836.9,11623,12729.95,92,,Percent of Total Billed Charges,11567.65,,12729.95,92,,Percent of Total Billed Charges,11360.09,,12729.95,92,,Percent of Total Billed Charges,11138.7,,12729.95,92,,Percent of Total Billed Charges,11553.81,,12729.95,92,,Percent of Total Billed Charges,10419.19,,12729.95,92,,Percent of Total Billed Charges,8648.06,,12453.21,90,,Percent of Total Billed Charges,6904.61,,12314.84,89,,Percent of Total Billed Charges,6641.71,,11401.61,82.4,,Percent of Total Billed Charges,11373.93,,11539.97,83.4,,Percent of Total Billed Charges,10765.11,,11539.97,83.4,,Percent of Total Billed Charges,9699.67,,11539.97,83.4,,Percent of Total Billed Charges,11263.24,,12453.21,90,,Percent of Total Billed Charges,11719.85,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,12729.95,92,,Percent of Total Billed Charges,11221.73,,12729.95,92,,Percent of Total Billed Charges,10294.65,,12729.95,92,,Percent of Total Billed Charges,10834.29,,12729.95,92,,Percent of Total Billed Charges,11221.73,,10792.78,78,,Percent of Total Billed Charges,10792.78,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,7448.4,53.83,,Percent of Total Billed Charges,6987.63,,4793.1,34.64,,Percent of Total Billed Charges,4773.73,,6915.68,49.98,,Percent of Total Billed Charges,5230.35,,4793.10,12729.95,,																																							
HC TARGETED GENOMIC SEQ ANALYS,81450,CPT,,,,BOTH, , ,3120.6,2621.3,2870.95,92,,Percent of Total Billed Charges,2608.82,,2870.95,92,,Percent of Total Billed Charges,2562.01,,2870.95,92,,Percent of Total Billed Charges,2512.08,,2870.95,92,,Percent of Total Billed Charges,2605.7,,2870.95,92,,Percent of Total Billed Charges,2349.81,,2870.95,92,,Percent of Total Billed Charges,1950.38,,2808.54,90,,Percent of Total Billed Charges,1557.18,,2777.33,89,,Percent of Total Billed Charges,1497.89,,2571.37,82.4,,Percent of Total Billed Charges,2565.13,,2602.58,83.4,,Percent of Total Billed Charges,2427.83,,2602.58,83.4,,Percent of Total Billed Charges,2187.54,,2602.58,83.4,,Percent of Total Billed Charges,2540.17,,2808.54,90,,Percent of Total Billed Charges,2643.15,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2870.95,92,,Percent of Total Billed Charges,2530.81,,2870.95,92,,Percent of Total Billed Charges,2321.73,,2870.95,92,,Percent of Total Billed Charges,2443.43,,2870.95,92,,Percent of Total Billed Charges,2530.81,,2434.07,78,,Percent of Total Billed Charges,2434.07,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1679.82,53.83,,Percent of Total Billed Charges,1575.9,,1080.98,34.64,,Percent of Total Billed Charges,1076.61,,1559.68,49.98,,Percent of Total Billed Charges,1179.59,,1080.98,2870.95,,																																							
HC MOPATH PROCEDURE LEVEL 6,81405,CPT,,,,BOTH, , ,362.25,304.29,333.27,92,,Percent of Total Billed Charges,302.84,,333.27,92,,Percent of Total Billed Charges,297.41,,333.27,92,,Percent of Total Billed Charges,291.61,,333.27,92,,Percent of Total Billed Charges,302.48,,333.27,92,,Percent of Total Billed Charges,272.77,,333.27,92,,Percent of Total Billed Charges,226.41,,326.03,90,,Percent of Total Billed Charges,180.76,,322.4,89,,Percent of Total Billed Charges,173.88,,298.49,82.4,,Percent of Total Billed Charges,297.77,,302.12,83.4,,Percent of Total Billed Charges,281.83,,302.12,83.4,,Percent of Total Billed Charges,253.94,,302.12,83.4,,Percent of Total Billed Charges,294.87,,326.03,90,,Percent of Total Billed Charges,306.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,333.27,92,,Percent of Total Billed Charges,293.78,,333.27,92,,Percent of Total Billed Charges,269.51,,333.27,92,,Percent of Total Billed Charges,283.64,,333.27,92,,Percent of Total Billed Charges,293.78,,282.56,78,,Percent of Total Billed Charges,282.56,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,195,53.83,,Percent of Total Billed Charges,182.94,,125.48,34.64,,Percent of Total Billed Charges,124.98,,181.05,49.98,,Percent of Total Billed Charges,136.93,,125.48,333.27,,																																							
HC ONCOLOGY TUM UNKNOWN ORIGIN MRNA 92 GENES,81540,CPT,,,,BOTH, , ,11040.75,9274.23,10157.49,92,,Percent of Total Billed Charges,9230.07,,10157.49,92,,Percent of Total Billed Charges,9064.46,,10157.49,92,,Percent of Total Billed Charges,8887.8,,10157.49,92,,Percent of Total Billed Charges,9219.03,,10157.49,92,,Percent of Total Billed Charges,8313.68,,10157.49,92,,Percent of Total Billed Charges,6900.47,,9936.68,90,,Percent of Total Billed Charges,5509.33,,9826.27,89,,Percent of Total Billed Charges,5299.56,,9097.58,82.4,,Percent of Total Billed Charges,9075.5,,9207.99,83.4,,Percent of Total Billed Charges,8589.7,,9207.99,83.4,,Percent of Total Billed Charges,7739.57,,9207.99,83.4,,Percent of Total Billed Charges,8987.17,,9936.68,90,,Percent of Total Billed Charges,9351.52,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,10157.49,92,,Percent of Total Billed Charges,8954.05,,10157.49,92,,Percent of Total Billed Charges,8214.32,,10157.49,92,,Percent of Total Billed Charges,8644.91,,10157.49,92,,Percent of Total Billed Charges,8954.05,,8611.79,78,,Percent of Total Billed Charges,8611.79,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5943.24,53.83,,Percent of Total Billed Charges,5575.58,,3824.52,34.64,,Percent of Total Billed Charges,3809.06,,5518.17,49.98,,Percent of Total Billed Charges,4173.4,,3824.52,10157.49,,																																							
HC PROSTATE BIOPSY, ANY MTHD,G0416,CPT,,,,BOTH, , ,1466.85,1232.15,1349.5,92,,Percent of Total Billed Charges,1226.29,,1349.5,92,,Percent of Total Billed Charges,1204.28,,1349.5,92,,Percent of Total Billed Charges,1180.81,,1349.5,92,,Percent of Total Billed Charges,1224.82,,1349.5,92,,Percent of Total Billed Charges,1104.54,,1349.5,92,,Percent of Total Billed Charges,916.78,,1320.17,90,,Percent of Total Billed Charges,731.96,,1305.5,89,,Percent of Total Billed Charges,704.09,,1208.68,82.4,,Percent of Total Billed Charges,1205.75,,1223.35,83.4,,Percent of Total Billed Charges,1141.21,,1223.35,83.4,,Percent of Total Billed Charges,1028.26,,1223.35,83.4,,Percent of Total Billed Charges,1194.02,,1320.17,90,,Percent of Total Billed Charges,1242.42,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1349.5,92,,Percent of Total Billed Charges,1189.62,,1349.5,92,,Percent of Total Billed Charges,1091.34,,1349.5,92,,Percent of Total Billed Charges,1148.54,,1349.5,92,,Percent of Total Billed Charges,1189.62,,1144.14,78,,Percent of Total Billed Charges,1144.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,789.61,53.83,,Percent of Total Billed Charges,740.76,,508.12,34.64,,Percent of Total Billed Charges,506.06,,733.13,49.98,,Percent of Total Billed Charges,554.47,,508.12,1349.5,,																																							
HC IMMUNOFLUORESCENCE PER SPEC ADD SINGL ANTB STAIN,88350,CPT,,,,BOTH, , ,415.8,349.27,382.54,92,,Percent of Total Billed Charges,347.61,,382.54,92,,Percent of Total Billed Charges,341.37,,382.54,92,,Percent of Total Billed Charges,334.72,,382.54,92,,Percent of Total Billed Charges,347.19,,382.54,92,,Percent of Total Billed Charges,313.1,,382.54,92,,Percent of Total Billed Charges,259.88,,374.22,90,,Percent of Total Billed Charges,207.48,,370.06,89,,Percent of Total Billed Charges,199.58,,342.62,82.4,,Percent of Total Billed Charges,341.79,,346.78,83.4,,Percent of Total Billed Charges,323.49,,346.78,83.4,,Percent of Total Billed Charges,291.48,,346.78,83.4,,Percent of Total Billed Charges,338.46,,374.22,90,,Percent of Total Billed Charges,352.18,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,382.54,92,,Percent of Total Billed Charges,337.21,,382.54,92,,Percent of Total Billed Charges,309.36,,382.54,92,,Percent of Total Billed Charges,325.57,,382.54,92,,Percent of Total Billed Charges,337.21,,324.32,78,,Percent of Total Billed Charges,324.32,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,223.83,53.83,,Percent of Total Billed Charges,209.98,,144.03,34.64,,Percent of Total Billed Charges,143.45,,207.82,49.98,,Percent of Total Billed Charges,157.17,,144.03,382.54,,																																							
HC SNRPN/UBE3A METHYLATION ANALYSIS,81331,CPT,,,,BOTH, , ,316.05,265.48,290.77,92,,Percent of Total Billed Charges,264.22,,290.77,92,,Percent of Total Billed Charges,259.48,,290.77,92,,Percent of Total Billed Charges,254.42,,290.77,92,,Percent of Total Billed Charges,263.9,,290.77,92,,Percent of Total Billed Charges,237.99,,290.77,92,,Percent of Total Billed Charges,197.53,,284.45,90,,Percent of Total Billed Charges,157.71,,281.28,89,,Percent of Total Billed Charges,151.7,,260.43,82.4,,Percent of Total Billed Charges,259.79,,263.59,83.4,,Percent of Total Billed Charges,245.89,,263.59,83.4,,Percent of Total Billed Charges,221.55,,263.59,83.4,,Percent of Total Billed Charges,257.26,,284.45,90,,Percent of Total Billed Charges,267.69,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,290.77,92,,Percent of Total Billed Charges,256.32,,290.77,92,,Percent of Total Billed Charges,235.14,,290.77,92,,Percent of Total Billed Charges,247.47,,290.77,92,,Percent of Total Billed Charges,256.32,,246.52,78,,Percent of Total Billed Charges,246.52,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,170.13,53.83,,Percent of Total Billed Charges,159.61,,109.48,34.64,,Percent of Total Billed Charges,109.04,,157.96,49.98,,Percent of Total Billed Charges,119.47,,109.48,290.77,,																																							
HC IDH1 COMMON VARIANTS,81120,CPT,,,,BOTH, , ,815.85,685.31,750.58,92,,Percent of Total Billed Charges,682.05,,750.58,92,,Percent of Total Billed Charges,669.81,,750.58,92,,Percent of Total Billed Charges,656.76,,750.58,92,,Percent of Total Billed Charges,681.23,,750.58,92,,Percent of Total Billed Charges,614.34,,750.58,92,,Percent of Total Billed Charges,509.91,,734.27,90,,Percent of Total Billed Charges,407.11,,726.11,89,,Percent of Total Billed Charges,391.61,,672.26,82.4,,Percent of Total Billed Charges,670.63,,680.42,83.4,,Percent of Total Billed Charges,634.73,,680.42,83.4,,Percent of Total Billed Charges,571.91,,680.42,83.4,,Percent of Total Billed Charges,664.1,,734.27,90,,Percent of Total Billed Charges,691.02,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,750.58,92,,Percent of Total Billed Charges,661.65,,750.58,92,,Percent of Total Billed Charges,606.99,,750.58,92,,Percent of Total Billed Charges,638.81,,750.58,92,,Percent of Total Billed Charges,661.65,,636.36,78,,Percent of Total Billed Charges,636.36,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,439.17,53.83,,Percent of Total Billed Charges,412,,282.61,34.64,,Percent of Total Billed Charges,281.47,,407.76,49.98,,Percent of Total Billed Charges,308.39,,282.61,750.58,,																																							
HC IDH2 COMMON VARIANTS,81121,CPT,,,,BOTH, , ,1247.4,1047.82,1147.61,92,,Percent of Total Billed Charges,1042.83,,1147.61,92,,Percent of Total Billed Charges,1024.12,,1147.61,92,,Percent of Total Billed Charges,1004.16,,1147.61,92,,Percent of Total Billed Charges,1041.58,,1147.61,92,,Percent of Total Billed Charges,939.29,,1147.61,92,,Percent of Total Billed Charges,779.63,,1122.66,90,,Percent of Total Billed Charges,622.45,,1110.19,89,,Percent of Total Billed Charges,598.75,,1027.86,82.4,,Percent of Total Billed Charges,1025.36,,1040.33,83.4,,Percent of Total Billed Charges,970.48,,1040.33,83.4,,Percent of Total Billed Charges,874.43,,1040.33,83.4,,Percent of Total Billed Charges,1015.38,,1122.66,90,,Percent of Total Billed Charges,1056.55,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1147.61,92,,Percent of Total Billed Charges,1011.64,,1147.61,92,,Percent of Total Billed Charges,928.07,,1147.61,92,,Percent of Total Billed Charges,976.71,,1147.61,92,,Percent of Total Billed Charges,1011.64,,972.97,78,,Percent of Total Billed Charges,972.97,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,671.48,53.83,,Percent of Total Billed Charges,629.94,,432.1,34.64,,Percent of Total Billed Charges,430.35,,623.45,49.98,,Percent of Total Billed Charges,471.52,,432.10,1147.61,,																																							
HC COMPARATIVE ANAL STR MARKERS PATIENT&COMP SPEC,81265,CPT,,,,BOTH, , ,1118.25,939.33,1028.79,92,,Percent of Total Billed Charges,934.86,,1028.79,92,,Percent of Total Billed Charges,918.08,,1028.79,92,,Percent of Total Billed Charges,900.19,,1028.79,92,,Percent of Total Billed Charges,933.74,,1028.79,92,,Percent of Total Billed Charges,842.04,,1028.79,92,,Percent of Total Billed Charges,698.91,,1006.43,90,,Percent of Total Billed Charges,558.01,,995.24,89,,Percent of Total Billed Charges,536.76,,921.44,82.4,,Percent of Total Billed Charges,919.2,,932.62,83.4,,Percent of Total Billed Charges,870,,932.62,83.4,,Percent of Total Billed Charges,783.89,,932.62,83.4,,Percent of Total Billed Charges,910.26,,1006.43,90,,Percent of Total Billed Charges,947.16,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1028.79,92,,Percent of Total Billed Charges,906.9,,1028.79,92,,Percent of Total Billed Charges,831.98,,1028.79,92,,Percent of Total Billed Charges,875.59,,1028.79,92,,Percent of Total Billed Charges,906.9,,872.24,78,,Percent of Total Billed Charges,872.24,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,601.95,53.83,,Percent of Total Billed Charges,564.72,,387.36,34.64,,Percent of Total Billed Charges,385.8,,558.9,49.98,,Percent of Total Billed Charges,422.7,,387.36,1028.79,,																																							
HC FETAL CHROMOSOMAL ANEUPLOIDY GENOMIC SEQ ANALYS,81420,CPT,,,,BOTH, , ,3200.4,2688.34,2944.37,92,,Percent of Total Billed Charges,2675.53,,2944.37,92,,Percent of Total Billed Charges,2627.53,,2944.37,92,,Percent of Total Billed Charges,2576.32,,2944.37,92,,Percent of Total Billed Charges,2672.33,,2944.37,92,,Percent of Total Billed Charges,2409.9,,2944.37,92,,Percent of Total Billed Charges,2000.25,,2880.36,90,,Percent of Total Billed Charges,1597,,2848.36,89,,Percent of Total Billed Charges,1536.19,,2637.13,82.4,,Percent of Total Billed Charges,2630.73,,2669.13,83.4,,Percent of Total Billed Charges,2489.91,,2669.13,83.4,,Percent of Total Billed Charges,2243.48,,2669.13,83.4,,Percent of Total Billed Charges,2605.13,,2880.36,90,,Percent of Total Billed Charges,2710.74,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2944.37,92,,Percent of Total Billed Charges,2595.52,,2944.37,92,,Percent of Total Billed Charges,2381.1,,2944.37,92,,Percent of Total Billed Charges,2505.91,,2944.37,92,,Percent of Total Billed Charges,2595.52,,2496.31,78,,Percent of Total Billed Charges,2496.31,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1722.78,53.83,,Percent of Total Billed Charges,1616.2,,1108.62,34.64,,Percent of Total Billed Charges,1104.14,,1599.56,49.98,,Percent of Total Billed Charges,1209.75,,1108.62,2944.37,,																																							
HC PTEN GENE ANALYSIS FULL SEQUENCE ANALYSIS,81321,CPT,,,,BOTH, , ,253.05,212.56,232.81,92,,Percent of Total Billed Charges,211.55,,232.81,92,,Percent of Total Billed Charges,207.75,,232.81,92,,Percent of Total Billed Charges,203.71,,232.81,92,,Percent of Total Billed Charges,211.3,,232.81,92,,Percent of Total Billed Charges,190.55,,232.81,92,,Percent of Total Billed Charges,158.16,,227.75,90,,Percent of Total Billed Charges,126.27,,225.21,89,,Percent of Total Billed Charges,121.46,,208.51,82.4,,Percent of Total Billed Charges,208.01,,211.04,83.4,,Percent of Total Billed Charges,196.87,,211.04,83.4,,Percent of Total Billed Charges,177.39,,211.04,83.4,,Percent of Total Billed Charges,205.98,,227.75,90,,Percent of Total Billed Charges,214.33,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,232.81,92,,Percent of Total Billed Charges,205.22,,232.81,92,,Percent of Total Billed Charges,188.27,,232.81,92,,Percent of Total Billed Charges,198.14,,232.81,92,,Percent of Total Billed Charges,205.22,,197.38,78,,Percent of Total Billed Charges,197.38,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,136.22,53.83,,Percent of Total Billed Charges,127.79,,87.66,34.64,,Percent of Total Billed Charges,87.3,,126.47,49.98,,Percent of Total Billed Charges,95.65,,87.66,232.81,,																																							
HC PTEN GENE ANALYSIS DUPLICATION/DELETION VARIANT,81323,CPT,,,,BOTH, , ,1266.3,1063.69,1165,92,,Percent of Total Billed Charges,1058.63,,1165,92,,Percent of Total Billed Charges,1039.63,,1165,92,,Percent of Total Billed Charges,1019.37,,1165,92,,Percent of Total Billed Charges,1057.36,,1165,92,,Percent of Total Billed Charges,953.52,,1165,92,,Percent of Total Billed Charges,791.44,,1139.67,90,,Percent of Total Billed Charges,631.88,,1127.01,89,,Percent of Total Billed Charges,607.82,,1043.43,82.4,,Percent of Total Billed Charges,1040.9,,1056.09,83.4,,Percent of Total Billed Charges,985.18,,1056.09,83.4,,Percent of Total Billed Charges,887.68,,1056.09,83.4,,Percent of Total Billed Charges,1030.77,,1139.67,90,,Percent of Total Billed Charges,1072.56,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1165,92,,Percent of Total Billed Charges,1026.97,,1165,92,,Percent of Total Billed Charges,942.13,,1165,92,,Percent of Total Billed Charges,991.51,,1165,92,,Percent of Total Billed Charges,1026.97,,987.71,78,,Percent of Total Billed Charges,987.71,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,681.65,53.83,,Percent of Total Billed Charges,639.48,,438.65,34.64,,Percent of Total Billed Charges,436.87,,632.9,49.98,,Percent of Total Billed Charges,478.66,,438.65,1165,,																																							
HC NFCT DS CHRNC HCV 6 BIOCHEM ASSAY SRM ALG LVR,81596,CPT,,,,BOTH, , ,328.65,276.07,302.36,92,,Percent of Total Billed Charges,274.75,,302.36,92,,Percent of Total Billed Charges,269.82,,302.36,92,,Percent of Total Billed Charges,264.56,,302.36,92,,Percent of Total Billed Charges,274.42,,302.36,92,,Percent of Total Billed Charges,247.47,,302.36,92,,Percent of Total Billed Charges,205.41,,295.79,90,,Percent of Total Billed Charges,164,,292.5,89,,Percent of Total Billed Charges,157.75,,270.81,82.4,,Percent of Total Billed Charges,270.15,,274.09,83.4,,Percent of Total Billed Charges,255.69,,274.09,83.4,,Percent of Total Billed Charges,230.38,,274.09,83.4,,Percent of Total Billed Charges,267.52,,295.79,90,,Percent of Total Billed Charges,278.37,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,302.36,92,,Percent of Total Billed Charges,266.54,,302.36,92,,Percent of Total Billed Charges,244.52,,302.36,92,,Percent of Total Billed Charges,257.33,,302.36,92,,Percent of Total Billed Charges,266.54,,256.35,78,,Percent of Total Billed Charges,256.35,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,176.91,53.83,,Percent of Total Billed Charges,165.97,,113.84,34.64,,Percent of Total Billed Charges,113.38,,164.26,49.98,,Percent of Total Billed Charges,124.23,,113.84,302.36,,																																							
HC MLH1 GENE ANALYSIS PROMOTER METHYLATION ANALYSIS,81288,CPT,,,,BOTH, , ,1894.2,1591.13,1742.66,92,,Percent of Total Billed Charges,1583.55,,1742.66,92,,Percent of Total Billed Charges,1555.14,,1742.66,92,,Percent of Total Billed Charges,1524.83,,1742.66,92,,Percent of Total Billed Charges,1581.66,,1742.66,92,,Percent of Total Billed Charges,1426.33,,1742.66,92,,Percent of Total Billed Charges,1183.88,,1704.78,90,,Percent of Total Billed Charges,945.21,,1685.84,89,,Percent of Total Billed Charges,909.22,,1560.82,82.4,,Percent of Total Billed Charges,1557.03,,1579.76,83.4,,Percent of Total Billed Charges,1473.69,,1579.76,83.4,,Percent of Total Billed Charges,1327.83,,1579.76,83.4,,Percent of Total Billed Charges,1541.88,,1704.78,90,,Percent of Total Billed Charges,1604.39,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1742.66,92,,Percent of Total Billed Charges,1536.2,,1742.66,92,,Percent of Total Billed Charges,1409.28,,1742.66,92,,Percent of Total Billed Charges,1483.16,,1742.66,92,,Percent of Total Billed Charges,1536.2,,1477.48,78,,Percent of Total Billed Charges,1477.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1019.65,53.83,,Percent of Total Billed Charges,956.57,,656.15,34.64,,Percent of Total Billed Charges,653.5,,946.72,49.98,,Percent of Total Billed Charges,716.01,,656.15,1742.66,,																																							
HC CYTOPATH EVAL FNA REPORT,88173,CPT,,,,BOTH, , ,395.85,332.51,364.18,92,,Percent of Total Billed Charges,330.93,,364.18,92,,Percent of Total Billed Charges,324.99,,364.18,92,,Percent of Total Billed Charges,318.66,,364.18,92,,Percent of Total Billed Charges,330.53,,364.18,92,,Percent of Total Billed Charges,298.08,,364.18,92,,Percent of Total Billed Charges,247.41,,356.27,90,,Percent of Total Billed Charges,197.53,,352.31,89,,Percent of Total Billed Charges,190.01,,326.18,82.4,,Percent of Total Billed Charges,325.39,,330.14,83.4,,Percent of Total Billed Charges,307.97,,330.14,83.4,,Percent of Total Billed Charges,277.49,,330.14,83.4,,Percent of Total Billed Charges,322.22,,356.27,90,,Percent of Total Billed Charges,335.28,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,364.18,92,,Percent of Total Billed Charges,321.03,,364.18,92,,Percent of Total Billed Charges,294.51,,364.18,92,,Percent of Total Billed Charges,309.95,,364.18,92,,Percent of Total Billed Charges,321.03,,308.76,78,,Percent of Total Billed Charges,308.76,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,213.09,53.83,,Percent of Total Billed Charges,199.9,,137.12,34.64,,Percent of Total Billed Charges,136.57,,197.85,49.98,,Percent of Total Billed Charges,149.63,,137.12,364.18,,																																							
HC CYTP FNA EVAL EA ADDL,88177,CPT,,,,BOTH, , ,99.75,83.79,91.77,92,,Percent of Total Billed Charges,83.39,,91.77,92,,Percent of Total Billed Charges,81.89,,91.77,92,,Percent of Total Billed Charges,80.3,,91.77,92,,Percent of Total Billed Charges,83.29,,91.77,92,,Percent of Total Billed Charges,75.11,,91.77,92,,Percent of Total Billed Charges,62.34,,89.78,90,,Percent of Total Billed Charges,49.78,,88.78,89,,Percent of Total Billed Charges,47.88,,82.19,82.4,,Percent of Total Billed Charges,81.99,,83.19,83.4,,Percent of Total Billed Charges,77.61,,83.19,83.4,,Percent of Total Billed Charges,69.92,,83.19,83.4,,Percent of Total Billed Charges,81.2,,89.78,90,,Percent of Total Billed Charges,84.49,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,91.77,92,,Percent of Total Billed Charges,80.9,,91.77,92,,Percent of Total Billed Charges,74.21,,91.77,92,,Percent of Total Billed Charges,78.1,,91.77,92,,Percent of Total Billed Charges,80.9,,77.81,78,,Percent of Total Billed Charges,77.81,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,53.7,53.83,,Percent of Total Billed Charges,50.37,,34.55,34.64,,Percent of Total Billed Charges,34.41,,49.86,49.98,,Percent of Total Billed Charges,37.71,,34.55,91.77,,																																							
HC FLOWCYTOMETRY/READ 16 & >,88189,CPT,,,,BOTH, , ,179.55,150.82,165.19,92,,Percent of Total Billed Charges,150.1,,165.19,92,,Percent of Total Billed Charges,147.41,,165.19,92,,Percent of Total Billed Charges,144.54,,165.19,92,,Percent of Total Billed Charges,149.92,,165.19,92,,Percent of Total Billed Charges,135.2,,165.19,92,,Percent of Total Billed Charges,112.22,,161.6,90,,Percent of Total Billed Charges,89.6,,159.8,89,,Percent of Total Billed Charges,86.18,,147.95,82.4,,Percent of Total Billed Charges,147.59,,149.74,83.4,,Percent of Total Billed Charges,139.69,,149.74,83.4,,Percent of Total Billed Charges,125.86,,149.74,83.4,,Percent of Total Billed Charges,146.15,,161.6,90,,Percent of Total Billed Charges,152.08,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,165.19,92,,Percent of Total Billed Charges,145.62,,165.19,92,,Percent of Total Billed Charges,133.59,,165.19,92,,Percent of Total Billed Charges,140.59,,165.19,92,,Percent of Total Billed Charges,145.62,,140.05,78,,Percent of Total Billed Charges,140.05,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,96.65,53.83,,Percent of Total Billed Charges,90.67,,62.2,34.64,,Percent of Total Billed Charges,61.94,,89.74,49.98,,Percent of Total Billed Charges,67.87,,62.20,165.19,,																																							
HC CHROMOSOME ANALYSIS 1520,88262,CPT,,,,BOTH, , ,616.35,517.73,567.04,92,,Percent of Total Billed Charges,515.27,,567.04,92,,Percent of Total Billed Charges,506.02,,567.04,92,,Percent of Total Billed Charges,496.16,,567.04,92,,Percent of Total Billed Charges,514.65,,567.04,92,,Percent of Total Billed Charges,464.11,,567.04,92,,Percent of Total Billed Charges,385.22,,554.72,90,,Percent of Total Billed Charges,307.56,,548.55,89,,Percent of Total Billed Charges,295.85,,507.87,82.4,,Percent of Total Billed Charges,506.64,,514.04,83.4,,Percent of Total Billed Charges,479.52,,514.04,83.4,,Percent of Total Billed Charges,432.06,,514.04,83.4,,Percent of Total Billed Charges,501.71,,554.72,90,,Percent of Total Billed Charges,522.05,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,567.04,92,,Percent of Total Billed Charges,499.86,,567.04,92,,Percent of Total Billed Charges,458.56,,567.04,92,,Percent of Total Billed Charges,482.6,,567.04,92,,Percent of Total Billed Charges,499.86,,480.75,78,,Percent of Total Billed Charges,480.75,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,331.78,53.83,,Percent of Total Billed Charges,311.26,,213.5,34.64,,Percent of Total Billed Charges,212.64,,308.05,49.98,,Percent of Total Billed Charges,232.98,,213.50,567.04,,																																							
HC TISSUE CULTURE, LYMPHOCYTE,88230,CPT,,,,BOTH, , ,641.55,538.9,590.23,92,,Percent of Total Billed Charges,536.34,,590.23,92,,Percent of Total Billed Charges,526.71,,590.23,92,,Percent of Total Billed Charges,516.45,,590.23,92,,Percent of Total Billed Charges,535.69,,590.23,92,,Percent of Total Billed Charges,483.09,,590.23,92,,Percent of Total Billed Charges,400.97,,577.4,90,,Percent of Total Billed Charges,320.13,,570.98,89,,Percent of Total Billed Charges,307.94,,528.64,82.4,,Percent of Total Billed Charges,527.35,,535.05,83.4,,Percent of Total Billed Charges,499.13,,535.05,83.4,,Percent of Total Billed Charges,449.73,,535.05,83.4,,Percent of Total Billed Charges,522.22,,577.4,90,,Percent of Total Billed Charges,543.39,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,590.23,92,,Percent of Total Billed Charges,520.3,,590.23,92,,Percent of Total Billed Charges,477.31,,590.23,92,,Percent of Total Billed Charges,502.33,,590.23,92,,Percent of Total Billed Charges,520.3,,500.41,78,,Percent of Total Billed Charges,500.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,345.35,53.83,,Percent of Total Billed Charges,323.98,,222.23,34.64,,Percent of Total Billed Charges,221.33,,320.65,49.98,,Percent of Total Billed Charges,242.51,,222.23,590.23,,																																							
HC CHRMSM ANALYSIS ADDL HIGH RESOLUTION STUDY,88289,CPT,,,,BOTH, , ,190.05,159.64,174.85,92,,Percent of Total Billed Charges,158.88,,174.85,92,,Percent of Total Billed Charges,156.03,,174.85,92,,Percent of Total Billed Charges,152.99,,174.85,92,,Percent of Total Billed Charges,158.69,,174.85,92,,Percent of Total Billed Charges,143.11,,174.85,92,,Percent of Total Billed Charges,118.78,,171.05,90,,Percent of Total Billed Charges,94.83,,169.14,89,,Percent of Total Billed Charges,91.22,,156.6,82.4,,Percent of Total Billed Charges,156.22,,158.5,83.4,,Percent of Total Billed Charges,147.86,,158.5,83.4,,Percent of Total Billed Charges,133.23,,158.5,83.4,,Percent of Total Billed Charges,154.7,,171.05,90,,Percent of Total Billed Charges,160.97,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,174.85,92,,Percent of Total Billed Charges,154.13,,174.85,92,,Percent of Total Billed Charges,141.4,,174.85,92,,Percent of Total Billed Charges,148.81,,174.85,92,,Percent of Total Billed Charges,154.13,,148.24,78,,Percent of Total Billed Charges,148.24,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,102.3,53.83,,Percent of Total Billed Charges,95.98,,65.83,34.64,,Percent of Total Billed Charges,65.57,,94.99,49.98,,Percent of Total Billed Charges,71.84,,65.83,174.85,,																																							
HC CYTP URNE 35 PROBES EA SPEC,88120,CPT,,,,BOTH, , ,119.7,100.55,110.12,92,,Percent of Total Billed Charges,100.07,,110.12,92,,Percent of Total Billed Charges,98.27,,110.12,92,,Percent of Total Billed Charges,96.36,,110.12,92,,Percent of Total Billed Charges,99.95,,110.12,92,,Percent of Total Billed Charges,90.13,,110.12,92,,Percent of Total Billed Charges,74.81,,107.73,90,,Percent of Total Billed Charges,59.73,,106.53,89,,Percent of Total Billed Charges,57.46,,98.63,82.4,,Percent of Total Billed Charges,98.39,,99.83,83.4,,Percent of Total Billed Charges,93.13,,99.83,83.4,,Percent of Total Billed Charges,83.91,,99.83,83.4,,Percent of Total Billed Charges,97.44,,107.73,90,,Percent of Total Billed Charges,101.39,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,110.12,92,,Percent of Total Billed Charges,97.08,,110.12,92,,Percent of Total Billed Charges,89.06,,110.12,92,,Percent of Total Billed Charges,93.73,,110.12,92,,Percent of Total Billed Charges,97.08,,93.37,78,,Percent of Total Billed Charges,93.37,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,64.43,53.83,,Percent of Total Billed Charges,60.45,,41.46,34.64,,Percent of Total Billed Charges,41.3,,59.83,49.98,,Percent of Total Billed Charges,45.25,,41.46,110.12,,																																							
HC MOLECULAR CYTOGENETICS CHRMOML ISH 1030 CLL,88273,CPT,,,,BOTH, , ,261.45,219.62,240.53,92,,Percent of Total Billed Charges,218.57,,240.53,92,,Percent of Total Billed Charges,214.65,,240.53,92,,Percent of Total Billed Charges,210.47,,240.53,92,,Percent of Total Billed Charges,218.31,,240.53,92,,Percent of Total Billed Charges,196.87,,240.53,92,,Percent of Total Billed Charges,163.41,,235.31,90,,Percent of Total Billed Charges,130.46,,232.69,89,,Percent of Total Billed Charges,125.5,,215.43,82.4,,Percent of Total Billed Charges,214.91,,218.05,83.4,,Percent of Total Billed Charges,203.41,,218.05,83.4,,Percent of Total Billed Charges,183.28,,218.05,83.4,,Percent of Total Billed Charges,212.82,,235.31,90,,Percent of Total Billed Charges,221.45,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,240.53,92,,Percent of Total Billed Charges,212.04,,240.53,92,,Percent of Total Billed Charges,194.52,,240.53,92,,Percent of Total Billed Charges,204.72,,240.53,92,,Percent of Total Billed Charges,212.04,,203.93,78,,Percent of Total Billed Charges,203.93,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,140.74,53.83,,Percent of Total Billed Charges,132.03,,90.57,34.64,,Percent of Total Billed Charges,90.2,,130.67,49.98,,Percent of Total Billed Charges,98.83,,90.57,240.53,,																																							
HC CYTP C/V AUTO THIN LYR PREPJ SCR MNL RESCR PHYS,88175,CPT,,,,BOTH, , ,301.35,253.13,277.24,92,,Percent of Total Billed Charges,251.93,,277.24,92,,Percent of Total Billed Charges,247.41,,277.24,92,,Percent of Total Billed Charges,242.59,,277.24,92,,Percent of Total Billed Charges,251.63,,277.24,92,,Percent of Total Billed Charges,226.92,,277.24,92,,Percent of Total Billed Charges,188.34,,271.22,90,,Percent of Total Billed Charges,150.37,,268.2,89,,Percent of Total Billed Charges,144.65,,248.31,82.4,,Percent of Total Billed Charges,247.71,,251.33,83.4,,Percent of Total Billed Charges,234.45,,251.33,83.4,,Percent of Total Billed Charges,211.25,,251.33,83.4,,Percent of Total Billed Charges,245.3,,271.22,90,,Percent of Total Billed Charges,255.24,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,277.24,92,,Percent of Total Billed Charges,244.39,,277.24,92,,Percent of Total Billed Charges,224.2,,277.24,92,,Percent of Total Billed Charges,235.96,,277.24,92,,Percent of Total Billed Charges,244.39,,235.05,78,,Percent of Total Billed Charges,235.05,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,162.22,53.83,,Percent of Total Billed Charges,152.18,,104.39,34.64,,Percent of Total Billed Charges,103.97,,150.61,49.98,,Percent of Total Billed Charges,113.91,,104.39,277.24,,																																							
HC CYTP SLCTV CELL ENHANCEMENT INTERPJ XCPT C/V,88112,CPT,,,,BOTH, , ,245.7,206.39,226.04,92,,Percent of Total Billed Charges,205.41,,226.04,92,,Percent of Total Billed Charges,201.72,,226.04,92,,Percent of Total Billed Charges,197.79,,226.04,92,,Percent of Total Billed Charges,205.16,,226.04,92,,Percent of Total Billed Charges,185.01,,226.04,92,,Percent of Total Billed Charges,153.56,,221.13,90,,Percent of Total Billed Charges,122.6,,218.67,89,,Percent of Total Billed Charges,117.94,,202.46,82.4,,Percent of Total Billed Charges,201.97,,204.91,83.4,,Percent of Total Billed Charges,191.15,,204.91,83.4,,Percent of Total Billed Charges,172.24,,204.91,83.4,,Percent of Total Billed Charges,200,,221.13,90,,Percent of Total Billed Charges,208.11,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,226.04,92,,Percent of Total Billed Charges,199.26,,226.04,92,,Percent of Total Billed Charges,182.8,,226.04,92,,Percent of Total Billed Charges,192.38,,226.04,92,,Percent of Total Billed Charges,199.26,,191.65,78,,Percent of Total Billed Charges,191.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,132.26,53.83,,Percent of Total Billed Charges,124.08,,85.11,34.64,,Percent of Total Billed Charges,84.77,,122.8,49.98,,Percent of Total Billed Charges,92.87,,85.11,226.04,,																																							
HC THOROCENTESIS W CATH /GUIDANCE,32557,CPT,,,,BOTH, , ,10044.3,8437.21,9240.76,92,,Percent of Total Billed Charges,8397.03,,9240.76,92,,Percent of Total Billed Charges,8246.37,,9240.76,92,,Percent of Total Billed Charges,8085.66,,9240.76,92,,Percent of Total Billed Charges,8386.99,,9240.76,92,,Percent of Total Billed Charges,7563.36,,9240.76,92,,Percent of Total Billed Charges,6277.69,,9039.87,90,,Percent of Total Billed Charges,5012.11,,8939.43,89,,Percent of Total Billed Charges,4821.26,,8276.5,82.4,,Percent of Total Billed Charges,8256.41,,8376.95,83.4,,Percent of Total Billed Charges,7814.47,,8376.95,83.4,,Percent of Total Billed Charges,7041.05,,8376.95,83.4,,Percent of Total Billed Charges,8176.06,,9039.87,90,,Percent of Total Billed Charges,8507.52,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,9240.76,92,,Percent of Total Billed Charges,8145.93,,9240.76,92,,Percent of Total Billed Charges,7472.96,,9240.76,92,,Percent of Total Billed Charges,7864.69,,9240.76,92,,Percent of Total Billed Charges,8145.93,,7834.55,78,,Percent of Total Billed Charges,7834.55,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5406.85,53.83,,Percent of Total Billed Charges,5072.37,,3479.35,34.64,,Percent of Total Billed Charges,3465.28,,5020.14,49.98,,Percent of Total Billed Charges,3796.75,,3479.35,9240.76,,																																							
HC SC LUNG UNLISTED,32999,CPT,,,,BOTH, , ,1958.25,1644.93,1801.59,92,,Percent of Total Billed Charges,1637.1,,1801.59,92,,Percent of Total Billed Charges,1607.72,,1801.59,92,,Percent of Total Billed Charges,1576.39,,1801.59,92,,Percent of Total Billed Charges,1635.14,,1801.59,92,,Percent of Total Billed Charges,1474.56,,1801.59,92,,Percent of Total Billed Charges,1223.91,,1762.43,90,,Percent of Total Billed Charges,977.17,,1742.84,89,,Percent of Total Billed Charges,939.96,,1613.6,82.4,,Percent of Total Billed Charges,1609.68,,1633.18,83.4,,Percent of Total Billed Charges,1523.52,,1633.18,83.4,,Percent of Total Billed Charges,1372.73,,1633.18,83.4,,Percent of Total Billed Charges,1594.02,,1762.43,90,,Percent of Total Billed Charges,1658.64,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1801.59,92,,Percent of Total Billed Charges,1588.14,,1801.59,92,,Percent of Total Billed Charges,1456.94,,1801.59,92,,Percent of Total Billed Charges,1533.31,,1801.59,92,,Percent of Total Billed Charges,1588.14,,1527.44,78,,Percent of Total Billed Charges,1527.44,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1054.13,53.83,,Percent of Total Billed Charges,988.92,,678.34,34.64,,Percent of Total Billed Charges,675.6,,978.73,49.98,,Percent of Total Billed Charges,740.22,,678.34,1801.59,,																																							
HC AV DIALYSIS SHUNT,36901,CPT,,,,BOTH, , ,3565.8,2995.27,3280.54,92,,Percent of Total Billed Charges,2981.01,,3280.54,92,,Percent of Total Billed Charges,2927.52,,3280.54,92,,Percent of Total Billed Charges,2870.47,,3280.54,92,,Percent of Total Billed Charges,2977.44,,3280.54,92,,Percent of Total Billed Charges,2685.05,,3280.54,92,,Percent of Total Billed Charges,2228.63,,3209.22,90,,Percent of Total Billed Charges,1779.33,,3173.56,89,,Percent of Total Billed Charges,1711.58,,2938.22,82.4,,Percent of Total Billed Charges,2931.09,,2973.88,83.4,,Percent of Total Billed Charges,2774.19,,2973.88,83.4,,Percent of Total Billed Charges,2499.63,,2973.88,83.4,,Percent of Total Billed Charges,2902.56,,3209.22,90,,Percent of Total Billed Charges,3020.23,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3280.54,92,,Percent of Total Billed Charges,2891.86,,3280.54,92,,Percent of Total Billed Charges,2652.96,,3280.54,92,,Percent of Total Billed Charges,2792.02,,3280.54,92,,Percent of Total Billed Charges,2891.86,,2781.32,78,,Percent of Total Billed Charges,2781.32,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1919.47,53.83,,Percent of Total Billed Charges,1800.73,,1235.19,34.64,,Percent of Total Billed Charges,1230.2,,1782.19,49.98,,Percent of Total Billed Charges,1347.87,,1235.19,3280.54,,																																							
HC NEEDLE BIOPSY OF LIVER,47000,CPT,,,,BOTH, , ,3666.6,3079.94,3373.27,92,,Percent of Total Billed Charges,3065.28,,3373.27,92,,Percent of Total Billed Charges,3010.28,,3373.27,92,,Percent of Total Billed Charges,2951.61,,3373.27,92,,Percent of Total Billed Charges,3061.61,,3373.27,92,,Percent of Total Billed Charges,2760.95,,3373.27,92,,Percent of Total Billed Charges,2291.63,,3299.94,90,,Percent of Total Billed Charges,1829.63,,3263.27,89,,Percent of Total Billed Charges,1759.97,,3021.28,82.4,,Percent of Total Billed Charges,3013.95,,3057.94,83.4,,Percent of Total Billed Charges,2852.61,,3057.94,83.4,,Percent of Total Billed Charges,2570.29,,3057.94,83.4,,Percent of Total Billed Charges,2984.61,,3299.94,90,,Percent of Total Billed Charges,3105.61,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3373.27,92,,Percent of Total Billed Charges,2973.61,,3373.27,92,,Percent of Total Billed Charges,2727.95,,3373.27,92,,Percent of Total Billed Charges,2870.95,,3373.27,92,,Percent of Total Billed Charges,2973.61,,2859.95,78,,Percent of Total Billed Charges,2859.95,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1973.73,53.83,,Percent of Total Billed Charges,1851.63,,1270.11,34.64,,Percent of Total Billed Charges,1264.98,,1832.57,49.98,,Percent of Total Billed Charges,1385.97,,1270.11,3373.27,,																																							
HC RENAL BIOPSY PERCUTANEOUS,50200,CPT,,,,BOTH, , ,3666.6,3079.94,3373.27,92,,Percent of Total Billed Charges,3065.28,,3373.27,92,,Percent of Total Billed Charges,3010.28,,3373.27,92,,Percent of Total Billed Charges,2951.61,,3373.27,92,,Percent of Total Billed Charges,3061.61,,3373.27,92,,Percent of Total Billed Charges,2760.95,,3373.27,92,,Percent of Total Billed Charges,2291.63,,3299.94,90,,Percent of Total Billed Charges,1829.63,,3263.27,89,,Percent of Total Billed Charges,1759.97,,3021.28,82.4,,Percent of Total Billed Charges,3013.95,,3057.94,83.4,,Percent of Total Billed Charges,2852.61,,3057.94,83.4,,Percent of Total Billed Charges,2570.29,,3057.94,83.4,,Percent of Total Billed Charges,2984.61,,3299.94,90,,Percent of Total Billed Charges,3105.61,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3373.27,92,,Percent of Total Billed Charges,2973.61,,3373.27,92,,Percent of Total Billed Charges,2727.95,,3373.27,92,,Percent of Total Billed Charges,2870.95,,3373.27,92,,Percent of Total Billed Charges,2973.61,,2859.95,78,,Percent of Total Billed Charges,2859.95,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1973.73,53.83,,Percent of Total Billed Charges,1851.63,,1270.11,34.64,,Percent of Total Billed Charges,1264.98,,1832.57,49.98,,Percent of Total Billed Charges,1385.97,,1270.11,3373.27,,																																							
HC INJ FORAMEN EPIDURAL C/T,64479,CPT,,,,BOTH, , ,4228.35,3551.81,3890.08,92,,Percent of Total Billed Charges,3534.9,,3890.08,92,,Percent of Total Billed Charges,3471.48,,3890.08,92,,Percent of Total Billed Charges,3403.82,,3890.08,92,,Percent of Total Billed Charges,3530.67,,3890.08,92,,Percent of Total Billed Charges,3183.95,,3890.08,92,,Percent of Total Billed Charges,2642.72,,3805.52,90,,Percent of Total Billed Charges,2109.95,,3763.23,89,,Percent of Total Billed Charges,2029.61,,3484.16,82.4,,Percent of Total Billed Charges,3475.7,,3526.44,83.4,,Percent of Total Billed Charges,3289.66,,3526.44,83.4,,Percent of Total Billed Charges,2964.07,,3526.44,83.4,,Percent of Total Billed Charges,3441.88,,3805.52,90,,Percent of Total Billed Charges,3581.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3890.08,92,,Percent of Total Billed Charges,3429.19,,3890.08,92,,Percent of Total Billed Charges,3145.89,,3890.08,92,,Percent of Total Billed Charges,3310.8,,3890.08,92,,Percent of Total Billed Charges,3429.19,,3298.11,78,,Percent of Total Billed Charges,3298.11,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2276.12,53.83,,Percent of Total Billed Charges,2135.32,,1464.7,34.64,,Percent of Total Billed Charges,1458.78,,2113.33,49.98,,Percent of Total Billed Charges,1598.32,,1464.70,3890.08,,																																							
HC INJ FORAMEN EPIDURAL; CERVICAL OR THORACIC ADDON,64480,CPT,,,,BOTH, , ,6329.4,5316.7,5823.05,92,,Percent of Total Billed Charges,5291.38,,5823.05,92,,Percent of Total Billed Charges,5196.44,,5823.05,92,,Percent of Total Billed Charges,5095.17,,5823.05,92,,Percent of Total Billed Charges,5285.05,,5823.05,92,,Percent of Total Billed Charges,4766.04,,5823.05,92,,Percent of Total Billed Charges,3955.88,,5696.46,90,,Percent of Total Billed Charges,3158.37,,5633.17,89,,Percent of Total Billed Charges,3038.11,,5215.43,82.4,,Percent of Total Billed Charges,5202.77,,5278.72,83.4,,Percent of Total Billed Charges,4924.27,,5278.72,83.4,,Percent of Total Billed Charges,4436.91,,5278.72,83.4,,Percent of Total Billed Charges,5152.13,,5696.46,90,,Percent of Total Billed Charges,5361,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5823.05,92,,Percent of Total Billed Charges,5133.14,,5823.05,92,,Percent of Total Billed Charges,4709.07,,5823.05,92,,Percent of Total Billed Charges,4955.92,,5823.05,92,,Percent of Total Billed Charges,5133.14,,4936.93,78,,Percent of Total Billed Charges,4936.93,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3407.12,53.83,,Percent of Total Billed Charges,3196.35,,2192.5,34.64,,Percent of Total Billed Charges,2183.64,,3163.43,49.98,,Percent of Total Billed Charges,2392.51,,2192.50,5823.05,,																																							
HC INJ FORAMEN EPIDURAL L/S,64483,CPT,,,,BOTH, , ,4374.3,3674.41,4024.36,92,,Percent of Total Billed Charges,3656.91,,4024.36,92,,Percent of Total Billed Charges,3591.3,,4024.36,92,,Percent of Total Billed Charges,3521.31,,4024.36,92,,Percent of Total Billed Charges,3652.54,,4024.36,92,,Percent of Total Billed Charges,3293.85,,4024.36,92,,Percent of Total Billed Charges,2733.94,,3936.87,90,,Percent of Total Billed Charges,2182.78,,3893.13,89,,Percent of Total Billed Charges,2099.66,,3604.42,82.4,,Percent of Total Billed Charges,3595.67,,3648.17,83.4,,Percent of Total Billed Charges,3403.21,,3648.17,83.4,,Percent of Total Billed Charges,3066.38,,3648.17,83.4,,Percent of Total Billed Charges,3560.68,,3936.87,90,,Percent of Total Billed Charges,3705.03,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4024.36,92,,Percent of Total Billed Charges,3547.56,,4024.36,92,,Percent of Total Billed Charges,3254.48,,4024.36,92,,Percent of Total Billed Charges,3425.08,,4024.36,92,,Percent of Total Billed Charges,3547.56,,3411.95,78,,Percent of Total Billed Charges,3411.95,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2354.69,53.83,,Percent of Total Billed Charges,2209.02,,1515.26,34.64,,Percent of Total Billed Charges,1509.13,,2186.28,49.98,,Percent of Total Billed Charges,1653.49,,1515.26,4024.36,,																																							
HC CISTERNOGRAPHY,70015,CPT,,,,BOTH, , ,137.55,115.54,96.29,92,,Percent of Total Billed Charges,114.99,,96.29,92,,Percent of Total Billed Charges,112.93,,96.29,92,,Percent of Total Billed Charges,110.73,,96.29,92,,Percent of Total Billed Charges,114.85,,96.29,92,,Percent of Total Billed Charges,103.58,,96.29,92,,Percent of Total Billed Charges,85.97,,123.8,90,,Percent of Total Billed Charges,68.64,,122.42,89,,Percent of Total Billed Charges,66.02,,113.34,82.4,,Percent of Total Billed Charges,113.07,,114.72,83.4,,Percent of Total Billed Charges,107.01,,114.72,83.4,,Percent of Total Billed Charges,96.42,,114.72,83.4,,Percent of Total Billed Charges,111.97,,123.8,90,,Percent of Total Billed Charges,116.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,126.55,92,,Percent of Total Billed Charges,111.55,,126.55,92,,Percent of Total Billed Charges,102.34,,126.55,92,,Percent of Total Billed Charges,107.7,,126.55,92,,Percent of Total Billed Charges,111.55,,107.29,78,,Percent of Total Billed Charges,107.29,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,74.04,53.83,,Percent of Total Billed Charges,69.46,,47.65,34.64,,Percent of Total Billed Charges,47.45,,68.75,49.98,,Percent of Total Billed Charges,51.99,,47.65,126.55,,																																							
HC EYE DETECTION (FB),70030,CPT,,,,BOTH, , ,521.85,438.35,365.3,92,,Percent of Total Billed Charges,436.27,,365.3,92,,Percent of Total Billed Charges,428.44,,365.3,92,,Percent of Total Billed Charges,420.09,,365.3,92,,Percent of Total Billed Charges,435.74,,365.3,92,,Percent of Total Billed Charges,392.95,,365.3,92,,Percent of Total Billed Charges,326.16,,469.67,90,,Percent of Total Billed Charges,260.4,,464.45,89,,Percent of Total Billed Charges,250.49,,430,82.4,,Percent of Total Billed Charges,428.96,,435.22,83.4,,Percent of Total Billed Charges,406,,435.22,83.4,,Percent of Total Billed Charges,365.82,,435.22,83.4,,Percent of Total Billed Charges,424.79,,469.67,90,,Percent of Total Billed Charges,442.01,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,480.1,92,,Percent of Total Billed Charges,423.22,,480.1,92,,Percent of Total Billed Charges,388.26,,480.1,92,,Percent of Total Billed Charges,408.61,,480.1,92,,Percent of Total Billed Charges,423.22,,407.04,78,,Percent of Total Billed Charges,407.04,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,280.91,53.83,,Percent of Total Billed Charges,263.53,,180.77,34.64,,Percent of Total Billed Charges,180.04,,260.82,49.98,,Percent of Total Billed Charges,197.26,,180.77,480.1,,																																							
HC MANDIBLE <4 VIEWS,70100,CPT,,,,BOTH, , ,40.95,34.4,28.67,92,,Percent of Total Billed Charges,34.23,,28.67,92,,Percent of Total Billed Charges,33.62,,28.67,92,,Percent of Total Billed Charges,32.96,,28.67,92,,Percent of Total Billed Charges,34.19,,28.67,92,,Percent of Total Billed Charges,30.84,,28.67,92,,Percent of Total Billed Charges,25.59,,36.86,90,,Percent of Total Billed Charges,20.43,,36.45,89,,Percent of Total Billed Charges,19.66,,33.74,82.4,,Percent of Total Billed Charges,33.66,,34.15,83.4,,Percent of Total Billed Charges,31.86,,34.15,83.4,,Percent of Total Billed Charges,28.71,,34.15,83.4,,Percent of Total Billed Charges,33.33,,36.86,90,,Percent of Total Billed Charges,34.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,37.67,92,,Percent of Total Billed Charges,33.21,,37.67,92,,Percent of Total Billed Charges,30.47,,37.67,92,,Percent of Total Billed Charges,32.06,,37.67,92,,Percent of Total Billed Charges,33.21,,31.94,78,,Percent of Total Billed Charges,31.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,22.04,53.83,,Percent of Total Billed Charges,20.68,,14.19,34.64,,Percent of Total Billed Charges,14.13,,20.47,49.98,,Percent of Total Billed Charges,15.48,,14.19,37.67,,																																							
HC MANDIBLEMIN 4 VIEWS,70110,CPT,,,,BOTH, , ,465.15,390.73,325.61,92,,Percent of Total Billed Charges,388.87,,325.61,92,,Percent of Total Billed Charges,381.89,,325.61,92,,Percent of Total Billed Charges,374.45,,325.61,92,,Percent of Total Billed Charges,388.4,,325.61,92,,Percent of Total Billed Charges,350.26,,325.61,92,,Percent of Total Billed Charges,290.72,,418.64,90,,Percent of Total Billed Charges,232.11,,413.98,89,,Percent of Total Billed Charges,223.27,,383.28,82.4,,Percent of Total Billed Charges,382.35,,387.94,83.4,,Percent of Total Billed Charges,361.89,,387.94,83.4,,Percent of Total Billed Charges,326.07,,387.94,83.4,,Percent of Total Billed Charges,378.63,,418.64,90,,Percent of Total Billed Charges,393.98,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,427.94,92,,Percent of Total Billed Charges,377.24,,427.94,92,,Percent of Total Billed Charges,346.07,,427.94,92,,Percent of Total Billed Charges,364.21,,427.94,92,,Percent of Total Billed Charges,377.24,,362.82,78,,Percent of Total Billed Charges,362.82,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,250.39,53.83,,Percent of Total Billed Charges,234.9,,161.13,34.64,,Percent of Total Billed Charges,160.48,,232.48,49.98,,Percent of Total Billed Charges,175.83,,161.13,427.94,,																																							
HC MASTOIDSMIN 3 VIEWS,70130,CPT,,,,BOTH, , ,40.95,34.4,28.67,92,,Percent of Total Billed Charges,34.23,,28.67,92,,Percent of Total Billed Charges,33.62,,28.67,92,,Percent of Total Billed Charges,32.96,,28.67,92,,Percent of Total Billed Charges,34.19,,28.67,92,,Percent of Total Billed Charges,30.84,,28.67,92,,Percent of Total Billed Charges,25.59,,36.86,90,,Percent of Total Billed Charges,20.43,,36.45,89,,Percent of Total Billed Charges,19.66,,33.74,82.4,,Percent of Total Billed Charges,33.66,,34.15,83.4,,Percent of Total Billed Charges,31.86,,34.15,83.4,,Percent of Total Billed Charges,28.71,,34.15,83.4,,Percent of Total Billed Charges,33.33,,36.86,90,,Percent of Total Billed Charges,34.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,37.67,92,,Percent of Total Billed Charges,33.21,,37.67,92,,Percent of Total Billed Charges,30.47,,37.67,92,,Percent of Total Billed Charges,32.06,,37.67,92,,Percent of Total Billed Charges,33.21,,31.94,78,,Percent of Total Billed Charges,31.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,22.04,53.83,,Percent of Total Billed Charges,20.68,,14.19,34.64,,Percent of Total Billed Charges,14.13,,20.47,49.98,,Percent of Total Billed Charges,15.48,,14.19,37.67,,																																							
HC FACIAL BONES<3 VIEWS,70140,CPT,,,,BOTH, , ,532.35,447.17,372.65,92,,Percent of Total Billed Charges,445.04,,372.65,92,,Percent of Total Billed Charges,437.06,,372.65,92,,Percent of Total Billed Charges,428.54,,372.65,92,,Percent of Total Billed Charges,444.51,,372.65,92,,Percent of Total Billed Charges,400.86,,372.65,92,,Percent of Total Billed Charges,332.72,,479.12,90,,Percent of Total Billed Charges,265.64,,473.79,89,,Percent of Total Billed Charges,255.53,,438.66,82.4,,Percent of Total Billed Charges,437.59,,443.98,83.4,,Percent of Total Billed Charges,414.17,,443.98,83.4,,Percent of Total Billed Charges,373.18,,443.98,83.4,,Percent of Total Billed Charges,433.33,,479.12,90,,Percent of Total Billed Charges,450.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,489.76,92,,Percent of Total Billed Charges,431.74,,489.76,92,,Percent of Total Billed Charges,396.07,,489.76,92,,Percent of Total Billed Charges,416.83,,489.76,92,,Percent of Total Billed Charges,431.74,,415.23,78,,Percent of Total Billed Charges,415.23,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,286.56,53.83,,Percent of Total Billed Charges,268.84,,184.41,34.64,,Percent of Total Billed Charges,183.66,,266.07,49.98,,Percent of Total Billed Charges,201.23,,184.41,489.76,,																																							
HC FACIAL BONESMIN 3 VIEW,70150,CPT,,,,BOTH, , ,563.85,473.63,394.7,92,,Percent of Total Billed Charges,471.38,,394.7,92,,Percent of Total Billed Charges,462.92,,394.7,92,,Percent of Total Billed Charges,453.9,,394.7,92,,Percent of Total Billed Charges,470.81,,394.7,92,,Percent of Total Billed Charges,424.58,,394.7,92,,Percent of Total Billed Charges,352.41,,507.47,90,,Percent of Total Billed Charges,281.36,,501.83,89,,Percent of Total Billed Charges,270.65,,464.61,82.4,,Percent of Total Billed Charges,463.48,,470.25,83.4,,Percent of Total Billed Charges,438.68,,470.25,83.4,,Percent of Total Billed Charges,395.26,,470.25,83.4,,Percent of Total Billed Charges,458.97,,507.47,90,,Percent of Total Billed Charges,477.58,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,518.74,92,,Percent of Total Billed Charges,457.28,,518.74,92,,Percent of Total Billed Charges,419.5,,518.74,92,,Percent of Total Billed Charges,441.49,,518.74,92,,Percent of Total Billed Charges,457.28,,439.8,78,,Percent of Total Billed Charges,439.8,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,303.52,53.83,,Percent of Total Billed Charges,284.74,,195.32,34.64,,Percent of Total Billed Charges,194.53,,281.81,49.98,,Percent of Total Billed Charges,213.14,,195.32,518.74,,																																							
HC NASAL BONES,70160,CPT,,,,BOTH, , ,40.95,34.4,28.67,92,,Percent of Total Billed Charges,34.23,,28.67,92,,Percent of Total Billed Charges,33.62,,28.67,92,,Percent of Total Billed Charges,32.96,,28.67,92,,Percent of Total Billed Charges,34.19,,28.67,92,,Percent of Total Billed Charges,30.84,,28.67,92,,Percent of Total Billed Charges,25.59,,36.86,90,,Percent of Total Billed Charges,20.43,,36.45,89,,Percent of Total Billed Charges,19.66,,33.74,82.4,,Percent of Total Billed Charges,33.66,,34.15,83.4,,Percent of Total Billed Charges,31.86,,34.15,83.4,,Percent of Total Billed Charges,28.71,,34.15,83.4,,Percent of Total Billed Charges,33.33,,36.86,90,,Percent of Total Billed Charges,34.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,37.67,92,,Percent of Total Billed Charges,33.21,,37.67,92,,Percent of Total Billed Charges,30.47,,37.67,92,,Percent of Total Billed Charges,32.06,,37.67,92,,Percent of Total Billed Charges,33.21,,31.94,78,,Percent of Total Billed Charges,31.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,22.04,53.83,,Percent of Total Billed Charges,20.68,,14.19,34.64,,Percent of Total Billed Charges,14.13,,20.47,49.98,,Percent of Total Billed Charges,15.48,,14.19,37.67,,																																							
HC ORBITS COMPLETE,70200,CPT,,,,BOTH, , ,570.15,478.93,399.11,92,,Percent of Total Billed Charges,476.65,,399.11,92,,Percent of Total Billed Charges,468.09,,399.11,92,,Percent of Total Billed Charges,458.97,,399.11,92,,Percent of Total Billed Charges,476.08,,399.11,92,,Percent of Total Billed Charges,429.32,,399.11,92,,Percent of Total Billed Charges,356.34,,513.14,90,,Percent of Total Billed Charges,284.5,,507.43,89,,Percent of Total Billed Charges,273.67,,469.8,82.4,,Percent of Total Billed Charges,468.66,,475.51,83.4,,Percent of Total Billed Charges,443.58,,475.51,83.4,,Percent of Total Billed Charges,399.68,,475.51,83.4,,Percent of Total Billed Charges,464.1,,513.14,90,,Percent of Total Billed Charges,482.92,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,524.54,92,,Percent of Total Billed Charges,462.39,,524.54,92,,Percent of Total Billed Charges,424.19,,524.54,92,,Percent of Total Billed Charges,446.43,,524.54,92,,Percent of Total Billed Charges,462.39,,444.72,78,,Percent of Total Billed Charges,444.72,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,306.91,53.83,,Percent of Total Billed Charges,287.93,,197.5,34.64,,Percent of Total Billed Charges,196.7,,284.96,49.98,,Percent of Total Billed Charges,215.52,,197.50,524.54,,																																							
HC SINUS 2 VIEW,70210,CPT,,,,BOTH, , ,342.3,287.53,239.61,92,,Percent of Total Billed Charges,286.16,,239.61,92,,Percent of Total Billed Charges,281.03,,239.61,92,,Percent of Total Billed Charges,275.55,,239.61,92,,Percent of Total Billed Charges,285.82,,239.61,92,,Percent of Total Billed Charges,257.75,,239.61,92,,Percent of Total Billed Charges,213.94,,308.07,90,,Percent of Total Billed Charges,170.81,,304.65,89,,Percent of Total Billed Charges,164.3,,282.06,82.4,,Percent of Total Billed Charges,281.37,,285.48,83.4,,Percent of Total Billed Charges,266.31,,285.48,83.4,,Percent of Total Billed Charges,239.95,,285.48,83.4,,Percent of Total Billed Charges,278.63,,308.07,90,,Percent of Total Billed Charges,289.93,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,314.92,92,,Percent of Total Billed Charges,277.61,,314.92,92,,Percent of Total Billed Charges,254.67,,314.92,92,,Percent of Total Billed Charges,268.02,,314.92,92,,Percent of Total Billed Charges,277.61,,266.99,78,,Percent of Total Billed Charges,266.99,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,184.26,53.83,,Percent of Total Billed Charges,172.86,,118.57,34.64,,Percent of Total Billed Charges,118.09,,171.08,49.98,,Percent of Total Billed Charges,129.39,,118.57,314.92,,																																							
HC SINUS COMPLETE,70220,CPT,,,,BOTH, , ,40.95,34.4,28.67,92,,Percent of Total Billed Charges,34.23,,28.67,92,,Percent of Total Billed Charges,33.62,,28.67,92,,Percent of Total Billed Charges,32.96,,28.67,92,,Percent of Total Billed Charges,34.19,,28.67,92,,Percent of Total Billed Charges,30.84,,28.67,92,,Percent of Total Billed Charges,25.59,,36.86,90,,Percent of Total Billed Charges,20.43,,36.45,89,,Percent of Total Billed Charges,19.66,,33.74,82.4,,Percent of Total Billed Charges,33.66,,34.15,83.4,,Percent of Total Billed Charges,31.86,,34.15,83.4,,Percent of Total Billed Charges,28.71,,34.15,83.4,,Percent of Total Billed Charges,33.33,,36.86,90,,Percent of Total Billed Charges,34.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,37.67,92,,Percent of Total Billed Charges,33.21,,37.67,92,,Percent of Total Billed Charges,30.47,,37.67,92,,Percent of Total Billed Charges,32.06,,37.67,92,,Percent of Total Billed Charges,33.21,,31.94,78,,Percent of Total Billed Charges,31.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,22.04,53.83,,Percent of Total Billed Charges,20.68,,14.19,34.64,,Percent of Total Billed Charges,14.13,,20.47,49.98,,Percent of Total Billed Charges,15.48,,14.19,37.67,,																																							
HC SKULL LIMITED,70250,CPT,,,,BOTH, , ,40.95,34.4,28.67,92,,Percent of Total Billed Charges,34.23,,28.67,92,,Percent of Total Billed Charges,33.62,,28.67,92,,Percent of Total Billed Charges,32.96,,28.67,92,,Percent of Total Billed Charges,34.19,,28.67,92,,Percent of Total Billed Charges,30.84,,28.67,92,,Percent of Total Billed Charges,25.59,,36.86,90,,Percent of Total Billed Charges,20.43,,36.45,89,,Percent of Total Billed Charges,19.66,,33.74,82.4,,Percent of Total Billed Charges,33.66,,34.15,83.4,,Percent of Total Billed Charges,31.86,,34.15,83.4,,Percent of Total Billed Charges,28.71,,34.15,83.4,,Percent of Total Billed Charges,33.33,,36.86,90,,Percent of Total Billed Charges,34.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,37.67,92,,Percent of Total Billed Charges,33.21,,37.67,92,,Percent of Total Billed Charges,30.47,,37.67,92,,Percent of Total Billed Charges,32.06,,37.67,92,,Percent of Total Billed Charges,33.21,,31.94,78,,Percent of Total Billed Charges,31.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,22.04,53.83,,Percent of Total Billed Charges,20.68,,14.19,34.64,,Percent of Total Billed Charges,14.13,,20.47,49.98,,Percent of Total Billed Charges,15.48,,14.19,37.67,,																																							
HC SKULL,70260,CPT,,,,BOTH, , ,684.6,575.06,479.22,92,,Percent of Total Billed Charges,572.33,,479.22,92,,Percent of Total Billed Charges,562.06,,479.22,92,,Percent of Total Billed Charges,551.1,,479.22,92,,Percent of Total Billed Charges,571.64,,479.22,92,,Percent of Total Billed Charges,515.5,,479.22,92,,Percent of Total Billed Charges,427.88,,616.14,90,,Percent of Total Billed Charges,341.62,,609.29,89,,Percent of Total Billed Charges,328.61,,564.11,82.4,,Percent of Total Billed Charges,562.74,,570.96,83.4,,Percent of Total Billed Charges,532.62,,570.96,83.4,,Percent of Total Billed Charges,479.9,,570.96,83.4,,Percent of Total Billed Charges,557.26,,616.14,90,,Percent of Total Billed Charges,579.86,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,629.83,92,,Percent of Total Billed Charges,555.21,,629.83,92,,Percent of Total Billed Charges,509.34,,629.83,92,,Percent of Total Billed Charges,536.04,,629.83,92,,Percent of Total Billed Charges,555.21,,533.99,78,,Percent of Total Billed Charges,533.99,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,368.52,53.83,,Percent of Total Billed Charges,345.72,,237.15,34.64,,Percent of Total Billed Charges,236.19,,342.16,49.98,,Percent of Total Billed Charges,258.78,,237.15,629.83,,																																							
HC TEMPOROMANDIBULAR JOINT,70330,CPT,,,,BOTH, , ,40.95,34.4,28.67,92,,Percent of Total Billed Charges,34.23,,28.67,92,,Percent of Total Billed Charges,33.62,,28.67,92,,Percent of Total Billed Charges,32.96,,28.67,92,,Percent of Total Billed Charges,34.19,,28.67,92,,Percent of Total Billed Charges,30.84,,28.67,92,,Percent of Total Billed Charges,25.59,,36.86,90,,Percent of Total Billed Charges,20.43,,36.45,89,,Percent of Total Billed Charges,19.66,,33.74,82.4,,Percent of Total Billed Charges,33.66,,34.15,83.4,,Percent of Total Billed Charges,31.86,,34.15,83.4,,Percent of Total Billed Charges,28.71,,34.15,83.4,,Percent of Total Billed Charges,33.33,,36.86,90,,Percent of Total Billed Charges,34.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,37.67,92,,Percent of Total Billed Charges,33.21,,37.67,92,,Percent of Total Billed Charges,30.47,,37.67,92,,Percent of Total Billed Charges,32.06,,37.67,92,,Percent of Total Billed Charges,33.21,,31.94,78,,Percent of Total Billed Charges,31.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,22.04,53.83,,Percent of Total Billed Charges,20.68,,14.19,34.64,,Percent of Total Billed Charges,14.13,,20.47,49.98,,Percent of Total Billed Charges,15.48,,14.19,37.67,,																																							
HC CEPHALOGRAM ORTHODONTC,70350,CPT,,,,BOTH, , ,43.05,36.16,30.14,92,,Percent of Total Billed Charges,35.99,,30.14,92,,Percent of Total Billed Charges,35.34,,30.14,92,,Percent of Total Billed Charges,34.66,,30.14,92,,Percent of Total Billed Charges,35.95,,30.14,92,,Percent of Total Billed Charges,32.42,,30.14,92,,Percent of Total Billed Charges,26.91,,38.75,90,,Percent of Total Billed Charges,21.48,,38.31,89,,Percent of Total Billed Charges,20.66,,35.47,82.4,,Percent of Total Billed Charges,35.39,,35.9,83.4,,Percent of Total Billed Charges,33.49,,35.9,83.4,,Percent of Total Billed Charges,30.18,,35.9,83.4,,Percent of Total Billed Charges,35.04,,38.75,90,,Percent of Total Billed Charges,36.46,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,39.61,92,,Percent of Total Billed Charges,34.91,,39.61,92,,Percent of Total Billed Charges,32.03,,39.61,92,,Percent of Total Billed Charges,33.71,,39.61,92,,Percent of Total Billed Charges,34.91,,33.58,78,,Percent of Total Billed Charges,33.58,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,23.17,53.83,,Percent of Total Billed Charges,21.74,,14.91,34.64,,Percent of Total Billed Charges,14.85,,21.52,49.98,,Percent of Total Billed Charges,16.27,,14.91,39.61,,																																							
HC ORTHOPANTOMOGRAM,70355,CPT,,,,BOTH, , ,40.95,34.4,28.67,92,,Percent of Total Billed Charges,34.23,,28.67,92,,Percent of Total Billed Charges,33.62,,28.67,92,,Percent of Total Billed Charges,32.96,,28.67,92,,Percent of Total Billed Charges,34.19,,28.67,92,,Percent of Total Billed Charges,30.84,,28.67,92,,Percent of Total Billed Charges,25.59,,36.86,90,,Percent of Total Billed Charges,20.43,,36.45,89,,Percent of Total Billed Charges,19.66,,33.74,82.4,,Percent of Total Billed Charges,33.66,,34.15,83.4,,Percent of Total Billed Charges,31.86,,34.15,83.4,,Percent of Total Billed Charges,28.71,,34.15,83.4,,Percent of Total Billed Charges,33.33,,36.86,90,,Percent of Total Billed Charges,34.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,37.67,92,,Percent of Total Billed Charges,33.21,,37.67,92,,Percent of Total Billed Charges,30.47,,37.67,92,,Percent of Total Billed Charges,32.06,,37.67,92,,Percent of Total Billed Charges,33.21,,31.94,78,,Percent of Total Billed Charges,31.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,22.04,53.83,,Percent of Total Billed Charges,20.68,,14.19,34.64,,Percent of Total Billed Charges,14.13,,20.47,49.98,,Percent of Total Billed Charges,15.48,,14.19,37.67,,																																							
HC NECK SOFT TISSUE,70360,CPT,,,,BOTH, , ,373.8,313.99,261.66,92,,Percent of Total Billed Charges,312.5,,261.66,92,,Percent of Total Billed Charges,306.89,,261.66,92,,Percent of Total Billed Charges,300.91,,261.66,92,,Percent of Total Billed Charges,312.12,,261.66,92,,Percent of Total Billed Charges,281.47,,261.66,92,,Percent of Total Billed Charges,233.63,,336.42,90,,Percent of Total Billed Charges,186.53,,332.68,89,,Percent of Total Billed Charges,179.42,,308.01,82.4,,Percent of Total Billed Charges,307.26,,311.75,83.4,,Percent of Total Billed Charges,290.82,,311.75,83.4,,Percent of Total Billed Charges,262.03,,311.75,83.4,,Percent of Total Billed Charges,304.27,,336.42,90,,Percent of Total Billed Charges,316.61,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,343.9,92,,Percent of Total Billed Charges,303.15,,343.9,92,,Percent of Total Billed Charges,278.11,,343.9,92,,Percent of Total Billed Charges,292.69,,343.9,92,,Percent of Total Billed Charges,303.15,,291.56,78,,Percent of Total Billed Charges,291.56,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,201.22,53.83,,Percent of Total Billed Charges,188.77,,129.48,34.64,,Percent of Total Billed Charges,128.96,,186.83,49.98,,Percent of Total Billed Charges,141.3,,129.48,343.9,,																																							
HC SIALOGRAM,70390,CPT,,,,BOTH, , ,1492.05,1253.32,1044.44,92,,Percent of Total Billed Charges,1247.35,,1044.44,92,,Percent of Total Billed Charges,1224.97,,1044.44,92,,Percent of Total Billed Charges,1201.1,,1044.44,92,,Percent of Total Billed Charges,1245.86,,1044.44,92,,Percent of Total Billed Charges,1123.51,,1044.44,92,,Percent of Total Billed Charges,932.53,,1342.85,90,,Percent of Total Billed Charges,744.53,,1327.92,89,,Percent of Total Billed Charges,716.18,,1229.45,82.4,,Percent of Total Billed Charges,1226.47,,1244.37,83.4,,Percent of Total Billed Charges,1160.81,,1244.37,83.4,,Percent of Total Billed Charges,1045.93,,1244.37,83.4,,Percent of Total Billed Charges,1214.53,,1342.85,90,,Percent of Total Billed Charges,1263.77,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1372.69,92,,Percent of Total Billed Charges,1210.05,,1372.69,92,,Percent of Total Billed Charges,1110.09,,1372.69,92,,Percent of Total Billed Charges,1168.28,,1372.69,92,,Percent of Total Billed Charges,1210.05,,1163.8,78,,Percent of Total Billed Charges,1163.8,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,803.17,53.83,,Percent of Total Billed Charges,753.49,,516.85,34.64,,Percent of Total Billed Charges,514.76,,745.73,49.98,,Percent of Total Billed Charges,563.99,,516.85,1372.69,,																																							
HC RIBS WO/PA CHEST,71100,CPT,,,,BOTH, , ,40.95,34.4,28.67,92,,Percent of Total Billed Charges,34.23,,28.67,92,,Percent of Total Billed Charges,33.62,,28.67,92,,Percent of Total Billed Charges,32.96,,28.67,92,,Percent of Total Billed Charges,34.19,,28.67,92,,Percent of Total Billed Charges,30.84,,28.67,92,,Percent of Total Billed Charges,25.59,,36.86,90,,Percent of Total Billed Charges,20.43,,36.45,89,,Percent of Total Billed Charges,19.66,,33.74,82.4,,Percent of Total Billed Charges,33.66,,34.15,83.4,,Percent of Total Billed Charges,31.86,,34.15,83.4,,Percent of Total Billed Charges,28.71,,34.15,83.4,,Percent of Total Billed Charges,33.33,,36.86,90,,Percent of Total Billed Charges,34.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,37.67,92,,Percent of Total Billed Charges,33.21,,37.67,92,,Percent of Total Billed Charges,30.47,,37.67,92,,Percent of Total Billed Charges,32.06,,37.67,92,,Percent of Total Billed Charges,33.21,,31.94,78,,Percent of Total Billed Charges,31.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,22.04,53.83,,Percent of Total Billed Charges,20.68,,14.19,34.64,,Percent of Total Billed Charges,14.13,,20.47,49.98,,Percent of Total Billed Charges,15.48,,14.19,37.67,,																																							
HC RIBS W/PA CHEST,71101,CPT,,,,BOTH, , ,465.15,390.73,325.61,92,,Percent of Total Billed Charges,388.87,,325.61,92,,Percent of Total Billed Charges,381.89,,325.61,92,,Percent of Total Billed Charges,374.45,,325.61,92,,Percent of Total Billed Charges,388.4,,325.61,92,,Percent of Total Billed Charges,350.26,,325.61,92,,Percent of Total Billed Charges,290.72,,418.64,90,,Percent of Total Billed Charges,232.11,,413.98,89,,Percent of Total Billed Charges,223.27,,383.28,82.4,,Percent of Total Billed Charges,382.35,,387.94,83.4,,Percent of Total Billed Charges,361.89,,387.94,83.4,,Percent of Total Billed Charges,326.07,,387.94,83.4,,Percent of Total Billed Charges,378.63,,418.64,90,,Percent of Total Billed Charges,393.98,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,427.94,92,,Percent of Total Billed Charges,377.24,,427.94,92,,Percent of Total Billed Charges,346.07,,427.94,92,,Percent of Total Billed Charges,364.21,,427.94,92,,Percent of Total Billed Charges,377.24,,362.82,78,,Percent of Total Billed Charges,362.82,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,250.39,53.83,,Percent of Total Billed Charges,234.9,,161.13,34.64,,Percent of Total Billed Charges,160.48,,232.48,49.98,,Percent of Total Billed Charges,175.83,,161.13,427.94,,																																							
HC XRAY EXAM BREASTBONE 2/>VWS,71120,CPT,,,,BOTH, , ,568.05,477.16,397.64,92,,Percent of Total Billed Charges,474.89,,397.64,92,,Percent of Total Billed Charges,466.37,,397.64,92,,Percent of Total Billed Charges,457.28,,397.64,92,,Percent of Total Billed Charges,474.32,,397.64,92,,Percent of Total Billed Charges,427.74,,397.64,92,,Percent of Total Billed Charges,355.03,,511.25,90,,Percent of Total Billed Charges,283.46,,505.56,89,,Percent of Total Billed Charges,272.66,,468.07,82.4,,Percent of Total Billed Charges,466.94,,473.75,83.4,,Percent of Total Billed Charges,441.94,,473.75,83.4,,Percent of Total Billed Charges,398.2,,473.75,83.4,,Percent of Total Billed Charges,462.39,,511.25,90,,Percent of Total Billed Charges,481.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,522.61,92,,Percent of Total Billed Charges,460.69,,522.61,92,,Percent of Total Billed Charges,422.63,,522.61,92,,Percent of Total Billed Charges,444.78,,522.61,92,,Percent of Total Billed Charges,460.69,,443.08,78,,Percent of Total Billed Charges,443.08,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,305.78,53.83,,Percent of Total Billed Charges,286.87,,196.77,34.64,,Percent of Total Billed Charges,195.98,,283.91,49.98,,Percent of Total Billed Charges,214.72,,196.77,522.61,,																																							
HC STERNOCLAVICULAR JOINTS,71130,CPT,,,,BOTH, , ,499.8,419.83,349.86,92,,Percent of Total Billed Charges,417.83,,349.86,92,,Percent of Total Billed Charges,410.34,,349.86,92,,Percent of Total Billed Charges,402.34,,349.86,92,,Percent of Total Billed Charges,417.33,,349.86,92,,Percent of Total Billed Charges,376.35,,349.86,92,,Percent of Total Billed Charges,312.38,,449.82,90,,Percent of Total Billed Charges,249.4,,444.82,89,,Percent of Total Billed Charges,239.9,,411.84,82.4,,Percent of Total Billed Charges,410.84,,416.83,83.4,,Percent of Total Billed Charges,388.84,,416.83,83.4,,Percent of Total Billed Charges,350.36,,416.83,83.4,,Percent of Total Billed Charges,406.84,,449.82,90,,Percent of Total Billed Charges,423.33,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,459.82,92,,Percent of Total Billed Charges,405.34,,459.82,92,,Percent of Total Billed Charges,371.85,,459.82,92,,Percent of Total Billed Charges,391.34,,459.82,92,,Percent of Total Billed Charges,405.34,,389.84,78,,Percent of Total Billed Charges,389.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,269.04,53.83,,Percent of Total Billed Charges,252.4,,173.13,34.64,,Percent of Total Billed Charges,172.43,,249.8,49.98,,Percent of Total Billed Charges,188.92,,173.13,459.82,,																																							
HC XRAY EXAM ENTIRE SPINE 2/3 VIEWS,72082,CPT,,,,BOTH, , ,610.05,512.44,427.04,92,,Percent of Total Billed Charges,510,,427.04,92,,Percent of Total Billed Charges,500.85,,427.04,92,,Percent of Total Billed Charges,491.09,,427.04,92,,Percent of Total Billed Charges,509.39,,427.04,92,,Percent of Total Billed Charges,459.37,,427.04,92,,Percent of Total Billed Charges,381.28,,549.05,90,,Percent of Total Billed Charges,304.41,,542.94,89,,Percent of Total Billed Charges,292.82,,502.68,82.4,,Percent of Total Billed Charges,501.46,,508.78,83.4,,Percent of Total Billed Charges,474.62,,508.78,83.4,,Percent of Total Billed Charges,427.65,,508.78,83.4,,Percent of Total Billed Charges,496.58,,549.05,90,,Percent of Total Billed Charges,516.71,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,561.25,92,,Percent of Total Billed Charges,494.75,,561.25,92,,Percent of Total Billed Charges,453.88,,561.25,92,,Percent of Total Billed Charges,477.67,,561.25,92,,Percent of Total Billed Charges,494.75,,475.84,78,,Percent of Total Billed Charges,475.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,328.39,53.83,,Percent of Total Billed Charges,308.08,,211.32,34.64,,Percent of Total Billed Charges,210.47,,304.9,49.98,,Percent of Total Billed Charges,230.6,,211.32,561.25,,																																							
HC SPINE SINGLE VIEW ANY LEVEL,72020,CPT,,,,BOTH, , ,570.15,478.93,399.11,92,,Percent of Total Billed Charges,476.65,,399.11,92,,Percent of Total Billed Charges,468.09,,399.11,92,,Percent of Total Billed Charges,458.97,,399.11,92,,Percent of Total Billed Charges,476.08,,399.11,92,,Percent of Total Billed Charges,429.32,,399.11,92,,Percent of Total Billed Charges,356.34,,513.14,90,,Percent of Total Billed Charges,284.5,,507.43,89,,Percent of Total Billed Charges,273.67,,469.8,82.4,,Percent of Total Billed Charges,468.66,,475.51,83.4,,Percent of Total Billed Charges,443.58,,475.51,83.4,,Percent of Total Billed Charges,399.68,,475.51,83.4,,Percent of Total Billed Charges,464.1,,513.14,90,,Percent of Total Billed Charges,482.92,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,524.54,92,,Percent of Total Billed Charges,462.39,,524.54,92,,Percent of Total Billed Charges,424.19,,524.54,92,,Percent of Total Billed Charges,446.43,,524.54,92,,Percent of Total Billed Charges,462.39,,444.72,78,,Percent of Total Billed Charges,444.72,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,306.91,53.83,,Percent of Total Billed Charges,287.93,,197.5,34.64,,Percent of Total Billed Charges,196.7,,284.96,49.98,,Percent of Total Billed Charges,215.52,,197.50,524.54,,																																							
HC SPINE CERVICAL 23 VIEW,72040,CPT,,,,BOTH, , ,570.15,478.93,399.11,92,,Percent of Total Billed Charges,476.65,,399.11,92,,Percent of Total Billed Charges,468.09,,399.11,92,,Percent of Total Billed Charges,458.97,,399.11,92,,Percent of Total Billed Charges,476.08,,399.11,92,,Percent of Total Billed Charges,429.32,,399.11,92,,Percent of Total Billed Charges,356.34,,513.14,90,,Percent of Total Billed Charges,284.5,,507.43,89,,Percent of Total Billed Charges,273.67,,469.8,82.4,,Percent of Total Billed Charges,468.66,,475.51,83.4,,Percent of Total Billed Charges,443.58,,475.51,83.4,,Percent of Total Billed Charges,399.68,,475.51,83.4,,Percent of Total Billed Charges,464.1,,513.14,90,,Percent of Total Billed Charges,482.92,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,524.54,92,,Percent of Total Billed Charges,462.39,,524.54,92,,Percent of Total Billed Charges,424.19,,524.54,92,,Percent of Total Billed Charges,446.43,,524.54,92,,Percent of Total Billed Charges,462.39,,444.72,78,,Percent of Total Billed Charges,444.72,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,306.91,53.83,,Percent of Total Billed Charges,287.93,,197.5,34.64,,Percent of Total Billed Charges,196.7,,284.96,49.98,,Percent of Total Billed Charges,215.52,,197.50,524.54,,																																							
HC SPINE CERVICAL 45 VIEW,72050,CPT,,,,BOTH, , ,953.4,800.86,667.38,92,,Percent of Total Billed Charges,797.04,,667.38,92,,Percent of Total Billed Charges,782.74,,667.38,92,,Percent of Total Billed Charges,767.49,,667.38,92,,Percent of Total Billed Charges,796.09,,667.38,92,,Percent of Total Billed Charges,717.91,,667.38,92,,Percent of Total Billed Charges,595.88,,858.06,90,,Percent of Total Billed Charges,475.75,,848.53,89,,Percent of Total Billed Charges,457.63,,785.6,82.4,,Percent of Total Billed Charges,783.69,,795.14,83.4,,Percent of Total Billed Charges,741.75,,795.14,83.4,,Percent of Total Billed Charges,668.33,,795.14,83.4,,Percent of Total Billed Charges,776.07,,858.06,90,,Percent of Total Billed Charges,807.53,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,877.13,92,,Percent of Total Billed Charges,773.21,,877.13,92,,Percent of Total Billed Charges,709.33,,877.13,92,,Percent of Total Billed Charges,746.51,,877.13,92,,Percent of Total Billed Charges,773.21,,743.65,78,,Percent of Total Billed Charges,743.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,513.22,53.83,,Percent of Total Billed Charges,481.47,,330.26,34.64,,Percent of Total Billed Charges,328.92,,476.51,49.98,,Percent of Total Billed Charges,360.39,,330.26,877.13,,																																							
HC SPINE CERVICAL 67 VIEW,72052,CPT,,,,BOTH, , ,953.4,800.86,667.38,92,,Percent of Total Billed Charges,797.04,,667.38,92,,Percent of Total Billed Charges,782.74,,667.38,92,,Percent of Total Billed Charges,767.49,,667.38,92,,Percent of Total Billed Charges,796.09,,667.38,92,,Percent of Total Billed Charges,717.91,,667.38,92,,Percent of Total Billed Charges,595.88,,858.06,90,,Percent of Total Billed Charges,475.75,,848.53,89,,Percent of Total Billed Charges,457.63,,785.6,82.4,,Percent of Total Billed Charges,783.69,,795.14,83.4,,Percent of Total Billed Charges,741.75,,795.14,83.4,,Percent of Total Billed Charges,668.33,,795.14,83.4,,Percent of Total Billed Charges,776.07,,858.06,90,,Percent of Total Billed Charges,807.53,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,877.13,92,,Percent of Total Billed Charges,773.21,,877.13,92,,Percent of Total Billed Charges,709.33,,877.13,92,,Percent of Total Billed Charges,746.51,,877.13,92,,Percent of Total Billed Charges,773.21,,743.65,78,,Percent of Total Billed Charges,743.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,513.22,53.83,,Percent of Total Billed Charges,481.47,,330.26,34.64,,Percent of Total Billed Charges,328.92,,476.51,49.98,,Percent of Total Billed Charges,360.39,,330.26,877.13,,																																							
HC XRAY EXAM ENTIRE SPINE 1 VIEW,72081,CPT,,,,BOTH, , ,36.75,30.87,25.73,92,,Percent of Total Billed Charges,30.72,,25.73,92,,Percent of Total Billed Charges,30.17,,25.73,92,,Percent of Total Billed Charges,29.58,,25.73,92,,Percent of Total Billed Charges,30.69,,25.73,92,,Percent of Total Billed Charges,27.67,,25.73,92,,Percent of Total Billed Charges,22.97,,33.08,90,,Percent of Total Billed Charges,18.34,,32.71,89,,Percent of Total Billed Charges,17.64,,30.28,82.4,,Percent of Total Billed Charges,30.21,,30.65,83.4,,Percent of Total Billed Charges,28.59,,30.65,83.4,,Percent of Total Billed Charges,25.76,,30.65,83.4,,Percent of Total Billed Charges,29.91,,33.08,90,,Percent of Total Billed Charges,31.13,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,33.81,92,,Percent of Total Billed Charges,29.8,,33.81,92,,Percent of Total Billed Charges,27.34,,33.81,92,,Percent of Total Billed Charges,28.78,,33.81,92,,Percent of Total Billed Charges,29.8,,28.67,78,,Percent of Total Billed Charges,28.67,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,19.78,53.83,,Percent of Total Billed Charges,18.56,,12.73,34.64,,Percent of Total Billed Charges,12.68,,18.37,49.98,,Percent of Total Billed Charges,13.89,,12.73,33.81,,																																							
HC SPINE THORACIC TWO VIEW,72070,CPT,,,,BOTH, , ,570.15,478.93,399.11,92,,Percent of Total Billed Charges,476.65,,399.11,92,,Percent of Total Billed Charges,468.09,,399.11,92,,Percent of Total Billed Charges,458.97,,399.11,92,,Percent of Total Billed Charges,476.08,,399.11,92,,Percent of Total Billed Charges,429.32,,399.11,92,,Percent of Total Billed Charges,356.34,,513.14,90,,Percent of Total Billed Charges,284.5,,507.43,89,,Percent of Total Billed Charges,273.67,,469.8,82.4,,Percent of Total Billed Charges,468.66,,475.51,83.4,,Percent of Total Billed Charges,443.58,,475.51,83.4,,Percent of Total Billed Charges,399.68,,475.51,83.4,,Percent of Total Billed Charges,464.1,,513.14,90,,Percent of Total Billed Charges,482.92,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,524.54,92,,Percent of Total Billed Charges,462.39,,524.54,92,,Percent of Total Billed Charges,424.19,,524.54,92,,Percent of Total Billed Charges,446.43,,524.54,92,,Percent of Total Billed Charges,462.39,,444.72,78,,Percent of Total Billed Charges,444.72,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,306.91,53.83,,Percent of Total Billed Charges,287.93,,197.5,34.64,,Percent of Total Billed Charges,196.7,,284.96,49.98,,Percent of Total Billed Charges,215.52,,197.50,524.54,,																																							
HC SPINE THORA AP/LAT/SWIM,72072,CPT,,,,BOTH, , ,570.15,478.93,399.11,92,,Percent of Total Billed Charges,476.65,,399.11,92,,Percent of Total Billed Charges,468.09,,399.11,92,,Percent of Total Billed Charges,458.97,,399.11,92,,Percent of Total Billed Charges,476.08,,399.11,92,,Percent of Total Billed Charges,429.32,,399.11,92,,Percent of Total Billed Charges,356.34,,513.14,90,,Percent of Total Billed Charges,284.5,,507.43,89,,Percent of Total Billed Charges,273.67,,469.8,82.4,,Percent of Total Billed Charges,468.66,,475.51,83.4,,Percent of Total Billed Charges,443.58,,475.51,83.4,,Percent of Total Billed Charges,399.68,,475.51,83.4,,Percent of Total Billed Charges,464.1,,513.14,90,,Percent of Total Billed Charges,482.92,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,524.54,92,,Percent of Total Billed Charges,462.39,,524.54,92,,Percent of Total Billed Charges,424.19,,524.54,92,,Percent of Total Billed Charges,446.43,,524.54,92,,Percent of Total Billed Charges,462.39,,444.72,78,,Percent of Total Billed Charges,444.72,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,306.91,53.83,,Percent of Total Billed Charges,287.93,,197.5,34.64,,Percent of Total Billed Charges,196.7,,284.96,49.98,,Percent of Total Billed Charges,215.52,,197.50,524.54,,																																							
HC SPINE TLUMBAR 2 VIEWS,72080,CPT,,,,BOTH, , ,508.2,426.89,355.74,92,,Percent of Total Billed Charges,424.86,,355.74,92,,Percent of Total Billed Charges,417.23,,355.74,92,,Percent of Total Billed Charges,409.1,,355.74,92,,Percent of Total Billed Charges,424.35,,355.74,92,,Percent of Total Billed Charges,382.67,,355.74,92,,Percent of Total Billed Charges,317.63,,457.38,90,,Percent of Total Billed Charges,253.59,,452.3,89,,Percent of Total Billed Charges,243.94,,418.76,82.4,,Percent of Total Billed Charges,417.74,,423.84,83.4,,Percent of Total Billed Charges,395.38,,423.84,83.4,,Percent of Total Billed Charges,356.25,,423.84,83.4,,Percent of Total Billed Charges,413.67,,457.38,90,,Percent of Total Billed Charges,430.45,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,467.54,92,,Percent of Total Billed Charges,412.15,,467.54,92,,Percent of Total Billed Charges,378.1,,467.54,92,,Percent of Total Billed Charges,397.92,,467.54,92,,Percent of Total Billed Charges,412.15,,396.4,78,,Percent of Total Billed Charges,396.4,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,273.56,53.83,,Percent of Total Billed Charges,256.64,,176.04,34.64,,Percent of Total Billed Charges,175.33,,254,49.98,,Percent of Total Billed Charges,192.1,,176.04,467.54,,																																							
HC SPINE LUMBAR 23 VIEWS,72100,CPT,,,,BOTH, , ,40.95,34.4,28.67,92,,Percent of Total Billed Charges,34.23,,28.67,92,,Percent of Total Billed Charges,33.62,,28.67,92,,Percent of Total Billed Charges,32.96,,28.67,92,,Percent of Total Billed Charges,34.19,,28.67,92,,Percent of Total Billed Charges,30.84,,28.67,92,,Percent of Total Billed Charges,25.59,,36.86,90,,Percent of Total Billed Charges,20.43,,36.45,89,,Percent of Total Billed Charges,19.66,,33.74,82.4,,Percent of Total Billed Charges,33.66,,34.15,83.4,,Percent of Total Billed Charges,31.86,,34.15,83.4,,Percent of Total Billed Charges,28.71,,34.15,83.4,,Percent of Total Billed Charges,33.33,,36.86,90,,Percent of Total Billed Charges,34.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,37.67,92,,Percent of Total Billed Charges,33.21,,37.67,92,,Percent of Total Billed Charges,30.47,,37.67,92,,Percent of Total Billed Charges,32.06,,37.67,92,,Percent of Total Billed Charges,33.21,,31.94,78,,Percent of Total Billed Charges,31.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,22.04,53.83,,Percent of Total Billed Charges,20.68,,14.19,34.64,,Percent of Total Billed Charges,14.13,,20.47,49.98,,Percent of Total Billed Charges,15.48,,14.19,37.67,,																																							
HC SPINE LUMBAR 45 VIEWS,72110,CPT,,,,BOTH, , ,684.6,575.06,479.22,92,,Percent of Total Billed Charges,572.33,,479.22,92,,Percent of Total Billed Charges,562.06,,479.22,92,,Percent of Total Billed Charges,551.1,,479.22,92,,Percent of Total Billed Charges,571.64,,479.22,92,,Percent of Total Billed Charges,515.5,,479.22,92,,Percent of Total Billed Charges,427.88,,616.14,90,,Percent of Total Billed Charges,341.62,,609.29,89,,Percent of Total Billed Charges,328.61,,564.11,82.4,,Percent of Total Billed Charges,562.74,,570.96,83.4,,Percent of Total Billed Charges,532.62,,570.96,83.4,,Percent of Total Billed Charges,479.9,,570.96,83.4,,Percent of Total Billed Charges,557.26,,616.14,90,,Percent of Total Billed Charges,579.86,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,629.83,92,,Percent of Total Billed Charges,555.21,,629.83,92,,Percent of Total Billed Charges,509.34,,629.83,92,,Percent of Total Billed Charges,536.04,,629.83,92,,Percent of Total Billed Charges,555.21,,533.99,78,,Percent of Total Billed Charges,533.99,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,368.52,53.83,,Percent of Total Billed Charges,345.72,,237.15,34.64,,Percent of Total Billed Charges,236.19,,342.16,49.98,,Percent of Total Billed Charges,258.78,,237.15,629.83,,																																							
HC SPINE LUMBAR 6 OR MORE,72114,CPT,,,,BOTH, , ,684.6,575.06,479.22,92,,Percent of Total Billed Charges,572.33,,479.22,92,,Percent of Total Billed Charges,562.06,,479.22,92,,Percent of Total Billed Charges,551.1,,479.22,92,,Percent of Total Billed Charges,571.64,,479.22,92,,Percent of Total Billed Charges,515.5,,479.22,92,,Percent of Total Billed Charges,427.88,,616.14,90,,Percent of Total Billed Charges,341.62,,609.29,89,,Percent of Total Billed Charges,328.61,,564.11,82.4,,Percent of Total Billed Charges,562.74,,570.96,83.4,,Percent of Total Billed Charges,532.62,,570.96,83.4,,Percent of Total Billed Charges,479.9,,570.96,83.4,,Percent of Total Billed Charges,557.26,,616.14,90,,Percent of Total Billed Charges,579.86,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,629.83,92,,Percent of Total Billed Charges,555.21,,629.83,92,,Percent of Total Billed Charges,509.34,,629.83,92,,Percent of Total Billed Charges,536.04,,629.83,92,,Percent of Total Billed Charges,555.21,,533.99,78,,Percent of Total Billed Charges,533.99,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,368.52,53.83,,Percent of Total Billed Charges,345.72,,237.15,34.64,,Percent of Total Billed Charges,236.19,,342.16,49.98,,Percent of Total Billed Charges,258.78,,237.15,629.83,,																																							
HC PELVIS 1 OR 2 VIEW,72170,CPT,,,,BOTH, , ,40.95,34.4,28.67,92,,Percent of Total Billed Charges,34.23,,28.67,92,,Percent of Total Billed Charges,33.62,,28.67,92,,Percent of Total Billed Charges,32.96,,28.67,92,,Percent of Total Billed Charges,34.19,,28.67,92,,Percent of Total Billed Charges,30.84,,28.67,92,,Percent of Total Billed Charges,25.59,,36.86,90,,Percent of Total Billed Charges,20.43,,36.45,89,,Percent of Total Billed Charges,19.66,,33.74,82.4,,Percent of Total Billed Charges,33.66,,34.15,83.4,,Percent of Total Billed Charges,31.86,,34.15,83.4,,Percent of Total Billed Charges,28.71,,34.15,83.4,,Percent of Total Billed Charges,33.33,,36.86,90,,Percent of Total Billed Charges,34.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,37.67,92,,Percent of Total Billed Charges,33.21,,37.67,92,,Percent of Total Billed Charges,30.47,,37.67,92,,Percent of Total Billed Charges,32.06,,37.67,92,,Percent of Total Billed Charges,33.21,,31.94,78,,Percent of Total Billed Charges,31.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,22.04,53.83,,Percent of Total Billed Charges,20.68,,14.19,34.64,,Percent of Total Billed Charges,14.13,,20.47,49.98,,Percent of Total Billed Charges,15.48,,14.19,37.67,,																																							
HC PELVIS 3 VIEWS,72190,CPT,,,,BOTH, , ,40.95,34.4,28.67,92,,Percent of Total Billed Charges,34.23,,28.67,92,,Percent of Total Billed Charges,33.62,,28.67,92,,Percent of Total Billed Charges,32.96,,28.67,92,,Percent of Total Billed Charges,34.19,,28.67,92,,Percent of Total Billed Charges,30.84,,28.67,92,,Percent of Total Billed Charges,25.59,,36.86,90,,Percent of Total Billed Charges,20.43,,36.45,89,,Percent of Total Billed Charges,19.66,,33.74,82.4,,Percent of Total Billed Charges,33.66,,34.15,83.4,,Percent of Total Billed Charges,31.86,,34.15,83.4,,Percent of Total Billed Charges,28.71,,34.15,83.4,,Percent of Total Billed Charges,33.33,,36.86,90,,Percent of Total Billed Charges,34.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,37.67,92,,Percent of Total Billed Charges,33.21,,37.67,92,,Percent of Total Billed Charges,30.47,,37.67,92,,Percent of Total Billed Charges,32.06,,37.67,92,,Percent of Total Billed Charges,33.21,,31.94,78,,Percent of Total Billed Charges,31.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,22.04,53.83,,Percent of Total Billed Charges,20.68,,14.19,34.64,,Percent of Total Billed Charges,14.13,,20.47,49.98,,Percent of Total Billed Charges,15.48,,14.19,37.67,,																																							
HC SACROILIAC JOINTS,72202,CPT,,,,BOTH, , ,660.45,554.78,462.32,92,,Percent of Total Billed Charges,552.14,,462.32,92,,Percent of Total Billed Charges,542.23,,462.32,92,,Percent of Total Billed Charges,531.66,,462.32,92,,Percent of Total Billed Charges,551.48,,462.32,92,,Percent of Total Billed Charges,497.32,,462.32,92,,Percent of Total Billed Charges,412.78,,594.41,90,,Percent of Total Billed Charges,329.56,,587.8,89,,Percent of Total Billed Charges,317.02,,544.21,82.4,,Percent of Total Billed Charges,542.89,,550.82,83.4,,Percent of Total Billed Charges,513.83,,550.82,83.4,,Percent of Total Billed Charges,462.98,,550.82,83.4,,Percent of Total Billed Charges,537.61,,594.41,90,,Percent of Total Billed Charges,559.4,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,607.61,92,,Percent of Total Billed Charges,535.62,,607.61,92,,Percent of Total Billed Charges,491.37,,607.61,92,,Percent of Total Billed Charges,517.13,,607.61,92,,Percent of Total Billed Charges,535.62,,515.15,78,,Percent of Total Billed Charges,515.15,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,355.52,53.83,,Percent of Total Billed Charges,333.53,,228.78,34.64,,Percent of Total Billed Charges,227.86,,330.09,49.98,,Percent of Total Billed Charges,249.65,,228.78,607.61,,																																							
HC SPINE SACRUM/COCCYX,72220,CPT,,,,BOTH, , ,40.95,34.4,28.67,92,,Percent of Total Billed Charges,34.23,,28.67,92,,Percent of Total Billed Charges,33.62,,28.67,92,,Percent of Total Billed Charges,32.96,,28.67,92,,Percent of Total Billed Charges,34.19,,28.67,92,,Percent of Total Billed Charges,30.84,,28.67,92,,Percent of Total Billed Charges,25.59,,36.86,90,,Percent of Total Billed Charges,20.43,,36.45,89,,Percent of Total Billed Charges,19.66,,33.74,82.4,,Percent of Total Billed Charges,33.66,,34.15,83.4,,Percent of Total Billed Charges,31.86,,34.15,83.4,,Percent of Total Billed Charges,28.71,,34.15,83.4,,Percent of Total Billed Charges,33.33,,36.86,90,,Percent of Total Billed Charges,34.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,37.67,92,,Percent of Total Billed Charges,33.21,,37.67,92,,Percent of Total Billed Charges,30.47,,37.67,92,,Percent of Total Billed Charges,32.06,,37.67,92,,Percent of Total Billed Charges,33.21,,31.94,78,,Percent of Total Billed Charges,31.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,22.04,53.83,,Percent of Total Billed Charges,20.68,,14.19,34.64,,Percent of Total Billed Charges,14.13,,20.47,49.98,,Percent of Total Billed Charges,15.48,,14.19,37.67,,																																							
HC MYELOGRM CERVICAL W/RAD,72240,CPT,,,,BOTH, , ,2409.75,2024.19,1686.83,92,,Percent of Total Billed Charges,2014.55,,1686.83,92,,Percent of Total Billed Charges,1978.4,,1686.83,92,,Percent of Total Billed Charges,1939.85,,1686.83,92,,Percent of Total Billed Charges,2012.14,,1686.83,92,,Percent of Total Billed Charges,1814.54,,1686.83,92,,Percent of Total Billed Charges,1506.09,,2168.78,90,,Percent of Total Billed Charges,1202.47,,2144.68,89,,Percent of Total Billed Charges,1156.68,,1985.63,82.4,,Percent of Total Billed Charges,1980.81,,2009.73,83.4,,Percent of Total Billed Charges,1874.79,,2009.73,83.4,,Percent of Total Billed Charges,1689.23,,2009.73,83.4,,Percent of Total Billed Charges,1961.54,,2168.78,90,,Percent of Total Billed Charges,2041.06,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2216.97,92,,Percent of Total Billed Charges,1954.31,,2216.97,92,,Percent of Total Billed Charges,1792.85,,2216.97,92,,Percent of Total Billed Charges,1886.83,,2216.97,92,,Percent of Total Billed Charges,1954.31,,1879.61,78,,Percent of Total Billed Charges,1879.61,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1297.17,53.83,,Percent of Total Billed Charges,1216.92,,834.74,34.64,,Percent of Total Billed Charges,831.36,,1204.39,49.98,,Percent of Total Billed Charges,910.89,,834.74,2216.97,,																																							
HC MYELOGRM THORACIC W/RAD,72255,CPT,,,,BOTH, , ,2409.75,2024.19,1686.83,92,,Percent of Total Billed Charges,2014.55,,1686.83,92,,Percent of Total Billed Charges,1978.4,,1686.83,92,,Percent of Total Billed Charges,1939.85,,1686.83,92,,Percent of Total Billed Charges,2012.14,,1686.83,92,,Percent of Total Billed Charges,1814.54,,1686.83,92,,Percent of Total Billed Charges,1506.09,,2168.78,90,,Percent of Total Billed Charges,1202.47,,2144.68,89,,Percent of Total Billed Charges,1156.68,,1985.63,82.4,,Percent of Total Billed Charges,1980.81,,2009.73,83.4,,Percent of Total Billed Charges,1874.79,,2009.73,83.4,,Percent of Total Billed Charges,1689.23,,2009.73,83.4,,Percent of Total Billed Charges,1961.54,,2168.78,90,,Percent of Total Billed Charges,2041.06,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2216.97,92,,Percent of Total Billed Charges,1954.31,,2216.97,92,,Percent of Total Billed Charges,1792.85,,2216.97,92,,Percent of Total Billed Charges,1886.83,,2216.97,92,,Percent of Total Billed Charges,1954.31,,1879.61,78,,Percent of Total Billed Charges,1879.61,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1297.17,53.83,,Percent of Total Billed Charges,1216.92,,834.74,34.64,,Percent of Total Billed Charges,831.36,,1204.39,49.98,,Percent of Total Billed Charges,910.89,,834.74,2216.97,,																																							
HC MYELOGRAM LUMBAR W/RAD,72265,CPT,,,,BOTH, , ,2409.75,2024.19,1686.83,92,,Percent of Total Billed Charges,2014.55,,1686.83,92,,Percent of Total Billed Charges,1978.4,,1686.83,92,,Percent of Total Billed Charges,1939.85,,1686.83,92,,Percent of Total Billed Charges,2012.14,,1686.83,92,,Percent of Total Billed Charges,1814.54,,1686.83,92,,Percent of Total Billed Charges,1506.09,,2168.78,90,,Percent of Total Billed Charges,1202.47,,2144.68,89,,Percent of Total Billed Charges,1156.68,,1985.63,82.4,,Percent of Total Billed Charges,1980.81,,2009.73,83.4,,Percent of Total Billed Charges,1874.79,,2009.73,83.4,,Percent of Total Billed Charges,1689.23,,2009.73,83.4,,Percent of Total Billed Charges,1961.54,,2168.78,90,,Percent of Total Billed Charges,2041.06,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2216.97,92,,Percent of Total Billed Charges,1954.31,,2216.97,92,,Percent of Total Billed Charges,1792.85,,2216.97,92,,Percent of Total Billed Charges,1886.83,,2216.97,92,,Percent of Total Billed Charges,1954.31,,1879.61,78,,Percent of Total Billed Charges,1879.61,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1297.17,53.83,,Percent of Total Billed Charges,1216.92,,834.74,34.64,,Percent of Total Billed Charges,831.36,,1204.39,49.98,,Percent of Total Billed Charges,910.89,,834.74,2216.97,,																																							
HC MYELOGRM COMPLETE W/RAD,72270,CPT,,,,BOTH, , ,2409.75,2024.19,1686.83,92,,Percent of Total Billed Charges,2014.55,,1686.83,92,,Percent of Total Billed Charges,1978.4,,1686.83,92,,Percent of Total Billed Charges,1939.85,,1686.83,92,,Percent of Total Billed Charges,2012.14,,1686.83,92,,Percent of Total Billed Charges,1814.54,,1686.83,92,,Percent of Total Billed Charges,1506.09,,2168.78,90,,Percent of Total Billed Charges,1202.47,,2144.68,89,,Percent of Total Billed Charges,1156.68,,1985.63,82.4,,Percent of Total Billed Charges,1980.81,,2009.73,83.4,,Percent of Total Billed Charges,1874.79,,2009.73,83.4,,Percent of Total Billed Charges,1689.23,,2009.73,83.4,,Percent of Total Billed Charges,1961.54,,2168.78,90,,Percent of Total Billed Charges,2041.06,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2216.97,92,,Percent of Total Billed Charges,1954.31,,2216.97,92,,Percent of Total Billed Charges,1792.85,,2216.97,92,,Percent of Total Billed Charges,1886.83,,2216.97,92,,Percent of Total Billed Charges,1954.31,,1879.61,78,,Percent of Total Billed Charges,1879.61,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1297.17,53.83,,Percent of Total Billed Charges,1216.92,,834.74,34.64,,Percent of Total Billed Charges,831.36,,1204.39,49.98,,Percent of Total Billed Charges,910.89,,834.74,2216.97,,																																							
HC CLAVICLE COMPLETE,73000,CPT,,,,BOTH, , ,570.15,478.93,399.11,92,,Percent of Total Billed Charges,476.65,,399.11,92,,Percent of Total Billed Charges,468.09,,399.11,92,,Percent of Total Billed Charges,458.97,,399.11,92,,Percent of Total Billed Charges,476.08,,399.11,92,,Percent of Total Billed Charges,429.32,,399.11,92,,Percent of Total Billed Charges,356.34,,513.14,90,,Percent of Total Billed Charges,284.5,,507.43,89,,Percent of Total Billed Charges,273.67,,469.8,82.4,,Percent of Total Billed Charges,468.66,,475.51,83.4,,Percent of Total Billed Charges,443.58,,475.51,83.4,,Percent of Total Billed Charges,399.68,,475.51,83.4,,Percent of Total Billed Charges,464.1,,513.14,90,,Percent of Total Billed Charges,482.92,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,524.54,92,,Percent of Total Billed Charges,462.39,,524.54,92,,Percent of Total Billed Charges,424.19,,524.54,92,,Percent of Total Billed Charges,446.43,,524.54,92,,Percent of Total Billed Charges,462.39,,444.72,78,,Percent of Total Billed Charges,444.72,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,306.91,53.83,,Percent of Total Billed Charges,287.93,,197.5,34.64,,Percent of Total Billed Charges,196.7,,284.96,49.98,,Percent of Total Billed Charges,215.52,,197.50,524.54,,																																							
HC SCAPULA COMPLETE,73010,CPT,,,,BOTH, , ,40.95,34.4,28.67,92,,Percent of Total Billed Charges,34.23,,28.67,92,,Percent of Total Billed Charges,33.62,,28.67,92,,Percent of Total Billed Charges,32.96,,28.67,92,,Percent of Total Billed Charges,34.19,,28.67,92,,Percent of Total Billed Charges,30.84,,28.67,92,,Percent of Total Billed Charges,25.59,,36.86,90,,Percent of Total Billed Charges,20.43,,36.45,89,,Percent of Total Billed Charges,19.66,,33.74,82.4,,Percent of Total Billed Charges,33.66,,34.15,83.4,,Percent of Total Billed Charges,31.86,,34.15,83.4,,Percent of Total Billed Charges,28.71,,34.15,83.4,,Percent of Total Billed Charges,33.33,,36.86,90,,Percent of Total Billed Charges,34.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,37.67,92,,Percent of Total Billed Charges,33.21,,37.67,92,,Percent of Total Billed Charges,30.47,,37.67,92,,Percent of Total Billed Charges,32.06,,37.67,92,,Percent of Total Billed Charges,33.21,,31.94,78,,Percent of Total Billed Charges,31.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,22.04,53.83,,Percent of Total Billed Charges,20.68,,14.19,34.64,,Percent of Total Billed Charges,14.13,,20.47,49.98,,Percent of Total Billed Charges,15.48,,14.19,37.67,,																																							
HC SHOULDER SINGLE VIEW,73020,CPT,,,,BOTH, , ,29.4,24.7,20.58,92,,Percent of Total Billed Charges,24.58,,20.58,92,,Percent of Total Billed Charges,24.14,,20.58,92,,Percent of Total Billed Charges,23.67,,20.58,92,,Percent of Total Billed Charges,24.55,,20.58,92,,Percent of Total Billed Charges,22.14,,20.58,92,,Percent of Total Billed Charges,18.38,,26.46,90,,Percent of Total Billed Charges,14.67,,26.17,89,,Percent of Total Billed Charges,14.11,,24.23,82.4,,Percent of Total Billed Charges,24.17,,24.52,83.4,,Percent of Total Billed Charges,22.87,,24.52,83.4,,Percent of Total Billed Charges,20.61,,24.52,83.4,,Percent of Total Billed Charges,23.93,,26.46,90,,Percent of Total Billed Charges,24.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,27.05,92,,Percent of Total Billed Charges,23.84,,27.05,92,,Percent of Total Billed Charges,21.87,,27.05,92,,Percent of Total Billed Charges,23.02,,27.05,92,,Percent of Total Billed Charges,23.84,,22.93,78,,Percent of Total Billed Charges,22.93,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,15.83,53.83,,Percent of Total Billed Charges,14.85,,10.18,34.64,,Percent of Total Billed Charges,10.14,,14.69,49.98,,Percent of Total Billed Charges,11.11,,10.18,27.05,,																																							
HC SHOULDER 2 VIEWS,73030,CPT,,,,BOTH, , ,40.95,34.4,28.67,92,,Percent of Total Billed Charges,34.23,,28.67,92,,Percent of Total Billed Charges,33.62,,28.67,92,,Percent of Total Billed Charges,32.96,,28.67,92,,Percent of Total Billed Charges,34.19,,28.67,92,,Percent of Total Billed Charges,30.84,,28.67,92,,Percent of Total Billed Charges,25.59,,36.86,90,,Percent of Total Billed Charges,20.43,,36.45,89,,Percent of Total Billed Charges,19.66,,33.74,82.4,,Percent of Total Billed Charges,33.66,,34.15,83.4,,Percent of Total Billed Charges,31.86,,34.15,83.4,,Percent of Total Billed Charges,28.71,,34.15,83.4,,Percent of Total Billed Charges,33.33,,36.86,90,,Percent of Total Billed Charges,34.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,37.67,92,,Percent of Total Billed Charges,33.21,,37.67,92,,Percent of Total Billed Charges,30.47,,37.67,92,,Percent of Total Billed Charges,32.06,,37.67,92,,Percent of Total Billed Charges,33.21,,31.94,78,,Percent of Total Billed Charges,31.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,22.04,53.83,,Percent of Total Billed Charges,20.68,,14.19,34.64,,Percent of Total Billed Charges,14.13,,20.47,49.98,,Percent of Total Billed Charges,15.48,,14.19,37.67,,																																							
HC ARTHROGRAM SHOULDER,73040,CPT,,,,BOTH, , ,1368.15,1149.25,957.71,92,,Percent of Total Billed Charges,1143.77,,957.71,92,,Percent of Total Billed Charges,1123.25,,957.71,92,,Percent of Total Billed Charges,1101.36,,957.71,92,,Percent of Total Billed Charges,1142.41,,957.71,92,,Percent of Total Billed Charges,1030.22,,957.71,92,,Percent of Total Billed Charges,855.09,,1231.34,90,,Percent of Total Billed Charges,682.71,,1217.65,89,,Percent of Total Billed Charges,656.71,,1127.36,82.4,,Percent of Total Billed Charges,1124.62,,1141.04,83.4,,Percent of Total Billed Charges,1064.42,,1141.04,83.4,,Percent of Total Billed Charges,959.07,,1141.04,83.4,,Percent of Total Billed Charges,1113.67,,1231.34,90,,Percent of Total Billed Charges,1158.82,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1258.7,92,,Percent of Total Billed Charges,1109.57,,1258.7,92,,Percent of Total Billed Charges,1017.9,,1258.7,92,,Percent of Total Billed Charges,1071.26,,1258.7,92,,Percent of Total Billed Charges,1109.57,,1067.16,78,,Percent of Total Billed Charges,1067.16,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,736.48,53.83,,Percent of Total Billed Charges,690.92,,473.93,34.64,,Percent of Total Billed Charges,472.01,,683.8,49.98,,Percent of Total Billed Charges,517.16,,473.93,1258.7,,																																							
HC ACROMIOCLAVICULAR JTS,73050,CPT,,,,BOTH, , ,40.95,34.4,28.67,92,,Percent of Total Billed Charges,34.23,,28.67,92,,Percent of Total Billed Charges,33.62,,28.67,92,,Percent of Total Billed Charges,32.96,,28.67,92,,Percent of Total Billed Charges,34.19,,28.67,92,,Percent of Total Billed Charges,30.84,,28.67,92,,Percent of Total Billed Charges,25.59,,36.86,90,,Percent of Total Billed Charges,20.43,,36.45,89,,Percent of Total Billed Charges,19.66,,33.74,82.4,,Percent of Total Billed Charges,33.66,,34.15,83.4,,Percent of Total Billed Charges,31.86,,34.15,83.4,,Percent of Total Billed Charges,28.71,,34.15,83.4,,Percent of Total Billed Charges,33.33,,36.86,90,,Percent of Total Billed Charges,34.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,37.67,92,,Percent of Total Billed Charges,33.21,,37.67,92,,Percent of Total Billed Charges,30.47,,37.67,92,,Percent of Total Billed Charges,32.06,,37.67,92,,Percent of Total Billed Charges,33.21,,31.94,78,,Percent of Total Billed Charges,31.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,22.04,53.83,,Percent of Total Billed Charges,20.68,,14.19,34.64,,Percent of Total Billed Charges,14.13,,20.47,49.98,,Percent of Total Billed Charges,15.48,,14.19,37.67,,																																							
HC HUMERUS 2 VIEWS,73060,CPT,,,,BOTH, , ,40.95,34.4,28.67,92,,Percent of Total Billed Charges,34.23,,28.67,92,,Percent of Total Billed Charges,33.62,,28.67,92,,Percent of Total Billed Charges,32.96,,28.67,92,,Percent of Total Billed Charges,34.19,,28.67,92,,Percent of Total Billed Charges,30.84,,28.67,92,,Percent of Total Billed Charges,25.59,,36.86,90,,Percent of Total Billed Charges,20.43,,36.45,89,,Percent of Total Billed Charges,19.66,,33.74,82.4,,Percent of Total Billed Charges,33.66,,34.15,83.4,,Percent of Total Billed Charges,31.86,,34.15,83.4,,Percent of Total Billed Charges,28.71,,34.15,83.4,,Percent of Total Billed Charges,33.33,,36.86,90,,Percent of Total Billed Charges,34.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,37.67,92,,Percent of Total Billed Charges,33.21,,37.67,92,,Percent of Total Billed Charges,30.47,,37.67,92,,Percent of Total Billed Charges,32.06,,37.67,92,,Percent of Total Billed Charges,33.21,,31.94,78,,Percent of Total Billed Charges,31.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,22.04,53.83,,Percent of Total Billed Charges,20.68,,14.19,34.64,,Percent of Total Billed Charges,14.13,,20.47,49.98,,Percent of Total Billed Charges,15.48,,14.19,37.67,,																																							
HC ELBOW AP/LATERAL,73070,CPT,,,,BOTH, , ,40.95,34.4,28.67,92,,Percent of Total Billed Charges,34.23,,28.67,92,,Percent of Total Billed Charges,33.62,,28.67,92,,Percent of Total Billed Charges,32.96,,28.67,92,,Percent of Total Billed Charges,34.19,,28.67,92,,Percent of Total Billed Charges,30.84,,28.67,92,,Percent of Total Billed Charges,25.59,,36.86,90,,Percent of Total Billed Charges,20.43,,36.45,89,,Percent of Total Billed Charges,19.66,,33.74,82.4,,Percent of Total Billed Charges,33.66,,34.15,83.4,,Percent of Total Billed Charges,31.86,,34.15,83.4,,Percent of Total Billed Charges,28.71,,34.15,83.4,,Percent of Total Billed Charges,33.33,,36.86,90,,Percent of Total Billed Charges,34.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,37.67,92,,Percent of Total Billed Charges,33.21,,37.67,92,,Percent of Total Billed Charges,30.47,,37.67,92,,Percent of Total Billed Charges,32.06,,37.67,92,,Percent of Total Billed Charges,33.21,,31.94,78,,Percent of Total Billed Charges,31.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,22.04,53.83,,Percent of Total Billed Charges,20.68,,14.19,34.64,,Percent of Total Billed Charges,14.13,,20.47,49.98,,Percent of Total Billed Charges,15.48,,14.19,37.67,,																																							
HC ELBOW COMPLETE 3 VIEWS,73080,CPT,,,,BOTH, , ,40.95,34.4,28.67,92,,Percent of Total Billed Charges,34.23,,28.67,92,,Percent of Total Billed Charges,33.62,,28.67,92,,Percent of Total Billed Charges,32.96,,28.67,92,,Percent of Total Billed Charges,34.19,,28.67,92,,Percent of Total Billed Charges,30.84,,28.67,92,,Percent of Total Billed Charges,25.59,,36.86,90,,Percent of Total Billed Charges,20.43,,36.45,89,,Percent of Total Billed Charges,19.66,,33.74,82.4,,Percent of Total Billed Charges,33.66,,34.15,83.4,,Percent of Total Billed Charges,31.86,,34.15,83.4,,Percent of Total Billed Charges,28.71,,34.15,83.4,,Percent of Total Billed Charges,33.33,,36.86,90,,Percent of Total Billed Charges,34.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,37.67,92,,Percent of Total Billed Charges,33.21,,37.67,92,,Percent of Total Billed Charges,30.47,,37.67,92,,Percent of Total Billed Charges,32.06,,37.67,92,,Percent of Total Billed Charges,33.21,,31.94,78,,Percent of Total Billed Charges,31.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,22.04,53.83,,Percent of Total Billed Charges,20.68,,14.19,34.64,,Percent of Total Billed Charges,14.13,,20.47,49.98,,Percent of Total Billed Charges,15.48,,14.19,37.67,,																																							
HC ARTHROGRAM ELBOW,73085,CPT,,,,BOTH, , ,1368.15,1149.25,957.71,92,,Percent of Total Billed Charges,1143.77,,957.71,92,,Percent of Total Billed Charges,1123.25,,957.71,92,,Percent of Total Billed Charges,1101.36,,957.71,92,,Percent of Total Billed Charges,1142.41,,957.71,92,,Percent of Total Billed Charges,1030.22,,957.71,92,,Percent of Total Billed Charges,855.09,,1231.34,90,,Percent of Total Billed Charges,682.71,,1217.65,89,,Percent of Total Billed Charges,656.71,,1127.36,82.4,,Percent of Total Billed Charges,1124.62,,1141.04,83.4,,Percent of Total Billed Charges,1064.42,,1141.04,83.4,,Percent of Total Billed Charges,959.07,,1141.04,83.4,,Percent of Total Billed Charges,1113.67,,1231.34,90,,Percent of Total Billed Charges,1158.82,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1258.7,92,,Percent of Total Billed Charges,1109.57,,1258.7,92,,Percent of Total Billed Charges,1017.9,,1258.7,92,,Percent of Total Billed Charges,1071.26,,1258.7,92,,Percent of Total Billed Charges,1109.57,,1067.16,78,,Percent of Total Billed Charges,1067.16,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,736.48,53.83,,Percent of Total Billed Charges,690.92,,473.93,34.64,,Percent of Total Billed Charges,472.01,,683.8,49.98,,Percent of Total Billed Charges,517.16,,473.93,1258.7,,																																							
HC FOREARM 2 VIEWS,73090,CPT,,,,BOTH, , ,40.95,34.4,28.67,92,,Percent of Total Billed Charges,34.23,,28.67,92,,Percent of Total Billed Charges,33.62,,28.67,92,,Percent of Total Billed Charges,32.96,,28.67,92,,Percent of Total Billed Charges,34.19,,28.67,92,,Percent of Total Billed Charges,30.84,,28.67,92,,Percent of Total Billed Charges,25.59,,36.86,90,,Percent of Total Billed Charges,20.43,,36.45,89,,Percent of Total Billed Charges,19.66,,33.74,82.4,,Percent of Total Billed Charges,33.66,,34.15,83.4,,Percent of Total Billed Charges,31.86,,34.15,83.4,,Percent of Total Billed Charges,28.71,,34.15,83.4,,Percent of Total Billed Charges,33.33,,36.86,90,,Percent of Total Billed Charges,34.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,37.67,92,,Percent of Total Billed Charges,33.21,,37.67,92,,Percent of Total Billed Charges,30.47,,37.67,92,,Percent of Total Billed Charges,32.06,,37.67,92,,Percent of Total Billed Charges,33.21,,31.94,78,,Percent of Total Billed Charges,31.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,22.04,53.83,,Percent of Total Billed Charges,20.68,,14.19,34.64,,Percent of Total Billed Charges,14.13,,20.47,49.98,,Percent of Total Billed Charges,15.48,,14.19,37.67,,																																							
HC INFANT UPPER EXT 2 VIEWS,73092,CPT,,,,BOTH, , ,465.15,390.73,325.61,92,,Percent of Total Billed Charges,388.87,,325.61,92,,Percent of Total Billed Charges,381.89,,325.61,92,,Percent of Total Billed Charges,374.45,,325.61,92,,Percent of Total Billed Charges,388.4,,325.61,92,,Percent of Total Billed Charges,350.26,,325.61,92,,Percent of Total Billed Charges,290.72,,418.64,90,,Percent of Total Billed Charges,232.11,,413.98,89,,Percent of Total Billed Charges,223.27,,383.28,82.4,,Percent of Total Billed Charges,382.35,,387.94,83.4,,Percent of Total Billed Charges,361.89,,387.94,83.4,,Percent of Total Billed Charges,326.07,,387.94,83.4,,Percent of Total Billed Charges,378.63,,418.64,90,,Percent of Total Billed Charges,393.98,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,427.94,92,,Percent of Total Billed Charges,377.24,,427.94,92,,Percent of Total Billed Charges,346.07,,427.94,92,,Percent of Total Billed Charges,364.21,,427.94,92,,Percent of Total Billed Charges,377.24,,362.82,78,,Percent of Total Billed Charges,362.82,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,250.39,53.83,,Percent of Total Billed Charges,234.9,,161.13,34.64,,Percent of Total Billed Charges,160.48,,232.48,49.98,,Percent of Total Billed Charges,175.83,,161.13,427.94,,																																							
HC WRIST AP/LATERAL,73100,CPT,,,,BOTH, , ,332.85,279.59,233,92,,Percent of Total Billed Charges,278.26,,233,92,,Percent of Total Billed Charges,273.27,,233,92,,Percent of Total Billed Charges,267.94,,233,92,,Percent of Total Billed Charges,277.93,,233,92,,Percent of Total Billed Charges,250.64,,233,92,,Percent of Total Billed Charges,208.03,,299.57,90,,Percent of Total Billed Charges,166.09,,296.24,89,,Percent of Total Billed Charges,159.77,,274.27,82.4,,Percent of Total Billed Charges,273.6,,277.6,83.4,,Percent of Total Billed Charges,258.96,,277.6,83.4,,Percent of Total Billed Charges,233.33,,277.6,83.4,,Percent of Total Billed Charges,270.94,,299.57,90,,Percent of Total Billed Charges,281.92,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,306.22,92,,Percent of Total Billed Charges,269.94,,306.22,92,,Percent of Total Billed Charges,247.64,,306.22,92,,Percent of Total Billed Charges,260.62,,306.22,92,,Percent of Total Billed Charges,269.94,,259.62,78,,Percent of Total Billed Charges,259.62,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,179.17,53.83,,Percent of Total Billed Charges,168.09,,115.3,34.64,,Percent of Total Billed Charges,114.83,,166.36,49.98,,Percent of Total Billed Charges,125.82,,115.30,306.22,,																																							
HC WRIST COMPLETE 3 VIEWS,73110,CPT,,,,BOTH, , ,40.95,34.4,28.67,92,,Percent of Total Billed Charges,34.23,,28.67,92,,Percent of Total Billed Charges,33.62,,28.67,92,,Percent of Total Billed Charges,32.96,,28.67,92,,Percent of Total Billed Charges,34.19,,28.67,92,,Percent of Total Billed Charges,30.84,,28.67,92,,Percent of Total Billed Charges,25.59,,36.86,90,,Percent of Total Billed Charges,20.43,,36.45,89,,Percent of Total Billed Charges,19.66,,33.74,82.4,,Percent of Total Billed Charges,33.66,,34.15,83.4,,Percent of Total Billed Charges,31.86,,34.15,83.4,,Percent of Total Billed Charges,28.71,,34.15,83.4,,Percent of Total Billed Charges,33.33,,36.86,90,,Percent of Total Billed Charges,34.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,37.67,92,,Percent of Total Billed Charges,33.21,,37.67,92,,Percent of Total Billed Charges,30.47,,37.67,92,,Percent of Total Billed Charges,32.06,,37.67,92,,Percent of Total Billed Charges,33.21,,31.94,78,,Percent of Total Billed Charges,31.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,22.04,53.83,,Percent of Total Billed Charges,20.68,,14.19,34.64,,Percent of Total Billed Charges,14.13,,20.47,49.98,,Percent of Total Billed Charges,15.48,,14.19,37.67,,																																							
HC ARTHROGRAM WRIST,73115,CPT,,,,BOTH, , ,1481.55,1244.5,1037.09,92,,Percent of Total Billed Charges,1238.58,,1037.09,92,,Percent of Total Billed Charges,1216.35,,1037.09,92,,Percent of Total Billed Charges,1192.65,,1037.09,92,,Percent of Total Billed Charges,1237.09,,1037.09,92,,Percent of Total Billed Charges,1115.61,,1037.09,92,,Percent of Total Billed Charges,925.97,,1333.4,90,,Percent of Total Billed Charges,739.29,,1318.58,89,,Percent of Total Billed Charges,711.14,,1220.8,82.4,,Percent of Total Billed Charges,1217.83,,1235.61,83.4,,Percent of Total Billed Charges,1152.65,,1235.61,83.4,,Percent of Total Billed Charges,1038.57,,1235.61,83.4,,Percent of Total Billed Charges,1205.98,,1333.4,90,,Percent of Total Billed Charges,1254.87,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1363.03,92,,Percent of Total Billed Charges,1201.54,,1363.03,92,,Percent of Total Billed Charges,1102.27,,1363.03,92,,Percent of Total Billed Charges,1160.05,,1363.03,92,,Percent of Total Billed Charges,1201.54,,1155.61,78,,Percent of Total Billed Charges,1155.61,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,797.52,53.83,,Percent of Total Billed Charges,748.18,,513.21,34.64,,Percent of Total Billed Charges,511.13,,740.48,49.98,,Percent of Total Billed Charges,560.03,,513.21,1363.03,,																																							
HC HAND AP/LATERAL,73120,CPT,,,,BOTH, , ,40.95,34.4,28.67,92,,Percent of Total Billed Charges,34.23,,28.67,92,,Percent of Total Billed Charges,33.62,,28.67,92,,Percent of Total Billed Charges,32.96,,28.67,92,,Percent of Total Billed Charges,34.19,,28.67,92,,Percent of Total Billed Charges,30.84,,28.67,92,,Percent of Total Billed Charges,25.59,,36.86,90,,Percent of Total Billed Charges,20.43,,36.45,89,,Percent of Total Billed Charges,19.66,,33.74,82.4,,Percent of Total Billed Charges,33.66,,34.15,83.4,,Percent of Total Billed Charges,31.86,,34.15,83.4,,Percent of Total Billed Charges,28.71,,34.15,83.4,,Percent of Total Billed Charges,33.33,,36.86,90,,Percent of Total Billed Charges,34.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,37.67,92,,Percent of Total Billed Charges,33.21,,37.67,92,,Percent of Total Billed Charges,30.47,,37.67,92,,Percent of Total Billed Charges,32.06,,37.67,92,,Percent of Total Billed Charges,33.21,,31.94,78,,Percent of Total Billed Charges,31.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,22.04,53.83,,Percent of Total Billed Charges,20.68,,14.19,34.64,,Percent of Total Billed Charges,14.13,,20.47,49.98,,Percent of Total Billed Charges,15.48,,14.19,37.67,,																																							
HC HAND COMPLETE 3 VIEWS,73130,CPT,,,,BOTH, , ,40.95,34.4,28.67,92,,Percent of Total Billed Charges,34.23,,28.67,92,,Percent of Total Billed Charges,33.62,,28.67,92,,Percent of Total Billed Charges,32.96,,28.67,92,,Percent of Total Billed Charges,34.19,,28.67,92,,Percent of Total Billed Charges,30.84,,28.67,92,,Percent of Total Billed Charges,25.59,,36.86,90,,Percent of Total Billed Charges,20.43,,36.45,89,,Percent of Total Billed Charges,19.66,,33.74,82.4,,Percent of Total Billed Charges,33.66,,34.15,83.4,,Percent of Total Billed Charges,31.86,,34.15,83.4,,Percent of Total Billed Charges,28.71,,34.15,83.4,,Percent of Total Billed Charges,33.33,,36.86,90,,Percent of Total Billed Charges,34.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,37.67,92,,Percent of Total Billed Charges,33.21,,37.67,92,,Percent of Total Billed Charges,30.47,,37.67,92,,Percent of Total Billed Charges,32.06,,37.67,92,,Percent of Total Billed Charges,33.21,,31.94,78,,Percent of Total Billed Charges,31.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,22.04,53.83,,Percent of Total Billed Charges,20.68,,14.19,34.64,,Percent of Total Billed Charges,14.13,,20.47,49.98,,Percent of Total Billed Charges,15.48,,14.19,37.67,,																																							
HC FINGER OR FINGERS 2 VIEWS,73140,CPT,,,,BOTH, , ,570.15,478.93,399.11,92,,Percent of Total Billed Charges,476.65,,399.11,92,,Percent of Total Billed Charges,468.09,,399.11,92,,Percent of Total Billed Charges,458.97,,399.11,92,,Percent of Total Billed Charges,476.08,,399.11,92,,Percent of Total Billed Charges,429.32,,399.11,92,,Percent of Total Billed Charges,356.34,,513.14,90,,Percent of Total Billed Charges,284.5,,507.43,89,,Percent of Total Billed Charges,273.67,,469.8,82.4,,Percent of Total Billed Charges,468.66,,475.51,83.4,,Percent of Total Billed Charges,443.58,,475.51,83.4,,Percent of Total Billed Charges,399.68,,475.51,83.4,,Percent of Total Billed Charges,464.1,,513.14,90,,Percent of Total Billed Charges,482.92,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,524.54,92,,Percent of Total Billed Charges,462.39,,524.54,92,,Percent of Total Billed Charges,424.19,,524.54,92,,Percent of Total Billed Charges,446.43,,524.54,92,,Percent of Total Billed Charges,462.39,,444.72,78,,Percent of Total Billed Charges,444.72,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,306.91,53.83,,Percent of Total Billed Charges,287.93,,197.5,34.64,,Percent of Total Billed Charges,196.7,,284.96,49.98,,Percent of Total Billed Charges,215.52,,197.50,524.54,,																																							
HC XRAY EXAM HIP UNI 1 VIEW,73501,CPT,,,,BOTH, , ,415.8,349.27,291.06,92,,Percent of Total Billed Charges,347.61,,291.06,92,,Percent of Total Billed Charges,341.37,,291.06,92,,Percent of Total Billed Charges,334.72,,291.06,92,,Percent of Total Billed Charges,347.19,,291.06,92,,Percent of Total Billed Charges,313.1,,291.06,92,,Percent of Total Billed Charges,259.88,,374.22,90,,Percent of Total Billed Charges,207.48,,370.06,89,,Percent of Total Billed Charges,199.58,,342.62,82.4,,Percent of Total Billed Charges,341.79,,346.78,83.4,,Percent of Total Billed Charges,323.49,,346.78,83.4,,Percent of Total Billed Charges,291.48,,346.78,83.4,,Percent of Total Billed Charges,338.46,,374.22,90,,Percent of Total Billed Charges,352.18,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,382.54,92,,Percent of Total Billed Charges,337.21,,382.54,92,,Percent of Total Billed Charges,309.36,,382.54,92,,Percent of Total Billed Charges,325.57,,382.54,92,,Percent of Total Billed Charges,337.21,,324.32,78,,Percent of Total Billed Charges,324.32,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,223.83,53.83,,Percent of Total Billed Charges,209.98,,144.03,34.64,,Percent of Total Billed Charges,143.45,,207.82,49.98,,Percent of Total Billed Charges,157.17,,144.03,382.54,,																																							
HC XRAY EXAM HIP UNI 23 VIEWS,73502,CPT,,,,BOTH, , ,415.8,349.27,291.06,92,,Percent of Total Billed Charges,347.61,,291.06,92,,Percent of Total Billed Charges,341.37,,291.06,92,,Percent of Total Billed Charges,334.72,,291.06,92,,Percent of Total Billed Charges,347.19,,291.06,92,,Percent of Total Billed Charges,313.1,,291.06,92,,Percent of Total Billed Charges,259.88,,374.22,90,,Percent of Total Billed Charges,207.48,,370.06,89,,Percent of Total Billed Charges,199.58,,342.62,82.4,,Percent of Total Billed Charges,341.79,,346.78,83.4,,Percent of Total Billed Charges,323.49,,346.78,83.4,,Percent of Total Billed Charges,291.48,,346.78,83.4,,Percent of Total Billed Charges,338.46,,374.22,90,,Percent of Total Billed Charges,352.18,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,382.54,92,,Percent of Total Billed Charges,337.21,,382.54,92,,Percent of Total Billed Charges,309.36,,382.54,92,,Percent of Total Billed Charges,325.57,,382.54,92,,Percent of Total Billed Charges,337.21,,324.32,78,,Percent of Total Billed Charges,324.32,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,223.83,53.83,,Percent of Total Billed Charges,209.98,,144.03,34.64,,Percent of Total Billed Charges,143.45,,207.82,49.98,,Percent of Total Billed Charges,157.17,,144.03,382.54,,																																							
HC XRAY EXAM HIPS BI 2 VIEWS,73521,CPT,,,,BOTH, , ,610.05,512.44,427.04,92,,Percent of Total Billed Charges,510,,427.04,92,,Percent of Total Billed Charges,500.85,,427.04,92,,Percent of Total Billed Charges,491.09,,427.04,92,,Percent of Total Billed Charges,509.39,,427.04,92,,Percent of Total Billed Charges,459.37,,427.04,92,,Percent of Total Billed Charges,381.28,,549.05,90,,Percent of Total Billed Charges,304.41,,542.94,89,,Percent of Total Billed Charges,292.82,,502.68,82.4,,Percent of Total Billed Charges,501.46,,508.78,83.4,,Percent of Total Billed Charges,474.62,,508.78,83.4,,Percent of Total Billed Charges,427.65,,508.78,83.4,,Percent of Total Billed Charges,496.58,,549.05,90,,Percent of Total Billed Charges,516.71,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,561.25,92,,Percent of Total Billed Charges,494.75,,561.25,92,,Percent of Total Billed Charges,453.88,,561.25,92,,Percent of Total Billed Charges,477.67,,561.25,92,,Percent of Total Billed Charges,494.75,,475.84,78,,Percent of Total Billed Charges,475.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,328.39,53.83,,Percent of Total Billed Charges,308.08,,211.32,34.64,,Percent of Total Billed Charges,210.47,,304.9,49.98,,Percent of Total Billed Charges,230.6,,211.32,561.25,,																																							
HC ARTHROGRAM HIP,73525,CPT,,,,BOTH, , ,1368.15,1149.25,957.71,92,,Percent of Total Billed Charges,1143.77,,957.71,92,,Percent of Total Billed Charges,1123.25,,957.71,92,,Percent of Total Billed Charges,1101.36,,957.71,92,,Percent of Total Billed Charges,1142.41,,957.71,92,,Percent of Total Billed Charges,1030.22,,957.71,92,,Percent of Total Billed Charges,855.09,,1231.34,90,,Percent of Total Billed Charges,682.71,,1217.65,89,,Percent of Total Billed Charges,656.71,,1127.36,82.4,,Percent of Total Billed Charges,1124.62,,1141.04,83.4,,Percent of Total Billed Charges,1064.42,,1141.04,83.4,,Percent of Total Billed Charges,959.07,,1141.04,83.4,,Percent of Total Billed Charges,1113.67,,1231.34,90,,Percent of Total Billed Charges,1158.82,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1258.7,92,,Percent of Total Billed Charges,1109.57,,1258.7,92,,Percent of Total Billed Charges,1017.9,,1258.7,92,,Percent of Total Billed Charges,1071.26,,1258.7,92,,Percent of Total Billed Charges,1109.57,,1067.16,78,,Percent of Total Billed Charges,1067.16,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,736.48,53.83,,Percent of Total Billed Charges,690.92,,473.93,34.64,,Percent of Total Billed Charges,472.01,,683.8,49.98,,Percent of Total Billed Charges,517.16,,473.93,1258.7,,																																							
HC XRAY EXAM OF FEMUR 2/>,73552,CPT,,,,BOTH, , ,36.75,30.87,25.73,92,,Percent of Total Billed Charges,30.72,,25.73,92,,Percent of Total Billed Charges,30.17,,25.73,92,,Percent of Total Billed Charges,29.58,,25.73,92,,Percent of Total Billed Charges,30.69,,25.73,92,,Percent of Total Billed Charges,27.67,,25.73,92,,Percent of Total Billed Charges,22.97,,33.08,90,,Percent of Total Billed Charges,18.34,,32.71,89,,Percent of Total Billed Charges,17.64,,30.28,82.4,,Percent of Total Billed Charges,30.21,,30.65,83.4,,Percent of Total Billed Charges,28.59,,30.65,83.4,,Percent of Total Billed Charges,25.76,,30.65,83.4,,Percent of Total Billed Charges,29.91,,33.08,90,,Percent of Total Billed Charges,31.13,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,33.81,92,,Percent of Total Billed Charges,29.8,,33.81,92,,Percent of Total Billed Charges,27.34,,33.81,92,,Percent of Total Billed Charges,28.78,,33.81,92,,Percent of Total Billed Charges,29.8,,28.67,78,,Percent of Total Billed Charges,28.67,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,19.78,53.83,,Percent of Total Billed Charges,18.56,,12.73,34.64,,Percent of Total Billed Charges,12.68,,18.37,49.98,,Percent of Total Billed Charges,13.89,,12.73,33.81,,																																							
HC KNEE 1 OR 2 VIEWS,73560,CPT,,,,BOTH, , ,40.95,34.4,28.67,92,,Percent of Total Billed Charges,34.23,,28.67,92,,Percent of Total Billed Charges,33.62,,28.67,92,,Percent of Total Billed Charges,32.96,,28.67,92,,Percent of Total Billed Charges,34.19,,28.67,92,,Percent of Total Billed Charges,30.84,,28.67,92,,Percent of Total Billed Charges,25.59,,36.86,90,,Percent of Total Billed Charges,20.43,,36.45,89,,Percent of Total Billed Charges,19.66,,33.74,82.4,,Percent of Total Billed Charges,33.66,,34.15,83.4,,Percent of Total Billed Charges,31.86,,34.15,83.4,,Percent of Total Billed Charges,28.71,,34.15,83.4,,Percent of Total Billed Charges,33.33,,36.86,90,,Percent of Total Billed Charges,34.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,37.67,92,,Percent of Total Billed Charges,33.21,,37.67,92,,Percent of Total Billed Charges,30.47,,37.67,92,,Percent of Total Billed Charges,32.06,,37.67,92,,Percent of Total Billed Charges,33.21,,31.94,78,,Percent of Total Billed Charges,31.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,22.04,53.83,,Percent of Total Billed Charges,20.68,,14.19,34.64,,Percent of Total Billed Charges,14.13,,20.47,49.98,,Percent of Total Billed Charges,15.48,,14.19,37.67,,																																							
HC KNEE 3 VIEWS,73562,CPT,,,,BOTH, , ,40.95,34.4,28.67,92,,Percent of Total Billed Charges,34.23,,28.67,92,,Percent of Total Billed Charges,33.62,,28.67,92,,Percent of Total Billed Charges,32.96,,28.67,92,,Percent of Total Billed Charges,34.19,,28.67,92,,Percent of Total Billed Charges,30.84,,28.67,92,,Percent of Total Billed Charges,25.59,,36.86,90,,Percent of Total Billed Charges,20.43,,36.45,89,,Percent of Total Billed Charges,19.66,,33.74,82.4,,Percent of Total Billed Charges,33.66,,34.15,83.4,,Percent of Total Billed Charges,31.86,,34.15,83.4,,Percent of Total Billed Charges,28.71,,34.15,83.4,,Percent of Total Billed Charges,33.33,,36.86,90,,Percent of Total Billed Charges,34.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,37.67,92,,Percent of Total Billed Charges,33.21,,37.67,92,,Percent of Total Billed Charges,30.47,,37.67,92,,Percent of Total Billed Charges,32.06,,37.67,92,,Percent of Total Billed Charges,33.21,,31.94,78,,Percent of Total Billed Charges,31.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,22.04,53.83,,Percent of Total Billed Charges,20.68,,14.19,34.64,,Percent of Total Billed Charges,14.13,,20.47,49.98,,Percent of Total Billed Charges,15.48,,14.19,37.67,,																																							
HC KNEE 4 VIEWS,73564,CPT,,,,BOTH, , ,40.95,34.4,28.67,92,,Percent of Total Billed Charges,34.23,,28.67,92,,Percent of Total Billed Charges,33.62,,28.67,92,,Percent of Total Billed Charges,32.96,,28.67,92,,Percent of Total Billed Charges,34.19,,28.67,92,,Percent of Total Billed Charges,30.84,,28.67,92,,Percent of Total Billed Charges,25.59,,36.86,90,,Percent of Total Billed Charges,20.43,,36.45,89,,Percent of Total Billed Charges,19.66,,33.74,82.4,,Percent of Total Billed Charges,33.66,,34.15,83.4,,Percent of Total Billed Charges,31.86,,34.15,83.4,,Percent of Total Billed Charges,28.71,,34.15,83.4,,Percent of Total Billed Charges,33.33,,36.86,90,,Percent of Total Billed Charges,34.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,37.67,92,,Percent of Total Billed Charges,33.21,,37.67,92,,Percent of Total Billed Charges,30.47,,37.67,92,,Percent of Total Billed Charges,32.06,,37.67,92,,Percent of Total Billed Charges,33.21,,31.94,78,,Percent of Total Billed Charges,31.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,22.04,53.83,,Percent of Total Billed Charges,20.68,,14.19,34.64,,Percent of Total Billed Charges,14.13,,20.47,49.98,,Percent of Total Billed Charges,15.48,,14.19,37.67,,																																							
HC KNEES BILAT AP WT/BEAR,73565,CPT,,,,BOTH, , ,31.5,26.46,22.05,92,,Percent of Total Billed Charges,26.33,,22.05,92,,Percent of Total Billed Charges,25.86,,22.05,92,,Percent of Total Billed Charges,25.36,,22.05,92,,Percent of Total Billed Charges,26.3,,22.05,92,,Percent of Total Billed Charges,23.72,,22.05,92,,Percent of Total Billed Charges,19.69,,28.35,90,,Percent of Total Billed Charges,15.72,,28.04,89,,Percent of Total Billed Charges,15.12,,25.96,82.4,,Percent of Total Billed Charges,25.89,,26.27,83.4,,Percent of Total Billed Charges,24.51,,26.27,83.4,,Percent of Total Billed Charges,22.08,,26.27,83.4,,Percent of Total Billed Charges,25.64,,28.35,90,,Percent of Total Billed Charges,26.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,28.98,92,,Percent of Total Billed Charges,25.55,,28.98,92,,Percent of Total Billed Charges,23.44,,28.98,92,,Percent of Total Billed Charges,24.66,,28.98,92,,Percent of Total Billed Charges,25.55,,24.57,78,,Percent of Total Billed Charges,24.57,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,16.96,53.83,,Percent of Total Billed Charges,15.91,,10.91,34.64,,Percent of Total Billed Charges,10.87,,15.74,49.98,,Percent of Total Billed Charges,11.91,,10.91,28.98,,																																							
HC ARTHROGRAM KNEE,73580,CPT,,,,BOTH, , ,1481.55,1244.5,1037.09,92,,Percent of Total Billed Charges,1238.58,,1037.09,92,,Percent of Total Billed Charges,1216.35,,1037.09,92,,Percent of Total Billed Charges,1192.65,,1037.09,92,,Percent of Total Billed Charges,1237.09,,1037.09,92,,Percent of Total Billed Charges,1115.61,,1037.09,92,,Percent of Total Billed Charges,925.97,,1333.4,90,,Percent of Total Billed Charges,739.29,,1318.58,89,,Percent of Total Billed Charges,711.14,,1220.8,82.4,,Percent of Total Billed Charges,1217.83,,1235.61,83.4,,Percent of Total Billed Charges,1152.65,,1235.61,83.4,,Percent of Total Billed Charges,1038.57,,1235.61,83.4,,Percent of Total Billed Charges,1205.98,,1333.4,90,,Percent of Total Billed Charges,1254.87,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1363.03,92,,Percent of Total Billed Charges,1201.54,,1363.03,92,,Percent of Total Billed Charges,1102.27,,1363.03,92,,Percent of Total Billed Charges,1160.05,,1363.03,92,,Percent of Total Billed Charges,1201.54,,1155.61,78,,Percent of Total Billed Charges,1155.61,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,797.52,53.83,,Percent of Total Billed Charges,748.18,,513.21,34.64,,Percent of Total Billed Charges,511.13,,740.48,49.98,,Percent of Total Billed Charges,560.03,,513.21,1363.03,,																																							
HC LOWER LEG 2 VIEWS,73590,CPT,,,,BOTH, , ,570.15,478.93,399.11,92,,Percent of Total Billed Charges,476.65,,399.11,92,,Percent of Total Billed Charges,468.09,,399.11,92,,Percent of Total Billed Charges,458.97,,399.11,92,,Percent of Total Billed Charges,476.08,,399.11,92,,Percent of Total Billed Charges,429.32,,399.11,92,,Percent of Total Billed Charges,356.34,,513.14,90,,Percent of Total Billed Charges,284.5,,507.43,89,,Percent of Total Billed Charges,273.67,,469.8,82.4,,Percent of Total Billed Charges,468.66,,475.51,83.4,,Percent of Total Billed Charges,443.58,,475.51,83.4,,Percent of Total Billed Charges,399.68,,475.51,83.4,,Percent of Total Billed Charges,464.1,,513.14,90,,Percent of Total Billed Charges,482.92,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,524.54,92,,Percent of Total Billed Charges,462.39,,524.54,92,,Percent of Total Billed Charges,424.19,,524.54,92,,Percent of Total Billed Charges,446.43,,524.54,92,,Percent of Total Billed Charges,462.39,,444.72,78,,Percent of Total Billed Charges,444.72,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,306.91,53.83,,Percent of Total Billed Charges,287.93,,197.5,34.64,,Percent of Total Billed Charges,196.7,,284.96,49.98,,Percent of Total Billed Charges,215.52,,197.50,524.54,,																																							
HC INFANT LOWER EXT 2 VIEWS,73592,CPT,,,,BOTH, , ,375.9,315.76,263.13,92,,Percent of Total Billed Charges,314.25,,263.13,92,,Percent of Total Billed Charges,308.61,,263.13,92,,Percent of Total Billed Charges,302.6,,263.13,92,,Percent of Total Billed Charges,313.88,,263.13,92,,Percent of Total Billed Charges,283.05,,263.13,92,,Percent of Total Billed Charges,234.94,,338.31,90,,Percent of Total Billed Charges,187.57,,334.55,89,,Percent of Total Billed Charges,180.43,,309.74,82.4,,Percent of Total Billed Charges,308.99,,313.5,83.4,,Percent of Total Billed Charges,292.45,,313.5,83.4,,Percent of Total Billed Charges,263.51,,313.5,83.4,,Percent of Total Billed Charges,305.98,,338.31,90,,Percent of Total Billed Charges,318.39,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,345.83,92,,Percent of Total Billed Charges,304.85,,345.83,92,,Percent of Total Billed Charges,279.67,,345.83,92,,Percent of Total Billed Charges,294.33,,345.83,92,,Percent of Total Billed Charges,304.85,,293.2,78,,Percent of Total Billed Charges,293.2,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,202.35,53.83,,Percent of Total Billed Charges,189.83,,130.21,34.64,,Percent of Total Billed Charges,129.69,,187.87,49.98,,Percent of Total Billed Charges,142.09,,130.21,345.83,,																																							
HC ANKLE AP/LAT,73600,CPT,,,,BOTH, , ,332.85,279.59,233,92,,Percent of Total Billed Charges,278.26,,233,92,,Percent of Total Billed Charges,273.27,,233,92,,Percent of Total Billed Charges,267.94,,233,92,,Percent of Total Billed Charges,277.93,,233,92,,Percent of Total Billed Charges,250.64,,233,92,,Percent of Total Billed Charges,208.03,,299.57,90,,Percent of Total Billed Charges,166.09,,296.24,89,,Percent of Total Billed Charges,159.77,,274.27,82.4,,Percent of Total Billed Charges,273.6,,277.6,83.4,,Percent of Total Billed Charges,258.96,,277.6,83.4,,Percent of Total Billed Charges,233.33,,277.6,83.4,,Percent of Total Billed Charges,270.94,,299.57,90,,Percent of Total Billed Charges,281.92,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,306.22,92,,Percent of Total Billed Charges,269.94,,306.22,92,,Percent of Total Billed Charges,247.64,,306.22,92,,Percent of Total Billed Charges,260.62,,306.22,92,,Percent of Total Billed Charges,269.94,,259.62,78,,Percent of Total Billed Charges,259.62,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,179.17,53.83,,Percent of Total Billed Charges,168.09,,115.3,34.64,,Percent of Total Billed Charges,114.83,,166.36,49.98,,Percent of Total Billed Charges,125.82,,115.30,306.22,,																																							
HC ANKLE COMPLETE 3 VIEWS,73610,CPT,,,,BOTH, , ,40.95,34.4,28.67,92,,Percent of Total Billed Charges,34.23,,28.67,92,,Percent of Total Billed Charges,33.62,,28.67,92,,Percent of Total Billed Charges,32.96,,28.67,92,,Percent of Total Billed Charges,34.19,,28.67,92,,Percent of Total Billed Charges,30.84,,28.67,92,,Percent of Total Billed Charges,25.59,,36.86,90,,Percent of Total Billed Charges,20.43,,36.45,89,,Percent of Total Billed Charges,19.66,,33.74,82.4,,Percent of Total Billed Charges,33.66,,34.15,83.4,,Percent of Total Billed Charges,31.86,,34.15,83.4,,Percent of Total Billed Charges,28.71,,34.15,83.4,,Percent of Total Billed Charges,33.33,,36.86,90,,Percent of Total Billed Charges,34.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,37.67,92,,Percent of Total Billed Charges,33.21,,37.67,92,,Percent of Total Billed Charges,30.47,,37.67,92,,Percent of Total Billed Charges,32.06,,37.67,92,,Percent of Total Billed Charges,33.21,,31.94,78,,Percent of Total Billed Charges,31.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,22.04,53.83,,Percent of Total Billed Charges,20.68,,14.19,34.64,,Percent of Total Billed Charges,14.13,,20.47,49.98,,Percent of Total Billed Charges,15.48,,14.19,37.67,,																																							
HC FOOT AP/LAT,73620,CPT,,,,BOTH, , ,40.95,34.4,28.67,92,,Percent of Total Billed Charges,34.23,,28.67,92,,Percent of Total Billed Charges,33.62,,28.67,92,,Percent of Total Billed Charges,32.96,,28.67,92,,Percent of Total Billed Charges,34.19,,28.67,92,,Percent of Total Billed Charges,30.84,,28.67,92,,Percent of Total Billed Charges,25.59,,36.86,90,,Percent of Total Billed Charges,20.43,,36.45,89,,Percent of Total Billed Charges,19.66,,33.74,82.4,,Percent of Total Billed Charges,33.66,,34.15,83.4,,Percent of Total Billed Charges,31.86,,34.15,83.4,,Percent of Total Billed Charges,28.71,,34.15,83.4,,Percent of Total Billed Charges,33.33,,36.86,90,,Percent of Total Billed Charges,34.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,37.67,92,,Percent of Total Billed Charges,33.21,,37.67,92,,Percent of Total Billed Charges,30.47,,37.67,92,,Percent of Total Billed Charges,32.06,,37.67,92,,Percent of Total Billed Charges,33.21,,31.94,78,,Percent of Total Billed Charges,31.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,22.04,53.83,,Percent of Total Billed Charges,20.68,,14.19,34.64,,Percent of Total Billed Charges,14.13,,20.47,49.98,,Percent of Total Billed Charges,15.48,,14.19,37.67,,																																							
HC FOOT COMPLETE 3 VIEWS,73630,CPT,,,,BOTH, , ,40.95,34.4,28.67,92,,Percent of Total Billed Charges,34.23,,28.67,92,,Percent of Total Billed Charges,33.62,,28.67,92,,Percent of Total Billed Charges,32.96,,28.67,92,,Percent of Total Billed Charges,34.19,,28.67,92,,Percent of Total Billed Charges,30.84,,28.67,92,,Percent of Total Billed Charges,25.59,,36.86,90,,Percent of Total Billed Charges,20.43,,36.45,89,,Percent of Total Billed Charges,19.66,,33.74,82.4,,Percent of Total Billed Charges,33.66,,34.15,83.4,,Percent of Total Billed Charges,31.86,,34.15,83.4,,Percent of Total Billed Charges,28.71,,34.15,83.4,,Percent of Total Billed Charges,33.33,,36.86,90,,Percent of Total Billed Charges,34.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,37.67,92,,Percent of Total Billed Charges,33.21,,37.67,92,,Percent of Total Billed Charges,30.47,,37.67,92,,Percent of Total Billed Charges,32.06,,37.67,92,,Percent of Total Billed Charges,33.21,,31.94,78,,Percent of Total Billed Charges,31.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,22.04,53.83,,Percent of Total Billed Charges,20.68,,14.19,34.64,,Percent of Total Billed Charges,14.13,,20.47,49.98,,Percent of Total Billed Charges,15.48,,14.19,37.67,,																																							
HC HEEL 2 VIEWS,73650,CPT,,,,BOTH, , ,40.95,34.4,28.67,92,,Percent of Total Billed Charges,34.23,,28.67,92,,Percent of Total Billed Charges,33.62,,28.67,92,,Percent of Total Billed Charges,32.96,,28.67,92,,Percent of Total Billed Charges,34.19,,28.67,92,,Percent of Total Billed Charges,30.84,,28.67,92,,Percent of Total Billed Charges,25.59,,36.86,90,,Percent of Total Billed Charges,20.43,,36.45,89,,Percent of Total Billed Charges,19.66,,33.74,82.4,,Percent of Total Billed Charges,33.66,,34.15,83.4,,Percent of Total Billed Charges,31.86,,34.15,83.4,,Percent of Total Billed Charges,28.71,,34.15,83.4,,Percent of Total Billed Charges,33.33,,36.86,90,,Percent of Total Billed Charges,34.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,37.67,92,,Percent of Total Billed Charges,33.21,,37.67,92,,Percent of Total Billed Charges,30.47,,37.67,92,,Percent of Total Billed Charges,32.06,,37.67,92,,Percent of Total Billed Charges,33.21,,31.94,78,,Percent of Total Billed Charges,31.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,22.04,53.83,,Percent of Total Billed Charges,20.68,,14.19,34.64,,Percent of Total Billed Charges,14.13,,20.47,49.98,,Percent of Total Billed Charges,15.48,,14.19,37.67,,																																							
HC TOE OR TOES 2 VIEWS,73660,CPT,,,,BOTH, , ,40.95,34.4,28.67,92,,Percent of Total Billed Charges,34.23,,28.67,92,,Percent of Total Billed Charges,33.62,,28.67,92,,Percent of Total Billed Charges,32.96,,28.67,92,,Percent of Total Billed Charges,34.19,,28.67,92,,Percent of Total Billed Charges,30.84,,28.67,92,,Percent of Total Billed Charges,25.59,,36.86,90,,Percent of Total Billed Charges,20.43,,36.45,89,,Percent of Total Billed Charges,19.66,,33.74,82.4,,Percent of Total Billed Charges,33.66,,34.15,83.4,,Percent of Total Billed Charges,31.86,,34.15,83.4,,Percent of Total Billed Charges,28.71,,34.15,83.4,,Percent of Total Billed Charges,33.33,,36.86,90,,Percent of Total Billed Charges,34.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,37.67,92,,Percent of Total Billed Charges,33.21,,37.67,92,,Percent of Total Billed Charges,30.47,,37.67,92,,Percent of Total Billed Charges,32.06,,37.67,92,,Percent of Total Billed Charges,33.21,,31.94,78,,Percent of Total Billed Charges,31.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,22.04,53.83,,Percent of Total Billed Charges,20.68,,14.19,34.64,,Percent of Total Billed Charges,14.13,,20.47,49.98,,Percent of Total Billed Charges,15.48,,14.19,37.67,,																																							
HC ABD OBSTRUCTION SERIES,74022,CPT,,,,BOTH, , ,675.15,567.13,472.61,92,,Percent of Total Billed Charges,564.43,,472.61,92,,Percent of Total Billed Charges,554.3,,472.61,92,,Percent of Total Billed Charges,543.5,,472.61,92,,Percent of Total Billed Charges,563.75,,472.61,92,,Percent of Total Billed Charges,508.39,,472.61,92,,Percent of Total Billed Charges,421.97,,607.64,90,,Percent of Total Billed Charges,336.9,,600.88,89,,Percent of Total Billed Charges,324.07,,556.32,82.4,,Percent of Total Billed Charges,554.97,,563.08,83.4,,Percent of Total Billed Charges,525.27,,563.08,83.4,,Percent of Total Billed Charges,473.28,,563.08,83.4,,Percent of Total Billed Charges,549.57,,607.64,90,,Percent of Total Billed Charges,571.85,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,621.14,92,,Percent of Total Billed Charges,547.55,,621.14,92,,Percent of Total Billed Charges,502.31,,621.14,92,,Percent of Total Billed Charges,528.64,,621.14,92,,Percent of Total Billed Charges,547.55,,526.62,78,,Percent of Total Billed Charges,526.62,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,363.43,53.83,,Percent of Total Billed Charges,340.95,,233.87,34.64,,Percent of Total Billed Charges,232.93,,337.44,49.98,,Percent of Total Billed Charges,255.21,,233.87,621.14,,																																							
HC BA SWALLOW CERV ESOPH,74210,CPT,,,,BOTH, , ,478.8,402.19,335.16,92,,Percent of Total Billed Charges,400.28,,335.16,92,,Percent of Total Billed Charges,393.09,,335.16,92,,Percent of Total Billed Charges,385.43,,335.16,92,,Percent of Total Billed Charges,399.8,,335.16,92,,Percent of Total Billed Charges,360.54,,335.16,92,,Percent of Total Billed Charges,299.25,,430.92,90,,Percent of Total Billed Charges,238.92,,426.13,89,,Percent of Total Billed Charges,229.82,,394.53,82.4,,Percent of Total Billed Charges,393.57,,399.32,83.4,,Percent of Total Billed Charges,372.51,,399.32,83.4,,Percent of Total Billed Charges,335.64,,399.32,83.4,,Percent of Total Billed Charges,389.74,,430.92,90,,Percent of Total Billed Charges,405.54,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,440.5,92,,Percent of Total Billed Charges,388.31,,440.5,92,,Percent of Total Billed Charges,356.23,,440.5,92,,Percent of Total Billed Charges,374.9,,440.5,92,,Percent of Total Billed Charges,388.31,,373.46,78,,Percent of Total Billed Charges,373.46,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,257.74,53.83,,Percent of Total Billed Charges,241.79,,165.86,34.64,,Percent of Total Billed Charges,165.19,,239.3,49.98,,Percent of Total Billed Charges,180.99,,165.86,440.5,,																																							
HC BA SWALLOW/ESOPHAGUS,74220,CPT,,,,BOTH, , ,478.8,402.19,335.16,92,,Percent of Total Billed Charges,400.28,,335.16,92,,Percent of Total Billed Charges,393.09,,335.16,92,,Percent of Total Billed Charges,385.43,,335.16,92,,Percent of Total Billed Charges,399.8,,335.16,92,,Percent of Total Billed Charges,360.54,,335.16,92,,Percent of Total Billed Charges,299.25,,430.92,90,,Percent of Total Billed Charges,238.92,,426.13,89,,Percent of Total Billed Charges,229.82,,394.53,82.4,,Percent of Total Billed Charges,393.57,,399.32,83.4,,Percent of Total Billed Charges,372.51,,399.32,83.4,,Percent of Total Billed Charges,335.64,,399.32,83.4,,Percent of Total Billed Charges,389.74,,430.92,90,,Percent of Total Billed Charges,405.54,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,440.5,92,,Percent of Total Billed Charges,388.31,,440.5,92,,Percent of Total Billed Charges,356.23,,440.5,92,,Percent of Total Billed Charges,374.9,,440.5,92,,Percent of Total Billed Charges,388.31,,373.46,78,,Percent of Total Billed Charges,373.46,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,257.74,53.83,,Percent of Total Billed Charges,241.79,,165.86,34.64,,Percent of Total Billed Charges,165.19,,239.3,49.98,,Percent of Total Billed Charges,180.99,,165.86,440.5,,																																							
HC VIDEO SWALLOWING EVAL,74230,CPT,,,,BOTH, , ,494.55,415.42,346.19,92,,Percent of Total Billed Charges,413.44,,346.19,92,,Percent of Total Billed Charges,406.03,,346.19,92,,Percent of Total Billed Charges,398.11,,346.19,92,,Percent of Total Billed Charges,412.95,,346.19,92,,Percent of Total Billed Charges,372.4,,346.19,92,,Percent of Total Billed Charges,309.09,,445.1,90,,Percent of Total Billed Charges,246.78,,440.15,89,,Percent of Total Billed Charges,237.38,,407.51,82.4,,Percent of Total Billed Charges,406.52,,412.45,83.4,,Percent of Total Billed Charges,384.76,,412.45,83.4,,Percent of Total Billed Charges,346.68,,412.45,83.4,,Percent of Total Billed Charges,402.56,,445.1,90,,Percent of Total Billed Charges,418.88,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,454.99,92,,Percent of Total Billed Charges,401.08,,454.99,92,,Percent of Total Billed Charges,367.95,,454.99,92,,Percent of Total Billed Charges,387.23,,454.99,92,,Percent of Total Billed Charges,401.08,,385.75,78,,Percent of Total Billed Charges,385.75,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,266.22,53.83,,Percent of Total Billed Charges,249.75,,171.31,34.64,,Percent of Total Billed Charges,170.62,,247.18,49.98,,Percent of Total Billed Charges,186.94,,171.31,454.99,,																																							
HC UPPER GI SINGLE W/O KUB,74240,CPT,,,,BOTH, , ,710.85,597.11,497.6,92,,Percent of Total Billed Charges,594.27,,497.6,92,,Percent of Total Billed Charges,583.61,,497.6,92,,Percent of Total Billed Charges,572.23,,497.6,92,,Percent of Total Billed Charges,593.56,,497.6,92,,Percent of Total Billed Charges,535.27,,497.6,92,,Percent of Total Billed Charges,444.28,,639.77,90,,Percent of Total Billed Charges,354.71,,632.66,89,,Percent of Total Billed Charges,341.21,,585.74,82.4,,Percent of Total Billed Charges,584.32,,592.85,83.4,,Percent of Total Billed Charges,553.04,,592.85,83.4,,Percent of Total Billed Charges,498.31,,592.85,83.4,,Percent of Total Billed Charges,578.63,,639.77,90,,Percent of Total Billed Charges,602.09,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,653.98,92,,Percent of Total Billed Charges,576.5,,653.98,92,,Percent of Total Billed Charges,528.87,,653.98,92,,Percent of Total Billed Charges,556.6,,653.98,92,,Percent of Total Billed Charges,576.5,,554.46,78,,Percent of Total Billed Charges,554.46,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,382.65,53.83,,Percent of Total Billed Charges,358.98,,246.24,34.64,,Percent of Total Billed Charges,245.24,,355.28,49.98,,Percent of Total Billed Charges,268.7,,246.24,653.98,,																																							
HC SMALL BOWEL SERIES,74250,CPT,,,,BOTH, , ,737.1,619.16,515.97,92,,Percent of Total Billed Charges,616.22,,515.97,92,,Percent of Total Billed Charges,605.16,,515.97,92,,Percent of Total Billed Charges,593.37,,515.97,92,,Percent of Total Billed Charges,615.48,,515.97,92,,Percent of Total Billed Charges,555.04,,515.97,92,,Percent of Total Billed Charges,460.69,,663.39,90,,Percent of Total Billed Charges,367.81,,656.02,89,,Percent of Total Billed Charges,353.81,,607.37,82.4,,Percent of Total Billed Charges,605.9,,614.74,83.4,,Percent of Total Billed Charges,573.46,,614.74,83.4,,Percent of Total Billed Charges,516.71,,614.74,83.4,,Percent of Total Billed Charges,600,,663.39,90,,Percent of Total Billed Charges,624.32,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,678.13,92,,Percent of Total Billed Charges,597.79,,678.13,92,,Percent of Total Billed Charges,548.4,,678.13,92,,Percent of Total Billed Charges,577.15,,678.13,92,,Percent of Total Billed Charges,597.79,,574.94,78,,Percent of Total Billed Charges,574.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,396.78,53.83,,Percent of Total Billed Charges,372.24,,255.33,34.64,,Percent of Total Billed Charges,254.3,,368.4,49.98,,Percent of Total Billed Charges,278.62,,255.33,678.13,,																																							
HC BARIUM ENEMA SINGLE,74270,CPT,,,,BOTH, , ,710.85,597.11,497.6,92,,Percent of Total Billed Charges,594.27,,497.6,92,,Percent of Total Billed Charges,583.61,,497.6,92,,Percent of Total Billed Charges,572.23,,497.6,92,,Percent of Total Billed Charges,593.56,,497.6,92,,Percent of Total Billed Charges,535.27,,497.6,92,,Percent of Total Billed Charges,444.28,,639.77,90,,Percent of Total Billed Charges,354.71,,632.66,89,,Percent of Total Billed Charges,341.21,,585.74,82.4,,Percent of Total Billed Charges,584.32,,592.85,83.4,,Percent of Total Billed Charges,553.04,,592.85,83.4,,Percent of Total Billed Charges,498.31,,592.85,83.4,,Percent of Total Billed Charges,578.63,,639.77,90,,Percent of Total Billed Charges,602.09,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,653.98,92,,Percent of Total Billed Charges,576.5,,653.98,92,,Percent of Total Billed Charges,528.87,,653.98,92,,Percent of Total Billed Charges,556.6,,653.98,92,,Percent of Total Billed Charges,576.5,,554.46,78,,Percent of Total Billed Charges,554.46,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,382.65,53.83,,Percent of Total Billed Charges,358.98,,246.24,34.64,,Percent of Total Billed Charges,245.24,,355.28,49.98,,Percent of Total Billed Charges,268.7,,246.24,653.98,,																																							
HC BARIUM ENEMA W/AIR,74280,CPT,,,,BOTH, , ,715.05,600.64,500.54,92,,Percent of Total Billed Charges,597.78,,500.54,92,,Percent of Total Billed Charges,587.06,,500.54,92,,Percent of Total Billed Charges,575.62,,500.54,92,,Percent of Total Billed Charges,597.07,,500.54,92,,Percent of Total Billed Charges,538.43,,500.54,92,,Percent of Total Billed Charges,446.91,,643.55,90,,Percent of Total Billed Charges,356.81,,636.39,89,,Percent of Total Billed Charges,343.22,,589.2,82.4,,Percent of Total Billed Charges,587.77,,596.35,83.4,,Percent of Total Billed Charges,556.31,,596.35,83.4,,Percent of Total Billed Charges,501.25,,596.35,83.4,,Percent of Total Billed Charges,582.05,,643.55,90,,Percent of Total Billed Charges,605.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,657.85,92,,Percent of Total Billed Charges,579.91,,657.85,92,,Percent of Total Billed Charges,532,,657.85,92,,Percent of Total Billed Charges,559.88,,657.85,92,,Percent of Total Billed Charges,579.91,,557.74,78,,Percent of Total Billed Charges,557.74,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,384.91,53.83,,Percent of Total Billed Charges,361.1,,247.69,34.64,,Percent of Total Billed Charges,246.69,,357.38,49.98,,Percent of Total Billed Charges,270.29,,247.69,657.85,,																																							
HC CHOLANGIOGRAM O.R.,74300,CPT,,,,BOTH, , ,648.9,545.08,454.23,92,,Percent of Total Billed Charges,542.48,,454.23,92,,Percent of Total Billed Charges,532.75,,454.23,92,,Percent of Total Billed Charges,522.36,,454.23,92,,Percent of Total Billed Charges,541.83,,454.23,92,,Percent of Total Billed Charges,488.62,,454.23,92,,Percent of Total Billed Charges,405.56,,584.01,90,,Percent of Total Billed Charges,323.8,,577.52,89,,Percent of Total Billed Charges,311.47,,534.69,82.4,,Percent of Total Billed Charges,533.4,,541.18,83.4,,Percent of Total Billed Charges,504.84,,541.18,83.4,,Percent of Total Billed Charges,454.88,,541.18,83.4,,Percent of Total Billed Charges,528.2,,584.01,90,,Percent of Total Billed Charges,549.62,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,596.99,92,,Percent of Total Billed Charges,526.26,,596.99,92,,Percent of Total Billed Charges,482.78,,596.99,92,,Percent of Total Billed Charges,508.09,,596.99,92,,Percent of Total Billed Charges,526.26,,506.14,78,,Percent of Total Billed Charges,506.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,349.3,53.83,,Percent of Total Billed Charges,327.69,,224.78,34.64,,Percent of Total Billed Charges,223.87,,324.32,49.98,,Percent of Total Billed Charges,245.28,,224.78,596.99,,																																							
HC T TUBE CHOLANGIOGRAM IMAGE/INJ,47531,CPT,,,,BOTH, , ,9384.9,7883.32,8634.11,92,,Percent of Total Billed Charges,7845.78,,8634.11,92,,Percent of Total Billed Charges,7705,,8634.11,92,,Percent of Total Billed Charges,7554.84,,8634.11,92,,Percent of Total Billed Charges,7836.39,,8634.11,92,,Percent of Total Billed Charges,7066.83,,8634.11,92,,Percent of Total Billed Charges,5865.56,,8446.41,90,,Percent of Total Billed Charges,4683.07,,8352.56,89,,Percent of Total Billed Charges,4504.75,,7733.16,82.4,,Percent of Total Billed Charges,7714.39,,7827.01,83.4,,Percent of Total Billed Charges,7301.45,,7827.01,83.4,,Percent of Total Billed Charges,6578.81,,7827.01,83.4,,Percent of Total Billed Charges,7639.31,,8446.41,90,,Percent of Total Billed Charges,7949.01,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,8634.11,92,,Percent of Total Billed Charges,7611.15,,8634.11,92,,Percent of Total Billed Charges,6982.37,,8634.11,92,,Percent of Total Billed Charges,7348.38,,8634.11,92,,Percent of Total Billed Charges,7611.15,,7320.22,78,,Percent of Total Billed Charges,7320.22,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5051.89,53.83,,Percent of Total Billed Charges,4739.37,,3250.93,34.64,,Percent of Total Billed Charges,3237.79,,4690.57,49.98,,Percent of Total Billed Charges,3547.49,,3250.93,8634.11,,																																							
HC PTC IMAGE/INJECT,47532,CPT,,,,BOTH, , ,10400.25,8736.21,9568.23,92,,Percent of Total Billed Charges,8694.61,,9568.23,92,,Percent of Total Billed Charges,8538.61,,9568.23,92,,Percent of Total Billed Charges,8372.2,,9568.23,92,,Percent of Total Billed Charges,8684.21,,9568.23,92,,Percent of Total Billed Charges,7831.39,,9568.23,92,,Percent of Total Billed Charges,6500.16,,9360.23,90,,Percent of Total Billed Charges,5189.72,,9256.22,89,,Percent of Total Billed Charges,4992.12,,8569.81,82.4,,Percent of Total Billed Charges,8549.01,,8673.81,83.4,,Percent of Total Billed Charges,8091.39,,8673.81,83.4,,Percent of Total Billed Charges,7290.58,,8673.81,83.4,,Percent of Total Billed Charges,8465.8,,9360.23,90,,Percent of Total Billed Charges,8809.01,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,9568.23,92,,Percent of Total Billed Charges,8434.6,,9568.23,92,,Percent of Total Billed Charges,7737.79,,9568.23,92,,Percent of Total Billed Charges,8143.4,,9568.23,92,,Percent of Total Billed Charges,8434.6,,8112.2,78,,Percent of Total Billed Charges,8112.2,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5598.45,53.83,,Percent of Total Billed Charges,5252.13,,3602.65,34.64,,Percent of Total Billed Charges,3588.09,,5198.04,49.98,,Percent of Total Billed Charges,3931.29,,3602.65,9568.23,,																																							
HC XRAY BILE DUCT ENDOSCOPY,74328,CPT,,,,BOTH, , ,1204.35,1011.65,843.05,92,,Percent of Total Billed Charges,1006.84,,843.05,92,,Percent of Total Billed Charges,988.77,,843.05,92,,Percent of Total Billed Charges,969.5,,843.05,92,,Percent of Total Billed Charges,1005.63,,843.05,92,,Percent of Total Billed Charges,906.88,,843.05,92,,Percent of Total Billed Charges,752.72,,1083.92,90,,Percent of Total Billed Charges,600.97,,1071.87,89,,Percent of Total Billed Charges,578.09,,992.38,82.4,,Percent of Total Billed Charges,989.98,,1004.43,83.4,,Percent of Total Billed Charges,936.98,,1004.43,83.4,,Percent of Total Billed Charges,844.25,,1004.43,83.4,,Percent of Total Billed Charges,980.34,,1083.92,90,,Percent of Total Billed Charges,1020.08,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1108,92,,Percent of Total Billed Charges,976.73,,1108,92,,Percent of Total Billed Charges,896.04,,1108,92,,Percent of Total Billed Charges,943.01,,1108,92,,Percent of Total Billed Charges,976.73,,939.39,78,,Percent of Total Billed Charges,939.39,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,648.3,53.83,,Percent of Total Billed Charges,608.2,,417.19,34.64,,Percent of Total Billed Charges,415.5,,601.93,49.98,,Percent of Total Billed Charges,455.24,,417.19,1108,,																																							
HC XRAY BILE/PANC ENDOSCOPY,74330,CPT,,,,BOTH, , ,222.6,186.98,155.82,92,,Percent of Total Billed Charges,186.09,,155.82,92,,Percent of Total Billed Charges,182.75,,155.82,92,,Percent of Total Billed Charges,179.19,,155.82,92,,Percent of Total Billed Charges,185.87,,155.82,92,,Percent of Total Billed Charges,167.62,,155.82,92,,Percent of Total Billed Charges,139.13,,200.34,90,,Percent of Total Billed Charges,111.08,,198.11,89,,Percent of Total Billed Charges,106.85,,183.42,82.4,,Percent of Total Billed Charges,182.98,,185.65,83.4,,Percent of Total Billed Charges,173.18,,185.65,83.4,,Percent of Total Billed Charges,156.04,,185.65,83.4,,Percent of Total Billed Charges,181.2,,200.34,90,,Percent of Total Billed Charges,188.54,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,204.79,92,,Percent of Total Billed Charges,180.53,,204.79,92,,Percent of Total Billed Charges,165.61,,204.79,92,,Percent of Total Billed Charges,174.3,,204.79,92,,Percent of Total Billed Charges,180.53,,173.63,78,,Percent of Total Billed Charges,173.63,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,119.83,53.83,,Percent of Total Billed Charges,112.41,,77.11,34.64,,Percent of Total Billed Charges,76.8,,111.26,49.98,,Percent of Total Billed Charges,84.14,,77.11,204.79,,																																							
HC GASTROINTESTINGAL TUBE,74340,CPT,,,,BOTH, , ,516.6,433.94,361.62,92,,Percent of Total Billed Charges,431.88,,361.62,92,,Percent of Total Billed Charges,424.13,,361.62,92,,Percent of Total Billed Charges,415.86,,361.62,92,,Percent of Total Billed Charges,431.36,,361.62,92,,Percent of Total Billed Charges,389,,361.62,92,,Percent of Total Billed Charges,322.88,,464.94,90,,Percent of Total Billed Charges,257.78,,459.77,89,,Percent of Total Billed Charges,247.97,,425.68,82.4,,Percent of Total Billed Charges,424.65,,430.84,83.4,,Percent of Total Billed Charges,401.91,,430.84,83.4,,Percent of Total Billed Charges,362.14,,430.84,83.4,,Percent of Total Billed Charges,420.51,,464.94,90,,Percent of Total Billed Charges,437.56,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,475.27,92,,Percent of Total Billed Charges,418.96,,475.27,92,,Percent of Total Billed Charges,384.35,,475.27,92,,Percent of Total Billed Charges,404.5,,475.27,92,,Percent of Total Billed Charges,418.96,,402.95,78,,Percent of Total Billed Charges,402.95,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,278.09,53.83,,Percent of Total Billed Charges,260.88,,178.95,34.64,,Percent of Total Billed Charges,178.23,,258.2,49.98,,Percent of Total Billed Charges,195.27,,178.95,475.27,,																																							
HC IVP ROUTINE,74400,CPT,,,,BOTH, , ,2000.25,1680.21,1400.18,92,,Percent of Total Billed Charges,1672.21,,1400.18,92,,Percent of Total Billed Charges,1642.21,,1400.18,92,,Percent of Total Billed Charges,1610.2,,1400.18,92,,Percent of Total Billed Charges,1670.21,,1400.18,92,,Percent of Total Billed Charges,1506.19,,1400.18,92,,Percent of Total Billed Charges,1250.16,,1800.23,90,,Percent of Total Billed Charges,998.12,,1780.22,89,,Percent of Total Billed Charges,960.12,,1648.21,82.4,,Percent of Total Billed Charges,1644.21,,1668.21,83.4,,Percent of Total Billed Charges,1556.19,,1668.21,83.4,,Percent of Total Billed Charges,1402.18,,1668.21,83.4,,Percent of Total Billed Charges,1628.2,,1800.23,90,,Percent of Total Billed Charges,1694.21,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1840.23,92,,Percent of Total Billed Charges,1622.2,,1840.23,92,,Percent of Total Billed Charges,1488.19,,1840.23,92,,Percent of Total Billed Charges,1566.2,,1840.23,92,,Percent of Total Billed Charges,1622.2,,1560.2,78,,Percent of Total Billed Charges,1560.2,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1076.73,53.83,,Percent of Total Billed Charges,1010.13,,692.89,34.64,,Percent of Total Billed Charges,690.09,,999.72,49.98,,Percent of Total Billed Charges,756.09,,692.89,1840.23,,																																							
HC RETROGRADE W/WO KUB,74420,CPT,,,,BOTH, , ,1298.85,1091.03,909.2,92,,Percent of Total Billed Charges,1085.84,,909.2,92,,Percent of Total Billed Charges,1066.36,,909.2,92,,Percent of Total Billed Charges,1045.57,,909.2,92,,Percent of Total Billed Charges,1084.54,,909.2,92,,Percent of Total Billed Charges,978.03,,909.2,92,,Percent of Total Billed Charges,811.78,,1168.97,90,,Percent of Total Billed Charges,648.13,,1155.98,89,,Percent of Total Billed Charges,623.45,,1070.25,82.4,,Percent of Total Billed Charges,1067.65,,1083.24,83.4,,Percent of Total Billed Charges,1010.51,,1083.24,83.4,,Percent of Total Billed Charges,910.49,,1083.24,83.4,,Percent of Total Billed Charges,1057.26,,1168.97,90,,Percent of Total Billed Charges,1100.13,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1194.94,92,,Percent of Total Billed Charges,1053.37,,1194.94,92,,Percent of Total Billed Charges,966.34,,1194.94,92,,Percent of Total Billed Charges,1017,,1194.94,92,,Percent of Total Billed Charges,1053.37,,1013.1,78,,Percent of Total Billed Charges,1013.1,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,699.17,53.83,,Percent of Total Billed Charges,655.92,,449.92,34.64,,Percent of Total Billed Charges,448.1,,649.17,49.98,,Percent of Total Billed Charges,490.97,,449.92,1194.94,,																																							
HC LOOPOGRAM/NEPHROSTOGRAM,74425,CPT,,,,BOTH, , ,1209.6,1016.06,846.72,92,,Percent of Total Billed Charges,1011.23,,846.72,92,,Percent of Total Billed Charges,993.08,,846.72,92,,Percent of Total Billed Charges,973.73,,846.72,92,,Percent of Total Billed Charges,1010.02,,846.72,92,,Percent of Total Billed Charges,910.83,,846.72,92,,Percent of Total Billed Charges,756,,1088.64,90,,Percent of Total Billed Charges,603.59,,1076.54,89,,Percent of Total Billed Charges,580.61,,996.71,82.4,,Percent of Total Billed Charges,994.29,,1008.81,83.4,,Percent of Total Billed Charges,941.07,,1008.81,83.4,,Percent of Total Billed Charges,847.93,,1008.81,83.4,,Percent of Total Billed Charges,984.61,,1088.64,90,,Percent of Total Billed Charges,1024.53,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1112.83,92,,Percent of Total Billed Charges,980.99,,1112.83,92,,Percent of Total Billed Charges,899.94,,1112.83,92,,Percent of Total Billed Charges,947.12,,1112.83,92,,Percent of Total Billed Charges,980.99,,943.49,78,,Percent of Total Billed Charges,943.49,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,651.13,53.83,,Percent of Total Billed Charges,610.85,,419.01,34.64,,Percent of Total Billed Charges,417.31,,604.56,49.98,,Percent of Total Billed Charges,457.23,,419.01,1112.83,,																																							
HC CYSTOGRAM NO VOID,74430,CPT,,,,BOTH, , ,1209.6,1016.06,846.72,92,,Percent of Total Billed Charges,1011.23,,846.72,92,,Percent of Total Billed Charges,993.08,,846.72,92,,Percent of Total Billed Charges,973.73,,846.72,92,,Percent of Total Billed Charges,1010.02,,846.72,92,,Percent of Total Billed Charges,910.83,,846.72,92,,Percent of Total Billed Charges,756,,1088.64,90,,Percent of Total Billed Charges,603.59,,1076.54,89,,Percent of Total Billed Charges,580.61,,996.71,82.4,,Percent of Total Billed Charges,994.29,,1008.81,83.4,,Percent of Total Billed Charges,941.07,,1008.81,83.4,,Percent of Total Billed Charges,847.93,,1008.81,83.4,,Percent of Total Billed Charges,984.61,,1088.64,90,,Percent of Total Billed Charges,1024.53,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1112.83,92,,Percent of Total Billed Charges,980.99,,1112.83,92,,Percent of Total Billed Charges,899.94,,1112.83,92,,Percent of Total Billed Charges,947.12,,1112.83,92,,Percent of Total Billed Charges,980.99,,943.49,78,,Percent of Total Billed Charges,943.49,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,651.13,53.83,,Percent of Total Billed Charges,610.85,,419.01,34.64,,Percent of Total Billed Charges,417.31,,604.56,49.98,,Percent of Total Billed Charges,457.23,,419.01,1112.83,,																																							
HC URETHROGRAMRETRO,74450,CPT,,,,BOTH, , ,1209.6,1016.06,846.72,92,,Percent of Total Billed Charges,1011.23,,846.72,92,,Percent of Total Billed Charges,993.08,,846.72,92,,Percent of Total Billed Charges,973.73,,846.72,92,,Percent of Total Billed Charges,1010.02,,846.72,92,,Percent of Total Billed Charges,910.83,,846.72,92,,Percent of Total Billed Charges,756,,1088.64,90,,Percent of Total Billed Charges,603.59,,1076.54,89,,Percent of Total Billed Charges,580.61,,996.71,82.4,,Percent of Total Billed Charges,994.29,,1008.81,83.4,,Percent of Total Billed Charges,941.07,,1008.81,83.4,,Percent of Total Billed Charges,847.93,,1008.81,83.4,,Percent of Total Billed Charges,984.61,,1088.64,90,,Percent of Total Billed Charges,1024.53,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1112.83,92,,Percent of Total Billed Charges,980.99,,1112.83,92,,Percent of Total Billed Charges,899.94,,1112.83,92,,Percent of Total Billed Charges,947.12,,1112.83,92,,Percent of Total Billed Charges,980.99,,943.49,78,,Percent of Total Billed Charges,943.49,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,651.13,53.83,,Percent of Total Billed Charges,610.85,,419.01,34.64,,Percent of Total Billed Charges,417.31,,604.56,49.98,,Percent of Total Billed Charges,457.23,,419.01,1112.83,,																																							
HC CYSTOURETHROGRAM VOID,74455,CPT,,,,BOTH, , ,1439.55,1209.22,1007.69,92,,Percent of Total Billed Charges,1203.46,,1007.69,92,,Percent of Total Billed Charges,1181.87,,1007.69,92,,Percent of Total Billed Charges,1158.84,,1007.69,92,,Percent of Total Billed Charges,1202.02,,1007.69,92,,Percent of Total Billed Charges,1083.98,,1007.69,92,,Percent of Total Billed Charges,899.72,,1295.6,90,,Percent of Total Billed Charges,718.34,,1281.2,89,,Percent of Total Billed Charges,690.98,,1186.19,82.4,,Percent of Total Billed Charges,1183.31,,1200.58,83.4,,Percent of Total Billed Charges,1119.97,,1200.58,83.4,,Percent of Total Billed Charges,1009.12,,1200.58,83.4,,Percent of Total Billed Charges,1171.79,,1295.6,90,,Percent of Total Billed Charges,1219.3,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1324.39,92,,Percent of Total Billed Charges,1167.48,,1324.39,92,,Percent of Total Billed Charges,1071.03,,1324.39,92,,Percent of Total Billed Charges,1127.17,,1324.39,92,,Percent of Total Billed Charges,1167.48,,1122.85,78,,Percent of Total Billed Charges,1122.85,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,774.91,53.83,,Percent of Total Billed Charges,726.97,,498.66,34.64,,Percent of Total Billed Charges,496.64,,719.49,49.98,,Percent of Total Billed Charges,544.15,,498.66,1324.39,,																																							
HC PLMT NEPHROSTOMY CATHETER,50432,CPT,,,,BOTH, , ,7195.65,6044.35,5036.96,92,,Percent of Total Billed Charges,6015.56,,5036.96,92,,Percent of Total Billed Charges,5907.63,,5036.96,92,,Percent of Total Billed Charges,5792.5,,5036.96,92,,Percent of Total Billed Charges,6008.37,,5036.96,92,,Percent of Total Billed Charges,5418.32,,5036.96,92,,Percent of Total Billed Charges,4497.28,,6476.09,90,,Percent of Total Billed Charges,3590.63,,6404.13,89,,Percent of Total Billed Charges,3453.91,,5929.22,82.4,,Percent of Total Billed Charges,5914.82,,6001.17,83.4,,Percent of Total Billed Charges,5598.22,,6001.17,83.4,,Percent of Total Billed Charges,5044.15,,6001.17,83.4,,Percent of Total Billed Charges,5857.26,,6476.09,90,,Percent of Total Billed Charges,6094.72,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6620,92,,Percent of Total Billed Charges,5835.67,,6620,92,,Percent of Total Billed Charges,5353.56,,6620,92,,Percent of Total Billed Charges,5634.19,,6620,92,,Percent of Total Billed Charges,5835.67,,5612.61,78,,Percent of Total Billed Charges,5612.61,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3873.42,53.83,,Percent of Total Billed Charges,3633.8,,2492.57,34.64,,Percent of Total Billed Charges,2482.5,,3596.39,49.98,,Percent of Total Billed Charges,2719.96,,2492.57,6620,,																																							
HC HYSTEROSALPINGOGRAM,74740,CPT,,,,BOTH, , ,1492.05,1253.32,1044.44,92,,Percent of Total Billed Charges,1247.35,,1044.44,92,,Percent of Total Billed Charges,1224.97,,1044.44,92,,Percent of Total Billed Charges,1201.1,,1044.44,92,,Percent of Total Billed Charges,1245.86,,1044.44,92,,Percent of Total Billed Charges,1123.51,,1044.44,92,,Percent of Total Billed Charges,932.53,,1342.85,90,,Percent of Total Billed Charges,744.53,,1327.92,89,,Percent of Total Billed Charges,716.18,,1229.45,82.4,,Percent of Total Billed Charges,1226.47,,1244.37,83.4,,Percent of Total Billed Charges,1160.81,,1244.37,83.4,,Percent of Total Billed Charges,1045.93,,1244.37,83.4,,Percent of Total Billed Charges,1214.53,,1342.85,90,,Percent of Total Billed Charges,1263.77,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1372.69,92,,Percent of Total Billed Charges,1210.05,,1372.69,92,,Percent of Total Billed Charges,1110.09,,1372.69,92,,Percent of Total Billed Charges,1168.28,,1372.69,92,,Percent of Total Billed Charges,1210.05,,1163.8,78,,Percent of Total Billed Charges,1163.8,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,803.17,53.83,,Percent of Total Billed Charges,753.49,,516.85,34.64,,Percent of Total Billed Charges,514.76,,745.73,49.98,,Percent of Total Billed Charges,563.99,,516.85,1372.69,,																																							
HC CONTRAST EXAM THORACIC AORTA,75605,CPT,,,,BOTH, , ,6968.85,5853.83,4878.2,92,,Percent of Total Billed Charges,5825.96,,4878.2,92,,Percent of Total Billed Charges,5721.43,,4878.2,92,,Percent of Total Billed Charges,5609.92,,4878.2,92,,Percent of Total Billed Charges,5818.99,,4878.2,92,,Percent of Total Billed Charges,5247.54,,4878.2,92,,Percent of Total Billed Charges,4355.53,,6271.97,90,,Percent of Total Billed Charges,3477.46,,6202.28,89,,Percent of Total Billed Charges,3345.05,,5742.33,82.4,,Percent of Total Billed Charges,5728.39,,5812.02,83.4,,Percent of Total Billed Charges,5421.77,,5812.02,83.4,,Percent of Total Billed Charges,4885.16,,5812.02,83.4,,Percent of Total Billed Charges,5672.64,,6271.97,90,,Percent of Total Billed Charges,5902.62,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6411.34,92,,Percent of Total Billed Charges,5651.74,,6411.34,92,,Percent of Total Billed Charges,5184.82,,6411.34,92,,Percent of Total Billed Charges,5456.61,,6411.34,92,,Percent of Total Billed Charges,5651.74,,5435.7,78,,Percent of Total Billed Charges,5435.7,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3751.33,53.83,,Percent of Total Billed Charges,3519.27,,2414.01,34.64,,Percent of Total Billed Charges,2404.25,,3483.03,49.98,,Percent of Total Billed Charges,2634.23,,2414.01,6411.34,,																																							
HC ABDOMINAL AORTA RUN,75630,CPT,,,,BOTH, , ,5871.6,4932.14,4110.12,92,,Percent of Total Billed Charges,4908.66,,4110.12,92,,Percent of Total Billed Charges,4820.58,,4110.12,92,,Percent of Total Billed Charges,4726.64,,4110.12,92,,Percent of Total Billed Charges,4902.79,,4110.12,92,,Percent of Total Billed Charges,4421.31,,4110.12,92,,Percent of Total Billed Charges,3669.75,,5284.44,90,,Percent of Total Billed Charges,2929.93,,5225.72,89,,Percent of Total Billed Charges,2818.37,,4838.2,82.4,,Percent of Total Billed Charges,4826.46,,4896.91,83.4,,Percent of Total Billed Charges,4568.1,,4896.91,83.4,,Percent of Total Billed Charges,4115.99,,4896.91,83.4,,Percent of Total Billed Charges,4779.48,,5284.44,90,,Percent of Total Billed Charges,4973.25,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5401.87,92,,Percent of Total Billed Charges,4761.87,,5401.87,92,,Percent of Total Billed Charges,4368.47,,5401.87,92,,Percent of Total Billed Charges,4597.46,,5401.87,92,,Percent of Total Billed Charges,4761.87,,4579.85,78,,Percent of Total Billed Charges,4579.85,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3160.68,53.83,,Percent of Total Billed Charges,2965.16,,2033.92,34.64,,Percent of Total Billed Charges,2025.7,,2934.63,49.98,,Percent of Total Billed Charges,2219.46,,2033.92,5401.87,,																																							
HC ANGIOGRAPHY EXTREMITY UNILATERAL RS&I,75710,CPT,,,,BOTH, , ,9727.2,8170.85,6809.04,92,,Percent of Total Billed Charges,8131.94,,6809.04,92,,Percent of Total Billed Charges,7986.03,,6809.04,92,,Percent of Total Billed Charges,7830.4,,6809.04,92,,Percent of Total Billed Charges,8122.21,,6809.04,92,,Percent of Total Billed Charges,7324.58,,6809.04,92,,Percent of Total Billed Charges,6079.5,,8754.48,90,,Percent of Total Billed Charges,4853.87,,8657.21,89,,Percent of Total Billed Charges,4669.06,,8015.21,82.4,,Percent of Total Billed Charges,7995.76,,8112.48,83.4,,Percent of Total Billed Charges,7567.76,,8112.48,83.4,,Percent of Total Billed Charges,6818.77,,8112.48,83.4,,Percent of Total Billed Charges,7917.94,,8754.48,90,,Percent of Total Billed Charges,8238.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,8949.02,92,,Percent of Total Billed Charges,7888.76,,8949.02,92,,Percent of Total Billed Charges,7237.04,,8949.02,92,,Percent of Total Billed Charges,7616.4,,8949.02,92,,Percent of Total Billed Charges,7888.76,,7587.22,78,,Percent of Total Billed Charges,7587.22,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5236.15,53.83,,Percent of Total Billed Charges,4912.24,,3369.5,34.64,,Percent of Total Billed Charges,3355.88,,4861.65,49.98,,Percent of Total Billed Charges,3676.88,,3369.50,8949.02,,																																							
HC ANGIOGRAPHY VISCERAL SELECTIVE/SUPRASELECTIVE,75726,CPT,,,,BOTH, , ,18202.8,15290.35,12741.96,92,,Percent of Total Billed Charges,15217.54,,12741.96,92,,Percent of Total Billed Charges,14944.5,,12741.96,92,,Percent of Total Billed Charges,14653.25,,12741.96,92,,Percent of Total Billed Charges,15199.34,,12741.96,92,,Percent of Total Billed Charges,13706.71,,12741.96,92,,Percent of Total Billed Charges,11376.75,,16382.52,90,,Percent of Total Billed Charges,9083.2,,16200.49,89,,Percent of Total Billed Charges,8737.34,,14999.11,82.4,,Percent of Total Billed Charges,14962.7,,15181.14,83.4,,Percent of Total Billed Charges,14161.78,,15181.14,83.4,,Percent of Total Billed Charges,12760.16,,15181.14,83.4,,Percent of Total Billed Charges,14817.08,,16382.52,90,,Percent of Total Billed Charges,15417.77,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,16746.58,92,,Percent of Total Billed Charges,14762.47,,16746.58,92,,Percent of Total Billed Charges,13542.88,,16746.58,92,,Percent of Total Billed Charges,14252.79,,16746.58,92,,Percent of Total Billed Charges,14762.47,,14198.18,78,,Percent of Total Billed Charges,14198.18,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,9798.57,53.83,,Percent of Total Billed Charges,9192.41,,6305.45,34.64,,Percent of Total Billed Charges,6279.97,,9097.76,49.98,,Percent of Total Billed Charges,6880.66,,6305.45,16746.58,,																																							
HC PELVIC SELECTIVE,75736,CPT,,,,BOTH, , ,9560.25,8030.61,6692.18,92,,Percent of Total Billed Charges,7992.37,,6692.18,92,,Percent of Total Billed Charges,7848.97,,6692.18,92,,Percent of Total Billed Charges,7696,,6692.18,92,,Percent of Total Billed Charges,7982.81,,6692.18,92,,Percent of Total Billed Charges,7198.87,,6692.18,92,,Percent of Total Billed Charges,5975.16,,8604.23,90,,Percent of Total Billed Charges,4770.56,,8508.62,89,,Percent of Total Billed Charges,4588.92,,7877.65,82.4,,Percent of Total Billed Charges,7858.53,,7973.25,83.4,,Percent of Total Billed Charges,7437.87,,7973.25,83.4,,Percent of Total Billed Charges,6701.74,,7973.25,83.4,,Percent of Total Billed Charges,7782.04,,8604.23,90,,Percent of Total Billed Charges,8097.53,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,8795.43,92,,Percent of Total Billed Charges,7753.36,,8795.43,92,,Percent of Total Billed Charges,7112.83,,8795.43,92,,Percent of Total Billed Charges,7485.68,,8795.43,92,,Percent of Total Billed Charges,7753.36,,7457,78,,Percent of Total Billed Charges,7457,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5146.28,53.83,,Percent of Total Billed Charges,4827.93,,3311.67,34.64,,Percent of Total Billed Charges,3298.29,,4778.21,49.98,,Percent of Total Billed Charges,3613.77,,3311.67,8795.43,,																																							
HC SELECT ADDIT VESSELEA,75774,CPT,,,,BOTH, , ,1830.15,1537.33,1281.11,92,,Percent of Total Billed Charges,1530.01,,1281.11,92,,Percent of Total Billed Charges,1502.55,,1281.11,92,,Percent of Total Billed Charges,1473.27,,1281.11,92,,Percent of Total Billed Charges,1528.18,,1281.11,92,,Percent of Total Billed Charges,1378.1,,1281.11,92,,Percent of Total Billed Charges,1143.84,,1647.14,90,,Percent of Total Billed Charges,913.24,,1628.83,89,,Percent of Total Billed Charges,878.47,,1508.04,82.4,,Percent of Total Billed Charges,1504.38,,1526.35,83.4,,Percent of Total Billed Charges,1423.86,,1526.35,83.4,,Percent of Total Billed Charges,1282.94,,1526.35,83.4,,Percent of Total Billed Charges,1489.74,,1647.14,90,,Percent of Total Billed Charges,1550.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1683.74,92,,Percent of Total Billed Charges,1484.25,,1683.74,92,,Percent of Total Billed Charges,1361.63,,1683.74,92,,Percent of Total Billed Charges,1433.01,,1683.74,92,,Percent of Total Billed Charges,1484.25,,1427.52,78,,Percent of Total Billed Charges,1427.52,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,985.17,53.83,,Percent of Total Billed Charges,924.23,,633.96,34.64,,Percent of Total Billed Charges,631.4,,914.71,49.98,,Percent of Total Billed Charges,691.8,,633.96,1683.74,,																																							
HC VENOGRAM UNILATERAL,75820,CPT,,,,BOTH, , ,306.6,257.54,214.62,92,,Percent of Total Billed Charges,256.32,,214.62,92,,Percent of Total Billed Charges,251.72,,214.62,92,,Percent of Total Billed Charges,246.81,,214.62,92,,Percent of Total Billed Charges,256.01,,214.62,92,,Percent of Total Billed Charges,230.87,,214.62,92,,Percent of Total Billed Charges,191.63,,275.94,90,,Percent of Total Billed Charges,152.99,,272.87,89,,Percent of Total Billed Charges,147.17,,252.64,82.4,,Percent of Total Billed Charges,252.03,,255.7,83.4,,Percent of Total Billed Charges,238.53,,255.7,83.4,,Percent of Total Billed Charges,214.93,,255.7,83.4,,Percent of Total Billed Charges,249.57,,275.94,90,,Percent of Total Billed Charges,259.69,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,282.07,92,,Percent of Total Billed Charges,248.65,,282.07,92,,Percent of Total Billed Charges,228.11,,282.07,92,,Percent of Total Billed Charges,240.07,,282.07,92,,Percent of Total Billed Charges,248.65,,239.15,78,,Percent of Total Billed Charges,239.15,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,165.04,53.83,,Percent of Total Billed Charges,154.83,,106.21,34.64,,Percent of Total Billed Charges,105.78,,153.24,49.98,,Percent of Total Billed Charges,115.89,,106.21,282.07,,																																							
HC VEIN XRAY TRUNK,75825,CPT,,,,BOTH, , ,9560.25,8030.61,6692.18,92,,Percent of Total Billed Charges,7992.37,,6692.18,92,,Percent of Total Billed Charges,7848.97,,6692.18,92,,Percent of Total Billed Charges,7696,,6692.18,92,,Percent of Total Billed Charges,7982.81,,6692.18,92,,Percent of Total Billed Charges,7198.87,,6692.18,92,,Percent of Total Billed Charges,5975.16,,8604.23,90,,Percent of Total Billed Charges,4770.56,,8508.62,89,,Percent of Total Billed Charges,4588.92,,7877.65,82.4,,Percent of Total Billed Charges,7858.53,,7973.25,83.4,,Percent of Total Billed Charges,7437.87,,7973.25,83.4,,Percent of Total Billed Charges,6701.74,,7973.25,83.4,,Percent of Total Billed Charges,7782.04,,8604.23,90,,Percent of Total Billed Charges,8097.53,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,8795.43,92,,Percent of Total Billed Charges,7753.36,,8795.43,92,,Percent of Total Billed Charges,7112.83,,8795.43,92,,Percent of Total Billed Charges,7485.68,,8795.43,92,,Percent of Total Billed Charges,7753.36,,7457,78,,Percent of Total Billed Charges,7457,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5146.28,53.83,,Percent of Total Billed Charges,4827.93,,3311.67,34.64,,Percent of Total Billed Charges,3298.29,,4778.21,49.98,,Percent of Total Billed Charges,3613.77,,3311.67,8795.43,,																																							
HC VENOGRAM JUGULAR,75860,CPT,,,,BOTH, , ,8435.7,7085.99,5904.99,92,,Percent of Total Billed Charges,7052.25,,5904.99,92,,Percent of Total Billed Charges,6925.71,,5904.99,92,,Percent of Total Billed Charges,6790.74,,5904.99,92,,Percent of Total Billed Charges,7043.81,,5904.99,92,,Percent of Total Billed Charges,6352.08,,5904.99,92,,Percent of Total Billed Charges,5272.31,,7592.13,90,,Percent of Total Billed Charges,4209.41,,7507.77,89,,Percent of Total Billed Charges,4049.14,,6951.02,82.4,,Percent of Total Billed Charges,6934.15,,7035.37,83.4,,Percent of Total Billed Charges,6562.97,,7035.37,83.4,,Percent of Total Billed Charges,5913.43,,7035.37,83.4,,Percent of Total Billed Charges,6866.66,,7592.13,90,,Percent of Total Billed Charges,7145.04,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,7760.84,92,,Percent of Total Billed Charges,6841.35,,7760.84,92,,Percent of Total Billed Charges,6276.16,,7760.84,92,,Percent of Total Billed Charges,6605.15,,7760.84,92,,Percent of Total Billed Charges,6841.35,,6579.85,78,,Percent of Total Billed Charges,6579.85,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4540.94,53.83,,Percent of Total Billed Charges,4260.03,,2922.13,34.64,,Percent of Total Billed Charges,2910.32,,4216.16,49.98,,Percent of Total Billed Charges,3188.69,,2922.13,7760.84,,																																							
HC HEPAT VENOGRAM W/O PRES,75891,CPT,,,,BOTH, , ,9560.25,8030.61,6692.18,92,,Percent of Total Billed Charges,7992.37,,6692.18,92,,Percent of Total Billed Charges,7848.97,,6692.18,92,,Percent of Total Billed Charges,7696,,6692.18,92,,Percent of Total Billed Charges,7982.81,,6692.18,92,,Percent of Total Billed Charges,7198.87,,6692.18,92,,Percent of Total Billed Charges,5975.16,,8604.23,90,,Percent of Total Billed Charges,4770.56,,8508.62,89,,Percent of Total Billed Charges,4588.92,,7877.65,82.4,,Percent of Total Billed Charges,7858.53,,7973.25,83.4,,Percent of Total Billed Charges,7437.87,,7973.25,83.4,,Percent of Total Billed Charges,6701.74,,7973.25,83.4,,Percent of Total Billed Charges,7782.04,,8604.23,90,,Percent of Total Billed Charges,8097.53,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,8795.43,92,,Percent of Total Billed Charges,7753.36,,8795.43,92,,Percent of Total Billed Charges,7112.83,,8795.43,92,,Percent of Total Billed Charges,7485.68,,8795.43,92,,Percent of Total Billed Charges,7753.36,,7457,78,,Percent of Total Billed Charges,7457,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5146.28,53.83,,Percent of Total Billed Charges,4827.93,,3311.67,34.64,,Percent of Total Billed Charges,3298.29,,4778.21,49.98,,Percent of Total Billed Charges,3613.77,,3311.67,8795.43,,																																							
HC EMBOLIZATION,75894,CPT,,,,BOTH, , ,2607.15,2190.01,1825.01,92,,Percent of Total Billed Charges,2179.58,,1825.01,92,,Percent of Total Billed Charges,2140.47,,1825.01,92,,Percent of Total Billed Charges,2098.76,,1825.01,92,,Percent of Total Billed Charges,2176.97,,1825.01,92,,Percent of Total Billed Charges,1963.18,,1825.01,92,,Percent of Total Billed Charges,1629.47,,2346.44,90,,Percent of Total Billed Charges,1300.97,,2320.36,89,,Percent of Total Billed Charges,1251.43,,2148.29,82.4,,Percent of Total Billed Charges,2143.08,,2174.36,83.4,,Percent of Total Billed Charges,2028.36,,2174.36,83.4,,Percent of Total Billed Charges,1827.61,,2174.36,83.4,,Percent of Total Billed Charges,2122.22,,2346.44,90,,Percent of Total Billed Charges,2208.26,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2398.58,92,,Percent of Total Billed Charges,2114.4,,2398.58,92,,Percent of Total Billed Charges,1939.72,,2398.58,92,,Percent of Total Billed Charges,2041.4,,2398.58,92,,Percent of Total Billed Charges,2114.4,,2033.58,78,,Percent of Total Billed Charges,2033.58,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1403.43,53.83,,Percent of Total Billed Charges,1316.61,,903.12,34.64,,Percent of Total Billed Charges,899.47,,1303.05,49.98,,Percent of Total Billed Charges,985.5,,903.12,2398.58,,																																							
HC ANGIO/EXIST CATH F/U RX,75898,CPT,,,,BOTH, , ,8435.7,7085.99,5904.99,92,,Percent of Total Billed Charges,7052.25,,5904.99,92,,Percent of Total Billed Charges,6925.71,,5904.99,92,,Percent of Total Billed Charges,6790.74,,5904.99,92,,Percent of Total Billed Charges,7043.81,,5904.99,92,,Percent of Total Billed Charges,6352.08,,5904.99,92,,Percent of Total Billed Charges,5272.31,,7592.13,90,,Percent of Total Billed Charges,4209.41,,7507.77,89,,Percent of Total Billed Charges,4049.14,,6951.02,82.4,,Percent of Total Billed Charges,6934.15,,7035.37,83.4,,Percent of Total Billed Charges,6562.97,,7035.37,83.4,,Percent of Total Billed Charges,5913.43,,7035.37,83.4,,Percent of Total Billed Charges,6866.66,,7592.13,90,,Percent of Total Billed Charges,7145.04,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,7760.84,92,,Percent of Total Billed Charges,6841.35,,7760.84,92,,Percent of Total Billed Charges,6276.16,,7760.84,92,,Percent of Total Billed Charges,6605.15,,7760.84,92,,Percent of Total Billed Charges,6841.35,,6579.85,78,,Percent of Total Billed Charges,6579.85,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4540.94,53.83,,Percent of Total Billed Charges,4260.03,,2922.13,34.64,,Percent of Total Billed Charges,2910.32,,4216.16,49.98,,Percent of Total Billed Charges,3188.69,,2922.13,7760.84,,																																							
HC RVL FBRN SH SEP V ACC,75901,CPT,,,,BOTH, , ,648.9,545.08,454.23,92,,Percent of Total Billed Charges,542.48,,454.23,92,,Percent of Total Billed Charges,532.75,,454.23,92,,Percent of Total Billed Charges,522.36,,454.23,92,,Percent of Total Billed Charges,541.83,,454.23,92,,Percent of Total Billed Charges,488.62,,454.23,92,,Percent of Total Billed Charges,405.56,,584.01,90,,Percent of Total Billed Charges,323.8,,577.52,89,,Percent of Total Billed Charges,311.47,,534.69,82.4,,Percent of Total Billed Charges,533.4,,541.18,83.4,,Percent of Total Billed Charges,504.84,,541.18,83.4,,Percent of Total Billed Charges,454.88,,541.18,83.4,,Percent of Total Billed Charges,528.2,,584.01,90,,Percent of Total Billed Charges,549.62,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,596.99,92,,Percent of Total Billed Charges,526.26,,596.99,92,,Percent of Total Billed Charges,482.78,,596.99,92,,Percent of Total Billed Charges,508.09,,596.99,92,,Percent of Total Billed Charges,526.26,,506.14,78,,Percent of Total Billed Charges,506.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,349.3,53.83,,Percent of Total Billed Charges,327.69,,224.78,34.64,,Percent of Total Billed Charges,223.87,,324.32,49.98,,Percent of Total Billed Charges,245.28,,224.78,596.99,,																																							
HC RVL FBRN SH VIA DV LMN,75902,CPT,,,,BOTH, , ,438.9,368.68,307.23,92,,Percent of Total Billed Charges,366.92,,307.23,92,,Percent of Total Billed Charges,360.34,,307.23,92,,Percent of Total Billed Charges,353.31,,307.23,92,,Percent of Total Billed Charges,366.48,,307.23,92,,Percent of Total Billed Charges,330.49,,307.23,92,,Percent of Total Billed Charges,274.31,,395.01,90,,Percent of Total Billed Charges,219.01,,390.62,89,,Percent of Total Billed Charges,210.67,,361.65,82.4,,Percent of Total Billed Charges,360.78,,366.04,83.4,,Percent of Total Billed Charges,341.46,,366.04,83.4,,Percent of Total Billed Charges,307.67,,366.04,83.4,,Percent of Total Billed Charges,357.26,,395.01,90,,Percent of Total Billed Charges,371.75,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,403.79,92,,Percent of Total Billed Charges,355.95,,403.79,92,,Percent of Total Billed Charges,326.54,,403.79,92,,Percent of Total Billed Charges,343.66,,403.79,92,,Percent of Total Billed Charges,355.95,,342.34,78,,Percent of Total Billed Charges,342.34,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,236.26,53.83,,Percent of Total Billed Charges,221.64,,152.03,34.64,,Percent of Total Billed Charges,151.42,,219.36,49.98,,Percent of Total Billed Charges,165.9,,152.03,403.79,,																																							
HC TRANSCATHETER BIOPSY,75970,CPT,,,,BOTH, , ,2335.2,1961.57,1634.64,92,,Percent of Total Billed Charges,1952.23,,1634.64,92,,Percent of Total Billed Charges,1917.2,,1634.64,92,,Percent of Total Billed Charges,1879.84,,1634.64,92,,Percent of Total Billed Charges,1949.89,,1634.64,92,,Percent of Total Billed Charges,1758.41,,1634.64,92,,Percent of Total Billed Charges,1459.5,,2101.68,90,,Percent of Total Billed Charges,1165.26,,2078.33,89,,Percent of Total Billed Charges,1120.9,,1924.2,82.4,,Percent of Total Billed Charges,1919.53,,1947.56,83.4,,Percent of Total Billed Charges,1816.79,,1947.56,83.4,,Percent of Total Billed Charges,1636.98,,1947.56,83.4,,Percent of Total Billed Charges,1900.85,,2101.68,90,,Percent of Total Billed Charges,1977.91,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2148.38,92,,Percent of Total Billed Charges,1893.85,,2148.38,92,,Percent of Total Billed Charges,1737.39,,2148.38,92,,Percent of Total Billed Charges,1828.46,,2148.38,92,,Percent of Total Billed Charges,1893.85,,1821.46,78,,Percent of Total Billed Charges,1821.46,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1257.04,53.83,,Percent of Total Billed Charges,1179.28,,808.91,34.64,,Percent of Total Billed Charges,805.64,,1167.13,49.98,,Percent of Total Billed Charges,882.71,,808.91,2148.38,,																																							
HC PLMT BILIARY DRAINAGE CATH EXTERNAL,47533,CPT,,,,BOTH, , ,12480.3,10483.45,8736.21,92,,Percent of Total Billed Charges,10433.53,,8736.21,92,,Percent of Total Billed Charges,10246.33,,8736.21,92,,Percent of Total Billed Charges,10046.64,,8736.21,92,,Percent of Total Billed Charges,10421.05,,8736.21,92,,Percent of Total Billed Charges,9397.67,,8736.21,92,,Percent of Total Billed Charges,7800.19,,11232.27,90,,Percent of Total Billed Charges,6227.67,,11107.47,89,,Percent of Total Billed Charges,5990.54,,10283.77,82.4,,Percent of Total Billed Charges,10258.81,,10408.57,83.4,,Percent of Total Billed Charges,9709.67,,10408.57,83.4,,Percent of Total Billed Charges,8748.69,,10408.57,83.4,,Percent of Total Billed Charges,10158.96,,11232.27,90,,Percent of Total Billed Charges,10570.81,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,11481.88,92,,Percent of Total Billed Charges,10121.52,,11481.88,92,,Percent of Total Billed Charges,9285.34,,11481.88,92,,Percent of Total Billed Charges,9772.07,,11481.88,92,,Percent of Total Billed Charges,10121.52,,9734.63,78,,Percent of Total Billed Charges,9734.63,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6718.15,53.83,,Percent of Total Billed Charges,6302.55,,4323.18,34.64,,Percent of Total Billed Charges,4305.7,,6237.65,49.98,,Percent of Total Billed Charges,4717.55,,4323.18,11481.88,,																																							
HC PLMT BILIARY DRAINAGE CATH INTERNALEXTERNAL,47534,CPT,,,,BOTH, , ,12480.3,10483.45,8736.21,92,,Percent of Total Billed Charges,10433.53,,8736.21,92,,Percent of Total Billed Charges,10246.33,,8736.21,92,,Percent of Total Billed Charges,10046.64,,8736.21,92,,Percent of Total Billed Charges,10421.05,,8736.21,92,,Percent of Total Billed Charges,9397.67,,8736.21,92,,Percent of Total Billed Charges,7800.19,,11232.27,90,,Percent of Total Billed Charges,6227.67,,11107.47,89,,Percent of Total Billed Charges,5990.54,,10283.77,82.4,,Percent of Total Billed Charges,10258.81,,10408.57,83.4,,Percent of Total Billed Charges,9709.67,,10408.57,83.4,,Percent of Total Billed Charges,8748.69,,10408.57,83.4,,Percent of Total Billed Charges,10158.96,,11232.27,90,,Percent of Total Billed Charges,10570.81,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,11481.88,92,,Percent of Total Billed Charges,10121.52,,11481.88,92,,Percent of Total Billed Charges,9285.34,,11481.88,92,,Percent of Total Billed Charges,9772.07,,11481.88,92,,Percent of Total Billed Charges,10121.52,,9734.63,78,,Percent of Total Billed Charges,9734.63,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6718.15,53.83,,Percent of Total Billed Charges,6302.55,,4323.18,34.64,,Percent of Total Billed Charges,4305.7,,6237.65,49.98,,Percent of Total Billed Charges,4717.55,,4323.18,11481.88,,																																							
HC PERC TUBE CHANGE,75984,CPT,,,,BOTH, , ,112.35,94.37,78.65,92,,Percent of Total Billed Charges,93.92,,78.65,92,,Percent of Total Billed Charges,92.24,,78.65,92,,Percent of Total Billed Charges,90.44,,78.65,92,,Percent of Total Billed Charges,93.81,,78.65,92,,Percent of Total Billed Charges,84.6,,78.65,92,,Percent of Total Billed Charges,70.22,,101.12,90,,Percent of Total Billed Charges,56.06,,99.99,89,,Percent of Total Billed Charges,53.93,,92.58,82.4,,Percent of Total Billed Charges,92.35,,93.7,83.4,,Percent of Total Billed Charges,87.41,,93.7,83.4,,Percent of Total Billed Charges,78.76,,93.7,83.4,,Percent of Total Billed Charges,91.45,,101.12,90,,Percent of Total Billed Charges,95.16,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,103.36,92,,Percent of Total Billed Charges,91.12,,103.36,92,,Percent of Total Billed Charges,83.59,,103.36,92,,Percent of Total Billed Charges,87.97,,103.36,92,,Percent of Total Billed Charges,91.12,,87.63,78,,Percent of Total Billed Charges,87.63,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,60.48,53.83,,Percent of Total Billed Charges,56.74,,38.92,34.64,,Percent of Total Billed Charges,38.76,,56.15,49.98,,Percent of Total Billed Charges,42.47,,38.92,103.36,,																																							
HC GUIDE DRAINAGE ABSCESS,75989,CPT,,,,BOTH, , ,245.7,206.39,171.99,92,,Percent of Total Billed Charges,205.41,,171.99,92,,Percent of Total Billed Charges,201.72,,171.99,92,,Percent of Total Billed Charges,197.79,,171.99,92,,Percent of Total Billed Charges,205.16,,171.99,92,,Percent of Total Billed Charges,185.01,,171.99,92,,Percent of Total Billed Charges,153.56,,221.13,90,,Percent of Total Billed Charges,122.6,,218.67,89,,Percent of Total Billed Charges,117.94,,202.46,82.4,,Percent of Total Billed Charges,201.97,,204.91,83.4,,Percent of Total Billed Charges,191.15,,204.91,83.4,,Percent of Total Billed Charges,172.24,,204.91,83.4,,Percent of Total Billed Charges,200,,221.13,90,,Percent of Total Billed Charges,208.11,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,226.04,92,,Percent of Total Billed Charges,199.26,,226.04,92,,Percent of Total Billed Charges,182.8,,226.04,92,,Percent of Total Billed Charges,192.38,,226.04,92,,Percent of Total Billed Charges,199.26,,191.65,78,,Percent of Total Billed Charges,191.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,132.26,53.83,,Percent of Total Billed Charges,124.08,,85.11,34.64,,Percent of Total Billed Charges,84.77,,122.8,49.98,,Percent of Total Billed Charges,92.87,,85.11,226.04,,																																							
HC FLUOROSCOPY 1 HOUR,76000,CPT,,,,BOTH, , ,633.15,531.85,443.21,92,,Percent of Total Billed Charges,529.31,,443.21,92,,Percent of Total Billed Charges,519.82,,443.21,92,,Percent of Total Billed Charges,509.69,,443.21,92,,Percent of Total Billed Charges,528.68,,443.21,92,,Percent of Total Billed Charges,476.76,,443.21,92,,Percent of Total Billed Charges,395.72,,569.84,90,,Percent of Total Billed Charges,315.94,,563.5,89,,Percent of Total Billed Charges,303.91,,521.72,82.4,,Percent of Total Billed Charges,520.45,,528.05,83.4,,Percent of Total Billed Charges,492.59,,528.05,83.4,,Percent of Total Billed Charges,443.84,,528.05,83.4,,Percent of Total Billed Charges,515.38,,569.84,90,,Percent of Total Billed Charges,536.28,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,582.5,92,,Percent of Total Billed Charges,513.48,,582.5,92,,Percent of Total Billed Charges,471.06,,582.5,92,,Percent of Total Billed Charges,495.76,,582.5,92,,Percent of Total Billed Charges,513.48,,493.86,78,,Percent of Total Billed Charges,493.86,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,340.82,53.83,,Percent of Total Billed Charges,319.74,,219.32,34.64,,Percent of Total Billed Charges,218.44,,316.45,49.98,,Percent of Total Billed Charges,239.33,,219.32,582.5,,																																							
HC PEDS NOSE/ RECTUM FB,76010,CPT,,,,BOTH, , ,270.9,227.56,189.63,92,,Percent of Total Billed Charges,226.47,,189.63,92,,Percent of Total Billed Charges,222.41,,189.63,92,,Percent of Total Billed Charges,218.07,,189.63,92,,Percent of Total Billed Charges,226.2,,189.63,92,,Percent of Total Billed Charges,203.99,,189.63,92,,Percent of Total Billed Charges,169.31,,243.81,90,,Percent of Total Billed Charges,135.18,,241.1,89,,Percent of Total Billed Charges,130.03,,223.22,82.4,,Percent of Total Billed Charges,222.68,,225.93,83.4,,Percent of Total Billed Charges,210.76,,225.93,83.4,,Percent of Total Billed Charges,189.9,,225.93,83.4,,Percent of Total Billed Charges,220.51,,243.81,90,,Percent of Total Billed Charges,229.45,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,249.23,92,,Percent of Total Billed Charges,219.7,,249.23,92,,Percent of Total Billed Charges,201.55,,249.23,92,,Percent of Total Billed Charges,212.11,,249.23,92,,Percent of Total Billed Charges,219.7,,211.3,78,,Percent of Total Billed Charges,211.3,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,145.83,53.83,,Percent of Total Billed Charges,136.8,,93.84,34.64,,Percent of Total Billed Charges,93.46,,135.4,49.98,,Percent of Total Billed Charges,102.4,,93.84,249.23,,																																							
HC S&I ABSC FISTULA/SINUS,76080,CPT,,,,BOTH, , ,1492.05,1253.32,1044.44,92,,Percent of Total Billed Charges,1247.35,,1044.44,92,,Percent of Total Billed Charges,1224.97,,1044.44,92,,Percent of Total Billed Charges,1201.1,,1044.44,92,,Percent of Total Billed Charges,1245.86,,1044.44,92,,Percent of Total Billed Charges,1123.51,,1044.44,92,,Percent of Total Billed Charges,932.53,,1342.85,90,,Percent of Total Billed Charges,744.53,,1327.92,89,,Percent of Total Billed Charges,716.18,,1229.45,82.4,,Percent of Total Billed Charges,1226.47,,1244.37,83.4,,Percent of Total Billed Charges,1160.81,,1244.37,83.4,,Percent of Total Billed Charges,1045.93,,1244.37,83.4,,Percent of Total Billed Charges,1214.53,,1342.85,90,,Percent of Total Billed Charges,1263.77,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1372.69,92,,Percent of Total Billed Charges,1210.05,,1372.69,92,,Percent of Total Billed Charges,1110.09,,1372.69,92,,Percent of Total Billed Charges,1168.28,,1372.69,92,,Percent of Total Billed Charges,1210.05,,1163.8,78,,Percent of Total Billed Charges,1163.8,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,803.17,53.83,,Percent of Total Billed Charges,753.49,,516.85,34.64,,Percent of Total Billed Charges,514.76,,745.73,49.98,,Percent of Total Billed Charges,563.99,,516.85,1372.69,,																																							
HC XRAY EXAM SURGICAL SPECIMEN,76098,CPT,,,,BOTH, , ,1424.85,1196.87,997.4,92,,Percent of Total Billed Charges,1191.17,,997.4,92,,Percent of Total Billed Charges,1169.8,,997.4,92,,Percent of Total Billed Charges,1147,,997.4,92,,Percent of Total Billed Charges,1189.75,,997.4,92,,Percent of Total Billed Charges,1072.91,,997.4,92,,Percent of Total Billed Charges,890.53,,1282.37,90,,Percent of Total Billed Charges,711,,1268.12,89,,Percent of Total Billed Charges,683.93,,1174.08,82.4,,Percent of Total Billed Charges,1171.23,,1188.32,83.4,,Percent of Total Billed Charges,1108.53,,1188.32,83.4,,Percent of Total Billed Charges,998.82,,1188.32,83.4,,Percent of Total Billed Charges,1159.83,,1282.37,90,,Percent of Total Billed Charges,1206.85,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1310.86,92,,Percent of Total Billed Charges,1155.55,,1310.86,92,,Percent of Total Billed Charges,1060.09,,1310.86,92,,Percent of Total Billed Charges,1115.66,,1310.86,92,,Percent of Total Billed Charges,1155.55,,1111.38,78,,Percent of Total Billed Charges,1111.38,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,767,53.83,,Percent of Total Billed Charges,719.55,,493.57,34.64,,Percent of Total Billed Charges,491.57,,712.14,49.98,,Percent of Total Billed Charges,538.59,,493.57,1310.86,,																																							
HC 3D RENDER W/INTRP POSTPROCES,76376,CPT,,,,BOTH, , ,256.2,215.21,179.34,92,,Percent of Total Billed Charges,214.18,,179.34,92,,Percent of Total Billed Charges,210.34,,179.34,92,,Percent of Total Billed Charges,206.24,,179.34,92,,Percent of Total Billed Charges,213.93,,179.34,92,,Percent of Total Billed Charges,192.92,,179.34,92,,Percent of Total Billed Charges,160.13,,230.58,90,,Percent of Total Billed Charges,127.84,,228.02,89,,Percent of Total Billed Charges,122.98,,211.11,82.4,,Percent of Total Billed Charges,210.6,,213.67,83.4,,Percent of Total Billed Charges,199.32,,213.67,83.4,,Percent of Total Billed Charges,179.6,,213.67,83.4,,Percent of Total Billed Charges,208.55,,230.58,90,,Percent of Total Billed Charges,217,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,235.7,92,,Percent of Total Billed Charges,207.78,,235.7,92,,Percent of Total Billed Charges,190.61,,235.7,92,,Percent of Total Billed Charges,200.6,,235.7,92,,Percent of Total Billed Charges,207.78,,199.84,78,,Percent of Total Billed Charges,199.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,137.91,53.83,,Percent of Total Billed Charges,129.38,,88.75,34.64,,Percent of Total Billed Charges,88.39,,128.05,49.98,,Percent of Total Billed Charges,96.84,,88.75,235.7,,																																							
HC 3D RECON WRKSTATN,76377,CPT,,,,BOTH, , ,256.2,215.21,179.34,92,,Percent of Total Billed Charges,214.18,,179.34,92,,Percent of Total Billed Charges,210.34,,179.34,92,,Percent of Total Billed Charges,206.24,,179.34,92,,Percent of Total Billed Charges,213.93,,179.34,92,,Percent of Total Billed Charges,192.92,,179.34,92,,Percent of Total Billed Charges,160.13,,230.58,90,,Percent of Total Billed Charges,127.84,,228.02,89,,Percent of Total Billed Charges,122.98,,211.11,82.4,,Percent of Total Billed Charges,210.6,,213.67,83.4,,Percent of Total Billed Charges,199.32,,213.67,83.4,,Percent of Total Billed Charges,179.6,,213.67,83.4,,Percent of Total Billed Charges,208.55,,230.58,90,,Percent of Total Billed Charges,217,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,235.7,92,,Percent of Total Billed Charges,207.78,,235.7,92,,Percent of Total Billed Charges,190.61,,235.7,92,,Percent of Total Billed Charges,200.6,,235.7,92,,Percent of Total Billed Charges,207.78,,199.84,78,,Percent of Total Billed Charges,199.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,137.91,53.83,,Percent of Total Billed Charges,129.38,,88.75,34.64,,Percent of Total Billed Charges,88.39,,128.05,49.98,,Percent of Total Billed Charges,96.84,,88.75,235.7,,																																							
HC OB FETAL, LIMITED,76815,CPT,,,,BOTH, , ,723.45,607.7,506.42,92,,Percent of Total Billed Charges,604.8,,506.42,92,,Percent of Total Billed Charges,593.95,,506.42,92,,Percent of Total Billed Charges,582.38,,506.42,92,,Percent of Total Billed Charges,604.08,,506.42,92,,Percent of Total Billed Charges,544.76,,506.42,92,,Percent of Total Billed Charges,452.16,,651.11,90,,Percent of Total Billed Charges,361,,643.87,89,,Percent of Total Billed Charges,347.26,,596.12,82.4,,Percent of Total Billed Charges,594.68,,603.36,83.4,,Percent of Total Billed Charges,562.84,,603.36,83.4,,Percent of Total Billed Charges,507.14,,603.36,83.4,,Percent of Total Billed Charges,588.89,,651.11,90,,Percent of Total Billed Charges,612.76,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,665.57,92,,Percent of Total Billed Charges,586.72,,665.57,92,,Percent of Total Billed Charges,538.25,,665.57,92,,Percent of Total Billed Charges,566.46,,665.57,92,,Percent of Total Billed Charges,586.72,,564.29,78,,Percent of Total Billed Charges,564.29,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,389.43,53.83,,Percent of Total Billed Charges,365.34,,250.6,34.64,,Percent of Total Billed Charges,249.59,,361.58,49.98,,Percent of Total Billed Charges,273.46,,250.60,665.57,,																																							
HC FLUORO GUIDE CVC,77001,CPT,,,,BOTH, , ,467.25,392.49,327.08,92,,Percent of Total Billed Charges,390.62,,327.08,92,,Percent of Total Billed Charges,383.61,,327.08,92,,Percent of Total Billed Charges,376.14,,327.08,92,,Percent of Total Billed Charges,390.15,,327.08,92,,Percent of Total Billed Charges,351.84,,327.08,92,,Percent of Total Billed Charges,292.03,,420.53,90,,Percent of Total Billed Charges,233.16,,415.85,89,,Percent of Total Billed Charges,224.28,,385.01,82.4,,Percent of Total Billed Charges,384.08,,389.69,83.4,,Percent of Total Billed Charges,363.52,,389.69,83.4,,Percent of Total Billed Charges,327.54,,389.69,83.4,,Percent of Total Billed Charges,380.34,,420.53,90,,Percent of Total Billed Charges,395.76,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,429.87,92,,Percent of Total Billed Charges,378.94,,429.87,92,,Percent of Total Billed Charges,347.63,,429.87,92,,Percent of Total Billed Charges,365.86,,429.87,92,,Percent of Total Billed Charges,378.94,,364.46,78,,Percent of Total Billed Charges,364.46,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,251.52,53.83,,Percent of Total Billed Charges,235.96,,161.86,34.64,,Percent of Total Billed Charges,161.2,,233.53,49.98,,Percent of Total Billed Charges,176.62,,161.86,429.87,,																																							
HC FLOURO JOINT INJ/ASP,77002,CPT,,,,BOTH, , ,298.2,250.49,208.74,92,,Percent of Total Billed Charges,249.3,,208.74,92,,Percent of Total Billed Charges,244.82,,208.74,92,,Percent of Total Billed Charges,240.05,,208.74,92,,Percent of Total Billed Charges,249,,208.74,92,,Percent of Total Billed Charges,224.54,,208.74,92,,Percent of Total Billed Charges,186.38,,268.38,90,,Percent of Total Billed Charges,148.8,,265.4,89,,Percent of Total Billed Charges,143.14,,245.72,82.4,,Percent of Total Billed Charges,245.12,,248.7,83.4,,Percent of Total Billed Charges,232,,248.7,83.4,,Percent of Total Billed Charges,209.04,,248.7,83.4,,Percent of Total Billed Charges,242.73,,268.38,90,,Percent of Total Billed Charges,252.58,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,274.34,92,,Percent of Total Billed Charges,241.84,,274.34,92,,Percent of Total Billed Charges,221.86,,274.34,92,,Percent of Total Billed Charges,233.49,,274.34,92,,Percent of Total Billed Charges,241.84,,232.6,78,,Percent of Total Billed Charges,232.6,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,160.52,53.83,,Percent of Total Billed Charges,150.59,,103.3,34.64,,Percent of Total Billed Charges,102.88,,149.04,49.98,,Percent of Total Billed Charges,112.72,,103.30,274.34,,																																							
HC FLUORO NEEDLE SPINE,77003,CPT,,,,BOTH, , ,37.8,31.75,26.46,92,,Percent of Total Billed Charges,31.6,,26.46,92,,Percent of Total Billed Charges,31.03,,26.46,92,,Percent of Total Billed Charges,30.43,,26.46,92,,Percent of Total Billed Charges,31.56,,26.46,92,,Percent of Total Billed Charges,28.46,,26.46,92,,Percent of Total Billed Charges,23.63,,34.02,90,,Percent of Total Billed Charges,18.86,,33.64,89,,Percent of Total Billed Charges,18.14,,31.15,82.4,,Percent of Total Billed Charges,31.07,,31.53,83.4,,Percent of Total Billed Charges,29.41,,31.53,83.4,,Percent of Total Billed Charges,26.5,,31.53,83.4,,Percent of Total Billed Charges,30.77,,34.02,90,,Percent of Total Billed Charges,32.02,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,34.78,92,,Percent of Total Billed Charges,30.66,,34.78,92,,Percent of Total Billed Charges,28.12,,34.78,92,,Percent of Total Billed Charges,29.6,,34.78,92,,Percent of Total Billed Charges,30.66,,29.48,78,,Percent of Total Billed Charges,29.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,20.35,53.83,,Percent of Total Billed Charges,19.09,,13.09,34.64,,Percent of Total Billed Charges,13.04,,18.89,49.98,,Percent of Total Billed Charges,14.29,,13.09,34.78,,																																							
HC STRESS JOINTS VIEWS,77071,CPT,,,,BOTH, , ,436.8,366.91,305.76,92,,Percent of Total Billed Charges,365.16,,305.76,92,,Percent of Total Billed Charges,358.61,,305.76,92,,Percent of Total Billed Charges,351.62,,305.76,92,,Percent of Total Billed Charges,364.73,,305.76,92,,Percent of Total Billed Charges,328.91,,305.76,92,,Percent of Total Billed Charges,273,,393.12,90,,Percent of Total Billed Charges,217.96,,388.75,89,,Percent of Total Billed Charges,209.66,,359.92,82.4,,Percent of Total Billed Charges,359.05,,364.29,83.4,,Percent of Total Billed Charges,339.83,,364.29,83.4,,Percent of Total Billed Charges,306.2,,364.29,83.4,,Percent of Total Billed Charges,355.56,,393.12,90,,Percent of Total Billed Charges,369.97,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,401.86,92,,Percent of Total Billed Charges,354.24,,401.86,92,,Percent of Total Billed Charges,324.98,,401.86,92,,Percent of Total Billed Charges,342.01,,401.86,92,,Percent of Total Billed Charges,354.24,,340.7,78,,Percent of Total Billed Charges,340.7,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,235.13,53.83,,Percent of Total Billed Charges,220.58,,151.31,34.64,,Percent of Total Billed Charges,150.7,,218.31,49.98,,Percent of Total Billed Charges,165.11,,151.31,401.86,,																																							
HC BONE AGE STUDY,77072,CPT,,,,BOTH, , ,324.45,272.54,227.12,92,,Percent of Total Billed Charges,271.24,,227.12,92,,Percent of Total Billed Charges,266.37,,227.12,92,,Percent of Total Billed Charges,261.18,,227.12,92,,Percent of Total Billed Charges,270.92,,227.12,92,,Percent of Total Billed Charges,244.31,,227.12,92,,Percent of Total Billed Charges,202.78,,292.01,90,,Percent of Total Billed Charges,161.9,,288.76,89,,Percent of Total Billed Charges,155.74,,267.35,82.4,,Percent of Total Billed Charges,266.7,,270.59,83.4,,Percent of Total Billed Charges,252.42,,270.59,83.4,,Percent of Total Billed Charges,227.44,,270.59,83.4,,Percent of Total Billed Charges,264.1,,292.01,90,,Percent of Total Billed Charges,274.81,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,298.49,92,,Percent of Total Billed Charges,263.13,,298.49,92,,Percent of Total Billed Charges,241.39,,298.49,92,,Percent of Total Billed Charges,254.04,,298.49,92,,Percent of Total Billed Charges,263.13,,253.07,78,,Percent of Total Billed Charges,253.07,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,174.65,53.83,,Percent of Total Billed Charges,163.85,,112.39,34.64,,Percent of Total Billed Charges,111.94,,162.16,49.98,,Percent of Total Billed Charges,122.64,,112.39,298.49,,																																							
HC BONE LENGTH STUDY,77073,CPT,,,,BOTH, , ,40.95,34.4,28.67,92,,Percent of Total Billed Charges,34.23,,28.67,92,,Percent of Total Billed Charges,33.62,,28.67,92,,Percent of Total Billed Charges,32.96,,28.67,92,,Percent of Total Billed Charges,34.19,,28.67,92,,Percent of Total Billed Charges,30.84,,28.67,92,,Percent of Total Billed Charges,25.59,,36.86,90,,Percent of Total Billed Charges,20.43,,36.45,89,,Percent of Total Billed Charges,19.66,,33.74,82.4,,Percent of Total Billed Charges,33.66,,34.15,83.4,,Percent of Total Billed Charges,31.86,,34.15,83.4,,Percent of Total Billed Charges,28.71,,34.15,83.4,,Percent of Total Billed Charges,33.33,,36.86,90,,Percent of Total Billed Charges,34.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,37.67,92,,Percent of Total Billed Charges,33.21,,37.67,92,,Percent of Total Billed Charges,30.47,,37.67,92,,Percent of Total Billed Charges,32.06,,37.67,92,,Percent of Total Billed Charges,33.21,,31.94,78,,Percent of Total Billed Charges,31.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,22.04,53.83,,Percent of Total Billed Charges,20.68,,14.19,34.64,,Percent of Total Billed Charges,14.13,,20.47,49.98,,Percent of Total Billed Charges,15.48,,14.19,37.67,,																																							
HC BONE SURVEY RENAL LIMITED,77074,CPT,,,,BOTH, , ,418.95,351.92,293.27,92,,Percent of Total Billed Charges,350.24,,293.27,92,,Percent of Total Billed Charges,343.96,,293.27,92,,Percent of Total Billed Charges,337.25,,293.27,92,,Percent of Total Billed Charges,349.82,,293.27,92,,Percent of Total Billed Charges,315.47,,293.27,92,,Percent of Total Billed Charges,261.84,,377.06,90,,Percent of Total Billed Charges,209.06,,372.87,89,,Percent of Total Billed Charges,201.1,,345.21,82.4,,Percent of Total Billed Charges,344.38,,349.4,83.4,,Percent of Total Billed Charges,325.94,,349.4,83.4,,Percent of Total Billed Charges,293.68,,349.4,83.4,,Percent of Total Billed Charges,341.03,,377.06,90,,Percent of Total Billed Charges,354.85,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,385.43,92,,Percent of Total Billed Charges,339.77,,385.43,92,,Percent of Total Billed Charges,311.7,,385.43,92,,Percent of Total Billed Charges,328.04,,385.43,92,,Percent of Total Billed Charges,339.77,,326.78,78,,Percent of Total Billed Charges,326.78,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,225.52,53.83,,Percent of Total Billed Charges,211.57,,145.12,34.64,,Percent of Total Billed Charges,144.54,,209.39,49.98,,Percent of Total Billed Charges,158.36,,145.12,385.43,,																																							
HC BONE SURVEY METASTASES,77075,CPT,,,,BOTH, , ,1622.25,1362.69,1135.58,92,,Percent of Total Billed Charges,1356.2,,1135.58,92,,Percent of Total Billed Charges,1331.87,,1135.58,92,,Percent of Total Billed Charges,1305.91,,1135.58,92,,Percent of Total Billed Charges,1354.58,,1135.58,92,,Percent of Total Billed Charges,1221.55,,1135.58,92,,Percent of Total Billed Charges,1013.91,,1460.03,90,,Percent of Total Billed Charges,809.5,,1443.8,89,,Percent of Total Billed Charges,778.68,,1336.73,82.4,,Percent of Total Billed Charges,1333.49,,1352.96,83.4,,Percent of Total Billed Charges,1262.11,,1352.96,83.4,,Percent of Total Billed Charges,1137.2,,1352.96,83.4,,Percent of Total Billed Charges,1320.51,,1460.03,90,,Percent of Total Billed Charges,1374.05,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1492.47,92,,Percent of Total Billed Charges,1315.64,,1492.47,92,,Percent of Total Billed Charges,1206.95,,1492.47,92,,Percent of Total Billed Charges,1270.22,,1492.47,92,,Percent of Total Billed Charges,1315.64,,1265.36,78,,Percent of Total Billed Charges,1265.36,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,873.26,53.83,,Percent of Total Billed Charges,819.24,,561.95,34.64,,Percent of Total Billed Charges,559.68,,810.8,49.98,,Percent of Total Billed Charges,613.21,,561.95,1492.47,,																																							
HC BONE SERIES, INFANT,77076,CPT,,,,BOTH, , ,465.15,390.73,325.61,92,,Percent of Total Billed Charges,388.87,,325.61,92,,Percent of Total Billed Charges,381.89,,325.61,92,,Percent of Total Billed Charges,374.45,,325.61,92,,Percent of Total Billed Charges,388.4,,325.61,92,,Percent of Total Billed Charges,350.26,,325.61,92,,Percent of Total Billed Charges,290.72,,418.64,90,,Percent of Total Billed Charges,232.11,,413.98,89,,Percent of Total Billed Charges,223.27,,383.28,82.4,,Percent of Total Billed Charges,382.35,,387.94,83.4,,Percent of Total Billed Charges,361.89,,387.94,83.4,,Percent of Total Billed Charges,326.07,,387.94,83.4,,Percent of Total Billed Charges,378.63,,418.64,90,,Percent of Total Billed Charges,393.98,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,427.94,92,,Percent of Total Billed Charges,377.24,,427.94,92,,Percent of Total Billed Charges,346.07,,427.94,92,,Percent of Total Billed Charges,364.21,,427.94,92,,Percent of Total Billed Charges,377.24,,362.82,78,,Percent of Total Billed Charges,362.82,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,250.39,53.83,,Percent of Total Billed Charges,234.9,,161.13,34.64,,Percent of Total Billed Charges,160.48,,232.48,49.98,,Percent of Total Billed Charges,175.83,,161.13,427.94,,																																							
HC JOINT SURVEY 1 VIEW,77077,CPT,,,,BOTH, , ,454.65,381.91,318.26,92,,Percent of Total Billed Charges,380.09,,318.26,92,,Percent of Total Billed Charges,373.27,,318.26,92,,Percent of Total Billed Charges,365.99,,318.26,92,,Percent of Total Billed Charges,379.63,,318.26,92,,Percent of Total Billed Charges,342.35,,318.26,92,,Percent of Total Billed Charges,284.16,,409.19,90,,Percent of Total Billed Charges,226.87,,404.64,89,,Percent of Total Billed Charges,218.23,,374.63,82.4,,Percent of Total Billed Charges,373.72,,379.18,83.4,,Percent of Total Billed Charges,353.72,,379.18,83.4,,Percent of Total Billed Charges,318.71,,379.18,83.4,,Percent of Total Billed Charges,370.09,,409.19,90,,Percent of Total Billed Charges,385.09,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,418.28,92,,Percent of Total Billed Charges,368.72,,418.28,92,,Percent of Total Billed Charges,338.26,,418.28,92,,Percent of Total Billed Charges,355.99,,418.28,92,,Percent of Total Billed Charges,368.72,,354.63,78,,Percent of Total Billed Charges,354.63,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,244.74,53.83,,Percent of Total Billed Charges,229.6,,157.49,34.64,,Percent of Total Billed Charges,156.85,,227.23,49.98,,Percent of Total Billed Charges,171.86,,157.49,418.28,,																																							
HC BONE DENSITY AXIAL,77080,CPT,,,,BOTH, , ,665.7,559.19,465.99,92,,Percent of Total Billed Charges,556.53,,465.99,92,,Percent of Total Billed Charges,546.54,,465.99,92,,Percent of Total Billed Charges,535.89,,465.99,92,,Percent of Total Billed Charges,555.86,,465.99,92,,Percent of Total Billed Charges,501.27,,465.99,92,,Percent of Total Billed Charges,416.06,,599.13,90,,Percent of Total Billed Charges,332.18,,592.47,89,,Percent of Total Billed Charges,319.54,,548.54,82.4,,Percent of Total Billed Charges,547.21,,555.19,83.4,,Percent of Total Billed Charges,517.91,,555.19,83.4,,Percent of Total Billed Charges,466.66,,555.19,83.4,,Percent of Total Billed Charges,541.88,,599.13,90,,Percent of Total Billed Charges,563.85,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,612.44,92,,Percent of Total Billed Charges,539.88,,612.44,92,,Percent of Total Billed Charges,495.28,,612.44,92,,Percent of Total Billed Charges,521.24,,612.44,92,,Percent of Total Billed Charges,539.88,,519.25,78,,Percent of Total Billed Charges,519.25,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,358.35,53.83,,Percent of Total Billed Charges,336.18,,230.6,34.64,,Percent of Total Billed Charges,229.67,,332.72,49.98,,Percent of Total Billed Charges,251.63,,230.60,612.44,,																																							
HC BONE DENISITYPERIPHRAL,77081,CPT,,,,BOTH, , ,261.45,219.62,183.02,92,,Percent of Total Billed Charges,218.57,,183.02,92,,Percent of Total Billed Charges,214.65,,183.02,92,,Percent of Total Billed Charges,210.47,,183.02,92,,Percent of Total Billed Charges,218.31,,183.02,92,,Percent of Total Billed Charges,196.87,,183.02,92,,Percent of Total Billed Charges,163.41,,235.31,90,,Percent of Total Billed Charges,130.46,,232.69,89,,Percent of Total Billed Charges,125.5,,215.43,82.4,,Percent of Total Billed Charges,214.91,,218.05,83.4,,Percent of Total Billed Charges,203.41,,218.05,83.4,,Percent of Total Billed Charges,183.28,,218.05,83.4,,Percent of Total Billed Charges,212.82,,235.31,90,,Percent of Total Billed Charges,221.45,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,240.53,92,,Percent of Total Billed Charges,212.04,,240.53,92,,Percent of Total Billed Charges,194.52,,240.53,92,,Percent of Total Billed Charges,204.72,,240.53,92,,Percent of Total Billed Charges,212.04,,203.93,78,,Percent of Total Billed Charges,203.93,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,140.74,53.83,,Percent of Total Billed Charges,132.03,,90.57,34.64,,Percent of Total Billed Charges,90.2,,130.67,49.98,,Percent of Total Billed Charges,98.83,,90.57,240.53,,																																							
HC PARATHYRD PLANAR W/WO SUBTRJ,78071,CPT,,,,BOTH, , ,3544.8,2977.63,2481.36,92,,Percent of Total Billed Charges,2963.45,,2481.36,92,,Percent of Total Billed Charges,2910.28,,2481.36,92,,Percent of Total Billed Charges,2853.56,,2481.36,92,,Percent of Total Billed Charges,2959.91,,2481.36,92,,Percent of Total Billed Charges,2669.23,,2481.36,92,,Percent of Total Billed Charges,2215.5,,3190.32,90,,Percent of Total Billed Charges,1768.86,,3154.87,89,,Percent of Total Billed Charges,1701.5,,2920.92,82.4,,Percent of Total Billed Charges,2913.83,,2956.36,83.4,,Percent of Total Billed Charges,2757.85,,2956.36,83.4,,Percent of Total Billed Charges,2484.9,,2956.36,83.4,,Percent of Total Billed Charges,2885.47,,3190.32,90,,Percent of Total Billed Charges,3002.45,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3261.22,92,,Percent of Total Billed Charges,2874.83,,3261.22,92,,Percent of Total Billed Charges,2637.33,,3261.22,92,,Percent of Total Billed Charges,2775.58,,3261.22,92,,Percent of Total Billed Charges,2874.83,,2764.94,78,,Percent of Total Billed Charges,2764.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1908.17,53.83,,Percent of Total Billed Charges,1790.12,,1227.92,34.64,,Percent of Total Billed Charges,1222.96,,1771.69,49.98,,Percent of Total Billed Charges,1339.93,,1227.92,3261.22,,																																							
HC CEREBRAL SELECT CCA,36223,CPT,,,,BOTH, , ,12475.05,10479.04,8732.54,92,,Percent of Total Billed Charges,10429.14,,8732.54,92,,Percent of Total Billed Charges,10242.02,,8732.54,92,,Percent of Total Billed Charges,10042.42,,8732.54,92,,Percent of Total Billed Charges,10416.67,,8732.54,92,,Percent of Total Billed Charges,9393.71,,8732.54,92,,Percent of Total Billed Charges,7796.91,,11227.55,90,,Percent of Total Billed Charges,6225.05,,11102.79,89,,Percent of Total Billed Charges,5988.02,,10279.44,82.4,,Percent of Total Billed Charges,10254.49,,10404.19,83.4,,Percent of Total Billed Charges,9705.59,,10404.19,83.4,,Percent of Total Billed Charges,8745.01,,10404.19,83.4,,Percent of Total Billed Charges,10154.69,,11227.55,90,,Percent of Total Billed Charges,10566.37,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,11477.05,92,,Percent of Total Billed Charges,10117.27,,11477.05,92,,Percent of Total Billed Charges,9281.44,,11477.05,92,,Percent of Total Billed Charges,9767.96,,11477.05,92,,Percent of Total Billed Charges,10117.27,,9730.54,78,,Percent of Total Billed Charges,9730.54,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6715.32,53.83,,Percent of Total Billed Charges,6299.9,,4321.36,34.64,,Percent of Total Billed Charges,4303.89,,6235.03,49.98,,Percent of Total Billed Charges,4715.57,,4321.36,11477.05,,																																							
HC CEREBRAL SELECT ICA LEFT,36224,CPT,,,,BOTH, , ,17001.6,14281.34,11901.12,92,,Percent of Total Billed Charges,14213.34,,11901.12,92,,Percent of Total Billed Charges,13958.31,,11901.12,92,,Percent of Total Billed Charges,13686.29,,11901.12,92,,Percent of Total Billed Charges,14196.34,,11901.12,92,,Percent of Total Billed Charges,12802.2,,11901.12,92,,Percent of Total Billed Charges,10626,,15301.44,90,,Percent of Total Billed Charges,8483.8,,15131.42,89,,Percent of Total Billed Charges,8160.77,,14009.32,82.4,,Percent of Total Billed Charges,13975.32,,14179.33,83.4,,Percent of Total Billed Charges,13227.24,,14179.33,83.4,,Percent of Total Billed Charges,11918.12,,14179.33,83.4,,Percent of Total Billed Charges,13839.3,,15301.44,90,,Percent of Total Billed Charges,14400.36,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,15641.47,92,,Percent of Total Billed Charges,13788.3,,15641.47,92,,Percent of Total Billed Charges,12649.19,,15641.47,92,,Percent of Total Billed Charges,13312.25,,15641.47,92,,Percent of Total Billed Charges,13788.3,,13261.25,78,,Percent of Total Billed Charges,13261.25,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,9151.96,53.83,,Percent of Total Billed Charges,8585.81,,5889.35,34.64,,Percent of Total Billed Charges,5865.55,,8497.4,49.98,,Percent of Total Billed Charges,6426.6,,5889.35,15641.47,,																																							
HC SELECT VERTEBRAL LEFT,36226,CPT,,,,BOTH, , ,2040.15,1713.73,1428.11,92,,Percent of Total Billed Charges,1705.57,,1428.11,92,,Percent of Total Billed Charges,1674.96,,1428.11,92,,Percent of Total Billed Charges,1642.32,,1428.11,92,,Percent of Total Billed Charges,1703.53,,1428.11,92,,Percent of Total Billed Charges,1536.23,,1428.11,92,,Percent of Total Billed Charges,1275.09,,1836.14,90,,Percent of Total Billed Charges,1018.03,,1815.73,89,,Percent of Total Billed Charges,979.27,,1681.08,82.4,,Percent of Total Billed Charges,1677,,1701.49,83.4,,Percent of Total Billed Charges,1587.24,,1701.49,83.4,,Percent of Total Billed Charges,1430.15,,1701.49,83.4,,Percent of Total Billed Charges,1660.68,,1836.14,90,,Percent of Total Billed Charges,1728.01,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1876.94,92,,Percent of Total Billed Charges,1654.56,,1876.94,92,,Percent of Total Billed Charges,1517.87,,1876.94,92,,Percent of Total Billed Charges,1597.44,,1876.94,92,,Percent of Total Billed Charges,1654.56,,1591.32,78,,Percent of Total Billed Charges,1591.32,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1098.21,53.83,,Percent of Total Billed Charges,1030.28,,706.71,34.64,,Percent of Total Billed Charges,703.85,,1019.67,49.98,,Percent of Total Billed Charges,771.18,,706.71,1876.94,,																																							
HC SUPERSELECT CEREBRAL EACH,36228,CPT,,,,BOTH, , ,1108.8,931.39,776.16,92,,Percent of Total Billed Charges,926.96,,776.16,92,,Percent of Total Billed Charges,910.32,,776.16,92,,Percent of Total Billed Charges,892.58,,776.16,92,,Percent of Total Billed Charges,925.85,,776.16,92,,Percent of Total Billed Charges,834.93,,776.16,92,,Percent of Total Billed Charges,693,,997.92,90,,Percent of Total Billed Charges,553.29,,986.83,89,,Percent of Total Billed Charges,532.22,,913.65,82.4,,Percent of Total Billed Charges,911.43,,924.74,83.4,,Percent of Total Billed Charges,862.65,,924.74,83.4,,Percent of Total Billed Charges,777.27,,924.74,83.4,,Percent of Total Billed Charges,902.56,,997.92,90,,Percent of Total Billed Charges,939.15,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1020.1,92,,Percent of Total Billed Charges,899.24,,1020.1,92,,Percent of Total Billed Charges,824.95,,1020.1,92,,Percent of Total Billed Charges,868.19,,1020.1,92,,Percent of Total Billed Charges,899.24,,864.86,78,,Percent of Total Billed Charges,864.86,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,596.87,53.83,,Percent of Total Billed Charges,559.94,,384.09,34.64,,Percent of Total Billed Charges,382.54,,554.18,49.98,,Percent of Total Billed Charges,419.13,,384.09,1020.1,,																																							
HC THOMBOLYSIS VENOUS,37212,CPT,,,,BOTH, , ,3882.9,3261.64,2718.03,92,,Percent of Total Billed Charges,3246.1,,2718.03,92,,Percent of Total Billed Charges,3187.86,,2718.03,92,,Percent of Total Billed Charges,3125.73,,2718.03,92,,Percent of Total Billed Charges,3242.22,,2718.03,92,,Percent of Total Billed Charges,2923.82,,2718.03,92,,Percent of Total Billed Charges,2426.81,,3494.61,90,,Percent of Total Billed Charges,1937.57,,3455.78,89,,Percent of Total Billed Charges,1863.79,,3199.51,82.4,,Percent of Total Billed Charges,3191.74,,3238.34,83.4,,Percent of Total Billed Charges,3020.9,,3238.34,83.4,,Percent of Total Billed Charges,2721.91,,3238.34,83.4,,Percent of Total Billed Charges,3160.68,,3494.61,90,,Percent of Total Billed Charges,3288.82,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3572.27,92,,Percent of Total Billed Charges,3149.03,,3572.27,92,,Percent of Total Billed Charges,2888.88,,3572.27,92,,Percent of Total Billed Charges,3040.31,,3572.27,92,,Percent of Total Billed Charges,3149.03,,3028.66,78,,Percent of Total Billed Charges,3028.66,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2090.17,53.83,,Percent of Total Billed Charges,1960.86,,1345.04,34.64,,Percent of Total Billed Charges,1339.6,,1940.67,49.98,,Percent of Total Billed Charges,1467.74,,1345.04,3572.27,,																																							
HC THROMBOLYSIS DAY 2,37213,CPT,,,,BOTH, , ,9858.45,8281.1,6900.92,92,,Percent of Total Billed Charges,8241.66,,6900.92,92,,Percent of Total Billed Charges,8093.79,,6900.92,92,,Percent of Total Billed Charges,7936.05,,6900.92,92,,Percent of Total Billed Charges,8231.81,,6900.92,92,,Percent of Total Billed Charges,7423.41,,6900.92,92,,Percent of Total Billed Charges,6161.53,,8872.61,90,,Percent of Total Billed Charges,4919.37,,8774.02,89,,Percent of Total Billed Charges,4732.06,,8123.36,82.4,,Percent of Total Billed Charges,8103.65,,8221.95,83.4,,Percent of Total Billed Charges,7669.87,,8221.95,83.4,,Percent of Total Billed Charges,6910.77,,8221.95,83.4,,Percent of Total Billed Charges,8024.78,,8872.61,90,,Percent of Total Billed Charges,8350.11,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,9069.77,92,,Percent of Total Billed Charges,7995.2,,9069.77,92,,Percent of Total Billed Charges,7334.69,,9069.77,92,,Percent of Total Billed Charges,7719.17,,9069.77,92,,Percent of Total Billed Charges,7995.2,,7689.59,78,,Percent of Total Billed Charges,7689.59,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5306.8,53.83,,Percent of Total Billed Charges,4978.52,,3414.97,34.64,,Percent of Total Billed Charges,3401.17,,4927.25,49.98,,Percent of Total Billed Charges,3726.49,,3414.97,9069.77,,																																							
HC THROMBOLYSIS FINAL DAY,37214,CPT,,,,BOTH, , ,9858.45,8281.1,6900.92,92,,Percent of Total Billed Charges,8241.66,,6900.92,92,,Percent of Total Billed Charges,8093.79,,6900.92,92,,Percent of Total Billed Charges,7936.05,,6900.92,92,,Percent of Total Billed Charges,8231.81,,6900.92,92,,Percent of Total Billed Charges,7423.41,,6900.92,92,,Percent of Total Billed Charges,6161.53,,8872.61,90,,Percent of Total Billed Charges,4919.37,,8774.02,89,,Percent of Total Billed Charges,4732.06,,8123.36,82.4,,Percent of Total Billed Charges,8103.65,,8221.95,83.4,,Percent of Total Billed Charges,7669.87,,8221.95,83.4,,Percent of Total Billed Charges,6910.77,,8221.95,83.4,,Percent of Total Billed Charges,8024.78,,8872.61,90,,Percent of Total Billed Charges,8350.11,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,9069.77,92,,Percent of Total Billed Charges,7995.2,,9069.77,92,,Percent of Total Billed Charges,7334.69,,9069.77,92,,Percent of Total Billed Charges,7719.17,,9069.77,92,,Percent of Total Billed Charges,7995.2,,7689.59,78,,Percent of Total Billed Charges,7689.59,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5306.8,53.83,,Percent of Total Billed Charges,4978.52,,3414.97,34.64,,Percent of Total Billed Charges,3401.17,,4927.25,49.98,,Percent of Total Billed Charges,3726.49,,3414.97,9069.77,,																																							
HC NERVE INJECTION INTERCOSTAL,64420,CPT,,,,BOTH, , ,2034.9,1709.32,1424.43,92,,Percent of Total Billed Charges,1701.18,,1424.43,92,,Percent of Total Billed Charges,1670.65,,1424.43,92,,Percent of Total Billed Charges,1638.09,,1424.43,92,,Percent of Total Billed Charges,1699.14,,1424.43,92,,Percent of Total Billed Charges,1532.28,,1424.43,92,,Percent of Total Billed Charges,1271.81,,1831.41,90,,Percent of Total Billed Charges,1015.42,,1811.06,89,,Percent of Total Billed Charges,976.75,,1676.76,82.4,,Percent of Total Billed Charges,1672.69,,1697.11,83.4,,Percent of Total Billed Charges,1583.15,,1697.11,83.4,,Percent of Total Billed Charges,1426.46,,1697.11,83.4,,Percent of Total Billed Charges,1656.41,,1831.41,90,,Percent of Total Billed Charges,1723.56,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1872.11,92,,Percent of Total Billed Charges,1650.3,,1872.11,92,,Percent of Total Billed Charges,1513.97,,1872.11,92,,Percent of Total Billed Charges,1593.33,,1872.11,92,,Percent of Total Billed Charges,1650.3,,1587.22,78,,Percent of Total Billed Charges,1587.22,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1095.39,53.83,,Percent of Total Billed Charges,1027.62,,704.89,34.64,,Percent of Total Billed Charges,702.04,,1017.04,49.98,,Percent of Total Billed Charges,769.19,,704.89,1872.11,,																																							
HC NERVE INTERCOSTAL MULTIPLE,64421,CPT,,,,BOTH, , ,3904.95,3280.16,2733.47,92,,Percent of Total Billed Charges,3264.54,,2733.47,92,,Percent of Total Billed Charges,3205.96,,2733.47,92,,Percent of Total Billed Charges,3143.48,,2733.47,92,,Percent of Total Billed Charges,3260.63,,2733.47,92,,Percent of Total Billed Charges,2940.43,,2733.47,92,,Percent of Total Billed Charges,2440.59,,3514.46,90,,Percent of Total Billed Charges,1948.57,,3475.41,89,,Percent of Total Billed Charges,1874.38,,3217.68,82.4,,Percent of Total Billed Charges,3209.87,,3256.73,83.4,,Percent of Total Billed Charges,3038.05,,3256.73,83.4,,Percent of Total Billed Charges,2737.37,,3256.73,83.4,,Percent of Total Billed Charges,3178.63,,3514.46,90,,Percent of Total Billed Charges,3307.49,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3592.55,92,,Percent of Total Billed Charges,3166.91,,3592.55,92,,Percent of Total Billed Charges,2905.28,,3592.55,92,,Percent of Total Billed Charges,3057.58,,3592.55,92,,Percent of Total Billed Charges,3166.91,,3045.86,78,,Percent of Total Billed Charges,3045.86,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2102.03,53.83,,Percent of Total Billed Charges,1972,,1352.67,34.64,,Percent of Total Billed Charges,1347.21,,1951.69,49.98,,Percent of Total Billed Charges,1476.07,,1352.67,3592.55,,																																							
HC XR SPINE THORACIC COMPLETE 4+ VW,72074,CPT,,,,BOTH, , ,570.15,478.93,399.11,92,,Percent of Total Billed Charges,476.65,,399.11,92,,Percent of Total Billed Charges,468.09,,399.11,92,,Percent of Total Billed Charges,458.97,,399.11,92,,Percent of Total Billed Charges,476.08,,399.11,92,,Percent of Total Billed Charges,429.32,,399.11,92,,Percent of Total Billed Charges,356.34,,513.14,90,,Percent of Total Billed Charges,284.5,,507.43,89,,Percent of Total Billed Charges,273.67,,469.8,82.4,,Percent of Total Billed Charges,468.66,,475.51,83.4,,Percent of Total Billed Charges,443.58,,475.51,83.4,,Percent of Total Billed Charges,399.68,,475.51,83.4,,Percent of Total Billed Charges,464.1,,513.14,90,,Percent of Total Billed Charges,482.92,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,524.54,92,,Percent of Total Billed Charges,462.39,,524.54,92,,Percent of Total Billed Charges,424.19,,524.54,92,,Percent of Total Billed Charges,446.43,,524.54,92,,Percent of Total Billed Charges,462.39,,444.72,78,,Percent of Total Billed Charges,444.72,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,306.91,53.83,,Percent of Total Billed Charges,287.93,,197.5,34.64,,Percent of Total Billed Charges,196.7,,284.96,49.98,,Percent of Total Billed Charges,215.52,,197.50,524.54,,																																							
HC XR  BEND ONLY LS SPINE 23 VIEW,72120,CPT,,,,BOTH, , ,465.15,390.73,325.61,92,,Percent of Total Billed Charges,388.87,,325.61,92,,Percent of Total Billed Charges,381.89,,325.61,92,,Percent of Total Billed Charges,374.45,,325.61,92,,Percent of Total Billed Charges,388.4,,325.61,92,,Percent of Total Billed Charges,350.26,,325.61,92,,Percent of Total Billed Charges,290.72,,418.64,90,,Percent of Total Billed Charges,232.11,,413.98,89,,Percent of Total Billed Charges,223.27,,383.28,82.4,,Percent of Total Billed Charges,382.35,,387.94,83.4,,Percent of Total Billed Charges,361.89,,387.94,83.4,,Percent of Total Billed Charges,326.07,,387.94,83.4,,Percent of Total Billed Charges,378.63,,418.64,90,,Percent of Total Billed Charges,393.98,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,427.94,92,,Percent of Total Billed Charges,377.24,,427.94,92,,Percent of Total Billed Charges,346.07,,427.94,92,,Percent of Total Billed Charges,364.21,,427.94,92,,Percent of Total Billed Charges,377.24,,362.82,78,,Percent of Total Billed Charges,362.82,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,250.39,53.83,,Percent of Total Billed Charges,234.9,,161.13,34.64,,Percent of Total Billed Charges,160.48,,232.48,49.98,,Percent of Total Billed Charges,175.83,,161.13,427.94,,																																							
HC DISCOGRAPHY CERV/THOR SPINE,72285,CPT,,,,BOTH, , ,1396.5,1173.06,977.55,92,,Percent of Total Billed Charges,1167.47,,977.55,92,,Percent of Total Billed Charges,1146.53,,977.55,92,,Percent of Total Billed Charges,1124.18,,977.55,92,,Percent of Total Billed Charges,1166.08,,977.55,92,,Percent of Total Billed Charges,1051.56,,977.55,92,,Percent of Total Billed Charges,872.81,,1256.85,90,,Percent of Total Billed Charges,696.85,,1242.89,89,,Percent of Total Billed Charges,670.32,,1150.72,82.4,,Percent of Total Billed Charges,1147.92,,1164.68,83.4,,Percent of Total Billed Charges,1086.48,,1164.68,83.4,,Percent of Total Billed Charges,978.95,,1164.68,83.4,,Percent of Total Billed Charges,1136.75,,1256.85,90,,Percent of Total Billed Charges,1182.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1284.78,92,,Percent of Total Billed Charges,1132.56,,1284.78,92,,Percent of Total Billed Charges,1039,,1284.78,92,,Percent of Total Billed Charges,1093.46,,1284.78,92,,Percent of Total Billed Charges,1132.56,,1089.27,78,,Percent of Total Billed Charges,1089.27,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,751.74,53.83,,Percent of Total Billed Charges,705.23,,483.75,34.64,,Percent of Total Billed Charges,481.79,,697.97,49.98,,Percent of Total Billed Charges,527.88,,483.75,1284.78,,																																							
HC FL DISCOGRAM LUMBAR,72295,CPT,,,,BOTH, , ,14113.05,11854.96,9879.14,92,,Percent of Total Billed Charges,11798.51,,9879.14,92,,Percent of Total Billed Charges,11586.81,,9879.14,92,,Percent of Total Billed Charges,11361.01,,9879.14,92,,Percent of Total Billed Charges,11784.4,,9879.14,92,,Percent of Total Billed Charges,10627.13,,9879.14,92,,Percent of Total Billed Charges,8820.66,,12701.75,90,,Percent of Total Billed Charges,7042.41,,12560.61,89,,Percent of Total Billed Charges,6774.26,,11629.15,82.4,,Percent of Total Billed Charges,11600.93,,11770.28,83.4,,Percent of Total Billed Charges,10979.95,,11770.28,83.4,,Percent of Total Billed Charges,9893.25,,11770.28,83.4,,Percent of Total Billed Charges,11488.02,,12701.75,90,,Percent of Total Billed Charges,11953.75,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,12984.01,92,,Percent of Total Billed Charges,11445.68,,12984.01,92,,Percent of Total Billed Charges,10500.11,,12984.01,92,,Percent of Total Billed Charges,11050.52,,12984.01,92,,Percent of Total Billed Charges,11445.68,,11008.18,78,,Percent of Total Billed Charges,11008.18,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,7597.05,53.83,,Percent of Total Billed Charges,7127.09,,4888.76,34.64,,Percent of Total Billed Charges,4869,,7053.7,49.98,,Percent of Total Billed Charges,5334.73,,4888.76,12984.01,,																																							
HC XR ARTHROGRAM ANKLE,73615,CPT,,,,BOTH, , ,847.35,711.77,593.15,92,,Percent of Total Billed Charges,708.38,,593.15,92,,Percent of Total Billed Charges,695.67,,593.15,92,,Percent of Total Billed Charges,682.12,,593.15,92,,Percent of Total Billed Charges,707.54,,593.15,92,,Percent of Total Billed Charges,638.05,,593.15,92,,Percent of Total Billed Charges,529.59,,762.62,90,,Percent of Total Billed Charges,422.83,,754.14,89,,Percent of Total Billed Charges,406.73,,698.22,82.4,,Percent of Total Billed Charges,696.52,,706.69,83.4,,Percent of Total Billed Charges,659.24,,706.69,83.4,,Percent of Total Billed Charges,593.99,,706.69,83.4,,Percent of Total Billed Charges,689.74,,762.62,90,,Percent of Total Billed Charges,717.71,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,779.56,92,,Percent of Total Billed Charges,687.2,,779.56,92,,Percent of Total Billed Charges,630.43,,779.56,92,,Percent of Total Billed Charges,663.48,,779.56,92,,Percent of Total Billed Charges,687.2,,660.93,78,,Percent of Total Billed Charges,660.93,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,456.13,53.83,,Percent of Total Billed Charges,427.91,,293.52,34.64,,Percent of Total Billed Charges,292.34,,423.51,49.98,,Percent of Total Billed Charges,320.3,,293.52,779.56,,																																							
HC XRAY EXAM OF PERITONEUM,74190,CPT,,,,BOTH, , ,3190.95,2680.4,2233.67,92,,Percent of Total Billed Charges,2667.63,,2233.67,92,,Percent of Total Billed Charges,2619.77,,2233.67,92,,Percent of Total Billed Charges,2568.71,,2233.67,92,,Percent of Total Billed Charges,2664.44,,2233.67,92,,Percent of Total Billed Charges,2402.79,,2233.67,92,,Percent of Total Billed Charges,1994.34,,2871.86,90,,Percent of Total Billed Charges,1592.28,,2839.95,89,,Percent of Total Billed Charges,1531.66,,2629.34,82.4,,Percent of Total Billed Charges,2622.96,,2661.25,83.4,,Percent of Total Billed Charges,2482.56,,2661.25,83.4,,Percent of Total Billed Charges,2236.86,,2661.25,83.4,,Percent of Total Billed Charges,2597.43,,2871.86,90,,Percent of Total Billed Charges,2702.73,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2935.67,92,,Percent of Total Billed Charges,2587.86,,2935.67,92,,Percent of Total Billed Charges,2374.07,,2935.67,92,,Percent of Total Billed Charges,2498.51,,2935.67,92,,Percent of Total Billed Charges,2587.86,,2488.94,78,,Percent of Total Billed Charges,2488.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1717.69,53.83,,Percent of Total Billed Charges,1611.43,,1105.35,34.64,,Percent of Total Billed Charges,1100.88,,1594.84,49.98,,Percent of Total Billed Charges,1206.18,,1105.35,2935.67,,																																							
HC FL SMALL BOWEL ENTEROCLYSIS,74251,CPT,,,,BOTH, , ,1318.8,1107.79,923.16,92,,Percent of Total Billed Charges,1102.52,,923.16,92,,Percent of Total Billed Charges,1082.73,,923.16,92,,Percent of Total Billed Charges,1061.63,,923.16,92,,Percent of Total Billed Charges,1101.2,,923.16,92,,Percent of Total Billed Charges,993.06,,923.16,92,,Percent of Total Billed Charges,824.25,,1186.92,90,,Percent of Total Billed Charges,658.08,,1173.73,89,,Percent of Total Billed Charges,633.02,,1086.69,82.4,,Percent of Total Billed Charges,1084.05,,1099.88,83.4,,Percent of Total Billed Charges,1026.03,,1099.88,83.4,,Percent of Total Billed Charges,924.48,,1099.88,83.4,,Percent of Total Billed Charges,1073.5,,1186.92,90,,Percent of Total Billed Charges,1117.02,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1213.3,92,,Percent of Total Billed Charges,1069.55,,1213.3,92,,Percent of Total Billed Charges,981.19,,1213.3,92,,Percent of Total Billed Charges,1032.62,,1213.3,92,,Percent of Total Billed Charges,1069.55,,1028.66,78,,Percent of Total Billed Charges,1028.66,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,709.91,53.83,,Percent of Total Billed Charges,665.99,,456.83,34.64,,Percent of Total Billed Charges,454.99,,659.14,49.98,,Percent of Total Billed Charges,498.51,,456.83,1213.3,,																																							
HC XR CHOLANGIOGRAM INTRAOPERATIVE ADDITIONAL,74301,CPT,,,,BOTH, , ,878.85,738.23,615.2,92,,Percent of Total Billed Charges,734.72,,615.2,92,,Percent of Total Billed Charges,721.54,,615.2,92,,Percent of Total Billed Charges,707.47,,615.2,92,,Percent of Total Billed Charges,733.84,,615.2,92,,Percent of Total Billed Charges,661.77,,615.2,92,,Percent of Total Billed Charges,549.28,,790.97,90,,Percent of Total Billed Charges,438.55,,782.18,89,,Percent of Total Billed Charges,421.85,,724.17,82.4,,Percent of Total Billed Charges,722.41,,732.96,83.4,,Percent of Total Billed Charges,683.75,,732.96,83.4,,Percent of Total Billed Charges,616.07,,732.96,83.4,,Percent of Total Billed Charges,715.38,,790.97,90,,Percent of Total Billed Charges,744.39,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,808.54,92,,Percent of Total Billed Charges,712.75,,808.54,92,,Percent of Total Billed Charges,653.86,,808.54,92,,Percent of Total Billed Charges,688.14,,808.54,92,,Percent of Total Billed Charges,712.75,,685.5,78,,Percent of Total Billed Charges,685.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,473.08,53.83,,Percent of Total Billed Charges,443.82,,304.43,34.64,,Percent of Total Billed Charges,303.2,,439.25,49.98,,Percent of Total Billed Charges,332.21,,304.43,808.54,,																																							
HC BILIARY STONE REMOVAL,47544,CPT,,,,BOTH, , ,6901.65,5797.39,4831.16,92,,Percent of Total Billed Charges,5769.78,,4831.16,92,,Percent of Total Billed Charges,5666.25,,4831.16,92,,Percent of Total Billed Charges,5555.83,,4831.16,92,,Percent of Total Billed Charges,5762.88,,4831.16,92,,Percent of Total Billed Charges,5196.94,,4831.16,92,,Percent of Total Billed Charges,4313.53,,6211.49,90,,Percent of Total Billed Charges,3443.92,,6142.47,89,,Percent of Total Billed Charges,3312.79,,5686.96,82.4,,Percent of Total Billed Charges,5673.16,,5755.98,83.4,,Percent of Total Billed Charges,5369.48,,5755.98,83.4,,Percent of Total Billed Charges,4838.06,,5755.98,83.4,,Percent of Total Billed Charges,5617.94,,6211.49,90,,Percent of Total Billed Charges,5845.7,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6349.52,92,,Percent of Total Billed Charges,5597.24,,6349.52,92,,Percent of Total Billed Charges,5134.83,,6349.52,92,,Percent of Total Billed Charges,5403.99,,6349.52,92,,Percent of Total Billed Charges,5597.24,,5383.29,78,,Percent of Total Billed Charges,5383.29,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3715.16,53.83,,Percent of Total Billed Charges,3485.33,,2390.73,34.64,,Percent of Total Billed Charges,2381.07,,3449.44,49.98,,Percent of Total Billed Charges,2608.82,,2390.73,6349.52,,																																							
HC XRAY FOR PANCREAS ENDOSCOPY,74329,CPT,,,,BOTH, , ,1204.35,1011.65,843.05,92,,Percent of Total Billed Charges,1006.84,,843.05,92,,Percent of Total Billed Charges,988.77,,843.05,92,,Percent of Total Billed Charges,969.5,,843.05,92,,Percent of Total Billed Charges,1005.63,,843.05,92,,Percent of Total Billed Charges,906.88,,843.05,92,,Percent of Total Billed Charges,752.72,,1083.92,90,,Percent of Total Billed Charges,600.97,,1071.87,89,,Percent of Total Billed Charges,578.09,,992.38,82.4,,Percent of Total Billed Charges,989.98,,1004.43,83.4,,Percent of Total Billed Charges,936.98,,1004.43,83.4,,Percent of Total Billed Charges,844.25,,1004.43,83.4,,Percent of Total Billed Charges,980.34,,1083.92,90,,Percent of Total Billed Charges,1020.08,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1108,92,,Percent of Total Billed Charges,976.73,,1108,92,,Percent of Total Billed Charges,896.04,,1108,92,,Percent of Total Billed Charges,943.01,,1108,92,,Percent of Total Billed Charges,976.73,,939.39,78,,Percent of Total Billed Charges,939.39,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,648.3,53.83,,Percent of Total Billed Charges,608.2,,417.19,34.64,,Percent of Total Billed Charges,415.5,,601.93,49.98,,Percent of Total Billed Charges,455.24,,417.19,1108,,																																							
HC XRAY GUIDE GU DILATION,74485,CPT,,,,BOTH, , ,4720.8,3965.47,3304.56,92,,Percent of Total Billed Charges,3946.59,,3304.56,92,,Percent of Total Billed Charges,3875.78,,3304.56,92,,Percent of Total Billed Charges,3800.24,,3304.56,92,,Percent of Total Billed Charges,3941.87,,3304.56,92,,Percent of Total Billed Charges,3554.76,,3304.56,92,,Percent of Total Billed Charges,2950.5,,4248.72,90,,Percent of Total Billed Charges,2355.68,,4201.51,89,,Percent of Total Billed Charges,2265.98,,3889.94,82.4,,Percent of Total Billed Charges,3880.5,,3937.15,83.4,,Percent of Total Billed Charges,3672.78,,3937.15,83.4,,Percent of Total Billed Charges,3309.28,,3937.15,83.4,,Percent of Total Billed Charges,3842.73,,4248.72,90,,Percent of Total Billed Charges,3998.52,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4343.14,92,,Percent of Total Billed Charges,3828.57,,4343.14,92,,Percent of Total Billed Charges,3512.28,,4343.14,92,,Percent of Total Billed Charges,3696.39,,4343.14,92,,Percent of Total Billed Charges,3828.57,,3682.22,78,,Percent of Total Billed Charges,3682.22,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2541.21,53.83,,Percent of Total Billed Charges,2384,,1635.29,34.64,,Percent of Total Billed Charges,1628.68,,2359.46,49.98,,Percent of Total Billed Charges,1784.46,,1635.29,4343.14,,																																							
HC ARTERY XRAYS SPINE,75705,CPT,,,,BOTH, , ,20268.15,17025.25,14187.71,92,,Percent of Total Billed Charges,16944.17,,14187.71,92,,Percent of Total Billed Charges,16640.15,,14187.71,92,,Percent of Total Billed Charges,16315.86,,14187.71,92,,Percent of Total Billed Charges,16923.91,,14187.71,92,,Percent of Total Billed Charges,15261.92,,14187.71,92,,Percent of Total Billed Charges,12667.59,,18241.34,90,,Percent of Total Billed Charges,10113.81,,18038.65,89,,Percent of Total Billed Charges,9728.71,,16700.96,82.4,,Percent of Total Billed Charges,16660.42,,16903.64,83.4,,Percent of Total Billed Charges,15768.62,,16903.64,83.4,,Percent of Total Billed Charges,14207.97,,16903.64,83.4,,Percent of Total Billed Charges,16498.27,,18241.34,90,,Percent of Total Billed Charges,17167.12,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,18646.7,92,,Percent of Total Billed Charges,16437.47,,18646.7,92,,Percent of Total Billed Charges,15079.5,,18646.7,92,,Percent of Total Billed Charges,15869.96,,18646.7,92,,Percent of Total Billed Charges,16437.47,,15809.16,78,,Percent of Total Billed Charges,15809.16,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,10910.35,53.83,,Percent of Total Billed Charges,10235.42,,7020.89,34.64,,Percent of Total Billed Charges,6992.51,,10130.02,49.98,,Percent of Total Billed Charges,7661.36,,7020.89,18646.7,,																																							
HC ANGIOGRAM PULMONARY UNILATERAL; SELECTIVE,75741,CPT,,,,BOTH, , ,4586.4,3852.58,3210.48,92,,Percent of Total Billed Charges,3834.23,,3210.48,92,,Percent of Total Billed Charges,3765.43,,3210.48,92,,Percent of Total Billed Charges,3692.05,,3210.48,92,,Percent of Total Billed Charges,3829.64,,3210.48,92,,Percent of Total Billed Charges,3453.56,,3210.48,92,,Percent of Total Billed Charges,2866.5,,4127.76,90,,Percent of Total Billed Charges,2288.61,,4081.9,89,,Percent of Total Billed Charges,2201.47,,3779.19,82.4,,Percent of Total Billed Charges,3770.02,,3825.06,83.4,,Percent of Total Billed Charges,3568.22,,3825.06,83.4,,Percent of Total Billed Charges,3215.07,,3825.06,83.4,,Percent of Total Billed Charges,3733.33,,4127.76,90,,Percent of Total Billed Charges,3884.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4219.49,92,,Percent of Total Billed Charges,3719.57,,4219.49,92,,Percent of Total Billed Charges,3412.28,,4219.49,92,,Percent of Total Billed Charges,3591.15,,4219.49,92,,Percent of Total Billed Charges,3719.57,,3577.39,78,,Percent of Total Billed Charges,3577.39,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2468.86,53.83,,Percent of Total Billed Charges,2316.13,,1588.73,34.64,,Percent of Total Billed Charges,1582.31,,2292.28,49.98,,Percent of Total Billed Charges,1733.66,,1588.73,4219.49,,																																							
HC ANGIOGRAM PULMONARY BILATERAL; SELECTIVE,75743,CPT,,,,BOTH, , ,4954.95,4162.16,3468.47,92,,Percent of Total Billed Charges,4142.34,,3468.47,92,,Percent of Total Billed Charges,4068.01,,3468.47,92,,Percent of Total Billed Charges,3988.73,,3468.47,92,,Percent of Total Billed Charges,4137.38,,3468.47,92,,Percent of Total Billed Charges,3731.08,,3468.47,92,,Percent of Total Billed Charges,3096.84,,4459.46,90,,Percent of Total Billed Charges,2472.52,,4409.91,89,,Percent of Total Billed Charges,2378.38,,4082.88,82.4,,Percent of Total Billed Charges,4072.97,,4132.43,83.4,,Percent of Total Billed Charges,3854.95,,4132.43,83.4,,Percent of Total Billed Charges,3473.42,,4132.43,83.4,,Percent of Total Billed Charges,4033.33,,4459.46,90,,Percent of Total Billed Charges,4196.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4558.55,92,,Percent of Total Billed Charges,4018.46,,4558.55,92,,Percent of Total Billed Charges,3686.48,,4558.55,92,,Percent of Total Billed Charges,3879.73,,4558.55,92,,Percent of Total Billed Charges,4018.46,,3864.86,78,,Percent of Total Billed Charges,3864.86,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2667.25,53.83,,Percent of Total Billed Charges,2502.25,,1716.39,34.64,,Percent of Total Billed Charges,1709.46,,2476.48,49.98,,Percent of Total Billed Charges,1872.97,,1716.39,4558.55,,																																							
HC PULMONARY ANGIOGRAPHY BY SELECTIVE CATH OR VENOUS INJ,75746,CPT,,,,BOTH, , ,8435.7,7085.99,5904.99,92,,Percent of Total Billed Charges,7052.25,,5904.99,92,,Percent of Total Billed Charges,6925.71,,5904.99,92,,Percent of Total Billed Charges,6790.74,,5904.99,92,,Percent of Total Billed Charges,7043.81,,5904.99,92,,Percent of Total Billed Charges,6352.08,,5904.99,92,,Percent of Total Billed Charges,5272.31,,7592.13,90,,Percent of Total Billed Charges,4209.41,,7507.77,89,,Percent of Total Billed Charges,4049.14,,6951.02,82.4,,Percent of Total Billed Charges,6934.15,,7035.37,83.4,,Percent of Total Billed Charges,6562.97,,7035.37,83.4,,Percent of Total Billed Charges,5913.43,,7035.37,83.4,,Percent of Total Billed Charges,6866.66,,7592.13,90,,Percent of Total Billed Charges,7145.04,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,7760.84,92,,Percent of Total Billed Charges,6841.35,,7760.84,92,,Percent of Total Billed Charges,6276.16,,7760.84,92,,Percent of Total Billed Charges,6605.15,,7760.84,92,,Percent of Total Billed Charges,6841.35,,6579.85,78,,Percent of Total Billed Charges,6579.85,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4540.94,53.83,,Percent of Total Billed Charges,4260.03,,2922.13,34.64,,Percent of Total Billed Charges,2910.32,,4216.16,49.98,,Percent of Total Billed Charges,3188.69,,2922.13,7760.84,,																																							
HC VEIN XRAY ARMS/LEGS,75822,CPT,,,,BOTH, , ,4322.85,3631.19,3026,92,,Percent of Total Billed Charges,3613.9,,3026,92,,Percent of Total Billed Charges,3549.06,,3026,92,,Percent of Total Billed Charges,3479.89,,3026,92,,Percent of Total Billed Charges,3609.58,,3026,92,,Percent of Total Billed Charges,3255.11,,3026,92,,Percent of Total Billed Charges,2701.78,,3890.57,90,,Percent of Total Billed Charges,2157.1,,3847.34,89,,Percent of Total Billed Charges,2074.97,,3562.03,82.4,,Percent of Total Billed Charges,3553.38,,3605.26,83.4,,Percent of Total Billed Charges,3363.18,,3605.26,83.4,,Percent of Total Billed Charges,3030.32,,3605.26,83.4,,Percent of Total Billed Charges,3518.8,,3890.57,90,,Percent of Total Billed Charges,3661.45,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3977.02,92,,Percent of Total Billed Charges,3505.83,,3977.02,92,,Percent of Total Billed Charges,3216.2,,3977.02,92,,Percent of Total Billed Charges,3384.79,,3977.02,92,,Percent of Total Billed Charges,3505.83,,3371.82,78,,Percent of Total Billed Charges,3371.82,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2326.99,53.83,,Percent of Total Billed Charges,2183.04,,1497.44,34.64,,Percent of Total Billed Charges,1491.38,,2160.56,49.98,,Percent of Total Billed Charges,1634.04,,1497.44,3977.02,,																																							
HC VENOGRAM RENAL , UNILATERAL; SELECTIVE,75831,CPT,,,,BOTH, , ,4586.4,3852.58,3210.48,92,,Percent of Total Billed Charges,3834.23,,3210.48,92,,Percent of Total Billed Charges,3765.43,,3210.48,92,,Percent of Total Billed Charges,3692.05,,3210.48,92,,Percent of Total Billed Charges,3829.64,,3210.48,92,,Percent of Total Billed Charges,3453.56,,3210.48,92,,Percent of Total Billed Charges,2866.5,,4127.76,90,,Percent of Total Billed Charges,2288.61,,4081.9,89,,Percent of Total Billed Charges,2201.47,,3779.19,82.4,,Percent of Total Billed Charges,3770.02,,3825.06,83.4,,Percent of Total Billed Charges,3568.22,,3825.06,83.4,,Percent of Total Billed Charges,3215.07,,3825.06,83.4,,Percent of Total Billed Charges,3733.33,,4127.76,90,,Percent of Total Billed Charges,3884.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4219.49,92,,Percent of Total Billed Charges,3719.57,,4219.49,92,,Percent of Total Billed Charges,3412.28,,4219.49,92,,Percent of Total Billed Charges,3591.15,,4219.49,92,,Percent of Total Billed Charges,3719.57,,3577.39,78,,Percent of Total Billed Charges,3577.39,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2468.86,53.83,,Percent of Total Billed Charges,2316.13,,1588.73,34.64,,Percent of Total Billed Charges,1582.31,,2292.28,49.98,,Percent of Total Billed Charges,1733.66,,1588.73,4219.49,,																																							
HC VENOGRAM RENAL , BILATERAL; SELECTIVE,75833,CPT,,,,BOTH, , ,4586.4,3852.58,3210.48,92,,Percent of Total Billed Charges,3834.23,,3210.48,92,,Percent of Total Billed Charges,3765.43,,3210.48,92,,Percent of Total Billed Charges,3692.05,,3210.48,92,,Percent of Total Billed Charges,3829.64,,3210.48,92,,Percent of Total Billed Charges,3453.56,,3210.48,92,,Percent of Total Billed Charges,2866.5,,4127.76,90,,Percent of Total Billed Charges,2288.61,,4081.9,89,,Percent of Total Billed Charges,2201.47,,3779.19,82.4,,Percent of Total Billed Charges,3770.02,,3825.06,83.4,,Percent of Total Billed Charges,3568.22,,3825.06,83.4,,Percent of Total Billed Charges,3215.07,,3825.06,83.4,,Percent of Total Billed Charges,3733.33,,4127.76,90,,Percent of Total Billed Charges,3884.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4219.49,92,,Percent of Total Billed Charges,3719.57,,4219.49,92,,Percent of Total Billed Charges,3412.28,,4219.49,92,,Percent of Total Billed Charges,3591.15,,4219.49,92,,Percent of Total Billed Charges,3719.57,,3577.39,78,,Percent of Total Billed Charges,3577.39,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2468.86,53.83,,Percent of Total Billed Charges,2316.13,,1588.73,34.64,,Percent of Total Billed Charges,1582.31,,2292.28,49.98,,Percent of Total Billed Charges,1733.66,,1588.73,4219.49,,																																							
HC VEIN XRAY LIVER W/HEMODYNAMIC EVALUATION,75885,CPT,,,,BOTH, , ,4718.7,3963.71,3303.09,92,,Percent of Total Billed Charges,3944.83,,3303.09,92,,Percent of Total Billed Charges,3874.05,,3303.09,92,,Percent of Total Billed Charges,3798.55,,3303.09,92,,Percent of Total Billed Charges,3940.11,,3303.09,92,,Percent of Total Billed Charges,3553.18,,3303.09,92,,Percent of Total Billed Charges,2949.19,,4246.83,90,,Percent of Total Billed Charges,2354.63,,4199.64,89,,Percent of Total Billed Charges,2264.98,,3888.21,82.4,,Percent of Total Billed Charges,3878.77,,3935.4,83.4,,Percent of Total Billed Charges,3671.15,,3935.4,83.4,,Percent of Total Billed Charges,3307.81,,3935.4,83.4,,Percent of Total Billed Charges,3841.02,,4246.83,90,,Percent of Total Billed Charges,3996.74,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4341.2,92,,Percent of Total Billed Charges,3826.87,,4341.2,92,,Percent of Total Billed Charges,3510.71,,4341.2,92,,Percent of Total Billed Charges,3694.74,,4341.2,92,,Percent of Total Billed Charges,3826.87,,3680.59,78,,Percent of Total Billed Charges,3680.59,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2540.08,53.83,,Percent of Total Billed Charges,2382.94,,1634.56,34.64,,Percent of Total Billed Charges,1627.95,,2358.41,49.98,,Percent of Total Billed Charges,1783.67,,1634.56,4341.2,,																																							
HC VEIN XRAY LIVER W/O HEMODYNAMIC EVALUATION,75887,CPT,,,,BOTH, , ,3614.1,3035.84,2529.87,92,,Percent of Total Billed Charges,3021.39,,2529.87,92,,Percent of Total Billed Charges,2967.18,,2529.87,92,,Percent of Total Billed Charges,2909.35,,2529.87,92,,Percent of Total Billed Charges,3017.77,,2529.87,92,,Percent of Total Billed Charges,2721.42,,2529.87,92,,Percent of Total Billed Charges,2258.81,,3252.69,90,,Percent of Total Billed Charges,1803.44,,3216.55,89,,Percent of Total Billed Charges,1734.77,,2978.02,82.4,,Percent of Total Billed Charges,2970.79,,3014.16,83.4,,Percent of Total Billed Charges,2811.77,,3014.16,83.4,,Percent of Total Billed Charges,2533.48,,3014.16,83.4,,Percent of Total Billed Charges,2941.88,,3252.69,90,,Percent of Total Billed Charges,3061.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3324.97,92,,Percent of Total Billed Charges,2931.04,,3324.97,92,,Percent of Total Billed Charges,2688.89,,3324.97,92,,Percent of Total Billed Charges,2829.84,,3324.97,92,,Percent of Total Billed Charges,2931.04,,2819,78,,Percent of Total Billed Charges,2819,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1945.47,53.83,,Percent of Total Billed Charges,1825.12,,1251.92,34.64,,Percent of Total Billed Charges,1246.86,,1806.33,49.98,,Percent of Total Billed Charges,1366.13,,1251.92,3324.97,,																																							
HC VENOGRAM HEPATIC W HEMODYNAMIC EVALUATION,75889,CPT,,,,BOTH, , ,9560.25,8030.61,6692.18,92,,Percent of Total Billed Charges,7992.37,,6692.18,92,,Percent of Total Billed Charges,7848.97,,6692.18,92,,Percent of Total Billed Charges,7696,,6692.18,92,,Percent of Total Billed Charges,7982.81,,6692.18,92,,Percent of Total Billed Charges,7198.87,,6692.18,92,,Percent of Total Billed Charges,5975.16,,8604.23,90,,Percent of Total Billed Charges,4770.56,,8508.62,89,,Percent of Total Billed Charges,4588.92,,7877.65,82.4,,Percent of Total Billed Charges,7858.53,,7973.25,83.4,,Percent of Total Billed Charges,7437.87,,7973.25,83.4,,Percent of Total Billed Charges,6701.74,,7973.25,83.4,,Percent of Total Billed Charges,7782.04,,8604.23,90,,Percent of Total Billed Charges,8097.53,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,8795.43,92,,Percent of Total Billed Charges,7753.36,,8795.43,92,,Percent of Total Billed Charges,7112.83,,8795.43,92,,Percent of Total Billed Charges,7485.68,,8795.43,92,,Percent of Total Billed Charges,7753.36,,7457,78,,Percent of Total Billed Charges,7457,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5146.28,53.83,,Percent of Total Billed Charges,4827.93,,3311.67,34.64,,Percent of Total Billed Charges,3298.29,,4778.21,49.98,,Percent of Total Billed Charges,3613.77,,3311.67,8795.43,,																																							
HC FLUOROSCOPIC PROCEDURE,76496,CPT,,,,BOTH, , ,349.65,293.71,244.76,92,,Percent of Total Billed Charges,292.31,,244.76,92,,Percent of Total Billed Charges,287.06,,244.76,92,,Percent of Total Billed Charges,281.47,,244.76,92,,Percent of Total Billed Charges,291.96,,244.76,92,,Percent of Total Billed Charges,263.29,,244.76,92,,Percent of Total Billed Charges,218.53,,314.69,90,,Percent of Total Billed Charges,174.48,,311.19,89,,Percent of Total Billed Charges,167.83,,288.11,82.4,,Percent of Total Billed Charges,287.41,,291.61,83.4,,Percent of Total Billed Charges,272.03,,291.61,83.4,,Percent of Total Billed Charges,245.1,,291.61,83.4,,Percent of Total Billed Charges,284.62,,314.69,90,,Percent of Total Billed Charges,296.15,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,321.68,92,,Percent of Total Billed Charges,283.57,,321.68,92,,Percent of Total Billed Charges,260.14,,321.68,92,,Percent of Total Billed Charges,273.78,,321.68,92,,Percent of Total Billed Charges,283.57,,272.73,78,,Percent of Total Billed Charges,272.73,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,188.22,53.83,,Percent of Total Billed Charges,176.57,,121.12,34.64,,Percent of Total Billed Charges,120.63,,174.76,49.98,,Percent of Total Billed Charges,132.17,,121.12,321.68,,																																							
HC XRAY EXAM ENTIRE SPINE 4/5 VIEWS,72083,CPT,,,,BOTH, , ,1163.4,977.26,814.38,92,,Percent of Total Billed Charges,972.6,,814.38,92,,Percent of Total Billed Charges,955.15,,814.38,92,,Percent of Total Billed Charges,936.54,,814.38,92,,Percent of Total Billed Charges,971.44,,814.38,92,,Percent of Total Billed Charges,876.04,,814.38,92,,Percent of Total Billed Charges,727.13,,1047.06,90,,Percent of Total Billed Charges,580.54,,1035.43,89,,Percent of Total Billed Charges,558.43,,958.64,82.4,,Percent of Total Billed Charges,956.31,,970.28,83.4,,Percent of Total Billed Charges,905.13,,970.28,83.4,,Percent of Total Billed Charges,815.54,,970.28,83.4,,Percent of Total Billed Charges,947.01,,1047.06,90,,Percent of Total Billed Charges,985.4,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1070.33,92,,Percent of Total Billed Charges,943.52,,1070.33,92,,Percent of Total Billed Charges,865.57,,1070.33,92,,Percent of Total Billed Charges,910.94,,1070.33,92,,Percent of Total Billed Charges,943.52,,907.45,78,,Percent of Total Billed Charges,907.45,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,626.26,53.83,,Percent of Total Billed Charges,587.52,,403,34.64,,Percent of Total Billed Charges,401.37,,581.47,49.98,,Percent of Total Billed Charges,439.77,,403.00,1070.33,,																																							
HC XRAY EXAM ENTIRE SPINE 6/> VIEWS,72084,CPT,,,,BOTH, , ,1163.4,977.26,814.38,92,,Percent of Total Billed Charges,972.6,,814.38,92,,Percent of Total Billed Charges,955.15,,814.38,92,,Percent of Total Billed Charges,936.54,,814.38,92,,Percent of Total Billed Charges,971.44,,814.38,92,,Percent of Total Billed Charges,876.04,,814.38,92,,Percent of Total Billed Charges,727.13,,1047.06,90,,Percent of Total Billed Charges,580.54,,1035.43,89,,Percent of Total Billed Charges,558.43,,958.64,82.4,,Percent of Total Billed Charges,956.31,,970.28,83.4,,Percent of Total Billed Charges,905.13,,970.28,83.4,,Percent of Total Billed Charges,815.54,,970.28,83.4,,Percent of Total Billed Charges,947.01,,1047.06,90,,Percent of Total Billed Charges,985.4,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1070.33,92,,Percent of Total Billed Charges,943.52,,1070.33,92,,Percent of Total Billed Charges,865.57,,1070.33,92,,Percent of Total Billed Charges,910.94,,1070.33,92,,Percent of Total Billed Charges,943.52,,907.45,78,,Percent of Total Billed Charges,907.45,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,626.26,53.83,,Percent of Total Billed Charges,587.52,,403,34.64,,Percent of Total Billed Charges,401.37,,581.47,49.98,,Percent of Total Billed Charges,439.77,,403.00,1070.33,,																																							
HC XRAY EXAM HIP UNI 4/> VIEWS,73503,CPT,,,,BOTH, , ,610.05,512.44,427.04,92,,Percent of Total Billed Charges,510,,427.04,92,,Percent of Total Billed Charges,500.85,,427.04,92,,Percent of Total Billed Charges,491.09,,427.04,92,,Percent of Total Billed Charges,509.39,,427.04,92,,Percent of Total Billed Charges,459.37,,427.04,92,,Percent of Total Billed Charges,381.28,,549.05,90,,Percent of Total Billed Charges,304.41,,542.94,89,,Percent of Total Billed Charges,292.82,,502.68,82.4,,Percent of Total Billed Charges,501.46,,508.78,83.4,,Percent of Total Billed Charges,474.62,,508.78,83.4,,Percent of Total Billed Charges,427.65,,508.78,83.4,,Percent of Total Billed Charges,496.58,,549.05,90,,Percent of Total Billed Charges,516.71,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,561.25,92,,Percent of Total Billed Charges,494.75,,561.25,92,,Percent of Total Billed Charges,453.88,,561.25,92,,Percent of Total Billed Charges,477.67,,561.25,92,,Percent of Total Billed Charges,494.75,,475.84,78,,Percent of Total Billed Charges,475.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,328.39,53.83,,Percent of Total Billed Charges,308.08,,211.32,34.64,,Percent of Total Billed Charges,210.47,,304.9,49.98,,Percent of Total Billed Charges,230.6,,211.32,561.25,,																																							
HC XRAY EXAM HIPS BI 34 VIEWS,73522,CPT,,,,BOTH, , ,610.05,512.44,427.04,92,,Percent of Total Billed Charges,510,,427.04,92,,Percent of Total Billed Charges,500.85,,427.04,92,,Percent of Total Billed Charges,491.09,,427.04,92,,Percent of Total Billed Charges,509.39,,427.04,92,,Percent of Total Billed Charges,459.37,,427.04,92,,Percent of Total Billed Charges,381.28,,549.05,90,,Percent of Total Billed Charges,304.41,,542.94,89,,Percent of Total Billed Charges,292.82,,502.68,82.4,,Percent of Total Billed Charges,501.46,,508.78,83.4,,Percent of Total Billed Charges,474.62,,508.78,83.4,,Percent of Total Billed Charges,427.65,,508.78,83.4,,Percent of Total Billed Charges,496.58,,549.05,90,,Percent of Total Billed Charges,516.71,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,561.25,92,,Percent of Total Billed Charges,494.75,,561.25,92,,Percent of Total Billed Charges,453.88,,561.25,92,,Percent of Total Billed Charges,477.67,,561.25,92,,Percent of Total Billed Charges,494.75,,475.84,78,,Percent of Total Billed Charges,475.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,328.39,53.83,,Percent of Total Billed Charges,308.08,,211.32,34.64,,Percent of Total Billed Charges,210.47,,304.9,49.98,,Percent of Total Billed Charges,230.6,,211.32,561.25,,																																							
HC XRAY EXAM HIPS BI 5/> VIEWS,73523,CPT,,,,BOTH, , ,1163.4,977.26,814.38,92,,Percent of Total Billed Charges,972.6,,814.38,92,,Percent of Total Billed Charges,955.15,,814.38,92,,Percent of Total Billed Charges,936.54,,814.38,92,,Percent of Total Billed Charges,971.44,,814.38,92,,Percent of Total Billed Charges,876.04,,814.38,92,,Percent of Total Billed Charges,727.13,,1047.06,90,,Percent of Total Billed Charges,580.54,,1035.43,89,,Percent of Total Billed Charges,558.43,,958.64,82.4,,Percent of Total Billed Charges,956.31,,970.28,83.4,,Percent of Total Billed Charges,905.13,,970.28,83.4,,Percent of Total Billed Charges,815.54,,970.28,83.4,,Percent of Total Billed Charges,947.01,,1047.06,90,,Percent of Total Billed Charges,985.4,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1070.33,92,,Percent of Total Billed Charges,943.52,,1070.33,92,,Percent of Total Billed Charges,865.57,,1070.33,92,,Percent of Total Billed Charges,910.94,,1070.33,92,,Percent of Total Billed Charges,943.52,,907.45,78,,Percent of Total Billed Charges,907.45,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,626.26,53.83,,Percent of Total Billed Charges,587.52,,403,34.64,,Percent of Total Billed Charges,401.37,,581.47,49.98,,Percent of Total Billed Charges,439.77,,403.00,1070.33,,																																							
HC XRAY EXAM OF FEMUR 1 VIEW,73551,CPT,,,,BOTH, , ,36.75,30.87,25.73,92,,Percent of Total Billed Charges,30.72,,25.73,92,,Percent of Total Billed Charges,30.17,,25.73,92,,Percent of Total Billed Charges,29.58,,25.73,92,,Percent of Total Billed Charges,30.69,,25.73,92,,Percent of Total Billed Charges,27.67,,25.73,92,,Percent of Total Billed Charges,22.97,,33.08,90,,Percent of Total Billed Charges,18.34,,32.71,89,,Percent of Total Billed Charges,17.64,,30.28,82.4,,Percent of Total Billed Charges,30.21,,30.65,83.4,,Percent of Total Billed Charges,28.59,,30.65,83.4,,Percent of Total Billed Charges,25.76,,30.65,83.4,,Percent of Total Billed Charges,29.91,,33.08,90,,Percent of Total Billed Charges,31.13,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,33.81,92,,Percent of Total Billed Charges,29.8,,33.81,92,,Percent of Total Billed Charges,27.34,,33.81,92,,Percent of Total Billed Charges,28.78,,33.81,92,,Percent of Total Billed Charges,29.8,,28.67,78,,Percent of Total Billed Charges,28.67,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,19.78,53.83,,Percent of Total Billed Charges,18.56,,12.73,34.64,,Percent of Total Billed Charges,12.68,,18.37,49.98,,Percent of Total Billed Charges,13.89,,12.73,33.81,,																																							
HC  IR INTRAVASCULAR RETRIEVAL OF FB,37197,CPT,,,,BOTH, , ,10434.9,8765.32,9600.11,92,,Percent of Total Billed Charges,8723.58,,9600.11,92,,Percent of Total Billed Charges,8567.05,,9600.11,92,,Percent of Total Billed Charges,8400.09,,9600.11,92,,Percent of Total Billed Charges,8713.14,,9600.11,92,,Percent of Total Billed Charges,7857.48,,9600.11,92,,Percent of Total Billed Charges,6521.81,,9391.41,90,,Percent of Total Billed Charges,5207.02,,9287.06,89,,Percent of Total Billed Charges,5008.75,,8598.36,82.4,,Percent of Total Billed Charges,8577.49,,8702.71,83.4,,Percent of Total Billed Charges,8118.35,,8702.71,83.4,,Percent of Total Billed Charges,7314.86,,8702.71,83.4,,Percent of Total Billed Charges,8494.01,,9391.41,90,,Percent of Total Billed Charges,8838.36,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,9600.11,92,,Percent of Total Billed Charges,8462.7,,9600.11,92,,Percent of Total Billed Charges,7763.57,,9600.11,92,,Percent of Total Billed Charges,8170.53,,9600.11,92,,Percent of Total Billed Charges,8462.7,,8139.22,78,,Percent of Total Billed Charges,8139.22,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5617.11,53.83,,Percent of Total Billed Charges,5269.62,,3614.65,34.64,,Percent of Total Billed Charges,3600.04,,5215.36,49.98,,Percent of Total Billed Charges,3944.39,,3614.65,9600.11,,																																							
HC INJECTION ILEAL LOOP,50690,CPT,,,,BOTH, , ,285.6,239.9,262.75,92,,Percent of Total Billed Charges,238.76,,262.75,92,,Percent of Total Billed Charges,234.48,,262.75,92,,Percent of Total Billed Charges,229.91,,262.75,92,,Percent of Total Billed Charges,238.48,,262.75,92,,Percent of Total Billed Charges,215.06,,262.75,92,,Percent of Total Billed Charges,178.5,,257.04,90,,Percent of Total Billed Charges,142.51,,254.18,89,,Percent of Total Billed Charges,137.09,,235.33,82.4,,Percent of Total Billed Charges,234.76,,238.19,83.4,,Percent of Total Billed Charges,222.2,,238.19,83.4,,Percent of Total Billed Charges,200.21,,238.19,83.4,,Percent of Total Billed Charges,232.48,,257.04,90,,Percent of Total Billed Charges,241.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,262.75,92,,Percent of Total Billed Charges,231.62,,262.75,92,,Percent of Total Billed Charges,212.49,,262.75,92,,Percent of Total Billed Charges,223.62,,262.75,92,,Percent of Total Billed Charges,231.62,,222.77,78,,Percent of Total Billed Charges,222.77,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,153.74,53.83,,Percent of Total Billed Charges,144.23,,98.93,34.64,,Percent of Total Billed Charges,98.53,,142.74,49.98,,Percent of Total Billed Charges,107.96,,98.93,262.75,,																																							
HC US EXTREMITY NONVASC REALTIME IMG COMPL,76881,CPT,,,,BOTH, , ,1067.85,896.99,982.42,92,,Percent of Total Billed Charges,892.72,,982.42,92,,Percent of Total Billed Charges,876.7,,982.42,92,,Percent of Total Billed Charges,859.62,,982.42,92,,Percent of Total Billed Charges,891.65,,982.42,92,,Percent of Total Billed Charges,804.09,,982.42,92,,Percent of Total Billed Charges,667.41,,961.07,90,,Percent of Total Billed Charges,532.86,,950.39,89,,Percent of Total Billed Charges,512.57,,879.91,82.4,,Percent of Total Billed Charges,877.77,,890.59,83.4,,Percent of Total Billed Charges,830.79,,890.59,83.4,,Percent of Total Billed Charges,748.56,,890.59,83.4,,Percent of Total Billed Charges,869.23,,961.07,90,,Percent of Total Billed Charges,904.47,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,982.42,92,,Percent of Total Billed Charges,866.03,,982.42,92,,Percent of Total Billed Charges,794.48,,982.42,92,,Percent of Total Billed Charges,836.13,,982.42,92,,Percent of Total Billed Charges,866.03,,832.92,78,,Percent of Total Billed Charges,832.92,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,574.82,53.83,,Percent of Total Billed Charges,539.26,,369.9,34.64,,Percent of Total Billed Charges,368.41,,533.71,49.98,,Percent of Total Billed Charges,403.65,,369.90,982.42,,																																							
HC XRAY EXAM ABDOMEN 1 VIEW,74018,CPT,,,,BOTH, , ,379.05,318.4,348.73,92,,Percent of Total Billed Charges,316.89,,348.73,92,,Percent of Total Billed Charges,311.2,,348.73,92,,Percent of Total Billed Charges,305.14,,348.73,92,,Percent of Total Billed Charges,316.51,,348.73,92,,Percent of Total Billed Charges,285.42,,348.73,92,,Percent of Total Billed Charges,236.91,,341.15,90,,Percent of Total Billed Charges,189.15,,337.35,89,,Percent of Total Billed Charges,181.94,,312.34,82.4,,Percent of Total Billed Charges,311.58,,316.13,83.4,,Percent of Total Billed Charges,294.9,,316.13,83.4,,Percent of Total Billed Charges,265.71,,316.13,83.4,,Percent of Total Billed Charges,308.55,,341.15,90,,Percent of Total Billed Charges,321.06,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,348.73,92,,Percent of Total Billed Charges,307.41,,348.73,92,,Percent of Total Billed Charges,282.01,,348.73,92,,Percent of Total Billed Charges,296.8,,348.73,92,,Percent of Total Billed Charges,307.41,,295.66,78,,Percent of Total Billed Charges,295.66,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,204.04,53.83,,Percent of Total Billed Charges,191.42,,131.3,34.64,,Percent of Total Billed Charges,130.77,,189.45,49.98,,Percent of Total Billed Charges,143.28,,131.30,348.73,,																																							
HC XRAY EXAM ABDOMEN 2 VIEWS,74019,CPT,,,,BOTH, , ,485.1,407.48,446.29,92,,Percent of Total Billed Charges,405.54,,446.29,92,,Percent of Total Billed Charges,398.27,,446.29,92,,Percent of Total Billed Charges,390.51,,446.29,92,,Percent of Total Billed Charges,405.06,,446.29,92,,Percent of Total Billed Charges,365.28,,446.29,92,,Percent of Total Billed Charges,303.19,,436.59,90,,Percent of Total Billed Charges,242.06,,431.74,89,,Percent of Total Billed Charges,232.85,,399.72,82.4,,Percent of Total Billed Charges,398.75,,404.57,83.4,,Percent of Total Billed Charges,377.41,,404.57,83.4,,Percent of Total Billed Charges,340.06,,404.57,83.4,,Percent of Total Billed Charges,394.87,,436.59,90,,Percent of Total Billed Charges,410.88,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,446.29,92,,Percent of Total Billed Charges,393.42,,446.29,92,,Percent of Total Billed Charges,360.91,,446.29,92,,Percent of Total Billed Charges,379.83,,446.29,92,,Percent of Total Billed Charges,393.42,,378.38,78,,Percent of Total Billed Charges,378.38,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,261.13,53.83,,Percent of Total Billed Charges,244.98,,168.04,34.64,,Percent of Total Billed Charges,167.36,,242.45,49.98,,Percent of Total Billed Charges,183.37,,168.04,446.29,,																																							
HC XRAY EXAM ABDOMEN 3+ VIEWS,74021,CPT,,,,BOTH, , ,570.15,478.93,524.54,92,,Percent of Total Billed Charges,476.65,,524.54,92,,Percent of Total Billed Charges,468.09,,524.54,92,,Percent of Total Billed Charges,458.97,,524.54,92,,Percent of Total Billed Charges,476.08,,524.54,92,,Percent of Total Billed Charges,429.32,,524.54,92,,Percent of Total Billed Charges,356.34,,513.14,90,,Percent of Total Billed Charges,284.5,,507.43,89,,Percent of Total Billed Charges,273.67,,469.8,82.4,,Percent of Total Billed Charges,468.66,,475.51,83.4,,Percent of Total Billed Charges,443.58,,475.51,83.4,,Percent of Total Billed Charges,399.68,,475.51,83.4,,Percent of Total Billed Charges,464.1,,513.14,90,,Percent of Total Billed Charges,482.92,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,524.54,92,,Percent of Total Billed Charges,462.39,,524.54,92,,Percent of Total Billed Charges,424.19,,524.54,92,,Percent of Total Billed Charges,446.43,,524.54,92,,Percent of Total Billed Charges,462.39,,444.72,78,,Percent of Total Billed Charges,444.72,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,306.91,53.83,,Percent of Total Billed Charges,287.93,,197.5,34.64,,Percent of Total Billed Charges,196.7,,284.96,49.98,,Percent of Total Billed Charges,215.52,,197.50,524.54,,																																							
HC AIR INJECTION INTO ABDOMEN,49400,CPT,,,,BOTH, , ,1173.9,986.08,821.73,92,,Percent of Total Billed Charges,981.38,,821.73,92,,Percent of Total Billed Charges,963.77,,821.73,92,,Percent of Total Billed Charges,944.99,,821.73,92,,Percent of Total Billed Charges,980.21,,821.73,92,,Percent of Total Billed Charges,883.95,,821.73,92,,Percent of Total Billed Charges,733.69,,1056.51,90,,Percent of Total Billed Charges,585.78,,1044.77,89,,Percent of Total Billed Charges,563.47,,967.29,82.4,,Percent of Total Billed Charges,964.95,,979.03,83.4,,Percent of Total Billed Charges,913.29,,979.03,83.4,,Percent of Total Billed Charges,822.9,,979.03,83.4,,Percent of Total Billed Charges,955.55,,1056.51,90,,Percent of Total Billed Charges,994.29,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1079.99,92,,Percent of Total Billed Charges,952.03,,1079.99,92,,Percent of Total Billed Charges,873.38,,1079.99,92,,Percent of Total Billed Charges,919.16,,1079.99,92,,Percent of Total Billed Charges,952.03,,915.64,78,,Percent of Total Billed Charges,915.64,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,631.91,53.83,,Percent of Total Billed Charges,592.82,,406.64,34.64,,Percent of Total Billed Charges,405,,586.72,49.98,,Percent of Total Billed Charges,443.73,,406.64,1079.99,,																																							
HC LYMPHANGIOGRAPHY PELVIC/ABDOMINAL UNILAT RS&I,75805,CPT,,,,BOTH, , ,5112.45,4294.46,3578.72,92,,Percent of Total Billed Charges,4274.01,,3578.72,92,,Percent of Total Billed Charges,4197.32,,3578.72,92,,Percent of Total Billed Charges,4115.52,,3578.72,92,,Percent of Total Billed Charges,4268.9,,3578.72,92,,Percent of Total Billed Charges,3849.67,,3578.72,92,,Percent of Total Billed Charges,3195.28,,4601.21,90,,Percent of Total Billed Charges,2551.11,,4550.08,89,,Percent of Total Billed Charges,2453.98,,4212.66,82.4,,Percent of Total Billed Charges,4202.43,,4263.78,83.4,,Percent of Total Billed Charges,3977.49,,4263.78,83.4,,Percent of Total Billed Charges,3583.83,,4263.78,83.4,,Percent of Total Billed Charges,4161.53,,4601.21,90,,Percent of Total Billed Charges,4330.25,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4703.45,92,,Percent of Total Billed Charges,4146.2,,4703.45,92,,Percent of Total Billed Charges,3803.66,,4703.45,92,,Percent of Total Billed Charges,4003.05,,4703.45,92,,Percent of Total Billed Charges,4146.2,,3987.71,78,,Percent of Total Billed Charges,3987.71,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2752.03,53.83,,Percent of Total Billed Charges,2581.79,,1770.95,34.64,,Percent of Total Billed Charges,1763.8,,2555.2,49.98,,Percent of Total Billed Charges,1932.51,,1770.95,4703.45,,																																							
HC LYMPHANGIOGRAPHY PELVIC/ABDOMINAL BILATERAL RS&I,75807,CPT,,,,BOTH, , ,12346.95,10371.44,8642.87,92,,Percent of Total Billed Charges,10322.05,,8642.87,92,,Percent of Total Billed Charges,10136.85,,8642.87,92,,Percent of Total Billed Charges,9939.29,,8642.87,92,,Percent of Total Billed Charges,10309.7,,8642.87,92,,Percent of Total Billed Charges,9297.25,,8642.87,92,,Percent of Total Billed Charges,7716.84,,11112.26,90,,Percent of Total Billed Charges,6161.13,,10988.79,89,,Percent of Total Billed Charges,5926.54,,10173.89,82.4,,Percent of Total Billed Charges,10149.19,,10297.36,83.4,,Percent of Total Billed Charges,9605.93,,10297.36,83.4,,Percent of Total Billed Charges,8655.21,,10297.36,83.4,,Percent of Total Billed Charges,10050.42,,11112.26,90,,Percent of Total Billed Charges,10457.87,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,11359.19,92,,Percent of Total Billed Charges,10013.38,,11359.19,92,,Percent of Total Billed Charges,9186.13,,11359.19,92,,Percent of Total Billed Charges,9667.66,,11359.19,92,,Percent of Total Billed Charges,10013.38,,9630.62,78,,Percent of Total Billed Charges,9630.62,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6646.36,53.83,,Percent of Total Billed Charges,6235.21,,4276.98,34.64,,Percent of Total Billed Charges,4259.7,,6171.01,49.98,,Percent of Total Billed Charges,4667.15,,4276.98,11359.19,,																																							
HC ANGIOGRAPHY INTERNAL MAMMARY RS&I,75756,CPT,,,,BOTH, , ,12346.95,10371.44,8642.87,92,,Percent of Total Billed Charges,10322.05,,8642.87,92,,Percent of Total Billed Charges,10136.85,,8642.87,92,,Percent of Total Billed Charges,9939.29,,8642.87,92,,Percent of Total Billed Charges,10309.7,,8642.87,92,,Percent of Total Billed Charges,9297.25,,8642.87,92,,Percent of Total Billed Charges,7716.84,,11112.26,90,,Percent of Total Billed Charges,6161.13,,10988.79,89,,Percent of Total Billed Charges,5926.54,,10173.89,82.4,,Percent of Total Billed Charges,10149.19,,10297.36,83.4,,Percent of Total Billed Charges,9605.93,,10297.36,83.4,,Percent of Total Billed Charges,8655.21,,10297.36,83.4,,Percent of Total Billed Charges,10050.42,,11112.26,90,,Percent of Total Billed Charges,10457.87,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,11359.19,92,,Percent of Total Billed Charges,10013.38,,11359.19,92,,Percent of Total Billed Charges,9186.13,,11359.19,92,,Percent of Total Billed Charges,9667.66,,11359.19,92,,Percent of Total Billed Charges,10013.38,,9630.62,78,,Percent of Total Billed Charges,9630.62,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6646.36,53.83,,Percent of Total Billed Charges,6235.21,,4276.98,34.64,,Percent of Total Billed Charges,4259.7,,6171.01,49.98,,Percent of Total Billed Charges,4667.15,,4276.98,11359.19,,																																							
HC CONTRST XRAY UPPR GI TRACT,74246,CPT,,,,BOTH, , ,792.75,665.91,554.93,92,,Percent of Total Billed Charges,662.74,,554.93,92,,Percent of Total Billed Charges,650.85,,554.93,92,,Percent of Total Billed Charges,638.16,,554.93,92,,Percent of Total Billed Charges,661.95,,554.93,92,,Percent of Total Billed Charges,596.94,,554.93,92,,Percent of Total Billed Charges,495.47,,713.48,90,,Percent of Total Billed Charges,395.58,,705.55,89,,Percent of Total Billed Charges,380.52,,653.23,82.4,,Percent of Total Billed Charges,651.64,,661.15,83.4,,Percent of Total Billed Charges,616.76,,661.15,83.4,,Percent of Total Billed Charges,555.72,,661.15,83.4,,Percent of Total Billed Charges,645.3,,713.48,90,,Percent of Total Billed Charges,671.46,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,729.33,92,,Percent of Total Billed Charges,642.92,,729.33,92,,Percent of Total Billed Charges,589.81,,729.33,92,,Percent of Total Billed Charges,620.72,,729.33,92,,Percent of Total Billed Charges,642.92,,618.35,78,,Percent of Total Billed Charges,618.35,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,426.74,53.83,,Percent of Total Billed Charges,400.34,,274.61,34.64,,Percent of Total Billed Charges,273.5,,396.22,49.98,,Percent of Total Billed Charges,299.66,,274.61,729.33,,																																							
HC  XRAY XM ESOPHAGUS 2CNTRST,74221,CPT,,,,BOTH, , ,792.75,665.91,554.93,92,,Percent of Total Billed Charges,662.74,,554.93,92,,Percent of Total Billed Charges,650.85,,554.93,92,,Percent of Total Billed Charges,638.16,,554.93,92,,Percent of Total Billed Charges,661.95,,554.93,92,,Percent of Total Billed Charges,596.94,,554.93,92,,Percent of Total Billed Charges,495.47,,713.48,90,,Percent of Total Billed Charges,395.58,,705.55,89,,Percent of Total Billed Charges,380.52,,653.23,82.4,,Percent of Total Billed Charges,651.64,,661.15,83.4,,Percent of Total Billed Charges,616.76,,661.15,83.4,,Percent of Total Billed Charges,555.72,,661.15,83.4,,Percent of Total Billed Charges,645.3,,713.48,90,,Percent of Total Billed Charges,671.46,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,729.33,92,,Percent of Total Billed Charges,642.92,,729.33,92,,Percent of Total Billed Charges,589.81,,729.33,92,,Percent of Total Billed Charges,620.72,,729.33,92,,Percent of Total Billed Charges,642.92,,618.35,78,,Percent of Total Billed Charges,618.35,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,426.74,53.83,,Percent of Total Billed Charges,400.34,,274.61,34.64,,Percent of Total Billed Charges,273.5,,396.22,49.98,,Percent of Total Billed Charges,299.66,,274.61,729.33,,																																							
HC XRAY SM INT FTHRU STD,74248,CPT,,,,BOTH, , ,1121.4,941.98,784.98,92,,Percent of Total Billed Charges,937.49,,784.98,92,,Percent of Total Billed Charges,920.67,,784.98,92,,Percent of Total Billed Charges,902.73,,784.98,92,,Percent of Total Billed Charges,936.37,,784.98,92,,Percent of Total Billed Charges,844.41,,784.98,92,,Percent of Total Billed Charges,700.88,,1009.26,90,,Percent of Total Billed Charges,559.58,,998.05,89,,Percent of Total Billed Charges,538.27,,924.03,82.4,,Percent of Total Billed Charges,921.79,,935.25,83.4,,Percent of Total Billed Charges,872.45,,935.25,83.4,,Percent of Total Billed Charges,786.1,,935.25,83.4,,Percent of Total Billed Charges,912.82,,1009.26,90,,Percent of Total Billed Charges,949.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1031.69,92,,Percent of Total Billed Charges,909.46,,1031.69,92,,Percent of Total Billed Charges,834.32,,1031.69,92,,Percent of Total Billed Charges,878.06,,1031.69,92,,Percent of Total Billed Charges,909.46,,874.69,78,,Percent of Total Billed Charges,874.69,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,603.65,53.83,,Percent of Total Billed Charges,566.31,,388.45,34.64,,Percent of Total Billed Charges,386.88,,560.48,49.98,,Percent of Total Billed Charges,423.89,,388.45,1031.69,,																																							
HC ANGIOGRAPHY SPINAL SELECTIVE RS&I,75705,CPT,,,,BOTH, , ,20268.15,17025.25,14187.71,92,,Percent of Total Billed Charges,16944.17,,14187.71,92,,Percent of Total Billed Charges,16640.15,,14187.71,92,,Percent of Total Billed Charges,16315.86,,14187.71,92,,Percent of Total Billed Charges,16923.91,,14187.71,92,,Percent of Total Billed Charges,15261.92,,14187.71,92,,Percent of Total Billed Charges,12667.59,,18241.34,90,,Percent of Total Billed Charges,10113.81,,18038.65,89,,Percent of Total Billed Charges,9728.71,,16700.96,82.4,,Percent of Total Billed Charges,16660.42,,16903.64,83.4,,Percent of Total Billed Charges,15768.62,,16903.64,83.4,,Percent of Total Billed Charges,14207.97,,16903.64,83.4,,Percent of Total Billed Charges,16498.27,,18241.34,90,,Percent of Total Billed Charges,17167.12,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,18646.7,92,,Percent of Total Billed Charges,16437.47,,18646.7,92,,Percent of Total Billed Charges,15079.5,,18646.7,92,,Percent of Total Billed Charges,15869.96,,18646.7,92,,Percent of Total Billed Charges,16437.47,,15809.16,78,,Percent of Total Billed Charges,15809.16,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,10910.35,53.83,,Percent of Total Billed Charges,10235.42,,7020.89,34.64,,Percent of Total Billed Charges,6992.51,,10130.02,49.98,,Percent of Total Billed Charges,7661.36,,7020.89,18646.7,,																																							
HC CORE NEEDLE BX LUNG/MEDIASTINUM PERQ W/IMG,32408,CPT,,,,BOTH, , ,7078.05,5945.56,6511.81,92,,Percent of Total Billed Charges,5917.25,,6511.81,92,,Percent of Total Billed Charges,5811.08,,6511.81,92,,Percent of Total Billed Charges,5697.83,,6511.81,92,,Percent of Total Billed Charges,5910.17,,6511.81,92,,Percent of Total Billed Charges,5329.77,,6511.81,92,,Percent of Total Billed Charges,4423.78,,6370.25,90,,Percent of Total Billed Charges,3531.95,,6299.46,89,,Percent of Total Billed Charges,3397.46,,5832.31,82.4,,Percent of Total Billed Charges,5818.16,,5903.09,83.4,,Percent of Total Billed Charges,5506.72,,5903.09,83.4,,Percent of Total Billed Charges,4961.71,,5903.09,83.4,,Percent of Total Billed Charges,5761.53,,6370.25,90,,Percent of Total Billed Charges,5995.11,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6511.81,92,,Percent of Total Billed Charges,5740.3,,6511.81,92,,Percent of Total Billed Charges,5266.07,,6511.81,92,,Percent of Total Billed Charges,5542.11,,6511.81,92,,Percent of Total Billed Charges,5740.3,,5520.88,78,,Percent of Total Billed Charges,5520.88,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3810.11,53.83,,Percent of Total Billed Charges,3574.42,,2451.84,34.64,,Percent of Total Billed Charges,2441.93,,3537.61,49.98,,Percent of Total Billed Charges,2675.5,,2451.84,6511.81,,																																							
HC RADIOLOGIC EXAMINATION SACROILIAC JNTS <3 VIEWS,72200,CPT,,,,BOTH, , ,487.2,409.25,341.04,92,,Percent of Total Billed Charges,407.3,,341.04,92,,Percent of Total Billed Charges,399.99,,341.04,92,,Percent of Total Billed Charges,392.2,,341.04,92,,Percent of Total Billed Charges,406.81,,341.04,92,,Percent of Total Billed Charges,366.86,,341.04,92,,Percent of Total Billed Charges,304.5,,438.48,90,,Percent of Total Billed Charges,243.11,,433.61,89,,Percent of Total Billed Charges,233.86,,401.45,82.4,,Percent of Total Billed Charges,400.48,,406.32,83.4,,Percent of Total Billed Charges,379.04,,406.32,83.4,,Percent of Total Billed Charges,341.53,,406.32,83.4,,Percent of Total Billed Charges,396.58,,438.48,90,,Percent of Total Billed Charges,412.66,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,448.22,92,,Percent of Total Billed Charges,395.12,,448.22,92,,Percent of Total Billed Charges,362.48,,448.22,92,,Percent of Total Billed Charges,381.48,,448.22,92,,Percent of Total Billed Charges,395.12,,380.02,78,,Percent of Total Billed Charges,380.02,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,262.26,53.83,,Percent of Total Billed Charges,246.04,,168.77,34.64,,Percent of Total Billed Charges,168.08,,243.5,49.98,,Percent of Total Billed Charges,184.16,,168.77,448.22,,																																							
HC  XRAY EXAM OF EYE SOCKETS,70190,CPT,,,,BOTH, , ,361.2,303.41,252.84,92,,Percent of Total Billed Charges,301.96,,252.84,92,,Percent of Total Billed Charges,296.55,,252.84,92,,Percent of Total Billed Charges,290.77,,252.84,92,,Percent of Total Billed Charges,301.6,,252.84,92,,Percent of Total Billed Charges,271.98,,252.84,92,,Percent of Total Billed Charges,225.75,,325.08,90,,Percent of Total Billed Charges,180.24,,321.47,89,,Percent of Total Billed Charges,173.38,,297.63,82.4,,Percent of Total Billed Charges,296.91,,301.24,83.4,,Percent of Total Billed Charges,281.01,,301.24,83.4,,Percent of Total Billed Charges,253.2,,301.24,83.4,,Percent of Total Billed Charges,294.02,,325.08,90,,Percent of Total Billed Charges,305.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,332.3,92,,Percent of Total Billed Charges,292.93,,332.3,92,,Percent of Total Billed Charges,268.73,,332.3,92,,Percent of Total Billed Charges,282.82,,332.3,92,,Percent of Total Billed Charges,292.93,,281.74,78,,Percent of Total Billed Charges,281.74,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,194.43,53.83,,Percent of Total Billed Charges,182.41,,125.12,34.64,,Percent of Total Billed Charges,124.61,,180.53,49.98,,Percent of Total Billed Charges,136.53,,125.12,332.3,,																																							
HC UNLISTED DIAGNOSTIC RADIOGRAPHIC PROCEDURE,76499,CPT,,,,BOTH, , ,349.65,293.71,244.76,92,,Percent of Total Billed Charges,292.31,,244.76,92,,Percent of Total Billed Charges,287.06,,244.76,92,,Percent of Total Billed Charges,281.47,,244.76,92,,Percent of Total Billed Charges,291.96,,244.76,92,,Percent of Total Billed Charges,263.29,,244.76,92,,Percent of Total Billed Charges,218.53,,314.69,90,,Percent of Total Billed Charges,174.48,,311.19,89,,Percent of Total Billed Charges,167.83,,288.11,82.4,,Percent of Total Billed Charges,287.41,,291.61,83.4,,Percent of Total Billed Charges,272.03,,291.61,83.4,,Percent of Total Billed Charges,245.1,,291.61,83.4,,Percent of Total Billed Charges,284.62,,314.69,90,,Percent of Total Billed Charges,296.15,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,321.68,92,,Percent of Total Billed Charges,283.57,,321.68,92,,Percent of Total Billed Charges,260.14,,321.68,92,,Percent of Total Billed Charges,273.78,,321.68,92,,Percent of Total Billed Charges,283.57,,272.73,78,,Percent of Total Billed Charges,272.73,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,188.22,53.83,,Percent of Total Billed Charges,176.57,,121.12,34.64,,Percent of Total Billed Charges,120.63,,174.76,49.98,,Percent of Total Billed Charges,132.17,,121.12,321.68,,																																							
HC INJECTION EXTREMITY VENOGRAPHY,36005,CPT,,,,BOTH, , ,354.9,298.12,326.51,92,,Percent of Total Billed Charges,296.7,,326.51,92,,Percent of Total Billed Charges,291.37,,326.51,92,,Percent of Total Billed Charges,285.69,,326.51,92,,Percent of Total Billed Charges,296.34,,326.51,92,,Percent of Total Billed Charges,267.24,,326.51,92,,Percent of Total Billed Charges,221.81,,319.41,90,,Percent of Total Billed Charges,177.1,,315.86,89,,Percent of Total Billed Charges,170.35,,292.44,82.4,,Percent of Total Billed Charges,291.73,,295.99,83.4,,Percent of Total Billed Charges,276.11,,295.99,83.4,,Percent of Total Billed Charges,248.78,,295.99,83.4,,Percent of Total Billed Charges,288.89,,319.41,90,,Percent of Total Billed Charges,300.6,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,326.51,92,,Percent of Total Billed Charges,287.82,,326.51,92,,Percent of Total Billed Charges,264.05,,326.51,92,,Percent of Total Billed Charges,277.89,,326.51,92,,Percent of Total Billed Charges,287.82,,276.82,78,,Percent of Total Billed Charges,276.82,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,191.04,53.83,,Percent of Total Billed Charges,179.22,,122.94,34.64,,Percent of Total Billed Charges,122.44,,177.38,49.98,,Percent of Total Billed Charges,134.15,,122.94,326.51,,																																							
HC VENOGRAPHY CAVAL INFERIOR SERIALOGRAPHY RS&I,75825,CPT,,,,BOTH, , ,9560.25,8030.61,6692.18,92,,Percent of Total Billed Charges,7992.37,,6692.18,92,,Percent of Total Billed Charges,7848.97,,6692.18,92,,Percent of Total Billed Charges,7696,,6692.18,92,,Percent of Total Billed Charges,7982.81,,6692.18,92,,Percent of Total Billed Charges,7198.87,,6692.18,92,,Percent of Total Billed Charges,5975.16,,8604.23,90,,Percent of Total Billed Charges,4770.56,,8508.62,89,,Percent of Total Billed Charges,4588.92,,7877.65,82.4,,Percent of Total Billed Charges,7858.53,,7973.25,83.4,,Percent of Total Billed Charges,7437.87,,7973.25,83.4,,Percent of Total Billed Charges,6701.74,,7973.25,83.4,,Percent of Total Billed Charges,7782.04,,8604.23,90,,Percent of Total Billed Charges,8097.53,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,8795.43,92,,Percent of Total Billed Charges,7753.36,,8795.43,92,,Percent of Total Billed Charges,7112.83,,8795.43,92,,Percent of Total Billed Charges,7485.68,,8795.43,92,,Percent of Total Billed Charges,7753.36,,7457,78,,Percent of Total Billed Charges,7457,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5146.28,53.83,,Percent of Total Billed Charges,4827.93,,3311.67,34.64,,Percent of Total Billed Charges,3298.29,,4778.21,49.98,,Percent of Total Billed Charges,3613.77,,3311.67,8795.43,,																																							
HC ABDOMINAL AORTOGRAM,75625,CPT,,,,BOTH, , ,5871.6,4932.14,4110.12,92,,Percent of Total Billed Charges,4908.66,,4110.12,92,,Percent of Total Billed Charges,4820.58,,4110.12,92,,Percent of Total Billed Charges,4726.64,,4110.12,92,,Percent of Total Billed Charges,4902.79,,4110.12,92,,Percent of Total Billed Charges,4421.31,,4110.12,92,,Percent of Total Billed Charges,3669.75,,5284.44,90,,Percent of Total Billed Charges,2929.93,,5225.72,89,,Percent of Total Billed Charges,2818.37,,4838.2,82.4,,Percent of Total Billed Charges,4826.46,,4896.91,83.4,,Percent of Total Billed Charges,4568.1,,4896.91,83.4,,Percent of Total Billed Charges,4115.99,,4896.91,83.4,,Percent of Total Billed Charges,4779.48,,5284.44,90,,Percent of Total Billed Charges,4973.25,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5401.87,92,,Percent of Total Billed Charges,4761.87,,5401.87,92,,Percent of Total Billed Charges,4368.47,,5401.87,92,,Percent of Total Billed Charges,4597.46,,5401.87,92,,Percent of Total Billed Charges,4761.87,,4579.85,78,,Percent of Total Billed Charges,4579.85,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3160.68,53.83,,Percent of Total Billed Charges,2965.16,,2033.92,34.64,,Percent of Total Billed Charges,2025.7,,2934.63,49.98,,Percent of Total Billed Charges,2219.46,,2033.92,5401.87,,																																							
HC SELECT EXTREMITY CAROTID LEFT,36227,CPT,,,,BOTH, , ,8112.3,6814.33,7463.32,92,,Percent of Total Billed Charges,6781.88,,7463.32,92,,Percent of Total Billed Charges,6660.2,,7463.32,92,,Percent of Total Billed Charges,6530.4,,7463.32,92,,Percent of Total Billed Charges,6773.77,,7463.32,92,,Percent of Total Billed Charges,6108.56,,7463.32,92,,Percent of Total Billed Charges,5070.19,,7301.07,90,,Percent of Total Billed Charges,4048.04,,7219.95,89,,Percent of Total Billed Charges,3893.9,,6684.54,82.4,,Percent of Total Billed Charges,6668.31,,6765.66,83.4,,Percent of Total Billed Charges,6311.37,,6765.66,83.4,,Percent of Total Billed Charges,5686.72,,6765.66,83.4,,Percent of Total Billed Charges,6603.41,,7301.07,90,,Percent of Total Billed Charges,6871.12,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,7463.32,92,,Percent of Total Billed Charges,6579.08,,7463.32,92,,Percent of Total Billed Charges,6035.55,,7463.32,92,,Percent of Total Billed Charges,6351.93,,7463.32,92,,Percent of Total Billed Charges,6579.08,,6327.59,78,,Percent of Total Billed Charges,6327.59,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4366.85,53.83,,Percent of Total Billed Charges,4096.71,,2810.1,34.64,,Percent of Total Billed Charges,2798.74,,4054.53,49.98,,Percent of Total Billed Charges,3066.45,,2810.10,7463.32,,																																							
HC RIBS BILAT 3 VIEWS,71110,CPT,,,,BOTH, , ,465.15,390.73,325.61,92,,Percent of Total Billed Charges,388.87,,325.61,92,,Percent of Total Billed Charges,381.89,,325.61,92,,Percent of Total Billed Charges,374.45,,325.61,92,,Percent of Total Billed Charges,388.4,,325.61,92,,Percent of Total Billed Charges,350.26,,325.61,92,,Percent of Total Billed Charges,290.72,,418.64,90,,Percent of Total Billed Charges,232.11,,413.98,89,,Percent of Total Billed Charges,223.27,,383.28,82.4,,Percent of Total Billed Charges,382.35,,387.94,83.4,,Percent of Total Billed Charges,361.89,,387.94,83.4,,Percent of Total Billed Charges,326.07,,387.94,83.4,,Percent of Total Billed Charges,378.63,,418.64,90,,Percent of Total Billed Charges,393.98,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,427.94,92,,Percent of Total Billed Charges,377.24,,427.94,92,,Percent of Total Billed Charges,346.07,,427.94,92,,Percent of Total Billed Charges,364.21,,427.94,92,,Percent of Total Billed Charges,377.24,,362.82,78,,Percent of Total Billed Charges,362.82,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,250.39,53.83,,Percent of Total Billed Charges,234.9,,161.13,34.64,,Percent of Total Billed Charges,160.48,,232.48,49.98,,Percent of Total Billed Charges,175.83,,161.13,427.94,,																																							
HC RIBS BILAT W/PA CHEST,71111,CPT,,,,BOTH, , ,683.55,574.18,478.49,92,,Percent of Total Billed Charges,571.45,,478.49,92,,Percent of Total Billed Charges,561.19,,478.49,92,,Percent of Total Billed Charges,550.26,,478.49,92,,Percent of Total Billed Charges,570.76,,478.49,92,,Percent of Total Billed Charges,514.71,,478.49,92,,Percent of Total Billed Charges,427.22,,615.2,90,,Percent of Total Billed Charges,341.09,,608.36,89,,Percent of Total Billed Charges,328.1,,563.25,82.4,,Percent of Total Billed Charges,561.88,,570.08,83.4,,Percent of Total Billed Charges,531.8,,570.08,83.4,,Percent of Total Billed Charges,479.17,,570.08,83.4,,Percent of Total Billed Charges,556.41,,615.2,90,,Percent of Total Billed Charges,578.97,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,628.87,92,,Percent of Total Billed Charges,554.36,,628.87,92,,Percent of Total Billed Charges,508.56,,628.87,92,,Percent of Total Billed Charges,535.22,,628.87,92,,Percent of Total Billed Charges,554.36,,533.17,78,,Percent of Total Billed Charges,533.17,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,367.95,53.83,,Percent of Total Billed Charges,345.19,,236.78,34.64,,Percent of Total Billed Charges,235.82,,341.64,49.98,,Percent of Total Billed Charges,258.38,,236.78,628.87,,																																							
HC XRAY EXAM CHEST 1 VIEW,71045,CPT,,,,BOTH, , ,32.55,27.34,22.79,92,,Percent of Total Billed Charges,27.21,,22.79,92,,Percent of Total Billed Charges,26.72,,22.79,92,,Percent of Total Billed Charges,26.2,,22.79,92,,Percent of Total Billed Charges,27.18,,22.79,92,,Percent of Total Billed Charges,24.51,,22.79,92,,Percent of Total Billed Charges,20.34,,29.3,90,,Percent of Total Billed Charges,16.24,,28.97,89,,Percent of Total Billed Charges,15.62,,26.82,82.4,,Percent of Total Billed Charges,26.76,,27.15,83.4,,Percent of Total Billed Charges,25.32,,27.15,83.4,,Percent of Total Billed Charges,22.82,,27.15,83.4,,Percent of Total Billed Charges,26.5,,29.3,90,,Percent of Total Billed Charges,27.57,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,29.95,92,,Percent of Total Billed Charges,26.4,,29.95,92,,Percent of Total Billed Charges,24.22,,29.95,92,,Percent of Total Billed Charges,25.49,,29.95,92,,Percent of Total Billed Charges,26.4,,25.39,78,,Percent of Total Billed Charges,25.39,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,17.52,53.83,,Percent of Total Billed Charges,16.44,,11.28,34.64,,Percent of Total Billed Charges,11.23,,16.27,49.98,,Percent of Total Billed Charges,12.3,,11.28,29.95,,																																							
HC XRAY EXAM CHEST 2 VIEWS,71046,CPT,,,,BOTH, , ,40.95,34.4,28.67,92,,Percent of Total Billed Charges,34.23,,28.67,92,,Percent of Total Billed Charges,33.62,,28.67,92,,Percent of Total Billed Charges,32.96,,28.67,92,,Percent of Total Billed Charges,34.19,,28.67,92,,Percent of Total Billed Charges,30.84,,28.67,92,,Percent of Total Billed Charges,25.59,,36.86,90,,Percent of Total Billed Charges,20.43,,36.45,89,,Percent of Total Billed Charges,19.66,,33.74,82.4,,Percent of Total Billed Charges,33.66,,34.15,83.4,,Percent of Total Billed Charges,31.86,,34.15,83.4,,Percent of Total Billed Charges,28.71,,34.15,83.4,,Percent of Total Billed Charges,33.33,,36.86,90,,Percent of Total Billed Charges,34.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,37.67,92,,Percent of Total Billed Charges,33.21,,37.67,92,,Percent of Total Billed Charges,30.47,,37.67,92,,Percent of Total Billed Charges,32.06,,37.67,92,,Percent of Total Billed Charges,33.21,,31.94,78,,Percent of Total Billed Charges,31.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,22.04,53.83,,Percent of Total Billed Charges,20.68,,14.19,34.64,,Percent of Total Billed Charges,14.13,,20.47,49.98,,Percent of Total Billed Charges,15.48,,14.19,37.67,,																																							
HC XRAY EXAM CHEST 3 VIEWS,71047,CPT,,,,BOTH, , ,32.55,27.34,22.79,92,,Percent of Total Billed Charges,27.21,,22.79,92,,Percent of Total Billed Charges,26.72,,22.79,92,,Percent of Total Billed Charges,26.2,,22.79,92,,Percent of Total Billed Charges,27.18,,22.79,92,,Percent of Total Billed Charges,24.51,,22.79,92,,Percent of Total Billed Charges,20.34,,29.3,90,,Percent of Total Billed Charges,16.24,,28.97,89,,Percent of Total Billed Charges,15.62,,26.82,82.4,,Percent of Total Billed Charges,26.76,,27.15,83.4,,Percent of Total Billed Charges,25.32,,27.15,83.4,,Percent of Total Billed Charges,22.82,,27.15,83.4,,Percent of Total Billed Charges,26.5,,29.3,90,,Percent of Total Billed Charges,27.57,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,29.95,92,,Percent of Total Billed Charges,26.4,,29.95,92,,Percent of Total Billed Charges,24.22,,29.95,92,,Percent of Total Billed Charges,25.49,,29.95,92,,Percent of Total Billed Charges,26.4,,25.39,78,,Percent of Total Billed Charges,25.39,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,17.52,53.83,,Percent of Total Billed Charges,16.44,,11.28,34.64,,Percent of Total Billed Charges,11.23,,16.27,49.98,,Percent of Total Billed Charges,12.3,,11.28,29.95,,																																							
HC XRAY EXAM CHEST 4+ VIEWS,71048,CPT,,,,BOTH, , ,623.7,523.91,436.59,92,,Percent of Total Billed Charges,521.41,,436.59,92,,Percent of Total Billed Charges,512.06,,436.59,92,,Percent of Total Billed Charges,502.08,,436.59,92,,Percent of Total Billed Charges,520.79,,436.59,92,,Percent of Total Billed Charges,469.65,,436.59,92,,Percent of Total Billed Charges,389.81,,561.33,90,,Percent of Total Billed Charges,311.23,,555.09,89,,Percent of Total Billed Charges,299.38,,513.93,82.4,,Percent of Total Billed Charges,512.68,,520.17,83.4,,Percent of Total Billed Charges,485.24,,520.17,83.4,,Percent of Total Billed Charges,437.21,,520.17,83.4,,Percent of Total Billed Charges,507.69,,561.33,90,,Percent of Total Billed Charges,528.27,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,573.8,92,,Percent of Total Billed Charges,505.82,,573.8,92,,Percent of Total Billed Charges,464.03,,573.8,92,,Percent of Total Billed Charges,488.36,,573.8,92,,Percent of Total Billed Charges,505.82,,486.49,78,,Percent of Total Billed Charges,486.49,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,335.74,53.83,,Percent of Total Billed Charges,314.97,,216.05,34.64,,Percent of Total Billed Charges,215.18,,311.73,49.98,,Percent of Total Billed Charges,235.76,,216.05,573.8,,																																							
HC HDR RDNCL INTRS/ICAV BRTX 1 C,77770,CPT,,,,BOTH, , ,3567.9,2997.04,2497.53,92,,Percent of Total Billed Charges,2982.76,,2497.53,92,,Percent of Total Billed Charges,2929.25,,2497.53,92,,Percent of Total Billed Charges,2872.16,,2497.53,92,,Percent of Total Billed Charges,2979.2,,2497.53,92,,Percent of Total Billed Charges,2686.63,,2497.53,92,,Percent of Total Billed Charges,2229.94,,3211.11,90,,Percent of Total Billed Charges,1780.38,,3175.43,89,,Percent of Total Billed Charges,1712.59,,2939.95,82.4,,Percent of Total Billed Charges,2932.81,,2975.63,83.4,,Percent of Total Billed Charges,2775.83,,2975.63,83.4,,Percent of Total Billed Charges,2501.1,,2975.63,83.4,,Percent of Total Billed Charges,2904.27,,3211.11,90,,Percent of Total Billed Charges,3022.01,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3282.47,92,,Percent of Total Billed Charges,2893.57,,3282.47,92,,Percent of Total Billed Charges,2654.52,,3282.47,92,,Percent of Total Billed Charges,2793.67,,3282.47,92,,Percent of Total Billed Charges,2893.57,,2782.96,78,,Percent of Total Billed Charges,2782.96,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1920.6,53.83,,Percent of Total Billed Charges,1801.79,,1235.92,34.64,,Percent of Total Billed Charges,1230.93,,1783.24,49.98,,Percent of Total Billed Charges,1348.67,,1235.92,3282.47,,																																							
HC HDR RDNCL INTRS/ICAV BRTX 212 C,77771,CPT,,,,BOTH, , ,3567.9,2997.04,2497.53,92,,Percent of Total Billed Charges,2982.76,,2497.53,92,,Percent of Total Billed Charges,2929.25,,2497.53,92,,Percent of Total Billed Charges,2872.16,,2497.53,92,,Percent of Total Billed Charges,2979.2,,2497.53,92,,Percent of Total Billed Charges,2686.63,,2497.53,92,,Percent of Total Billed Charges,2229.94,,3211.11,90,,Percent of Total Billed Charges,1780.38,,3175.43,89,,Percent of Total Billed Charges,1712.59,,2939.95,82.4,,Percent of Total Billed Charges,2932.81,,2975.63,83.4,,Percent of Total Billed Charges,2775.83,,2975.63,83.4,,Percent of Total Billed Charges,2501.1,,2975.63,83.4,,Percent of Total Billed Charges,2904.27,,3211.11,90,,Percent of Total Billed Charges,3022.01,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3282.47,92,,Percent of Total Billed Charges,2893.57,,3282.47,92,,Percent of Total Billed Charges,2654.52,,3282.47,92,,Percent of Total Billed Charges,2793.67,,3282.47,92,,Percent of Total Billed Charges,2893.57,,2782.96,78,,Percent of Total Billed Charges,2782.96,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1920.6,53.83,,Percent of Total Billed Charges,1801.79,,1235.92,34.64,,Percent of Total Billed Charges,1230.93,,1783.24,49.98,,Percent of Total Billed Charges,1348.67,,1235.92,3282.47,,																																							
HC HDR RDNCL INTRS/ICAV BRTX +12 C,77772,CPT,,,,BOTH, , ,3567.9,2997.04,2497.53,92,,Percent of Total Billed Charges,2982.76,,2497.53,92,,Percent of Total Billed Charges,2929.25,,2497.53,92,,Percent of Total Billed Charges,2872.16,,2497.53,92,,Percent of Total Billed Charges,2979.2,,2497.53,92,,Percent of Total Billed Charges,2686.63,,2497.53,92,,Percent of Total Billed Charges,2229.94,,3211.11,90,,Percent of Total Billed Charges,1780.38,,3175.43,89,,Percent of Total Billed Charges,1712.59,,2939.95,82.4,,Percent of Total Billed Charges,2932.81,,2975.63,83.4,,Percent of Total Billed Charges,2775.83,,2975.63,83.4,,Percent of Total Billed Charges,2501.1,,2975.63,83.4,,Percent of Total Billed Charges,2904.27,,3211.11,90,,Percent of Total Billed Charges,3022.01,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3282.47,92,,Percent of Total Billed Charges,2893.57,,3282.47,92,,Percent of Total Billed Charges,2654.52,,3282.47,92,,Percent of Total Billed Charges,2793.67,,3282.47,92,,Percent of Total Billed Charges,2893.57,,2782.96,78,,Percent of Total Billed Charges,2782.96,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1920.6,53.83,,Percent of Total Billed Charges,1801.79,,1235.92,34.64,,Percent of Total Billed Charges,1230.93,,1783.24,49.98,,Percent of Total Billed Charges,1348.67,,1235.92,3282.47,,																																							
HC BLADDER INSTILLATION ANTICARCINOGENIC AGENT,51720,CPT,,,,BOTH, , ,727.65,611.23,669.44,92,,Percent of Total Billed Charges,608.32,,669.44,92,,Percent of Total Billed Charges,597.4,,669.44,92,,Percent of Total Billed Charges,585.76,,669.44,92,,Percent of Total Billed Charges,607.59,,669.44,92,,Percent of Total Billed Charges,547.92,,669.44,92,,Percent of Total Billed Charges,454.78,,654.89,90,,Percent of Total Billed Charges,363.1,,647.61,89,,Percent of Total Billed Charges,349.27,,599.58,82.4,,Percent of Total Billed Charges,598.13,,606.86,83.4,,Percent of Total Billed Charges,566.11,,606.86,83.4,,Percent of Total Billed Charges,510.08,,606.86,83.4,,Percent of Total Billed Charges,592.31,,654.89,90,,Percent of Total Billed Charges,616.32,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,669.44,92,,Percent of Total Billed Charges,590.12,,669.44,92,,Percent of Total Billed Charges,541.37,,669.44,92,,Percent of Total Billed Charges,569.75,,669.44,92,,Percent of Total Billed Charges,590.12,,567.57,78,,Percent of Total Billed Charges,567.57,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,391.69,53.83,,Percent of Total Billed Charges,367.46,,252.06,34.64,,Percent of Total Billed Charges,251.04,,363.68,49.98,,Percent of Total Billed Charges,275.05,,252.06,669.44,,																																							
HC CHEMO ADM IM/SUB NON HORM ANTNEO,96401,CPT,,,,BOTH, , ,401.1,336.92,369.01,92,,Percent of Total Billed Charges,335.32,,369.01,92,,Percent of Total Billed Charges,329.3,,369.01,92,,Percent of Total Billed Charges,322.89,,369.01,92,,Percent of Total Billed Charges,334.92,,369.01,92,,Percent of Total Billed Charges,302.03,,369.01,92,,Percent of Total Billed Charges,250.69,,360.99,90,,Percent of Total Billed Charges,200.15,,356.98,89,,Percent of Total Billed Charges,192.53,,330.51,82.4,,Percent of Total Billed Charges,329.7,,334.52,83.4,,Percent of Total Billed Charges,312.06,,334.52,83.4,,Percent of Total Billed Charges,281.17,,334.52,83.4,,Percent of Total Billed Charges,326.5,,360.99,90,,Percent of Total Billed Charges,339.73,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,369.01,92,,Percent of Total Billed Charges,325.29,,369.01,92,,Percent of Total Billed Charges,298.42,,369.01,92,,Percent of Total Billed Charges,314.06,,369.01,92,,Percent of Total Billed Charges,325.29,,312.86,78,,Percent of Total Billed Charges,312.86,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,215.91,53.83,,Percent of Total Billed Charges,202.56,,138.94,34.64,,Percent of Total Billed Charges,138.38,,200.47,49.98,,Percent of Total Billed Charges,151.62,,138.94,369.01,,																																							
HC SIMULATION SIMPLE,77280,CPT,,,,BOTH, , ,759.15,637.69,531.41,92,,Percent of Total Billed Charges,634.65,,531.41,92,,Percent of Total Billed Charges,623.26,,531.41,92,,Percent of Total Billed Charges,611.12,,531.41,92,,Percent of Total Billed Charges,633.89,,531.41,92,,Percent of Total Billed Charges,571.64,,531.41,92,,Percent of Total Billed Charges,474.47,,683.24,90,,Percent of Total Billed Charges,378.82,,675.64,89,,Percent of Total Billed Charges,364.39,,625.54,82.4,,Percent of Total Billed Charges,624.02,,633.13,83.4,,Percent of Total Billed Charges,590.62,,633.13,83.4,,Percent of Total Billed Charges,532.16,,633.13,83.4,,Percent of Total Billed Charges,617.95,,683.24,90,,Percent of Total Billed Charges,643,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,698.42,92,,Percent of Total Billed Charges,615.67,,698.42,92,,Percent of Total Billed Charges,564.81,,698.42,92,,Percent of Total Billed Charges,594.41,,698.42,92,,Percent of Total Billed Charges,615.67,,592.14,78,,Percent of Total Billed Charges,592.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,408.65,53.83,,Percent of Total Billed Charges,383.37,,262.97,34.64,,Percent of Total Billed Charges,261.91,,379.42,49.98,,Percent of Total Billed Charges,286.96,,262.97,698.42,,																																							
HC SIMULATIONCOMPLEX,77290,CPT,,,,BOTH, , ,1706.25,1433.25,1194.38,92,,Percent of Total Billed Charges,1426.43,,1194.38,92,,Percent of Total Billed Charges,1400.83,,1194.38,92,,Percent of Total Billed Charges,1373.53,,1194.38,92,,Percent of Total Billed Charges,1424.72,,1194.38,92,,Percent of Total Billed Charges,1284.81,,1194.38,92,,Percent of Total Billed Charges,1066.41,,1535.63,90,,Percent of Total Billed Charges,851.42,,1518.56,89,,Percent of Total Billed Charges,819,,1405.95,82.4,,Percent of Total Billed Charges,1402.54,,1423.01,83.4,,Percent of Total Billed Charges,1327.46,,1423.01,83.4,,Percent of Total Billed Charges,1196.08,,1423.01,83.4,,Percent of Total Billed Charges,1388.89,,1535.63,90,,Percent of Total Billed Charges,1445.19,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1569.75,92,,Percent of Total Billed Charges,1383.77,,1569.75,92,,Percent of Total Billed Charges,1269.45,,1569.75,92,,Percent of Total Billed Charges,1335.99,,1569.75,92,,Percent of Total Billed Charges,1383.77,,1330.88,78,,Percent of Total Billed Charges,1330.88,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,918.47,53.83,,Percent of Total Billed Charges,861.66,,591.05,34.64,,Percent of Total Billed Charges,588.66,,852.78,49.98,,Percent of Total Billed Charges,644.96,,591.05,1569.75,,																																							
HC RESP MOTION MANAGEMENT SIMULATION,77293,CPT,,,,BOTH, , ,1105.65,928.75,773.96,92,,Percent of Total Billed Charges,924.32,,773.96,92,,Percent of Total Billed Charges,907.74,,773.96,92,,Percent of Total Billed Charges,890.05,,773.96,92,,Percent of Total Billed Charges,923.22,,773.96,92,,Percent of Total Billed Charges,832.55,,773.96,92,,Percent of Total Billed Charges,691.03,,995.09,90,,Percent of Total Billed Charges,551.72,,984.03,89,,Percent of Total Billed Charges,530.71,,911.06,82.4,,Percent of Total Billed Charges,908.84,,922.11,83.4,,Percent of Total Billed Charges,860.2,,922.11,83.4,,Percent of Total Billed Charges,775.06,,922.11,83.4,,Percent of Total Billed Charges,900,,995.09,90,,Percent of Total Billed Charges,936.49,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1017.2,92,,Percent of Total Billed Charges,896.68,,1017.2,92,,Percent of Total Billed Charges,822.6,,1017.2,92,,Percent of Total Billed Charges,865.72,,1017.2,92,,Percent of Total Billed Charges,896.68,,862.41,78,,Percent of Total Billed Charges,862.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,595.17,53.83,,Percent of Total Billed Charges,558.35,,383,34.64,,Percent of Total Billed Charges,381.45,,552.6,49.98,,Percent of Total Billed Charges,417.94,,383.00,1017.2,,																																							
HC SIMULATION, 3D RECONSTRUCT,77295,CPT,,,,BOTH, , ,6387.15,5365.21,4471.01,92,,Percent of Total Billed Charges,5339.66,,4471.01,92,,Percent of Total Billed Charges,5243.85,,4471.01,92,,Percent of Total Billed Charges,5141.66,,4471.01,92,,Percent of Total Billed Charges,5333.27,,4471.01,92,,Percent of Total Billed Charges,4809.52,,4471.01,92,,Percent of Total Billed Charges,3991.97,,5748.44,90,,Percent of Total Billed Charges,3187.19,,5684.56,89,,Percent of Total Billed Charges,3065.83,,5263.01,82.4,,Percent of Total Billed Charges,5250.24,,5326.88,83.4,,Percent of Total Billed Charges,4969.2,,5326.88,83.4,,Percent of Total Billed Charges,4477.39,,5326.88,83.4,,Percent of Total Billed Charges,5199.14,,5748.44,90,,Percent of Total Billed Charges,5409.92,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5876.18,92,,Percent of Total Billed Charges,5179.98,,5876.18,92,,Percent of Total Billed Charges,4752.04,,5876.18,92,,Percent of Total Billed Charges,5001.14,,5876.18,92,,Percent of Total Billed Charges,5179.98,,4981.98,78,,Percent of Total Billed Charges,4981.98,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3438.2,53.83,,Percent of Total Billed Charges,3225.51,,2212.51,34.64,,Percent of Total Billed Charges,2203.57,,3192.3,49.98,,Percent of Total Billed Charges,2414.34,,2212.51,5876.18,,																																							
HC RADIATION THERAPY DOSE PLAN,77300,CPT,,,,BOTH, , ,768.6,645.62,538.02,92,,Percent of Total Billed Charges,642.55,,538.02,92,,Percent of Total Billed Charges,631.02,,538.02,92,,Percent of Total Billed Charges,618.72,,538.02,92,,Percent of Total Billed Charges,641.78,,538.02,92,,Percent of Total Billed Charges,578.76,,538.02,92,,Percent of Total Billed Charges,480.38,,691.74,90,,Percent of Total Billed Charges,383.53,,684.05,89,,Percent of Total Billed Charges,368.93,,633.33,82.4,,Percent of Total Billed Charges,631.79,,641.01,83.4,,Percent of Total Billed Charges,597.97,,641.01,83.4,,Percent of Total Billed Charges,538.79,,641.01,83.4,,Percent of Total Billed Charges,625.64,,691.74,90,,Percent of Total Billed Charges,651,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,707.11,92,,Percent of Total Billed Charges,623.33,,707.11,92,,Percent of Total Billed Charges,571.84,,707.11,92,,Percent of Total Billed Charges,601.81,,707.11,92,,Percent of Total Billed Charges,623.33,,599.51,78,,Percent of Total Billed Charges,599.51,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,413.74,53.83,,Percent of Total Billed Charges,388.14,,266.24,34.64,,Percent of Total Billed Charges,265.17,,384.15,49.98,,Percent of Total Billed Charges,290.53,,266.24,707.11,,																																							
HC RADIOTHERAPY DOSE PLAN IMRT,77301,CPT,,,,BOTH, , ,7365.75,6187.23,5156.03,92,,Percent of Total Billed Charges,6157.77,,5156.03,92,,Percent of Total Billed Charges,6047.28,,5156.03,92,,Percent of Total Billed Charges,5929.43,,5156.03,92,,Percent of Total Billed Charges,6150.4,,5156.03,92,,Percent of Total Billed Charges,5546.41,,5156.03,92,,Percent of Total Billed Charges,4603.59,,6629.18,90,,Percent of Total Billed Charges,3675.51,,6555.52,89,,Percent of Total Billed Charges,3535.56,,6069.38,82.4,,Percent of Total Billed Charges,6054.65,,6143.04,83.4,,Percent of Total Billed Charges,5730.55,,6143.04,83.4,,Percent of Total Billed Charges,5163.39,,6143.04,83.4,,Percent of Total Billed Charges,5995.72,,6629.18,90,,Percent of Total Billed Charges,6238.79,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6776.49,92,,Percent of Total Billed Charges,5973.62,,6776.49,92,,Percent of Total Billed Charges,5480.12,,6776.49,92,,Percent of Total Billed Charges,5767.38,,6776.49,92,,Percent of Total Billed Charges,5973.62,,5745.29,78,,Percent of Total Billed Charges,5745.29,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3964.98,53.83,,Percent of Total Billed Charges,3719.7,,2551.5,34.64,,Percent of Total Billed Charges,2541.18,,3681.4,49.98,,Percent of Total Billed Charges,2784.25,,2551.50,6776.49,,																																							
HC TELETX ISO PLAN COMPLEX,77307,CPT,,,,BOTH, , ,173.25,145.53,121.28,92,,Percent of Total Billed Charges,144.84,,121.28,92,,Percent of Total Billed Charges,142.24,,121.28,92,,Percent of Total Billed Charges,139.47,,121.28,92,,Percent of Total Billed Charges,144.66,,121.28,92,,Percent of Total Billed Charges,130.46,,121.28,92,,Percent of Total Billed Charges,108.28,,155.93,90,,Percent of Total Billed Charges,86.45,,154.19,89,,Percent of Total Billed Charges,83.16,,142.76,82.4,,Percent of Total Billed Charges,142.41,,144.49,83.4,,Percent of Total Billed Charges,134.79,,144.49,83.4,,Percent of Total Billed Charges,121.45,,144.49,83.4,,Percent of Total Billed Charges,141.03,,155.93,90,,Percent of Total Billed Charges,146.74,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,159.39,92,,Percent of Total Billed Charges,140.51,,159.39,92,,Percent of Total Billed Charges,128.9,,159.39,92,,Percent of Total Billed Charges,135.65,,159.39,92,,Percent of Total Billed Charges,140.51,,135.14,78,,Percent of Total Billed Charges,135.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,93.26,53.83,,Percent of Total Billed Charges,87.49,,60.01,34.64,,Percent of Total Billed Charges,59.77,,86.59,49.98,,Percent of Total Billed Charges,65.49,,60.01,159.39,,																																							
HC BRACHYTX ISO PLAN SIMPLE,77316,CPT,,,,BOTH, , ,169.05,142,118.34,92,,Percent of Total Billed Charges,141.33,,118.34,92,,Percent of Total Billed Charges,138.79,,118.34,92,,Percent of Total Billed Charges,136.09,,118.34,92,,Percent of Total Billed Charges,141.16,,118.34,92,,Percent of Total Billed Charges,127.29,,118.34,92,,Percent of Total Billed Charges,105.66,,152.15,90,,Percent of Total Billed Charges,84.36,,150.45,89,,Percent of Total Billed Charges,81.14,,139.3,82.4,,Percent of Total Billed Charges,138.96,,140.99,83.4,,Percent of Total Billed Charges,131.52,,140.99,83.4,,Percent of Total Billed Charges,118.5,,140.99,83.4,,Percent of Total Billed Charges,137.61,,152.15,90,,Percent of Total Billed Charges,143.19,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,155.53,92,,Percent of Total Billed Charges,137.1,,155.53,92,,Percent of Total Billed Charges,125.77,,155.53,92,,Percent of Total Billed Charges,132.37,,155.53,92,,Percent of Total Billed Charges,137.1,,131.86,78,,Percent of Total Billed Charges,131.86,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,91,53.83,,Percent of Total Billed Charges,85.37,,58.56,34.64,,Percent of Total Billed Charges,58.32,,84.49,49.98,,Percent of Total Billed Charges,63.9,,58.56,155.53,,																																							
HC BRACHYTX ISO PLAN INTERMEDIATE,77317,CPT,,,,BOTH, , ,169.05,142,118.34,92,,Percent of Total Billed Charges,141.33,,118.34,92,,Percent of Total Billed Charges,138.79,,118.34,92,,Percent of Total Billed Charges,136.09,,118.34,92,,Percent of Total Billed Charges,141.16,,118.34,92,,Percent of Total Billed Charges,127.29,,118.34,92,,Percent of Total Billed Charges,105.66,,152.15,90,,Percent of Total Billed Charges,84.36,,150.45,89,,Percent of Total Billed Charges,81.14,,139.3,82.4,,Percent of Total Billed Charges,138.96,,140.99,83.4,,Percent of Total Billed Charges,131.52,,140.99,83.4,,Percent of Total Billed Charges,118.5,,140.99,83.4,,Percent of Total Billed Charges,137.61,,152.15,90,,Percent of Total Billed Charges,143.19,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,155.53,92,,Percent of Total Billed Charges,137.1,,155.53,92,,Percent of Total Billed Charges,125.77,,155.53,92,,Percent of Total Billed Charges,132.37,,155.53,92,,Percent of Total Billed Charges,137.1,,131.86,78,,Percent of Total Billed Charges,131.86,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,91,53.83,,Percent of Total Billed Charges,85.37,,58.56,34.64,,Percent of Total Billed Charges,58.32,,84.49,49.98,,Percent of Total Billed Charges,63.9,,58.56,155.53,,																																							
HC SPECIAL TELETX PORT PLAN,77321,CPT,,,,BOTH, , ,1601.25,1345.05,1120.88,92,,Percent of Total Billed Charges,1338.65,,1120.88,92,,Percent of Total Billed Charges,1314.63,,1120.88,92,,Percent of Total Billed Charges,1289.01,,1120.88,92,,Percent of Total Billed Charges,1337.04,,1120.88,92,,Percent of Total Billed Charges,1205.74,,1120.88,92,,Percent of Total Billed Charges,1000.78,,1441.13,90,,Percent of Total Billed Charges,799.02,,1425.11,89,,Percent of Total Billed Charges,768.6,,1319.43,82.4,,Percent of Total Billed Charges,1316.23,,1335.44,83.4,,Percent of Total Billed Charges,1245.77,,1335.44,83.4,,Percent of Total Billed Charges,1122.48,,1335.44,83.4,,Percent of Total Billed Charges,1303.42,,1441.13,90,,Percent of Total Billed Charges,1356.26,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1473.15,92,,Percent of Total Billed Charges,1298.61,,1473.15,92,,Percent of Total Billed Charges,1191.33,,1473.15,92,,Percent of Total Billed Charges,1253.78,,1473.15,92,,Percent of Total Billed Charges,1298.61,,1248.98,78,,Percent of Total Billed Charges,1248.98,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,861.95,53.83,,Percent of Total Billed Charges,808.63,,554.67,34.64,,Percent of Total Billed Charges,552.43,,800.3,49.98,,Percent of Total Billed Charges,605.27,,554.67,1473.15,,																																							
HC SPECIAL RADIATION DOSIMETRY,77331,CPT,,,,BOTH, , ,768.6,645.62,538.02,92,,Percent of Total Billed Charges,642.55,,538.02,92,,Percent of Total Billed Charges,631.02,,538.02,92,,Percent of Total Billed Charges,618.72,,538.02,92,,Percent of Total Billed Charges,641.78,,538.02,92,,Percent of Total Billed Charges,578.76,,538.02,92,,Percent of Total Billed Charges,480.38,,691.74,90,,Percent of Total Billed Charges,383.53,,684.05,89,,Percent of Total Billed Charges,368.93,,633.33,82.4,,Percent of Total Billed Charges,631.79,,641.01,83.4,,Percent of Total Billed Charges,597.97,,641.01,83.4,,Percent of Total Billed Charges,538.79,,641.01,83.4,,Percent of Total Billed Charges,625.64,,691.74,90,,Percent of Total Billed Charges,651,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,707.11,92,,Percent of Total Billed Charges,623.33,,707.11,92,,Percent of Total Billed Charges,571.84,,707.11,92,,Percent of Total Billed Charges,601.81,,707.11,92,,Percent of Total Billed Charges,623.33,,599.51,78,,Percent of Total Billed Charges,599.51,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,413.74,53.83,,Percent of Total Billed Charges,388.14,,266.24,34.64,,Percent of Total Billed Charges,265.17,,384.15,49.98,,Percent of Total Billed Charges,290.53,,266.24,707.11,,																																							
HC RADIATION TREATMENT AID(S)  SIMPLE,77332,CPT,,,,BOTH, , ,1345.05,1129.84,941.54,92,,Percent of Total Billed Charges,1124.46,,941.54,92,,Percent of Total Billed Charges,1104.29,,941.54,92,,Percent of Total Billed Charges,1082.77,,941.54,92,,Percent of Total Billed Charges,1123.12,,941.54,92,,Percent of Total Billed Charges,1012.82,,941.54,92,,Percent of Total Billed Charges,840.66,,1210.55,90,,Percent of Total Billed Charges,671.18,,1197.09,89,,Percent of Total Billed Charges,645.62,,1108.32,82.4,,Percent of Total Billed Charges,1105.63,,1121.77,83.4,,Percent of Total Billed Charges,1046.45,,1121.77,83.4,,Percent of Total Billed Charges,942.88,,1121.77,83.4,,Percent of Total Billed Charges,1094.87,,1210.55,90,,Percent of Total Billed Charges,1139.26,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1237.45,92,,Percent of Total Billed Charges,1090.84,,1237.45,92,,Percent of Total Billed Charges,1000.72,,1237.45,92,,Percent of Total Billed Charges,1053.17,,1237.45,92,,Percent of Total Billed Charges,1090.84,,1049.14,78,,Percent of Total Billed Charges,1049.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,724.04,53.83,,Percent of Total Billed Charges,679.25,,465.93,34.64,,Percent of Total Billed Charges,464.04,,672.26,49.98,,Percent of Total Billed Charges,508.43,,465.93,1237.45,,																																							
HC RADIATION TREATMENT AID(S)  INTERMEDIATE,77333,CPT,,,,BOTH, , ,1345.05,1129.84,941.54,92,,Percent of Total Billed Charges,1124.46,,941.54,92,,Percent of Total Billed Charges,1104.29,,941.54,92,,Percent of Total Billed Charges,1082.77,,941.54,92,,Percent of Total Billed Charges,1123.12,,941.54,92,,Percent of Total Billed Charges,1012.82,,941.54,92,,Percent of Total Billed Charges,840.66,,1210.55,90,,Percent of Total Billed Charges,671.18,,1197.09,89,,Percent of Total Billed Charges,645.62,,1108.32,82.4,,Percent of Total Billed Charges,1105.63,,1121.77,83.4,,Percent of Total Billed Charges,1046.45,,1121.77,83.4,,Percent of Total Billed Charges,942.88,,1121.77,83.4,,Percent of Total Billed Charges,1094.87,,1210.55,90,,Percent of Total Billed Charges,1139.26,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1237.45,92,,Percent of Total Billed Charges,1090.84,,1237.45,92,,Percent of Total Billed Charges,1000.72,,1237.45,92,,Percent of Total Billed Charges,1053.17,,1237.45,92,,Percent of Total Billed Charges,1090.84,,1049.14,78,,Percent of Total Billed Charges,1049.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,724.04,53.83,,Percent of Total Billed Charges,679.25,,465.93,34.64,,Percent of Total Billed Charges,464.04,,672.26,49.98,,Percent of Total Billed Charges,508.43,,465.93,1237.45,,																																							
HC RADIATION TREATMENT AID(S)  COMPLEX,77334,CPT,,,,BOTH, , ,156.45,131.42,109.52,92,,Percent of Total Billed Charges,130.79,,109.52,92,,Percent of Total Billed Charges,128.45,,109.52,92,,Percent of Total Billed Charges,125.94,,109.52,92,,Percent of Total Billed Charges,130.64,,109.52,92,,Percent of Total Billed Charges,117.81,,109.52,92,,Percent of Total Billed Charges,97.78,,140.81,90,,Percent of Total Billed Charges,78.07,,139.24,89,,Percent of Total Billed Charges,75.1,,128.91,82.4,,Percent of Total Billed Charges,128.6,,130.48,83.4,,Percent of Total Billed Charges,121.72,,130.48,83.4,,Percent of Total Billed Charges,109.67,,130.48,83.4,,Percent of Total Billed Charges,127.35,,140.81,90,,Percent of Total Billed Charges,132.51,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,143.93,92,,Percent of Total Billed Charges,126.88,,143.93,92,,Percent of Total Billed Charges,116.4,,143.93,92,,Percent of Total Billed Charges,122.5,,143.93,92,,Percent of Total Billed Charges,126.88,,122.03,78,,Percent of Total Billed Charges,122.03,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,84.22,53.83,,Percent of Total Billed Charges,79.01,,54.19,34.64,,Percent of Total Billed Charges,53.98,,78.19,49.98,,Percent of Total Billed Charges,59.14,,54.19,143.93,,																																							
HC RADIATION PHYSICS CONSULT,77336,CPT,,,,BOTH, , ,75.6,63.5,52.92,92,,Percent of Total Billed Charges,63.2,,52.92,92,,Percent of Total Billed Charges,62.07,,52.92,92,,Percent of Total Billed Charges,60.86,,52.92,92,,Percent of Total Billed Charges,63.13,,52.92,92,,Percent of Total Billed Charges,56.93,,52.92,92,,Percent of Total Billed Charges,47.25,,68.04,90,,Percent of Total Billed Charges,37.72,,67.28,89,,Percent of Total Billed Charges,36.29,,62.29,82.4,,Percent of Total Billed Charges,62.14,,63.05,83.4,,Percent of Total Billed Charges,58.82,,63.05,83.4,,Percent of Total Billed Charges,53,,63.05,83.4,,Percent of Total Billed Charges,61.54,,68.04,90,,Percent of Total Billed Charges,64.03,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,69.55,92,,Percent of Total Billed Charges,61.31,,69.55,92,,Percent of Total Billed Charges,56.25,,69.55,92,,Percent of Total Billed Charges,59.19,,69.55,92,,Percent of Total Billed Charges,61.31,,58.97,78,,Percent of Total Billed Charges,58.97,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,40.7,53.83,,Percent of Total Billed Charges,38.18,,26.19,34.64,,Percent of Total Billed Charges,26.08,,37.78,49.98,,Percent of Total Billed Charges,28.58,,26.19,69.55,,																																							
HC DESIGN MLC DEVICE FOR IMRT,77338,CPT,,,,BOTH, , ,984.9,827.32,689.43,92,,Percent of Total Billed Charges,823.38,,689.43,92,,Percent of Total Billed Charges,808.6,,689.43,92,,Percent of Total Billed Charges,792.84,,689.43,92,,Percent of Total Billed Charges,822.39,,689.43,92,,Percent of Total Billed Charges,741.63,,689.43,92,,Percent of Total Billed Charges,615.56,,886.41,90,,Percent of Total Billed Charges,491.47,,876.56,89,,Percent of Total Billed Charges,472.75,,811.56,82.4,,Percent of Total Billed Charges,809.59,,821.41,83.4,,Percent of Total Billed Charges,766.25,,821.41,83.4,,Percent of Total Billed Charges,690.41,,821.41,83.4,,Percent of Total Billed Charges,801.71,,886.41,90,,Percent of Total Billed Charges,834.21,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,906.11,92,,Percent of Total Billed Charges,798.75,,906.11,92,,Percent of Total Billed Charges,732.77,,906.11,92,,Percent of Total Billed Charges,771.18,,906.11,92,,Percent of Total Billed Charges,798.75,,768.22,78,,Percent of Total Billed Charges,768.22,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,530.17,53.83,,Percent of Total Billed Charges,497.37,,341.17,34.64,,Percent of Total Billed Charges,339.79,,492.25,49.98,,Percent of Total Billed Charges,372.29,,341.17,906.11,,																																							
HC SPECIAL MEIDCAL RADIATION PHYSICS CONSULTATION,77370,CPT,,,,BOTH, , ,1699.95,1427.96,1189.97,92,,Percent of Total Billed Charges,1421.16,,1189.97,92,,Percent of Total Billed Charges,1395.66,,1189.97,92,,Percent of Total Billed Charges,1368.46,,1189.97,92,,Percent of Total Billed Charges,1419.46,,1189.97,92,,Percent of Total Billed Charges,1280.06,,1189.97,92,,Percent of Total Billed Charges,1062.47,,1529.96,90,,Percent of Total Billed Charges,848.28,,1512.96,89,,Percent of Total Billed Charges,815.98,,1400.76,82.4,,Percent of Total Billed Charges,1397.36,,1417.76,83.4,,Percent of Total Billed Charges,1322.56,,1417.76,83.4,,Percent of Total Billed Charges,1191.66,,1417.76,83.4,,Percent of Total Billed Charges,1383.76,,1529.96,90,,Percent of Total Billed Charges,1439.86,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1563.95,92,,Percent of Total Billed Charges,1378.66,,1563.95,92,,Percent of Total Billed Charges,1264.76,,1563.95,92,,Percent of Total Billed Charges,1331.06,,1563.95,92,,Percent of Total Billed Charges,1378.66,,1325.96,78,,Percent of Total Billed Charges,1325.96,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,915.08,53.83,,Percent of Total Billed Charges,858.47,,588.86,34.64,,Percent of Total Billed Charges,586.48,,849.64,49.98,,Percent of Total Billed Charges,642.58,,588.86,1563.95,,																																							
HC SRS TX DEL SGL SESSION CRANIAL CS,77372,CPT,,,,BOTH, , ,20503.35,17222.81,14352.35,92,,Percent of Total Billed Charges,17140.8,,14352.35,92,,Percent of Total Billed Charges,16833.25,,14352.35,92,,Percent of Total Billed Charges,16505.2,,14352.35,92,,Percent of Total Billed Charges,17120.3,,14352.35,92,,Percent of Total Billed Charges,15439.02,,14352.35,92,,Percent of Total Billed Charges,12814.59,,18453.02,90,,Percent of Total Billed Charges,10231.17,,18247.98,89,,Percent of Total Billed Charges,9841.61,,16894.76,82.4,,Percent of Total Billed Charges,16853.75,,17099.79,83.4,,Percent of Total Billed Charges,15951.61,,17099.79,83.4,,Percent of Total Billed Charges,14372.85,,17099.79,83.4,,Percent of Total Billed Charges,16689.73,,18453.02,90,,Percent of Total Billed Charges,17366.34,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,18863.08,92,,Percent of Total Billed Charges,16628.22,,18863.08,92,,Percent of Total Billed Charges,15254.49,,18863.08,92,,Percent of Total Billed Charges,16054.12,,18863.08,92,,Percent of Total Billed Charges,16628.22,,15992.61,78,,Percent of Total Billed Charges,15992.61,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,11036.95,53.83,,Percent of Total Billed Charges,10354.19,,7102.36,34.64,,Percent of Total Billed Charges,7073.66,,10247.57,49.98,,Percent of Total Billed Charges,7750.27,,7102.36,18863.08,,																																							
HC SRS FRACTIONATED TX DELIVERY,77373,CPT,,,,BOTH, , ,10966.2,9211.61,7676.34,92,,Percent of Total Billed Charges,9167.74,,7676.34,92,,Percent of Total Billed Charges,9003.25,,7676.34,92,,Percent of Total Billed Charges,8827.79,,7676.34,92,,Percent of Total Billed Charges,9156.78,,7676.34,92,,Percent of Total Billed Charges,8257.55,,7676.34,92,,Percent of Total Billed Charges,6853.88,,9869.58,90,,Percent of Total Billed Charges,5472.13,,9759.92,89,,Percent of Total Billed Charges,5263.78,,9036.15,82.4,,Percent of Total Billed Charges,9014.22,,9145.81,83.4,,Percent of Total Billed Charges,8531.7,,9145.81,83.4,,Percent of Total Billed Charges,7687.31,,9145.81,83.4,,Percent of Total Billed Charges,8926.49,,9869.58,90,,Percent of Total Billed Charges,9288.37,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,10088.9,92,,Percent of Total Billed Charges,8893.59,,10088.9,92,,Percent of Total Billed Charges,8158.85,,10088.9,92,,Percent of Total Billed Charges,8586.53,,10088.9,92,,Percent of Total Billed Charges,8893.59,,8553.64,78,,Percent of Total Billed Charges,8553.64,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5903.11,53.83,,Percent of Total Billed Charges,5537.93,,3798.69,34.64,,Percent of Total Billed Charges,3783.34,,5480.91,49.98,,Percent of Total Billed Charges,4145.22,,3798.69,10088.9,,																																							
HC IMRT DAILY TX  SIMPLE,77385,CPT,,,,BOTH, , ,3637.2,3055.25,2546.04,92,,Percent of Total Billed Charges,3040.7,,2546.04,92,,Percent of Total Billed Charges,2986.14,,2546.04,92,,Percent of Total Billed Charges,2927.95,,2546.04,92,,Percent of Total Billed Charges,3037.06,,2546.04,92,,Percent of Total Billed Charges,2738.81,,2546.04,92,,Percent of Total Billed Charges,2273.25,,3273.48,90,,Percent of Total Billed Charges,1814.96,,3237.11,89,,Percent of Total Billed Charges,1745.86,,2997.05,82.4,,Percent of Total Billed Charges,2989.78,,3033.42,83.4,,Percent of Total Billed Charges,2829.74,,3033.42,83.4,,Percent of Total Billed Charges,2549.68,,3033.42,83.4,,Percent of Total Billed Charges,2960.68,,3273.48,90,,Percent of Total Billed Charges,3080.71,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3346.22,92,,Percent of Total Billed Charges,2949.77,,3346.22,92,,Percent of Total Billed Charges,2706.08,,3346.22,92,,Percent of Total Billed Charges,2847.93,,3346.22,92,,Percent of Total Billed Charges,2949.77,,2837.02,78,,Percent of Total Billed Charges,2837.02,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1957.9,53.83,,Percent of Total Billed Charges,1836.79,,1259.93,34.64,,Percent of Total Billed Charges,1254.83,,1817.87,49.98,,Percent of Total Billed Charges,1374.86,,1259.93,3346.22,,																																							
HC IMRT DAILY TX  COMPLEX,77386,CPT,,,,BOTH, , ,3637.2,3055.25,2546.04,92,,Percent of Total Billed Charges,3040.7,,2546.04,92,,Percent of Total Billed Charges,2986.14,,2546.04,92,,Percent of Total Billed Charges,2927.95,,2546.04,92,,Percent of Total Billed Charges,3037.06,,2546.04,92,,Percent of Total Billed Charges,2738.81,,2546.04,92,,Percent of Total Billed Charges,2273.25,,3273.48,90,,Percent of Total Billed Charges,1814.96,,3237.11,89,,Percent of Total Billed Charges,1745.86,,2997.05,82.4,,Percent of Total Billed Charges,2989.78,,3033.42,83.4,,Percent of Total Billed Charges,2829.74,,3033.42,83.4,,Percent of Total Billed Charges,2549.68,,3033.42,83.4,,Percent of Total Billed Charges,2960.68,,3273.48,90,,Percent of Total Billed Charges,3080.71,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3346.22,92,,Percent of Total Billed Charges,2949.77,,3346.22,92,,Percent of Total Billed Charges,2706.08,,3346.22,92,,Percent of Total Billed Charges,2847.93,,3346.22,92,,Percent of Total Billed Charges,2949.77,,2837.02,78,,Percent of Total Billed Charges,2837.02,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1957.9,53.83,,Percent of Total Billed Charges,1836.79,,1259.93,34.64,,Percent of Total Billed Charges,1254.83,,1817.87,49.98,,Percent of Total Billed Charges,1374.86,,1259.93,3346.22,,																																							
HC IMAGE GUIDANCE RADIATION FOR TX DELIVERY,77387,CPT,,,,BOTH, , ,487.2,409.25,341.04,92,,Percent of Total Billed Charges,407.3,,341.04,92,,Percent of Total Billed Charges,399.99,,341.04,92,,Percent of Total Billed Charges,392.2,,341.04,92,,Percent of Total Billed Charges,406.81,,341.04,92,,Percent of Total Billed Charges,366.86,,341.04,92,,Percent of Total Billed Charges,304.5,,438.48,90,,Percent of Total Billed Charges,243.11,,433.61,89,,Percent of Total Billed Charges,233.86,,401.45,82.4,,Percent of Total Billed Charges,400.48,,406.32,83.4,,Percent of Total Billed Charges,379.04,,406.32,83.4,,Percent of Total Billed Charges,341.53,,406.32,83.4,,Percent of Total Billed Charges,396.58,,438.48,90,,Percent of Total Billed Charges,412.66,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,448.22,92,,Percent of Total Billed Charges,395.12,,448.22,92,,Percent of Total Billed Charges,362.48,,448.22,92,,Percent of Total Billed Charges,381.48,,448.22,92,,Percent of Total Billed Charges,395.12,,380.02,78,,Percent of Total Billed Charges,380.02,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,262.26,53.83,,Percent of Total Billed Charges,246.04,,168.77,34.64,,Percent of Total Billed Charges,168.08,,243.5,49.98,,Percent of Total Billed Charges,184.16,,168.77,448.22,,																																							
HC DAILY RT SIMPLE,77402,CPT,,,,BOTH, , ,737.1,619.16,515.97,92,,Percent of Total Billed Charges,616.22,,515.97,92,,Percent of Total Billed Charges,605.16,,515.97,92,,Percent of Total Billed Charges,593.37,,515.97,92,,Percent of Total Billed Charges,615.48,,515.97,92,,Percent of Total Billed Charges,555.04,,515.97,92,,Percent of Total Billed Charges,460.69,,663.39,90,,Percent of Total Billed Charges,367.81,,656.02,89,,Percent of Total Billed Charges,353.81,,607.37,82.4,,Percent of Total Billed Charges,605.9,,614.74,83.4,,Percent of Total Billed Charges,573.46,,614.74,83.4,,Percent of Total Billed Charges,516.71,,614.74,83.4,,Percent of Total Billed Charges,600,,663.39,90,,Percent of Total Billed Charges,624.32,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,678.13,92,,Percent of Total Billed Charges,597.79,,678.13,92,,Percent of Total Billed Charges,548.4,,678.13,92,,Percent of Total Billed Charges,577.15,,678.13,92,,Percent of Total Billed Charges,597.79,,574.94,78,,Percent of Total Billed Charges,574.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,396.78,53.83,,Percent of Total Billed Charges,372.24,,255.33,34.64,,Percent of Total Billed Charges,254.3,,368.4,49.98,,Percent of Total Billed Charges,278.62,,255.33,678.13,,																																							
HC DAILY RT COMPLEX,77412,CPT,,,,BOTH, , ,1544.55,1297.42,1081.19,92,,Percent of Total Billed Charges,1291.24,,1081.19,92,,Percent of Total Billed Charges,1268.08,,1081.19,92,,Percent of Total Billed Charges,1243.36,,1081.19,92,,Percent of Total Billed Charges,1289.7,,1081.19,92,,Percent of Total Billed Charges,1163.05,,1081.19,92,,Percent of Total Billed Charges,965.34,,1390.1,90,,Percent of Total Billed Charges,770.73,,1374.65,89,,Percent of Total Billed Charges,741.38,,1272.71,82.4,,Percent of Total Billed Charges,1269.62,,1288.15,83.4,,Percent of Total Billed Charges,1201.66,,1288.15,83.4,,Percent of Total Billed Charges,1082.73,,1288.15,83.4,,Percent of Total Billed Charges,1257.26,,1390.1,90,,Percent of Total Billed Charges,1308.23,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1420.99,92,,Percent of Total Billed Charges,1252.63,,1420.99,92,,Percent of Total Billed Charges,1149.15,,1420.99,92,,Percent of Total Billed Charges,1209.38,,1420.99,92,,Percent of Total Billed Charges,1252.63,,1204.75,78,,Percent of Total Billed Charges,1204.75,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,831.43,53.83,,Percent of Total Billed Charges,780,,535.03,34.64,,Percent of Total Billed Charges,532.87,,771.97,49.98,,Percent of Total Billed Charges,583.84,,535.03,1420.99,,																																							
HC RADIOLOGY PORT FILM(S),77417,CPT,,,,BOTH, , ,366.45,307.82,256.52,92,,Percent of Total Billed Charges,306.35,,256.52,92,,Percent of Total Billed Charges,300.86,,256.52,92,,Percent of Total Billed Charges,294.99,,256.52,92,,Percent of Total Billed Charges,305.99,,256.52,92,,Percent of Total Billed Charges,275.94,,256.52,92,,Percent of Total Billed Charges,229.03,,329.81,90,,Percent of Total Billed Charges,182.86,,326.14,89,,Percent of Total Billed Charges,175.9,,301.95,82.4,,Percent of Total Billed Charges,301.22,,305.62,83.4,,Percent of Total Billed Charges,285.1,,305.62,83.4,,Percent of Total Billed Charges,256.88,,305.62,83.4,,Percent of Total Billed Charges,298.29,,329.81,90,,Percent of Total Billed Charges,310.38,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,337.13,92,,Percent of Total Billed Charges,297.19,,337.13,92,,Percent of Total Billed Charges,272.64,,337.13,92,,Percent of Total Billed Charges,286.93,,337.13,92,,Percent of Total Billed Charges,297.19,,285.83,78,,Percent of Total Billed Charges,285.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,197.26,53.83,,Percent of Total Billed Charges,185.06,,126.94,34.64,,Percent of Total Billed Charges,126.43,,183.15,49.98,,Percent of Total Billed Charges,138.52,,126.94,337.13,,																																							
HC SPECIAL RADIATION TREATMENT,77470,CPT,,,,BOTH, , ,283.5,238.14,198.45,92,,Percent of Total Billed Charges,237.01,,198.45,92,,Percent of Total Billed Charges,232.75,,198.45,92,,Percent of Total Billed Charges,228.22,,198.45,92,,Percent of Total Billed Charges,236.72,,198.45,92,,Percent of Total Billed Charges,213.48,,198.45,92,,Percent of Total Billed Charges,177.19,,255.15,90,,Percent of Total Billed Charges,141.47,,252.32,89,,Percent of Total Billed Charges,136.08,,233.6,82.4,,Percent of Total Billed Charges,233.04,,236.44,83.4,,Percent of Total Billed Charges,220.56,,236.44,83.4,,Percent of Total Billed Charges,198.73,,236.44,83.4,,Percent of Total Billed Charges,230.77,,255.15,90,,Percent of Total Billed Charges,240.12,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,260.82,92,,Percent of Total Billed Charges,229.92,,260.82,92,,Percent of Total Billed Charges,210.92,,260.82,92,,Percent of Total Billed Charges,221.98,,260.82,92,,Percent of Total Billed Charges,229.92,,221.13,78,,Percent of Total Billed Charges,221.13,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,152.61,53.83,,Percent of Total Billed Charges,143.17,,98.2,34.64,,Percent of Total Billed Charges,97.81,,141.69,49.98,,Percent of Total Billed Charges,107.16,,98.20,260.82,,																																							
HC HDR RDNCL INTRS/ICAV BRTX 1 C,77770,CPT,,,,BOTH, , ,3567.9,2997.04,2497.53,92,,Percent of Total Billed Charges,2982.76,,2497.53,92,,Percent of Total Billed Charges,2929.25,,2497.53,92,,Percent of Total Billed Charges,2872.16,,2497.53,92,,Percent of Total Billed Charges,2979.2,,2497.53,92,,Percent of Total Billed Charges,2686.63,,2497.53,92,,Percent of Total Billed Charges,2229.94,,3211.11,90,,Percent of Total Billed Charges,1780.38,,3175.43,89,,Percent of Total Billed Charges,1712.59,,2939.95,82.4,,Percent of Total Billed Charges,2932.81,,2975.63,83.4,,Percent of Total Billed Charges,2775.83,,2975.63,83.4,,Percent of Total Billed Charges,2501.1,,2975.63,83.4,,Percent of Total Billed Charges,2904.27,,3211.11,90,,Percent of Total Billed Charges,3022.01,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3282.47,92,,Percent of Total Billed Charges,2893.57,,3282.47,92,,Percent of Total Billed Charges,2654.52,,3282.47,92,,Percent of Total Billed Charges,2793.67,,3282.47,92,,Percent of Total Billed Charges,2893.57,,2782.96,78,,Percent of Total Billed Charges,2782.96,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1920.6,53.83,,Percent of Total Billed Charges,1801.79,,1235.92,34.64,,Percent of Total Billed Charges,1230.93,,1783.24,49.98,,Percent of Total Billed Charges,1348.67,,1235.92,3282.47,,																																							
HC HDR RDNCL INTRS/ICAV BRTX 212 CHANNEL,77771,CPT,,,,BOTH, , ,3567.9,2997.04,2497.53,92,,Percent of Total Billed Charges,2982.76,,2497.53,92,,Percent of Total Billed Charges,2929.25,,2497.53,92,,Percent of Total Billed Charges,2872.16,,2497.53,92,,Percent of Total Billed Charges,2979.2,,2497.53,92,,Percent of Total Billed Charges,2686.63,,2497.53,92,,Percent of Total Billed Charges,2229.94,,3211.11,90,,Percent of Total Billed Charges,1780.38,,3175.43,89,,Percent of Total Billed Charges,1712.59,,2939.95,82.4,,Percent of Total Billed Charges,2932.81,,2975.63,83.4,,Percent of Total Billed Charges,2775.83,,2975.63,83.4,,Percent of Total Billed Charges,2501.1,,2975.63,83.4,,Percent of Total Billed Charges,2904.27,,3211.11,90,,Percent of Total Billed Charges,3022.01,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3282.47,92,,Percent of Total Billed Charges,2893.57,,3282.47,92,,Percent of Total Billed Charges,2654.52,,3282.47,92,,Percent of Total Billed Charges,2793.67,,3282.47,92,,Percent of Total Billed Charges,2893.57,,2782.96,78,,Percent of Total Billed Charges,2782.96,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1920.6,53.83,,Percent of Total Billed Charges,1801.79,,1235.92,34.64,,Percent of Total Billed Charges,1230.93,,1783.24,49.98,,Percent of Total Billed Charges,1348.67,,1235.92,3282.47,,																																							
HC SIMULATIONINTERMEDIATE,77285,CPT,,,,BOTH, , ,1495.2,1255.97,1046.64,92,,Percent of Total Billed Charges,1249.99,,1046.64,92,,Percent of Total Billed Charges,1227.56,,1046.64,92,,Percent of Total Billed Charges,1203.64,,1046.64,92,,Percent of Total Billed Charges,1248.49,,1046.64,92,,Percent of Total Billed Charges,1125.89,,1046.64,92,,Percent of Total Billed Charges,934.5,,1345.68,90,,Percent of Total Billed Charges,746.1,,1330.73,89,,Percent of Total Billed Charges,717.7,,1232.04,82.4,,Percent of Total Billed Charges,1229.05,,1247,83.4,,Percent of Total Billed Charges,1163.27,,1247,83.4,,Percent of Total Billed Charges,1048.14,,1247,83.4,,Percent of Total Billed Charges,1217.09,,1345.68,90,,Percent of Total Billed Charges,1266.43,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1375.58,92,,Percent of Total Billed Charges,1212.61,,1375.58,92,,Percent of Total Billed Charges,1112.43,,1375.58,92,,Percent of Total Billed Charges,1170.74,,1375.58,92,,Percent of Total Billed Charges,1212.61,,1166.26,78,,Percent of Total Billed Charges,1166.26,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,804.87,53.83,,Percent of Total Billed Charges,755.08,,517.94,34.64,,Percent of Total Billed Charges,515.84,,747.3,49.98,,Percent of Total Billed Charges,565.19,,517.94,1375.58,,																																							
HC INTRACAVITARY IMPLANT,77761,CPT,,,,BOTH, , ,1719.9,1444.72,1203.93,92,,Percent of Total Billed Charges,1437.84,,1203.93,92,,Percent of Total Billed Charges,1412.04,,1203.93,92,,Percent of Total Billed Charges,1384.52,,1203.93,92,,Percent of Total Billed Charges,1436.12,,1203.93,92,,Percent of Total Billed Charges,1295.08,,1203.93,92,,Percent of Total Billed Charges,1074.94,,1547.91,90,,Percent of Total Billed Charges,858.23,,1530.71,89,,Percent of Total Billed Charges,825.55,,1417.2,82.4,,Percent of Total Billed Charges,1413.76,,1434.4,83.4,,Percent of Total Billed Charges,1338.08,,1434.4,83.4,,Percent of Total Billed Charges,1205.65,,1434.4,83.4,,Percent of Total Billed Charges,1400,,1547.91,90,,Percent of Total Billed Charges,1456.76,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1582.31,92,,Percent of Total Billed Charges,1394.84,,1582.31,92,,Percent of Total Billed Charges,1279.61,,1582.31,92,,Percent of Total Billed Charges,1346.68,,1582.31,92,,Percent of Total Billed Charges,1394.84,,1341.52,78,,Percent of Total Billed Charges,1341.52,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,925.82,53.83,,Percent of Total Billed Charges,868.55,,595.77,34.64,,Percent of Total Billed Charges,593.37,,859.61,49.98,,Percent of Total Billed Charges,650.12,,595.77,1582.31,,																																							
HC INTRACAVITARY IMPLANT INTERMEDIATE,77762,CPT,,,,BOTH, , ,1919.4,1612.3,1343.58,92,,Percent of Total Billed Charges,1604.62,,1343.58,92,,Percent of Total Billed Charges,1575.83,,1343.58,92,,Percent of Total Billed Charges,1545.12,,1343.58,92,,Percent of Total Billed Charges,1602.7,,1343.58,92,,Percent of Total Billed Charges,1445.31,,1343.58,92,,Percent of Total Billed Charges,1199.63,,1727.46,90,,Percent of Total Billed Charges,957.78,,1708.27,89,,Percent of Total Billed Charges,921.31,,1581.59,82.4,,Percent of Total Billed Charges,1577.75,,1600.78,83.4,,Percent of Total Billed Charges,1493.29,,1600.78,83.4,,Percent of Total Billed Charges,1345.5,,1600.78,83.4,,Percent of Total Billed Charges,1562.39,,1727.46,90,,Percent of Total Billed Charges,1625.73,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1765.85,92,,Percent of Total Billed Charges,1556.63,,1765.85,92,,Percent of Total Billed Charges,1428.03,,1765.85,92,,Percent of Total Billed Charges,1502.89,,1765.85,92,,Percent of Total Billed Charges,1556.63,,1497.13,78,,Percent of Total Billed Charges,1497.13,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1033.21,53.83,,Percent of Total Billed Charges,969.3,,664.88,34.64,,Percent of Total Billed Charges,662.19,,959.32,49.98,,Percent of Total Billed Charges,725.53,,664.88,1765.85,,																																							
HC INTRACAVITARY IMPLANT COMPLEX,77763,CPT,,,,BOTH, , ,2384.55,2003.02,1669.19,92,,Percent of Total Billed Charges,1993.48,,1669.19,92,,Percent of Total Billed Charges,1957.72,,1669.19,92,,Percent of Total Billed Charges,1919.56,,1669.19,92,,Percent of Total Billed Charges,1991.1,,1669.19,92,,Percent of Total Billed Charges,1795.57,,1669.19,92,,Percent of Total Billed Charges,1490.34,,2146.1,90,,Percent of Total Billed Charges,1189.89,,2122.25,89,,Percent of Total Billed Charges,1144.58,,1964.87,82.4,,Percent of Total Billed Charges,1960.1,,1988.71,83.4,,Percent of Total Billed Charges,1855.18,,1988.71,83.4,,Percent of Total Billed Charges,1671.57,,1988.71,83.4,,Percent of Total Billed Charges,1941.02,,2146.1,90,,Percent of Total Billed Charges,2019.71,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2193.79,92,,Percent of Total Billed Charges,1933.87,,2193.79,92,,Percent of Total Billed Charges,1774.11,,2193.79,92,,Percent of Total Billed Charges,1867.1,,2193.79,92,,Percent of Total Billed Charges,1933.87,,1859.95,78,,Percent of Total Billed Charges,1859.95,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1283.6,53.83,,Percent of Total Billed Charges,1204.2,,826.01,34.64,,Percent of Total Billed Charges,822.67,,1191.8,49.98,,Percent of Total Billed Charges,901.36,,826.01,2193.79,,																																							
HC TELETX ISO PLAN SIMPLE,77306,CPT,,,,BOTH, , ,1119.3,940.21,783.51,92,,Percent of Total Billed Charges,935.73,,783.51,92,,Percent of Total Billed Charges,918.95,,783.51,92,,Percent of Total Billed Charges,901.04,,783.51,92,,Percent of Total Billed Charges,934.62,,783.51,92,,Percent of Total Billed Charges,842.83,,783.51,92,,Percent of Total Billed Charges,699.56,,1007.37,90,,Percent of Total Billed Charges,558.53,,996.18,89,,Percent of Total Billed Charges,537.26,,922.3,82.4,,Percent of Total Billed Charges,920.06,,933.5,83.4,,Percent of Total Billed Charges,870.82,,933.5,83.4,,Percent of Total Billed Charges,784.63,,933.5,83.4,,Percent of Total Billed Charges,911.11,,1007.37,90,,Percent of Total Billed Charges,948.05,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1029.76,92,,Percent of Total Billed Charges,907.75,,1029.76,92,,Percent of Total Billed Charges,832.76,,1029.76,92,,Percent of Total Billed Charges,876.41,,1029.76,92,,Percent of Total Billed Charges,907.75,,873.05,78,,Percent of Total Billed Charges,873.05,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,602.52,53.83,,Percent of Total Billed Charges,565.25,,387.73,34.64,,Percent of Total Billed Charges,386.16,,559.43,49.98,,Percent of Total Billed Charges,423.1,,387.73,1029.76,,																																							
HC BRACHYTX ISO PLAN COMPLEX,77318,CPT,,,,BOTH, , ,169.05,142,118.34,92,,Percent of Total Billed Charges,141.33,,118.34,92,,Percent of Total Billed Charges,138.79,,118.34,92,,Percent of Total Billed Charges,136.09,,118.34,92,,Percent of Total Billed Charges,141.16,,118.34,92,,Percent of Total Billed Charges,127.29,,118.34,92,,Percent of Total Billed Charges,105.66,,152.15,90,,Percent of Total Billed Charges,84.36,,150.45,89,,Percent of Total Billed Charges,81.14,,139.3,82.4,,Percent of Total Billed Charges,138.96,,140.99,83.4,,Percent of Total Billed Charges,131.52,,140.99,83.4,,Percent of Total Billed Charges,118.5,,140.99,83.4,,Percent of Total Billed Charges,137.61,,152.15,90,,Percent of Total Billed Charges,143.19,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,155.53,92,,Percent of Total Billed Charges,137.1,,155.53,92,,Percent of Total Billed Charges,125.77,,155.53,92,,Percent of Total Billed Charges,132.37,,155.53,92,,Percent of Total Billed Charges,137.1,,131.86,78,,Percent of Total Billed Charges,131.86,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,91,53.83,,Percent of Total Billed Charges,85.37,,58.56,34.64,,Percent of Total Billed Charges,58.32,,84.49,49.98,,Percent of Total Billed Charges,63.9,,58.56,155.53,,																																							
HC DAILY RT INTERMEDIATE,77407,CPT,,,,BOTH, , ,967.05,812.32,676.94,92,,Percent of Total Billed Charges,808.45,,676.94,92,,Percent of Total Billed Charges,793.95,,676.94,92,,Percent of Total Billed Charges,778.48,,676.94,92,,Percent of Total Billed Charges,807.49,,676.94,92,,Percent of Total Billed Charges,728.19,,676.94,92,,Percent of Total Billed Charges,604.41,,870.35,90,,Percent of Total Billed Charges,482.56,,860.67,89,,Percent of Total Billed Charges,464.18,,796.85,82.4,,Percent of Total Billed Charges,794.92,,806.52,83.4,,Percent of Total Billed Charges,752.36,,806.52,83.4,,Percent of Total Billed Charges,677.9,,806.52,83.4,,Percent of Total Billed Charges,787.18,,870.35,90,,Percent of Total Billed Charges,819.09,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,889.69,92,,Percent of Total Billed Charges,784.28,,889.69,92,,Percent of Total Billed Charges,719.49,,889.69,92,,Percent of Total Billed Charges,757.2,,889.69,92,,Percent of Total Billed Charges,784.28,,754.3,78,,Percent of Total Billed Charges,754.3,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,520.56,53.83,,Percent of Total Billed Charges,488.36,,334.99,34.64,,Percent of Total Billed Charges,333.63,,483.33,49.98,,Percent of Total Billed Charges,365.54,,334.99,889.69,,																																							
HC INTERSTITIAL APPLICATION COMPLEX,77778,CPT,,,,BOTH, , ,4629.45,3888.74,3240.62,92,,Percent of Total Billed Charges,3870.22,,3240.62,92,,Percent of Total Billed Charges,3800.78,,3240.62,92,,Percent of Total Billed Charges,3726.71,,3240.62,92,,Percent of Total Billed Charges,3865.59,,3240.62,92,,Percent of Total Billed Charges,3485.98,,3240.62,92,,Percent of Total Billed Charges,2893.41,,4166.51,90,,Percent of Total Billed Charges,2310.1,,4120.21,89,,Percent of Total Billed Charges,2222.14,,3814.67,82.4,,Percent of Total Billed Charges,3805.41,,3860.96,83.4,,Percent of Total Billed Charges,3601.71,,3860.96,83.4,,Percent of Total Billed Charges,3245.24,,3860.96,83.4,,Percent of Total Billed Charges,3768.37,,4166.51,90,,Percent of Total Billed Charges,3921.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4259.09,92,,Percent of Total Billed Charges,3754.48,,4259.09,92,,Percent of Total Billed Charges,3444.31,,4259.09,92,,Percent of Total Billed Charges,3624.86,,4259.09,92,,Percent of Total Billed Charges,3754.48,,3610.97,78,,Percent of Total Billed Charges,3610.97,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2492.03,53.83,,Percent of Total Billed Charges,2337.87,,1603.64,34.64,,Percent of Total Billed Charges,1597.16,,2313.8,49.98,,Percent of Total Billed Charges,1749.93,,1603.64,4259.09,,																																							
HC HANDLING OF RADIOELEMENT,77790,CPT,,,,BOTH, , ,312.9,262.84,219.03,92,,Percent of Total Billed Charges,261.58,,219.03,92,,Percent of Total Billed Charges,256.89,,219.03,92,,Percent of Total Billed Charges,251.88,,219.03,92,,Percent of Total Billed Charges,261.27,,219.03,92,,Percent of Total Billed Charges,235.61,,219.03,92,,Percent of Total Billed Charges,195.56,,281.61,90,,Percent of Total Billed Charges,156.14,,278.48,89,,Percent of Total Billed Charges,150.19,,257.83,82.4,,Percent of Total Billed Charges,257.2,,260.96,83.4,,Percent of Total Billed Charges,243.44,,260.96,83.4,,Percent of Total Billed Charges,219.34,,260.96,83.4,,Percent of Total Billed Charges,254.7,,281.61,90,,Percent of Total Billed Charges,265.03,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,287.87,92,,Percent of Total Billed Charges,253.76,,287.87,92,,Percent of Total Billed Charges,232.8,,287.87,92,,Percent of Total Billed Charges,245,,287.87,92,,Percent of Total Billed Charges,253.76,,244.06,78,,Percent of Total Billed Charges,244.06,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,168.43,53.83,,Percent of Total Billed Charges,158.01,,108.39,34.64,,Percent of Total Billed Charges,107.95,,156.39,49.98,,Percent of Total Billed Charges,118.28,,108.39,287.87,,																																							
HC INST/INFUSION RADIOELEMNT,77750,CPT,,,,BOTH, , ,1593.9,1338.88,1115.73,92,,Percent of Total Billed Charges,1332.5,,1115.73,92,,Percent of Total Billed Charges,1308.59,,1115.73,92,,Percent of Total Billed Charges,1283.09,,1115.73,92,,Percent of Total Billed Charges,1330.91,,1115.73,92,,Percent of Total Billed Charges,1200.21,,1115.73,92,,Percent of Total Billed Charges,996.19,,1434.51,90,,Percent of Total Billed Charges,795.36,,1418.57,89,,Percent of Total Billed Charges,765.07,,1313.37,82.4,,Percent of Total Billed Charges,1310.19,,1329.31,83.4,,Percent of Total Billed Charges,1240.05,,1329.31,83.4,,Percent of Total Billed Charges,1117.32,,1329.31,83.4,,Percent of Total Billed Charges,1297.43,,1434.51,90,,Percent of Total Billed Charges,1350.03,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1466.39,92,,Percent of Total Billed Charges,1292.65,,1466.39,92,,Percent of Total Billed Charges,1185.86,,1466.39,92,,Percent of Total Billed Charges,1248.02,,1466.39,92,,Percent of Total Billed Charges,1292.65,,1243.24,78,,Percent of Total Billed Charges,1243.24,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,858,53.83,,Percent of Total Billed Charges,804.92,,552.13,34.64,,Percent of Total Billed Charges,549.9,,796.63,49.98,,Percent of Total Billed Charges,602.49,,552.13,1466.39,,																																							
HC HDR RDNCL INTRS/ICAV BRTX +12 C,77772,CPT,,,,BOTH, , ,3567.9,2997.04,2497.53,92,,Percent of Total Billed Charges,2982.76,,2497.53,92,,Percent of Total Billed Charges,2929.25,,2497.53,92,,Percent of Total Billed Charges,2872.16,,2497.53,92,,Percent of Total Billed Charges,2979.2,,2497.53,92,,Percent of Total Billed Charges,2686.63,,2497.53,92,,Percent of Total Billed Charges,2229.94,,3211.11,90,,Percent of Total Billed Charges,1780.38,,3175.43,89,,Percent of Total Billed Charges,1712.59,,2939.95,82.4,,Percent of Total Billed Charges,2932.81,,2975.63,83.4,,Percent of Total Billed Charges,2775.83,,2975.63,83.4,,Percent of Total Billed Charges,2501.1,,2975.63,83.4,,Percent of Total Billed Charges,2904.27,,3211.11,90,,Percent of Total Billed Charges,3022.01,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3282.47,92,,Percent of Total Billed Charges,2893.57,,3282.47,92,,Percent of Total Billed Charges,2654.52,,3282.47,92,,Percent of Total Billed Charges,2793.67,,3282.47,92,,Percent of Total Billed Charges,2893.57,,2782.96,78,,Percent of Total Billed Charges,2782.96,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1920.6,53.83,,Percent of Total Billed Charges,1801.79,,1235.92,34.64,,Percent of Total Billed Charges,1230.93,,1783.24,49.98,,Percent of Total Billed Charges,1348.67,,1235.92,3282.47,,																																							
HC BRACHYTX, NONSTR,HDR IR192,C1717,CPT,,,,BOTH, , ,1369.2,1150.13,1259.66,92,,Percent of Total Billed Charges,1144.65,,1259.66,92,,Percent of Total Billed Charges,1124.11,,1259.66,92,,Percent of Total Billed Charges,1102.21,,1259.66,92,,Percent of Total Billed Charges,1143.28,,1259.66,92,,Percent of Total Billed Charges,1031.01,,1259.66,92,,Percent of Total Billed Charges,855.75,,1232.28,90,,Percent of Total Billed Charges,683.23,,1218.59,89,,Percent of Total Billed Charges,657.22,,1128.22,82.4,,Percent of Total Billed Charges,1125.48,,1141.91,83.4,,Percent of Total Billed Charges,1065.24,,1141.91,83.4,,Percent of Total Billed Charges,959.81,,1141.91,83.4,,Percent of Total Billed Charges,1114.53,,1232.28,90,,Percent of Total Billed Charges,1159.71,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1259.66,92,,Percent of Total Billed Charges,1110.42,,1259.66,92,,Percent of Total Billed Charges,1018.68,,1259.66,92,,Percent of Total Billed Charges,1072.08,,1259.66,92,,Percent of Total Billed Charges,1110.42,,1067.98,78,,Percent of Total Billed Charges,1067.98,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,737.04,53.83,,Percent of Total Billed Charges,691.45,,474.29,34.64,,Percent of Total Billed Charges,472.37,,684.33,49.98,,Percent of Total Billed Charges,517.56,,474.29,1259.66,,																																							
HC HDR RDNCL SKN SURF BRACHYTX LES </2CM/1 CHAN,77767,CPT,,,,BOTH, , ,1067.85,896.99,747.5,92,,Percent of Total Billed Charges,892.72,,747.5,92,,Percent of Total Billed Charges,876.7,,747.5,92,,Percent of Total Billed Charges,859.62,,747.5,92,,Percent of Total Billed Charges,891.65,,747.5,92,,Percent of Total Billed Charges,804.09,,747.5,92,,Percent of Total Billed Charges,667.41,,961.07,90,,Percent of Total Billed Charges,532.86,,950.39,89,,Percent of Total Billed Charges,512.57,,879.91,82.4,,Percent of Total Billed Charges,877.77,,890.59,83.4,,Percent of Total Billed Charges,830.79,,890.59,83.4,,Percent of Total Billed Charges,748.56,,890.59,83.4,,Percent of Total Billed Charges,869.23,,961.07,90,,Percent of Total Billed Charges,904.47,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,982.42,92,,Percent of Total Billed Charges,866.03,,982.42,92,,Percent of Total Billed Charges,794.48,,982.42,92,,Percent of Total Billed Charges,836.13,,982.42,92,,Percent of Total Billed Charges,866.03,,832.92,78,,Percent of Total Billed Charges,832.92,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,574.82,53.83,,Percent of Total Billed Charges,539.26,,369.9,34.64,,Percent of Total Billed Charges,368.41,,533.71,49.98,,Percent of Total Billed Charges,403.65,,369.90,982.42,,																																							
HC UNLISTD PX MED RADJ PHYSIC DOSIM&TX DEV&SPEC SVC,77399,CPT,,,,BOTH, , ,542.85,455.99,380,92,,Percent of Total Billed Charges,453.82,,380,92,,Percent of Total Billed Charges,445.68,,380,92,,Percent of Total Billed Charges,436.99,,380,92,,Percent of Total Billed Charges,453.28,,380,92,,Percent of Total Billed Charges,408.77,,380,92,,Percent of Total Billed Charges,339.28,,488.57,90,,Percent of Total Billed Charges,270.88,,483.14,89,,Percent of Total Billed Charges,260.57,,447.31,82.4,,Percent of Total Billed Charges,446.22,,452.74,83.4,,Percent of Total Billed Charges,422.34,,452.74,83.4,,Percent of Total Billed Charges,380.54,,452.74,83.4,,Percent of Total Billed Charges,441.88,,488.57,90,,Percent of Total Billed Charges,459.79,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,499.42,92,,Percent of Total Billed Charges,440.25,,499.42,92,,Percent of Total Billed Charges,403.88,,499.42,92,,Percent of Total Billed Charges,425.05,,499.42,92,,Percent of Total Billed Charges,440.25,,423.42,78,,Percent of Total Billed Charges,423.42,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,292.22,53.83,,Percent of Total Billed Charges,274.14,,188.04,34.64,,Percent of Total Billed Charges,187.28,,271.32,49.98,,Percent of Total Billed Charges,205.2,,188.04,499.42,,																																							
HC HDR RDNCL SK SRF BRCHYTX LES >2CM&2CHAN/MLT LES,77768,CPT,,,,BOTH, , ,1067.85,896.99,747.5,92,,Percent of Total Billed Charges,892.72,,747.5,92,,Percent of Total Billed Charges,876.7,,747.5,92,,Percent of Total Billed Charges,859.62,,747.5,92,,Percent of Total Billed Charges,891.65,,747.5,92,,Percent of Total Billed Charges,804.09,,747.5,92,,Percent of Total Billed Charges,667.41,,961.07,90,,Percent of Total Billed Charges,532.86,,950.39,89,,Percent of Total Billed Charges,512.57,,879.91,82.4,,Percent of Total Billed Charges,877.77,,890.59,83.4,,Percent of Total Billed Charges,830.79,,890.59,83.4,,Percent of Total Billed Charges,748.56,,890.59,83.4,,Percent of Total Billed Charges,869.23,,961.07,90,,Percent of Total Billed Charges,904.47,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,982.42,92,,Percent of Total Billed Charges,866.03,,982.42,92,,Percent of Total Billed Charges,794.48,,982.42,92,,Percent of Total Billed Charges,836.13,,982.42,92,,Percent of Total Billed Charges,866.03,,832.92,78,,Percent of Total Billed Charges,832.92,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,574.82,53.83,,Percent of Total Billed Charges,539.26,,369.9,34.64,,Percent of Total Billed Charges,368.41,,533.71,49.98,,Percent of Total Billed Charges,403.65,,369.90,982.42,,																																							
HC CHEMO ADMIN IV PUSH SNGL DRUG INITIAL,96409,CPT,,,,BOTH, , ,380.1,319.28,349.69,92,,Percent of Total Billed Charges,317.76,,349.69,92,,Percent of Total Billed Charges,312.06,,349.69,92,,Percent of Total Billed Charges,305.98,,349.69,92,,Percent of Total Billed Charges,317.38,,349.69,92,,Percent of Total Billed Charges,286.22,,349.69,92,,Percent of Total Billed Charges,237.56,,342.09,90,,Percent of Total Billed Charges,189.67,,338.29,89,,Percent of Total Billed Charges,182.45,,313.2,82.4,,Percent of Total Billed Charges,312.44,,317,83.4,,Percent of Total Billed Charges,295.72,,317,83.4,,Percent of Total Billed Charges,266.45,,317,83.4,,Percent of Total Billed Charges,309.4,,342.09,90,,Percent of Total Billed Charges,321.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,349.69,92,,Percent of Total Billed Charges,308.26,,349.69,92,,Percent of Total Billed Charges,282.79,,349.69,92,,Percent of Total Billed Charges,297.62,,349.69,92,,Percent of Total Billed Charges,308.26,,296.48,78,,Percent of Total Billed Charges,296.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,204.61,53.83,,Percent of Total Billed Charges,191.95,,131.67,34.64,,Percent of Total Billed Charges,131.13,,189.97,49.98,,Percent of Total Billed Charges,143.68,,131.67,349.69,,																																							
HC CHEMO ADMIN IV PUSH ADD'L DRUG,96411,CPT,,,,BOTH, , ,380.1,319.28,349.69,92,,Percent of Total Billed Charges,317.76,,349.69,92,,Percent of Total Billed Charges,312.06,,349.69,92,,Percent of Total Billed Charges,305.98,,349.69,92,,Percent of Total Billed Charges,317.38,,349.69,92,,Percent of Total Billed Charges,286.22,,349.69,92,,Percent of Total Billed Charges,237.56,,342.09,90,,Percent of Total Billed Charges,189.67,,338.29,89,,Percent of Total Billed Charges,182.45,,313.2,82.4,,Percent of Total Billed Charges,312.44,,317,83.4,,Percent of Total Billed Charges,295.72,,317,83.4,,Percent of Total Billed Charges,266.45,,317,83.4,,Percent of Total Billed Charges,309.4,,342.09,90,,Percent of Total Billed Charges,321.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,349.69,92,,Percent of Total Billed Charges,308.26,,349.69,92,,Percent of Total Billed Charges,282.79,,349.69,92,,Percent of Total Billed Charges,297.62,,349.69,92,,Percent of Total Billed Charges,308.26,,296.48,78,,Percent of Total Billed Charges,296.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,204.61,53.83,,Percent of Total Billed Charges,191.95,,131.67,34.64,,Percent of Total Billed Charges,131.13,,189.97,49.98,,Percent of Total Billed Charges,143.68,,131.67,349.69,,																																							
HC CHEMO IV INFUSION 1 HR,96413,CPT,,,,BOTH, , ,1222.2,1026.65,1124.42,92,,Percent of Total Billed Charges,1021.76,,1124.42,92,,Percent of Total Billed Charges,1003.43,,1124.42,92,,Percent of Total Billed Charges,983.87,,1124.42,92,,Percent of Total Billed Charges,1020.54,,1124.42,92,,Percent of Total Billed Charges,920.32,,1124.42,92,,Percent of Total Billed Charges,763.88,,1099.98,90,,Percent of Total Billed Charges,609.88,,1087.76,89,,Percent of Total Billed Charges,586.66,,1007.09,82.4,,Percent of Total Billed Charges,1004.65,,1019.31,83.4,,Percent of Total Billed Charges,950.87,,1019.31,83.4,,Percent of Total Billed Charges,856.76,,1019.31,83.4,,Percent of Total Billed Charges,994.87,,1099.98,90,,Percent of Total Billed Charges,1035.2,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1124.42,92,,Percent of Total Billed Charges,991.2,,1124.42,92,,Percent of Total Billed Charges,909.32,,1124.42,92,,Percent of Total Billed Charges,956.98,,1124.42,92,,Percent of Total Billed Charges,991.2,,953.32,78,,Percent of Total Billed Charges,953.32,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,657.91,53.83,,Percent of Total Billed Charges,617.21,,423.37,34.64,,Percent of Total Billed Charges,421.66,,610.86,49.98,,Percent of Total Billed Charges,461.99,,423.37,1124.42,,																																							
HC CHEMO IV INFUSION ADDL HR,96415,CPT,,,,BOTH, , ,926.1,777.92,852.01,92,,Percent of Total Billed Charges,774.22,,852.01,92,,Percent of Total Billed Charges,760.33,,852.01,92,,Percent of Total Billed Charges,745.51,,852.01,92,,Percent of Total Billed Charges,773.29,,852.01,92,,Percent of Total Billed Charges,697.35,,852.01,92,,Percent of Total Billed Charges,578.81,,833.49,90,,Percent of Total Billed Charges,462.12,,824.23,89,,Percent of Total Billed Charges,444.53,,763.11,82.4,,Percent of Total Billed Charges,761.25,,772.37,83.4,,Percent of Total Billed Charges,720.51,,772.37,83.4,,Percent of Total Billed Charges,649.2,,772.37,83.4,,Percent of Total Billed Charges,753.85,,833.49,90,,Percent of Total Billed Charges,784.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,852.01,92,,Percent of Total Billed Charges,751.07,,852.01,92,,Percent of Total Billed Charges,689.02,,852.01,92,,Percent of Total Billed Charges,725.14,,852.01,92,,Percent of Total Billed Charges,751.07,,722.36,78,,Percent of Total Billed Charges,722.36,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,498.52,53.83,,Percent of Total Billed Charges,467.68,,320.8,34.64,,Percent of Total Billed Charges,319.5,,462.86,49.98,,Percent of Total Billed Charges,350.07,,320.80,852.01,,																																							
HC CHEMO IV INFUS EACH ADDL SEQ,96417,CPT,,,,BOTH, , ,926.1,777.92,852.01,92,,Percent of Total Billed Charges,774.22,,852.01,92,,Percent of Total Billed Charges,760.33,,852.01,92,,Percent of Total Billed Charges,745.51,,852.01,92,,Percent of Total Billed Charges,773.29,,852.01,92,,Percent of Total Billed Charges,697.35,,852.01,92,,Percent of Total Billed Charges,578.81,,833.49,90,,Percent of Total Billed Charges,462.12,,824.23,89,,Percent of Total Billed Charges,444.53,,763.11,82.4,,Percent of Total Billed Charges,761.25,,772.37,83.4,,Percent of Total Billed Charges,720.51,,772.37,83.4,,Percent of Total Billed Charges,649.2,,772.37,83.4,,Percent of Total Billed Charges,753.85,,833.49,90,,Percent of Total Billed Charges,784.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,852.01,92,,Percent of Total Billed Charges,751.07,,852.01,92,,Percent of Total Billed Charges,689.02,,852.01,92,,Percent of Total Billed Charges,725.14,,852.01,92,,Percent of Total Billed Charges,751.07,,722.36,78,,Percent of Total Billed Charges,722.36,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,498.52,53.83,,Percent of Total Billed Charges,467.68,,320.8,34.64,,Percent of Total Billed Charges,319.5,,462.86,49.98,,Percent of Total Billed Charges,350.07,,320.80,852.01,,																																							
HC THYROID UPTAKE/MULTIPLE,78012,CPT,,,,BOTH, , ,761.25,639.45,532.88,92,,Percent of Total Billed Charges,636.41,,532.88,92,,Percent of Total Billed Charges,624.99,,532.88,92,,Percent of Total Billed Charges,612.81,,532.88,92,,Percent of Total Billed Charges,635.64,,532.88,92,,Percent of Total Billed Charges,573.22,,532.88,92,,Percent of Total Billed Charges,475.78,,685.13,90,,Percent of Total Billed Charges,379.86,,677.51,89,,Percent of Total Billed Charges,365.4,,627.27,82.4,,Percent of Total Billed Charges,625.75,,634.88,83.4,,Percent of Total Billed Charges,592.25,,634.88,83.4,,Percent of Total Billed Charges,533.64,,634.88,83.4,,Percent of Total Billed Charges,619.66,,685.13,90,,Percent of Total Billed Charges,644.78,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,700.35,92,,Percent of Total Billed Charges,617.37,,700.35,92,,Percent of Total Billed Charges,566.37,,700.35,92,,Percent of Total Billed Charges,596.06,,700.35,92,,Percent of Total Billed Charges,617.37,,593.78,78,,Percent of Total Billed Charges,593.78,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,409.78,53.83,,Percent of Total Billed Charges,384.43,,263.7,34.64,,Percent of Total Billed Charges,262.63,,380.47,49.98,,Percent of Total Billed Charges,287.75,,263.70,700.35,,																																							
HC THYROID IMAGING W/BLOOD FLOW,78013,CPT,,,,BOTH, , ,1634.85,1373.27,1144.4,92,,Percent of Total Billed Charges,1366.73,,1144.4,92,,Percent of Total Billed Charges,1342.21,,1144.4,92,,Percent of Total Billed Charges,1316.05,,1144.4,92,,Percent of Total Billed Charges,1365.1,,1144.4,92,,Percent of Total Billed Charges,1231.04,,1144.4,92,,Percent of Total Billed Charges,1021.78,,1471.37,90,,Percent of Total Billed Charges,815.79,,1455.02,89,,Percent of Total Billed Charges,784.73,,1347.12,82.4,,Percent of Total Billed Charges,1343.85,,1363.46,83.4,,Percent of Total Billed Charges,1271.91,,1363.46,83.4,,Percent of Total Billed Charges,1146.03,,1363.46,83.4,,Percent of Total Billed Charges,1330.77,,1471.37,90,,Percent of Total Billed Charges,1384.72,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1504.06,92,,Percent of Total Billed Charges,1325.86,,1504.06,92,,Percent of Total Billed Charges,1216.33,,1504.06,92,,Percent of Total Billed Charges,1280.09,,1504.06,92,,Percent of Total Billed Charges,1325.86,,1275.18,78,,Percent of Total Billed Charges,1275.18,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,880.04,53.83,,Percent of Total Billed Charges,825.6,,566.31,34.64,,Percent of Total Billed Charges,564.02,,817.1,49.98,,Percent of Total Billed Charges,617.97,,566.31,1504.06,,																																							
HC THYROID SCAN/MULTIPLE UPTAKE,78014,CPT,,,,BOTH, , ,2366.7,1988.03,1656.69,92,,Percent of Total Billed Charges,1978.56,,1656.69,92,,Percent of Total Billed Charges,1943.06,,1656.69,92,,Percent of Total Billed Charges,1905.19,,1656.69,92,,Percent of Total Billed Charges,1976.19,,1656.69,92,,Percent of Total Billed Charges,1782.13,,1656.69,92,,Percent of Total Billed Charges,1479.19,,2130.03,90,,Percent of Total Billed Charges,1180.98,,2106.36,89,,Percent of Total Billed Charges,1136.02,,1950.16,82.4,,Percent of Total Billed Charges,1945.43,,1973.83,83.4,,Percent of Total Billed Charges,1841.29,,1973.83,83.4,,Percent of Total Billed Charges,1659.06,,1973.83,83.4,,Percent of Total Billed Charges,1926.49,,2130.03,90,,Percent of Total Billed Charges,2004.59,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2177.36,92,,Percent of Total Billed Charges,1919.39,,2177.36,92,,Percent of Total Billed Charges,1760.82,,2177.36,92,,Percent of Total Billed Charges,1853.13,,2177.36,92,,Percent of Total Billed Charges,1919.39,,1846.03,78,,Percent of Total Billed Charges,1846.03,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1273.99,53.83,,Percent of Total Billed Charges,1195.18,,819.82,34.64,,Percent of Total Billed Charges,816.51,,1182.88,49.98,,Percent of Total Billed Charges,894.61,,819.82,2177.36,,																																							
HC THYROID MET IMAGING BODY,78018,CPT,,,,BOTH, , ,3287.55,2761.54,2301.29,92,,Percent of Total Billed Charges,2748.39,,2301.29,92,,Percent of Total Billed Charges,2699.08,,2301.29,92,,Percent of Total Billed Charges,2646.48,,2301.29,92,,Percent of Total Billed Charges,2745.1,,2301.29,92,,Percent of Total Billed Charges,2475.53,,2301.29,92,,Percent of Total Billed Charges,2054.72,,2958.8,90,,Percent of Total Billed Charges,1640.49,,2925.92,89,,Percent of Total Billed Charges,1578.02,,2708.94,82.4,,Percent of Total Billed Charges,2702.37,,2741.82,83.4,,Percent of Total Billed Charges,2557.71,,2741.82,83.4,,Percent of Total Billed Charges,2304.57,,2741.82,83.4,,Percent of Total Billed Charges,2676.07,,2958.8,90,,Percent of Total Billed Charges,2784.55,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3024.55,92,,Percent of Total Billed Charges,2666.2,,3024.55,92,,Percent of Total Billed Charges,2445.94,,3024.55,92,,Percent of Total Billed Charges,2574.15,,3024.55,92,,Percent of Total Billed Charges,2666.2,,2564.29,78,,Percent of Total Billed Charges,2564.29,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1769.69,53.83,,Percent of Total Billed Charges,1660.21,,1138.81,34.64,,Percent of Total Billed Charges,1134.2,,1643.12,49.98,,Percent of Total Billed Charges,1242.69,,1138.81,3024.55,,																																							
HC PARATHYROID PLANAR IMAGING,78070,CPT,,,,BOTH, , ,2111.55,1773.7,1478.09,92,,Percent of Total Billed Charges,1765.26,,1478.09,92,,Percent of Total Billed Charges,1733.58,,1478.09,92,,Percent of Total Billed Charges,1699.8,,1478.09,92,,Percent of Total Billed Charges,1763.14,,1478.09,92,,Percent of Total Billed Charges,1590,,1478.09,92,,Percent of Total Billed Charges,1319.72,,1900.4,90,,Percent of Total Billed Charges,1053.66,,1879.28,89,,Percent of Total Billed Charges,1013.54,,1739.92,82.4,,Percent of Total Billed Charges,1735.69,,1761.03,83.4,,Percent of Total Billed Charges,1642.79,,1761.03,83.4,,Percent of Total Billed Charges,1480.2,,1761.03,83.4,,Percent of Total Billed Charges,1718.8,,1900.4,90,,Percent of Total Billed Charges,1788.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1942.63,92,,Percent of Total Billed Charges,1712.47,,1942.63,92,,Percent of Total Billed Charges,1570.99,,1942.63,92,,Percent of Total Billed Charges,1653.34,,1942.63,92,,Percent of Total Billed Charges,1712.47,,1647.01,78,,Percent of Total Billed Charges,1647.01,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1136.65,53.83,,Percent of Total Billed Charges,1066.33,,731.44,34.64,,Percent of Total Billed Charges,728.48,,1055.35,49.98,,Percent of Total Billed Charges,798.17,,731.44,1942.63,,																																							
HC BONE MARROW LTD,78102,CPT,,,,BOTH, , ,1883.7,1582.31,1318.59,92,,Percent of Total Billed Charges,1574.77,,1318.59,92,,Percent of Total Billed Charges,1546.52,,1318.59,92,,Percent of Total Billed Charges,1516.38,,1318.59,92,,Percent of Total Billed Charges,1572.89,,1318.59,92,,Percent of Total Billed Charges,1418.43,,1318.59,92,,Percent of Total Billed Charges,1177.31,,1695.33,90,,Percent of Total Billed Charges,939.97,,1676.49,89,,Percent of Total Billed Charges,904.18,,1552.17,82.4,,Percent of Total Billed Charges,1548.4,,1571.01,83.4,,Percent of Total Billed Charges,1465.52,,1571.01,83.4,,Percent of Total Billed Charges,1320.47,,1571.01,83.4,,Percent of Total Billed Charges,1533.33,,1695.33,90,,Percent of Total Billed Charges,1595.49,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1733,92,,Percent of Total Billed Charges,1527.68,,1733,92,,Percent of Total Billed Charges,1401.47,,1733,92,,Percent of Total Billed Charges,1474.94,,1733,92,,Percent of Total Billed Charges,1527.68,,1469.29,78,,Percent of Total Billed Charges,1469.29,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1014,53.83,,Percent of Total Billed Charges,951.27,,652.51,34.64,,Percent of Total Billed Charges,649.88,,941.47,49.98,,Percent of Total Billed Charges,712.04,,652.51,1733,,																																							
HC BONE MARROW WHOLE BODY,78104,CPT,,,,BOTH, , ,1966.65,1651.99,1376.66,92,,Percent of Total Billed Charges,1644.12,,1376.66,92,,Percent of Total Billed Charges,1614.62,,1376.66,92,,Percent of Total Billed Charges,1583.15,,1376.66,92,,Percent of Total Billed Charges,1642.15,,1376.66,92,,Percent of Total Billed Charges,1480.89,,1376.66,92,,Percent of Total Billed Charges,1229.16,,1769.99,90,,Percent of Total Billed Charges,981.36,,1750.32,89,,Percent of Total Billed Charges,943.99,,1620.52,82.4,,Percent of Total Billed Charges,1616.59,,1640.19,83.4,,Percent of Total Billed Charges,1530.05,,1640.19,83.4,,Percent of Total Billed Charges,1378.62,,1640.19,83.4,,Percent of Total Billed Charges,1600.85,,1769.99,90,,Percent of Total Billed Charges,1665.75,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1809.32,92,,Percent of Total Billed Charges,1594.95,,1809.32,92,,Percent of Total Billed Charges,1463.19,,1809.32,92,,Percent of Total Billed Charges,1539.89,,1809.32,92,,Percent of Total Billed Charges,1594.95,,1533.99,78,,Percent of Total Billed Charges,1533.99,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1058.65,53.83,,Percent of Total Billed Charges,993.16,,681.25,34.64,,Percent of Total Billed Charges,678.49,,982.93,49.98,,Percent of Total Billed Charges,743.39,,681.25,1809.32,,																																							
HC LYMPH SYSTEM IMAGING,78195,CPT,,,,BOTH, , ,294,246.96,205.8,92,,Percent of Total Billed Charges,245.78,,205.8,92,,Percent of Total Billed Charges,241.37,,205.8,92,,Percent of Total Billed Charges,236.67,,205.8,92,,Percent of Total Billed Charges,245.49,,205.8,92,,Percent of Total Billed Charges,221.38,,205.8,92,,Percent of Total Billed Charges,183.75,,264.6,90,,Percent of Total Billed Charges,146.71,,261.66,89,,Percent of Total Billed Charges,141.12,,242.26,82.4,,Percent of Total Billed Charges,241.67,,245.2,83.4,,Percent of Total Billed Charges,228.73,,245.2,83.4,,Percent of Total Billed Charges,206.09,,245.2,83.4,,Percent of Total Billed Charges,239.32,,264.6,90,,Percent of Total Billed Charges,249.02,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,270.48,92,,Percent of Total Billed Charges,238.43,,270.48,92,,Percent of Total Billed Charges,218.74,,270.48,92,,Percent of Total Billed Charges,230.2,,270.48,92,,Percent of Total Billed Charges,238.43,,229.32,78,,Percent of Total Billed Charges,229.32,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,158.26,53.83,,Percent of Total Billed Charges,148.47,,101.84,34.64,,Percent of Total Billed Charges,101.43,,146.94,49.98,,Percent of Total Billed Charges,111.13,,101.84,270.48,,																																							
HC HEPATOBILIARY SYSTEM IMAGING,78226,CPT,,,,BOTH, , ,1948.8,1636.99,1364.16,92,,Percent of Total Billed Charges,1629.2,,1364.16,92,,Percent of Total Billed Charges,1599.96,,1364.16,92,,Percent of Total Billed Charges,1568.78,,1364.16,92,,Percent of Total Billed Charges,1627.25,,1364.16,92,,Percent of Total Billed Charges,1467.45,,1364.16,92,,Percent of Total Billed Charges,1218,,1753.92,90,,Percent of Total Billed Charges,972.45,,1734.43,89,,Percent of Total Billed Charges,935.42,,1605.81,82.4,,Percent of Total Billed Charges,1601.91,,1625.3,83.4,,Percent of Total Billed Charges,1516.17,,1625.3,83.4,,Percent of Total Billed Charges,1366.11,,1625.3,83.4,,Percent of Total Billed Charges,1586.32,,1753.92,90,,Percent of Total Billed Charges,1650.63,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1792.9,92,,Percent of Total Billed Charges,1580.48,,1792.9,92,,Percent of Total Billed Charges,1449.91,,1792.9,92,,Percent of Total Billed Charges,1525.91,,1792.9,92,,Percent of Total Billed Charges,1580.48,,1520.06,78,,Percent of Total Billed Charges,1520.06,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1049.04,53.83,,Percent of Total Billed Charges,984.14,,675.06,34.64,,Percent of Total Billed Charges,672.34,,974.01,49.98,,Percent of Total Billed Charges,736.65,,675.06,1792.9,,																																							
HC HEPATOBIL SYST IMAGE W/DRUG,78227,CPT,,,,BOTH, , ,1948.8,1636.99,1364.16,92,,Percent of Total Billed Charges,1629.2,,1364.16,92,,Percent of Total Billed Charges,1599.96,,1364.16,92,,Percent of Total Billed Charges,1568.78,,1364.16,92,,Percent of Total Billed Charges,1627.25,,1364.16,92,,Percent of Total Billed Charges,1467.45,,1364.16,92,,Percent of Total Billed Charges,1218,,1753.92,90,,Percent of Total Billed Charges,972.45,,1734.43,89,,Percent of Total Billed Charges,935.42,,1605.81,82.4,,Percent of Total Billed Charges,1601.91,,1625.3,83.4,,Percent of Total Billed Charges,1516.17,,1625.3,83.4,,Percent of Total Billed Charges,1366.11,,1625.3,83.4,,Percent of Total Billed Charges,1586.32,,1753.92,90,,Percent of Total Billed Charges,1650.63,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1792.9,92,,Percent of Total Billed Charges,1580.48,,1792.9,92,,Percent of Total Billed Charges,1449.91,,1792.9,92,,Percent of Total Billed Charges,1525.91,,1792.9,92,,Percent of Total Billed Charges,1580.48,,1520.06,78,,Percent of Total Billed Charges,1520.06,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1049.04,53.83,,Percent of Total Billed Charges,984.14,,675.06,34.64,,Percent of Total Billed Charges,672.34,,974.01,49.98,,Percent of Total Billed Charges,736.65,,675.06,1792.9,,																																							
HC SALIVARY GLAND IMAGING,78230,CPT,,,,BOTH, , ,1555.05,1306.24,1088.54,92,,Percent of Total Billed Charges,1300.02,,1088.54,92,,Percent of Total Billed Charges,1276.7,,1088.54,92,,Percent of Total Billed Charges,1251.82,,1088.54,92,,Percent of Total Billed Charges,1298.47,,1088.54,92,,Percent of Total Billed Charges,1170.95,,1088.54,92,,Percent of Total Billed Charges,971.91,,1399.55,90,,Percent of Total Billed Charges,775.97,,1383.99,89,,Percent of Total Billed Charges,746.42,,1281.36,82.4,,Percent of Total Billed Charges,1278.25,,1296.91,83.4,,Percent of Total Billed Charges,1209.83,,1296.91,83.4,,Percent of Total Billed Charges,1090.09,,1296.91,83.4,,Percent of Total Billed Charges,1265.81,,1399.55,90,,Percent of Total Billed Charges,1317.13,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1430.65,92,,Percent of Total Billed Charges,1261.15,,1430.65,92,,Percent of Total Billed Charges,1156.96,,1430.65,92,,Percent of Total Billed Charges,1217.6,,1430.65,92,,Percent of Total Billed Charges,1261.15,,1212.94,78,,Percent of Total Billed Charges,1212.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,837.08,53.83,,Percent of Total Billed Charges,785.3,,538.67,34.64,,Percent of Total Billed Charges,536.49,,777.21,49.98,,Percent of Total Billed Charges,587.81,,538.67,1430.65,,																																							
HC GASTROESOPHAGEAL REFLUX EXAM,78262,CPT,,,,BOTH, , ,1555.05,1306.24,1088.54,92,,Percent of Total Billed Charges,1300.02,,1088.54,92,,Percent of Total Billed Charges,1276.7,,1088.54,92,,Percent of Total Billed Charges,1251.82,,1088.54,92,,Percent of Total Billed Charges,1298.47,,1088.54,92,,Percent of Total Billed Charges,1170.95,,1088.54,92,,Percent of Total Billed Charges,971.91,,1399.55,90,,Percent of Total Billed Charges,775.97,,1383.99,89,,Percent of Total Billed Charges,746.42,,1281.36,82.4,,Percent of Total Billed Charges,1278.25,,1296.91,83.4,,Percent of Total Billed Charges,1209.83,,1296.91,83.4,,Percent of Total Billed Charges,1090.09,,1296.91,83.4,,Percent of Total Billed Charges,1265.81,,1399.55,90,,Percent of Total Billed Charges,1317.13,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1430.65,92,,Percent of Total Billed Charges,1261.15,,1430.65,92,,Percent of Total Billed Charges,1156.96,,1430.65,92,,Percent of Total Billed Charges,1217.6,,1430.65,92,,Percent of Total Billed Charges,1261.15,,1212.94,78,,Percent of Total Billed Charges,1212.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,837.08,53.83,,Percent of Total Billed Charges,785.3,,538.67,34.64,,Percent of Total Billed Charges,536.49,,777.21,49.98,,Percent of Total Billed Charges,587.81,,538.67,1430.65,,																																							
HC GASTRIC EMPTYING STUDY,78264,CPT,,,,BOTH, , ,2466.45,2071.82,1726.52,92,,Percent of Total Billed Charges,2061.95,,1726.52,92,,Percent of Total Billed Charges,2024.96,,1726.52,92,,Percent of Total Billed Charges,1985.49,,1726.52,92,,Percent of Total Billed Charges,2059.49,,1726.52,92,,Percent of Total Billed Charges,1857.24,,1726.52,92,,Percent of Total Billed Charges,1541.53,,2219.81,90,,Percent of Total Billed Charges,1230.76,,2195.14,89,,Percent of Total Billed Charges,1183.9,,2032.35,82.4,,Percent of Total Billed Charges,2027.42,,2057.02,83.4,,Percent of Total Billed Charges,1918.9,,2057.02,83.4,,Percent of Total Billed Charges,1728.98,,2057.02,83.4,,Percent of Total Billed Charges,2007.69,,2219.81,90,,Percent of Total Billed Charges,2089.08,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2269.13,92,,Percent of Total Billed Charges,2000.29,,2269.13,92,,Percent of Total Billed Charges,1835.04,,2269.13,92,,Percent of Total Billed Charges,1931.23,,2269.13,92,,Percent of Total Billed Charges,2000.29,,1923.83,78,,Percent of Total Billed Charges,1923.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1327.69,53.83,,Percent of Total Billed Charges,1245.56,,854.38,34.64,,Percent of Total Billed Charges,850.93,,1232.73,49.98,,Percent of Total Billed Charges,932.32,,854.38,2269.13,,																																							
HC ACUTE GI BLOOD LOSS IMAGING,78278,CPT,,,,BOTH, , ,2466.45,2071.82,1726.52,92,,Percent of Total Billed Charges,2061.95,,1726.52,92,,Percent of Total Billed Charges,2024.96,,1726.52,92,,Percent of Total Billed Charges,1985.49,,1726.52,92,,Percent of Total Billed Charges,2059.49,,1726.52,92,,Percent of Total Billed Charges,1857.24,,1726.52,92,,Percent of Total Billed Charges,1541.53,,2219.81,90,,Percent of Total Billed Charges,1230.76,,2195.14,89,,Percent of Total Billed Charges,1183.9,,2032.35,82.4,,Percent of Total Billed Charges,2027.42,,2057.02,83.4,,Percent of Total Billed Charges,1918.9,,2057.02,83.4,,Percent of Total Billed Charges,1728.98,,2057.02,83.4,,Percent of Total Billed Charges,2007.69,,2219.81,90,,Percent of Total Billed Charges,2089.08,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2269.13,92,,Percent of Total Billed Charges,2000.29,,2269.13,92,,Percent of Total Billed Charges,1835.04,,2269.13,92,,Percent of Total Billed Charges,1931.23,,2269.13,92,,Percent of Total Billed Charges,2000.29,,1923.83,78,,Percent of Total Billed Charges,1923.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1327.69,53.83,,Percent of Total Billed Charges,1245.56,,854.38,34.64,,Percent of Total Billed Charges,850.93,,1232.73,49.98,,Percent of Total Billed Charges,932.32,,854.38,2269.13,,																																							
HC MECKELS DIVERT EXAM,78290,CPT,,,,BOTH, , ,1828.05,1535.56,1279.64,92,,Percent of Total Billed Charges,1528.25,,1279.64,92,,Percent of Total Billed Charges,1500.83,,1279.64,92,,Percent of Total Billed Charges,1471.58,,1279.64,92,,Percent of Total Billed Charges,1526.42,,1279.64,92,,Percent of Total Billed Charges,1376.52,,1279.64,92,,Percent of Total Billed Charges,1142.53,,1645.25,90,,Percent of Total Billed Charges,912.2,,1626.96,89,,Percent of Total Billed Charges,877.46,,1506.31,82.4,,Percent of Total Billed Charges,1502.66,,1524.59,83.4,,Percent of Total Billed Charges,1422.22,,1524.59,83.4,,Percent of Total Billed Charges,1281.46,,1524.59,83.4,,Percent of Total Billed Charges,1488.03,,1645.25,90,,Percent of Total Billed Charges,1548.36,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1681.81,92,,Percent of Total Billed Charges,1482.55,,1681.81,92,,Percent of Total Billed Charges,1360.07,,1681.81,92,,Percent of Total Billed Charges,1431.36,,1681.81,92,,Percent of Total Billed Charges,1482.55,,1425.88,78,,Percent of Total Billed Charges,1425.88,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,984.04,53.83,,Percent of Total Billed Charges,923.17,,633.24,34.64,,Percent of Total Billed Charges,630.68,,913.66,49.98,,Percent of Total Billed Charges,691,,633.24,1681.81,,																																							
HC BONE IMAGING LIMITED AREA,78300,CPT,,,,BOTH, , ,1731.45,1454.42,1212.02,92,,Percent of Total Billed Charges,1447.49,,1212.02,92,,Percent of Total Billed Charges,1421.52,,1212.02,92,,Percent of Total Billed Charges,1393.82,,1212.02,92,,Percent of Total Billed Charges,1445.76,,1212.02,92,,Percent of Total Billed Charges,1303.78,,1212.02,92,,Percent of Total Billed Charges,1082.16,,1558.31,90,,Percent of Total Billed Charges,863.99,,1540.99,89,,Percent of Total Billed Charges,831.1,,1426.71,82.4,,Percent of Total Billed Charges,1423.25,,1444.03,83.4,,Percent of Total Billed Charges,1347.07,,1444.03,83.4,,Percent of Total Billed Charges,1213.75,,1444.03,83.4,,Percent of Total Billed Charges,1409.4,,1558.31,90,,Percent of Total Billed Charges,1466.54,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1592.93,92,,Percent of Total Billed Charges,1404.21,,1592.93,92,,Percent of Total Billed Charges,1288.2,,1592.93,92,,Percent of Total Billed Charges,1355.73,,1592.93,92,,Percent of Total Billed Charges,1404.21,,1350.53,78,,Percent of Total Billed Charges,1350.53,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,932.04,53.83,,Percent of Total Billed Charges,874.38,,599.77,34.64,,Percent of Total Billed Charges,597.35,,865.38,49.98,,Percent of Total Billed Charges,654.49,,599.77,1592.93,,																																							
HC BONE SCAN /WHOLE BODY,78306,CPT,,,,BOTH, , ,2466.45,2071.82,1726.52,92,,Percent of Total Billed Charges,2061.95,,1726.52,92,,Percent of Total Billed Charges,2024.96,,1726.52,92,,Percent of Total Billed Charges,1985.49,,1726.52,92,,Percent of Total Billed Charges,2059.49,,1726.52,92,,Percent of Total Billed Charges,1857.24,,1726.52,92,,Percent of Total Billed Charges,1541.53,,2219.81,90,,Percent of Total Billed Charges,1230.76,,2195.14,89,,Percent of Total Billed Charges,1183.9,,2032.35,82.4,,Percent of Total Billed Charges,2027.42,,2057.02,83.4,,Percent of Total Billed Charges,1918.9,,2057.02,83.4,,Percent of Total Billed Charges,1728.98,,2057.02,83.4,,Percent of Total Billed Charges,2007.69,,2219.81,90,,Percent of Total Billed Charges,2089.08,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2269.13,92,,Percent of Total Billed Charges,2000.29,,2269.13,92,,Percent of Total Billed Charges,1835.04,,2269.13,92,,Percent of Total Billed Charges,1931.23,,2269.13,92,,Percent of Total Billed Charges,2000.29,,1923.83,78,,Percent of Total Billed Charges,1923.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1327.69,53.83,,Percent of Total Billed Charges,1245.56,,854.38,34.64,,Percent of Total Billed Charges,850.93,,1232.73,49.98,,Percent of Total Billed Charges,932.32,,854.38,2269.13,,																																							
HC BONE SCAN 3 PHASE,78315,CPT,,,,BOTH, , ,2949.45,2477.54,2064.62,92,,Percent of Total Billed Charges,2465.74,,2064.62,92,,Percent of Total Billed Charges,2421.5,,2064.62,92,,Percent of Total Billed Charges,2374.31,,2064.62,92,,Percent of Total Billed Charges,2462.79,,2064.62,92,,Percent of Total Billed Charges,2220.94,,2064.62,92,,Percent of Total Billed Charges,1843.41,,2654.51,90,,Percent of Total Billed Charges,1471.78,,2625.01,89,,Percent of Total Billed Charges,1415.74,,2430.35,82.4,,Percent of Total Billed Charges,2424.45,,2459.84,83.4,,Percent of Total Billed Charges,2294.67,,2459.84,83.4,,Percent of Total Billed Charges,2067.56,,2459.84,83.4,,Percent of Total Billed Charges,2400.85,,2654.51,90,,Percent of Total Billed Charges,2498.18,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2713.49,92,,Percent of Total Billed Charges,2392,,2713.49,92,,Percent of Total Billed Charges,2194.39,,2713.49,92,,Percent of Total Billed Charges,2309.42,,2713.49,92,,Percent of Total Billed Charges,2392,,2300.57,78,,Percent of Total Billed Charges,2300.57,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1587.69,53.83,,Percent of Total Billed Charges,1489.47,,1021.69,34.64,,Percent of Total Billed Charges,1017.56,,1474.14,49.98,,Percent of Total Billed Charges,1114.89,,1021.69,2713.49,,																																							
HC HT MUSCLE IMAGE SPECT SING,78451,CPT,,,,BOTH, , ,5093.55,4278.58,3565.49,92,,Percent of Total Billed Charges,4258.21,,3565.49,92,,Percent of Total Billed Charges,4181.8,,3565.49,92,,Percent of Total Billed Charges,4100.31,,3565.49,92,,Percent of Total Billed Charges,4253.11,,3565.49,92,,Percent of Total Billed Charges,3835.44,,3565.49,92,,Percent of Total Billed Charges,3183.47,,4584.2,90,,Percent of Total Billed Charges,2541.68,,4533.26,89,,Percent of Total Billed Charges,2444.9,,4197.09,82.4,,Percent of Total Billed Charges,4186.9,,4248.02,83.4,,Percent of Total Billed Charges,3962.78,,4248.02,83.4,,Percent of Total Billed Charges,3570.58,,4248.02,83.4,,Percent of Total Billed Charges,4146.15,,4584.2,90,,Percent of Total Billed Charges,4314.24,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4686.07,92,,Percent of Total Billed Charges,4130.87,,4686.07,92,,Percent of Total Billed Charges,3789.6,,4686.07,92,,Percent of Total Billed Charges,3988.25,,4686.07,92,,Percent of Total Billed Charges,4130.87,,3972.97,78,,Percent of Total Billed Charges,3972.97,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2741.86,53.83,,Percent of Total Billed Charges,2572.24,,1764.41,34.64,,Percent of Total Billed Charges,1757.27,,2545.76,49.98,,Percent of Total Billed Charges,1925.36,,1764.41,4686.07,,																																							
HC HT MUSCLE IMAGE SPECT MULT,78452,CPT,,,,BOTH, , ,5535.6,4649.9,3874.92,92,,Percent of Total Billed Charges,4627.76,,3874.92,92,,Percent of Total Billed Charges,4544.73,,3874.92,92,,Percent of Total Billed Charges,4456.16,,3874.92,92,,Percent of Total Billed Charges,4622.23,,3874.92,92,,Percent of Total Billed Charges,4168.31,,3874.92,92,,Percent of Total Billed Charges,3459.75,,4982.04,90,,Percent of Total Billed Charges,2762.26,,4926.68,89,,Percent of Total Billed Charges,2657.09,,4561.33,82.4,,Percent of Total Billed Charges,4550.26,,4616.69,83.4,,Percent of Total Billed Charges,4306.7,,4616.69,83.4,,Percent of Total Billed Charges,3880.46,,4616.69,83.4,,Percent of Total Billed Charges,4505.98,,4982.04,90,,Percent of Total Billed Charges,4688.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5092.75,92,,Percent of Total Billed Charges,4489.37,,5092.75,92,,Percent of Total Billed Charges,4118.49,,5092.75,92,,Percent of Total Billed Charges,4334.37,,5092.75,92,,Percent of Total Billed Charges,4489.37,,4317.77,78,,Percent of Total Billed Charges,4317.77,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2979.81,53.83,,Percent of Total Billed Charges,2795.48,,1917.53,34.64,,Percent of Total Billed Charges,1909.78,,2766.69,49.98,,Percent of Total Billed Charges,2092.46,,1917.53,5092.75,,																																							
HC GATED HEART PLANAR SINGLE,78472,CPT,,,,BOTH, , ,2770.95,2327.6,1939.67,92,,Percent of Total Billed Charges,2316.51,,1939.67,92,,Percent of Total Billed Charges,2274.95,,1939.67,92,,Percent of Total Billed Charges,2230.61,,1939.67,92,,Percent of Total Billed Charges,2313.74,,1939.67,92,,Percent of Total Billed Charges,2086.53,,1939.67,92,,Percent of Total Billed Charges,1731.84,,2493.86,90,,Percent of Total Billed Charges,1382.7,,2466.15,89,,Percent of Total Billed Charges,1330.06,,2283.26,82.4,,Percent of Total Billed Charges,2277.72,,2310.97,83.4,,Percent of Total Billed Charges,2155.8,,2310.97,83.4,,Percent of Total Billed Charges,1942.44,,2310.97,83.4,,Percent of Total Billed Charges,2255.55,,2493.86,90,,Percent of Total Billed Charges,2346.99,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2549.27,92,,Percent of Total Billed Charges,2247.24,,2549.27,92,,Percent of Total Billed Charges,2061.59,,2549.27,92,,Percent of Total Billed Charges,2169.65,,2549.27,92,,Percent of Total Billed Charges,2247.24,,2161.34,78,,Percent of Total Billed Charges,2161.34,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1491.6,53.83,,Percent of Total Billed Charges,1399.33,,959.86,34.64,,Percent of Total Billed Charges,955.98,,1384.92,49.98,,Percent of Total Billed Charges,1047.42,,959.86,2549.27,,																																							
HC LUNG SCAN PERFUSION,78580,CPT,,,,BOTH, , ,2460.15,2066.53,1722.11,92,,Percent of Total Billed Charges,2056.69,,1722.11,92,,Percent of Total Billed Charges,2019.78,,1722.11,92,,Percent of Total Billed Charges,1980.42,,1722.11,92,,Percent of Total Billed Charges,2054.23,,1722.11,92,,Percent of Total Billed Charges,1852.49,,1722.11,92,,Percent of Total Billed Charges,1537.59,,2214.14,90,,Percent of Total Billed Charges,1227.61,,2189.53,89,,Percent of Total Billed Charges,1180.87,,2027.16,82.4,,Percent of Total Billed Charges,2022.24,,2051.77,83.4,,Percent of Total Billed Charges,1914,,2051.77,83.4,,Percent of Total Billed Charges,1724.57,,2051.77,83.4,,Percent of Total Billed Charges,2002.56,,2214.14,90,,Percent of Total Billed Charges,2083.75,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2263.34,92,,Percent of Total Billed Charges,1995.18,,2263.34,92,,Percent of Total Billed Charges,1830.35,,2263.34,92,,Percent of Total Billed Charges,1926.3,,2263.34,92,,Percent of Total Billed Charges,1995.18,,1918.92,78,,Percent of Total Billed Charges,1918.92,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1324.3,53.83,,Percent of Total Billed Charges,1242.38,,852.2,34.64,,Percent of Total Billed Charges,848.75,,1229.58,49.98,,Percent of Total Billed Charges,929.94,,852.20,2263.34,,																																							
HC LUNG VENT/PERFUSION,78582,CPT,,,,BOTH, , ,3862.95,3244.88,2704.07,92,,Percent of Total Billed Charges,3229.43,,2704.07,92,,Percent of Total Billed Charges,3171.48,,2704.07,92,,Percent of Total Billed Charges,3109.67,,2704.07,92,,Percent of Total Billed Charges,3225.56,,2704.07,92,,Percent of Total Billed Charges,2908.8,,2704.07,92,,Percent of Total Billed Charges,2414.34,,3476.66,90,,Percent of Total Billed Charges,1927.61,,3438.03,89,,Percent of Total Billed Charges,1854.22,,3183.07,82.4,,Percent of Total Billed Charges,3175.34,,3221.7,83.4,,Percent of Total Billed Charges,3005.38,,3221.7,83.4,,Percent of Total Billed Charges,2707.93,,3221.7,83.4,,Percent of Total Billed Charges,3144.44,,3476.66,90,,Percent of Total Billed Charges,3271.92,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3553.91,92,,Percent of Total Billed Charges,3132.85,,3553.91,92,,Percent of Total Billed Charges,2874.03,,3553.91,92,,Percent of Total Billed Charges,3024.69,,3553.91,92,,Percent of Total Billed Charges,3132.85,,3013.1,78,,Percent of Total Billed Charges,3013.1,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2079.43,53.83,,Percent of Total Billed Charges,1950.79,,1338.13,34.64,,Percent of Total Billed Charges,1332.72,,1930.7,49.98,,Percent of Total Billed Charges,1460.2,,1338.13,3553.91,,																																							
HC LUNG QUANTITATIVE DIFF VENT/PERFUSION,78598,CPT,,,,BOTH, , ,3862.95,3244.88,2704.07,92,,Percent of Total Billed Charges,3229.43,,2704.07,92,,Percent of Total Billed Charges,3171.48,,2704.07,92,,Percent of Total Billed Charges,3109.67,,2704.07,92,,Percent of Total Billed Charges,3225.56,,2704.07,92,,Percent of Total Billed Charges,2908.8,,2704.07,92,,Percent of Total Billed Charges,2414.34,,3476.66,90,,Percent of Total Billed Charges,1927.61,,3438.03,89,,Percent of Total Billed Charges,1854.22,,3183.07,82.4,,Percent of Total Billed Charges,3175.34,,3221.7,83.4,,Percent of Total Billed Charges,3005.38,,3221.7,83.4,,Percent of Total Billed Charges,2707.93,,3221.7,83.4,,Percent of Total Billed Charges,3144.44,,3476.66,90,,Percent of Total Billed Charges,3271.92,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3553.91,92,,Percent of Total Billed Charges,3132.85,,3553.91,92,,Percent of Total Billed Charges,2874.03,,3553.91,92,,Percent of Total Billed Charges,3024.69,,3553.91,92,,Percent of Total Billed Charges,3132.85,,3013.1,78,,Percent of Total Billed Charges,3013.1,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2079.43,53.83,,Percent of Total Billed Charges,1950.79,,1338.13,34.64,,Percent of Total Billed Charges,1332.72,,1930.7,49.98,,Percent of Total Billed Charges,1460.2,,1338.13,3553.91,,																																							
HC BRAIN IMAGE W/FLOW < 4 VIEWS,78601,CPT,,,,BOTH, , ,2558.85,2149.43,1791.2,92,,Percent of Total Billed Charges,2139.2,,1791.2,92,,Percent of Total Billed Charges,2100.82,,1791.2,92,,Percent of Total Billed Charges,2059.87,,1791.2,92,,Percent of Total Billed Charges,2136.64,,1791.2,92,,Percent of Total Billed Charges,1926.81,,1791.2,92,,Percent of Total Billed Charges,1599.28,,2302.97,90,,Percent of Total Billed Charges,1276.87,,2277.38,89,,Percent of Total Billed Charges,1228.25,,2108.49,82.4,,Percent of Total Billed Charges,2103.37,,2134.08,83.4,,Percent of Total Billed Charges,1990.79,,2134.08,83.4,,Percent of Total Billed Charges,1793.75,,2134.08,83.4,,Percent of Total Billed Charges,2082.9,,2302.97,90,,Percent of Total Billed Charges,2167.35,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2354.14,92,,Percent of Total Billed Charges,2075.23,,2354.14,92,,Percent of Total Billed Charges,1903.78,,2354.14,92,,Percent of Total Billed Charges,2003.58,,2354.14,92,,Percent of Total Billed Charges,2075.23,,1995.9,78,,Percent of Total Billed Charges,1995.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1377.43,53.83,,Percent of Total Billed Charges,1292.22,,886.39,34.64,,Percent of Total Billed Charges,882.8,,1278.91,49.98,,Percent of Total Billed Charges,967.25,,886.39,2354.14,,																																							
HC CEREBROSPINAL FLUID SCAN,78630,CPT,,,,BOTH, , ,407.4,342.22,285.18,92,,Percent of Total Billed Charges,340.59,,285.18,92,,Percent of Total Billed Charges,334.48,,285.18,92,,Percent of Total Billed Charges,327.96,,285.18,92,,Percent of Total Billed Charges,340.18,,285.18,92,,Percent of Total Billed Charges,306.77,,285.18,92,,Percent of Total Billed Charges,254.63,,366.66,90,,Percent of Total Billed Charges,203.29,,362.59,89,,Percent of Total Billed Charges,195.55,,335.7,82.4,,Percent of Total Billed Charges,334.88,,339.77,83.4,,Percent of Total Billed Charges,316.96,,339.77,83.4,,Percent of Total Billed Charges,285.59,,339.77,83.4,,Percent of Total Billed Charges,331.62,,366.66,90,,Percent of Total Billed Charges,345.07,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,374.81,92,,Percent of Total Billed Charges,330.4,,374.81,92,,Percent of Total Billed Charges,303.11,,374.81,92,,Percent of Total Billed Charges,318.99,,374.81,92,,Percent of Total Billed Charges,330.4,,317.77,78,,Percent of Total Billed Charges,317.77,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,219.3,53.83,,Percent of Total Billed Charges,205.74,,141.12,34.64,,Percent of Total Billed Charges,140.55,,203.62,49.98,,Percent of Total Billed Charges,154,,141.12,374.81,,																																							
HC CSF SHUNT EVALUATION,78645,CPT,,,,BOTH, , ,2558.85,2149.43,1791.2,92,,Percent of Total Billed Charges,2139.2,,1791.2,92,,Percent of Total Billed Charges,2100.82,,1791.2,92,,Percent of Total Billed Charges,2059.87,,1791.2,92,,Percent of Total Billed Charges,2136.64,,1791.2,92,,Percent of Total Billed Charges,1926.81,,1791.2,92,,Percent of Total Billed Charges,1599.28,,2302.97,90,,Percent of Total Billed Charges,1276.87,,2277.38,89,,Percent of Total Billed Charges,1228.25,,2108.49,82.4,,Percent of Total Billed Charges,2103.37,,2134.08,83.4,,Percent of Total Billed Charges,1990.79,,2134.08,83.4,,Percent of Total Billed Charges,1793.75,,2134.08,83.4,,Percent of Total Billed Charges,2082.9,,2302.97,90,,Percent of Total Billed Charges,2167.35,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2354.14,92,,Percent of Total Billed Charges,2075.23,,2354.14,92,,Percent of Total Billed Charges,1903.78,,2354.14,92,,Percent of Total Billed Charges,2003.58,,2354.14,92,,Percent of Total Billed Charges,2075.23,,1995.9,78,,Percent of Total Billed Charges,1995.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1377.43,53.83,,Percent of Total Billed Charges,1292.22,,886.39,34.64,,Percent of Total Billed Charges,882.8,,1278.91,49.98,,Percent of Total Billed Charges,967.25,,886.39,2354.14,,																																							
HC KIDNEY FLOW/FUNCT IMAGE W/O DRUG,78707,CPT,,,,BOTH, , ,4195.8,3524.47,2937.06,92,,Percent of Total Billed Charges,3507.69,,2937.06,92,,Percent of Total Billed Charges,3444.75,,2937.06,92,,Percent of Total Billed Charges,3377.62,,2937.06,92,,Percent of Total Billed Charges,3503.49,,2937.06,92,,Percent of Total Billed Charges,3159.44,,2937.06,92,,Percent of Total Billed Charges,2622.38,,3776.22,90,,Percent of Total Billed Charges,2093.7,,3734.26,89,,Percent of Total Billed Charges,2013.98,,3457.34,82.4,,Percent of Total Billed Charges,3448.95,,3499.3,83.4,,Percent of Total Billed Charges,3264.33,,3499.3,83.4,,Percent of Total Billed Charges,2941.26,,3499.3,83.4,,Percent of Total Billed Charges,3415.38,,3776.22,90,,Percent of Total Billed Charges,3553.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3860.14,92,,Percent of Total Billed Charges,3402.79,,3860.14,92,,Percent of Total Billed Charges,3121.68,,3860.14,92,,Percent of Total Billed Charges,3285.31,,3860.14,92,,Percent of Total Billed Charges,3402.79,,3272.72,78,,Percent of Total Billed Charges,3272.72,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2258.6,53.83,,Percent of Total Billed Charges,2118.88,,1453.43,34.64,,Percent of Total Billed Charges,1447.55,,2097.06,49.98,,Percent of Total Billed Charges,1586.01,,1453.43,3860.14,,																																							
HC KIDNEY FLOW/FUNCT IMAGE W/DRUG,78708,CPT,,,,BOTH, , ,5288.85,4442.63,3702.2,92,,Percent of Total Billed Charges,4421.48,,3702.2,92,,Percent of Total Billed Charges,4342.15,,3702.2,92,,Percent of Total Billed Charges,4257.52,,3702.2,92,,Percent of Total Billed Charges,4416.19,,3702.2,92,,Percent of Total Billed Charges,3982.5,,3702.2,92,,Percent of Total Billed Charges,3305.53,,4759.97,90,,Percent of Total Billed Charges,2639.14,,4707.08,89,,Percent of Total Billed Charges,2538.65,,4358.01,82.4,,Percent of Total Billed Charges,4347.43,,4410.9,83.4,,Percent of Total Billed Charges,4114.73,,4410.9,83.4,,Percent of Total Billed Charges,3707.48,,4410.9,83.4,,Percent of Total Billed Charges,4305.12,,4759.97,90,,Percent of Total Billed Charges,4479.66,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4865.74,92,,Percent of Total Billed Charges,4289.26,,4865.74,92,,Percent of Total Billed Charges,3934.9,,4865.74,92,,Percent of Total Billed Charges,4141.17,,4865.74,92,,Percent of Total Billed Charges,4289.26,,4125.3,78,,Percent of Total Billed Charges,4125.3,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2846.99,53.83,,Percent of Total Billed Charges,2670.87,,1832.06,34.64,,Percent of Total Billed Charges,1824.65,,2643.37,49.98,,Percent of Total Billed Charges,1999.19,,1832.06,4865.74,,																																							
HC TUMOR IMAGING WHOLE BODY,78802,CPT,,,,BOTH, , ,358.05,300.76,250.64,92,,Percent of Total Billed Charges,299.33,,250.64,92,,Percent of Total Billed Charges,293.96,,250.64,92,,Percent of Total Billed Charges,288.23,,250.64,92,,Percent of Total Billed Charges,298.97,,250.64,92,,Percent of Total Billed Charges,269.61,,250.64,92,,Percent of Total Billed Charges,223.78,,322.25,90,,Percent of Total Billed Charges,178.67,,318.66,89,,Percent of Total Billed Charges,171.86,,295.03,82.4,,Percent of Total Billed Charges,294.32,,298.61,83.4,,Percent of Total Billed Charges,278.56,,298.61,83.4,,Percent of Total Billed Charges,250.99,,298.61,83.4,,Percent of Total Billed Charges,291.45,,322.25,90,,Percent of Total Billed Charges,303.27,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,329.41,92,,Percent of Total Billed Charges,290.38,,329.41,92,,Percent of Total Billed Charges,266.39,,329.41,92,,Percent of Total Billed Charges,280.35,,329.41,92,,Percent of Total Billed Charges,290.38,,279.28,78,,Percent of Total Billed Charges,279.28,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,192.74,53.83,,Percent of Total Billed Charges,180.82,,124.03,34.64,,Percent of Total Billed Charges,123.53,,178.95,49.98,,Percent of Total Billed Charges,135.34,,124.03,329.41,,																																							
HC TUMR LOCALIZATION SPECT,78803,CPT,,,,BOTH, , ,4878.3,4097.77,3414.81,92,,Percent of Total Billed Charges,4078.26,,3414.81,92,,Percent of Total Billed Charges,4005.08,,3414.81,92,,Percent of Total Billed Charges,3927.03,,3414.81,92,,Percent of Total Billed Charges,4073.38,,3414.81,92,,Percent of Total Billed Charges,3673.36,,3414.81,92,,Percent of Total Billed Charges,3048.94,,4390.47,90,,Percent of Total Billed Charges,2434.27,,4341.69,89,,Percent of Total Billed Charges,2341.58,,4019.72,82.4,,Percent of Total Billed Charges,4009.96,,4068.5,83.4,,Percent of Total Billed Charges,3795.32,,4068.5,83.4,,Percent of Total Billed Charges,3419.69,,4068.5,83.4,,Percent of Total Billed Charges,3970.94,,4390.47,90,,Percent of Total Billed Charges,4131.92,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4488.04,92,,Percent of Total Billed Charges,3956.3,,4488.04,92,,Percent of Total Billed Charges,3629.46,,4488.04,92,,Percent of Total Billed Charges,3819.71,,4488.04,92,,Percent of Total Billed Charges,3956.3,,3805.07,78,,Percent of Total Billed Charges,3805.07,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2625.99,53.83,,Percent of Total Billed Charges,2463.54,,1689.84,34.64,,Percent of Total Billed Charges,1683.01,,2438.17,49.98,,Percent of Total Billed Charges,1844,,1689.84,4488.04,,																																							
HC TUMOR IMAGING LOC WHOLE BODY MULTIPLE,78804,CPT,,,,BOTH, , ,4519.2,3796.13,3163.44,92,,Percent of Total Billed Charges,3778.05,,3163.44,92,,Percent of Total Billed Charges,3710.26,,3163.44,92,,Percent of Total Billed Charges,3637.96,,3163.44,92,,Percent of Total Billed Charges,3773.53,,3163.44,92,,Percent of Total Billed Charges,3402.96,,3163.44,92,,Percent of Total Billed Charges,2824.5,,4067.28,90,,Percent of Total Billed Charges,2255.08,,4022.09,89,,Percent of Total Billed Charges,2169.22,,3723.82,82.4,,Percent of Total Billed Charges,3714.78,,3769.01,83.4,,Percent of Total Billed Charges,3515.94,,3769.01,83.4,,Percent of Total Billed Charges,3167.96,,3769.01,83.4,,Percent of Total Billed Charges,3678.63,,4067.28,90,,Percent of Total Billed Charges,3827.76,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4157.66,92,,Percent of Total Billed Charges,3665.07,,4157.66,92,,Percent of Total Billed Charges,3362.28,,4157.66,92,,Percent of Total Billed Charges,3538.53,,4157.66,92,,Percent of Total Billed Charges,3665.07,,3524.98,78,,Percent of Total Billed Charges,3524.98,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2432.69,53.83,,Percent of Total Billed Charges,2282.2,,1565.45,34.64,,Percent of Total Billed Charges,1559.12,,2258.7,49.98,,Percent of Total Billed Charges,1708.26,,1565.45,4157.66,,																																							
HC NUCLEAR RX ORAL ADMIN,79005,CPT,,,,BOTH, , ,1794.45,1507.34,1256.12,92,,Percent of Total Billed Charges,1500.16,,1256.12,92,,Percent of Total Billed Charges,1473.24,,1256.12,92,,Percent of Total Billed Charges,1444.53,,1256.12,92,,Percent of Total Billed Charges,1498.37,,1256.12,92,,Percent of Total Billed Charges,1351.22,,1256.12,92,,Percent of Total Billed Charges,1121.53,,1615.01,90,,Percent of Total Billed Charges,895.43,,1597.06,89,,Percent of Total Billed Charges,861.34,,1478.63,82.4,,Percent of Total Billed Charges,1475.04,,1496.57,83.4,,Percent of Total Billed Charges,1396.08,,1496.57,83.4,,Percent of Total Billed Charges,1257.91,,1496.57,83.4,,Percent of Total Billed Charges,1460.68,,1615.01,90,,Percent of Total Billed Charges,1519.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1650.89,92,,Percent of Total Billed Charges,1455.3,,1650.89,92,,Percent of Total Billed Charges,1335.07,,1650.89,92,,Percent of Total Billed Charges,1405.05,,1650.89,92,,Percent of Total Billed Charges,1455.3,,1399.67,78,,Percent of Total Billed Charges,1399.67,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,965.95,53.83,,Percent of Total Billed Charges,906.2,,621.6,34.64,,Percent of Total Billed Charges,619.09,,896.87,49.98,,Percent of Total Billed Charges,678.3,,621.60,1650.89,,																																							
HC IODINE I123 IOBENGUANE,A9582,CPT,,,,BOTH, , ,9837.45,8263.46,9050.45,92,,Percent of Total Billed Charges,8224.11,,9050.45,92,,Percent of Total Billed Charges,8076.55,,9050.45,92,,Percent of Total Billed Charges,7919.15,,9050.45,92,,Percent of Total Billed Charges,8214.27,,9050.45,92,,Percent of Total Billed Charges,7407.6,,9050.45,92,,Percent of Total Billed Charges,6148.41,,8853.71,90,,Percent of Total Billed Charges,4908.89,,8755.33,89,,Percent of Total Billed Charges,4721.98,,8106.06,82.4,,Percent of Total Billed Charges,8086.38,,8204.43,83.4,,Percent of Total Billed Charges,7653.54,,8204.43,83.4,,Percent of Total Billed Charges,6896.05,,8204.43,83.4,,Percent of Total Billed Charges,8007.68,,8853.71,90,,Percent of Total Billed Charges,8332.32,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,9050.45,92,,Percent of Total Billed Charges,7978.17,,9050.45,92,,Percent of Total Billed Charges,7319.06,,9050.45,92,,Percent of Total Billed Charges,7702.72,,9050.45,92,,Percent of Total Billed Charges,7978.17,,7673.21,78,,Percent of Total Billed Charges,7673.21,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5295.5,53.83,,Percent of Total Billed Charges,4967.91,,3407.69,34.64,,Percent of Total Billed Charges,3393.92,,4916.76,49.98,,Percent of Total Billed Charges,3718.56,,3407.69,9050.45,,																																							
HC ADRENAL CORTEX & MEDULLA IMG,78075,CPT,,,,BOTH, , ,6018.6,5055.62,4213.02,92,,Percent of Total Billed Charges,5031.55,,4213.02,92,,Percent of Total Billed Charges,4941.27,,4213.02,92,,Percent of Total Billed Charges,4844.97,,4213.02,92,,Percent of Total Billed Charges,5025.53,,4213.02,92,,Percent of Total Billed Charges,4532.01,,4213.02,92,,Percent of Total Billed Charges,3761.63,,5416.74,90,,Percent of Total Billed Charges,3003.28,,5356.55,89,,Percent of Total Billed Charges,2888.93,,4959.33,82.4,,Percent of Total Billed Charges,4947.29,,5019.51,83.4,,Percent of Total Billed Charges,4682.47,,5019.51,83.4,,Percent of Total Billed Charges,4219.04,,5019.51,83.4,,Percent of Total Billed Charges,4899.14,,5416.74,90,,Percent of Total Billed Charges,5097.75,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5537.11,92,,Percent of Total Billed Charges,4881.08,,5537.11,92,,Percent of Total Billed Charges,4477.84,,5537.11,92,,Percent of Total Billed Charges,4712.56,,5537.11,92,,Percent of Total Billed Charges,4881.08,,4694.51,78,,Percent of Total Billed Charges,4694.51,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3239.81,53.83,,Percent of Total Billed Charges,3039.39,,2084.84,34.64,,Percent of Total Billed Charges,2076.42,,3008.1,49.98,,Percent of Total Billed Charges,2275.03,,2084.84,5537.11,,																																							
HC RED CELL SEQUESTRATION,78140,CPT,,,,BOTH, , ,1342.95,1128.08,940.07,92,,Percent of Total Billed Charges,1122.71,,940.07,92,,Percent of Total Billed Charges,1102.56,,940.07,92,,Percent of Total Billed Charges,1081.07,,940.07,92,,Percent of Total Billed Charges,1121.36,,940.07,92,,Percent of Total Billed Charges,1011.24,,940.07,92,,Percent of Total Billed Charges,839.34,,1208.66,90,,Percent of Total Billed Charges,670.13,,1195.23,89,,Percent of Total Billed Charges,644.62,,1106.59,82.4,,Percent of Total Billed Charges,1103.9,,1120.02,83.4,,Percent of Total Billed Charges,1044.82,,1120.02,83.4,,Percent of Total Billed Charges,941.41,,1120.02,83.4,,Percent of Total Billed Charges,1093.16,,1208.66,90,,Percent of Total Billed Charges,1137.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1235.51,92,,Percent of Total Billed Charges,1089.13,,1235.51,92,,Percent of Total Billed Charges,999.15,,1235.51,92,,Percent of Total Billed Charges,1051.53,,1235.51,92,,Percent of Total Billed Charges,1089.13,,1047.5,78,,Percent of Total Billed Charges,1047.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,722.91,53.83,,Percent of Total Billed Charges,678.19,,465.2,34.64,,Percent of Total Billed Charges,463.32,,671.21,49.98,,Percent of Total Billed Charges,507.64,,465.20,1235.51,,																																							
HC SPLEEN SCAN ONLY,78185,CPT,,,,BOTH, , ,1450.05,1218.04,1015.04,92,,Percent of Total Billed Charges,1212.24,,1015.04,92,,Percent of Total Billed Charges,1190.49,,1015.04,92,,Percent of Total Billed Charges,1167.29,,1015.04,92,,Percent of Total Billed Charges,1210.79,,1015.04,92,,Percent of Total Billed Charges,1091.89,,1015.04,92,,Percent of Total Billed Charges,906.28,,1305.05,90,,Percent of Total Billed Charges,723.57,,1290.54,89,,Percent of Total Billed Charges,696.02,,1194.84,82.4,,Percent of Total Billed Charges,1191.94,,1209.34,83.4,,Percent of Total Billed Charges,1128.14,,1209.34,83.4,,Percent of Total Billed Charges,1016.49,,1209.34,83.4,,Percent of Total Billed Charges,1180.34,,1305.05,90,,Percent of Total Billed Charges,1228.19,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1334.05,92,,Percent of Total Billed Charges,1175.99,,1334.05,92,,Percent of Total Billed Charges,1078.84,,1334.05,92,,Percent of Total Billed Charges,1135.39,,1334.05,92,,Percent of Total Billed Charges,1175.99,,1131.04,78,,Percent of Total Billed Charges,1131.04,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,780.56,53.83,,Percent of Total Billed Charges,732.28,,502.3,34.64,,Percent of Total Billed Charges,500.27,,724.73,49.98,,Percent of Total Billed Charges,548.12,,502.30,1334.05,,																																							
HC LIVER SCAN W VASCULAR FLOW,78202,CPT,,,,BOTH, , ,2466.45,2071.82,1726.52,92,,Percent of Total Billed Charges,2061.95,,1726.52,92,,Percent of Total Billed Charges,2024.96,,1726.52,92,,Percent of Total Billed Charges,1985.49,,1726.52,92,,Percent of Total Billed Charges,2059.49,,1726.52,92,,Percent of Total Billed Charges,1857.24,,1726.52,92,,Percent of Total Billed Charges,1541.53,,2219.81,90,,Percent of Total Billed Charges,1230.76,,2195.14,89,,Percent of Total Billed Charges,1183.9,,2032.35,82.4,,Percent of Total Billed Charges,2027.42,,2057.02,83.4,,Percent of Total Billed Charges,1918.9,,2057.02,83.4,,Percent of Total Billed Charges,1728.98,,2057.02,83.4,,Percent of Total Billed Charges,2007.69,,2219.81,90,,Percent of Total Billed Charges,2089.08,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2269.13,92,,Percent of Total Billed Charges,2000.29,,2269.13,92,,Percent of Total Billed Charges,1835.04,,2269.13,92,,Percent of Total Billed Charges,1931.23,,2269.13,92,,Percent of Total Billed Charges,2000.29,,1923.83,78,,Percent of Total Billed Charges,1923.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1327.69,53.83,,Percent of Total Billed Charges,1245.56,,854.38,34.64,,Percent of Total Billed Charges,850.93,,1232.73,49.98,,Percent of Total Billed Charges,932.32,,854.38,2269.13,,																																							
HC LIVER SPLEEN SCAN,78215,CPT,,,,BOTH, , ,2064.3,1734.01,1445.01,92,,Percent of Total Billed Charges,1725.75,,1445.01,92,,Percent of Total Billed Charges,1694.79,,1445.01,92,,Percent of Total Billed Charges,1661.76,,1445.01,92,,Percent of Total Billed Charges,1723.69,,1445.01,92,,Percent of Total Billed Charges,1554.42,,1445.01,92,,Percent of Total Billed Charges,1290.19,,1857.87,90,,Percent of Total Billed Charges,1030.09,,1837.23,89,,Percent of Total Billed Charges,990.86,,1700.98,82.4,,Percent of Total Billed Charges,1696.85,,1721.63,83.4,,Percent of Total Billed Charges,1606.03,,1721.63,83.4,,Percent of Total Billed Charges,1447.07,,1721.63,83.4,,Percent of Total Billed Charges,1680.34,,1857.87,90,,Percent of Total Billed Charges,1748.46,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1899.16,92,,Percent of Total Billed Charges,1674.15,,1899.16,92,,Percent of Total Billed Charges,1535.84,,1899.16,92,,Percent of Total Billed Charges,1616.35,,1899.16,92,,Percent of Total Billed Charges,1674.15,,1610.15,78,,Percent of Total Billed Charges,1610.15,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1111.21,53.83,,Percent of Total Billed Charges,1042.47,,715.07,34.64,,Percent of Total Billed Charges,712.18,,1031.74,49.98,,Percent of Total Billed Charges,780.31,,715.07,1899.16,,																																							
HC LIVER SPLEEN SCAN W VASCULAR FLOW,78216,CPT,,,,BOTH, , ,2959.95,2486.36,2071.97,92,,Percent of Total Billed Charges,2474.52,,2071.97,92,,Percent of Total Billed Charges,2430.12,,2071.97,92,,Percent of Total Billed Charges,2382.76,,2071.97,92,,Percent of Total Billed Charges,2471.56,,2071.97,92,,Percent of Total Billed Charges,2228.84,,2071.97,92,,Percent of Total Billed Charges,1849.97,,2663.96,90,,Percent of Total Billed Charges,1477.02,,2634.36,89,,Percent of Total Billed Charges,1420.78,,2439,82.4,,Percent of Total Billed Charges,2433.08,,2468.6,83.4,,Percent of Total Billed Charges,2302.84,,2468.6,83.4,,Percent of Total Billed Charges,2074.92,,2468.6,83.4,,Percent of Total Billed Charges,2409.4,,2663.96,90,,Percent of Total Billed Charges,2507.08,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2723.15,92,,Percent of Total Billed Charges,2400.52,,2723.15,92,,Percent of Total Billed Charges,2202.2,,2723.15,92,,Percent of Total Billed Charges,2317.64,,2723.15,92,,Percent of Total Billed Charges,2400.52,,2308.76,78,,Percent of Total Billed Charges,2308.76,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1593.34,53.83,,Percent of Total Billed Charges,1494.77,,1025.33,34.64,,Percent of Total Billed Charges,1021.18,,1479.38,49.98,,Percent of Total Billed Charges,1118.86,,1025.33,2723.15,,																																							
HC LEVEEN/SHUNT PATENCY EXAM,78291,CPT,,,,BOTH, , ,197.4,165.82,138.18,92,,Percent of Total Billed Charges,165.03,,138.18,92,,Percent of Total Billed Charges,162.07,,138.18,92,,Percent of Total Billed Charges,158.91,,138.18,92,,Percent of Total Billed Charges,164.83,,138.18,92,,Percent of Total Billed Charges,148.64,,138.18,92,,Percent of Total Billed Charges,123.38,,177.66,90,,Percent of Total Billed Charges,98.5,,175.69,89,,Percent of Total Billed Charges,94.75,,162.66,82.4,,Percent of Total Billed Charges,162.26,,164.63,83.4,,Percent of Total Billed Charges,153.58,,164.63,83.4,,Percent of Total Billed Charges,138.38,,164.63,83.4,,Percent of Total Billed Charges,160.68,,177.66,90,,Percent of Total Billed Charges,167.2,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,181.61,92,,Percent of Total Billed Charges,160.09,,181.61,92,,Percent of Total Billed Charges,146.87,,181.61,92,,Percent of Total Billed Charges,154.56,,181.61,92,,Percent of Total Billed Charges,160.09,,153.97,78,,Percent of Total Billed Charges,153.97,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,106.26,53.83,,Percent of Total Billed Charges,99.69,,68.38,34.64,,Percent of Total Billed Charges,68.1,,98.66,49.98,,Percent of Total Billed Charges,74.62,,68.38,181.61,,																																							
HC BONE IMAGING MULTIPLE AREAS,78305,CPT,,,,BOTH, , ,1966.65,1651.99,1376.66,92,,Percent of Total Billed Charges,1644.12,,1376.66,92,,Percent of Total Billed Charges,1614.62,,1376.66,92,,Percent of Total Billed Charges,1583.15,,1376.66,92,,Percent of Total Billed Charges,1642.15,,1376.66,92,,Percent of Total Billed Charges,1480.89,,1376.66,92,,Percent of Total Billed Charges,1229.16,,1769.99,90,,Percent of Total Billed Charges,981.36,,1750.32,89,,Percent of Total Billed Charges,943.99,,1620.52,82.4,,Percent of Total Billed Charges,1616.59,,1640.19,83.4,,Percent of Total Billed Charges,1530.05,,1640.19,83.4,,Percent of Total Billed Charges,1378.62,,1640.19,83.4,,Percent of Total Billed Charges,1600.85,,1769.99,90,,Percent of Total Billed Charges,1665.75,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1809.32,92,,Percent of Total Billed Charges,1594.95,,1809.32,92,,Percent of Total Billed Charges,1463.19,,1809.32,92,,Percent of Total Billed Charges,1539.89,,1809.32,92,,Percent of Total Billed Charges,1594.95,,1533.99,78,,Percent of Total Billed Charges,1533.99,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1058.65,53.83,,Percent of Total Billed Charges,993.16,,681.25,34.64,,Percent of Total Billed Charges,678.49,,982.93,49.98,,Percent of Total Billed Charges,743.39,,681.25,1809.32,,																																							
HC VASCULAR FLOW IMAGING,78445,CPT,,,,BOTH, , ,1109.85,932.27,776.9,92,,Percent of Total Billed Charges,927.83,,776.9,92,,Percent of Total Billed Charges,911.19,,776.9,92,,Percent of Total Billed Charges,893.43,,776.9,92,,Percent of Total Billed Charges,926.72,,776.9,92,,Percent of Total Billed Charges,835.72,,776.9,92,,Percent of Total Billed Charges,693.66,,998.87,90,,Percent of Total Billed Charges,553.82,,987.77,89,,Percent of Total Billed Charges,532.73,,914.52,82.4,,Percent of Total Billed Charges,912.3,,925.61,83.4,,Percent of Total Billed Charges,863.46,,925.61,83.4,,Percent of Total Billed Charges,778,,925.61,83.4,,Percent of Total Billed Charges,903.42,,998.87,90,,Percent of Total Billed Charges,940.04,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1021.06,92,,Percent of Total Billed Charges,900.09,,1021.06,92,,Percent of Total Billed Charges,825.73,,1021.06,92,,Percent of Total Billed Charges,869.01,,1021.06,92,,Percent of Total Billed Charges,900.09,,865.68,78,,Percent of Total Billed Charges,865.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,597.43,53.83,,Percent of Total Billed Charges,560.47,,384.45,34.64,,Percent of Total Billed Charges,382.9,,554.7,49.98,,Percent of Total Billed Charges,419.52,,384.45,1021.06,,																																							
HC LUNG PERFUSION DIFFERENTIAL,78597,CPT,,,,BOTH, , ,1966.65,1651.99,1376.66,92,,Percent of Total Billed Charges,1644.12,,1376.66,92,,Percent of Total Billed Charges,1614.62,,1376.66,92,,Percent of Total Billed Charges,1583.15,,1376.66,92,,Percent of Total Billed Charges,1642.15,,1376.66,92,,Percent of Total Billed Charges,1480.89,,1376.66,92,,Percent of Total Billed Charges,1229.16,,1769.99,90,,Percent of Total Billed Charges,981.36,,1750.32,89,,Percent of Total Billed Charges,943.99,,1620.52,82.4,,Percent of Total Billed Charges,1616.59,,1640.19,83.4,,Percent of Total Billed Charges,1530.05,,1640.19,83.4,,Percent of Total Billed Charges,1378.62,,1640.19,83.4,,Percent of Total Billed Charges,1600.85,,1769.99,90,,Percent of Total Billed Charges,1665.75,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1809.32,92,,Percent of Total Billed Charges,1594.95,,1809.32,92,,Percent of Total Billed Charges,1463.19,,1809.32,92,,Percent of Total Billed Charges,1539.89,,1809.32,92,,Percent of Total Billed Charges,1594.95,,1533.99,78,,Percent of Total Billed Charges,1533.99,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1058.65,53.83,,Percent of Total Billed Charges,993.16,,681.25,34.64,,Percent of Total Billed Charges,678.49,,982.93,49.98,,Percent of Total Billed Charges,743.39,,681.25,1809.32,,																																							
HC BRAIN IMAGE 4+ VIEWS,78605,CPT,,,,BOTH, , ,2659.65,2234.11,1861.76,92,,Percent of Total Billed Charges,2223.47,,1861.76,92,,Percent of Total Billed Charges,2183.57,,1861.76,92,,Percent of Total Billed Charges,2141.02,,1861.76,92,,Percent of Total Billed Charges,2220.81,,1861.76,92,,Percent of Total Billed Charges,2002.72,,1861.76,92,,Percent of Total Billed Charges,1662.28,,2393.69,90,,Percent of Total Billed Charges,1327.17,,2367.09,89,,Percent of Total Billed Charges,1276.63,,2191.55,82.4,,Percent of Total Billed Charges,2186.23,,2218.15,83.4,,Percent of Total Billed Charges,2069.21,,2218.15,83.4,,Percent of Total Billed Charges,1864.41,,2218.15,83.4,,Percent of Total Billed Charges,2164.96,,2393.69,90,,Percent of Total Billed Charges,2252.72,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2446.88,92,,Percent of Total Billed Charges,2156.98,,2446.88,92,,Percent of Total Billed Charges,1978.78,,2446.88,92,,Percent of Total Billed Charges,2082.51,,2446.88,92,,Percent of Total Billed Charges,2156.98,,2074.53,78,,Percent of Total Billed Charges,2074.53,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1431.69,53.83,,Percent of Total Billed Charges,1343.12,,921.3,34.64,,Percent of Total Billed Charges,917.58,,1329.29,49.98,,Percent of Total Billed Charges,1005.35,,921.30,2446.88,,																																							
HC CSF LEAK DETECTION,78650,CPT,,,,BOTH, , ,2875.95,2415.8,2013.17,92,,Percent of Total Billed Charges,2404.29,,2013.17,92,,Percent of Total Billed Charges,2361.15,,2013.17,92,,Percent of Total Billed Charges,2315.14,,2013.17,92,,Percent of Total Billed Charges,2401.42,,2013.17,92,,Percent of Total Billed Charges,2165.59,,2013.17,92,,Percent of Total Billed Charges,1797.47,,2588.36,90,,Percent of Total Billed Charges,1435.1,,2559.6,89,,Percent of Total Billed Charges,1380.46,,2369.78,82.4,,Percent of Total Billed Charges,2364.03,,2398.54,83.4,,Percent of Total Billed Charges,2237.49,,2398.54,83.4,,Percent of Total Billed Charges,2016.04,,2398.54,83.4,,Percent of Total Billed Charges,2341.02,,2588.36,90,,Percent of Total Billed Charges,2435.93,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2645.87,92,,Percent of Total Billed Charges,2332.4,,2645.87,92,,Percent of Total Billed Charges,2139.71,,2645.87,92,,Percent of Total Billed Charges,2251.87,,2645.87,92,,Percent of Total Billed Charges,2332.4,,2243.24,78,,Percent of Total Billed Charges,2243.24,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1548.12,53.83,,Percent of Total Billed Charges,1452.35,,996.23,34.64,,Percent of Total Billed Charges,992.2,,1437.4,49.98,,Percent of Total Billed Charges,1087.11,,996.23,2645.87,,																																							
HC KIDNEY IMAGING MORPHOL,78700,CPT,,,,BOTH, , ,1966.65,1651.99,1376.66,92,,Percent of Total Billed Charges,1644.12,,1376.66,92,,Percent of Total Billed Charges,1614.62,,1376.66,92,,Percent of Total Billed Charges,1583.15,,1376.66,92,,Percent of Total Billed Charges,1642.15,,1376.66,92,,Percent of Total Billed Charges,1480.89,,1376.66,92,,Percent of Total Billed Charges,1229.16,,1769.99,90,,Percent of Total Billed Charges,981.36,,1750.32,89,,Percent of Total Billed Charges,943.99,,1620.52,82.4,,Percent of Total Billed Charges,1616.59,,1640.19,83.4,,Percent of Total Billed Charges,1530.05,,1640.19,83.4,,Percent of Total Billed Charges,1378.62,,1640.19,83.4,,Percent of Total Billed Charges,1600.85,,1769.99,90,,Percent of Total Billed Charges,1665.75,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1809.32,92,,Percent of Total Billed Charges,1594.95,,1809.32,92,,Percent of Total Billed Charges,1463.19,,1809.32,92,,Percent of Total Billed Charges,1539.89,,1809.32,92,,Percent of Total Billed Charges,1594.95,,1533.99,78,,Percent of Total Billed Charges,1533.99,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1058.65,53.83,,Percent of Total Billed Charges,993.16,,681.25,34.64,,Percent of Total Billed Charges,678.49,,982.93,49.98,,Percent of Total Billed Charges,743.39,,681.25,1809.32,,																																							
HC KIDNEY W VASCULAR FLOW,78701,CPT,,,,BOTH, , ,214.2,179.93,149.94,92,,Percent of Total Billed Charges,179.07,,149.94,92,,Percent of Total Billed Charges,175.86,,149.94,92,,Percent of Total Billed Charges,172.43,,149.94,92,,Percent of Total Billed Charges,178.86,,149.94,92,,Percent of Total Billed Charges,161.29,,149.94,92,,Percent of Total Billed Charges,133.88,,192.78,90,,Percent of Total Billed Charges,106.89,,190.64,89,,Percent of Total Billed Charges,102.82,,176.5,82.4,,Percent of Total Billed Charges,176.07,,178.64,83.4,,Percent of Total Billed Charges,166.65,,178.64,83.4,,Percent of Total Billed Charges,150.15,,178.64,83.4,,Percent of Total Billed Charges,174.36,,192.78,90,,Percent of Total Billed Charges,181.43,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,197.06,92,,Percent of Total Billed Charges,173.72,,197.06,92,,Percent of Total Billed Charges,159.36,,197.06,92,,Percent of Total Billed Charges,167.72,,197.06,92,,Percent of Total Billed Charges,173.72,,167.08,78,,Percent of Total Billed Charges,167.08,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,115.3,53.83,,Percent of Total Billed Charges,108.17,,74.2,34.64,,Percent of Total Billed Charges,73.9,,107.06,49.98,,Percent of Total Billed Charges,80.97,,74.20,197.06,,																																							
HC URETERAL REFLUX STUDY,78740,CPT,,,,BOTH, , ,1463.7,1229.51,1024.59,92,,Percent of Total Billed Charges,1223.65,,1024.59,92,,Percent of Total Billed Charges,1201.7,,1024.59,92,,Percent of Total Billed Charges,1178.28,,1024.59,92,,Percent of Total Billed Charges,1222.19,,1024.59,92,,Percent of Total Billed Charges,1102.17,,1024.59,92,,Percent of Total Billed Charges,914.81,,1317.33,90,,Percent of Total Billed Charges,730.39,,1302.69,89,,Percent of Total Billed Charges,702.58,,1206.09,82.4,,Percent of Total Billed Charges,1203.16,,1220.73,83.4,,Percent of Total Billed Charges,1138.76,,1220.73,83.4,,Percent of Total Billed Charges,1026.05,,1220.73,83.4,,Percent of Total Billed Charges,1191.45,,1317.33,90,,Percent of Total Billed Charges,1239.75,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1346.6,92,,Percent of Total Billed Charges,1187.06,,1346.6,92,,Percent of Total Billed Charges,1088.99,,1346.6,92,,Percent of Total Billed Charges,1146.08,,1346.6,92,,Percent of Total Billed Charges,1187.06,,1141.69,78,,Percent of Total Billed Charges,1141.69,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,787.91,53.83,,Percent of Total Billed Charges,739.17,,507.03,34.64,,Percent of Total Billed Charges,504.98,,731.56,49.98,,Percent of Total Billed Charges,553.28,,507.03,1346.6,,																																							
HC TESTICULAR W VASCULAR FLOW,78761,CPT,,,,BOTH, , ,1536.15,1290.37,1075.31,92,,Percent of Total Billed Charges,1284.22,,1075.31,92,,Percent of Total Billed Charges,1261.18,,1075.31,92,,Percent of Total Billed Charges,1236.6,,1075.31,92,,Percent of Total Billed Charges,1282.69,,1075.31,92,,Percent of Total Billed Charges,1156.72,,1075.31,92,,Percent of Total Billed Charges,960.09,,1382.54,90,,Percent of Total Billed Charges,766.54,,1367.17,89,,Percent of Total Billed Charges,737.35,,1265.79,82.4,,Percent of Total Billed Charges,1262.72,,1281.15,83.4,,Percent of Total Billed Charges,1195.12,,1281.15,83.4,,Percent of Total Billed Charges,1076.84,,1281.15,83.4,,Percent of Total Billed Charges,1250.43,,1382.54,90,,Percent of Total Billed Charges,1301.12,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1413.26,92,,Percent of Total Billed Charges,1245.82,,1413.26,92,,Percent of Total Billed Charges,1142.9,,1413.26,92,,Percent of Total Billed Charges,1202.81,,1413.26,92,,Percent of Total Billed Charges,1245.82,,1198.2,78,,Percent of Total Billed Charges,1198.2,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,826.91,53.83,,Percent of Total Billed Charges,775.76,,532.12,34.64,,Percent of Total Billed Charges,529.97,,767.77,49.98,,Percent of Total Billed Charges,580.66,,532.12,1413.26,,																																							
HC TUMOR LOCALIZATION LIMITED,78800,CPT,,,,BOTH, , ,2864.4,2406.1,2005.08,92,,Percent of Total Billed Charges,2394.64,,2005.08,92,,Percent of Total Billed Charges,2351.67,,2005.08,92,,Percent of Total Billed Charges,2305.84,,2005.08,92,,Percent of Total Billed Charges,2391.77,,2005.08,92,,Percent of Total Billed Charges,2156.89,,2005.08,92,,Percent of Total Billed Charges,1790.25,,2577.96,90,,Percent of Total Billed Charges,1429.34,,2549.32,89,,Percent of Total Billed Charges,1374.91,,2360.27,82.4,,Percent of Total Billed Charges,2354.54,,2388.91,83.4,,Percent of Total Billed Charges,2228.5,,2388.91,83.4,,Percent of Total Billed Charges,2007.94,,2388.91,83.4,,Percent of Total Billed Charges,2331.62,,2577.96,90,,Percent of Total Billed Charges,2426.15,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2635.25,92,,Percent of Total Billed Charges,2323.03,,2635.25,92,,Percent of Total Billed Charges,2131.11,,2635.25,92,,Percent of Total Billed Charges,2242.83,,2635.25,92,,Percent of Total Billed Charges,2323.03,,2234.23,78,,Percent of Total Billed Charges,2234.23,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1541.91,53.83,,Percent of Total Billed Charges,1446.52,,992.23,34.64,,Percent of Total Billed Charges,988.22,,1431.63,49.98,,Percent of Total Billed Charges,1082.74,,992.23,2635.25,,																																							
HC GASTRIC EMPTY SINGLE DAY,78265,CPT,,,,BOTH, , ,3059.7,2570.15,2141.79,92,,Percent of Total Billed Charges,2557.91,,2141.79,92,,Percent of Total Billed Charges,2512.01,,2141.79,92,,Percent of Total Billed Charges,2463.06,,2141.79,92,,Percent of Total Billed Charges,2554.85,,2141.79,92,,Percent of Total Billed Charges,2303.95,,2141.79,92,,Percent of Total Billed Charges,1912.31,,2753.73,90,,Percent of Total Billed Charges,1526.79,,2723.13,89,,Percent of Total Billed Charges,1468.66,,2521.19,82.4,,Percent of Total Billed Charges,2515.07,,2551.79,83.4,,Percent of Total Billed Charges,2380.45,,2551.79,83.4,,Percent of Total Billed Charges,2144.85,,2551.79,83.4,,Percent of Total Billed Charges,2490.6,,2753.73,90,,Percent of Total Billed Charges,2591.57,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2814.92,92,,Percent of Total Billed Charges,2481.42,,2814.92,92,,Percent of Total Billed Charges,2276.42,,2814.92,92,,Percent of Total Billed Charges,2395.75,,2814.92,92,,Percent of Total Billed Charges,2481.42,,2386.57,78,,Percent of Total Billed Charges,2386.57,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1647.04,53.83,,Percent of Total Billed Charges,1545.15,,1059.88,34.64,,Percent of Total Billed Charges,1055.6,,1529.24,49.98,,Percent of Total Billed Charges,1156.57,,1059.88,2814.92,,																																							
HC GASTRIC EMPTY MULT DAY,78266,CPT,,,,BOTH, , ,3371.55,2832.1,2360.09,92,,Percent of Total Billed Charges,2818.62,,2360.09,92,,Percent of Total Billed Charges,2768.04,,2360.09,92,,Percent of Total Billed Charges,2714.1,,2360.09,92,,Percent of Total Billed Charges,2815.24,,2360.09,92,,Percent of Total Billed Charges,2538.78,,2360.09,92,,Percent of Total Billed Charges,2107.22,,3034.4,90,,Percent of Total Billed Charges,1682.4,,3000.68,89,,Percent of Total Billed Charges,1618.34,,2778.16,82.4,,Percent of Total Billed Charges,2771.41,,2811.87,83.4,,Percent of Total Billed Charges,2623.07,,2811.87,83.4,,Percent of Total Billed Charges,2363.46,,2811.87,83.4,,Percent of Total Billed Charges,2744.44,,3034.4,90,,Percent of Total Billed Charges,2855.7,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3101.83,92,,Percent of Total Billed Charges,2734.33,,3101.83,92,,Percent of Total Billed Charges,2508.43,,3101.83,92,,Percent of Total Billed Charges,2639.92,,3101.83,92,,Percent of Total Billed Charges,2734.33,,2629.81,78,,Percent of Total Billed Charges,2629.81,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1814.91,53.83,,Percent of Total Billed Charges,1702.63,,1167.9,34.64,,Percent of Total Billed Charges,1163.18,,1685.1,49.98,,Percent of Total Billed Charges,1274.45,,1167.90,3101.83,,																																							
HC RP THERAPY INTRAVENOUS ADMINISTRATION,79101,CPT,,,,BOTH, , ,1042.65,875.83,729.86,92,,Percent of Total Billed Charges,871.66,,729.86,92,,Percent of Total Billed Charges,856.02,,729.86,92,,Percent of Total Billed Charges,839.33,,729.86,92,,Percent of Total Billed Charges,870.61,,729.86,92,,Percent of Total Billed Charges,785.12,,729.86,92,,Percent of Total Billed Charges,651.66,,938.39,90,,Percent of Total Billed Charges,520.28,,927.96,89,,Percent of Total Billed Charges,500.47,,859.14,82.4,,Percent of Total Billed Charges,857.06,,869.57,83.4,,Percent of Total Billed Charges,811.18,,869.57,83.4,,Percent of Total Billed Charges,730.9,,869.57,83.4,,Percent of Total Billed Charges,848.72,,938.39,90,,Percent of Total Billed Charges,883.12,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,959.24,92,,Percent of Total Billed Charges,845.59,,959.24,92,,Percent of Total Billed Charges,775.73,,959.24,92,,Percent of Total Billed Charges,816.39,,959.24,92,,Percent of Total Billed Charges,845.59,,813.27,78,,Percent of Total Billed Charges,813.27,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,561.26,53.83,,Percent of Total Billed Charges,526.54,,361.17,34.64,,Percent of Total Billed Charges,359.71,,521.12,49.98,,Percent of Total Billed Charges,394.12,,361.17,959.24,,																																							
HC GASTROINTESTINAL PROTEIN LOSS,78282,CPT,,,,BOTH, , ,1822.8,1531.15,1275.96,92,,Percent of Total Billed Charges,1523.86,,1275.96,92,,Percent of Total Billed Charges,1496.52,,1275.96,92,,Percent of Total Billed Charges,1467.35,,1275.96,92,,Percent of Total Billed Charges,1522.04,,1275.96,92,,Percent of Total Billed Charges,1372.57,,1275.96,92,,Percent of Total Billed Charges,1139.25,,1640.52,90,,Percent of Total Billed Charges,909.58,,1622.29,89,,Percent of Total Billed Charges,874.94,,1501.99,82.4,,Percent of Total Billed Charges,1498.34,,1520.22,83.4,,Percent of Total Billed Charges,1418.14,,1520.22,83.4,,Percent of Total Billed Charges,1277.78,,1520.22,83.4,,Percent of Total Billed Charges,1483.76,,1640.52,90,,Percent of Total Billed Charges,1543.91,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1676.98,92,,Percent of Total Billed Charges,1478.29,,1676.98,92,,Percent of Total Billed Charges,1356.16,,1676.98,92,,Percent of Total Billed Charges,1427.25,,1676.98,92,,Percent of Total Billed Charges,1478.29,,1421.78,78,,Percent of Total Billed Charges,1421.78,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,981.21,53.83,,Percent of Total Billed Charges,920.51,,631.42,34.64,,Percent of Total Billed Charges,628.87,,911.04,49.98,,Percent of Total Billed Charges,689.02,,631.42,1676.98,,																																							
HC CARDIAC SHUNT DETECTION,78428,CPT,,,,BOTH, , ,1739.85,1461.47,1217.9,92,,Percent of Total Billed Charges,1454.51,,1217.9,92,,Percent of Total Billed Charges,1428.42,,1217.9,92,,Percent of Total Billed Charges,1400.58,,1217.9,92,,Percent of Total Billed Charges,1452.77,,1217.9,92,,Percent of Total Billed Charges,1310.11,,1217.9,92,,Percent of Total Billed Charges,1087.41,,1565.87,90,,Percent of Total Billed Charges,868.19,,1548.47,89,,Percent of Total Billed Charges,835.13,,1433.64,82.4,,Percent of Total Billed Charges,1430.16,,1451.03,83.4,,Percent of Total Billed Charges,1353.6,,1451.03,83.4,,Percent of Total Billed Charges,1219.63,,1451.03,83.4,,Percent of Total Billed Charges,1416.24,,1565.87,90,,Percent of Total Billed Charges,1473.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1600.66,92,,Percent of Total Billed Charges,1411.02,,1600.66,92,,Percent of Total Billed Charges,1294.45,,1600.66,92,,Percent of Total Billed Charges,1362.3,,1600.66,92,,Percent of Total Billed Charges,1411.02,,1357.08,78,,Percent of Total Billed Charges,1357.08,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,936.56,53.83,,Percent of Total Billed Charges,878.62,,602.68,34.64,,Percent of Total Billed Charges,600.25,,869.58,49.98,,Percent of Total Billed Charges,657.66,,602.68,1600.66,,																																							
HC PULMONARY VENTILATION IMAGING,78579,CPT,,,,BOTH, , ,1936.2,1626.41,1355.34,92,,Percent of Total Billed Charges,1618.66,,1355.34,92,,Percent of Total Billed Charges,1589.62,,1355.34,92,,Percent of Total Billed Charges,1558.64,,1355.34,92,,Percent of Total Billed Charges,1616.73,,1355.34,92,,Percent of Total Billed Charges,1457.96,,1355.34,92,,Percent of Total Billed Charges,1210.13,,1742.58,90,,Percent of Total Billed Charges,966.16,,1723.22,89,,Percent of Total Billed Charges,929.38,,1595.43,82.4,,Percent of Total Billed Charges,1591.56,,1614.79,83.4,,Percent of Total Billed Charges,1506.36,,1614.79,83.4,,Percent of Total Billed Charges,1357.28,,1614.79,83.4,,Percent of Total Billed Charges,1576.07,,1742.58,90,,Percent of Total Billed Charges,1639.96,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1781.3,92,,Percent of Total Billed Charges,1570.26,,1781.3,92,,Percent of Total Billed Charges,1440.53,,1781.3,92,,Percent of Total Billed Charges,1516.04,,1781.3,92,,Percent of Total Billed Charges,1570.26,,1510.24,78,,Percent of Total Billed Charges,1510.24,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1042.26,53.83,,Percent of Total Billed Charges,977.78,,670.7,34.64,,Percent of Total Billed Charges,667.99,,967.71,49.98,,Percent of Total Billed Charges,731.88,,670.70,1781.3,,																																							
HC RP LOCLZJ TUM SPECT W/CT 1,78830,CPT,,,,BOTH, , ,6666.45,5599.82,4666.52,92,,Percent of Total Billed Charges,5573.15,,4666.52,92,,Percent of Total Billed Charges,5473.16,,4666.52,92,,Percent of Total Billed Charges,5366.49,,4666.52,92,,Percent of Total Billed Charges,5566.49,,4666.52,92,,Percent of Total Billed Charges,5019.84,,4666.52,92,,Percent of Total Billed Charges,4166.53,,5999.81,90,,Percent of Total Billed Charges,3326.56,,5933.14,89,,Percent of Total Billed Charges,3199.9,,5493.15,82.4,,Percent of Total Billed Charges,5479.82,,5559.82,83.4,,Percent of Total Billed Charges,5186.5,,5559.82,83.4,,Percent of Total Billed Charges,4673.18,,5559.82,83.4,,Percent of Total Billed Charges,5426.49,,5999.81,90,,Percent of Total Billed Charges,5646.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6133.13,92,,Percent of Total Billed Charges,5406.49,,6133.13,92,,Percent of Total Billed Charges,4959.84,,6133.13,92,,Percent of Total Billed Charges,5219.83,,6133.13,92,,Percent of Total Billed Charges,5406.49,,5199.83,78,,Percent of Total Billed Charges,5199.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3588.55,53.83,,Percent of Total Billed Charges,3366.56,,2309.26,34.64,,Percent of Total Billed Charges,2299.93,,3331.89,49.98,,Percent of Total Billed Charges,2519.92,,2309.26,6133.13,,																																							
HC PARATHYRD PLANAR W/SPECT&CT,78072,CPT,,,,BOTH, , ,3544.8,2977.63,2481.36,92,,Percent of Total Billed Charges,2963.45,,2481.36,92,,Percent of Total Billed Charges,2910.28,,2481.36,92,,Percent of Total Billed Charges,2853.56,,2481.36,92,,Percent of Total Billed Charges,2959.91,,2481.36,92,,Percent of Total Billed Charges,2669.23,,2481.36,92,,Percent of Total Billed Charges,2215.5,,3190.32,90,,Percent of Total Billed Charges,1768.86,,3154.87,89,,Percent of Total Billed Charges,1701.5,,2920.92,82.4,,Percent of Total Billed Charges,2913.83,,2956.36,83.4,,Percent of Total Billed Charges,2757.85,,2956.36,83.4,,Percent of Total Billed Charges,2484.9,,2956.36,83.4,,Percent of Total Billed Charges,2885.47,,3190.32,90,,Percent of Total Billed Charges,3002.45,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3261.22,92,,Percent of Total Billed Charges,2874.83,,3261.22,92,,Percent of Total Billed Charges,2637.33,,3261.22,92,,Percent of Total Billed Charges,2775.58,,3261.22,92,,Percent of Total Billed Charges,2874.83,,2764.94,78,,Percent of Total Billed Charges,2764.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1908.17,53.83,,Percent of Total Billed Charges,1790.12,,1227.92,34.64,,Percent of Total Billed Charges,1222.96,,1771.69,49.98,,Percent of Total Billed Charges,1339.93,,1227.92,3261.22,,																																							
HC KIDNEY IMG MORPHOLOGY VASCULAR FLOW MULTIPLE,78709,CPT,,,,BOTH, , ,2101.05,1764.88,1470.74,92,,Percent of Total Billed Charges,1756.48,,1470.74,92,,Percent of Total Billed Charges,1724.96,,1470.74,92,,Percent of Total Billed Charges,1691.35,,1470.74,92,,Percent of Total Billed Charges,1754.38,,1470.74,92,,Percent of Total Billed Charges,1582.09,,1470.74,92,,Percent of Total Billed Charges,1313.16,,1890.95,90,,Percent of Total Billed Charges,1048.42,,1869.93,89,,Percent of Total Billed Charges,1008.5,,1731.27,82.4,,Percent of Total Billed Charges,1727.06,,1752.28,83.4,,Percent of Total Billed Charges,1634.62,,1752.28,83.4,,Percent of Total Billed Charges,1472.84,,1752.28,83.4,,Percent of Total Billed Charges,1710.25,,1890.95,90,,Percent of Total Billed Charges,1779.59,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1932.97,92,,Percent of Total Billed Charges,1703.95,,1932.97,92,,Percent of Total Billed Charges,1563.18,,1932.97,92,,Percent of Total Billed Charges,1645.12,,1932.97,92,,Percent of Total Billed Charges,1703.95,,1638.82,78,,Percent of Total Billed Charges,1638.82,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1131,53.83,,Percent of Total Billed Charges,1061.03,,727.8,34.64,,Percent of Total Billed Charges,724.86,,1050.1,49.98,,Percent of Total Billed Charges,794.2,,727.80,1932.97,,																																							
HC INJ RADIOACTIVE TRACER FOR ID OF SENTINEL NODE,38792,CPT,,,,BOTH, , ,1548.75,1300.95,1424.85,92,,Percent of Total Billed Charges,1294.76,,1424.85,92,,Percent of Total Billed Charges,1271.52,,1424.85,92,,Percent of Total Billed Charges,1246.74,,1424.85,92,,Percent of Total Billed Charges,1293.21,,1424.85,92,,Percent of Total Billed Charges,1166.21,,1424.85,92,,Percent of Total Billed Charges,967.97,,1393.88,90,,Percent of Total Billed Charges,772.83,,1378.39,89,,Percent of Total Billed Charges,743.4,,1276.17,82.4,,Percent of Total Billed Charges,1273.07,,1291.66,83.4,,Percent of Total Billed Charges,1204.93,,1291.66,83.4,,Percent of Total Billed Charges,1085.67,,1291.66,83.4,,Percent of Total Billed Charges,1260.68,,1393.88,90,,Percent of Total Billed Charges,1311.79,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1424.85,92,,Percent of Total Billed Charges,1256.04,,1424.85,92,,Percent of Total Billed Charges,1152.27,,1424.85,92,,Percent of Total Billed Charges,1212.67,,1424.85,92,,Percent of Total Billed Charges,1256.04,,1208.03,78,,Percent of Total Billed Charges,1208.03,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,833.69,53.83,,Percent of Total Billed Charges,782.12,,536.49,34.64,,Percent of Total Billed Charges,534.32,,774.07,49.98,,Percent of Total Billed Charges,585.43,,536.49,1424.85,,																																							
HC IV INJ RA DRUG DX STUDY,78808,CPT,,,,BOTH, , ,1573.95,1322.12,1101.77,92,,Percent of Total Billed Charges,1315.82,,1101.77,92,,Percent of Total Billed Charges,1292.21,,1101.77,92,,Percent of Total Billed Charges,1267.03,,1101.77,92,,Percent of Total Billed Charges,1314.25,,1101.77,92,,Percent of Total Billed Charges,1185.18,,1101.77,92,,Percent of Total Billed Charges,983.72,,1416.56,90,,Percent of Total Billed Charges,785.4,,1400.82,89,,Percent of Total Billed Charges,755.5,,1296.93,82.4,,Percent of Total Billed Charges,1293.79,,1312.67,83.4,,Percent of Total Billed Charges,1224.53,,1312.67,83.4,,Percent of Total Billed Charges,1103.34,,1312.67,83.4,,Percent of Total Billed Charges,1281.2,,1416.56,90,,Percent of Total Billed Charges,1333.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1448.03,92,,Percent of Total Billed Charges,1276.47,,1448.03,92,,Percent of Total Billed Charges,1171.02,,1448.03,92,,Percent of Total Billed Charges,1232.4,,1448.03,92,,Percent of Total Billed Charges,1276.47,,1227.68,78,,Percent of Total Billed Charges,1227.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,847.26,53.83,,Percent of Total Billed Charges,794.84,,545.22,34.64,,Percent of Total Billed Charges,543.01,,786.66,49.98,,Percent of Total Billed Charges,594.95,,545.22,1448.03,,																																							
HC TC99M SESTAMIBI,A9500,CPT,,,,BOTH, , ,410.55,344.86,377.71,92,,Percent of Total Billed Charges,343.22,,377.71,92,,Percent of Total Billed Charges,337.06,,377.71,92,,Percent of Total Billed Charges,330.49,,377.71,92,,Percent of Total Billed Charges,342.81,,377.71,92,,Percent of Total Billed Charges,309.14,,377.71,92,,Percent of Total Billed Charges,256.59,,369.5,90,,Percent of Total Billed Charges,204.86,,365.39,89,,Percent of Total Billed Charges,197.06,,338.29,82.4,,Percent of Total Billed Charges,337.47,,342.4,83.4,,Percent of Total Billed Charges,319.41,,342.4,83.4,,Percent of Total Billed Charges,287.8,,342.4,83.4,,Percent of Total Billed Charges,334.19,,369.5,90,,Percent of Total Billed Charges,347.74,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,377.71,92,,Percent of Total Billed Charges,332.96,,377.71,92,,Percent of Total Billed Charges,305.45,,377.71,92,,Percent of Total Billed Charges,321.46,,377.71,92,,Percent of Total Billed Charges,332.96,,320.23,78,,Percent of Total Billed Charges,320.23,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,221,53.83,,Percent of Total Billed Charges,207.33,,142.21,34.64,,Percent of Total Billed Charges,141.64,,205.19,49.98,,Percent of Total Billed Charges,155.19,,142.21,377.71,,																																							
HC TCC99 MEDRONATE TO 30 MCI,A9503,CPT,,,,BOTH, , ,67.2,56.45,61.82,92,,Percent of Total Billed Charges,56.18,,61.82,92,,Percent of Total Billed Charges,55.17,,61.82,92,,Percent of Total Billed Charges,54.1,,61.82,92,,Percent of Total Billed Charges,56.11,,61.82,92,,Percent of Total Billed Charges,50.6,,61.82,92,,Percent of Total Billed Charges,42,,60.48,90,,Percent of Total Billed Charges,33.53,,59.81,89,,Percent of Total Billed Charges,32.26,,55.37,82.4,,Percent of Total Billed Charges,55.24,,56.04,83.4,,Percent of Total Billed Charges,52.28,,56.04,83.4,,Percent of Total Billed Charges,47.11,,56.04,83.4,,Percent of Total Billed Charges,54.7,,60.48,90,,Percent of Total Billed Charges,56.92,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,61.82,92,,Percent of Total Billed Charges,54.5,,61.82,92,,Percent of Total Billed Charges,50,,61.82,92,,Percent of Total Billed Charges,52.62,,61.82,92,,Percent of Total Billed Charges,54.5,,52.42,78,,Percent of Total Billed Charges,52.42,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,36.17,53.83,,Percent of Total Billed Charges,33.94,,23.28,34.64,,Percent of Total Billed Charges,23.18,,33.59,49.98,,Percent of Total Billed Charges,25.4,,23.28,61.82,,																																							
HC TL201 THALLIUM PER MCI,A9505,CPT,,,,BOTH, , ,166.95,140.24,153.59,92,,Percent of Total Billed Charges,139.57,,153.59,92,,Percent of Total Billed Charges,137.07,,153.59,92,,Percent of Total Billed Charges,134.39,,153.59,92,,Percent of Total Billed Charges,139.4,,153.59,92,,Percent of Total Billed Charges,125.71,,153.59,92,,Percent of Total Billed Charges,104.34,,150.26,90,,Percent of Total Billed Charges,83.31,,148.59,89,,Percent of Total Billed Charges,80.14,,137.57,82.4,,Percent of Total Billed Charges,137.23,,139.24,83.4,,Percent of Total Billed Charges,129.89,,139.24,83.4,,Percent of Total Billed Charges,117.03,,139.24,83.4,,Percent of Total Billed Charges,135.9,,150.26,90,,Percent of Total Billed Charges,141.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,153.59,92,,Percent of Total Billed Charges,135.4,,153.59,92,,Percent of Total Billed Charges,124.21,,153.59,92,,Percent of Total Billed Charges,130.72,,153.59,92,,Percent of Total Billed Charges,135.4,,130.22,78,,Percent of Total Billed Charges,130.22,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,89.87,53.83,,Percent of Total Billed Charges,84.31,,57.83,34.64,,Percent of Total Billed Charges,57.6,,83.44,49.98,,Percent of Total Billed Charges,63.11,,57.83,153.59,,																																							
HC TC99M DISOFENIN UP TO 15 MCI,A9510,CPT,,,,BOTH, , ,25.2,21.17,23.18,92,,Percent of Total Billed Charges,21.07,,23.18,92,,Percent of Total Billed Charges,20.69,,23.18,92,,Percent of Total Billed Charges,20.29,,23.18,92,,Percent of Total Billed Charges,21.04,,23.18,92,,Percent of Total Billed Charges,18.98,,23.18,92,,Percent of Total Billed Charges,15.75,,22.68,90,,Percent of Total Billed Charges,12.57,,22.43,89,,Percent of Total Billed Charges,12.1,,20.76,82.4,,Percent of Total Billed Charges,20.71,,21.02,83.4,,Percent of Total Billed Charges,19.61,,21.02,83.4,,Percent of Total Billed Charges,17.67,,21.02,83.4,,Percent of Total Billed Charges,20.51,,22.68,90,,Percent of Total Billed Charges,21.34,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,23.18,92,,Percent of Total Billed Charges,20.44,,23.18,92,,Percent of Total Billed Charges,18.75,,23.18,92,,Percent of Total Billed Charges,19.73,,23.18,92,,Percent of Total Billed Charges,20.44,,19.66,78,,Percent of Total Billed Charges,19.66,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,13.57,53.83,,Percent of Total Billed Charges,12.73,,8.73,34.64,,Percent of Total Billed Charges,8.69,,12.59,49.98,,Percent of Total Billed Charges,9.53,,8.73,23.18,,																																							
HC TC99M PERTECHNETATE,A9512,CPT,,,,BOTH, , ,338.1,284,311.05,92,,Percent of Total Billed Charges,282.65,,311.05,92,,Percent of Total Billed Charges,277.58,,311.05,92,,Percent of Total Billed Charges,272.17,,311.05,92,,Percent of Total Billed Charges,282.31,,311.05,92,,Percent of Total Billed Charges,254.59,,311.05,92,,Percent of Total Billed Charges,211.31,,304.29,90,,Percent of Total Billed Charges,168.71,,300.91,89,,Percent of Total Billed Charges,162.29,,278.59,82.4,,Percent of Total Billed Charges,277.92,,281.98,83.4,,Percent of Total Billed Charges,263.04,,281.98,83.4,,Percent of Total Billed Charges,237.01,,281.98,83.4,,Percent of Total Billed Charges,275.21,,304.29,90,,Percent of Total Billed Charges,286.37,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,311.05,92,,Percent of Total Billed Charges,274.2,,311.05,92,,Percent of Total Billed Charges,251.55,,311.05,92,,Percent of Total Billed Charges,264.73,,311.05,92,,Percent of Total Billed Charges,274.2,,263.72,78,,Percent of Total Billed Charges,263.72,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,182,53.83,,Percent of Total Billed Charges,170.74,,117.12,34.64,,Percent of Total Billed Charges,116.64,,168.98,49.98,,Percent of Total Billed Charges,127.8,,117.12,311.05,,																																							
HC IODINE I123 SOD IODIDE MIC,A9516,CPT,,,,BOTH, , ,499.8,419.83,459.82,92,,Percent of Total Billed Charges,417.83,,459.82,92,,Percent of Total Billed Charges,410.34,,459.82,92,,Percent of Total Billed Charges,402.34,,459.82,92,,Percent of Total Billed Charges,417.33,,459.82,92,,Percent of Total Billed Charges,376.35,,459.82,92,,Percent of Total Billed Charges,312.38,,449.82,90,,Percent of Total Billed Charges,249.4,,444.82,89,,Percent of Total Billed Charges,239.9,,411.84,82.4,,Percent of Total Billed Charges,410.84,,416.83,83.4,,Percent of Total Billed Charges,388.84,,416.83,83.4,,Percent of Total Billed Charges,350.36,,416.83,83.4,,Percent of Total Billed Charges,406.84,,449.82,90,,Percent of Total Billed Charges,423.33,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,459.82,92,,Percent of Total Billed Charges,405.34,,459.82,92,,Percent of Total Billed Charges,371.85,,459.82,92,,Percent of Total Billed Charges,391.34,,459.82,92,,Percent of Total Billed Charges,405.34,,389.84,78,,Percent of Total Billed Charges,389.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,269.04,53.83,,Percent of Total Billed Charges,252.4,,173.13,34.64,,Percent of Total Billed Charges,172.43,,249.8,49.98,,Percent of Total Billed Charges,188.92,,173.13,459.82,,																																							
HC TC99M EXAMETAZIME PER DOSE,A9521,CPT,,,,BOTH, , ,3042.9,2556.04,2799.47,92,,Percent of Total Billed Charges,2543.86,,2799.47,92,,Percent of Total Billed Charges,2498.22,,2799.47,92,,Percent of Total Billed Charges,2449.53,,2799.47,92,,Percent of Total Billed Charges,2540.82,,2799.47,92,,Percent of Total Billed Charges,2291.3,,2799.47,92,,Percent of Total Billed Charges,1901.81,,2738.61,90,,Percent of Total Billed Charges,1518.41,,2708.18,89,,Percent of Total Billed Charges,1460.59,,2507.35,82.4,,Percent of Total Billed Charges,2501.26,,2537.78,83.4,,Percent of Total Billed Charges,2367.38,,2537.78,83.4,,Percent of Total Billed Charges,2133.07,,2537.78,83.4,,Percent of Total Billed Charges,2476.92,,2738.61,90,,Percent of Total Billed Charges,2577.34,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2799.47,92,,Percent of Total Billed Charges,2467.79,,2799.47,92,,Percent of Total Billed Charges,2263.92,,2799.47,92,,Percent of Total Billed Charges,2382.59,,2799.47,92,,Percent of Total Billed Charges,2467.79,,2373.46,78,,Percent of Total Billed Charges,2373.46,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1637.99,53.83,,Percent of Total Billed Charges,1536.66,,1054.06,34.64,,Percent of Total Billed Charges,1049.8,,1520.84,49.98,,Percent of Total Billed Charges,1150.22,,1054.06,2799.47,,																																							
HC TC99M MEBROFENIN PER DOSE,A9537,CPT,,,,BOTH, , ,246.75,207.27,227.01,92,,Percent of Total Billed Charges,206.28,,227.01,92,,Percent of Total Billed Charges,202.58,,227.01,92,,Percent of Total Billed Charges,198.63,,227.01,92,,Percent of Total Billed Charges,206.04,,227.01,92,,Percent of Total Billed Charges,185.8,,227.01,92,,Percent of Total Billed Charges,154.22,,222.08,90,,Percent of Total Billed Charges,123.13,,219.61,89,,Percent of Total Billed Charges,118.44,,203.32,82.4,,Percent of Total Billed Charges,202.83,,205.79,83.4,,Percent of Total Billed Charges,191.97,,205.79,83.4,,Percent of Total Billed Charges,172.97,,205.79,83.4,,Percent of Total Billed Charges,200.85,,222.08,90,,Percent of Total Billed Charges,209,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,227.01,92,,Percent of Total Billed Charges,200.11,,227.01,92,,Percent of Total Billed Charges,183.58,,227.01,92,,Percent of Total Billed Charges,193.21,,227.01,92,,Percent of Total Billed Charges,200.11,,192.47,78,,Percent of Total Billed Charges,192.47,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,132.83,53.83,,Percent of Total Billed Charges,124.61,,85.47,34.64,,Percent of Total Billed Charges,85.13,,123.33,49.98,,Percent of Total Billed Charges,93.27,,85.47,227.01,,																																							
HC TC99M PYROPHOSPHATE PER DOSE,A9538,CPT,,,,BOTH, , ,337.05,283.12,310.09,92,,Percent of Total Billed Charges,281.77,,310.09,92,,Percent of Total Billed Charges,276.72,,310.09,92,,Percent of Total Billed Charges,271.33,,310.09,92,,Percent of Total Billed Charges,281.44,,310.09,92,,Percent of Total Billed Charges,253.8,,310.09,92,,Percent of Total Billed Charges,210.66,,303.35,90,,Percent of Total Billed Charges,168.19,,299.97,89,,Percent of Total Billed Charges,161.78,,277.73,82.4,,Percent of Total Billed Charges,277.06,,281.1,83.4,,Percent of Total Billed Charges,262.22,,281.1,83.4,,Percent of Total Billed Charges,236.27,,281.1,83.4,,Percent of Total Billed Charges,274.36,,303.35,90,,Percent of Total Billed Charges,285.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,310.09,92,,Percent of Total Billed Charges,273.35,,310.09,92,,Percent of Total Billed Charges,250.77,,310.09,92,,Percent of Total Billed Charges,263.91,,310.09,92,,Percent of Total Billed Charges,273.35,,262.9,78,,Percent of Total Billed Charges,262.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,181.43,53.83,,Percent of Total Billed Charges,170.21,,116.75,34.64,,Percent of Total Billed Charges,116.28,,168.46,49.98,,Percent of Total Billed Charges,127.4,,116.75,310.09,,																																							
HC TC99M PENTETATE PER DOSE,A9539,CPT,,,,BOTH, , ,246.75,207.27,227.01,92,,Percent of Total Billed Charges,206.28,,227.01,92,,Percent of Total Billed Charges,202.58,,227.01,92,,Percent of Total Billed Charges,198.63,,227.01,92,,Percent of Total Billed Charges,206.04,,227.01,92,,Percent of Total Billed Charges,185.8,,227.01,92,,Percent of Total Billed Charges,154.22,,222.08,90,,Percent of Total Billed Charges,123.13,,219.61,89,,Percent of Total Billed Charges,118.44,,203.32,82.4,,Percent of Total Billed Charges,202.83,,205.79,83.4,,Percent of Total Billed Charges,191.97,,205.79,83.4,,Percent of Total Billed Charges,172.97,,205.79,83.4,,Percent of Total Billed Charges,200.85,,222.08,90,,Percent of Total Billed Charges,209,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,227.01,92,,Percent of Total Billed Charges,200.11,,227.01,92,,Percent of Total Billed Charges,183.58,,227.01,92,,Percent of Total Billed Charges,193.21,,227.01,92,,Percent of Total Billed Charges,200.11,,192.47,78,,Percent of Total Billed Charges,192.47,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,132.83,53.83,,Percent of Total Billed Charges,124.61,,85.47,34.64,,Percent of Total Billed Charges,85.13,,123.33,49.98,,Percent of Total Billed Charges,93.27,,85.47,227.01,,																																							
HC TC99 MAA PER DOSE,A9540,CPT,,,,BOTH, , ,123.9,104.08,113.99,92,,Percent of Total Billed Charges,103.58,,113.99,92,,Percent of Total Billed Charges,101.72,,113.99,92,,Percent of Total Billed Charges,99.74,,113.99,92,,Percent of Total Billed Charges,103.46,,113.99,92,,Percent of Total Billed Charges,93.3,,113.99,92,,Percent of Total Billed Charges,77.44,,111.51,90,,Percent of Total Billed Charges,61.83,,110.27,89,,Percent of Total Billed Charges,59.47,,102.09,82.4,,Percent of Total Billed Charges,101.85,,103.33,83.4,,Percent of Total Billed Charges,96.39,,103.33,83.4,,Percent of Total Billed Charges,86.85,,103.33,83.4,,Percent of Total Billed Charges,100.85,,111.51,90,,Percent of Total Billed Charges,104.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,113.99,92,,Percent of Total Billed Charges,100.48,,113.99,92,,Percent of Total Billed Charges,92.18,,113.99,92,,Percent of Total Billed Charges,97.01,,113.99,92,,Percent of Total Billed Charges,100.48,,96.64,78,,Percent of Total Billed Charges,96.64,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,66.7,53.83,,Percent of Total Billed Charges,62.57,,42.92,34.64,,Percent of Total Billed Charges,42.75,,61.93,49.98,,Percent of Total Billed Charges,46.83,,42.92,113.99,,																																							
HC TC99M SULFUR COLLOID PER DOSE,A9541,CPT,,,,BOTH, , ,1062.6,892.58,977.59,92,,Percent of Total Billed Charges,888.33,,977.59,92,,Percent of Total Billed Charges,872.39,,977.59,92,,Percent of Total Billed Charges,855.39,,977.59,92,,Percent of Total Billed Charges,887.27,,977.59,92,,Percent of Total Billed Charges,800.14,,977.59,92,,Percent of Total Billed Charges,664.13,,956.34,90,,Percent of Total Billed Charges,530.24,,945.71,89,,Percent of Total Billed Charges,510.05,,875.58,82.4,,Percent of Total Billed Charges,873.46,,886.21,83.4,,Percent of Total Billed Charges,826.7,,886.21,83.4,,Percent of Total Billed Charges,744.88,,886.21,83.4,,Percent of Total Billed Charges,864.96,,956.34,90,,Percent of Total Billed Charges,900.02,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,977.59,92,,Percent of Total Billed Charges,861.77,,977.59,92,,Percent of Total Billed Charges,790.57,,977.59,92,,Percent of Total Billed Charges,832.02,,977.59,92,,Percent of Total Billed Charges,861.77,,828.83,78,,Percent of Total Billed Charges,828.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,572,53.83,,Percent of Total Billed Charges,536.61,,368.08,34.64,,Percent of Total Billed Charges,366.6,,531.09,49.98,,Percent of Total Billed Charges,401.66,,368.08,977.59,,																																							
HC INDIUM IN 111 OXYQUINOLINE PER .5 MCI,A9547,CPT,,,,BOTH, , ,2944.2,2473.13,2708.66,92,,Percent of Total Billed Charges,2461.35,,2708.66,92,,Percent of Total Billed Charges,2417.19,,2708.66,92,,Percent of Total Billed Charges,2370.08,,2708.66,92,,Percent of Total Billed Charges,2458.41,,2708.66,92,,Percent of Total Billed Charges,2216.98,,2708.66,92,,Percent of Total Billed Charges,1840.13,,2649.78,90,,Percent of Total Billed Charges,1469.16,,2620.34,89,,Percent of Total Billed Charges,1413.22,,2426.02,82.4,,Percent of Total Billed Charges,2420.13,,2455.46,83.4,,Percent of Total Billed Charges,2290.59,,2455.46,83.4,,Percent of Total Billed Charges,2063.88,,2455.46,83.4,,Percent of Total Billed Charges,2396.58,,2649.78,90,,Percent of Total Billed Charges,2493.74,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2708.66,92,,Percent of Total Billed Charges,2387.75,,2708.66,92,,Percent of Total Billed Charges,2190.48,,2708.66,92,,Percent of Total Billed Charges,2305.31,,2708.66,92,,Percent of Total Billed Charges,2387.75,,2296.48,78,,Percent of Total Billed Charges,2296.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1584.86,53.83,,Percent of Total Billed Charges,1486.82,,1019.87,34.64,,Percent of Total Billed Charges,1015.75,,1471.51,49.98,,Percent of Total Billed Charges,1112.91,,1019.87,2708.66,,																																							
HC IN111 PENTETATE,A9548,CPT,,,,BOTH, , ,3991.05,3352.48,3671.77,92,,Percent of Total Billed Charges,3336.52,,3671.77,92,,Percent of Total Billed Charges,3276.65,,3671.77,92,,Percent of Total Billed Charges,3212.8,,3671.77,92,,Percent of Total Billed Charges,3332.53,,3671.77,92,,Percent of Total Billed Charges,3005.26,,3671.77,92,,Percent of Total Billed Charges,2494.41,,3591.95,90,,Percent of Total Billed Charges,1991.53,,3552.03,89,,Percent of Total Billed Charges,1915.7,,3288.63,82.4,,Percent of Total Billed Charges,3280.64,,3328.54,83.4,,Percent of Total Billed Charges,3105.04,,3328.54,83.4,,Percent of Total Billed Charges,2797.73,,3328.54,83.4,,Percent of Total Billed Charges,3248.71,,3591.95,90,,Percent of Total Billed Charges,3380.42,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3671.77,92,,Percent of Total Billed Charges,3236.74,,3671.77,92,,Percent of Total Billed Charges,2969.34,,3671.77,92,,Percent of Total Billed Charges,3124.99,,3671.77,92,,Percent of Total Billed Charges,3236.74,,3113.02,78,,Percent of Total Billed Charges,3113.02,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2148.38,53.83,,Percent of Total Billed Charges,2015.48,,1382.5,34.64,,Percent of Total Billed Charges,1376.91,,1994.73,49.98,,Percent of Total Billed Charges,1508.62,,1382.50,3671.77,,																																							
HC F18 FDG,A9552,CPT,,,,BOTH, , ,247.8,208.15,227.98,92,,Percent of Total Billed Charges,207.16,,227.98,92,,Percent of Total Billed Charges,203.44,,227.98,92,,Percent of Total Billed Charges,199.48,,227.98,92,,Percent of Total Billed Charges,206.91,,227.98,92,,Percent of Total Billed Charges,186.59,,227.98,92,,Percent of Total Billed Charges,154.88,,223.02,90,,Percent of Total Billed Charges,123.65,,220.54,89,,Percent of Total Billed Charges,118.94,,204.19,82.4,,Percent of Total Billed Charges,203.69,,206.67,83.4,,Percent of Total Billed Charges,192.79,,206.67,83.4,,Percent of Total Billed Charges,173.71,,206.67,83.4,,Percent of Total Billed Charges,201.71,,223.02,90,,Percent of Total Billed Charges,209.89,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,227.98,92,,Percent of Total Billed Charges,200.97,,227.98,92,,Percent of Total Billed Charges,184.36,,227.98,92,,Percent of Total Billed Charges,194.03,,227.98,92,,Percent of Total Billed Charges,200.97,,193.28,78,,Percent of Total Billed Charges,193.28,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,133.39,53.83,,Percent of Total Billed Charges,125.14,,85.84,34.64,,Percent of Total Billed Charges,85.49,,123.85,49.98,,Percent of Total Billed Charges,93.67,,85.84,227.98,,																																							
HC GA67 GALLIUM PER MCI,A9556,CPT,,,,BOTH, , ,226.8,190.51,208.66,92,,Percent of Total Billed Charges,189.6,,208.66,92,,Percent of Total Billed Charges,186.2,,208.66,92,,Percent of Total Billed Charges,182.57,,208.66,92,,Percent of Total Billed Charges,189.38,,208.66,92,,Percent of Total Billed Charges,170.78,,208.66,92,,Percent of Total Billed Charges,141.75,,204.12,90,,Percent of Total Billed Charges,113.17,,201.85,89,,Percent of Total Billed Charges,108.86,,186.88,82.4,,Percent of Total Billed Charges,186.43,,189.15,83.4,,Percent of Total Billed Charges,176.45,,189.15,83.4,,Percent of Total Billed Charges,158.99,,189.15,83.4,,Percent of Total Billed Charges,184.62,,204.12,90,,Percent of Total Billed Charges,192.1,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,208.66,92,,Percent of Total Billed Charges,183.93,,208.66,92,,Percent of Total Billed Charges,168.74,,208.66,92,,Percent of Total Billed Charges,177.58,,208.66,92,,Percent of Total Billed Charges,183.93,,176.9,78,,Percent of Total Billed Charges,176.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,122.09,53.83,,Percent of Total Billed Charges,114.53,,78.56,34.64,,Percent of Total Billed Charges,78.25,,113.35,49.98,,Percent of Total Billed Charges,85.73,,78.56,208.66,,																																							
HC TC99M BICISATE,A9557,CPT,,,,BOTH, , ,6223.35,5227.61,5725.48,92,,Percent of Total Billed Charges,5202.72,,5725.48,92,,Percent of Total Billed Charges,5109.37,,5725.48,92,,Percent of Total Billed Charges,5009.8,,5725.48,92,,Percent of Total Billed Charges,5196.5,,5725.48,92,,Percent of Total Billed Charges,4686.18,,5725.48,92,,Percent of Total Billed Charges,3889.59,,5601.02,90,,Percent of Total Billed Charges,3105.45,,5538.78,89,,Percent of Total Billed Charges,2987.21,,5128.04,82.4,,Percent of Total Billed Charges,5115.59,,5190.27,83.4,,Percent of Total Billed Charges,4841.77,,5190.27,83.4,,Percent of Total Billed Charges,4362.57,,5190.27,83.4,,Percent of Total Billed Charges,5065.81,,5601.02,90,,Percent of Total Billed Charges,5271.18,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5725.48,92,,Percent of Total Billed Charges,5047.14,,5725.48,92,,Percent of Total Billed Charges,4630.17,,5725.48,92,,Percent of Total Billed Charges,4872.88,,5725.48,92,,Percent of Total Billed Charges,5047.14,,4854.21,78,,Percent of Total Billed Charges,4854.21,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3350.03,53.83,,Percent of Total Billed Charges,3142.79,,2155.77,34.64,,Percent of Total Billed Charges,2147.06,,3110.43,49.98,,Percent of Total Billed Charges,2352.43,,2155.77,5725.48,,																																							
HC TC99M LABELED RBC,A9560,CPT,,,,BOTH, , ,431.55,362.5,397.03,92,,Percent of Total Billed Charges,360.78,,397.03,92,,Percent of Total Billed Charges,354.3,,397.03,92,,Percent of Total Billed Charges,347.4,,397.03,92,,Percent of Total Billed Charges,360.34,,397.03,92,,Percent of Total Billed Charges,324.96,,397.03,92,,Percent of Total Billed Charges,269.72,,388.4,90,,Percent of Total Billed Charges,215.34,,384.08,89,,Percent of Total Billed Charges,207.14,,355.6,82.4,,Percent of Total Billed Charges,354.73,,359.91,83.4,,Percent of Total Billed Charges,335.75,,359.91,83.4,,Percent of Total Billed Charges,302.52,,359.91,83.4,,Percent of Total Billed Charges,351.28,,388.4,90,,Percent of Total Billed Charges,365.52,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,397.03,92,,Percent of Total Billed Charges,349.99,,397.03,92,,Percent of Total Billed Charges,321.07,,397.03,92,,Percent of Total Billed Charges,337.9,,397.03,92,,Percent of Total Billed Charges,349.99,,336.61,78,,Percent of Total Billed Charges,336.61,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,232.3,53.83,,Percent of Total Billed Charges,217.93,,149.49,34.64,,Percent of Total Billed Charges,148.88,,215.69,49.98,,Percent of Total Billed Charges,163.13,,149.49,397.03,,																																							
HC TC99M MERTIATIDE,A9562,CPT,,,,BOTH, , ,809.55,680.02,744.79,92,,Percent of Total Billed Charges,676.78,,744.79,92,,Percent of Total Billed Charges,664.64,,744.79,92,,Percent of Total Billed Charges,651.69,,744.79,92,,Percent of Total Billed Charges,675.97,,744.79,92,,Percent of Total Billed Charges,609.59,,744.79,92,,Percent of Total Billed Charges,505.97,,728.6,90,,Percent of Total Billed Charges,403.97,,720.5,89,,Percent of Total Billed Charges,388.58,,667.07,82.4,,Percent of Total Billed Charges,665.45,,675.16,83.4,,Percent of Total Billed Charges,629.83,,675.16,83.4,,Percent of Total Billed Charges,567.49,,675.16,83.4,,Percent of Total Billed Charges,658.97,,728.6,90,,Percent of Total Billed Charges,685.69,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,744.79,92,,Percent of Total Billed Charges,656.55,,744.79,92,,Percent of Total Billed Charges,602.31,,744.79,92,,Percent of Total Billed Charges,633.88,,744.79,92,,Percent of Total Billed Charges,656.55,,631.45,78,,Percent of Total Billed Charges,631.45,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,435.78,53.83,,Percent of Total Billed Charges,408.82,,280.43,34.64,,Percent of Total Billed Charges,279.29,,404.61,49.98,,Percent of Total Billed Charges,306.01,,280.43,744.79,,																																							
HC INDIUM IN111 PENTETREOTIDE,A9572,CPT,,,,BOTH, , ,5152.35,4327.97,4740.16,92,,Percent of Total Billed Charges,4307.36,,4740.16,92,,Percent of Total Billed Charges,4230.08,,4740.16,92,,Percent of Total Billed Charges,4147.64,,4740.16,92,,Percent of Total Billed Charges,4302.21,,4740.16,92,,Percent of Total Billed Charges,3879.72,,4740.16,92,,Percent of Total Billed Charges,3220.22,,4637.12,90,,Percent of Total Billed Charges,2571.02,,4585.59,89,,Percent of Total Billed Charges,2473.13,,4245.54,82.4,,Percent of Total Billed Charges,4235.23,,4297.06,83.4,,Percent of Total Billed Charges,4008.53,,4297.06,83.4,,Percent of Total Billed Charges,3611.8,,4297.06,83.4,,Percent of Total Billed Charges,4194.01,,4637.12,90,,Percent of Total Billed Charges,4364.04,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4740.16,92,,Percent of Total Billed Charges,4178.56,,4740.16,92,,Percent of Total Billed Charges,3833.35,,4740.16,92,,Percent of Total Billed Charges,4034.29,,4740.16,92,,Percent of Total Billed Charges,4178.56,,4018.83,78,,Percent of Total Billed Charges,4018.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2773.51,53.83,,Percent of Total Billed Charges,2601.94,,1784.77,34.64,,Percent of Total Billed Charges,1777.56,,2575.14,49.98,,Percent of Total Billed Charges,1947.59,,1784.77,4740.16,,																																							
HC IODIN 1131 SODIUM CAP DX MCI,A9528,CPT,,,,BOTH, , ,11.55,9.7,10.63,92,,Percent of Total Billed Charges,9.66,,10.63,92,,Percent of Total Billed Charges,9.48,,10.63,92,,Percent of Total Billed Charges,9.3,,10.63,92,,Percent of Total Billed Charges,9.64,,10.63,92,,Percent of Total Billed Charges,8.7,,10.63,92,,Percent of Total Billed Charges,7.22,,10.4,90,,Percent of Total Billed Charges,5.76,,10.28,89,,Percent of Total Billed Charges,5.54,,9.52,82.4,,Percent of Total Billed Charges,9.49,,9.63,83.4,,Percent of Total Billed Charges,8.99,,9.63,83.4,,Percent of Total Billed Charges,8.1,,9.63,83.4,,Percent of Total Billed Charges,9.4,,10.4,90,,Percent of Total Billed Charges,9.78,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,10.63,92,,Percent of Total Billed Charges,9.37,,10.63,92,,Percent of Total Billed Charges,8.59,,10.63,92,,Percent of Total Billed Charges,9.04,,10.63,92,,Percent of Total Billed Charges,9.37,,9.01,78,,Percent of Total Billed Charges,9.01,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6.22,53.83,,Percent of Total Billed Charges,5.83,,4,34.64,,Percent of Total Billed Charges,3.98,,5.77,49.98,,Percent of Total Billed Charges,4.37,,4.00,10.63,,																																							
HC IODIN 1131 SODIUM SOL DX MCI,A9529,CPT,,,,BOTH, , ,11.55,9.7,10.63,92,,Percent of Total Billed Charges,9.66,,10.63,92,,Percent of Total Billed Charges,9.48,,10.63,92,,Percent of Total Billed Charges,9.3,,10.63,92,,Percent of Total Billed Charges,9.64,,10.63,92,,Percent of Total Billed Charges,8.7,,10.63,92,,Percent of Total Billed Charges,7.22,,10.4,90,,Percent of Total Billed Charges,5.76,,10.28,89,,Percent of Total Billed Charges,5.54,,9.52,82.4,,Percent of Total Billed Charges,9.49,,9.63,83.4,,Percent of Total Billed Charges,8.99,,9.63,83.4,,Percent of Total Billed Charges,8.1,,9.63,83.4,,Percent of Total Billed Charges,9.4,,10.4,90,,Percent of Total Billed Charges,9.78,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,10.63,92,,Percent of Total Billed Charges,9.37,,10.63,92,,Percent of Total Billed Charges,8.59,,10.63,92,,Percent of Total Billed Charges,9.04,,10.63,92,,Percent of Total Billed Charges,9.37,,9.01,78,,Percent of Total Billed Charges,9.01,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6.22,53.83,,Percent of Total Billed Charges,5.83,,4,34.64,,Percent of Total Billed Charges,3.98,,5.77,49.98,,Percent of Total Billed Charges,4.37,,4.00,10.63,,																																							
HC I123 PER MCI THY MET A9509,A9509,CPT,,,,BOTH, , ,905.1,760.28,832.69,92,,Percent of Total Billed Charges,756.66,,832.69,92,,Percent of Total Billed Charges,743.09,,832.69,92,,Percent of Total Billed Charges,728.61,,832.69,92,,Percent of Total Billed Charges,755.76,,832.69,92,,Percent of Total Billed Charges,681.54,,832.69,92,,Percent of Total Billed Charges,565.69,,814.59,90,,Percent of Total Billed Charges,451.64,,805.54,89,,Percent of Total Billed Charges,434.45,,745.8,82.4,,Percent of Total Billed Charges,743.99,,754.85,83.4,,Percent of Total Billed Charges,704.17,,754.85,83.4,,Percent of Total Billed Charges,634.48,,754.85,83.4,,Percent of Total Billed Charges,736.75,,814.59,90,,Percent of Total Billed Charges,766.62,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,832.69,92,,Percent of Total Billed Charges,734.04,,832.69,92,,Percent of Total Billed Charges,673.39,,832.69,92,,Percent of Total Billed Charges,708.69,,832.69,92,,Percent of Total Billed Charges,734.04,,705.98,78,,Percent of Total Billed Charges,705.98,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,487.22,53.83,,Percent of Total Billed Charges,457.08,,313.53,34.64,,Percent of Total Billed Charges,312.26,,452.37,49.98,,Percent of Total Billed Charges,342.13,,313.53,832.69,,																																							
HC NAF18 A9580,A9580,CPT,,,,BOTH, , ,247.8,208.15,227.98,92,,Percent of Total Billed Charges,207.16,,227.98,92,,Percent of Total Billed Charges,203.44,,227.98,92,,Percent of Total Billed Charges,199.48,,227.98,92,,Percent of Total Billed Charges,206.91,,227.98,92,,Percent of Total Billed Charges,186.59,,227.98,92,,Percent of Total Billed Charges,154.88,,223.02,90,,Percent of Total Billed Charges,123.65,,220.54,89,,Percent of Total Billed Charges,118.94,,204.19,82.4,,Percent of Total Billed Charges,203.69,,206.67,83.4,,Percent of Total Billed Charges,192.79,,206.67,83.4,,Percent of Total Billed Charges,173.71,,206.67,83.4,,Percent of Total Billed Charges,201.71,,223.02,90,,Percent of Total Billed Charges,209.89,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,227.98,92,,Percent of Total Billed Charges,200.97,,227.98,92,,Percent of Total Billed Charges,184.36,,227.98,92,,Percent of Total Billed Charges,194.03,,227.98,92,,Percent of Total Billed Charges,200.97,,193.28,78,,Percent of Total Billed Charges,193.28,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,133.39,53.83,,Percent of Total Billed Charges,125.14,,85.84,34.64,,Percent of Total Billed Charges,85.49,,123.85,49.98,,Percent of Total Billed Charges,93.67,,85.84,227.98,,																																							
HC TC99M CERETEC WBC PER DOSE,A9569,CPT,,,,BOTH, , ,3042.9,2556.04,2799.47,92,,Percent of Total Billed Charges,2543.86,,2799.47,92,,Percent of Total Billed Charges,2498.22,,2799.47,92,,Percent of Total Billed Charges,2449.53,,2799.47,92,,Percent of Total Billed Charges,2540.82,,2799.47,92,,Percent of Total Billed Charges,2291.3,,2799.47,92,,Percent of Total Billed Charges,1901.81,,2738.61,90,,Percent of Total Billed Charges,1518.41,,2708.18,89,,Percent of Total Billed Charges,1460.59,,2507.35,82.4,,Percent of Total Billed Charges,2501.26,,2537.78,83.4,,Percent of Total Billed Charges,2367.38,,2537.78,83.4,,Percent of Total Billed Charges,2133.07,,2537.78,83.4,,Percent of Total Billed Charges,2476.92,,2738.61,90,,Percent of Total Billed Charges,2577.34,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2799.47,92,,Percent of Total Billed Charges,2467.79,,2799.47,92,,Percent of Total Billed Charges,2263.92,,2799.47,92,,Percent of Total Billed Charges,2382.59,,2799.47,92,,Percent of Total Billed Charges,2467.79,,2373.46,78,,Percent of Total Billed Charges,2373.46,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1637.99,53.83,,Percent of Total Billed Charges,1536.66,,1054.06,34.64,,Percent of Total Billed Charges,1049.8,,1520.84,49.98,,Percent of Total Billed Charges,1150.22,,1054.06,2799.47,,																																							
HC TC99M DTPA AEROSOL,A9567,CPT,,,,BOTH, , ,246.75,207.27,227.01,92,,Percent of Total Billed Charges,206.28,,227.01,92,,Percent of Total Billed Charges,202.58,,227.01,92,,Percent of Total Billed Charges,198.63,,227.01,92,,Percent of Total Billed Charges,206.04,,227.01,92,,Percent of Total Billed Charges,185.8,,227.01,92,,Percent of Total Billed Charges,154.22,,222.08,90,,Percent of Total Billed Charges,123.13,,219.61,89,,Percent of Total Billed Charges,118.44,,203.32,82.4,,Percent of Total Billed Charges,202.83,,205.79,83.4,,Percent of Total Billed Charges,191.97,,205.79,83.4,,Percent of Total Billed Charges,172.97,,205.79,83.4,,Percent of Total Billed Charges,200.85,,222.08,90,,Percent of Total Billed Charges,209,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,227.01,92,,Percent of Total Billed Charges,200.11,,227.01,92,,Percent of Total Billed Charges,183.58,,227.01,92,,Percent of Total Billed Charges,193.21,,227.01,92,,Percent of Total Billed Charges,200.11,,192.47,78,,Percent of Total Billed Charges,192.47,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,132.83,53.83,,Percent of Total Billed Charges,124.61,,85.47,34.64,,Percent of Total Billed Charges,85.13,,123.33,49.98,,Percent of Total Billed Charges,93.27,,85.47,227.01,,																																							
HC I131 IODIDE CAP, RX,A9517,CPT,,,,BOTH, , ,140.7,118.19,129.44,92,,Percent of Total Billed Charges,117.63,,129.44,92,,Percent of Total Billed Charges,115.51,,129.44,92,,Percent of Total Billed Charges,113.26,,129.44,92,,Percent of Total Billed Charges,117.48,,129.44,92,,Percent of Total Billed Charges,105.95,,129.44,92,,Percent of Total Billed Charges,87.94,,126.63,90,,Percent of Total Billed Charges,70.21,,125.22,89,,Percent of Total Billed Charges,67.54,,115.94,82.4,,Percent of Total Billed Charges,115.66,,117.34,83.4,,Percent of Total Billed Charges,109.46,,117.34,83.4,,Percent of Total Billed Charges,98.63,,117.34,83.4,,Percent of Total Billed Charges,114.53,,126.63,90,,Percent of Total Billed Charges,119.17,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,129.44,92,,Percent of Total Billed Charges,114.11,,129.44,92,,Percent of Total Billed Charges,104.68,,129.44,92,,Percent of Total Billed Charges,110.17,,129.44,92,,Percent of Total Billed Charges,114.11,,109.75,78,,Percent of Total Billed Charges,109.75,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,75.74,53.83,,Percent of Total Billed Charges,71.05,,48.74,34.64,,Percent of Total Billed Charges,48.54,,70.32,49.98,,Percent of Total Billed Charges,53.18,,48.74,129.44,,																																							
HC SR89 STRONTIUM,A9600,CPT,,,,BOTH, , ,11504.85,9664.07,10584.46,92,,Percent of Total Billed Charges,9618.05,,10584.46,92,,Percent of Total Billed Charges,9445.48,,10584.46,92,,Percent of Total Billed Charges,9261.4,,10584.46,92,,Percent of Total Billed Charges,9606.55,,10584.46,92,,Percent of Total Billed Charges,8663.15,,10584.46,92,,Percent of Total Billed Charges,7190.53,,10354.37,90,,Percent of Total Billed Charges,5740.92,,10239.32,89,,Percent of Total Billed Charges,5522.33,,9480,82.4,,Percent of Total Billed Charges,9456.99,,9595.04,83.4,,Percent of Total Billed Charges,8950.77,,9595.04,83.4,,Percent of Total Billed Charges,8064.9,,9595.04,83.4,,Percent of Total Billed Charges,9364.95,,10354.37,90,,Percent of Total Billed Charges,9744.61,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,10584.46,92,,Percent of Total Billed Charges,9330.43,,10584.46,92,,Percent of Total Billed Charges,8559.61,,10584.46,92,,Percent of Total Billed Charges,9008.3,,10584.46,92,,Percent of Total Billed Charges,9330.43,,8973.78,78,,Percent of Total Billed Charges,8973.78,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6193.06,53.83,,Percent of Total Billed Charges,5809.95,,3985.28,34.64,,Percent of Total Billed Charges,3969.17,,5750.12,49.98,,Percent of Total Billed Charges,4348.83,,3985.28,10584.46,,																																							
HC ABD/PEL W/O CONTRAST,74176,CPT,,,,BOTH, , ,3882.9,3261.64,2718.03,92,,Percent of Total Billed Charges,3246.1,,2718.03,92,,Percent of Total Billed Charges,3187.86,,2718.03,92,,Percent of Total Billed Charges,3125.73,,2718.03,92,,Percent of Total Billed Charges,3242.22,,2718.03,92,,Percent of Total Billed Charges,2923.82,,2718.03,92,,Percent of Total Billed Charges,2426.81,,3494.61,90,,Percent of Total Billed Charges,1937.57,,3455.78,89,,Percent of Total Billed Charges,1863.79,,3199.51,82.4,,Percent of Total Billed Charges,3191.74,,3238.34,83.4,,Percent of Total Billed Charges,3020.9,,3238.34,83.4,,Percent of Total Billed Charges,2721.91,,3238.34,83.4,,Percent of Total Billed Charges,3160.68,,3494.61,90,,Percent of Total Billed Charges,3288.82,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3572.27,92,,Percent of Total Billed Charges,3149.03,,3572.27,92,,Percent of Total Billed Charges,2888.88,,3572.27,92,,Percent of Total Billed Charges,3040.31,,3572.27,92,,Percent of Total Billed Charges,3149.03,,3028.66,78,,Percent of Total Billed Charges,3028.66,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2090.17,53.83,,Percent of Total Billed Charges,1960.86,,1345.04,34.64,,Percent of Total Billed Charges,1339.6,,1940.67,49.98,,Percent of Total Billed Charges,1467.74,,1345.04,3572.27,,																																							
HC ABD/PEL W CONTRAST,74177,CPT,,,,BOTH, , ,5999.7,5039.75,4199.79,92,,Percent of Total Billed Charges,5015.75,,4199.79,92,,Percent of Total Billed Charges,4925.75,,4199.79,92,,Percent of Total Billed Charges,4829.76,,4199.79,92,,Percent of Total Billed Charges,5009.75,,4199.79,92,,Percent of Total Billed Charges,4517.77,,4199.79,92,,Percent of Total Billed Charges,3749.81,,5399.73,90,,Percent of Total Billed Charges,2993.85,,5339.73,89,,Percent of Total Billed Charges,2879.86,,4943.75,82.4,,Percent of Total Billed Charges,4931.75,,5003.75,83.4,,Percent of Total Billed Charges,4667.77,,5003.75,83.4,,Percent of Total Billed Charges,4205.79,,5003.75,83.4,,Percent of Total Billed Charges,4883.76,,5399.73,90,,Percent of Total Billed Charges,5081.75,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5519.72,92,,Percent of Total Billed Charges,4865.76,,5519.72,92,,Percent of Total Billed Charges,4463.78,,5519.72,92,,Percent of Total Billed Charges,4697.77,,5519.72,92,,Percent of Total Billed Charges,4865.76,,4679.77,78,,Percent of Total Billed Charges,4679.77,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3229.64,53.83,,Percent of Total Billed Charges,3029.85,,2078.3,34.64,,Percent of Total Billed Charges,2069.9,,2998.65,49.98,,Percent of Total Billed Charges,2267.89,,2078.30,5519.72,,																																							
HC ABD/PEL W&W/O CONTRAST,74178,CPT,,,,BOTH, , ,668.85,561.83,468.2,92,,Percent of Total Billed Charges,559.16,,468.2,92,,Percent of Total Billed Charges,549.13,,468.2,92,,Percent of Total Billed Charges,538.42,,468.2,92,,Percent of Total Billed Charges,558.49,,468.2,92,,Percent of Total Billed Charges,503.64,,468.2,92,,Percent of Total Billed Charges,418.03,,601.97,90,,Percent of Total Billed Charges,333.76,,595.28,89,,Percent of Total Billed Charges,321.05,,551.13,82.4,,Percent of Total Billed Charges,549.79,,557.82,83.4,,Percent of Total Billed Charges,520.37,,557.82,83.4,,Percent of Total Billed Charges,468.86,,557.82,83.4,,Percent of Total Billed Charges,544.44,,601.97,90,,Percent of Total Billed Charges,566.52,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,615.34,92,,Percent of Total Billed Charges,542.44,,615.34,92,,Percent of Total Billed Charges,497.62,,615.34,92,,Percent of Total Billed Charges,523.71,,615.34,92,,Percent of Total Billed Charges,542.44,,521.7,78,,Percent of Total Billed Charges,521.7,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,360.04,53.83,,Percent of Total Billed Charges,337.77,,231.69,34.64,,Percent of Total Billed Charges,230.75,,334.29,49.98,,Percent of Total Billed Charges,252.83,,231.69,615.34,,																																							
HC COLONOGRAPHY W/O CONTRAST,74261,CPT,,,,BOTH, , ,131.25,110.25,91.88,92,,Percent of Total Billed Charges,109.73,,91.88,92,,Percent of Total Billed Charges,107.76,,91.88,92,,Percent of Total Billed Charges,105.66,,91.88,92,,Percent of Total Billed Charges,109.59,,91.88,92,,Percent of Total Billed Charges,98.83,,91.88,92,,Percent of Total Billed Charges,82.03,,118.13,90,,Percent of Total Billed Charges,65.49,,116.81,89,,Percent of Total Billed Charges,63,,108.15,82.4,,Percent of Total Billed Charges,107.89,,109.46,83.4,,Percent of Total Billed Charges,102.11,,109.46,83.4,,Percent of Total Billed Charges,92.01,,109.46,83.4,,Percent of Total Billed Charges,106.84,,118.13,90,,Percent of Total Billed Charges,111.17,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,120.75,92,,Percent of Total Billed Charges,106.44,,120.75,92,,Percent of Total Billed Charges,97.65,,120.75,92,,Percent of Total Billed Charges,102.77,,120.75,92,,Percent of Total Billed Charges,106.44,,102.38,78,,Percent of Total Billed Charges,102.38,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,70.65,53.83,,Percent of Total Billed Charges,66.28,,45.47,34.64,,Percent of Total Billed Charges,45.28,,65.6,49.98,,Percent of Total Billed Charges,49.61,,45.47,120.75,,																																							
HC COLONOGRAPHY SCREENING,74263,CPT,,,,BOTH, , ,320.25,269.01,224.18,92,,Percent of Total Billed Charges,267.73,,224.18,92,,Percent of Total Billed Charges,262.93,,224.18,92,,Percent of Total Billed Charges,257.8,,224.18,92,,Percent of Total Billed Charges,267.41,,224.18,92,,Percent of Total Billed Charges,241.15,,224.18,92,,Percent of Total Billed Charges,200.16,,288.23,90,,Percent of Total Billed Charges,159.8,,285.02,89,,Percent of Total Billed Charges,153.72,,263.89,82.4,,Percent of Total Billed Charges,263.25,,267.09,83.4,,Percent of Total Billed Charges,249.15,,267.09,83.4,,Percent of Total Billed Charges,224.5,,267.09,83.4,,Percent of Total Billed Charges,260.68,,288.23,90,,Percent of Total Billed Charges,271.25,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,294.63,92,,Percent of Total Billed Charges,259.72,,294.63,92,,Percent of Total Billed Charges,238.27,,294.63,92,,Percent of Total Billed Charges,250.76,,294.63,92,,Percent of Total Billed Charges,259.72,,249.8,78,,Percent of Total Billed Charges,249.8,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,172.39,53.83,,Percent of Total Billed Charges,161.73,,110.93,34.64,,Percent of Total Billed Charges,110.49,,160.06,49.98,,Percent of Total Billed Charges,121.05,,110.93,294.63,,																																							
HC GUIDE DRAINAGE ABSCESS,75989,CPT,,,,BOTH, , ,245.7,206.39,171.99,92,,Percent of Total Billed Charges,205.41,,171.99,92,,Percent of Total Billed Charges,201.72,,171.99,92,,Percent of Total Billed Charges,197.79,,171.99,92,,Percent of Total Billed Charges,205.16,,171.99,92,,Percent of Total Billed Charges,185.01,,171.99,92,,Percent of Total Billed Charges,153.56,,221.13,90,,Percent of Total Billed Charges,122.6,,218.67,89,,Percent of Total Billed Charges,117.94,,202.46,82.4,,Percent of Total Billed Charges,201.97,,204.91,83.4,,Percent of Total Billed Charges,191.15,,204.91,83.4,,Percent of Total Billed Charges,172.24,,204.91,83.4,,Percent of Total Billed Charges,200,,221.13,90,,Percent of Total Billed Charges,208.11,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,226.04,92,,Percent of Total Billed Charges,199.26,,226.04,92,,Percent of Total Billed Charges,182.8,,226.04,92,,Percent of Total Billed Charges,192.38,,226.04,92,,Percent of Total Billed Charges,199.26,,191.65,78,,Percent of Total Billed Charges,191.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,132.26,53.83,,Percent of Total Billed Charges,124.08,,85.11,34.64,,Percent of Total Billed Charges,84.77,,122.8,49.98,,Percent of Total Billed Charges,92.87,,85.11,226.04,,																																							
HC GUIDED NEEDLE PLACEMENT,77012,CPT,,,,BOTH, , ,2942.1,2471.36,2059.47,92,,Percent of Total Billed Charges,2459.6,,2059.47,92,,Percent of Total Billed Charges,2415.46,,2059.47,92,,Percent of Total Billed Charges,2368.39,,2059.47,92,,Percent of Total Billed Charges,2456.65,,2059.47,92,,Percent of Total Billed Charges,2215.4,,2059.47,92,,Percent of Total Billed Charges,1838.81,,2647.89,90,,Percent of Total Billed Charges,1468.11,,2618.47,89,,Percent of Total Billed Charges,1412.21,,2424.29,82.4,,Percent of Total Billed Charges,2418.41,,2453.71,83.4,,Percent of Total Billed Charges,2288.95,,2453.71,83.4,,Percent of Total Billed Charges,2062.41,,2453.71,83.4,,Percent of Total Billed Charges,2394.87,,2647.89,90,,Percent of Total Billed Charges,2491.96,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2706.73,92,,Percent of Total Billed Charges,2386.04,,2706.73,92,,Percent of Total Billed Charges,2188.92,,2706.73,92,,Percent of Total Billed Charges,2303.66,,2706.73,92,,Percent of Total Billed Charges,2386.04,,2294.84,78,,Percent of Total Billed Charges,2294.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1583.73,53.83,,Percent of Total Billed Charges,1485.76,,1019.14,34.64,,Percent of Total Billed Charges,1015.02,,1470.46,49.98,,Percent of Total Billed Charges,1112.11,,1019.14,2706.73,,																																							
HC CT GUIDANCE FOR RT FIELDS,77014,CPT,,,,BOTH, , ,895.65,752.35,806.09,92,,Percent of Total Billed Charges,748.76,,806.09,92,,Percent of Total Billed Charges,735.33,,806.09,92,,Percent of Total Billed Charges,721,,806.09,92,,Percent of Total Billed Charges,747.87,,806.09,92,,Percent of Total Billed Charges,674.42,,806.09,92,,Percent of Total Billed Charges,559.78,,806.09,90,,Percent of Total Billed Charges,446.93,,797.13,89,,Percent of Total Billed Charges,429.91,,738.02,82.4,,Percent of Total Billed Charges,736.22,,746.97,83.4,,Percent of Total Billed Charges,696.82,,746.97,83.4,,Percent of Total Billed Charges,627.85,,746.97,83.4,,Percent of Total Billed Charges,729.06,,806.09,90,,Percent of Total Billed Charges,758.62,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,824,92,,Percent of Total Billed Charges,726.37,,824,92,,Percent of Total Billed Charges,666.36,,824,92,,Percent of Total Billed Charges,701.29,,824,92,,Percent of Total Billed Charges,726.37,,698.61,78,,Percent of Total Billed Charges,698.61,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,482.13,53.83,,Percent of Total Billed Charges,452.3,,310.25,34.64,,Percent of Total Billed Charges,309,,447.65,49.98,,Percent of Total Billed Charges,338.56,,310.25,824,,																																							
HC CT CERVICAL SPINE W WO CONTRAST,72127,CPT,,,,BOTH, , ,5667.9,4761.04,5101.11,92,,Percent of Total Billed Charges,4738.36,,5101.11,92,,Percent of Total Billed Charges,4653.35,,5101.11,92,,Percent of Total Billed Charges,4562.66,,5101.11,92,,Percent of Total Billed Charges,4732.7,,5101.11,92,,Percent of Total Billed Charges,4267.93,,5101.11,92,,Percent of Total Billed Charges,3542.44,,5101.11,90,,Percent of Total Billed Charges,2828.28,,5044.43,89,,Percent of Total Billed Charges,2720.59,,4670.35,82.4,,Percent of Total Billed Charges,4659.01,,4727.03,83.4,,Percent of Total Billed Charges,4409.63,,4727.03,83.4,,Percent of Total Billed Charges,3973.2,,4727.03,83.4,,Percent of Total Billed Charges,4613.67,,5101.11,90,,Percent of Total Billed Charges,4800.71,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5214.47,92,,Percent of Total Billed Charges,4596.67,,5214.47,92,,Percent of Total Billed Charges,4216.92,,5214.47,92,,Percent of Total Billed Charges,4437.97,,5214.47,92,,Percent of Total Billed Charges,4596.67,,4420.96,78,,Percent of Total Billed Charges,4420.96,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3051.03,53.83,,Percent of Total Billed Charges,2862.29,,1963.36,34.64,,Percent of Total Billed Charges,1955.43,,2832.82,49.98,,Percent of Total Billed Charges,2142.47,,1963.36,5214.47,,																																							
HC CT COLON W WO CONTRAST,74262,CPT,,,,BOTH, , ,1403.85,1179.23,1263.47,92,,Percent of Total Billed Charges,1173.62,,1263.47,92,,Percent of Total Billed Charges,1152.56,,1263.47,92,,Percent of Total Billed Charges,1130.1,,1263.47,92,,Percent of Total Billed Charges,1172.21,,1263.47,92,,Percent of Total Billed Charges,1057.1,,1263.47,92,,Percent of Total Billed Charges,877.41,,1263.47,90,,Percent of Total Billed Charges,700.52,,1249.43,89,,Percent of Total Billed Charges,673.85,,1156.77,82.4,,Percent of Total Billed Charges,1153.96,,1170.81,83.4,,Percent of Total Billed Charges,1092.2,,1170.81,83.4,,Percent of Total Billed Charges,984.1,,1170.81,83.4,,Percent of Total Billed Charges,1142.73,,1263.47,90,,Percent of Total Billed Charges,1189.06,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1291.54,92,,Percent of Total Billed Charges,1138.52,,1291.54,92,,Percent of Total Billed Charges,1044.46,,1291.54,92,,Percent of Total Billed Charges,1099.21,,1291.54,92,,Percent of Total Billed Charges,1138.52,,1095,78,,Percent of Total Billed Charges,1095,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,755.69,53.83,,Percent of Total Billed Charges,708.94,,486.29,34.64,,Percent of Total Billed Charges,484.33,,701.64,49.98,,Percent of Total Billed Charges,530.66,,486.29,1291.54,,																																							
HC CT HEART W/3D IMAGE,75572,CPT,,,,BOTH, , ,1403.85,1179.23,1263.47,92,,Percent of Total Billed Charges,1173.62,,1263.47,92,,Percent of Total Billed Charges,1152.56,,1263.47,92,,Percent of Total Billed Charges,1130.1,,1263.47,92,,Percent of Total Billed Charges,1172.21,,1263.47,92,,Percent of Total Billed Charges,1057.1,,1263.47,92,,Percent of Total Billed Charges,877.41,,1263.47,90,,Percent of Total Billed Charges,700.52,,1249.43,89,,Percent of Total Billed Charges,673.85,,1156.77,82.4,,Percent of Total Billed Charges,1153.96,,1170.81,83.4,,Percent of Total Billed Charges,1092.2,,1170.81,83.4,,Percent of Total Billed Charges,984.1,,1170.81,83.4,,Percent of Total Billed Charges,1142.73,,1263.47,90,,Percent of Total Billed Charges,1189.06,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1291.54,92,,Percent of Total Billed Charges,1138.52,,1291.54,92,,Percent of Total Billed Charges,1044.46,,1291.54,92,,Percent of Total Billed Charges,1099.21,,1291.54,92,,Percent of Total Billed Charges,1138.52,,1095,78,,Percent of Total Billed Charges,1095,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,755.69,53.83,,Percent of Total Billed Charges,708.94,,486.29,34.64,,Percent of Total Billed Charges,484.33,,701.64,49.98,,Percent of Total Billed Charges,530.66,,486.29,1291.54,,																																							
HC CT HEART NO CONTRAST QUANT EVAL CORONRY CALCIUM,75571,CPT,,,,BOTH, , ,51.45,43.22,46.31,92,,Percent of Total Billed Charges,43.01,,46.31,92,,Percent of Total Billed Charges,42.24,,46.31,92,,Percent of Total Billed Charges,41.42,,46.31,92,,Percent of Total Billed Charges,42.96,,46.31,92,,Percent of Total Billed Charges,38.74,,46.31,92,,Percent of Total Billed Charges,32.16,,46.31,90,,Percent of Total Billed Charges,25.67,,45.79,89,,Percent of Total Billed Charges,24.7,,42.39,82.4,,Percent of Total Billed Charges,42.29,,42.91,83.4,,Percent of Total Billed Charges,40.03,,42.91,83.4,,Percent of Total Billed Charges,36.07,,42.91,83.4,,Percent of Total Billed Charges,41.88,,46.31,90,,Percent of Total Billed Charges,43.58,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,47.33,92,,Percent of Total Billed Charges,41.73,,47.33,92,,Percent of Total Billed Charges,38.28,,47.33,92,,Percent of Total Billed Charges,40.29,,47.33,92,,Percent of Total Billed Charges,41.73,,40.13,78,,Percent of Total Billed Charges,40.13,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,27.7,53.83,,Percent of Total Billed Charges,25.98,,17.82,34.64,,Percent of Total Billed Charges,17.75,,25.71,49.98,,Percent of Total Billed Charges,19.45,,17.82,47.33,,																																							
HC CT LIMITED/LOCALIZED FOLLOW UP STUDY,76380,CPT,,,,BOTH, , ,352.8,296.35,317.52,92,,Percent of Total Billed Charges,294.94,,317.52,92,,Percent of Total Billed Charges,289.65,,317.52,92,,Percent of Total Billed Charges,284,,317.52,92,,Percent of Total Billed Charges,294.59,,317.52,92,,Percent of Total Billed Charges,265.66,,317.52,92,,Percent of Total Billed Charges,220.5,,317.52,90,,Percent of Total Billed Charges,176.05,,313.99,89,,Percent of Total Billed Charges,169.34,,290.71,82.4,,Percent of Total Billed Charges,290,,294.24,83.4,,Percent of Total Billed Charges,274.48,,294.24,83.4,,Percent of Total Billed Charges,247.31,,294.24,83.4,,Percent of Total Billed Charges,287.18,,317.52,90,,Percent of Total Billed Charges,298.82,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,324.58,92,,Percent of Total Billed Charges,286.12,,324.58,92,,Percent of Total Billed Charges,262.48,,324.58,92,,Percent of Total Billed Charges,276.24,,324.58,92,,Percent of Total Billed Charges,286.12,,275.18,78,,Percent of Total Billed Charges,275.18,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,189.91,53.83,,Percent of Total Billed Charges,178.16,,122.21,34.64,,Percent of Total Billed Charges,121.72,,176.33,49.98,,Percent of Total Billed Charges,133.36,,122.21,324.58,,																																							
HC CT HEAD W/O CONTRAST,70450,CPT,,,,BOTH, , ,2135.7,1793.99,1922.13,92,,Percent of Total Billed Charges,1785.45,,1922.13,92,,Percent of Total Billed Charges,1753.41,,1922.13,92,,Percent of Total Billed Charges,1719.24,,1922.13,92,,Percent of Total Billed Charges,1783.31,,1922.13,92,,Percent of Total Billed Charges,1608.18,,1922.13,92,,Percent of Total Billed Charges,1334.81,,1922.13,90,,Percent of Total Billed Charges,1065.71,,1900.77,89,,Percent of Total Billed Charges,1025.14,,1759.82,82.4,,Percent of Total Billed Charges,1755.55,,1781.17,83.4,,Percent of Total Billed Charges,1661.57,,1781.17,83.4,,Percent of Total Billed Charges,1497.13,,1781.17,83.4,,Percent of Total Billed Charges,1738.46,,1922.13,90,,Percent of Total Billed Charges,1808.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1964.84,92,,Percent of Total Billed Charges,1732.05,,1964.84,92,,Percent of Total Billed Charges,1588.96,,1964.84,92,,Percent of Total Billed Charges,1672.25,,1964.84,92,,Percent of Total Billed Charges,1732.05,,1665.85,78,,Percent of Total Billed Charges,1665.85,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1149.65,53.83,,Percent of Total Billed Charges,1078.53,,739.81,34.64,,Percent of Total Billed Charges,736.82,,1067.42,49.98,,Percent of Total Billed Charges,807.29,,739.81,1964.84,,																																							
HC CT HEAD W/CONTRAST,70460,CPT,,,,BOTH, , ,2840.25,2385.81,2556.23,92,,Percent of Total Billed Charges,2374.45,,2556.23,92,,Percent of Total Billed Charges,2331.85,,2556.23,92,,Percent of Total Billed Charges,2286.4,,2556.23,92,,Percent of Total Billed Charges,2371.61,,2556.23,92,,Percent of Total Billed Charges,2138.71,,2556.23,92,,Percent of Total Billed Charges,1775.16,,2556.23,90,,Percent of Total Billed Charges,1417.28,,2527.82,89,,Percent of Total Billed Charges,1363.32,,2340.37,82.4,,Percent of Total Billed Charges,2334.69,,2368.77,83.4,,Percent of Total Billed Charges,2209.71,,2368.77,83.4,,Percent of Total Billed Charges,1991.02,,2368.77,83.4,,Percent of Total Billed Charges,2311.96,,2556.23,90,,Percent of Total Billed Charges,2405.69,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2613.03,92,,Percent of Total Billed Charges,2303.44,,2613.03,92,,Percent of Total Billed Charges,2113.15,,2613.03,92,,Percent of Total Billed Charges,2223.92,,2613.03,92,,Percent of Total Billed Charges,2303.44,,2215.4,78,,Percent of Total Billed Charges,2215.4,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1528.91,53.83,,Percent of Total Billed Charges,1434.33,,983.86,34.64,,Percent of Total Billed Charges,979.89,,1419.56,49.98,,Percent of Total Billed Charges,1073.61,,983.86,2613.03,,																																							
HC CT HEAD W/WO CONTRAST,70470,CPT,,,,BOTH, , ,5929.35,4980.65,5336.42,92,,Percent of Total Billed Charges,4956.94,,5336.42,92,,Percent of Total Billed Charges,4868,,5336.42,92,,Percent of Total Billed Charges,4773.13,,5336.42,92,,Percent of Total Billed Charges,4951.01,,5336.42,92,,Percent of Total Billed Charges,4464.8,,5336.42,92,,Percent of Total Billed Charges,3705.84,,5336.42,90,,Percent of Total Billed Charges,2958.75,,5277.12,89,,Percent of Total Billed Charges,2846.09,,4885.78,82.4,,Percent of Total Billed Charges,4873.93,,4945.08,83.4,,Percent of Total Billed Charges,4613.03,,4945.08,83.4,,Percent of Total Billed Charges,4156.47,,4945.08,83.4,,Percent of Total Billed Charges,4826.49,,5336.42,90,,Percent of Total Billed Charges,5022.16,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5455,92,,Percent of Total Billed Charges,4808.7,,5455,92,,Percent of Total Billed Charges,4411.44,,5455,92,,Percent of Total Billed Charges,4642.68,,5455,92,,Percent of Total Billed Charges,4808.7,,4624.89,78,,Percent of Total Billed Charges,4624.89,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3191.77,53.83,,Percent of Total Billed Charges,2994.32,,2053.93,34.64,,Percent of Total Billed Charges,2045.63,,2963.49,49.98,,Percent of Total Billed Charges,2241.29,,2053.93,5455,,																																							
HC CT ORBIT/EAR/FOSSA W/O CONTRAST,70480,CPT,,,,BOTH, , ,2356.2,1979.21,2120.58,92,,Percent of Total Billed Charges,1969.78,,2120.58,92,,Percent of Total Billed Charges,1934.44,,2120.58,92,,Percent of Total Billed Charges,1896.74,,2120.58,92,,Percent of Total Billed Charges,1967.43,,2120.58,92,,Percent of Total Billed Charges,1774.22,,2120.58,92,,Percent of Total Billed Charges,1472.63,,2120.58,90,,Percent of Total Billed Charges,1175.74,,2097.02,89,,Percent of Total Billed Charges,1130.98,,1941.51,82.4,,Percent of Total Billed Charges,1936.8,,1965.07,83.4,,Percent of Total Billed Charges,1833.12,,1965.07,83.4,,Percent of Total Billed Charges,1651.7,,1965.07,83.4,,Percent of Total Billed Charges,1917.95,,2120.58,90,,Percent of Total Billed Charges,1995.7,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2167.7,92,,Percent of Total Billed Charges,1910.88,,2167.7,92,,Percent of Total Billed Charges,1753.01,,2167.7,92,,Percent of Total Billed Charges,1844.9,,2167.7,92,,Percent of Total Billed Charges,1910.88,,1837.84,78,,Percent of Total Billed Charges,1837.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1268.34,53.83,,Percent of Total Billed Charges,1189.88,,816.19,34.64,,Percent of Total Billed Charges,812.89,,1177.63,49.98,,Percent of Total Billed Charges,890.64,,816.19,2167.7,,																																							
HC CT ORBIT/EAR/FOSSA W/CONTRAST,70481,CPT,,,,BOTH, , ,3578.4,3005.86,3220.56,92,,Percent of Total Billed Charges,2991.54,,3220.56,92,,Percent of Total Billed Charges,2937.87,,3220.56,92,,Percent of Total Billed Charges,2880.61,,3220.56,92,,Percent of Total Billed Charges,2987.96,,3220.56,92,,Percent of Total Billed Charges,2694.54,,3220.56,92,,Percent of Total Billed Charges,2236.5,,3220.56,90,,Percent of Total Billed Charges,1785.62,,3184.78,89,,Percent of Total Billed Charges,1717.63,,2948.6,82.4,,Percent of Total Billed Charges,2941.44,,2984.39,83.4,,Percent of Total Billed Charges,2784,,2984.39,83.4,,Percent of Total Billed Charges,2508.46,,2984.39,83.4,,Percent of Total Billed Charges,2912.82,,3220.56,90,,Percent of Total Billed Charges,3030.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3292.13,92,,Percent of Total Billed Charges,2902.08,,3292.13,92,,Percent of Total Billed Charges,2662.33,,3292.13,92,,Percent of Total Billed Charges,2801.89,,3292.13,92,,Percent of Total Billed Charges,2902.08,,2791.15,78,,Percent of Total Billed Charges,2791.15,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1926.25,53.83,,Percent of Total Billed Charges,1807.09,,1239.56,34.64,,Percent of Total Billed Charges,1234.55,,1788.48,49.98,,Percent of Total Billed Charges,1352.64,,1239.56,3292.13,,																																							
HC CT ORBIT/EAR/FOSSA W/WO CONTRAST,70482,CPT,,,,BOTH, , ,4526.55,3802.3,4073.9,92,,Percent of Total Billed Charges,3784.2,,4073.9,92,,Percent of Total Billed Charges,3716.3,,4073.9,92,,Percent of Total Billed Charges,3643.87,,4073.9,92,,Percent of Total Billed Charges,3779.67,,4073.9,92,,Percent of Total Billed Charges,3408.49,,4073.9,92,,Percent of Total Billed Charges,2829.09,,4073.9,90,,Percent of Total Billed Charges,2258.75,,4028.63,89,,Percent of Total Billed Charges,2172.74,,3729.88,82.4,,Percent of Total Billed Charges,3720.82,,3775.14,83.4,,Percent of Total Billed Charges,3521.66,,3775.14,83.4,,Percent of Total Billed Charges,3173.11,,3775.14,83.4,,Percent of Total Billed Charges,3684.61,,4073.9,90,,Percent of Total Billed Charges,3833.99,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4164.43,92,,Percent of Total Billed Charges,3671.03,,4164.43,92,,Percent of Total Billed Charges,3367.75,,4164.43,92,,Percent of Total Billed Charges,3544.29,,4164.43,92,,Percent of Total Billed Charges,3671.03,,3530.71,78,,Percent of Total Billed Charges,3530.71,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2436.64,53.83,,Percent of Total Billed Charges,2285.91,,1568,34.64,,Percent of Total Billed Charges,1561.66,,2262.37,49.98,,Percent of Total Billed Charges,1711.04,,1568.00,4164.43,,																																							
HC CT MAXILLOFACIAL W/O CONT,70486,CPT,,,,BOTH, , ,3755.85,3154.91,3380.27,92,,Percent of Total Billed Charges,3139.89,,3380.27,92,,Percent of Total Billed Charges,3083.55,,3380.27,92,,Percent of Total Billed Charges,3023.46,,3380.27,92,,Percent of Total Billed Charges,3136.13,,3380.27,92,,Percent of Total Billed Charges,2828.16,,3380.27,92,,Percent of Total Billed Charges,2347.41,,3380.27,90,,Percent of Total Billed Charges,1874.17,,3342.71,89,,Percent of Total Billed Charges,1802.81,,3094.82,82.4,,Percent of Total Billed Charges,3087.31,,3132.38,83.4,,Percent of Total Billed Charges,2922.05,,3132.38,83.4,,Percent of Total Billed Charges,2632.85,,3132.38,83.4,,Percent of Total Billed Charges,3057.26,,3380.27,90,,Percent of Total Billed Charges,3181.2,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3455.38,92,,Percent of Total Billed Charges,3045.99,,3455.38,92,,Percent of Total Billed Charges,2794.35,,3455.38,92,,Percent of Total Billed Charges,2940.83,,3455.38,92,,Percent of Total Billed Charges,3045.99,,2929.56,78,,Percent of Total Billed Charges,2929.56,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2021.77,53.83,,Percent of Total Billed Charges,1896.7,,1301.03,34.64,,Percent of Total Billed Charges,1295.77,,1877.17,49.98,,Percent of Total Billed Charges,1419.71,,1301.03,3455.38,,																																							
HC CT MAXILLOFACIAL W/CONTRAST,70487,CPT,,,,BOTH, , ,4068.75,3417.75,3661.88,92,,Percent of Total Billed Charges,3401.48,,3661.88,92,,Percent of Total Billed Charges,3340.44,,3661.88,92,,Percent of Total Billed Charges,3275.34,,3661.88,92,,Percent of Total Billed Charges,3397.41,,3661.88,92,,Percent of Total Billed Charges,3063.77,,3661.88,92,,Percent of Total Billed Charges,2542.97,,3661.88,90,,Percent of Total Billed Charges,2030.31,,3621.19,89,,Percent of Total Billed Charges,1953,,3352.65,82.4,,Percent of Total Billed Charges,3344.51,,3393.34,83.4,,Percent of Total Billed Charges,3165.49,,3393.34,83.4,,Percent of Total Billed Charges,2852.19,,3393.34,83.4,,Percent of Total Billed Charges,3311.96,,3661.88,90,,Percent of Total Billed Charges,3446.23,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3743.25,92,,Percent of Total Billed Charges,3299.76,,3743.25,92,,Percent of Total Billed Charges,3027.15,,3743.25,92,,Percent of Total Billed Charges,3185.83,,3743.25,92,,Percent of Total Billed Charges,3299.76,,3173.63,78,,Percent of Total Billed Charges,3173.63,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2190.21,53.83,,Percent of Total Billed Charges,2054.72,,1409.42,34.64,,Percent of Total Billed Charges,1403.72,,2033.56,49.98,,Percent of Total Billed Charges,1537.99,,1409.42,3743.25,,																																							
HC CT MAXILLOFACIAL W/WO CONTRAST,70488,CPT,,,,BOTH, , ,4526.55,3802.3,4073.9,92,,Percent of Total Billed Charges,3784.2,,4073.9,92,,Percent of Total Billed Charges,3716.3,,4073.9,92,,Percent of Total Billed Charges,3643.87,,4073.9,92,,Percent of Total Billed Charges,3779.67,,4073.9,92,,Percent of Total Billed Charges,3408.49,,4073.9,92,,Percent of Total Billed Charges,2829.09,,4073.9,90,,Percent of Total Billed Charges,2258.75,,4028.63,89,,Percent of Total Billed Charges,2172.74,,3729.88,82.4,,Percent of Total Billed Charges,3720.82,,3775.14,83.4,,Percent of Total Billed Charges,3521.66,,3775.14,83.4,,Percent of Total Billed Charges,3173.11,,3775.14,83.4,,Percent of Total Billed Charges,3684.61,,4073.9,90,,Percent of Total Billed Charges,3833.99,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4164.43,92,,Percent of Total Billed Charges,3671.03,,4164.43,92,,Percent of Total Billed Charges,3367.75,,4164.43,92,,Percent of Total Billed Charges,3544.29,,4164.43,92,,Percent of Total Billed Charges,3671.03,,3530.71,78,,Percent of Total Billed Charges,3530.71,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2436.64,53.83,,Percent of Total Billed Charges,2285.91,,1568,34.64,,Percent of Total Billed Charges,1561.66,,2262.37,49.98,,Percent of Total Billed Charges,1711.04,,1568.00,4164.43,,																																							
HC CT SOFT TISSUE NECK W/O CONTRAST,70490,CPT,,,,BOTH, , ,2054.85,1726.07,1849.37,92,,Percent of Total Billed Charges,1717.85,,1849.37,92,,Percent of Total Billed Charges,1687.03,,1849.37,92,,Percent of Total Billed Charges,1654.15,,1849.37,92,,Percent of Total Billed Charges,1715.8,,1849.37,92,,Percent of Total Billed Charges,1547.3,,1849.37,92,,Percent of Total Billed Charges,1284.28,,1849.37,90,,Percent of Total Billed Charges,1025.37,,1828.82,89,,Percent of Total Billed Charges,986.33,,1693.2,82.4,,Percent of Total Billed Charges,1689.09,,1713.74,83.4,,Percent of Total Billed Charges,1598.67,,1713.74,83.4,,Percent of Total Billed Charges,1440.45,,1713.74,83.4,,Percent of Total Billed Charges,1672.65,,1849.37,90,,Percent of Total Billed Charges,1740.46,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1890.46,92,,Percent of Total Billed Charges,1666.48,,1890.46,92,,Percent of Total Billed Charges,1528.81,,1890.46,92,,Percent of Total Billed Charges,1608.95,,1890.46,92,,Percent of Total Billed Charges,1666.48,,1602.78,78,,Percent of Total Billed Charges,1602.78,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1106.13,53.83,,Percent of Total Billed Charges,1037.7,,711.8,34.64,,Percent of Total Billed Charges,708.92,,1027.01,49.98,,Percent of Total Billed Charges,776.73,,711.80,1890.46,,																																							
HC CT SOFT TISSUE NECK W/CONTRAST,70491,CPT,,,,BOTH, , ,5000.1,4200.08,4500.09,92,,Percent of Total Billed Charges,4180.08,,4500.09,92,,Percent of Total Billed Charges,4105.08,,4500.09,92,,Percent of Total Billed Charges,4025.08,,4500.09,92,,Percent of Total Billed Charges,4175.08,,4500.09,92,,Percent of Total Billed Charges,3765.08,,4500.09,92,,Percent of Total Billed Charges,3125.06,,4500.09,90,,Percent of Total Billed Charges,2495.05,,4450.09,89,,Percent of Total Billed Charges,2400.05,,4120.08,82.4,,Percent of Total Billed Charges,4110.08,,4170.08,83.4,,Percent of Total Billed Charges,3890.08,,4170.08,83.4,,Percent of Total Billed Charges,3505.07,,4170.08,83.4,,Percent of Total Billed Charges,4070.08,,4500.09,90,,Percent of Total Billed Charges,4235.08,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4600.09,92,,Percent of Total Billed Charges,4055.08,,4600.09,92,,Percent of Total Billed Charges,3720.07,,4600.09,92,,Percent of Total Billed Charges,3915.08,,4600.09,92,,Percent of Total Billed Charges,4055.08,,3900.08,78,,Percent of Total Billed Charges,3900.08,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2691.55,53.83,,Percent of Total Billed Charges,2525.05,,1732.03,34.64,,Percent of Total Billed Charges,1725.03,,2499.05,49.98,,Percent of Total Billed Charges,1890.04,,1732.03,4600.09,,																																							
HC CT SOFT TISSUE NECK W/WO CONTRAST,70492,CPT,,,,BOTH, , ,5834.85,4901.27,5251.37,92,,Percent of Total Billed Charges,4877.93,,5251.37,92,,Percent of Total Billed Charges,4790.41,,5251.37,92,,Percent of Total Billed Charges,4697.05,,5251.37,92,,Percent of Total Billed Charges,4872.1,,5251.37,92,,Percent of Total Billed Charges,4393.64,,5251.37,92,,Percent of Total Billed Charges,3646.78,,5251.37,90,,Percent of Total Billed Charges,2911.59,,5193.02,89,,Percent of Total Billed Charges,2800.73,,4807.92,82.4,,Percent of Total Billed Charges,4796.25,,4866.26,83.4,,Percent of Total Billed Charges,4539.51,,4866.26,83.4,,Percent of Total Billed Charges,4090.23,,4866.26,83.4,,Percent of Total Billed Charges,4749.57,,5251.37,90,,Percent of Total Billed Charges,4942.12,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5368.06,92,,Percent of Total Billed Charges,4732.06,,5368.06,92,,Percent of Total Billed Charges,4341.13,,5368.06,92,,Percent of Total Billed Charges,4568.69,,5368.06,92,,Percent of Total Billed Charges,4732.06,,4551.18,78,,Percent of Total Billed Charges,4551.18,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3140.9,53.83,,Percent of Total Billed Charges,2946.6,,2021.19,34.64,,Percent of Total Billed Charges,2013.02,,2916.26,49.98,,Percent of Total Billed Charges,2205.57,,2021.19,5368.06,,																																							
HC CT ANGIOGRAPHY HEAD,70496,CPT,,,,BOTH, , ,3162.6,2656.58,2846.34,92,,Percent of Total Billed Charges,2643.93,,2846.34,92,,Percent of Total Billed Charges,2596.49,,2846.34,92,,Percent of Total Billed Charges,2545.89,,2846.34,92,,Percent of Total Billed Charges,2640.77,,2846.34,92,,Percent of Total Billed Charges,2381.44,,2846.34,92,,Percent of Total Billed Charges,1976.63,,2846.34,90,,Percent of Total Billed Charges,1578.14,,2814.71,89,,Percent of Total Billed Charges,1518.05,,2605.98,82.4,,Percent of Total Billed Charges,2599.66,,2637.61,83.4,,Percent of Total Billed Charges,2460.5,,2637.61,83.4,,Percent of Total Billed Charges,2216.98,,2637.61,83.4,,Percent of Total Billed Charges,2574.36,,2846.34,90,,Percent of Total Billed Charges,2678.72,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2909.59,92,,Percent of Total Billed Charges,2564.87,,2909.59,92,,Percent of Total Billed Charges,2352.97,,2909.59,92,,Percent of Total Billed Charges,2476.32,,2909.59,92,,Percent of Total Billed Charges,2564.87,,2466.83,78,,Percent of Total Billed Charges,2466.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1702.43,53.83,,Percent of Total Billed Charges,1597.11,,1095.52,34.64,,Percent of Total Billed Charges,1091.1,,1580.67,49.98,,Percent of Total Billed Charges,1195.46,,1095.52,2909.59,,																																							
HC CT ANGIOGRAPHY NECK,70498,CPT,,,,BOTH, , ,3158.4,2653.06,2842.56,92,,Percent of Total Billed Charges,2640.42,,2842.56,92,,Percent of Total Billed Charges,2593.05,,2842.56,92,,Percent of Total Billed Charges,2542.51,,2842.56,92,,Percent of Total Billed Charges,2637.26,,2842.56,92,,Percent of Total Billed Charges,2378.28,,2842.56,92,,Percent of Total Billed Charges,1974,,2842.56,90,,Percent of Total Billed Charges,1576.04,,2810.98,89,,Percent of Total Billed Charges,1516.03,,2602.52,82.4,,Percent of Total Billed Charges,2596.2,,2634.11,83.4,,Percent of Total Billed Charges,2457.24,,2634.11,83.4,,Percent of Total Billed Charges,2214.04,,2634.11,83.4,,Percent of Total Billed Charges,2570.94,,2842.56,90,,Percent of Total Billed Charges,2675.16,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2905.73,92,,Percent of Total Billed Charges,2561.46,,2905.73,92,,Percent of Total Billed Charges,2349.85,,2905.73,92,,Percent of Total Billed Charges,2473.03,,2905.73,92,,Percent of Total Billed Charges,2561.46,,2463.55,78,,Percent of Total Billed Charges,2463.55,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1700.17,53.83,,Percent of Total Billed Charges,1594.99,,1094.07,34.64,,Percent of Total Billed Charges,1089.65,,1578.57,49.98,,Percent of Total Billed Charges,1193.88,,1094.07,2905.73,,																																							
HC CT THORAX W/O CONTRAST,71250,CPT,,,,BOTH, , ,3214.05,2699.8,2892.65,92,,Percent of Total Billed Charges,2686.95,,2892.65,92,,Percent of Total Billed Charges,2638.74,,2892.65,92,,Percent of Total Billed Charges,2587.31,,2892.65,92,,Percent of Total Billed Charges,2683.73,,2892.65,92,,Percent of Total Billed Charges,2420.18,,2892.65,92,,Percent of Total Billed Charges,2008.78,,2892.65,90,,Percent of Total Billed Charges,1603.81,,2860.5,89,,Percent of Total Billed Charges,1542.74,,2648.38,82.4,,Percent of Total Billed Charges,2641.95,,2680.52,83.4,,Percent of Total Billed Charges,2500.53,,2680.52,83.4,,Percent of Total Billed Charges,2253.05,,2680.52,83.4,,Percent of Total Billed Charges,2616.24,,2892.65,90,,Percent of Total Billed Charges,2722.3,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2956.93,92,,Percent of Total Billed Charges,2606.59,,2956.93,92,,Percent of Total Billed Charges,2391.25,,2956.93,92,,Percent of Total Billed Charges,2516.6,,2956.93,92,,Percent of Total Billed Charges,2606.59,,2506.96,78,,Percent of Total Billed Charges,2506.96,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1730.12,53.83,,Percent of Total Billed Charges,1623.1,,1113.35,34.64,,Percent of Total Billed Charges,1108.85,,1606.38,49.98,,Percent of Total Billed Charges,1214.91,,1113.35,2956.93,,																																							
HC CT THORAX W/CONTRAST,71260,CPT,,,,BOTH, , ,4972.8,4177.15,4475.52,92,,Percent of Total Billed Charges,4157.26,,4475.52,92,,Percent of Total Billed Charges,4082.67,,4475.52,92,,Percent of Total Billed Charges,4003.1,,4475.52,92,,Percent of Total Billed Charges,4152.29,,4475.52,92,,Percent of Total Billed Charges,3744.52,,4475.52,92,,Percent of Total Billed Charges,3108,,4475.52,90,,Percent of Total Billed Charges,2481.43,,4425.79,89,,Percent of Total Billed Charges,2386.94,,4097.59,82.4,,Percent of Total Billed Charges,4087.64,,4147.32,83.4,,Percent of Total Billed Charges,3868.84,,4147.32,83.4,,Percent of Total Billed Charges,3485.93,,4147.32,83.4,,Percent of Total Billed Charges,4047.86,,4475.52,90,,Percent of Total Billed Charges,4211.96,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4574.98,92,,Percent of Total Billed Charges,4032.94,,4574.98,92,,Percent of Total Billed Charges,3699.76,,4574.98,92,,Percent of Total Billed Charges,3893.7,,4574.98,92,,Percent of Total Billed Charges,4032.94,,3878.78,78,,Percent of Total Billed Charges,3878.78,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2676.86,53.83,,Percent of Total Billed Charges,2511.26,,1722.58,34.64,,Percent of Total Billed Charges,1715.62,,2485.41,49.98,,Percent of Total Billed Charges,1879.72,,1722.58,4574.98,,																																							
HC CT THORAX W/WO CONTRAST,71270,CPT,,,,BOTH, , ,5849.55,4913.62,5264.6,92,,Percent of Total Billed Charges,4890.22,,5264.6,92,,Percent of Total Billed Charges,4802.48,,5264.6,92,,Percent of Total Billed Charges,4708.89,,5264.6,92,,Percent of Total Billed Charges,4884.37,,5264.6,92,,Percent of Total Billed Charges,4404.71,,5264.6,92,,Percent of Total Billed Charges,3655.97,,5264.6,90,,Percent of Total Billed Charges,2918.93,,5206.1,89,,Percent of Total Billed Charges,2807.78,,4820.03,82.4,,Percent of Total Billed Charges,4808.33,,4878.52,83.4,,Percent of Total Billed Charges,4550.95,,4878.52,83.4,,Percent of Total Billed Charges,4100.53,,4878.52,83.4,,Percent of Total Billed Charges,4761.53,,5264.6,90,,Percent of Total Billed Charges,4954.57,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5381.59,92,,Percent of Total Billed Charges,4743.99,,5381.59,92,,Percent of Total Billed Charges,4352.07,,5381.59,92,,Percent of Total Billed Charges,4580.2,,5381.59,92,,Percent of Total Billed Charges,4743.99,,4562.65,78,,Percent of Total Billed Charges,4562.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3148.81,53.83,,Percent of Total Billed Charges,2954.02,,2026.28,34.64,,Percent of Total Billed Charges,2018.09,,2923.61,49.98,,Percent of Total Billed Charges,2211.13,,2026.28,5381.59,,																																							
HC CT ANGIOGRAPHY CHEST,71275,CPT,,,,BOTH, , ,5615.4,4716.94,5053.86,92,,Percent of Total Billed Charges,4694.47,,5053.86,92,,Percent of Total Billed Charges,4610.24,,5053.86,92,,Percent of Total Billed Charges,4520.4,,5053.86,92,,Percent of Total Billed Charges,4688.86,,5053.86,92,,Percent of Total Billed Charges,4228.4,,5053.86,92,,Percent of Total Billed Charges,3509.63,,5053.86,90,,Percent of Total Billed Charges,2802.08,,4997.71,89,,Percent of Total Billed Charges,2695.39,,4627.09,82.4,,Percent of Total Billed Charges,4615.86,,4683.24,83.4,,Percent of Total Billed Charges,4368.78,,4683.24,83.4,,Percent of Total Billed Charges,3936.4,,4683.24,83.4,,Percent of Total Billed Charges,4570.94,,5053.86,90,,Percent of Total Billed Charges,4756.24,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5166.17,92,,Percent of Total Billed Charges,4554.09,,5166.17,92,,Percent of Total Billed Charges,4177.86,,5166.17,92,,Percent of Total Billed Charges,4396.86,,5166.17,92,,Percent of Total Billed Charges,4554.09,,4380.01,78,,Percent of Total Billed Charges,4380.01,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3022.77,53.83,,Percent of Total Billed Charges,2835.78,,1945.17,34.64,,Percent of Total Billed Charges,1937.31,,2806.58,49.98,,Percent of Total Billed Charges,2122.62,,1945.17,5166.17,,																																							
HC CT SPINE CERVICAL W/O CONTRAST,72125,CPT,,,,BOTH, , ,3462.9,2908.84,3116.61,92,,Percent of Total Billed Charges,2894.98,,3116.61,92,,Percent of Total Billed Charges,2843.04,,3116.61,92,,Percent of Total Billed Charges,2787.63,,3116.61,92,,Percent of Total Billed Charges,2891.52,,3116.61,92,,Percent of Total Billed Charges,2607.56,,3116.61,92,,Percent of Total Billed Charges,2164.31,,3116.61,90,,Percent of Total Billed Charges,1727.99,,3081.98,89,,Percent of Total Billed Charges,1662.19,,2853.43,82.4,,Percent of Total Billed Charges,2846.5,,2888.06,83.4,,Percent of Total Billed Charges,2694.14,,2888.06,83.4,,Percent of Total Billed Charges,2427.49,,2888.06,83.4,,Percent of Total Billed Charges,2818.8,,3116.61,90,,Percent of Total Billed Charges,2933.08,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3185.87,92,,Percent of Total Billed Charges,2808.41,,3185.87,92,,Percent of Total Billed Charges,2576.4,,3185.87,92,,Percent of Total Billed Charges,2711.45,,3185.87,92,,Percent of Total Billed Charges,2808.41,,2701.06,78,,Percent of Total Billed Charges,2701.06,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1864.08,53.83,,Percent of Total Billed Charges,1748.76,,1199.55,34.64,,Percent of Total Billed Charges,1194.7,,1730.76,49.98,,Percent of Total Billed Charges,1308.98,,1199.55,3185.87,,																																							
HC CT SPINE CERVICAL W/CONT,72126,CPT,,,,BOTH, , ,5110.35,4292.69,4599.32,92,,Percent of Total Billed Charges,4272.25,,4599.32,92,,Percent of Total Billed Charges,4195.6,,4599.32,92,,Percent of Total Billed Charges,4113.83,,4599.32,92,,Percent of Total Billed Charges,4267.14,,4599.32,92,,Percent of Total Billed Charges,3848.09,,4599.32,92,,Percent of Total Billed Charges,3193.97,,4599.32,90,,Percent of Total Billed Charges,2550.06,,4548.21,89,,Percent of Total Billed Charges,2452.97,,4210.93,82.4,,Percent of Total Billed Charges,4200.71,,4262.03,83.4,,Percent of Total Billed Charges,3975.85,,4262.03,83.4,,Percent of Total Billed Charges,3582.36,,4262.03,83.4,,Percent of Total Billed Charges,4159.82,,4599.32,90,,Percent of Total Billed Charges,4328.47,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4701.52,92,,Percent of Total Billed Charges,4144.49,,4701.52,92,,Percent of Total Billed Charges,3802.1,,4701.52,92,,Percent of Total Billed Charges,4001.4,,4701.52,92,,Percent of Total Billed Charges,4144.49,,3986.07,78,,Percent of Total Billed Charges,3986.07,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2750.9,53.83,,Percent of Total Billed Charges,2580.73,,1770.23,34.64,,Percent of Total Billed Charges,1763.07,,2554.15,49.98,,Percent of Total Billed Charges,1931.71,,1770.23,4701.52,,																																							
HC CT SPINE THORACIC W/O CONT,72128,CPT,,,,BOTH, , ,3744.3,3145.21,3369.87,92,,Percent of Total Billed Charges,3130.23,,3369.87,92,,Percent of Total Billed Charges,3074.07,,3369.87,92,,Percent of Total Billed Charges,3014.16,,3369.87,92,,Percent of Total Billed Charges,3126.49,,3369.87,92,,Percent of Total Billed Charges,2819.46,,3369.87,92,,Percent of Total Billed Charges,2340.19,,3369.87,90,,Percent of Total Billed Charges,1868.41,,3332.43,89,,Percent of Total Billed Charges,1797.26,,3085.3,82.4,,Percent of Total Billed Charges,3077.81,,3122.75,83.4,,Percent of Total Billed Charges,2913.07,,3122.75,83.4,,Percent of Total Billed Charges,2624.75,,3122.75,83.4,,Percent of Total Billed Charges,3047.86,,3369.87,90,,Percent of Total Billed Charges,3171.42,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3444.76,92,,Percent of Total Billed Charges,3036.63,,3444.76,92,,Percent of Total Billed Charges,2785.76,,3444.76,92,,Percent of Total Billed Charges,2931.79,,3444.76,92,,Percent of Total Billed Charges,3036.63,,2920.55,78,,Percent of Total Billed Charges,2920.55,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2015.56,53.83,,Percent of Total Billed Charges,1890.87,,1297.03,34.64,,Percent of Total Billed Charges,1291.78,,1871.4,49.98,,Percent of Total Billed Charges,1415.35,,1297.03,3444.76,,																																							
HC CT SPINE THORACIC W/CONT,72129,CPT,,,,BOTH, , ,4532.85,3807.59,4079.57,92,,Percent of Total Billed Charges,3789.46,,4079.57,92,,Percent of Total Billed Charges,3721.47,,4079.57,92,,Percent of Total Billed Charges,3648.94,,4079.57,92,,Percent of Total Billed Charges,3784.93,,4079.57,92,,Percent of Total Billed Charges,3413.24,,4079.57,92,,Percent of Total Billed Charges,2833.03,,4079.57,90,,Percent of Total Billed Charges,2261.89,,4034.24,89,,Percent of Total Billed Charges,2175.77,,3735.07,82.4,,Percent of Total Billed Charges,3726,,3780.4,83.4,,Percent of Total Billed Charges,3526.56,,3780.4,83.4,,Percent of Total Billed Charges,3177.53,,3780.4,83.4,,Percent of Total Billed Charges,3689.74,,4079.57,90,,Percent of Total Billed Charges,3839.32,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4170.22,92,,Percent of Total Billed Charges,3676.14,,4170.22,92,,Percent of Total Billed Charges,3372.44,,4170.22,92,,Percent of Total Billed Charges,3549.22,,4170.22,92,,Percent of Total Billed Charges,3676.14,,3535.62,78,,Percent of Total Billed Charges,3535.62,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2440.03,53.83,,Percent of Total Billed Charges,2289.09,,1570.18,34.64,,Percent of Total Billed Charges,1563.83,,2265.52,49.98,,Percent of Total Billed Charges,1713.42,,1570.18,4170.22,,																																							
HC CT SPINE THORACIC W/WO CONTRAST,72130,CPT,,,,BOTH, , ,5597.55,4701.94,5037.8,92,,Percent of Total Billed Charges,4679.55,,5037.8,92,,Percent of Total Billed Charges,4595.59,,5037.8,92,,Percent of Total Billed Charges,4506.03,,5037.8,92,,Percent of Total Billed Charges,4673.95,,5037.8,92,,Percent of Total Billed Charges,4214.96,,5037.8,92,,Percent of Total Billed Charges,3498.47,,5037.8,90,,Percent of Total Billed Charges,2793.18,,4981.82,89,,Percent of Total Billed Charges,2686.82,,4612.38,82.4,,Percent of Total Billed Charges,4601.19,,4668.36,83.4,,Percent of Total Billed Charges,4354.89,,4668.36,83.4,,Percent of Total Billed Charges,3923.88,,4668.36,83.4,,Percent of Total Billed Charges,4556.41,,5037.8,90,,Percent of Total Billed Charges,4741.12,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5149.75,92,,Percent of Total Billed Charges,4539.61,,5149.75,92,,Percent of Total Billed Charges,4164.58,,5149.75,92,,Percent of Total Billed Charges,4382.88,,5149.75,92,,Percent of Total Billed Charges,4539.61,,4366.09,78,,Percent of Total Billed Charges,4366.09,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3013.16,53.83,,Percent of Total Billed Charges,2826.76,,1938.99,34.64,,Percent of Total Billed Charges,1931.15,,2797.66,49.98,,Percent of Total Billed Charges,2115.87,,1938.99,5149.75,,																																							
HC CT SPINE LUMBAR W/O CONTRAST,72131,CPT,,,,BOTH, , ,3179.4,2670.7,2861.46,92,,Percent of Total Billed Charges,2657.98,,2861.46,92,,Percent of Total Billed Charges,2610.29,,2861.46,92,,Percent of Total Billed Charges,2559.42,,2861.46,92,,Percent of Total Billed Charges,2654.8,,2861.46,92,,Percent of Total Billed Charges,2394.09,,2861.46,92,,Percent of Total Billed Charges,1987.13,,2861.46,90,,Percent of Total Billed Charges,1586.52,,2829.67,89,,Percent of Total Billed Charges,1526.11,,2619.83,82.4,,Percent of Total Billed Charges,2613.47,,2651.62,83.4,,Percent of Total Billed Charges,2473.57,,2651.62,83.4,,Percent of Total Billed Charges,2228.76,,2651.62,83.4,,Percent of Total Billed Charges,2588.03,,2861.46,90,,Percent of Total Billed Charges,2692.95,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2925.05,92,,Percent of Total Billed Charges,2578.49,,2925.05,92,,Percent of Total Billed Charges,2365.47,,2925.05,92,,Percent of Total Billed Charges,2489.47,,2925.05,92,,Percent of Total Billed Charges,2578.49,,2479.93,78,,Percent of Total Billed Charges,2479.93,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1711.47,53.83,,Percent of Total Billed Charges,1605.6,,1101.34,34.64,,Percent of Total Billed Charges,1096.89,,1589.06,49.98,,Percent of Total Billed Charges,1201.81,,1101.34,2925.05,,																																							
HC CT SPINE LUMBAR W/CONT,72132,CPT,,,,BOTH, , ,4374.3,3674.41,3936.87,92,,Percent of Total Billed Charges,3656.91,,3936.87,92,,Percent of Total Billed Charges,3591.3,,3936.87,92,,Percent of Total Billed Charges,3521.31,,3936.87,92,,Percent of Total Billed Charges,3652.54,,3936.87,92,,Percent of Total Billed Charges,3293.85,,3936.87,92,,Percent of Total Billed Charges,2733.94,,3936.87,90,,Percent of Total Billed Charges,2182.78,,3893.13,89,,Percent of Total Billed Charges,2099.66,,3604.42,82.4,,Percent of Total Billed Charges,3595.67,,3648.17,83.4,,Percent of Total Billed Charges,3403.21,,3648.17,83.4,,Percent of Total Billed Charges,3066.38,,3648.17,83.4,,Percent of Total Billed Charges,3560.68,,3936.87,90,,Percent of Total Billed Charges,3705.03,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4024.36,92,,Percent of Total Billed Charges,3547.56,,4024.36,92,,Percent of Total Billed Charges,3254.48,,4024.36,92,,Percent of Total Billed Charges,3425.08,,4024.36,92,,Percent of Total Billed Charges,3547.56,,3411.95,78,,Percent of Total Billed Charges,3411.95,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2354.69,53.83,,Percent of Total Billed Charges,2209.02,,1515.26,34.64,,Percent of Total Billed Charges,1509.13,,2186.28,49.98,,Percent of Total Billed Charges,1653.49,,1515.26,4024.36,,																																							
HC CT SPINE LUMBAR W/WO CONTRAST,72133,CPT,,,,BOTH, , ,4952.85,4160.39,4457.57,92,,Percent of Total Billed Charges,4140.58,,4457.57,92,,Percent of Total Billed Charges,4066.29,,4457.57,92,,Percent of Total Billed Charges,3987.04,,4457.57,92,,Percent of Total Billed Charges,4135.63,,4457.57,92,,Percent of Total Billed Charges,3729.5,,4457.57,92,,Percent of Total Billed Charges,3095.53,,4457.57,90,,Percent of Total Billed Charges,2471.47,,4408.04,89,,Percent of Total Billed Charges,2377.37,,4081.15,82.4,,Percent of Total Billed Charges,4071.24,,4130.68,83.4,,Percent of Total Billed Charges,3853.32,,4130.68,83.4,,Percent of Total Billed Charges,3471.95,,4130.68,83.4,,Percent of Total Billed Charges,4031.62,,4457.57,90,,Percent of Total Billed Charges,4195.06,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4556.62,92,,Percent of Total Billed Charges,4016.76,,4556.62,92,,Percent of Total Billed Charges,3684.92,,4556.62,92,,Percent of Total Billed Charges,3878.08,,4556.62,92,,Percent of Total Billed Charges,4016.76,,3863.22,78,,Percent of Total Billed Charges,3863.22,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2666.12,53.83,,Percent of Total Billed Charges,2501.19,,1715.67,34.64,,Percent of Total Billed Charges,1708.73,,2475.43,49.98,,Percent of Total Billed Charges,1872.18,,1715.67,4556.62,,																																							
HC CT ANGIOGRAPH PELVIS W/O & W CONTRAST,72191,CPT,,,,BOTH, , ,6232.8,5235.55,5609.52,92,,Percent of Total Billed Charges,5210.62,,5609.52,92,,Percent of Total Billed Charges,5117.13,,5609.52,92,,Percent of Total Billed Charges,5017.4,,5609.52,92,,Percent of Total Billed Charges,5204.39,,5609.52,92,,Percent of Total Billed Charges,4693.3,,5609.52,92,,Percent of Total Billed Charges,3895.5,,5609.52,90,,Percent of Total Billed Charges,3110.17,,5547.19,89,,Percent of Total Billed Charges,2991.74,,5135.83,82.4,,Percent of Total Billed Charges,5123.36,,5198.16,83.4,,Percent of Total Billed Charges,4849.12,,5198.16,83.4,,Percent of Total Billed Charges,4369.19,,5198.16,83.4,,Percent of Total Billed Charges,5073.5,,5609.52,90,,Percent of Total Billed Charges,5279.18,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5734.18,92,,Percent of Total Billed Charges,5054.8,,5734.18,92,,Percent of Total Billed Charges,4637.2,,5734.18,92,,Percent of Total Billed Charges,4880.28,,5734.18,92,,Percent of Total Billed Charges,5054.8,,4861.58,78,,Percent of Total Billed Charges,4861.58,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3355.12,53.83,,Percent of Total Billed Charges,3147.56,,2159.04,34.64,,Percent of Total Billed Charges,2150.32,,3115.15,49.98,,Percent of Total Billed Charges,2356,,2159.04,5734.18,,																																							
HC CT PELVIS W/O CONTRAST,72192,CPT,,,,BOTH, , ,2471.7,2076.23,2224.53,92,,Percent of Total Billed Charges,2066.34,,2224.53,92,,Percent of Total Billed Charges,2029.27,,2224.53,92,,Percent of Total Billed Charges,1989.72,,2224.53,92,,Percent of Total Billed Charges,2063.87,,2224.53,92,,Percent of Total Billed Charges,1861.19,,2224.53,92,,Percent of Total Billed Charges,1544.81,,2224.53,90,,Percent of Total Billed Charges,1233.38,,2199.81,89,,Percent of Total Billed Charges,1186.42,,2036.68,82.4,,Percent of Total Billed Charges,2031.74,,2061.4,83.4,,Percent of Total Billed Charges,1922.98,,2061.4,83.4,,Percent of Total Billed Charges,1732.66,,2061.4,83.4,,Percent of Total Billed Charges,2011.96,,2224.53,90,,Percent of Total Billed Charges,2093.53,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2273.96,92,,Percent of Total Billed Charges,2004.55,,2273.96,92,,Percent of Total Billed Charges,1838.94,,2273.96,92,,Percent of Total Billed Charges,1935.34,,2273.96,92,,Percent of Total Billed Charges,2004.55,,1927.93,78,,Percent of Total Billed Charges,1927.93,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1330.52,53.83,,Percent of Total Billed Charges,1248.21,,856.2,34.64,,Percent of Total Billed Charges,852.74,,1235.36,49.98,,Percent of Total Billed Charges,934.3,,856.20,2273.96,,																																							
HC CT PELVIS W/CONTRAST,72193,CPT,,,,BOTH, , ,3177.3,2668.93,2859.57,92,,Percent of Total Billed Charges,2656.22,,2859.57,92,,Percent of Total Billed Charges,2608.56,,2859.57,92,,Percent of Total Billed Charges,2557.73,,2859.57,92,,Percent of Total Billed Charges,2653.05,,2859.57,92,,Percent of Total Billed Charges,2392.51,,2859.57,92,,Percent of Total Billed Charges,1985.81,,2859.57,90,,Percent of Total Billed Charges,1585.47,,2827.8,89,,Percent of Total Billed Charges,1525.1,,2618.1,82.4,,Percent of Total Billed Charges,2611.74,,2649.87,83.4,,Percent of Total Billed Charges,2471.94,,2649.87,83.4,,Percent of Total Billed Charges,2227.29,,2649.87,83.4,,Percent of Total Billed Charges,2586.32,,2859.57,90,,Percent of Total Billed Charges,2691.17,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2923.12,92,,Percent of Total Billed Charges,2576.79,,2923.12,92,,Percent of Total Billed Charges,2363.91,,2923.12,92,,Percent of Total Billed Charges,2487.83,,2923.12,92,,Percent of Total Billed Charges,2576.79,,2478.29,78,,Percent of Total Billed Charges,2478.29,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1710.34,53.83,,Percent of Total Billed Charges,1604.54,,1100.62,34.64,,Percent of Total Billed Charges,1096.17,,1588.01,49.98,,Percent of Total Billed Charges,1201.02,,1100.62,2923.12,,																																							
HC CT PELVIS W/WO CONTRAST,72194,CPT,,,,BOTH, , ,4458.3,3744.97,4012.47,92,,Percent of Total Billed Charges,3727.14,,4012.47,92,,Percent of Total Billed Charges,3660.26,,4012.47,92,,Percent of Total Billed Charges,3588.93,,4012.47,92,,Percent of Total Billed Charges,3722.68,,4012.47,92,,Percent of Total Billed Charges,3357.1,,4012.47,92,,Percent of Total Billed Charges,2786.44,,4012.47,90,,Percent of Total Billed Charges,2224.69,,3967.89,89,,Percent of Total Billed Charges,2139.98,,3673.64,82.4,,Percent of Total Billed Charges,3664.72,,3718.22,83.4,,Percent of Total Billed Charges,3468.56,,3718.22,83.4,,Percent of Total Billed Charges,3125.27,,3718.22,83.4,,Percent of Total Billed Charges,3629.06,,4012.47,90,,Percent of Total Billed Charges,3776.18,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4101.64,92,,Percent of Total Billed Charges,3615.68,,4101.64,92,,Percent of Total Billed Charges,3316.98,,4101.64,92,,Percent of Total Billed Charges,3490.85,,4101.64,92,,Percent of Total Billed Charges,3615.68,,3477.47,78,,Percent of Total Billed Charges,3477.47,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2399.9,53.83,,Percent of Total Billed Charges,2251.44,,1544.36,34.64,,Percent of Total Billed Charges,1538.11,,2228.26,49.98,,Percent of Total Billed Charges,1685.24,,1544.36,4101.64,,																																							
HC CT UPPER EXTREMITY W/O CONT,73200,CPT,,,,BOTH, , ,3329.55,2796.82,2996.6,92,,Percent of Total Billed Charges,2783.5,,2996.6,92,,Percent of Total Billed Charges,2733.56,,2996.6,92,,Percent of Total Billed Charges,2680.29,,2996.6,92,,Percent of Total Billed Charges,2780.17,,2996.6,92,,Percent of Total Billed Charges,2507.15,,2996.6,92,,Percent of Total Billed Charges,2080.97,,2996.6,90,,Percent of Total Billed Charges,1661.45,,2963.3,89,,Percent of Total Billed Charges,1598.18,,2743.55,82.4,,Percent of Total Billed Charges,2736.89,,2776.84,83.4,,Percent of Total Billed Charges,2590.39,,2776.84,83.4,,Percent of Total Billed Charges,2334.01,,2776.84,83.4,,Percent of Total Billed Charges,2710.25,,2996.6,90,,Percent of Total Billed Charges,2820.13,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3063.19,92,,Percent of Total Billed Charges,2700.27,,3063.19,92,,Percent of Total Billed Charges,2477.19,,3063.19,92,,Percent of Total Billed Charges,2607.04,,3063.19,92,,Percent of Total Billed Charges,2700.27,,2597.05,78,,Percent of Total Billed Charges,2597.05,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1792.3,53.83,,Percent of Total Billed Charges,1681.42,,1153.36,34.64,,Percent of Total Billed Charges,1148.69,,1664.11,49.98,,Percent of Total Billed Charges,1258.57,,1153.36,3063.19,,																																							
HC CT UPPER EXTREMITY W/CONT,73201,CPT,,,,BOTH, , ,3726.45,3130.22,3353.81,92,,Percent of Total Billed Charges,3115.31,,3353.81,92,,Percent of Total Billed Charges,3059.42,,3353.81,92,,Percent of Total Billed Charges,2999.79,,3353.81,92,,Percent of Total Billed Charges,3111.59,,3353.81,92,,Percent of Total Billed Charges,2806.02,,3353.81,92,,Percent of Total Billed Charges,2329.03,,3353.81,90,,Percent of Total Billed Charges,1859.5,,3316.54,89,,Percent of Total Billed Charges,1788.7,,3070.59,82.4,,Percent of Total Billed Charges,3063.14,,3107.86,83.4,,Percent of Total Billed Charges,2899.18,,3107.86,83.4,,Percent of Total Billed Charges,2612.24,,3107.86,83.4,,Percent of Total Billed Charges,3033.33,,3353.81,90,,Percent of Total Billed Charges,3156.3,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3428.33,92,,Percent of Total Billed Charges,3022.15,,3428.33,92,,Percent of Total Billed Charges,2772.48,,3428.33,92,,Percent of Total Billed Charges,2917.81,,3428.33,92,,Percent of Total Billed Charges,3022.15,,2906.63,78,,Percent of Total Billed Charges,2906.63,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2005.95,53.83,,Percent of Total Billed Charges,1881.86,,1290.84,34.64,,Percent of Total Billed Charges,1285.63,,1862.48,49.98,,Percent of Total Billed Charges,1408.6,,1290.84,3428.33,,																																							
HC CT ANGIOGRAPH UPPER EXTREMITY W/O & W CONT,73206,CPT,,,,BOTH, , ,3353.7,2817.11,3018.33,92,,Percent of Total Billed Charges,2803.69,,3018.33,92,,Percent of Total Billed Charges,2753.39,,3018.33,92,,Percent of Total Billed Charges,2699.73,,3018.33,92,,Percent of Total Billed Charges,2800.34,,3018.33,92,,Percent of Total Billed Charges,2525.34,,3018.33,92,,Percent of Total Billed Charges,2096.06,,3018.33,90,,Percent of Total Billed Charges,1673.5,,2984.79,89,,Percent of Total Billed Charges,1609.78,,2763.45,82.4,,Percent of Total Billed Charges,2756.74,,2796.99,83.4,,Percent of Total Billed Charges,2609.18,,2796.99,83.4,,Percent of Total Billed Charges,2350.94,,2796.99,83.4,,Percent of Total Billed Charges,2729.91,,3018.33,90,,Percent of Total Billed Charges,2840.58,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3085.4,92,,Percent of Total Billed Charges,2719.85,,3085.4,92,,Percent of Total Billed Charges,2495.15,,3085.4,92,,Percent of Total Billed Charges,2625.95,,3085.4,92,,Percent of Total Billed Charges,2719.85,,2615.89,78,,Percent of Total Billed Charges,2615.89,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1805.3,53.83,,Percent of Total Billed Charges,1693.62,,1161.72,34.64,,Percent of Total Billed Charges,1157.03,,1676.18,49.98,,Percent of Total Billed Charges,1267.7,,1161.72,3085.4,,																																							
HC CT LOWER EXTREMITY WO CONT,73700,CPT,,,,BOTH, , ,302.4,254.02,272.16,92,,Percent of Total Billed Charges,252.81,,272.16,92,,Percent of Total Billed Charges,248.27,,272.16,92,,Percent of Total Billed Charges,243.43,,272.16,92,,Percent of Total Billed Charges,252.5,,272.16,92,,Percent of Total Billed Charges,227.71,,272.16,92,,Percent of Total Billed Charges,189,,272.16,90,,Percent of Total Billed Charges,150.9,,269.14,89,,Percent of Total Billed Charges,145.15,,249.18,82.4,,Percent of Total Billed Charges,248.57,,252.2,83.4,,Percent of Total Billed Charges,235.27,,252.2,83.4,,Percent of Total Billed Charges,211.98,,252.2,83.4,,Percent of Total Billed Charges,246.15,,272.16,90,,Percent of Total Billed Charges,256.13,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,278.21,92,,Percent of Total Billed Charges,245.25,,278.21,92,,Percent of Total Billed Charges,224.99,,278.21,92,,Percent of Total Billed Charges,236.78,,278.21,92,,Percent of Total Billed Charges,245.25,,235.87,78,,Percent of Total Billed Charges,235.87,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,162.78,53.83,,Percent of Total Billed Charges,152.71,,104.75,34.64,,Percent of Total Billed Charges,104.33,,151.14,49.98,,Percent of Total Billed Charges,114.31,,104.75,278.21,,																																							
HC CT LOWER EXTREMITY W/CONT,73701,CPT,,,,BOTH, , ,3418.8,2871.79,3076.92,92,,Percent of Total Billed Charges,2858.12,,3076.92,92,,Percent of Total Billed Charges,2806.83,,3076.92,92,,Percent of Total Billed Charges,2752.13,,3076.92,92,,Percent of Total Billed Charges,2854.7,,3076.92,92,,Percent of Total Billed Charges,2574.36,,3076.92,92,,Percent of Total Billed Charges,2136.75,,3076.92,90,,Percent of Total Billed Charges,1705.98,,3042.73,89,,Percent of Total Billed Charges,1641.02,,2817.09,82.4,,Percent of Total Billed Charges,2810.25,,2851.28,83.4,,Percent of Total Billed Charges,2659.83,,2851.28,83.4,,Percent of Total Billed Charges,2396.58,,2851.28,83.4,,Percent of Total Billed Charges,2782.9,,3076.92,90,,Percent of Total Billed Charges,2895.72,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3145.3,92,,Percent of Total Billed Charges,2772.65,,3145.3,92,,Percent of Total Billed Charges,2543.59,,3145.3,92,,Percent of Total Billed Charges,2676.92,,3145.3,92,,Percent of Total Billed Charges,2772.65,,2666.66,78,,Percent of Total Billed Charges,2666.66,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1840.34,53.83,,Percent of Total Billed Charges,1726.49,,1184.27,34.64,,Percent of Total Billed Charges,1179.49,,1708.72,49.98,,Percent of Total Billed Charges,1292.31,,1184.27,3145.3,,																																							
HC CT ANGIOGRAPH LWR EXTREMITY W/O & W CONT,73706,CPT,,,,BOTH, , ,3153.15,2648.65,2837.84,92,,Percent of Total Billed Charges,2636.03,,2837.84,92,,Percent of Total Billed Charges,2588.74,,2837.84,92,,Percent of Total Billed Charges,2538.29,,2837.84,92,,Percent of Total Billed Charges,2632.88,,2837.84,92,,Percent of Total Billed Charges,2374.32,,2837.84,92,,Percent of Total Billed Charges,1970.72,,2837.84,90,,Percent of Total Billed Charges,1573.42,,2806.3,89,,Percent of Total Billed Charges,1513.51,,2598.2,82.4,,Percent of Total Billed Charges,2591.89,,2629.73,83.4,,Percent of Total Billed Charges,2453.15,,2629.73,83.4,,Percent of Total Billed Charges,2210.36,,2629.73,83.4,,Percent of Total Billed Charges,2566.66,,2837.84,90,,Percent of Total Billed Charges,2670.72,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2900.9,92,,Percent of Total Billed Charges,2557.2,,2900.9,92,,Percent of Total Billed Charges,2345.94,,2900.9,92,,Percent of Total Billed Charges,2468.92,,2900.9,92,,Percent of Total Billed Charges,2557.2,,2459.46,78,,Percent of Total Billed Charges,2459.46,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1697.34,53.83,,Percent of Total Billed Charges,1592.34,,1092.25,34.64,,Percent of Total Billed Charges,1087.84,,1575.94,49.98,,Percent of Total Billed Charges,1191.89,,1092.25,2900.9,,																																							
HC CT ABDOMEN W/O CONTRAST,74150,CPT,,,,BOTH, , ,3802.05,3193.72,3421.85,92,,Percent of Total Billed Charges,3178.51,,3421.85,92,,Percent of Total Billed Charges,3121.48,,3421.85,92,,Percent of Total Billed Charges,3060.65,,3421.85,92,,Percent of Total Billed Charges,3174.71,,3421.85,92,,Percent of Total Billed Charges,2862.94,,3421.85,92,,Percent of Total Billed Charges,2376.28,,3421.85,90,,Percent of Total Billed Charges,1897.22,,3383.82,89,,Percent of Total Billed Charges,1824.98,,3132.89,82.4,,Percent of Total Billed Charges,3125.29,,3170.91,83.4,,Percent of Total Billed Charges,2957.99,,3170.91,83.4,,Percent of Total Billed Charges,2665.24,,3170.91,83.4,,Percent of Total Billed Charges,3094.87,,3421.85,90,,Percent of Total Billed Charges,3220.34,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3497.89,92,,Percent of Total Billed Charges,3083.46,,3497.89,92,,Percent of Total Billed Charges,2828.73,,3497.89,92,,Percent of Total Billed Charges,2977.01,,3497.89,92,,Percent of Total Billed Charges,3083.46,,2965.6,78,,Percent of Total Billed Charges,2965.6,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2046.64,53.83,,Percent of Total Billed Charges,1920.04,,1317.03,34.64,,Percent of Total Billed Charges,1311.71,,1900.26,49.98,,Percent of Total Billed Charges,1437.17,,1317.03,3497.89,,																																							
HC CT ABDOMEN W/CONTRAST,74160,CPT,,,,BOTH, , ,4518.15,3795.25,4066.34,92,,Percent of Total Billed Charges,3777.17,,4066.34,92,,Percent of Total Billed Charges,3709.4,,4066.34,92,,Percent of Total Billed Charges,3637.11,,4066.34,92,,Percent of Total Billed Charges,3772.66,,4066.34,92,,Percent of Total Billed Charges,3402.17,,4066.34,92,,Percent of Total Billed Charges,2823.84,,4066.34,90,,Percent of Total Billed Charges,2254.56,,4021.15,89,,Percent of Total Billed Charges,2168.71,,3722.96,82.4,,Percent of Total Billed Charges,3713.92,,3768.14,83.4,,Percent of Total Billed Charges,3515.12,,3768.14,83.4,,Percent of Total Billed Charges,3167.22,,3768.14,83.4,,Percent of Total Billed Charges,3677.77,,4066.34,90,,Percent of Total Billed Charges,3826.87,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4156.7,92,,Percent of Total Billed Charges,3664.22,,4156.7,92,,Percent of Total Billed Charges,3361.5,,4156.7,92,,Percent of Total Billed Charges,3537.71,,4156.7,92,,Percent of Total Billed Charges,3664.22,,3524.16,78,,Percent of Total Billed Charges,3524.16,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2432.12,53.83,,Percent of Total Billed Charges,2281.67,,1565.09,34.64,,Percent of Total Billed Charges,1558.76,,2258.17,49.98,,Percent of Total Billed Charges,1707.86,,1565.09,4156.7,,																																							
HC CT ABDOMEN W/WO CONTRAST,74170,CPT,,,,BOTH, , ,5108.25,4290.93,4597.43,92,,Percent of Total Billed Charges,4270.5,,4597.43,92,,Percent of Total Billed Charges,4193.87,,4597.43,92,,Percent of Total Billed Charges,4112.14,,4597.43,92,,Percent of Total Billed Charges,4265.39,,4597.43,92,,Percent of Total Billed Charges,3846.51,,4597.43,92,,Percent of Total Billed Charges,3192.66,,4597.43,90,,Percent of Total Billed Charges,2549.02,,4546.34,89,,Percent of Total Billed Charges,2451.96,,4209.2,82.4,,Percent of Total Billed Charges,4198.98,,4260.28,83.4,,Percent of Total Billed Charges,3974.22,,4260.28,83.4,,Percent of Total Billed Charges,3580.88,,4260.28,83.4,,Percent of Total Billed Charges,4158.12,,4597.43,90,,Percent of Total Billed Charges,4326.69,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4699.59,92,,Percent of Total Billed Charges,4142.79,,4699.59,92,,Percent of Total Billed Charges,3800.54,,4699.59,92,,Percent of Total Billed Charges,3999.76,,4699.59,92,,Percent of Total Billed Charges,4142.79,,3984.44,78,,Percent of Total Billed Charges,3984.44,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2749.77,53.83,,Percent of Total Billed Charges,2579.67,,1769.5,34.64,,Percent of Total Billed Charges,1762.35,,2553.1,49.98,,Percent of Total Billed Charges,1930.92,,1769.50,4699.59,,																																							
HC CT ANGIOGRAPH ABD/PELVIS W/O & W CONT,74174,CPT,,,,BOTH, , ,826.35,694.13,743.72,92,,Percent of Total Billed Charges,690.83,,743.72,92,,Percent of Total Billed Charges,678.43,,743.72,92,,Percent of Total Billed Charges,665.21,,743.72,92,,Percent of Total Billed Charges,690,,743.72,92,,Percent of Total Billed Charges,622.24,,743.72,92,,Percent of Total Billed Charges,516.47,,743.72,90,,Percent of Total Billed Charges,412.35,,735.45,89,,Percent of Total Billed Charges,396.65,,680.91,82.4,,Percent of Total Billed Charges,679.26,,689.18,83.4,,Percent of Total Billed Charges,642.9,,689.18,83.4,,Percent of Total Billed Charges,579.27,,689.18,83.4,,Percent of Total Billed Charges,672.65,,743.72,90,,Percent of Total Billed Charges,699.92,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,760.24,92,,Percent of Total Billed Charges,670.17,,760.24,92,,Percent of Total Billed Charges,614.8,,760.24,92,,Percent of Total Billed Charges,647.03,,760.24,92,,Percent of Total Billed Charges,670.17,,644.55,78,,Percent of Total Billed Charges,644.55,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,444.82,53.83,,Percent of Total Billed Charges,417.31,,286.25,34.64,,Percent of Total Billed Charges,285.09,,413.01,49.98,,Percent of Total Billed Charges,312.36,,286.25,760.24,,																																							
HC CT ANGIOGRAPH ABDOMEN W/O & W CONT,74175,CPT,,,,BOTH, , ,5825.4,4893.34,5242.86,92,,Percent of Total Billed Charges,4870.03,,5242.86,92,,Percent of Total Billed Charges,4782.65,,5242.86,92,,Percent of Total Billed Charges,4689.45,,5242.86,92,,Percent of Total Billed Charges,4864.21,,5242.86,92,,Percent of Total Billed Charges,4386.53,,5242.86,92,,Percent of Total Billed Charges,3640.88,,5242.86,90,,Percent of Total Billed Charges,2906.87,,5184.61,89,,Percent of Total Billed Charges,2796.19,,4800.13,82.4,,Percent of Total Billed Charges,4788.48,,4858.38,83.4,,Percent of Total Billed Charges,4532.16,,4858.38,83.4,,Percent of Total Billed Charges,4083.61,,4858.38,83.4,,Percent of Total Billed Charges,4741.88,,5242.86,90,,Percent of Total Billed Charges,4934.11,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5359.37,92,,Percent of Total Billed Charges,4724.4,,5359.37,92,,Percent of Total Billed Charges,4334.1,,5359.37,92,,Percent of Total Billed Charges,4561.29,,5359.37,92,,Percent of Total Billed Charges,4724.4,,4543.81,78,,Percent of Total Billed Charges,4543.81,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3135.81,53.83,,Percent of Total Billed Charges,2941.83,,2017.92,34.64,,Percent of Total Billed Charges,2009.76,,2911.53,49.98,,Percent of Total Billed Charges,2202,,2017.92,5359.37,,																																							
HC CT CORONARY ARTERIES W 3D IMAGE,75574,CPT,,,,BOTH, , ,3332.7,2799.47,2999.43,92,,Percent of Total Billed Charges,2786.14,,2999.43,92,,Percent of Total Billed Charges,2736.15,,2999.43,92,,Percent of Total Billed Charges,2682.82,,2999.43,92,,Percent of Total Billed Charges,2782.8,,2999.43,92,,Percent of Total Billed Charges,2509.52,,2999.43,92,,Percent of Total Billed Charges,2082.94,,2999.43,90,,Percent of Total Billed Charges,1663.02,,2966.1,89,,Percent of Total Billed Charges,1599.7,,2746.14,82.4,,Percent of Total Billed Charges,2739.48,,2779.47,83.4,,Percent of Total Billed Charges,2592.84,,2779.47,83.4,,Percent of Total Billed Charges,2336.22,,2779.47,83.4,,Percent of Total Billed Charges,2712.82,,2999.43,90,,Percent of Total Billed Charges,2822.8,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3066.08,92,,Percent of Total Billed Charges,2702.82,,3066.08,92,,Percent of Total Billed Charges,2479.53,,3066.08,92,,Percent of Total Billed Charges,2609.5,,3066.08,92,,Percent of Total Billed Charges,2702.82,,2599.51,78,,Percent of Total Billed Charges,2599.51,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1793.99,53.83,,Percent of Total Billed Charges,1683.01,,1154.45,34.64,,Percent of Total Billed Charges,1149.78,,1665.68,49.98,,Percent of Total Billed Charges,1259.76,,1154.45,3066.08,,																																							
HC CT ANGIOGRAPH ABDOMINAL AORTA W/RUNOFF,75635,CPT,,,,BOTH, , ,5892.6,4949.78,5303.34,92,,Percent of Total Billed Charges,4926.21,,5303.34,92,,Percent of Total Billed Charges,4837.82,,5303.34,92,,Percent of Total Billed Charges,4743.54,,5303.34,92,,Percent of Total Billed Charges,4920.32,,5303.34,92,,Percent of Total Billed Charges,4437.13,,5303.34,92,,Percent of Total Billed Charges,3682.88,,5303.34,90,,Percent of Total Billed Charges,2940.41,,5244.41,89,,Percent of Total Billed Charges,2828.45,,4855.5,82.4,,Percent of Total Billed Charges,4843.72,,4914.43,83.4,,Percent of Total Billed Charges,4584.44,,4914.43,83.4,,Percent of Total Billed Charges,4130.71,,4914.43,83.4,,Percent of Total Billed Charges,4796.58,,5303.34,90,,Percent of Total Billed Charges,4991.03,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5421.19,92,,Percent of Total Billed Charges,4778.9,,5421.19,92,,Percent of Total Billed Charges,4384.09,,5421.19,92,,Percent of Total Billed Charges,4613.91,,5421.19,92,,Percent of Total Billed Charges,4778.9,,4596.23,78,,Percent of Total Billed Charges,4596.23,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3171.99,53.83,,Percent of Total Billed Charges,2975.76,,2041.2,34.64,,Percent of Total Billed Charges,2032.95,,2945.12,49.98,,Percent of Total Billed Charges,2227.4,,2041.20,5421.19,,																																							
HC CT UPPER EXTREMITY W/WO CONTRAST,73202,CPT,,,,BOTH, , ,4138.05,3475.96,3724.25,92,,Percent of Total Billed Charges,3459.41,,3724.25,92,,Percent of Total Billed Charges,3397.34,,3724.25,92,,Percent of Total Billed Charges,3331.13,,3724.25,92,,Percent of Total Billed Charges,3455.27,,3724.25,92,,Percent of Total Billed Charges,3115.95,,3724.25,92,,Percent of Total Billed Charges,2586.28,,3724.25,90,,Percent of Total Billed Charges,2064.89,,3682.86,89,,Percent of Total Billed Charges,1986.26,,3409.75,82.4,,Percent of Total Billed Charges,3401.48,,3451.13,83.4,,Percent of Total Billed Charges,3219.4,,3451.13,83.4,,Percent of Total Billed Charges,2900.77,,3451.13,83.4,,Percent of Total Billed Charges,3368.37,,3724.25,90,,Percent of Total Billed Charges,3504.93,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3807.01,92,,Percent of Total Billed Charges,3355.96,,3807.01,92,,Percent of Total Billed Charges,3078.71,,3807.01,92,,Percent of Total Billed Charges,3240.09,,3807.01,92,,Percent of Total Billed Charges,3355.96,,3227.68,78,,Percent of Total Billed Charges,3227.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2227.51,53.83,,Percent of Total Billed Charges,2089.72,,1433.42,34.64,,Percent of Total Billed Charges,1427.63,,2068.2,49.98,,Percent of Total Billed Charges,1564.18,,1433.42,3807.01,,																																							
HC CT LOWER EXTREMITY W/WO CONTRAST,73702,CPT,,,,BOTH, , ,3860.85,3243.11,3474.77,92,,Percent of Total Billed Charges,3227.67,,3474.77,92,,Percent of Total Billed Charges,3169.76,,3474.77,92,,Percent of Total Billed Charges,3107.98,,3474.77,92,,Percent of Total Billed Charges,3223.81,,3474.77,92,,Percent of Total Billed Charges,2907.22,,3474.77,92,,Percent of Total Billed Charges,2413.03,,3474.77,90,,Percent of Total Billed Charges,1926.56,,3436.16,89,,Percent of Total Billed Charges,1853.21,,3181.34,82.4,,Percent of Total Billed Charges,3173.62,,3219.95,83.4,,Percent of Total Billed Charges,3003.74,,3219.95,83.4,,Percent of Total Billed Charges,2706.46,,3219.95,83.4,,Percent of Total Billed Charges,3142.73,,3474.77,90,,Percent of Total Billed Charges,3270.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3551.98,92,,Percent of Total Billed Charges,3131.15,,3551.98,92,,Percent of Total Billed Charges,2872.47,,3551.98,92,,Percent of Total Billed Charges,3023.05,,3551.98,92,,Percent of Total Billed Charges,3131.15,,3011.46,78,,Percent of Total Billed Charges,3011.46,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2078.3,53.83,,Percent of Total Billed Charges,1949.73,,1337.4,34.64,,Percent of Total Billed Charges,1331.99,,1929.65,49.98,,Percent of Total Billed Charges,1459.4,,1337.40,3551.98,,																																							
HC CT HEART W/3D IMAGE CONGEN,75573,CPT,,,,BOTH, , ,1766.1,1483.52,1589.49,92,,Percent of Total Billed Charges,1476.46,,1589.49,92,,Percent of Total Billed Charges,1449.97,,1589.49,92,,Percent of Total Billed Charges,1421.71,,1589.49,92,,Percent of Total Billed Charges,1474.69,,1589.49,92,,Percent of Total Billed Charges,1329.87,,1589.49,92,,Percent of Total Billed Charges,1103.81,,1589.49,90,,Percent of Total Billed Charges,881.28,,1571.83,89,,Percent of Total Billed Charges,847.73,,1455.27,82.4,,Percent of Total Billed Charges,1451.73,,1472.93,83.4,,Percent of Total Billed Charges,1374.03,,1472.93,83.4,,Percent of Total Billed Charges,1238.04,,1472.93,83.4,,Percent of Total Billed Charges,1437.61,,1589.49,90,,Percent of Total Billed Charges,1495.89,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1624.81,92,,Percent of Total Billed Charges,1432.31,,1624.81,92,,Percent of Total Billed Charges,1313.98,,1624.81,92,,Percent of Total Billed Charges,1382.86,,1624.81,92,,Percent of Total Billed Charges,1432.31,,1377.56,78,,Percent of Total Billed Charges,1377.56,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,950.69,53.83,,Percent of Total Billed Charges,891.88,,611.78,34.64,,Percent of Total Billed Charges,609.3,,882.7,49.98,,Percent of Total Billed Charges,667.59,,611.78,1624.81,,																																							
HC CT PROCEDURE,76497,CPT,,,,BOTH, , ,46.2,38.81,41.58,92,,Percent of Total Billed Charges,38.62,,41.58,92,,Percent of Total Billed Charges,37.93,,41.58,92,,Percent of Total Billed Charges,37.19,,41.58,92,,Percent of Total Billed Charges,38.58,,41.58,92,,Percent of Total Billed Charges,34.79,,41.58,92,,Percent of Total Billed Charges,28.88,,41.58,90,,Percent of Total Billed Charges,23.05,,41.12,89,,Percent of Total Billed Charges,22.18,,38.07,82.4,,Percent of Total Billed Charges,37.98,,38.53,83.4,,Percent of Total Billed Charges,35.94,,38.53,83.4,,Percent of Total Billed Charges,32.39,,38.53,83.4,,Percent of Total Billed Charges,37.61,,41.58,90,,Percent of Total Billed Charges,39.13,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,42.5,92,,Percent of Total Billed Charges,37.47,,42.5,92,,Percent of Total Billed Charges,34.37,,42.5,92,,Percent of Total Billed Charges,36.17,,42.5,92,,Percent of Total Billed Charges,37.47,,36.04,78,,Percent of Total Billed Charges,36.04,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,24.87,53.83,,Percent of Total Billed Charges,23.33,,16,34.64,,Percent of Total Billed Charges,15.94,,23.09,49.98,,Percent of Total Billed Charges,17.46,,16.00,42.5,,																																							
HC  COMPUTED TOMOGRAPHY THORAX LW DOSE LNG CA SCR C,71271,CPT,,,,BOTH, , ,121.8,102.31,109.62,92,,Percent of Total Billed Charges,101.82,,109.62,92,,Percent of Total Billed Charges,100,,109.62,92,,Percent of Total Billed Charges,98.05,,109.62,92,,Percent of Total Billed Charges,101.7,,109.62,92,,Percent of Total Billed Charges,91.72,,109.62,92,,Percent of Total Billed Charges,76.13,,109.62,90,,Percent of Total Billed Charges,60.78,,108.4,89,,Percent of Total Billed Charges,58.46,,100.36,82.4,,Percent of Total Billed Charges,100.12,,101.58,83.4,,Percent of Total Billed Charges,94.76,,101.58,83.4,,Percent of Total Billed Charges,85.38,,101.58,83.4,,Percent of Total Billed Charges,99.15,,109.62,90,,Percent of Total Billed Charges,103.16,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,112.06,92,,Percent of Total Billed Charges,98.78,,112.06,92,,Percent of Total Billed Charges,90.62,,112.06,92,,Percent of Total Billed Charges,95.37,,112.06,92,,Percent of Total Billed Charges,98.78,,95,78,,Percent of Total Billed Charges,95,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,65.56,53.83,,Percent of Total Billed Charges,61.51,,42.19,34.64,,Percent of Total Billed Charges,42.02,,60.88,49.98,,Percent of Total Billed Charges,46.04,,42.19,112.06,,																																							
HC CHEST TUBE INSERTION,360,RC,,,,BOTH, , ,606.9,509.8,558.35,92,,Percent of Total Billed Charges,507.37,,558.35,92,,Percent of Total Billed Charges,498.26,,558.35,92,,Percent of Total Billed Charges,488.55,,558.35,92,,Percent of Total Billed Charges,506.76,,558.35,92,,Percent of Total Billed Charges,457,,558.35,92,,Percent of Total Billed Charges,379.31,,546.21,90,,Percent of Total Billed Charges,302.84,,540.14,89,,Percent of Total Billed Charges,291.31,,500.09,82.4,,Percent of Total Billed Charges,498.87,,506.15,83.4,,Percent of Total Billed Charges,472.17,,506.15,83.4,,Percent of Total Billed Charges,425.44,,506.15,83.4,,Percent of Total Billed Charges,494.02,,546.21,90,,Percent of Total Billed Charges,514.04,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,558.35,92,,Percent of Total Billed Charges,492.2,,558.35,92,,Percent of Total Billed Charges,451.53,,558.35,92,,Percent of Total Billed Charges,475.2,,558.35,92,,Percent of Total Billed Charges,492.2,,473.38,78,,Percent of Total Billed Charges,473.38,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,326.69,53.83,,Percent of Total Billed Charges,306.48,,210.23,34.64,,Percent of Total Billed Charges,209.38,,303.33,49.98,,Percent of Total Billed Charges,229.41,,210.23,558.35,,																																							
HC CV FRESEN INTRAAORTIC PUMP/HR,360,RC,,,,BOTH, , ,648.9,545.08,596.99,92,,Percent of Total Billed Charges,542.48,,596.99,92,,Percent of Total Billed Charges,532.75,,596.99,92,,Percent of Total Billed Charges,522.36,,596.99,92,,Percent of Total Billed Charges,541.83,,596.99,92,,Percent of Total Billed Charges,488.62,,596.99,92,,Percent of Total Billed Charges,405.56,,584.01,90,,Percent of Total Billed Charges,323.8,,577.52,89,,Percent of Total Billed Charges,311.47,,534.69,82.4,,Percent of Total Billed Charges,533.4,,541.18,83.4,,Percent of Total Billed Charges,504.84,,541.18,83.4,,Percent of Total Billed Charges,454.88,,541.18,83.4,,Percent of Total Billed Charges,528.2,,584.01,90,,Percent of Total Billed Charges,549.62,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,596.99,92,,Percent of Total Billed Charges,526.26,,596.99,92,,Percent of Total Billed Charges,482.78,,596.99,92,,Percent of Total Billed Charges,508.09,,596.99,92,,Percent of Total Billed Charges,526.26,,506.14,78,,Percent of Total Billed Charges,506.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,349.3,53.83,,Percent of Total Billed Charges,327.69,,224.78,34.64,,Percent of Total Billed Charges,223.87,,324.32,49.98,,Percent of Total Billed Charges,245.28,,224.78,596.99,,																																							
HC CV PERFUSION SERVICE LEV 1,360,RC,,,,BOTH, , ,247.8,208.15,227.98,92,,Percent of Total Billed Charges,207.16,,227.98,92,,Percent of Total Billed Charges,203.44,,227.98,92,,Percent of Total Billed Charges,199.48,,227.98,92,,Percent of Total Billed Charges,206.91,,227.98,92,,Percent of Total Billed Charges,186.59,,227.98,92,,Percent of Total Billed Charges,154.88,,223.02,90,,Percent of Total Billed Charges,123.65,,220.54,89,,Percent of Total Billed Charges,118.94,,204.19,82.4,,Percent of Total Billed Charges,203.69,,206.67,83.4,,Percent of Total Billed Charges,192.79,,206.67,83.4,,Percent of Total Billed Charges,173.71,,206.67,83.4,,Percent of Total Billed Charges,201.71,,223.02,90,,Percent of Total Billed Charges,209.89,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,227.98,92,,Percent of Total Billed Charges,200.97,,227.98,92,,Percent of Total Billed Charges,184.36,,227.98,92,,Percent of Total Billed Charges,194.03,,227.98,92,,Percent of Total Billed Charges,200.97,,193.28,78,,Percent of Total Billed Charges,193.28,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,133.39,53.83,,Percent of Total Billed Charges,125.14,,85.84,34.64,,Percent of Total Billed Charges,85.49,,123.85,49.98,,Percent of Total Billed Charges,93.67,,85.84,227.98,,																																							
HC CV PERFUSION SERVICE LEV 2,360,RC,,,,BOTH, , ,15684.9,13175.32,14430.11,92,,Percent of Total Billed Charges,13112.58,,14430.11,92,,Percent of Total Billed Charges,12877.3,,14430.11,92,,Percent of Total Billed Charges,12626.34,,14430.11,92,,Percent of Total Billed Charges,13096.89,,14430.11,92,,Percent of Total Billed Charges,11810.73,,14430.11,92,,Percent of Total Billed Charges,9803.06,,14116.41,90,,Percent of Total Billed Charges,7826.77,,13959.56,89,,Percent of Total Billed Charges,7528.75,,12924.36,82.4,,Percent of Total Billed Charges,12892.99,,13081.21,83.4,,Percent of Total Billed Charges,12202.85,,13081.21,83.4,,Percent of Total Billed Charges,10995.11,,13081.21,83.4,,Percent of Total Billed Charges,12767.51,,14116.41,90,,Percent of Total Billed Charges,13285.11,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,14430.11,92,,Percent of Total Billed Charges,12720.45,,14430.11,92,,Percent of Total Billed Charges,11669.57,,14430.11,92,,Percent of Total Billed Charges,12281.28,,14430.11,92,,Percent of Total Billed Charges,12720.45,,12234.22,78,,Percent of Total Billed Charges,12234.22,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,8443.18,53.83,,Percent of Total Billed Charges,7920.87,,5433.25,34.64,,Percent of Total Billed Charges,5411.29,,7839.31,49.98,,Percent of Total Billed Charges,5928.89,,5433.25,14430.11,,																																							
HC CV PERFUSION SERVICE LEV 3,360,RC,,,,BOTH, , ,34878.9,29298.28,32088.59,92,,Percent of Total Billed Charges,29158.76,,32088.59,92,,Percent of Total Billed Charges,28635.58,,32088.59,92,,Percent of Total Billed Charges,28077.51,,32088.59,92,,Percent of Total Billed Charges,29123.88,,32088.59,92,,Percent of Total Billed Charges,26263.81,,32088.59,92,,Percent of Total Billed Charges,21799.31,,31391.01,90,,Percent of Total Billed Charges,17404.57,,31042.22,89,,Percent of Total Billed Charges,16741.87,,28740.21,82.4,,Percent of Total Billed Charges,28670.46,,29089,83.4,,Percent of Total Billed Charges,27135.78,,29089,83.4,,Percent of Total Billed Charges,24450.11,,29089,83.4,,Percent of Total Billed Charges,28391.42,,31391.01,90,,Percent of Total Billed Charges,29542.43,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,32088.59,92,,Percent of Total Billed Charges,28286.79,,32088.59,92,,Percent of Total Billed Charges,25949.9,,32088.59,92,,Percent of Total Billed Charges,27310.18,,32088.59,92,,Percent of Total Billed Charges,28286.79,,27205.54,78,,Percent of Total Billed Charges,27205.54,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,18775.31,53.83,,Percent of Total Billed Charges,17613.84,,12082.05,34.64,,Percent of Total Billed Charges,12033.22,,17432.47,49.98,,Percent of Total Billed Charges,13184.22,,12082.05,32088.59,,																																							
HC CVOR BASE COMPLEX CASE,360,RC,,,,BOTH, , ,3164.7,2658.35,2911.52,92,,Percent of Total Billed Charges,2645.69,,2911.52,92,,Percent of Total Billed Charges,2598.22,,2911.52,92,,Percent of Total Billed Charges,2547.58,,2911.52,92,,Percent of Total Billed Charges,2642.52,,2911.52,92,,Percent of Total Billed Charges,2383.02,,2911.52,92,,Percent of Total Billed Charges,1977.94,,2848.23,90,,Percent of Total Billed Charges,1579.19,,2816.58,89,,Percent of Total Billed Charges,1519.06,,2607.71,82.4,,Percent of Total Billed Charges,2601.38,,2639.36,83.4,,Percent of Total Billed Charges,2462.14,,2639.36,83.4,,Percent of Total Billed Charges,2218.45,,2639.36,83.4,,Percent of Total Billed Charges,2576.07,,2848.23,90,,Percent of Total Billed Charges,2680.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2911.52,92,,Percent of Total Billed Charges,2566.57,,2911.52,92,,Percent of Total Billed Charges,2354.54,,2911.52,92,,Percent of Total Billed Charges,2477.96,,2911.52,92,,Percent of Total Billed Charges,2566.57,,2468.47,78,,Percent of Total Billed Charges,2468.47,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1703.56,53.83,,Percent of Total Billed Charges,1598.17,,1096.25,34.64,,Percent of Total Billed Charges,1091.82,,1581.72,49.98,,Percent of Total Billed Charges,1196.26,,1096.25,2911.52,,																																							
HC CVOR BASE COMPLEX PR MINUTE,360,RC,,,,BOTH, , ,156.45,131.42,143.93,92,,Percent of Total Billed Charges,130.79,,143.93,92,,Percent of Total Billed Charges,128.45,,143.93,92,,Percent of Total Billed Charges,125.94,,143.93,92,,Percent of Total Billed Charges,130.64,,143.93,92,,Percent of Total Billed Charges,117.81,,143.93,92,,Percent of Total Billed Charges,97.78,,140.81,90,,Percent of Total Billed Charges,78.07,,139.24,89,,Percent of Total Billed Charges,75.1,,128.91,82.4,,Percent of Total Billed Charges,128.6,,130.48,83.4,,Percent of Total Billed Charges,121.72,,130.48,83.4,,Percent of Total Billed Charges,109.67,,130.48,83.4,,Percent of Total Billed Charges,127.35,,140.81,90,,Percent of Total Billed Charges,132.51,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,143.93,92,,Percent of Total Billed Charges,126.88,,143.93,92,,Percent of Total Billed Charges,116.4,,143.93,92,,Percent of Total Billed Charges,122.5,,143.93,92,,Percent of Total Billed Charges,126.88,,122.03,78,,Percent of Total Billed Charges,122.03,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,84.22,53.83,,Percent of Total Billed Charges,79.01,,54.19,34.64,,Percent of Total Billed Charges,53.98,,78.19,49.98,,Percent of Total Billed Charges,59.14,,54.19,143.93,,																																							
HC CVOR BASE HEART PER CASE,360,RC,,,,BOTH, , ,4269.3,3586.21,3927.76,92,,Percent of Total Billed Charges,3569.13,,3927.76,92,,Percent of Total Billed Charges,3505.1,,3927.76,92,,Percent of Total Billed Charges,3436.79,,3927.76,92,,Percent of Total Billed Charges,3564.87,,3927.76,92,,Percent of Total Billed Charges,3214.78,,3927.76,92,,Percent of Total Billed Charges,2668.31,,3842.37,90,,Percent of Total Billed Charges,2130.38,,3799.68,89,,Percent of Total Billed Charges,2049.26,,3517.9,82.4,,Percent of Total Billed Charges,3509.36,,3560.6,83.4,,Percent of Total Billed Charges,3321.52,,3560.6,83.4,,Percent of Total Billed Charges,2992.78,,3560.6,83.4,,Percent of Total Billed Charges,3475.21,,3842.37,90,,Percent of Total Billed Charges,3616.1,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3927.76,92,,Percent of Total Billed Charges,3462.4,,3927.76,92,,Percent of Total Billed Charges,3176.36,,3927.76,92,,Percent of Total Billed Charges,3342.86,,3927.76,92,,Percent of Total Billed Charges,3462.4,,3330.05,78,,Percent of Total Billed Charges,3330.05,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2298.16,53.83,,Percent of Total Billed Charges,2156,,1478.89,34.64,,Percent of Total Billed Charges,1472.91,,2133.8,49.98,,Percent of Total Billed Charges,1613.8,,1478.89,3927.76,,																																							
HC CVOR BASE MODERATE CASE,360,RC,,,,BOTH, , ,245.7,206.39,226.04,92,,Percent of Total Billed Charges,205.41,,226.04,92,,Percent of Total Billed Charges,201.72,,226.04,92,,Percent of Total Billed Charges,197.79,,226.04,92,,Percent of Total Billed Charges,205.16,,226.04,92,,Percent of Total Billed Charges,185.01,,226.04,92,,Percent of Total Billed Charges,153.56,,221.13,90,,Percent of Total Billed Charges,122.6,,218.67,89,,Percent of Total Billed Charges,117.94,,202.46,82.4,,Percent of Total Billed Charges,201.97,,204.91,83.4,,Percent of Total Billed Charges,191.15,,204.91,83.4,,Percent of Total Billed Charges,172.24,,204.91,83.4,,Percent of Total Billed Charges,200,,221.13,90,,Percent of Total Billed Charges,208.11,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,226.04,92,,Percent of Total Billed Charges,199.26,,226.04,92,,Percent of Total Billed Charges,182.8,,226.04,92,,Percent of Total Billed Charges,192.38,,226.04,92,,Percent of Total Billed Charges,199.26,,191.65,78,,Percent of Total Billed Charges,191.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,132.26,53.83,,Percent of Total Billed Charges,124.08,,85.11,34.64,,Percent of Total Billed Charges,84.77,,122.8,49.98,,Percent of Total Billed Charges,92.87,,85.11,226.04,,																																							
HC CVOR BASE MODERATE PER MINUTE,360,RC,,,,BOTH, , ,130.2,109.37,119.78,92,,Percent of Total Billed Charges,108.85,,119.78,92,,Percent of Total Billed Charges,106.89,,119.78,92,,Percent of Total Billed Charges,104.81,,119.78,92,,Percent of Total Billed Charges,108.72,,119.78,92,,Percent of Total Billed Charges,98.04,,119.78,92,,Percent of Total Billed Charges,81.38,,117.18,90,,Percent of Total Billed Charges,64.97,,115.88,89,,Percent of Total Billed Charges,62.5,,107.28,82.4,,Percent of Total Billed Charges,107.02,,108.59,83.4,,Percent of Total Billed Charges,101.3,,108.59,83.4,,Percent of Total Billed Charges,91.27,,108.59,83.4,,Percent of Total Billed Charges,105.98,,117.18,90,,Percent of Total Billed Charges,110.28,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,119.78,92,,Percent of Total Billed Charges,105.59,,119.78,92,,Percent of Total Billed Charges,96.87,,119.78,92,,Percent of Total Billed Charges,101.95,,119.78,92,,Percent of Total Billed Charges,105.59,,101.56,78,,Percent of Total Billed Charges,101.56,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,70.09,53.83,,Percent of Total Billed Charges,65.75,,45.1,34.64,,Percent of Total Billed Charges,44.92,,65.07,49.98,,Percent of Total Billed Charges,49.22,,45.10,119.78,,																																							
HC CVOR BASE SIMPLE CASE,360,RC,,,,BOTH, , ,564.9,474.52,519.71,92,,Percent of Total Billed Charges,472.26,,519.71,92,,Percent of Total Billed Charges,463.78,,519.71,92,,Percent of Total Billed Charges,454.74,,519.71,92,,Percent of Total Billed Charges,471.69,,519.71,92,,Percent of Total Billed Charges,425.37,,519.71,92,,Percent of Total Billed Charges,353.06,,508.41,90,,Percent of Total Billed Charges,281.89,,502.76,89,,Percent of Total Billed Charges,271.15,,465.48,82.4,,Percent of Total Billed Charges,464.35,,471.13,83.4,,Percent of Total Billed Charges,439.49,,471.13,83.4,,Percent of Total Billed Charges,395.99,,471.13,83.4,,Percent of Total Billed Charges,459.83,,508.41,90,,Percent of Total Billed Charges,478.47,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,519.71,92,,Percent of Total Billed Charges,458.13,,519.71,92,,Percent of Total Billed Charges,420.29,,519.71,92,,Percent of Total Billed Charges,442.32,,519.71,92,,Percent of Total Billed Charges,458.13,,440.62,78,,Percent of Total Billed Charges,440.62,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,304.09,53.83,,Percent of Total Billed Charges,285.27,,195.68,34.64,,Percent of Total Billed Charges,194.89,,282.34,49.98,,Percent of Total Billed Charges,213.53,,195.68,519.71,,																																							
HC CVOR BASE SIMPLE PER MINUTE,360,RC,,,,BOTH, , ,90.3,75.85,83.08,92,,Percent of Total Billed Charges,75.49,,83.08,92,,Percent of Total Billed Charges,74.14,,83.08,92,,Percent of Total Billed Charges,72.69,,83.08,92,,Percent of Total Billed Charges,75.4,,83.08,92,,Percent of Total Billed Charges,68,,83.08,92,,Percent of Total Billed Charges,56.44,,81.27,90,,Percent of Total Billed Charges,45.06,,80.37,89,,Percent of Total Billed Charges,43.34,,74.41,82.4,,Percent of Total Billed Charges,74.23,,75.31,83.4,,Percent of Total Billed Charges,70.25,,75.31,83.4,,Percent of Total Billed Charges,63.3,,75.31,83.4,,Percent of Total Billed Charges,73.5,,81.27,90,,Percent of Total Billed Charges,76.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,83.08,92,,Percent of Total Billed Charges,73.23,,83.08,92,,Percent of Total Billed Charges,67.18,,83.08,92,,Percent of Total Billed Charges,70.7,,83.08,92,,Percent of Total Billed Charges,73.23,,70.43,78,,Percent of Total Billed Charges,70.43,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,48.61,53.83,,Percent of Total Billed Charges,45.6,,31.28,34.64,,Percent of Total Billed Charges,31.15,,45.13,49.98,,Percent of Total Billed Charges,34.13,,31.28,83.08,,																																							
HC CVOR HEART CASE PER MINUTE,360,RC,,,,BOTH, , ,163.8,137.59,150.7,92,,Percent of Total Billed Charges,136.94,,150.7,92,,Percent of Total Billed Charges,134.48,,150.7,92,,Percent of Total Billed Charges,131.86,,150.7,92,,Percent of Total Billed Charges,136.77,,150.7,92,,Percent of Total Billed Charges,123.34,,150.7,92,,Percent of Total Billed Charges,102.38,,147.42,90,,Percent of Total Billed Charges,81.74,,145.78,89,,Percent of Total Billed Charges,78.62,,134.97,82.4,,Percent of Total Billed Charges,134.64,,136.61,83.4,,Percent of Total Billed Charges,127.44,,136.61,83.4,,Percent of Total Billed Charges,114.82,,136.61,83.4,,Percent of Total Billed Charges,133.33,,147.42,90,,Percent of Total Billed Charges,138.74,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,150.7,92,,Percent of Total Billed Charges,132.84,,150.7,92,,Percent of Total Billed Charges,121.87,,150.7,92,,Percent of Total Billed Charges,128.26,,150.7,92,,Percent of Total Billed Charges,132.84,,127.76,78,,Percent of Total Billed Charges,127.76,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,88.17,53.83,,Percent of Total Billed Charges,82.72,,56.74,34.64,,Percent of Total Billed Charges,56.51,,81.87,49.98,,Percent of Total Billed Charges,61.92,,56.74,150.7,,																																							
HC OR ADVANCED CASE PER MINUTE,360,RC,,,,BOTH, , ,150.15,126.13,138.14,92,,Percent of Total Billed Charges,125.53,,138.14,92,,Percent of Total Billed Charges,123.27,,138.14,92,,Percent of Total Billed Charges,120.87,,138.14,92,,Percent of Total Billed Charges,125.38,,138.14,92,,Percent of Total Billed Charges,113.06,,138.14,92,,Percent of Total Billed Charges,93.84,,135.14,90,,Percent of Total Billed Charges,74.92,,133.63,89,,Percent of Total Billed Charges,72.07,,123.72,82.4,,Percent of Total Billed Charges,123.42,,125.23,83.4,,Percent of Total Billed Charges,116.82,,125.23,83.4,,Percent of Total Billed Charges,105.26,,125.23,83.4,,Percent of Total Billed Charges,122.22,,135.14,90,,Percent of Total Billed Charges,127.18,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,138.14,92,,Percent of Total Billed Charges,121.77,,138.14,92,,Percent of Total Billed Charges,111.71,,138.14,92,,Percent of Total Billed Charges,117.57,,138.14,92,,Percent of Total Billed Charges,121.77,,117.12,78,,Percent of Total Billed Charges,117.12,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,80.83,53.83,,Percent of Total Billed Charges,75.83,,52.01,34.64,,Percent of Total Billed Charges,51.8,,75.04,49.98,,Percent of Total Billed Charges,56.76,,52.01,138.14,,																																							
HC OR BASE ADVANCED CASE,360,RC,,,,BOTH, , ,4070.85,3419.51,3745.18,92,,Percent of Total Billed Charges,3403.23,,3745.18,92,,Percent of Total Billed Charges,3342.17,,3745.18,92,,Percent of Total Billed Charges,3277.03,,3745.18,92,,Percent of Total Billed Charges,3399.16,,3745.18,92,,Percent of Total Billed Charges,3065.35,,3745.18,92,,Percent of Total Billed Charges,2544.28,,3663.77,90,,Percent of Total Billed Charges,2031.35,,3623.06,89,,Percent of Total Billed Charges,1954.01,,3354.38,82.4,,Percent of Total Billed Charges,3346.24,,3395.09,83.4,,Percent of Total Billed Charges,3167.12,,3395.09,83.4,,Percent of Total Billed Charges,2853.67,,3395.09,83.4,,Percent of Total Billed Charges,3313.67,,3663.77,90,,Percent of Total Billed Charges,3448.01,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3745.18,92,,Percent of Total Billed Charges,3301.46,,3745.18,92,,Percent of Total Billed Charges,3028.71,,3745.18,92,,Percent of Total Billed Charges,3187.48,,3745.18,92,,Percent of Total Billed Charges,3301.46,,3175.26,78,,Percent of Total Billed Charges,3175.26,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2191.34,53.83,,Percent of Total Billed Charges,2055.78,,1410.14,34.64,,Percent of Total Billed Charges,1404.44,,2034.61,49.98,,Percent of Total Billed Charges,1538.78,,1410.14,3745.18,,																																							
HC OR BASE COMPLEX CASE,360,RC,,,,BOTH, , ,3868.2,3249.29,3558.74,92,,Percent of Total Billed Charges,3233.82,,3558.74,92,,Percent of Total Billed Charges,3175.79,,3558.74,92,,Percent of Total Billed Charges,3113.9,,3558.74,92,,Percent of Total Billed Charges,3229.95,,3558.74,92,,Percent of Total Billed Charges,2912.75,,3558.74,92,,Percent of Total Billed Charges,2417.63,,3481.38,90,,Percent of Total Billed Charges,1930.23,,3442.7,89,,Percent of Total Billed Charges,1856.74,,3187.4,82.4,,Percent of Total Billed Charges,3179.66,,3226.08,83.4,,Percent of Total Billed Charges,3009.46,,3226.08,83.4,,Percent of Total Billed Charges,2711.61,,3226.08,83.4,,Percent of Total Billed Charges,3148.71,,3481.38,90,,Percent of Total Billed Charges,3276.37,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3558.74,92,,Percent of Total Billed Charges,3137.11,,3558.74,92,,Percent of Total Billed Charges,2877.94,,3558.74,92,,Percent of Total Billed Charges,3028.8,,3558.74,92,,Percent of Total Billed Charges,3137.11,,3017.2,78,,Percent of Total Billed Charges,3017.2,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2082.25,53.83,,Percent of Total Billed Charges,1953.44,,1339.94,34.64,,Percent of Total Billed Charges,1334.53,,1933.33,49.98,,Percent of Total Billed Charges,1462.18,,1339.94,3558.74,,																																							
HC OR BASE MODERATE CASE,360,RC,,,,BOTH, , ,300.3,252.25,276.28,92,,Percent of Total Billed Charges,251.05,,276.28,92,,Percent of Total Billed Charges,246.55,,276.28,92,,Percent of Total Billed Charges,241.74,,276.28,92,,Percent of Total Billed Charges,250.75,,276.28,92,,Percent of Total Billed Charges,226.13,,276.28,92,,Percent of Total Billed Charges,187.69,,270.27,90,,Percent of Total Billed Charges,149.85,,267.27,89,,Percent of Total Billed Charges,144.14,,247.45,82.4,,Percent of Total Billed Charges,246.85,,250.45,83.4,,Percent of Total Billed Charges,233.63,,250.45,83.4,,Percent of Total Billed Charges,210.51,,250.45,83.4,,Percent of Total Billed Charges,244.44,,270.27,90,,Percent of Total Billed Charges,254.35,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,276.28,92,,Percent of Total Billed Charges,243.54,,276.28,92,,Percent of Total Billed Charges,223.42,,276.28,92,,Percent of Total Billed Charges,235.13,,276.28,92,,Percent of Total Billed Charges,243.54,,234.23,78,,Percent of Total Billed Charges,234.23,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,161.65,53.83,,Percent of Total Billed Charges,151.65,,104.02,34.64,,Percent of Total Billed Charges,103.6,,150.09,49.98,,Percent of Total Billed Charges,113.51,,104.02,276.28,,																																							
HC OR BASE SIMPLE CASE,360,RC,,,,BOTH, , ,691.95,581.24,636.59,92,,Percent of Total Billed Charges,578.47,,636.59,92,,Percent of Total Billed Charges,568.09,,636.59,92,,Percent of Total Billed Charges,557.02,,636.59,92,,Percent of Total Billed Charges,577.78,,636.59,92,,Percent of Total Billed Charges,521.04,,636.59,92,,Percent of Total Billed Charges,432.47,,622.76,90,,Percent of Total Billed Charges,345.28,,615.84,89,,Percent of Total Billed Charges,332.14,,570.17,82.4,,Percent of Total Billed Charges,568.78,,577.09,83.4,,Percent of Total Billed Charges,538.34,,577.09,83.4,,Percent of Total Billed Charges,485.06,,577.09,83.4,,Percent of Total Billed Charges,563.25,,622.76,90,,Percent of Total Billed Charges,586.08,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,636.59,92,,Percent of Total Billed Charges,561.17,,636.59,92,,Percent of Total Billed Charges,514.81,,636.59,92,,Percent of Total Billed Charges,541.8,,636.59,92,,Percent of Total Billed Charges,561.17,,539.72,78,,Percent of Total Billed Charges,539.72,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,372.48,53.83,,Percent of Total Billed Charges,349.43,,239.69,34.64,,Percent of Total Billed Charges,238.72,,345.84,49.98,,Percent of Total Billed Charges,261.56,,239.69,636.59,,																																							
HC OR COMPLEX CASE PER MINUTE,360,RC,,,,BOTH, , ,140.7,118.19,129.44,92,,Percent of Total Billed Charges,117.63,,129.44,92,,Percent of Total Billed Charges,115.51,,129.44,92,,Percent of Total Billed Charges,113.26,,129.44,92,,Percent of Total Billed Charges,117.48,,129.44,92,,Percent of Total Billed Charges,105.95,,129.44,92,,Percent of Total Billed Charges,87.94,,126.63,90,,Percent of Total Billed Charges,70.21,,125.22,89,,Percent of Total Billed Charges,67.54,,115.94,82.4,,Percent of Total Billed Charges,115.66,,117.34,83.4,,Percent of Total Billed Charges,109.46,,117.34,83.4,,Percent of Total Billed Charges,98.63,,117.34,83.4,,Percent of Total Billed Charges,114.53,,126.63,90,,Percent of Total Billed Charges,119.17,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,129.44,92,,Percent of Total Billed Charges,114.11,,129.44,92,,Percent of Total Billed Charges,104.68,,129.44,92,,Percent of Total Billed Charges,110.17,,129.44,92,,Percent of Total Billed Charges,114.11,,109.75,78,,Percent of Total Billed Charges,109.75,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,75.74,53.83,,Percent of Total Billed Charges,71.05,,48.74,34.64,,Percent of Total Billed Charges,48.54,,70.32,49.98,,Percent of Total Billed Charges,53.18,,48.74,129.44,,																																							
HC OR MODERATE CASE PER MINUTE,360,RC,,,,BOTH, , ,113.4,95.26,104.33,92,,Percent of Total Billed Charges,94.8,,104.33,92,,Percent of Total Billed Charges,93.1,,104.33,92,,Percent of Total Billed Charges,91.29,,104.33,92,,Percent of Total Billed Charges,94.69,,104.33,92,,Percent of Total Billed Charges,85.39,,104.33,92,,Percent of Total Billed Charges,70.88,,102.06,90,,Percent of Total Billed Charges,56.59,,100.93,89,,Percent of Total Billed Charges,54.43,,93.44,82.4,,Percent of Total Billed Charges,93.21,,94.58,83.4,,Percent of Total Billed Charges,88.23,,94.58,83.4,,Percent of Total Billed Charges,79.49,,94.58,83.4,,Percent of Total Billed Charges,92.31,,102.06,90,,Percent of Total Billed Charges,96.05,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,104.33,92,,Percent of Total Billed Charges,91.97,,104.33,92,,Percent of Total Billed Charges,84.37,,104.33,92,,Percent of Total Billed Charges,88.79,,104.33,92,,Percent of Total Billed Charges,91.97,,88.45,78,,Percent of Total Billed Charges,88.45,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,61.04,53.83,,Percent of Total Billed Charges,57.27,,39.28,34.64,,Percent of Total Billed Charges,39.12,,56.68,49.98,,Percent of Total Billed Charges,42.87,,39.28,104.33,,																																							
HC OR SIMPLE CASE PER MINUTE,360,RC,,,,BOTH, , ,76.65,64.39,70.52,92,,Percent of Total Billed Charges,64.08,,70.52,92,,Percent of Total Billed Charges,62.93,,70.52,92,,Percent of Total Billed Charges,61.7,,70.52,92,,Percent of Total Billed Charges,64,,70.52,92,,Percent of Total Billed Charges,57.72,,70.52,92,,Percent of Total Billed Charges,47.91,,68.99,90,,Percent of Total Billed Charges,38.25,,68.22,89,,Percent of Total Billed Charges,36.79,,63.16,82.4,,Percent of Total Billed Charges,63.01,,63.93,83.4,,Percent of Total Billed Charges,59.63,,63.93,83.4,,Percent of Total Billed Charges,53.73,,63.93,83.4,,Percent of Total Billed Charges,62.39,,68.99,90,,Percent of Total Billed Charges,64.92,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,70.52,92,,Percent of Total Billed Charges,62.16,,70.52,92,,Percent of Total Billed Charges,57.03,,70.52,92,,Percent of Total Billed Charges,60.02,,70.52,92,,Percent of Total Billed Charges,62.16,,59.79,78,,Percent of Total Billed Charges,59.79,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,41.26,53.83,,Percent of Total Billed Charges,38.71,,26.55,34.64,,Percent of Total Billed Charges,26.44,,38.31,49.98,,Percent of Total Billed Charges,28.97,,26.55,70.52,,																																							
HC PERFUSION SERVICE LEV 1,360,RC,,,,BOTH, , ,1999.2,1679.33,1839.26,92,,Percent of Total Billed Charges,1671.33,,1839.26,92,,Percent of Total Billed Charges,1641.34,,1839.26,92,,Percent of Total Billed Charges,1609.36,,1839.26,92,,Percent of Total Billed Charges,1669.33,,1839.26,92,,Percent of Total Billed Charges,1505.4,,1839.26,92,,Percent of Total Billed Charges,1249.5,,1799.28,90,,Percent of Total Billed Charges,997.6,,1779.29,89,,Percent of Total Billed Charges,959.62,,1647.34,82.4,,Percent of Total Billed Charges,1643.34,,1667.33,83.4,,Percent of Total Billed Charges,1555.38,,1667.33,83.4,,Percent of Total Billed Charges,1401.44,,1667.33,83.4,,Percent of Total Billed Charges,1627.35,,1799.28,90,,Percent of Total Billed Charges,1693.32,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1839.26,92,,Percent of Total Billed Charges,1621.35,,1839.26,92,,Percent of Total Billed Charges,1487.4,,1839.26,92,,Percent of Total Billed Charges,1565.37,,1839.26,92,,Percent of Total Billed Charges,1621.35,,1559.38,78,,Percent of Total Billed Charges,1559.38,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1076.17,53.83,,Percent of Total Billed Charges,1009.6,,692.52,34.64,,Percent of Total Billed Charges,689.72,,999.2,49.98,,Percent of Total Billed Charges,755.7,,692.52,1839.26,,																																							
HC PERFUSION SERVICE LEV 2,360,RC,,,,BOTH, , ,3040.8,2554.27,2797.54,92,,Percent of Total Billed Charges,2542.11,,2797.54,92,,Percent of Total Billed Charges,2496.5,,2797.54,92,,Percent of Total Billed Charges,2447.84,,2797.54,92,,Percent of Total Billed Charges,2539.07,,2797.54,92,,Percent of Total Billed Charges,2289.72,,2797.54,92,,Percent of Total Billed Charges,1900.5,,2736.72,90,,Percent of Total Billed Charges,1517.36,,2706.31,89,,Percent of Total Billed Charges,1459.58,,2505.62,82.4,,Percent of Total Billed Charges,2499.54,,2536.03,83.4,,Percent of Total Billed Charges,2365.74,,2536.03,83.4,,Percent of Total Billed Charges,2131.6,,2536.03,83.4,,Percent of Total Billed Charges,2475.21,,2736.72,90,,Percent of Total Billed Charges,2575.56,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2797.54,92,,Percent of Total Billed Charges,2466.09,,2797.54,92,,Percent of Total Billed Charges,2262.36,,2797.54,92,,Percent of Total Billed Charges,2380.95,,2797.54,92,,Percent of Total Billed Charges,2466.09,,2371.82,78,,Percent of Total Billed Charges,2371.82,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1636.86,53.83,,Percent of Total Billed Charges,1535.6,,1053.33,34.64,,Percent of Total Billed Charges,1049.08,,1519.79,49.98,,Percent of Total Billed Charges,1149.42,,1053.33,2797.54,,																																							
HC PERFUSION SERVICE LEV 3,360,RC,,,,BOTH, , ,4118.1,3459.2,3788.65,92,,Percent of Total Billed Charges,3442.73,,3788.65,92,,Percent of Total Billed Charges,3380.96,,3788.65,92,,Percent of Total Billed Charges,3315.07,,3788.65,92,,Percent of Total Billed Charges,3438.61,,3788.65,92,,Percent of Total Billed Charges,3100.93,,3788.65,92,,Percent of Total Billed Charges,2573.81,,3706.29,90,,Percent of Total Billed Charges,2054.93,,3665.11,89,,Percent of Total Billed Charges,1976.69,,3393.31,82.4,,Percent of Total Billed Charges,3385.08,,3434.5,83.4,,Percent of Total Billed Charges,3203.88,,3434.5,83.4,,Percent of Total Billed Charges,2886.79,,3434.5,83.4,,Percent of Total Billed Charges,3352.13,,3706.29,90,,Percent of Total Billed Charges,3488.03,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3788.65,92,,Percent of Total Billed Charges,3339.78,,3788.65,92,,Percent of Total Billed Charges,3063.87,,3788.65,92,,Percent of Total Billed Charges,3224.47,,3788.65,92,,Percent of Total Billed Charges,3339.78,,3212.12,78,,Percent of Total Billed Charges,3212.12,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2216.77,53.83,,Percent of Total Billed Charges,2079.64,,1426.51,34.64,,Percent of Total Billed Charges,1420.74,,2058.23,49.98,,Percent of Total Billed Charges,1556.64,,1426.51,3788.65,,																																							
HC PERFUSION SERVICE LEV 4,360,RC,,,,BOTH, , ,506.1,425.12,465.61,92,,Percent of Total Billed Charges,423.1,,465.61,92,,Percent of Total Billed Charges,415.51,,465.61,92,,Percent of Total Billed Charges,407.41,,465.61,92,,Percent of Total Billed Charges,422.59,,465.61,92,,Percent of Total Billed Charges,381.09,,465.61,92,,Percent of Total Billed Charges,316.31,,455.49,90,,Percent of Total Billed Charges,252.54,,450.43,89,,Percent of Total Billed Charges,242.93,,417.03,82.4,,Percent of Total Billed Charges,416.01,,422.09,83.4,,Percent of Total Billed Charges,393.75,,422.09,83.4,,Percent of Total Billed Charges,354.78,,422.09,83.4,,Percent of Total Billed Charges,411.97,,455.49,90,,Percent of Total Billed Charges,428.67,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,465.61,92,,Percent of Total Billed Charges,410.45,,465.61,92,,Percent of Total Billed Charges,376.54,,465.61,92,,Percent of Total Billed Charges,396.28,,465.61,92,,Percent of Total Billed Charges,410.45,,394.76,78,,Percent of Total Billed Charges,394.76,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,272.43,53.83,,Percent of Total Billed Charges,255.58,,175.31,34.64,,Percent of Total Billed Charges,174.6,,252.95,49.98,,Percent of Total Billed Charges,191.31,,175.31,465.61,,																																							
HC SURGICAL PROC 130 MIN,360,RC,,,,BOTH, , ,2580.9,2167.96,2374.43,92,,Percent of Total Billed Charges,2157.63,,2374.43,92,,Percent of Total Billed Charges,2118.92,,2374.43,92,,Percent of Total Billed Charges,2077.62,,2374.43,92,,Percent of Total Billed Charges,2155.05,,2374.43,92,,Percent of Total Billed Charges,1943.42,,2374.43,92,,Percent of Total Billed Charges,1613.06,,2322.81,90,,Percent of Total Billed Charges,1287.87,,2297,89,,Percent of Total Billed Charges,1238.83,,2126.66,82.4,,Percent of Total Billed Charges,2121.5,,2152.47,83.4,,Percent of Total Billed Charges,2007.94,,2152.47,83.4,,Percent of Total Billed Charges,1809.21,,2152.47,83.4,,Percent of Total Billed Charges,2100.85,,2322.81,90,,Percent of Total Billed Charges,2186.02,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2374.43,92,,Percent of Total Billed Charges,2093.11,,2374.43,92,,Percent of Total Billed Charges,1920.19,,2374.43,92,,Percent of Total Billed Charges,2020.84,,2374.43,92,,Percent of Total Billed Charges,2093.11,,2013.1,78,,Percent of Total Billed Charges,2013.1,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1389.3,53.83,,Percent of Total Billed Charges,1303.35,,894.02,34.64,,Percent of Total Billed Charges,890.41,,1289.93,49.98,,Percent of Total Billed Charges,975.58,,894.02,2374.43,,																																							
HC SURGICAL PROC 3160 MIN,360,RC,,,,BOTH, , ,4643.1,3900.2,4271.65,92,,Percent of Total Billed Charges,3881.63,,4271.65,92,,Percent of Total Billed Charges,3811.99,,4271.65,92,,Percent of Total Billed Charges,3737.7,,4271.65,92,,Percent of Total Billed Charges,3876.99,,4271.65,92,,Percent of Total Billed Charges,3496.25,,4271.65,92,,Percent of Total Billed Charges,2901.94,,4178.79,90,,Percent of Total Billed Charges,2316.91,,4132.36,89,,Percent of Total Billed Charges,2228.69,,3825.91,82.4,,Percent of Total Billed Charges,3816.63,,3872.35,83.4,,Percent of Total Billed Charges,3612.33,,3872.35,83.4,,Percent of Total Billed Charges,3254.81,,3872.35,83.4,,Percent of Total Billed Charges,3779.48,,4178.79,90,,Percent of Total Billed Charges,3932.71,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4271.65,92,,Percent of Total Billed Charges,3765.55,,4271.65,92,,Percent of Total Billed Charges,3454.47,,4271.65,92,,Percent of Total Billed Charges,3635.55,,4271.65,92,,Percent of Total Billed Charges,3765.55,,3621.62,78,,Percent of Total Billed Charges,3621.62,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2499.38,53.83,,Percent of Total Billed Charges,2344.77,,1608.37,34.64,,Percent of Total Billed Charges,1601.87,,2320.62,49.98,,Percent of Total Billed Charges,1755.09,,1608.37,4271.65,,																																							
HC SURGICAL PROC 6190 MIN,360,RC,,,,BOTH, , ,6975.15,5859.13,6417.14,92,,Percent of Total Billed Charges,5831.23,,6417.14,92,,Percent of Total Billed Charges,5726.6,,6417.14,92,,Percent of Total Billed Charges,5615,,6417.14,92,,Percent of Total Billed Charges,5824.25,,6417.14,92,,Percent of Total Billed Charges,5252.29,,6417.14,92,,Percent of Total Billed Charges,4359.47,,6277.64,90,,Percent of Total Billed Charges,3480.6,,6207.88,89,,Percent of Total Billed Charges,3348.07,,5747.52,82.4,,Percent of Total Billed Charges,5733.57,,5817.28,83.4,,Percent of Total Billed Charges,5426.67,,5817.28,83.4,,Percent of Total Billed Charges,4889.58,,5817.28,83.4,,Percent of Total Billed Charges,5677.77,,6277.64,90,,Percent of Total Billed Charges,5907.95,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6417.14,92,,Percent of Total Billed Charges,5656.85,,6417.14,92,,Percent of Total Billed Charges,5189.51,,6417.14,92,,Percent of Total Billed Charges,5461.54,,6417.14,92,,Percent of Total Billed Charges,5656.85,,5440.62,78,,Percent of Total Billed Charges,5440.62,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3754.72,53.83,,Percent of Total Billed Charges,3522.45,,2416.19,34.64,,Percent of Total Billed Charges,2406.43,,3486.18,49.98,,Percent of Total Billed Charges,2636.61,,2416.19,6417.14,,																																							
HC SURGICAL PROC 91120 MIN,360,RC,,,,BOTH, , ,11283.3,9477.97,10380.64,92,,Percent of Total Billed Charges,9432.84,,10380.64,92,,Percent of Total Billed Charges,9263.59,,10380.64,92,,Percent of Total Billed Charges,9083.06,,10380.64,92,,Percent of Total Billed Charges,9421.56,,10380.64,92,,Percent of Total Billed Charges,8496.32,,10380.64,92,,Percent of Total Billed Charges,7052.06,,10154.97,90,,Percent of Total Billed Charges,5630.37,,10042.14,89,,Percent of Total Billed Charges,5415.98,,9297.44,82.4,,Percent of Total Billed Charges,9274.87,,9410.27,83.4,,Percent of Total Billed Charges,8778.41,,9410.27,83.4,,Percent of Total Billed Charges,7909.59,,9410.27,83.4,,Percent of Total Billed Charges,9184.61,,10154.97,90,,Percent of Total Billed Charges,9556.96,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,10380.64,92,,Percent of Total Billed Charges,9150.76,,10380.64,92,,Percent of Total Billed Charges,8394.78,,10380.64,92,,Percent of Total Billed Charges,8834.82,,10380.64,92,,Percent of Total Billed Charges,9150.76,,8800.97,78,,Percent of Total Billed Charges,8800.97,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6073.8,53.83,,Percent of Total Billed Charges,5698.07,,3908.54,34.64,,Percent of Total Billed Charges,3892.74,,5639.39,49.98,,Percent of Total Billed Charges,4265.09,,3908.54,10380.64,,																																							
HC ENDOTRACHEAL INTUBATION,31500,CPT,,,,BOTH, , ,615.3,516.85,566.08,92,,Percent of Total Billed Charges,514.39,,566.08,92,,Percent of Total Billed Charges,505.16,,566.08,92,,Percent of Total Billed Charges,495.32,,566.08,92,,Percent of Total Billed Charges,513.78,,566.08,92,,Percent of Total Billed Charges,463.32,,566.08,92,,Percent of Total Billed Charges,384.56,,553.77,90,,Percent of Total Billed Charges,307.03,,547.62,89,,Percent of Total Billed Charges,295.34,,507.01,82.4,,Percent of Total Billed Charges,505.78,,513.16,83.4,,Percent of Total Billed Charges,478.7,,513.16,83.4,,Percent of Total Billed Charges,431.33,,513.16,83.4,,Percent of Total Billed Charges,500.85,,553.77,90,,Percent of Total Billed Charges,521.16,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,566.08,92,,Percent of Total Billed Charges,499.01,,566.08,92,,Percent of Total Billed Charges,457.78,,566.08,92,,Percent of Total Billed Charges,481.78,,566.08,92,,Percent of Total Billed Charges,499.01,,479.93,78,,Percent of Total Billed Charges,479.93,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,331.22,53.83,,Percent of Total Billed Charges,310.73,,213.14,34.64,,Percent of Total Billed Charges,212.28,,307.53,49.98,,Percent of Total Billed Charges,232.58,,213.14,566.08,,																																							
HC THOROCENTESIS W CATH /GUIDANCE,32557,CPT,,,,BOTH, , ,10044.3,8437.21,9240.76,92,,Percent of Total Billed Charges,8397.03,,9240.76,92,,Percent of Total Billed Charges,8246.37,,9240.76,92,,Percent of Total Billed Charges,8085.66,,9240.76,92,,Percent of Total Billed Charges,8386.99,,9240.76,92,,Percent of Total Billed Charges,7563.36,,9240.76,92,,Percent of Total Billed Charges,6277.69,,9039.87,90,,Percent of Total Billed Charges,5012.11,,8939.43,89,,Percent of Total Billed Charges,4821.26,,8276.5,82.4,,Percent of Total Billed Charges,8256.41,,8376.95,83.4,,Percent of Total Billed Charges,7814.47,,8376.95,83.4,,Percent of Total Billed Charges,7041.05,,8376.95,83.4,,Percent of Total Billed Charges,8176.06,,9039.87,90,,Percent of Total Billed Charges,8507.52,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,9240.76,92,,Percent of Total Billed Charges,8145.93,,9240.76,92,,Percent of Total Billed Charges,7472.96,,9240.76,92,,Percent of Total Billed Charges,7864.69,,9240.76,92,,Percent of Total Billed Charges,8145.93,,7834.55,78,,Percent of Total Billed Charges,7834.55,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5406.85,53.83,,Percent of Total Billed Charges,5072.37,,3479.35,34.64,,Percent of Total Billed Charges,3465.28,,5020.14,49.98,,Percent of Total Billed Charges,3796.75,,3479.35,9240.76,,																																							
HC BL EXCHANGE/TRANSFUSE NONNB,36455,CPT,,,,BOTH, , ,194.25,163.17,178.71,92,,Percent of Total Billed Charges,162.39,,178.71,92,,Percent of Total Billed Charges,159.48,,178.71,92,,Percent of Total Billed Charges,156.37,,178.71,92,,Percent of Total Billed Charges,162.2,,178.71,92,,Percent of Total Billed Charges,146.27,,178.71,92,,Percent of Total Billed Charges,121.41,,174.83,90,,Percent of Total Billed Charges,96.93,,172.88,89,,Percent of Total Billed Charges,93.24,,160.06,82.4,,Percent of Total Billed Charges,159.67,,162,83.4,,Percent of Total Billed Charges,151.13,,162,83.4,,Percent of Total Billed Charges,136.17,,162,83.4,,Percent of Total Billed Charges,158.12,,174.83,90,,Percent of Total Billed Charges,164.53,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,178.71,92,,Percent of Total Billed Charges,157.54,,178.71,92,,Percent of Total Billed Charges,144.52,,178.71,92,,Percent of Total Billed Charges,152.1,,178.71,92,,Percent of Total Billed Charges,157.54,,151.52,78,,Percent of Total Billed Charges,151.52,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,104.56,53.83,,Percent of Total Billed Charges,98.1,,67.29,34.64,,Percent of Total Billed Charges,67.02,,97.09,49.98,,Percent of Total Billed Charges,73.43,,67.29,178.71,,																																							
HC INSERT NONTUNNEL CV CATH => 5 YEARS OLD,36556,CPT,,,,BOTH, , ,4911.9,4126,4518.95,92,,Percent of Total Billed Charges,4106.35,,4518.95,92,,Percent of Total Billed Charges,4032.67,,4518.95,92,,Percent of Total Billed Charges,3954.08,,4518.95,92,,Percent of Total Billed Charges,4101.44,,4518.95,92,,Percent of Total Billed Charges,3698.66,,4518.95,92,,Percent of Total Billed Charges,3069.94,,4420.71,90,,Percent of Total Billed Charges,2451.04,,4371.59,89,,Percent of Total Billed Charges,2357.71,,4047.41,82.4,,Percent of Total Billed Charges,4037.58,,4096.52,83.4,,Percent of Total Billed Charges,3821.46,,4096.52,83.4,,Percent of Total Billed Charges,3443.24,,4096.52,83.4,,Percent of Total Billed Charges,3998.29,,4420.71,90,,Percent of Total Billed Charges,4160.38,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4518.95,92,,Percent of Total Billed Charges,3983.55,,4518.95,92,,Percent of Total Billed Charges,3654.45,,4518.95,92,,Percent of Total Billed Charges,3846.02,,4518.95,92,,Percent of Total Billed Charges,3983.55,,3831.28,78,,Percent of Total Billed Charges,3831.28,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2644.08,53.83,,Percent of Total Billed Charges,2480.51,,1701.48,34.64,,Percent of Total Billed Charges,1694.61,,2454.97,49.98,,Percent of Total Billed Charges,1856.7,,1701.48,4518.95,,																																							
HC MECH REMOV TUNNELED CV CATH, SEPARATE ACCESS,36595,CPT,,,,BOTH, , ,8728.65,7332.07,8030.36,92,,Percent of Total Billed Charges,7297.15,,8030.36,92,,Percent of Total Billed Charges,7166.22,,8030.36,92,,Percent of Total Billed Charges,7026.56,,8030.36,92,,Percent of Total Billed Charges,7288.42,,8030.36,92,,Percent of Total Billed Charges,6572.67,,8030.36,92,,Percent of Total Billed Charges,5455.41,,7855.79,90,,Percent of Total Billed Charges,4355.6,,7768.5,89,,Percent of Total Billed Charges,4189.75,,7192.41,82.4,,Percent of Total Billed Charges,7174.95,,7279.69,83.4,,Percent of Total Billed Charges,6790.89,,7279.69,83.4,,Percent of Total Billed Charges,6118.78,,7279.69,83.4,,Percent of Total Billed Charges,7105.12,,7855.79,90,,Percent of Total Billed Charges,7393.17,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,8030.36,92,,Percent of Total Billed Charges,7078.94,,8030.36,92,,Percent of Total Billed Charges,6494.12,,8030.36,92,,Percent of Total Billed Charges,6834.53,,8030.36,92,,Percent of Total Billed Charges,7078.94,,6808.35,78,,Percent of Total Billed Charges,6808.35,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4698.63,53.83,,Percent of Total Billed Charges,4407.97,,3023.6,34.64,,Percent of Total Billed Charges,3011.38,,4362.58,49.98,,Percent of Total Billed Charges,3299.43,,3023.60,8030.36,,																																							
HC INJ W/FLUOR EVAL CV DEVICE,36598,CPT,,,,BOTH, , ,754.95,634.16,694.55,92,,Percent of Total Billed Charges,631.14,,694.55,92,,Percent of Total Billed Charges,619.81,,694.55,92,,Percent of Total Billed Charges,607.73,,694.55,92,,Percent of Total Billed Charges,630.38,,694.55,92,,Percent of Total Billed Charges,568.48,,694.55,92,,Percent of Total Billed Charges,471.84,,679.46,90,,Percent of Total Billed Charges,376.72,,671.91,89,,Percent of Total Billed Charges,362.38,,622.08,82.4,,Percent of Total Billed Charges,620.57,,629.63,83.4,,Percent of Total Billed Charges,587.35,,629.63,83.4,,Percent of Total Billed Charges,529.22,,629.63,83.4,,Percent of Total Billed Charges,614.53,,679.46,90,,Percent of Total Billed Charges,639.44,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,694.55,92,,Percent of Total Billed Charges,612.26,,694.55,92,,Percent of Total Billed Charges,561.68,,694.55,92,,Percent of Total Billed Charges,591.13,,694.55,92,,Percent of Total Billed Charges,612.26,,588.86,78,,Percent of Total Billed Charges,588.86,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,406.39,53.83,,Percent of Total Billed Charges,381.25,,261.51,34.64,,Percent of Total Billed Charges,260.46,,377.32,49.98,,Percent of Total Billed Charges,285.37,,261.51,694.55,,																																							
HC REMOVE RENAL TUBE W/FLUORO,50389,CPT,,,,BOTH, , ,2214.45,1860.14,2037.29,92,,Percent of Total Billed Charges,1851.28,,2037.29,92,,Percent of Total Billed Charges,1818.06,,2037.29,92,,Percent of Total Billed Charges,1782.63,,2037.29,92,,Percent of Total Billed Charges,1849.07,,2037.29,92,,Percent of Total Billed Charges,1667.48,,2037.29,92,,Percent of Total Billed Charges,1384.03,,1993.01,90,,Percent of Total Billed Charges,1105.01,,1970.86,89,,Percent of Total Billed Charges,1062.94,,1824.71,82.4,,Percent of Total Billed Charges,1820.28,,1846.85,83.4,,Percent of Total Billed Charges,1722.84,,1846.85,83.4,,Percent of Total Billed Charges,1552.33,,1846.85,83.4,,Percent of Total Billed Charges,1802.56,,1993.01,90,,Percent of Total Billed Charges,1875.64,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2037.29,92,,Percent of Total Billed Charges,1795.92,,2037.29,92,,Percent of Total Billed Charges,1647.55,,2037.29,92,,Percent of Total Billed Charges,1733.91,,2037.29,92,,Percent of Total Billed Charges,1795.92,,1727.27,78,,Percent of Total Billed Charges,1727.27,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1192.04,53.83,,Percent of Total Billed Charges,1118.3,,767.09,34.64,,Percent of Total Billed Charges,763.99,,1106.78,49.98,,Percent of Total Billed Charges,837.06,,767.09,2037.29,,																																							
HC CATH PLACEMENT PROSTATE SEEDS,55875,CPT,,,,BOTH, , ,8512.35,7150.37,7831.36,92,,Percent of Total Billed Charges,7116.32,,7831.36,92,,Percent of Total Billed Charges,6988.64,,7831.36,92,,Percent of Total Billed Charges,6852.44,,7831.36,92,,Percent of Total Billed Charges,7107.81,,7831.36,92,,Percent of Total Billed Charges,6409.8,,7831.36,92,,Percent of Total Billed Charges,5320.22,,7661.12,90,,Percent of Total Billed Charges,4247.66,,7575.99,89,,Percent of Total Billed Charges,4085.93,,7014.18,82.4,,Percent of Total Billed Charges,6997.15,,7099.3,83.4,,Percent of Total Billed Charges,6622.61,,7099.3,83.4,,Percent of Total Billed Charges,5967.16,,7099.3,83.4,,Percent of Total Billed Charges,6929.05,,7661.12,90,,Percent of Total Billed Charges,7209.96,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,7831.36,92,,Percent of Total Billed Charges,6903.52,,7831.36,92,,Percent of Total Billed Charges,6333.19,,7831.36,92,,Percent of Total Billed Charges,6665.17,,7831.36,92,,Percent of Total Billed Charges,6903.52,,6639.63,78,,Percent of Total Billed Charges,6639.63,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4582.2,53.83,,Percent of Total Billed Charges,4298.74,,2948.68,34.64,,Percent of Total Billed Charges,2936.76,,4254.47,49.98,,Percent of Total Billed Charges,3217.67,,2948.68,7831.36,,																																							
HC ECMO INITIATION VENOARTERIAL,33947,CPT,,,,BOTH, , ,424.2,356.33,390.26,92,,Percent of Total Billed Charges,354.63,,390.26,92,,Percent of Total Billed Charges,348.27,,390.26,92,,Percent of Total Billed Charges,341.48,,390.26,92,,Percent of Total Billed Charges,354.21,,390.26,92,,Percent of Total Billed Charges,319.42,,390.26,92,,Percent of Total Billed Charges,265.13,,381.78,90,,Percent of Total Billed Charges,211.68,,377.54,89,,Percent of Total Billed Charges,203.62,,349.54,82.4,,Percent of Total Billed Charges,348.69,,353.78,83.4,,Percent of Total Billed Charges,330.03,,353.78,83.4,,Percent of Total Billed Charges,297.36,,353.78,83.4,,Percent of Total Billed Charges,345.3,,381.78,90,,Percent of Total Billed Charges,359.3,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,390.26,92,,Percent of Total Billed Charges,344.03,,390.26,92,,Percent of Total Billed Charges,315.6,,390.26,92,,Percent of Total Billed Charges,332.15,,390.26,92,,Percent of Total Billed Charges,344.03,,330.88,78,,Percent of Total Billed Charges,330.88,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,228.35,53.83,,Percent of Total Billed Charges,214.22,,146.94,34.64,,Percent of Total Billed Charges,146.35,,212.02,49.98,,Percent of Total Billed Charges,160.35,,146.94,390.26,,																																							
HC ECMO INITIATION VENOVENOUS,33946,CPT,,,,BOTH, , ,424.2,356.33,390.26,92,,Percent of Total Billed Charges,354.63,,390.26,92,,Percent of Total Billed Charges,348.27,,390.26,92,,Percent of Total Billed Charges,341.48,,390.26,92,,Percent of Total Billed Charges,354.21,,390.26,92,,Percent of Total Billed Charges,319.42,,390.26,92,,Percent of Total Billed Charges,265.13,,381.78,90,,Percent of Total Billed Charges,211.68,,377.54,89,,Percent of Total Billed Charges,203.62,,349.54,82.4,,Percent of Total Billed Charges,348.69,,353.78,83.4,,Percent of Total Billed Charges,330.03,,353.78,83.4,,Percent of Total Billed Charges,297.36,,353.78,83.4,,Percent of Total Billed Charges,345.3,,381.78,90,,Percent of Total Billed Charges,359.3,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,390.26,92,,Percent of Total Billed Charges,344.03,,390.26,92,,Percent of Total Billed Charges,315.6,,390.26,92,,Percent of Total Billed Charges,332.15,,390.26,92,,Percent of Total Billed Charges,344.03,,330.88,78,,Percent of Total Billed Charges,330.88,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,228.35,53.83,,Percent of Total Billed Charges,214.22,,146.94,34.64,,Percent of Total Billed Charges,146.35,,212.02,49.98,,Percent of Total Billed Charges,160.35,,146.94,390.26,,																																							
HC ECMO MONITORING VENOARTERIAL,33949,CPT,,,,BOTH, , ,424.2,356.33,390.26,92,,Percent of Total Billed Charges,354.63,,390.26,92,,Percent of Total Billed Charges,348.27,,390.26,92,,Percent of Total Billed Charges,341.48,,390.26,92,,Percent of Total Billed Charges,354.21,,390.26,92,,Percent of Total Billed Charges,319.42,,390.26,92,,Percent of Total Billed Charges,265.13,,381.78,90,,Percent of Total Billed Charges,211.68,,377.54,89,,Percent of Total Billed Charges,203.62,,349.54,82.4,,Percent of Total Billed Charges,348.69,,353.78,83.4,,Percent of Total Billed Charges,330.03,,353.78,83.4,,Percent of Total Billed Charges,297.36,,353.78,83.4,,Percent of Total Billed Charges,345.3,,381.78,90,,Percent of Total Billed Charges,359.3,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,390.26,92,,Percent of Total Billed Charges,344.03,,390.26,92,,Percent of Total Billed Charges,315.6,,390.26,92,,Percent of Total Billed Charges,332.15,,390.26,92,,Percent of Total Billed Charges,344.03,,330.88,78,,Percent of Total Billed Charges,330.88,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,228.35,53.83,,Percent of Total Billed Charges,214.22,,146.94,34.64,,Percent of Total Billed Charges,146.35,,212.02,49.98,,Percent of Total Billed Charges,160.35,,146.94,390.26,,																																							
HC ECMO MONITORING VENOVENOUS,33948,CPT,,,,BOTH, , ,424.2,356.33,390.26,92,,Percent of Total Billed Charges,354.63,,390.26,92,,Percent of Total Billed Charges,348.27,,390.26,92,,Percent of Total Billed Charges,341.48,,390.26,92,,Percent of Total Billed Charges,354.21,,390.26,92,,Percent of Total Billed Charges,319.42,,390.26,92,,Percent of Total Billed Charges,265.13,,381.78,90,,Percent of Total Billed Charges,211.68,,377.54,89,,Percent of Total Billed Charges,203.62,,349.54,82.4,,Percent of Total Billed Charges,348.69,,353.78,83.4,,Percent of Total Billed Charges,330.03,,353.78,83.4,,Percent of Total Billed Charges,297.36,,353.78,83.4,,Percent of Total Billed Charges,345.3,,381.78,90,,Percent of Total Billed Charges,359.3,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,390.26,92,,Percent of Total Billed Charges,344.03,,390.26,92,,Percent of Total Billed Charges,315.6,,390.26,92,,Percent of Total Billed Charges,332.15,,390.26,92,,Percent of Total Billed Charges,344.03,,330.88,78,,Percent of Total Billed Charges,330.88,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,228.35,53.83,,Percent of Total Billed Charges,214.22,,146.94,34.64,,Percent of Total Billed Charges,146.35,,212.02,49.98,,Percent of Total Billed Charges,160.35,,146.94,390.26,,																																							
HC REMOVE INT DWELL URETERAL STENT TRANSURETHRAL,50386,CPT,,,,BOTH, , ,8187.9,6877.84,7532.87,92,,Percent of Total Billed Charges,6845.08,,7532.87,92,,Percent of Total Billed Charges,6722.27,,7532.87,92,,Percent of Total Billed Charges,6591.26,,7532.87,92,,Percent of Total Billed Charges,6836.9,,7532.87,92,,Percent of Total Billed Charges,6165.49,,7532.87,92,,Percent of Total Billed Charges,5117.44,,7369.11,90,,Percent of Total Billed Charges,4085.76,,7287.23,89,,Percent of Total Billed Charges,3930.19,,6746.83,82.4,,Percent of Total Billed Charges,6730.45,,6828.71,83.4,,Percent of Total Billed Charges,6370.19,,6828.71,83.4,,Percent of Total Billed Charges,5739.72,,6828.71,83.4,,Percent of Total Billed Charges,6664.95,,7369.11,90,,Percent of Total Billed Charges,6935.15,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,7532.87,92,,Percent of Total Billed Charges,6640.39,,7532.87,92,,Percent of Total Billed Charges,6091.8,,7532.87,92,,Percent of Total Billed Charges,6411.13,,7532.87,92,,Percent of Total Billed Charges,6640.39,,6386.56,78,,Percent of Total Billed Charges,6386.56,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4407.55,53.83,,Percent of Total Billed Charges,4134.89,,2836.29,34.64,,Percent of Total Billed Charges,2824.83,,4092.31,49.98,,Percent of Total Billed Charges,3095.03,,2836.29,7532.87,,																																							
HC RMVL & RPLCMT XTRNL ACCESSIBLE NEPHROURTRL CATH,50387,CPT,,,,BOTH, , ,2827.65,2375.23,2601.44,92,,Percent of Total Billed Charges,2363.92,,2601.44,92,,Percent of Total Billed Charges,2321.5,,2601.44,92,,Percent of Total Billed Charges,2276.26,,2601.44,92,,Percent of Total Billed Charges,2361.09,,2601.44,92,,Percent of Total Billed Charges,2129.22,,2601.44,92,,Percent of Total Billed Charges,1767.28,,2544.89,90,,Percent of Total Billed Charges,1411,,2516.61,89,,Percent of Total Billed Charges,1357.27,,2329.98,82.4,,Percent of Total Billed Charges,2324.33,,2358.26,83.4,,Percent of Total Billed Charges,2199.91,,2358.26,83.4,,Percent of Total Billed Charges,1982.18,,2358.26,83.4,,Percent of Total Billed Charges,2301.71,,2544.89,90,,Percent of Total Billed Charges,2395.02,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2601.44,92,,Percent of Total Billed Charges,2293.22,,2601.44,92,,Percent of Total Billed Charges,2103.77,,2601.44,92,,Percent of Total Billed Charges,2214.05,,2601.44,92,,Percent of Total Billed Charges,2293.22,,2205.57,78,,Percent of Total Billed Charges,2205.57,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1522.12,53.83,,Percent of Total Billed Charges,1427.96,,979.5,34.64,,Percent of Total Billed Charges,975.54,,1413.26,49.98,,Percent of Total Billed Charges,1068.85,,979.50,2601.44,,																																							
HC INSJ NONBIODEGRADABLE DRUG DELIVERY IMPLANT,11981,CPT,,,,BOTH, , ,592.2,497.45,544.82,92,,Percent of Total Billed Charges,495.08,,544.82,92,,Percent of Total Billed Charges,486.2,,544.82,92,,Percent of Total Billed Charges,476.72,,544.82,92,,Percent of Total Billed Charges,494.49,,544.82,92,,Percent of Total Billed Charges,445.93,,544.82,92,,Percent of Total Billed Charges,370.13,,532.98,90,,Percent of Total Billed Charges,295.51,,527.06,89,,Percent of Total Billed Charges,284.26,,487.97,82.4,,Percent of Total Billed Charges,486.79,,493.89,83.4,,Percent of Total Billed Charges,460.73,,493.89,83.4,,Percent of Total Billed Charges,415.13,,493.89,83.4,,Percent of Total Billed Charges,482.05,,532.98,90,,Percent of Total Billed Charges,501.59,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,544.82,92,,Percent of Total Billed Charges,480.27,,544.82,92,,Percent of Total Billed Charges,440.6,,544.82,92,,Percent of Total Billed Charges,463.69,,544.82,92,,Percent of Total Billed Charges,480.27,,461.92,78,,Percent of Total Billed Charges,461.92,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,318.78,53.83,,Percent of Total Billed Charges,299.06,,205.14,34.64,,Percent of Total Billed Charges,204.31,,295.98,49.98,,Percent of Total Billed Charges,223.85,,205.14,544.82,,																																							
HC INSERTION INTRAUTERINE DEVICE IUD,58300,CPT,,,,BOTH, , ,5097.75,4282.11,4689.93,92,,Percent of Total Billed Charges,4261.72,,4689.93,92,,Percent of Total Billed Charges,4185.25,,4689.93,92,,Percent of Total Billed Charges,4103.69,,4689.93,92,,Percent of Total Billed Charges,4256.62,,4689.93,92,,Percent of Total Billed Charges,3838.61,,4689.93,92,,Percent of Total Billed Charges,3186.09,,4587.98,90,,Percent of Total Billed Charges,2543.78,,4537,89,,Percent of Total Billed Charges,2446.92,,4200.55,82.4,,Percent of Total Billed Charges,4190.35,,4251.52,83.4,,Percent of Total Billed Charges,3966.05,,4251.52,83.4,,Percent of Total Billed Charges,3573.52,,4251.52,83.4,,Percent of Total Billed Charges,4149.57,,4587.98,90,,Percent of Total Billed Charges,4317.79,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4689.93,92,,Percent of Total Billed Charges,4134.28,,4689.93,92,,Percent of Total Billed Charges,3792.73,,4689.93,92,,Percent of Total Billed Charges,3991.54,,4689.93,92,,Percent of Total Billed Charges,4134.28,,3976.25,78,,Percent of Total Billed Charges,3976.25,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2744.12,53.83,,Percent of Total Billed Charges,2574.36,,1765.86,34.64,,Percent of Total Billed Charges,1758.72,,2547.86,49.98,,Percent of Total Billed Charges,1926.95,,1765.86,4689.93,,																																							
HC REVISE LEG VEIN,37700,CPT,,,,BOTH, , ,1465.8,1231.27,1348.54,92,,Percent of Total Billed Charges,1225.41,,1348.54,92,,Percent of Total Billed Charges,1203.42,,1348.54,92,,Percent of Total Billed Charges,1179.97,,1348.54,92,,Percent of Total Billed Charges,1223.94,,1348.54,92,,Percent of Total Billed Charges,1103.75,,1348.54,92,,Percent of Total Billed Charges,916.13,,1319.22,90,,Percent of Total Billed Charges,731.43,,1304.56,89,,Percent of Total Billed Charges,703.58,,1207.82,82.4,,Percent of Total Billed Charges,1204.89,,1222.48,83.4,,Percent of Total Billed Charges,1140.39,,1222.48,83.4,,Percent of Total Billed Charges,1027.53,,1222.48,83.4,,Percent of Total Billed Charges,1193.16,,1319.22,90,,Percent of Total Billed Charges,1241.53,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1348.54,92,,Percent of Total Billed Charges,1188.76,,1348.54,92,,Percent of Total Billed Charges,1090.56,,1348.54,92,,Percent of Total Billed Charges,1147.72,,1348.54,92,,Percent of Total Billed Charges,1188.76,,1143.32,78,,Percent of Total Billed Charges,1143.32,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,789.04,53.83,,Percent of Total Billed Charges,740.23,,507.75,34.64,,Percent of Total Billed Charges,505.7,,732.61,49.98,,Percent of Total Billed Charges,554.07,,507.75,1348.54,,																																							
HC STAB PHLEBT VARICOSE VEINS 1 XTR > 20 INCS,37766,CPT,,,,BOTH, , ,1465.8,1231.27,1348.54,92,,Percent of Total Billed Charges,1225.41,,1348.54,92,,Percent of Total Billed Charges,1203.42,,1348.54,92,,Percent of Total Billed Charges,1179.97,,1348.54,92,,Percent of Total Billed Charges,1223.94,,1348.54,92,,Percent of Total Billed Charges,1103.75,,1348.54,92,,Percent of Total Billed Charges,916.13,,1319.22,90,,Percent of Total Billed Charges,731.43,,1304.56,89,,Percent of Total Billed Charges,703.58,,1207.82,82.4,,Percent of Total Billed Charges,1204.89,,1222.48,83.4,,Percent of Total Billed Charges,1140.39,,1222.48,83.4,,Percent of Total Billed Charges,1027.53,,1222.48,83.4,,Percent of Total Billed Charges,1193.16,,1319.22,90,,Percent of Total Billed Charges,1241.53,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1348.54,92,,Percent of Total Billed Charges,1188.76,,1348.54,92,,Percent of Total Billed Charges,1090.56,,1348.54,92,,Percent of Total Billed Charges,1147.72,,1348.54,92,,Percent of Total Billed Charges,1188.76,,1143.32,78,,Percent of Total Billed Charges,1143.32,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,789.04,53.83,,Percent of Total Billed Charges,740.23,,507.75,34.64,,Percent of Total Billed Charges,505.7,,732.61,49.98,,Percent of Total Billed Charges,554.07,,507.75,1348.54,,																																							
HC GUIDE CATH DRAIN ABS/HEM/SER/CYST,10030,CPT,,,,BOTH, , ,3435.6,2885.9,3160.75,92,,Percent of Total Billed Charges,2872.16,,3160.75,92,,Percent of Total Billed Charges,2820.63,,3160.75,92,,Percent of Total Billed Charges,2765.66,,3160.75,92,,Percent of Total Billed Charges,2868.73,,3160.75,92,,Percent of Total Billed Charges,2587.01,,3160.75,92,,Percent of Total Billed Charges,2147.25,,3092.04,90,,Percent of Total Billed Charges,1714.36,,3057.68,89,,Percent of Total Billed Charges,1649.09,,2830.93,82.4,,Percent of Total Billed Charges,2824.06,,2865.29,83.4,,Percent of Total Billed Charges,2672.9,,2865.29,83.4,,Percent of Total Billed Charges,2408.36,,2865.29,83.4,,Percent of Total Billed Charges,2796.58,,3092.04,90,,Percent of Total Billed Charges,2909.95,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3160.75,92,,Percent of Total Billed Charges,2786.27,,3160.75,92,,Percent of Total Billed Charges,2556.09,,3160.75,92,,Percent of Total Billed Charges,2690.07,,3160.75,92,,Percent of Total Billed Charges,2786.27,,2679.77,78,,Percent of Total Billed Charges,2679.77,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1849.38,53.83,,Percent of Total Billed Charges,1734.98,,1190.09,34.64,,Percent of Total Billed Charges,1185.28,,1717.11,49.98,,Percent of Total Billed Charges,1298.66,,1190.09,3160.75,,																																							
HC I&D SKIN ABCESS SIMPLE,10060,CPT,,,,BOTH, , ,717.15,602.41,659.78,92,,Percent of Total Billed Charges,599.54,,659.78,92,,Percent of Total Billed Charges,588.78,,659.78,92,,Percent of Total Billed Charges,577.31,,659.78,92,,Percent of Total Billed Charges,598.82,,659.78,92,,Percent of Total Billed Charges,540.01,,659.78,92,,Percent of Total Billed Charges,448.22,,645.44,90,,Percent of Total Billed Charges,357.86,,638.26,89,,Percent of Total Billed Charges,344.23,,590.93,82.4,,Percent of Total Billed Charges,589.5,,598.1,83.4,,Percent of Total Billed Charges,557.94,,598.1,83.4,,Percent of Total Billed Charges,502.72,,598.1,83.4,,Percent of Total Billed Charges,583.76,,645.44,90,,Percent of Total Billed Charges,607.43,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,659.78,92,,Percent of Total Billed Charges,581.61,,659.78,92,,Percent of Total Billed Charges,533.56,,659.78,92,,Percent of Total Billed Charges,561.53,,659.78,92,,Percent of Total Billed Charges,581.61,,559.38,78,,Percent of Total Billed Charges,559.38,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,386.04,53.83,,Percent of Total Billed Charges,362.16,,248.42,34.64,,Percent of Total Billed Charges,247.42,,358.43,49.98,,Percent of Total Billed Charges,271.08,,248.42,659.78,,																																							
HC PUNCTURE DRAINAGE OF LESION,10160,CPT,,,,BOTH, , ,5020.05,4216.84,4618.45,92,,Percent of Total Billed Charges,4196.76,,4618.45,92,,Percent of Total Billed Charges,4121.46,,4618.45,92,,Percent of Total Billed Charges,4041.14,,4618.45,92,,Percent of Total Billed Charges,4191.74,,4618.45,92,,Percent of Total Billed Charges,3780.1,,4618.45,92,,Percent of Total Billed Charges,3137.53,,4518.05,90,,Percent of Total Billed Charges,2505,,4467.84,89,,Percent of Total Billed Charges,2409.62,,4136.52,82.4,,Percent of Total Billed Charges,4126.48,,4186.72,83.4,,Percent of Total Billed Charges,3905.6,,4186.72,83.4,,Percent of Total Billed Charges,3519.06,,4186.72,83.4,,Percent of Total Billed Charges,4086.32,,4518.05,90,,Percent of Total Billed Charges,4251.98,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4618.45,92,,Percent of Total Billed Charges,4071.26,,4618.45,92,,Percent of Total Billed Charges,3734.92,,4618.45,92,,Percent of Total Billed Charges,3930.7,,4618.45,92,,Percent of Total Billed Charges,4071.26,,3915.64,78,,Percent of Total Billed Charges,3915.64,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2702.29,53.83,,Percent of Total Billed Charges,2535.13,,1738.95,34.64,,Percent of Total Billed Charges,1731.92,,2509.02,49.98,,Percent of Total Billed Charges,1897.58,,1738.95,4618.45,,																																							
HC DEBRIDEMENT SUBQ 1ST 20 SQ CM OR LESS,11042,CPT,,,,BOTH, , ,1412.25,1186.29,1299.27,92,,Percent of Total Billed Charges,1180.64,,1299.27,92,,Percent of Total Billed Charges,1159.46,,1299.27,92,,Percent of Total Billed Charges,1136.86,,1299.27,92,,Percent of Total Billed Charges,1179.23,,1299.27,92,,Percent of Total Billed Charges,1063.42,,1299.27,92,,Percent of Total Billed Charges,882.66,,1271.03,90,,Percent of Total Billed Charges,704.71,,1256.9,89,,Percent of Total Billed Charges,677.88,,1163.69,82.4,,Percent of Total Billed Charges,1160.87,,1177.82,83.4,,Percent of Total Billed Charges,1098.73,,1177.82,83.4,,Percent of Total Billed Charges,989.99,,1177.82,83.4,,Percent of Total Billed Charges,1149.57,,1271.03,90,,Percent of Total Billed Charges,1196.18,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1299.27,92,,Percent of Total Billed Charges,1145.33,,1299.27,92,,Percent of Total Billed Charges,1050.71,,1299.27,92,,Percent of Total Billed Charges,1105.79,,1299.27,92,,Percent of Total Billed Charges,1145.33,,1101.56,78,,Percent of Total Billed Charges,1101.56,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,760.21,53.83,,Percent of Total Billed Charges,713.19,,489.2,34.64,,Percent of Total Billed Charges,487.23,,705.84,49.98,,Percent of Total Billed Charges,533.83,,489.20,1299.27,,																																							
HC DEBRIDEMENT MUSC/FASCI 1ST 20SQCM,11043,CPT,,,,BOTH, , ,1412.25,1186.29,1299.27,92,,Percent of Total Billed Charges,1180.64,,1299.27,92,,Percent of Total Billed Charges,1159.46,,1299.27,92,,Percent of Total Billed Charges,1136.86,,1299.27,92,,Percent of Total Billed Charges,1179.23,,1299.27,92,,Percent of Total Billed Charges,1063.42,,1299.27,92,,Percent of Total Billed Charges,882.66,,1271.03,90,,Percent of Total Billed Charges,704.71,,1256.9,89,,Percent of Total Billed Charges,677.88,,1163.69,82.4,,Percent of Total Billed Charges,1160.87,,1177.82,83.4,,Percent of Total Billed Charges,1098.73,,1177.82,83.4,,Percent of Total Billed Charges,989.99,,1177.82,83.4,,Percent of Total Billed Charges,1149.57,,1271.03,90,,Percent of Total Billed Charges,1196.18,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1299.27,92,,Percent of Total Billed Charges,1145.33,,1299.27,92,,Percent of Total Billed Charges,1050.71,,1299.27,92,,Percent of Total Billed Charges,1105.79,,1299.27,92,,Percent of Total Billed Charges,1145.33,,1101.56,78,,Percent of Total Billed Charges,1101.56,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,760.21,53.83,,Percent of Total Billed Charges,713.19,,489.2,34.64,,Percent of Total Billed Charges,487.23,,705.84,49.98,,Percent of Total Billed Charges,533.83,,489.20,1299.27,,																																							
HC DEBRIDEMENT BONE 1ST 20 SQ CM,11044,CPT,,,,BOTH, , ,4403.7,3699.11,4051.4,92,,Percent of Total Billed Charges,3681.49,,4051.4,92,,Percent of Total Billed Charges,3615.44,,4051.4,92,,Percent of Total Billed Charges,3544.98,,4051.4,92,,Percent of Total Billed Charges,3677.09,,4051.4,92,,Percent of Total Billed Charges,3315.99,,4051.4,92,,Percent of Total Billed Charges,2752.31,,3963.33,90,,Percent of Total Billed Charges,2197.45,,3919.29,89,,Percent of Total Billed Charges,2113.78,,3628.65,82.4,,Percent of Total Billed Charges,3619.84,,3672.69,83.4,,Percent of Total Billed Charges,3426.08,,3672.69,83.4,,Percent of Total Billed Charges,3086.99,,3672.69,83.4,,Percent of Total Billed Charges,3584.61,,3963.33,90,,Percent of Total Billed Charges,3729.93,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4051.4,92,,Percent of Total Billed Charges,3571.4,,4051.4,92,,Percent of Total Billed Charges,3276.35,,4051.4,92,,Percent of Total Billed Charges,3448.1,,4051.4,92,,Percent of Total Billed Charges,3571.4,,3434.89,78,,Percent of Total Billed Charges,3434.89,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2370.51,53.83,,Percent of Total Billed Charges,2223.87,,1525.44,34.64,,Percent of Total Billed Charges,1519.28,,2200.97,49.98,,Percent of Total Billed Charges,1664.6,,1525.44,4051.4,,																																							
HC DEBRIDEMENT SUBQ ADD 20 SQ CM OR PRT OF,11045,CPT,,,,BOTH, , ,1412.25,1186.29,1299.27,92,,Percent of Total Billed Charges,1180.64,,1299.27,92,,Percent of Total Billed Charges,1159.46,,1299.27,92,,Percent of Total Billed Charges,1136.86,,1299.27,92,,Percent of Total Billed Charges,1179.23,,1299.27,92,,Percent of Total Billed Charges,1063.42,,1299.27,92,,Percent of Total Billed Charges,882.66,,1271.03,90,,Percent of Total Billed Charges,704.71,,1256.9,89,,Percent of Total Billed Charges,677.88,,1163.69,82.4,,Percent of Total Billed Charges,1160.87,,1177.82,83.4,,Percent of Total Billed Charges,1098.73,,1177.82,83.4,,Percent of Total Billed Charges,989.99,,1177.82,83.4,,Percent of Total Billed Charges,1149.57,,1271.03,90,,Percent of Total Billed Charges,1196.18,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1299.27,92,,Percent of Total Billed Charges,1145.33,,1299.27,92,,Percent of Total Billed Charges,1050.71,,1299.27,92,,Percent of Total Billed Charges,1105.79,,1299.27,92,,Percent of Total Billed Charges,1145.33,,1101.56,78,,Percent of Total Billed Charges,1101.56,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,760.21,53.83,,Percent of Total Billed Charges,713.19,,489.2,34.64,,Percent of Total Billed Charges,487.23,,705.84,49.98,,Percent of Total Billed Charges,533.83,,489.20,1299.27,,																																							
HC DEBRIDEMENT MUS/FASCIA ADD 20 SQCM OR PRT,11046,CPT,,,,BOTH, , ,1412.25,1186.29,1299.27,92,,Percent of Total Billed Charges,1180.64,,1299.27,92,,Percent of Total Billed Charges,1159.46,,1299.27,92,,Percent of Total Billed Charges,1136.86,,1299.27,92,,Percent of Total Billed Charges,1179.23,,1299.27,92,,Percent of Total Billed Charges,1063.42,,1299.27,92,,Percent of Total Billed Charges,882.66,,1271.03,90,,Percent of Total Billed Charges,704.71,,1256.9,89,,Percent of Total Billed Charges,677.88,,1163.69,82.4,,Percent of Total Billed Charges,1160.87,,1177.82,83.4,,Percent of Total Billed Charges,1098.73,,1177.82,83.4,,Percent of Total Billed Charges,989.99,,1177.82,83.4,,Percent of Total Billed Charges,1149.57,,1271.03,90,,Percent of Total Billed Charges,1196.18,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1299.27,92,,Percent of Total Billed Charges,1145.33,,1299.27,92,,Percent of Total Billed Charges,1050.71,,1299.27,92,,Percent of Total Billed Charges,1105.79,,1299.27,92,,Percent of Total Billed Charges,1145.33,,1101.56,78,,Percent of Total Billed Charges,1101.56,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,760.21,53.83,,Percent of Total Billed Charges,713.19,,489.2,34.64,,Percent of Total Billed Charges,487.23,,705.84,49.98,,Percent of Total Billed Charges,533.83,,489.20,1299.27,,																																							
HC DEBRIDEMENT BONE ADD 20 SQCM OR PRT OF,11047,CPT,,,,BOTH, , ,4403.7,3699.11,4051.4,92,,Percent of Total Billed Charges,3681.49,,4051.4,92,,Percent of Total Billed Charges,3615.44,,4051.4,92,,Percent of Total Billed Charges,3544.98,,4051.4,92,,Percent of Total Billed Charges,3677.09,,4051.4,92,,Percent of Total Billed Charges,3315.99,,4051.4,92,,Percent of Total Billed Charges,2752.31,,3963.33,90,,Percent of Total Billed Charges,2197.45,,3919.29,89,,Percent of Total Billed Charges,2113.78,,3628.65,82.4,,Percent of Total Billed Charges,3619.84,,3672.69,83.4,,Percent of Total Billed Charges,3426.08,,3672.69,83.4,,Percent of Total Billed Charges,3086.99,,3672.69,83.4,,Percent of Total Billed Charges,3584.61,,3963.33,90,,Percent of Total Billed Charges,3729.93,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4051.4,92,,Percent of Total Billed Charges,3571.4,,4051.4,92,,Percent of Total Billed Charges,3276.35,,4051.4,92,,Percent of Total Billed Charges,3448.1,,4051.4,92,,Percent of Total Billed Charges,3571.4,,3434.89,78,,Percent of Total Billed Charges,3434.89,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2370.51,53.83,,Percent of Total Billed Charges,2223.87,,1525.44,34.64,,Percent of Total Billed Charges,1519.28,,2200.97,49.98,,Percent of Total Billed Charges,1664.6,,1525.44,4051.4,,																																							
HC DEBRIDEMENT NAIL 6 OR MORE,11721,CPT,,,,BOTH, , ,449.4,377.5,413.45,92,,Percent of Total Billed Charges,375.7,,413.45,92,,Percent of Total Billed Charges,368.96,,413.45,92,,Percent of Total Billed Charges,361.77,,413.45,92,,Percent of Total Billed Charges,375.25,,413.45,92,,Percent of Total Billed Charges,338.4,,413.45,92,,Percent of Total Billed Charges,280.88,,404.46,90,,Percent of Total Billed Charges,224.25,,399.97,89,,Percent of Total Billed Charges,215.71,,370.31,82.4,,Percent of Total Billed Charges,369.41,,374.8,83.4,,Percent of Total Billed Charges,349.63,,374.8,83.4,,Percent of Total Billed Charges,315.03,,374.8,83.4,,Percent of Total Billed Charges,365.81,,404.46,90,,Percent of Total Billed Charges,380.64,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,413.45,92,,Percent of Total Billed Charges,364.46,,413.45,92,,Percent of Total Billed Charges,334.35,,413.45,92,,Percent of Total Billed Charges,351.88,,413.45,92,,Percent of Total Billed Charges,364.46,,350.53,78,,Percent of Total Billed Charges,350.53,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,241.91,53.83,,Percent of Total Billed Charges,226.95,,155.67,34.64,,Percent of Total Billed Charges,155.04,,224.61,49.98,,Percent of Total Billed Charges,169.87,,155.67,413.45,,																																							
HC SPLTTHCK AUTOGRAFT, TRNK,ARM,LEG,15100,CPT,,,,BOTH, , ,13950.3,11718.25,12834.28,92,,Percent of Total Billed Charges,11662.45,,12834.28,92,,Percent of Total Billed Charges,11453.2,,12834.28,92,,Percent of Total Billed Charges,11229.99,,12834.28,92,,Percent of Total Billed Charges,11648.5,,12834.28,92,,Percent of Total Billed Charges,10504.58,,12834.28,92,,Percent of Total Billed Charges,8718.94,,12555.27,90,,Percent of Total Billed Charges,6961.2,,12415.77,89,,Percent of Total Billed Charges,6696.14,,11495.05,82.4,,Percent of Total Billed Charges,11467.15,,11634.55,83.4,,Percent of Total Billed Charges,10853.33,,11634.55,83.4,,Percent of Total Billed Charges,9779.16,,11634.55,83.4,,Percent of Total Billed Charges,11355.54,,12555.27,90,,Percent of Total Billed Charges,11815.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,12834.28,92,,Percent of Total Billed Charges,11313.69,,12834.28,92,,Percent of Total Billed Charges,10379.02,,12834.28,92,,Percent of Total Billed Charges,10923.08,,12834.28,92,,Percent of Total Billed Charges,11313.69,,10881.23,78,,Percent of Total Billed Charges,10881.23,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,7509.45,53.83,,Percent of Total Billed Charges,7044.9,,4832.38,34.64,,Percent of Total Billed Charges,4812.85,,6972.36,49.98,,Percent of Total Billed Charges,5273.21,,4832.38,12834.28,,																																							
HC SKIN SUB TRNK ETC<=100SQCM 1ST 25,15271,CPT,,,,BOTH, , ,5035.8,4230.07,4632.94,92,,Percent of Total Billed Charges,4209.93,,4632.94,92,,Percent of Total Billed Charges,4134.39,,4632.94,92,,Percent of Total Billed Charges,4053.82,,4632.94,92,,Percent of Total Billed Charges,4204.89,,4632.94,92,,Percent of Total Billed Charges,3791.96,,4632.94,92,,Percent of Total Billed Charges,3147.38,,4532.22,90,,Percent of Total Billed Charges,2512.86,,4481.86,89,,Percent of Total Billed Charges,2417.18,,4149.5,82.4,,Percent of Total Billed Charges,4139.43,,4199.86,83.4,,Percent of Total Billed Charges,3917.85,,4199.86,83.4,,Percent of Total Billed Charges,3530.1,,4199.86,83.4,,Percent of Total Billed Charges,4099.14,,4532.22,90,,Percent of Total Billed Charges,4265.32,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4632.94,92,,Percent of Total Billed Charges,4084.03,,4632.94,92,,Percent of Total Billed Charges,3746.64,,4632.94,92,,Percent of Total Billed Charges,3943.03,,4632.94,92,,Percent of Total Billed Charges,4084.03,,3927.92,78,,Percent of Total Billed Charges,3927.92,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2710.77,53.83,,Percent of Total Billed Charges,2543.08,,1744.4,34.64,,Percent of Total Billed Charges,1737.35,,2516.89,49.98,,Percent of Total Billed Charges,1903.53,,1744.40,4632.94,,																																							
HC SKIN SUB GRAFT T/A/L ADDON 25 SQCM,15272,CPT,,,,BOTH, , ,42,35.28,38.64,92,,Percent of Total Billed Charges,35.11,,38.64,92,,Percent of Total Billed Charges,34.48,,38.64,92,,Percent of Total Billed Charges,33.81,,38.64,92,,Percent of Total Billed Charges,35.07,,38.64,92,,Percent of Total Billed Charges,31.63,,38.64,92,,Percent of Total Billed Charges,26.25,,37.8,90,,Percent of Total Billed Charges,20.96,,37.38,89,,Percent of Total Billed Charges,20.16,,34.61,82.4,,Percent of Total Billed Charges,34.52,,35.03,83.4,,Percent of Total Billed Charges,32.68,,35.03,83.4,,Percent of Total Billed Charges,29.44,,35.03,83.4,,Percent of Total Billed Charges,34.19,,37.8,90,,Percent of Total Billed Charges,35.57,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,38.64,92,,Percent of Total Billed Charges,34.06,,38.64,92,,Percent of Total Billed Charges,31.25,,38.64,92,,Percent of Total Billed Charges,32.89,,38.64,92,,Percent of Total Billed Charges,34.06,,32.76,78,,Percent of Total Billed Charges,32.76,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,22.61,53.83,,Percent of Total Billed Charges,21.21,,14.55,34.64,,Percent of Total Billed Charges,14.49,,20.99,49.98,,Percent of Total Billed Charges,15.88,,14.55,38.64,,																																							
HC SKIN SUB GRFT T/ARM/LG CHILD > 100 1ST 100,15273,CPT,,,,BOTH, , ,830.55,697.66,764.11,92,,Percent of Total Billed Charges,694.34,,764.11,92,,Percent of Total Billed Charges,681.88,,764.11,92,,Percent of Total Billed Charges,668.59,,764.11,92,,Percent of Total Billed Charges,693.51,,764.11,92,,Percent of Total Billed Charges,625.4,,764.11,92,,Percent of Total Billed Charges,519.09,,747.5,90,,Percent of Total Billed Charges,414.44,,739.19,89,,Percent of Total Billed Charges,398.66,,684.37,82.4,,Percent of Total Billed Charges,682.71,,692.68,83.4,,Percent of Total Billed Charges,646.17,,692.68,83.4,,Percent of Total Billed Charges,582.22,,692.68,83.4,,Percent of Total Billed Charges,676.07,,747.5,90,,Percent of Total Billed Charges,703.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,764.11,92,,Percent of Total Billed Charges,673.58,,764.11,92,,Percent of Total Billed Charges,617.93,,764.11,92,,Percent of Total Billed Charges,650.32,,764.11,92,,Percent of Total Billed Charges,673.58,,647.83,78,,Percent of Total Billed Charges,647.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,447.09,53.83,,Percent of Total Billed Charges,419.43,,287.7,34.64,,Percent of Total Billed Charges,286.54,,415.11,49.98,,Percent of Total Billed Charges,313.95,,287.70,764.11,,																																							
HC SKN SUB GRFT T/A/L CHILD ADD > 100,15274,CPT,,,,BOTH, , ,1141.35,958.73,1050.04,92,,Percent of Total Billed Charges,954.17,,1050.04,92,,Percent of Total Billed Charges,937.05,,1050.04,92,,Percent of Total Billed Charges,918.79,,1050.04,92,,Percent of Total Billed Charges,953.03,,1050.04,92,,Percent of Total Billed Charges,859.44,,1050.04,92,,Percent of Total Billed Charges,713.34,,1027.22,90,,Percent of Total Billed Charges,569.53,,1015.8,89,,Percent of Total Billed Charges,547.85,,940.47,82.4,,Percent of Total Billed Charges,938.19,,951.89,83.4,,Percent of Total Billed Charges,887.97,,951.89,83.4,,Percent of Total Billed Charges,800.09,,951.89,83.4,,Percent of Total Billed Charges,929.06,,1027.22,90,,Percent of Total Billed Charges,966.72,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1050.04,92,,Percent of Total Billed Charges,925.63,,1050.04,92,,Percent of Total Billed Charges,849.16,,1050.04,92,,Percent of Total Billed Charges,893.68,,1050.04,92,,Percent of Total Billed Charges,925.63,,890.25,78,,Percent of Total Billed Charges,890.25,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,614.39,53.83,,Percent of Total Billed Charges,576.38,,395.36,34.64,,Percent of Total Billed Charges,393.77,,570.45,49.98,,Percent of Total Billed Charges,431.43,,395.36,1050.04,,																																							
HC SKIN SUB GRAFT FACE/NK/HF/G <=100SQCM 1ST 25,15275,CPT,,,,BOTH, , ,5035.8,4230.07,4632.94,92,,Percent of Total Billed Charges,4209.93,,4632.94,92,,Percent of Total Billed Charges,4134.39,,4632.94,92,,Percent of Total Billed Charges,4053.82,,4632.94,92,,Percent of Total Billed Charges,4204.89,,4632.94,92,,Percent of Total Billed Charges,3791.96,,4632.94,92,,Percent of Total Billed Charges,3147.38,,4532.22,90,,Percent of Total Billed Charges,2512.86,,4481.86,89,,Percent of Total Billed Charges,2417.18,,4149.5,82.4,,Percent of Total Billed Charges,4139.43,,4199.86,83.4,,Percent of Total Billed Charges,3917.85,,4199.86,83.4,,Percent of Total Billed Charges,3530.1,,4199.86,83.4,,Percent of Total Billed Charges,4099.14,,4532.22,90,,Percent of Total Billed Charges,4265.32,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4632.94,92,,Percent of Total Billed Charges,4084.03,,4632.94,92,,Percent of Total Billed Charges,3746.64,,4632.94,92,,Percent of Total Billed Charges,3943.03,,4632.94,92,,Percent of Total Billed Charges,4084.03,,3927.92,78,,Percent of Total Billed Charges,3927.92,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2710.77,53.83,,Percent of Total Billed Charges,2543.08,,1744.4,34.64,,Percent of Total Billed Charges,1737.35,,2516.89,49.98,,Percent of Total Billed Charges,1903.53,,1744.40,4632.94,,																																							
HC SKIN SUB GRAFT F/N/HF/G ADDL <=100SQCM 1ST 25,15276,CPT,,,,BOTH, , ,42,35.28,38.64,92,,Percent of Total Billed Charges,35.11,,38.64,92,,Percent of Total Billed Charges,34.48,,38.64,92,,Percent of Total Billed Charges,33.81,,38.64,92,,Percent of Total Billed Charges,35.07,,38.64,92,,Percent of Total Billed Charges,31.63,,38.64,92,,Percent of Total Billed Charges,26.25,,37.8,90,,Percent of Total Billed Charges,20.96,,37.38,89,,Percent of Total Billed Charges,20.16,,34.61,82.4,,Percent of Total Billed Charges,34.52,,35.03,83.4,,Percent of Total Billed Charges,32.68,,35.03,83.4,,Percent of Total Billed Charges,29.44,,35.03,83.4,,Percent of Total Billed Charges,34.19,,37.8,90,,Percent of Total Billed Charges,35.57,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,38.64,92,,Percent of Total Billed Charges,34.06,,38.64,92,,Percent of Total Billed Charges,31.25,,38.64,92,,Percent of Total Billed Charges,32.89,,38.64,92,,Percent of Total Billed Charges,34.06,,32.76,78,,Percent of Total Billed Charges,32.76,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,22.61,53.83,,Percent of Total Billed Charges,21.21,,14.55,34.64,,Percent of Total Billed Charges,14.49,,20.99,49.98,,Percent of Total Billed Charges,15.88,,14.55,38.64,,																																							
HC DRESS/DEBRIDE P THICK BURN S <5% TOTAL BODY AREA,16020,CPT,,,,BOTH, , ,833.7,700.31,767,92,,Percent of Total Billed Charges,696.97,,767,92,,Percent of Total Billed Charges,684.47,,767,92,,Percent of Total Billed Charges,671.13,,767,92,,Percent of Total Billed Charges,696.14,,767,92,,Percent of Total Billed Charges,627.78,,767,92,,Percent of Total Billed Charges,521.06,,750.33,90,,Percent of Total Billed Charges,416.02,,741.99,89,,Percent of Total Billed Charges,400.18,,686.97,82.4,,Percent of Total Billed Charges,685.3,,695.31,83.4,,Percent of Total Billed Charges,648.62,,695.31,83.4,,Percent of Total Billed Charges,584.42,,695.31,83.4,,Percent of Total Billed Charges,678.63,,750.33,90,,Percent of Total Billed Charges,706.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,767,92,,Percent of Total Billed Charges,676.13,,767,92,,Percent of Total Billed Charges,620.27,,767,92,,Percent of Total Billed Charges,652.79,,767,92,,Percent of Total Billed Charges,676.13,,650.29,78,,Percent of Total Billed Charges,650.29,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,448.78,53.83,,Percent of Total Billed Charges,421.02,,288.79,34.64,,Percent of Total Billed Charges,287.63,,416.68,49.98,,Percent of Total Billed Charges,315.14,,288.79,767,,																																							
HC CHEMICAL CAUTERIZATION,17250,CPT,,,,BOTH, , ,559.65,470.11,514.88,92,,Percent of Total Billed Charges,467.87,,514.88,92,,Percent of Total Billed Charges,459.47,,514.88,92,,Percent of Total Billed Charges,450.52,,514.88,92,,Percent of Total Billed Charges,467.31,,514.88,92,,Percent of Total Billed Charges,421.42,,514.88,92,,Percent of Total Billed Charges,349.78,,503.69,90,,Percent of Total Billed Charges,279.27,,498.09,89,,Percent of Total Billed Charges,268.63,,461.15,82.4,,Percent of Total Billed Charges,460.03,,466.75,83.4,,Percent of Total Billed Charges,435.41,,466.75,83.4,,Percent of Total Billed Charges,392.31,,466.75,83.4,,Percent of Total Billed Charges,455.56,,503.69,90,,Percent of Total Billed Charges,474.02,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,514.88,92,,Percent of Total Billed Charges,453.88,,514.88,92,,Percent of Total Billed Charges,416.38,,514.88,92,,Percent of Total Billed Charges,438.21,,514.88,92,,Percent of Total Billed Charges,453.88,,436.53,78,,Percent of Total Billed Charges,436.53,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,301.26,53.83,,Percent of Total Billed Charges,282.62,,193.86,34.64,,Percent of Total Billed Charges,193.08,,279.71,49.98,,Percent of Total Billed Charges,211.55,,193.86,514.88,,																																							
HC BREAST CYST ASP,19000,CPT,,,,BOTH, , ,1988.7,1670.51,1829.6,92,,Percent of Total Billed Charges,1662.55,,1829.6,92,,Percent of Total Billed Charges,1632.72,,1829.6,92,,Percent of Total Billed Charges,1600.9,,1829.6,92,,Percent of Total Billed Charges,1660.56,,1829.6,92,,Percent of Total Billed Charges,1497.49,,1829.6,92,,Percent of Total Billed Charges,1242.94,,1789.83,90,,Percent of Total Billed Charges,992.36,,1769.94,89,,Percent of Total Billed Charges,954.58,,1638.69,82.4,,Percent of Total Billed Charges,1634.71,,1658.58,83.4,,Percent of Total Billed Charges,1547.21,,1658.58,83.4,,Percent of Total Billed Charges,1394.08,,1658.58,83.4,,Percent of Total Billed Charges,1618.8,,1789.83,90,,Percent of Total Billed Charges,1684.43,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1829.6,92,,Percent of Total Billed Charges,1612.84,,1829.6,92,,Percent of Total Billed Charges,1479.59,,1829.6,92,,Percent of Total Billed Charges,1557.15,,1829.6,92,,Percent of Total Billed Charges,1612.84,,1551.19,78,,Percent of Total Billed Charges,1551.19,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1070.52,53.83,,Percent of Total Billed Charges,1004.29,,688.89,34.64,,Percent of Total Billed Charges,686.1,,993.95,49.98,,Percent of Total Billed Charges,751.73,,688.89,1829.6,,																																							
HC BREAST CYST ASP ADDON,19001,CPT,,,,BOTH, , ,355.95,299,327.47,92,,Percent of Total Billed Charges,297.57,,327.47,92,,Percent of Total Billed Charges,292.23,,327.47,92,,Percent of Total Billed Charges,286.54,,327.47,92,,Percent of Total Billed Charges,297.22,,327.47,92,,Percent of Total Billed Charges,268.03,,327.47,92,,Percent of Total Billed Charges,222.47,,320.36,90,,Percent of Total Billed Charges,177.62,,316.8,89,,Percent of Total Billed Charges,170.86,,293.3,82.4,,Percent of Total Billed Charges,292.59,,296.86,83.4,,Percent of Total Billed Charges,276.93,,296.86,83.4,,Percent of Total Billed Charges,249.52,,296.86,83.4,,Percent of Total Billed Charges,289.74,,320.36,90,,Percent of Total Billed Charges,301.49,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,327.47,92,,Percent of Total Billed Charges,288.68,,327.47,92,,Percent of Total Billed Charges,264.83,,327.47,92,,Percent of Total Billed Charges,278.71,,327.47,92,,Percent of Total Billed Charges,288.68,,277.64,78,,Percent of Total Billed Charges,277.64,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,191.61,53.83,,Percent of Total Billed Charges,179.75,,123.3,34.64,,Percent of Total Billed Charges,122.8,,177.9,49.98,,Percent of Total Billed Charges,134.55,,123.30,327.47,,																																							
HC BX BREAST 1ST LESION STRTCTC,19081,CPT,,,,BOTH, , ,4444.65,3733.51,4089.08,92,,Percent of Total Billed Charges,3715.73,,4089.08,92,,Percent of Total Billed Charges,3649.06,,4089.08,92,,Percent of Total Billed Charges,3577.94,,4089.08,92,,Percent of Total Billed Charges,3711.28,,4089.08,92,,Percent of Total Billed Charges,3346.82,,4089.08,92,,Percent of Total Billed Charges,2777.91,,4000.19,90,,Percent of Total Billed Charges,2217.88,,3955.74,89,,Percent of Total Billed Charges,2133.43,,3662.39,82.4,,Percent of Total Billed Charges,3653.5,,3706.84,83.4,,Percent of Total Billed Charges,3457.94,,3706.84,83.4,,Percent of Total Billed Charges,3115.7,,3706.84,83.4,,Percent of Total Billed Charges,3617.95,,4000.19,90,,Percent of Total Billed Charges,3764.62,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4089.08,92,,Percent of Total Billed Charges,3604.61,,4089.08,92,,Percent of Total Billed Charges,3306.82,,4089.08,92,,Percent of Total Billed Charges,3480.16,,4089.08,92,,Percent of Total Billed Charges,3604.61,,3466.83,78,,Percent of Total Billed Charges,3466.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2392.56,53.83,,Percent of Total Billed Charges,2244.55,,1539.63,34.64,,Percent of Total Billed Charges,1533.4,,2221.44,49.98,,Percent of Total Billed Charges,1680.08,,1539.63,4089.08,,																																							
HC BX BREAST ADD LESION STRTCTC,19082,CPT,,,,BOTH, , ,4444.65,3733.51,4089.08,92,,Percent of Total Billed Charges,3715.73,,4089.08,92,,Percent of Total Billed Charges,3649.06,,4089.08,92,,Percent of Total Billed Charges,3577.94,,4089.08,92,,Percent of Total Billed Charges,3711.28,,4089.08,92,,Percent of Total Billed Charges,3346.82,,4089.08,92,,Percent of Total Billed Charges,2777.91,,4000.19,90,,Percent of Total Billed Charges,2217.88,,3955.74,89,,Percent of Total Billed Charges,2133.43,,3662.39,82.4,,Percent of Total Billed Charges,3653.5,,3706.84,83.4,,Percent of Total Billed Charges,3457.94,,3706.84,83.4,,Percent of Total Billed Charges,3115.7,,3706.84,83.4,,Percent of Total Billed Charges,3617.95,,4000.19,90,,Percent of Total Billed Charges,3764.62,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4089.08,92,,Percent of Total Billed Charges,3604.61,,4089.08,92,,Percent of Total Billed Charges,3306.82,,4089.08,92,,Percent of Total Billed Charges,3480.16,,4089.08,92,,Percent of Total Billed Charges,3604.61,,3466.83,78,,Percent of Total Billed Charges,3466.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2392.56,53.83,,Percent of Total Billed Charges,2244.55,,1539.63,34.64,,Percent of Total Billed Charges,1533.4,,2221.44,49.98,,Percent of Total Billed Charges,1680.08,,1539.63,4089.08,,																																							
HC BREAST BX 1ST LESION,19083,CPT,,,,BOTH, , ,4444.65,3733.51,4089.08,92,,Percent of Total Billed Charges,3715.73,,4089.08,92,,Percent of Total Billed Charges,3649.06,,4089.08,92,,Percent of Total Billed Charges,3577.94,,4089.08,92,,Percent of Total Billed Charges,3711.28,,4089.08,92,,Percent of Total Billed Charges,3346.82,,4089.08,92,,Percent of Total Billed Charges,2777.91,,4000.19,90,,Percent of Total Billed Charges,2217.88,,3955.74,89,,Percent of Total Billed Charges,2133.43,,3662.39,82.4,,Percent of Total Billed Charges,3653.5,,3706.84,83.4,,Percent of Total Billed Charges,3457.94,,3706.84,83.4,,Percent of Total Billed Charges,3115.7,,3706.84,83.4,,Percent of Total Billed Charges,3617.95,,4000.19,90,,Percent of Total Billed Charges,3764.62,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4089.08,92,,Percent of Total Billed Charges,3604.61,,4089.08,92,,Percent of Total Billed Charges,3306.82,,4089.08,92,,Percent of Total Billed Charges,3480.16,,4089.08,92,,Percent of Total Billed Charges,3604.61,,3466.83,78,,Percent of Total Billed Charges,3466.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2392.56,53.83,,Percent of Total Billed Charges,2244.55,,1539.63,34.64,,Percent of Total Billed Charges,1533.4,,2221.44,49.98,,Percent of Total Billed Charges,1680.08,,1539.63,4089.08,,																																							
HC BREAST BX ADDT LESION,19084,CPT,,,,BOTH, , ,4444.65,3733.51,4089.08,92,,Percent of Total Billed Charges,3715.73,,4089.08,92,,Percent of Total Billed Charges,3649.06,,4089.08,92,,Percent of Total Billed Charges,3577.94,,4089.08,92,,Percent of Total Billed Charges,3711.28,,4089.08,92,,Percent of Total Billed Charges,3346.82,,4089.08,92,,Percent of Total Billed Charges,2777.91,,4000.19,90,,Percent of Total Billed Charges,2217.88,,3955.74,89,,Percent of Total Billed Charges,2133.43,,3662.39,82.4,,Percent of Total Billed Charges,3653.5,,3706.84,83.4,,Percent of Total Billed Charges,3457.94,,3706.84,83.4,,Percent of Total Billed Charges,3115.7,,3706.84,83.4,,Percent of Total Billed Charges,3617.95,,4000.19,90,,Percent of Total Billed Charges,3764.62,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4089.08,92,,Percent of Total Billed Charges,3604.61,,4089.08,92,,Percent of Total Billed Charges,3306.82,,4089.08,92,,Percent of Total Billed Charges,3480.16,,4089.08,92,,Percent of Total Billed Charges,3604.61,,3466.83,78,,Percent of Total Billed Charges,3466.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2392.56,53.83,,Percent of Total Billed Charges,2244.55,,1539.63,34.64,,Percent of Total Billed Charges,1533.4,,2221.44,49.98,,Percent of Total Billed Charges,1680.08,,1539.63,4089.08,,																																							
HC BX BREAST 1ST LESION MR IMAG,19085,CPT,,,,BOTH, , ,4444.65,3733.51,4089.08,92,,Percent of Total Billed Charges,3715.73,,4089.08,92,,Percent of Total Billed Charges,3649.06,,4089.08,92,,Percent of Total Billed Charges,3577.94,,4089.08,92,,Percent of Total Billed Charges,3711.28,,4089.08,92,,Percent of Total Billed Charges,3346.82,,4089.08,92,,Percent of Total Billed Charges,2777.91,,4000.19,90,,Percent of Total Billed Charges,2217.88,,3955.74,89,,Percent of Total Billed Charges,2133.43,,3662.39,82.4,,Percent of Total Billed Charges,3653.5,,3706.84,83.4,,Percent of Total Billed Charges,3457.94,,3706.84,83.4,,Percent of Total Billed Charges,3115.7,,3706.84,83.4,,Percent of Total Billed Charges,3617.95,,4000.19,90,,Percent of Total Billed Charges,3764.62,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4089.08,92,,Percent of Total Billed Charges,3604.61,,4089.08,92,,Percent of Total Billed Charges,3306.82,,4089.08,92,,Percent of Total Billed Charges,3480.16,,4089.08,92,,Percent of Total Billed Charges,3604.61,,3466.83,78,,Percent of Total Billed Charges,3466.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2392.56,53.83,,Percent of Total Billed Charges,2244.55,,1539.63,34.64,,Percent of Total Billed Charges,1533.4,,2221.44,49.98,,Percent of Total Billed Charges,1680.08,,1539.63,4089.08,,																																							
HC BX BREAST ADD LESION MR IMAG,19086,CPT,,,,BOTH, , ,4444.65,3733.51,4089.08,92,,Percent of Total Billed Charges,3715.73,,4089.08,92,,Percent of Total Billed Charges,3649.06,,4089.08,92,,Percent of Total Billed Charges,3577.94,,4089.08,92,,Percent of Total Billed Charges,3711.28,,4089.08,92,,Percent of Total Billed Charges,3346.82,,4089.08,92,,Percent of Total Billed Charges,2777.91,,4000.19,90,,Percent of Total Billed Charges,2217.88,,3955.74,89,,Percent of Total Billed Charges,2133.43,,3662.39,82.4,,Percent of Total Billed Charges,3653.5,,3706.84,83.4,,Percent of Total Billed Charges,3457.94,,3706.84,83.4,,Percent of Total Billed Charges,3115.7,,3706.84,83.4,,Percent of Total Billed Charges,3617.95,,4000.19,90,,Percent of Total Billed Charges,3764.62,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4089.08,92,,Percent of Total Billed Charges,3604.61,,4089.08,92,,Percent of Total Billed Charges,3306.82,,4089.08,92,,Percent of Total Billed Charges,3480.16,,4089.08,92,,Percent of Total Billed Charges,3604.61,,3466.83,78,,Percent of Total Billed Charges,3466.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2392.56,53.83,,Percent of Total Billed Charges,2244.55,,1539.63,34.64,,Percent of Total Billed Charges,1533.4,,2221.44,49.98,,Percent of Total Billed Charges,1680.08,,1539.63,4089.08,,																																							
HC BREAST WIRE LOC 1ST,19281,CPT,,,,BOTH, , ,1833.3,1539.97,1686.64,92,,Percent of Total Billed Charges,1532.64,,1686.64,92,,Percent of Total Billed Charges,1505.14,,1686.64,92,,Percent of Total Billed Charges,1475.81,,1686.64,92,,Percent of Total Billed Charges,1530.81,,1686.64,92,,Percent of Total Billed Charges,1380.47,,1686.64,92,,Percent of Total Billed Charges,1145.81,,1649.97,90,,Percent of Total Billed Charges,914.82,,1631.64,89,,Percent of Total Billed Charges,879.98,,1510.64,82.4,,Percent of Total Billed Charges,1506.97,,1528.97,83.4,,Percent of Total Billed Charges,1426.31,,1528.97,83.4,,Percent of Total Billed Charges,1285.14,,1528.97,83.4,,Percent of Total Billed Charges,1492.31,,1649.97,90,,Percent of Total Billed Charges,1552.81,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1686.64,92,,Percent of Total Billed Charges,1486.81,,1686.64,92,,Percent of Total Billed Charges,1363.98,,1686.64,92,,Percent of Total Billed Charges,1435.47,,1686.64,92,,Percent of Total Billed Charges,1486.81,,1429.97,78,,Percent of Total Billed Charges,1429.97,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,986.87,53.83,,Percent of Total Billed Charges,925.82,,635.06,34.64,,Percent of Total Billed Charges,632.49,,916.28,49.98,,Percent of Total Billed Charges,692.99,,635.06,1686.64,,																																							
HC BREAST WIRE LOC ADDT,19282,CPT,,,,BOTH, , ,621.6,522.14,571.87,92,,Percent of Total Billed Charges,519.66,,571.87,92,,Percent of Total Billed Charges,510.33,,571.87,92,,Percent of Total Billed Charges,500.39,,571.87,92,,Percent of Total Billed Charges,519.04,,571.87,92,,Percent of Total Billed Charges,468.06,,571.87,92,,Percent of Total Billed Charges,388.5,,559.44,90,,Percent of Total Billed Charges,310.18,,553.22,89,,Percent of Total Billed Charges,298.37,,512.2,82.4,,Percent of Total Billed Charges,510.96,,518.41,83.4,,Percent of Total Billed Charges,483.6,,518.41,83.4,,Percent of Total Billed Charges,435.74,,518.41,83.4,,Percent of Total Billed Charges,505.98,,559.44,90,,Percent of Total Billed Charges,526.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,571.87,92,,Percent of Total Billed Charges,504.12,,571.87,92,,Percent of Total Billed Charges,462.47,,571.87,92,,Percent of Total Billed Charges,486.71,,571.87,92,,Percent of Total Billed Charges,504.12,,484.85,78,,Percent of Total Billed Charges,484.85,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,334.61,53.83,,Percent of Total Billed Charges,313.91,,215.32,34.64,,Percent of Total Billed Charges,214.45,,310.68,49.98,,Percent of Total Billed Charges,234.96,,215.32,571.87,,																																							
HC BREAST WIRE LOC 1ST US IMAG,19285,CPT,,,,BOTH, , ,1833.3,1539.97,1686.64,92,,Percent of Total Billed Charges,1532.64,,1686.64,92,,Percent of Total Billed Charges,1505.14,,1686.64,92,,Percent of Total Billed Charges,1475.81,,1686.64,92,,Percent of Total Billed Charges,1530.81,,1686.64,92,,Percent of Total Billed Charges,1380.47,,1686.64,92,,Percent of Total Billed Charges,1145.81,,1649.97,90,,Percent of Total Billed Charges,914.82,,1631.64,89,,Percent of Total Billed Charges,879.98,,1510.64,82.4,,Percent of Total Billed Charges,1506.97,,1528.97,83.4,,Percent of Total Billed Charges,1426.31,,1528.97,83.4,,Percent of Total Billed Charges,1285.14,,1528.97,83.4,,Percent of Total Billed Charges,1492.31,,1649.97,90,,Percent of Total Billed Charges,1552.81,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1686.64,92,,Percent of Total Billed Charges,1486.81,,1686.64,92,,Percent of Total Billed Charges,1363.98,,1686.64,92,,Percent of Total Billed Charges,1435.47,,1686.64,92,,Percent of Total Billed Charges,1486.81,,1429.97,78,,Percent of Total Billed Charges,1429.97,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,986.87,53.83,,Percent of Total Billed Charges,925.82,,635.06,34.64,,Percent of Total Billed Charges,632.49,,916.28,49.98,,Percent of Total Billed Charges,692.99,,635.06,1686.64,,																																							
HC BREAST WIRE LOC ADDT US IMAGE,19286,CPT,,,,BOTH, , ,621.6,522.14,571.87,92,,Percent of Total Billed Charges,519.66,,571.87,92,,Percent of Total Billed Charges,510.33,,571.87,92,,Percent of Total Billed Charges,500.39,,571.87,92,,Percent of Total Billed Charges,519.04,,571.87,92,,Percent of Total Billed Charges,468.06,,571.87,92,,Percent of Total Billed Charges,388.5,,559.44,90,,Percent of Total Billed Charges,310.18,,553.22,89,,Percent of Total Billed Charges,298.37,,512.2,82.4,,Percent of Total Billed Charges,510.96,,518.41,83.4,,Percent of Total Billed Charges,483.6,,518.41,83.4,,Percent of Total Billed Charges,435.74,,518.41,83.4,,Percent of Total Billed Charges,505.98,,559.44,90,,Percent of Total Billed Charges,526.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,571.87,92,,Percent of Total Billed Charges,504.12,,571.87,92,,Percent of Total Billed Charges,462.47,,571.87,92,,Percent of Total Billed Charges,486.71,,571.87,92,,Percent of Total Billed Charges,504.12,,484.85,78,,Percent of Total Billed Charges,484.85,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,334.61,53.83,,Percent of Total Billed Charges,313.91,,215.32,34.64,,Percent of Total Billed Charges,214.45,,310.68,49.98,,Percent of Total Billed Charges,234.96,,215.32,571.87,,																																							
HC NEEDLE BIOPSY MUSCLE,20206,CPT,,,,BOTH, , ,3398.85,2855.03,3126.94,92,,Percent of Total Billed Charges,2841.44,,3126.94,92,,Percent of Total Billed Charges,2790.46,,3126.94,92,,Percent of Total Billed Charges,2736.07,,3126.94,92,,Percent of Total Billed Charges,2838.04,,3126.94,92,,Percent of Total Billed Charges,2559.33,,3126.94,92,,Percent of Total Billed Charges,2124.28,,3058.97,90,,Percent of Total Billed Charges,1696.03,,3024.98,89,,Percent of Total Billed Charges,1631.45,,2800.65,82.4,,Percent of Total Billed Charges,2793.85,,2834.64,83.4,,Percent of Total Billed Charges,2644.31,,2834.64,83.4,,Percent of Total Billed Charges,2382.59,,2834.64,83.4,,Percent of Total Billed Charges,2766.66,,3058.97,90,,Percent of Total Billed Charges,2878.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3126.94,92,,Percent of Total Billed Charges,2756.47,,3126.94,92,,Percent of Total Billed Charges,2528.74,,3126.94,92,,Percent of Total Billed Charges,2661.3,,3126.94,92,,Percent of Total Billed Charges,2756.47,,2651.1,78,,Percent of Total Billed Charges,2651.1,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1829.6,53.83,,Percent of Total Billed Charges,1716.42,,1177.36,34.64,,Percent of Total Billed Charges,1172.6,,1698.75,49.98,,Percent of Total Billed Charges,1284.77,,1177.36,3126.94,,																																							
HC BONE BIOPSY TROCAR/NEEDLE, SUPERFICIAL,20220,CPT,,,,BOTH, , ,4091.85,3437.15,3764.5,92,,Percent of Total Billed Charges,3420.79,,3764.5,92,,Percent of Total Billed Charges,3359.41,,3764.5,92,,Percent of Total Billed Charges,3293.94,,3764.5,92,,Percent of Total Billed Charges,3416.69,,3764.5,92,,Percent of Total Billed Charges,3081.16,,3764.5,92,,Percent of Total Billed Charges,2557.41,,3682.67,90,,Percent of Total Billed Charges,2041.83,,3641.75,89,,Percent of Total Billed Charges,1964.09,,3371.68,82.4,,Percent of Total Billed Charges,3363.5,,3412.6,83.4,,Percent of Total Billed Charges,3183.46,,3412.6,83.4,,Percent of Total Billed Charges,2868.39,,3412.6,83.4,,Percent of Total Billed Charges,3330.77,,3682.67,90,,Percent of Total Billed Charges,3465.8,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3764.5,92,,Percent of Total Billed Charges,3318.49,,3764.5,92,,Percent of Total Billed Charges,3044.34,,3764.5,92,,Percent of Total Billed Charges,3203.92,,3764.5,92,,Percent of Total Billed Charges,3318.49,,3191.64,78,,Percent of Total Billed Charges,3191.64,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2202.64,53.83,,Percent of Total Billed Charges,2066.38,,1417.42,34.64,,Percent of Total Billed Charges,1411.69,,2045.11,49.98,,Percent of Total Billed Charges,1546.72,,1417.42,3764.5,,																																							
HC BONE BIOPSY TROCAR/NEEDLE, DEEP,20225,CPT,,,,BOTH, , ,5548.2,4660.49,5104.34,92,,Percent of Total Billed Charges,4638.3,,5104.34,92,,Percent of Total Billed Charges,4555.07,,5104.34,92,,Percent of Total Billed Charges,4466.3,,5104.34,92,,Percent of Total Billed Charges,4632.75,,5104.34,92,,Percent of Total Billed Charges,4177.79,,5104.34,92,,Percent of Total Billed Charges,3467.63,,4993.38,90,,Percent of Total Billed Charges,2768.55,,4937.9,89,,Percent of Total Billed Charges,2663.14,,4571.72,82.4,,Percent of Total Billed Charges,4560.62,,4627.2,83.4,,Percent of Total Billed Charges,4316.5,,4627.2,83.4,,Percent of Total Billed Charges,3889.29,,4627.2,83.4,,Percent of Total Billed Charges,4516.23,,4993.38,90,,Percent of Total Billed Charges,4699.33,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5104.34,92,,Percent of Total Billed Charges,4499.59,,5104.34,92,,Percent of Total Billed Charges,4127.86,,5104.34,92,,Percent of Total Billed Charges,4344.24,,5104.34,92,,Percent of Total Billed Charges,4499.59,,4327.6,78,,Percent of Total Billed Charges,4327.6,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2986.6,53.83,,Percent of Total Billed Charges,2801.84,,1921.9,34.64,,Percent of Total Billed Charges,1914.13,,2772.99,49.98,,Percent of Total Billed Charges,2097.22,,1921.90,5104.34,,																																							
HC INJECT SINUS TRACT FOR XRAY,20501,CPT,,,,BOTH, , ,181.65,152.59,167.12,92,,Percent of Total Billed Charges,151.86,,167.12,92,,Percent of Total Billed Charges,149.13,,167.12,92,,Percent of Total Billed Charges,146.23,,167.12,92,,Percent of Total Billed Charges,151.68,,167.12,92,,Percent of Total Billed Charges,136.78,,167.12,92,,Percent of Total Billed Charges,113.53,,163.49,90,,Percent of Total Billed Charges,90.64,,161.67,89,,Percent of Total Billed Charges,87.19,,149.68,82.4,,Percent of Total Billed Charges,149.32,,151.5,83.4,,Percent of Total Billed Charges,141.32,,151.5,83.4,,Percent of Total Billed Charges,127.34,,151.5,83.4,,Percent of Total Billed Charges,147.86,,163.49,90,,Percent of Total Billed Charges,153.86,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,167.12,92,,Percent of Total Billed Charges,147.32,,167.12,92,,Percent of Total Billed Charges,135.15,,167.12,92,,Percent of Total Billed Charges,142.23,,167.12,92,,Percent of Total Billed Charges,147.32,,141.69,78,,Percent of Total Billed Charges,141.69,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,97.78,53.83,,Percent of Total Billed Charges,91.73,,62.92,34.64,,Percent of Total Billed Charges,62.67,,90.79,49.98,,Percent of Total Billed Charges,68.66,,62.92,167.12,,																																							
HC INJ TENDON SHEATH/LIGAMENT,20550,CPT,,,,BOTH, , ,989.1,830.84,909.97,92,,Percent of Total Billed Charges,826.89,,909.97,92,,Percent of Total Billed Charges,812.05,,909.97,92,,Percent of Total Billed Charges,796.23,,909.97,92,,Percent of Total Billed Charges,825.9,,909.97,92,,Percent of Total Billed Charges,744.79,,909.97,92,,Percent of Total Billed Charges,618.19,,890.19,90,,Percent of Total Billed Charges,493.56,,880.3,89,,Percent of Total Billed Charges,474.77,,815.02,82.4,,Percent of Total Billed Charges,813.04,,824.91,83.4,,Percent of Total Billed Charges,769.52,,824.91,83.4,,Percent of Total Billed Charges,693.36,,824.91,83.4,,Percent of Total Billed Charges,805.13,,890.19,90,,Percent of Total Billed Charges,837.77,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,909.97,92,,Percent of Total Billed Charges,802.16,,909.97,92,,Percent of Total Billed Charges,735.89,,909.97,92,,Percent of Total Billed Charges,774.47,,909.97,92,,Percent of Total Billed Charges,802.16,,771.5,78,,Percent of Total Billed Charges,771.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,532.43,53.83,,Percent of Total Billed Charges,499.5,,342.62,34.64,,Percent of Total Billed Charges,341.24,,494.35,49.98,,Percent of Total Billed Charges,373.88,,342.62,909.97,,																																							
HC DRAIN/INJ INTERMEDIATE JOINT/BURSA W/O US,20605,CPT,,,,BOTH, , ,1181.25,992.25,1086.75,92,,Percent of Total Billed Charges,987.53,,1086.75,92,,Percent of Total Billed Charges,969.81,,1086.75,92,,Percent of Total Billed Charges,950.91,,1086.75,92,,Percent of Total Billed Charges,986.34,,1086.75,92,,Percent of Total Billed Charges,889.48,,1086.75,92,,Percent of Total Billed Charges,738.28,,1063.13,90,,Percent of Total Billed Charges,589.44,,1051.31,89,,Percent of Total Billed Charges,567,,973.35,82.4,,Percent of Total Billed Charges,970.99,,985.16,83.4,,Percent of Total Billed Charges,919.01,,985.16,83.4,,Percent of Total Billed Charges,828.06,,985.16,83.4,,Percent of Total Billed Charges,961.54,,1063.13,90,,Percent of Total Billed Charges,1000.52,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1086.75,92,,Percent of Total Billed Charges,957.99,,1086.75,92,,Percent of Total Billed Charges,878.85,,1086.75,92,,Percent of Total Billed Charges,924.92,,1086.75,92,,Percent of Total Billed Charges,957.99,,921.38,78,,Percent of Total Billed Charges,921.38,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,635.87,53.83,,Percent of Total Billed Charges,596.53,,409.19,34.64,,Percent of Total Billed Charges,407.53,,590.39,49.98,,Percent of Total Billed Charges,446.51,,409.19,1086.75,,																																							
HC DRAIN/INJ MAJOR JOINT/BURSA W/O US,20610,CPT,,,,BOTH, , ,1372.35,1152.77,1262.56,92,,Percent of Total Billed Charges,1147.28,,1262.56,92,,Percent of Total Billed Charges,1126.7,,1262.56,92,,Percent of Total Billed Charges,1104.74,,1262.56,92,,Percent of Total Billed Charges,1145.91,,1262.56,92,,Percent of Total Billed Charges,1033.38,,1262.56,92,,Percent of Total Billed Charges,857.72,,1235.12,90,,Percent of Total Billed Charges,684.8,,1221.39,89,,Percent of Total Billed Charges,658.73,,1130.82,82.4,,Percent of Total Billed Charges,1128.07,,1144.54,83.4,,Percent of Total Billed Charges,1067.69,,1144.54,83.4,,Percent of Total Billed Charges,962.02,,1144.54,83.4,,Percent of Total Billed Charges,1117.09,,1235.12,90,,Percent of Total Billed Charges,1162.38,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1262.56,92,,Percent of Total Billed Charges,1112.98,,1262.56,92,,Percent of Total Billed Charges,1021.03,,1262.56,92,,Percent of Total Billed Charges,1074.55,,1262.56,92,,Percent of Total Billed Charges,1112.98,,1070.43,78,,Percent of Total Billed Charges,1070.43,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,738.74,53.83,,Percent of Total Billed Charges,693.04,,475.38,34.64,,Percent of Total Billed Charges,473.46,,685.9,49.98,,Percent of Total Billed Charges,518.75,,475.38,1262.56,,																																							
HC DRAIN/INJ MAJOR JOINT/BURSA W/US,20611,CPT,,,,BOTH, , ,191.1,160.52,175.81,92,,Percent of Total Billed Charges,159.76,,175.81,92,,Percent of Total Billed Charges,156.89,,175.81,92,,Percent of Total Billed Charges,153.84,,175.81,92,,Percent of Total Billed Charges,159.57,,175.81,92,,Percent of Total Billed Charges,143.9,,175.81,92,,Percent of Total Billed Charges,119.44,,171.99,90,,Percent of Total Billed Charges,95.36,,170.08,89,,Percent of Total Billed Charges,91.73,,157.47,82.4,,Percent of Total Billed Charges,157.08,,159.38,83.4,,Percent of Total Billed Charges,148.68,,159.38,83.4,,Percent of Total Billed Charges,133.96,,159.38,83.4,,Percent of Total Billed Charges,155.56,,171.99,90,,Percent of Total Billed Charges,161.86,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,175.81,92,,Percent of Total Billed Charges,154.98,,175.81,92,,Percent of Total Billed Charges,142.18,,175.81,92,,Percent of Total Billed Charges,149.63,,175.81,92,,Percent of Total Billed Charges,154.98,,149.06,78,,Percent of Total Billed Charges,149.06,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,102.87,53.83,,Percent of Total Billed Charges,96.51,,66.2,34.64,,Percent of Total Billed Charges,65.93,,95.51,49.98,,Percent of Total Billed Charges,72.24,,66.20,175.81,,																																							
HC BIOPSY OF NECK/CHEST,21550,CPT,,,,BOTH, , ,5548.2,4660.49,5104.34,92,,Percent of Total Billed Charges,4638.3,,5104.34,92,,Percent of Total Billed Charges,4555.07,,5104.34,92,,Percent of Total Billed Charges,4466.3,,5104.34,92,,Percent of Total Billed Charges,4632.75,,5104.34,92,,Percent of Total Billed Charges,4177.79,,5104.34,92,,Percent of Total Billed Charges,3467.63,,4993.38,90,,Percent of Total Billed Charges,2768.55,,4937.9,89,,Percent of Total Billed Charges,2663.14,,4571.72,82.4,,Percent of Total Billed Charges,4560.62,,4627.2,83.4,,Percent of Total Billed Charges,4316.5,,4627.2,83.4,,Percent of Total Billed Charges,3889.29,,4627.2,83.4,,Percent of Total Billed Charges,4516.23,,4993.38,90,,Percent of Total Billed Charges,4699.33,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5104.34,92,,Percent of Total Billed Charges,4499.59,,5104.34,92,,Percent of Total Billed Charges,4127.86,,5104.34,92,,Percent of Total Billed Charges,4344.24,,5104.34,92,,Percent of Total Billed Charges,4499.59,,4327.6,78,,Percent of Total Billed Charges,4327.6,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2986.6,53.83,,Percent of Total Billed Charges,2801.84,,1921.9,34.64,,Percent of Total Billed Charges,1914.13,,2772.99,49.98,,Percent of Total Billed Charges,2097.22,,1921.90,5104.34,,																																							
HC INJECT SHOULDER ARTHROGRAPHY,23350,CPT,,,,BOTH, , ,532.35,447.17,489.76,92,,Percent of Total Billed Charges,445.04,,489.76,92,,Percent of Total Billed Charges,437.06,,489.76,92,,Percent of Total Billed Charges,428.54,,489.76,92,,Percent of Total Billed Charges,444.51,,489.76,92,,Percent of Total Billed Charges,400.86,,489.76,92,,Percent of Total Billed Charges,332.72,,479.12,90,,Percent of Total Billed Charges,265.64,,473.79,89,,Percent of Total Billed Charges,255.53,,438.66,82.4,,Percent of Total Billed Charges,437.59,,443.98,83.4,,Percent of Total Billed Charges,414.17,,443.98,83.4,,Percent of Total Billed Charges,373.18,,443.98,83.4,,Percent of Total Billed Charges,433.33,,479.12,90,,Percent of Total Billed Charges,450.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,489.76,92,,Percent of Total Billed Charges,431.74,,489.76,92,,Percent of Total Billed Charges,396.07,,489.76,92,,Percent of Total Billed Charges,416.83,,489.76,92,,Percent of Total Billed Charges,431.74,,415.23,78,,Percent of Total Billed Charges,415.23,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,286.56,53.83,,Percent of Total Billed Charges,268.84,,184.41,34.64,,Percent of Total Billed Charges,183.66,,266.07,49.98,,Percent of Total Billed Charges,201.23,,184.41,489.76,,																																							
HC TREAT SHOULDER DISL W MANIPULATION,23655,CPT,,,,BOTH, , ,5728.8,4812.19,5270.5,92,,Percent of Total Billed Charges,4789.28,,5270.5,92,,Percent of Total Billed Charges,4703.34,,5270.5,92,,Percent of Total Billed Charges,4611.68,,5270.5,92,,Percent of Total Billed Charges,4783.55,,5270.5,92,,Percent of Total Billed Charges,4313.79,,5270.5,92,,Percent of Total Billed Charges,3580.5,,5155.92,90,,Percent of Total Billed Charges,2858.67,,5098.63,89,,Percent of Total Billed Charges,2749.82,,4720.53,82.4,,Percent of Total Billed Charges,4709.07,,4777.82,83.4,,Percent of Total Billed Charges,4457.01,,4777.82,83.4,,Percent of Total Billed Charges,4015.89,,4777.82,83.4,,Percent of Total Billed Charges,4663.24,,5155.92,90,,Percent of Total Billed Charges,4852.29,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5270.5,92,,Percent of Total Billed Charges,4646.06,,5270.5,92,,Percent of Total Billed Charges,4262.23,,5270.5,92,,Percent of Total Billed Charges,4485.65,,5270.5,92,,Percent of Total Billed Charges,4646.06,,4468.46,78,,Percent of Total Billed Charges,4468.46,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3083.81,53.83,,Percent of Total Billed Charges,2893.04,,1984.46,34.64,,Percent of Total Billed Charges,1976.44,,2863.25,49.98,,Percent of Total Billed Charges,2165.49,,1984.46,5270.5,,																																							
HC INJ, ELBOW ARTHROGRAPHY,24220,CPT,,,,BOTH, , ,412.65,346.63,379.64,92,,Percent of Total Billed Charges,344.98,,379.64,92,,Percent of Total Billed Charges,338.79,,379.64,92,,Percent of Total Billed Charges,332.18,,379.64,92,,Percent of Total Billed Charges,344.56,,379.64,92,,Percent of Total Billed Charges,310.73,,379.64,92,,Percent of Total Billed Charges,257.91,,371.39,90,,Percent of Total Billed Charges,205.91,,367.26,89,,Percent of Total Billed Charges,198.07,,340.02,82.4,,Percent of Total Billed Charges,339.2,,344.15,83.4,,Percent of Total Billed Charges,321.04,,344.15,83.4,,Percent of Total Billed Charges,289.27,,344.15,83.4,,Percent of Total Billed Charges,335.9,,371.39,90,,Percent of Total Billed Charges,349.51,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,379.64,92,,Percent of Total Billed Charges,334.66,,379.64,92,,Percent of Total Billed Charges,307.01,,379.64,92,,Percent of Total Billed Charges,323.1,,379.64,92,,Percent of Total Billed Charges,334.66,,321.87,78,,Percent of Total Billed Charges,321.87,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,222.13,53.83,,Percent of Total Billed Charges,208.39,,142.94,34.64,,Percent of Total Billed Charges,142.36,,206.24,49.98,,Percent of Total Billed Charges,155.98,,142.94,379.64,,																																							
HC INJECTION FOR WRIST XRAY,25246,CPT,,,,BOTH, , ,393.75,330.75,362.25,92,,Percent of Total Billed Charges,329.18,,362.25,92,,Percent of Total Billed Charges,323.27,,362.25,92,,Percent of Total Billed Charges,316.97,,362.25,92,,Percent of Total Billed Charges,328.78,,362.25,92,,Percent of Total Billed Charges,296.49,,362.25,92,,Percent of Total Billed Charges,246.09,,354.38,90,,Percent of Total Billed Charges,196.48,,350.44,89,,Percent of Total Billed Charges,189,,324.45,82.4,,Percent of Total Billed Charges,323.66,,328.39,83.4,,Percent of Total Billed Charges,306.34,,328.39,83.4,,Percent of Total Billed Charges,276.02,,328.39,83.4,,Percent of Total Billed Charges,320.51,,354.38,90,,Percent of Total Billed Charges,333.51,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,362.25,92,,Percent of Total Billed Charges,319.33,,362.25,92,,Percent of Total Billed Charges,292.95,,362.25,92,,Percent of Total Billed Charges,308.31,,362.25,92,,Percent of Total Billed Charges,319.33,,307.13,78,,Percent of Total Billed Charges,307.13,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,211.96,53.83,,Percent of Total Billed Charges,198.84,,136.4,34.64,,Percent of Total Billed Charges,135.84,,196.8,49.98,,Percent of Total Billed Charges,148.84,,136.40,362.25,,																																							
HC INJECT, HIP ARTHROGRAPHY,27093,CPT,,,,BOTH, , ,443.1,372.2,407.65,92,,Percent of Total Billed Charges,370.43,,407.65,92,,Percent of Total Billed Charges,363.79,,407.65,92,,Percent of Total Billed Charges,356.7,,407.65,92,,Percent of Total Billed Charges,369.99,,407.65,92,,Percent of Total Billed Charges,333.65,,407.65,92,,Percent of Total Billed Charges,276.94,,398.79,90,,Percent of Total Billed Charges,221.11,,394.36,89,,Percent of Total Billed Charges,212.69,,365.11,82.4,,Percent of Total Billed Charges,364.23,,369.55,83.4,,Percent of Total Billed Charges,344.73,,369.55,83.4,,Percent of Total Billed Charges,310.61,,369.55,83.4,,Percent of Total Billed Charges,360.68,,398.79,90,,Percent of Total Billed Charges,375.31,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,407.65,92,,Percent of Total Billed Charges,359.35,,407.65,92,,Percent of Total Billed Charges,329.67,,407.65,92,,Percent of Total Billed Charges,346.95,,407.65,92,,Percent of Total Billed Charges,359.35,,345.62,78,,Percent of Total Billed Charges,345.62,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,238.52,53.83,,Percent of Total Billed Charges,223.77,,153.49,34.64,,Percent of Total Billed Charges,152.87,,221.46,49.98,,Percent of Total Billed Charges,167.49,,153.49,407.65,,																																							
HC APPLY RIGID LEG CAST,29445,CPT,,,,BOTH, , ,122.85,103.19,113.02,92,,Percent of Total Billed Charges,102.7,,113.02,92,,Percent of Total Billed Charges,100.86,,113.02,92,,Percent of Total Billed Charges,98.89,,113.02,92,,Percent of Total Billed Charges,102.58,,113.02,92,,Percent of Total Billed Charges,92.51,,113.02,92,,Percent of Total Billed Charges,76.78,,110.57,90,,Percent of Total Billed Charges,61.3,,109.34,89,,Percent of Total Billed Charges,58.97,,101.23,82.4,,Percent of Total Billed Charges,100.98,,102.46,83.4,,Percent of Total Billed Charges,95.58,,102.46,83.4,,Percent of Total Billed Charges,86.12,,102.46,83.4,,Percent of Total Billed Charges,100,,110.57,90,,Percent of Total Billed Charges,104.05,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,113.02,92,,Percent of Total Billed Charges,99.63,,113.02,92,,Percent of Total Billed Charges,91.4,,113.02,92,,Percent of Total Billed Charges,96.19,,113.02,92,,Percent of Total Billed Charges,99.63,,95.82,78,,Percent of Total Billed Charges,95.82,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,66.13,53.83,,Percent of Total Billed Charges,62.04,,42.56,34.64,,Percent of Total Billed Charges,42.38,,61.4,49.98,,Percent of Total Billed Charges,46.44,,42.56,113.02,,																																							
HC APPLY UNNA BOOT,29580,CPT,,,,BOTH, , ,896.7,753.23,824.96,92,,Percent of Total Billed Charges,749.64,,824.96,92,,Percent of Total Billed Charges,736.19,,824.96,92,,Percent of Total Billed Charges,721.84,,824.96,92,,Percent of Total Billed Charges,748.74,,824.96,92,,Percent of Total Billed Charges,675.22,,824.96,92,,Percent of Total Billed Charges,560.44,,807.03,90,,Percent of Total Billed Charges,447.45,,798.06,89,,Percent of Total Billed Charges,430.42,,738.88,82.4,,Percent of Total Billed Charges,737.09,,747.85,83.4,,Percent of Total Billed Charges,697.63,,747.85,83.4,,Percent of Total Billed Charges,628.59,,747.85,83.4,,Percent of Total Billed Charges,729.91,,807.03,90,,Percent of Total Billed Charges,759.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,824.96,92,,Percent of Total Billed Charges,727.22,,824.96,92,,Percent of Total Billed Charges,667.14,,824.96,92,,Percent of Total Billed Charges,702.12,,824.96,92,,Percent of Total Billed Charges,727.22,,699.43,78,,Percent of Total Billed Charges,699.43,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,482.69,53.83,,Percent of Total Billed Charges,452.83,,310.62,34.64,,Percent of Total Billed Charges,309.36,,448.17,49.98,,Percent of Total Billed Charges,338.95,,310.62,824.96,,																																							
HC APPLY MULTILAYER COMP LOWER LEG,29581,CPT,,,,BOTH, , ,670.95,563.6,617.27,92,,Percent of Total Billed Charges,560.91,,617.27,92,,Percent of Total Billed Charges,550.85,,617.27,92,,Percent of Total Billed Charges,540.11,,617.27,92,,Percent of Total Billed Charges,560.24,,617.27,92,,Percent of Total Billed Charges,505.23,,617.27,92,,Percent of Total Billed Charges,419.34,,603.86,90,,Percent of Total Billed Charges,334.8,,597.15,89,,Percent of Total Billed Charges,322.06,,552.86,82.4,,Percent of Total Billed Charges,551.52,,559.57,83.4,,Percent of Total Billed Charges,522,,559.57,83.4,,Percent of Total Billed Charges,470.34,,559.57,83.4,,Percent of Total Billed Charges,546.15,,603.86,90,,Percent of Total Billed Charges,568.29,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,617.27,92,,Percent of Total Billed Charges,544.14,,617.27,92,,Percent of Total Billed Charges,499.19,,617.27,92,,Percent of Total Billed Charges,525.35,,617.27,92,,Percent of Total Billed Charges,544.14,,523.34,78,,Percent of Total Billed Charges,523.34,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,361.17,53.83,,Percent of Total Billed Charges,338.83,,232.42,34.64,,Percent of Total Billed Charges,231.48,,335.34,49.98,,Percent of Total Billed Charges,253.62,,232.42,617.27,,																																							
HC INSERTION OF CHEST TUBE,32551,CPT,,,,BOTH, , ,1936.2,1626.41,1781.3,92,,Percent of Total Billed Charges,1618.66,,1781.3,92,,Percent of Total Billed Charges,1589.62,,1781.3,92,,Percent of Total Billed Charges,1558.64,,1781.3,92,,Percent of Total Billed Charges,1616.73,,1781.3,92,,Percent of Total Billed Charges,1457.96,,1781.3,92,,Percent of Total Billed Charges,1210.13,,1742.58,90,,Percent of Total Billed Charges,966.16,,1723.22,89,,Percent of Total Billed Charges,929.38,,1595.43,82.4,,Percent of Total Billed Charges,1591.56,,1614.79,83.4,,Percent of Total Billed Charges,1506.36,,1614.79,83.4,,Percent of Total Billed Charges,1357.28,,1614.79,83.4,,Percent of Total Billed Charges,1576.07,,1742.58,90,,Percent of Total Billed Charges,1639.96,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1781.3,92,,Percent of Total Billed Charges,1570.26,,1781.3,92,,Percent of Total Billed Charges,1440.53,,1781.3,92,,Percent of Total Billed Charges,1516.04,,1781.3,92,,Percent of Total Billed Charges,1570.26,,1510.24,78,,Percent of Total Billed Charges,1510.24,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1042.26,53.83,,Percent of Total Billed Charges,977.78,,670.7,34.64,,Percent of Total Billed Charges,667.99,,967.71,49.98,,Percent of Total Billed Charges,731.88,,670.70,1781.3,,																																							
HC THORACENTESIS W/GUIDANCE,32555,CPT,,,,BOTH, , ,2348.85,1973.03,2160.94,92,,Percent of Total Billed Charges,1963.64,,2160.94,92,,Percent of Total Billed Charges,1928.41,,2160.94,92,,Percent of Total Billed Charges,1890.82,,2160.94,92,,Percent of Total Billed Charges,1961.29,,2160.94,92,,Percent of Total Billed Charges,1768.68,,2160.94,92,,Percent of Total Billed Charges,1468.03,,2113.97,90,,Percent of Total Billed Charges,1172.08,,2090.48,89,,Percent of Total Billed Charges,1127.45,,1935.45,82.4,,Percent of Total Billed Charges,1930.75,,1958.94,83.4,,Percent of Total Billed Charges,1827.41,,1958.94,83.4,,Percent of Total Billed Charges,1646.54,,1958.94,83.4,,Percent of Total Billed Charges,1911.96,,2113.97,90,,Percent of Total Billed Charges,1989.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2160.94,92,,Percent of Total Billed Charges,1904.92,,2160.94,92,,Percent of Total Billed Charges,1747.54,,2160.94,92,,Percent of Total Billed Charges,1839.15,,2160.94,92,,Percent of Total Billed Charges,1904.92,,1832.1,78,,Percent of Total Billed Charges,1832.1,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1264.39,53.83,,Percent of Total Billed Charges,1186.17,,813.64,34.64,,Percent of Total Billed Charges,810.35,,1173.96,49.98,,Percent of Total Billed Charges,887.87,,813.64,2160.94,,																																							
HC THOROCENTESIS W CATH /GUIDANCE,32557,CPT,,,,BOTH, , ,10044.3,8437.21,9240.76,92,,Percent of Total Billed Charges,8397.03,,9240.76,92,,Percent of Total Billed Charges,8246.37,,9240.76,92,,Percent of Total Billed Charges,8085.66,,9240.76,92,,Percent of Total Billed Charges,8386.99,,9240.76,92,,Percent of Total Billed Charges,7563.36,,9240.76,92,,Percent of Total Billed Charges,6277.69,,9039.87,90,,Percent of Total Billed Charges,5012.11,,8939.43,89,,Percent of Total Billed Charges,4821.26,,8276.5,82.4,,Percent of Total Billed Charges,8256.41,,8376.95,83.4,,Percent of Total Billed Charges,7814.47,,8376.95,83.4,,Percent of Total Billed Charges,7041.05,,8376.95,83.4,,Percent of Total Billed Charges,8176.06,,9039.87,90,,Percent of Total Billed Charges,8507.52,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,9240.76,92,,Percent of Total Billed Charges,8145.93,,9240.76,92,,Percent of Total Billed Charges,7472.96,,9240.76,92,,Percent of Total Billed Charges,7864.69,,9240.76,92,,Percent of Total Billed Charges,8145.93,,7834.55,78,,Percent of Total Billed Charges,7834.55,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5406.85,53.83,,Percent of Total Billed Charges,5072.37,,3479.35,34.64,,Percent of Total Billed Charges,3465.28,,5020.14,49.98,,Percent of Total Billed Charges,3796.75,,3479.35,9240.76,,																																							
HC MSP SC EXTREMITY VEIN 36000,36000,CPT,,,,BOTH, , ,53.55,44.98,49.27,92,,Percent of Total Billed Charges,44.77,,49.27,92,,Percent of Total Billed Charges,43.96,,49.27,92,,Percent of Total Billed Charges,43.11,,49.27,92,,Percent of Total Billed Charges,44.71,,49.27,92,,Percent of Total Billed Charges,40.32,,49.27,92,,Percent of Total Billed Charges,33.47,,48.2,90,,Percent of Total Billed Charges,26.72,,47.66,89,,Percent of Total Billed Charges,25.7,,44.13,82.4,,Percent of Total Billed Charges,44.02,,44.66,83.4,,Percent of Total Billed Charges,41.66,,44.66,83.4,,Percent of Total Billed Charges,37.54,,44.66,83.4,,Percent of Total Billed Charges,43.59,,48.2,90,,Percent of Total Billed Charges,45.36,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,49.27,92,,Percent of Total Billed Charges,43.43,,49.27,92,,Percent of Total Billed Charges,39.84,,49.27,92,,Percent of Total Billed Charges,41.93,,49.27,92,,Percent of Total Billed Charges,43.43,,41.77,78,,Percent of Total Billed Charges,41.77,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,28.83,53.83,,Percent of Total Billed Charges,27.04,,18.55,34.64,,Percent of Total Billed Charges,18.47,,26.76,49.98,,Percent of Total Billed Charges,20.24,,18.55,49.27,,																																							
HC PSEUDOANEURYSM INJECTION TRT,36002,CPT,,,,BOTH, , ,885.15,743.53,814.34,92,,Percent of Total Billed Charges,739.99,,814.34,92,,Percent of Total Billed Charges,726.71,,814.34,92,,Percent of Total Billed Charges,712.55,,814.34,92,,Percent of Total Billed Charges,739.1,,814.34,92,,Percent of Total Billed Charges,666.52,,814.34,92,,Percent of Total Billed Charges,553.22,,796.64,90,,Percent of Total Billed Charges,441.69,,787.78,89,,Percent of Total Billed Charges,424.87,,729.36,82.4,,Percent of Total Billed Charges,727.59,,738.22,83.4,,Percent of Total Billed Charges,688.65,,738.22,83.4,,Percent of Total Billed Charges,620.49,,738.22,83.4,,Percent of Total Billed Charges,720.51,,796.64,90,,Percent of Total Billed Charges,749.72,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,814.34,92,,Percent of Total Billed Charges,717.86,,814.34,92,,Percent of Total Billed Charges,658.55,,814.34,92,,Percent of Total Billed Charges,693.07,,814.34,92,,Percent of Total Billed Charges,717.86,,690.42,78,,Percent of Total Billed Charges,690.42,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,476.48,53.83,,Percent of Total Billed Charges,447,,306.62,34.64,,Percent of Total Billed Charges,305.38,,442.4,49.98,,Percent of Total Billed Charges,334.59,,306.62,814.34,,																																							
HC INJECTION, EXT VENOGRAPHY,36005,CPT,,,,BOTH, , ,354.9,298.12,326.51,92,,Percent of Total Billed Charges,296.7,,326.51,92,,Percent of Total Billed Charges,291.37,,326.51,92,,Percent of Total Billed Charges,285.69,,326.51,92,,Percent of Total Billed Charges,296.34,,326.51,92,,Percent of Total Billed Charges,267.24,,326.51,92,,Percent of Total Billed Charges,221.81,,319.41,90,,Percent of Total Billed Charges,177.1,,315.86,89,,Percent of Total Billed Charges,170.35,,292.44,82.4,,Percent of Total Billed Charges,291.73,,295.99,83.4,,Percent of Total Billed Charges,276.11,,295.99,83.4,,Percent of Total Billed Charges,248.78,,295.99,83.4,,Percent of Total Billed Charges,288.89,,319.41,90,,Percent of Total Billed Charges,300.6,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,326.51,92,,Percent of Total Billed Charges,287.82,,326.51,92,,Percent of Total Billed Charges,264.05,,326.51,92,,Percent of Total Billed Charges,277.89,,326.51,92,,Percent of Total Billed Charges,287.82,,276.82,78,,Percent of Total Billed Charges,276.82,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,191.04,53.83,,Percent of Total Billed Charges,179.22,,122.94,34.64,,Percent of Total Billed Charges,122.44,,177.38,49.98,,Percent of Total Billed Charges,134.15,,122.94,326.51,,																																							
HC PLACE CATHETER IN VEIN,36010,CPT,,,,BOTH, , ,1063.65,893.47,978.56,92,,Percent of Total Billed Charges,889.21,,978.56,92,,Percent of Total Billed Charges,873.26,,978.56,92,,Percent of Total Billed Charges,856.24,,978.56,92,,Percent of Total Billed Charges,888.15,,978.56,92,,Percent of Total Billed Charges,800.93,,978.56,92,,Percent of Total Billed Charges,664.78,,957.29,90,,Percent of Total Billed Charges,530.76,,946.65,89,,Percent of Total Billed Charges,510.55,,876.45,82.4,,Percent of Total Billed Charges,874.32,,887.08,83.4,,Percent of Total Billed Charges,827.52,,887.08,83.4,,Percent of Total Billed Charges,745.62,,887.08,83.4,,Percent of Total Billed Charges,865.81,,957.29,90,,Percent of Total Billed Charges,900.91,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,978.56,92,,Percent of Total Billed Charges,862.62,,978.56,92,,Percent of Total Billed Charges,791.36,,978.56,92,,Percent of Total Billed Charges,832.84,,978.56,92,,Percent of Total Billed Charges,862.62,,829.65,78,,Percent of Total Billed Charges,829.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,572.56,53.83,,Percent of Total Billed Charges,537.14,,368.45,34.64,,Percent of Total Billed Charges,366.96,,531.61,49.98,,Percent of Total Billed Charges,402.06,,368.45,978.56,,																																							
HC PLACE CATHETER IN VEIN SELECTIVE,36011,CPT,,,,BOTH, , ,1652.7,1388.27,1520.48,92,,Percent of Total Billed Charges,1381.66,,1520.48,92,,Percent of Total Billed Charges,1356.87,,1520.48,92,,Percent of Total Billed Charges,1330.42,,1520.48,92,,Percent of Total Billed Charges,1380,,1520.48,92,,Percent of Total Billed Charges,1244.48,,1520.48,92,,Percent of Total Billed Charges,1032.94,,1487.43,90,,Percent of Total Billed Charges,824.7,,1470.9,89,,Percent of Total Billed Charges,793.3,,1361.82,82.4,,Percent of Total Billed Charges,1358.52,,1378.35,83.4,,Percent of Total Billed Charges,1285.8,,1378.35,83.4,,Percent of Total Billed Charges,1158.54,,1378.35,83.4,,Percent of Total Billed Charges,1345.3,,1487.43,90,,Percent of Total Billed Charges,1399.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1520.48,92,,Percent of Total Billed Charges,1340.34,,1520.48,92,,Percent of Total Billed Charges,1229.61,,1520.48,92,,Percent of Total Billed Charges,1294.06,,1520.48,92,,Percent of Total Billed Charges,1340.34,,1289.11,78,,Percent of Total Billed Charges,1289.11,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,889.65,53.83,,Percent of Total Billed Charges,834.61,,572.5,34.64,,Percent of Total Billed Charges,570.18,,826.02,49.98,,Percent of Total Billed Charges,624.72,,572.50,1520.48,,																																							
HC ESTABLISH ACCESS TO ARTERY,36140,CPT,,,,BOTH, , ,799.05,671.2,735.13,92,,Percent of Total Billed Charges,668.01,,735.13,92,,Percent of Total Billed Charges,656.02,,735.13,92,,Percent of Total Billed Charges,643.24,,735.13,92,,Percent of Total Billed Charges,667.21,,735.13,92,,Percent of Total Billed Charges,601.68,,735.13,92,,Percent of Total Billed Charges,499.41,,719.15,90,,Percent of Total Billed Charges,398.73,,711.15,89,,Percent of Total Billed Charges,383.54,,658.42,82.4,,Percent of Total Billed Charges,656.82,,666.41,83.4,,Percent of Total Billed Charges,621.66,,666.41,83.4,,Percent of Total Billed Charges,560.13,,666.41,83.4,,Percent of Total Billed Charges,650.43,,719.15,90,,Percent of Total Billed Charges,676.8,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,735.13,92,,Percent of Total Billed Charges,648.03,,735.13,92,,Percent of Total Billed Charges,594.49,,735.13,92,,Percent of Total Billed Charges,625.66,,735.13,92,,Percent of Total Billed Charges,648.03,,623.26,78,,Percent of Total Billed Charges,623.26,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,430.13,53.83,,Percent of Total Billed Charges,403.52,,276.79,34.64,,Percent of Total Billed Charges,275.67,,399.37,49.98,,Percent of Total Billed Charges,302.04,,276.79,735.13,,																																							
HC CATH ACCESSAORTA,36200,CPT,,,,BOTH, , ,1920.45,1613.18,1766.81,92,,Percent of Total Billed Charges,1605.5,,1766.81,92,,Percent of Total Billed Charges,1576.69,,1766.81,92,,Percent of Total Billed Charges,1545.96,,1766.81,92,,Percent of Total Billed Charges,1603.58,,1766.81,92,,Percent of Total Billed Charges,1446.1,,1766.81,92,,Percent of Total Billed Charges,1200.28,,1728.41,90,,Percent of Total Billed Charges,958.3,,1709.2,89,,Percent of Total Billed Charges,921.82,,1582.45,82.4,,Percent of Total Billed Charges,1578.61,,1601.66,83.4,,Percent of Total Billed Charges,1494.11,,1601.66,83.4,,Percent of Total Billed Charges,1346.24,,1601.66,83.4,,Percent of Total Billed Charges,1563.25,,1728.41,90,,Percent of Total Billed Charges,1626.62,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1766.81,92,,Percent of Total Billed Charges,1557.48,,1766.81,92,,Percent of Total Billed Charges,1428.81,,1766.81,92,,Percent of Total Billed Charges,1503.71,,1766.81,92,,Percent of Total Billed Charges,1557.48,,1497.95,78,,Percent of Total Billed Charges,1497.95,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1033.78,53.83,,Percent of Total Billed Charges,969.83,,665.24,34.64,,Percent of Total Billed Charges,662.56,,959.84,49.98,,Percent of Total Billed Charges,725.93,,665.24,1766.81,,																																							
HC INS CATH ABD/LEXT ART 1ST,36245,CPT,,,,BOTH, , ,2266.95,1904.24,2085.59,92,,Percent of Total Billed Charges,1895.17,,2085.59,92,,Percent of Total Billed Charges,1861.17,,2085.59,92,,Percent of Total Billed Charges,1824.89,,2085.59,92,,Percent of Total Billed Charges,1892.9,,2085.59,92,,Percent of Total Billed Charges,1707.01,,2085.59,92,,Percent of Total Billed Charges,1416.84,,2040.26,90,,Percent of Total Billed Charges,1131.21,,2017.59,89,,Percent of Total Billed Charges,1088.14,,1867.97,82.4,,Percent of Total Billed Charges,1863.43,,1890.64,83.4,,Percent of Total Billed Charges,1763.69,,1890.64,83.4,,Percent of Total Billed Charges,1589.13,,1890.64,83.4,,Percent of Total Billed Charges,1845.3,,2040.26,90,,Percent of Total Billed Charges,1920.11,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2085.59,92,,Percent of Total Billed Charges,1838.5,,2085.59,92,,Percent of Total Billed Charges,1686.61,,2085.59,92,,Percent of Total Billed Charges,1775.02,,2085.59,92,,Percent of Total Billed Charges,1838.5,,1768.22,78,,Percent of Total Billed Charges,1768.22,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1220.3,53.83,,Percent of Total Billed Charges,1144.81,,785.27,34.64,,Percent of Total Billed Charges,782.1,,1133.02,49.98,,Percent of Total Billed Charges,856.91,,785.27,2085.59,,																																							
HC INS CATH ABD/LEXTREMITY ARTERY 2ND,36246,CPT,,,,BOTH, , ,2492.7,2093.87,2293.28,92,,Percent of Total Billed Charges,2083.9,,2293.28,92,,Percent of Total Billed Charges,2046.51,,2293.28,92,,Percent of Total Billed Charges,2006.62,,2293.28,92,,Percent of Total Billed Charges,2081.4,,2293.28,92,,Percent of Total Billed Charges,1877,,2293.28,92,,Percent of Total Billed Charges,1557.94,,2243.43,90,,Percent of Total Billed Charges,1243.86,,2218.5,89,,Percent of Total Billed Charges,1196.5,,2053.98,82.4,,Percent of Total Billed Charges,2049,,2078.91,83.4,,Percent of Total Billed Charges,1939.32,,2078.91,83.4,,Percent of Total Billed Charges,1747.38,,2078.91,83.4,,Percent of Total Billed Charges,2029.06,,2243.43,90,,Percent of Total Billed Charges,2111.32,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2293.28,92,,Percent of Total Billed Charges,2021.58,,2293.28,92,,Percent of Total Billed Charges,1854.57,,2293.28,92,,Percent of Total Billed Charges,1951.78,,2293.28,92,,Percent of Total Billed Charges,2021.58,,1944.31,78,,Percent of Total Billed Charges,1944.31,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1341.82,53.83,,Percent of Total Billed Charges,1258.81,,863.47,34.64,,Percent of Total Billed Charges,859.98,,1245.85,49.98,,Percent of Total Billed Charges,942.24,,863.47,2293.28,,																																							
HC INS CATH ABD/LEXTREMITY ARTERY 3RD,36247,CPT,,,,BOTH, , ,3547.95,2980.28,3264.11,92,,Percent of Total Billed Charges,2966.09,,3264.11,92,,Percent of Total Billed Charges,2912.87,,3264.11,92,,Percent of Total Billed Charges,2856.1,,3264.11,92,,Percent of Total Billed Charges,2962.54,,3264.11,92,,Percent of Total Billed Charges,2671.61,,3264.11,92,,Percent of Total Billed Charges,2217.47,,3193.16,90,,Percent of Total Billed Charges,1770.43,,3157.68,89,,Percent of Total Billed Charges,1703.02,,2923.51,82.4,,Percent of Total Billed Charges,2916.41,,2958.99,83.4,,Percent of Total Billed Charges,2760.31,,2958.99,83.4,,Percent of Total Billed Charges,2487.11,,2958.99,83.4,,Percent of Total Billed Charges,2888.03,,3193.16,90,,Percent of Total Billed Charges,3005.11,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3264.11,92,,Percent of Total Billed Charges,2877.39,,3264.11,92,,Percent of Total Billed Charges,2639.67,,3264.11,92,,Percent of Total Billed Charges,2778.04,,3264.11,92,,Percent of Total Billed Charges,2877.39,,2767.4,78,,Percent of Total Billed Charges,2767.4,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1909.86,53.83,,Percent of Total Billed Charges,1791.71,,1229.01,34.64,,Percent of Total Billed Charges,1224.04,,1773.27,49.98,,Percent of Total Billed Charges,1341.13,,1229.01,3264.11,,																																							
HC INS CATH ABD/LEXTREMITY ARTERY ADDL,36248,CPT,,,,BOTH, , ,526.05,441.88,483.97,92,,Percent of Total Billed Charges,439.78,,483.97,92,,Percent of Total Billed Charges,431.89,,483.97,92,,Percent of Total Billed Charges,423.47,,483.97,92,,Percent of Total Billed Charges,439.25,,483.97,92,,Percent of Total Billed Charges,396.12,,483.97,92,,Percent of Total Billed Charges,328.78,,473.45,90,,Percent of Total Billed Charges,262.5,,468.18,89,,Percent of Total Billed Charges,252.5,,433.47,82.4,,Percent of Total Billed Charges,432.41,,438.73,83.4,,Percent of Total Billed Charges,409.27,,438.73,83.4,,Percent of Total Billed Charges,368.76,,438.73,83.4,,Percent of Total Billed Charges,428.2,,473.45,90,,Percent of Total Billed Charges,445.56,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,483.97,92,,Percent of Total Billed Charges,426.63,,483.97,92,,Percent of Total Billed Charges,391.38,,483.97,92,,Percent of Total Billed Charges,411.9,,483.97,92,,Percent of Total Billed Charges,426.63,,410.32,78,,Percent of Total Billed Charges,410.32,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,283.17,53.83,,Percent of Total Billed Charges,265.66,,182.22,34.64,,Percent of Total Billed Charges,181.49,,262.92,49.98,,Percent of Total Billed Charges,198.85,,182.22,483.97,,																																							
HC INS CATH RENAL ARTERY 1ST UNILATERAL,36251,CPT,,,,BOTH, , ,9560.25,8030.61,8795.43,92,,Percent of Total Billed Charges,7992.37,,8795.43,92,,Percent of Total Billed Charges,7848.97,,8795.43,92,,Percent of Total Billed Charges,7696,,8795.43,92,,Percent of Total Billed Charges,7982.81,,8795.43,92,,Percent of Total Billed Charges,7198.87,,8795.43,92,,Percent of Total Billed Charges,5975.16,,8604.23,90,,Percent of Total Billed Charges,4770.56,,8508.62,89,,Percent of Total Billed Charges,4588.92,,7877.65,82.4,,Percent of Total Billed Charges,7858.53,,7973.25,83.4,,Percent of Total Billed Charges,7437.87,,7973.25,83.4,,Percent of Total Billed Charges,6701.74,,7973.25,83.4,,Percent of Total Billed Charges,7782.04,,8604.23,90,,Percent of Total Billed Charges,8097.53,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,8795.43,92,,Percent of Total Billed Charges,7753.36,,8795.43,92,,Percent of Total Billed Charges,7112.83,,8795.43,92,,Percent of Total Billed Charges,7485.68,,8795.43,92,,Percent of Total Billed Charges,7753.36,,7457,78,,Percent of Total Billed Charges,7457,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5146.28,53.83,,Percent of Total Billed Charges,4827.93,,3311.67,34.64,,Percent of Total Billed Charges,3298.29,,4778.21,49.98,,Percent of Total Billed Charges,3613.77,,3311.67,8795.43,,																																							
HC UMBILICAL CATHETER INSERTION,36510,CPT,,,,BOTH, , ,538.65,452.47,495.56,92,,Percent of Total Billed Charges,450.31,,495.56,92,,Percent of Total Billed Charges,442.23,,495.56,92,,Percent of Total Billed Charges,433.61,,495.56,92,,Percent of Total Billed Charges,449.77,,495.56,92,,Percent of Total Billed Charges,405.6,,495.56,92,,Percent of Total Billed Charges,336.66,,484.79,90,,Percent of Total Billed Charges,268.79,,479.4,89,,Percent of Total Billed Charges,258.55,,443.85,82.4,,Percent of Total Billed Charges,442.77,,449.23,83.4,,Percent of Total Billed Charges,419.07,,449.23,83.4,,Percent of Total Billed Charges,377.59,,449.23,83.4,,Percent of Total Billed Charges,438.46,,484.79,90,,Percent of Total Billed Charges,456.24,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,495.56,92,,Percent of Total Billed Charges,436.85,,495.56,92,,Percent of Total Billed Charges,400.76,,495.56,92,,Percent of Total Billed Charges,421.76,,495.56,92,,Percent of Total Billed Charges,436.85,,420.15,78,,Percent of Total Billed Charges,420.15,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,289.96,53.83,,Percent of Total Billed Charges,272.02,,186.59,34.64,,Percent of Total Billed Charges,185.83,,269.22,49.98,,Percent of Total Billed Charges,203.61,,186.59,495.56,,																																							
HC INSERT NONTUNNEL CV CATH => 5 YEARS OLD,36556,CPT,,,,BOTH, , ,4911.9,4126,4518.95,92,,Percent of Total Billed Charges,4106.35,,4518.95,92,,Percent of Total Billed Charges,4032.67,,4518.95,92,,Percent of Total Billed Charges,3954.08,,4518.95,92,,Percent of Total Billed Charges,4101.44,,4518.95,92,,Percent of Total Billed Charges,3698.66,,4518.95,92,,Percent of Total Billed Charges,3069.94,,4420.71,90,,Percent of Total Billed Charges,2451.04,,4371.59,89,,Percent of Total Billed Charges,2357.71,,4047.41,82.4,,Percent of Total Billed Charges,4037.58,,4096.52,83.4,,Percent of Total Billed Charges,3821.46,,4096.52,83.4,,Percent of Total Billed Charges,3443.24,,4096.52,83.4,,Percent of Total Billed Charges,3998.29,,4420.71,90,,Percent of Total Billed Charges,4160.38,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4518.95,92,,Percent of Total Billed Charges,3983.55,,4518.95,92,,Percent of Total Billed Charges,3654.45,,4518.95,92,,Percent of Total Billed Charges,3846.02,,4518.95,92,,Percent of Total Billed Charges,3983.55,,3831.28,78,,Percent of Total Billed Charges,3831.28,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2644.08,53.83,,Percent of Total Billed Charges,2480.51,,1701.48,34.64,,Percent of Total Billed Charges,1694.61,,2454.97,49.98,,Percent of Total Billed Charges,1856.7,,1701.48,4518.95,,																																							
HC INSERT TUNNELED CV CATH WO PORT => 5 YEARS OLD,36558,CPT,,,,BOTH, , ,8564.85,7194.47,7879.66,92,,Percent of Total Billed Charges,7160.21,,7879.66,92,,Percent of Total Billed Charges,7031.74,,7879.66,92,,Percent of Total Billed Charges,6894.7,,7879.66,92,,Percent of Total Billed Charges,7151.65,,7879.66,92,,Percent of Total Billed Charges,6449.33,,7879.66,92,,Percent of Total Billed Charges,5353.03,,7708.37,90,,Percent of Total Billed Charges,4273.86,,7622.72,89,,Percent of Total Billed Charges,4111.13,,7057.44,82.4,,Percent of Total Billed Charges,7040.31,,7143.08,83.4,,Percent of Total Billed Charges,6663.45,,7143.08,83.4,,Percent of Total Billed Charges,6003.96,,7143.08,83.4,,Percent of Total Billed Charges,6971.79,,7708.37,90,,Percent of Total Billed Charges,7254.43,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,7879.66,92,,Percent of Total Billed Charges,6946.09,,7879.66,92,,Percent of Total Billed Charges,6372.25,,7879.66,92,,Percent of Total Billed Charges,6706.28,,7879.66,92,,Percent of Total Billed Charges,6946.09,,6680.58,78,,Percent of Total Billed Charges,6680.58,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4610.46,53.83,,Percent of Total Billed Charges,4325.25,,2966.86,34.64,,Percent of Total Billed Charges,2954.87,,4280.71,49.98,,Percent of Total Billed Charges,3237.51,,2966.86,7879.66,,																																							
HC INSERT TUNNELED CV CATH W PORT => 5 YEARS OLD,36561,CPT,,,,BOTH, , ,15322.65,12871.03,14096.84,92,,Percent of Total Billed Charges,12809.74,,14096.84,92,,Percent of Total Billed Charges,12579.9,,14096.84,92,,Percent of Total Billed Charges,12334.73,,14096.84,92,,Percent of Total Billed Charges,12794.41,,14096.84,92,,Percent of Total Billed Charges,11537.96,,14096.84,92,,Percent of Total Billed Charges,9576.66,,13790.39,90,,Percent of Total Billed Charges,7646,,13637.16,89,,Percent of Total Billed Charges,7354.87,,12625.86,82.4,,Percent of Total Billed Charges,12595.22,,12779.09,83.4,,Percent of Total Billed Charges,11921.02,,12779.09,83.4,,Percent of Total Billed Charges,10741.18,,12779.09,83.4,,Percent of Total Billed Charges,12472.64,,13790.39,90,,Percent of Total Billed Charges,12978.28,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,14096.84,92,,Percent of Total Billed Charges,12426.67,,14096.84,92,,Percent of Total Billed Charges,11400.05,,14096.84,92,,Percent of Total Billed Charges,11997.63,,14096.84,92,,Percent of Total Billed Charges,12426.67,,11951.67,78,,Percent of Total Billed Charges,11951.67,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,8248.18,53.83,,Percent of Total Billed Charges,7737.94,,5307.77,34.64,,Percent of Total Billed Charges,5286.31,,7658.26,49.98,,Percent of Total Billed Charges,5791.96,,5307.77,14096.84,,																																							
HC PICC INSERTION<5YRS,36568,CPT,,,,BOTH, , ,4112.85,3454.79,3783.82,92,,Percent of Total Billed Charges,3438.34,,3783.82,92,,Percent of Total Billed Charges,3376.65,,3783.82,92,,Percent of Total Billed Charges,3310.84,,3783.82,92,,Percent of Total Billed Charges,3434.23,,3783.82,92,,Percent of Total Billed Charges,3096.98,,3783.82,92,,Percent of Total Billed Charges,2570.53,,3701.57,90,,Percent of Total Billed Charges,2052.31,,3660.44,89,,Percent of Total Billed Charges,1974.17,,3388.99,82.4,,Percent of Total Billed Charges,3380.76,,3430.12,83.4,,Percent of Total Billed Charges,3199.8,,3430.12,83.4,,Percent of Total Billed Charges,2883.11,,3430.12,83.4,,Percent of Total Billed Charges,3347.86,,3701.57,90,,Percent of Total Billed Charges,3483.58,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3783.82,92,,Percent of Total Billed Charges,3335.52,,3783.82,92,,Percent of Total Billed Charges,3059.96,,3783.82,92,,Percent of Total Billed Charges,3220.36,,3783.82,92,,Percent of Total Billed Charges,3335.52,,3208.02,78,,Percent of Total Billed Charges,3208.02,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2213.95,53.83,,Percent of Total Billed Charges,2076.99,,1424.69,34.64,,Percent of Total Billed Charges,1418.93,,2055.6,49.98,,Percent of Total Billed Charges,1554.66,,1424.69,3783.82,,																																							
HC PICC LINE INSERTION => 5 YEARS OLD,36569,CPT,,,,BOTH, , ,4299.75,3611.79,3955.77,92,,Percent of Total Billed Charges,3594.59,,3955.77,92,,Percent of Total Billed Charges,3530.09,,3955.77,92,,Percent of Total Billed Charges,3461.3,,3955.77,92,,Percent of Total Billed Charges,3590.29,,3955.77,92,,Percent of Total Billed Charges,3237.71,,3955.77,92,,Percent of Total Billed Charges,2687.34,,3869.78,90,,Percent of Total Billed Charges,2145.58,,3826.78,89,,Percent of Total Billed Charges,2063.88,,3542.99,82.4,,Percent of Total Billed Charges,3534.39,,3585.99,83.4,,Percent of Total Billed Charges,3345.21,,3585.99,83.4,,Percent of Total Billed Charges,3014.12,,3585.99,83.4,,Percent of Total Billed Charges,3500,,3869.78,90,,Percent of Total Billed Charges,3641.89,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3955.77,92,,Percent of Total Billed Charges,3487.1,,3955.77,92,,Percent of Total Billed Charges,3199.01,,3955.77,92,,Percent of Total Billed Charges,3366.7,,3955.77,92,,Percent of Total Billed Charges,3487.1,,3353.81,78,,Percent of Total Billed Charges,3353.81,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2314.56,53.83,,Percent of Total Billed Charges,2171.37,,1489.43,34.64,,Percent of Total Billed Charges,1483.41,,2149.02,49.98,,Percent of Total Billed Charges,1625.31,,1489.43,3955.77,,																																							
HC REPAIR TUNNELED CV CATH,36575,CPT,,,,BOTH, , ,1894.2,1591.13,1742.66,92,,Percent of Total Billed Charges,1583.55,,1742.66,92,,Percent of Total Billed Charges,1555.14,,1742.66,92,,Percent of Total Billed Charges,1524.83,,1742.66,92,,Percent of Total Billed Charges,1581.66,,1742.66,92,,Percent of Total Billed Charges,1426.33,,1742.66,92,,Percent of Total Billed Charges,1183.88,,1704.78,90,,Percent of Total Billed Charges,945.21,,1685.84,89,,Percent of Total Billed Charges,909.22,,1560.82,82.4,,Percent of Total Billed Charges,1557.03,,1579.76,83.4,,Percent of Total Billed Charges,1473.69,,1579.76,83.4,,Percent of Total Billed Charges,1327.83,,1579.76,83.4,,Percent of Total Billed Charges,1541.88,,1704.78,90,,Percent of Total Billed Charges,1604.39,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1742.66,92,,Percent of Total Billed Charges,1536.2,,1742.66,92,,Percent of Total Billed Charges,1409.28,,1742.66,92,,Percent of Total Billed Charges,1483.16,,1742.66,92,,Percent of Total Billed Charges,1536.2,,1477.48,78,,Percent of Total Billed Charges,1477.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1019.65,53.83,,Percent of Total Billed Charges,956.57,,656.15,34.64,,Percent of Total Billed Charges,653.5,,946.72,49.98,,Percent of Total Billed Charges,716.01,,656.15,1742.66,,																																							
HC REPLACE CVAD CATH,36580,CPT,,,,BOTH, , ,4112.85,3454.79,3783.82,92,,Percent of Total Billed Charges,3438.34,,3783.82,92,,Percent of Total Billed Charges,3376.65,,3783.82,92,,Percent of Total Billed Charges,3310.84,,3783.82,92,,Percent of Total Billed Charges,3434.23,,3783.82,92,,Percent of Total Billed Charges,3096.98,,3783.82,92,,Percent of Total Billed Charges,2570.53,,3701.57,90,,Percent of Total Billed Charges,2052.31,,3660.44,89,,Percent of Total Billed Charges,1974.17,,3388.99,82.4,,Percent of Total Billed Charges,3380.76,,3430.12,83.4,,Percent of Total Billed Charges,3199.8,,3430.12,83.4,,Percent of Total Billed Charges,2883.11,,3430.12,83.4,,Percent of Total Billed Charges,3347.86,,3701.57,90,,Percent of Total Billed Charges,3483.58,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3783.82,92,,Percent of Total Billed Charges,3335.52,,3783.82,92,,Percent of Total Billed Charges,3059.96,,3783.82,92,,Percent of Total Billed Charges,3220.36,,3783.82,92,,Percent of Total Billed Charges,3335.52,,3208.02,78,,Percent of Total Billed Charges,3208.02,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2213.95,53.83,,Percent of Total Billed Charges,2076.99,,1424.69,34.64,,Percent of Total Billed Charges,1418.93,,2055.6,49.98,,Percent of Total Billed Charges,1554.66,,1424.69,3783.82,,																																							
HC REPLACE TUNNELED CV CATH,36581,CPT,,,,BOTH, , ,8564.85,7194.47,7879.66,92,,Percent of Total Billed Charges,7160.21,,7879.66,92,,Percent of Total Billed Charges,7031.74,,7879.66,92,,Percent of Total Billed Charges,6894.7,,7879.66,92,,Percent of Total Billed Charges,7151.65,,7879.66,92,,Percent of Total Billed Charges,6449.33,,7879.66,92,,Percent of Total Billed Charges,5353.03,,7708.37,90,,Percent of Total Billed Charges,4273.86,,7622.72,89,,Percent of Total Billed Charges,4111.13,,7057.44,82.4,,Percent of Total Billed Charges,7040.31,,7143.08,83.4,,Percent of Total Billed Charges,6663.45,,7143.08,83.4,,Percent of Total Billed Charges,6003.96,,7143.08,83.4,,Percent of Total Billed Charges,6971.79,,7708.37,90,,Percent of Total Billed Charges,7254.43,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,7879.66,92,,Percent of Total Billed Charges,6946.09,,7879.66,92,,Percent of Total Billed Charges,6372.25,,7879.66,92,,Percent of Total Billed Charges,6706.28,,7879.66,92,,Percent of Total Billed Charges,6946.09,,6680.58,78,,Percent of Total Billed Charges,6680.58,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4610.46,53.83,,Percent of Total Billed Charges,4325.25,,2966.86,34.64,,Percent of Total Billed Charges,2954.87,,4280.71,49.98,,Percent of Total Billed Charges,3237.51,,2966.86,7879.66,,																																							
HC REPLACE PICC CATH,36584,CPT,,,,BOTH, , ,4256.7,3575.63,3916.16,92,,Percent of Total Billed Charges,3558.6,,3916.16,92,,Percent of Total Billed Charges,3494.75,,3916.16,92,,Percent of Total Billed Charges,3426.64,,3916.16,92,,Percent of Total Billed Charges,3554.34,,3916.16,92,,Percent of Total Billed Charges,3205.3,,3916.16,92,,Percent of Total Billed Charges,2660.44,,3831.03,90,,Percent of Total Billed Charges,2124.09,,3788.46,89,,Percent of Total Billed Charges,2043.22,,3507.52,82.4,,Percent of Total Billed Charges,3499.01,,3550.09,83.4,,Percent of Total Billed Charges,3311.71,,3550.09,83.4,,Percent of Total Billed Charges,2983.95,,3550.09,83.4,,Percent of Total Billed Charges,3464.95,,3831.03,90,,Percent of Total Billed Charges,3605.42,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3916.16,92,,Percent of Total Billed Charges,3452.18,,3916.16,92,,Percent of Total Billed Charges,3166.98,,3916.16,92,,Percent of Total Billed Charges,3333,,3916.16,92,,Percent of Total Billed Charges,3452.18,,3320.23,78,,Percent of Total Billed Charges,3320.23,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2291.38,53.83,,Percent of Total Billed Charges,2149.63,,1474.52,34.64,,Percent of Total Billed Charges,1468.56,,2127.5,49.98,,Percent of Total Billed Charges,1609.03,,1474.52,3916.16,,																																							
HC REMOVAL TUNNELED CV CATH WO SUBCT PORT OR PUMP,36589,CPT,,,,BOTH, , ,225.75,189.63,207.69,92,,Percent of Total Billed Charges,188.73,,207.69,92,,Percent of Total Billed Charges,185.34,,207.69,92,,Percent of Total Billed Charges,181.73,,207.69,92,,Percent of Total Billed Charges,188.5,,207.69,92,,Percent of Total Billed Charges,169.99,,207.69,92,,Percent of Total Billed Charges,141.09,,203.18,90,,Percent of Total Billed Charges,112.65,,200.92,89,,Percent of Total Billed Charges,108.36,,186.02,82.4,,Percent of Total Billed Charges,185.57,,188.28,83.4,,Percent of Total Billed Charges,175.63,,188.28,83.4,,Percent of Total Billed Charges,158.25,,188.28,83.4,,Percent of Total Billed Charges,183.76,,203.18,90,,Percent of Total Billed Charges,191.21,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,207.69,92,,Percent of Total Billed Charges,183.08,,207.69,92,,Percent of Total Billed Charges,167.96,,207.69,92,,Percent of Total Billed Charges,176.76,,207.69,92,,Percent of Total Billed Charges,183.08,,176.09,78,,Percent of Total Billed Charges,176.09,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,121.52,53.83,,Percent of Total Billed Charges,114,,78.2,34.64,,Percent of Total Billed Charges,77.88,,112.83,49.98,,Percent of Total Billed Charges,85.33,,78.20,207.69,,																																							
HC REMOVAL TUNNELED CV CATH W SUBCT PORT OR PUMP,36590,CPT,,,,BOTH, , ,5299.35,4451.45,4875.4,92,,Percent of Total Billed Charges,4430.26,,4875.4,92,,Percent of Total Billed Charges,4350.77,,4875.4,92,,Percent of Total Billed Charges,4265.98,,4875.4,92,,Percent of Total Billed Charges,4424.96,,4875.4,92,,Percent of Total Billed Charges,3990.41,,4875.4,92,,Percent of Total Billed Charges,3312.09,,4769.42,90,,Percent of Total Billed Charges,2644.38,,4716.42,89,,Percent of Total Billed Charges,2543.69,,4366.66,82.4,,Percent of Total Billed Charges,4356.07,,4419.66,83.4,,Percent of Total Billed Charges,4122.89,,4419.66,83.4,,Percent of Total Billed Charges,3714.84,,4419.66,83.4,,Percent of Total Billed Charges,4313.67,,4769.42,90,,Percent of Total Billed Charges,4488.55,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4875.4,92,,Percent of Total Billed Charges,4297.77,,4875.4,92,,Percent of Total Billed Charges,3942.72,,4875.4,92,,Percent of Total Billed Charges,4149.39,,4875.4,92,,Percent of Total Billed Charges,4297.77,,4133.49,78,,Percent of Total Billed Charges,4133.49,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2852.64,53.83,,Percent of Total Billed Charges,2676.17,,1835.69,34.64,,Percent of Total Billed Charges,1828.28,,2648.62,49.98,,Percent of Total Billed Charges,2003.15,,1835.69,4875.4,,																																							
HC DECLOT VAD,36593,CPT,,,,BOTH, , ,666.75,560.07,613.41,92,,Percent of Total Billed Charges,557.4,,613.41,92,,Percent of Total Billed Charges,547.4,,613.41,92,,Percent of Total Billed Charges,536.73,,613.41,92,,Percent of Total Billed Charges,556.74,,613.41,92,,Percent of Total Billed Charges,502.06,,613.41,92,,Percent of Total Billed Charges,416.72,,600.08,90,,Percent of Total Billed Charges,332.71,,593.41,89,,Percent of Total Billed Charges,320.04,,549.4,82.4,,Percent of Total Billed Charges,548.07,,556.07,83.4,,Percent of Total Billed Charges,518.73,,556.07,83.4,,Percent of Total Billed Charges,467.39,,556.07,83.4,,Percent of Total Billed Charges,542.73,,600.08,90,,Percent of Total Billed Charges,564.74,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,613.41,92,,Percent of Total Billed Charges,540.73,,613.41,92,,Percent of Total Billed Charges,496.06,,613.41,92,,Percent of Total Billed Charges,522.07,,613.41,92,,Percent of Total Billed Charges,540.73,,520.07,78,,Percent of Total Billed Charges,520.07,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,358.91,53.83,,Percent of Total Billed Charges,336.71,,230.96,34.64,,Percent of Total Billed Charges,230.03,,333.24,49.98,,Percent of Total Billed Charges,252.03,,230.96,613.41,,																																							
HC MECH REMOV TUNNELED CV CATH,36596,CPT,,,,BOTH, , ,4112.85,3454.79,3783.82,92,,Percent of Total Billed Charges,3438.34,,3783.82,92,,Percent of Total Billed Charges,3376.65,,3783.82,92,,Percent of Total Billed Charges,3310.84,,3783.82,92,,Percent of Total Billed Charges,3434.23,,3783.82,92,,Percent of Total Billed Charges,3096.98,,3783.82,92,,Percent of Total Billed Charges,2570.53,,3701.57,90,,Percent of Total Billed Charges,2052.31,,3660.44,89,,Percent of Total Billed Charges,1974.17,,3388.99,82.4,,Percent of Total Billed Charges,3380.76,,3430.12,83.4,,Percent of Total Billed Charges,3199.8,,3430.12,83.4,,Percent of Total Billed Charges,2883.11,,3430.12,83.4,,Percent of Total Billed Charges,3347.86,,3701.57,90,,Percent of Total Billed Charges,3483.58,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3783.82,92,,Percent of Total Billed Charges,3335.52,,3783.82,92,,Percent of Total Billed Charges,3059.96,,3783.82,92,,Percent of Total Billed Charges,3220.36,,3783.82,92,,Percent of Total Billed Charges,3335.52,,3208.02,78,,Percent of Total Billed Charges,3208.02,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2213.95,53.83,,Percent of Total Billed Charges,2076.99,,1424.69,34.64,,Percent of Total Billed Charges,1418.93,,2055.6,49.98,,Percent of Total Billed Charges,1554.66,,1424.69,3783.82,,																																							
HC REPOSITION VENOUS CATHETER,36597,CPT,,,,BOTH, , ,4112.85,3454.79,3783.82,92,,Percent of Total Billed Charges,3438.34,,3783.82,92,,Percent of Total Billed Charges,3376.65,,3783.82,92,,Percent of Total Billed Charges,3310.84,,3783.82,92,,Percent of Total Billed Charges,3434.23,,3783.82,92,,Percent of Total Billed Charges,3096.98,,3783.82,92,,Percent of Total Billed Charges,2570.53,,3701.57,90,,Percent of Total Billed Charges,2052.31,,3660.44,89,,Percent of Total Billed Charges,1974.17,,3388.99,82.4,,Percent of Total Billed Charges,3380.76,,3430.12,83.4,,Percent of Total Billed Charges,3199.8,,3430.12,83.4,,Percent of Total Billed Charges,2883.11,,3430.12,83.4,,Percent of Total Billed Charges,3347.86,,3701.57,90,,Percent of Total Billed Charges,3483.58,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3783.82,92,,Percent of Total Billed Charges,3335.52,,3783.82,92,,Percent of Total Billed Charges,3059.96,,3783.82,92,,Percent of Total Billed Charges,3220.36,,3783.82,92,,Percent of Total Billed Charges,3335.52,,3208.02,78,,Percent of Total Billed Charges,3208.02,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2213.95,53.83,,Percent of Total Billed Charges,2076.99,,1424.69,34.64,,Percent of Total Billed Charges,1418.93,,2055.6,49.98,,Percent of Total Billed Charges,1554.66,,1424.69,3783.82,,																																							
HC INS ENDOVAS VENA CAVA FILTR,37191,CPT,,,,BOTH, , ,10560.9,8871.16,9716.03,92,,Percent of Total Billed Charges,8828.91,,9716.03,92,,Percent of Total Billed Charges,8670.5,,9716.03,92,,Percent of Total Billed Charges,8501.52,,9716.03,92,,Percent of Total Billed Charges,8818.35,,9716.03,92,,Percent of Total Billed Charges,7952.36,,9716.03,92,,Percent of Total Billed Charges,6600.56,,9504.81,90,,Percent of Total Billed Charges,5269.89,,9399.2,89,,Percent of Total Billed Charges,5069.23,,8702.18,82.4,,Percent of Total Billed Charges,8681.06,,8807.79,83.4,,Percent of Total Billed Charges,8216.38,,8807.79,83.4,,Percent of Total Billed Charges,7403.19,,8807.79,83.4,,Percent of Total Billed Charges,8596.57,,9504.81,90,,Percent of Total Billed Charges,8945.08,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,9716.03,92,,Percent of Total Billed Charges,8564.89,,9716.03,92,,Percent of Total Billed Charges,7857.31,,9716.03,92,,Percent of Total Billed Charges,8269.18,,9716.03,92,,Percent of Total Billed Charges,8564.89,,8237.5,78,,Percent of Total Billed Charges,8237.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5684.93,53.83,,Percent of Total Billed Charges,5333.25,,3658.3,34.64,,Percent of Total Billed Charges,3643.51,,5278.34,49.98,,Percent of Total Billed Charges,3992.02,,3658.30,9716.03,,																																							
HC TRANSCATHETER BIOPSY,37200,CPT,,,,BOTH, , ,8705.55,7312.66,8009.11,92,,Percent of Total Billed Charges,7277.84,,8009.11,92,,Percent of Total Billed Charges,7147.26,,8009.11,92,,Percent of Total Billed Charges,7007.97,,8009.11,92,,Percent of Total Billed Charges,7269.13,,8009.11,92,,Percent of Total Billed Charges,6555.28,,8009.11,92,,Percent of Total Billed Charges,5440.97,,7835,90,,Percent of Total Billed Charges,4344.07,,7747.94,89,,Percent of Total Billed Charges,4178.66,,7173.37,82.4,,Percent of Total Billed Charges,7155.96,,7260.43,83.4,,Percent of Total Billed Charges,6772.92,,7260.43,83.4,,Percent of Total Billed Charges,6102.59,,7260.43,83.4,,Percent of Total Billed Charges,7086.32,,7835,90,,Percent of Total Billed Charges,7373.6,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,8009.11,92,,Percent of Total Billed Charges,7060.2,,8009.11,92,,Percent of Total Billed Charges,6476.93,,8009.11,92,,Percent of Total Billed Charges,6816.45,,8009.11,92,,Percent of Total Billed Charges,7060.2,,6790.33,78,,Percent of Total Billed Charges,6790.33,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4686.2,53.83,,Percent of Total Billed Charges,4396.3,,3015.6,34.64,,Percent of Total Billed Charges,3003.41,,4351.03,49.98,,Percent of Total Billed Charges,3290.7,,3015.60,8009.11,,																																							
HC VASC EMBOLIZE/OCCLUDE ARTERY,37242,CPT,,,,BOTH, , ,3543.75,2976.75,3260.25,92,,Percent of Total Billed Charges,2962.58,,3260.25,92,,Percent of Total Billed Charges,2909.42,,3260.25,92,,Percent of Total Billed Charges,2852.72,,3260.25,92,,Percent of Total Billed Charges,2959.03,,3260.25,92,,Percent of Total Billed Charges,2668.44,,3260.25,92,,Percent of Total Billed Charges,2214.84,,3189.38,90,,Percent of Total Billed Charges,1768.33,,3153.94,89,,Percent of Total Billed Charges,1701,,2920.05,82.4,,Percent of Total Billed Charges,2912.96,,2955.49,83.4,,Percent of Total Billed Charges,2757.04,,2955.49,83.4,,Percent of Total Billed Charges,2484.17,,2955.49,83.4,,Percent of Total Billed Charges,2884.61,,3189.38,90,,Percent of Total Billed Charges,3001.56,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3260.25,92,,Percent of Total Billed Charges,2873.98,,3260.25,92,,Percent of Total Billed Charges,2636.55,,3260.25,92,,Percent of Total Billed Charges,2774.76,,3260.25,92,,Percent of Total Billed Charges,2873.98,,2764.13,78,,Percent of Total Billed Charges,2764.13,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1907.6,53.83,,Percent of Total Billed Charges,1789.59,,1227.56,34.64,,Percent of Total Billed Charges,1222.59,,1771.17,49.98,,Percent of Total Billed Charges,1339.54,,1227.56,3260.25,,																																							
HC VASC EMBOLIZE/OCCLUDE ORGAN,37243,CPT,,,,BOTH, , ,55960.8,47007.07,51483.94,92,,Percent of Total Billed Charges,46783.23,,51483.94,92,,Percent of Total Billed Charges,45943.82,,51483.94,92,,Percent of Total Billed Charges,45048.44,,51483.94,92,,Percent of Total Billed Charges,46727.27,,51483.94,92,,Percent of Total Billed Charges,42138.48,,51483.94,92,,Percent of Total Billed Charges,34975.5,,50364.72,90,,Percent of Total Billed Charges,27924.44,,49805.11,89,,Percent of Total Billed Charges,26861.18,,46111.7,82.4,,Percent of Total Billed Charges,45999.78,,46671.31,83.4,,Percent of Total Billed Charges,43537.5,,46671.31,83.4,,Percent of Total Billed Charges,39228.52,,46671.31,83.4,,Percent of Total Billed Charges,45552.09,,50364.72,90,,Percent of Total Billed Charges,47398.8,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,51483.94,92,,Percent of Total Billed Charges,45384.21,,51483.94,92,,Percent of Total Billed Charges,41634.84,,51483.94,92,,Percent of Total Billed Charges,43817.31,,51483.94,92,,Percent of Total Billed Charges,45384.21,,43649.42,78,,Percent of Total Billed Charges,43649.42,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,30123.7,53.83,,Percent of Total Billed Charges,28260.2,,19384.82,34.64,,Percent of Total Billed Charges,19306.48,,27969.21,49.98,,Percent of Total Billed Charges,21153.18,,19384.82,51483.94,,																																							
HC VASC EMBOLIZE/OCCLUDE BLEED,37244,CPT,,,,BOTH, , ,55960.8,47007.07,51483.94,92,,Percent of Total Billed Charges,46783.23,,51483.94,92,,Percent of Total Billed Charges,45943.82,,51483.94,92,,Percent of Total Billed Charges,45048.44,,51483.94,92,,Percent of Total Billed Charges,46727.27,,51483.94,92,,Percent of Total Billed Charges,42138.48,,51483.94,92,,Percent of Total Billed Charges,34975.5,,50364.72,90,,Percent of Total Billed Charges,27924.44,,49805.11,89,,Percent of Total Billed Charges,26861.18,,46111.7,82.4,,Percent of Total Billed Charges,45999.78,,46671.31,83.4,,Percent of Total Billed Charges,43537.5,,46671.31,83.4,,Percent of Total Billed Charges,39228.52,,46671.31,83.4,,Percent of Total Billed Charges,45552.09,,50364.72,90,,Percent of Total Billed Charges,47398.8,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,51483.94,92,,Percent of Total Billed Charges,45384.21,,51483.94,92,,Percent of Total Billed Charges,41634.84,,51483.94,92,,Percent of Total Billed Charges,43817.31,,51483.94,92,,Percent of Total Billed Charges,45384.21,,43649.42,78,,Percent of Total Billed Charges,43649.42,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,30123.7,53.83,,Percent of Total Billed Charges,28260.2,,19384.82,34.64,,Percent of Total Billed Charges,19306.48,,27969.21,49.98,,Percent of Total Billed Charges,21153.18,,19384.82,51483.94,,																																							
HC BONE MARROW ASPIRATION,38220,CPT,,,,BOTH, , ,3279.15,2754.49,3016.82,92,,Percent of Total Billed Charges,2741.37,,3016.82,92,,Percent of Total Billed Charges,2692.18,,3016.82,92,,Percent of Total Billed Charges,2639.72,,3016.82,92,,Percent of Total Billed Charges,2738.09,,3016.82,92,,Percent of Total Billed Charges,2469.2,,3016.82,92,,Percent of Total Billed Charges,2049.47,,2951.24,90,,Percent of Total Billed Charges,1636.3,,2918.44,89,,Percent of Total Billed Charges,1573.99,,2702.02,82.4,,Percent of Total Billed Charges,2695.46,,2734.81,83.4,,Percent of Total Billed Charges,2551.18,,2734.81,83.4,,Percent of Total Billed Charges,2298.68,,2734.81,83.4,,Percent of Total Billed Charges,2669.23,,2951.24,90,,Percent of Total Billed Charges,2777.44,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3016.82,92,,Percent of Total Billed Charges,2659.39,,3016.82,92,,Percent of Total Billed Charges,2439.69,,3016.82,92,,Percent of Total Billed Charges,2567.57,,3016.82,92,,Percent of Total Billed Charges,2659.39,,2557.74,78,,Percent of Total Billed Charges,2557.74,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1765.17,53.83,,Percent of Total Billed Charges,1655.97,,1135.9,34.64,,Percent of Total Billed Charges,1131.31,,1638.92,49.98,,Percent of Total Billed Charges,1239.52,,1135.90,3016.82,,																																							
HC BONE MARROW BIOPSY,38221,CPT,,,,BOTH, , ,3279.15,2754.49,3016.82,92,,Percent of Total Billed Charges,2741.37,,3016.82,92,,Percent of Total Billed Charges,2692.18,,3016.82,92,,Percent of Total Billed Charges,2639.72,,3016.82,92,,Percent of Total Billed Charges,2738.09,,3016.82,92,,Percent of Total Billed Charges,2469.2,,3016.82,92,,Percent of Total Billed Charges,2049.47,,2951.24,90,,Percent of Total Billed Charges,1636.3,,2918.44,89,,Percent of Total Billed Charges,1573.99,,2702.02,82.4,,Percent of Total Billed Charges,2695.46,,2734.81,83.4,,Percent of Total Billed Charges,2551.18,,2734.81,83.4,,Percent of Total Billed Charges,2298.68,,2734.81,83.4,,Percent of Total Billed Charges,2669.23,,2951.24,90,,Percent of Total Billed Charges,2777.44,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3016.82,92,,Percent of Total Billed Charges,2659.39,,3016.82,92,,Percent of Total Billed Charges,2439.69,,3016.82,92,,Percent of Total Billed Charges,2567.57,,3016.82,92,,Percent of Total Billed Charges,2659.39,,2557.74,78,,Percent of Total Billed Charges,2557.74,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1765.17,53.83,,Percent of Total Billed Charges,1655.97,,1135.9,34.64,,Percent of Total Billed Charges,1131.31,,1638.92,49.98,,Percent of Total Billed Charges,1239.52,,1135.90,3016.82,,																																							
HC NEEDLE BIOPSY LYMPH NODES,38505,CPT,,,,BOTH, , ,3398.85,2855.03,3126.94,92,,Percent of Total Billed Charges,2841.44,,3126.94,92,,Percent of Total Billed Charges,2790.46,,3126.94,92,,Percent of Total Billed Charges,2736.07,,3126.94,92,,Percent of Total Billed Charges,2838.04,,3126.94,92,,Percent of Total Billed Charges,2559.33,,3126.94,92,,Percent of Total Billed Charges,2124.28,,3058.97,90,,Percent of Total Billed Charges,1696.03,,3024.98,89,,Percent of Total Billed Charges,1631.45,,2800.65,82.4,,Percent of Total Billed Charges,2793.85,,2834.64,83.4,,Percent of Total Billed Charges,2644.31,,2834.64,83.4,,Percent of Total Billed Charges,2382.59,,2834.64,83.4,,Percent of Total Billed Charges,2766.66,,3058.97,90,,Percent of Total Billed Charges,2878.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3126.94,92,,Percent of Total Billed Charges,2756.47,,3126.94,92,,Percent of Total Billed Charges,2528.74,,3126.94,92,,Percent of Total Billed Charges,2661.3,,3126.94,92,,Percent of Total Billed Charges,2756.47,,2651.1,78,,Percent of Total Billed Charges,2651.1,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1829.6,53.83,,Percent of Total Billed Charges,1716.42,,1177.36,34.64,,Percent of Total Billed Charges,1172.6,,1698.75,49.98,,Percent of Total Billed Charges,1284.77,,1177.36,3126.94,,																																							
HC INJECTION FOR SALIVARY XRAY,42550,CPT,,,,BOTH, , ,653.1,548.6,600.85,92,,Percent of Total Billed Charges,545.99,,600.85,92,,Percent of Total Billed Charges,536.2,,600.85,92,,Percent of Total Billed Charges,525.75,,600.85,92,,Percent of Total Billed Charges,545.34,,600.85,92,,Percent of Total Billed Charges,491.78,,600.85,92,,Percent of Total Billed Charges,408.19,,587.79,90,,Percent of Total Billed Charges,325.9,,581.26,89,,Percent of Total Billed Charges,313.49,,538.15,82.4,,Percent of Total Billed Charges,536.85,,544.69,83.4,,Percent of Total Billed Charges,508.11,,544.69,83.4,,Percent of Total Billed Charges,457.82,,544.69,83.4,,Percent of Total Billed Charges,531.62,,587.79,90,,Percent of Total Billed Charges,553.18,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,600.85,92,,Percent of Total Billed Charges,529.66,,600.85,92,,Percent of Total Billed Charges,485.91,,600.85,92,,Percent of Total Billed Charges,511.38,,600.85,92,,Percent of Total Billed Charges,529.66,,509.42,78,,Percent of Total Billed Charges,509.42,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,351.56,53.83,,Percent of Total Billed Charges,329.82,,226.23,34.64,,Percent of Total Billed Charges,225.32,,326.42,49.98,,Percent of Total Billed Charges,246.87,,226.23,600.85,,																																							
HC NASAL/OROGASTRIC W/TUBE PLMT,43752,CPT,,,,BOTH, , ,733.95,616.52,675.23,92,,Percent of Total Billed Charges,613.58,,675.23,92,,Percent of Total Billed Charges,602.57,,675.23,92,,Percent of Total Billed Charges,590.83,,675.23,92,,Percent of Total Billed Charges,612.85,,675.23,92,,Percent of Total Billed Charges,552.66,,675.23,92,,Percent of Total Billed Charges,458.72,,660.56,90,,Percent of Total Billed Charges,366.24,,653.22,89,,Percent of Total Billed Charges,352.3,,604.77,82.4,,Percent of Total Billed Charges,603.31,,612.11,83.4,,Percent of Total Billed Charges,571.01,,612.11,83.4,,Percent of Total Billed Charges,514.5,,612.11,83.4,,Percent of Total Billed Charges,597.44,,660.56,90,,Percent of Total Billed Charges,621.66,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,675.23,92,,Percent of Total Billed Charges,595.23,,675.23,92,,Percent of Total Billed Charges,546.06,,675.23,92,,Percent of Total Billed Charges,574.68,,675.23,92,,Percent of Total Billed Charges,595.23,,572.48,78,,Percent of Total Billed Charges,572.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,395.09,53.83,,Percent of Total Billed Charges,370.64,,254.24,34.64,,Percent of Total Billed Charges,253.21,,366.83,49.98,,Percent of Total Billed Charges,277.43,,254.24,675.23,,																																							
HC REPOSITION GASTROSTOMY TUBE,43761,CPT,,,,BOTH, , ,3243.45,2724.5,2983.97,92,,Percent of Total Billed Charges,2711.52,,2983.97,92,,Percent of Total Billed Charges,2662.87,,2983.97,92,,Percent of Total Billed Charges,2610.98,,2983.97,92,,Percent of Total Billed Charges,2708.28,,2983.97,92,,Percent of Total Billed Charges,2442.32,,2983.97,92,,Percent of Total Billed Charges,2027.16,,2919.11,90,,Percent of Total Billed Charges,1618.48,,2886.67,89,,Percent of Total Billed Charges,1556.86,,2672.6,82.4,,Percent of Total Billed Charges,2666.12,,2705.04,83.4,,Percent of Total Billed Charges,2523.4,,2705.04,83.4,,Percent of Total Billed Charges,2273.66,,2705.04,83.4,,Percent of Total Billed Charges,2640.17,,2919.11,90,,Percent of Total Billed Charges,2747.2,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2983.97,92,,Percent of Total Billed Charges,2630.44,,2983.97,92,,Percent of Total Billed Charges,2413.13,,2983.97,92,,Percent of Total Billed Charges,2539.62,,2983.97,92,,Percent of Total Billed Charges,2630.44,,2529.89,78,,Percent of Total Billed Charges,2529.89,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1745.95,53.83,,Percent of Total Billed Charges,1637.94,,1123.53,34.64,,Percent of Total Billed Charges,1118.99,,1621.08,49.98,,Percent of Total Billed Charges,1226.02,,1123.53,2983.97,,																																							
HC NEEDLE BIOPSY OF LIVER,47000,CPT,,,,BOTH, , ,3666.6,3079.94,3373.27,92,,Percent of Total Billed Charges,3065.28,,3373.27,92,,Percent of Total Billed Charges,3010.28,,3373.27,92,,Percent of Total Billed Charges,2951.61,,3373.27,92,,Percent of Total Billed Charges,3061.61,,3373.27,92,,Percent of Total Billed Charges,2760.95,,3373.27,92,,Percent of Total Billed Charges,2291.63,,3299.94,90,,Percent of Total Billed Charges,1829.63,,3263.27,89,,Percent of Total Billed Charges,1759.97,,3021.28,82.4,,Percent of Total Billed Charges,3013.95,,3057.94,83.4,,Percent of Total Billed Charges,2852.61,,3057.94,83.4,,Percent of Total Billed Charges,2570.29,,3057.94,83.4,,Percent of Total Billed Charges,2984.61,,3299.94,90,,Percent of Total Billed Charges,3105.61,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3373.27,92,,Percent of Total Billed Charges,2973.61,,3373.27,92,,Percent of Total Billed Charges,2727.95,,3373.27,92,,Percent of Total Billed Charges,2870.95,,3373.27,92,,Percent of Total Billed Charges,2973.61,,2859.95,78,,Percent of Total Billed Charges,2859.95,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1973.73,53.83,,Percent of Total Billed Charges,1851.63,,1270.11,34.64,,Percent of Total Billed Charges,1264.98,,1832.57,49.98,,Percent of Total Billed Charges,1385.97,,1270.11,3373.27,,																																							
HC INCISION OF GALLBLADDER,47490,CPT,,,,BOTH, , ,7212.45,6058.46,6635.45,92,,Percent of Total Billed Charges,6029.61,,6635.45,92,,Percent of Total Billed Charges,5921.42,,6635.45,92,,Percent of Total Billed Charges,5806.02,,6635.45,92,,Percent of Total Billed Charges,6022.4,,6635.45,92,,Percent of Total Billed Charges,5430.97,,6635.45,92,,Percent of Total Billed Charges,4507.78,,6491.21,90,,Percent of Total Billed Charges,3599.01,,6419.08,89,,Percent of Total Billed Charges,3461.98,,5943.06,82.4,,Percent of Total Billed Charges,5928.63,,6015.18,83.4,,Percent of Total Billed Charges,5611.29,,6015.18,83.4,,Percent of Total Billed Charges,5055.93,,6015.18,83.4,,Percent of Total Billed Charges,5870.93,,6491.21,90,,Percent of Total Billed Charges,6108.95,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6635.45,92,,Percent of Total Billed Charges,5849.3,,6635.45,92,,Percent of Total Billed Charges,5366.06,,6635.45,92,,Percent of Total Billed Charges,5647.35,,6635.45,92,,Percent of Total Billed Charges,5849.3,,5625.71,78,,Percent of Total Billed Charges,5625.71,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3882.46,53.83,,Percent of Total Billed Charges,3642.29,,2498.39,34.64,,Percent of Total Billed Charges,2488.3,,3604.78,49.98,,Percent of Total Billed Charges,2726.31,,2498.39,6635.45,,																																							
HC PTC IMAGE/INJECT,47532,CPT,,,,BOTH, , ,10400.25,8736.21,9568.23,92,,Percent of Total Billed Charges,8694.61,,9568.23,92,,Percent of Total Billed Charges,8538.61,,9568.23,92,,Percent of Total Billed Charges,8372.2,,9568.23,92,,Percent of Total Billed Charges,8684.21,,9568.23,92,,Percent of Total Billed Charges,7831.39,,9568.23,92,,Percent of Total Billed Charges,6500.16,,9360.23,90,,Percent of Total Billed Charges,5189.72,,9256.22,89,,Percent of Total Billed Charges,4992.12,,8569.81,82.4,,Percent of Total Billed Charges,8549.01,,8673.81,83.4,,Percent of Total Billed Charges,8091.39,,8673.81,83.4,,Percent of Total Billed Charges,7290.58,,8673.81,83.4,,Percent of Total Billed Charges,8465.8,,9360.23,90,,Percent of Total Billed Charges,8809.01,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,9568.23,92,,Percent of Total Billed Charges,8434.6,,9568.23,92,,Percent of Total Billed Charges,7737.79,,9568.23,92,,Percent of Total Billed Charges,8143.4,,9568.23,92,,Percent of Total Billed Charges,8434.6,,8112.2,78,,Percent of Total Billed Charges,8112.2,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5598.45,53.83,,Percent of Total Billed Charges,5252.13,,3602.65,34.64,,Percent of Total Billed Charges,3588.09,,5198.04,49.98,,Percent of Total Billed Charges,3931.29,,3602.65,9568.23,,																																							
HC T TUBE CHOLANGIOGRAM IMAGE/INJ,47531,CPT,,,,BOTH, , ,9384.9,7883.32,8634.11,92,,Percent of Total Billed Charges,7845.78,,8634.11,92,,Percent of Total Billed Charges,7705,,8634.11,92,,Percent of Total Billed Charges,7554.84,,8634.11,92,,Percent of Total Billed Charges,7836.39,,8634.11,92,,Percent of Total Billed Charges,7066.83,,8634.11,92,,Percent of Total Billed Charges,5865.56,,8446.41,90,,Percent of Total Billed Charges,4683.07,,8352.56,89,,Percent of Total Billed Charges,4504.75,,7733.16,82.4,,Percent of Total Billed Charges,7714.39,,7827.01,83.4,,Percent of Total Billed Charges,7301.45,,7827.01,83.4,,Percent of Total Billed Charges,6578.81,,7827.01,83.4,,Percent of Total Billed Charges,7639.31,,8446.41,90,,Percent of Total Billed Charges,7949.01,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,8634.11,92,,Percent of Total Billed Charges,7611.15,,8634.11,92,,Percent of Total Billed Charges,6982.37,,8634.11,92,,Percent of Total Billed Charges,7348.38,,8634.11,92,,Percent of Total Billed Charges,7611.15,,7320.22,78,,Percent of Total Billed Charges,7320.22,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5051.89,53.83,,Percent of Total Billed Charges,4739.37,,3250.93,34.64,,Percent of Total Billed Charges,3237.79,,4690.57,49.98,,Percent of Total Billed Charges,3547.49,,3250.93,8634.11,,																																							
HC BILARY DRAIN EXT COMP,47533,CPT,,,,BOTH, , ,12480.3,10483.45,11481.88,92,,Percent of Total Billed Charges,10433.53,,11481.88,92,,Percent of Total Billed Charges,10246.33,,11481.88,92,,Percent of Total Billed Charges,10046.64,,11481.88,92,,Percent of Total Billed Charges,10421.05,,11481.88,92,,Percent of Total Billed Charges,9397.67,,11481.88,92,,Percent of Total Billed Charges,7800.19,,11232.27,90,,Percent of Total Billed Charges,6227.67,,11107.47,89,,Percent of Total Billed Charges,5990.54,,10283.77,82.4,,Percent of Total Billed Charges,10258.81,,10408.57,83.4,,Percent of Total Billed Charges,9709.67,,10408.57,83.4,,Percent of Total Billed Charges,8748.69,,10408.57,83.4,,Percent of Total Billed Charges,10158.96,,11232.27,90,,Percent of Total Billed Charges,10570.81,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,11481.88,92,,Percent of Total Billed Charges,10121.52,,11481.88,92,,Percent of Total Billed Charges,9285.34,,11481.88,92,,Percent of Total Billed Charges,9772.07,,11481.88,92,,Percent of Total Billed Charges,10121.52,,9734.63,78,,Percent of Total Billed Charges,9734.63,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6718.15,53.83,,Percent of Total Billed Charges,6302.55,,4323.18,34.64,,Percent of Total Billed Charges,4305.7,,6237.65,49.98,,Percent of Total Billed Charges,4717.55,,4323.18,11481.88,,																																							
HC BILIARY DRAIN INT/EXT COMP,47534,CPT,,,,BOTH, , ,12480.3,10483.45,11481.88,92,,Percent of Total Billed Charges,10433.53,,11481.88,92,,Percent of Total Billed Charges,10246.33,,11481.88,92,,Percent of Total Billed Charges,10046.64,,11481.88,92,,Percent of Total Billed Charges,10421.05,,11481.88,92,,Percent of Total Billed Charges,9397.67,,11481.88,92,,Percent of Total Billed Charges,7800.19,,11232.27,90,,Percent of Total Billed Charges,6227.67,,11107.47,89,,Percent of Total Billed Charges,5990.54,,10283.77,82.4,,Percent of Total Billed Charges,10258.81,,10408.57,83.4,,Percent of Total Billed Charges,9709.67,,10408.57,83.4,,Percent of Total Billed Charges,8748.69,,10408.57,83.4,,Percent of Total Billed Charges,10158.96,,11232.27,90,,Percent of Total Billed Charges,10570.81,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,11481.88,92,,Percent of Total Billed Charges,10121.52,,11481.88,92,,Percent of Total Billed Charges,9285.34,,11481.88,92,,Percent of Total Billed Charges,9772.07,,11481.88,92,,Percent of Total Billed Charges,10121.52,,9734.63,78,,Percent of Total Billed Charges,9734.63,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6718.15,53.83,,Percent of Total Billed Charges,6302.55,,4323.18,34.64,,Percent of Total Billed Charges,4305.7,,6237.65,49.98,,Percent of Total Billed Charges,4717.55,,4323.18,11481.88,,																																							
HC ABD PARACENTESIS W/IMAGING,49083,CPT,,,,BOTH, , ,1958.25,1644.93,1801.59,92,,Percent of Total Billed Charges,1637.1,,1801.59,92,,Percent of Total Billed Charges,1607.72,,1801.59,92,,Percent of Total Billed Charges,1576.39,,1801.59,92,,Percent of Total Billed Charges,1635.14,,1801.59,92,,Percent of Total Billed Charges,1474.56,,1801.59,92,,Percent of Total Billed Charges,1223.91,,1762.43,90,,Percent of Total Billed Charges,977.17,,1742.84,89,,Percent of Total Billed Charges,939.96,,1613.6,82.4,,Percent of Total Billed Charges,1609.68,,1633.18,83.4,,Percent of Total Billed Charges,1523.52,,1633.18,83.4,,Percent of Total Billed Charges,1372.73,,1633.18,83.4,,Percent of Total Billed Charges,1594.02,,1762.43,90,,Percent of Total Billed Charges,1658.64,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1801.59,92,,Percent of Total Billed Charges,1588.14,,1801.59,92,,Percent of Total Billed Charges,1456.94,,1801.59,92,,Percent of Total Billed Charges,1533.31,,1801.59,92,,Percent of Total Billed Charges,1588.14,,1527.44,78,,Percent of Total Billed Charges,1527.44,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1054.13,53.83,,Percent of Total Billed Charges,988.92,,678.34,34.64,,Percent of Total Billed Charges,675.6,,978.73,49.98,,Percent of Total Billed Charges,740.22,,678.34,1801.59,,																																							
HC BIOPSY ABDOMINAL MASS,49180,CPT,,,,BOTH, , ,3666.6,3079.94,3373.27,92,,Percent of Total Billed Charges,3065.28,,3373.27,92,,Percent of Total Billed Charges,3010.28,,3373.27,92,,Percent of Total Billed Charges,2951.61,,3373.27,92,,Percent of Total Billed Charges,3061.61,,3373.27,92,,Percent of Total Billed Charges,2760.95,,3373.27,92,,Percent of Total Billed Charges,2291.63,,3299.94,90,,Percent of Total Billed Charges,1829.63,,3263.27,89,,Percent of Total Billed Charges,1759.97,,3021.28,82.4,,Percent of Total Billed Charges,3013.95,,3057.94,83.4,,Percent of Total Billed Charges,2852.61,,3057.94,83.4,,Percent of Total Billed Charges,2570.29,,3057.94,83.4,,Percent of Total Billed Charges,2984.61,,3299.94,90,,Percent of Total Billed Charges,3105.61,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3373.27,92,,Percent of Total Billed Charges,2973.61,,3373.27,92,,Percent of Total Billed Charges,2727.95,,3373.27,92,,Percent of Total Billed Charges,2870.95,,3373.27,92,,Percent of Total Billed Charges,2973.61,,2859.95,78,,Percent of Total Billed Charges,2859.95,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1973.73,53.83,,Percent of Total Billed Charges,1851.63,,1270.11,34.64,,Percent of Total Billed Charges,1264.98,,1832.57,49.98,,Percent of Total Billed Charges,1385.97,,1270.11,3373.27,,																																							
HC IMAGE CATH FLUID COLXN VISC,49405,CPT,,,,BOTH, , ,7739.55,6501.22,7120.39,92,,Percent of Total Billed Charges,6470.26,,7120.39,92,,Percent of Total Billed Charges,6354.17,,7120.39,92,,Percent of Total Billed Charges,6230.34,,7120.39,92,,Percent of Total Billed Charges,6462.52,,7120.39,92,,Percent of Total Billed Charges,5827.88,,7120.39,92,,Percent of Total Billed Charges,4837.22,,6965.6,90,,Percent of Total Billed Charges,3862.04,,6888.2,89,,Percent of Total Billed Charges,3714.98,,6377.39,82.4,,Percent of Total Billed Charges,6361.91,,6454.78,83.4,,Percent of Total Billed Charges,6021.37,,6454.78,83.4,,Percent of Total Billed Charges,5425.42,,6454.78,83.4,,Percent of Total Billed Charges,6299.99,,6965.6,90,,Percent of Total Billed Charges,6555.4,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,7120.39,92,,Percent of Total Billed Charges,6276.78,,7120.39,92,,Percent of Total Billed Charges,5758.23,,7120.39,92,,Percent of Total Billed Charges,6060.07,,7120.39,92,,Percent of Total Billed Charges,6276.78,,6036.85,78,,Percent of Total Billed Charges,6036.85,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4166.2,53.83,,Percent of Total Billed Charges,3908.47,,2680.98,34.64,,Percent of Total Billed Charges,2670.14,,3868.23,49.98,,Percent of Total Billed Charges,2925.55,,2680.98,7120.39,,																																							
HC IMAGE CATH FLUID PERI/RETRO,49406,CPT,,,,BOTH, , ,7739.55,6501.22,7120.39,92,,Percent of Total Billed Charges,6470.26,,7120.39,92,,Percent of Total Billed Charges,6354.17,,7120.39,92,,Percent of Total Billed Charges,6230.34,,7120.39,92,,Percent of Total Billed Charges,6462.52,,7120.39,92,,Percent of Total Billed Charges,5827.88,,7120.39,92,,Percent of Total Billed Charges,4837.22,,6965.6,90,,Percent of Total Billed Charges,3862.04,,6888.2,89,,Percent of Total Billed Charges,3714.98,,6377.39,82.4,,Percent of Total Billed Charges,6361.91,,6454.78,83.4,,Percent of Total Billed Charges,6021.37,,6454.78,83.4,,Percent of Total Billed Charges,5425.42,,6454.78,83.4,,Percent of Total Billed Charges,6299.99,,6965.6,90,,Percent of Total Billed Charges,6555.4,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,7120.39,92,,Percent of Total Billed Charges,6276.78,,7120.39,92,,Percent of Total Billed Charges,5758.23,,7120.39,92,,Percent of Total Billed Charges,6060.07,,7120.39,92,,Percent of Total Billed Charges,6276.78,,6036.85,78,,Percent of Total Billed Charges,6036.85,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4166.2,53.83,,Percent of Total Billed Charges,3908.47,,2680.98,34.64,,Percent of Total Billed Charges,2670.14,,3868.23,49.98,,Percent of Total Billed Charges,2925.55,,2680.98,7120.39,,																																							
HC ASSESS CYST CONTRAST INJECT,49424,CPT,,,,BOTH, , ,443.1,372.2,407.65,92,,Percent of Total Billed Charges,370.43,,407.65,92,,Percent of Total Billed Charges,363.79,,407.65,92,,Percent of Total Billed Charges,356.7,,407.65,92,,Percent of Total Billed Charges,369.99,,407.65,92,,Percent of Total Billed Charges,333.65,,407.65,92,,Percent of Total Billed Charges,276.94,,398.79,90,,Percent of Total Billed Charges,221.11,,394.36,89,,Percent of Total Billed Charges,212.69,,365.11,82.4,,Percent of Total Billed Charges,364.23,,369.55,83.4,,Percent of Total Billed Charges,344.73,,369.55,83.4,,Percent of Total Billed Charges,310.61,,369.55,83.4,,Percent of Total Billed Charges,360.68,,398.79,90,,Percent of Total Billed Charges,375.31,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,407.65,92,,Percent of Total Billed Charges,359.35,,407.65,92,,Percent of Total Billed Charges,329.67,,407.65,92,,Percent of Total Billed Charges,346.95,,407.65,92,,Percent of Total Billed Charges,359.35,,345.62,78,,Percent of Total Billed Charges,345.62,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,238.52,53.83,,Percent of Total Billed Charges,223.77,,153.49,34.64,,Percent of Total Billed Charges,152.87,,221.46,49.98,,Percent of Total Billed Charges,167.49,,153.49,407.65,,																																							
HC PLACE GASTROSTOMY TUBE PERC,49440,CPT,,,,BOTH, , ,490.35,411.89,451.12,92,,Percent of Total Billed Charges,409.93,,451.12,92,,Percent of Total Billed Charges,402.58,,451.12,92,,Percent of Total Billed Charges,394.73,,451.12,92,,Percent of Total Billed Charges,409.44,,451.12,92,,Percent of Total Billed Charges,369.23,,451.12,92,,Percent of Total Billed Charges,306.47,,441.32,90,,Percent of Total Billed Charges,244.68,,436.41,89,,Percent of Total Billed Charges,235.37,,404.05,82.4,,Percent of Total Billed Charges,403.07,,408.95,83.4,,Percent of Total Billed Charges,381.49,,408.95,83.4,,Percent of Total Billed Charges,343.74,,408.95,83.4,,Percent of Total Billed Charges,399.14,,441.32,90,,Percent of Total Billed Charges,415.33,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,451.12,92,,Percent of Total Billed Charges,397.67,,451.12,92,,Percent of Total Billed Charges,364.82,,451.12,92,,Percent of Total Billed Charges,383.94,,451.12,92,,Percent of Total Billed Charges,397.67,,382.47,78,,Percent of Total Billed Charges,382.47,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,263.96,53.83,,Percent of Total Billed Charges,247.63,,169.86,34.64,,Percent of Total Billed Charges,169.17,,245.08,49.98,,Percent of Total Billed Charges,185.35,,169.86,451.12,,																																							
HC CHANGE GTUBE TO GJ PERC,49446,CPT,,,,BOTH, , ,4512.9,3790.84,4151.87,92,,Percent of Total Billed Charges,3772.78,,4151.87,92,,Percent of Total Billed Charges,3705.09,,4151.87,92,,Percent of Total Billed Charges,3632.88,,4151.87,92,,Percent of Total Billed Charges,3768.27,,4151.87,92,,Percent of Total Billed Charges,3398.21,,4151.87,92,,Percent of Total Billed Charges,2820.56,,4061.61,90,,Percent of Total Billed Charges,2251.94,,4016.48,89,,Percent of Total Billed Charges,2166.19,,3718.63,82.4,,Percent of Total Billed Charges,3709.6,,3763.76,83.4,,Percent of Total Billed Charges,3511.04,,3763.76,83.4,,Percent of Total Billed Charges,3163.54,,3763.76,83.4,,Percent of Total Billed Charges,3673.5,,4061.61,90,,Percent of Total Billed Charges,3822.43,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4151.87,92,,Percent of Total Billed Charges,3659.96,,4151.87,92,,Percent of Total Billed Charges,3357.6,,4151.87,92,,Percent of Total Billed Charges,3533.6,,4151.87,92,,Percent of Total Billed Charges,3659.96,,3520.06,78,,Percent of Total Billed Charges,3520.06,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2429.29,53.83,,Percent of Total Billed Charges,2279.01,,1563.27,34.64,,Percent of Total Billed Charges,1556.95,,2255.55,49.98,,Percent of Total Billed Charges,1705.88,,1563.27,4151.87,,																																							
HC REPLACE G/C TUBE PERC,49450,CPT,,,,BOTH, , ,225.75,189.63,207.69,92,,Percent of Total Billed Charges,188.73,,207.69,92,,Percent of Total Billed Charges,185.34,,207.69,92,,Percent of Total Billed Charges,181.73,,207.69,92,,Percent of Total Billed Charges,188.5,,207.69,92,,Percent of Total Billed Charges,169.99,,207.69,92,,Percent of Total Billed Charges,141.09,,203.18,90,,Percent of Total Billed Charges,112.65,,200.92,89,,Percent of Total Billed Charges,108.36,,186.02,82.4,,Percent of Total Billed Charges,185.57,,188.28,83.4,,Percent of Total Billed Charges,175.63,,188.28,83.4,,Percent of Total Billed Charges,158.25,,188.28,83.4,,Percent of Total Billed Charges,183.76,,203.18,90,,Percent of Total Billed Charges,191.21,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,207.69,92,,Percent of Total Billed Charges,183.08,,207.69,92,,Percent of Total Billed Charges,167.96,,207.69,92,,Percent of Total Billed Charges,176.76,,207.69,92,,Percent of Total Billed Charges,183.08,,176.09,78,,Percent of Total Billed Charges,176.09,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,121.52,53.83,,Percent of Total Billed Charges,114,,78.2,34.64,,Percent of Total Billed Charges,77.88,,112.83,49.98,,Percent of Total Billed Charges,85.33,,78.20,207.69,,																																							
HC REPLACE DUOD/JEJ TUBE PERC,49451,CPT,,,,BOTH, , ,225.75,189.63,207.69,92,,Percent of Total Billed Charges,188.73,,207.69,92,,Percent of Total Billed Charges,185.34,,207.69,92,,Percent of Total Billed Charges,181.73,,207.69,92,,Percent of Total Billed Charges,188.5,,207.69,92,,Percent of Total Billed Charges,169.99,,207.69,92,,Percent of Total Billed Charges,141.09,,203.18,90,,Percent of Total Billed Charges,112.65,,200.92,89,,Percent of Total Billed Charges,108.36,,186.02,82.4,,Percent of Total Billed Charges,185.57,,188.28,83.4,,Percent of Total Billed Charges,175.63,,188.28,83.4,,Percent of Total Billed Charges,158.25,,188.28,83.4,,Percent of Total Billed Charges,183.76,,203.18,90,,Percent of Total Billed Charges,191.21,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,207.69,92,,Percent of Total Billed Charges,183.08,,207.69,92,,Percent of Total Billed Charges,167.96,,207.69,92,,Percent of Total Billed Charges,176.76,,207.69,92,,Percent of Total Billed Charges,183.08,,176.09,78,,Percent of Total Billed Charges,176.09,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,121.52,53.83,,Percent of Total Billed Charges,114,,78.2,34.64,,Percent of Total Billed Charges,77.88,,112.83,49.98,,Percent of Total Billed Charges,85.33,,78.20,207.69,,																																							
HC REPLACE GJ TUBE PERC,49452,CPT,,,,BOTH, , ,225.75,189.63,207.69,92,,Percent of Total Billed Charges,188.73,,207.69,92,,Percent of Total Billed Charges,185.34,,207.69,92,,Percent of Total Billed Charges,181.73,,207.69,92,,Percent of Total Billed Charges,188.5,,207.69,92,,Percent of Total Billed Charges,169.99,,207.69,92,,Percent of Total Billed Charges,141.09,,203.18,90,,Percent of Total Billed Charges,112.65,,200.92,89,,Percent of Total Billed Charges,108.36,,186.02,82.4,,Percent of Total Billed Charges,185.57,,188.28,83.4,,Percent of Total Billed Charges,175.63,,188.28,83.4,,Percent of Total Billed Charges,158.25,,188.28,83.4,,Percent of Total Billed Charges,183.76,,203.18,90,,Percent of Total Billed Charges,191.21,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,207.69,92,,Percent of Total Billed Charges,183.08,,207.69,92,,Percent of Total Billed Charges,167.96,,207.69,92,,Percent of Total Billed Charges,176.76,,207.69,92,,Percent of Total Billed Charges,183.08,,176.09,78,,Percent of Total Billed Charges,176.09,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,121.52,53.83,,Percent of Total Billed Charges,114,,78.2,34.64,,Percent of Total Billed Charges,77.88,,112.83,49.98,,Percent of Total Billed Charges,85.33,,78.20,207.69,,																																							
HC FIX G/COLON TUBE W/DEVICE,49460,CPT,,,,BOTH, , ,1880.55,1579.66,1730.11,92,,Percent of Total Billed Charges,1572.14,,1730.11,92,,Percent of Total Billed Charges,1543.93,,1730.11,92,,Percent of Total Billed Charges,1513.84,,1730.11,92,,Percent of Total Billed Charges,1570.26,,1730.11,92,,Percent of Total Billed Charges,1416.05,,1730.11,92,,Percent of Total Billed Charges,1175.34,,1692.5,90,,Percent of Total Billed Charges,938.39,,1673.69,89,,Percent of Total Billed Charges,902.66,,1549.57,82.4,,Percent of Total Billed Charges,1545.81,,1568.38,83.4,,Percent of Total Billed Charges,1463.07,,1568.38,83.4,,Percent of Total Billed Charges,1318.27,,1568.38,83.4,,Percent of Total Billed Charges,1530.77,,1692.5,90,,Percent of Total Billed Charges,1592.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1730.11,92,,Percent of Total Billed Charges,1525.13,,1730.11,92,,Percent of Total Billed Charges,1399.13,,1730.11,92,,Percent of Total Billed Charges,1472.47,,1730.11,92,,Percent of Total Billed Charges,1525.13,,1466.83,78,,Percent of Total Billed Charges,1466.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1012.3,53.83,,Percent of Total Billed Charges,949.68,,651.42,34.64,,Percent of Total Billed Charges,648.79,,939.9,49.98,,Percent of Total Billed Charges,710.85,,651.42,1730.11,,																																							
HC FLUORO EXAM OF G/COLON TUBE,49465,CPT,,,,BOTH, , ,733.95,616.52,675.23,92,,Percent of Total Billed Charges,613.58,,675.23,92,,Percent of Total Billed Charges,602.57,,675.23,92,,Percent of Total Billed Charges,590.83,,675.23,92,,Percent of Total Billed Charges,612.85,,675.23,92,,Percent of Total Billed Charges,552.66,,675.23,92,,Percent of Total Billed Charges,458.72,,660.56,90,,Percent of Total Billed Charges,366.24,,653.22,89,,Percent of Total Billed Charges,352.3,,604.77,82.4,,Percent of Total Billed Charges,603.31,,612.11,83.4,,Percent of Total Billed Charges,571.01,,612.11,83.4,,Percent of Total Billed Charges,514.5,,612.11,83.4,,Percent of Total Billed Charges,597.44,,660.56,90,,Percent of Total Billed Charges,621.66,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,675.23,92,,Percent of Total Billed Charges,595.23,,675.23,92,,Percent of Total Billed Charges,546.06,,675.23,92,,Percent of Total Billed Charges,574.68,,675.23,92,,Percent of Total Billed Charges,595.23,,572.48,78,,Percent of Total Billed Charges,572.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,395.09,53.83,,Percent of Total Billed Charges,370.64,,254.24,34.64,,Percent of Total Billed Charges,253.21,,366.83,49.98,,Percent of Total Billed Charges,277.43,,254.24,675.23,,																																							
HC RENAL BIOPSY PERCUTANEOUS,50200,CPT,,,,BOTH, , ,3666.6,3079.94,3373.27,92,,Percent of Total Billed Charges,3065.28,,3373.27,92,,Percent of Total Billed Charges,3010.28,,3373.27,92,,Percent of Total Billed Charges,2951.61,,3373.27,92,,Percent of Total Billed Charges,3061.61,,3373.27,92,,Percent of Total Billed Charges,2760.95,,3373.27,92,,Percent of Total Billed Charges,2291.63,,3299.94,90,,Percent of Total Billed Charges,1829.63,,3263.27,89,,Percent of Total Billed Charges,1759.97,,3021.28,82.4,,Percent of Total Billed Charges,3013.95,,3057.94,83.4,,Percent of Total Billed Charges,2852.61,,3057.94,83.4,,Percent of Total Billed Charges,2570.29,,3057.94,83.4,,Percent of Total Billed Charges,2984.61,,3299.94,90,,Percent of Total Billed Charges,3105.61,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3373.27,92,,Percent of Total Billed Charges,2973.61,,3373.27,92,,Percent of Total Billed Charges,2727.95,,3373.27,92,,Percent of Total Billed Charges,2870.95,,3373.27,92,,Percent of Total Billed Charges,2973.61,,2859.95,78,,Percent of Total Billed Charges,2859.95,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1973.73,53.83,,Percent of Total Billed Charges,1851.63,,1270.11,34.64,,Percent of Total Billed Charges,1264.98,,1832.57,49.98,,Percent of Total Billed Charges,1385.97,,1270.11,3373.27,,																																							
HC DRAINAGE OF KIDNEY LESION,50390,CPT,,,,BOTH, , ,4387.95,3685.88,4036.91,92,,Percent of Total Billed Charges,3668.33,,4036.91,92,,Percent of Total Billed Charges,3602.51,,4036.91,92,,Percent of Total Billed Charges,3532.3,,4036.91,92,,Percent of Total Billed Charges,3663.94,,4036.91,92,,Percent of Total Billed Charges,3304.13,,4036.91,92,,Percent of Total Billed Charges,2742.47,,3949.16,90,,Percent of Total Billed Charges,2189.59,,3905.28,89,,Percent of Total Billed Charges,2106.22,,3615.67,82.4,,Percent of Total Billed Charges,3606.89,,3659.55,83.4,,Percent of Total Billed Charges,3413.83,,3659.55,83.4,,Percent of Total Billed Charges,3075.95,,3659.55,83.4,,Percent of Total Billed Charges,3571.79,,3949.16,90,,Percent of Total Billed Charges,3716.59,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4036.91,92,,Percent of Total Billed Charges,3558.63,,4036.91,92,,Percent of Total Billed Charges,3264.63,,4036.91,92,,Percent of Total Billed Charges,3435.76,,4036.91,92,,Percent of Total Billed Charges,3558.63,,3422.6,78,,Percent of Total Billed Charges,3422.6,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2362.03,53.83,,Percent of Total Billed Charges,2215.91,,1519.99,34.64,,Percent of Total Billed Charges,1513.84,,2193.1,49.98,,Percent of Total Billed Charges,1658.65,,1519.99,4036.91,,																																							
HC PLMT NEPHROSTOMY CATHETER,50432,CPT,,,,BOTH, , ,7195.65,6044.35,6620,92,,Percent of Total Billed Charges,6015.56,,6620,92,,Percent of Total Billed Charges,5907.63,,6620,92,,Percent of Total Billed Charges,5792.5,,6620,92,,Percent of Total Billed Charges,6008.37,,6620,92,,Percent of Total Billed Charges,5418.32,,6620,92,,Percent of Total Billed Charges,4497.28,,6476.09,90,,Percent of Total Billed Charges,3590.63,,6404.13,89,,Percent of Total Billed Charges,3453.91,,5929.22,82.4,,Percent of Total Billed Charges,5914.82,,6001.17,83.4,,Percent of Total Billed Charges,5598.22,,6001.17,83.4,,Percent of Total Billed Charges,5044.15,,6001.17,83.4,,Percent of Total Billed Charges,5857.26,,6476.09,90,,Percent of Total Billed Charges,6094.72,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6620,92,,Percent of Total Billed Charges,5835.67,,6620,92,,Percent of Total Billed Charges,5353.56,,6620,92,,Percent of Total Billed Charges,5634.19,,6620,92,,Percent of Total Billed Charges,5835.67,,5612.61,78,,Percent of Total Billed Charges,5612.61,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3873.42,53.83,,Percent of Total Billed Charges,3633.8,,2492.57,34.64,,Percent of Total Billed Charges,2482.5,,3596.39,49.98,,Percent of Total Billed Charges,2719.96,,2492.57,6620,,																																							
HC PERC CRYO ABLATE RENAL TUM,50593,CPT,,,,BOTH, , ,3550.05,2982.04,3266.05,92,,Percent of Total Billed Charges,2967.84,,3266.05,92,,Percent of Total Billed Charges,2914.59,,3266.05,92,,Percent of Total Billed Charges,2857.79,,3266.05,92,,Percent of Total Billed Charges,2964.29,,3266.05,92,,Percent of Total Billed Charges,2673.19,,3266.05,92,,Percent of Total Billed Charges,2218.78,,3195.05,90,,Percent of Total Billed Charges,1771.47,,3159.54,89,,Percent of Total Billed Charges,1704.02,,2925.24,82.4,,Percent of Total Billed Charges,2918.14,,2960.74,83.4,,Percent of Total Billed Charges,2761.94,,2960.74,83.4,,Percent of Total Billed Charges,2488.59,,2960.74,83.4,,Percent of Total Billed Charges,2889.74,,3195.05,90,,Percent of Total Billed Charges,3006.89,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3266.05,92,,Percent of Total Billed Charges,2879.09,,3266.05,92,,Percent of Total Billed Charges,2641.24,,3266.05,92,,Percent of Total Billed Charges,2779.69,,3266.05,92,,Percent of Total Billed Charges,2879.09,,2769.04,78,,Percent of Total Billed Charges,2769.04,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1910.99,53.83,,Percent of Total Billed Charges,1792.78,,1229.74,34.64,,Percent of Total Billed Charges,1224.77,,1774.31,49.98,,Percent of Total Billed Charges,1341.92,,1229.74,3266.05,,																																							
HC CHANGE OF URETER TUBE/STENT,50688,CPT,,,,BOTH, , ,5815.95,4885.4,5350.67,92,,Percent of Total Billed Charges,4862.13,,5350.67,92,,Percent of Total Billed Charges,4774.89,,5350.67,92,,Percent of Total Billed Charges,4681.84,,5350.67,92,,Percent of Total Billed Charges,4856.32,,5350.67,92,,Percent of Total Billed Charges,4379.41,,5350.67,92,,Percent of Total Billed Charges,3634.97,,5234.36,90,,Percent of Total Billed Charges,2902.16,,5176.2,89,,Percent of Total Billed Charges,2791.66,,4792.34,82.4,,Percent of Total Billed Charges,4780.71,,4850.5,83.4,,Percent of Total Billed Charges,4524.81,,4850.5,83.4,,Percent of Total Billed Charges,4076.98,,4850.5,83.4,,Percent of Total Billed Charges,4734.18,,5234.36,90,,Percent of Total Billed Charges,4926.11,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5350.67,92,,Percent of Total Billed Charges,4716.74,,5350.67,92,,Percent of Total Billed Charges,4327.07,,5350.67,92,,Percent of Total Billed Charges,4553.89,,5350.67,92,,Percent of Total Billed Charges,4716.74,,4536.44,78,,Percent of Total Billed Charges,4536.44,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3130.73,53.83,,Percent of Total Billed Charges,2937.05,,2014.65,34.64,,Percent of Total Billed Charges,2006.5,,2906.81,49.98,,Percent of Total Billed Charges,2198.43,,2014.65,5350.67,,																																							
HC INJECTION FOR BLADDER XRAY; CYSTOGRAPHY OR VOIDING,51600,CPT,,,,BOTH, , ,176.4,148.18,162.29,92,,Percent of Total Billed Charges,147.47,,162.29,92,,Percent of Total Billed Charges,144.82,,162.29,92,,Percent of Total Billed Charges,142,,162.29,92,,Percent of Total Billed Charges,147.29,,162.29,92,,Percent of Total Billed Charges,132.83,,162.29,92,,Percent of Total Billed Charges,110.25,,158.76,90,,Percent of Total Billed Charges,88.02,,157,89,,Percent of Total Billed Charges,84.67,,145.35,82.4,,Percent of Total Billed Charges,145,,147.12,83.4,,Percent of Total Billed Charges,137.24,,147.12,83.4,,Percent of Total Billed Charges,123.66,,147.12,83.4,,Percent of Total Billed Charges,143.59,,158.76,90,,Percent of Total Billed Charges,149.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,162.29,92,,Percent of Total Billed Charges,143.06,,162.29,92,,Percent of Total Billed Charges,131.24,,162.29,92,,Percent of Total Billed Charges,138.12,,162.29,92,,Percent of Total Billed Charges,143.06,,137.59,78,,Percent of Total Billed Charges,137.59,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,94.96,53.83,,Percent of Total Billed Charges,89.08,,61.1,34.64,,Percent of Total Billed Charges,60.86,,88.16,49.98,,Percent of Total Billed Charges,66.68,,61.10,162.29,,																																							
HC INJECTION FOR BLADDER XRAY; RETROGRADE,51610,CPT,,,,BOTH, , ,508.2,426.89,467.54,92,,Percent of Total Billed Charges,424.86,,467.54,92,,Percent of Total Billed Charges,417.23,,467.54,92,,Percent of Total Billed Charges,409.1,,467.54,92,,Percent of Total Billed Charges,424.35,,467.54,92,,Percent of Total Billed Charges,382.67,,467.54,92,,Percent of Total Billed Charges,317.63,,457.38,90,,Percent of Total Billed Charges,253.59,,452.3,89,,Percent of Total Billed Charges,243.94,,418.76,82.4,,Percent of Total Billed Charges,417.74,,423.84,83.4,,Percent of Total Billed Charges,395.38,,423.84,83.4,,Percent of Total Billed Charges,356.25,,423.84,83.4,,Percent of Total Billed Charges,413.67,,457.38,90,,Percent of Total Billed Charges,430.45,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,467.54,92,,Percent of Total Billed Charges,412.15,,467.54,92,,Percent of Total Billed Charges,378.1,,467.54,92,,Percent of Total Billed Charges,397.92,,467.54,92,,Percent of Total Billed Charges,412.15,,396.4,78,,Percent of Total Billed Charges,396.4,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,273.56,53.83,,Percent of Total Billed Charges,256.64,,176.04,34.64,,Percent of Total Billed Charges,175.33,,254,49.98,,Percent of Total Billed Charges,192.1,,176.04,467.54,,																																							
HC CIRCUMCISION USING CLAMP OR OTHER W REGIONAL BLOCK,54150,CPT,,,,BOTH, , ,5285.7,4439.99,4862.84,92,,Percent of Total Billed Charges,4418.85,,4862.84,92,,Percent of Total Billed Charges,4339.56,,4862.84,92,,Percent of Total Billed Charges,4254.99,,4862.84,92,,Percent of Total Billed Charges,4413.56,,4862.84,92,,Percent of Total Billed Charges,3980.13,,4862.84,92,,Percent of Total Billed Charges,3303.56,,4757.13,90,,Percent of Total Billed Charges,2637.56,,4704.27,89,,Percent of Total Billed Charges,2537.14,,4355.42,82.4,,Percent of Total Billed Charges,4344.85,,4408.27,83.4,,Percent of Total Billed Charges,4112.27,,4408.27,83.4,,Percent of Total Billed Charges,3705.28,,4408.27,83.4,,Percent of Total Billed Charges,4302.56,,4757.13,90,,Percent of Total Billed Charges,4476.99,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4862.84,92,,Percent of Total Billed Charges,4286.7,,4862.84,92,,Percent of Total Billed Charges,3932.56,,4862.84,92,,Percent of Total Billed Charges,4138.7,,4862.84,92,,Percent of Total Billed Charges,4286.7,,4122.85,78,,Percent of Total Billed Charges,4122.85,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2845.29,53.83,,Percent of Total Billed Charges,2669.28,,1830.97,34.64,,Percent of Total Billed Charges,1823.57,,2641.79,49.98,,Percent of Total Billed Charges,1997.99,,1830.97,4862.84,,																																							
HC CATHETER FOR HYSTEROGRAPHY,58340,CPT,,,,BOTH, , ,644.7,541.55,593.12,92,,Percent of Total Billed Charges,538.97,,593.12,92,,Percent of Total Billed Charges,529.3,,593.12,92,,Percent of Total Billed Charges,518.98,,593.12,92,,Percent of Total Billed Charges,538.32,,593.12,92,,Percent of Total Billed Charges,485.46,,593.12,92,,Percent of Total Billed Charges,402.94,,580.23,90,,Percent of Total Billed Charges,321.71,,573.78,89,,Percent of Total Billed Charges,309.46,,531.23,82.4,,Percent of Total Billed Charges,529.94,,537.68,83.4,,Percent of Total Billed Charges,501.58,,537.68,83.4,,Percent of Total Billed Charges,451.93,,537.68,83.4,,Percent of Total Billed Charges,524.79,,580.23,90,,Percent of Total Billed Charges,546.06,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,593.12,92,,Percent of Total Billed Charges,522.85,,593.12,92,,Percent of Total Billed Charges,479.66,,593.12,92,,Percent of Total Billed Charges,504.8,,593.12,92,,Percent of Total Billed Charges,522.85,,502.87,78,,Percent of Total Billed Charges,502.87,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,347.04,53.83,,Percent of Total Billed Charges,325.57,,223.32,34.64,,Percent of Total Billed Charges,222.42,,322.22,49.98,,Percent of Total Billed Charges,243.7,,223.32,593.12,,																																							
HC DELIVERY OF PLACENTA,59414,CPT,,,,BOTH, , ,7903.35,6638.81,7271.08,92,,Percent of Total Billed Charges,6607.2,,7271.08,92,,Percent of Total Billed Charges,6488.65,,7271.08,92,,Percent of Total Billed Charges,6362.2,,7271.08,92,,Percent of Total Billed Charges,6599.3,,7271.08,92,,Percent of Total Billed Charges,5951.22,,7271.08,92,,Percent of Total Billed Charges,4939.59,,7113.02,90,,Percent of Total Billed Charges,3943.77,,7033.98,89,,Percent of Total Billed Charges,3793.61,,6512.36,82.4,,Percent of Total Billed Charges,6496.55,,6591.39,83.4,,Percent of Total Billed Charges,6148.81,,6591.39,83.4,,Percent of Total Billed Charges,5540.25,,6591.39,83.4,,Percent of Total Billed Charges,6433.33,,7113.02,90,,Percent of Total Billed Charges,6694.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,7271.08,92,,Percent of Total Billed Charges,6409.62,,7271.08,92,,Percent of Total Billed Charges,5880.09,,7271.08,92,,Percent of Total Billed Charges,6188.32,,7271.08,92,,Percent of Total Billed Charges,6409.62,,6164.61,78,,Percent of Total Billed Charges,6164.61,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4254.37,53.83,,Percent of Total Billed Charges,3991.19,,2737.72,34.64,,Percent of Total Billed Charges,2726.66,,3950.09,49.98,,Percent of Total Billed Charges,2987.47,,2737.72,7271.08,,																																							
HC BIOPSY OF THYROID,60100,CPT,,,,BOTH, , ,1988.7,1670.51,1829.6,92,,Percent of Total Billed Charges,1662.55,,1829.6,92,,Percent of Total Billed Charges,1632.72,,1829.6,92,,Percent of Total Billed Charges,1600.9,,1829.6,92,,Percent of Total Billed Charges,1660.56,,1829.6,92,,Percent of Total Billed Charges,1497.49,,1829.6,92,,Percent of Total Billed Charges,1242.94,,1789.83,90,,Percent of Total Billed Charges,992.36,,1769.94,89,,Percent of Total Billed Charges,954.58,,1638.69,82.4,,Percent of Total Billed Charges,1634.71,,1658.58,83.4,,Percent of Total Billed Charges,1547.21,,1658.58,83.4,,Percent of Total Billed Charges,1394.08,,1658.58,83.4,,Percent of Total Billed Charges,1618.8,,1789.83,90,,Percent of Total Billed Charges,1684.43,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1829.6,92,,Percent of Total Billed Charges,1612.84,,1829.6,92,,Percent of Total Billed Charges,1479.59,,1829.6,92,,Percent of Total Billed Charges,1557.15,,1829.6,92,,Percent of Total Billed Charges,1612.84,,1551.19,78,,Percent of Total Billed Charges,1551.19,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1070.52,53.83,,Percent of Total Billed Charges,1004.29,,688.89,34.64,,Percent of Total Billed Charges,686.1,,993.95,49.98,,Percent of Total Billed Charges,751.73,,688.89,1829.6,,																																							
HC ASPIR/INJ THYROID CYST,60300,CPT,,,,BOTH, , ,1988.7,1670.51,1829.6,92,,Percent of Total Billed Charges,1662.55,,1829.6,92,,Percent of Total Billed Charges,1632.72,,1829.6,92,,Percent of Total Billed Charges,1600.9,,1829.6,92,,Percent of Total Billed Charges,1660.56,,1829.6,92,,Percent of Total Billed Charges,1497.49,,1829.6,92,,Percent of Total Billed Charges,1242.94,,1789.83,90,,Percent of Total Billed Charges,992.36,,1769.94,89,,Percent of Total Billed Charges,954.58,,1638.69,82.4,,Percent of Total Billed Charges,1634.71,,1658.58,83.4,,Percent of Total Billed Charges,1547.21,,1658.58,83.4,,Percent of Total Billed Charges,1394.08,,1658.58,83.4,,Percent of Total Billed Charges,1618.8,,1789.83,90,,Percent of Total Billed Charges,1684.43,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1829.6,92,,Percent of Total Billed Charges,1612.84,,1829.6,92,,Percent of Total Billed Charges,1479.59,,1829.6,92,,Percent of Total Billed Charges,1557.15,,1829.6,92,,Percent of Total Billed Charges,1612.84,,1551.19,78,,Percent of Total Billed Charges,1551.19,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1070.52,53.83,,Percent of Total Billed Charges,1004.29,,688.89,34.64,,Percent of Total Billed Charges,686.1,,993.95,49.98,,Percent of Total Billed Charges,751.73,,688.89,1829.6,,																																							
HC INJECTION INTO BRAIN CANAL,61055,CPT,,,,BOTH, , ,1855.35,1558.49,1706.92,92,,Percent of Total Billed Charges,1551.07,,1706.92,92,,Percent of Total Billed Charges,1523.24,,1706.92,92,,Percent of Total Billed Charges,1493.56,,1706.92,92,,Percent of Total Billed Charges,1549.22,,1706.92,92,,Percent of Total Billed Charges,1397.08,,1706.92,92,,Percent of Total Billed Charges,1159.59,,1669.82,90,,Percent of Total Billed Charges,925.82,,1651.26,89,,Percent of Total Billed Charges,890.57,,1528.81,82.4,,Percent of Total Billed Charges,1525.1,,1547.36,83.4,,Percent of Total Billed Charges,1443.46,,1547.36,83.4,,Percent of Total Billed Charges,1300.6,,1547.36,83.4,,Percent of Total Billed Charges,1510.25,,1669.82,90,,Percent of Total Billed Charges,1571.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1706.92,92,,Percent of Total Billed Charges,1504.69,,1706.92,92,,Percent of Total Billed Charges,1380.38,,1706.92,92,,Percent of Total Billed Charges,1452.74,,1706.92,92,,Percent of Total Billed Charges,1504.69,,1447.17,78,,Percent of Total Billed Charges,1447.17,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,998.73,53.83,,Percent of Total Billed Charges,936.95,,642.69,34.64,,Percent of Total Billed Charges,640.1,,927.3,49.98,,Percent of Total Billed Charges,701.32,,642.69,1706.92,,																																							
HC SPINAL FLUID TAP DIAGNOSTIC,62270,CPT,,,,BOTH, , ,1254.75,1053.99,1154.37,92,,Percent of Total Billed Charges,1048.97,,1154.37,92,,Percent of Total Billed Charges,1030.15,,1154.37,92,,Percent of Total Billed Charges,1010.07,,1154.37,92,,Percent of Total Billed Charges,1047.72,,1154.37,92,,Percent of Total Billed Charges,944.83,,1154.37,92,,Percent of Total Billed Charges,784.22,,1129.28,90,,Percent of Total Billed Charges,626.12,,1116.73,89,,Percent of Total Billed Charges,602.28,,1033.91,82.4,,Percent of Total Billed Charges,1031.4,,1046.46,83.4,,Percent of Total Billed Charges,976.2,,1046.46,83.4,,Percent of Total Billed Charges,879.58,,1046.46,83.4,,Percent of Total Billed Charges,1021.37,,1129.28,90,,Percent of Total Billed Charges,1062.77,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1154.37,92,,Percent of Total Billed Charges,1017.6,,1154.37,92,,Percent of Total Billed Charges,933.53,,1154.37,92,,Percent of Total Billed Charges,982.47,,1154.37,92,,Percent of Total Billed Charges,1017.6,,978.71,78,,Percent of Total Billed Charges,978.71,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,675.43,53.83,,Percent of Total Billed Charges,633.65,,434.65,34.64,,Percent of Total Billed Charges,432.89,,627.12,49.98,,Percent of Total Billed Charges,474.3,,434.65,1154.37,,																																							
HC INJECT EPIDURAL PATCH,62273,CPT,,,,BOTH, , ,3241.35,2722.73,2982.04,92,,Percent of Total Billed Charges,2709.77,,2982.04,92,,Percent of Total Billed Charges,2661.15,,2982.04,92,,Percent of Total Billed Charges,2609.29,,2982.04,92,,Percent of Total Billed Charges,2706.53,,2982.04,92,,Percent of Total Billed Charges,2440.74,,2982.04,92,,Percent of Total Billed Charges,2025.84,,2917.22,90,,Percent of Total Billed Charges,1617.43,,2884.8,89,,Percent of Total Billed Charges,1555.85,,2670.87,82.4,,Percent of Total Billed Charges,2664.39,,2703.29,83.4,,Percent of Total Billed Charges,2521.77,,2703.29,83.4,,Percent of Total Billed Charges,2272.19,,2703.29,83.4,,Percent of Total Billed Charges,2638.46,,2917.22,90,,Percent of Total Billed Charges,2745.42,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2982.04,92,,Percent of Total Billed Charges,2628.73,,2982.04,92,,Percent of Total Billed Charges,2411.56,,2982.04,92,,Percent of Total Billed Charges,2537.98,,2982.04,92,,Percent of Total Billed Charges,2628.73,,2528.25,78,,Percent of Total Billed Charges,2528.25,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1744.82,53.83,,Percent of Total Billed Charges,1636.88,,1122.8,34.64,,Percent of Total Billed Charges,1118.27,,1620.03,49.98,,Percent of Total Billed Charges,1225.23,,1122.80,2982.04,,																																							
HC INJECTION FOR MYELOGRAM,62284,CPT,,,,BOTH, , ,1474.2,1238.33,1356.26,92,,Percent of Total Billed Charges,1232.43,,1356.26,92,,Percent of Total Billed Charges,1210.32,,1356.26,92,,Percent of Total Billed Charges,1186.73,,1356.26,92,,Percent of Total Billed Charges,1230.96,,1356.26,92,,Percent of Total Billed Charges,1110.07,,1356.26,92,,Percent of Total Billed Charges,921.38,,1326.78,90,,Percent of Total Billed Charges,735.63,,1312.04,89,,Percent of Total Billed Charges,707.62,,1214.74,82.4,,Percent of Total Billed Charges,1211.79,,1229.48,83.4,,Percent of Total Billed Charges,1146.93,,1229.48,83.4,,Percent of Total Billed Charges,1033.41,,1229.48,83.4,,Percent of Total Billed Charges,1200,,1326.78,90,,Percent of Total Billed Charges,1248.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1356.26,92,,Percent of Total Billed Charges,1195.58,,1356.26,92,,Percent of Total Billed Charges,1096.8,,1356.26,92,,Percent of Total Billed Charges,1154.3,,1356.26,92,,Percent of Total Billed Charges,1195.58,,1149.88,78,,Percent of Total Billed Charges,1149.88,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,793.56,53.83,,Percent of Total Billed Charges,744.47,,510.66,34.64,,Percent of Total Billed Charges,508.6,,736.81,49.98,,Percent of Total Billed Charges,557.25,,510.66,1356.26,,																																							
HC MYELOGRAPHY LUMBAR INJECTION, THORACIC,62303,CPT,,,,BOTH, , ,4264.05,3581.8,3922.93,92,,Percent of Total Billed Charges,3564.75,,3922.93,92,,Percent of Total Billed Charges,3500.79,,3922.93,92,,Percent of Total Billed Charges,3432.56,,3922.93,92,,Percent of Total Billed Charges,3560.48,,3922.93,92,,Percent of Total Billed Charges,3210.83,,3922.93,92,,Percent of Total Billed Charges,2665.03,,3837.65,90,,Percent of Total Billed Charges,2127.76,,3795,89,,Percent of Total Billed Charges,2046.74,,3513.58,82.4,,Percent of Total Billed Charges,3505.05,,3556.22,83.4,,Percent of Total Billed Charges,3317.43,,3556.22,83.4,,Percent of Total Billed Charges,2989.1,,3556.22,83.4,,Percent of Total Billed Charges,3470.94,,3837.65,90,,Percent of Total Billed Charges,3611.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3922.93,92,,Percent of Total Billed Charges,3458.14,,3922.93,92,,Percent of Total Billed Charges,3172.45,,3922.93,92,,Percent of Total Billed Charges,3338.75,,3922.93,92,,Percent of Total Billed Charges,3458.14,,3325.96,78,,Percent of Total Billed Charges,3325.96,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2295.34,53.83,,Percent of Total Billed Charges,2153.35,,1477.07,34.64,,Percent of Total Billed Charges,1471.1,,2131.17,49.98,,Percent of Total Billed Charges,1611.81,,1477.07,3922.93,,																																							
HC MYELOGRAPHY LUMBAR INJECTION, LUMBOSACRAL,62304,CPT,,,,BOTH, , ,4264.05,3581.8,3922.93,92,,Percent of Total Billed Charges,3564.75,,3922.93,92,,Percent of Total Billed Charges,3500.79,,3922.93,92,,Percent of Total Billed Charges,3432.56,,3922.93,92,,Percent of Total Billed Charges,3560.48,,3922.93,92,,Percent of Total Billed Charges,3210.83,,3922.93,92,,Percent of Total Billed Charges,2665.03,,3837.65,90,,Percent of Total Billed Charges,2127.76,,3795,89,,Percent of Total Billed Charges,2046.74,,3513.58,82.4,,Percent of Total Billed Charges,3505.05,,3556.22,83.4,,Percent of Total Billed Charges,3317.43,,3556.22,83.4,,Percent of Total Billed Charges,2989.1,,3556.22,83.4,,Percent of Total Billed Charges,3470.94,,3837.65,90,,Percent of Total Billed Charges,3611.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3922.93,92,,Percent of Total Billed Charges,3458.14,,3922.93,92,,Percent of Total Billed Charges,3172.45,,3922.93,92,,Percent of Total Billed Charges,3338.75,,3922.93,92,,Percent of Total Billed Charges,3458.14,,3325.96,78,,Percent of Total Billed Charges,3325.96,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2295.34,53.83,,Percent of Total Billed Charges,2153.35,,1477.07,34.64,,Percent of Total Billed Charges,1471.1,,2131.17,49.98,,Percent of Total Billed Charges,1611.81,,1477.07,3922.93,,																																							
HC MYELOGRAPHY LUMBAR INJECTION, 2 OR MORE REGIONS,62305,CPT,,,,BOTH, , ,4264.05,3581.8,3922.93,92,,Percent of Total Billed Charges,3564.75,,3922.93,92,,Percent of Total Billed Charges,3500.79,,3922.93,92,,Percent of Total Billed Charges,3432.56,,3922.93,92,,Percent of Total Billed Charges,3560.48,,3922.93,92,,Percent of Total Billed Charges,3210.83,,3922.93,92,,Percent of Total Billed Charges,2665.03,,3837.65,90,,Percent of Total Billed Charges,2127.76,,3795,89,,Percent of Total Billed Charges,2046.74,,3513.58,82.4,,Percent of Total Billed Charges,3505.05,,3556.22,83.4,,Percent of Total Billed Charges,3317.43,,3556.22,83.4,,Percent of Total Billed Charges,2989.1,,3556.22,83.4,,Percent of Total Billed Charges,3470.94,,3837.65,90,,Percent of Total Billed Charges,3611.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3922.93,92,,Percent of Total Billed Charges,3458.14,,3922.93,92,,Percent of Total Billed Charges,3172.45,,3922.93,92,,Percent of Total Billed Charges,3338.75,,3922.93,92,,Percent of Total Billed Charges,3458.14,,3325.96,78,,Percent of Total Billed Charges,3325.96,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2295.34,53.83,,Percent of Total Billed Charges,2153.35,,1477.07,34.64,,Percent of Total Billed Charges,1471.1,,2131.17,49.98,,Percent of Total Billed Charges,1611.81,,1477.07,3922.93,,																																							
HC INJECT SPINE CERV/THORACIC,62321,CPT,,,,BOTH, , ,3241.35,2722.73,2982.04,92,,Percent of Total Billed Charges,2709.77,,2982.04,92,,Percent of Total Billed Charges,2661.15,,2982.04,92,,Percent of Total Billed Charges,2609.29,,2982.04,92,,Percent of Total Billed Charges,2706.53,,2982.04,92,,Percent of Total Billed Charges,2440.74,,2982.04,92,,Percent of Total Billed Charges,2025.84,,2917.22,90,,Percent of Total Billed Charges,1617.43,,2884.8,89,,Percent of Total Billed Charges,1555.85,,2670.87,82.4,,Percent of Total Billed Charges,2664.39,,2703.29,83.4,,Percent of Total Billed Charges,2521.77,,2703.29,83.4,,Percent of Total Billed Charges,2272.19,,2703.29,83.4,,Percent of Total Billed Charges,2638.46,,2917.22,90,,Percent of Total Billed Charges,2745.42,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2982.04,92,,Percent of Total Billed Charges,2628.73,,2982.04,92,,Percent of Total Billed Charges,2411.56,,2982.04,92,,Percent of Total Billed Charges,2537.98,,2982.04,92,,Percent of Total Billed Charges,2628.73,,2528.25,78,,Percent of Total Billed Charges,2528.25,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1744.82,53.83,,Percent of Total Billed Charges,1636.88,,1122.8,34.64,,Percent of Total Billed Charges,1118.27,,1620.03,49.98,,Percent of Total Billed Charges,1225.23,,1122.80,2982.04,,																																							
HC INJECT SPINE LUMBAR/SACRAL,62323,CPT,,,,BOTH, , ,3354.75,2817.99,3086.37,92,,Percent of Total Billed Charges,2804.57,,3086.37,92,,Percent of Total Billed Charges,2754.25,,3086.37,92,,Percent of Total Billed Charges,2700.57,,3086.37,92,,Percent of Total Billed Charges,2801.22,,3086.37,92,,Percent of Total Billed Charges,2526.13,,3086.37,92,,Percent of Total Billed Charges,2096.72,,3019.28,90,,Percent of Total Billed Charges,1674.02,,2985.73,89,,Percent of Total Billed Charges,1610.28,,2764.31,82.4,,Percent of Total Billed Charges,2757.6,,2797.86,83.4,,Percent of Total Billed Charges,2610,,2797.86,83.4,,Percent of Total Billed Charges,2351.68,,2797.86,83.4,,Percent of Total Billed Charges,2730.77,,3019.28,90,,Percent of Total Billed Charges,2841.47,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3086.37,92,,Percent of Total Billed Charges,2720.7,,3086.37,92,,Percent of Total Billed Charges,2495.93,,3086.37,92,,Percent of Total Billed Charges,2626.77,,3086.37,92,,Percent of Total Billed Charges,2720.7,,2616.71,78,,Percent of Total Billed Charges,2616.71,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1805.86,53.83,,Percent of Total Billed Charges,1694.15,,1162.09,34.64,,Percent of Total Billed Charges,1157.39,,1676.7,49.98,,Percent of Total Billed Charges,1268.1,,1162.09,3086.37,,																																							
HC N BLOCK SUPRACLAVICULAR INJ,64415,CPT,,,,BOTH, , ,1483.65,1246.27,1364.96,92,,Percent of Total Billed Charges,1240.33,,1364.96,92,,Percent of Total Billed Charges,1218.08,,1364.96,92,,Percent of Total Billed Charges,1194.34,,1364.96,92,,Percent of Total Billed Charges,1238.85,,1364.96,92,,Percent of Total Billed Charges,1117.19,,1364.96,92,,Percent of Total Billed Charges,927.28,,1335.29,90,,Percent of Total Billed Charges,740.34,,1320.45,89,,Percent of Total Billed Charges,712.15,,1222.53,82.4,,Percent of Total Billed Charges,1219.56,,1237.36,83.4,,Percent of Total Billed Charges,1154.28,,1237.36,83.4,,Percent of Total Billed Charges,1040.04,,1237.36,83.4,,Percent of Total Billed Charges,1207.69,,1335.29,90,,Percent of Total Billed Charges,1256.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1364.96,92,,Percent of Total Billed Charges,1203.24,,1364.96,92,,Percent of Total Billed Charges,1103.84,,1364.96,92,,Percent of Total Billed Charges,1161.7,,1364.96,92,,Percent of Total Billed Charges,1203.24,,1157.25,78,,Percent of Total Billed Charges,1157.25,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,798.65,53.83,,Percent of Total Billed Charges,749.24,,513.94,34.64,,Percent of Total Billed Charges,511.86,,741.53,49.98,,Percent of Total Billed Charges,560.82,,513.94,1364.96,,																																							
HC N BLOCK CONT INFUSE BRACHIAL PLEX / SUPRACLAVICULAR,64416,CPT,,,,BOTH, , ,2837.1,2383.16,2610.13,92,,Percent of Total Billed Charges,2371.82,,2610.13,92,,Percent of Total Billed Charges,2329.26,,2610.13,92,,Percent of Total Billed Charges,2283.87,,2610.13,92,,Percent of Total Billed Charges,2368.98,,2610.13,92,,Percent of Total Billed Charges,2136.34,,2610.13,92,,Percent of Total Billed Charges,1773.19,,2553.39,90,,Percent of Total Billed Charges,1415.71,,2525.02,89,,Percent of Total Billed Charges,1361.81,,2337.77,82.4,,Percent of Total Billed Charges,2332.1,,2366.14,83.4,,Percent of Total Billed Charges,2207.26,,2366.14,83.4,,Percent of Total Billed Charges,1988.81,,2366.14,83.4,,Percent of Total Billed Charges,2309.4,,2553.39,90,,Percent of Total Billed Charges,2403.02,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2610.13,92,,Percent of Total Billed Charges,2300.89,,2610.13,92,,Percent of Total Billed Charges,2110.8,,2610.13,92,,Percent of Total Billed Charges,2221.45,,2610.13,92,,Percent of Total Billed Charges,2300.89,,2212.94,78,,Percent of Total Billed Charges,2212.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1527.21,53.83,,Percent of Total Billed Charges,1432.74,,982.77,34.64,,Percent of Total Billed Charges,978.8,,1417.98,49.98,,Percent of Total Billed Charges,1072.42,,982.77,2610.13,,																																							
HC N BLOCK INJ AXILLARY,64417,CPT,,,,BOTH, , ,1483.65,1246.27,1364.96,92,,Percent of Total Billed Charges,1240.33,,1364.96,92,,Percent of Total Billed Charges,1218.08,,1364.96,92,,Percent of Total Billed Charges,1194.34,,1364.96,92,,Percent of Total Billed Charges,1238.85,,1364.96,92,,Percent of Total Billed Charges,1117.19,,1364.96,92,,Percent of Total Billed Charges,927.28,,1335.29,90,,Percent of Total Billed Charges,740.34,,1320.45,89,,Percent of Total Billed Charges,712.15,,1222.53,82.4,,Percent of Total Billed Charges,1219.56,,1237.36,83.4,,Percent of Total Billed Charges,1154.28,,1237.36,83.4,,Percent of Total Billed Charges,1040.04,,1237.36,83.4,,Percent of Total Billed Charges,1207.69,,1335.29,90,,Percent of Total Billed Charges,1256.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1364.96,92,,Percent of Total Billed Charges,1203.24,,1364.96,92,,Percent of Total Billed Charges,1103.84,,1364.96,92,,Percent of Total Billed Charges,1161.7,,1364.96,92,,Percent of Total Billed Charges,1203.24,,1157.25,78,,Percent of Total Billed Charges,1157.25,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,798.65,53.83,,Percent of Total Billed Charges,749.24,,513.94,34.64,,Percent of Total Billed Charges,511.86,,741.53,49.98,,Percent of Total Billed Charges,560.82,,513.94,1364.96,,																																							
HC N BLOCK INJ SCIATIC SINGLE / POPLITEAL SINGLE,64445,CPT,,,,BOTH, , ,2837.1,2383.16,2610.13,92,,Percent of Total Billed Charges,2371.82,,2610.13,92,,Percent of Total Billed Charges,2329.26,,2610.13,92,,Percent of Total Billed Charges,2283.87,,2610.13,92,,Percent of Total Billed Charges,2368.98,,2610.13,92,,Percent of Total Billed Charges,2136.34,,2610.13,92,,Percent of Total Billed Charges,1773.19,,2553.39,90,,Percent of Total Billed Charges,1415.71,,2525.02,89,,Percent of Total Billed Charges,1361.81,,2337.77,82.4,,Percent of Total Billed Charges,2332.1,,2366.14,83.4,,Percent of Total Billed Charges,2207.26,,2366.14,83.4,,Percent of Total Billed Charges,1988.81,,2366.14,83.4,,Percent of Total Billed Charges,2309.4,,2553.39,90,,Percent of Total Billed Charges,2403.02,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2610.13,92,,Percent of Total Billed Charges,2300.89,,2610.13,92,,Percent of Total Billed Charges,2110.8,,2610.13,92,,Percent of Total Billed Charges,2221.45,,2610.13,92,,Percent of Total Billed Charges,2300.89,,2212.94,78,,Percent of Total Billed Charges,2212.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1527.21,53.83,,Percent of Total Billed Charges,1432.74,,982.77,34.64,,Percent of Total Billed Charges,978.8,,1417.98,49.98,,Percent of Total Billed Charges,1072.42,,982.77,2610.13,,																																							
HC N BLOCK INJ FEMORAL SINGLE,64447,CPT,,,,BOTH, , ,1483.65,1246.27,1364.96,92,,Percent of Total Billed Charges,1240.33,,1364.96,92,,Percent of Total Billed Charges,1218.08,,1364.96,92,,Percent of Total Billed Charges,1194.34,,1364.96,92,,Percent of Total Billed Charges,1238.85,,1364.96,92,,Percent of Total Billed Charges,1117.19,,1364.96,92,,Percent of Total Billed Charges,927.28,,1335.29,90,,Percent of Total Billed Charges,740.34,,1320.45,89,,Percent of Total Billed Charges,712.15,,1222.53,82.4,,Percent of Total Billed Charges,1219.56,,1237.36,83.4,,Percent of Total Billed Charges,1154.28,,1237.36,83.4,,Percent of Total Billed Charges,1040.04,,1237.36,83.4,,Percent of Total Billed Charges,1207.69,,1335.29,90,,Percent of Total Billed Charges,1256.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1364.96,92,,Percent of Total Billed Charges,1203.24,,1364.96,92,,Percent of Total Billed Charges,1103.84,,1364.96,92,,Percent of Total Billed Charges,1161.7,,1364.96,92,,Percent of Total Billed Charges,1203.24,,1157.25,78,,Percent of Total Billed Charges,1157.25,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,798.65,53.83,,Percent of Total Billed Charges,749.24,,513.94,34.64,,Percent of Total Billed Charges,511.86,,741.53,49.98,,Percent of Total Billed Charges,560.82,,513.94,1364.96,,																																							
HC N BLOCK INJ FEMORAL CONT INFUSION,64448,CPT,,,,BOTH, , ,2837.1,2383.16,2610.13,92,,Percent of Total Billed Charges,2371.82,,2610.13,92,,Percent of Total Billed Charges,2329.26,,2610.13,92,,Percent of Total Billed Charges,2283.87,,2610.13,92,,Percent of Total Billed Charges,2368.98,,2610.13,92,,Percent of Total Billed Charges,2136.34,,2610.13,92,,Percent of Total Billed Charges,1773.19,,2553.39,90,,Percent of Total Billed Charges,1415.71,,2525.02,89,,Percent of Total Billed Charges,1361.81,,2337.77,82.4,,Percent of Total Billed Charges,2332.1,,2366.14,83.4,,Percent of Total Billed Charges,2207.26,,2366.14,83.4,,Percent of Total Billed Charges,1988.81,,2366.14,83.4,,Percent of Total Billed Charges,2309.4,,2553.39,90,,Percent of Total Billed Charges,2403.02,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2610.13,92,,Percent of Total Billed Charges,2300.89,,2610.13,92,,Percent of Total Billed Charges,2110.8,,2610.13,92,,Percent of Total Billed Charges,2221.45,,2610.13,92,,Percent of Total Billed Charges,2300.89,,2212.94,78,,Percent of Total Billed Charges,2212.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1527.21,53.83,,Percent of Total Billed Charges,1432.74,,982.77,34.64,,Percent of Total Billed Charges,978.8,,1417.98,49.98,,Percent of Total Billed Charges,1072.42,,982.77,2610.13,,																																							
HC N BLOCK OTHER PERIPHERAL /ANKLE/WRIST,64450,CPT,,,,BOTH, , ,1791.3,1504.69,1648,92,,Percent of Total Billed Charges,1497.53,,1648,92,,Percent of Total Billed Charges,1470.66,,1648,92,,Percent of Total Billed Charges,1442,,1648,92,,Percent of Total Billed Charges,1495.74,,1648,92,,Percent of Total Billed Charges,1348.85,,1648,92,,Percent of Total Billed Charges,1119.56,,1612.17,90,,Percent of Total Billed Charges,893.86,,1594.26,89,,Percent of Total Billed Charges,859.82,,1476.03,82.4,,Percent of Total Billed Charges,1472.45,,1493.94,83.4,,Percent of Total Billed Charges,1393.63,,1493.94,83.4,,Percent of Total Billed Charges,1255.7,,1493.94,83.4,,Percent of Total Billed Charges,1458.12,,1612.17,90,,Percent of Total Billed Charges,1517.23,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1648,92,,Percent of Total Billed Charges,1452.74,,1648,92,,Percent of Total Billed Charges,1332.73,,1648,92,,Percent of Total Billed Charges,1402.59,,1648,92,,Percent of Total Billed Charges,1452.74,,1397.21,78,,Percent of Total Billed Charges,1397.21,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,964.26,53.83,,Percent of Total Billed Charges,904.61,,620.51,34.64,,Percent of Total Billed Charges,618,,895.29,49.98,,Percent of Total Billed Charges,677.11,,620.51,1648,,																																							
HC INJ FORAMEN EPIDURAL C/T,64479,CPT,,,,BOTH, , ,4228.35,3551.81,3890.08,92,,Percent of Total Billed Charges,3534.9,,3890.08,92,,Percent of Total Billed Charges,3471.48,,3890.08,92,,Percent of Total Billed Charges,3403.82,,3890.08,92,,Percent of Total Billed Charges,3530.67,,3890.08,92,,Percent of Total Billed Charges,3183.95,,3890.08,92,,Percent of Total Billed Charges,2642.72,,3805.52,90,,Percent of Total Billed Charges,2109.95,,3763.23,89,,Percent of Total Billed Charges,2029.61,,3484.16,82.4,,Percent of Total Billed Charges,3475.7,,3526.44,83.4,,Percent of Total Billed Charges,3289.66,,3526.44,83.4,,Percent of Total Billed Charges,2964.07,,3526.44,83.4,,Percent of Total Billed Charges,3441.88,,3805.52,90,,Percent of Total Billed Charges,3581.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3890.08,92,,Percent of Total Billed Charges,3429.19,,3890.08,92,,Percent of Total Billed Charges,3145.89,,3890.08,92,,Percent of Total Billed Charges,3310.8,,3890.08,92,,Percent of Total Billed Charges,3429.19,,3298.11,78,,Percent of Total Billed Charges,3298.11,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2276.12,53.83,,Percent of Total Billed Charges,2135.32,,1464.7,34.64,,Percent of Total Billed Charges,1458.78,,2113.33,49.98,,Percent of Total Billed Charges,1598.32,,1464.70,3890.08,,																																							
HC INJ FORAMEN EPIDURAL L/S,64483,CPT,,,,BOTH, , ,4374.3,3674.41,4024.36,92,,Percent of Total Billed Charges,3656.91,,4024.36,92,,Percent of Total Billed Charges,3591.3,,4024.36,92,,Percent of Total Billed Charges,3521.31,,4024.36,92,,Percent of Total Billed Charges,3652.54,,4024.36,92,,Percent of Total Billed Charges,3293.85,,4024.36,92,,Percent of Total Billed Charges,2733.94,,3936.87,90,,Percent of Total Billed Charges,2182.78,,3893.13,89,,Percent of Total Billed Charges,2099.66,,3604.42,82.4,,Percent of Total Billed Charges,3595.67,,3648.17,83.4,,Percent of Total Billed Charges,3403.21,,3648.17,83.4,,Percent of Total Billed Charges,3066.38,,3648.17,83.4,,Percent of Total Billed Charges,3560.68,,3936.87,90,,Percent of Total Billed Charges,3705.03,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4024.36,92,,Percent of Total Billed Charges,3547.56,,4024.36,92,,Percent of Total Billed Charges,3254.48,,4024.36,92,,Percent of Total Billed Charges,3425.08,,4024.36,92,,Percent of Total Billed Charges,3547.56,,3411.95,78,,Percent of Total Billed Charges,3411.95,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2354.69,53.83,,Percent of Total Billed Charges,2209.02,,1515.26,34.64,,Percent of Total Billed Charges,1509.13,,2186.28,49.98,,Percent of Total Billed Charges,1653.49,,1515.26,4024.36,,																																							
HC INJ PARAVERTEBRAL FACET JNT C/T 1 LEV,64490,CPT,,,,BOTH, , ,2724.75,2288.79,2506.77,92,,Percent of Total Billed Charges,2277.89,,2506.77,92,,Percent of Total Billed Charges,2237.02,,2506.77,92,,Percent of Total Billed Charges,2193.42,,2506.77,92,,Percent of Total Billed Charges,2275.17,,2506.77,92,,Percent of Total Billed Charges,2051.74,,2506.77,92,,Percent of Total Billed Charges,1702.97,,2452.28,90,,Percent of Total Billed Charges,1359.65,,2425.03,89,,Percent of Total Billed Charges,1307.88,,2245.19,82.4,,Percent of Total Billed Charges,2239.74,,2272.44,83.4,,Percent of Total Billed Charges,2119.86,,2272.44,83.4,,Percent of Total Billed Charges,1910.05,,2272.44,83.4,,Percent of Total Billed Charges,2217.95,,2452.28,90,,Percent of Total Billed Charges,2307.86,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2506.77,92,,Percent of Total Billed Charges,2209.77,,2506.77,92,,Percent of Total Billed Charges,2027.21,,2506.77,92,,Percent of Total Billed Charges,2133.48,,2506.77,92,,Percent of Total Billed Charges,2209.77,,2125.31,78,,Percent of Total Billed Charges,2125.31,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1466.73,53.83,,Percent of Total Billed Charges,1376,,943.85,34.64,,Percent of Total Billed Charges,940.04,,1361.83,49.98,,Percent of Total Billed Charges,1029.96,,943.85,2506.77,,																																							
HC INJ PARAVERT F JNT L/S 1 LEV,64493,CPT,,,,BOTH, , ,4374.3,3674.41,4024.36,92,,Percent of Total Billed Charges,3656.91,,4024.36,92,,Percent of Total Billed Charges,3591.3,,4024.36,92,,Percent of Total Billed Charges,3521.31,,4024.36,92,,Percent of Total Billed Charges,3652.54,,4024.36,92,,Percent of Total Billed Charges,3293.85,,4024.36,92,,Percent of Total Billed Charges,2733.94,,3936.87,90,,Percent of Total Billed Charges,2182.78,,3893.13,89,,Percent of Total Billed Charges,2099.66,,3604.42,82.4,,Percent of Total Billed Charges,3595.67,,3648.17,83.4,,Percent of Total Billed Charges,3403.21,,3648.17,83.4,,Percent of Total Billed Charges,3066.38,,3648.17,83.4,,Percent of Total Billed Charges,3560.68,,3936.87,90,,Percent of Total Billed Charges,3705.03,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4024.36,92,,Percent of Total Billed Charges,3547.56,,4024.36,92,,Percent of Total Billed Charges,3254.48,,4024.36,92,,Percent of Total Billed Charges,3425.08,,4024.36,92,,Percent of Total Billed Charges,3547.56,,3411.95,78,,Percent of Total Billed Charges,3411.95,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2354.69,53.83,,Percent of Total Billed Charges,2209.02,,1515.26,34.64,,Percent of Total Billed Charges,1509.13,,2186.28,49.98,,Percent of Total Billed Charges,1653.49,,1515.26,4024.36,,																																							
HC INJ PARAVERT F JNT L/S 2 LEV,64494,CPT,,,,BOTH, , ,256.2,215.21,235.7,92,,Percent of Total Billed Charges,214.18,,235.7,92,,Percent of Total Billed Charges,210.34,,235.7,92,,Percent of Total Billed Charges,206.24,,235.7,92,,Percent of Total Billed Charges,213.93,,235.7,92,,Percent of Total Billed Charges,192.92,,235.7,92,,Percent of Total Billed Charges,160.13,,230.58,90,,Percent of Total Billed Charges,127.84,,228.02,89,,Percent of Total Billed Charges,122.98,,211.11,82.4,,Percent of Total Billed Charges,210.6,,213.67,83.4,,Percent of Total Billed Charges,199.32,,213.67,83.4,,Percent of Total Billed Charges,179.6,,213.67,83.4,,Percent of Total Billed Charges,208.55,,230.58,90,,Percent of Total Billed Charges,217,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,235.7,92,,Percent of Total Billed Charges,207.78,,235.7,92,,Percent of Total Billed Charges,190.61,,235.7,92,,Percent of Total Billed Charges,200.6,,235.7,92,,Percent of Total Billed Charges,207.78,,199.84,78,,Percent of Total Billed Charges,199.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,137.91,53.83,,Percent of Total Billed Charges,129.38,,88.75,34.64,,Percent of Total Billed Charges,88.39,,128.05,49.98,,Percent of Total Billed Charges,96.84,,88.75,235.7,,																																							
HC CT GUIDE FOR TISSUE ABLATION,77013,CPT,,,,BOTH, , ,2886.45,2424.62,2597.81,92,,Percent of Total Billed Charges,2413.07,,2597.81,92,,Percent of Total Billed Charges,2369.78,,2597.81,92,,Percent of Total Billed Charges,2323.59,,2597.81,92,,Percent of Total Billed Charges,2410.19,,2597.81,92,,Percent of Total Billed Charges,2173.5,,2597.81,92,,Percent of Total Billed Charges,1804.03,,2597.81,90,,Percent of Total Billed Charges,1440.34,,2568.94,89,,Percent of Total Billed Charges,1385.5,,2378.43,82.4,,Percent of Total Billed Charges,2372.66,,2407.3,83.4,,Percent of Total Billed Charges,2245.66,,2407.3,83.4,,Percent of Total Billed Charges,2023.4,,2407.3,83.4,,Percent of Total Billed Charges,2349.57,,2597.81,90,,Percent of Total Billed Charges,2444.82,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2655.53,92,,Percent of Total Billed Charges,2340.91,,2655.53,92,,Percent of Total Billed Charges,2147.52,,2655.53,92,,Percent of Total Billed Charges,2260.09,,2655.53,92,,Percent of Total Billed Charges,2340.91,,2251.43,78,,Percent of Total Billed Charges,2251.43,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1553.78,53.83,,Percent of Total Billed Charges,1457.66,,999.87,34.64,,Percent of Total Billed Charges,995.83,,1442.65,49.98,,Percent of Total Billed Charges,1091.08,,999.87,2655.53,,																																							
HC DEBRIDEMENT SELECTIVE ,<20 SQ CM,97597,CPT,,,,BOTH, , ,805.35,676.49,740.92,92,,Percent of Total Billed Charges,673.27,,740.92,92,,Percent of Total Billed Charges,661.19,,740.92,92,,Percent of Total Billed Charges,648.31,,740.92,92,,Percent of Total Billed Charges,672.47,,740.92,92,,Percent of Total Billed Charges,606.43,,740.92,92,,Percent of Total Billed Charges,503.34,,724.82,90,,Percent of Total Billed Charges,401.87,,716.76,89,,Percent of Total Billed Charges,386.57,,663.61,82.4,,Percent of Total Billed Charges,662,,671.66,83.4,,Percent of Total Billed Charges,626.56,,671.66,83.4,,Percent of Total Billed Charges,564.55,,671.66,83.4,,Percent of Total Billed Charges,655.55,,724.82,90,,Percent of Total Billed Charges,682.13,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,740.92,92,,Percent of Total Billed Charges,653.14,,740.92,92,,Percent of Total Billed Charges,599.18,,740.92,92,,Percent of Total Billed Charges,630.59,,740.92,92,,Percent of Total Billed Charges,653.14,,628.17,78,,Percent of Total Billed Charges,628.17,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,433.52,53.83,,Percent of Total Billed Charges,406.7,,278.97,34.64,,Percent of Total Billed Charges,277.85,,402.51,49.98,,Percent of Total Billed Charges,304.42,,278.97,740.92,,																																							
HC DEBRIDEMENT OPN WND EA ADD 20SQCM,97598,CPT,,,,BOTH, , ,77.7,65.27,71.48,92,,Percent of Total Billed Charges,64.96,,71.48,92,,Percent of Total Billed Charges,63.79,,71.48,92,,Percent of Total Billed Charges,62.55,,71.48,92,,Percent of Total Billed Charges,64.88,,71.48,92,,Percent of Total Billed Charges,58.51,,71.48,92,,Percent of Total Billed Charges,48.56,,69.93,90,,Percent of Total Billed Charges,38.77,,69.15,89,,Percent of Total Billed Charges,37.3,,64.02,82.4,,Percent of Total Billed Charges,63.87,,64.8,83.4,,Percent of Total Billed Charges,60.45,,64.8,83.4,,Percent of Total Billed Charges,54.47,,64.8,83.4,,Percent of Total Billed Charges,63.25,,69.93,90,,Percent of Total Billed Charges,65.81,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,71.48,92,,Percent of Total Billed Charges,63.01,,71.48,92,,Percent of Total Billed Charges,57.81,,71.48,92,,Percent of Total Billed Charges,60.84,,71.48,92,,Percent of Total Billed Charges,63.01,,60.61,78,,Percent of Total Billed Charges,60.61,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,41.83,53.83,,Percent of Total Billed Charges,39.24,,26.92,34.64,,Percent of Total Billed Charges,26.81,,38.83,49.98,,Percent of Total Billed Charges,29.37,,26.92,71.48,,																																							
HC SKIN SUB TRNK ETC 1ST 25 LOW MCR,C5271,CPT,,,,BOTH, , ,2273.25,1909.53,2091.39,92,,Percent of Total Billed Charges,1900.44,,2091.39,92,,Percent of Total Billed Charges,1866.34,,2091.39,92,,Percent of Total Billed Charges,1829.97,,2091.39,92,,Percent of Total Billed Charges,1898.16,,2091.39,92,,Percent of Total Billed Charges,1711.76,,2091.39,92,,Percent of Total Billed Charges,1420.78,,2045.93,90,,Percent of Total Billed Charges,1134.35,,2023.19,89,,Percent of Total Billed Charges,1091.16,,1873.16,82.4,,Percent of Total Billed Charges,1868.61,,1895.89,83.4,,Percent of Total Billed Charges,1768.59,,1895.89,83.4,,Percent of Total Billed Charges,1593.55,,1895.89,83.4,,Percent of Total Billed Charges,1850.43,,2045.93,90,,Percent of Total Billed Charges,1925.44,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2091.39,92,,Percent of Total Billed Charges,1843.61,,2091.39,92,,Percent of Total Billed Charges,1691.3,,2091.39,92,,Percent of Total Billed Charges,1779.95,,2091.39,92,,Percent of Total Billed Charges,1843.61,,1773.14,78,,Percent of Total Billed Charges,1773.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1223.69,53.83,,Percent of Total Billed Charges,1147.99,,787.45,34.64,,Percent of Total Billed Charges,784.27,,1136.17,49.98,,Percent of Total Billed Charges,859.29,,787.45,2091.39,,																																							
HC SKIN SUB TRNK ETC +25 LOW MCR,C5272,CPT,,,,BOTH, , ,77.7,65.27,71.48,92,,Percent of Total Billed Charges,64.96,,71.48,92,,Percent of Total Billed Charges,63.79,,71.48,92,,Percent of Total Billed Charges,62.55,,71.48,92,,Percent of Total Billed Charges,64.88,,71.48,92,,Percent of Total Billed Charges,58.51,,71.48,92,,Percent of Total Billed Charges,48.56,,69.93,90,,Percent of Total Billed Charges,38.77,,69.15,89,,Percent of Total Billed Charges,37.3,,64.02,82.4,,Percent of Total Billed Charges,63.87,,64.8,83.4,,Percent of Total Billed Charges,60.45,,64.8,83.4,,Percent of Total Billed Charges,54.47,,64.8,83.4,,Percent of Total Billed Charges,63.25,,69.93,90,,Percent of Total Billed Charges,65.81,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,71.48,92,,Percent of Total Billed Charges,63.01,,71.48,92,,Percent of Total Billed Charges,57.81,,71.48,92,,Percent of Total Billed Charges,60.84,,71.48,92,,Percent of Total Billed Charges,63.01,,60.61,78,,Percent of Total Billed Charges,60.61,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,41.83,53.83,,Percent of Total Billed Charges,39.24,,26.92,34.64,,Percent of Total Billed Charges,26.81,,38.83,49.98,,Percent of Total Billed Charges,29.37,,26.92,71.48,,																																							
HC SKIN SUB TRNK ETC 1ST 100 LOW MCR,C5273,CPT,,,,BOTH, , ,7616.7,6398.03,7007.36,92,,Percent of Total Billed Charges,6367.56,,7007.36,92,,Percent of Total Billed Charges,6253.31,,7007.36,92,,Percent of Total Billed Charges,6131.44,,7007.36,92,,Percent of Total Billed Charges,6359.94,,7007.36,92,,Percent of Total Billed Charges,5735.38,,7007.36,92,,Percent of Total Billed Charges,4760.44,,6855.03,90,,Percent of Total Billed Charges,3800.73,,6778.86,89,,Percent of Total Billed Charges,3656.02,,6276.16,82.4,,Percent of Total Billed Charges,6260.93,,6352.33,83.4,,Percent of Total Billed Charges,5925.79,,6352.33,83.4,,Percent of Total Billed Charges,5339.31,,6352.33,83.4,,Percent of Total Billed Charges,6199.99,,6855.03,90,,Percent of Total Billed Charges,6451.34,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,7007.36,92,,Percent of Total Billed Charges,6177.14,,7007.36,92,,Percent of Total Billed Charges,5666.82,,7007.36,92,,Percent of Total Billed Charges,5963.88,,7007.36,92,,Percent of Total Billed Charges,6177.14,,5941.03,78,,Percent of Total Billed Charges,5941.03,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4100.07,53.83,,Percent of Total Billed Charges,3846.43,,2638.42,34.64,,Percent of Total Billed Charges,2627.76,,3806.83,49.98,,Percent of Total Billed Charges,2879.11,,2638.42,7007.36,,																																							
HC SKIN SUB TRNK ETC +100 LOW MCR,C5274,CPT,,,,BOTH, , ,4867.8,4088.95,4478.38,92,,Percent of Total Billed Charges,4069.48,,4478.38,92,,Percent of Total Billed Charges,3996.46,,4478.38,92,,Percent of Total Billed Charges,3918.58,,4478.38,92,,Percent of Total Billed Charges,4064.61,,4478.38,92,,Percent of Total Billed Charges,3665.45,,4478.38,92,,Percent of Total Billed Charges,3042.38,,4381.02,90,,Percent of Total Billed Charges,2429.03,,4332.34,89,,Percent of Total Billed Charges,2336.54,,4011.07,82.4,,Percent of Total Billed Charges,4001.33,,4059.75,83.4,,Percent of Total Billed Charges,3787.15,,4059.75,83.4,,Percent of Total Billed Charges,3412.33,,4059.75,83.4,,Percent of Total Billed Charges,3962.39,,4381.02,90,,Percent of Total Billed Charges,4123.03,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4478.38,92,,Percent of Total Billed Charges,3947.79,,4478.38,92,,Percent of Total Billed Charges,3621.64,,4478.38,92,,Percent of Total Billed Charges,3811.49,,4478.38,92,,Percent of Total Billed Charges,3947.79,,3796.88,78,,Percent of Total Billed Charges,3796.88,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2620.34,53.83,,Percent of Total Billed Charges,2458.24,,1686.21,34.64,,Percent of Total Billed Charges,1679.39,,2432.93,49.98,,Percent of Total Billed Charges,1840.03,,1686.21,4478.38,,																																							
HC SKIN SUB FEET ETC 1ST 25 LOW MCR,C5275,CPT,,,,BOTH, , ,2652.3,2227.93,2440.12,92,,Percent of Total Billed Charges,2217.32,,2440.12,92,,Percent of Total Billed Charges,2177.54,,2440.12,92,,Percent of Total Billed Charges,2135.1,,2440.12,92,,Percent of Total Billed Charges,2214.67,,2440.12,92,,Percent of Total Billed Charges,1997.18,,2440.12,92,,Percent of Total Billed Charges,1657.69,,2387.07,90,,Percent of Total Billed Charges,1323.5,,2360.55,89,,Percent of Total Billed Charges,1273.1,,2185.5,82.4,,Percent of Total Billed Charges,2180.19,,2212.02,83.4,,Percent of Total Billed Charges,2063.49,,2212.02,83.4,,Percent of Total Billed Charges,1859.26,,2212.02,83.4,,Percent of Total Billed Charges,2158.97,,2387.07,90,,Percent of Total Billed Charges,2246.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2440.12,92,,Percent of Total Billed Charges,2151.02,,2440.12,92,,Percent of Total Billed Charges,1973.31,,2440.12,92,,Percent of Total Billed Charges,2076.75,,2440.12,92,,Percent of Total Billed Charges,2151.02,,2068.79,78,,Percent of Total Billed Charges,2068.79,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1427.73,53.83,,Percent of Total Billed Charges,1339.41,,918.76,34.64,,Percent of Total Billed Charges,915.04,,1325.62,49.98,,Percent of Total Billed Charges,1002.57,,918.76,2440.12,,																																							
HC SKIN SUB FEET ETC +25 LOW MCR,C5276,CPT,,,,BOTH, , ,77.7,65.27,71.48,92,,Percent of Total Billed Charges,64.96,,71.48,92,,Percent of Total Billed Charges,63.79,,71.48,92,,Percent of Total Billed Charges,62.55,,71.48,92,,Percent of Total Billed Charges,64.88,,71.48,92,,Percent of Total Billed Charges,58.51,,71.48,92,,Percent of Total Billed Charges,48.56,,69.93,90,,Percent of Total Billed Charges,38.77,,69.15,89,,Percent of Total Billed Charges,37.3,,64.02,82.4,,Percent of Total Billed Charges,63.87,,64.8,83.4,,Percent of Total Billed Charges,60.45,,64.8,83.4,,Percent of Total Billed Charges,54.47,,64.8,83.4,,Percent of Total Billed Charges,63.25,,69.93,90,,Percent of Total Billed Charges,65.81,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,71.48,92,,Percent of Total Billed Charges,63.01,,71.48,92,,Percent of Total Billed Charges,57.81,,71.48,92,,Percent of Total Billed Charges,60.84,,71.48,92,,Percent of Total Billed Charges,63.01,,60.61,78,,Percent of Total Billed Charges,60.61,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,41.83,53.83,,Percent of Total Billed Charges,39.24,,26.92,34.64,,Percent of Total Billed Charges,26.81,,38.83,49.98,,Percent of Total Billed Charges,29.37,,26.92,71.48,,																																							
HC INJ FOR SACROILIAC JT ANESTH,G0260,CPT,,,,BOTH, , ,2277.45,1913.06,2095.25,92,,Percent of Total Billed Charges,1903.95,,2095.25,92,,Percent of Total Billed Charges,1869.79,,2095.25,92,,Percent of Total Billed Charges,1833.35,,2095.25,92,,Percent of Total Billed Charges,1901.67,,2095.25,92,,Percent of Total Billed Charges,1714.92,,2095.25,92,,Percent of Total Billed Charges,1423.41,,2049.71,90,,Percent of Total Billed Charges,1136.45,,2026.93,89,,Percent of Total Billed Charges,1093.18,,1876.62,82.4,,Percent of Total Billed Charges,1872.06,,1899.39,83.4,,Percent of Total Billed Charges,1771.86,,1899.39,83.4,,Percent of Total Billed Charges,1596.49,,1899.39,83.4,,Percent of Total Billed Charges,1853.84,,2049.71,90,,Percent of Total Billed Charges,1929,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2095.25,92,,Percent of Total Billed Charges,1847.01,,2095.25,92,,Percent of Total Billed Charges,1694.42,,2095.25,92,,Percent of Total Billed Charges,1783.24,,2095.25,92,,Percent of Total Billed Charges,1847.01,,1776.41,78,,Percent of Total Billed Charges,1776.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1225.95,53.83,,Percent of Total Billed Charges,1150.11,,788.91,34.64,,Percent of Total Billed Charges,785.72,,1138.27,49.98,,Percent of Total Billed Charges,860.88,,788.91,2095.25,,																																							
HC BI STEREOTACTIC NEEDLE LOCALIZATION,19283,CPT,,,,BOTH, , ,1833.3,1539.97,1686.64,92,,Percent of Total Billed Charges,1532.64,,1686.64,92,,Percent of Total Billed Charges,1505.14,,1686.64,92,,Percent of Total Billed Charges,1475.81,,1686.64,92,,Percent of Total Billed Charges,1530.81,,1686.64,92,,Percent of Total Billed Charges,1380.47,,1686.64,92,,Percent of Total Billed Charges,1145.81,,1649.97,90,,Percent of Total Billed Charges,914.82,,1631.64,89,,Percent of Total Billed Charges,879.98,,1510.64,82.4,,Percent of Total Billed Charges,1506.97,,1528.97,83.4,,Percent of Total Billed Charges,1426.31,,1528.97,83.4,,Percent of Total Billed Charges,1285.14,,1528.97,83.4,,Percent of Total Billed Charges,1492.31,,1649.97,90,,Percent of Total Billed Charges,1552.81,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1686.64,92,,Percent of Total Billed Charges,1486.81,,1686.64,92,,Percent of Total Billed Charges,1363.98,,1686.64,92,,Percent of Total Billed Charges,1435.47,,1686.64,92,,Percent of Total Billed Charges,1486.81,,1429.97,78,,Percent of Total Billed Charges,1429.97,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,986.87,53.83,,Percent of Total Billed Charges,925.82,,635.06,34.64,,Percent of Total Billed Charges,632.49,,916.28,49.98,,Percent of Total Billed Charges,692.99,,635.06,1686.64,,																																							
HC BI STEREO WIRE LOC ADDITIONAL,19284,CPT,,,,BOTH, , ,621.6,522.14,571.87,92,,Percent of Total Billed Charges,519.66,,571.87,92,,Percent of Total Billed Charges,510.33,,571.87,92,,Percent of Total Billed Charges,500.39,,571.87,92,,Percent of Total Billed Charges,519.04,,571.87,92,,Percent of Total Billed Charges,468.06,,571.87,92,,Percent of Total Billed Charges,388.5,,559.44,90,,Percent of Total Billed Charges,310.18,,553.22,89,,Percent of Total Billed Charges,298.37,,512.2,82.4,,Percent of Total Billed Charges,510.96,,518.41,83.4,,Percent of Total Billed Charges,483.6,,518.41,83.4,,Percent of Total Billed Charges,435.74,,518.41,83.4,,Percent of Total Billed Charges,505.98,,559.44,90,,Percent of Total Billed Charges,526.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,571.87,92,,Percent of Total Billed Charges,504.12,,571.87,92,,Percent of Total Billed Charges,462.47,,571.87,92,,Percent of Total Billed Charges,486.71,,571.87,92,,Percent of Total Billed Charges,504.12,,484.85,78,,Percent of Total Billed Charges,484.85,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,334.61,53.83,,Percent of Total Billed Charges,313.91,,215.32,34.64,,Percent of Total Billed Charges,214.45,,310.68,49.98,,Percent of Total Billed Charges,234.96,,215.32,571.87,,																																							
HC US INJECT TENDON,20551,CPT,,,,BOTH, , ,1466.85,1232.15,1349.5,92,,Percent of Total Billed Charges,1226.29,,1349.5,92,,Percent of Total Billed Charges,1204.28,,1349.5,92,,Percent of Total Billed Charges,1180.81,,1349.5,92,,Percent of Total Billed Charges,1224.82,,1349.5,92,,Percent of Total Billed Charges,1104.54,,1349.5,92,,Percent of Total Billed Charges,916.78,,1320.17,90,,Percent of Total Billed Charges,731.96,,1305.5,89,,Percent of Total Billed Charges,704.09,,1208.68,82.4,,Percent of Total Billed Charges,1205.75,,1223.35,83.4,,Percent of Total Billed Charges,1141.21,,1223.35,83.4,,Percent of Total Billed Charges,1028.26,,1223.35,83.4,,Percent of Total Billed Charges,1194.02,,1320.17,90,,Percent of Total Billed Charges,1242.42,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1349.5,92,,Percent of Total Billed Charges,1189.62,,1349.5,92,,Percent of Total Billed Charges,1091.34,,1349.5,92,,Percent of Total Billed Charges,1148.54,,1349.5,92,,Percent of Total Billed Charges,1189.62,,1144.14,78,,Percent of Total Billed Charges,1144.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,789.61,53.83,,Percent of Total Billed Charges,740.76,,508.12,34.64,,Percent of Total Billed Charges,506.06,,733.13,49.98,,Percent of Total Billed Charges,554.47,,508.12,1349.5,,																																							
HC US GUIDE SMALL JOINT INJECTION,20604,CPT,,,,BOTH, , ,1546.65,1299.19,1422.92,92,,Percent of Total Billed Charges,1293,,1422.92,92,,Percent of Total Billed Charges,1269.8,,1422.92,92,,Percent of Total Billed Charges,1245.05,,1422.92,92,,Percent of Total Billed Charges,1291.45,,1422.92,92,,Percent of Total Billed Charges,1164.63,,1422.92,92,,Percent of Total Billed Charges,966.66,,1391.99,90,,Percent of Total Billed Charges,771.78,,1376.52,89,,Percent of Total Billed Charges,742.39,,1274.44,82.4,,Percent of Total Billed Charges,1271.35,,1289.91,83.4,,Percent of Total Billed Charges,1203.29,,1289.91,83.4,,Percent of Total Billed Charges,1084.2,,1289.91,83.4,,Percent of Total Billed Charges,1258.97,,1391.99,90,,Percent of Total Billed Charges,1310.01,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1422.92,92,,Percent of Total Billed Charges,1254.33,,1422.92,92,,Percent of Total Billed Charges,1150.71,,1422.92,92,,Percent of Total Billed Charges,1211.03,,1422.92,92,,Percent of Total Billed Charges,1254.33,,1206.39,78,,Percent of Total Billed Charges,1206.39,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,832.56,53.83,,Percent of Total Billed Charges,781.06,,535.76,34.64,,Percent of Total Billed Charges,533.59,,773.02,49.98,,Percent of Total Billed Charges,584.63,,535.76,1422.92,,																																							
HC US GUIDE MEDIUM JOINT INJECTION,20606,CPT,,,,BOTH, , ,1736.7,1458.83,1597.76,92,,Percent of Total Billed Charges,1451.88,,1597.76,92,,Percent of Total Billed Charges,1425.83,,1597.76,92,,Percent of Total Billed Charges,1398.04,,1597.76,92,,Percent of Total Billed Charges,1450.14,,1597.76,92,,Percent of Total Billed Charges,1307.74,,1597.76,92,,Percent of Total Billed Charges,1085.44,,1563.03,90,,Percent of Total Billed Charges,866.61,,1545.66,89,,Percent of Total Billed Charges,833.62,,1431.04,82.4,,Percent of Total Billed Charges,1427.57,,1448.41,83.4,,Percent of Total Billed Charges,1351.15,,1448.41,83.4,,Percent of Total Billed Charges,1217.43,,1448.41,83.4,,Percent of Total Billed Charges,1413.67,,1563.03,90,,Percent of Total Billed Charges,1470.98,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1597.76,92,,Percent of Total Billed Charges,1408.46,,1597.76,92,,Percent of Total Billed Charges,1292.1,,1597.76,92,,Percent of Total Billed Charges,1359.84,,1597.76,92,,Percent of Total Billed Charges,1408.46,,1354.63,78,,Percent of Total Billed Charges,1354.63,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,934.87,53.83,,Percent of Total Billed Charges,877.03,,601.59,34.64,,Percent of Total Billed Charges,599.16,,868,49.98,,Percent of Total Billed Charges,656.47,,601.59,1597.76,,																																							
HC US ASP/INJ GANGLION CYST,20612,CPT,,,,BOTH, , ,978.6,822.02,900.31,92,,Percent of Total Billed Charges,818.11,,900.31,92,,Percent of Total Billed Charges,803.43,,900.31,92,,Percent of Total Billed Charges,787.77,,900.31,92,,Percent of Total Billed Charges,817.13,,900.31,92,,Percent of Total Billed Charges,736.89,,900.31,92,,Percent of Total Billed Charges,611.63,,880.74,90,,Percent of Total Billed Charges,488.32,,870.95,89,,Percent of Total Billed Charges,469.73,,806.37,82.4,,Percent of Total Billed Charges,804.41,,816.15,83.4,,Percent of Total Billed Charges,761.35,,816.15,83.4,,Percent of Total Billed Charges,686,,816.15,83.4,,Percent of Total Billed Charges,796.58,,880.74,90,,Percent of Total Billed Charges,828.87,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,900.31,92,,Percent of Total Billed Charges,793.64,,900.31,92,,Percent of Total Billed Charges,728.08,,900.31,92,,Percent of Total Billed Charges,766.24,,900.31,92,,Percent of Total Billed Charges,793.64,,763.31,78,,Percent of Total Billed Charges,763.31,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,526.78,53.83,,Percent of Total Billed Charges,494.19,,338.99,34.64,,Percent of Total Billed Charges,337.62,,489.1,49.98,,Percent of Total Billed Charges,369.91,,338.99,900.31,,																																							
HC CT NL UNLISTED SPINE,22899,CPT,,,,BOTH, , ,12674.55,10646.62,11660.59,92,,Percent of Total Billed Charges,10595.92,,11660.59,92,,Percent of Total Billed Charges,10405.81,,11660.59,92,,Percent of Total Billed Charges,10203.01,,11660.59,92,,Percent of Total Billed Charges,10583.25,,11660.59,92,,Percent of Total Billed Charges,9543.94,,11660.59,92,,Percent of Total Billed Charges,7921.59,,11407.1,90,,Percent of Total Billed Charges,6324.6,,11280.35,89,,Percent of Total Billed Charges,6083.78,,10443.83,82.4,,Percent of Total Billed Charges,10418.48,,10570.57,83.4,,Percent of Total Billed Charges,9860.8,,10570.57,83.4,,Percent of Total Billed Charges,8884.86,,10570.57,83.4,,Percent of Total Billed Charges,10317.08,,11407.1,90,,Percent of Total Billed Charges,10735.34,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,11660.59,92,,Percent of Total Billed Charges,10279.06,,11660.59,92,,Percent of Total Billed Charges,9429.87,,11660.59,92,,Percent of Total Billed Charges,9924.17,,11660.59,92,,Percent of Total Billed Charges,10279.06,,9886.15,78,,Percent of Total Billed Charges,9886.15,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6822.71,53.83,,Percent of Total Billed Charges,6400.65,,4390.46,34.64,,Percent of Total Billed Charges,4372.72,,6334.74,49.98,,Percent of Total Billed Charges,4790.98,,4390.46,11660.59,,																																							
HC FL INJECT ANKLE ARTHROGRAM,27648,CPT,,,,BOTH, , ,333.9,280.48,307.19,92,,Percent of Total Billed Charges,279.14,,307.19,92,,Percent of Total Billed Charges,274.13,,307.19,92,,Percent of Total Billed Charges,268.79,,307.19,92,,Percent of Total Billed Charges,278.81,,307.19,92,,Percent of Total Billed Charges,251.43,,307.19,92,,Percent of Total Billed Charges,208.69,,300.51,90,,Percent of Total Billed Charges,166.62,,297.17,89,,Percent of Total Billed Charges,160.27,,275.13,82.4,,Percent of Total Billed Charges,274.47,,278.47,83.4,,Percent of Total Billed Charges,259.77,,278.47,83.4,,Percent of Total Billed Charges,234.06,,278.47,83.4,,Percent of Total Billed Charges,271.79,,300.51,90,,Percent of Total Billed Charges,282.81,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,307.19,92,,Percent of Total Billed Charges,270.79,,307.19,92,,Percent of Total Billed Charges,248.42,,307.19,92,,Percent of Total Billed Charges,261.44,,307.19,92,,Percent of Total Billed Charges,270.79,,260.44,78,,Percent of Total Billed Charges,260.44,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,179.74,53.83,,Percent of Total Billed Charges,168.62,,115.66,34.64,,Percent of Total Billed Charges,115.2,,166.88,49.98,,Percent of Total Billed Charges,126.21,,115.66,307.19,,																																							
HC CT RF ABLATION TUMOR LUNG,32998,CPT,,,,BOTH, , ,25984.35,21826.85,23905.6,92,,Percent of Total Billed Charges,21722.92,,23905.6,92,,Percent of Total Billed Charges,21333.15,,23905.6,92,,Percent of Total Billed Charges,20917.4,,23905.6,92,,Percent of Total Billed Charges,21696.93,,23905.6,92,,Percent of Total Billed Charges,19566.22,,23905.6,92,,Percent of Total Billed Charges,16240.22,,23385.92,90,,Percent of Total Billed Charges,12966.19,,23126.07,89,,Percent of Total Billed Charges,12472.49,,21411.1,82.4,,Percent of Total Billed Charges,21359.14,,21670.95,83.4,,Percent of Total Billed Charges,20215.82,,21670.95,83.4,,Percent of Total Billed Charges,18215.03,,21670.95,83.4,,Percent of Total Billed Charges,21151.26,,23385.92,90,,Percent of Total Billed Charges,22008.74,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,23905.6,92,,Percent of Total Billed Charges,21073.31,,23905.6,92,,Percent of Total Billed Charges,19332.36,,23905.6,92,,Percent of Total Billed Charges,20345.75,,23905.6,92,,Percent of Total Billed Charges,21073.31,,20267.79,78,,Percent of Total Billed Charges,20267.79,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,13987.38,53.83,,Percent of Total Billed Charges,13122.1,,9000.98,34.64,,Percent of Total Billed Charges,8964.6,,12986.98,49.98,,Percent of Total Billed Charges,9822.08,,9000.98,23905.6,,																																							
HC SC SELECT VENOUS 2ND,36012,CPT,,,,BOTH, , ,2011.8,1689.91,1850.86,92,,Percent of Total Billed Charges,1681.86,,1850.86,92,,Percent of Total Billed Charges,1651.69,,1850.86,92,,Percent of Total Billed Charges,1619.5,,1850.86,92,,Percent of Total Billed Charges,1679.85,,1850.86,92,,Percent of Total Billed Charges,1514.89,,1850.86,92,,Percent of Total Billed Charges,1257.38,,1810.62,90,,Percent of Total Billed Charges,1003.89,,1790.5,89,,Percent of Total Billed Charges,965.66,,1657.72,82.4,,Percent of Total Billed Charges,1653.7,,1677.84,83.4,,Percent of Total Billed Charges,1565.18,,1677.84,83.4,,Percent of Total Billed Charges,1410.27,,1677.84,83.4,,Percent of Total Billed Charges,1637.61,,1810.62,90,,Percent of Total Billed Charges,1703.99,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1850.86,92,,Percent of Total Billed Charges,1631.57,,1850.86,92,,Percent of Total Billed Charges,1496.78,,1850.86,92,,Percent of Total Billed Charges,1575.24,,1850.86,92,,Percent of Total Billed Charges,1631.57,,1569.2,78,,Percent of Total Billed Charges,1569.2,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1082.95,53.83,,Percent of Total Billed Charges,1015.96,,696.89,34.64,,Percent of Total Billed Charges,694.07,,1005.5,49.98,,Percent of Total Billed Charges,760.46,,696.89,1850.86,,																																							
HC PLACE CATHETER IN ARTERY 3RD ORDER,36217,CPT,,,,BOTH, , ,2697.45,2265.86,2481.65,92,,Percent of Total Billed Charges,2255.07,,2481.65,92,,Percent of Total Billed Charges,2214.61,,2481.65,92,,Percent of Total Billed Charges,2171.45,,2481.65,92,,Percent of Total Billed Charges,2252.37,,2481.65,92,,Percent of Total Billed Charges,2031.18,,2481.65,92,,Percent of Total Billed Charges,1685.91,,2427.71,90,,Percent of Total Billed Charges,1346.03,,2400.73,89,,Percent of Total Billed Charges,1294.78,,2222.7,82.4,,Percent of Total Billed Charges,2217.3,,2249.67,83.4,,Percent of Total Billed Charges,2098.62,,2249.67,83.4,,Percent of Total Billed Charges,1890.91,,2249.67,83.4,,Percent of Total Billed Charges,2195.72,,2427.71,90,,Percent of Total Billed Charges,2284.74,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2481.65,92,,Percent of Total Billed Charges,2187.63,,2481.65,92,,Percent of Total Billed Charges,2006.9,,2481.65,92,,Percent of Total Billed Charges,2112.1,,2481.65,92,,Percent of Total Billed Charges,2187.63,,2104.01,78,,Percent of Total Billed Charges,2104.01,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1452.04,53.83,,Percent of Total Billed Charges,1362.21,,934.4,34.64,,Percent of Total Billed Charges,930.62,,1348.19,49.98,,Percent of Total Billed Charges,1019.64,,934.40,2481.65,,																																							
HC PLACE CATHETER IN ARTERY ADDITIONAL,36218,CPT,,,,BOTH, , ,290.85,244.31,267.58,92,,Percent of Total Billed Charges,243.15,,267.58,92,,Percent of Total Billed Charges,238.79,,267.58,92,,Percent of Total Billed Charges,234.13,,267.58,92,,Percent of Total Billed Charges,242.86,,267.58,92,,Percent of Total Billed Charges,219.01,,267.58,92,,Percent of Total Billed Charges,181.78,,261.77,90,,Percent of Total Billed Charges,145.13,,258.86,89,,Percent of Total Billed Charges,139.61,,239.66,82.4,,Percent of Total Billed Charges,239.08,,242.57,83.4,,Percent of Total Billed Charges,226.28,,242.57,83.4,,Percent of Total Billed Charges,203.89,,242.57,83.4,,Percent of Total Billed Charges,236.75,,261.77,90,,Percent of Total Billed Charges,246.35,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,267.58,92,,Percent of Total Billed Charges,235.88,,267.58,92,,Percent of Total Billed Charges,216.39,,267.58,92,,Percent of Total Billed Charges,227.74,,267.58,92,,Percent of Total Billed Charges,235.88,,226.86,78,,Percent of Total Billed Charges,226.86,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,156.56,53.83,,Percent of Total Billed Charges,146.88,,100.75,34.64,,Percent of Total Billed Charges,100.34,,145.37,49.98,,Percent of Total Billed Charges,109.94,,100.75,267.58,,																																							
HC INS CATH REN ART 2ND+ UNILAT,36253,CPT,,,,BOTH, , ,9560.25,8030.61,8795.43,92,,Percent of Total Billed Charges,7992.37,,8795.43,92,,Percent of Total Billed Charges,7848.97,,8795.43,92,,Percent of Total Billed Charges,7696,,8795.43,92,,Percent of Total Billed Charges,7982.81,,8795.43,92,,Percent of Total Billed Charges,7198.87,,8795.43,92,,Percent of Total Billed Charges,5975.16,,8604.23,90,,Percent of Total Billed Charges,4770.56,,8508.62,89,,Percent of Total Billed Charges,4588.92,,7877.65,82.4,,Percent of Total Billed Charges,7858.53,,7973.25,83.4,,Percent of Total Billed Charges,7437.87,,7973.25,83.4,,Percent of Total Billed Charges,6701.74,,7973.25,83.4,,Percent of Total Billed Charges,7782.04,,8604.23,90,,Percent of Total Billed Charges,8097.53,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,8795.43,92,,Percent of Total Billed Charges,7753.36,,8795.43,92,,Percent of Total Billed Charges,7112.83,,8795.43,92,,Percent of Total Billed Charges,7485.68,,8795.43,92,,Percent of Total Billed Charges,7753.36,,7457,78,,Percent of Total Billed Charges,7457,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5146.28,53.83,,Percent of Total Billed Charges,4827.93,,3311.67,34.64,,Percent of Total Billed Charges,3298.29,,4778.21,49.98,,Percent of Total Billed Charges,3613.77,,3311.67,8795.43,,																																							
HC SC PORTAL VEIN,36481,CPT,,,,BOTH, , ,3833.55,3220.18,3526.87,92,,Percent of Total Billed Charges,3204.85,,3526.87,92,,Percent of Total Billed Charges,3147.34,,3526.87,92,,Percent of Total Billed Charges,3086.01,,3526.87,92,,Percent of Total Billed Charges,3201.01,,3526.87,92,,Percent of Total Billed Charges,2886.66,,3526.87,92,,Percent of Total Billed Charges,2395.97,,3450.2,90,,Percent of Total Billed Charges,1912.94,,3411.86,89,,Percent of Total Billed Charges,1840.1,,3158.85,82.4,,Percent of Total Billed Charges,3151.18,,3197.18,83.4,,Percent of Total Billed Charges,2982.5,,3197.18,83.4,,Percent of Total Billed Charges,2687.32,,3197.18,83.4,,Percent of Total Billed Charges,3120.51,,3450.2,90,,Percent of Total Billed Charges,3247.02,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3526.87,92,,Percent of Total Billed Charges,3109.01,,3526.87,92,,Percent of Total Billed Charges,2852.16,,3526.87,92,,Percent of Total Billed Charges,3001.67,,3526.87,92,,Percent of Total Billed Charges,3109.01,,2990.17,78,,Percent of Total Billed Charges,2990.17,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2063.6,53.83,,Percent of Total Billed Charges,1935.94,,1327.94,34.64,,Percent of Total Billed Charges,1322.57,,1916.01,49.98,,Percent of Total Billed Charges,1449.08,,1327.94,3526.87,,																																							
HC SEL ORGAN BLOOD SAMPLE,36500,CPT,,,,BOTH, , ,1093.05,918.16,1005.61,92,,Percent of Total Billed Charges,913.79,,1005.61,92,,Percent of Total Billed Charges,897.39,,1005.61,92,,Percent of Total Billed Charges,879.91,,1005.61,92,,Percent of Total Billed Charges,912.7,,1005.61,92,,Percent of Total Billed Charges,823.07,,1005.61,92,,Percent of Total Billed Charges,683.16,,983.75,90,,Percent of Total Billed Charges,545.43,,972.81,89,,Percent of Total Billed Charges,524.66,,900.67,82.4,,Percent of Total Billed Charges,898.49,,911.6,83.4,,Percent of Total Billed Charges,850.39,,911.6,83.4,,Percent of Total Billed Charges,766.23,,911.6,83.4,,Percent of Total Billed Charges,889.74,,983.75,90,,Percent of Total Billed Charges,925.81,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1005.61,92,,Percent of Total Billed Charges,886.46,,1005.61,92,,Percent of Total Billed Charges,813.23,,1005.61,92,,Percent of Total Billed Charges,855.86,,1005.61,92,,Percent of Total Billed Charges,886.46,,852.58,78,,Percent of Total Billed Charges,852.58,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,588.39,53.83,,Percent of Total Billed Charges,551.99,,378.63,34.64,,Percent of Total Billed Charges,377.1,,546.31,49.98,,Percent of Total Billed Charges,413.17,,378.63,1005.61,,																																							
HC REPLACE TUNNEL CVC PORT,36582,CPT,,,,BOTH, , ,16692.9,14022.04,15357.47,92,,Percent of Total Billed Charges,13955.26,,15357.47,92,,Percent of Total Billed Charges,13704.87,,15357.47,92,,Percent of Total Billed Charges,13437.78,,15357.47,92,,Percent of Total Billed Charges,13938.57,,15357.47,92,,Percent of Total Billed Charges,12569.75,,15357.47,92,,Percent of Total Billed Charges,10433.06,,15023.61,90,,Percent of Total Billed Charges,8329.76,,14856.68,89,,Percent of Total Billed Charges,8012.59,,13754.95,82.4,,Percent of Total Billed Charges,13721.56,,13921.88,83.4,,Percent of Total Billed Charges,12987.08,,13921.88,83.4,,Percent of Total Billed Charges,11701.72,,13921.88,83.4,,Percent of Total Billed Charges,13588.02,,15023.61,90,,Percent of Total Billed Charges,14138.89,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,15357.47,92,,Percent of Total Billed Charges,13537.94,,15357.47,92,,Percent of Total Billed Charges,12419.52,,15357.47,92,,Percent of Total Billed Charges,13070.54,,15357.47,92,,Percent of Total Billed Charges,13537.94,,13020.46,78,,Percent of Total Billed Charges,13020.46,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,8985.79,53.83,,Percent of Total Billed Charges,8429.91,,5782.42,34.64,,Percent of Total Billed Charges,5759.05,,8343.11,49.98,,Percent of Total Billed Charges,6309.92,,5782.42,15357.47,,																																							
HC IVC FILTER REPOSITION,37192,CPT,,,,BOTH, , ,9809.1,8239.64,9024.37,92,,Percent of Total Billed Charges,8200.41,,9024.37,92,,Percent of Total Billed Charges,8053.27,,9024.37,92,,Percent of Total Billed Charges,7896.33,,9024.37,92,,Percent of Total Billed Charges,8190.6,,9024.37,92,,Percent of Total Billed Charges,7386.25,,9024.37,92,,Percent of Total Billed Charges,6130.69,,8828.19,90,,Percent of Total Billed Charges,4894.74,,8730.1,89,,Percent of Total Billed Charges,4708.37,,8082.7,82.4,,Percent of Total Billed Charges,8063.08,,8180.79,83.4,,Percent of Total Billed Charges,7631.48,,8180.79,83.4,,Percent of Total Billed Charges,6876.18,,8180.79,83.4,,Percent of Total Billed Charges,7984.61,,8828.19,90,,Percent of Total Billed Charges,8308.31,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,9024.37,92,,Percent of Total Billed Charges,7955.18,,9024.37,92,,Percent of Total Billed Charges,7297.97,,9024.37,92,,Percent of Total Billed Charges,7680.53,,9024.37,92,,Percent of Total Billed Charges,7955.18,,7651.1,78,,Percent of Total Billed Charges,7651.1,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5280.24,53.83,,Percent of Total Billed Charges,4953.6,,3397.87,34.64,,Percent of Total Billed Charges,3384.14,,4902.59,49.98,,Percent of Total Billed Charges,3707.84,,3397.87,9024.37,,																																							
HC IVC FILTER RETRIEVAL,37193,CPT,,,,BOTH, , ,10895.85,9152.51,10024.18,92,,Percent of Total Billed Charges,9108.93,,10024.18,92,,Percent of Total Billed Charges,8945.49,,10024.18,92,,Percent of Total Billed Charges,8771.16,,10024.18,92,,Percent of Total Billed Charges,9098.03,,10024.18,92,,Percent of Total Billed Charges,8204.58,,10024.18,92,,Percent of Total Billed Charges,6809.91,,9806.27,90,,Percent of Total Billed Charges,5437.03,,9697.31,89,,Percent of Total Billed Charges,5230.01,,8978.18,82.4,,Percent of Total Billed Charges,8956.39,,9087.14,83.4,,Percent of Total Billed Charges,8476.97,,9087.14,83.4,,Percent of Total Billed Charges,7637.99,,9087.14,83.4,,Percent of Total Billed Charges,8869.22,,9806.27,90,,Percent of Total Billed Charges,9228.78,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,10024.18,92,,Percent of Total Billed Charges,8836.53,,10024.18,92,,Percent of Total Billed Charges,8106.51,,10024.18,92,,Percent of Total Billed Charges,8531.45,,10024.18,92,,Percent of Total Billed Charges,8836.53,,8498.76,78,,Percent of Total Billed Charges,8498.76,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5865.24,53.83,,Percent of Total Billed Charges,5502.4,,3774.32,34.64,,Percent of Total Billed Charges,3759.07,,5445.75,49.98,,Percent of Total Billed Charges,4118.63,,3774.32,10024.18,,																																							
HC PTA ILIAC ART ADDITIONAL IPSI,37222,CPT,,,,BOTH, , ,15164.1,12737.84,13950.97,92,,Percent of Total Billed Charges,12677.19,,13950.97,92,,Percent of Total Billed Charges,12449.73,,13950.97,92,,Percent of Total Billed Charges,12207.1,,13950.97,92,,Percent of Total Billed Charges,12662.02,,13950.97,92,,Percent of Total Billed Charges,11418.57,,13950.97,92,,Percent of Total Billed Charges,9477.56,,13647.69,90,,Percent of Total Billed Charges,7566.89,,13496.05,89,,Percent of Total Billed Charges,7278.77,,12495.22,82.4,,Percent of Total Billed Charges,12464.89,,12646.86,83.4,,Percent of Total Billed Charges,11797.67,,12646.86,83.4,,Percent of Total Billed Charges,10630.03,,12646.86,83.4,,Percent of Total Billed Charges,12343.58,,13647.69,90,,Percent of Total Billed Charges,12843.99,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,13950.97,92,,Percent of Total Billed Charges,12298.09,,13950.97,92,,Percent of Total Billed Charges,11282.09,,13950.97,92,,Percent of Total Billed Charges,11873.49,,13950.97,92,,Percent of Total Billed Charges,12298.09,,11828,78,,Percent of Total Billed Charges,11828,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,8162.84,53.83,,Percent of Total Billed Charges,7657.87,,5252.84,34.64,,Percent of Total Billed Charges,5231.61,,7579.02,49.98,,Percent of Total Billed Charges,5732.03,,5252.84,13950.97,,																																							
HC PTA/ATHEREC FEMPOP,37225,CPT,,,,BOTH, , ,32202.45,27050.06,29626.25,92,,Percent of Total Billed Charges,26921.25,,29626.25,92,,Percent of Total Billed Charges,26438.21,,29626.25,92,,Percent of Total Billed Charges,25922.97,,29626.25,92,,Percent of Total Billed Charges,26889.05,,29626.25,92,,Percent of Total Billed Charges,24248.44,,29626.25,92,,Percent of Total Billed Charges,20126.53,,28982.21,90,,Percent of Total Billed Charges,16069.02,,28660.18,89,,Percent of Total Billed Charges,15457.18,,26534.82,82.4,,Percent of Total Billed Charges,26470.41,,26856.84,83.4,,Percent of Total Billed Charges,25053.51,,26856.84,83.4,,Percent of Total Billed Charges,22573.92,,26856.84,83.4,,Percent of Total Billed Charges,26212.79,,28982.21,90,,Percent of Total Billed Charges,27275.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,29626.25,92,,Percent of Total Billed Charges,26116.19,,29626.25,92,,Percent of Total Billed Charges,23958.62,,29626.25,92,,Percent of Total Billed Charges,25214.52,,29626.25,92,,Percent of Total Billed Charges,26116.19,,25117.91,78,,Percent of Total Billed Charges,25117.91,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,17334.58,53.83,,Percent of Total Billed Charges,16262.24,,11154.93,34.64,,Percent of Total Billed Charges,11109.85,,16094.78,49.98,,Percent of Total Billed Charges,12172.53,,11154.93,29626.25,,																																							
HC PTA/ST/ATH FEM/POP,37227,CPT,,,,BOTH, , ,55767.6,46844.78,51306.19,92,,Percent of Total Billed Charges,46621.71,,51306.19,92,,Percent of Total Billed Charges,45785.2,,51306.19,92,,Percent of Total Billed Charges,44892.92,,51306.19,92,,Percent of Total Billed Charges,46565.95,,51306.19,92,,Percent of Total Billed Charges,41993,,51306.19,92,,Percent of Total Billed Charges,34854.75,,50190.84,90,,Percent of Total Billed Charges,27828.03,,49633.16,89,,Percent of Total Billed Charges,26768.45,,45952.5,82.4,,Percent of Total Billed Charges,45840.97,,46510.18,83.4,,Percent of Total Billed Charges,43387.19,,46510.18,83.4,,Percent of Total Billed Charges,39093.09,,46510.18,83.4,,Percent of Total Billed Charges,45394.83,,50190.84,90,,Percent of Total Billed Charges,47235.16,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,51306.19,92,,Percent of Total Billed Charges,45227.52,,51306.19,92,,Percent of Total Billed Charges,41491.09,,51306.19,92,,Percent of Total Billed Charges,43666.03,,51306.19,92,,Percent of Total Billed Charges,45227.52,,43498.73,78,,Percent of Total Billed Charges,43498.73,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,30019.7,53.83,,Percent of Total Billed Charges,28162.64,,19317.9,34.64,,Percent of Total Billed Charges,19239.82,,27872.65,49.98,,Percent of Total Billed Charges,21080.15,,19317.90,51306.19,,																																							
HC PTA/ATHER TIB/PER INITIAL,37229,CPT,,,,BOTH, , ,40915.35,34368.89,37642.12,92,,Percent of Total Billed Charges,34205.23,,37642.12,92,,Percent of Total Billed Charges,33591.5,,37642.12,92,,Percent of Total Billed Charges,32936.86,,37642.12,92,,Percent of Total Billed Charges,34164.32,,37642.12,92,,Percent of Total Billed Charges,30809.26,,37642.12,92,,Percent of Total Billed Charges,25572.09,,36823.82,90,,Percent of Total Billed Charges,20416.76,,36414.66,89,,Percent of Total Billed Charges,19639.37,,33714.25,82.4,,Percent of Total Billed Charges,33632.42,,34123.4,83.4,,Percent of Total Billed Charges,31832.14,,34123.4,83.4,,Percent of Total Billed Charges,28681.66,,34123.4,83.4,,Percent of Total Billed Charges,33305.09,,36823.82,90,,Percent of Total Billed Charges,34655.3,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,37642.12,92,,Percent of Total Billed Charges,33182.35,,37642.12,92,,Percent of Total Billed Charges,30441.02,,37642.12,92,,Percent of Total Billed Charges,32036.72,,37642.12,92,,Percent of Total Billed Charges,33182.35,,31913.97,78,,Percent of Total Billed Charges,31913.97,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,22024.73,53.83,,Percent of Total Billed Charges,20662.25,,14173.08,34.64,,Percent of Total Billed Charges,14115.8,,20449.49,49.98,,Percent of Total Billed Charges,15466,,14173.08,37642.12,,																																							
HC PTA/STENT/ATH TIB/PER,37231,CPT,,,,BOTH, , ,43731.45,36734.42,40232.93,92,,Percent of Total Billed Charges,36559.49,,40232.93,92,,Percent of Total Billed Charges,35903.52,,40232.93,92,,Percent of Total Billed Charges,35203.82,,40232.93,92,,Percent of Total Billed Charges,36515.76,,40232.93,92,,Percent of Total Billed Charges,32929.78,,40232.93,92,,Percent of Total Billed Charges,27332.16,,39358.31,90,,Percent of Total Billed Charges,21821.99,,38920.99,89,,Percent of Total Billed Charges,20991.1,,36034.71,82.4,,Percent of Total Billed Charges,35947.25,,36472.03,83.4,,Percent of Total Billed Charges,34023.07,,36472.03,83.4,,Percent of Total Billed Charges,30655.75,,36472.03,83.4,,Percent of Total Billed Charges,35597.4,,39358.31,90,,Percent of Total Billed Charges,37040.54,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,40232.93,92,,Percent of Total Billed Charges,35466.21,,40232.93,92,,Percent of Total Billed Charges,32536.2,,40232.93,92,,Percent of Total Billed Charges,34241.73,,40232.93,92,,Percent of Total Billed Charges,35466.21,,34110.53,78,,Percent of Total Billed Charges,34110.53,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,23540.64,53.83,,Percent of Total Billed Charges,22084.38,,15148.57,34.64,,Percent of Total Billed Charges,15087.35,,21856.98,49.98,,Percent of Total Billed Charges,16530.49,,15148.57,40232.93,,																																							
HC PTA/ATH ADDITIONAL TIB/PERONEAL,37233,CPT,,,,BOTH, , ,31156.65,26171.59,28664.12,92,,Percent of Total Billed Charges,26046.96,,28664.12,92,,Percent of Total Billed Charges,25579.61,,28664.12,92,,Percent of Total Billed Charges,25081.1,,28664.12,92,,Percent of Total Billed Charges,26015.8,,28664.12,92,,Percent of Total Billed Charges,23460.96,,28664.12,92,,Percent of Total Billed Charges,19472.91,,28040.99,90,,Percent of Total Billed Charges,15547.17,,27729.42,89,,Percent of Total Billed Charges,14955.19,,25673.08,82.4,,Percent of Total Billed Charges,25610.77,,25984.65,83.4,,Percent of Total Billed Charges,24239.87,,25984.65,83.4,,Percent of Total Billed Charges,21840.81,,25984.65,83.4,,Percent of Total Billed Charges,25361.51,,28040.99,90,,Percent of Total Billed Charges,26389.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,28664.12,92,,Percent of Total Billed Charges,25268.04,,28664.12,92,,Percent of Total Billed Charges,23180.55,,28664.12,92,,Percent of Total Billed Charges,24395.66,,28664.12,92,,Percent of Total Billed Charges,25268.04,,24302.19,78,,Percent of Total Billed Charges,24302.19,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,16771.62,53.83,,Percent of Total Billed Charges,15734.11,,10792.66,34.64,,Percent of Total Billed Charges,10749.04,,15572.09,49.98,,Percent of Total Billed Charges,11777.21,,10792.66,28664.12,,																																							
HC PTA/STENT ADDITIONAL TIB,37234,CPT,,,,BOTH, , ,15164.1,12737.84,13950.97,92,,Percent of Total Billed Charges,12677.19,,13950.97,92,,Percent of Total Billed Charges,12449.73,,13950.97,92,,Percent of Total Billed Charges,12207.1,,13950.97,92,,Percent of Total Billed Charges,12662.02,,13950.97,92,,Percent of Total Billed Charges,11418.57,,13950.97,92,,Percent of Total Billed Charges,9477.56,,13647.69,90,,Percent of Total Billed Charges,7566.89,,13496.05,89,,Percent of Total Billed Charges,7278.77,,12495.22,82.4,,Percent of Total Billed Charges,12464.89,,12646.86,83.4,,Percent of Total Billed Charges,11797.67,,12646.86,83.4,,Percent of Total Billed Charges,10630.03,,12646.86,83.4,,Percent of Total Billed Charges,12343.58,,13647.69,90,,Percent of Total Billed Charges,12843.99,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,13950.97,92,,Percent of Total Billed Charges,12298.09,,13950.97,92,,Percent of Total Billed Charges,11282.09,,13950.97,92,,Percent of Total Billed Charges,11873.49,,13950.97,92,,Percent of Total Billed Charges,12298.09,,11828,78,,Percent of Total Billed Charges,11828,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,8162.84,53.83,,Percent of Total Billed Charges,7657.87,,5252.84,34.64,,Percent of Total Billed Charges,5231.61,,7579.02,49.98,,Percent of Total Billed Charges,5732.03,,5252.84,13950.97,,																																							
HC OPEN/PERQ PLACE STENT SAME,37238,CPT,,,,BOTH, , ,66450.3,55818.25,61134.28,92,,Percent of Total Billed Charges,55552.45,,61134.28,92,,Percent of Total Billed Charges,54555.7,,61134.28,92,,Percent of Total Billed Charges,53492.49,,61134.28,92,,Percent of Total Billed Charges,55486,,61134.28,92,,Percent of Total Billed Charges,50037.08,,61134.28,92,,Percent of Total Billed Charges,41531.44,,59805.27,90,,Percent of Total Billed Charges,33158.7,,59140.77,89,,Percent of Total Billed Charges,31896.14,,54755.05,82.4,,Percent of Total Billed Charges,54622.15,,55419.55,83.4,,Percent of Total Billed Charges,51698.33,,55419.55,83.4,,Percent of Total Billed Charges,46581.66,,55419.55,83.4,,Percent of Total Billed Charges,54090.54,,59805.27,90,,Percent of Total Billed Charges,56283.4,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,61134.28,92,,Percent of Total Billed Charges,53891.19,,61134.28,92,,Percent of Total Billed Charges,49439.02,,61134.28,92,,Percent of Total Billed Charges,52030.58,,61134.28,92,,Percent of Total Billed Charges,53891.19,,51831.23,78,,Percent of Total Billed Charges,51831.23,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,35770.2,53.83,,Percent of Total Billed Charges,33557.4,,23018.38,34.64,,Percent of Total Billed Charges,22925.35,,33211.86,49.98,,Percent of Total Billed Charges,25118.21,,23018.38,61134.28,,																																							
HC OPEN/PERQ PLACE STENT EA ADD,37239,CPT,,,,BOTH, , ,32135.25,26993.61,29564.43,92,,Percent of Total Billed Charges,26865.07,,29564.43,92,,Percent of Total Billed Charges,26383.04,,29564.43,92,,Percent of Total Billed Charges,25868.88,,29564.43,92,,Percent of Total Billed Charges,26832.93,,29564.43,92,,Percent of Total Billed Charges,24197.84,,29564.43,92,,Percent of Total Billed Charges,20084.53,,28921.73,90,,Percent of Total Billed Charges,16035.49,,28600.37,89,,Percent of Total Billed Charges,15424.92,,26479.45,82.4,,Percent of Total Billed Charges,26415.18,,26800.8,83.4,,Percent of Total Billed Charges,25001.22,,26800.8,83.4,,Percent of Total Billed Charges,22526.81,,26800.8,83.4,,Percent of Total Billed Charges,26158.09,,28921.73,90,,Percent of Total Billed Charges,27218.56,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,29564.43,92,,Percent of Total Billed Charges,26061.69,,29564.43,92,,Percent of Total Billed Charges,23908.63,,29564.43,92,,Percent of Total Billed Charges,25161.9,,29564.43,92,,Percent of Total Billed Charges,26061.69,,25065.5,78,,Percent of Total Billed Charges,25065.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,17298.41,53.83,,Percent of Total Billed Charges,16228.3,,11131.65,34.64,,Percent of Total Billed Charges,11086.66,,16061.2,49.98,,Percent of Total Billed Charges,12147.12,,11131.65,29564.43,,																																							
HC VASC EMBOLIZE/OCCLUDE VENOUS,37241,CPT,,,,BOTH, , ,55960.8,47007.07,51483.94,92,,Percent of Total Billed Charges,46783.23,,51483.94,92,,Percent of Total Billed Charges,45943.82,,51483.94,92,,Percent of Total Billed Charges,45048.44,,51483.94,92,,Percent of Total Billed Charges,46727.27,,51483.94,92,,Percent of Total Billed Charges,42138.48,,51483.94,92,,Percent of Total Billed Charges,34975.5,,50364.72,90,,Percent of Total Billed Charges,27924.44,,49805.11,89,,Percent of Total Billed Charges,26861.18,,46111.7,82.4,,Percent of Total Billed Charges,45999.78,,46671.31,83.4,,Percent of Total Billed Charges,43537.5,,46671.31,83.4,,Percent of Total Billed Charges,39228.52,,46671.31,83.4,,Percent of Total Billed Charges,45552.09,,50364.72,90,,Percent of Total Billed Charges,47398.8,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,51483.94,92,,Percent of Total Billed Charges,45384.21,,51483.94,92,,Percent of Total Billed Charges,41634.84,,51483.94,92,,Percent of Total Billed Charges,43817.31,,51483.94,92,,Percent of Total Billed Charges,45384.21,,43649.42,78,,Percent of Total Billed Charges,43649.42,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,30123.7,53.83,,Percent of Total Billed Charges,28260.2,,19384.82,34.64,,Percent of Total Billed Charges,19306.48,,27969.21,49.98,,Percent of Total Billed Charges,21153.18,,19384.82,51483.94,,																																							
HC US UNLISTED PROCEDURE LYMPH,38999,CPT,,,,BOTH, , ,1626.45,1366.22,1496.33,92,,Percent of Total Billed Charges,1359.71,,1496.33,92,,Percent of Total Billed Charges,1335.32,,1496.33,92,,Percent of Total Billed Charges,1309.29,,1496.33,92,,Percent of Total Billed Charges,1358.09,,1496.33,92,,Percent of Total Billed Charges,1224.72,,1496.33,92,,Percent of Total Billed Charges,1016.53,,1463.81,90,,Percent of Total Billed Charges,811.6,,1447.54,89,,Percent of Total Billed Charges,780.7,,1340.19,82.4,,Percent of Total Billed Charges,1336.94,,1356.46,83.4,,Percent of Total Billed Charges,1265.38,,1356.46,83.4,,Percent of Total Billed Charges,1140.14,,1356.46,83.4,,Percent of Total Billed Charges,1323.93,,1463.81,90,,Percent of Total Billed Charges,1377.6,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1496.33,92,,Percent of Total Billed Charges,1319.05,,1496.33,92,,Percent of Total Billed Charges,1210.08,,1496.33,92,,Percent of Total Billed Charges,1273.51,,1496.33,92,,Percent of Total Billed Charges,1319.05,,1268.63,78,,Percent of Total Billed Charges,1268.63,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,875.52,53.83,,Percent of Total Billed Charges,821.36,,563.4,34.64,,Percent of Total Billed Charges,561.13,,812.9,49.98,,Percent of Total Billed Charges,614.8,,563.40,1496.33,,																																							
HC SC INTRO LONG GI TUBE,44500,CPT,,,,BOTH, , ,225.75,189.63,207.69,92,,Percent of Total Billed Charges,188.73,,207.69,92,,Percent of Total Billed Charges,185.34,,207.69,92,,Percent of Total Billed Charges,181.73,,207.69,92,,Percent of Total Billed Charges,188.5,,207.69,92,,Percent of Total Billed Charges,169.99,,207.69,92,,Percent of Total Billed Charges,141.09,,203.18,90,,Percent of Total Billed Charges,112.65,,200.92,89,,Percent of Total Billed Charges,108.36,,186.02,82.4,,Percent of Total Billed Charges,185.57,,188.28,83.4,,Percent of Total Billed Charges,175.63,,188.28,83.4,,Percent of Total Billed Charges,158.25,,188.28,83.4,,Percent of Total Billed Charges,183.76,,203.18,90,,Percent of Total Billed Charges,191.21,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,207.69,92,,Percent of Total Billed Charges,183.08,,207.69,92,,Percent of Total Billed Charges,167.96,,207.69,92,,Percent of Total Billed Charges,176.76,,207.69,92,,Percent of Total Billed Charges,183.08,,176.09,78,,Percent of Total Billed Charges,176.09,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,121.52,53.83,,Percent of Total Billed Charges,114,,78.2,34.64,,Percent of Total Billed Charges,77.88,,112.83,49.98,,Percent of Total Billed Charges,85.33,,78.20,207.69,,																																							
HC CT RF ABLATION TUMOR LIVER,47382,CPT,,,,BOTH, , ,25984.35,21826.85,23905.6,92,,Percent of Total Billed Charges,21722.92,,23905.6,92,,Percent of Total Billed Charges,21333.15,,23905.6,92,,Percent of Total Billed Charges,20917.4,,23905.6,92,,Percent of Total Billed Charges,21696.93,,23905.6,92,,Percent of Total Billed Charges,19566.22,,23905.6,92,,Percent of Total Billed Charges,16240.22,,23385.92,90,,Percent of Total Billed Charges,12966.19,,23126.07,89,,Percent of Total Billed Charges,12472.49,,21411.1,82.4,,Percent of Total Billed Charges,21359.14,,21670.95,83.4,,Percent of Total Billed Charges,20215.82,,21670.95,83.4,,Percent of Total Billed Charges,18215.03,,21670.95,83.4,,Percent of Total Billed Charges,21151.26,,23385.92,90,,Percent of Total Billed Charges,22008.74,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,23905.6,92,,Percent of Total Billed Charges,21073.31,,23905.6,92,,Percent of Total Billed Charges,19332.36,,23905.6,92,,Percent of Total Billed Charges,20345.75,,23905.6,92,,Percent of Total Billed Charges,21073.31,,20267.79,78,,Percent of Total Billed Charges,20267.79,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,13987.38,53.83,,Percent of Total Billed Charges,13122.1,,9000.98,34.64,,Percent of Total Billed Charges,8964.6,,12986.98,49.98,,Percent of Total Billed Charges,9822.08,,9000.98,23905.6,,																																							
HC BILIARY TUBE CHG COMP,47536,CPT,,,,BOTH, , ,10400.25,8736.21,9568.23,92,,Percent of Total Billed Charges,8694.61,,9568.23,92,,Percent of Total Billed Charges,8538.61,,9568.23,92,,Percent of Total Billed Charges,8372.2,,9568.23,92,,Percent of Total Billed Charges,8684.21,,9568.23,92,,Percent of Total Billed Charges,7831.39,,9568.23,92,,Percent of Total Billed Charges,6500.16,,9360.23,90,,Percent of Total Billed Charges,5189.72,,9256.22,89,,Percent of Total Billed Charges,4992.12,,8569.81,82.4,,Percent of Total Billed Charges,8549.01,,8673.81,83.4,,Percent of Total Billed Charges,8091.39,,8673.81,83.4,,Percent of Total Billed Charges,7290.58,,8673.81,83.4,,Percent of Total Billed Charges,8465.8,,9360.23,90,,Percent of Total Billed Charges,8809.01,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,9568.23,92,,Percent of Total Billed Charges,8434.6,,9568.23,92,,Percent of Total Billed Charges,7737.79,,9568.23,92,,Percent of Total Billed Charges,8143.4,,9568.23,92,,Percent of Total Billed Charges,8434.6,,8112.2,78,,Percent of Total Billed Charges,8112.2,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5598.45,53.83,,Percent of Total Billed Charges,5252.13,,3602.65,34.64,,Percent of Total Billed Charges,3588.09,,5198.04,49.98,,Percent of Total Billed Charges,3931.29,,3602.65,9568.23,,																																							
HC NEEDLE BIOPSY PANCREAS,48102,CPT,,,,BOTH, , ,1756.65,1475.59,1616.12,92,,Percent of Total Billed Charges,1468.56,,1616.12,92,,Percent of Total Billed Charges,1442.21,,1616.12,92,,Percent of Total Billed Charges,1414.1,,1616.12,92,,Percent of Total Billed Charges,1466.8,,1616.12,92,,Percent of Total Billed Charges,1322.76,,1616.12,92,,Percent of Total Billed Charges,1097.91,,1580.99,90,,Percent of Total Billed Charges,876.57,,1563.42,89,,Percent of Total Billed Charges,843.19,,1447.48,82.4,,Percent of Total Billed Charges,1443.97,,1465.05,83.4,,Percent of Total Billed Charges,1366.67,,1465.05,83.4,,Percent of Total Billed Charges,1231.41,,1465.05,83.4,,Percent of Total Billed Charges,1429.91,,1580.99,90,,Percent of Total Billed Charges,1487.88,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1616.12,92,,Percent of Total Billed Charges,1424.64,,1616.12,92,,Percent of Total Billed Charges,1306.95,,1616.12,92,,Percent of Total Billed Charges,1375.46,,1616.12,92,,Percent of Total Billed Charges,1424.64,,1370.19,78,,Percent of Total Billed Charges,1370.19,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,945.6,53.83,,Percent of Total Billed Charges,887.11,,608.5,34.64,,Percent of Total Billed Charges,606.04,,877.97,49.98,,Percent of Total Billed Charges,664.01,,608.50,1616.12,,																																							
HC SC ABSCESS TUBE CHANGE,49423,CPT,,,,BOTH, , ,4846.8,4071.31,4459.06,92,,Percent of Total Billed Charges,4051.92,,4459.06,92,,Percent of Total Billed Charges,3979.22,,4459.06,92,,Percent of Total Billed Charges,3901.67,,4459.06,92,,Percent of Total Billed Charges,4047.08,,4459.06,92,,Percent of Total Billed Charges,3649.64,,4459.06,92,,Percent of Total Billed Charges,3029.25,,4362.12,90,,Percent of Total Billed Charges,2418.55,,4313.65,89,,Percent of Total Billed Charges,2326.46,,3993.76,82.4,,Percent of Total Billed Charges,3984.07,,4042.23,83.4,,Percent of Total Billed Charges,3770.81,,4042.23,83.4,,Percent of Total Billed Charges,3397.61,,4042.23,83.4,,Percent of Total Billed Charges,3945.3,,4362.12,90,,Percent of Total Billed Charges,4105.24,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4459.06,92,,Percent of Total Billed Charges,3930.75,,4459.06,92,,Percent of Total Billed Charges,3606.02,,4459.06,92,,Percent of Total Billed Charges,3795.04,,4459.06,92,,Percent of Total Billed Charges,3930.75,,3780.5,78,,Percent of Total Billed Charges,3780.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2609.03,53.83,,Percent of Total Billed Charges,2447.63,,1678.93,34.64,,Percent of Total Billed Charges,1672.15,,2422.43,49.98,,Percent of Total Billed Charges,1832.09,,1678.93,4459.06,,																																							
HC PLACE DUOD/JEJ TUBE PERC,49441,CPT,,,,BOTH, , ,490.35,411.89,451.12,92,,Percent of Total Billed Charges,409.93,,451.12,92,,Percent of Total Billed Charges,402.58,,451.12,92,,Percent of Total Billed Charges,394.73,,451.12,92,,Percent of Total Billed Charges,409.44,,451.12,92,,Percent of Total Billed Charges,369.23,,451.12,92,,Percent of Total Billed Charges,306.47,,441.32,90,,Percent of Total Billed Charges,244.68,,436.41,89,,Percent of Total Billed Charges,235.37,,404.05,82.4,,Percent of Total Billed Charges,403.07,,408.95,83.4,,Percent of Total Billed Charges,381.49,,408.95,83.4,,Percent of Total Billed Charges,343.74,,408.95,83.4,,Percent of Total Billed Charges,399.14,,441.32,90,,Percent of Total Billed Charges,415.33,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,451.12,92,,Percent of Total Billed Charges,397.67,,451.12,92,,Percent of Total Billed Charges,364.82,,451.12,92,,Percent of Total Billed Charges,383.94,,451.12,92,,Percent of Total Billed Charges,397.67,,382.47,78,,Percent of Total Billed Charges,382.47,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,263.96,53.83,,Percent of Total Billed Charges,247.63,,169.86,34.64,,Percent of Total Billed Charges,169.17,,245.08,49.98,,Percent of Total Billed Charges,185.35,,169.86,451.12,,																																							
HC CT CECOSTOMY TUBE,49442,CPT,,,,BOTH, , ,3804.15,3195.49,3499.82,92,,Percent of Total Billed Charges,3180.27,,3499.82,92,,Percent of Total Billed Charges,3123.21,,3499.82,92,,Percent of Total Billed Charges,3062.34,,3499.82,92,,Percent of Total Billed Charges,3176.47,,3499.82,92,,Percent of Total Billed Charges,2864.52,,3499.82,92,,Percent of Total Billed Charges,2377.59,,3423.74,90,,Percent of Total Billed Charges,1898.27,,3385.69,89,,Percent of Total Billed Charges,1825.99,,3134.62,82.4,,Percent of Total Billed Charges,3127.01,,3172.66,83.4,,Percent of Total Billed Charges,2959.63,,3172.66,83.4,,Percent of Total Billed Charges,2666.71,,3172.66,83.4,,Percent of Total Billed Charges,3096.58,,3423.74,90,,Percent of Total Billed Charges,3222.12,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3499.82,92,,Percent of Total Billed Charges,3085.17,,3499.82,92,,Percent of Total Billed Charges,2830.29,,3499.82,92,,Percent of Total Billed Charges,2978.65,,3499.82,92,,Percent of Total Billed Charges,3085.17,,2967.24,78,,Percent of Total Billed Charges,2967.24,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2047.77,53.83,,Percent of Total Billed Charges,1921.1,,1317.76,34.64,,Percent of Total Billed Charges,1312.43,,1901.31,49.98,,Percent of Total Billed Charges,1437.97,,1317.76,3499.82,,																																							
HC US PREOP WIRE ABDOMEN,49999,CPT,,,,BOTH, , ,2966.25,2491.65,2728.95,92,,Percent of Total Billed Charges,2479.79,,2728.95,92,,Percent of Total Billed Charges,2435.29,,2728.95,92,,Percent of Total Billed Charges,2387.83,,2728.95,92,,Percent of Total Billed Charges,2476.82,,2728.95,92,,Percent of Total Billed Charges,2233.59,,2728.95,92,,Percent of Total Billed Charges,1853.91,,2669.63,90,,Percent of Total Billed Charges,1480.16,,2639.96,89,,Percent of Total Billed Charges,1423.8,,2444.19,82.4,,Percent of Total Billed Charges,2438.26,,2473.85,83.4,,Percent of Total Billed Charges,2307.74,,2473.85,83.4,,Percent of Total Billed Charges,2079.34,,2473.85,83.4,,Percent of Total Billed Charges,2414.53,,2669.63,90,,Percent of Total Billed Charges,2512.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2728.95,92,,Percent of Total Billed Charges,2405.63,,2728.95,92,,Percent of Total Billed Charges,2206.89,,2728.95,92,,Percent of Total Billed Charges,2322.57,,2728.95,92,,Percent of Total Billed Charges,2405.63,,2313.68,78,,Percent of Total Billed Charges,2313.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1596.73,53.83,,Percent of Total Billed Charges,1497.96,,1027.51,34.64,,Percent of Total Billed Charges,1023.36,,1482.53,49.98,,Percent of Total Billed Charges,1121.24,,1027.51,2728.95,,																																							
HC URETER STENT REMOVE/REPLACE,50384,CPT,,,,BOTH, , ,586.95,493.04,539.99,92,,Percent of Total Billed Charges,490.69,,539.99,92,,Percent of Total Billed Charges,481.89,,539.99,92,,Percent of Total Billed Charges,472.49,,539.99,92,,Percent of Total Billed Charges,490.1,,539.99,92,,Percent of Total Billed Charges,441.97,,539.99,92,,Percent of Total Billed Charges,366.84,,528.26,90,,Percent of Total Billed Charges,292.89,,522.39,89,,Percent of Total Billed Charges,281.74,,483.65,82.4,,Percent of Total Billed Charges,482.47,,489.52,83.4,,Percent of Total Billed Charges,456.65,,489.52,83.4,,Percent of Total Billed Charges,411.45,,489.52,83.4,,Percent of Total Billed Charges,477.78,,528.26,90,,Percent of Total Billed Charges,497.15,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,539.99,92,,Percent of Total Billed Charges,476.02,,539.99,92,,Percent of Total Billed Charges,436.69,,539.99,92,,Percent of Total Billed Charges,459.58,,539.99,92,,Percent of Total Billed Charges,476.02,,457.82,78,,Percent of Total Billed Charges,457.82,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,315.96,53.83,,Percent of Total Billed Charges,296.41,,203.32,34.64,,Percent of Total Billed Charges,202.5,,293.36,49.98,,Percent of Total Billed Charges,221.87,,203.32,539.99,,																																							
HC CT RF ABLATE TUMOR RENAL,50592,CPT,,,,BOTH, , ,31181.85,26192.75,28687.3,92,,Percent of Total Billed Charges,26068.03,,28687.3,92,,Percent of Total Billed Charges,25600.3,,28687.3,92,,Percent of Total Billed Charges,25101.39,,28687.3,92,,Percent of Total Billed Charges,26036.84,,28687.3,92,,Percent of Total Billed Charges,23479.93,,28687.3,92,,Percent of Total Billed Charges,19488.66,,28063.67,90,,Percent of Total Billed Charges,15559.74,,27751.85,89,,Percent of Total Billed Charges,14967.29,,25693.84,82.4,,Percent of Total Billed Charges,25631.48,,26005.66,83.4,,Percent of Total Billed Charges,24259.48,,26005.66,83.4,,Percent of Total Billed Charges,21858.48,,26005.66,83.4,,Percent of Total Billed Charges,25382.03,,28063.67,90,,Percent of Total Billed Charges,26411.03,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,28687.3,92,,Percent of Total Billed Charges,25288.48,,28687.3,92,,Percent of Total Billed Charges,23199.3,,28687.3,92,,Percent of Total Billed Charges,24415.39,,28687.3,92,,Percent of Total Billed Charges,25288.48,,24321.84,78,,Percent of Total Billed Charges,24321.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,16785.19,53.83,,Percent of Total Billed Charges,15746.83,,10801.39,34.64,,Percent of Total Billed Charges,10757.74,,15584.69,49.98,,Percent of Total Billed Charges,11786.74,,10801.39,28687.3,,																																							
HC BIOPSY OF PROSTATE,55700,CPT,,,,BOTH, , ,5800.2,4872.17,5336.18,92,,Percent of Total Billed Charges,4848.97,,5336.18,92,,Percent of Total Billed Charges,4761.96,,5336.18,92,,Percent of Total Billed Charges,4669.16,,5336.18,92,,Percent of Total Billed Charges,4843.17,,5336.18,92,,Percent of Total Billed Charges,4367.55,,5336.18,92,,Percent of Total Billed Charges,3625.13,,5220.18,90,,Percent of Total Billed Charges,2894.3,,5162.18,89,,Percent of Total Billed Charges,2784.1,,4779.36,82.4,,Percent of Total Billed Charges,4767.76,,4837.37,83.4,,Percent of Total Billed Charges,4512.56,,4837.37,83.4,,Percent of Total Billed Charges,4065.94,,4837.37,83.4,,Percent of Total Billed Charges,4721.36,,5220.18,90,,Percent of Total Billed Charges,4912.77,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5336.18,92,,Percent of Total Billed Charges,4703.96,,5336.18,92,,Percent of Total Billed Charges,4315.35,,5336.18,92,,Percent of Total Billed Charges,4541.56,,5336.18,92,,Percent of Total Billed Charges,4703.96,,4524.16,78,,Percent of Total Billed Charges,4524.16,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3122.25,53.83,,Percent of Total Billed Charges,2929.1,,2009.19,34.64,,Percent of Total Billed Charges,2001.07,,2898.94,49.98,,Percent of Total Billed Charges,2192.48,,2009.19,5336.18,,																																							
HC CT NL CYST ASPIRATION SPINE,62268,CPT,,,,BOTH, , ,4184.25,3514.77,3849.51,92,,Percent of Total Billed Charges,3498.03,,3849.51,92,,Percent of Total Billed Charges,3435.27,,3849.51,92,,Percent of Total Billed Charges,3368.32,,3849.51,92,,Percent of Total Billed Charges,3493.85,,3849.51,92,,Percent of Total Billed Charges,3150.74,,3849.51,92,,Percent of Total Billed Charges,2615.16,,3765.83,90,,Percent of Total Billed Charges,2087.94,,3723.98,89,,Percent of Total Billed Charges,2008.44,,3447.82,82.4,,Percent of Total Billed Charges,3439.45,,3489.66,83.4,,Percent of Total Billed Charges,3255.35,,3489.66,83.4,,Percent of Total Billed Charges,2933.16,,3489.66,83.4,,Percent of Total Billed Charges,3405.98,,3765.83,90,,Percent of Total Billed Charges,3544.06,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3849.51,92,,Percent of Total Billed Charges,3393.43,,3849.51,92,,Percent of Total Billed Charges,3113.08,,3849.51,92,,Percent of Total Billed Charges,3276.27,,3849.51,92,,Percent of Total Billed Charges,3393.43,,3263.72,78,,Percent of Total Billed Charges,3263.72,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2252.38,53.83,,Percent of Total Billed Charges,2113.05,,1449.42,34.64,,Percent of Total Billed Charges,1443.57,,2091.29,49.98,,Percent of Total Billed Charges,1581.65,,1449.42,3849.51,,																																							
HC NEEDLE BIOPSY SPINAL CORD,62269,CPT,,,,BOTH, , ,3056.55,2567.5,2812.03,92,,Percent of Total Billed Charges,2555.28,,2812.03,92,,Percent of Total Billed Charges,2509.43,,2812.03,92,,Percent of Total Billed Charges,2460.52,,2812.03,92,,Percent of Total Billed Charges,2552.22,,2812.03,92,,Percent of Total Billed Charges,2301.58,,2812.03,92,,Percent of Total Billed Charges,1910.34,,2750.9,90,,Percent of Total Billed Charges,1525.22,,2720.33,89,,Percent of Total Billed Charges,1467.14,,2518.6,82.4,,Percent of Total Billed Charges,2512.48,,2549.16,83.4,,Percent of Total Billed Charges,2378,,2549.16,83.4,,Percent of Total Billed Charges,2142.64,,2549.16,83.4,,Percent of Total Billed Charges,2488.03,,2750.9,90,,Percent of Total Billed Charges,2588.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2812.03,92,,Percent of Total Billed Charges,2478.86,,2812.03,92,,Percent of Total Billed Charges,2274.07,,2812.03,92,,Percent of Total Billed Charges,2393.28,,2812.03,92,,Percent of Total Billed Charges,2478.86,,2384.11,78,,Percent of Total Billed Charges,2384.11,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1645.34,53.83,,Percent of Total Billed Charges,1543.56,,1058.79,34.64,,Percent of Total Billed Charges,1054.51,,1527.66,49.98,,Percent of Total Billed Charges,1155.38,,1058.79,2812.03,,																																							
HC SC DISCOGRAM LUMBAR,62290,CPT,,,,BOTH, , ,1479.45,1242.74,1361.09,92,,Percent of Total Billed Charges,1236.82,,1361.09,92,,Percent of Total Billed Charges,1214.63,,1361.09,92,,Percent of Total Billed Charges,1190.96,,1361.09,92,,Percent of Total Billed Charges,1235.34,,1361.09,92,,Percent of Total Billed Charges,1114.03,,1361.09,92,,Percent of Total Billed Charges,924.66,,1331.51,90,,Percent of Total Billed Charges,738.25,,1316.71,89,,Percent of Total Billed Charges,710.14,,1219.07,82.4,,Percent of Total Billed Charges,1216.11,,1233.86,83.4,,Percent of Total Billed Charges,1151.01,,1233.86,83.4,,Percent of Total Billed Charges,1037.09,,1233.86,83.4,,Percent of Total Billed Charges,1204.27,,1331.51,90,,Percent of Total Billed Charges,1253.09,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1361.09,92,,Percent of Total Billed Charges,1199.83,,1361.09,92,,Percent of Total Billed Charges,1100.71,,1361.09,92,,Percent of Total Billed Charges,1158.41,,1361.09,92,,Percent of Total Billed Charges,1199.83,,1153.97,78,,Percent of Total Billed Charges,1153.97,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,796.39,53.83,,Percent of Total Billed Charges,747.12,,512.48,34.64,,Percent of Total Billed Charges,510.41,,739.43,49.98,,Percent of Total Billed Charges,559.23,,512.48,1361.09,,																																							
HC SC DISCOGRAM CERV/THOR,62291,CPT,,,,BOTH, , ,1710.45,1436.78,1573.61,92,,Percent of Total Billed Charges,1429.94,,1573.61,92,,Percent of Total Billed Charges,1404.28,,1573.61,92,,Percent of Total Billed Charges,1376.91,,1573.61,92,,Percent of Total Billed Charges,1428.23,,1573.61,92,,Percent of Total Billed Charges,1287.97,,1573.61,92,,Percent of Total Billed Charges,1069.03,,1539.41,90,,Percent of Total Billed Charges,853.51,,1522.3,89,,Percent of Total Billed Charges,821.02,,1409.41,82.4,,Percent of Total Billed Charges,1405.99,,1426.52,83.4,,Percent of Total Billed Charges,1330.73,,1426.52,83.4,,Percent of Total Billed Charges,1199.03,,1426.52,83.4,,Percent of Total Billed Charges,1392.31,,1539.41,90,,Percent of Total Billed Charges,1448.75,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1573.61,92,,Percent of Total Billed Charges,1387.17,,1573.61,92,,Percent of Total Billed Charges,1272.57,,1573.61,92,,Percent of Total Billed Charges,1339.28,,1573.61,92,,Percent of Total Billed Charges,1387.17,,1334.15,78,,Percent of Total Billed Charges,1334.15,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,920.74,53.83,,Percent of Total Billed Charges,863.78,,592.5,34.64,,Percent of Total Billed Charges,590.11,,854.88,49.98,,Percent of Total Billed Charges,646.55,,592.50,1573.61,,																																							
HC FL MYELOGRAM CERVICAL,62302,CPT,,,,BOTH, , ,4264.05,3581.8,3922.93,92,,Percent of Total Billed Charges,3564.75,,3922.93,92,,Percent of Total Billed Charges,3500.79,,3922.93,92,,Percent of Total Billed Charges,3432.56,,3922.93,92,,Percent of Total Billed Charges,3560.48,,3922.93,92,,Percent of Total Billed Charges,3210.83,,3922.93,92,,Percent of Total Billed Charges,2665.03,,3837.65,90,,Percent of Total Billed Charges,2127.76,,3795,89,,Percent of Total Billed Charges,2046.74,,3513.58,82.4,,Percent of Total Billed Charges,3505.05,,3556.22,83.4,,Percent of Total Billed Charges,3317.43,,3556.22,83.4,,Percent of Total Billed Charges,2989.1,,3556.22,83.4,,Percent of Total Billed Charges,3470.94,,3837.65,90,,Percent of Total Billed Charges,3611.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3922.93,92,,Percent of Total Billed Charges,3458.14,,3922.93,92,,Percent of Total Billed Charges,3172.45,,3922.93,92,,Percent of Total Billed Charges,3338.75,,3922.93,92,,Percent of Total Billed Charges,3458.14,,3325.96,78,,Percent of Total Billed Charges,3325.96,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2295.34,53.83,,Percent of Total Billed Charges,2153.35,,1477.07,34.64,,Percent of Total Billed Charges,1471.1,,2131.17,49.98,,Percent of Total Billed Charges,1611.81,,1477.07,3922.93,,																																							
HC FACET INJ 2ND CERV/THOR,64491,CPT,,,,BOTH, , ,1681.05,1412.08,1546.57,92,,Percent of Total Billed Charges,1405.36,,1546.57,92,,Percent of Total Billed Charges,1380.14,,1546.57,92,,Percent of Total Billed Charges,1353.25,,1546.57,92,,Percent of Total Billed Charges,1403.68,,1546.57,92,,Percent of Total Billed Charges,1265.83,,1546.57,92,,Percent of Total Billed Charges,1050.66,,1512.95,90,,Percent of Total Billed Charges,838.84,,1496.13,89,,Percent of Total Billed Charges,806.9,,1385.19,82.4,,Percent of Total Billed Charges,1381.82,,1402,83.4,,Percent of Total Billed Charges,1307.86,,1402,83.4,,Percent of Total Billed Charges,1178.42,,1402,83.4,,Percent of Total Billed Charges,1368.37,,1512.95,90,,Percent of Total Billed Charges,1423.85,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1546.57,92,,Percent of Total Billed Charges,1363.33,,1546.57,92,,Percent of Total Billed Charges,1250.7,,1546.57,92,,Percent of Total Billed Charges,1316.26,,1546.57,92,,Percent of Total Billed Charges,1363.33,,1311.22,78,,Percent of Total Billed Charges,1311.22,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,904.91,53.83,,Percent of Total Billed Charges,848.93,,582.32,34.64,,Percent of Total Billed Charges,579.96,,840.19,49.98,,Percent of Total Billed Charges,635.44,,582.32,1546.57,,																																							
HC CT FACET INJ 3RD CERV/THOR,64492,CPT,,,,BOTH, , ,600.6,504.5,552.55,92,,Percent of Total Billed Charges,502.1,,552.55,92,,Percent of Total Billed Charges,493.09,,552.55,92,,Percent of Total Billed Charges,483.48,,552.55,92,,Percent of Total Billed Charges,501.5,,552.55,92,,Percent of Total Billed Charges,452.25,,552.55,92,,Percent of Total Billed Charges,375.38,,540.54,90,,Percent of Total Billed Charges,299.7,,534.53,89,,Percent of Total Billed Charges,288.29,,494.89,82.4,,Percent of Total Billed Charges,493.69,,500.9,83.4,,Percent of Total Billed Charges,467.27,,500.9,83.4,,Percent of Total Billed Charges,421.02,,500.9,83.4,,Percent of Total Billed Charges,488.89,,540.54,90,,Percent of Total Billed Charges,508.71,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,552.55,92,,Percent of Total Billed Charges,487.09,,552.55,92,,Percent of Total Billed Charges,446.85,,552.55,92,,Percent of Total Billed Charges,470.27,,552.55,92,,Percent of Total Billed Charges,487.09,,468.47,78,,Percent of Total Billed Charges,468.47,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,323.3,53.83,,Percent of Total Billed Charges,303.3,,208.05,34.64,,Percent of Total Billed Charges,207.21,,300.18,49.98,,Percent of Total Billed Charges,227.03,,208.05,552.55,,																																							
HC CLIP PLACEMENT SOFT TISSUE INITIAL,10035,CPT,,,,BOTH, , ,2297.4,1929.82,2113.61,92,,Percent of Total Billed Charges,1920.63,,2113.61,92,,Percent of Total Billed Charges,1886.17,,2113.61,92,,Percent of Total Billed Charges,1849.41,,2113.61,92,,Percent of Total Billed Charges,1918.33,,2113.61,92,,Percent of Total Billed Charges,1729.94,,2113.61,92,,Percent of Total Billed Charges,1435.88,,2067.66,90,,Percent of Total Billed Charges,1146.4,,2044.69,89,,Percent of Total Billed Charges,1102.75,,1893.06,82.4,,Percent of Total Billed Charges,1888.46,,1916.03,83.4,,Percent of Total Billed Charges,1787.38,,1916.03,83.4,,Percent of Total Billed Charges,1610.48,,1916.03,83.4,,Percent of Total Billed Charges,1870.08,,2067.66,90,,Percent of Total Billed Charges,1945.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2113.61,92,,Percent of Total Billed Charges,1863.19,,2113.61,92,,Percent of Total Billed Charges,1709.27,,2113.61,92,,Percent of Total Billed Charges,1798.86,,2113.61,92,,Percent of Total Billed Charges,1863.19,,1791.97,78,,Percent of Total Billed Charges,1791.97,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1236.69,53.83,,Percent of Total Billed Charges,1160.19,,795.82,34.64,,Percent of Total Billed Charges,792.6,,1148.24,49.98,,Percent of Total Billed Charges,868.42,,795.82,2113.61,,																																							
HC CLIP PLACEMENT SOFT TISSUE ADDTIONAL,10036,CPT,,,,BOTH, , ,1150.8,966.67,1058.74,92,,Percent of Total Billed Charges,962.07,,1058.74,92,,Percent of Total Billed Charges,944.81,,1058.74,92,,Percent of Total Billed Charges,926.39,,1058.74,92,,Percent of Total Billed Charges,960.92,,1058.74,92,,Percent of Total Billed Charges,866.55,,1058.74,92,,Percent of Total Billed Charges,719.25,,1035.72,90,,Percent of Total Billed Charges,574.25,,1024.21,89,,Percent of Total Billed Charges,552.38,,948.26,82.4,,Percent of Total Billed Charges,945.96,,959.77,83.4,,Percent of Total Billed Charges,895.32,,959.77,83.4,,Percent of Total Billed Charges,806.71,,959.77,83.4,,Percent of Total Billed Charges,936.75,,1035.72,90,,Percent of Total Billed Charges,974.73,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1058.74,92,,Percent of Total Billed Charges,933.3,,1058.74,92,,Percent of Total Billed Charges,856.2,,1058.74,92,,Percent of Total Billed Charges,901.08,,1058.74,92,,Percent of Total Billed Charges,933.3,,897.62,78,,Percent of Total Billed Charges,897.62,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,619.48,53.83,,Percent of Total Billed Charges,581.15,,398.64,34.64,,Percent of Total Billed Charges,397.03,,575.17,49.98,,Percent of Total Billed Charges,435,,398.64,1058.74,,																																							
HC CONVERSION EXT BIL DRG CATH,47535,CPT,,,,BOTH, , ,10400.25,8736.21,9568.23,92,,Percent of Total Billed Charges,8694.61,,9568.23,92,,Percent of Total Billed Charges,8538.61,,9568.23,92,,Percent of Total Billed Charges,8372.2,,9568.23,92,,Percent of Total Billed Charges,8684.21,,9568.23,92,,Percent of Total Billed Charges,7831.39,,9568.23,92,,Percent of Total Billed Charges,6500.16,,9360.23,90,,Percent of Total Billed Charges,5189.72,,9256.22,89,,Percent of Total Billed Charges,4992.12,,8569.81,82.4,,Percent of Total Billed Charges,8549.01,,8673.81,83.4,,Percent of Total Billed Charges,8091.39,,8673.81,83.4,,Percent of Total Billed Charges,7290.58,,8673.81,83.4,,Percent of Total Billed Charges,8465.8,,9360.23,90,,Percent of Total Billed Charges,8809.01,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,9568.23,92,,Percent of Total Billed Charges,8434.6,,9568.23,92,,Percent of Total Billed Charges,7737.79,,9568.23,92,,Percent of Total Billed Charges,8143.4,,9568.23,92,,Percent of Total Billed Charges,8434.6,,8112.2,78,,Percent of Total Billed Charges,8112.2,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5598.45,53.83,,Percent of Total Billed Charges,5252.13,,3602.65,34.64,,Percent of Total Billed Charges,3588.09,,5198.04,49.98,,Percent of Total Billed Charges,3931.29,,3602.65,9568.23,,																																							
HC REMOVAL BILIARY DRG CATH,47537,CPT,,,,BOTH, , ,2307.9,1938.64,2123.27,92,,Percent of Total Billed Charges,1929.4,,2123.27,92,,Percent of Total Billed Charges,1894.79,,2123.27,92,,Percent of Total Billed Charges,1857.86,,2123.27,92,,Percent of Total Billed Charges,1927.1,,2123.27,92,,Percent of Total Billed Charges,1737.85,,2123.27,92,,Percent of Total Billed Charges,1442.44,,2077.11,90,,Percent of Total Billed Charges,1151.64,,2054.03,89,,Percent of Total Billed Charges,1107.79,,1901.71,82.4,,Percent of Total Billed Charges,1897.09,,1924.79,83.4,,Percent of Total Billed Charges,1795.55,,1924.79,83.4,,Percent of Total Billed Charges,1617.84,,1924.79,83.4,,Percent of Total Billed Charges,1878.63,,2077.11,90,,Percent of Total Billed Charges,1954.79,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2123.27,92,,Percent of Total Billed Charges,1871.71,,2123.27,92,,Percent of Total Billed Charges,1717.08,,2123.27,92,,Percent of Total Billed Charges,1807.09,,2123.27,92,,Percent of Total Billed Charges,1871.71,,1800.16,78,,Percent of Total Billed Charges,1800.16,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1242.34,53.83,,Percent of Total Billed Charges,1165.49,,799.46,34.64,,Percent of Total Billed Charges,796.23,,1153.49,49.98,,Percent of Total Billed Charges,872.39,,799.46,2123.27,,																																							
HC BILIARY STENT EACH EXIST ACC,47538,CPT,,,,BOTH, , ,23609.25,19831.77,21720.51,92,,Percent of Total Billed Charges,19737.33,,21720.51,92,,Percent of Total Billed Charges,19383.19,,21720.51,92,,Percent of Total Billed Charges,19005.45,,21720.51,92,,Percent of Total Billed Charges,19713.72,,21720.51,92,,Percent of Total Billed Charges,17777.77,,21720.51,92,,Percent of Total Billed Charges,14755.78,,21248.33,90,,Percent of Total Billed Charges,11781.02,,21012.23,89,,Percent of Total Billed Charges,11332.44,,19454.02,82.4,,Percent of Total Billed Charges,19406.8,,19690.11,83.4,,Percent of Total Billed Charges,18368,,19690.11,83.4,,Percent of Total Billed Charges,16550.08,,19690.11,83.4,,Percent of Total Billed Charges,19217.93,,21248.33,90,,Percent of Total Billed Charges,19997.03,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,21720.51,92,,Percent of Total Billed Charges,19147.1,,21720.51,92,,Percent of Total Billed Charges,17565.28,,21720.51,92,,Percent of Total Billed Charges,18486.04,,21720.51,92,,Percent of Total Billed Charges,19147.1,,18415.22,78,,Percent of Total Billed Charges,18415.22,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,12708.86,53.83,,Percent of Total Billed Charges,11922.67,,8178.24,34.64,,Percent of Total Billed Charges,8145.19,,11799.9,49.98,,Percent of Total Billed Charges,8924.3,,8178.24,21720.51,,																																							
HC BILIARY STENT NEW ACC WO CATH,47539,CPT,,,,BOTH, , ,19673.85,16526.03,18099.94,92,,Percent of Total Billed Charges,16447.34,,18099.94,92,,Percent of Total Billed Charges,16152.23,,18099.94,92,,Percent of Total Billed Charges,15837.45,,18099.94,92,,Percent of Total Billed Charges,16427.66,,18099.94,92,,Percent of Total Billed Charges,14814.41,,18099.94,92,,Percent of Total Billed Charges,12296.16,,17706.47,90,,Percent of Total Billed Charges,9817.25,,17509.73,89,,Percent of Total Billed Charges,9443.45,,16211.25,82.4,,Percent of Total Billed Charges,16171.9,,16407.99,83.4,,Percent of Total Billed Charges,15306.26,,16407.99,83.4,,Percent of Total Billed Charges,13791.37,,16407.99,83.4,,Percent of Total Billed Charges,16014.51,,17706.47,90,,Percent of Total Billed Charges,16663.75,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,18099.94,92,,Percent of Total Billed Charges,15955.49,,18099.94,92,,Percent of Total Billed Charges,14637.34,,18099.94,92,,Percent of Total Billed Charges,15404.62,,18099.94,92,,Percent of Total Billed Charges,15955.49,,15345.6,78,,Percent of Total Billed Charges,15345.6,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,10590.43,53.83,,Percent of Total Billed Charges,9935.29,,6815.02,34.64,,Percent of Total Billed Charges,6787.48,,9832.99,49.98,,Percent of Total Billed Charges,7436.72,,6815.02,18099.94,,																																							
HC BILIARY STENT NEW ACC W CATH,47540,CPT,,,,BOTH, , ,19673.85,16526.03,18099.94,92,,Percent of Total Billed Charges,16447.34,,18099.94,92,,Percent of Total Billed Charges,16152.23,,18099.94,92,,Percent of Total Billed Charges,15837.45,,18099.94,92,,Percent of Total Billed Charges,16427.66,,18099.94,92,,Percent of Total Billed Charges,14814.41,,18099.94,92,,Percent of Total Billed Charges,12296.16,,17706.47,90,,Percent of Total Billed Charges,9817.25,,17509.73,89,,Percent of Total Billed Charges,9443.45,,16211.25,82.4,,Percent of Total Billed Charges,16171.9,,16407.99,83.4,,Percent of Total Billed Charges,15306.26,,16407.99,83.4,,Percent of Total Billed Charges,13791.37,,16407.99,83.4,,Percent of Total Billed Charges,16014.51,,17706.47,90,,Percent of Total Billed Charges,16663.75,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,18099.94,92,,Percent of Total Billed Charges,15955.49,,18099.94,92,,Percent of Total Billed Charges,14637.34,,18099.94,92,,Percent of Total Billed Charges,15404.62,,18099.94,92,,Percent of Total Billed Charges,15955.49,,15345.6,78,,Percent of Total Billed Charges,15345.6,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,10590.43,53.83,,Percent of Total Billed Charges,9935.29,,6815.02,34.64,,Percent of Total Billed Charges,6787.48,,9832.99,49.98,,Percent of Total Billed Charges,7436.72,,6815.02,18099.94,,																																							
HC BILIARY ACCESS TO SM BW,47541,CPT,,,,BOTH, , ,10400.25,8736.21,9568.23,92,,Percent of Total Billed Charges,8694.61,,9568.23,92,,Percent of Total Billed Charges,8538.61,,9568.23,92,,Percent of Total Billed Charges,8372.2,,9568.23,92,,Percent of Total Billed Charges,8684.21,,9568.23,92,,Percent of Total Billed Charges,7831.39,,9568.23,92,,Percent of Total Billed Charges,6500.16,,9360.23,90,,Percent of Total Billed Charges,5189.72,,9256.22,89,,Percent of Total Billed Charges,4992.12,,8569.81,82.4,,Percent of Total Billed Charges,8549.01,,8673.81,83.4,,Percent of Total Billed Charges,8091.39,,8673.81,83.4,,Percent of Total Billed Charges,7290.58,,8673.81,83.4,,Percent of Total Billed Charges,8465.8,,9360.23,90,,Percent of Total Billed Charges,8809.01,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,9568.23,92,,Percent of Total Billed Charges,8434.6,,9568.23,92,,Percent of Total Billed Charges,7737.79,,9568.23,92,,Percent of Total Billed Charges,8143.4,,9568.23,92,,Percent of Total Billed Charges,8434.6,,8112.2,78,,Percent of Total Billed Charges,8112.2,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5598.45,53.83,,Percent of Total Billed Charges,5252.13,,3602.65,34.64,,Percent of Total Billed Charges,3588.09,,5198.04,49.98,,Percent of Total Billed Charges,3931.29,,3602.65,9568.23,,																																							
HC BILIARY DUCT DILATION,47542,CPT,,,,BOTH, , ,6901.65,5797.39,6349.52,92,,Percent of Total Billed Charges,5769.78,,6349.52,92,,Percent of Total Billed Charges,5666.25,,6349.52,92,,Percent of Total Billed Charges,5555.83,,6349.52,92,,Percent of Total Billed Charges,5762.88,,6349.52,92,,Percent of Total Billed Charges,5196.94,,6349.52,92,,Percent of Total Billed Charges,4313.53,,6211.49,90,,Percent of Total Billed Charges,3443.92,,6142.47,89,,Percent of Total Billed Charges,3312.79,,5686.96,82.4,,Percent of Total Billed Charges,5673.16,,5755.98,83.4,,Percent of Total Billed Charges,5369.48,,5755.98,83.4,,Percent of Total Billed Charges,4838.06,,5755.98,83.4,,Percent of Total Billed Charges,5617.94,,6211.49,90,,Percent of Total Billed Charges,5845.7,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6349.52,92,,Percent of Total Billed Charges,5597.24,,6349.52,92,,Percent of Total Billed Charges,5134.83,,6349.52,92,,Percent of Total Billed Charges,5403.99,,6349.52,92,,Percent of Total Billed Charges,5597.24,,5383.29,78,,Percent of Total Billed Charges,5383.29,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3715.16,53.83,,Percent of Total Billed Charges,3485.33,,2390.73,34.64,,Percent of Total Billed Charges,2381.07,,3449.44,49.98,,Percent of Total Billed Charges,2608.82,,2390.73,6349.52,,																																							
HC BILIARY DUCT BIOPSY,47543,CPT,,,,BOTH, , ,7919.1,6652.04,7285.57,92,,Percent of Total Billed Charges,6620.37,,7285.57,92,,Percent of Total Billed Charges,6501.58,,7285.57,92,,Percent of Total Billed Charges,6374.88,,7285.57,92,,Percent of Total Billed Charges,6612.45,,7285.57,92,,Percent of Total Billed Charges,5963.08,,7285.57,92,,Percent of Total Billed Charges,4949.44,,7127.19,90,,Percent of Total Billed Charges,3951.63,,7048,89,,Percent of Total Billed Charges,3801.17,,6525.34,82.4,,Percent of Total Billed Charges,6509.5,,6604.53,83.4,,Percent of Total Billed Charges,6161.06,,6604.53,83.4,,Percent of Total Billed Charges,5551.29,,6604.53,83.4,,Percent of Total Billed Charges,6446.15,,7127.19,90,,Percent of Total Billed Charges,6707.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,7285.57,92,,Percent of Total Billed Charges,6422.39,,7285.57,92,,Percent of Total Billed Charges,5891.81,,7285.57,92,,Percent of Total Billed Charges,6200.66,,7285.57,92,,Percent of Total Billed Charges,6422.39,,6176.9,78,,Percent of Total Billed Charges,6176.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4262.85,53.83,,Percent of Total Billed Charges,3999.15,,2743.18,34.64,,Percent of Total Billed Charges,2732.09,,3957.97,49.98,,Percent of Total Billed Charges,2993.42,,2743.18,7285.57,,																																							
HC SCLEROTX FLUID COLLECTION,49185,CPT,,,,BOTH, , ,5399.1,4535.24,4967.17,92,,Percent of Total Billed Charges,4513.65,,4967.17,92,,Percent of Total Billed Charges,4432.66,,4967.17,92,,Percent of Total Billed Charges,4346.28,,4967.17,92,,Percent of Total Billed Charges,4508.25,,4967.17,92,,Percent of Total Billed Charges,4065.52,,4967.17,92,,Percent of Total Billed Charges,3374.44,,4859.19,90,,Percent of Total Billed Charges,2694.15,,4805.2,89,,Percent of Total Billed Charges,2591.57,,4448.86,82.4,,Percent of Total Billed Charges,4438.06,,4502.85,83.4,,Percent of Total Billed Charges,4200.5,,4502.85,83.4,,Percent of Total Billed Charges,3784.77,,4502.85,83.4,,Percent of Total Billed Charges,4394.87,,4859.19,90,,Percent of Total Billed Charges,4573.04,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4967.17,92,,Percent of Total Billed Charges,4378.67,,4967.17,92,,Percent of Total Billed Charges,4016.93,,4967.17,92,,Percent of Total Billed Charges,4227.5,,4967.17,92,,Percent of Total Billed Charges,4378.67,,4211.3,78,,Percent of Total Billed Charges,4211.3,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2906.34,53.83,,Percent of Total Billed Charges,2726.55,,1870.25,34.64,,Percent of Total Billed Charges,1862.69,,2698.47,49.98,,Percent of Total Billed Charges,2040.86,,1870.25,4967.17,,																																							
HC NEPROSTOGRAM NEW ACC,50430,CPT,,,,BOTH, , ,2505.3,2104.45,2304.88,92,,Percent of Total Billed Charges,2094.43,,2304.88,92,,Percent of Total Billed Charges,2056.85,,2304.88,92,,Percent of Total Billed Charges,2016.77,,2304.88,92,,Percent of Total Billed Charges,2091.93,,2304.88,92,,Percent of Total Billed Charges,1886.49,,2304.88,92,,Percent of Total Billed Charges,1565.81,,2254.77,90,,Percent of Total Billed Charges,1250.14,,2229.72,89,,Percent of Total Billed Charges,1202.54,,2064.37,82.4,,Percent of Total Billed Charges,2059.36,,2089.42,83.4,,Percent of Total Billed Charges,1949.12,,2089.42,83.4,,Percent of Total Billed Charges,1756.22,,2089.42,83.4,,Percent of Total Billed Charges,2039.31,,2254.77,90,,Percent of Total Billed Charges,2121.99,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2304.88,92,,Percent of Total Billed Charges,2031.8,,2304.88,92,,Percent of Total Billed Charges,1863.94,,2304.88,92,,Percent of Total Billed Charges,1961.65,,2304.88,92,,Percent of Total Billed Charges,2031.8,,1954.13,78,,Percent of Total Billed Charges,1954.13,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1348.6,53.83,,Percent of Total Billed Charges,1265.18,,867.84,34.64,,Percent of Total Billed Charges,864.33,,1252.15,49.98,,Percent of Total Billed Charges,947,,867.84,2304.88,,																																							
HC NEPHROSTOGRAM,50431,CPT,,,,BOTH, , ,2505.3,2104.45,2304.88,92,,Percent of Total Billed Charges,2094.43,,2304.88,92,,Percent of Total Billed Charges,2056.85,,2304.88,92,,Percent of Total Billed Charges,2016.77,,2304.88,92,,Percent of Total Billed Charges,2091.93,,2304.88,92,,Percent of Total Billed Charges,1886.49,,2304.88,92,,Percent of Total Billed Charges,1565.81,,2254.77,90,,Percent of Total Billed Charges,1250.14,,2229.72,89,,Percent of Total Billed Charges,1202.54,,2064.37,82.4,,Percent of Total Billed Charges,2059.36,,2089.42,83.4,,Percent of Total Billed Charges,1949.12,,2089.42,83.4,,Percent of Total Billed Charges,1756.22,,2089.42,83.4,,Percent of Total Billed Charges,2039.31,,2254.77,90,,Percent of Total Billed Charges,2121.99,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2304.88,92,,Percent of Total Billed Charges,2031.8,,2304.88,92,,Percent of Total Billed Charges,1863.94,,2304.88,92,,Percent of Total Billed Charges,1961.65,,2304.88,92,,Percent of Total Billed Charges,2031.8,,1954.13,78,,Percent of Total Billed Charges,1954.13,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1348.6,53.83,,Percent of Total Billed Charges,1265.18,,867.84,34.64,,Percent of Total Billed Charges,864.33,,1252.15,49.98,,Percent of Total Billed Charges,947,,867.84,2304.88,,																																							
HC CONVERT NEPHROSTOMY CATHETER,50434,CPT,,,,BOTH, , ,2505.3,2104.45,2304.88,92,,Percent of Total Billed Charges,2094.43,,2304.88,92,,Percent of Total Billed Charges,2056.85,,2304.88,92,,Percent of Total Billed Charges,2016.77,,2304.88,92,,Percent of Total Billed Charges,2091.93,,2304.88,92,,Percent of Total Billed Charges,1886.49,,2304.88,92,,Percent of Total Billed Charges,1565.81,,2254.77,90,,Percent of Total Billed Charges,1250.14,,2229.72,89,,Percent of Total Billed Charges,1202.54,,2064.37,82.4,,Percent of Total Billed Charges,2059.36,,2089.42,83.4,,Percent of Total Billed Charges,1949.12,,2089.42,83.4,,Percent of Total Billed Charges,1756.22,,2089.42,83.4,,Percent of Total Billed Charges,2039.31,,2254.77,90,,Percent of Total Billed Charges,2121.99,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2304.88,92,,Percent of Total Billed Charges,2031.8,,2304.88,92,,Percent of Total Billed Charges,1863.94,,2304.88,92,,Percent of Total Billed Charges,1961.65,,2304.88,92,,Percent of Total Billed Charges,2031.8,,1954.13,78,,Percent of Total Billed Charges,1954.13,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1348.6,53.83,,Percent of Total Billed Charges,1265.18,,867.84,34.64,,Percent of Total Billed Charges,864.33,,1252.15,49.98,,Percent of Total Billed Charges,947,,867.84,2304.88,,																																							
HC PERC NEPH TUBE CHANGE,50435,CPT,,,,BOTH, , ,3006.15,2525.17,2765.66,92,,Percent of Total Billed Charges,2513.14,,2765.66,92,,Percent of Total Billed Charges,2468.05,,2765.66,92,,Percent of Total Billed Charges,2419.95,,2765.66,92,,Percent of Total Billed Charges,2510.14,,2765.66,92,,Percent of Total Billed Charges,2263.63,,2765.66,92,,Percent of Total Billed Charges,1878.84,,2705.54,90,,Percent of Total Billed Charges,1500.07,,2675.47,89,,Percent of Total Billed Charges,1442.95,,2477.07,82.4,,Percent of Total Billed Charges,2471.06,,2507.13,83.4,,Percent of Total Billed Charges,2338.78,,2507.13,83.4,,Percent of Total Billed Charges,2107.31,,2507.13,83.4,,Percent of Total Billed Charges,2447.01,,2705.54,90,,Percent of Total Billed Charges,2546.21,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2765.66,92,,Percent of Total Billed Charges,2437.99,,2765.66,92,,Percent of Total Billed Charges,2236.58,,2765.66,92,,Percent of Total Billed Charges,2353.82,,2765.66,92,,Percent of Total Billed Charges,2437.99,,2344.8,78,,Percent of Total Billed Charges,2344.8,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1618.21,53.83,,Percent of Total Billed Charges,1518.11,,1041.33,34.64,,Percent of Total Billed Charges,1037.12,,1502.47,49.98,,Percent of Total Billed Charges,1136.32,,1041.33,2765.66,,																																							
HC ENDOLUMINAL BX URTR RNL PLVS,50606,CPT,,,,BOTH, , ,6901.65,5797.39,6349.52,92,,Percent of Total Billed Charges,5769.78,,6349.52,92,,Percent of Total Billed Charges,5666.25,,6349.52,92,,Percent of Total Billed Charges,5555.83,,6349.52,92,,Percent of Total Billed Charges,5762.88,,6349.52,92,,Percent of Total Billed Charges,5196.94,,6349.52,92,,Percent of Total Billed Charges,4313.53,,6211.49,90,,Percent of Total Billed Charges,3443.92,,6142.47,89,,Percent of Total Billed Charges,3312.79,,5686.96,82.4,,Percent of Total Billed Charges,5673.16,,5755.98,83.4,,Percent of Total Billed Charges,5369.48,,5755.98,83.4,,Percent of Total Billed Charges,4838.06,,5755.98,83.4,,Percent of Total Billed Charges,5617.94,,6211.49,90,,Percent of Total Billed Charges,5845.7,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6349.52,92,,Percent of Total Billed Charges,5597.24,,6349.52,92,,Percent of Total Billed Charges,5134.83,,6349.52,92,,Percent of Total Billed Charges,5403.99,,6349.52,92,,Percent of Total Billed Charges,5597.24,,5383.29,78,,Percent of Total Billed Charges,5383.29,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3715.16,53.83,,Percent of Total Billed Charges,3485.33,,2390.73,34.64,,Percent of Total Billed Charges,2381.07,,3449.44,49.98,,Percent of Total Billed Charges,2608.82,,2390.73,6349.52,,																																							
HC URETER STENT VIA EXIST ACC,50693,CPT,,,,BOTH, , ,1286.25,1080.45,1183.35,92,,Percent of Total Billed Charges,1075.31,,1183.35,92,,Percent of Total Billed Charges,1056.01,,1183.35,92,,Percent of Total Billed Charges,1035.43,,1183.35,92,,Percent of Total Billed Charges,1074.02,,1183.35,92,,Percent of Total Billed Charges,968.55,,1183.35,92,,Percent of Total Billed Charges,803.91,,1157.63,90,,Percent of Total Billed Charges,641.84,,1144.76,89,,Percent of Total Billed Charges,617.4,,1059.87,82.4,,Percent of Total Billed Charges,1057.3,,1072.73,83.4,,Percent of Total Billed Charges,1000.7,,1072.73,83.4,,Percent of Total Billed Charges,901.66,,1072.73,83.4,,Percent of Total Billed Charges,1047.01,,1157.63,90,,Percent of Total Billed Charges,1089.45,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1183.35,92,,Percent of Total Billed Charges,1043.15,,1183.35,92,,Percent of Total Billed Charges,956.97,,1183.35,92,,Percent of Total Billed Charges,1007.13,,1183.35,92,,Percent of Total Billed Charges,1043.15,,1003.28,78,,Percent of Total Billed Charges,1003.28,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,692.39,53.83,,Percent of Total Billed Charges,649.56,,445.56,34.64,,Percent of Total Billed Charges,443.76,,642.87,49.98,,Percent of Total Billed Charges,486.2,,445.56,1183.35,,																																							
HC URETER STENT NEW ACC W/O CATH,50694,CPT,,,,BOTH, , ,1286.25,1080.45,1183.35,92,,Percent of Total Billed Charges,1075.31,,1183.35,92,,Percent of Total Billed Charges,1056.01,,1183.35,92,,Percent of Total Billed Charges,1035.43,,1183.35,92,,Percent of Total Billed Charges,1074.02,,1183.35,92,,Percent of Total Billed Charges,968.55,,1183.35,92,,Percent of Total Billed Charges,803.91,,1157.63,90,,Percent of Total Billed Charges,641.84,,1144.76,89,,Percent of Total Billed Charges,617.4,,1059.87,82.4,,Percent of Total Billed Charges,1057.3,,1072.73,83.4,,Percent of Total Billed Charges,1000.7,,1072.73,83.4,,Percent of Total Billed Charges,901.66,,1072.73,83.4,,Percent of Total Billed Charges,1047.01,,1157.63,90,,Percent of Total Billed Charges,1089.45,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1183.35,92,,Percent of Total Billed Charges,1043.15,,1183.35,92,,Percent of Total Billed Charges,956.97,,1183.35,92,,Percent of Total Billed Charges,1007.13,,1183.35,92,,Percent of Total Billed Charges,1043.15,,1003.28,78,,Percent of Total Billed Charges,1003.28,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,692.39,53.83,,Percent of Total Billed Charges,649.56,,445.56,34.64,,Percent of Total Billed Charges,443.76,,642.87,49.98,,Percent of Total Billed Charges,486.2,,445.56,1183.35,,																																							
HC URETER STENT NEW ACC W CATH,50695,CPT,,,,BOTH, , ,1286.25,1080.45,1183.35,92,,Percent of Total Billed Charges,1075.31,,1183.35,92,,Percent of Total Billed Charges,1056.01,,1183.35,92,,Percent of Total Billed Charges,1035.43,,1183.35,92,,Percent of Total Billed Charges,1074.02,,1183.35,92,,Percent of Total Billed Charges,968.55,,1183.35,92,,Percent of Total Billed Charges,803.91,,1157.63,90,,Percent of Total Billed Charges,641.84,,1144.76,89,,Percent of Total Billed Charges,617.4,,1059.87,82.4,,Percent of Total Billed Charges,1057.3,,1072.73,83.4,,Percent of Total Billed Charges,1000.7,,1072.73,83.4,,Percent of Total Billed Charges,901.66,,1072.73,83.4,,Percent of Total Billed Charges,1047.01,,1157.63,90,,Percent of Total Billed Charges,1089.45,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1183.35,92,,Percent of Total Billed Charges,1043.15,,1183.35,92,,Percent of Total Billed Charges,956.97,,1183.35,92,,Percent of Total Billed Charges,1007.13,,1183.35,92,,Percent of Total Billed Charges,1043.15,,1003.28,78,,Percent of Total Billed Charges,1003.28,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,692.39,53.83,,Percent of Total Billed Charges,649.56,,445.56,34.64,,Percent of Total Billed Charges,443.76,,642.87,49.98,,Percent of Total Billed Charges,486.2,,445.56,1183.35,,																																							
HC BALLOON DILATE URTRL STRIX,50706,CPT,,,,BOTH, , ,6901.65,5797.39,6349.52,92,,Percent of Total Billed Charges,5769.78,,6349.52,92,,Percent of Total Billed Charges,5666.25,,6349.52,92,,Percent of Total Billed Charges,5555.83,,6349.52,92,,Percent of Total Billed Charges,5762.88,,6349.52,92,,Percent of Total Billed Charges,5196.94,,6349.52,92,,Percent of Total Billed Charges,4313.53,,6211.49,90,,Percent of Total Billed Charges,3443.92,,6142.47,89,,Percent of Total Billed Charges,3312.79,,5686.96,82.4,,Percent of Total Billed Charges,5673.16,,5755.98,83.4,,Percent of Total Billed Charges,5369.48,,5755.98,83.4,,Percent of Total Billed Charges,4838.06,,5755.98,83.4,,Percent of Total Billed Charges,5617.94,,6211.49,90,,Percent of Total Billed Charges,5845.7,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6349.52,92,,Percent of Total Billed Charges,5597.24,,6349.52,92,,Percent of Total Billed Charges,5134.83,,6349.52,92,,Percent of Total Billed Charges,5403.99,,6349.52,92,,Percent of Total Billed Charges,5597.24,,5383.29,78,,Percent of Total Billed Charges,5383.29,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3715.16,53.83,,Percent of Total Billed Charges,3485.33,,2390.73,34.64,,Percent of Total Billed Charges,2381.07,,3449.44,49.98,,Percent of Total Billed Charges,2608.82,,2390.73,6349.52,,																																							
HC N BLK SUPRACLAVICULAR CONT INFUSE,64416,CPT,,,,BOTH, , ,2837.1,2383.16,2610.13,92,,Percent of Total Billed Charges,2371.82,,2610.13,92,,Percent of Total Billed Charges,2329.26,,2610.13,92,,Percent of Total Billed Charges,2283.87,,2610.13,92,,Percent of Total Billed Charges,2368.98,,2610.13,92,,Percent of Total Billed Charges,2136.34,,2610.13,92,,Percent of Total Billed Charges,1773.19,,2553.39,90,,Percent of Total Billed Charges,1415.71,,2525.02,89,,Percent of Total Billed Charges,1361.81,,2337.77,82.4,,Percent of Total Billed Charges,2332.1,,2366.14,83.4,,Percent of Total Billed Charges,2207.26,,2366.14,83.4,,Percent of Total Billed Charges,1988.81,,2366.14,83.4,,Percent of Total Billed Charges,2309.4,,2553.39,90,,Percent of Total Billed Charges,2403.02,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2610.13,92,,Percent of Total Billed Charges,2300.89,,2610.13,92,,Percent of Total Billed Charges,2110.8,,2610.13,92,,Percent of Total Billed Charges,2221.45,,2610.13,92,,Percent of Total Billed Charges,2300.89,,2212.94,78,,Percent of Total Billed Charges,2212.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1527.21,53.83,,Percent of Total Billed Charges,1432.74,,982.77,34.64,,Percent of Total Billed Charges,978.8,,1417.98,49.98,,Percent of Total Billed Charges,1072.42,,982.77,2610.13,,																																							
HC N BLOCK INJ SCIATIC CONT / POPLITEAL INFUSION,64446,CPT,,,,BOTH, , ,2837.1,2383.16,2610.13,92,,Percent of Total Billed Charges,2371.82,,2610.13,92,,Percent of Total Billed Charges,2329.26,,2610.13,92,,Percent of Total Billed Charges,2283.87,,2610.13,92,,Percent of Total Billed Charges,2368.98,,2610.13,92,,Percent of Total Billed Charges,2136.34,,2610.13,92,,Percent of Total Billed Charges,1773.19,,2553.39,90,,Percent of Total Billed Charges,1415.71,,2525.02,89,,Percent of Total Billed Charges,1361.81,,2337.77,82.4,,Percent of Total Billed Charges,2332.1,,2366.14,83.4,,Percent of Total Billed Charges,2207.26,,2366.14,83.4,,Percent of Total Billed Charges,1988.81,,2366.14,83.4,,Percent of Total Billed Charges,2309.4,,2553.39,90,,Percent of Total Billed Charges,2403.02,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2610.13,92,,Percent of Total Billed Charges,2300.89,,2610.13,92,,Percent of Total Billed Charges,2110.8,,2610.13,92,,Percent of Total Billed Charges,2221.45,,2610.13,92,,Percent of Total Billed Charges,2300.89,,2212.94,78,,Percent of Total Billed Charges,2212.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1527.21,53.83,,Percent of Total Billed Charges,1432.74,,982.77,34.64,,Percent of Total Billed Charges,978.8,,1417.98,49.98,,Percent of Total Billed Charges,1072.42,,982.77,2610.13,,																																							
HC N BLOCK INJ CONT FORAMEN / LUMBAR PLEXUS,64449,CPT,,,,BOTH, , ,2837.1,2383.16,2610.13,92,,Percent of Total Billed Charges,2371.82,,2610.13,92,,Percent of Total Billed Charges,2329.26,,2610.13,92,,Percent of Total Billed Charges,2283.87,,2610.13,92,,Percent of Total Billed Charges,2368.98,,2610.13,92,,Percent of Total Billed Charges,2136.34,,2610.13,92,,Percent of Total Billed Charges,1773.19,,2553.39,90,,Percent of Total Billed Charges,1415.71,,2525.02,89,,Percent of Total Billed Charges,1361.81,,2337.77,82.4,,Percent of Total Billed Charges,2332.1,,2366.14,83.4,,Percent of Total Billed Charges,2207.26,,2366.14,83.4,,Percent of Total Billed Charges,1988.81,,2366.14,83.4,,Percent of Total Billed Charges,2309.4,,2553.39,90,,Percent of Total Billed Charges,2403.02,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2610.13,92,,Percent of Total Billed Charges,2300.89,,2610.13,92,,Percent of Total Billed Charges,2110.8,,2610.13,92,,Percent of Total Billed Charges,2221.45,,2610.13,92,,Percent of Total Billed Charges,2300.89,,2212.94,78,,Percent of Total Billed Charges,2212.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1527.21,53.83,,Percent of Total Billed Charges,1432.74,,982.77,34.64,,Percent of Total Billed Charges,978.8,,1417.98,49.98,,Percent of Total Billed Charges,1072.42,,982.77,2610.13,,																																							
HC N BLOCK INJ FORAMEN / LUMBAR PLEXUS EPIDURAL L/S,64483,CPT,,,,BOTH, , ,4374.3,3674.41,4024.36,92,,Percent of Total Billed Charges,3656.91,,4024.36,92,,Percent of Total Billed Charges,3591.3,,4024.36,92,,Percent of Total Billed Charges,3521.31,,4024.36,92,,Percent of Total Billed Charges,3652.54,,4024.36,92,,Percent of Total Billed Charges,3293.85,,4024.36,92,,Percent of Total Billed Charges,2733.94,,3936.87,90,,Percent of Total Billed Charges,2182.78,,3893.13,89,,Percent of Total Billed Charges,2099.66,,3604.42,82.4,,Percent of Total Billed Charges,3595.67,,3648.17,83.4,,Percent of Total Billed Charges,3403.21,,3648.17,83.4,,Percent of Total Billed Charges,3066.38,,3648.17,83.4,,Percent of Total Billed Charges,3560.68,,3936.87,90,,Percent of Total Billed Charges,3705.03,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4024.36,92,,Percent of Total Billed Charges,3547.56,,4024.36,92,,Percent of Total Billed Charges,3254.48,,4024.36,92,,Percent of Total Billed Charges,3425.08,,4024.36,92,,Percent of Total Billed Charges,3547.56,,3411.95,78,,Percent of Total Billed Charges,3411.95,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2354.69,53.83,,Percent of Total Billed Charges,2209.02,,1515.26,34.64,,Percent of Total Billed Charges,1509.13,,2186.28,49.98,,Percent of Total Billed Charges,1653.49,,1515.26,4024.36,,																																							
HC N BLOCK LMBR/THOR/PARAVEREBRAL,64520,CPT,,,,BOTH, , ,2231.25,1874.25,2052.75,92,,Percent of Total Billed Charges,1865.33,,2052.75,92,,Percent of Total Billed Charges,1831.86,,2052.75,92,,Percent of Total Billed Charges,1796.16,,2052.75,92,,Percent of Total Billed Charges,1863.09,,2052.75,92,,Percent of Total Billed Charges,1680.13,,2052.75,92,,Percent of Total Billed Charges,1394.53,,2008.13,90,,Percent of Total Billed Charges,1113.39,,1985.81,89,,Percent of Total Billed Charges,1071,,1838.55,82.4,,Percent of Total Billed Charges,1834.09,,1860.86,83.4,,Percent of Total Billed Charges,1735.91,,1860.86,83.4,,Percent of Total Billed Charges,1564.11,,1860.86,83.4,,Percent of Total Billed Charges,1816.24,,2008.13,90,,Percent of Total Billed Charges,1889.87,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2052.75,92,,Percent of Total Billed Charges,1809.54,,2052.75,92,,Percent of Total Billed Charges,1660.05,,2052.75,92,,Percent of Total Billed Charges,1747.07,,2052.75,92,,Percent of Total Billed Charges,1809.54,,1740.38,78,,Percent of Total Billed Charges,1740.38,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1201.08,53.83,,Percent of Total Billed Charges,1126.78,,772.91,34.64,,Percent of Total Billed Charges,769.78,,1115.18,49.98,,Percent of Total Billed Charges,843.41,,772.91,2052.75,,																																							
HC N BLOCK INJ ILIOING/HYPOGI,64425,CPT,,,,BOTH, , ,1534.05,1288.6,1411.33,92,,Percent of Total Billed Charges,1282.47,,1411.33,92,,Percent of Total Billed Charges,1259.46,,1411.33,92,,Percent of Total Billed Charges,1234.91,,1411.33,92,,Percent of Total Billed Charges,1280.93,,1411.33,92,,Percent of Total Billed Charges,1155.14,,1411.33,92,,Percent of Total Billed Charges,958.78,,1380.65,90,,Percent of Total Billed Charges,765.49,,1365.3,89,,Percent of Total Billed Charges,736.34,,1264.06,82.4,,Percent of Total Billed Charges,1260.99,,1279.4,83.4,,Percent of Total Billed Charges,1193.49,,1279.4,83.4,,Percent of Total Billed Charges,1075.37,,1279.4,83.4,,Percent of Total Billed Charges,1248.72,,1380.65,90,,Percent of Total Billed Charges,1299.34,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1411.33,92,,Percent of Total Billed Charges,1244.11,,1411.33,92,,Percent of Total Billed Charges,1141.33,,1411.33,92,,Percent of Total Billed Charges,1201.16,,1411.33,92,,Percent of Total Billed Charges,1244.11,,1196.56,78,,Percent of Total Billed Charges,1196.56,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,825.78,53.83,,Percent of Total Billed Charges,774.7,,531.39,34.64,,Percent of Total Billed Charges,529.25,,766.72,49.98,,Percent of Total Billed Charges,579.87,,531.39,1411.33,,																																							
HC N BLOCK INJ INTERCOSTAL,64420,CPT,,,,BOTH, , ,2034.9,1709.32,1872.11,92,,Percent of Total Billed Charges,1701.18,,1872.11,92,,Percent of Total Billed Charges,1670.65,,1872.11,92,,Percent of Total Billed Charges,1638.09,,1872.11,92,,Percent of Total Billed Charges,1699.14,,1872.11,92,,Percent of Total Billed Charges,1532.28,,1872.11,92,,Percent of Total Billed Charges,1271.81,,1831.41,90,,Percent of Total Billed Charges,1015.42,,1811.06,89,,Percent of Total Billed Charges,976.75,,1676.76,82.4,,Percent of Total Billed Charges,1672.69,,1697.11,83.4,,Percent of Total Billed Charges,1583.15,,1697.11,83.4,,Percent of Total Billed Charges,1426.46,,1697.11,83.4,,Percent of Total Billed Charges,1656.41,,1831.41,90,,Percent of Total Billed Charges,1723.56,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1872.11,92,,Percent of Total Billed Charges,1650.3,,1872.11,92,,Percent of Total Billed Charges,1513.97,,1872.11,92,,Percent of Total Billed Charges,1593.33,,1872.11,92,,Percent of Total Billed Charges,1650.3,,1587.22,78,,Percent of Total Billed Charges,1587.22,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1095.39,53.83,,Percent of Total Billed Charges,1027.62,,704.89,34.64,,Percent of Total Billed Charges,702.04,,1017.04,49.98,,Percent of Total Billed Charges,769.19,,704.89,1872.11,,																																							
HC N BLOCK INTERCOSTAL CONT INFUSE,64421,CPT,,,,BOTH, , ,3904.95,3280.16,3592.55,92,,Percent of Total Billed Charges,3264.54,,3592.55,92,,Percent of Total Billed Charges,3205.96,,3592.55,92,,Percent of Total Billed Charges,3143.48,,3592.55,92,,Percent of Total Billed Charges,3260.63,,3592.55,92,,Percent of Total Billed Charges,2940.43,,3592.55,92,,Percent of Total Billed Charges,2440.59,,3514.46,90,,Percent of Total Billed Charges,1948.57,,3475.41,89,,Percent of Total Billed Charges,1874.38,,3217.68,82.4,,Percent of Total Billed Charges,3209.87,,3256.73,83.4,,Percent of Total Billed Charges,3038.05,,3256.73,83.4,,Percent of Total Billed Charges,2737.37,,3256.73,83.4,,Percent of Total Billed Charges,3178.63,,3514.46,90,,Percent of Total Billed Charges,3307.49,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3592.55,92,,Percent of Total Billed Charges,3166.91,,3592.55,92,,Percent of Total Billed Charges,2905.28,,3592.55,92,,Percent of Total Billed Charges,3057.58,,3592.55,92,,Percent of Total Billed Charges,3166.91,,3045.86,78,,Percent of Total Billed Charges,3045.86,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2102.03,53.83,,Percent of Total Billed Charges,1972,,1352.67,34.64,,Percent of Total Billed Charges,1347.21,,1951.69,49.98,,Percent of Total Billed Charges,1476.07,,1352.67,3592.55,,																																							
HC N BLOCK INJ FASCIA ILIACA SINGLE,64447,CPT,,,,BOTH, , ,1483.65,1246.27,1364.96,92,,Percent of Total Billed Charges,1240.33,,1364.96,92,,Percent of Total Billed Charges,1218.08,,1364.96,92,,Percent of Total Billed Charges,1194.34,,1364.96,92,,Percent of Total Billed Charges,1238.85,,1364.96,92,,Percent of Total Billed Charges,1117.19,,1364.96,92,,Percent of Total Billed Charges,927.28,,1335.29,90,,Percent of Total Billed Charges,740.34,,1320.45,89,,Percent of Total Billed Charges,712.15,,1222.53,82.4,,Percent of Total Billed Charges,1219.56,,1237.36,83.4,,Percent of Total Billed Charges,1154.28,,1237.36,83.4,,Percent of Total Billed Charges,1040.04,,1237.36,83.4,,Percent of Total Billed Charges,1207.69,,1335.29,90,,Percent of Total Billed Charges,1256.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1364.96,92,,Percent of Total Billed Charges,1203.24,,1364.96,92,,Percent of Total Billed Charges,1103.84,,1364.96,92,,Percent of Total Billed Charges,1161.7,,1364.96,92,,Percent of Total Billed Charges,1203.24,,1157.25,78,,Percent of Total Billed Charges,1157.25,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,798.65,53.83,,Percent of Total Billed Charges,749.24,,513.94,34.64,,Percent of Total Billed Charges,511.86,,741.53,49.98,,Percent of Total Billed Charges,560.82,,513.94,1364.96,,																																							
HC N BLOCK ADDUCTOR FEMORAL CONT INFUSE,64448,CPT,,,,BOTH, , ,2837.1,2383.16,2610.13,92,,Percent of Total Billed Charges,2371.82,,2610.13,92,,Percent of Total Billed Charges,2329.26,,2610.13,92,,Percent of Total Billed Charges,2283.87,,2610.13,92,,Percent of Total Billed Charges,2368.98,,2610.13,92,,Percent of Total Billed Charges,2136.34,,2610.13,92,,Percent of Total Billed Charges,1773.19,,2553.39,90,,Percent of Total Billed Charges,1415.71,,2525.02,89,,Percent of Total Billed Charges,1361.81,,2337.77,82.4,,Percent of Total Billed Charges,2332.1,,2366.14,83.4,,Percent of Total Billed Charges,2207.26,,2366.14,83.4,,Percent of Total Billed Charges,1988.81,,2366.14,83.4,,Percent of Total Billed Charges,2309.4,,2553.39,90,,Percent of Total Billed Charges,2403.02,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2610.13,92,,Percent of Total Billed Charges,2300.89,,2610.13,92,,Percent of Total Billed Charges,2110.8,,2610.13,92,,Percent of Total Billed Charges,2221.45,,2610.13,92,,Percent of Total Billed Charges,2300.89,,2212.94,78,,Percent of Total Billed Charges,2212.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1527.21,53.83,,Percent of Total Billed Charges,1432.74,,982.77,34.64,,Percent of Total Billed Charges,978.8,,1417.98,49.98,,Percent of Total Billed Charges,1072.42,,982.77,2610.13,,																																							
HC N BLOCK INJ ABDOMEN(TAP),64486,CPT,,,,BOTH, , ,1483.65,1246.27,1364.96,92,,Percent of Total Billed Charges,1240.33,,1364.96,92,,Percent of Total Billed Charges,1218.08,,1364.96,92,,Percent of Total Billed Charges,1194.34,,1364.96,92,,Percent of Total Billed Charges,1238.85,,1364.96,92,,Percent of Total Billed Charges,1117.19,,1364.96,92,,Percent of Total Billed Charges,927.28,,1335.29,90,,Percent of Total Billed Charges,740.34,,1320.45,89,,Percent of Total Billed Charges,712.15,,1222.53,82.4,,Percent of Total Billed Charges,1219.56,,1237.36,83.4,,Percent of Total Billed Charges,1154.28,,1237.36,83.4,,Percent of Total Billed Charges,1040.04,,1237.36,83.4,,Percent of Total Billed Charges,1207.69,,1335.29,90,,Percent of Total Billed Charges,1256.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1364.96,92,,Percent of Total Billed Charges,1203.24,,1364.96,92,,Percent of Total Billed Charges,1103.84,,1364.96,92,,Percent of Total Billed Charges,1161.7,,1364.96,92,,Percent of Total Billed Charges,1203.24,,1157.25,78,,Percent of Total Billed Charges,1157.25,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,798.65,53.83,,Percent of Total Billed Charges,749.24,,513.94,34.64,,Percent of Total Billed Charges,511.86,,741.53,49.98,,Percent of Total Billed Charges,560.82,,513.94,1364.96,,																																							
HC N BLOCK INJ RECTUS SHEATH,64486,CPT,,,,BOTH, , ,1483.65,1246.27,1364.96,92,,Percent of Total Billed Charges,1240.33,,1364.96,92,,Percent of Total Billed Charges,1218.08,,1364.96,92,,Percent of Total Billed Charges,1194.34,,1364.96,92,,Percent of Total Billed Charges,1238.85,,1364.96,92,,Percent of Total Billed Charges,1117.19,,1364.96,92,,Percent of Total Billed Charges,927.28,,1335.29,90,,Percent of Total Billed Charges,740.34,,1320.45,89,,Percent of Total Billed Charges,712.15,,1222.53,82.4,,Percent of Total Billed Charges,1219.56,,1237.36,83.4,,Percent of Total Billed Charges,1154.28,,1237.36,83.4,,Percent of Total Billed Charges,1040.04,,1237.36,83.4,,Percent of Total Billed Charges,1207.69,,1335.29,90,,Percent of Total Billed Charges,1256.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1364.96,92,,Percent of Total Billed Charges,1203.24,,1364.96,92,,Percent of Total Billed Charges,1103.84,,1364.96,92,,Percent of Total Billed Charges,1161.7,,1364.96,92,,Percent of Total Billed Charges,1203.24,,1157.25,78,,Percent of Total Billed Charges,1157.25,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,798.65,53.83,,Percent of Total Billed Charges,749.24,,513.94,34.64,,Percent of Total Billed Charges,511.86,,741.53,49.98,,Percent of Total Billed Charges,560.82,,513.94,1364.96,,																																							
HC N BLOCK ABDOMEN (TAP) CONT INFUSE,64487,CPT,,,,BOTH, , ,2837.1,2383.16,2610.13,92,,Percent of Total Billed Charges,2371.82,,2610.13,92,,Percent of Total Billed Charges,2329.26,,2610.13,92,,Percent of Total Billed Charges,2283.87,,2610.13,92,,Percent of Total Billed Charges,2368.98,,2610.13,92,,Percent of Total Billed Charges,2136.34,,2610.13,92,,Percent of Total Billed Charges,1773.19,,2553.39,90,,Percent of Total Billed Charges,1415.71,,2525.02,89,,Percent of Total Billed Charges,1361.81,,2337.77,82.4,,Percent of Total Billed Charges,2332.1,,2366.14,83.4,,Percent of Total Billed Charges,2207.26,,2366.14,83.4,,Percent of Total Billed Charges,1988.81,,2366.14,83.4,,Percent of Total Billed Charges,2309.4,,2553.39,90,,Percent of Total Billed Charges,2403.02,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2610.13,92,,Percent of Total Billed Charges,2300.89,,2610.13,92,,Percent of Total Billed Charges,2110.8,,2610.13,92,,Percent of Total Billed Charges,2221.45,,2610.13,92,,Percent of Total Billed Charges,2300.89,,2212.94,78,,Percent of Total Billed Charges,2212.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1527.21,53.83,,Percent of Total Billed Charges,1432.74,,982.77,34.64,,Percent of Total Billed Charges,978.8,,1417.98,49.98,,Percent of Total Billed Charges,1072.42,,982.77,2610.13,,																																							
HC N BLOCK RECTUS SHEATH CONT INFUSE,64487,CPT,,,,BOTH, , ,2837.1,2383.16,2610.13,92,,Percent of Total Billed Charges,2371.82,,2610.13,92,,Percent of Total Billed Charges,2329.26,,2610.13,92,,Percent of Total Billed Charges,2283.87,,2610.13,92,,Percent of Total Billed Charges,2368.98,,2610.13,92,,Percent of Total Billed Charges,2136.34,,2610.13,92,,Percent of Total Billed Charges,1773.19,,2553.39,90,,Percent of Total Billed Charges,1415.71,,2525.02,89,,Percent of Total Billed Charges,1361.81,,2337.77,82.4,,Percent of Total Billed Charges,2332.1,,2366.14,83.4,,Percent of Total Billed Charges,2207.26,,2366.14,83.4,,Percent of Total Billed Charges,1988.81,,2366.14,83.4,,Percent of Total Billed Charges,2309.4,,2553.39,90,,Percent of Total Billed Charges,2403.02,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2610.13,92,,Percent of Total Billed Charges,2300.89,,2610.13,92,,Percent of Total Billed Charges,2110.8,,2610.13,92,,Percent of Total Billed Charges,2221.45,,2610.13,92,,Percent of Total Billed Charges,2300.89,,2212.94,78,,Percent of Total Billed Charges,2212.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1527.21,53.83,,Percent of Total Billed Charges,1432.74,,982.77,34.64,,Percent of Total Billed Charges,978.8,,1417.98,49.98,,Percent of Total Billed Charges,1072.42,,982.77,2610.13,,																																							
HC N BLOCK INJ BILAT (TAP)ABDOMEN,64488,CPT,,,,BOTH, , ,2967.3,2492.53,2729.92,92,,Percent of Total Billed Charges,2480.66,,2729.92,92,,Percent of Total Billed Charges,2436.15,,2729.92,92,,Percent of Total Billed Charges,2388.68,,2729.92,92,,Percent of Total Billed Charges,2477.7,,2729.92,92,,Percent of Total Billed Charges,2234.38,,2729.92,92,,Percent of Total Billed Charges,1854.56,,2670.57,90,,Percent of Total Billed Charges,1480.68,,2640.9,89,,Percent of Total Billed Charges,1424.3,,2445.06,82.4,,Percent of Total Billed Charges,2439.12,,2474.73,83.4,,Percent of Total Billed Charges,2308.56,,2474.73,83.4,,Percent of Total Billed Charges,2080.08,,2474.73,83.4,,Percent of Total Billed Charges,2415.38,,2670.57,90,,Percent of Total Billed Charges,2513.3,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2729.92,92,,Percent of Total Billed Charges,2406.48,,2729.92,92,,Percent of Total Billed Charges,2207.67,,2729.92,92,,Percent of Total Billed Charges,2323.4,,2729.92,92,,Percent of Total Billed Charges,2406.48,,2314.49,78,,Percent of Total Billed Charges,2314.49,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1597.3,53.83,,Percent of Total Billed Charges,1498.49,,1027.87,34.64,,Percent of Total Billed Charges,1023.72,,1483.06,49.98,,Percent of Total Billed Charges,1121.64,,1027.87,2729.92,,																																							
HC N BLOCK INJ RECTUS SHEATH BILAT,64488,CPT,,,,BOTH, , ,2967.3,2492.53,2729.92,92,,Percent of Total Billed Charges,2480.66,,2729.92,92,,Percent of Total Billed Charges,2436.15,,2729.92,92,,Percent of Total Billed Charges,2388.68,,2729.92,92,,Percent of Total Billed Charges,2477.7,,2729.92,92,,Percent of Total Billed Charges,2234.38,,2729.92,92,,Percent of Total Billed Charges,1854.56,,2670.57,90,,Percent of Total Billed Charges,1480.68,,2640.9,89,,Percent of Total Billed Charges,1424.3,,2445.06,82.4,,Percent of Total Billed Charges,2439.12,,2474.73,83.4,,Percent of Total Billed Charges,2308.56,,2474.73,83.4,,Percent of Total Billed Charges,2080.08,,2474.73,83.4,,Percent of Total Billed Charges,2415.38,,2670.57,90,,Percent of Total Billed Charges,2513.3,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2729.92,92,,Percent of Total Billed Charges,2406.48,,2729.92,92,,Percent of Total Billed Charges,2207.67,,2729.92,92,,Percent of Total Billed Charges,2323.4,,2729.92,92,,Percent of Total Billed Charges,2406.48,,2314.49,78,,Percent of Total Billed Charges,2314.49,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1597.3,53.83,,Percent of Total Billed Charges,1498.49,,1027.87,34.64,,Percent of Total Billed Charges,1023.72,,1483.06,49.98,,Percent of Total Billed Charges,1121.64,,1027.87,2729.92,,																																							
HC N BLOCK ABD TAP BILAT CONT INFUSE,64489,CPT,,,,BOTH, , ,5674.2,4766.33,5220.26,92,,Percent of Total Billed Charges,4743.63,,5220.26,92,,Percent of Total Billed Charges,4658.52,,5220.26,92,,Percent of Total Billed Charges,4567.73,,5220.26,92,,Percent of Total Billed Charges,4737.96,,5220.26,92,,Percent of Total Billed Charges,4272.67,,5220.26,92,,Percent of Total Billed Charges,3546.38,,5106.78,90,,Percent of Total Billed Charges,2831.43,,5050.04,89,,Percent of Total Billed Charges,2723.62,,4675.54,82.4,,Percent of Total Billed Charges,4664.19,,4732.28,83.4,,Percent of Total Billed Charges,4414.53,,4732.28,83.4,,Percent of Total Billed Charges,3977.61,,4732.28,83.4,,Percent of Total Billed Charges,4618.8,,5106.78,90,,Percent of Total Billed Charges,4806.05,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5220.26,92,,Percent of Total Billed Charges,4601.78,,5220.26,92,,Percent of Total Billed Charges,4221.6,,5220.26,92,,Percent of Total Billed Charges,4442.9,,5220.26,92,,Percent of Total Billed Charges,4601.78,,4425.88,78,,Percent of Total Billed Charges,4425.88,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3054.42,53.83,,Percent of Total Billed Charges,2865.47,,1965.54,34.64,,Percent of Total Billed Charges,1957.6,,2835.97,49.98,,Percent of Total Billed Charges,2144.85,,1965.54,5220.26,,																																							
HC N BLK RECT SHTH BILAT CONT INFUSE,64489,CPT,,,,BOTH, , ,5674.2,4766.33,5220.26,92,,Percent of Total Billed Charges,4743.63,,5220.26,92,,Percent of Total Billed Charges,4658.52,,5220.26,92,,Percent of Total Billed Charges,4567.73,,5220.26,92,,Percent of Total Billed Charges,4737.96,,5220.26,92,,Percent of Total Billed Charges,4272.67,,5220.26,92,,Percent of Total Billed Charges,3546.38,,5106.78,90,,Percent of Total Billed Charges,2831.43,,5050.04,89,,Percent of Total Billed Charges,2723.62,,4675.54,82.4,,Percent of Total Billed Charges,4664.19,,4732.28,83.4,,Percent of Total Billed Charges,4414.53,,4732.28,83.4,,Percent of Total Billed Charges,3977.61,,4732.28,83.4,,Percent of Total Billed Charges,4618.8,,5106.78,90,,Percent of Total Billed Charges,4806.05,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5220.26,92,,Percent of Total Billed Charges,4601.78,,5220.26,92,,Percent of Total Billed Charges,4221.6,,5220.26,92,,Percent of Total Billed Charges,4442.9,,5220.26,92,,Percent of Total Billed Charges,4601.78,,4425.88,78,,Percent of Total Billed Charges,4425.88,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3054.42,53.83,,Percent of Total Billed Charges,2865.47,,1965.54,34.64,,Percent of Total Billed Charges,1957.6,,2835.97,49.98,,Percent of Total Billed Charges,2144.85,,1965.54,5220.26,,																																							
HC N BLOCK INJ ADDUCTOR,64447,CPT,,,,BOTH, , ,1483.65,1246.27,1364.96,92,,Percent of Total Billed Charges,1240.33,,1364.96,92,,Percent of Total Billed Charges,1218.08,,1364.96,92,,Percent of Total Billed Charges,1194.34,,1364.96,92,,Percent of Total Billed Charges,1238.85,,1364.96,92,,Percent of Total Billed Charges,1117.19,,1364.96,92,,Percent of Total Billed Charges,927.28,,1335.29,90,,Percent of Total Billed Charges,740.34,,1320.45,89,,Percent of Total Billed Charges,712.15,,1222.53,82.4,,Percent of Total Billed Charges,1219.56,,1237.36,83.4,,Percent of Total Billed Charges,1154.28,,1237.36,83.4,,Percent of Total Billed Charges,1040.04,,1237.36,83.4,,Percent of Total Billed Charges,1207.69,,1335.29,90,,Percent of Total Billed Charges,1256.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1364.96,92,,Percent of Total Billed Charges,1203.24,,1364.96,92,,Percent of Total Billed Charges,1103.84,,1364.96,92,,Percent of Total Billed Charges,1161.7,,1364.96,92,,Percent of Total Billed Charges,1203.24,,1157.25,78,,Percent of Total Billed Charges,1157.25,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,798.65,53.83,,Percent of Total Billed Charges,749.24,,513.94,34.64,,Percent of Total Billed Charges,511.86,,741.53,49.98,,Percent of Total Billed Charges,560.82,,513.94,1364.96,,																																							
HC INJ(S), ANES AGENT(S) A/O STEROID; BRACHIAL PLEXUS,64415,CPT,,,,BOTH, , ,1483.65,1246.27,1364.96,92,,Percent of Total Billed Charges,1240.33,,1364.96,92,,Percent of Total Billed Charges,1218.08,,1364.96,92,,Percent of Total Billed Charges,1194.34,,1364.96,92,,Percent of Total Billed Charges,1238.85,,1364.96,92,,Percent of Total Billed Charges,1117.19,,1364.96,92,,Percent of Total Billed Charges,927.28,,1335.29,90,,Percent of Total Billed Charges,740.34,,1320.45,89,,Percent of Total Billed Charges,712.15,,1222.53,82.4,,Percent of Total Billed Charges,1219.56,,1237.36,83.4,,Percent of Total Billed Charges,1154.28,,1237.36,83.4,,Percent of Total Billed Charges,1040.04,,1237.36,83.4,,Percent of Total Billed Charges,1207.69,,1335.29,90,,Percent of Total Billed Charges,1256.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1364.96,92,,Percent of Total Billed Charges,1203.24,,1364.96,92,,Percent of Total Billed Charges,1103.84,,1364.96,92,,Percent of Total Billed Charges,1161.7,,1364.96,92,,Percent of Total Billed Charges,1203.24,,1157.25,78,,Percent of Total Billed Charges,1157.25,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,798.65,53.83,,Percent of Total Billed Charges,749.24,,513.94,34.64,,Percent of Total Billed Charges,511.86,,741.53,49.98,,Percent of Total Billed Charges,560.82,,513.94,1364.96,,																																							
HC N BLOCK INTERSCALE, CONT INFUSE,64416,CPT,,,,BOTH, , ,2837.1,2383.16,2610.13,92,,Percent of Total Billed Charges,2371.82,,2610.13,92,,Percent of Total Billed Charges,2329.26,,2610.13,92,,Percent of Total Billed Charges,2283.87,,2610.13,92,,Percent of Total Billed Charges,2368.98,,2610.13,92,,Percent of Total Billed Charges,2136.34,,2610.13,92,,Percent of Total Billed Charges,1773.19,,2553.39,90,,Percent of Total Billed Charges,1415.71,,2525.02,89,,Percent of Total Billed Charges,1361.81,,2337.77,82.4,,Percent of Total Billed Charges,2332.1,,2366.14,83.4,,Percent of Total Billed Charges,2207.26,,2366.14,83.4,,Percent of Total Billed Charges,1988.81,,2366.14,83.4,,Percent of Total Billed Charges,2309.4,,2553.39,90,,Percent of Total Billed Charges,2403.02,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2610.13,92,,Percent of Total Billed Charges,2300.89,,2610.13,92,,Percent of Total Billed Charges,2110.8,,2610.13,92,,Percent of Total Billed Charges,2221.45,,2610.13,92,,Percent of Total Billed Charges,2300.89,,2212.94,78,,Percent of Total Billed Charges,2212.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1527.21,53.83,,Percent of Total Billed Charges,1432.74,,982.77,34.64,,Percent of Total Billed Charges,978.8,,1417.98,49.98,,Percent of Total Billed Charges,1072.42,,982.77,2610.13,,																																							
HC N BLOCK AXILLARY CONT INFUSE,64416,CPT,,,,BOTH, , ,2837.1,2383.16,2610.13,92,,Percent of Total Billed Charges,2371.82,,2610.13,92,,Percent of Total Billed Charges,2329.26,,2610.13,92,,Percent of Total Billed Charges,2283.87,,2610.13,92,,Percent of Total Billed Charges,2368.98,,2610.13,92,,Percent of Total Billed Charges,2136.34,,2610.13,92,,Percent of Total Billed Charges,1773.19,,2553.39,90,,Percent of Total Billed Charges,1415.71,,2525.02,89,,Percent of Total Billed Charges,1361.81,,2337.77,82.4,,Percent of Total Billed Charges,2332.1,,2366.14,83.4,,Percent of Total Billed Charges,2207.26,,2366.14,83.4,,Percent of Total Billed Charges,1988.81,,2366.14,83.4,,Percent of Total Billed Charges,2309.4,,2553.39,90,,Percent of Total Billed Charges,2403.02,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2610.13,92,,Percent of Total Billed Charges,2300.89,,2610.13,92,,Percent of Total Billed Charges,2110.8,,2610.13,92,,Percent of Total Billed Charges,2221.45,,2610.13,92,,Percent of Total Billed Charges,2300.89,,2212.94,78,,Percent of Total Billed Charges,2212.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1527.21,53.83,,Percent of Total Billed Charges,1432.74,,982.77,34.64,,Percent of Total Billed Charges,978.8,,1417.98,49.98,,Percent of Total Billed Charges,1072.42,,982.77,2610.13,,																																							
HC PLMT NEPHROURETERAL CATHETER,50433,CPT,,,,BOTH, , ,8100.75,6804.63,7452.69,92,,Percent of Total Billed Charges,6772.23,,7452.69,92,,Percent of Total Billed Charges,6650.72,,7452.69,92,,Percent of Total Billed Charges,6521.1,,7452.69,92,,Percent of Total Billed Charges,6764.13,,7452.69,92,,Percent of Total Billed Charges,6099.86,,7452.69,92,,Percent of Total Billed Charges,5062.97,,7290.68,90,,Percent of Total Billed Charges,4042.27,,7209.67,89,,Percent of Total Billed Charges,3888.36,,6675.02,82.4,,Percent of Total Billed Charges,6658.82,,6756.03,83.4,,Percent of Total Billed Charges,6302.38,,6756.03,83.4,,Percent of Total Billed Charges,5678.63,,6756.03,83.4,,Percent of Total Billed Charges,6594.01,,7290.68,90,,Percent of Total Billed Charges,6861.34,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,7452.69,92,,Percent of Total Billed Charges,6569.71,,7452.69,92,,Percent of Total Billed Charges,6026.96,,7452.69,92,,Percent of Total Billed Charges,6342.89,,7452.69,92,,Percent of Total Billed Charges,6569.71,,6318.59,78,,Percent of Total Billed Charges,6318.59,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4360.63,53.83,,Percent of Total Billed Charges,4090.88,,2806.1,34.64,,Percent of Total Billed Charges,2794.76,,4048.75,49.98,,Percent of Total Billed Charges,3062.08,,2806.10,7452.69,,																																							
HC ENDOMETRIAL BIOPSY,58100,CPT,,,,BOTH, , ,917.7,770.87,844.28,92,,Percent of Total Billed Charges,767.2,,844.28,92,,Percent of Total Billed Charges,753.43,,844.28,92,,Percent of Total Billed Charges,738.75,,844.28,92,,Percent of Total Billed Charges,766.28,,844.28,92,,Percent of Total Billed Charges,691.03,,844.28,92,,Percent of Total Billed Charges,573.56,,825.93,90,,Percent of Total Billed Charges,457.93,,816.75,89,,Percent of Total Billed Charges,440.5,,756.18,82.4,,Percent of Total Billed Charges,754.35,,765.36,83.4,,Percent of Total Billed Charges,713.97,,765.36,83.4,,Percent of Total Billed Charges,643.31,,765.36,83.4,,Percent of Total Billed Charges,747.01,,825.93,90,,Percent of Total Billed Charges,777.29,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,844.28,92,,Percent of Total Billed Charges,744.25,,844.28,92,,Percent of Total Billed Charges,682.77,,844.28,92,,Percent of Total Billed Charges,718.56,,844.28,92,,Percent of Total Billed Charges,744.25,,715.81,78,,Percent of Total Billed Charges,715.81,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,494,53.83,,Percent of Total Billed Charges,463.44,,317.89,34.64,,Percent of Total Billed Charges,316.61,,458.67,49.98,,Percent of Total Billed Charges,346.89,,317.89,844.28,,																																							
HC DIALYSIS AV SHUNT WITH ANGIOPLASTY,36902,CPT,,,,BOTH, , ,25538.1,21452,23495.05,92,,Percent of Total Billed Charges,21349.85,,23495.05,92,,Percent of Total Billed Charges,20966.78,,23495.05,92,,Percent of Total Billed Charges,20558.17,,23495.05,92,,Percent of Total Billed Charges,21324.31,,23495.05,92,,Percent of Total Billed Charges,19230.19,,23495.05,92,,Percent of Total Billed Charges,15961.31,,22984.29,90,,Percent of Total Billed Charges,12743.51,,22728.91,89,,Percent of Total Billed Charges,12258.29,,21043.39,82.4,,Percent of Total Billed Charges,20992.32,,21298.78,83.4,,Percent of Total Billed Charges,19868.64,,21298.78,83.4,,Percent of Total Billed Charges,17902.21,,21298.78,83.4,,Percent of Total Billed Charges,20788.01,,22984.29,90,,Percent of Total Billed Charges,21630.77,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,23495.05,92,,Percent of Total Billed Charges,20711.4,,23495.05,92,,Percent of Total Billed Charges,19000.35,,23495.05,92,,Percent of Total Billed Charges,19996.33,,23495.05,92,,Percent of Total Billed Charges,20711.4,,19919.72,78,,Percent of Total Billed Charges,19919.72,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,13747.16,53.83,,Percent of Total Billed Charges,12896.74,,8846.4,34.64,,Percent of Total Billed Charges,8810.64,,12763.94,49.98,,Percent of Total Billed Charges,9653.4,,8846.40,23495.05,,																																							
HC DIALYSIS AV SHUNT WITH STENT,36903,CPT,,,,BOTH, , ,51622.2,43362.65,47492.42,92,,Percent of Total Billed Charges,43156.16,,47492.42,92,,Percent of Total Billed Charges,42381.83,,47492.42,92,,Percent of Total Billed Charges,41555.87,,47492.42,92,,Percent of Total Billed Charges,43104.54,,47492.42,92,,Percent of Total Billed Charges,38871.52,,47492.42,92,,Percent of Total Billed Charges,32263.88,,46459.98,90,,Percent of Total Billed Charges,25759.48,,45943.76,89,,Percent of Total Billed Charges,24778.66,,42536.69,82.4,,Percent of Total Billed Charges,42433.45,,43052.91,83.4,,Percent of Total Billed Charges,40162.07,,43052.91,83.4,,Percent of Total Billed Charges,36187.16,,43052.91,83.4,,Percent of Total Billed Charges,42020.47,,46459.98,90,,Percent of Total Billed Charges,43724,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,47492.42,92,,Percent of Total Billed Charges,41865.6,,47492.42,92,,Percent of Total Billed Charges,38406.92,,47492.42,92,,Percent of Total Billed Charges,40420.18,,47492.42,92,,Percent of Total Billed Charges,41865.6,,40265.32,78,,Percent of Total Billed Charges,40265.32,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,27788.23,53.83,,Percent of Total Billed Charges,26069.21,,17881.93,34.64,,Percent of Total Billed Charges,17809.66,,25800.78,49.98,,Percent of Total Billed Charges,19513.19,,17881.93,47492.42,,																																							
HC DIALYSIS AV SHUNT DECLOT,36904,CPT,,,,BOTH, , ,25538.1,21452,23495.05,92,,Percent of Total Billed Charges,21349.85,,23495.05,92,,Percent of Total Billed Charges,20966.78,,23495.05,92,,Percent of Total Billed Charges,20558.17,,23495.05,92,,Percent of Total Billed Charges,21324.31,,23495.05,92,,Percent of Total Billed Charges,19230.19,,23495.05,92,,Percent of Total Billed Charges,15961.31,,22984.29,90,,Percent of Total Billed Charges,12743.51,,22728.91,89,,Percent of Total Billed Charges,12258.29,,21043.39,82.4,,Percent of Total Billed Charges,20992.32,,21298.78,83.4,,Percent of Total Billed Charges,19868.64,,21298.78,83.4,,Percent of Total Billed Charges,17902.21,,21298.78,83.4,,Percent of Total Billed Charges,20788.01,,22984.29,90,,Percent of Total Billed Charges,21630.77,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,23495.05,92,,Percent of Total Billed Charges,20711.4,,23495.05,92,,Percent of Total Billed Charges,19000.35,,23495.05,92,,Percent of Total Billed Charges,19996.33,,23495.05,92,,Percent of Total Billed Charges,20711.4,,19919.72,78,,Percent of Total Billed Charges,19919.72,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,13747.16,53.83,,Percent of Total Billed Charges,12896.74,,8846.4,34.64,,Percent of Total Billed Charges,8810.64,,12763.94,49.98,,Percent of Total Billed Charges,9653.4,,8846.40,23495.05,,																																							
HC DIALYSIS AV SHUNT DECLOTWITH ANGIOPLASTY,36905,CPT,,,,BOTH, , ,51622.2,43362.65,47492.42,92,,Percent of Total Billed Charges,43156.16,,47492.42,92,,Percent of Total Billed Charges,42381.83,,47492.42,92,,Percent of Total Billed Charges,41555.87,,47492.42,92,,Percent of Total Billed Charges,43104.54,,47492.42,92,,Percent of Total Billed Charges,38871.52,,47492.42,92,,Percent of Total Billed Charges,32263.88,,46459.98,90,,Percent of Total Billed Charges,25759.48,,45943.76,89,,Percent of Total Billed Charges,24778.66,,42536.69,82.4,,Percent of Total Billed Charges,42433.45,,43052.91,83.4,,Percent of Total Billed Charges,40162.07,,43052.91,83.4,,Percent of Total Billed Charges,36187.16,,43052.91,83.4,,Percent of Total Billed Charges,42020.47,,46459.98,90,,Percent of Total Billed Charges,43724,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,47492.42,92,,Percent of Total Billed Charges,41865.6,,47492.42,92,,Percent of Total Billed Charges,38406.92,,47492.42,92,,Percent of Total Billed Charges,40420.18,,47492.42,92,,Percent of Total Billed Charges,41865.6,,40265.32,78,,Percent of Total Billed Charges,40265.32,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,27788.23,53.83,,Percent of Total Billed Charges,26069.21,,17881.93,34.64,,Percent of Total Billed Charges,17809.66,,25800.78,49.98,,Percent of Total Billed Charges,19513.19,,17881.93,47492.42,,																																							
HC DIALYSIS AV SHUNT DECLOT/STENT,36906,CPT,,,,BOTH, , ,78240.75,65722.23,71981.49,92,,Percent of Total Billed Charges,65409.27,,71981.49,92,,Percent of Total Billed Charges,64235.66,,71981.49,92,,Percent of Total Billed Charges,62983.8,,71981.49,92,,Percent of Total Billed Charges,65331.03,,71981.49,92,,Percent of Total Billed Charges,58915.28,,71981.49,92,,Percent of Total Billed Charges,48900.47,,70416.68,90,,Percent of Total Billed Charges,39042.13,,69634.27,89,,Percent of Total Billed Charges,37555.56,,64470.38,82.4,,Percent of Total Billed Charges,64313.9,,65252.79,83.4,,Percent of Total Billed Charges,60871.3,,65252.79,83.4,,Percent of Total Billed Charges,54846.77,,65252.79,83.4,,Percent of Total Billed Charges,63687.97,,70416.68,90,,Percent of Total Billed Charges,66269.92,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,71981.49,92,,Percent of Total Billed Charges,63453.25,,71981.49,92,,Percent of Total Billed Charges,58211.12,,71981.49,92,,Percent of Total Billed Charges,61262.51,,71981.49,92,,Percent of Total Billed Charges,63453.25,,61027.79,78,,Percent of Total Billed Charges,61027.79,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,42117,53.83,,Percent of Total Billed Charges,39511.58,,27102.6,34.64,,Percent of Total Billed Charges,26993.06,,39104.73,49.98,,Percent of Total Billed Charges,29575,,27102.60,71981.49,,																																							
HC DIALYSIS AV CENTRAL SEGMENT PTA,36907,CPT,,,,BOTH, , ,39121.95,32862.44,35992.19,92,,Percent of Total Billed Charges,32705.95,,35992.19,92,,Percent of Total Billed Charges,32119.12,,35992.19,92,,Percent of Total Billed Charges,31493.17,,35992.19,92,,Percent of Total Billed Charges,32666.83,,35992.19,92,,Percent of Total Billed Charges,29458.83,,35992.19,92,,Percent of Total Billed Charges,24451.22,,35209.76,90,,Percent of Total Billed Charges,19521.85,,34818.54,89,,Percent of Total Billed Charges,18778.54,,32236.49,82.4,,Percent of Total Billed Charges,32158.24,,32627.71,83.4,,Percent of Total Billed Charges,30436.88,,32627.71,83.4,,Percent of Total Billed Charges,27424.49,,32627.71,83.4,,Percent of Total Billed Charges,31845.27,,35209.76,90,,Percent of Total Billed Charges,33136.29,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,35992.19,92,,Percent of Total Billed Charges,31727.9,,35992.19,92,,Percent of Total Billed Charges,29106.73,,35992.19,92,,Percent of Total Billed Charges,30632.49,,35992.19,92,,Percent of Total Billed Charges,31727.9,,30515.12,78,,Percent of Total Billed Charges,30515.12,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,21059.35,53.83,,Percent of Total Billed Charges,19756.58,,13551.84,34.64,,Percent of Total Billed Charges,13497.07,,19553.15,49.98,,Percent of Total Billed Charges,14788.1,,13551.84,35992.19,,																																							
HC DIALYSIS AV CENTRAL SEGMENT STENT,36908,CPT,,,,BOTH, , ,39121.95,32862.44,35992.19,92,,Percent of Total Billed Charges,32705.95,,35992.19,92,,Percent of Total Billed Charges,32119.12,,35992.19,92,,Percent of Total Billed Charges,31493.17,,35992.19,92,,Percent of Total Billed Charges,32666.83,,35992.19,92,,Percent of Total Billed Charges,29458.83,,35992.19,92,,Percent of Total Billed Charges,24451.22,,35209.76,90,,Percent of Total Billed Charges,19521.85,,34818.54,89,,Percent of Total Billed Charges,18778.54,,32236.49,82.4,,Percent of Total Billed Charges,32158.24,,32627.71,83.4,,Percent of Total Billed Charges,30436.88,,32627.71,83.4,,Percent of Total Billed Charges,27424.49,,32627.71,83.4,,Percent of Total Billed Charges,31845.27,,35209.76,90,,Percent of Total Billed Charges,33136.29,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,35992.19,92,,Percent of Total Billed Charges,31727.9,,35992.19,92,,Percent of Total Billed Charges,29106.73,,35992.19,92,,Percent of Total Billed Charges,30632.49,,35992.19,92,,Percent of Total Billed Charges,31727.9,,30515.12,78,,Percent of Total Billed Charges,30515.12,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,21059.35,53.83,,Percent of Total Billed Charges,19756.58,,13551.84,34.64,,Percent of Total Billed Charges,13497.07,,19553.15,49.98,,Percent of Total Billed Charges,14788.1,,13551.84,35992.19,,																																							
HC DIALYSIS AV SHUNT EMBOLIZATION,36909,CPT,,,,BOTH, , ,39121.95,32862.44,35992.19,92,,Percent of Total Billed Charges,32705.95,,35992.19,92,,Percent of Total Billed Charges,32119.12,,35992.19,92,,Percent of Total Billed Charges,31493.17,,35992.19,92,,Percent of Total Billed Charges,32666.83,,35992.19,92,,Percent of Total Billed Charges,29458.83,,35992.19,92,,Percent of Total Billed Charges,24451.22,,35209.76,90,,Percent of Total Billed Charges,19521.85,,34818.54,89,,Percent of Total Billed Charges,18778.54,,32236.49,82.4,,Percent of Total Billed Charges,32158.24,,32627.71,83.4,,Percent of Total Billed Charges,30436.88,,32627.71,83.4,,Percent of Total Billed Charges,27424.49,,32627.71,83.4,,Percent of Total Billed Charges,31845.27,,35209.76,90,,Percent of Total Billed Charges,33136.29,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,35992.19,92,,Percent of Total Billed Charges,31727.9,,35992.19,92,,Percent of Total Billed Charges,29106.73,,35992.19,92,,Percent of Total Billed Charges,30632.49,,35992.19,92,,Percent of Total Billed Charges,31727.9,,30515.12,78,,Percent of Total Billed Charges,30515.12,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,21059.35,53.83,,Percent of Total Billed Charges,19756.58,,13551.84,34.64,,Percent of Total Billed Charges,13497.07,,19553.15,49.98,,Percent of Total Billed Charges,14788.1,,13551.84,35992.19,,																																							
HC PERCUTANEOUS ANGIOPLASTY INITIAL ARTERY,37246,CPT,,,,BOTH, , ,25538.1,21452,23495.05,92,,Percent of Total Billed Charges,21349.85,,23495.05,92,,Percent of Total Billed Charges,20966.78,,23495.05,92,,Percent of Total Billed Charges,20558.17,,23495.05,92,,Percent of Total Billed Charges,21324.31,,23495.05,92,,Percent of Total Billed Charges,19230.19,,23495.05,92,,Percent of Total Billed Charges,15961.31,,22984.29,90,,Percent of Total Billed Charges,12743.51,,22728.91,89,,Percent of Total Billed Charges,12258.29,,21043.39,82.4,,Percent of Total Billed Charges,20992.32,,21298.78,83.4,,Percent of Total Billed Charges,19868.64,,21298.78,83.4,,Percent of Total Billed Charges,17902.21,,21298.78,83.4,,Percent of Total Billed Charges,20788.01,,22984.29,90,,Percent of Total Billed Charges,21630.77,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,23495.05,92,,Percent of Total Billed Charges,20711.4,,23495.05,92,,Percent of Total Billed Charges,19000.35,,23495.05,92,,Percent of Total Billed Charges,19996.33,,23495.05,92,,Percent of Total Billed Charges,20711.4,,19919.72,78,,Percent of Total Billed Charges,19919.72,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,13747.16,53.83,,Percent of Total Billed Charges,12896.74,,8846.4,34.64,,Percent of Total Billed Charges,8810.64,,12763.94,49.98,,Percent of Total Billed Charges,9653.4,,8846.40,23495.05,,																																							
HC PERCUTANEOUS ANGIOPLASTY ADDIT ARTERY,37247,CPT,,,,BOTH, , ,12771.15,10727.77,11749.46,92,,Percent of Total Billed Charges,10676.68,,11749.46,92,,Percent of Total Billed Charges,10485.11,,11749.46,92,,Percent of Total Billed Charges,10280.78,,11749.46,92,,Percent of Total Billed Charges,10663.91,,11749.46,92,,Percent of Total Billed Charges,9616.68,,11749.46,92,,Percent of Total Billed Charges,7981.97,,11494.04,90,,Percent of Total Billed Charges,6372.8,,11366.32,89,,Percent of Total Billed Charges,6130.15,,10523.43,82.4,,Percent of Total Billed Charges,10497.89,,10651.14,83.4,,Percent of Total Billed Charges,9935.95,,10651.14,83.4,,Percent of Total Billed Charges,8952.58,,10651.14,83.4,,Percent of Total Billed Charges,10395.72,,11494.04,90,,Percent of Total Billed Charges,10817.16,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,11749.46,92,,Percent of Total Billed Charges,10357.4,,11749.46,92,,Percent of Total Billed Charges,9501.74,,11749.46,92,,Percent of Total Billed Charges,9999.81,,11749.46,92,,Percent of Total Billed Charges,10357.4,,9961.5,78,,Percent of Total Billed Charges,9961.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6874.71,53.83,,Percent of Total Billed Charges,6449.43,,4423.93,34.64,,Percent of Total Billed Charges,4406.05,,6383.02,49.98,,Percent of Total Billed Charges,4827.49,,4423.93,11749.46,,																																							
HC PERCUTANEOUS ANGIOPLASTY INITIAL VEIN,37248,CPT,,,,BOTH, , ,25538.1,21452,23495.05,92,,Percent of Total Billed Charges,21349.85,,23495.05,92,,Percent of Total Billed Charges,20966.78,,23495.05,92,,Percent of Total Billed Charges,20558.17,,23495.05,92,,Percent of Total Billed Charges,21324.31,,23495.05,92,,Percent of Total Billed Charges,19230.19,,23495.05,92,,Percent of Total Billed Charges,15961.31,,22984.29,90,,Percent of Total Billed Charges,12743.51,,22728.91,89,,Percent of Total Billed Charges,12258.29,,21043.39,82.4,,Percent of Total Billed Charges,20992.32,,21298.78,83.4,,Percent of Total Billed Charges,19868.64,,21298.78,83.4,,Percent of Total Billed Charges,17902.21,,21298.78,83.4,,Percent of Total Billed Charges,20788.01,,22984.29,90,,Percent of Total Billed Charges,21630.77,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,23495.05,92,,Percent of Total Billed Charges,20711.4,,23495.05,92,,Percent of Total Billed Charges,19000.35,,23495.05,92,,Percent of Total Billed Charges,19996.33,,23495.05,92,,Percent of Total Billed Charges,20711.4,,19919.72,78,,Percent of Total Billed Charges,19919.72,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,13747.16,53.83,,Percent of Total Billed Charges,12896.74,,8846.4,34.64,,Percent of Total Billed Charges,8810.64,,12763.94,49.98,,Percent of Total Billed Charges,9653.4,,8846.40,23495.05,,																																							
HC PERCUTANEOUS ANGIOPLASTY ADDITVEIN,37249,CPT,,,,BOTH, , ,12771.15,10727.77,11749.46,92,,Percent of Total Billed Charges,10676.68,,11749.46,92,,Percent of Total Billed Charges,10485.11,,11749.46,92,,Percent of Total Billed Charges,10280.78,,11749.46,92,,Percent of Total Billed Charges,10663.91,,11749.46,92,,Percent of Total Billed Charges,9616.68,,11749.46,92,,Percent of Total Billed Charges,7981.97,,11494.04,90,,Percent of Total Billed Charges,6372.8,,11366.32,89,,Percent of Total Billed Charges,6130.15,,10523.43,82.4,,Percent of Total Billed Charges,10497.89,,10651.14,83.4,,Percent of Total Billed Charges,9935.95,,10651.14,83.4,,Percent of Total Billed Charges,8952.58,,10651.14,83.4,,Percent of Total Billed Charges,10395.72,,11494.04,90,,Percent of Total Billed Charges,10817.16,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,11749.46,92,,Percent of Total Billed Charges,10357.4,,11749.46,92,,Percent of Total Billed Charges,9501.74,,11749.46,92,,Percent of Total Billed Charges,9999.81,,11749.46,92,,Percent of Total Billed Charges,10357.4,,9961.5,78,,Percent of Total Billed Charges,9961.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6874.71,53.83,,Percent of Total Billed Charges,6449.43,,4423.93,34.64,,Percent of Total Billed Charges,4406.05,,6383.02,49.98,,Percent of Total Billed Charges,4827.49,,4423.93,11749.46,,																																							
HC NJX DX/THER SBST INTRLMNR CRV/THRC W/O IMG GDN,62324,CPT,,,,BOTH, , ,3063.9,2573.68,2818.79,92,,Percent of Total Billed Charges,2561.42,,2818.79,92,,Percent of Total Billed Charges,2515.46,,2818.79,92,,Percent of Total Billed Charges,2466.44,,2818.79,92,,Percent of Total Billed Charges,2558.36,,2818.79,92,,Percent of Total Billed Charges,2307.12,,2818.79,92,,Percent of Total Billed Charges,1914.94,,2757.51,90,,Percent of Total Billed Charges,1528.89,,2726.87,89,,Percent of Total Billed Charges,1470.67,,2524.65,82.4,,Percent of Total Billed Charges,2518.53,,2555.29,83.4,,Percent of Total Billed Charges,2383.71,,2555.29,83.4,,Percent of Total Billed Charges,2147.79,,2555.29,83.4,,Percent of Total Billed Charges,2494.01,,2757.51,90,,Percent of Total Billed Charges,2595.12,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2818.79,92,,Percent of Total Billed Charges,2484.82,,2818.79,92,,Percent of Total Billed Charges,2279.54,,2818.79,92,,Percent of Total Billed Charges,2399.03,,2818.79,92,,Percent of Total Billed Charges,2484.82,,2389.84,78,,Percent of Total Billed Charges,2389.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1649.3,53.83,,Percent of Total Billed Charges,1547.27,,1061.33,34.64,,Percent of Total Billed Charges,1057.05,,1531.34,49.98,,Percent of Total Billed Charges,1158.15,,1061.33,2818.79,,																																							
HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN,62326,CPT,,,,BOTH, , ,3063.9,2573.68,2818.79,92,,Percent of Total Billed Charges,2561.42,,2818.79,92,,Percent of Total Billed Charges,2515.46,,2818.79,92,,Percent of Total Billed Charges,2466.44,,2818.79,92,,Percent of Total Billed Charges,2558.36,,2818.79,92,,Percent of Total Billed Charges,2307.12,,2818.79,92,,Percent of Total Billed Charges,1914.94,,2757.51,90,,Percent of Total Billed Charges,1528.89,,2726.87,89,,Percent of Total Billed Charges,1470.67,,2524.65,82.4,,Percent of Total Billed Charges,2518.53,,2555.29,83.4,,Percent of Total Billed Charges,2383.71,,2555.29,83.4,,Percent of Total Billed Charges,2147.79,,2555.29,83.4,,Percent of Total Billed Charges,2494.01,,2757.51,90,,Percent of Total Billed Charges,2595.12,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2818.79,92,,Percent of Total Billed Charges,2484.82,,2818.79,92,,Percent of Total Billed Charges,2279.54,,2818.79,92,,Percent of Total Billed Charges,2399.03,,2818.79,92,,Percent of Total Billed Charges,2484.82,,2389.84,78,,Percent of Total Billed Charges,2389.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1649.3,53.83,,Percent of Total Billed Charges,1547.27,,1061.33,34.64,,Percent of Total Billed Charges,1057.05,,1531.34,49.98,,Percent of Total Billed Charges,1158.15,,1061.33,2818.79,,																																							
HC MIDLINE INSERTION,36569,CPT,,,,BOTH, , ,4299.75,3611.79,3955.77,92,,Percent of Total Billed Charges,3594.59,,3955.77,92,,Percent of Total Billed Charges,3530.09,,3955.77,92,,Percent of Total Billed Charges,3461.3,,3955.77,92,,Percent of Total Billed Charges,3590.29,,3955.77,92,,Percent of Total Billed Charges,3237.71,,3955.77,92,,Percent of Total Billed Charges,2687.34,,3869.78,90,,Percent of Total Billed Charges,2145.58,,3826.78,89,,Percent of Total Billed Charges,2063.88,,3542.99,82.4,,Percent of Total Billed Charges,3534.39,,3585.99,83.4,,Percent of Total Billed Charges,3345.21,,3585.99,83.4,,Percent of Total Billed Charges,3014.12,,3585.99,83.4,,Percent of Total Billed Charges,3500,,3869.78,90,,Percent of Total Billed Charges,3641.89,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3955.77,92,,Percent of Total Billed Charges,3487.1,,3955.77,92,,Percent of Total Billed Charges,3199.01,,3955.77,92,,Percent of Total Billed Charges,3366.7,,3955.77,92,,Percent of Total Billed Charges,3487.1,,3353.81,78,,Percent of Total Billed Charges,3353.81,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2314.56,53.83,,Percent of Total Billed Charges,2171.37,,1489.43,34.64,,Percent of Total Billed Charges,1483.41,,2149.02,49.98,,Percent of Total Billed Charges,1625.31,,1489.43,3955.77,,																																							
HC  IR TUNNEL PERITONEAL CATHETER,49418,CPT,,,,BOTH, , ,15800.4,13272.34,14536.37,92,,Percent of Total Billed Charges,13209.13,,14536.37,92,,Percent of Total Billed Charges,12972.13,,14536.37,92,,Percent of Total Billed Charges,12719.32,,14536.37,92,,Percent of Total Billed Charges,13193.33,,14536.37,92,,Percent of Total Billed Charges,11897.7,,14536.37,92,,Percent of Total Billed Charges,9875.25,,14220.36,90,,Percent of Total Billed Charges,7884.4,,14062.36,89,,Percent of Total Billed Charges,7584.19,,13019.53,82.4,,Percent of Total Billed Charges,12987.93,,13177.53,83.4,,Percent of Total Billed Charges,12292.71,,13177.53,83.4,,Percent of Total Billed Charges,11076.08,,13177.53,83.4,,Percent of Total Billed Charges,12861.53,,14220.36,90,,Percent of Total Billed Charges,13382.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,14536.37,92,,Percent of Total Billed Charges,12814.12,,14536.37,92,,Percent of Total Billed Charges,11755.5,,14536.37,92,,Percent of Total Billed Charges,12371.71,,14536.37,92,,Percent of Total Billed Charges,12814.12,,12324.31,78,,Percent of Total Billed Charges,12324.31,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,8505.36,53.83,,Percent of Total Billed Charges,7979.2,,5473.26,34.64,,Percent of Total Billed Charges,5451.14,,7897.04,49.98,,Percent of Total Billed Charges,5972.55,,5473.26,14536.37,,																																							
HC PRQ ASPIR PULPOSUS/INTERVERTEBRAL DISC/PVRT TISS,62267,CPT,,,,BOTH, , ,2973.6,2497.82,2735.71,92,,Percent of Total Billed Charges,2485.93,,2735.71,92,,Percent of Total Billed Charges,2441.33,,2735.71,92,,Percent of Total Billed Charges,2393.75,,2735.71,92,,Percent of Total Billed Charges,2482.96,,2735.71,92,,Percent of Total Billed Charges,2239.12,,2735.71,92,,Percent of Total Billed Charges,1858.5,,2676.24,90,,Percent of Total Billed Charges,1483.83,,2646.5,89,,Percent of Total Billed Charges,1427.33,,2450.25,82.4,,Percent of Total Billed Charges,2444.3,,2479.98,83.4,,Percent of Total Billed Charges,2313.46,,2479.98,83.4,,Percent of Total Billed Charges,2084.49,,2479.98,83.4,,Percent of Total Billed Charges,2420.51,,2676.24,90,,Percent of Total Billed Charges,2518.64,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2735.71,92,,Percent of Total Billed Charges,2411.59,,2735.71,92,,Percent of Total Billed Charges,2212.36,,2735.71,92,,Percent of Total Billed Charges,2328.33,,2735.71,92,,Percent of Total Billed Charges,2411.59,,2319.41,78,,Percent of Total Billed Charges,2319.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1600.69,53.83,,Percent of Total Billed Charges,1501.67,,1030.06,34.64,,Percent of Total Billed Charges,1025.89,,1486.21,49.98,,Percent of Total Billed Charges,1124.02,,1030.06,2735.71,,																																							
HC BIOPSY SALIVARY GLAND NEEDLE,42400,CPT,,,,BOTH, , ,5399.1,4535.24,4967.17,92,,Percent of Total Billed Charges,4513.65,,4967.17,92,,Percent of Total Billed Charges,4432.66,,4967.17,92,,Percent of Total Billed Charges,4346.28,,4967.17,92,,Percent of Total Billed Charges,4508.25,,4967.17,92,,Percent of Total Billed Charges,4065.52,,4967.17,92,,Percent of Total Billed Charges,3374.44,,4859.19,90,,Percent of Total Billed Charges,2694.15,,4805.2,89,,Percent of Total Billed Charges,2591.57,,4448.86,82.4,,Percent of Total Billed Charges,4438.06,,4502.85,83.4,,Percent of Total Billed Charges,4200.5,,4502.85,83.4,,Percent of Total Billed Charges,3784.77,,4502.85,83.4,,Percent of Total Billed Charges,4394.87,,4859.19,90,,Percent of Total Billed Charges,4573.04,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4967.17,92,,Percent of Total Billed Charges,4378.67,,4967.17,92,,Percent of Total Billed Charges,4016.93,,4967.17,92,,Percent of Total Billed Charges,4227.5,,4967.17,92,,Percent of Total Billed Charges,4378.67,,4211.3,78,,Percent of Total Billed Charges,4211.3,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2906.34,53.83,,Percent of Total Billed Charges,2726.55,,1870.25,34.64,,Percent of Total Billed Charges,1862.69,,2698.47,49.98,,Percent of Total Billed Charges,2040.86,,1870.25,4967.17,,																																							
HC TENOTOMY PERCUTANEOUS TOE SINGLE TENDON,28010,CPT,,,,BOTH, , ,5842.2,4907.45,5374.82,92,,Percent of Total Billed Charges,4884.08,,5374.82,92,,Percent of Total Billed Charges,4796.45,,5374.82,92,,Percent of Total Billed Charges,4702.97,,5374.82,92,,Percent of Total Billed Charges,4878.24,,5374.82,92,,Percent of Total Billed Charges,4399.18,,5374.82,92,,Percent of Total Billed Charges,3651.38,,5257.98,90,,Percent of Total Billed Charges,2915.26,,5199.56,89,,Percent of Total Billed Charges,2804.26,,4813.97,82.4,,Percent of Total Billed Charges,4802.29,,4872.39,83.4,,Percent of Total Billed Charges,4545.23,,4872.39,83.4,,Percent of Total Billed Charges,4095.38,,4872.39,83.4,,Percent of Total Billed Charges,4755.55,,5257.98,90,,Percent of Total Billed Charges,4948.34,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5374.82,92,,Percent of Total Billed Charges,4738.02,,5374.82,92,,Percent of Total Billed Charges,4346.6,,5374.82,92,,Percent of Total Billed Charges,4574.44,,5374.82,92,,Percent of Total Billed Charges,4738.02,,4556.92,78,,Percent of Total Billed Charges,4556.92,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3144.86,53.83,,Percent of Total Billed Charges,2950.31,,2023.74,34.64,,Percent of Total Billed Charges,2015.56,,2919.93,49.98,,Percent of Total Billed Charges,2208.35,,2023.74,5374.82,,																																							
HC CT DRAIN PERITONEAL/RETROPERITONEAL TRANS VAGINAL OR RECTUM,49407,CPT,,,,BOTH, , ,6637.05,5575.12,6106.09,92,,Percent of Total Billed Charges,5548.57,,6106.09,92,,Percent of Total Billed Charges,5449.02,,6106.09,92,,Percent of Total Billed Charges,5342.83,,6106.09,92,,Percent of Total Billed Charges,5541.94,,6106.09,92,,Percent of Total Billed Charges,4997.7,,6106.09,92,,Percent of Total Billed Charges,4148.16,,5973.35,90,,Percent of Total Billed Charges,3311.89,,5906.97,89,,Percent of Total Billed Charges,3185.78,,5468.93,82.4,,Percent of Total Billed Charges,5455.66,,5535.3,83.4,,Percent of Total Billed Charges,5163.62,,5535.3,83.4,,Percent of Total Billed Charges,4652.57,,5535.3,83.4,,Percent of Total Billed Charges,5402.56,,5973.35,90,,Percent of Total Billed Charges,5621.58,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6106.09,92,,Percent of Total Billed Charges,5382.65,,6106.09,92,,Percent of Total Billed Charges,4937.97,,6106.09,92,,Percent of Total Billed Charges,5196.81,,6106.09,92,,Percent of Total Billed Charges,5382.65,,5176.9,78,,Percent of Total Billed Charges,5176.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3572.72,53.83,,Percent of Total Billed Charges,3351.71,,2299.07,34.64,,Percent of Total Billed Charges,2289.78,,3317.2,49.98,,Percent of Total Billed Charges,2508.8,,2299.07,6106.09,,																																							
HC DSTRJ NEUROLYTIC W/WO RAD MONITOR CELIAC PLEXUS,64680,CPT,,,,BOTH, , ,4113.9,3455.68,3784.79,92,,Percent of Total Billed Charges,3439.22,,3784.79,92,,Percent of Total Billed Charges,3377.51,,3784.79,92,,Percent of Total Billed Charges,3311.69,,3784.79,92,,Percent of Total Billed Charges,3435.11,,3784.79,92,,Percent of Total Billed Charges,3097.77,,3784.79,92,,Percent of Total Billed Charges,2571.19,,3702.51,90,,Percent of Total Billed Charges,2052.84,,3661.37,89,,Percent of Total Billed Charges,1974.67,,3389.85,82.4,,Percent of Total Billed Charges,3381.63,,3430.99,83.4,,Percent of Total Billed Charges,3200.61,,3430.99,83.4,,Percent of Total Billed Charges,2883.84,,3430.99,83.4,,Percent of Total Billed Charges,3348.71,,3702.51,90,,Percent of Total Billed Charges,3484.47,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3784.79,92,,Percent of Total Billed Charges,3336.37,,3784.79,92,,Percent of Total Billed Charges,3060.74,,3784.79,92,,Percent of Total Billed Charges,3221.18,,3784.79,92,,Percent of Total Billed Charges,3336.37,,3208.84,78,,Percent of Total Billed Charges,3208.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2214.51,53.83,,Percent of Total Billed Charges,2077.52,,1425.05,34.64,,Percent of Total Billed Charges,1419.3,,2056.13,49.98,,Percent of Total Billed Charges,1555.05,,1425.05,3784.79,,																																							
HC NEG PRESSURE WOUND THERAPY NON DME &LT;/= 50 SQ CM,97607,CPT,,,,BOTH, , ,1340.85,1126.31,1233.58,92,,Percent of Total Billed Charges,1120.95,,1233.58,92,,Percent of Total Billed Charges,1100.84,,1233.58,92,,Percent of Total Billed Charges,1079.38,,1233.58,92,,Percent of Total Billed Charges,1119.61,,1233.58,92,,Percent of Total Billed Charges,1009.66,,1233.58,92,,Percent of Total Billed Charges,838.03,,1206.77,90,,Percent of Total Billed Charges,669.08,,1193.36,89,,Percent of Total Billed Charges,643.61,,1104.86,82.4,,Percent of Total Billed Charges,1102.18,,1118.27,83.4,,Percent of Total Billed Charges,1043.18,,1118.27,83.4,,Percent of Total Billed Charges,939.94,,1118.27,83.4,,Percent of Total Billed Charges,1091.45,,1206.77,90,,Percent of Total Billed Charges,1135.7,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1233.58,92,,Percent of Total Billed Charges,1087.43,,1233.58,92,,Percent of Total Billed Charges,997.59,,1233.58,92,,Percent of Total Billed Charges,1049.89,,1233.58,92,,Percent of Total Billed Charges,1087.43,,1045.86,78,,Percent of Total Billed Charges,1045.86,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,721.78,53.83,,Percent of Total Billed Charges,677.13,,464.47,34.64,,Percent of Total Billed Charges,462.59,,670.16,49.98,,Percent of Total Billed Charges,506.84,,464.47,1233.58,,																																							
HC NEG PRESSURE WOUND THERAPY NON DME >50 SQ CM,97608,CPT,,,,BOTH, , ,1340.85,1126.31,1233.58,92,,Percent of Total Billed Charges,1120.95,,1233.58,92,,Percent of Total Billed Charges,1100.84,,1233.58,92,,Percent of Total Billed Charges,1079.38,,1233.58,92,,Percent of Total Billed Charges,1119.61,,1233.58,92,,Percent of Total Billed Charges,1009.66,,1233.58,92,,Percent of Total Billed Charges,838.03,,1206.77,90,,Percent of Total Billed Charges,669.08,,1193.36,89,,Percent of Total Billed Charges,643.61,,1104.86,82.4,,Percent of Total Billed Charges,1102.18,,1118.27,83.4,,Percent of Total Billed Charges,1043.18,,1118.27,83.4,,Percent of Total Billed Charges,939.94,,1118.27,83.4,,Percent of Total Billed Charges,1091.45,,1206.77,90,,Percent of Total Billed Charges,1135.7,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1233.58,92,,Percent of Total Billed Charges,1087.43,,1233.58,92,,Percent of Total Billed Charges,997.59,,1233.58,92,,Percent of Total Billed Charges,1049.89,,1233.58,92,,Percent of Total Billed Charges,1087.43,,1045.86,78,,Percent of Total Billed Charges,1045.86,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,721.78,53.83,,Percent of Total Billed Charges,677.13,,464.47,34.64,,Percent of Total Billed Charges,462.59,,670.16,49.98,,Percent of Total Billed Charges,506.84,,464.47,1233.58,,																																							
HC DIAGNOSTIC BONE MARROW BIOPSIES & ASPIRATIONS,38222,CPT,,,,BOTH, , ,8487.15,7129.21,7808.18,92,,Percent of Total Billed Charges,7095.26,,7808.18,92,,Percent of Total Billed Charges,6967.95,,7808.18,92,,Percent of Total Billed Charges,6832.16,,7808.18,92,,Percent of Total Billed Charges,7086.77,,7808.18,92,,Percent of Total Billed Charges,6390.82,,7808.18,92,,Percent of Total Billed Charges,5304.47,,7638.44,90,,Percent of Total Billed Charges,4235.09,,7553.56,89,,Percent of Total Billed Charges,4073.83,,6993.41,82.4,,Percent of Total Billed Charges,6976.44,,7078.28,83.4,,Percent of Total Billed Charges,6603,,7078.28,83.4,,Percent of Total Billed Charges,5949.49,,7078.28,83.4,,Percent of Total Billed Charges,6908.54,,7638.44,90,,Percent of Total Billed Charges,7188.62,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,7808.18,92,,Percent of Total Billed Charges,6883.08,,7808.18,92,,Percent of Total Billed Charges,6314.44,,7808.18,92,,Percent of Total Billed Charges,6645.44,,7808.18,92,,Percent of Total Billed Charges,6883.08,,6619.98,78,,Percent of Total Billed Charges,6619.98,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4568.63,53.83,,Percent of Total Billed Charges,4286.01,,2939.95,34.64,,Percent of Total Billed Charges,2928.07,,4241.88,49.98,,Percent of Total Billed Charges,3208.14,,2939.95,7808.18,,																																							
HC RPR CTR VAD W/SUBQ PORT/PMP CTR/PRPH INSJ SIT,36576,CPT,,,,BOTH, , ,5694.15,4783.09,5238.62,92,,Percent of Total Billed Charges,4760.31,,5238.62,92,,Percent of Total Billed Charges,4674.9,,5238.62,92,,Percent of Total Billed Charges,4583.79,,5238.62,92,,Percent of Total Billed Charges,4754.62,,5238.62,92,,Percent of Total Billed Charges,4287.69,,5238.62,92,,Percent of Total Billed Charges,3558.84,,5124.74,90,,Percent of Total Billed Charges,2841.38,,5067.79,89,,Percent of Total Billed Charges,2733.19,,4691.98,82.4,,Percent of Total Billed Charges,4680.59,,4748.92,83.4,,Percent of Total Billed Charges,4430.05,,4748.92,83.4,,Percent of Total Billed Charges,3991.6,,4748.92,83.4,,Percent of Total Billed Charges,4635.04,,5124.74,90,,Percent of Total Billed Charges,4822.95,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5238.62,92,,Percent of Total Billed Charges,4617.96,,5238.62,92,,Percent of Total Billed Charges,4236.45,,5238.62,92,,Percent of Total Billed Charges,4458.52,,5238.62,92,,Percent of Total Billed Charges,4617.96,,4441.44,78,,Percent of Total Billed Charges,4441.44,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3065.16,53.83,,Percent of Total Billed Charges,2875.55,,1972.45,34.64,,Percent of Total Billed Charges,1964.48,,2845.94,49.98,,Percent of Total Billed Charges,2152.39,,1972.45,5238.62,,																																							
HC REMOVE INT DWELL URETERAL STENT TRANSURETHRAL,50386,CPT,,,,BOTH, , ,8187.9,6877.84,7532.87,92,,Percent of Total Billed Charges,6845.08,,7532.87,92,,Percent of Total Billed Charges,6722.27,,7532.87,92,,Percent of Total Billed Charges,6591.26,,7532.87,92,,Percent of Total Billed Charges,6836.9,,7532.87,92,,Percent of Total Billed Charges,6165.49,,7532.87,92,,Percent of Total Billed Charges,5117.44,,7369.11,90,,Percent of Total Billed Charges,4085.76,,7287.23,89,,Percent of Total Billed Charges,3930.19,,6746.83,82.4,,Percent of Total Billed Charges,6730.45,,6828.71,83.4,,Percent of Total Billed Charges,6370.19,,6828.71,83.4,,Percent of Total Billed Charges,5739.72,,6828.71,83.4,,Percent of Total Billed Charges,6664.95,,7369.11,90,,Percent of Total Billed Charges,6935.15,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,7532.87,92,,Percent of Total Billed Charges,6640.39,,7532.87,92,,Percent of Total Billed Charges,6091.8,,7532.87,92,,Percent of Total Billed Charges,6411.13,,7532.87,92,,Percent of Total Billed Charges,6640.39,,6386.56,78,,Percent of Total Billed Charges,6386.56,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4407.55,53.83,,Percent of Total Billed Charges,4134.89,,2836.29,34.64,,Percent of Total Billed Charges,2824.83,,4092.31,49.98,,Percent of Total Billed Charges,3095.03,,2836.29,7532.87,,																																							
HC INCISION & REMOVAL FOREIGN BODY SUBQ TISS SIMPLE,10120,CPT,,,,BOTH, , ,706.65,593.59,650.12,92,,Percent of Total Billed Charges,590.76,,650.12,92,,Percent of Total Billed Charges,580.16,,650.12,92,,Percent of Total Billed Charges,568.85,,650.12,92,,Percent of Total Billed Charges,590.05,,650.12,92,,Percent of Total Billed Charges,532.11,,650.12,92,,Percent of Total Billed Charges,441.66,,635.99,90,,Percent of Total Billed Charges,352.62,,628.92,89,,Percent of Total Billed Charges,339.19,,582.28,82.4,,Percent of Total Billed Charges,580.87,,589.35,83.4,,Percent of Total Billed Charges,549.77,,589.35,83.4,,Percent of Total Billed Charges,495.36,,589.35,83.4,,Percent of Total Billed Charges,575.21,,635.99,90,,Percent of Total Billed Charges,598.53,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,650.12,92,,Percent of Total Billed Charges,573.09,,650.12,92,,Percent of Total Billed Charges,525.75,,650.12,92,,Percent of Total Billed Charges,553.31,,650.12,92,,Percent of Total Billed Charges,573.09,,551.19,78,,Percent of Total Billed Charges,551.19,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,380.39,53.83,,Percent of Total Billed Charges,356.86,,244.78,34.64,,Percent of Total Billed Charges,243.79,,353.18,49.98,,Percent of Total Billed Charges,267.11,,244.78,650.12,,																																							
HC CT GUIDED BREAST BIOPSY,19499,CPT,,,,BOTH, , ,12695.55,10664.26,11679.91,92,,Percent of Total Billed Charges,10613.48,,11679.91,92,,Percent of Total Billed Charges,10423.05,,11679.91,92,,Percent of Total Billed Charges,10219.92,,11679.91,92,,Percent of Total Billed Charges,10600.78,,11679.91,92,,Percent of Total Billed Charges,9559.75,,11679.91,92,,Percent of Total Billed Charges,7934.72,,11426,90,,Percent of Total Billed Charges,6335.08,,11299.04,89,,Percent of Total Billed Charges,6093.86,,10461.13,82.4,,Percent of Total Billed Charges,10435.74,,10588.09,83.4,,Percent of Total Billed Charges,9877.14,,10588.09,83.4,,Percent of Total Billed Charges,8899.58,,10588.09,83.4,,Percent of Total Billed Charges,10334.18,,11426,90,,Percent of Total Billed Charges,10753.13,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,11679.91,92,,Percent of Total Billed Charges,10296.09,,11679.91,92,,Percent of Total Billed Charges,9445.49,,11679.91,92,,Percent of Total Billed Charges,9940.62,,11679.91,92,,Percent of Total Billed Charges,10296.09,,9902.53,78,,Percent of Total Billed Charges,9902.53,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6834.01,53.83,,Percent of Total Billed Charges,6411.25,,4397.74,34.64,,Percent of Total Billed Charges,4379.96,,6345.24,49.98,,Percent of Total Billed Charges,4798.92,,4397.74,11679.91,,																																							
HC RPLCMT COMPL PRPH CVC W/O SUBQ PORT/PMP,36584,CPT,,,,BOTH, , ,4256.7,3575.63,3916.16,92,,Percent of Total Billed Charges,3558.6,,3916.16,92,,Percent of Total Billed Charges,3494.75,,3916.16,92,,Percent of Total Billed Charges,3426.64,,3916.16,92,,Percent of Total Billed Charges,3554.34,,3916.16,92,,Percent of Total Billed Charges,3205.3,,3916.16,92,,Percent of Total Billed Charges,2660.44,,3831.03,90,,Percent of Total Billed Charges,2124.09,,3788.46,89,,Percent of Total Billed Charges,2043.22,,3507.52,82.4,,Percent of Total Billed Charges,3499.01,,3550.09,83.4,,Percent of Total Billed Charges,3311.71,,3550.09,83.4,,Percent of Total Billed Charges,2983.95,,3550.09,83.4,,Percent of Total Billed Charges,3464.95,,3831.03,90,,Percent of Total Billed Charges,3605.42,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3916.16,92,,Percent of Total Billed Charges,3452.18,,3916.16,92,,Percent of Total Billed Charges,3166.98,,3916.16,92,,Percent of Total Billed Charges,3333,,3916.16,92,,Percent of Total Billed Charges,3452.18,,3320.23,78,,Percent of Total Billed Charges,3320.23,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2291.38,53.83,,Percent of Total Billed Charges,2149.63,,1474.52,34.64,,Percent of Total Billed Charges,1468.56,,2127.5,49.98,,Percent of Total Billed Charges,1609.03,,1474.52,3916.16,,																																							
HC FINE NEEDLE ASPIRATION BX W/O IMG GDN EA ADDL,10004,CPT,,,,BOTH, , ,1131.9,950.8,1041.35,92,,Percent of Total Billed Charges,946.27,,1041.35,92,,Percent of Total Billed Charges,929.29,,1041.35,92,,Percent of Total Billed Charges,911.18,,1041.35,92,,Percent of Total Billed Charges,945.14,,1041.35,92,,Percent of Total Billed Charges,852.32,,1041.35,92,,Percent of Total Billed Charges,707.44,,1018.71,90,,Percent of Total Billed Charges,564.82,,1007.39,89,,Percent of Total Billed Charges,543.31,,932.69,82.4,,Percent of Total Billed Charges,930.42,,944,83.4,,Percent of Total Billed Charges,880.62,,944,83.4,,Percent of Total Billed Charges,793.46,,944,83.4,,Percent of Total Billed Charges,921.37,,1018.71,90,,Percent of Total Billed Charges,958.72,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1041.35,92,,Percent of Total Billed Charges,917.97,,1041.35,92,,Percent of Total Billed Charges,842.13,,1041.35,92,,Percent of Total Billed Charges,886.28,,1041.35,92,,Percent of Total Billed Charges,917.97,,882.88,78,,Percent of Total Billed Charges,882.88,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,609.3,53.83,,Percent of Total Billed Charges,571.61,,392.09,34.64,,Percent of Total Billed Charges,390.51,,565.72,49.98,,Percent of Total Billed Charges,427.86,,392.09,1041.35,,																																							
HC FINE NEEDLE ASPIRATION BX W/US GDN 1ST LESION,10005,CPT,,,,BOTH, , ,3218.25,2703.33,2960.79,92,,Percent of Total Billed Charges,2690.46,,2960.79,92,,Percent of Total Billed Charges,2642.18,,2960.79,92,,Percent of Total Billed Charges,2590.69,,2960.79,92,,Percent of Total Billed Charges,2687.24,,2960.79,92,,Percent of Total Billed Charges,2423.34,,2960.79,92,,Percent of Total Billed Charges,2011.41,,2896.43,90,,Percent of Total Billed Charges,1605.91,,2864.24,89,,Percent of Total Billed Charges,1544.76,,2651.84,82.4,,Percent of Total Billed Charges,2645.4,,2684.02,83.4,,Percent of Total Billed Charges,2503.8,,2684.02,83.4,,Percent of Total Billed Charges,2255.99,,2684.02,83.4,,Percent of Total Billed Charges,2619.66,,2896.43,90,,Percent of Total Billed Charges,2725.86,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2960.79,92,,Percent of Total Billed Charges,2610,,2960.79,92,,Percent of Total Billed Charges,2394.38,,2960.79,92,,Percent of Total Billed Charges,2519.89,,2960.79,92,,Percent of Total Billed Charges,2610,,2510.24,78,,Percent of Total Billed Charges,2510.24,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1732.38,53.83,,Percent of Total Billed Charges,1625.22,,1114.8,34.64,,Percent of Total Billed Charges,1110.3,,1608.48,49.98,,Percent of Total Billed Charges,1216.5,,1114.80,2960.79,,																																							
HC FINE NEEDLE ASPIRATION BX W/US GDN EA ADDL,10006,CPT,,,,BOTH, , ,2060.1,1730.48,1895.29,92,,Percent of Total Billed Charges,1722.24,,1895.29,92,,Percent of Total Billed Charges,1691.34,,1895.29,92,,Percent of Total Billed Charges,1658.38,,1895.29,92,,Percent of Total Billed Charges,1720.18,,1895.29,92,,Percent of Total Billed Charges,1551.26,,1895.29,92,,Percent of Total Billed Charges,1287.56,,1854.09,90,,Percent of Total Billed Charges,1027.99,,1833.49,89,,Percent of Total Billed Charges,988.85,,1697.52,82.4,,Percent of Total Billed Charges,1693.4,,1718.12,83.4,,Percent of Total Billed Charges,1602.76,,1718.12,83.4,,Percent of Total Billed Charges,1444.13,,1718.12,83.4,,Percent of Total Billed Charges,1676.92,,1854.09,90,,Percent of Total Billed Charges,1744.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1895.29,92,,Percent of Total Billed Charges,1670.74,,1895.29,92,,Percent of Total Billed Charges,1532.71,,1895.29,92,,Percent of Total Billed Charges,1613.06,,1895.29,92,,Percent of Total Billed Charges,1670.74,,1606.88,78,,Percent of Total Billed Charges,1606.88,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1108.95,53.83,,Percent of Total Billed Charges,1040.35,,713.62,34.64,,Percent of Total Billed Charges,710.73,,1029.64,49.98,,Percent of Total Billed Charges,778.72,,713.62,1895.29,,																																							
HC FINE NEEDLE ASPIRATION BX W/FLUOR GDN 1ST LESION,10007,CPT,,,,BOTH, , ,3218.25,2703.33,2960.79,92,,Percent of Total Billed Charges,2690.46,,2960.79,92,,Percent of Total Billed Charges,2642.18,,2960.79,92,,Percent of Total Billed Charges,2590.69,,2960.79,92,,Percent of Total Billed Charges,2687.24,,2960.79,92,,Percent of Total Billed Charges,2423.34,,2960.79,92,,Percent of Total Billed Charges,2011.41,,2896.43,90,,Percent of Total Billed Charges,1605.91,,2864.24,89,,Percent of Total Billed Charges,1544.76,,2651.84,82.4,,Percent of Total Billed Charges,2645.4,,2684.02,83.4,,Percent of Total Billed Charges,2503.8,,2684.02,83.4,,Percent of Total Billed Charges,2255.99,,2684.02,83.4,,Percent of Total Billed Charges,2619.66,,2896.43,90,,Percent of Total Billed Charges,2725.86,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2960.79,92,,Percent of Total Billed Charges,2610,,2960.79,92,,Percent of Total Billed Charges,2394.38,,2960.79,92,,Percent of Total Billed Charges,2519.89,,2960.79,92,,Percent of Total Billed Charges,2610,,2510.24,78,,Percent of Total Billed Charges,2510.24,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1732.38,53.83,,Percent of Total Billed Charges,1625.22,,1114.8,34.64,,Percent of Total Billed Charges,1110.3,,1608.48,49.98,,Percent of Total Billed Charges,1216.5,,1114.80,2960.79,,																																							
HC FINE NEEDLE ASPIRATION BX W/FLUOR GDN EA ADDL,10008,CPT,,,,BOTH, , ,3218.25,2703.33,2960.79,92,,Percent of Total Billed Charges,2690.46,,2960.79,92,,Percent of Total Billed Charges,2642.18,,2960.79,92,,Percent of Total Billed Charges,2590.69,,2960.79,92,,Percent of Total Billed Charges,2687.24,,2960.79,92,,Percent of Total Billed Charges,2423.34,,2960.79,92,,Percent of Total Billed Charges,2011.41,,2896.43,90,,Percent of Total Billed Charges,1605.91,,2864.24,89,,Percent of Total Billed Charges,1544.76,,2651.84,82.4,,Percent of Total Billed Charges,2645.4,,2684.02,83.4,,Percent of Total Billed Charges,2503.8,,2684.02,83.4,,Percent of Total Billed Charges,2255.99,,2684.02,83.4,,Percent of Total Billed Charges,2619.66,,2896.43,90,,Percent of Total Billed Charges,2725.86,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2960.79,92,,Percent of Total Billed Charges,2610,,2960.79,92,,Percent of Total Billed Charges,2394.38,,2960.79,92,,Percent of Total Billed Charges,2519.89,,2960.79,92,,Percent of Total Billed Charges,2610,,2510.24,78,,Percent of Total Billed Charges,2510.24,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1732.38,53.83,,Percent of Total Billed Charges,1625.22,,1114.8,34.64,,Percent of Total Billed Charges,1110.3,,1608.48,49.98,,Percent of Total Billed Charges,1216.5,,1114.80,2960.79,,																																							
HC FINE NEEDLE ASPIRATION BX W/CT GDN 1ST LESION,10009,CPT,,,,BOTH, , ,3218.25,2703.33,2960.79,92,,Percent of Total Billed Charges,2690.46,,2960.79,92,,Percent of Total Billed Charges,2642.18,,2960.79,92,,Percent of Total Billed Charges,2590.69,,2960.79,92,,Percent of Total Billed Charges,2687.24,,2960.79,92,,Percent of Total Billed Charges,2423.34,,2960.79,92,,Percent of Total Billed Charges,2011.41,,2896.43,90,,Percent of Total Billed Charges,1605.91,,2864.24,89,,Percent of Total Billed Charges,1544.76,,2651.84,82.4,,Percent of Total Billed Charges,2645.4,,2684.02,83.4,,Percent of Total Billed Charges,2503.8,,2684.02,83.4,,Percent of Total Billed Charges,2255.99,,2684.02,83.4,,Percent of Total Billed Charges,2619.66,,2896.43,90,,Percent of Total Billed Charges,2725.86,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2960.79,92,,Percent of Total Billed Charges,2610,,2960.79,92,,Percent of Total Billed Charges,2394.38,,2960.79,92,,Percent of Total Billed Charges,2519.89,,2960.79,92,,Percent of Total Billed Charges,2610,,2510.24,78,,Percent of Total Billed Charges,2510.24,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1732.38,53.83,,Percent of Total Billed Charges,1625.22,,1114.8,34.64,,Percent of Total Billed Charges,1110.3,,1608.48,49.98,,Percent of Total Billed Charges,1216.5,,1114.80,2960.79,,																																							
HC FINE NEEDLE ASPIRATION BX W/CT GDN EA ADDL,10010,CPT,,,,BOTH, , ,3218.25,2703.33,2960.79,92,,Percent of Total Billed Charges,2690.46,,2960.79,92,,Percent of Total Billed Charges,2642.18,,2960.79,92,,Percent of Total Billed Charges,2590.69,,2960.79,92,,Percent of Total Billed Charges,2687.24,,2960.79,92,,Percent of Total Billed Charges,2423.34,,2960.79,92,,Percent of Total Billed Charges,2011.41,,2896.43,90,,Percent of Total Billed Charges,1605.91,,2864.24,89,,Percent of Total Billed Charges,1544.76,,2651.84,82.4,,Percent of Total Billed Charges,2645.4,,2684.02,83.4,,Percent of Total Billed Charges,2503.8,,2684.02,83.4,,Percent of Total Billed Charges,2255.99,,2684.02,83.4,,Percent of Total Billed Charges,2619.66,,2896.43,90,,Percent of Total Billed Charges,2725.86,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2960.79,92,,Percent of Total Billed Charges,2610,,2960.79,92,,Percent of Total Billed Charges,2394.38,,2960.79,92,,Percent of Total Billed Charges,2519.89,,2960.79,92,,Percent of Total Billed Charges,2610,,2510.24,78,,Percent of Total Billed Charges,2510.24,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1732.38,53.83,,Percent of Total Billed Charges,1625.22,,1114.8,34.64,,Percent of Total Billed Charges,1110.3,,1608.48,49.98,,Percent of Total Billed Charges,1216.5,,1114.80,2960.79,,																																							
HC FINE NEEDLE ASPIRATION BX W/MR GDN 1ST LESION,10011,CPT,,,,BOTH, , ,3218.25,2703.33,2960.79,92,,Percent of Total Billed Charges,2690.46,,2960.79,92,,Percent of Total Billed Charges,2642.18,,2960.79,92,,Percent of Total Billed Charges,2590.69,,2960.79,92,,Percent of Total Billed Charges,2687.24,,2960.79,92,,Percent of Total Billed Charges,2423.34,,2960.79,92,,Percent of Total Billed Charges,2011.41,,2896.43,90,,Percent of Total Billed Charges,1605.91,,2864.24,89,,Percent of Total Billed Charges,1544.76,,2651.84,82.4,,Percent of Total Billed Charges,2645.4,,2684.02,83.4,,Percent of Total Billed Charges,2503.8,,2684.02,83.4,,Percent of Total Billed Charges,2255.99,,2684.02,83.4,,Percent of Total Billed Charges,2619.66,,2896.43,90,,Percent of Total Billed Charges,2725.86,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2960.79,92,,Percent of Total Billed Charges,2610,,2960.79,92,,Percent of Total Billed Charges,2394.38,,2960.79,92,,Percent of Total Billed Charges,2519.89,,2960.79,92,,Percent of Total Billed Charges,2610,,2510.24,78,,Percent of Total Billed Charges,2510.24,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1732.38,53.83,,Percent of Total Billed Charges,1625.22,,1114.8,34.64,,Percent of Total Billed Charges,1110.3,,1608.48,49.98,,Percent of Total Billed Charges,1216.5,,1114.80,2960.79,,																																							
HC FINE NEEDLE ASPIRATION BX W/MR GDN EA ADDL,10012,CPT,,,,BOTH, , ,2092.65,1757.83,1925.24,92,,Percent of Total Billed Charges,1749.46,,1925.24,92,,Percent of Total Billed Charges,1718.07,,1925.24,92,,Percent of Total Billed Charges,1684.58,,1925.24,92,,Percent of Total Billed Charges,1747.36,,1925.24,92,,Percent of Total Billed Charges,1575.77,,1925.24,92,,Percent of Total Billed Charges,1307.91,,1883.39,90,,Percent of Total Billed Charges,1044.23,,1862.46,89,,Percent of Total Billed Charges,1004.47,,1724.34,82.4,,Percent of Total Billed Charges,1720.16,,1745.27,83.4,,Percent of Total Billed Charges,1628.08,,1745.27,83.4,,Percent of Total Billed Charges,1466.95,,1745.27,83.4,,Percent of Total Billed Charges,1703.42,,1883.39,90,,Percent of Total Billed Charges,1772.47,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1925.24,92,,Percent of Total Billed Charges,1697.14,,1925.24,92,,Percent of Total Billed Charges,1556.93,,1925.24,92,,Percent of Total Billed Charges,1638.54,,1925.24,92,,Percent of Total Billed Charges,1697.14,,1632.27,78,,Percent of Total Billed Charges,1632.27,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1126.47,53.83,,Percent of Total Billed Charges,1056.79,,724.89,34.64,,Percent of Total Billed Charges,721.96,,1045.91,49.98,,Percent of Total Billed Charges,791.02,,724.89,1925.24,,																																							
HC NJX PX CNTRST KNE ARTHG CNTRST ENHNCD CT/MRI KNE,27369,CPT,,,,BOTH, , ,394.8,331.63,363.22,92,,Percent of Total Billed Charges,330.05,,363.22,92,,Percent of Total Billed Charges,324.13,,363.22,92,,Percent of Total Billed Charges,317.81,,363.22,92,,Percent of Total Billed Charges,329.66,,363.22,92,,Percent of Total Billed Charges,297.28,,363.22,92,,Percent of Total Billed Charges,246.75,,355.32,90,,Percent of Total Billed Charges,197.01,,351.37,89,,Percent of Total Billed Charges,189.5,,325.32,82.4,,Percent of Total Billed Charges,324.53,,329.26,83.4,,Percent of Total Billed Charges,307.15,,329.26,83.4,,Percent of Total Billed Charges,276.75,,329.26,83.4,,Percent of Total Billed Charges,321.37,,355.32,90,,Percent of Total Billed Charges,334.4,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,363.22,92,,Percent of Total Billed Charges,320.18,,363.22,92,,Percent of Total Billed Charges,293.73,,363.22,92,,Percent of Total Billed Charges,309.13,,363.22,92,,Percent of Total Billed Charges,320.18,,307.94,78,,Percent of Total Billed Charges,307.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,212.52,53.83,,Percent of Total Billed Charges,199.37,,136.76,34.64,,Percent of Total Billed Charges,136.21,,197.32,49.98,,Percent of Total Billed Charges,149.23,,136.76,363.22,,																																							
HC PERQ DILATION XST TRC ENDOUROLOGIC PX W/IMG,50436,CPT,,,,BOTH, , ,9663.15,8117.05,8890.1,92,,Percent of Total Billed Charges,8078.39,,8890.1,92,,Percent of Total Billed Charges,7933.45,,8890.1,92,,Percent of Total Billed Charges,7778.84,,8890.1,92,,Percent of Total Billed Charges,8068.73,,8890.1,92,,Percent of Total Billed Charges,7276.35,,8890.1,92,,Percent of Total Billed Charges,6039.47,,8696.84,90,,Percent of Total Billed Charges,4821.91,,8600.2,89,,Percent of Total Billed Charges,4638.31,,7962.44,82.4,,Percent of Total Billed Charges,7943.11,,8059.07,83.4,,Percent of Total Billed Charges,7517.93,,8059.07,83.4,,Percent of Total Billed Charges,6773.87,,8059.07,83.4,,Percent of Total Billed Charges,7865.8,,8696.84,90,,Percent of Total Billed Charges,8184.69,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,8890.1,92,,Percent of Total Billed Charges,7836.81,,8890.1,92,,Percent of Total Billed Charges,7189.38,,8890.1,92,,Percent of Total Billed Charges,7566.25,,8890.1,92,,Percent of Total Billed Charges,7836.81,,7537.26,78,,Percent of Total Billed Charges,7537.26,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5201.67,53.83,,Percent of Total Billed Charges,4879.89,,3347.32,34.64,,Percent of Total Billed Charges,3333.79,,4829.64,49.98,,Percent of Total Billed Charges,3652.67,,3347.32,8890.1,,																																							
HC PERQ DILATION XST TRC NEW ACCESS RENAL COLTJ SYS,50437,CPT,,,,BOTH, , ,16259.25,13657.77,14958.51,92,,Percent of Total Billed Charges,13592.73,,14958.51,92,,Percent of Total Billed Charges,13348.84,,14958.51,92,,Percent of Total Billed Charges,13088.7,,14958.51,92,,Percent of Total Billed Charges,13576.47,,14958.51,92,,Percent of Total Billed Charges,12243.22,,14958.51,92,,Percent of Total Billed Charges,10162.03,,14633.33,90,,Percent of Total Billed Charges,8113.37,,14470.73,89,,Percent of Total Billed Charges,7804.44,,13397.62,82.4,,Percent of Total Billed Charges,13365.1,,13560.21,83.4,,Percent of Total Billed Charges,12649.7,,13560.21,83.4,,Percent of Total Billed Charges,11397.73,,13560.21,83.4,,Percent of Total Billed Charges,13235.03,,14633.33,90,,Percent of Total Billed Charges,13771.58,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,14958.51,92,,Percent of Total Billed Charges,13186.25,,14958.51,92,,Percent of Total Billed Charges,12096.88,,14958.51,92,,Percent of Total Billed Charges,12730.99,,14958.51,92,,Percent of Total Billed Charges,13186.25,,12682.22,78,,Percent of Total Billed Charges,12682.22,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,8752.35,53.83,,Percent of Total Billed Charges,8210.92,,5632.2,34.64,,Percent of Total Billed Charges,5609.44,,8126.37,49.98,,Percent of Total Billed Charges,6146,,5632.20,14958.51,,																																							
HC TANGENTIAL BIOPSY SKIN SINGLE LESION,11102,CPT,,,,BOTH, , ,853.65,717.07,785.36,92,,Percent of Total Billed Charges,713.65,,785.36,92,,Percent of Total Billed Charges,700.85,,785.36,92,,Percent of Total Billed Charges,687.19,,785.36,92,,Percent of Total Billed Charges,712.8,,785.36,92,,Percent of Total Billed Charges,642.8,,785.36,92,,Percent of Total Billed Charges,533.53,,768.29,90,,Percent of Total Billed Charges,425.97,,759.75,89,,Percent of Total Billed Charges,409.75,,703.41,82.4,,Percent of Total Billed Charges,701.7,,711.94,83.4,,Percent of Total Billed Charges,664.14,,711.94,83.4,,Percent of Total Billed Charges,598.41,,711.94,83.4,,Percent of Total Billed Charges,694.87,,768.29,90,,Percent of Total Billed Charges,723.04,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,785.36,92,,Percent of Total Billed Charges,692.31,,785.36,92,,Percent of Total Billed Charges,635.12,,785.36,92,,Percent of Total Billed Charges,668.41,,785.36,92,,Percent of Total Billed Charges,692.31,,665.85,78,,Percent of Total Billed Charges,665.85,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,459.52,53.83,,Percent of Total Billed Charges,431.09,,295.7,34.64,,Percent of Total Billed Charges,294.51,,426.65,49.98,,Percent of Total Billed Charges,322.68,,295.70,785.36,,																																							
HC TANGENTIAL BIOPSY SKIN EA SEP/ADDITIONAL LESION,11103,CPT,,,,BOTH, , ,425.25,357.21,391.23,92,,Percent of Total Billed Charges,355.51,,391.23,92,,Percent of Total Billed Charges,349.13,,391.23,92,,Percent of Total Billed Charges,342.33,,391.23,92,,Percent of Total Billed Charges,355.08,,391.23,92,,Percent of Total Billed Charges,320.21,,391.23,92,,Percent of Total Billed Charges,265.78,,382.73,90,,Percent of Total Billed Charges,212.2,,378.47,89,,Percent of Total Billed Charges,204.12,,350.41,82.4,,Percent of Total Billed Charges,349.56,,354.66,83.4,,Percent of Total Billed Charges,330.84,,354.66,83.4,,Percent of Total Billed Charges,298.1,,354.66,83.4,,Percent of Total Billed Charges,346.15,,382.73,90,,Percent of Total Billed Charges,360.19,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,391.23,92,,Percent of Total Billed Charges,344.88,,391.23,92,,Percent of Total Billed Charges,316.39,,391.23,92,,Percent of Total Billed Charges,332.97,,391.23,92,,Percent of Total Billed Charges,344.88,,331.7,78,,Percent of Total Billed Charges,331.7,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,228.91,53.83,,Percent of Total Billed Charges,214.75,,147.31,34.64,,Percent of Total Billed Charges,146.71,,212.54,49.98,,Percent of Total Billed Charges,160.74,,147.31,391.23,,																																							
HC PUNCH BIOPSY SKIN SINGLE LESION,11104,CPT,,,,BOTH, , ,853.65,717.07,785.36,92,,Percent of Total Billed Charges,713.65,,785.36,92,,Percent of Total Billed Charges,700.85,,785.36,92,,Percent of Total Billed Charges,687.19,,785.36,92,,Percent of Total Billed Charges,712.8,,785.36,92,,Percent of Total Billed Charges,642.8,,785.36,92,,Percent of Total Billed Charges,533.53,,768.29,90,,Percent of Total Billed Charges,425.97,,759.75,89,,Percent of Total Billed Charges,409.75,,703.41,82.4,,Percent of Total Billed Charges,701.7,,711.94,83.4,,Percent of Total Billed Charges,664.14,,711.94,83.4,,Percent of Total Billed Charges,598.41,,711.94,83.4,,Percent of Total Billed Charges,694.87,,768.29,90,,Percent of Total Billed Charges,723.04,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,785.36,92,,Percent of Total Billed Charges,692.31,,785.36,92,,Percent of Total Billed Charges,635.12,,785.36,92,,Percent of Total Billed Charges,668.41,,785.36,92,,Percent of Total Billed Charges,692.31,,665.85,78,,Percent of Total Billed Charges,665.85,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,459.52,53.83,,Percent of Total Billed Charges,431.09,,295.7,34.64,,Percent of Total Billed Charges,294.51,,426.65,49.98,,Percent of Total Billed Charges,322.68,,295.70,785.36,,																																							
HC PUNCH BIOPSY SKIN EA SEP/ADDITIONAL LESION,11105,CPT,,,,BOTH, , ,425.25,357.21,391.23,92,,Percent of Total Billed Charges,355.51,,391.23,92,,Percent of Total Billed Charges,349.13,,391.23,92,,Percent of Total Billed Charges,342.33,,391.23,92,,Percent of Total Billed Charges,355.08,,391.23,92,,Percent of Total Billed Charges,320.21,,391.23,92,,Percent of Total Billed Charges,265.78,,382.73,90,,Percent of Total Billed Charges,212.2,,378.47,89,,Percent of Total Billed Charges,204.12,,350.41,82.4,,Percent of Total Billed Charges,349.56,,354.66,83.4,,Percent of Total Billed Charges,330.84,,354.66,83.4,,Percent of Total Billed Charges,298.1,,354.66,83.4,,Percent of Total Billed Charges,346.15,,382.73,90,,Percent of Total Billed Charges,360.19,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,391.23,92,,Percent of Total Billed Charges,344.88,,391.23,92,,Percent of Total Billed Charges,316.39,,391.23,92,,Percent of Total Billed Charges,332.97,,391.23,92,,Percent of Total Billed Charges,344.88,,331.7,78,,Percent of Total Billed Charges,331.7,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,228.91,53.83,,Percent of Total Billed Charges,214.75,,147.31,34.64,,Percent of Total Billed Charges,146.71,,212.54,49.98,,Percent of Total Billed Charges,160.74,,147.31,391.23,,																																							
HC INCISIONAL BIOPSY SKIN SINGLE LESION,11106,CPT,,,,BOTH, , ,1517.25,1274.49,1395.87,92,,Percent of Total Billed Charges,1268.42,,1395.87,92,,Percent of Total Billed Charges,1245.66,,1395.87,92,,Percent of Total Billed Charges,1221.39,,1395.87,92,,Percent of Total Billed Charges,1266.9,,1395.87,92,,Percent of Total Billed Charges,1142.49,,1395.87,92,,Percent of Total Billed Charges,948.28,,1365.53,90,,Percent of Total Billed Charges,757.11,,1350.35,89,,Percent of Total Billed Charges,728.28,,1250.21,82.4,,Percent of Total Billed Charges,1247.18,,1265.39,83.4,,Percent of Total Billed Charges,1180.42,,1265.39,83.4,,Percent of Total Billed Charges,1063.59,,1265.39,83.4,,Percent of Total Billed Charges,1235.04,,1365.53,90,,Percent of Total Billed Charges,1285.11,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1395.87,92,,Percent of Total Billed Charges,1230.49,,1395.87,92,,Percent of Total Billed Charges,1128.83,,1395.87,92,,Percent of Total Billed Charges,1188.01,,1395.87,92,,Percent of Total Billed Charges,1230.49,,1183.46,78,,Percent of Total Billed Charges,1183.46,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,816.74,53.83,,Percent of Total Billed Charges,766.21,,525.58,34.64,,Percent of Total Billed Charges,523.45,,758.32,49.98,,Percent of Total Billed Charges,573.52,,525.58,1395.87,,																																							
HC INCISIONAL BIOPSY SKIN EA SEP/ADDITIONAL LESION,11107,CPT,,,,BOTH, , ,759.15,637.69,698.42,92,,Percent of Total Billed Charges,634.65,,698.42,92,,Percent of Total Billed Charges,623.26,,698.42,92,,Percent of Total Billed Charges,611.12,,698.42,92,,Percent of Total Billed Charges,633.89,,698.42,92,,Percent of Total Billed Charges,571.64,,698.42,92,,Percent of Total Billed Charges,474.47,,683.24,90,,Percent of Total Billed Charges,378.82,,675.64,89,,Percent of Total Billed Charges,364.39,,625.54,82.4,,Percent of Total Billed Charges,624.02,,633.13,83.4,,Percent of Total Billed Charges,590.62,,633.13,83.4,,Percent of Total Billed Charges,532.16,,633.13,83.4,,Percent of Total Billed Charges,617.95,,683.24,90,,Percent of Total Billed Charges,643,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,698.42,92,,Percent of Total Billed Charges,615.67,,698.42,92,,Percent of Total Billed Charges,564.81,,698.42,92,,Percent of Total Billed Charges,594.41,,698.42,92,,Percent of Total Billed Charges,615.67,,592.14,78,,Percent of Total Billed Charges,592.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,408.65,53.83,,Percent of Total Billed Charges,383.37,,262.97,34.64,,Percent of Total Billed Charges,261.91,,379.42,49.98,,Percent of Total Billed Charges,286.96,,262.97,698.42,,																																							
HC INSERTION PICC W/RS&I < 5 YR,36572,CPT,,,,BOTH, , ,3445.05,2893.84,3169.45,92,,Percent of Total Billed Charges,2880.06,,3169.45,92,,Percent of Total Billed Charges,2828.39,,3169.45,92,,Percent of Total Billed Charges,2773.27,,3169.45,92,,Percent of Total Billed Charges,2876.62,,3169.45,92,,Percent of Total Billed Charges,2594.12,,3169.45,92,,Percent of Total Billed Charges,2153.16,,3100.55,90,,Percent of Total Billed Charges,1719.08,,3066.09,89,,Percent of Total Billed Charges,1653.62,,2838.72,82.4,,Percent of Total Billed Charges,2831.83,,2873.17,83.4,,Percent of Total Billed Charges,2680.25,,2873.17,83.4,,Percent of Total Billed Charges,2414.98,,2873.17,83.4,,Percent of Total Billed Charges,2804.27,,3100.55,90,,Percent of Total Billed Charges,2917.96,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3169.45,92,,Percent of Total Billed Charges,2793.94,,3169.45,92,,Percent of Total Billed Charges,2563.12,,3169.45,92,,Percent of Total Billed Charges,2697.47,,3169.45,92,,Percent of Total Billed Charges,2793.94,,2687.14,78,,Percent of Total Billed Charges,2687.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1854.47,53.83,,Percent of Total Billed Charges,1739.75,,1193.37,34.64,,Percent of Total Billed Charges,1188.54,,1721.84,49.98,,Percent of Total Billed Charges,1302.23,,1193.37,3169.45,,																																							
HC INSERTION PICC W/RS&I 5 YR/>,36573,CPT,,,,BOTH, , ,6076.35,5104.13,5590.24,92,,Percent of Total Billed Charges,5079.83,,5590.24,92,,Percent of Total Billed Charges,4988.68,,5590.24,92,,Percent of Total Billed Charges,4891.46,,5590.24,92,,Percent of Total Billed Charges,5073.75,,5590.24,92,,Percent of Total Billed Charges,4575.49,,5590.24,92,,Percent of Total Billed Charges,3797.72,,5468.72,90,,Percent of Total Billed Charges,3032.1,,5407.95,89,,Percent of Total Billed Charges,2916.65,,5006.91,82.4,,Percent of Total Billed Charges,4994.76,,5067.68,83.4,,Percent of Total Billed Charges,4727.4,,5067.68,83.4,,Percent of Total Billed Charges,4259.52,,5067.68,83.4,,Percent of Total Billed Charges,4946.15,,5468.72,90,,Percent of Total Billed Charges,5146.67,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5590.24,92,,Percent of Total Billed Charges,4927.92,,5590.24,92,,Percent of Total Billed Charges,4520.8,,5590.24,92,,Percent of Total Billed Charges,4757.78,,5590.24,92,,Percent of Total Billed Charges,4927.92,,4739.55,78,,Percent of Total Billed Charges,4739.55,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3270.9,53.83,,Percent of Total Billed Charges,3068.56,,2104.85,34.64,,Percent of Total Billed Charges,2096.34,,3036.96,49.98,,Percent of Total Billed Charges,2296.86,,2104.85,5590.24,,																																							
HC INJECTION PROCEDURE LYMPHANGIOGRAPHY,38790,CPT,,,,BOTH, , ,2314.2,1943.93,2129.06,92,,Percent of Total Billed Charges,1934.67,,2129.06,92,,Percent of Total Billed Charges,1899.96,,2129.06,92,,Percent of Total Billed Charges,1862.93,,2129.06,92,,Percent of Total Billed Charges,1932.36,,2129.06,92,,Percent of Total Billed Charges,1742.59,,2129.06,92,,Percent of Total Billed Charges,1446.38,,2082.78,90,,Percent of Total Billed Charges,1154.79,,2059.64,89,,Percent of Total Billed Charges,1110.82,,1906.9,82.4,,Percent of Total Billed Charges,1902.27,,1930.04,83.4,,Percent of Total Billed Charges,1800.45,,1930.04,83.4,,Percent of Total Billed Charges,1622.25,,1930.04,83.4,,Percent of Total Billed Charges,1883.76,,2082.78,90,,Percent of Total Billed Charges,1960.13,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2129.06,92,,Percent of Total Billed Charges,1876.82,,2129.06,92,,Percent of Total Billed Charges,1721.76,,2129.06,92,,Percent of Total Billed Charges,1812.02,,2129.06,92,,Percent of Total Billed Charges,1876.82,,1805.08,78,,Percent of Total Billed Charges,1805.08,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1245.73,53.83,,Percent of Total Billed Charges,1168.67,,801.64,34.64,,Percent of Total Billed Charges,798.4,,1156.64,49.98,,Percent of Total Billed Charges,874.77,,801.64,2129.06,,																																							
HC NJX ANES STELLATE GANGLION CRV SYMPATHETIC,64510,CPT,,,,BOTH, , ,4249.35,3569.45,3909.4,92,,Percent of Total Billed Charges,3552.46,,3909.4,92,,Percent of Total Billed Charges,3488.72,,3909.4,92,,Percent of Total Billed Charges,3420.73,,3909.4,92,,Percent of Total Billed Charges,3548.21,,3909.4,92,,Percent of Total Billed Charges,3199.76,,3909.4,92,,Percent of Total Billed Charges,2655.84,,3824.42,90,,Percent of Total Billed Charges,2120.43,,3781.92,89,,Percent of Total Billed Charges,2039.69,,3501.46,82.4,,Percent of Total Billed Charges,3492.97,,3543.96,83.4,,Percent of Total Billed Charges,3305.99,,3543.96,83.4,,Percent of Total Billed Charges,2978.79,,3543.96,83.4,,Percent of Total Billed Charges,3458.97,,3824.42,90,,Percent of Total Billed Charges,3599.2,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3909.4,92,,Percent of Total Billed Charges,3446.22,,3909.4,92,,Percent of Total Billed Charges,3161.52,,3909.4,92,,Percent of Total Billed Charges,3327.24,,3909.4,92,,Percent of Total Billed Charges,3446.22,,3314.49,78,,Percent of Total Billed Charges,3314.49,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2287.43,53.83,,Percent of Total Billed Charges,2145.92,,1471.97,34.64,,Percent of Total Billed Charges,1466.03,,2123.83,49.98,,Percent of Total Billed Charges,1606.25,,1471.97,3909.4,,																																							
HC RMVL & RPLCMT INTLY DWELLING URETERAL STENT PRQ,50382,CPT,,,,BOTH, , ,9663.15,8117.05,8890.1,92,,Percent of Total Billed Charges,8078.39,,8890.1,92,,Percent of Total Billed Charges,7933.45,,8890.1,92,,Percent of Total Billed Charges,7778.84,,8890.1,92,,Percent of Total Billed Charges,8068.73,,8890.1,92,,Percent of Total Billed Charges,7276.35,,8890.1,92,,Percent of Total Billed Charges,6039.47,,8696.84,90,,Percent of Total Billed Charges,4821.91,,8600.2,89,,Percent of Total Billed Charges,4638.31,,7962.44,82.4,,Percent of Total Billed Charges,7943.11,,8059.07,83.4,,Percent of Total Billed Charges,7517.93,,8059.07,83.4,,Percent of Total Billed Charges,6773.87,,8059.07,83.4,,Percent of Total Billed Charges,7865.8,,8696.84,90,,Percent of Total Billed Charges,8184.69,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,8890.1,92,,Percent of Total Billed Charges,7836.81,,8890.1,92,,Percent of Total Billed Charges,7189.38,,8890.1,92,,Percent of Total Billed Charges,7566.25,,8890.1,92,,Percent of Total Billed Charges,7836.81,,7537.26,78,,Percent of Total Billed Charges,7537.26,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5201.67,53.83,,Percent of Total Billed Charges,4879.89,,3347.32,34.64,,Percent of Total Billed Charges,3333.79,,4829.64,49.98,,Percent of Total Billed Charges,3652.67,,3347.32,8890.1,,																																							
HC DRS&/DBRDMT PRTLTHKNS BURNS 1ST/SBSQ MEDIUM,16025,CPT,,,,BOTH, , ,1185.45,995.78,1090.61,92,,Percent of Total Billed Charges,991.04,,1090.61,92,,Percent of Total Billed Charges,973.25,,1090.61,92,,Percent of Total Billed Charges,954.29,,1090.61,92,,Percent of Total Billed Charges,989.85,,1090.61,92,,Percent of Total Billed Charges,892.64,,1090.61,92,,Percent of Total Billed Charges,740.91,,1066.91,90,,Percent of Total Billed Charges,591.54,,1055.05,89,,Percent of Total Billed Charges,569.02,,976.81,82.4,,Percent of Total Billed Charges,974.44,,988.67,83.4,,Percent of Total Billed Charges,922.28,,988.67,83.4,,Percent of Total Billed Charges,831,,988.67,83.4,,Percent of Total Billed Charges,964.96,,1066.91,90,,Percent of Total Billed Charges,1004.08,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1090.61,92,,Percent of Total Billed Charges,961.4,,1090.61,92,,Percent of Total Billed Charges,881.97,,1090.61,92,,Percent of Total Billed Charges,928.21,,1090.61,92,,Percent of Total Billed Charges,961.4,,924.65,78,,Percent of Total Billed Charges,924.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,638.13,53.83,,Percent of Total Billed Charges,598.65,,410.64,34.64,,Percent of Total Billed Charges,408.98,,592.49,49.98,,Percent of Total Billed Charges,448.1,,410.64,1090.61,,																																							
HC CLOSURE INTESTINAL CUTANEOUS FISTULA,44640,CPT,,,,BOTH, , ,6296.85,5289.35,5793.1,92,,Percent of Total Billed Charges,5264.17,,5793.1,92,,Percent of Total Billed Charges,5169.71,,5793.1,92,,Percent of Total Billed Charges,5068.96,,5793.1,92,,Percent of Total Billed Charges,5257.87,,5793.1,92,,Percent of Total Billed Charges,4741.53,,5793.1,92,,Percent of Total Billed Charges,3935.53,,5667.17,90,,Percent of Total Billed Charges,3142.13,,5604.2,89,,Percent of Total Billed Charges,3022.49,,5188.6,82.4,,Percent of Total Billed Charges,5176.01,,5251.57,83.4,,Percent of Total Billed Charges,4898.95,,5251.57,83.4,,Percent of Total Billed Charges,4414.09,,5251.57,83.4,,Percent of Total Billed Charges,5125.64,,5667.17,90,,Percent of Total Billed Charges,5333.43,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5793.1,92,,Percent of Total Billed Charges,5106.75,,5793.1,92,,Percent of Total Billed Charges,4684.86,,5793.1,92,,Percent of Total Billed Charges,4930.43,,5793.1,92,,Percent of Total Billed Charges,5106.75,,4911.54,78,,Percent of Total Billed Charges,4911.54,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3389.59,53.83,,Percent of Total Billed Charges,3179.91,,2181.23,34.64,,Percent of Total Billed Charges,2172.41,,3147.17,49.98,,Percent of Total Billed Charges,2380.21,,2181.23,5793.1,,																																							
HC INJ FORAMEN EPIDURAL ADDON,64484,CPT,,,,BOTH, , ,2090.55,1756.06,1923.31,92,,Percent of Total Billed Charges,1747.7,,1923.31,92,,Percent of Total Billed Charges,1716.34,,1923.31,92,,Percent of Total Billed Charges,1682.89,,1923.31,92,,Percent of Total Billed Charges,1745.61,,1923.31,92,,Percent of Total Billed Charges,1574.18,,1923.31,92,,Percent of Total Billed Charges,1306.59,,1881.5,90,,Percent of Total Billed Charges,1043.18,,1860.59,89,,Percent of Total Billed Charges,1003.46,,1722.61,82.4,,Percent of Total Billed Charges,1718.43,,1743.52,83.4,,Percent of Total Billed Charges,1626.45,,1743.52,83.4,,Percent of Total Billed Charges,1465.48,,1743.52,83.4,,Percent of Total Billed Charges,1701.71,,1881.5,90,,Percent of Total Billed Charges,1770.7,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1923.31,92,,Percent of Total Billed Charges,1695.44,,1923.31,92,,Percent of Total Billed Charges,1555.37,,1923.31,92,,Percent of Total Billed Charges,1636.9,,1923.31,92,,Percent of Total Billed Charges,1695.44,,1630.63,78,,Percent of Total Billed Charges,1630.63,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1125.34,53.83,,Percent of Total Billed Charges,1055.73,,724.17,34.64,,Percent of Total Billed Charges,721.24,,1044.86,49.98,,Percent of Total Billed Charges,790.23,,724.17,1923.31,,																																							
HC  GRAFIX STRAVIX PRIME PL SQCM,Q4133,CPT,,,,BOTH, , ,2503.2,2102.69,2302.94,92,,Percent of Total Billed Charges,2092.68,,2302.94,92,,Percent of Total Billed Charges,2055.13,,2302.94,92,,Percent of Total Billed Charges,2015.08,,2302.94,92,,Percent of Total Billed Charges,2090.17,,2302.94,92,,Percent of Total Billed Charges,1884.91,,2302.94,92,,Percent of Total Billed Charges,1564.5,,2252.88,90,,Percent of Total Billed Charges,1249.1,,2227.85,89,,Percent of Total Billed Charges,1201.54,,2062.64,82.4,,Percent of Total Billed Charges,2057.63,,2087.67,83.4,,Percent of Total Billed Charges,1947.49,,2087.67,83.4,,Percent of Total Billed Charges,1754.74,,2087.67,83.4,,Percent of Total Billed Charges,2037.6,,2252.88,90,,Percent of Total Billed Charges,2120.21,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2302.94,92,,Percent of Total Billed Charges,2030.1,,2302.94,92,,Percent of Total Billed Charges,1862.38,,2302.94,92,,Percent of Total Billed Charges,1960.01,,2302.94,92,,Percent of Total Billed Charges,2030.1,,1952.5,78,,Percent of Total Billed Charges,1952.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1347.47,53.83,,Percent of Total Billed Charges,1264.12,,867.11,34.64,,Percent of Total Billed Charges,863.6,,1251.1,49.98,,Percent of Total Billed Charges,946.21,,867.11,2302.94,,																																							
HC  NUSHIELD 1 SQUARE CM,Q4160,CPT,,,,BOTH, , ,3289.65,2763.31,3026.48,92,,Percent of Total Billed Charges,2750.15,,3026.48,92,,Percent of Total Billed Charges,2700.8,,3026.48,92,,Percent of Total Billed Charges,2648.17,,3026.48,92,,Percent of Total Billed Charges,2746.86,,3026.48,92,,Percent of Total Billed Charges,2477.11,,3026.48,92,,Percent of Total Billed Charges,2056.03,,2960.69,90,,Percent of Total Billed Charges,1641.54,,2927.79,89,,Percent of Total Billed Charges,1579.03,,2710.67,82.4,,Percent of Total Billed Charges,2704.09,,2743.57,83.4,,Percent of Total Billed Charges,2559.35,,2743.57,83.4,,Percent of Total Billed Charges,2306.04,,2743.57,83.4,,Percent of Total Billed Charges,2677.78,,2960.69,90,,Percent of Total Billed Charges,2786.33,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3026.48,92,,Percent of Total Billed Charges,2667.91,,3026.48,92,,Percent of Total Billed Charges,2447.5,,3026.48,92,,Percent of Total Billed Charges,2575.8,,3026.48,92,,Percent of Total Billed Charges,2667.91,,2565.93,78,,Percent of Total Billed Charges,2565.93,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1770.82,53.83,,Percent of Total Billed Charges,1661.27,,1139.53,34.64,,Percent of Total Billed Charges,1134.93,,1644.17,49.98,,Percent of Total Billed Charges,1243.49,,1139.53,3026.48,,																																							
HC INJ FORAMEN EPIDURAL ADDON,64480,CPT,,,,BOTH, , ,6329.4,5316.7,5823.05,92,,Percent of Total Billed Charges,5291.38,,5823.05,92,,Percent of Total Billed Charges,5196.44,,5823.05,92,,Percent of Total Billed Charges,5095.17,,5823.05,92,,Percent of Total Billed Charges,5285.05,,5823.05,92,,Percent of Total Billed Charges,4766.04,,5823.05,92,,Percent of Total Billed Charges,3955.88,,5696.46,90,,Percent of Total Billed Charges,3158.37,,5633.17,89,,Percent of Total Billed Charges,3038.11,,5215.43,82.4,,Percent of Total Billed Charges,5202.77,,5278.72,83.4,,Percent of Total Billed Charges,4924.27,,5278.72,83.4,,Percent of Total Billed Charges,4436.91,,5278.72,83.4,,Percent of Total Billed Charges,5152.13,,5696.46,90,,Percent of Total Billed Charges,5361,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5823.05,92,,Percent of Total Billed Charges,5133.14,,5823.05,92,,Percent of Total Billed Charges,4709.07,,5823.05,92,,Percent of Total Billed Charges,4955.92,,5823.05,92,,Percent of Total Billed Charges,5133.14,,4936.93,78,,Percent of Total Billed Charges,4936.93,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3407.12,53.83,,Percent of Total Billed Charges,3196.35,,2192.5,34.64,,Percent of Total Billed Charges,2183.64,,3163.43,49.98,,Percent of Total Billed Charges,2392.51,,2192.50,5823.05,,																																							
HC NJX DX/THER AGT PVRT FACET JT LMBR/SAC 3+ LEVEL,64495,CPT,,,,BOTH, , ,6144.6,5161.46,5653.03,92,,Percent of Total Billed Charges,5136.89,,5653.03,92,,Percent of Total Billed Charges,5044.72,,5653.03,92,,Percent of Total Billed Charges,4946.4,,5653.03,92,,Percent of Total Billed Charges,5130.74,,5653.03,92,,Percent of Total Billed Charges,4626.88,,5653.03,92,,Percent of Total Billed Charges,3840.38,,5530.14,90,,Percent of Total Billed Charges,3066.16,,5468.69,89,,Percent of Total Billed Charges,2949.41,,5063.15,82.4,,Percent of Total Billed Charges,5050.86,,5124.6,83.4,,Percent of Total Billed Charges,4780.5,,5124.6,83.4,,Percent of Total Billed Charges,4307.36,,5124.6,83.4,,Percent of Total Billed Charges,5001.7,,5530.14,90,,Percent of Total Billed Charges,5204.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5653.03,92,,Percent of Total Billed Charges,4983.27,,5653.03,92,,Percent of Total Billed Charges,4571.58,,5653.03,92,,Percent of Total Billed Charges,4811.22,,5653.03,92,,Percent of Total Billed Charges,4983.27,,4792.79,78,,Percent of Total Billed Charges,4792.79,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3307.64,53.83,,Percent of Total Billed Charges,3103.02,,2128.49,34.64,,Percent of Total Billed Charges,2119.89,,3071.07,49.98,,Percent of Total Billed Charges,2322.66,,2128.49,5653.03,,																																							
HC EVASC RPR DPLMNT AORTOAORTIC NDGFT,34701,CPT,,,,BOTH, , ,626.85,526.55,576.7,92,,Percent of Total Billed Charges,524.05,,576.7,92,,Percent of Total Billed Charges,514.64,,576.7,92,,Percent of Total Billed Charges,504.61,,576.7,92,,Percent of Total Billed Charges,523.42,,576.7,92,,Percent of Total Billed Charges,472.02,,576.7,92,,Percent of Total Billed Charges,391.78,,564.17,90,,Percent of Total Billed Charges,312.8,,557.9,89,,Percent of Total Billed Charges,300.89,,516.52,82.4,,Percent of Total Billed Charges,515.27,,522.79,83.4,,Percent of Total Billed Charges,487.69,,522.79,83.4,,Percent of Total Billed Charges,439.42,,522.79,83.4,,Percent of Total Billed Charges,510.26,,564.17,90,,Percent of Total Billed Charges,530.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,576.7,92,,Percent of Total Billed Charges,508.38,,576.7,92,,Percent of Total Billed Charges,466.38,,576.7,92,,Percent of Total Billed Charges,490.82,,576.7,92,,Percent of Total Billed Charges,508.38,,488.94,78,,Percent of Total Billed Charges,488.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,337.43,53.83,,Percent of Total Billed Charges,316.56,,217.14,34.64,,Percent of Total Billed Charges,216.26,,313.3,49.98,,Percent of Total Billed Charges,236.95,,217.14,576.7,,																																							
HC BIOPSY PLEURA PERCUTANEOUS NEEDLE,32400,CPT,,,,BOTH, , ,414.75,348.39,381.57,92,,Percent of Total Billed Charges,346.73,,381.57,92,,Percent of Total Billed Charges,340.51,,381.57,92,,Percent of Total Billed Charges,333.87,,381.57,92,,Percent of Total Billed Charges,346.32,,381.57,92,,Percent of Total Billed Charges,312.31,,381.57,92,,Percent of Total Billed Charges,259.22,,373.28,90,,Percent of Total Billed Charges,206.96,,369.13,89,,Percent of Total Billed Charges,199.08,,341.75,82.4,,Percent of Total Billed Charges,340.92,,345.9,83.4,,Percent of Total Billed Charges,322.68,,345.9,83.4,,Percent of Total Billed Charges,290.74,,345.9,83.4,,Percent of Total Billed Charges,337.61,,373.28,90,,Percent of Total Billed Charges,351.29,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,381.57,92,,Percent of Total Billed Charges,336.36,,381.57,92,,Percent of Total Billed Charges,308.57,,381.57,92,,Percent of Total Billed Charges,324.75,,381.57,92,,Percent of Total Billed Charges,336.36,,323.51,78,,Percent of Total Billed Charges,323.51,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,223.26,53.83,,Percent of Total Billed Charges,209.45,,143.67,34.64,,Percent of Total Billed Charges,143.09,,207.29,49.98,,Percent of Total Billed Charges,156.78,,143.67,381.57,,																																							
HC N BLOCK INJ CERVICAL PLEXUS,64999,CPT,,,,BOTH, , ,374.85,314.87,344.86,92,,Percent of Total Billed Charges,313.37,,344.86,92,,Percent of Total Billed Charges,307.75,,344.86,92,,Percent of Total Billed Charges,301.75,,344.86,92,,Percent of Total Billed Charges,313,,344.86,92,,Percent of Total Billed Charges,282.26,,344.86,92,,Percent of Total Billed Charges,234.28,,337.37,90,,Percent of Total Billed Charges,187.05,,333.62,89,,Percent of Total Billed Charges,179.93,,308.88,82.4,,Percent of Total Billed Charges,308.13,,312.62,83.4,,Percent of Total Billed Charges,291.63,,312.62,83.4,,Percent of Total Billed Charges,262.77,,312.62,83.4,,Percent of Total Billed Charges,305.13,,337.37,90,,Percent of Total Billed Charges,317.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,344.86,92,,Percent of Total Billed Charges,304,,344.86,92,,Percent of Total Billed Charges,278.89,,344.86,92,,Percent of Total Billed Charges,293.51,,344.86,92,,Percent of Total Billed Charges,304,,292.38,78,,Percent of Total Billed Charges,292.38,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,201.78,53.83,,Percent of Total Billed Charges,189.3,,129.85,34.64,,Percent of Total Billed Charges,129.32,,187.35,49.98,,Percent of Total Billed Charges,141.69,,129.85,344.86,,																																							
HC CHANGE CYSTOSTOMY TUBE,51705,CPT,,,,BOTH, , ,487.2,409.25,448.22,92,,Percent of Total Billed Charges,407.3,,448.22,92,,Percent of Total Billed Charges,399.99,,448.22,92,,Percent of Total Billed Charges,392.2,,448.22,92,,Percent of Total Billed Charges,406.81,,448.22,92,,Percent of Total Billed Charges,366.86,,448.22,92,,Percent of Total Billed Charges,304.5,,438.48,90,,Percent of Total Billed Charges,243.11,,433.61,89,,Percent of Total Billed Charges,233.86,,401.45,82.4,,Percent of Total Billed Charges,400.48,,406.32,83.4,,Percent of Total Billed Charges,379.04,,406.32,83.4,,Percent of Total Billed Charges,341.53,,406.32,83.4,,Percent of Total Billed Charges,396.58,,438.48,90,,Percent of Total Billed Charges,412.66,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,448.22,92,,Percent of Total Billed Charges,395.12,,448.22,92,,Percent of Total Billed Charges,362.48,,448.22,92,,Percent of Total Billed Charges,381.48,,448.22,92,,Percent of Total Billed Charges,395.12,,380.02,78,,Percent of Total Billed Charges,380.02,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,262.26,53.83,,Percent of Total Billed Charges,246.04,,168.77,34.64,,Percent of Total Billed Charges,168.08,,243.5,49.98,,Percent of Total Billed Charges,184.16,,168.77,448.22,,																																							
HC DIAGNOSTIC LUMBAR SPINAL PUNCTURE W/FLUOR OR CT,62328,CPT,,,,BOTH, , ,380.1,319.28,349.69,92,,Percent of Total Billed Charges,317.76,,349.69,92,,Percent of Total Billed Charges,312.06,,349.69,92,,Percent of Total Billed Charges,305.98,,349.69,92,,Percent of Total Billed Charges,317.38,,349.69,92,,Percent of Total Billed Charges,286.22,,349.69,92,,Percent of Total Billed Charges,237.56,,342.09,90,,Percent of Total Billed Charges,189.67,,338.29,89,,Percent of Total Billed Charges,182.45,,313.2,82.4,,Percent of Total Billed Charges,312.44,,317,83.4,,Percent of Total Billed Charges,295.72,,317,83.4,,Percent of Total Billed Charges,266.45,,317,83.4,,Percent of Total Billed Charges,309.4,,342.09,90,,Percent of Total Billed Charges,321.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,349.69,92,,Percent of Total Billed Charges,308.26,,349.69,92,,Percent of Total Billed Charges,282.79,,349.69,92,,Percent of Total Billed Charges,297.62,,349.69,92,,Percent of Total Billed Charges,308.26,,296.48,78,,Percent of Total Billed Charges,296.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,204.61,53.83,,Percent of Total Billed Charges,191.95,,131.67,34.64,,Percent of Total Billed Charges,131.13,,189.97,49.98,,Percent of Total Billed Charges,143.68,,131.67,349.69,,																																							
HC INJECTION AA&/STRD GREATER OCCIPITAL NERVE,64405,CPT,,,,BOTH, , ,1366.05,1147.48,1256.77,92,,Percent of Total Billed Charges,1142.02,,1256.77,92,,Percent of Total Billed Charges,1121.53,,1256.77,92,,Percent of Total Billed Charges,1099.67,,1256.77,92,,Percent of Total Billed Charges,1140.65,,1256.77,92,,Percent of Total Billed Charges,1028.64,,1256.77,92,,Percent of Total Billed Charges,853.78,,1229.45,90,,Percent of Total Billed Charges,681.66,,1215.78,89,,Percent of Total Billed Charges,655.7,,1125.63,82.4,,Percent of Total Billed Charges,1122.89,,1139.29,83.4,,Percent of Total Billed Charges,1062.79,,1139.29,83.4,,Percent of Total Billed Charges,957.6,,1139.29,83.4,,Percent of Total Billed Charges,1111.96,,1229.45,90,,Percent of Total Billed Charges,1157.04,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1256.77,92,,Percent of Total Billed Charges,1107.87,,1256.77,92,,Percent of Total Billed Charges,1016.34,,1256.77,92,,Percent of Total Billed Charges,1069.62,,1256.77,92,,Percent of Total Billed Charges,1107.87,,1065.52,78,,Percent of Total Billed Charges,1065.52,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,735.34,53.83,,Percent of Total Billed Charges,689.86,,473.2,34.64,,Percent of Total Billed Charges,471.29,,682.75,49.98,,Percent of Total Billed Charges,516.37,,473.20,1256.77,,																																							
HC REMOVE & REPLACE INDWELL URETERAL STENT TRURTHRL,50385,CPT,,,,BOTH, , ,8983.8,7546.39,8265.1,92,,Percent of Total Billed Charges,7510.46,,8265.1,92,,Percent of Total Billed Charges,7375.7,,8265.1,92,,Percent of Total Billed Charges,7231.96,,8265.1,92,,Percent of Total Billed Charges,7501.47,,8265.1,92,,Percent of Total Billed Charges,6764.8,,8265.1,92,,Percent of Total Billed Charges,5614.88,,8085.42,90,,Percent of Total Billed Charges,4482.92,,7995.58,89,,Percent of Total Billed Charges,4312.22,,7402.65,82.4,,Percent of Total Billed Charges,7384.68,,7492.49,83.4,,Percent of Total Billed Charges,6989.4,,7492.49,83.4,,Percent of Total Billed Charges,6297.64,,7492.49,83.4,,Percent of Total Billed Charges,7312.81,,8085.42,90,,Percent of Total Billed Charges,7609.28,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,8265.1,92,,Percent of Total Billed Charges,7285.86,,8265.1,92,,Percent of Total Billed Charges,6683.95,,8265.1,92,,Percent of Total Billed Charges,7034.32,,8265.1,92,,Percent of Total Billed Charges,7285.86,,7007.36,78,,Percent of Total Billed Charges,7007.36,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4835.98,53.83,,Percent of Total Billed Charges,4536.82,,3111.99,34.64,,Percent of Total Billed Charges,3099.41,,4490.1,49.98,,Percent of Total Billed Charges,3395.88,,3111.99,8265.1,,																																							
HC IR TRANSCERV FALLOPIAN TUBE CATH W/WO HYSTOSALPING,58345,CPT,,,,BOTH, , ,15201.9,12769.6,13985.75,92,,Percent of Total Billed Charges,12708.79,,13985.75,92,,Percent of Total Billed Charges,12480.76,,13985.75,92,,Percent of Total Billed Charges,12237.53,,13985.75,92,,Percent of Total Billed Charges,12693.59,,13985.75,92,,Percent of Total Billed Charges,11447.03,,13985.75,92,,Percent of Total Billed Charges,9501.19,,13681.71,90,,Percent of Total Billed Charges,7585.75,,13529.69,89,,Percent of Total Billed Charges,7296.91,,12526.37,82.4,,Percent of Total Billed Charges,12495.96,,12678.38,83.4,,Percent of Total Billed Charges,11827.08,,12678.38,83.4,,Percent of Total Billed Charges,10656.53,,12678.38,83.4,,Percent of Total Billed Charges,12374.35,,13681.71,90,,Percent of Total Billed Charges,12876.01,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,13985.75,92,,Percent of Total Billed Charges,12328.74,,13985.75,92,,Percent of Total Billed Charges,11310.21,,13985.75,92,,Percent of Total Billed Charges,11903.09,,13985.75,92,,Percent of Total Billed Charges,12328.74,,11857.48,78,,Percent of Total Billed Charges,11857.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,8183.18,53.83,,Percent of Total Billed Charges,7676.96,,5265.94,34.64,,Percent of Total Billed Charges,5244.66,,7597.91,49.98,,Percent of Total Billed Charges,5746.32,,5265.94,13985.75,,																																							
HC IR TRANSCERVICAL CATHJ FALLOPIAN TUBE RS&I,74742,CPT,,,,BOTH, , ,78.75,66.15,72.45,92,,Percent of Total Billed Charges,65.84,,72.45,92,,Percent of Total Billed Charges,64.65,,72.45,92,,Percent of Total Billed Charges,63.39,,72.45,92,,Percent of Total Billed Charges,65.76,,72.45,92,,Percent of Total Billed Charges,59.3,,72.45,92,,Percent of Total Billed Charges,49.22,,70.88,90,,Percent of Total Billed Charges,39.3,,70.09,89,,Percent of Total Billed Charges,37.8,,64.89,82.4,,Percent of Total Billed Charges,64.73,,65.68,83.4,,Percent of Total Billed Charges,61.27,,65.68,83.4,,Percent of Total Billed Charges,55.2,,65.68,83.4,,Percent of Total Billed Charges,64.1,,70.88,90,,Percent of Total Billed Charges,66.7,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,72.45,92,,Percent of Total Billed Charges,63.87,,72.45,92,,Percent of Total Billed Charges,58.59,,72.45,92,,Percent of Total Billed Charges,61.66,,72.45,92,,Percent of Total Billed Charges,63.87,,61.43,78,,Percent of Total Billed Charges,61.43,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,42.39,53.83,,Percent of Total Billed Charges,39.77,,27.28,34.64,,Percent of Total Billed Charges,27.17,,39.36,49.98,,Percent of Total Billed Charges,29.77,,27.28,72.45,,																																							
HC DEBRIDEMENT NAIL ANY METHOD 15,11720,CPT,,,,BOTH, , ,291.9,245.2,268.55,92,,Percent of Total Billed Charges,244.03,,268.55,92,,Percent of Total Billed Charges,239.65,,268.55,92,,Percent of Total Billed Charges,234.98,,268.55,92,,Percent of Total Billed Charges,243.74,,268.55,92,,Percent of Total Billed Charges,219.8,,268.55,92,,Percent of Total Billed Charges,182.44,,262.71,90,,Percent of Total Billed Charges,145.66,,259.79,89,,Percent of Total Billed Charges,140.11,,240.53,82.4,,Percent of Total Billed Charges,239.94,,243.44,83.4,,Percent of Total Billed Charges,227.1,,243.44,83.4,,Percent of Total Billed Charges,204.62,,243.44,83.4,,Percent of Total Billed Charges,237.61,,262.71,90,,Percent of Total Billed Charges,247.24,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,268.55,92,,Percent of Total Billed Charges,236.73,,268.55,92,,Percent of Total Billed Charges,217.17,,268.55,92,,Percent of Total Billed Charges,228.56,,268.55,92,,Percent of Total Billed Charges,236.73,,227.68,78,,Percent of Total Billed Charges,227.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,157.13,53.83,,Percent of Total Billed Charges,147.41,,101.11,34.64,,Percent of Total Billed Charges,100.71,,145.89,49.98,,Percent of Total Billed Charges,110.34,,101.11,268.55,,																																							
HC DRS&/DBRDMT PRTLTHKNS BURNS 1ST/SBSQ LARGE,16030,CPT,,,,BOTH, , ,1056.3,887.29,971.8,92,,Percent of Total Billed Charges,883.07,,971.8,92,,Percent of Total Billed Charges,867.22,,971.8,92,,Percent of Total Billed Charges,850.32,,971.8,92,,Percent of Total Billed Charges,882.01,,971.8,92,,Percent of Total Billed Charges,795.39,,971.8,92,,Percent of Total Billed Charges,660.19,,950.67,90,,Percent of Total Billed Charges,527.09,,940.11,89,,Percent of Total Billed Charges,507.02,,870.39,82.4,,Percent of Total Billed Charges,868.28,,880.95,83.4,,Percent of Total Billed Charges,821.8,,880.95,83.4,,Percent of Total Billed Charges,740.47,,880.95,83.4,,Percent of Total Billed Charges,859.83,,950.67,90,,Percent of Total Billed Charges,894.69,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,971.8,92,,Percent of Total Billed Charges,856.66,,971.8,92,,Percent of Total Billed Charges,785.89,,971.8,92,,Percent of Total Billed Charges,827.08,,971.8,92,,Percent of Total Billed Charges,856.66,,823.91,78,,Percent of Total Billed Charges,823.91,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,568.61,53.83,,Percent of Total Billed Charges,533.43,,365.9,34.64,,Percent of Total Billed Charges,364.42,,527.94,49.98,,Percent of Total Billed Charges,399.28,,365.90,971.8,,																																							
HC INSERTION INTRAUTERINE DEVICE IUD (US),58300,CPT,,,,BOTH, , ,5097.75,4282.11,4689.93,92,,Percent of Total Billed Charges,4261.72,,4689.93,92,,Percent of Total Billed Charges,4185.25,,4689.93,92,,Percent of Total Billed Charges,4103.69,,4689.93,92,,Percent of Total Billed Charges,4256.62,,4689.93,92,,Percent of Total Billed Charges,3838.61,,4689.93,92,,Percent of Total Billed Charges,3186.09,,4587.98,90,,Percent of Total Billed Charges,2543.78,,4537,89,,Percent of Total Billed Charges,2446.92,,4200.55,82.4,,Percent of Total Billed Charges,4190.35,,4251.52,83.4,,Percent of Total Billed Charges,3966.05,,4251.52,83.4,,Percent of Total Billed Charges,3573.52,,4251.52,83.4,,Percent of Total Billed Charges,4149.57,,4587.98,90,,Percent of Total Billed Charges,4317.79,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4689.93,92,,Percent of Total Billed Charges,4134.28,,4689.93,92,,Percent of Total Billed Charges,3792.73,,4689.93,92,,Percent of Total Billed Charges,3991.54,,4689.93,92,,Percent of Total Billed Charges,4134.28,,3976.25,78,,Percent of Total Billed Charges,3976.25,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2744.12,53.83,,Percent of Total Billed Charges,2574.36,,1765.86,34.64,,Percent of Total Billed Charges,1758.72,,2547.86,49.98,,Percent of Total Billed Charges,1926.95,,1765.86,4689.93,,																																							
HC CORE NEEDLE BX LUNG/MEDIASTINUM PERQ W/IMG,32408,CPT,,,,BOTH, , ,7078.05,5945.56,6511.81,92,,Percent of Total Billed Charges,5917.25,,6511.81,92,,Percent of Total Billed Charges,5811.08,,6511.81,92,,Percent of Total Billed Charges,5697.83,,6511.81,92,,Percent of Total Billed Charges,5910.17,,6511.81,92,,Percent of Total Billed Charges,5329.77,,6511.81,92,,Percent of Total Billed Charges,4423.78,,6370.25,90,,Percent of Total Billed Charges,3531.95,,6299.46,89,,Percent of Total Billed Charges,3397.46,,5832.31,82.4,,Percent of Total Billed Charges,5818.16,,5903.09,83.4,,Percent of Total Billed Charges,5506.72,,5903.09,83.4,,Percent of Total Billed Charges,4961.71,,5903.09,83.4,,Percent of Total Billed Charges,5761.53,,6370.25,90,,Percent of Total Billed Charges,5995.11,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6511.81,92,,Percent of Total Billed Charges,5740.3,,6511.81,92,,Percent of Total Billed Charges,5266.07,,6511.81,92,,Percent of Total Billed Charges,5542.11,,6511.81,92,,Percent of Total Billed Charges,5740.3,,5520.88,78,,Percent of Total Billed Charges,5520.88,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3810.11,53.83,,Percent of Total Billed Charges,3574.42,,2451.84,34.64,,Percent of Total Billed Charges,2441.93,,3537.61,49.98,,Percent of Total Billed Charges,2675.5,,2451.84,6511.81,,																																							
HC LOW COST SKIN SUBSTITUTE APP,C5277,CPT,,,,BOTH, , ,2596.65,2181.19,2388.92,92,,Percent of Total Billed Charges,2170.8,,2388.92,92,,Percent of Total Billed Charges,2131.85,,2388.92,92,,Percent of Total Billed Charges,2090.3,,2388.92,92,,Percent of Total Billed Charges,2168.2,,2388.92,92,,Percent of Total Billed Charges,1955.28,,2388.92,92,,Percent of Total Billed Charges,1622.91,,2336.99,90,,Percent of Total Billed Charges,1295.73,,2311.02,89,,Percent of Total Billed Charges,1246.39,,2139.64,82.4,,Percent of Total Billed Charges,2134.45,,2165.61,83.4,,Percent of Total Billed Charges,2020.19,,2165.61,83.4,,Percent of Total Billed Charges,1820.25,,2165.61,83.4,,Percent of Total Billed Charges,2113.67,,2336.99,90,,Percent of Total Billed Charges,2199.36,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2388.92,92,,Percent of Total Billed Charges,2105.88,,2388.92,92,,Percent of Total Billed Charges,1931.91,,2388.92,92,,Percent of Total Billed Charges,2033.18,,2388.92,92,,Percent of Total Billed Charges,2105.88,,2025.39,78,,Percent of Total Billed Charges,2025.39,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1397.78,53.83,,Percent of Total Billed Charges,1311.31,,899.48,34.64,,Percent of Total Billed Charges,895.84,,1297.81,49.98,,Percent of Total Billed Charges,981.53,,899.48,2388.92,,																																							
HC LOW COST SKIN SUBSTITUTE APP,C5278,CPT,,,,BOTH, , ,303.45,254.9,279.17,92,,Percent of Total Billed Charges,253.68,,279.17,92,,Percent of Total Billed Charges,249.13,,279.17,92,,Percent of Total Billed Charges,244.28,,279.17,92,,Percent of Total Billed Charges,253.38,,279.17,92,,Percent of Total Billed Charges,228.5,,279.17,92,,Percent of Total Billed Charges,189.66,,273.11,90,,Percent of Total Billed Charges,151.42,,270.07,89,,Percent of Total Billed Charges,145.66,,250.04,82.4,,Percent of Total Billed Charges,249.44,,253.08,83.4,,Percent of Total Billed Charges,236.08,,253.08,83.4,,Percent of Total Billed Charges,212.72,,253.08,83.4,,Percent of Total Billed Charges,247.01,,273.11,90,,Percent of Total Billed Charges,257.02,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,279.17,92,,Percent of Total Billed Charges,246.1,,279.17,92,,Percent of Total Billed Charges,225.77,,279.17,92,,Percent of Total Billed Charges,237.6,,279.17,92,,Percent of Total Billed Charges,246.1,,236.69,78,,Percent of Total Billed Charges,236.69,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,163.35,53.83,,Percent of Total Billed Charges,153.24,,105.12,34.64,,Percent of Total Billed Charges,104.69,,151.66,49.98,,Percent of Total Billed Charges,114.7,,105.12,279.17,,																																							
HC  INJECTION ANES SUPERIOR HYPOGASTRIC PLEXUS,64517,CPT,,,,BOTH, , ,4072.95,3421.28,3747.11,92,,Percent of Total Billed Charges,3404.99,,3747.11,92,,Percent of Total Billed Charges,3343.89,,3747.11,92,,Percent of Total Billed Charges,3278.72,,3747.11,92,,Percent of Total Billed Charges,3400.91,,3747.11,92,,Percent of Total Billed Charges,3066.93,,3747.11,92,,Percent of Total Billed Charges,2545.59,,3665.66,90,,Percent of Total Billed Charges,2032.4,,3624.93,89,,Percent of Total Billed Charges,1955.02,,3356.11,82.4,,Percent of Total Billed Charges,3347.96,,3396.84,83.4,,Percent of Total Billed Charges,3168.76,,3396.84,83.4,,Percent of Total Billed Charges,2855.14,,3396.84,83.4,,Percent of Total Billed Charges,3315.38,,3665.66,90,,Percent of Total Billed Charges,3449.79,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3747.11,92,,Percent of Total Billed Charges,3303.16,,3747.11,92,,Percent of Total Billed Charges,3030.27,,3747.11,92,,Percent of Total Billed Charges,3189.12,,3747.11,92,,Percent of Total Billed Charges,3303.16,,3176.9,78,,Percent of Total Billed Charges,3176.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2192.47,53.83,,Percent of Total Billed Charges,2056.84,,1410.87,34.64,,Percent of Total Billed Charges,1405.17,,2035.66,49.98,,Percent of Total Billed Charges,1539.58,,1410.87,3747.11,,																																							
HC PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULATION THORACIC,22513,CPT,,,,BOTH, , ,25856.25,21719.25,23787.75,92,,Percent of Total Billed Charges,21615.83,,23787.75,92,,Percent of Total Billed Charges,21227.98,,23787.75,92,,Percent of Total Billed Charges,20814.28,,23787.75,92,,Percent of Total Billed Charges,21589.97,,23787.75,92,,Percent of Total Billed Charges,19469.76,,23787.75,92,,Percent of Total Billed Charges,16160.16,,23270.63,90,,Percent of Total Billed Charges,12902.27,,23012.06,89,,Percent of Total Billed Charges,12411,,21305.55,82.4,,Percent of Total Billed Charges,21253.84,,21564.11,83.4,,Percent of Total Billed Charges,20116.16,,21564.11,83.4,,Percent of Total Billed Charges,18125.23,,21564.11,83.4,,Percent of Total Billed Charges,21046.99,,23270.63,90,,Percent of Total Billed Charges,21900.24,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,23787.75,92,,Percent of Total Billed Charges,20969.42,,23787.75,92,,Percent of Total Billed Charges,19237.05,,23787.75,92,,Percent of Total Billed Charges,20245.44,,23787.75,92,,Percent of Total Billed Charges,20969.42,,20167.88,78,,Percent of Total Billed Charges,20167.88,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,13918.42,53.83,,Percent of Total Billed Charges,13057.41,,8956.61,34.64,,Percent of Total Billed Charges,8920.41,,12922.95,49.98,,Percent of Total Billed Charges,9773.66,,8956.61,23787.75,,																																							
HC PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULJ LMBR,22514,CPT,,,,BOTH, , ,25856.25,21719.25,23787.75,92,,Percent of Total Billed Charges,21615.83,,23787.75,92,,Percent of Total Billed Charges,21227.98,,23787.75,92,,Percent of Total Billed Charges,20814.28,,23787.75,92,,Percent of Total Billed Charges,21589.97,,23787.75,92,,Percent of Total Billed Charges,19469.76,,23787.75,92,,Percent of Total Billed Charges,16160.16,,23270.63,90,,Percent of Total Billed Charges,12902.27,,23012.06,89,,Percent of Total Billed Charges,12411,,21305.55,82.4,,Percent of Total Billed Charges,21253.84,,21564.11,83.4,,Percent of Total Billed Charges,20116.16,,21564.11,83.4,,Percent of Total Billed Charges,18125.23,,21564.11,83.4,,Percent of Total Billed Charges,21046.99,,23270.63,90,,Percent of Total Billed Charges,21900.24,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,23787.75,92,,Percent of Total Billed Charges,20969.42,,23787.75,92,,Percent of Total Billed Charges,19237.05,,23787.75,92,,Percent of Total Billed Charges,20245.44,,23787.75,92,,Percent of Total Billed Charges,20969.42,,20167.88,78,,Percent of Total Billed Charges,20167.88,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,13918.42,53.83,,Percent of Total Billed Charges,13057.41,,8956.61,34.64,,Percent of Total Billed Charges,8920.41,,12922.95,49.98,,Percent of Total Billed Charges,9773.66,,8956.61,23787.75,,																																							
HC  PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULJ EACH ADDITIONAL,22515,CPT,,,,BOTH, , ,5306.7,4457.63,4882.16,92,,Percent of Total Billed Charges,4436.4,,4882.16,92,,Percent of Total Billed Charges,4356.8,,4882.16,92,,Percent of Total Billed Charges,4271.89,,4882.16,92,,Percent of Total Billed Charges,4431.09,,4882.16,92,,Percent of Total Billed Charges,3995.95,,4882.16,92,,Percent of Total Billed Charges,3316.69,,4776.03,90,,Percent of Total Billed Charges,2648.04,,4722.96,89,,Percent of Total Billed Charges,2547.22,,4372.72,82.4,,Percent of Total Billed Charges,4362.11,,4425.79,83.4,,Percent of Total Billed Charges,4128.61,,4425.79,83.4,,Percent of Total Billed Charges,3720,,4425.79,83.4,,Percent of Total Billed Charges,4319.65,,4776.03,90,,Percent of Total Billed Charges,4494.77,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4882.16,92,,Percent of Total Billed Charges,4303.73,,4882.16,92,,Percent of Total Billed Charges,3948.18,,4882.16,92,,Percent of Total Billed Charges,4155.15,,4882.16,92,,Percent of Total Billed Charges,4303.73,,4139.23,78,,Percent of Total Billed Charges,4139.23,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2856.6,53.83,,Percent of Total Billed Charges,2679.88,,1838.24,34.64,,Percent of Total Billed Charges,1830.81,,2652.29,49.98,,Percent of Total Billed Charges,2005.93,,1838.24,4882.16,,																																							
HC  CHEMOTX ADMN CNS REQ SPINAL PUNCTURE,96450,CPT,,,,BOTH, , ,1282.05,1076.92,1179.49,92,,Percent of Total Billed Charges,1071.79,,1179.49,92,,Percent of Total Billed Charges,1052.56,,1179.49,92,,Percent of Total Billed Charges,1032.05,,1179.49,92,,Percent of Total Billed Charges,1070.51,,1179.49,92,,Percent of Total Billed Charges,965.38,,1179.49,92,,Percent of Total Billed Charges,801.28,,1153.85,90,,Percent of Total Billed Charges,639.74,,1141.02,89,,Percent of Total Billed Charges,615.38,,1056.41,82.4,,Percent of Total Billed Charges,1053.85,,1069.23,83.4,,Percent of Total Billed Charges,997.43,,1069.23,83.4,,Percent of Total Billed Charges,898.72,,1069.23,83.4,,Percent of Total Billed Charges,1043.59,,1153.85,90,,Percent of Total Billed Charges,1085.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1179.49,92,,Percent of Total Billed Charges,1039.74,,1179.49,92,,Percent of Total Billed Charges,953.85,,1179.49,92,,Percent of Total Billed Charges,1003.85,,1179.49,92,,Percent of Total Billed Charges,1039.74,,1000,78,,Percent of Total Billed Charges,1000,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,690.13,53.83,,Percent of Total Billed Charges,647.44,,444.1,34.64,,Percent of Total Billed Charges,442.31,,640.77,49.98,,Percent of Total Billed Charges,484.61,,444.10,1179.49,,																																							
HC  ASPIRATION BLADDER INSERT SUPRAPUBIC CATHETER,51102,CPT,,,,BOTH, , ,7359.45,6181.94,6770.69,92,,Percent of Total Billed Charges,6152.5,,6770.69,92,,Percent of Total Billed Charges,6042.11,,6770.69,92,,Percent of Total Billed Charges,5924.36,,6770.69,92,,Percent of Total Billed Charges,6145.14,,6770.69,92,,Percent of Total Billed Charges,5541.67,,6770.69,92,,Percent of Total Billed Charges,4599.66,,6623.51,90,,Percent of Total Billed Charges,3672.37,,6549.91,89,,Percent of Total Billed Charges,3532.54,,6064.19,82.4,,Percent of Total Billed Charges,6049.47,,6137.78,83.4,,Percent of Total Billed Charges,5725.65,,6137.78,83.4,,Percent of Total Billed Charges,5158.97,,6137.78,83.4,,Percent of Total Billed Charges,5990.59,,6623.51,90,,Percent of Total Billed Charges,6233.45,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6770.69,92,,Percent of Total Billed Charges,5968.51,,6770.69,92,,Percent of Total Billed Charges,5475.43,,6770.69,92,,Percent of Total Billed Charges,5762.45,,6770.69,92,,Percent of Total Billed Charges,5968.51,,5740.37,78,,Percent of Total Billed Charges,5740.37,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3961.59,53.83,,Percent of Total Billed Charges,3716.52,,2549.31,34.64,,Percent of Total Billed Charges,2539.01,,3678.25,49.98,,Percent of Total Billed Charges,2781.87,,2549.31,6770.69,,																																							
HC  BIOPSY BONE OPEN SUPERFICIAL,20240,CPT,,,,BOTH, , ,10171.35,8543.93,9357.64,92,,Percent of Total Billed Charges,8503.25,,9357.64,92,,Percent of Total Billed Charges,8350.68,,9357.64,92,,Percent of Total Billed Charges,8187.94,,9357.64,92,,Percent of Total Billed Charges,8493.08,,9357.64,92,,Percent of Total Billed Charges,7659.03,,9357.64,92,,Percent of Total Billed Charges,6357.09,,9154.22,90,,Percent of Total Billed Charges,5075.5,,9052.5,89,,Percent of Total Billed Charges,4882.25,,8381.19,82.4,,Percent of Total Billed Charges,8360.85,,8482.91,83.4,,Percent of Total Billed Charges,7913.31,,8482.91,83.4,,Percent of Total Billed Charges,7130.12,,8482.91,83.4,,Percent of Total Billed Charges,8279.48,,9154.22,90,,Percent of Total Billed Charges,8615.13,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,9357.64,92,,Percent of Total Billed Charges,8248.96,,9357.64,92,,Percent of Total Billed Charges,7567.48,,9357.64,92,,Percent of Total Billed Charges,7964.17,,9357.64,92,,Percent of Total Billed Charges,8248.96,,7933.65,78,,Percent of Total Billed Charges,7933.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5475.24,53.83,,Percent of Total Billed Charges,5136.53,,3523.36,34.64,,Percent of Total Billed Charges,3509.12,,5083.64,49.98,,Percent of Total Billed Charges,3844.77,,3523.36,9357.64,,																																							
HC PERQ SAC AGMNTJ UNI W/WO BALO/MCHNL DEV 1/> NDL,0200T,CPT,,,,BOTH, , ,26888.4,22586.26,24737.33,92,,Percent of Total Billed Charges,22478.7,,24737.33,92,,Percent of Total Billed Charges,22075.38,,24737.33,92,,Percent of Total Billed Charges,21645.16,,24737.33,92,,Percent of Total Billed Charges,22451.81,,24737.33,92,,Percent of Total Billed Charges,20246.97,,24737.33,92,,Percent of Total Billed Charges,16805.25,,24199.56,90,,Percent of Total Billed Charges,13417.31,,23930.68,89,,Percent of Total Billed Charges,12906.43,,22156.04,82.4,,Percent of Total Billed Charges,22102.26,,22424.93,83.4,,Percent of Total Billed Charges,20919.18,,22424.93,83.4,,Percent of Total Billed Charges,18848.77,,22424.93,83.4,,Percent of Total Billed Charges,21887.16,,24199.56,90,,Percent of Total Billed Charges,22774.47,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,24737.33,92,,Percent of Total Billed Charges,21806.49,,24737.33,92,,Percent of Total Billed Charges,20004.97,,24737.33,92,,Percent of Total Billed Charges,21053.62,,24737.33,92,,Percent of Total Billed Charges,21806.49,,20972.95,78,,Percent of Total Billed Charges,20972.95,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,14474.03,53.83,,Percent of Total Billed Charges,13578.64,,9314.14,34.64,,Percent of Total Billed Charges,9276.5,,13438.82,49.98,,Percent of Total Billed Charges,10163.82,,9314.14,24737.33,,																																							
HC PERQ SAC AGMNTJ BI W/WO BALO/MCHNL DEV 2/> NDLS,0201T,CPT,,,,BOTH, , ,26888.4,22586.26,24737.33,92,,Percent of Total Billed Charges,22478.7,,24737.33,92,,Percent of Total Billed Charges,22075.38,,24737.33,92,,Percent of Total Billed Charges,21645.16,,24737.33,92,,Percent of Total Billed Charges,22451.81,,24737.33,92,,Percent of Total Billed Charges,20246.97,,24737.33,92,,Percent of Total Billed Charges,16805.25,,24199.56,90,,Percent of Total Billed Charges,13417.31,,23930.68,89,,Percent of Total Billed Charges,12906.43,,22156.04,82.4,,Percent of Total Billed Charges,22102.26,,22424.93,83.4,,Percent of Total Billed Charges,20919.18,,22424.93,83.4,,Percent of Total Billed Charges,18848.77,,22424.93,83.4,,Percent of Total Billed Charges,21887.16,,24199.56,90,,Percent of Total Billed Charges,22774.47,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,24737.33,92,,Percent of Total Billed Charges,21806.49,,24737.33,92,,Percent of Total Billed Charges,20004.97,,24737.33,92,,Percent of Total Billed Charges,21053.62,,24737.33,92,,Percent of Total Billed Charges,21806.49,,20972.95,78,,Percent of Total Billed Charges,20972.95,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,14474.03,53.83,,Percent of Total Billed Charges,13578.64,,9314.14,34.64,,Percent of Total Billed Charges,9276.5,,13438.82,49.98,,Percent of Total Billed Charges,10163.82,,9314.14,24737.33,,																																							
HC  EXC LESION TENDON SHEATH/CAPSULE W/SYNVCT FOOT,28090,CPT,,,,BOTH, , ,5976.6,5020.34,5498.47,92,,Percent of Total Billed Charges,4996.44,,5498.47,92,,Percent of Total Billed Charges,4906.79,,5498.47,92,,Percent of Total Billed Charges,4811.16,,5498.47,92,,Percent of Total Billed Charges,4990.46,,5498.47,92,,Percent of Total Billed Charges,4500.38,,5498.47,92,,Percent of Total Billed Charges,3735.38,,5378.94,90,,Percent of Total Billed Charges,2982.32,,5319.17,89,,Percent of Total Billed Charges,2868.77,,4924.72,82.4,,Percent of Total Billed Charges,4912.77,,4984.48,83.4,,Percent of Total Billed Charges,4649.79,,4984.48,83.4,,Percent of Total Billed Charges,4189.6,,4984.48,83.4,,Percent of Total Billed Charges,4864.95,,5378.94,90,,Percent of Total Billed Charges,5062.18,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5498.47,92,,Percent of Total Billed Charges,4847.02,,5498.47,92,,Percent of Total Billed Charges,4446.59,,5498.47,92,,Percent of Total Billed Charges,4679.68,,5498.47,92,,Percent of Total Billed Charges,4847.02,,4661.75,78,,Percent of Total Billed Charges,4661.75,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3217.2,53.83,,Percent of Total Billed Charges,3018.18,,2070.29,34.64,,Percent of Total Billed Charges,2061.93,,2987.1,49.98,,Percent of Total Billed Charges,2259.15,,2070.29,5498.47,,																																							
HC PUNCTURE ASPIRATION ABSCESS HEMATOMA BULLA/CYST,10160,CPT,,,,BOTH, , ,5020.05,4216.84,4618.45,92,,Percent of Total Billed Charges,4196.76,,4618.45,92,,Percent of Total Billed Charges,4121.46,,4618.45,92,,Percent of Total Billed Charges,4041.14,,4618.45,92,,Percent of Total Billed Charges,4191.74,,4618.45,92,,Percent of Total Billed Charges,3780.1,,4618.45,92,,Percent of Total Billed Charges,3137.53,,4518.05,90,,Percent of Total Billed Charges,2505,,4467.84,89,,Percent of Total Billed Charges,2409.62,,4136.52,82.4,,Percent of Total Billed Charges,4126.48,,4186.72,83.4,,Percent of Total Billed Charges,3905.6,,4186.72,83.4,,Percent of Total Billed Charges,3519.06,,4186.72,83.4,,Percent of Total Billed Charges,4086.32,,4518.05,90,,Percent of Total Billed Charges,4251.98,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4618.45,92,,Percent of Total Billed Charges,4071.26,,4618.45,92,,Percent of Total Billed Charges,3734.92,,4618.45,92,,Percent of Total Billed Charges,3930.7,,4618.45,92,,Percent of Total Billed Charges,4071.26,,3915.64,78,,Percent of Total Billed Charges,3915.64,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2702.29,53.83,,Percent of Total Billed Charges,2535.13,,1738.95,34.64,,Percent of Total Billed Charges,1731.92,,2509.02,49.98,,Percent of Total Billed Charges,1897.58,,1738.95,4618.45,,																																							
HC INCISION & DRAINAGE LEG/ANKLE ABSCESS/HEMATOMA,27603,CPT,,,,BOTH, , ,10232.25,8595.09,9413.67,92,,Percent of Total Billed Charges,8554.16,,9413.67,92,,Percent of Total Billed Charges,8400.68,,9413.67,92,,Percent of Total Billed Charges,8236.96,,9413.67,92,,Percent of Total Billed Charges,8543.93,,9413.67,92,,Percent of Total Billed Charges,7704.88,,9413.67,92,,Percent of Total Billed Charges,6395.16,,9209.03,90,,Percent of Total Billed Charges,5105.89,,9106.7,89,,Percent of Total Billed Charges,4911.48,,8431.37,82.4,,Percent of Total Billed Charges,8410.91,,8533.7,83.4,,Percent of Total Billed Charges,7960.69,,8533.7,83.4,,Percent of Total Billed Charges,7172.81,,8533.7,83.4,,Percent of Total Billed Charges,8329.05,,9209.03,90,,Percent of Total Billed Charges,8666.72,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,9413.67,92,,Percent of Total Billed Charges,8298.35,,9413.67,92,,Percent of Total Billed Charges,7612.79,,9413.67,92,,Percent of Total Billed Charges,8011.85,,9413.67,92,,Percent of Total Billed Charges,8298.35,,7981.16,78,,Percent of Total Billed Charges,7981.16,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5508.02,53.83,,Percent of Total Billed Charges,5167.29,,3544.45,34.64,,Percent of Total Billed Charges,3530.13,,5114.08,49.98,,Percent of Total Billed Charges,3867.79,,3544.45,9413.67,,																																							
HC EXC BACK LES SC < 3 CM,21930,CPT,,,,BOTH, , ,5782.35,4857.17,5319.76,92,,Percent of Total Billed Charges,4834.04,,5319.76,92,,Percent of Total Billed Charges,4747.31,,5319.76,92,,Percent of Total Billed Charges,4654.79,,5319.76,92,,Percent of Total Billed Charges,4828.26,,5319.76,92,,Percent of Total Billed Charges,4354.11,,5319.76,92,,Percent of Total Billed Charges,3613.97,,5204.12,90,,Percent of Total Billed Charges,2885.39,,5146.29,89,,Percent of Total Billed Charges,2775.53,,4764.66,82.4,,Percent of Total Billed Charges,4753.09,,4822.48,83.4,,Percent of Total Billed Charges,4498.67,,4822.48,83.4,,Percent of Total Billed Charges,4053.43,,4822.48,83.4,,Percent of Total Billed Charges,4706.83,,5204.12,90,,Percent of Total Billed Charges,4897.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5319.76,92,,Percent of Total Billed Charges,4689.49,,5319.76,92,,Percent of Total Billed Charges,4302.07,,5319.76,92,,Percent of Total Billed Charges,4527.58,,5319.76,92,,Percent of Total Billed Charges,4689.49,,4510.23,78,,Percent of Total Billed Charges,4510.23,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3112.64,53.83,,Percent of Total Billed Charges,2920.09,,2003.01,34.64,,Percent of Total Billed Charges,1994.91,,2890.02,49.98,,Percent of Total Billed Charges,2185.73,,2003.01,5319.76,,																																							
HC TRANSCATH STENT CCA W/EPS,37215,CPT,,,,BOTH, , ,2010.75,1689.03,1849.89,92,,Percent of Total Billed Charges,1680.99,,1849.89,92,,Percent of Total Billed Charges,1650.83,,1849.89,92,,Percent of Total Billed Charges,1618.65,,1849.89,92,,Percent of Total Billed Charges,1678.98,,1849.89,92,,Percent of Total Billed Charges,1514.09,,1849.89,92,,Percent of Total Billed Charges,1256.72,,1809.68,90,,Percent of Total Billed Charges,1003.36,,1789.57,89,,Percent of Total Billed Charges,965.16,,1656.86,82.4,,Percent of Total Billed Charges,1652.84,,1676.97,83.4,,Percent of Total Billed Charges,1564.36,,1676.97,83.4,,Percent of Total Billed Charges,1409.54,,1676.97,83.4,,Percent of Total Billed Charges,1636.75,,1809.68,90,,Percent of Total Billed Charges,1703.11,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1849.89,92,,Percent of Total Billed Charges,1630.72,,1849.89,92,,Percent of Total Billed Charges,1496,,1849.89,92,,Percent of Total Billed Charges,1574.42,,1849.89,92,,Percent of Total Billed Charges,1630.72,,1568.39,78,,Percent of Total Billed Charges,1568.39,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1082.39,53.83,,Percent of Total Billed Charges,1015.43,,696.52,34.64,,Percent of Total Billed Charges,693.71,,1004.97,49.98,,Percent of Total Billed Charges,760.06,,696.52,1849.89,,																																							
HC SECONDARY CLOSURE SURG WOUND/DEHSN EXTSV/COMPLIC,13160,CPT,,,,BOTH, , ,7039.2,5912.93,6476.06,92,,Percent of Total Billed Charges,5884.77,,6476.06,92,,Percent of Total Billed Charges,5779.18,,6476.06,92,,Percent of Total Billed Charges,5666.56,,6476.06,92,,Percent of Total Billed Charges,5877.73,,6476.06,92,,Percent of Total Billed Charges,5300.52,,6476.06,92,,Percent of Total Billed Charges,4399.5,,6335.28,90,,Percent of Total Billed Charges,3512.56,,6264.89,89,,Percent of Total Billed Charges,3378.82,,5800.3,82.4,,Percent of Total Billed Charges,5786.22,,5870.69,83.4,,Percent of Total Billed Charges,5476.5,,5870.69,83.4,,Percent of Total Billed Charges,4934.48,,5870.69,83.4,,Percent of Total Billed Charges,5729.91,,6335.28,90,,Percent of Total Billed Charges,5962.2,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6476.06,92,,Percent of Total Billed Charges,5708.79,,6476.06,92,,Percent of Total Billed Charges,5237.16,,6476.06,92,,Percent of Total Billed Charges,5511.69,,6476.06,92,,Percent of Total Billed Charges,5708.79,,5490.58,78,,Percent of Total Billed Charges,5490.58,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3789.2,53.83,,Percent of Total Billed Charges,3554.8,,2438.38,34.64,,Percent of Total Billed Charges,2428.52,,3518.19,49.98,,Percent of Total Billed Charges,2660.82,,2438.38,6476.06,,																																							
HC INJX ANES CELIAC PLEXUS W/WO RADIOLOGIC MONITRNG,64530,CPT,,,,BOTH, , ,3383.1,2841.8,3112.45,92,,Percent of Total Billed Charges,2828.27,,3112.45,92,,Percent of Total Billed Charges,2777.53,,3112.45,92,,Percent of Total Billed Charges,2723.4,,3112.45,92,,Percent of Total Billed Charges,2824.89,,3112.45,92,,Percent of Total Billed Charges,2547.47,,3112.45,92,,Percent of Total Billed Charges,2114.44,,3044.79,90,,Percent of Total Billed Charges,1688.17,,3010.96,89,,Percent of Total Billed Charges,1623.89,,2787.67,82.4,,Percent of Total Billed Charges,2780.91,,2821.51,83.4,,Percent of Total Billed Charges,2632.05,,2821.51,83.4,,Percent of Total Billed Charges,2371.55,,2821.51,83.4,,Percent of Total Billed Charges,2753.84,,3044.79,90,,Percent of Total Billed Charges,2865.49,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3112.45,92,,Percent of Total Billed Charges,2743.69,,3112.45,92,,Percent of Total Billed Charges,2517.03,,3112.45,92,,Percent of Total Billed Charges,2648.97,,3112.45,92,,Percent of Total Billed Charges,2743.69,,2638.82,78,,Percent of Total Billed Charges,2638.82,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1821.12,53.83,,Percent of Total Billed Charges,1708.47,,1171.91,34.64,,Percent of Total Billed Charges,1167.17,,1690.87,49.98,,Percent of Total Billed Charges,1278.81,,1171.91,3112.45,,																																							
HC INCISION LINGUAL FRENUM FRENOTOMY,41010,CPT,,,,BOTH, , ,5559.75,4670.19,5114.97,92,,Percent of Total Billed Charges,4647.95,,5114.97,92,,Percent of Total Billed Charges,4564.55,,5114.97,92,,Percent of Total Billed Charges,4475.6,,5114.97,92,,Percent of Total Billed Charges,4642.39,,5114.97,92,,Percent of Total Billed Charges,4186.49,,5114.97,92,,Percent of Total Billed Charges,3474.84,,5003.78,90,,Percent of Total Billed Charges,2774.32,,4948.18,89,,Percent of Total Billed Charges,2668.68,,4581.23,82.4,,Percent of Total Billed Charges,4570.11,,4636.83,83.4,,Percent of Total Billed Charges,4325.49,,4636.83,83.4,,Percent of Total Billed Charges,3897.38,,4636.83,83.4,,Percent of Total Billed Charges,4525.64,,5003.78,90,,Percent of Total Billed Charges,4709.11,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5114.97,92,,Percent of Total Billed Charges,4508.96,,5114.97,92,,Percent of Total Billed Charges,4136.45,,5114.97,92,,Percent of Total Billed Charges,4353.28,,5114.97,92,,Percent of Total Billed Charges,4508.96,,4336.61,78,,Percent of Total Billed Charges,4336.61,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2992.81,53.83,,Percent of Total Billed Charges,2807.67,,1925.9,34.64,,Percent of Total Billed Charges,1918.11,,2778.76,49.98,,Percent of Total Billed Charges,2101.59,,1925.90,5114.97,,																																							
HC TX SUPERFICIAL WOUND DEHISCENCE SIMPLE CLOSURE,12020,CPT,,,,BOTH, , ,215.25,180.81,198.03,92,,Percent of Total Billed Charges,179.95,,198.03,92,,Percent of Total Billed Charges,176.72,,198.03,92,,Percent of Total Billed Charges,173.28,,198.03,92,,Percent of Total Billed Charges,179.73,,198.03,92,,Percent of Total Billed Charges,162.08,,198.03,92,,Percent of Total Billed Charges,134.53,,193.73,90,,Percent of Total Billed Charges,107.41,,191.57,89,,Percent of Total Billed Charges,103.32,,177.37,82.4,,Percent of Total Billed Charges,176.94,,179.52,83.4,,Percent of Total Billed Charges,167.46,,179.52,83.4,,Percent of Total Billed Charges,150.89,,179.52,83.4,,Percent of Total Billed Charges,175.21,,193.73,90,,Percent of Total Billed Charges,182.32,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,198.03,92,,Percent of Total Billed Charges,174.57,,198.03,92,,Percent of Total Billed Charges,160.15,,198.03,92,,Percent of Total Billed Charges,168.54,,198.03,92,,Percent of Total Billed Charges,174.57,,167.9,78,,Percent of Total Billed Charges,167.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,115.87,53.83,,Percent of Total Billed Charges,108.7,,74.56,34.64,,Percent of Total Billed Charges,74.26,,107.58,49.98,,Percent of Total Billed Charges,81.36,,74.56,198.03,,																																							
HC EXCISION TUMOR SOFT TIS FOOT/TOE SUBQ 1.5 CM/>,28039,CPT,,,,BOTH, , ,9745.05,8185.84,8965.45,92,,Percent of Total Billed Charges,8146.86,,8965.45,92,,Percent of Total Billed Charges,8000.69,,8965.45,92,,Percent of Total Billed Charges,7844.77,,8965.45,92,,Percent of Total Billed Charges,8137.12,,8965.45,92,,Percent of Total Billed Charges,7338.02,,8965.45,92,,Percent of Total Billed Charges,6090.66,,8770.55,90,,Percent of Total Billed Charges,4862.78,,8673.09,89,,Percent of Total Billed Charges,4677.62,,8029.92,82.4,,Percent of Total Billed Charges,8010.43,,8127.37,83.4,,Percent of Total Billed Charges,7581.65,,8127.37,83.4,,Percent of Total Billed Charges,6831.28,,8127.37,83.4,,Percent of Total Billed Charges,7932.47,,8770.55,90,,Percent of Total Billed Charges,8254.06,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,8965.45,92,,Percent of Total Billed Charges,7903.24,,8965.45,92,,Percent of Total Billed Charges,7250.32,,8965.45,92,,Percent of Total Billed Charges,7630.37,,8965.45,92,,Percent of Total Billed Charges,7903.24,,7601.14,78,,Percent of Total Billed Charges,7601.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5245.76,53.83,,Percent of Total Billed Charges,4921.25,,3375.69,34.64,,Percent of Total Billed Charges,3362.04,,4870.58,49.98,,Percent of Total Billed Charges,3683.63,,3375.69,8965.45,,																																							
HC REMOVAL OF  BREAST CATHETER (UNLST PROC BREAST),19499,CPT,,,,BOTH, , ,661.5,555.66,608.58,92,,Percent of Total Billed Charges,553.01,,608.58,92,,Percent of Total Billed Charges,543.09,,608.58,92,,Percent of Total Billed Charges,532.51,,608.58,92,,Percent of Total Billed Charges,552.35,,608.58,92,,Percent of Total Billed Charges,498.11,,608.58,92,,Percent of Total Billed Charges,413.44,,595.35,90,,Percent of Total Billed Charges,330.09,,588.74,89,,Percent of Total Billed Charges,317.52,,545.08,82.4,,Percent of Total Billed Charges,543.75,,551.69,83.4,,Percent of Total Billed Charges,514.65,,551.69,83.4,,Percent of Total Billed Charges,463.71,,551.69,83.4,,Percent of Total Billed Charges,538.46,,595.35,90,,Percent of Total Billed Charges,560.29,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,608.58,92,,Percent of Total Billed Charges,536.48,,608.58,92,,Percent of Total Billed Charges,492.16,,608.58,92,,Percent of Total Billed Charges,517.95,,608.58,92,,Percent of Total Billed Charges,536.48,,515.97,78,,Percent of Total Billed Charges,515.97,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,356.09,53.83,,Percent of Total Billed Charges,334.06,,229.14,34.64,,Percent of Total Billed Charges,228.22,,330.62,49.98,,Percent of Total Billed Charges,250.05,,229.14,608.58,,																																							
HC TENOTOMY OPEN EXTENSOR FOOT/TOE EACH TENDON,28234,CPT,,,,BOTH, , ,5829.6,4896.86,5363.23,92,,Percent of Total Billed Charges,4873.55,,5363.23,92,,Percent of Total Billed Charges,4786.1,,5363.23,92,,Percent of Total Billed Charges,4692.83,,5363.23,92,,Percent of Total Billed Charges,4867.72,,5363.23,92,,Percent of Total Billed Charges,4389.69,,5363.23,92,,Percent of Total Billed Charges,3643.5,,5246.64,90,,Percent of Total Billed Charges,2908.97,,5188.34,89,,Percent of Total Billed Charges,2798.21,,4803.59,82.4,,Percent of Total Billed Charges,4791.93,,4861.89,83.4,,Percent of Total Billed Charges,4535.43,,4861.89,83.4,,Percent of Total Billed Charges,4086.55,,4861.89,83.4,,Percent of Total Billed Charges,4745.29,,5246.64,90,,Percent of Total Billed Charges,4937.67,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5363.23,92,,Percent of Total Billed Charges,4727.81,,5363.23,92,,Percent of Total Billed Charges,4337.22,,5363.23,92,,Percent of Total Billed Charges,4564.58,,5363.23,92,,Percent of Total Billed Charges,4727.81,,4547.09,78,,Percent of Total Billed Charges,4547.09,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3138.07,53.83,,Percent of Total Billed Charges,2943.95,,2019.37,34.64,,Percent of Total Billed Charges,2011.21,,2913.63,49.98,,Percent of Total Billed Charges,2203.59,,2019.37,5363.23,,																																							
HC RELEASE OF FOOT CONTRACTURE,28270,CPT,,,,BOTH, , ,12098.1,10162.4,11130.25,92,,Percent of Total Billed Charges,10114.01,,11130.25,92,,Percent of Total Billed Charges,9932.54,,11130.25,92,,Percent of Total Billed Charges,9738.97,,11130.25,92,,Percent of Total Billed Charges,10101.91,,11130.25,92,,Percent of Total Billed Charges,9109.87,,11130.25,92,,Percent of Total Billed Charges,7561.31,,10888.29,90,,Percent of Total Billed Charges,6036.95,,10767.31,89,,Percent of Total Billed Charges,5807.09,,9968.83,82.4,,Percent of Total Billed Charges,9944.64,,10089.82,83.4,,Percent of Total Billed Charges,9412.32,,10089.82,83.4,,Percent of Total Billed Charges,8480.77,,10089.82,83.4,,Percent of Total Billed Charges,9847.85,,10888.29,90,,Percent of Total Billed Charges,10247.09,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,11130.25,92,,Percent of Total Billed Charges,9811.56,,11130.25,92,,Percent of Total Billed Charges,9000.99,,11130.25,92,,Percent of Total Billed Charges,9472.81,,11130.25,92,,Percent of Total Billed Charges,9811.56,,9436.52,78,,Percent of Total Billed Charges,9436.52,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6512.41,53.83,,Percent of Total Billed Charges,6109.54,,4190.78,34.64,,Percent of Total Billed Charges,4173.84,,6046.63,49.98,,Percent of Total Billed Charges,4573.08,,4190.78,11130.25,,																																							
HC REMOVAL IMPLANT DEEP,20680,CPT,,,,BOTH, , ,10498.95,8819.12,9659.03,92,,Percent of Total Billed Charges,8777.12,,9659.03,92,,Percent of Total Billed Charges,8619.64,,9659.03,92,,Percent of Total Billed Charges,8451.65,,9659.03,92,,Percent of Total Billed Charges,8766.62,,9659.03,92,,Percent of Total Billed Charges,7905.71,,9659.03,92,,Percent of Total Billed Charges,6561.84,,9449.06,90,,Percent of Total Billed Charges,5238.98,,9344.07,89,,Percent of Total Billed Charges,5039.5,,8651.13,82.4,,Percent of Total Billed Charges,8630.14,,8756.12,83.4,,Percent of Total Billed Charges,8168.18,,8756.12,83.4,,Percent of Total Billed Charges,7359.76,,8756.12,83.4,,Percent of Total Billed Charges,8546.15,,9449.06,90,,Percent of Total Billed Charges,8892.61,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,9659.03,92,,Percent of Total Billed Charges,8514.65,,9659.03,92,,Percent of Total Billed Charges,7811.22,,9659.03,92,,Percent of Total Billed Charges,8220.68,,9659.03,92,,Percent of Total Billed Charges,8514.65,,8189.18,78,,Percent of Total Billed Charges,8189.18,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5651.58,53.83,,Percent of Total Billed Charges,5301.97,,3636.84,34.64,,Percent of Total Billed Charges,3622.14,,5247.38,49.98,,Percent of Total Billed Charges,3968.6,,3636.84,9659.03,,																																							
HC UNLISTED PROCEDURE VASCULAR SURGERY,37799,CPT,,,,BOTH, , ,235.2,197.57,216.38,92,,Percent of Total Billed Charges,196.63,,216.38,92,,Percent of Total Billed Charges,193.1,,216.38,92,,Percent of Total Billed Charges,189.34,,216.38,92,,Percent of Total Billed Charges,196.39,,216.38,92,,Percent of Total Billed Charges,177.11,,216.38,92,,Percent of Total Billed Charges,147,,211.68,90,,Percent of Total Billed Charges,117.36,,209.33,89,,Percent of Total Billed Charges,112.9,,193.8,82.4,,Percent of Total Billed Charges,193.33,,196.16,83.4,,Percent of Total Billed Charges,182.99,,196.16,83.4,,Percent of Total Billed Charges,164.88,,196.16,83.4,,Percent of Total Billed Charges,191.45,,211.68,90,,Percent of Total Billed Charges,199.21,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,216.38,92,,Percent of Total Billed Charges,190.75,,216.38,92,,Percent of Total Billed Charges,174.99,,216.38,92,,Percent of Total Billed Charges,184.16,,216.38,92,,Percent of Total Billed Charges,190.75,,183.46,78,,Percent of Total Billed Charges,183.46,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,126.61,53.83,,Percent of Total Billed Charges,118.78,,81.47,34.64,,Percent of Total Billed Charges,81.14,,117.55,49.98,,Percent of Total Billed Charges,88.91,,81.47,216.38,,																																							
HC PARTIAL REMOVAL FOOT FASCIA,28060,CPT,,,,BOTH, , ,12098.1,10162.4,11130.25,92,,Percent of Total Billed Charges,10114.01,,11130.25,92,,Percent of Total Billed Charges,9932.54,,11130.25,92,,Percent of Total Billed Charges,9738.97,,11130.25,92,,Percent of Total Billed Charges,10101.91,,11130.25,92,,Percent of Total Billed Charges,9109.87,,11130.25,92,,Percent of Total Billed Charges,7561.31,,10888.29,90,,Percent of Total Billed Charges,6036.95,,10767.31,89,,Percent of Total Billed Charges,5807.09,,9968.83,82.4,,Percent of Total Billed Charges,9944.64,,10089.82,83.4,,Percent of Total Billed Charges,9412.32,,10089.82,83.4,,Percent of Total Billed Charges,8480.77,,10089.82,83.4,,Percent of Total Billed Charges,9847.85,,10888.29,90,,Percent of Total Billed Charges,10247.09,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,11130.25,92,,Percent of Total Billed Charges,9811.56,,11130.25,92,,Percent of Total Billed Charges,9000.99,,11130.25,92,,Percent of Total Billed Charges,9472.81,,11130.25,92,,Percent of Total Billed Charges,9811.56,,9436.52,78,,Percent of Total Billed Charges,9436.52,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6512.41,53.83,,Percent of Total Billed Charges,6109.54,,4190.78,34.64,,Percent of Total Billed Charges,4173.84,,6046.63,49.98,,Percent of Total Billed Charges,4573.08,,4190.78,11130.25,,																																							
HC CARDIAC ANESTHESIA PER MIN,370,RC,,,,BOTH, , ,18.9,15.88,17.39,92,,Percent of Total Billed Charges,15.8,,17.39,92,,Percent of Total Billed Charges,15.52,,17.39,92,,Percent of Total Billed Charges,15.21,,17.39,92,,Percent of Total Billed Charges,15.78,,17.39,92,,Percent of Total Billed Charges,14.23,,17.39,92,,Percent of Total Billed Charges,11.81,,17.01,90,,Percent of Total Billed Charges,9.43,,16.82,89,,Percent of Total Billed Charges,9.07,,15.57,82.4,,Percent of Total Billed Charges,15.54,,15.76,83.4,,Percent of Total Billed Charges,14.7,,15.76,83.4,,Percent of Total Billed Charges,13.25,,15.76,83.4,,Percent of Total Billed Charges,15.38,,17.01,90,,Percent of Total Billed Charges,16.01,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,17.39,92,,Percent of Total Billed Charges,15.33,,17.39,92,,Percent of Total Billed Charges,14.06,,17.39,92,,Percent of Total Billed Charges,14.8,,17.39,92,,Percent of Total Billed Charges,15.33,,14.74,78,,Percent of Total Billed Charges,14.74,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,10.17,53.83,,Percent of Total Billed Charges,9.54,,6.55,34.64,,Percent of Total Billed Charges,6.52,,9.45,49.98,,Percent of Total Billed Charges,7.14,,6.55,17.39,,																																							
HC GENERAL ANESTHESIA PER MIN,370,RC,,,,BOTH, , ,12.6,10.58,11.59,92,,Percent of Total Billed Charges,10.53,,11.59,92,,Percent of Total Billed Charges,10.34,,11.59,92,,Percent of Total Billed Charges,10.14,,11.59,92,,Percent of Total Billed Charges,10.52,,11.59,92,,Percent of Total Billed Charges,9.49,,11.59,92,,Percent of Total Billed Charges,7.88,,11.34,90,,Percent of Total Billed Charges,6.29,,11.21,89,,Percent of Total Billed Charges,6.05,,10.38,82.4,,Percent of Total Billed Charges,10.36,,10.51,83.4,,Percent of Total Billed Charges,9.8,,10.51,83.4,,Percent of Total Billed Charges,8.83,,10.51,83.4,,Percent of Total Billed Charges,10.26,,11.34,90,,Percent of Total Billed Charges,10.67,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,11.59,92,,Percent of Total Billed Charges,10.22,,11.59,92,,Percent of Total Billed Charges,9.37,,11.59,92,,Percent of Total Billed Charges,9.87,,11.59,92,,Percent of Total Billed Charges,10.22,,9.83,78,,Percent of Total Billed Charges,9.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6.78,53.83,,Percent of Total Billed Charges,6.36,,4.36,34.64,,Percent of Total Billed Charges,4.35,,6.3,49.98,,Percent of Total Billed Charges,4.76,,4.36,11.59,,																																							
HC MAJOR GENERAL ANESTHESIA PER MIN,370,RC,,,,BOTH, , ,15.75,13.23,14.49,92,,Percent of Total Billed Charges,13.17,,14.49,92,,Percent of Total Billed Charges,12.93,,14.49,92,,Percent of Total Billed Charges,12.68,,14.49,92,,Percent of Total Billed Charges,13.15,,14.49,92,,Percent of Total Billed Charges,11.86,,14.49,92,,Percent of Total Billed Charges,9.84,,14.18,90,,Percent of Total Billed Charges,7.86,,14.02,89,,Percent of Total Billed Charges,7.56,,12.98,82.4,,Percent of Total Billed Charges,12.95,,13.14,83.4,,Percent of Total Billed Charges,12.25,,13.14,83.4,,Percent of Total Billed Charges,11.04,,13.14,83.4,,Percent of Total Billed Charges,12.82,,14.18,90,,Percent of Total Billed Charges,13.34,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,14.49,92,,Percent of Total Billed Charges,12.77,,14.49,92,,Percent of Total Billed Charges,11.72,,14.49,92,,Percent of Total Billed Charges,12.33,,14.49,92,,Percent of Total Billed Charges,12.77,,12.29,78,,Percent of Total Billed Charges,12.29,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,8.48,53.83,,Percent of Total Billed Charges,7.95,,5.46,34.64,,Percent of Total Billed Charges,5.43,,7.87,49.98,,Percent of Total Billed Charges,5.95,,5.46,14.49,,																																							
HC REGIONAL ANESTHESIA PER MIN,370,RC,,,,BOTH, , ,12.6,10.58,11.59,92,,Percent of Total Billed Charges,10.53,,11.59,92,,Percent of Total Billed Charges,10.34,,11.59,92,,Percent of Total Billed Charges,10.14,,11.59,92,,Percent of Total Billed Charges,10.52,,11.59,92,,Percent of Total Billed Charges,9.49,,11.59,92,,Percent of Total Billed Charges,7.88,,11.34,90,,Percent of Total Billed Charges,6.29,,11.21,89,,Percent of Total Billed Charges,6.05,,10.38,82.4,,Percent of Total Billed Charges,10.36,,10.51,83.4,,Percent of Total Billed Charges,9.8,,10.51,83.4,,Percent of Total Billed Charges,8.83,,10.51,83.4,,Percent of Total Billed Charges,10.26,,11.34,90,,Percent of Total Billed Charges,10.67,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,11.59,92,,Percent of Total Billed Charges,10.22,,11.59,92,,Percent of Total Billed Charges,9.37,,11.59,92,,Percent of Total Billed Charges,9.87,,11.59,92,,Percent of Total Billed Charges,10.22,,9.83,78,,Percent of Total Billed Charges,9.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6.78,53.83,,Percent of Total Billed Charges,6.36,,4.36,34.64,,Percent of Total Billed Charges,4.35,,6.3,49.98,,Percent of Total Billed Charges,4.76,,4.36,11.59,,																																							
HC SEDATION ANESTHESIA PER MIN,370,RC,,,,BOTH, , ,8.4,7.06,7.73,92,,Percent of Total Billed Charges,7.02,,7.73,92,,Percent of Total Billed Charges,6.9,,7.73,92,,Percent of Total Billed Charges,6.76,,7.73,92,,Percent of Total Billed Charges,7.01,,7.73,92,,Percent of Total Billed Charges,6.33,,7.73,92,,Percent of Total Billed Charges,5.25,,7.56,90,,Percent of Total Billed Charges,4.19,,7.48,89,,Percent of Total Billed Charges,4.03,,6.92,82.4,,Percent of Total Billed Charges,6.9,,7.01,83.4,,Percent of Total Billed Charges,6.54,,7.01,83.4,,Percent of Total Billed Charges,5.89,,7.01,83.4,,Percent of Total Billed Charges,6.84,,7.56,90,,Percent of Total Billed Charges,7.11,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,7.73,92,,Percent of Total Billed Charges,6.81,,7.73,92,,Percent of Total Billed Charges,6.25,,7.73,92,,Percent of Total Billed Charges,6.58,,7.73,92,,Percent of Total Billed Charges,6.81,,6.55,78,,Percent of Total Billed Charges,6.55,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4.52,53.83,,Percent of Total Billed Charges,4.24,,2.91,34.64,,Percent of Total Billed Charges,2.9,,4.2,49.98,,Percent of Total Billed Charges,3.18,,2.91,7.73,,																																							
HC INJ FORAMEN EPIDURAL; LUMBAR OR SACRAL ADDON,64484,CPT,,,,BOTH, , ,2090.55,1756.06,1923.31,92,,Percent of Total Billed Charges,1747.7,,1923.31,92,,Percent of Total Billed Charges,1716.34,,1923.31,92,,Percent of Total Billed Charges,1682.89,,1923.31,92,,Percent of Total Billed Charges,1745.61,,1923.31,92,,Percent of Total Billed Charges,1574.18,,1923.31,92,,Percent of Total Billed Charges,1306.59,,1881.5,90,,Percent of Total Billed Charges,1043.18,,1860.59,89,,Percent of Total Billed Charges,1003.46,,1722.61,82.4,,Percent of Total Billed Charges,1718.43,,1743.52,83.4,,Percent of Total Billed Charges,1626.45,,1743.52,83.4,,Percent of Total Billed Charges,1465.48,,1743.52,83.4,,Percent of Total Billed Charges,1701.71,,1881.5,90,,Percent of Total Billed Charges,1770.7,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1923.31,92,,Percent of Total Billed Charges,1695.44,,1923.31,92,,Percent of Total Billed Charges,1555.37,,1923.31,92,,Percent of Total Billed Charges,1636.9,,1923.31,92,,Percent of Total Billed Charges,1695.44,,1630.63,78,,Percent of Total Billed Charges,1630.63,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1125.34,53.83,,Percent of Total Billed Charges,1055.73,,724.17,34.64,,Percent of Total Billed Charges,721.24,,1044.86,49.98,,Percent of Total Billed Charges,790.23,,724.17,1923.31,,																																							
HC ARC RARE UNIT IMPORT  CHRG ONLY,390,RC,,,,BOTH, , ,4064.55,3414.22,3739.39,92,,Percent of Total Billed Charges,3397.96,,3739.39,92,,Percent of Total Billed Charges,3337,,3739.39,92,,Percent of Total Billed Charges,3271.96,,3739.39,92,,Percent of Total Billed Charges,3393.9,,3739.39,92,,Percent of Total Billed Charges,3060.61,,3739.39,92,,Percent of Total Billed Charges,2540.34,,3658.1,90,,Percent of Total Billed Charges,2028.21,,3617.45,89,,Percent of Total Billed Charges,1950.98,,3349.19,82.4,,Percent of Total Billed Charges,3341.06,,3389.83,83.4,,Percent of Total Billed Charges,3162.22,,3389.83,83.4,,Percent of Total Billed Charges,2849.25,,3389.83,83.4,,Percent of Total Billed Charges,3308.54,,3658.1,90,,Percent of Total Billed Charges,3442.67,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3739.39,92,,Percent of Total Billed Charges,3296.35,,3739.39,92,,Percent of Total Billed Charges,3024.03,,3739.39,92,,Percent of Total Billed Charges,3182.54,,3739.39,92,,Percent of Total Billed Charges,3296.35,,3170.35,78,,Percent of Total Billed Charges,3170.35,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2187.95,53.83,,Percent of Total Billed Charges,2052.6,,1407.96,34.64,,Percent of Total Billed Charges,1402.27,,2031.46,49.98,,Percent of Total Billed Charges,1536.4,,1407.96,3739.39,,																																							
HC BLOOD SPLIT UNIT,P9011,CPT,,,,BOTH, , ,355.95,299,327.47,92,,Percent of Total Billed Charges,297.57,,327.47,92,,Percent of Total Billed Charges,292.23,,327.47,92,,Percent of Total Billed Charges,286.54,,327.47,92,,Percent of Total Billed Charges,297.22,,327.47,92,,Percent of Total Billed Charges,268.03,,327.47,92,,Percent of Total Billed Charges,222.47,,320.36,90,,Percent of Total Billed Charges,177.62,,316.8,89,,Percent of Total Billed Charges,170.86,,293.3,82.4,,Percent of Total Billed Charges,292.59,,296.86,83.4,,Percent of Total Billed Charges,276.93,,296.86,83.4,,Percent of Total Billed Charges,249.52,,296.86,83.4,,Percent of Total Billed Charges,289.74,,320.36,90,,Percent of Total Billed Charges,301.49,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,327.47,92,,Percent of Total Billed Charges,288.68,,327.47,92,,Percent of Total Billed Charges,264.83,,327.47,92,,Percent of Total Billed Charges,278.71,,327.47,92,,Percent of Total Billed Charges,288.68,,277.64,78,,Percent of Total Billed Charges,277.64,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,191.61,53.83,,Percent of Total Billed Charges,179.75,,123.3,34.64,,Percent of Total Billed Charges,122.8,,177.9,49.98,,Percent of Total Billed Charges,134.55,,123.30,327.47,,																																							
HC CRYOPRECIPITATE EACH UNIT,P9012,CPT,,,,BOTH, , ,228.9,192.28,210.59,92,,Percent of Total Billed Charges,191.36,,210.59,92,,Percent of Total Billed Charges,187.93,,210.59,92,,Percent of Total Billed Charges,184.26,,210.59,92,,Percent of Total Billed Charges,191.13,,210.59,92,,Percent of Total Billed Charges,172.36,,210.59,92,,Percent of Total Billed Charges,143.06,,206.01,90,,Percent of Total Billed Charges,114.22,,203.72,89,,Percent of Total Billed Charges,109.87,,188.61,82.4,,Percent of Total Billed Charges,188.16,,190.9,83.4,,Percent of Total Billed Charges,178.08,,190.9,83.4,,Percent of Total Billed Charges,160.46,,190.9,83.4,,Percent of Total Billed Charges,186.32,,206.01,90,,Percent of Total Billed Charges,193.88,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,210.59,92,,Percent of Total Billed Charges,185.64,,210.59,92,,Percent of Total Billed Charges,170.3,,210.59,92,,Percent of Total Billed Charges,179.23,,210.59,92,,Percent of Total Billed Charges,185.64,,178.54,78,,Percent of Total Billed Charges,178.54,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,123.22,53.83,,Percent of Total Billed Charges,115.59,,79.29,34.64,,Percent of Total Billed Charges,78.97,,114.4,49.98,,Percent of Total Billed Charges,86.52,,79.29,210.59,,																																							
HC RBC LEUKOCYTES REDUCED,P9016,CPT,,,,BOTH, , ,678.3,569.77,624.04,92,,Percent of Total Billed Charges,567.06,,624.04,92,,Percent of Total Billed Charges,556.88,,624.04,92,,Percent of Total Billed Charges,546.03,,624.04,92,,Percent of Total Billed Charges,566.38,,624.04,92,,Percent of Total Billed Charges,510.76,,624.04,92,,Percent of Total Billed Charges,423.94,,610.47,90,,Percent of Total Billed Charges,338.47,,603.69,89,,Percent of Total Billed Charges,325.58,,558.92,82.4,,Percent of Total Billed Charges,557.56,,565.7,83.4,,Percent of Total Billed Charges,527.72,,565.7,83.4,,Percent of Total Billed Charges,475.49,,565.7,83.4,,Percent of Total Billed Charges,552.14,,610.47,90,,Percent of Total Billed Charges,574.52,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,624.04,92,,Percent of Total Billed Charges,550.1,,624.04,92,,Percent of Total Billed Charges,504.66,,624.04,92,,Percent of Total Billed Charges,531.11,,624.04,92,,Percent of Total Billed Charges,550.1,,529.07,78,,Percent of Total Billed Charges,529.07,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,365.13,53.83,,Percent of Total Billed Charges,342.54,,234.96,34.64,,Percent of Total Billed Charges,234.01,,339.01,49.98,,Percent of Total Billed Charges,256.4,,234.96,624.04,,																																							
HC PLASMA 1 DONOR FRZ W/IN 8 HR,P9017,CPT,,,,BOTH, , ,144.9,121.72,133.31,92,,Percent of Total Billed Charges,121.14,,133.31,92,,Percent of Total Billed Charges,118.96,,133.31,92,,Percent of Total Billed Charges,116.64,,133.31,92,,Percent of Total Billed Charges,120.99,,133.31,92,,Percent of Total Billed Charges,109.11,,133.31,92,,Percent of Total Billed Charges,90.56,,130.41,90,,Percent of Total Billed Charges,72.31,,128.96,89,,Percent of Total Billed Charges,69.55,,119.4,82.4,,Percent of Total Billed Charges,119.11,,120.85,83.4,,Percent of Total Billed Charges,112.73,,120.85,83.4,,Percent of Total Billed Charges,101.57,,120.85,83.4,,Percent of Total Billed Charges,117.95,,130.41,90,,Percent of Total Billed Charges,122.73,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,133.31,92,,Percent of Total Billed Charges,117.51,,133.31,92,,Percent of Total Billed Charges,107.81,,133.31,92,,Percent of Total Billed Charges,113.46,,133.31,92,,Percent of Total Billed Charges,117.51,,113.02,78,,Percent of Total Billed Charges,113.02,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,78,53.83,,Percent of Total Billed Charges,73.17,,50.19,34.64,,Percent of Total Billed Charges,49.99,,72.42,49.98,,Percent of Total Billed Charges,54.77,,50.19,133.31,,																																							
HC PLATELET PHERES LEUKOREDUCED,P9035,CPT,,,,BOTH, , ,1761.9,1480,1620.95,92,,Percent of Total Billed Charges,1472.95,,1620.95,92,,Percent of Total Billed Charges,1446.52,,1620.95,92,,Percent of Total Billed Charges,1418.33,,1620.95,92,,Percent of Total Billed Charges,1471.19,,1620.95,92,,Percent of Total Billed Charges,1326.71,,1620.95,92,,Percent of Total Billed Charges,1101.19,,1585.71,90,,Percent of Total Billed Charges,879.19,,1568.09,89,,Percent of Total Billed Charges,845.71,,1451.81,82.4,,Percent of Total Billed Charges,1448.28,,1469.42,83.4,,Percent of Total Billed Charges,1370.76,,1469.42,83.4,,Percent of Total Billed Charges,1235.09,,1469.42,83.4,,Percent of Total Billed Charges,1434.19,,1585.71,90,,Percent of Total Billed Charges,1492.33,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1620.95,92,,Percent of Total Billed Charges,1428.9,,1620.95,92,,Percent of Total Billed Charges,1310.85,,1620.95,92,,Percent of Total Billed Charges,1379.57,,1620.95,92,,Percent of Total Billed Charges,1428.9,,1374.28,78,,Percent of Total Billed Charges,1374.28,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,948.43,53.83,,Percent of Total Billed Charges,889.76,,610.32,34.64,,Percent of Total Billed Charges,607.86,,880.6,49.98,,Percent of Total Billed Charges,666,,610.32,1620.95,,																																							
HC PLATE PHERES LEUKOREDU IRRAD,P9037,CPT,,,,BOTH, , ,2360.4,1982.74,2171.57,92,,Percent of Total Billed Charges,1973.29,,2171.57,92,,Percent of Total Billed Charges,1937.89,,2171.57,92,,Percent of Total Billed Charges,1900.12,,2171.57,92,,Percent of Total Billed Charges,1970.93,,2171.57,92,,Percent of Total Billed Charges,1777.38,,2171.57,92,,Percent of Total Billed Charges,1475.25,,2124.36,90,,Percent of Total Billed Charges,1177.84,,2100.76,89,,Percent of Total Billed Charges,1132.99,,1944.97,82.4,,Percent of Total Billed Charges,1940.25,,1968.57,83.4,,Percent of Total Billed Charges,1836.39,,1968.57,83.4,,Percent of Total Billed Charges,1654.64,,1968.57,83.4,,Percent of Total Billed Charges,1921.37,,2124.36,90,,Percent of Total Billed Charges,1999.26,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2171.57,92,,Percent of Total Billed Charges,1914.28,,2171.57,92,,Percent of Total Billed Charges,1756.14,,2171.57,92,,Percent of Total Billed Charges,1848.19,,2171.57,92,,Percent of Total Billed Charges,1914.28,,1841.11,78,,Percent of Total Billed Charges,1841.11,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1270.6,53.83,,Percent of Total Billed Charges,1192,,817.64,34.64,,Percent of Total Billed Charges,814.34,,1179.73,49.98,,Percent of Total Billed Charges,892.23,,817.64,2171.57,,																																							
HC RBC LEUKOREDUCED IRRADIATED,P9040,CPT,,,,BOTH, , ,98.7,82.91,90.8,92,,Percent of Total Billed Charges,82.51,,90.8,92,,Percent of Total Billed Charges,81.03,,90.8,92,,Percent of Total Billed Charges,79.45,,90.8,92,,Percent of Total Billed Charges,82.41,,90.8,92,,Percent of Total Billed Charges,74.32,,90.8,92,,Percent of Total Billed Charges,61.69,,88.83,90,,Percent of Total Billed Charges,49.25,,87.84,89,,Percent of Total Billed Charges,47.38,,81.33,82.4,,Percent of Total Billed Charges,81.13,,82.32,83.4,,Percent of Total Billed Charges,76.79,,82.32,83.4,,Percent of Total Billed Charges,69.19,,82.32,83.4,,Percent of Total Billed Charges,80.34,,88.83,90,,Percent of Total Billed Charges,83.6,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,90.8,92,,Percent of Total Billed Charges,80.05,,90.8,92,,Percent of Total Billed Charges,73.43,,90.8,92,,Percent of Total Billed Charges,77.28,,90.8,92,,Percent of Total Billed Charges,80.05,,76.99,78,,Percent of Total Billed Charges,76.99,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,53.13,53.83,,Percent of Total Billed Charges,49.84,,34.19,34.64,,Percent of Total Billed Charges,34.05,,49.33,49.98,,Percent of Total Billed Charges,37.31,,34.19,90.8,,																																							
HC PLATELETS, HLAM, L/R, UNIT,P9052,CPT,,,,BOTH, , ,3534.3,2968.81,3251.56,92,,Percent of Total Billed Charges,2954.67,,3251.56,92,,Percent of Total Billed Charges,2901.66,,3251.56,92,,Percent of Total Billed Charges,2845.11,,3251.56,92,,Percent of Total Billed Charges,2951.14,,3251.56,92,,Percent of Total Billed Charges,2661.33,,3251.56,92,,Percent of Total Billed Charges,2208.94,,3180.87,90,,Percent of Total Billed Charges,1763.62,,3145.53,89,,Percent of Total Billed Charges,1696.46,,2912.26,82.4,,Percent of Total Billed Charges,2905.19,,2947.61,83.4,,Percent of Total Billed Charges,2749.69,,2947.61,83.4,,Percent of Total Billed Charges,2477.54,,2947.61,83.4,,Percent of Total Billed Charges,2876.92,,3180.87,90,,Percent of Total Billed Charges,2993.55,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3251.56,92,,Percent of Total Billed Charges,2866.32,,3251.56,92,,Percent of Total Billed Charges,2629.52,,3251.56,92,,Percent of Total Billed Charges,2767.36,,3251.56,92,,Percent of Total Billed Charges,2866.32,,2756.75,78,,Percent of Total Billed Charges,2756.75,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1902.51,53.83,,Percent of Total Billed Charges,1784.82,,1224.28,34.64,,Percent of Total Billed Charges,1219.33,,1766.44,49.98,,Percent of Total Billed Charges,1335.97,,1224.28,3251.56,,																																							
HC PLASMA, FRZ BETWEEN 824HOUR,P9059,CPT,,,,BOTH, , ,244.65,205.51,225.08,92,,Percent of Total Billed Charges,204.53,,225.08,92,,Percent of Total Billed Charges,200.86,,225.08,92,,Percent of Total Billed Charges,196.94,,225.08,92,,Percent of Total Billed Charges,204.28,,225.08,92,,Percent of Total Billed Charges,184.22,,225.08,92,,Percent of Total Billed Charges,152.91,,220.19,90,,Percent of Total Billed Charges,122.08,,217.74,89,,Percent of Total Billed Charges,117.43,,201.59,82.4,,Percent of Total Billed Charges,201.1,,204.04,83.4,,Percent of Total Billed Charges,190.34,,204.04,83.4,,Percent of Total Billed Charges,171.5,,204.04,83.4,,Percent of Total Billed Charges,199.15,,220.19,90,,Percent of Total Billed Charges,207.22,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,225.08,92,,Percent of Total Billed Charges,198.41,,225.08,92,,Percent of Total Billed Charges,182.02,,225.08,92,,Percent of Total Billed Charges,191.56,,225.08,92,,Percent of Total Billed Charges,198.41,,190.83,78,,Percent of Total Billed Charges,190.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,131.7,53.83,,Percent of Total Billed Charges,123.55,,84.75,34.64,,Percent of Total Billed Charges,84.4,,122.28,49.98,,Percent of Total Billed Charges,92.48,,84.75,225.08,,																																							
HC PLATELETS PHERESIS PATH REDU,P9073,CPT,,,,BOTH, , ,2365.65,1987.15,2176.4,92,,Percent of Total Billed Charges,1977.68,,2176.4,92,,Percent of Total Billed Charges,1942.2,,2176.4,92,,Percent of Total Billed Charges,1904.35,,2176.4,92,,Percent of Total Billed Charges,1975.32,,2176.4,92,,Percent of Total Billed Charges,1781.33,,2176.4,92,,Percent of Total Billed Charges,1478.53,,2129.09,90,,Percent of Total Billed Charges,1180.46,,2105.43,89,,Percent of Total Billed Charges,1135.51,,1949.3,82.4,,Percent of Total Billed Charges,1944.56,,1972.95,83.4,,Percent of Total Billed Charges,1840.48,,1972.95,83.4,,Percent of Total Billed Charges,1658.32,,1972.95,83.4,,Percent of Total Billed Charges,1925.64,,2129.09,90,,Percent of Total Billed Charges,2003.71,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2176.4,92,,Percent of Total Billed Charges,1918.54,,2176.4,92,,Percent of Total Billed Charges,1760.04,,2176.4,92,,Percent of Total Billed Charges,1852.3,,2176.4,92,,Percent of Total Billed Charges,1918.54,,1845.21,78,,Percent of Total Billed Charges,1845.21,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1273.43,53.83,,Percent of Total Billed Charges,1194.65,,819.46,34.64,,Percent of Total Billed Charges,816.15,,1182.35,49.98,,Percent of Total Billed Charges,894.22,,819.46,2176.4,,																																							
HC ADMINISTRATION OF BLOOD,36430,CPT,,,,BOTH, , ,1040.55,874.06,957.31,92,,Percent of Total Billed Charges,869.9,,957.31,92,,Percent of Total Billed Charges,854.29,,957.31,92,,Percent of Total Billed Charges,837.64,,957.31,92,,Percent of Total Billed Charges,868.86,,957.31,92,,Percent of Total Billed Charges,783.53,,957.31,92,,Percent of Total Billed Charges,650.34,,936.5,90,,Percent of Total Billed Charges,519.23,,926.09,89,,Percent of Total Billed Charges,499.46,,857.41,82.4,,Percent of Total Billed Charges,855.33,,867.82,83.4,,Percent of Total Billed Charges,809.55,,867.82,83.4,,Percent of Total Billed Charges,729.43,,867.82,83.4,,Percent of Total Billed Charges,847.01,,936.5,90,,Percent of Total Billed Charges,881.35,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,957.31,92,,Percent of Total Billed Charges,843.89,,957.31,92,,Percent of Total Billed Charges,774.17,,957.31,92,,Percent of Total Billed Charges,814.75,,957.31,92,,Percent of Total Billed Charges,843.89,,811.63,78,,Percent of Total Billed Charges,811.63,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,560.13,53.83,,Percent of Total Billed Charges,525.48,,360.45,34.64,,Percent of Total Billed Charges,358.99,,520.07,49.98,,Percent of Total Billed Charges,393.33,,360.45,957.31,,																																							
HC MAMMO DIAGNOSTIC BILATERAL,77066,CPT,,,,BOTH, , ,96.6,81.14,88.87,92,,Percent of Total Billed Charges,80.76,,88.87,92,,Percent of Total Billed Charges,79.31,,88.87,92,,Percent of Total Billed Charges,77.76,,88.87,92,,Percent of Total Billed Charges,80.66,,88.87,92,,Percent of Total Billed Charges,72.74,,88.87,92,,Percent of Total Billed Charges,60.38,,86.94,90,,Percent of Total Billed Charges,48.2,,85.97,89,,Percent of Total Billed Charges,46.37,,79.6,82.4,,Percent of Total Billed Charges,79.41,,80.56,83.4,,Percent of Total Billed Charges,75.15,,80.56,83.4,,Percent of Total Billed Charges,67.72,,80.56,83.4,,Percent of Total Billed Charges,78.63,,86.94,90,,Percent of Total Billed Charges,81.82,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,88.87,92,,Percent of Total Billed Charges,78.34,,88.87,92,,Percent of Total Billed Charges,71.87,,88.87,92,,Percent of Total Billed Charges,75.64,,88.87,92,,Percent of Total Billed Charges,78.34,,75.35,78,,Percent of Total Billed Charges,75.35,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,52,53.83,,Percent of Total Billed Charges,48.78,,33.46,34.64,,Percent of Total Billed Charges,33.33,,48.28,49.98,,Percent of Total Billed Charges,36.51,,33.46,88.87,,																																							
HC SFL MAMMO DIAG BILATERAL,77066,CPT,,,,BOTH, , ,142.8,119.95,131.38,92,,Percent of Total Billed Charges,119.38,,131.38,92,,Percent of Total Billed Charges,117.24,,131.38,92,,Percent of Total Billed Charges,114.95,,131.38,92,,Percent of Total Billed Charges,119.24,,131.38,92,,Percent of Total Billed Charges,107.53,,131.38,92,,Percent of Total Billed Charges,89.25,,128.52,90,,Percent of Total Billed Charges,71.26,,127.09,89,,Percent of Total Billed Charges,68.54,,117.67,82.4,,Percent of Total Billed Charges,117.38,,119.1,83.4,,Percent of Total Billed Charges,111.1,,119.1,83.4,,Percent of Total Billed Charges,100.1,,119.1,83.4,,Percent of Total Billed Charges,116.24,,128.52,90,,Percent of Total Billed Charges,120.95,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,131.38,92,,Percent of Total Billed Charges,115.81,,131.38,92,,Percent of Total Billed Charges,106.24,,131.38,92,,Percent of Total Billed Charges,111.81,,131.38,92,,Percent of Total Billed Charges,115.81,,111.38,78,,Percent of Total Billed Charges,111.38,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,76.87,53.83,,Percent of Total Billed Charges,72.11,,49.47,34.64,,Percent of Total Billed Charges,49.27,,71.37,49.98,,Percent of Total Billed Charges,53.98,,49.47,131.38,,																																							
HC MAMMO DIAGNOSTIC UNILATERAL,77065,CPT,,,,BOTH, , ,783.3,657.97,720.64,92,,Percent of Total Billed Charges,654.84,,720.64,92,,Percent of Total Billed Charges,643.09,,720.64,92,,Percent of Total Billed Charges,630.56,,720.64,92,,Percent of Total Billed Charges,654.06,,720.64,92,,Percent of Total Billed Charges,589.82,,720.64,92,,Percent of Total Billed Charges,489.56,,704.97,90,,Percent of Total Billed Charges,390.87,,697.14,89,,Percent of Total Billed Charges,375.98,,645.44,82.4,,Percent of Total Billed Charges,643.87,,653.27,83.4,,Percent of Total Billed Charges,609.41,,653.27,83.4,,Percent of Total Billed Charges,549.09,,653.27,83.4,,Percent of Total Billed Charges,637.61,,704.97,90,,Percent of Total Billed Charges,663.46,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,720.64,92,,Percent of Total Billed Charges,635.26,,720.64,92,,Percent of Total Billed Charges,582.78,,720.64,92,,Percent of Total Billed Charges,613.32,,720.64,92,,Percent of Total Billed Charges,635.26,,610.97,78,,Percent of Total Billed Charges,610.97,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,421.65,53.83,,Percent of Total Billed Charges,395.57,,271.34,34.64,,Percent of Total Billed Charges,270.24,,391.49,49.98,,Percent of Total Billed Charges,296.09,,271.34,720.64,,																																							
HC SFL MAMMO DIAGNOSTIC UNILATERAL,77065,CPT,,,,BOTH, , ,112.35,94.37,103.36,92,,Percent of Total Billed Charges,93.92,,103.36,92,,Percent of Total Billed Charges,92.24,,103.36,92,,Percent of Total Billed Charges,90.44,,103.36,92,,Percent of Total Billed Charges,93.81,,103.36,92,,Percent of Total Billed Charges,84.6,,103.36,92,,Percent of Total Billed Charges,70.22,,101.12,90,,Percent of Total Billed Charges,56.06,,99.99,89,,Percent of Total Billed Charges,53.93,,92.58,82.4,,Percent of Total Billed Charges,92.35,,93.7,83.4,,Percent of Total Billed Charges,87.41,,93.7,83.4,,Percent of Total Billed Charges,78.76,,93.7,83.4,,Percent of Total Billed Charges,91.45,,101.12,90,,Percent of Total Billed Charges,95.16,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,103.36,92,,Percent of Total Billed Charges,91.12,,103.36,92,,Percent of Total Billed Charges,83.59,,103.36,92,,Percent of Total Billed Charges,87.97,,103.36,92,,Percent of Total Billed Charges,91.12,,87.63,78,,Percent of Total Billed Charges,87.63,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,60.48,53.83,,Percent of Total Billed Charges,56.74,,38.92,34.64,,Percent of Total Billed Charges,38.76,,56.15,49.98,,Percent of Total Billed Charges,42.47,,38.92,103.36,,																																							
HC DIAGNOSTIC BREAST TOMOSYNTHESIS UNILATERAL,77061,CPT,,,,BOTH, , ,48.3,40.57,44.44,92,,Percent of Total Billed Charges,40.38,,44.44,92,,Percent of Total Billed Charges,39.65,,44.44,92,,Percent of Total Billed Charges,38.88,,44.44,92,,Percent of Total Billed Charges,40.33,,44.44,92,,Percent of Total Billed Charges,36.37,,44.44,92,,Percent of Total Billed Charges,30.19,,43.47,90,,Percent of Total Billed Charges,24.1,,42.99,89,,Percent of Total Billed Charges,23.18,,39.8,82.4,,Percent of Total Billed Charges,39.7,,40.28,83.4,,Percent of Total Billed Charges,37.58,,40.28,83.4,,Percent of Total Billed Charges,33.86,,40.28,83.4,,Percent of Total Billed Charges,39.32,,43.47,90,,Percent of Total Billed Charges,40.91,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,44.44,92,,Percent of Total Billed Charges,39.17,,44.44,92,,Percent of Total Billed Charges,35.94,,44.44,92,,Percent of Total Billed Charges,37.82,,44.44,92,,Percent of Total Billed Charges,39.17,,37.67,78,,Percent of Total Billed Charges,37.67,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,26,53.83,,Percent of Total Billed Charges,24.39,,16.73,34.64,,Percent of Total Billed Charges,16.66,,24.14,49.98,,Percent of Total Billed Charges,18.26,,16.73,44.44,,																																							
HC DIAGNOSTIC BREAST TOMOSYNTHESIS BILATERAL,77062,CPT,,,,BOTH, , ,96.6,81.14,88.87,92,,Percent of Total Billed Charges,80.76,,88.87,92,,Percent of Total Billed Charges,79.31,,88.87,92,,Percent of Total Billed Charges,77.76,,88.87,92,,Percent of Total Billed Charges,80.66,,88.87,92,,Percent of Total Billed Charges,72.74,,88.87,92,,Percent of Total Billed Charges,60.38,,86.94,90,,Percent of Total Billed Charges,48.2,,85.97,89,,Percent of Total Billed Charges,46.37,,79.6,82.4,,Percent of Total Billed Charges,79.41,,80.56,83.4,,Percent of Total Billed Charges,75.15,,80.56,83.4,,Percent of Total Billed Charges,67.72,,80.56,83.4,,Percent of Total Billed Charges,78.63,,86.94,90,,Percent of Total Billed Charges,81.82,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,88.87,92,,Percent of Total Billed Charges,78.34,,88.87,92,,Percent of Total Billed Charges,71.87,,88.87,92,,Percent of Total Billed Charges,75.64,,88.87,92,,Percent of Total Billed Charges,78.34,,75.35,78,,Percent of Total Billed Charges,75.35,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,52,53.83,,Percent of Total Billed Charges,48.78,,33.46,34.64,,Percent of Total Billed Charges,33.33,,48.28,49.98,,Percent of Total Billed Charges,36.51,,33.46,88.87,,																																							
HC MAMMARY DUCTOGRAM OR GALACTOGRAM SINGLE,77053,CPT,,,,BOTH, , ,1014.3,852.01,933.16,92,,Percent of Total Billed Charges,847.95,,933.16,92,,Percent of Total Billed Charges,832.74,,933.16,92,,Percent of Total Billed Charges,816.51,,933.16,92,,Percent of Total Billed Charges,846.94,,933.16,92,,Percent of Total Billed Charges,763.77,,933.16,92,,Percent of Total Billed Charges,633.94,,912.87,90,,Percent of Total Billed Charges,506.14,,902.73,89,,Percent of Total Billed Charges,486.86,,835.78,82.4,,Percent of Total Billed Charges,833.75,,845.93,83.4,,Percent of Total Billed Charges,789.13,,845.93,83.4,,Percent of Total Billed Charges,711.02,,845.93,83.4,,Percent of Total Billed Charges,825.64,,912.87,90,,Percent of Total Billed Charges,859.11,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,933.16,92,,Percent of Total Billed Charges,822.6,,933.16,92,,Percent of Total Billed Charges,754.64,,933.16,92,,Percent of Total Billed Charges,794.2,,933.16,92,,Percent of Total Billed Charges,822.6,,791.15,78,,Percent of Total Billed Charges,791.15,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,546,53.83,,Percent of Total Billed Charges,512.22,,351.35,34.64,,Percent of Total Billed Charges,349.93,,506.95,49.98,,Percent of Total Billed Charges,383.41,,351.35,933.16,,																																							
HC MAMMARY DUCTOGRAM OR GALACTOGRAM MULTIPLE,77054,CPT,,,,BOTH, , ,1014.3,852.01,933.16,92,,Percent of Total Billed Charges,847.95,,933.16,92,,Percent of Total Billed Charges,832.74,,933.16,92,,Percent of Total Billed Charges,816.51,,933.16,92,,Percent of Total Billed Charges,846.94,,933.16,92,,Percent of Total Billed Charges,763.77,,933.16,92,,Percent of Total Billed Charges,633.94,,912.87,90,,Percent of Total Billed Charges,506.14,,902.73,89,,Percent of Total Billed Charges,486.86,,835.78,82.4,,Percent of Total Billed Charges,833.75,,845.93,83.4,,Percent of Total Billed Charges,789.13,,845.93,83.4,,Percent of Total Billed Charges,711.02,,845.93,83.4,,Percent of Total Billed Charges,825.64,,912.87,90,,Percent of Total Billed Charges,859.11,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,933.16,92,,Percent of Total Billed Charges,822.6,,933.16,92,,Percent of Total Billed Charges,754.64,,933.16,92,,Percent of Total Billed Charges,794.2,,933.16,92,,Percent of Total Billed Charges,822.6,,791.15,78,,Percent of Total Billed Charges,791.15,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,546,53.83,,Percent of Total Billed Charges,512.22,,351.35,34.64,,Percent of Total Billed Charges,349.93,,506.95,49.98,,Percent of Total Billed Charges,383.41,,351.35,933.16,,																																							
HC INJECTION MAMMARY DUCTOGRAM/GALACTOGRAM,19030,CPT,,,,BOTH, , ,38.85,32.63,35.74,92,,Percent of Total Billed Charges,32.48,,35.74,92,,Percent of Total Billed Charges,31.9,,35.74,92,,Percent of Total Billed Charges,31.27,,35.74,92,,Percent of Total Billed Charges,32.44,,35.74,92,,Percent of Total Billed Charges,29.25,,35.74,92,,Percent of Total Billed Charges,24.28,,34.97,90,,Percent of Total Billed Charges,19.39,,34.58,89,,Percent of Total Billed Charges,18.65,,32.01,82.4,,Percent of Total Billed Charges,31.93,,32.4,83.4,,Percent of Total Billed Charges,30.23,,32.4,83.4,,Percent of Total Billed Charges,27.23,,32.4,83.4,,Percent of Total Billed Charges,31.62,,34.97,90,,Percent of Total Billed Charges,32.91,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,35.74,92,,Percent of Total Billed Charges,31.51,,35.74,92,,Percent of Total Billed Charges,28.9,,35.74,92,,Percent of Total Billed Charges,30.42,,35.74,92,,Percent of Total Billed Charges,31.51,,30.3,78,,Percent of Total Billed Charges,30.3,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,20.91,53.83,,Percent of Total Billed Charges,19.62,,13.46,34.64,,Percent of Total Billed Charges,13.4,,19.42,49.98,,Percent of Total Billed Charges,14.69,,13.46,35.74,,																																							
HC DRAIN/INJ INTERMEDIATE JOINT/BURSA W/O US,20605,CPT,,,,BOTH, , ,1181.25,992.25,1086.75,92,,Percent of Total Billed Charges,987.53,,1086.75,92,,Percent of Total Billed Charges,969.81,,1086.75,92,,Percent of Total Billed Charges,950.91,,1086.75,92,,Percent of Total Billed Charges,986.34,,1086.75,92,,Percent of Total Billed Charges,889.48,,1086.75,92,,Percent of Total Billed Charges,738.28,,1063.13,90,,Percent of Total Billed Charges,589.44,,1051.31,89,,Percent of Total Billed Charges,567,,973.35,82.4,,Percent of Total Billed Charges,970.99,,985.16,83.4,,Percent of Total Billed Charges,919.01,,985.16,83.4,,Percent of Total Billed Charges,828.06,,985.16,83.4,,Percent of Total Billed Charges,961.54,,1063.13,90,,Percent of Total Billed Charges,1000.52,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1086.75,92,,Percent of Total Billed Charges,957.99,,1086.75,92,,Percent of Total Billed Charges,878.85,,1086.75,92,,Percent of Total Billed Charges,924.92,,1086.75,92,,Percent of Total Billed Charges,957.99,,921.38,78,,Percent of Total Billed Charges,921.38,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,635.87,53.83,,Percent of Total Billed Charges,596.53,,409.19,34.64,,Percent of Total Billed Charges,407.53,,590.39,49.98,,Percent of Total Billed Charges,446.51,,409.19,1086.75,,																																							
HC GUIDE DRAINAGE ABSCESS,75989,CPT,,,,BOTH, , ,245.7,206.39,226.04,92,,Percent of Total Billed Charges,205.41,,226.04,92,,Percent of Total Billed Charges,201.72,,226.04,92,,Percent of Total Billed Charges,197.79,,226.04,92,,Percent of Total Billed Charges,205.16,,226.04,92,,Percent of Total Billed Charges,185.01,,226.04,92,,Percent of Total Billed Charges,153.56,,221.13,90,,Percent of Total Billed Charges,122.6,,218.67,89,,Percent of Total Billed Charges,117.94,,202.46,82.4,,Percent of Total Billed Charges,201.97,,204.91,83.4,,Percent of Total Billed Charges,191.15,,204.91,83.4,,Percent of Total Billed Charges,172.24,,204.91,83.4,,Percent of Total Billed Charges,200,,221.13,90,,Percent of Total Billed Charges,208.11,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,226.04,92,,Percent of Total Billed Charges,199.26,,226.04,92,,Percent of Total Billed Charges,182.8,,226.04,92,,Percent of Total Billed Charges,192.38,,226.04,92,,Percent of Total Billed Charges,199.26,,191.65,78,,Percent of Total Billed Charges,191.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,132.26,53.83,,Percent of Total Billed Charges,124.08,,85.11,34.64,,Percent of Total Billed Charges,84.77,,122.8,49.98,,Percent of Total Billed Charges,92.87,,85.11,226.04,,																																							
HC XRAY EXAM SURGICAL SPECIMEN,76098,CPT,,,,BOTH, , ,1424.85,1196.87,1310.86,92,,Percent of Total Billed Charges,1191.17,,1310.86,92,,Percent of Total Billed Charges,1169.8,,1310.86,92,,Percent of Total Billed Charges,1147,,1310.86,92,,Percent of Total Billed Charges,1189.75,,1310.86,92,,Percent of Total Billed Charges,1072.91,,1310.86,92,,Percent of Total Billed Charges,890.53,,1282.37,90,,Percent of Total Billed Charges,711,,1268.12,89,,Percent of Total Billed Charges,683.93,,1174.08,82.4,,Percent of Total Billed Charges,1171.23,,1188.32,83.4,,Percent of Total Billed Charges,1108.53,,1188.32,83.4,,Percent of Total Billed Charges,998.82,,1188.32,83.4,,Percent of Total Billed Charges,1159.83,,1282.37,90,,Percent of Total Billed Charges,1206.85,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1310.86,92,,Percent of Total Billed Charges,1155.55,,1310.86,92,,Percent of Total Billed Charges,1060.09,,1310.86,92,,Percent of Total Billed Charges,1115.66,,1310.86,92,,Percent of Total Billed Charges,1155.55,,1111.38,78,,Percent of Total Billed Charges,1111.38,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,767,53.83,,Percent of Total Billed Charges,719.55,,493.57,34.64,,Percent of Total Billed Charges,491.57,,712.14,49.98,,Percent of Total Billed Charges,538.59,,493.57,1310.86,,																																							
HC ECHOENPHARLOGRAPHY EXAM OF HEAD,76506,CPT,,,,BOTH, , ,833.7,700.31,767,92,,Percent of Total Billed Charges,696.97,,767,92,,Percent of Total Billed Charges,684.47,,767,92,,Percent of Total Billed Charges,671.13,,767,92,,Percent of Total Billed Charges,696.14,,767,92,,Percent of Total Billed Charges,627.78,,767,92,,Percent of Total Billed Charges,521.06,,750.33,90,,Percent of Total Billed Charges,416.02,,741.99,89,,Percent of Total Billed Charges,400.18,,686.97,82.4,,Percent of Total Billed Charges,685.3,,695.31,83.4,,Percent of Total Billed Charges,648.62,,695.31,83.4,,Percent of Total Billed Charges,584.42,,695.31,83.4,,Percent of Total Billed Charges,678.63,,750.33,90,,Percent of Total Billed Charges,706.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,767,92,,Percent of Total Billed Charges,676.13,,767,92,,Percent of Total Billed Charges,620.27,,767,92,,Percent of Total Billed Charges,652.79,,767,92,,Percent of Total Billed Charges,676.13,,650.29,78,,Percent of Total Billed Charges,650.29,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,448.78,53.83,,Percent of Total Billed Charges,421.02,,288.79,34.64,,Percent of Total Billed Charges,287.63,,416.68,49.98,,Percent of Total Billed Charges,315.14,,288.79,767,,																																							
HC US HEAD & NECK SOFT TISSUE,76536,CPT,,,,BOTH, , ,74.55,62.62,68.59,92,,Percent of Total Billed Charges,62.32,,68.59,92,,Percent of Total Billed Charges,61.21,,68.59,92,,Percent of Total Billed Charges,60.01,,68.59,92,,Percent of Total Billed Charges,62.25,,68.59,92,,Percent of Total Billed Charges,56.14,,68.59,92,,Percent of Total Billed Charges,46.59,,67.1,90,,Percent of Total Billed Charges,37.2,,66.35,89,,Percent of Total Billed Charges,35.78,,61.43,82.4,,Percent of Total Billed Charges,61.28,,62.17,83.4,,Percent of Total Billed Charges,58,,62.17,83.4,,Percent of Total Billed Charges,52.26,,62.17,83.4,,Percent of Total Billed Charges,60.68,,67.1,90,,Percent of Total Billed Charges,63.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,68.59,92,,Percent of Total Billed Charges,60.46,,68.59,92,,Percent of Total Billed Charges,55.47,,68.59,92,,Percent of Total Billed Charges,58.37,,68.59,92,,Percent of Total Billed Charges,60.46,,58.15,78,,Percent of Total Billed Charges,58.15,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,40.13,53.83,,Percent of Total Billed Charges,37.65,,25.82,34.64,,Percent of Total Billed Charges,25.72,,37.26,49.98,,Percent of Total Billed Charges,28.18,,25.82,68.59,,																																							
HC US EXAM CHEST,76604,CPT,,,,BOTH, , ,723.45,607.7,665.57,92,,Percent of Total Billed Charges,604.8,,665.57,92,,Percent of Total Billed Charges,593.95,,665.57,92,,Percent of Total Billed Charges,582.38,,665.57,92,,Percent of Total Billed Charges,604.08,,665.57,92,,Percent of Total Billed Charges,544.76,,665.57,92,,Percent of Total Billed Charges,452.16,,651.11,90,,Percent of Total Billed Charges,361,,643.87,89,,Percent of Total Billed Charges,347.26,,596.12,82.4,,Percent of Total Billed Charges,594.68,,603.36,83.4,,Percent of Total Billed Charges,562.84,,603.36,83.4,,Percent of Total Billed Charges,507.14,,603.36,83.4,,Percent of Total Billed Charges,588.89,,651.11,90,,Percent of Total Billed Charges,612.76,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,665.57,92,,Percent of Total Billed Charges,586.72,,665.57,92,,Percent of Total Billed Charges,538.25,,665.57,92,,Percent of Total Billed Charges,566.46,,665.57,92,,Percent of Total Billed Charges,586.72,,564.29,78,,Percent of Total Billed Charges,564.29,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,389.43,53.83,,Percent of Total Billed Charges,365.34,,250.6,34.64,,Percent of Total Billed Charges,249.59,,361.58,49.98,,Percent of Total Billed Charges,273.46,,250.60,665.57,,																																							
HC US BREAST COMPLETE,76641,CPT,,,,BOTH, , ,709.8,596.23,653.02,92,,Percent of Total Billed Charges,593.39,,653.02,92,,Percent of Total Billed Charges,582.75,,653.02,92,,Percent of Total Billed Charges,571.39,,653.02,92,,Percent of Total Billed Charges,592.68,,653.02,92,,Percent of Total Billed Charges,534.48,,653.02,92,,Percent of Total Billed Charges,443.63,,638.82,90,,Percent of Total Billed Charges,354.19,,631.72,89,,Percent of Total Billed Charges,340.7,,584.88,82.4,,Percent of Total Billed Charges,583.46,,591.97,83.4,,Percent of Total Billed Charges,552.22,,591.97,83.4,,Percent of Total Billed Charges,497.57,,591.97,83.4,,Percent of Total Billed Charges,577.78,,638.82,90,,Percent of Total Billed Charges,601.2,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,653.02,92,,Percent of Total Billed Charges,575.65,,653.02,92,,Percent of Total Billed Charges,528.09,,653.02,92,,Percent of Total Billed Charges,555.77,,653.02,92,,Percent of Total Billed Charges,575.65,,553.64,78,,Percent of Total Billed Charges,553.64,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,382.09,53.83,,Percent of Total Billed Charges,358.45,,245.87,34.64,,Percent of Total Billed Charges,244.88,,354.76,49.98,,Percent of Total Billed Charges,268.3,,245.87,653.02,,																																							
HC US BREAST LIMITED,76642,CPT,,,,BOTH, , ,709.8,596.23,653.02,92,,Percent of Total Billed Charges,593.39,,653.02,92,,Percent of Total Billed Charges,582.75,,653.02,92,,Percent of Total Billed Charges,571.39,,653.02,92,,Percent of Total Billed Charges,592.68,,653.02,92,,Percent of Total Billed Charges,534.48,,653.02,92,,Percent of Total Billed Charges,443.63,,638.82,90,,Percent of Total Billed Charges,354.19,,631.72,89,,Percent of Total Billed Charges,340.7,,584.88,82.4,,Percent of Total Billed Charges,583.46,,591.97,83.4,,Percent of Total Billed Charges,552.22,,591.97,83.4,,Percent of Total Billed Charges,497.57,,591.97,83.4,,Percent of Total Billed Charges,577.78,,638.82,90,,Percent of Total Billed Charges,601.2,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,653.02,92,,Percent of Total Billed Charges,575.65,,653.02,92,,Percent of Total Billed Charges,528.09,,653.02,92,,Percent of Total Billed Charges,555.77,,653.02,92,,Percent of Total Billed Charges,575.65,,553.64,78,,Percent of Total Billed Charges,553.64,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,382.09,53.83,,Percent of Total Billed Charges,358.45,,245.87,34.64,,Percent of Total Billed Charges,244.88,,354.76,49.98,,Percent of Total Billed Charges,268.3,,245.87,653.02,,																																							
HC ABDOMINAL COMPLETE,76700,CPT,,,,BOTH, , ,1300.95,1092.8,1196.87,92,,Percent of Total Billed Charges,1087.59,,1196.87,92,,Percent of Total Billed Charges,1068.08,,1196.87,92,,Percent of Total Billed Charges,1047.26,,1196.87,92,,Percent of Total Billed Charges,1086.29,,1196.87,92,,Percent of Total Billed Charges,979.62,,1196.87,92,,Percent of Total Billed Charges,813.09,,1170.86,90,,Percent of Total Billed Charges,649.17,,1157.85,89,,Percent of Total Billed Charges,624.46,,1071.98,82.4,,Percent of Total Billed Charges,1069.38,,1084.99,83.4,,Percent of Total Billed Charges,1012.14,,1084.99,83.4,,Percent of Total Billed Charges,911.97,,1084.99,83.4,,Percent of Total Billed Charges,1058.97,,1170.86,90,,Percent of Total Billed Charges,1101.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1196.87,92,,Percent of Total Billed Charges,1055.07,,1196.87,92,,Percent of Total Billed Charges,967.91,,1196.87,92,,Percent of Total Billed Charges,1018.64,,1196.87,92,,Percent of Total Billed Charges,1055.07,,1014.74,78,,Percent of Total Billed Charges,1014.74,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,700.3,53.83,,Percent of Total Billed Charges,656.98,,450.65,34.64,,Percent of Total Billed Charges,448.83,,650.21,49.98,,Percent of Total Billed Charges,491.76,,450.65,1196.87,,																																							
HC ECHO EXAM OF ABDOMEN LIMITED,76705,CPT,,,,BOTH, , ,1300.95,1092.8,1196.87,92,,Percent of Total Billed Charges,1087.59,,1196.87,92,,Percent of Total Billed Charges,1068.08,,1196.87,92,,Percent of Total Billed Charges,1047.26,,1196.87,92,,Percent of Total Billed Charges,1086.29,,1196.87,92,,Percent of Total Billed Charges,979.62,,1196.87,92,,Percent of Total Billed Charges,813.09,,1170.86,90,,Percent of Total Billed Charges,649.17,,1157.85,89,,Percent of Total Billed Charges,624.46,,1071.98,82.4,,Percent of Total Billed Charges,1069.38,,1084.99,83.4,,Percent of Total Billed Charges,1012.14,,1084.99,83.4,,Percent of Total Billed Charges,911.97,,1084.99,83.4,,Percent of Total Billed Charges,1058.97,,1170.86,90,,Percent of Total Billed Charges,1101.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1196.87,92,,Percent of Total Billed Charges,1055.07,,1196.87,92,,Percent of Total Billed Charges,967.91,,1196.87,92,,Percent of Total Billed Charges,1018.64,,1196.87,92,,Percent of Total Billed Charges,1055.07,,1014.74,78,,Percent of Total Billed Charges,1014.74,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,700.3,53.83,,Percent of Total Billed Charges,656.98,,450.65,34.64,,Percent of Total Billed Charges,448.83,,650.21,49.98,,Percent of Total Billed Charges,491.76,,450.65,1196.87,,																																							
HC RETROPERITONEAL COMPLETE,76770,CPT,,,,BOTH, , ,1300.95,1092.8,1196.87,92,,Percent of Total Billed Charges,1087.59,,1196.87,92,,Percent of Total Billed Charges,1068.08,,1196.87,92,,Percent of Total Billed Charges,1047.26,,1196.87,92,,Percent of Total Billed Charges,1086.29,,1196.87,92,,Percent of Total Billed Charges,979.62,,1196.87,92,,Percent of Total Billed Charges,813.09,,1170.86,90,,Percent of Total Billed Charges,649.17,,1157.85,89,,Percent of Total Billed Charges,624.46,,1071.98,82.4,,Percent of Total Billed Charges,1069.38,,1084.99,83.4,,Percent of Total Billed Charges,1012.14,,1084.99,83.4,,Percent of Total Billed Charges,911.97,,1084.99,83.4,,Percent of Total Billed Charges,1058.97,,1170.86,90,,Percent of Total Billed Charges,1101.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1196.87,92,,Percent of Total Billed Charges,1055.07,,1196.87,92,,Percent of Total Billed Charges,967.91,,1196.87,92,,Percent of Total Billed Charges,1018.64,,1196.87,92,,Percent of Total Billed Charges,1055.07,,1014.74,78,,Percent of Total Billed Charges,1014.74,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,700.3,53.83,,Percent of Total Billed Charges,656.98,,450.65,34.64,,Percent of Total Billed Charges,448.83,,650.21,49.98,,Percent of Total Billed Charges,491.76,,450.65,1196.87,,																																							
HC RETROPERITONEAL LIMITED,76775,CPT,,,,BOTH, , ,1300.95,1092.8,1196.87,92,,Percent of Total Billed Charges,1087.59,,1196.87,92,,Percent of Total Billed Charges,1068.08,,1196.87,92,,Percent of Total Billed Charges,1047.26,,1196.87,92,,Percent of Total Billed Charges,1086.29,,1196.87,92,,Percent of Total Billed Charges,979.62,,1196.87,92,,Percent of Total Billed Charges,813.09,,1170.86,90,,Percent of Total Billed Charges,649.17,,1157.85,89,,Percent of Total Billed Charges,624.46,,1071.98,82.4,,Percent of Total Billed Charges,1069.38,,1084.99,83.4,,Percent of Total Billed Charges,1012.14,,1084.99,83.4,,Percent of Total Billed Charges,911.97,,1084.99,83.4,,Percent of Total Billed Charges,1058.97,,1170.86,90,,Percent of Total Billed Charges,1101.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1196.87,92,,Percent of Total Billed Charges,1055.07,,1196.87,92,,Percent of Total Billed Charges,967.91,,1196.87,92,,Percent of Total Billed Charges,1018.64,,1196.87,92,,Percent of Total Billed Charges,1055.07,,1014.74,78,,Percent of Total Billed Charges,1014.74,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,700.3,53.83,,Percent of Total Billed Charges,656.98,,450.65,34.64,,Percent of Total Billed Charges,448.83,,650.21,49.98,,Percent of Total Billed Charges,491.76,,450.65,1196.87,,																																							
HC KIDNEY TRANSPLANT W/DOPPLER,76776,CPT,,,,BOTH, , ,1300.95,1092.8,1196.87,92,,Percent of Total Billed Charges,1087.59,,1196.87,92,,Percent of Total Billed Charges,1068.08,,1196.87,92,,Percent of Total Billed Charges,1047.26,,1196.87,92,,Percent of Total Billed Charges,1086.29,,1196.87,92,,Percent of Total Billed Charges,979.62,,1196.87,92,,Percent of Total Billed Charges,813.09,,1170.86,90,,Percent of Total Billed Charges,649.17,,1157.85,89,,Percent of Total Billed Charges,624.46,,1071.98,82.4,,Percent of Total Billed Charges,1069.38,,1084.99,83.4,,Percent of Total Billed Charges,1012.14,,1084.99,83.4,,Percent of Total Billed Charges,911.97,,1084.99,83.4,,Percent of Total Billed Charges,1058.97,,1170.86,90,,Percent of Total Billed Charges,1101.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1196.87,92,,Percent of Total Billed Charges,1055.07,,1196.87,92,,Percent of Total Billed Charges,967.91,,1196.87,92,,Percent of Total Billed Charges,1018.64,,1196.87,92,,Percent of Total Billed Charges,1055.07,,1014.74,78,,Percent of Total Billed Charges,1014.74,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,700.3,53.83,,Percent of Total Billed Charges,656.98,,450.65,34.64,,Percent of Total Billed Charges,448.83,,650.21,49.98,,Percent of Total Billed Charges,491.76,,450.65,1196.87,,																																							
HC SPINAL CORD,76800,CPT,,,,BOTH, , ,1044.75,877.59,961.17,92,,Percent of Total Billed Charges,873.41,,961.17,92,,Percent of Total Billed Charges,857.74,,961.17,92,,Percent of Total Billed Charges,841.02,,961.17,92,,Percent of Total Billed Charges,872.37,,961.17,92,,Percent of Total Billed Charges,786.7,,961.17,92,,Percent of Total Billed Charges,652.97,,940.28,90,,Percent of Total Billed Charges,521.33,,929.83,89,,Percent of Total Billed Charges,501.48,,860.87,82.4,,Percent of Total Billed Charges,858.78,,871.32,83.4,,Percent of Total Billed Charges,812.82,,871.32,83.4,,Percent of Total Billed Charges,732.37,,871.32,83.4,,Percent of Total Billed Charges,850.43,,940.28,90,,Percent of Total Billed Charges,884.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,961.17,92,,Percent of Total Billed Charges,847.29,,961.17,92,,Percent of Total Billed Charges,777.29,,961.17,92,,Percent of Total Billed Charges,818.04,,961.17,92,,Percent of Total Billed Charges,847.29,,814.91,78,,Percent of Total Billed Charges,814.91,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,562.39,53.83,,Percent of Total Billed Charges,527.6,,361.9,34.64,,Percent of Total Billed Charges,360.44,,522.17,49.98,,Percent of Total Billed Charges,394.92,,361.90,961.17,,																																							
HC OB FETAL <14 WKS,76801,CPT,,,,BOTH, , ,723.45,607.7,665.57,92,,Percent of Total Billed Charges,604.8,,665.57,92,,Percent of Total Billed Charges,593.95,,665.57,92,,Percent of Total Billed Charges,582.38,,665.57,92,,Percent of Total Billed Charges,604.08,,665.57,92,,Percent of Total Billed Charges,544.76,,665.57,92,,Percent of Total Billed Charges,452.16,,651.11,90,,Percent of Total Billed Charges,361,,643.87,89,,Percent of Total Billed Charges,347.26,,596.12,82.4,,Percent of Total Billed Charges,594.68,,603.36,83.4,,Percent of Total Billed Charges,562.84,,603.36,83.4,,Percent of Total Billed Charges,507.14,,603.36,83.4,,Percent of Total Billed Charges,588.89,,651.11,90,,Percent of Total Billed Charges,612.76,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,665.57,92,,Percent of Total Billed Charges,586.72,,665.57,92,,Percent of Total Billed Charges,538.25,,665.57,92,,Percent of Total Billed Charges,566.46,,665.57,92,,Percent of Total Billed Charges,586.72,,564.29,78,,Percent of Total Billed Charges,564.29,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,389.43,53.83,,Percent of Total Billed Charges,365.34,,250.6,34.64,,Percent of Total Billed Charges,249.59,,361.58,49.98,,Percent of Total Billed Charges,273.46,,250.60,665.57,,																																							
HC OB FETAL <14 WKS ADDITIONAL,76802,CPT,,,,BOTH, , ,423.15,355.45,389.3,92,,Percent of Total Billed Charges,353.75,,389.3,92,,Percent of Total Billed Charges,347.41,,389.3,92,,Percent of Total Billed Charges,340.64,,389.3,92,,Percent of Total Billed Charges,353.33,,389.3,92,,Percent of Total Billed Charges,318.63,,389.3,92,,Percent of Total Billed Charges,264.47,,380.84,90,,Percent of Total Billed Charges,211.15,,376.6,89,,Percent of Total Billed Charges,203.11,,348.68,82.4,,Percent of Total Billed Charges,347.83,,352.91,83.4,,Percent of Total Billed Charges,329.21,,352.91,83.4,,Percent of Total Billed Charges,296.63,,352.91,83.4,,Percent of Total Billed Charges,344.44,,380.84,90,,Percent of Total Billed Charges,358.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,389.3,92,,Percent of Total Billed Charges,343.17,,389.3,92,,Percent of Total Billed Charges,314.82,,389.3,92,,Percent of Total Billed Charges,331.33,,389.3,92,,Percent of Total Billed Charges,343.17,,330.06,78,,Percent of Total Billed Charges,330.06,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,227.78,53.83,,Percent of Total Billed Charges,213.69,,146.58,34.64,,Percent of Total Billed Charges,145.99,,211.49,49.98,,Percent of Total Billed Charges,159.95,,146.58,389.3,,																																							
HC OB FETAL >= 14 WKS SINGLE,76805,CPT,,,,BOTH, , ,1116.15,937.57,1026.86,92,,Percent of Total Billed Charges,933.1,,1026.86,92,,Percent of Total Billed Charges,916.36,,1026.86,92,,Percent of Total Billed Charges,898.5,,1026.86,92,,Percent of Total Billed Charges,931.99,,1026.86,92,,Percent of Total Billed Charges,840.46,,1026.86,92,,Percent of Total Billed Charges,697.59,,1004.54,90,,Percent of Total Billed Charges,556.96,,993.37,89,,Percent of Total Billed Charges,535.75,,919.71,82.4,,Percent of Total Billed Charges,917.48,,930.87,83.4,,Percent of Total Billed Charges,868.36,,930.87,83.4,,Percent of Total Billed Charges,782.42,,930.87,83.4,,Percent of Total Billed Charges,908.55,,1004.54,90,,Percent of Total Billed Charges,945.38,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1026.86,92,,Percent of Total Billed Charges,905.2,,1026.86,92,,Percent of Total Billed Charges,830.42,,1026.86,92,,Percent of Total Billed Charges,873.95,,1026.86,92,,Percent of Total Billed Charges,905.2,,870.6,78,,Percent of Total Billed Charges,870.6,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,600.82,53.83,,Percent of Total Billed Charges,563.66,,386.63,34.64,,Percent of Total Billed Charges,385.07,,557.85,49.98,,Percent of Total Billed Charges,421.9,,386.63,1026.86,,																																							
HC OB FETAL >=14 WKS ADDITIONAL,76810,CPT,,,,BOTH, , ,1300.95,1092.8,1196.87,92,,Percent of Total Billed Charges,1087.59,,1196.87,92,,Percent of Total Billed Charges,1068.08,,1196.87,92,,Percent of Total Billed Charges,1047.26,,1196.87,92,,Percent of Total Billed Charges,1086.29,,1196.87,92,,Percent of Total Billed Charges,979.62,,1196.87,92,,Percent of Total Billed Charges,813.09,,1170.86,90,,Percent of Total Billed Charges,649.17,,1157.85,89,,Percent of Total Billed Charges,624.46,,1071.98,82.4,,Percent of Total Billed Charges,1069.38,,1084.99,83.4,,Percent of Total Billed Charges,1012.14,,1084.99,83.4,,Percent of Total Billed Charges,911.97,,1084.99,83.4,,Percent of Total Billed Charges,1058.97,,1170.86,90,,Percent of Total Billed Charges,1101.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1196.87,92,,Percent of Total Billed Charges,1055.07,,1196.87,92,,Percent of Total Billed Charges,967.91,,1196.87,92,,Percent of Total Billed Charges,1018.64,,1196.87,92,,Percent of Total Billed Charges,1055.07,,1014.74,78,,Percent of Total Billed Charges,1014.74,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,700.3,53.83,,Percent of Total Billed Charges,656.98,,450.65,34.64,,Percent of Total Billed Charges,448.83,,650.21,49.98,,Percent of Total Billed Charges,491.76,,450.65,1196.87,,																																							
HC OB FETAL, LIMITED,76815,CPT,,,,BOTH, , ,723.45,607.7,665.57,92,,Percent of Total Billed Charges,604.8,,665.57,92,,Percent of Total Billed Charges,593.95,,665.57,92,,Percent of Total Billed Charges,582.38,,665.57,92,,Percent of Total Billed Charges,604.08,,665.57,92,,Percent of Total Billed Charges,544.76,,665.57,92,,Percent of Total Billed Charges,452.16,,651.11,90,,Percent of Total Billed Charges,361,,643.87,89,,Percent of Total Billed Charges,347.26,,596.12,82.4,,Percent of Total Billed Charges,594.68,,603.36,83.4,,Percent of Total Billed Charges,562.84,,603.36,83.4,,Percent of Total Billed Charges,507.14,,603.36,83.4,,Percent of Total Billed Charges,588.89,,651.11,90,,Percent of Total Billed Charges,612.76,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,665.57,92,,Percent of Total Billed Charges,586.72,,665.57,92,,Percent of Total Billed Charges,538.25,,665.57,92,,Percent of Total Billed Charges,566.46,,665.57,92,,Percent of Total Billed Charges,586.72,,564.29,78,,Percent of Total Billed Charges,564.29,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,389.43,53.83,,Percent of Total Billed Charges,365.34,,250.6,34.64,,Percent of Total Billed Charges,249.59,,361.58,49.98,,Percent of Total Billed Charges,273.46,,250.60,665.57,,																																							
HC OB US FETAL FOLLOWUP PER FETUS,76816,CPT,,,,BOTH, , ,633.15,531.85,582.5,92,,Percent of Total Billed Charges,529.31,,582.5,92,,Percent of Total Billed Charges,519.82,,582.5,92,,Percent of Total Billed Charges,509.69,,582.5,92,,Percent of Total Billed Charges,528.68,,582.5,92,,Percent of Total Billed Charges,476.76,,582.5,92,,Percent of Total Billed Charges,395.72,,569.84,90,,Percent of Total Billed Charges,315.94,,563.5,89,,Percent of Total Billed Charges,303.91,,521.72,82.4,,Percent of Total Billed Charges,520.45,,528.05,83.4,,Percent of Total Billed Charges,492.59,,528.05,83.4,,Percent of Total Billed Charges,443.84,,528.05,83.4,,Percent of Total Billed Charges,515.38,,569.84,90,,Percent of Total Billed Charges,536.28,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,582.5,92,,Percent of Total Billed Charges,513.48,,582.5,92,,Percent of Total Billed Charges,471.06,,582.5,92,,Percent of Total Billed Charges,495.76,,582.5,92,,Percent of Total Billed Charges,513.48,,493.86,78,,Percent of Total Billed Charges,493.86,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,340.82,53.83,,Percent of Total Billed Charges,319.74,,219.32,34.64,,Percent of Total Billed Charges,218.44,,316.45,49.98,,Percent of Total Billed Charges,239.33,,219.32,582.5,,																																							
HC OB FETAL TRANSVAGINAL,76817,CPT,,,,BOTH, , ,817.95,687.08,752.51,92,,Percent of Total Billed Charges,683.81,,752.51,92,,Percent of Total Billed Charges,671.54,,752.51,92,,Percent of Total Billed Charges,658.45,,752.51,92,,Percent of Total Billed Charges,682.99,,752.51,92,,Percent of Total Billed Charges,615.92,,752.51,92,,Percent of Total Billed Charges,511.22,,736.16,90,,Percent of Total Billed Charges,408.16,,727.98,89,,Percent of Total Billed Charges,392.62,,673.99,82.4,,Percent of Total Billed Charges,672.35,,682.17,83.4,,Percent of Total Billed Charges,636.37,,682.17,83.4,,Percent of Total Billed Charges,573.38,,682.17,83.4,,Percent of Total Billed Charges,665.81,,736.16,90,,Percent of Total Billed Charges,692.8,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,752.51,92,,Percent of Total Billed Charges,663.36,,752.51,92,,Percent of Total Billed Charges,608.55,,752.51,92,,Percent of Total Billed Charges,640.45,,752.51,92,,Percent of Total Billed Charges,663.36,,638,78,,Percent of Total Billed Charges,638,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,440.3,53.83,,Percent of Total Billed Charges,413.06,,283.34,34.64,,Percent of Total Billed Charges,282.19,,408.81,49.98,,Percent of Total Billed Charges,309.19,,283.34,752.51,,																																							
HC FETAL BIOPHYSICAL W/NST,76818,CPT,,,,BOTH, , ,187.95,157.88,172.91,92,,Percent of Total Billed Charges,157.13,,172.91,92,,Percent of Total Billed Charges,154.31,,172.91,92,,Percent of Total Billed Charges,151.3,,172.91,92,,Percent of Total Billed Charges,156.94,,172.91,92,,Percent of Total Billed Charges,141.53,,172.91,92,,Percent of Total Billed Charges,117.47,,169.16,90,,Percent of Total Billed Charges,93.79,,167.28,89,,Percent of Total Billed Charges,90.22,,154.87,82.4,,Percent of Total Billed Charges,154.49,,156.75,83.4,,Percent of Total Billed Charges,146.23,,156.75,83.4,,Percent of Total Billed Charges,131.75,,156.75,83.4,,Percent of Total Billed Charges,152.99,,169.16,90,,Percent of Total Billed Charges,159.19,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,172.91,92,,Percent of Total Billed Charges,152.43,,172.91,92,,Percent of Total Billed Charges,139.83,,172.91,92,,Percent of Total Billed Charges,147.16,,172.91,92,,Percent of Total Billed Charges,152.43,,146.6,78,,Percent of Total Billed Charges,146.6,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,101.17,53.83,,Percent of Total Billed Charges,94.91,,65.11,34.64,,Percent of Total Billed Charges,64.84,,93.94,49.98,,Percent of Total Billed Charges,71.05,,65.11,172.91,,																																							
HC FETAL BIOPROFILE W/O NST,76819,CPT,,,,BOTH, , ,1380.75,1159.83,1270.29,92,,Percent of Total Billed Charges,1154.31,,1270.29,92,,Percent of Total Billed Charges,1133.6,,1270.29,92,,Percent of Total Billed Charges,1111.5,,1270.29,92,,Percent of Total Billed Charges,1152.93,,1270.29,92,,Percent of Total Billed Charges,1039.7,,1270.29,92,,Percent of Total Billed Charges,862.97,,1242.68,90,,Percent of Total Billed Charges,688.99,,1228.87,89,,Percent of Total Billed Charges,662.76,,1137.74,82.4,,Percent of Total Billed Charges,1134.98,,1151.55,83.4,,Percent of Total Billed Charges,1074.22,,1151.55,83.4,,Percent of Total Billed Charges,967.91,,1151.55,83.4,,Percent of Total Billed Charges,1123.93,,1242.68,90,,Percent of Total Billed Charges,1169.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1270.29,92,,Percent of Total Billed Charges,1119.79,,1270.29,92,,Percent of Total Billed Charges,1027.28,,1270.29,92,,Percent of Total Billed Charges,1081.13,,1270.29,92,,Percent of Total Billed Charges,1119.79,,1076.99,78,,Percent of Total Billed Charges,1076.99,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,743.26,53.83,,Percent of Total Billed Charges,697.28,,478.29,34.64,,Percent of Total Billed Charges,476.36,,690.1,49.98,,Percent of Total Billed Charges,521.92,,478.29,1270.29,,																																							
HC KUS UMBILICAL ARTERY ECHO,76820,CPT,,,,BOTH, , ,578.55,485.98,532.27,92,,Percent of Total Billed Charges,483.67,,532.27,92,,Percent of Total Billed Charges,474.99,,532.27,92,,Percent of Total Billed Charges,465.73,,532.27,92,,Percent of Total Billed Charges,483.09,,532.27,92,,Percent of Total Billed Charges,435.65,,532.27,92,,Percent of Total Billed Charges,361.59,,520.7,90,,Percent of Total Billed Charges,288.7,,514.91,89,,Percent of Total Billed Charges,277.7,,476.73,82.4,,Percent of Total Billed Charges,475.57,,482.51,83.4,,Percent of Total Billed Charges,450.11,,482.51,83.4,,Percent of Total Billed Charges,405.56,,482.51,83.4,,Percent of Total Billed Charges,470.94,,520.7,90,,Percent of Total Billed Charges,490.03,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,532.27,92,,Percent of Total Billed Charges,469.2,,532.27,92,,Percent of Total Billed Charges,430.44,,532.27,92,,Percent of Total Billed Charges,453,,532.27,92,,Percent of Total Billed Charges,469.2,,451.27,78,,Percent of Total Billed Charges,451.27,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,311.43,53.83,,Percent of Total Billed Charges,292.17,,200.41,34.64,,Percent of Total Billed Charges,199.6,,289.16,49.98,,Percent of Total Billed Charges,218.69,,200.41,532.27,,																																							
HC US TRANSVAGINAL,76830,CPT,,,,BOTH, , ,1300.95,1092.8,1196.87,92,,Percent of Total Billed Charges,1087.59,,1196.87,92,,Percent of Total Billed Charges,1068.08,,1196.87,92,,Percent of Total Billed Charges,1047.26,,1196.87,92,,Percent of Total Billed Charges,1086.29,,1196.87,92,,Percent of Total Billed Charges,979.62,,1196.87,92,,Percent of Total Billed Charges,813.09,,1170.86,90,,Percent of Total Billed Charges,649.17,,1157.85,89,,Percent of Total Billed Charges,624.46,,1071.98,82.4,,Percent of Total Billed Charges,1069.38,,1084.99,83.4,,Percent of Total Billed Charges,1012.14,,1084.99,83.4,,Percent of Total Billed Charges,911.97,,1084.99,83.4,,Percent of Total Billed Charges,1058.97,,1170.86,90,,Percent of Total Billed Charges,1101.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1196.87,92,,Percent of Total Billed Charges,1055.07,,1196.87,92,,Percent of Total Billed Charges,967.91,,1196.87,92,,Percent of Total Billed Charges,1018.64,,1196.87,92,,Percent of Total Billed Charges,1055.07,,1014.74,78,,Percent of Total Billed Charges,1014.74,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,700.3,53.83,,Percent of Total Billed Charges,656.98,,450.65,34.64,,Percent of Total Billed Charges,448.83,,650.21,49.98,,Percent of Total Billed Charges,491.76,,450.65,1196.87,,																																							
HC SONOHYSTEROSONGRAPHY,76831,CPT,,,,BOTH, , ,1656.9,1391.8,1524.35,92,,Percent of Total Billed Charges,1385.17,,1524.35,92,,Percent of Total Billed Charges,1360.31,,1524.35,92,,Percent of Total Billed Charges,1333.8,,1524.35,92,,Percent of Total Billed Charges,1383.51,,1524.35,92,,Percent of Total Billed Charges,1247.65,,1524.35,92,,Percent of Total Billed Charges,1035.56,,1491.21,90,,Percent of Total Billed Charges,826.79,,1474.64,89,,Percent of Total Billed Charges,795.31,,1365.29,82.4,,Percent of Total Billed Charges,1361.97,,1381.85,83.4,,Percent of Total Billed Charges,1289.07,,1381.85,83.4,,Percent of Total Billed Charges,1161.49,,1381.85,83.4,,Percent of Total Billed Charges,1348.72,,1491.21,90,,Percent of Total Billed Charges,1403.39,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1524.35,92,,Percent of Total Billed Charges,1343.75,,1524.35,92,,Percent of Total Billed Charges,1232.73,,1524.35,92,,Percent of Total Billed Charges,1297.35,,1524.35,92,,Percent of Total Billed Charges,1343.75,,1292.38,78,,Percent of Total Billed Charges,1292.38,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,891.91,53.83,,Percent of Total Billed Charges,836.73,,573.95,34.64,,Percent of Total Billed Charges,571.63,,828.12,49.98,,Percent of Total Billed Charges,626.31,,573.95,1524.35,,																																							
HC US PELVIC COMPLETE,76856,CPT,,,,BOTH, , ,1300.95,1092.8,1196.87,92,,Percent of Total Billed Charges,1087.59,,1196.87,92,,Percent of Total Billed Charges,1068.08,,1196.87,92,,Percent of Total Billed Charges,1047.26,,1196.87,92,,Percent of Total Billed Charges,1086.29,,1196.87,92,,Percent of Total Billed Charges,979.62,,1196.87,92,,Percent of Total Billed Charges,813.09,,1170.86,90,,Percent of Total Billed Charges,649.17,,1157.85,89,,Percent of Total Billed Charges,624.46,,1071.98,82.4,,Percent of Total Billed Charges,1069.38,,1084.99,83.4,,Percent of Total Billed Charges,1012.14,,1084.99,83.4,,Percent of Total Billed Charges,911.97,,1084.99,83.4,,Percent of Total Billed Charges,1058.97,,1170.86,90,,Percent of Total Billed Charges,1101.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1196.87,92,,Percent of Total Billed Charges,1055.07,,1196.87,92,,Percent of Total Billed Charges,967.91,,1196.87,92,,Percent of Total Billed Charges,1018.64,,1196.87,92,,Percent of Total Billed Charges,1055.07,,1014.74,78,,Percent of Total Billed Charges,1014.74,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,700.3,53.83,,Percent of Total Billed Charges,656.98,,450.65,34.64,,Percent of Total Billed Charges,448.83,,650.21,49.98,,Percent of Total Billed Charges,491.76,,450.65,1196.87,,																																							
HC US PELVIC LIMITED,76857,CPT,,,,BOTH, , ,833.7,700.31,767,92,,Percent of Total Billed Charges,696.97,,767,92,,Percent of Total Billed Charges,684.47,,767,92,,Percent of Total Billed Charges,671.13,,767,92,,Percent of Total Billed Charges,696.14,,767,92,,Percent of Total Billed Charges,627.78,,767,92,,Percent of Total Billed Charges,521.06,,750.33,90,,Percent of Total Billed Charges,416.02,,741.99,89,,Percent of Total Billed Charges,400.18,,686.97,82.4,,Percent of Total Billed Charges,685.3,,695.31,83.4,,Percent of Total Billed Charges,648.62,,695.31,83.4,,Percent of Total Billed Charges,584.42,,695.31,83.4,,Percent of Total Billed Charges,678.63,,750.33,90,,Percent of Total Billed Charges,706.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,767,92,,Percent of Total Billed Charges,676.13,,767,92,,Percent of Total Billed Charges,620.27,,767,92,,Percent of Total Billed Charges,652.79,,767,92,,Percent of Total Billed Charges,676.13,,650.29,78,,Percent of Total Billed Charges,650.29,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,448.78,53.83,,Percent of Total Billed Charges,421.02,,288.79,34.64,,Percent of Total Billed Charges,287.63,,416.68,49.98,,Percent of Total Billed Charges,315.14,,288.79,767,,																																							
HC US SCROTUM,76870,CPT,,,,BOTH, , ,1300.95,1092.8,1196.87,92,,Percent of Total Billed Charges,1087.59,,1196.87,92,,Percent of Total Billed Charges,1068.08,,1196.87,92,,Percent of Total Billed Charges,1047.26,,1196.87,92,,Percent of Total Billed Charges,1086.29,,1196.87,92,,Percent of Total Billed Charges,979.62,,1196.87,92,,Percent of Total Billed Charges,813.09,,1170.86,90,,Percent of Total Billed Charges,649.17,,1157.85,89,,Percent of Total Billed Charges,624.46,,1071.98,82.4,,Percent of Total Billed Charges,1069.38,,1084.99,83.4,,Percent of Total Billed Charges,1012.14,,1084.99,83.4,,Percent of Total Billed Charges,911.97,,1084.99,83.4,,Percent of Total Billed Charges,1058.97,,1170.86,90,,Percent of Total Billed Charges,1101.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1196.87,92,,Percent of Total Billed Charges,1055.07,,1196.87,92,,Percent of Total Billed Charges,967.91,,1196.87,92,,Percent of Total Billed Charges,1018.64,,1196.87,92,,Percent of Total Billed Charges,1055.07,,1014.74,78,,Percent of Total Billed Charges,1014.74,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,700.3,53.83,,Percent of Total Billed Charges,656.98,,450.65,34.64,,Percent of Total Billed Charges,448.83,,650.21,49.98,,Percent of Total Billed Charges,491.76,,450.65,1196.87,,																																							
HC US NONVASCULAR EXTREMITY LIMITED,76882,CPT,,,,BOTH, , ,831.6,698.54,765.07,92,,Percent of Total Billed Charges,695.22,,765.07,92,,Percent of Total Billed Charges,682.74,,765.07,92,,Percent of Total Billed Charges,669.44,,765.07,92,,Percent of Total Billed Charges,694.39,,765.07,92,,Percent of Total Billed Charges,626.19,,765.07,92,,Percent of Total Billed Charges,519.75,,748.44,90,,Percent of Total Billed Charges,414.97,,740.12,89,,Percent of Total Billed Charges,399.17,,685.24,82.4,,Percent of Total Billed Charges,683.58,,693.55,83.4,,Percent of Total Billed Charges,646.98,,693.55,83.4,,Percent of Total Billed Charges,582.95,,693.55,83.4,,Percent of Total Billed Charges,676.92,,748.44,90,,Percent of Total Billed Charges,704.37,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,765.07,92,,Percent of Total Billed Charges,674.43,,765.07,92,,Percent of Total Billed Charges,618.71,,765.07,92,,Percent of Total Billed Charges,651.14,,765.07,92,,Percent of Total Billed Charges,674.43,,648.65,78,,Percent of Total Billed Charges,648.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,447.65,53.83,,Percent of Total Billed Charges,419.96,,288.07,34.64,,Percent of Total Billed Charges,286.9,,415.63,49.98,,Percent of Total Billed Charges,314.34,,288.07,765.07,,																																							
HC US HIPS INFANT, DYNAMIC,76885,CPT,,,,BOTH, , ,833.7,700.31,767,92,,Percent of Total Billed Charges,696.97,,767,92,,Percent of Total Billed Charges,684.47,,767,92,,Percent of Total Billed Charges,671.13,,767,92,,Percent of Total Billed Charges,696.14,,767,92,,Percent of Total Billed Charges,627.78,,767,92,,Percent of Total Billed Charges,521.06,,750.33,90,,Percent of Total Billed Charges,416.02,,741.99,89,,Percent of Total Billed Charges,400.18,,686.97,82.4,,Percent of Total Billed Charges,685.3,,695.31,83.4,,Percent of Total Billed Charges,648.62,,695.31,83.4,,Percent of Total Billed Charges,584.42,,695.31,83.4,,Percent of Total Billed Charges,678.63,,750.33,90,,Percent of Total Billed Charges,706.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,767,92,,Percent of Total Billed Charges,676.13,,767,92,,Percent of Total Billed Charges,620.27,,767,92,,Percent of Total Billed Charges,652.79,,767,92,,Percent of Total Billed Charges,676.13,,650.29,78,,Percent of Total Billed Charges,650.29,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,448.78,53.83,,Percent of Total Billed Charges,421.02,,288.79,34.64,,Percent of Total Billed Charges,287.63,,416.68,49.98,,Percent of Total Billed Charges,315.14,,288.79,767,,																																							
HC US VASCULAR ACCESS,76937,CPT,,,,BOTH, , ,1838.55,1544.38,1691.47,92,,Percent of Total Billed Charges,1537.03,,1691.47,92,,Percent of Total Billed Charges,1509.45,,1691.47,92,,Percent of Total Billed Charges,1480.03,,1691.47,92,,Percent of Total Billed Charges,1535.19,,1691.47,92,,Percent of Total Billed Charges,1384.43,,1691.47,92,,Percent of Total Billed Charges,1149.09,,1654.7,90,,Percent of Total Billed Charges,917.44,,1636.31,89,,Percent of Total Billed Charges,882.5,,1514.97,82.4,,Percent of Total Billed Charges,1511.29,,1533.35,83.4,,Percent of Total Billed Charges,1430.39,,1533.35,83.4,,Percent of Total Billed Charges,1288.82,,1533.35,83.4,,Percent of Total Billed Charges,1496.58,,1654.7,90,,Percent of Total Billed Charges,1557.25,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1691.47,92,,Percent of Total Billed Charges,1491.06,,1691.47,92,,Percent of Total Billed Charges,1367.88,,1691.47,92,,Percent of Total Billed Charges,1439.58,,1691.47,92,,Percent of Total Billed Charges,1491.06,,1434.07,78,,Percent of Total Billed Charges,1434.07,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,989.69,53.83,,Percent of Total Billed Charges,928.47,,636.87,34.64,,Percent of Total Billed Charges,634.3,,918.91,49.98,,Percent of Total Billed Charges,694.97,,636.87,1691.47,,																																							
HC ECHO GUIDE FOR BIOPSY,76942,CPT,,,,BOTH, , ,1849.05,1553.2,1701.13,92,,Percent of Total Billed Charges,1545.81,,1701.13,92,,Percent of Total Billed Charges,1518.07,,1701.13,92,,Percent of Total Billed Charges,1488.49,,1701.13,92,,Percent of Total Billed Charges,1543.96,,1701.13,92,,Percent of Total Billed Charges,1392.33,,1701.13,92,,Percent of Total Billed Charges,1155.66,,1664.15,90,,Percent of Total Billed Charges,922.68,,1645.65,89,,Percent of Total Billed Charges,887.54,,1523.62,82.4,,Percent of Total Billed Charges,1519.92,,1542.11,83.4,,Percent of Total Billed Charges,1438.56,,1542.11,83.4,,Percent of Total Billed Charges,1296.18,,1542.11,83.4,,Percent of Total Billed Charges,1505.13,,1664.15,90,,Percent of Total Billed Charges,1566.15,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1701.13,92,,Percent of Total Billed Charges,1499.58,,1701.13,92,,Percent of Total Billed Charges,1375.69,,1701.13,92,,Percent of Total Billed Charges,1447.81,,1701.13,92,,Percent of Total Billed Charges,1499.58,,1442.26,78,,Percent of Total Billed Charges,1442.26,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,995.34,53.83,,Percent of Total Billed Charges,933.77,,640.51,34.64,,Percent of Total Billed Charges,637.92,,924.16,49.98,,Percent of Total Billed Charges,698.94,,640.51,1701.13,,																																							
HC ECHO EXAMINATION PROCEDURE,76999,CPT,,,,BOTH, , ,487.2,409.25,448.22,92,,Percent of Total Billed Charges,407.3,,448.22,92,,Percent of Total Billed Charges,399.99,,448.22,92,,Percent of Total Billed Charges,392.2,,448.22,92,,Percent of Total Billed Charges,406.81,,448.22,92,,Percent of Total Billed Charges,366.86,,448.22,92,,Percent of Total Billed Charges,304.5,,438.48,90,,Percent of Total Billed Charges,243.11,,433.61,89,,Percent of Total Billed Charges,233.86,,401.45,82.4,,Percent of Total Billed Charges,400.48,,406.32,83.4,,Percent of Total Billed Charges,379.04,,406.32,83.4,,Percent of Total Billed Charges,341.53,,406.32,83.4,,Percent of Total Billed Charges,396.58,,438.48,90,,Percent of Total Billed Charges,412.66,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,448.22,92,,Percent of Total Billed Charges,395.12,,448.22,92,,Percent of Total Billed Charges,362.48,,448.22,92,,Percent of Total Billed Charges,381.48,,448.22,92,,Percent of Total Billed Charges,395.12,,380.02,78,,Percent of Total Billed Charges,380.02,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,262.26,53.83,,Percent of Total Billed Charges,246.04,,168.77,34.64,,Percent of Total Billed Charges,168.08,,243.5,49.98,,Percent of Total Billed Charges,184.16,,168.77,448.22,,																																							
HC US TRANSRECTAL,76872,CPT,,,,BOTH, , ,723.45,607.7,665.57,92,,Percent of Total Billed Charges,604.8,,665.57,92,,Percent of Total Billed Charges,593.95,,665.57,92,,Percent of Total Billed Charges,582.38,,665.57,92,,Percent of Total Billed Charges,604.08,,665.57,92,,Percent of Total Billed Charges,544.76,,665.57,92,,Percent of Total Billed Charges,452.16,,651.11,90,,Percent of Total Billed Charges,361,,643.87,89,,Percent of Total Billed Charges,347.26,,596.12,82.4,,Percent of Total Billed Charges,594.68,,603.36,83.4,,Percent of Total Billed Charges,562.84,,603.36,83.4,,Percent of Total Billed Charges,507.14,,603.36,83.4,,Percent of Total Billed Charges,588.89,,651.11,90,,Percent of Total Billed Charges,612.76,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,665.57,92,,Percent of Total Billed Charges,586.72,,665.57,92,,Percent of Total Billed Charges,538.25,,665.57,92,,Percent of Total Billed Charges,566.46,,665.57,92,,Percent of Total Billed Charges,586.72,,564.29,78,,Percent of Total Billed Charges,564.29,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,389.43,53.83,,Percent of Total Billed Charges,365.34,,250.6,34.64,,Percent of Total Billed Charges,249.59,,361.58,49.98,,Percent of Total Billed Charges,273.46,,250.60,665.57,,																																							
HC US EXAM INFANT HIPS STATIC,76886,CPT,,,,BOTH, , ,833.7,700.31,767,92,,Percent of Total Billed Charges,696.97,,767,92,,Percent of Total Billed Charges,684.47,,767,92,,Percent of Total Billed Charges,671.13,,767,92,,Percent of Total Billed Charges,696.14,,767,92,,Percent of Total Billed Charges,627.78,,767,92,,Percent of Total Billed Charges,521.06,,750.33,90,,Percent of Total Billed Charges,416.02,,741.99,89,,Percent of Total Billed Charges,400.18,,686.97,82.4,,Percent of Total Billed Charges,685.3,,695.31,83.4,,Percent of Total Billed Charges,648.62,,695.31,83.4,,Percent of Total Billed Charges,584.42,,695.31,83.4,,Percent of Total Billed Charges,678.63,,750.33,90,,Percent of Total Billed Charges,706.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,767,92,,Percent of Total Billed Charges,676.13,,767,92,,Percent of Total Billed Charges,620.27,,767,92,,Percent of Total Billed Charges,652.79,,767,92,,Percent of Total Billed Charges,676.13,,650.29,78,,Percent of Total Billed Charges,650.29,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,448.78,53.83,,Percent of Total Billed Charges,421.02,,288.79,34.64,,Percent of Total Billed Charges,287.63,,416.68,49.98,,Percent of Total Billed Charges,315.14,,288.79,767,,																																							
HC ECHO GUIDE FOR ARTERY REPAIR,76936,CPT,,,,BOTH, , ,794.85,667.67,731.26,92,,Percent of Total Billed Charges,664.49,,731.26,92,,Percent of Total Billed Charges,652.57,,731.26,92,,Percent of Total Billed Charges,639.85,,731.26,92,,Percent of Total Billed Charges,663.7,,731.26,92,,Percent of Total Billed Charges,598.52,,731.26,92,,Percent of Total Billed Charges,496.78,,715.37,90,,Percent of Total Billed Charges,396.63,,707.42,89,,Percent of Total Billed Charges,381.53,,654.96,82.4,,Percent of Total Billed Charges,653.37,,662.9,83.4,,Percent of Total Billed Charges,618.39,,662.9,83.4,,Percent of Total Billed Charges,557.19,,662.9,83.4,,Percent of Total Billed Charges,647.01,,715.37,90,,Percent of Total Billed Charges,673.24,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,731.26,92,,Percent of Total Billed Charges,644.62,,731.26,92,,Percent of Total Billed Charges,591.37,,731.26,92,,Percent of Total Billed Charges,622.37,,731.26,92,,Percent of Total Billed Charges,644.62,,619.98,78,,Percent of Total Billed Charges,619.98,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,427.87,53.83,,Percent of Total Billed Charges,401.4,,275.34,34.64,,Percent of Total Billed Charges,274.22,,397.27,49.98,,Percent of Total Billed Charges,300.45,,275.34,731.26,,																																							
HC US GUIDED TISSUE ABLATION,76940,CPT,,,,BOTH, , ,981.75,824.67,903.21,92,,Percent of Total Billed Charges,820.74,,903.21,92,,Percent of Total Billed Charges,806.02,,903.21,92,,Percent of Total Billed Charges,790.31,,903.21,92,,Percent of Total Billed Charges,819.76,,903.21,92,,Percent of Total Billed Charges,739.26,,903.21,92,,Percent of Total Billed Charges,613.59,,883.58,90,,Percent of Total Billed Charges,489.89,,873.76,89,,Percent of Total Billed Charges,471.24,,808.96,82.4,,Percent of Total Billed Charges,807,,818.78,83.4,,Percent of Total Billed Charges,763.8,,818.78,83.4,,Percent of Total Billed Charges,688.21,,818.78,83.4,,Percent of Total Billed Charges,799.14,,883.58,90,,Percent of Total Billed Charges,831.54,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,903.21,92,,Percent of Total Billed Charges,796.2,,903.21,92,,Percent of Total Billed Charges,730.42,,903.21,92,,Percent of Total Billed Charges,768.71,,903.21,92,,Percent of Total Billed Charges,796.2,,765.77,78,,Percent of Total Billed Charges,765.77,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,528.48,53.83,,Percent of Total Billed Charges,495.78,,340.08,34.64,,Percent of Total Billed Charges,338.7,,490.68,49.98,,Percent of Total Billed Charges,371.1,,340.08,903.21,,																																							
HC ECHO GUIDE FOR AMNIOCENTESIS,76946,CPT,,,,BOTH, , ,1063.65,893.47,978.56,92,,Percent of Total Billed Charges,889.21,,978.56,92,,Percent of Total Billed Charges,873.26,,978.56,92,,Percent of Total Billed Charges,856.24,,978.56,92,,Percent of Total Billed Charges,888.15,,978.56,92,,Percent of Total Billed Charges,800.93,,978.56,92,,Percent of Total Billed Charges,664.78,,957.29,90,,Percent of Total Billed Charges,530.76,,946.65,89,,Percent of Total Billed Charges,510.55,,876.45,82.4,,Percent of Total Billed Charges,874.32,,887.08,83.4,,Percent of Total Billed Charges,827.52,,887.08,83.4,,Percent of Total Billed Charges,745.62,,887.08,83.4,,Percent of Total Billed Charges,865.81,,957.29,90,,Percent of Total Billed Charges,900.91,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,978.56,92,,Percent of Total Billed Charges,862.62,,978.56,92,,Percent of Total Billed Charges,791.36,,978.56,92,,Percent of Total Billed Charges,832.84,,978.56,92,,Percent of Total Billed Charges,862.62,,829.65,78,,Percent of Total Billed Charges,829.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,572.56,53.83,,Percent of Total Billed Charges,537.14,,368.45,34.64,,Percent of Total Billed Charges,366.96,,531.61,49.98,,Percent of Total Billed Charges,402.06,,368.45,978.56,,																																							
HC ULTRASONIC GUIDANCE RADIOELEMENT,76965,CPT,,,,BOTH, , ,529.2,444.53,486.86,92,,Percent of Total Billed Charges,442.41,,486.86,92,,Percent of Total Billed Charges,434.47,,486.86,92,,Percent of Total Billed Charges,426.01,,486.86,92,,Percent of Total Billed Charges,441.88,,486.86,92,,Percent of Total Billed Charges,398.49,,486.86,92,,Percent of Total Billed Charges,330.75,,476.28,90,,Percent of Total Billed Charges,264.07,,470.99,89,,Percent of Total Billed Charges,254.02,,436.06,82.4,,Percent of Total Billed Charges,435,,441.35,83.4,,Percent of Total Billed Charges,411.72,,441.35,83.4,,Percent of Total Billed Charges,370.97,,441.35,83.4,,Percent of Total Billed Charges,430.77,,476.28,90,,Percent of Total Billed Charges,448.23,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,486.86,92,,Percent of Total Billed Charges,429.18,,486.86,92,,Percent of Total Billed Charges,393.72,,486.86,92,,Percent of Total Billed Charges,414.36,,486.86,92,,Percent of Total Billed Charges,429.18,,412.78,78,,Percent of Total Billed Charges,412.78,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,284.87,53.83,,Percent of Total Billed Charges,267.25,,183.31,34.64,,Percent of Total Billed Charges,182.57,,264.49,49.98,,Percent of Total Billed Charges,200.04,,183.31,486.86,,																																							
HC US AAA SCREENING,76706,CPT,,,,BOTH, , ,690.9,580.36,635.63,92,,Percent of Total Billed Charges,577.59,,635.63,92,,Percent of Total Billed Charges,567.23,,635.63,92,,Percent of Total Billed Charges,556.17,,635.63,92,,Percent of Total Billed Charges,576.9,,635.63,92,,Percent of Total Billed Charges,520.25,,635.63,92,,Percent of Total Billed Charges,431.81,,621.81,90,,Percent of Total Billed Charges,344.76,,614.9,89,,Percent of Total Billed Charges,331.63,,569.3,82.4,,Percent of Total Billed Charges,567.92,,576.21,83.4,,Percent of Total Billed Charges,537.52,,576.21,83.4,,Percent of Total Billed Charges,484.32,,576.21,83.4,,Percent of Total Billed Charges,562.39,,621.81,90,,Percent of Total Billed Charges,585.19,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,635.63,92,,Percent of Total Billed Charges,560.32,,635.63,92,,Percent of Total Billed Charges,514.03,,635.63,92,,Percent of Total Billed Charges,540.97,,635.63,92,,Percent of Total Billed Charges,560.32,,538.9,78,,Percent of Total Billed Charges,538.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,371.91,53.83,,Percent of Total Billed Charges,348.9,,239.33,34.64,,Percent of Total Billed Charges,238.36,,345.31,49.98,,Percent of Total Billed Charges,261.16,,239.33,635.63,,																																							
HC ECHO FETAL CARDIOVASC W/WO MMODE RECORDING,76825,CPT,,,,BOTH, , ,1609.65,1352.11,1480.88,92,,Percent of Total Billed Charges,1345.67,,1480.88,92,,Percent of Total Billed Charges,1321.52,,1480.88,92,,Percent of Total Billed Charges,1295.77,,1480.88,92,,Percent of Total Billed Charges,1344.06,,1480.88,92,,Percent of Total Billed Charges,1212.07,,1480.88,92,,Percent of Total Billed Charges,1006.03,,1448.69,90,,Percent of Total Billed Charges,803.22,,1432.59,89,,Percent of Total Billed Charges,772.63,,1326.35,82.4,,Percent of Total Billed Charges,1323.13,,1342.45,83.4,,Percent of Total Billed Charges,1252.31,,1342.45,83.4,,Percent of Total Billed Charges,1128.36,,1342.45,83.4,,Percent of Total Billed Charges,1310.26,,1448.69,90,,Percent of Total Billed Charges,1363.37,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1480.88,92,,Percent of Total Billed Charges,1305.43,,1480.88,92,,Percent of Total Billed Charges,1197.58,,1480.88,92,,Percent of Total Billed Charges,1260.36,,1480.88,92,,Percent of Total Billed Charges,1305.43,,1255.53,78,,Percent of Total Billed Charges,1255.53,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,866.47,53.83,,Percent of Total Billed Charges,812.87,,557.58,34.64,,Percent of Total Billed Charges,555.33,,804.5,49.98,,Percent of Total Billed Charges,608.45,,557.58,1480.88,,																																							
HC ECHO FETAL CARDIOVASC W/WO MMODE REPEAT STD,76826,CPT,,,,BOTH, , ,1325.1,1113.08,1219.09,92,,Percent of Total Billed Charges,1107.78,,1219.09,92,,Percent of Total Billed Charges,1087.91,,1219.09,92,,Percent of Total Billed Charges,1066.71,,1219.09,92,,Percent of Total Billed Charges,1106.46,,1219.09,92,,Percent of Total Billed Charges,997.8,,1219.09,92,,Percent of Total Billed Charges,828.19,,1192.59,90,,Percent of Total Billed Charges,661.22,,1179.34,89,,Percent of Total Billed Charges,636.05,,1091.88,82.4,,Percent of Total Billed Charges,1089.23,,1105.13,83.4,,Percent of Total Billed Charges,1030.93,,1105.13,83.4,,Percent of Total Billed Charges,928.9,,1105.13,83.4,,Percent of Total Billed Charges,1078.63,,1192.59,90,,Percent of Total Billed Charges,1122.36,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1219.09,92,,Percent of Total Billed Charges,1074.66,,1219.09,92,,Percent of Total Billed Charges,985.87,,1219.09,92,,Percent of Total Billed Charges,1037.55,,1219.09,92,,Percent of Total Billed Charges,1074.66,,1033.58,78,,Percent of Total Billed Charges,1033.58,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,713.3,53.83,,Percent of Total Billed Charges,669.18,,459.01,34.64,,Percent of Total Billed Charges,457.16,,662.28,49.98,,Percent of Total Billed Charges,500.89,,459.01,1219.09,,																																							
HC DOPPLER ECHO FETAL SPECTRAL DISPLAY COMPLETE,76827,CPT,,,,BOTH, , ,1325.1,1113.08,1219.09,92,,Percent of Total Billed Charges,1107.78,,1219.09,92,,Percent of Total Billed Charges,1087.91,,1219.09,92,,Percent of Total Billed Charges,1066.71,,1219.09,92,,Percent of Total Billed Charges,1106.46,,1219.09,92,,Percent of Total Billed Charges,997.8,,1219.09,92,,Percent of Total Billed Charges,828.19,,1192.59,90,,Percent of Total Billed Charges,661.22,,1179.34,89,,Percent of Total Billed Charges,636.05,,1091.88,82.4,,Percent of Total Billed Charges,1089.23,,1105.13,83.4,,Percent of Total Billed Charges,1030.93,,1105.13,83.4,,Percent of Total Billed Charges,928.9,,1105.13,83.4,,Percent of Total Billed Charges,1078.63,,1192.59,90,,Percent of Total Billed Charges,1122.36,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1219.09,92,,Percent of Total Billed Charges,1074.66,,1219.09,92,,Percent of Total Billed Charges,985.87,,1219.09,92,,Percent of Total Billed Charges,1037.55,,1219.09,92,,Percent of Total Billed Charges,1074.66,,1033.58,78,,Percent of Total Billed Charges,1033.58,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,713.3,53.83,,Percent of Total Billed Charges,669.18,,459.01,34.64,,Percent of Total Billed Charges,457.16,,662.28,49.98,,Percent of Total Billed Charges,500.89,,459.01,1219.09,,																																							
HC DOPPLER ECHO FETAL PULS SPECTRAL F/U/REPEAT,76828,CPT,,,,BOTH, , ,66.15,55.57,60.86,92,,Percent of Total Billed Charges,55.3,,60.86,92,,Percent of Total Billed Charges,54.31,,60.86,92,,Percent of Total Billed Charges,53.25,,60.86,92,,Percent of Total Billed Charges,55.24,,60.86,92,,Percent of Total Billed Charges,49.81,,60.86,92,,Percent of Total Billed Charges,41.34,,59.54,90,,Percent of Total Billed Charges,33.01,,58.87,89,,Percent of Total Billed Charges,31.75,,54.51,82.4,,Percent of Total Billed Charges,54.38,,55.17,83.4,,Percent of Total Billed Charges,51.46,,55.17,83.4,,Percent of Total Billed Charges,46.37,,55.17,83.4,,Percent of Total Billed Charges,53.85,,59.54,90,,Percent of Total Billed Charges,56.03,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,60.86,92,,Percent of Total Billed Charges,53.65,,60.86,92,,Percent of Total Billed Charges,49.22,,60.86,92,,Percent of Total Billed Charges,51.8,,60.86,92,,Percent of Total Billed Charges,53.65,,51.6,78,,Percent of Total Billed Charges,51.6,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,35.61,53.83,,Percent of Total Billed Charges,33.41,,22.91,34.64,,Percent of Total Billed Charges,22.82,,33.06,49.98,,Percent of Total Billed Charges,25,,22.91,60.86,,																																							
HC US GUIDANCE CHORIONIC VILLUS SAMPLING IMG S&I,76945,CPT,,,,BOTH, , ,946.05,794.68,870.37,92,,Percent of Total Billed Charges,790.9,,870.37,92,,Percent of Total Billed Charges,776.71,,870.37,92,,Percent of Total Billed Charges,761.57,,870.37,92,,Percent of Total Billed Charges,789.95,,870.37,92,,Percent of Total Billed Charges,712.38,,870.37,92,,Percent of Total Billed Charges,591.28,,851.45,90,,Percent of Total Billed Charges,472.08,,841.98,89,,Percent of Total Billed Charges,454.1,,779.55,82.4,,Percent of Total Billed Charges,777.65,,789.01,83.4,,Percent of Total Billed Charges,736.03,,789.01,83.4,,Percent of Total Billed Charges,663.18,,789.01,83.4,,Percent of Total Billed Charges,770.08,,851.45,90,,Percent of Total Billed Charges,801.3,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,870.37,92,,Percent of Total Billed Charges,767.25,,870.37,92,,Percent of Total Billed Charges,703.86,,870.37,92,,Percent of Total Billed Charges,740.76,,870.37,92,,Percent of Total Billed Charges,767.25,,737.92,78,,Percent of Total Billed Charges,737.92,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,509.26,53.83,,Percent of Total Billed Charges,477.76,,327.71,34.64,,Percent of Total Billed Charges,326.39,,472.84,49.98,,Percent of Total Billed Charges,357.61,,327.71,870.37,,																																							
HC US PREG UTERUS W/DETAIL FETAL ANAT 1ST GESTATION,76811,CPT,,,,BOTH, , ,66.15,55.57,60.86,92,,Percent of Total Billed Charges,55.3,,60.86,92,,Percent of Total Billed Charges,54.31,,60.86,92,,Percent of Total Billed Charges,53.25,,60.86,92,,Percent of Total Billed Charges,55.24,,60.86,92,,Percent of Total Billed Charges,49.81,,60.86,92,,Percent of Total Billed Charges,41.34,,59.54,90,,Percent of Total Billed Charges,33.01,,58.87,89,,Percent of Total Billed Charges,31.75,,54.51,82.4,,Percent of Total Billed Charges,54.38,,55.17,83.4,,Percent of Total Billed Charges,51.46,,55.17,83.4,,Percent of Total Billed Charges,46.37,,55.17,83.4,,Percent of Total Billed Charges,53.85,,59.54,90,,Percent of Total Billed Charges,56.03,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,60.86,92,,Percent of Total Billed Charges,53.65,,60.86,92,,Percent of Total Billed Charges,49.22,,60.86,92,,Percent of Total Billed Charges,51.8,,60.86,92,,Percent of Total Billed Charges,53.65,,51.6,78,,Percent of Total Billed Charges,51.6,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,35.61,53.83,,Percent of Total Billed Charges,33.41,,22.91,34.64,,Percent of Total Billed Charges,22.82,,33.06,49.98,,Percent of Total Billed Charges,25,,22.91,60.86,,																																							
HC US PREG UTERUS DETAIL FETAL ANAT EXAM EA ADDL GESTAT,76812,CPT,,,,BOTH, , ,66.15,55.57,60.86,92,,Percent of Total Billed Charges,55.3,,60.86,92,,Percent of Total Billed Charges,54.31,,60.86,92,,Percent of Total Billed Charges,53.25,,60.86,92,,Percent of Total Billed Charges,55.24,,60.86,92,,Percent of Total Billed Charges,49.81,,60.86,92,,Percent of Total Billed Charges,41.34,,59.54,90,,Percent of Total Billed Charges,33.01,,58.87,89,,Percent of Total Billed Charges,31.75,,54.51,82.4,,Percent of Total Billed Charges,54.38,,55.17,83.4,,Percent of Total Billed Charges,51.46,,55.17,83.4,,Percent of Total Billed Charges,46.37,,55.17,83.4,,Percent of Total Billed Charges,53.85,,59.54,90,,Percent of Total Billed Charges,56.03,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,60.86,92,,Percent of Total Billed Charges,53.65,,60.86,92,,Percent of Total Billed Charges,49.22,,60.86,92,,Percent of Total Billed Charges,51.8,,60.86,92,,Percent of Total Billed Charges,53.65,,51.6,78,,Percent of Total Billed Charges,51.6,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,35.61,53.83,,Percent of Total Billed Charges,33.41,,22.91,34.64,,Percent of Total Billed Charges,22.82,,33.06,49.98,,Percent of Total Billed Charges,25,,22.91,60.86,,																																							
HC US FETAL NUCHAL TRANSLUCENCY 1ST GESTATION,76813,CPT,,,,BOTH, , ,66.15,55.57,60.86,92,,Percent of Total Billed Charges,55.3,,60.86,92,,Percent of Total Billed Charges,54.31,,60.86,92,,Percent of Total Billed Charges,53.25,,60.86,92,,Percent of Total Billed Charges,55.24,,60.86,92,,Percent of Total Billed Charges,49.81,,60.86,92,,Percent of Total Billed Charges,41.34,,59.54,90,,Percent of Total Billed Charges,33.01,,58.87,89,,Percent of Total Billed Charges,31.75,,54.51,82.4,,Percent of Total Billed Charges,54.38,,55.17,83.4,,Percent of Total Billed Charges,51.46,,55.17,83.4,,Percent of Total Billed Charges,46.37,,55.17,83.4,,Percent of Total Billed Charges,53.85,,59.54,90,,Percent of Total Billed Charges,56.03,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,60.86,92,,Percent of Total Billed Charges,53.65,,60.86,92,,Percent of Total Billed Charges,49.22,,60.86,92,,Percent of Total Billed Charges,51.8,,60.86,92,,Percent of Total Billed Charges,53.65,,51.6,78,,Percent of Total Billed Charges,51.6,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,35.61,53.83,,Percent of Total Billed Charges,33.41,,22.91,34.64,,Percent of Total Billed Charges,22.82,,33.06,49.98,,Percent of Total Billed Charges,25,,22.91,60.86,,																																							
HC US FETAL NUCHAL TRANSLUCENCY EA ADDL GESTATION,76814,CPT,,,,BOTH, , ,418.95,351.92,385.43,92,,Percent of Total Billed Charges,350.24,,385.43,92,,Percent of Total Billed Charges,343.96,,385.43,92,,Percent of Total Billed Charges,337.25,,385.43,92,,Percent of Total Billed Charges,349.82,,385.43,92,,Percent of Total Billed Charges,315.47,,385.43,92,,Percent of Total Billed Charges,261.84,,377.06,90,,Percent of Total Billed Charges,209.06,,372.87,89,,Percent of Total Billed Charges,201.1,,345.21,82.4,,Percent of Total Billed Charges,344.38,,349.4,83.4,,Percent of Total Billed Charges,325.94,,349.4,83.4,,Percent of Total Billed Charges,293.68,,349.4,83.4,,Percent of Total Billed Charges,341.03,,377.06,90,,Percent of Total Billed Charges,354.85,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,385.43,92,,Percent of Total Billed Charges,339.77,,385.43,92,,Percent of Total Billed Charges,311.7,,385.43,92,,Percent of Total Billed Charges,328.04,,385.43,92,,Percent of Total Billed Charges,339.77,,326.78,78,,Percent of Total Billed Charges,326.78,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,225.52,53.83,,Percent of Total Billed Charges,211.57,,145.12,34.64,,Percent of Total Billed Charges,144.54,,209.39,49.98,,Percent of Total Billed Charges,158.36,,145.12,385.43,,																																							
HC DOPPLER VELOCIMETRY FETAL MIDDLE CEREBRAL ART,76821,CPT,,,,BOTH, , ,49.35,41.45,45.4,92,,Percent of Total Billed Charges,41.26,,45.4,92,,Percent of Total Billed Charges,40.52,,45.4,92,,Percent of Total Billed Charges,39.73,,45.4,92,,Percent of Total Billed Charges,41.21,,45.4,92,,Percent of Total Billed Charges,37.16,,45.4,92,,Percent of Total Billed Charges,30.84,,44.42,90,,Percent of Total Billed Charges,24.63,,43.92,89,,Percent of Total Billed Charges,23.69,,40.66,82.4,,Percent of Total Billed Charges,40.57,,41.16,83.4,,Percent of Total Billed Charges,38.39,,41.16,83.4,,Percent of Total Billed Charges,34.59,,41.16,83.4,,Percent of Total Billed Charges,40.17,,44.42,90,,Percent of Total Billed Charges,41.8,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,45.4,92,,Percent of Total Billed Charges,40.02,,45.4,92,,Percent of Total Billed Charges,36.72,,45.4,92,,Percent of Total Billed Charges,38.64,,45.4,92,,Percent of Total Billed Charges,40.02,,38.49,78,,Percent of Total Billed Charges,38.49,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,26.57,53.83,,Percent of Total Billed Charges,24.92,,17.09,34.64,,Percent of Total Billed Charges,17.03,,24.67,49.98,,Percent of Total Billed Charges,18.65,,17.09,45.4,,																																							
HC DUPSCAN HEMO COMPL BI STD,93985,CPT,,,,BOTH, , ,911.4,765.58,838.49,92,,Percent of Total Billed Charges,761.93,,838.49,92,,Percent of Total Billed Charges,748.26,,838.49,92,,Percent of Total Billed Charges,733.68,,838.49,92,,Percent of Total Billed Charges,761.02,,838.49,92,,Percent of Total Billed Charges,686.28,,838.49,92,,Percent of Total Billed Charges,569.63,,820.26,90,,Percent of Total Billed Charges,454.79,,811.15,89,,Percent of Total Billed Charges,437.47,,750.99,82.4,,Percent of Total Billed Charges,749.17,,760.11,83.4,,Percent of Total Billed Charges,709.07,,760.11,83.4,,Percent of Total Billed Charges,638.89,,760.11,83.4,,Percent of Total Billed Charges,741.88,,820.26,90,,Percent of Total Billed Charges,771.96,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,838.49,92,,Percent of Total Billed Charges,739.15,,838.49,92,,Percent of Total Billed Charges,678.08,,838.49,92,,Percent of Total Billed Charges,713.63,,838.49,92,,Percent of Total Billed Charges,739.15,,710.89,78,,Percent of Total Billed Charges,710.89,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,490.61,53.83,,Percent of Total Billed Charges,460.26,,315.71,34.64,,Percent of Total Billed Charges,314.43,,455.52,49.98,,Percent of Total Billed Charges,344.51,,315.71,838.49,,																																							
HC DUPSCAN HEMO COMPL UNI STD,93986,CPT,,,,BOTH, , ,438.9,368.68,403.79,92,,Percent of Total Billed Charges,366.92,,403.79,92,,Percent of Total Billed Charges,360.34,,403.79,92,,Percent of Total Billed Charges,353.31,,403.79,92,,Percent of Total Billed Charges,366.48,,403.79,92,,Percent of Total Billed Charges,330.49,,403.79,92,,Percent of Total Billed Charges,274.31,,395.01,90,,Percent of Total Billed Charges,219.01,,390.62,89,,Percent of Total Billed Charges,210.67,,361.65,82.4,,Percent of Total Billed Charges,360.78,,366.04,83.4,,Percent of Total Billed Charges,341.46,,366.04,83.4,,Percent of Total Billed Charges,307.67,,366.04,83.4,,Percent of Total Billed Charges,357.26,,395.01,90,,Percent of Total Billed Charges,371.75,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,403.79,92,,Percent of Total Billed Charges,355.95,,403.79,92,,Percent of Total Billed Charges,326.54,,403.79,92,,Percent of Total Billed Charges,343.66,,403.79,92,,Percent of Total Billed Charges,355.95,,342.34,78,,Percent of Total Billed Charges,342.34,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,236.26,53.83,,Percent of Total Billed Charges,221.64,,152.03,34.64,,Percent of Total Billed Charges,151.42,,219.36,49.98,,Percent of Total Billed Charges,165.9,,152.03,403.79,,																																							
HC ULTRASONIC GUIDANCE, INTRAOPERATIVE,76998,CPT,,,,BOTH, , ,810.6,680.9,745.75,92,,Percent of Total Billed Charges,677.66,,745.75,92,,Percent of Total Billed Charges,665.5,,745.75,92,,Percent of Total Billed Charges,652.53,,745.75,92,,Percent of Total Billed Charges,676.85,,745.75,92,,Percent of Total Billed Charges,610.38,,745.75,92,,Percent of Total Billed Charges,506.63,,729.54,90,,Percent of Total Billed Charges,404.49,,721.43,89,,Percent of Total Billed Charges,389.09,,667.93,82.4,,Percent of Total Billed Charges,666.31,,676.04,83.4,,Percent of Total Billed Charges,630.65,,676.04,83.4,,Percent of Total Billed Charges,568.23,,676.04,83.4,,Percent of Total Billed Charges,659.83,,729.54,90,,Percent of Total Billed Charges,686.58,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,745.75,92,,Percent of Total Billed Charges,657.4,,745.75,92,,Percent of Total Billed Charges,603.09,,745.75,92,,Percent of Total Billed Charges,634.7,,745.75,92,,Percent of Total Billed Charges,657.4,,632.27,78,,Percent of Total Billed Charges,632.27,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,436.35,53.83,,Percent of Total Billed Charges,409.35,,280.79,34.64,,Percent of Total Billed Charges,279.66,,405.14,49.98,,Percent of Total Billed Charges,306.41,,280.79,745.75,,																																							
HC MAMMO SCREENING BILATERAL,77067,CPT,,,,BOTH, , ,733.95,616.52,675.23,92,,Percent of Total Billed Charges,613.58,,675.23,92,,Percent of Total Billed Charges,602.57,,675.23,92,,Percent of Total Billed Charges,590.83,,675.23,92,,Percent of Total Billed Charges,612.85,,675.23,92,,Percent of Total Billed Charges,552.66,,675.23,92,,Percent of Total Billed Charges,458.72,,660.56,90,,Percent of Total Billed Charges,366.24,,653.22,89,,Percent of Total Billed Charges,352.3,,604.77,82.4,,Percent of Total Billed Charges,603.31,,612.11,83.4,,Percent of Total Billed Charges,571.01,,612.11,83.4,,Percent of Total Billed Charges,514.5,,612.11,83.4,,Percent of Total Billed Charges,597.44,,660.56,90,,Percent of Total Billed Charges,621.66,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,675.23,92,,Percent of Total Billed Charges,595.23,,675.23,92,,Percent of Total Billed Charges,546.06,,675.23,92,,Percent of Total Billed Charges,574.68,,675.23,92,,Percent of Total Billed Charges,595.23,,572.48,78,,Percent of Total Billed Charges,572.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,395.09,53.83,,Percent of Total Billed Charges,370.64,,254.24,34.64,,Percent of Total Billed Charges,253.21,,366.83,49.98,,Percent of Total Billed Charges,277.43,,254.24,675.23,,																																							
HC SFL MAMMO SCREENING BILATERAL,77067,CPT,,,,BOTH, , ,12.6,10.58,11.59,92,,Percent of Total Billed Charges,10.53,,11.59,92,,Percent of Total Billed Charges,10.34,,11.59,92,,Percent of Total Billed Charges,10.14,,11.59,92,,Percent of Total Billed Charges,10.52,,11.59,92,,Percent of Total Billed Charges,9.49,,11.59,92,,Percent of Total Billed Charges,7.88,,11.34,90,,Percent of Total Billed Charges,6.29,,11.21,89,,Percent of Total Billed Charges,6.05,,10.38,82.4,,Percent of Total Billed Charges,10.36,,10.51,83.4,,Percent of Total Billed Charges,9.8,,10.51,83.4,,Percent of Total Billed Charges,8.83,,10.51,83.4,,Percent of Total Billed Charges,10.26,,11.34,90,,Percent of Total Billed Charges,10.67,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,11.59,92,,Percent of Total Billed Charges,10.22,,11.59,92,,Percent of Total Billed Charges,9.37,,11.59,92,,Percent of Total Billed Charges,9.87,,11.59,92,,Percent of Total Billed Charges,10.22,,9.83,78,,Percent of Total Billed Charges,9.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6.78,53.83,,Percent of Total Billed Charges,6.36,,4.36,34.64,,Percent of Total Billed Charges,4.35,,6.3,49.98,,Percent of Total Billed Charges,4.76,,4.36,11.59,,																																							
HC SCREENING BREAST TOMOSYNTHESIS BILATERAL,77063,CPT,,,,BOTH, , ,151.2,127.01,105.84,92,,Percent of Total Billed Charges,126.4,,105.84,92,,Percent of Total Billed Charges,124.14,,105.84,92,,Percent of Total Billed Charges,121.72,,105.84,92,,Percent of Total Billed Charges,126.25,,105.84,92,,Percent of Total Billed Charges,113.85,,105.84,92,,Percent of Total Billed Charges,94.5,,136.08,90,,Percent of Total Billed Charges,75.45,,134.57,89,,Percent of Total Billed Charges,72.58,,124.59,82.4,,Percent of Total Billed Charges,124.29,,126.1,83.4,,Percent of Total Billed Charges,117.63,,126.1,83.4,,Percent of Total Billed Charges,105.99,,126.1,83.4,,Percent of Total Billed Charges,123.08,,136.08,90,,Percent of Total Billed Charges,128.07,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,139.1,92,,Percent of Total Billed Charges,122.62,,139.1,92,,Percent of Total Billed Charges,112.49,,139.1,92,,Percent of Total Billed Charges,118.39,,139.1,92,,Percent of Total Billed Charges,122.62,,117.94,78,,Percent of Total Billed Charges,117.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,81.39,53.83,,Percent of Total Billed Charges,76.36,,52.38,34.64,,Percent of Total Billed Charges,52.16,,75.57,49.98,,Percent of Total Billed Charges,57.15,,52.38,139.1,,																																							
HC PET BRAIN METABOLIC,78608,CPT,,,,BOTH, , ,8688.75,7298.55,7819.88,92,,Percent of Total Billed Charges,7263.8,,7819.88,92,,Percent of Total Billed Charges,7133.46,,7819.88,92,,Percent of Total Billed Charges,6994.44,,7819.88,92,,Percent of Total Billed Charges,7255.11,,7819.88,92,,Percent of Total Billed Charges,6542.63,,7819.88,92,,Percent of Total Billed Charges,5430.47,,7819.88,90,,Percent of Total Billed Charges,4335.69,,7732.99,89,,Percent of Total Billed Charges,4170.6,,7159.53,82.4,,Percent of Total Billed Charges,7142.15,,7246.42,83.4,,Percent of Total Billed Charges,6759.85,,7246.42,83.4,,Percent of Total Billed Charges,6090.81,,7246.42,83.4,,Percent of Total Billed Charges,7072.64,,7819.88,90,,Percent of Total Billed Charges,7359.37,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,7993.65,92,,Percent of Total Billed Charges,7046.58,,7993.65,92,,Percent of Total Billed Charges,6464.43,,7993.65,92,,Percent of Total Billed Charges,6803.29,,7993.65,92,,Percent of Total Billed Charges,7046.58,,6777.23,78,,Percent of Total Billed Charges,6777.23,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4677.15,53.83,,Percent of Total Billed Charges,4387.82,,3009.78,34.64,,Percent of Total Billed Charges,2997.62,,4342.64,49.98,,Percent of Total Billed Charges,3284.35,,3009.78,7993.65,,																																							
HC PET IMAGE W/CT LMTD,78814,CPT,,,,BOTH, , ,11922.75,10015.11,10730.48,92,,Percent of Total Billed Charges,9967.42,,10730.48,92,,Percent of Total Billed Charges,9788.58,,10730.48,92,,Percent of Total Billed Charges,9597.81,,10730.48,92,,Percent of Total Billed Charges,9955.5,,10730.48,92,,Percent of Total Billed Charges,8977.83,,10730.48,92,,Percent of Total Billed Charges,7451.72,,10730.48,90,,Percent of Total Billed Charges,5949.45,,10611.25,89,,Percent of Total Billed Charges,5722.92,,9824.35,82.4,,Percent of Total Billed Charges,9800.5,,9943.57,83.4,,Percent of Total Billed Charges,9275.9,,9943.57,83.4,,Percent of Total Billed Charges,8357.85,,9943.57,83.4,,Percent of Total Billed Charges,9705.12,,10730.48,90,,Percent of Total Billed Charges,10098.57,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,10968.93,92,,Percent of Total Billed Charges,9669.35,,10968.93,92,,Percent of Total Billed Charges,8870.53,,10968.93,92,,Percent of Total Billed Charges,9335.51,,10968.93,92,,Percent of Total Billed Charges,9669.35,,9299.75,78,,Percent of Total Billed Charges,9299.75,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6418.02,53.83,,Percent of Total Billed Charges,6020.99,,4130.04,34.64,,Percent of Total Billed Charges,4113.35,,5958.99,49.98,,Percent of Total Billed Charges,4506.8,,4130.04,10968.93,,																																							
HC PET IMAGE W/CT SKULLTHIGH,78815,CPT,,,,BOTH, , ,11922.75,10015.11,10730.48,92,,Percent of Total Billed Charges,9967.42,,10730.48,92,,Percent of Total Billed Charges,9788.58,,10730.48,92,,Percent of Total Billed Charges,9597.81,,10730.48,92,,Percent of Total Billed Charges,9955.5,,10730.48,92,,Percent of Total Billed Charges,8977.83,,10730.48,92,,Percent of Total Billed Charges,7451.72,,10730.48,90,,Percent of Total Billed Charges,5949.45,,10611.25,89,,Percent of Total Billed Charges,5722.92,,9824.35,82.4,,Percent of Total Billed Charges,9800.5,,9943.57,83.4,,Percent of Total Billed Charges,9275.9,,9943.57,83.4,,Percent of Total Billed Charges,8357.85,,9943.57,83.4,,Percent of Total Billed Charges,9705.12,,10730.48,90,,Percent of Total Billed Charges,10098.57,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,10968.93,92,,Percent of Total Billed Charges,9669.35,,10968.93,92,,Percent of Total Billed Charges,8870.53,,10968.93,92,,Percent of Total Billed Charges,9335.51,,10968.93,92,,Percent of Total Billed Charges,9669.35,,9299.75,78,,Percent of Total Billed Charges,9299.75,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6418.02,53.83,,Percent of Total Billed Charges,6020.99,,4130.04,34.64,,Percent of Total Billed Charges,4113.35,,5958.99,49.98,,Percent of Total Billed Charges,4506.8,,4130.04,10968.93,,																																							
HC PET IMAGE W/CT FULL BODY,78816,CPT,,,,BOTH, , ,11922.75,10015.11,10730.48,92,,Percent of Total Billed Charges,9967.42,,10730.48,92,,Percent of Total Billed Charges,9788.58,,10730.48,92,,Percent of Total Billed Charges,9597.81,,10730.48,92,,Percent of Total Billed Charges,9955.5,,10730.48,92,,Percent of Total Billed Charges,8977.83,,10730.48,92,,Percent of Total Billed Charges,7451.72,,10730.48,90,,Percent of Total Billed Charges,5949.45,,10611.25,89,,Percent of Total Billed Charges,5722.92,,9824.35,82.4,,Percent of Total Billed Charges,9800.5,,9943.57,83.4,,Percent of Total Billed Charges,9275.9,,9943.57,83.4,,Percent of Total Billed Charges,8357.85,,9943.57,83.4,,Percent of Total Billed Charges,9705.12,,10730.48,90,,Percent of Total Billed Charges,10098.57,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,10968.93,92,,Percent of Total Billed Charges,9669.35,,10968.93,92,,Percent of Total Billed Charges,8870.53,,10968.93,92,,Percent of Total Billed Charges,9335.51,,10968.93,92,,Percent of Total Billed Charges,9669.35,,9299.75,78,,Percent of Total Billed Charges,9299.75,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6418.02,53.83,,Percent of Total Billed Charges,6020.99,,4130.04,34.64,,Percent of Total Billed Charges,4113.35,,5958.99,49.98,,Percent of Total Billed Charges,4506.8,,4130.04,10968.93,,																																							
HC NICU RESPIRATORY THERAPY PER HR,410,RC,,,,BOTH, , ,10.5,8.82,9.66,92,,Percent of Total Billed Charges,8.78,,9.66,92,,Percent of Total Billed Charges,8.62,,9.66,92,,Percent of Total Billed Charges,8.45,,9.66,92,,Percent of Total Billed Charges,8.77,,9.66,92,,Percent of Total Billed Charges,7.91,,9.66,92,,Percent of Total Billed Charges,6.56,,9.45,90,,Percent of Total Billed Charges,5.24,,9.35,89,,Percent of Total Billed Charges,5.04,,8.65,82.4,,Percent of Total Billed Charges,8.63,,8.76,83.4,,Percent of Total Billed Charges,8.17,,8.76,83.4,,Percent of Total Billed Charges,7.36,,8.76,83.4,,Percent of Total Billed Charges,8.55,,9.45,90,,Percent of Total Billed Charges,8.89,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,9.66,92,,Percent of Total Billed Charges,8.52,,9.66,92,,Percent of Total Billed Charges,7.81,,9.66,92,,Percent of Total Billed Charges,8.22,,9.66,92,,Percent of Total Billed Charges,8.52,,8.19,78,,Percent of Total Billed Charges,8.19,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5.65,53.83,,Percent of Total Billed Charges,5.3,,3.64,34.64,,Percent of Total Billed Charges,3.62,,5.25,49.98,,Percent of Total Billed Charges,3.97,,3.64,9.66,,																																							
HC ENDOTRACHEAL INTUBATION,31500,CPT,,,,BOTH, , ,615.3,516.85,566.08,92,,Percent of Total Billed Charges,514.39,,566.08,92,,Percent of Total Billed Charges,505.16,,566.08,92,,Percent of Total Billed Charges,495.32,,566.08,92,,Percent of Total Billed Charges,513.78,,566.08,92,,Percent of Total Billed Charges,463.32,,566.08,92,,Percent of Total Billed Charges,384.56,,553.77,90,,Percent of Total Billed Charges,307.03,,547.62,89,,Percent of Total Billed Charges,295.34,,507.01,82.4,,Percent of Total Billed Charges,505.78,,513.16,83.4,,Percent of Total Billed Charges,478.7,,513.16,83.4,,Percent of Total Billed Charges,431.33,,513.16,83.4,,Percent of Total Billed Charges,500.85,,553.77,90,,Percent of Total Billed Charges,521.16,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,566.08,92,,Percent of Total Billed Charges,499.01,,566.08,92,,Percent of Total Billed Charges,457.78,,566.08,92,,Percent of Total Billed Charges,481.78,,566.08,92,,Percent of Total Billed Charges,499.01,,479.93,78,,Percent of Total Billed Charges,479.93,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,331.22,53.83,,Percent of Total Billed Charges,310.73,,213.14,34.64,,Percent of Total Billed Charges,212.28,,307.53,49.98,,Percent of Total Billed Charges,232.58,,213.14,566.08,,																																							
HC SUCTION NASOTRACHEAL,31720,CPT,,,,BOTH, , ,340.2,285.77,312.98,92,,Percent of Total Billed Charges,284.41,,312.98,92,,Percent of Total Billed Charges,279.3,,312.98,92,,Percent of Total Billed Charges,273.86,,312.98,92,,Percent of Total Billed Charges,284.07,,312.98,92,,Percent of Total Billed Charges,256.17,,312.98,92,,Percent of Total Billed Charges,212.63,,306.18,90,,Percent of Total Billed Charges,169.76,,302.78,89,,Percent of Total Billed Charges,163.3,,280.32,82.4,,Percent of Total Billed Charges,279.64,,283.73,83.4,,Percent of Total Billed Charges,264.68,,283.73,83.4,,Percent of Total Billed Charges,238.48,,283.73,83.4,,Percent of Total Billed Charges,276.92,,306.18,90,,Percent of Total Billed Charges,288.15,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,312.98,92,,Percent of Total Billed Charges,275.9,,312.98,92,,Percent of Total Billed Charges,253.11,,312.98,92,,Percent of Total Billed Charges,266.38,,312.98,92,,Percent of Total Billed Charges,275.9,,265.36,78,,Percent of Total Billed Charges,265.36,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,183.13,53.83,,Percent of Total Billed Charges,171.8,,117.85,34.64,,Percent of Total Billed Charges,117.37,,170.03,49.98,,Percent of Total Billed Charges,128.6,,117.85,312.98,,																																							
HC  MECH VENT INITIAL DAY IP,94002,CPT,,,,BOTH, , ,135.45,113.78,124.61,92,,Percent of Total Billed Charges,113.24,,124.61,92,,Percent of Total Billed Charges,111.2,,124.61,92,,Percent of Total Billed Charges,109.04,,124.61,92,,Percent of Total Billed Charges,113.1,,124.61,92,,Percent of Total Billed Charges,101.99,,124.61,92,,Percent of Total Billed Charges,84.66,,121.91,90,,Percent of Total Billed Charges,67.59,,120.55,89,,Percent of Total Billed Charges,65.02,,111.61,82.4,,Percent of Total Billed Charges,111.34,,112.97,83.4,,Percent of Total Billed Charges,105.38,,112.97,83.4,,Percent of Total Billed Charges,94.95,,112.97,83.4,,Percent of Total Billed Charges,110.26,,121.91,90,,Percent of Total Billed Charges,114.73,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,124.61,92,,Percent of Total Billed Charges,109.85,,124.61,92,,Percent of Total Billed Charges,100.77,,124.61,92,,Percent of Total Billed Charges,106.06,,124.61,92,,Percent of Total Billed Charges,109.85,,105.65,78,,Percent of Total Billed Charges,105.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,72.91,53.83,,Percent of Total Billed Charges,68.4,,46.92,34.64,,Percent of Total Billed Charges,46.73,,67.7,49.98,,Percent of Total Billed Charges,51.2,,46.92,124.61,,																																							
HC  MECH VENT SUBSEQ DAY IP,94003,CPT,,,,BOTH, , ,1250.55,1050.46,1150.51,92,,Percent of Total Billed Charges,1045.46,,1150.51,92,,Percent of Total Billed Charges,1026.7,,1150.51,92,,Percent of Total Billed Charges,1006.69,,1150.51,92,,Percent of Total Billed Charges,1044.21,,1150.51,92,,Percent of Total Billed Charges,941.66,,1150.51,92,,Percent of Total Billed Charges,781.59,,1125.5,90,,Percent of Total Billed Charges,624.02,,1112.99,89,,Percent of Total Billed Charges,600.26,,1030.45,82.4,,Percent of Total Billed Charges,1027.95,,1042.96,83.4,,Percent of Total Billed Charges,972.93,,1042.96,83.4,,Percent of Total Billed Charges,876.64,,1042.96,83.4,,Percent of Total Billed Charges,1017.95,,1125.5,90,,Percent of Total Billed Charges,1059.22,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1150.51,92,,Percent of Total Billed Charges,1014.2,,1150.51,92,,Percent of Total Billed Charges,930.41,,1150.51,92,,Percent of Total Billed Charges,979.18,,1150.51,92,,Percent of Total Billed Charges,1014.2,,975.43,78,,Percent of Total Billed Charges,975.43,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,673.17,53.83,,Percent of Total Billed Charges,631.53,,433.19,34.64,,Percent of Total Billed Charges,431.44,,625.02,49.98,,Percent of Total Billed Charges,472.71,,433.19,1150.51,,																																							
HC VITAL CAPACITY TEST,94150,CPT,,,,BOTH, , ,300.3,252.25,276.28,92,,Percent of Total Billed Charges,251.05,,276.28,92,,Percent of Total Billed Charges,246.55,,276.28,92,,Percent of Total Billed Charges,241.74,,276.28,92,,Percent of Total Billed Charges,250.75,,276.28,92,,Percent of Total Billed Charges,226.13,,276.28,92,,Percent of Total Billed Charges,187.69,,270.27,90,,Percent of Total Billed Charges,149.85,,267.27,89,,Percent of Total Billed Charges,144.14,,247.45,82.4,,Percent of Total Billed Charges,246.85,,250.45,83.4,,Percent of Total Billed Charges,233.63,,250.45,83.4,,Percent of Total Billed Charges,210.51,,250.45,83.4,,Percent of Total Billed Charges,244.44,,270.27,90,,Percent of Total Billed Charges,254.35,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,276.28,92,,Percent of Total Billed Charges,243.54,,276.28,92,,Percent of Total Billed Charges,223.42,,276.28,92,,Percent of Total Billed Charges,235.13,,276.28,92,,Percent of Total Billed Charges,243.54,,234.23,78,,Percent of Total Billed Charges,234.23,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,161.65,53.83,,Percent of Total Billed Charges,151.65,,104.02,34.64,,Percent of Total Billed Charges,103.6,,150.09,49.98,,Percent of Total Billed Charges,113.51,,104.02,276.28,,																																							
HC RESPIRATORY FLOW VOLUME LOOP,94375,CPT,,,,BOTH, , ,601.65,505.39,553.52,92,,Percent of Total Billed Charges,502.98,,553.52,92,,Percent of Total Billed Charges,493.95,,553.52,92,,Percent of Total Billed Charges,484.33,,553.52,92,,Percent of Total Billed Charges,502.38,,553.52,92,,Percent of Total Billed Charges,453.04,,553.52,92,,Percent of Total Billed Charges,376.03,,541.49,90,,Percent of Total Billed Charges,300.22,,535.47,89,,Percent of Total Billed Charges,288.79,,495.76,82.4,,Percent of Total Billed Charges,494.56,,501.78,83.4,,Percent of Total Billed Charges,468.08,,501.78,83.4,,Percent of Total Billed Charges,421.76,,501.78,83.4,,Percent of Total Billed Charges,489.74,,541.49,90,,Percent of Total Billed Charges,509.6,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,553.52,92,,Percent of Total Billed Charges,487.94,,553.52,92,,Percent of Total Billed Charges,447.63,,553.52,92,,Percent of Total Billed Charges,471.09,,553.52,92,,Percent of Total Billed Charges,487.94,,469.29,78,,Percent of Total Billed Charges,469.29,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,323.87,53.83,,Percent of Total Billed Charges,303.83,,208.41,34.64,,Percent of Total Billed Charges,207.57,,300.7,49.98,,Percent of Total Billed Charges,227.42,,208.41,553.52,,																																							
HC SURFACTANT ADMIN THRU TUBE,94610,CPT,,,,BOTH, , ,413.7,347.51,380.6,92,,Percent of Total Billed Charges,345.85,,380.6,92,,Percent of Total Billed Charges,339.65,,380.6,92,,Percent of Total Billed Charges,333.03,,380.6,92,,Percent of Total Billed Charges,345.44,,380.6,92,,Percent of Total Billed Charges,311.52,,380.6,92,,Percent of Total Billed Charges,258.56,,372.33,90,,Percent of Total Billed Charges,206.44,,368.19,89,,Percent of Total Billed Charges,198.58,,340.89,82.4,,Percent of Total Billed Charges,340.06,,345.03,83.4,,Percent of Total Billed Charges,321.86,,345.03,83.4,,Percent of Total Billed Charges,290,,345.03,83.4,,Percent of Total Billed Charges,336.75,,372.33,90,,Percent of Total Billed Charges,350.4,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,380.6,92,,Percent of Total Billed Charges,335.51,,380.6,92,,Percent of Total Billed Charges,307.79,,380.6,92,,Percent of Total Billed Charges,323.93,,380.6,92,,Percent of Total Billed Charges,335.51,,322.69,78,,Percent of Total Billed Charges,322.69,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,222.69,53.83,,Percent of Total Billed Charges,208.92,,143.31,34.64,,Percent of Total Billed Charges,142.73,,206.77,49.98,,Percent of Total Billed Charges,156.38,,143.31,380.6,,																																							
HC ANTIBIOTIC NEBULIZER TREATMENT,94640,CPT,,,,BOTH, , ,340.2,285.77,312.98,92,,Percent of Total Billed Charges,284.41,,312.98,92,,Percent of Total Billed Charges,279.3,,312.98,92,,Percent of Total Billed Charges,273.86,,312.98,92,,Percent of Total Billed Charges,284.07,,312.98,92,,Percent of Total Billed Charges,256.17,,312.98,92,,Percent of Total Billed Charges,212.63,,306.18,90,,Percent of Total Billed Charges,169.76,,302.78,89,,Percent of Total Billed Charges,163.3,,280.32,82.4,,Percent of Total Billed Charges,279.64,,283.73,83.4,,Percent of Total Billed Charges,264.68,,283.73,83.4,,Percent of Total Billed Charges,238.48,,283.73,83.4,,Percent of Total Billed Charges,276.92,,306.18,90,,Percent of Total Billed Charges,288.15,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,312.98,92,,Percent of Total Billed Charges,275.9,,312.98,92,,Percent of Total Billed Charges,253.11,,312.98,92,,Percent of Total Billed Charges,266.38,,312.98,92,,Percent of Total Billed Charges,275.9,,265.36,78,,Percent of Total Billed Charges,265.36,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,183.13,53.83,,Percent of Total Billed Charges,171.8,,117.85,34.64,,Percent of Total Billed Charges,117.37,,170.03,49.98,,Percent of Total Billed Charges,128.6,,117.85,312.98,,																																							
HC CONTINOUS MEDICATION NEB 1ST HR,94644,CPT,,,,BOTH, , ,245.7,206.39,226.04,92,,Percent of Total Billed Charges,205.41,,226.04,92,,Percent of Total Billed Charges,201.72,,226.04,92,,Percent of Total Billed Charges,197.79,,226.04,92,,Percent of Total Billed Charges,205.16,,226.04,92,,Percent of Total Billed Charges,185.01,,226.04,92,,Percent of Total Billed Charges,153.56,,221.13,90,,Percent of Total Billed Charges,122.6,,218.67,89,,Percent of Total Billed Charges,117.94,,202.46,82.4,,Percent of Total Billed Charges,201.97,,204.91,83.4,,Percent of Total Billed Charges,191.15,,204.91,83.4,,Percent of Total Billed Charges,172.24,,204.91,83.4,,Percent of Total Billed Charges,200,,221.13,90,,Percent of Total Billed Charges,208.11,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,226.04,92,,Percent of Total Billed Charges,199.26,,226.04,92,,Percent of Total Billed Charges,182.8,,226.04,92,,Percent of Total Billed Charges,192.38,,226.04,92,,Percent of Total Billed Charges,199.26,,191.65,78,,Percent of Total Billed Charges,191.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,132.26,53.83,,Percent of Total Billed Charges,124.08,,85.11,34.64,,Percent of Total Billed Charges,84.77,,122.8,49.98,,Percent of Total Billed Charges,92.87,,85.11,226.04,,																																							
HC CONTINOUS MEDICATION NEB EA ADD'L HR,94645,CPT,,,,BOTH, , ,161.7,135.83,148.76,92,,Percent of Total Billed Charges,135.18,,148.76,92,,Percent of Total Billed Charges,132.76,,148.76,92,,Percent of Total Billed Charges,130.17,,148.76,92,,Percent of Total Billed Charges,135.02,,148.76,92,,Percent of Total Billed Charges,121.76,,148.76,92,,Percent of Total Billed Charges,101.06,,145.53,90,,Percent of Total Billed Charges,80.69,,143.91,89,,Percent of Total Billed Charges,77.62,,133.24,82.4,,Percent of Total Billed Charges,132.92,,134.86,83.4,,Percent of Total Billed Charges,125.8,,134.86,83.4,,Percent of Total Billed Charges,113.35,,134.86,83.4,,Percent of Total Billed Charges,131.62,,145.53,90,,Percent of Total Billed Charges,136.96,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,148.76,92,,Percent of Total Billed Charges,131.14,,148.76,92,,Percent of Total Billed Charges,120.3,,148.76,92,,Percent of Total Billed Charges,126.61,,148.76,92,,Percent of Total Billed Charges,131.14,,126.13,78,,Percent of Total Billed Charges,126.13,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,87.04,53.83,,Percent of Total Billed Charges,81.66,,56.01,34.64,,Percent of Total Billed Charges,55.79,,80.82,49.98,,Percent of Total Billed Charges,61.12,,56.01,148.76,,																																							
HC CPAP THERAPY,94660,CPT,,,,BOTH, , ,310.8,261.07,285.94,92,,Percent of Total Billed Charges,259.83,,285.94,92,,Percent of Total Billed Charges,255.17,,285.94,92,,Percent of Total Billed Charges,250.19,,285.94,92,,Percent of Total Billed Charges,259.52,,285.94,92,,Percent of Total Billed Charges,234.03,,285.94,92,,Percent of Total Billed Charges,194.25,,279.72,90,,Percent of Total Billed Charges,155.09,,276.61,89,,Percent of Total Billed Charges,149.18,,256.1,82.4,,Percent of Total Billed Charges,255.48,,259.21,83.4,,Percent of Total Billed Charges,241.8,,259.21,83.4,,Percent of Total Billed Charges,217.87,,259.21,83.4,,Percent of Total Billed Charges,252.99,,279.72,90,,Percent of Total Billed Charges,263.25,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,285.94,92,,Percent of Total Billed Charges,252.06,,285.94,92,,Percent of Total Billed Charges,231.24,,285.94,92,,Percent of Total Billed Charges,243.36,,285.94,92,,Percent of Total Billed Charges,252.06,,242.42,78,,Percent of Total Billed Charges,242.42,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,167.3,53.83,,Percent of Total Billed Charges,156.95,,107.66,34.64,,Percent of Total Billed Charges,107.23,,155.34,49.98,,Percent of Total Billed Charges,117.48,,107.66,285.94,,																																							
HC AEROSOL NEB/MDI/IPPB DEMO/EVAL,94664,CPT,,,,BOTH, , ,340.2,285.77,312.98,92,,Percent of Total Billed Charges,284.41,,312.98,92,,Percent of Total Billed Charges,279.3,,312.98,92,,Percent of Total Billed Charges,273.86,,312.98,92,,Percent of Total Billed Charges,284.07,,312.98,92,,Percent of Total Billed Charges,256.17,,312.98,92,,Percent of Total Billed Charges,212.63,,306.18,90,,Percent of Total Billed Charges,169.76,,302.78,89,,Percent of Total Billed Charges,163.3,,280.32,82.4,,Percent of Total Billed Charges,279.64,,283.73,83.4,,Percent of Total Billed Charges,264.68,,283.73,83.4,,Percent of Total Billed Charges,238.48,,283.73,83.4,,Percent of Total Billed Charges,276.92,,306.18,90,,Percent of Total Billed Charges,288.15,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,312.98,92,,Percent of Total Billed Charges,275.9,,312.98,92,,Percent of Total Billed Charges,253.11,,312.98,92,,Percent of Total Billed Charges,266.38,,312.98,92,,Percent of Total Billed Charges,275.9,,265.36,78,,Percent of Total Billed Charges,265.36,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,183.13,53.83,,Percent of Total Billed Charges,171.8,,117.85,34.64,,Percent of Total Billed Charges,117.37,,170.03,49.98,,Percent of Total Billed Charges,128.6,,117.85,312.98,,																																							
HC CHEST PHYSIOTHERAPY INITIAL,94667,CPT,,,,BOTH, , ,340.2,285.77,312.98,92,,Percent of Total Billed Charges,284.41,,312.98,92,,Percent of Total Billed Charges,279.3,,312.98,92,,Percent of Total Billed Charges,273.86,,312.98,92,,Percent of Total Billed Charges,284.07,,312.98,92,,Percent of Total Billed Charges,256.17,,312.98,92,,Percent of Total Billed Charges,212.63,,306.18,90,,Percent of Total Billed Charges,169.76,,302.78,89,,Percent of Total Billed Charges,163.3,,280.32,82.4,,Percent of Total Billed Charges,279.64,,283.73,83.4,,Percent of Total Billed Charges,264.68,,283.73,83.4,,Percent of Total Billed Charges,238.48,,283.73,83.4,,Percent of Total Billed Charges,276.92,,306.18,90,,Percent of Total Billed Charges,288.15,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,312.98,92,,Percent of Total Billed Charges,275.9,,312.98,92,,Percent of Total Billed Charges,253.11,,312.98,92,,Percent of Total Billed Charges,266.38,,312.98,92,,Percent of Total Billed Charges,275.9,,265.36,78,,Percent of Total Billed Charges,265.36,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,183.13,53.83,,Percent of Total Billed Charges,171.8,,117.85,34.64,,Percent of Total Billed Charges,117.37,,170.03,49.98,,Percent of Total Billed Charges,128.6,,117.85,312.98,,																																							
HC CHEST PHYSIOTHERAPY SUBSEQUENT,94668,CPT,,,,BOTH, , ,329.7,276.95,303.32,92,,Percent of Total Billed Charges,275.63,,303.32,92,,Percent of Total Billed Charges,270.68,,303.32,92,,Percent of Total Billed Charges,265.41,,303.32,92,,Percent of Total Billed Charges,275.3,,303.32,92,,Percent of Total Billed Charges,248.26,,303.32,92,,Percent of Total Billed Charges,206.06,,296.73,90,,Percent of Total Billed Charges,164.52,,293.43,89,,Percent of Total Billed Charges,158.26,,271.67,82.4,,Percent of Total Billed Charges,271.01,,274.97,83.4,,Percent of Total Billed Charges,256.51,,274.97,83.4,,Percent of Total Billed Charges,231.12,,274.97,83.4,,Percent of Total Billed Charges,268.38,,296.73,90,,Percent of Total Billed Charges,279.26,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,303.32,92,,Percent of Total Billed Charges,267.39,,303.32,92,,Percent of Total Billed Charges,245.3,,303.32,92,,Percent of Total Billed Charges,258.16,,303.32,92,,Percent of Total Billed Charges,267.39,,257.17,78,,Percent of Total Billed Charges,257.17,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,177.48,53.83,,Percent of Total Billed Charges,166.5,,114.21,34.64,,Percent of Total Billed Charges,113.75,,164.78,49.98,,Percent of Total Billed Charges,124.63,,114.21,303.32,,																																							
HC MECHANICAL CHEST WALL OSCILL,94669,CPT,,,,BOTH, , ,383.25,321.93,352.59,92,,Percent of Total Billed Charges,320.4,,352.59,92,,Percent of Total Billed Charges,314.65,,352.59,92,,Percent of Total Billed Charges,308.52,,352.59,92,,Percent of Total Billed Charges,320.01,,352.59,92,,Percent of Total Billed Charges,288.59,,352.59,92,,Percent of Total Billed Charges,239.53,,344.93,90,,Percent of Total Billed Charges,191.24,,341.09,89,,Percent of Total Billed Charges,183.96,,315.8,82.4,,Percent of Total Billed Charges,315.03,,319.63,83.4,,Percent of Total Billed Charges,298.17,,319.63,83.4,,Percent of Total Billed Charges,268.66,,319.63,83.4,,Percent of Total Billed Charges,311.97,,344.93,90,,Percent of Total Billed Charges,324.61,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,352.59,92,,Percent of Total Billed Charges,310.82,,352.59,92,,Percent of Total Billed Charges,285.14,,352.59,92,,Percent of Total Billed Charges,300.08,,352.59,92,,Percent of Total Billed Charges,310.82,,298.94,78,,Percent of Total Billed Charges,298.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,206.3,53.83,,Percent of Total Billed Charges,193.54,,132.76,34.64,,Percent of Total Billed Charges,132.22,,191.55,49.98,,Percent of Total Billed Charges,144.87,,132.76,352.59,,																																							
HC OTH RESP PROC, GROUP,G0239,CPT,,,,BOTH, , ,369.6,310.46,340.03,92,,Percent of Total Billed Charges,308.99,,340.03,92,,Percent of Total Billed Charges,303.44,,340.03,92,,Percent of Total Billed Charges,297.53,,340.03,92,,Percent of Total Billed Charges,308.62,,340.03,92,,Percent of Total Billed Charges,278.31,,340.03,92,,Percent of Total Billed Charges,231,,332.64,90,,Percent of Total Billed Charges,184.43,,328.94,89,,Percent of Total Billed Charges,177.41,,304.55,82.4,,Percent of Total Billed Charges,303.81,,308.25,83.4,,Percent of Total Billed Charges,287.55,,308.25,83.4,,Percent of Total Billed Charges,259.09,,308.25,83.4,,Percent of Total Billed Charges,300.85,,332.64,90,,Percent of Total Billed Charges,313.05,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,340.03,92,,Percent of Total Billed Charges,299.75,,340.03,92,,Percent of Total Billed Charges,274.98,,340.03,92,,Percent of Total Billed Charges,289.4,,340.03,92,,Percent of Total Billed Charges,299.75,,288.29,78,,Percent of Total Billed Charges,288.29,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,198.96,53.83,,Percent of Total Billed Charges,186.65,,128.03,34.64,,Percent of Total Billed Charges,127.51,,184.73,49.98,,Percent of Total Billed Charges,139.71,,128.03,340.03,,																																							
HC PENTAMADINE TREATMENT,94642,CPT,,,,BOTH, , ,340.2,285.77,312.98,92,,Percent of Total Billed Charges,284.41,,312.98,92,,Percent of Total Billed Charges,279.3,,312.98,92,,Percent of Total Billed Charges,273.86,,312.98,92,,Percent of Total Billed Charges,284.07,,312.98,92,,Percent of Total Billed Charges,256.17,,312.98,92,,Percent of Total Billed Charges,212.63,,306.18,90,,Percent of Total Billed Charges,169.76,,302.78,89,,Percent of Total Billed Charges,163.3,,280.32,82.4,,Percent of Total Billed Charges,279.64,,283.73,83.4,,Percent of Total Billed Charges,264.68,,283.73,83.4,,Percent of Total Billed Charges,238.48,,283.73,83.4,,Percent of Total Billed Charges,276.92,,306.18,90,,Percent of Total Billed Charges,288.15,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,312.98,92,,Percent of Total Billed Charges,275.9,,312.98,92,,Percent of Total Billed Charges,253.11,,312.98,92,,Percent of Total Billed Charges,266.38,,312.98,92,,Percent of Total Billed Charges,275.9,,265.36,78,,Percent of Total Billed Charges,265.36,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,183.13,53.83,,Percent of Total Billed Charges,171.8,,117.85,34.64,,Percent of Total Billed Charges,117.37,,170.03,49.98,,Percent of Total Billed Charges,128.6,,117.85,312.98,,																																							
HC BIPAP INITIAL DAY,94002,CPT,,,,BOTH, , ,135.45,113.78,124.61,92,,Percent of Total Billed Charges,113.24,,124.61,92,,Percent of Total Billed Charges,111.2,,124.61,92,,Percent of Total Billed Charges,109.04,,124.61,92,,Percent of Total Billed Charges,113.1,,124.61,92,,Percent of Total Billed Charges,101.99,,124.61,92,,Percent of Total Billed Charges,84.66,,121.91,90,,Percent of Total Billed Charges,67.59,,120.55,89,,Percent of Total Billed Charges,65.02,,111.61,82.4,,Percent of Total Billed Charges,111.34,,112.97,83.4,,Percent of Total Billed Charges,105.38,,112.97,83.4,,Percent of Total Billed Charges,94.95,,112.97,83.4,,Percent of Total Billed Charges,110.26,,121.91,90,,Percent of Total Billed Charges,114.73,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,124.61,92,,Percent of Total Billed Charges,109.85,,124.61,92,,Percent of Total Billed Charges,100.77,,124.61,92,,Percent of Total Billed Charges,106.06,,124.61,92,,Percent of Total Billed Charges,109.85,,105.65,78,,Percent of Total Billed Charges,105.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,72.91,53.83,,Percent of Total Billed Charges,68.4,,46.92,34.64,,Percent of Total Billed Charges,46.73,,67.7,49.98,,Percent of Total Billed Charges,51.2,,46.92,124.61,,																																							
HC BIPAP SUBSQUENT DAY IP,94003,CPT,,,,BOTH, , ,1250.55,1050.46,1150.51,92,,Percent of Total Billed Charges,1045.46,,1150.51,92,,Percent of Total Billed Charges,1026.7,,1150.51,92,,Percent of Total Billed Charges,1006.69,,1150.51,92,,Percent of Total Billed Charges,1044.21,,1150.51,92,,Percent of Total Billed Charges,941.66,,1150.51,92,,Percent of Total Billed Charges,781.59,,1125.5,90,,Percent of Total Billed Charges,624.02,,1112.99,89,,Percent of Total Billed Charges,600.26,,1030.45,82.4,,Percent of Total Billed Charges,1027.95,,1042.96,83.4,,Percent of Total Billed Charges,972.93,,1042.96,83.4,,Percent of Total Billed Charges,876.64,,1042.96,83.4,,Percent of Total Billed Charges,1017.95,,1125.5,90,,Percent of Total Billed Charges,1059.22,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1150.51,92,,Percent of Total Billed Charges,1014.2,,1150.51,92,,Percent of Total Billed Charges,930.41,,1150.51,92,,Percent of Total Billed Charges,979.18,,1150.51,92,,Percent of Total Billed Charges,1014.2,,975.43,78,,Percent of Total Billed Charges,975.43,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,673.17,53.83,,Percent of Total Billed Charges,631.53,,433.19,34.64,,Percent of Total Billed Charges,431.44,,625.02,49.98,,Percent of Total Billed Charges,472.71,,433.19,1150.51,,																																							
HC ER HAND HELD NEBULIZER,94640,CPT,,,,BOTH, , ,340.2,285.77,312.98,92,,Percent of Total Billed Charges,284.41,,312.98,92,,Percent of Total Billed Charges,279.3,,312.98,92,,Percent of Total Billed Charges,273.86,,312.98,92,,Percent of Total Billed Charges,284.07,,312.98,92,,Percent of Total Billed Charges,256.17,,312.98,92,,Percent of Total Billed Charges,212.63,,306.18,90,,Percent of Total Billed Charges,169.76,,302.78,89,,Percent of Total Billed Charges,163.3,,280.32,82.4,,Percent of Total Billed Charges,279.64,,283.73,83.4,,Percent of Total Billed Charges,264.68,,283.73,83.4,,Percent of Total Billed Charges,238.48,,283.73,83.4,,Percent of Total Billed Charges,276.92,,306.18,90,,Percent of Total Billed Charges,288.15,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,312.98,92,,Percent of Total Billed Charges,275.9,,312.98,92,,Percent of Total Billed Charges,253.11,,312.98,92,,Percent of Total Billed Charges,266.38,,312.98,92,,Percent of Total Billed Charges,275.9,,265.36,78,,Percent of Total Billed Charges,265.36,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,183.13,53.83,,Percent of Total Billed Charges,171.8,,117.85,34.64,,Percent of Total Billed Charges,117.37,,170.03,49.98,,Percent of Total Billed Charges,128.6,,117.85,312.98,,																																							
HC HAND HELD NEBULIZER,94640,CPT,,,,BOTH, , ,340.2,285.77,312.98,92,,Percent of Total Billed Charges,284.41,,312.98,92,,Percent of Total Billed Charges,279.3,,312.98,92,,Percent of Total Billed Charges,273.86,,312.98,92,,Percent of Total Billed Charges,284.07,,312.98,92,,Percent of Total Billed Charges,256.17,,312.98,92,,Percent of Total Billed Charges,212.63,,306.18,90,,Percent of Total Billed Charges,169.76,,302.78,89,,Percent of Total Billed Charges,163.3,,280.32,82.4,,Percent of Total Billed Charges,279.64,,283.73,83.4,,Percent of Total Billed Charges,264.68,,283.73,83.4,,Percent of Total Billed Charges,238.48,,283.73,83.4,,Percent of Total Billed Charges,276.92,,306.18,90,,Percent of Total Billed Charges,288.15,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,312.98,92,,Percent of Total Billed Charges,275.9,,312.98,92,,Percent of Total Billed Charges,253.11,,312.98,92,,Percent of Total Billed Charges,266.38,,312.98,92,,Percent of Total Billed Charges,275.9,,265.36,78,,Percent of Total Billed Charges,265.36,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,183.13,53.83,,Percent of Total Billed Charges,171.8,,117.85,34.64,,Percent of Total Billed Charges,117.37,,170.03,49.98,,Percent of Total Billed Charges,128.6,,117.85,312.98,,																																							
HC MDI WITH SPACER TREATMENT,94640,CPT,,,,BOTH, , ,340.2,285.77,312.98,92,,Percent of Total Billed Charges,284.41,,312.98,92,,Percent of Total Billed Charges,279.3,,312.98,92,,Percent of Total Billed Charges,273.86,,312.98,92,,Percent of Total Billed Charges,284.07,,312.98,92,,Percent of Total Billed Charges,256.17,,312.98,92,,Percent of Total Billed Charges,212.63,,306.18,90,,Percent of Total Billed Charges,169.76,,302.78,89,,Percent of Total Billed Charges,163.3,,280.32,82.4,,Percent of Total Billed Charges,279.64,,283.73,83.4,,Percent of Total Billed Charges,264.68,,283.73,83.4,,Percent of Total Billed Charges,238.48,,283.73,83.4,,Percent of Total Billed Charges,276.92,,306.18,90,,Percent of Total Billed Charges,288.15,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,312.98,92,,Percent of Total Billed Charges,275.9,,312.98,92,,Percent of Total Billed Charges,253.11,,312.98,92,,Percent of Total Billed Charges,266.38,,312.98,92,,Percent of Total Billed Charges,275.9,,265.36,78,,Percent of Total Billed Charges,265.36,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,183.13,53.83,,Percent of Total Billed Charges,171.8,,117.85,34.64,,Percent of Total Billed Charges,117.37,,170.03,49.98,,Percent of Total Billed Charges,128.6,,117.85,312.98,,																																							
HC SPUTUM INDUCTION,94640,CPT,,,,BOTH, , ,340.2,285.77,312.98,92,,Percent of Total Billed Charges,284.41,,312.98,92,,Percent of Total Billed Charges,279.3,,312.98,92,,Percent of Total Billed Charges,273.86,,312.98,92,,Percent of Total Billed Charges,284.07,,312.98,92,,Percent of Total Billed Charges,256.17,,312.98,92,,Percent of Total Billed Charges,212.63,,306.18,90,,Percent of Total Billed Charges,169.76,,302.78,89,,Percent of Total Billed Charges,163.3,,280.32,82.4,,Percent of Total Billed Charges,279.64,,283.73,83.4,,Percent of Total Billed Charges,264.68,,283.73,83.4,,Percent of Total Billed Charges,238.48,,283.73,83.4,,Percent of Total Billed Charges,276.92,,306.18,90,,Percent of Total Billed Charges,288.15,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,312.98,92,,Percent of Total Billed Charges,275.9,,312.98,92,,Percent of Total Billed Charges,253.11,,312.98,92,,Percent of Total Billed Charges,266.38,,312.98,92,,Percent of Total Billed Charges,275.9,,265.36,78,,Percent of Total Billed Charges,265.36,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,183.13,53.83,,Percent of Total Billed Charges,171.8,,117.85,34.64,,Percent of Total Billed Charges,117.37,,170.03,49.98,,Percent of Total Billed Charges,128.6,,117.85,312.98,,																																							
HC ULTRA SONIC NEBULIZER TREATMENT,94640,CPT,,,,BOTH, , ,340.2,285.77,312.98,92,,Percent of Total Billed Charges,284.41,,312.98,92,,Percent of Total Billed Charges,279.3,,312.98,92,,Percent of Total Billed Charges,273.86,,312.98,92,,Percent of Total Billed Charges,284.07,,312.98,92,,Percent of Total Billed Charges,256.17,,312.98,92,,Percent of Total Billed Charges,212.63,,306.18,90,,Percent of Total Billed Charges,169.76,,302.78,89,,Percent of Total Billed Charges,163.3,,280.32,82.4,,Percent of Total Billed Charges,279.64,,283.73,83.4,,Percent of Total Billed Charges,264.68,,283.73,83.4,,Percent of Total Billed Charges,238.48,,283.73,83.4,,Percent of Total Billed Charges,276.92,,306.18,90,,Percent of Total Billed Charges,288.15,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,312.98,92,,Percent of Total Billed Charges,275.9,,312.98,92,,Percent of Total Billed Charges,253.11,,312.98,92,,Percent of Total Billed Charges,266.38,,312.98,92,,Percent of Total Billed Charges,275.9,,265.36,78,,Percent of Total Billed Charges,265.36,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,183.13,53.83,,Percent of Total Billed Charges,171.8,,117.85,34.64,,Percent of Total Billed Charges,117.37,,170.03,49.98,,Percent of Total Billed Charges,128.6,,117.85,312.98,,																																							
HC ER CPAP/BIPAP THERAPY,94660,CPT,,,,BOTH, , ,310.8,261.07,285.94,92,,Percent of Total Billed Charges,259.83,,285.94,92,,Percent of Total Billed Charges,255.17,,285.94,92,,Percent of Total Billed Charges,250.19,,285.94,92,,Percent of Total Billed Charges,259.52,,285.94,92,,Percent of Total Billed Charges,234.03,,285.94,92,,Percent of Total Billed Charges,194.25,,279.72,90,,Percent of Total Billed Charges,155.09,,276.61,89,,Percent of Total Billed Charges,149.18,,256.1,82.4,,Percent of Total Billed Charges,255.48,,259.21,83.4,,Percent of Total Billed Charges,241.8,,259.21,83.4,,Percent of Total Billed Charges,217.87,,259.21,83.4,,Percent of Total Billed Charges,252.99,,279.72,90,,Percent of Total Billed Charges,263.25,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,285.94,92,,Percent of Total Billed Charges,252.06,,285.94,92,,Percent of Total Billed Charges,231.24,,285.94,92,,Percent of Total Billed Charges,243.36,,285.94,92,,Percent of Total Billed Charges,252.06,,242.42,78,,Percent of Total Billed Charges,242.42,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,167.3,53.83,,Percent of Total Billed Charges,156.95,,107.66,34.64,,Percent of Total Billed Charges,107.23,,155.34,49.98,,Percent of Total Billed Charges,117.48,,107.66,285.94,,																																							
HC MDI WITH SPACER INITIAL,94640,CPT,,,,BOTH, , ,340.2,285.77,312.98,92,,Percent of Total Billed Charges,284.41,,312.98,92,,Percent of Total Billed Charges,279.3,,312.98,92,,Percent of Total Billed Charges,273.86,,312.98,92,,Percent of Total Billed Charges,284.07,,312.98,92,,Percent of Total Billed Charges,256.17,,312.98,92,,Percent of Total Billed Charges,212.63,,306.18,90,,Percent of Total Billed Charges,169.76,,302.78,89,,Percent of Total Billed Charges,163.3,,280.32,82.4,,Percent of Total Billed Charges,279.64,,283.73,83.4,,Percent of Total Billed Charges,264.68,,283.73,83.4,,Percent of Total Billed Charges,238.48,,283.73,83.4,,Percent of Total Billed Charges,276.92,,306.18,90,,Percent of Total Billed Charges,288.15,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,312.98,92,,Percent of Total Billed Charges,275.9,,312.98,92,,Percent of Total Billed Charges,253.11,,312.98,92,,Percent of Total Billed Charges,266.38,,312.98,92,,Percent of Total Billed Charges,275.9,,265.36,78,,Percent of Total Billed Charges,265.36,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,183.13,53.83,,Percent of Total Billed Charges,171.8,,117.85,34.64,,Percent of Total Billed Charges,117.37,,170.03,49.98,,Percent of Total Billed Charges,128.6,,117.85,312.98,,																																							
HC PATIENT ASSESSMENT COMPREHENSIVE,94664,CPT,,,,BOTH, , ,340.2,285.77,312.98,92,,Percent of Total Billed Charges,284.41,,312.98,92,,Percent of Total Billed Charges,279.3,,312.98,92,,Percent of Total Billed Charges,273.86,,312.98,92,,Percent of Total Billed Charges,284.07,,312.98,92,,Percent of Total Billed Charges,256.17,,312.98,92,,Percent of Total Billed Charges,212.63,,306.18,90,,Percent of Total Billed Charges,169.76,,302.78,89,,Percent of Total Billed Charges,163.3,,280.32,82.4,,Percent of Total Billed Charges,279.64,,283.73,83.4,,Percent of Total Billed Charges,264.68,,283.73,83.4,,Percent of Total Billed Charges,238.48,,283.73,83.4,,Percent of Total Billed Charges,276.92,,306.18,90,,Percent of Total Billed Charges,288.15,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,312.98,92,,Percent of Total Billed Charges,275.9,,312.98,92,,Percent of Total Billed Charges,253.11,,312.98,92,,Percent of Total Billed Charges,266.38,,312.98,92,,Percent of Total Billed Charges,275.9,,265.36,78,,Percent of Total Billed Charges,265.36,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,183.13,53.83,,Percent of Total Billed Charges,171.8,,117.85,34.64,,Percent of Total Billed Charges,117.37,,170.03,49.98,,Percent of Total Billed Charges,128.6,,117.85,312.98,,																																							
HC PEP THERAPY INITIAL,94667,CPT,,,,BOTH, , ,340.2,285.77,312.98,92,,Percent of Total Billed Charges,284.41,,312.98,92,,Percent of Total Billed Charges,279.3,,312.98,92,,Percent of Total Billed Charges,273.86,,312.98,92,,Percent of Total Billed Charges,284.07,,312.98,92,,Percent of Total Billed Charges,256.17,,312.98,92,,Percent of Total Billed Charges,212.63,,306.18,90,,Percent of Total Billed Charges,169.76,,302.78,89,,Percent of Total Billed Charges,163.3,,280.32,82.4,,Percent of Total Billed Charges,279.64,,283.73,83.4,,Percent of Total Billed Charges,264.68,,283.73,83.4,,Percent of Total Billed Charges,238.48,,283.73,83.4,,Percent of Total Billed Charges,276.92,,306.18,90,,Percent of Total Billed Charges,288.15,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,312.98,92,,Percent of Total Billed Charges,275.9,,312.98,92,,Percent of Total Billed Charges,253.11,,312.98,92,,Percent of Total Billed Charges,266.38,,312.98,92,,Percent of Total Billed Charges,275.9,,265.36,78,,Percent of Total Billed Charges,265.36,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,183.13,53.83,,Percent of Total Billed Charges,171.8,,117.85,34.64,,Percent of Total Billed Charges,117.37,,170.03,49.98,,Percent of Total Billed Charges,128.6,,117.85,312.98,,																																							
HC PEP THERAPY SUBSEQUENT,94668,CPT,,,,BOTH, , ,329.7,276.95,303.32,92,,Percent of Total Billed Charges,275.63,,303.32,92,,Percent of Total Billed Charges,270.68,,303.32,92,,Percent of Total Billed Charges,265.41,,303.32,92,,Percent of Total Billed Charges,275.3,,303.32,92,,Percent of Total Billed Charges,248.26,,303.32,92,,Percent of Total Billed Charges,206.06,,296.73,90,,Percent of Total Billed Charges,164.52,,293.43,89,,Percent of Total Billed Charges,158.26,,271.67,82.4,,Percent of Total Billed Charges,271.01,,274.97,83.4,,Percent of Total Billed Charges,256.51,,274.97,83.4,,Percent of Total Billed Charges,231.12,,274.97,83.4,,Percent of Total Billed Charges,268.38,,296.73,90,,Percent of Total Billed Charges,279.26,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,303.32,92,,Percent of Total Billed Charges,267.39,,303.32,92,,Percent of Total Billed Charges,245.3,,303.32,92,,Percent of Total Billed Charges,258.16,,303.32,92,,Percent of Total Billed Charges,267.39,,257.17,78,,Percent of Total Billed Charges,257.17,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,177.48,53.83,,Percent of Total Billed Charges,166.5,,114.21,34.64,,Percent of Total Billed Charges,113.75,,164.78,49.98,,Percent of Total Billed Charges,124.63,,114.21,303.32,,																																							
HC MECHANICAL CHEST WALL OSCILLATION LUNG FUNCTION,94669,CPT,,,,BOTH, , ,383.25,321.93,352.59,92,,Percent of Total Billed Charges,320.4,,352.59,92,,Percent of Total Billed Charges,314.65,,352.59,92,,Percent of Total Billed Charges,308.52,,352.59,92,,Percent of Total Billed Charges,320.01,,352.59,92,,Percent of Total Billed Charges,288.59,,352.59,92,,Percent of Total Billed Charges,239.53,,344.93,90,,Percent of Total Billed Charges,191.24,,341.09,89,,Percent of Total Billed Charges,183.96,,315.8,82.4,,Percent of Total Billed Charges,315.03,,319.63,83.4,,Percent of Total Billed Charges,298.17,,319.63,83.4,,Percent of Total Billed Charges,268.66,,319.63,83.4,,Percent of Total Billed Charges,311.97,,344.93,90,,Percent of Total Billed Charges,324.61,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,352.59,92,,Percent of Total Billed Charges,310.82,,352.59,92,,Percent of Total Billed Charges,285.14,,352.59,92,,Percent of Total Billed Charges,300.08,,352.59,92,,Percent of Total Billed Charges,310.82,,298.94,78,,Percent of Total Billed Charges,298.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,206.3,53.83,,Percent of Total Billed Charges,193.54,,132.76,34.64,,Percent of Total Billed Charges,132.22,,191.55,49.98,,Percent of Total Billed Charges,144.87,,132.76,352.59,,																																							
HC CARDIOPULMONARY RESUSCITATION CHARGE,92950,CPT,,,,BOTH, , ,909.3,763.81,836.56,92,,Percent of Total Billed Charges,760.17,,836.56,92,,Percent of Total Billed Charges,746.54,,836.56,92,,Percent of Total Billed Charges,731.99,,836.56,92,,Percent of Total Billed Charges,759.27,,836.56,92,,Percent of Total Billed Charges,684.7,,836.56,92,,Percent of Total Billed Charges,568.31,,818.37,90,,Percent of Total Billed Charges,453.74,,809.28,89,,Percent of Total Billed Charges,436.46,,749.26,82.4,,Percent of Total Billed Charges,747.44,,758.36,83.4,,Percent of Total Billed Charges,707.44,,758.36,83.4,,Percent of Total Billed Charges,637.42,,758.36,83.4,,Percent of Total Billed Charges,740.17,,818.37,90,,Percent of Total Billed Charges,770.18,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,836.56,92,,Percent of Total Billed Charges,737.44,,836.56,92,,Percent of Total Billed Charges,676.52,,836.56,92,,Percent of Total Billed Charges,711.98,,836.56,92,,Percent of Total Billed Charges,737.44,,709.25,78,,Percent of Total Billed Charges,709.25,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,489.48,53.83,,Percent of Total Billed Charges,459.2,,314.98,34.64,,Percent of Total Billed Charges,313.71,,454.47,49.98,,Percent of Total Billed Charges,343.72,,314.98,836.56,,																																							
HC HYPERBARIC OXYGEN,99183,CPT,,,,BOTH, , ,2991.45,2512.82,2752.13,92,,Percent of Total Billed Charges,2500.85,,2752.13,92,,Percent of Total Billed Charges,2455.98,,2752.13,92,,Percent of Total Billed Charges,2408.12,,2752.13,92,,Percent of Total Billed Charges,2497.86,,2752.13,92,,Percent of Total Billed Charges,2252.56,,2752.13,92,,Percent of Total Billed Charges,1869.66,,2692.31,90,,Percent of Total Billed Charges,1492.73,,2662.39,89,,Percent of Total Billed Charges,1435.9,,2464.95,82.4,,Percent of Total Billed Charges,2458.97,,2494.87,83.4,,Percent of Total Billed Charges,2327.35,,2494.87,83.4,,Percent of Total Billed Charges,2097.01,,2494.87,83.4,,Percent of Total Billed Charges,2435.04,,2692.31,90,,Percent of Total Billed Charges,2533.76,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2752.13,92,,Percent of Total Billed Charges,2426.07,,2752.13,92,,Percent of Total Billed Charges,2225.64,,2752.13,92,,Percent of Total Billed Charges,2342.31,,2752.13,92,,Percent of Total Billed Charges,2426.07,,2333.33,78,,Percent of Total Billed Charges,2333.33,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1610.3,53.83,,Percent of Total Billed Charges,1510.68,,1036.24,34.64,,Percent of Total Billed Charges,1032.05,,1495.13,49.98,,Percent of Total Billed Charges,1130.77,,1036.24,2752.13,,																																							
HC HYPERBARIC OXYGEN THERAPY 30 MIN,G0277,CPT,,,,BOTH, , ,74.55,62.62,68.59,92,,Percent of Total Billed Charges,62.32,,68.59,92,,Percent of Total Billed Charges,61.21,,68.59,92,,Percent of Total Billed Charges,60.01,,68.59,92,,Percent of Total Billed Charges,62.25,,68.59,92,,Percent of Total Billed Charges,56.14,,68.59,92,,Percent of Total Billed Charges,46.59,,67.1,90,,Percent of Total Billed Charges,37.2,,66.35,89,,Percent of Total Billed Charges,35.78,,61.43,82.4,,Percent of Total Billed Charges,61.28,,62.17,83.4,,Percent of Total Billed Charges,58,,62.17,83.4,,Percent of Total Billed Charges,52.26,,62.17,83.4,,Percent of Total Billed Charges,60.68,,67.1,90,,Percent of Total Billed Charges,63.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,68.59,92,,Percent of Total Billed Charges,60.46,,68.59,92,,Percent of Total Billed Charges,55.47,,68.59,92,,Percent of Total Billed Charges,58.37,,68.59,92,,Percent of Total Billed Charges,60.46,,58.15,78,,Percent of Total Billed Charges,58.15,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,40.13,53.83,,Percent of Total Billed Charges,37.65,,25.82,34.64,,Percent of Total Billed Charges,25.72,,37.26,49.98,,Percent of Total Billed Charges,28.18,,25.82,68.59,,																																							
HC SHORT ARM SPLINT,29125,CPT,,,,BOTH, , ,408.45,343.1,375.77,92,,Percent of Total Billed Charges,341.46,,375.77,92,,Percent of Total Billed Charges,335.34,,375.77,92,,Percent of Total Billed Charges,328.8,,375.77,92,,Percent of Total Billed Charges,341.06,,375.77,92,,Percent of Total Billed Charges,307.56,,375.77,92,,Percent of Total Billed Charges,255.28,,367.61,90,,Percent of Total Billed Charges,203.82,,363.52,89,,Percent of Total Billed Charges,196.06,,336.56,82.4,,Percent of Total Billed Charges,335.75,,340.65,83.4,,Percent of Total Billed Charges,317.77,,340.65,83.4,,Percent of Total Billed Charges,286.32,,340.65,83.4,,Percent of Total Billed Charges,332.48,,367.61,90,,Percent of Total Billed Charges,345.96,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,375.77,92,,Percent of Total Billed Charges,331.25,,375.77,92,,Percent of Total Billed Charges,303.89,,375.77,92,,Percent of Total Billed Charges,319.82,,375.77,92,,Percent of Total Billed Charges,331.25,,318.59,78,,Percent of Total Billed Charges,318.59,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,219.87,53.83,,Percent of Total Billed Charges,206.27,,141.49,34.64,,Percent of Total Billed Charges,140.92,,204.14,49.98,,Percent of Total Billed Charges,154.39,,141.49,375.77,,																																							
HC FINGER SPLINT,29130,CPT,,,,BOTH, , ,240.45,201.98,221.21,92,,Percent of Total Billed Charges,201.02,,221.21,92,,Percent of Total Billed Charges,197.41,,221.21,92,,Percent of Total Billed Charges,193.56,,221.21,92,,Percent of Total Billed Charges,200.78,,221.21,92,,Percent of Total Billed Charges,181.06,,221.21,92,,Percent of Total Billed Charges,150.28,,216.41,90,,Percent of Total Billed Charges,119.98,,214,89,,Percent of Total Billed Charges,115.42,,198.13,82.4,,Percent of Total Billed Charges,197.65,,200.54,83.4,,Percent of Total Billed Charges,187.07,,200.54,83.4,,Percent of Total Billed Charges,168.56,,200.54,83.4,,Percent of Total Billed Charges,195.73,,216.41,90,,Percent of Total Billed Charges,203.66,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,221.21,92,,Percent of Total Billed Charges,195,,221.21,92,,Percent of Total Billed Charges,178.89,,221.21,92,,Percent of Total Billed Charges,188.27,,221.21,92,,Percent of Total Billed Charges,195,,187.55,78,,Percent of Total Billed Charges,187.55,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,129.43,53.83,,Percent of Total Billed Charges,121.43,,83.29,34.64,,Percent of Total Billed Charges,82.96,,120.18,49.98,,Percent of Total Billed Charges,90.89,,83.29,221.21,,																																							
HC FINGER SPLINT , DYNAMIC,29131,CPT,,,,BOTH, , ,266.7,224.03,245.36,92,,Percent of Total Billed Charges,222.96,,245.36,92,,Percent of Total Billed Charges,218.96,,245.36,92,,Percent of Total Billed Charges,214.69,,245.36,92,,Percent of Total Billed Charges,222.69,,245.36,92,,Percent of Total Billed Charges,200.83,,245.36,92,,Percent of Total Billed Charges,166.69,,240.03,90,,Percent of Total Billed Charges,133.08,,237.36,89,,Percent of Total Billed Charges,128.02,,219.76,82.4,,Percent of Total Billed Charges,219.23,,222.43,83.4,,Percent of Total Billed Charges,207.49,,222.43,83.4,,Percent of Total Billed Charges,186.96,,222.43,83.4,,Percent of Total Billed Charges,217.09,,240.03,90,,Percent of Total Billed Charges,225.89,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,245.36,92,,Percent of Total Billed Charges,216.29,,245.36,92,,Percent of Total Billed Charges,198.42,,245.36,92,,Percent of Total Billed Charges,208.83,,245.36,92,,Percent of Total Billed Charges,216.29,,208.03,78,,Percent of Total Billed Charges,208.03,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,143.56,53.83,,Percent of Total Billed Charges,134.68,,92.38,34.64,,Percent of Total Billed Charges,92.01,,133.3,49.98,,Percent of Total Billed Charges,100.81,,92.38,245.36,,																																							
HC STRAPPING THORAX,29200,CPT,,,,BOTH, , ,394.8,331.63,363.22,92,,Percent of Total Billed Charges,330.05,,363.22,92,,Percent of Total Billed Charges,324.13,,363.22,92,,Percent of Total Billed Charges,317.81,,363.22,92,,Percent of Total Billed Charges,329.66,,363.22,92,,Percent of Total Billed Charges,297.28,,363.22,92,,Percent of Total Billed Charges,246.75,,355.32,90,,Percent of Total Billed Charges,197.01,,351.37,89,,Percent of Total Billed Charges,189.5,,325.32,82.4,,Percent of Total Billed Charges,324.53,,329.26,83.4,,Percent of Total Billed Charges,307.15,,329.26,83.4,,Percent of Total Billed Charges,276.75,,329.26,83.4,,Percent of Total Billed Charges,321.37,,355.32,90,,Percent of Total Billed Charges,334.4,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,363.22,92,,Percent of Total Billed Charges,320.18,,363.22,92,,Percent of Total Billed Charges,293.73,,363.22,92,,Percent of Total Billed Charges,309.13,,363.22,92,,Percent of Total Billed Charges,320.18,,307.94,78,,Percent of Total Billed Charges,307.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,212.52,53.83,,Percent of Total Billed Charges,199.37,,136.76,34.64,,Percent of Total Billed Charges,136.21,,197.32,49.98,,Percent of Total Billed Charges,149.23,,136.76,363.22,,																																							
HC SHOULDER STRAPPING,29240,CPT,,,,BOTH, , ,606.9,509.8,558.35,92,,Percent of Total Billed Charges,507.37,,558.35,92,,Percent of Total Billed Charges,498.26,,558.35,92,,Percent of Total Billed Charges,488.55,,558.35,92,,Percent of Total Billed Charges,506.76,,558.35,92,,Percent of Total Billed Charges,457,,558.35,92,,Percent of Total Billed Charges,379.31,,546.21,90,,Percent of Total Billed Charges,302.84,,540.14,89,,Percent of Total Billed Charges,291.31,,500.09,82.4,,Percent of Total Billed Charges,498.87,,506.15,83.4,,Percent of Total Billed Charges,472.17,,506.15,83.4,,Percent of Total Billed Charges,425.44,,506.15,83.4,,Percent of Total Billed Charges,494.02,,546.21,90,,Percent of Total Billed Charges,514.04,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,558.35,92,,Percent of Total Billed Charges,492.2,,558.35,92,,Percent of Total Billed Charges,451.53,,558.35,92,,Percent of Total Billed Charges,475.2,,558.35,92,,Percent of Total Billed Charges,492.2,,473.38,78,,Percent of Total Billed Charges,473.38,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,326.69,53.83,,Percent of Total Billed Charges,306.48,,210.23,34.64,,Percent of Total Billed Charges,209.38,,303.33,49.98,,Percent of Total Billed Charges,229.41,,210.23,558.35,,																																							
HC STRAPPING OF HIP,29520,CPT,,,,BOTH, , ,380.1,319.28,349.69,92,,Percent of Total Billed Charges,317.76,,349.69,92,,Percent of Total Billed Charges,312.06,,349.69,92,,Percent of Total Billed Charges,305.98,,349.69,92,,Percent of Total Billed Charges,317.38,,349.69,92,,Percent of Total Billed Charges,286.22,,349.69,92,,Percent of Total Billed Charges,237.56,,342.09,90,,Percent of Total Billed Charges,189.67,,338.29,89,,Percent of Total Billed Charges,182.45,,313.2,82.4,,Percent of Total Billed Charges,312.44,,317,83.4,,Percent of Total Billed Charges,295.72,,317,83.4,,Percent of Total Billed Charges,266.45,,317,83.4,,Percent of Total Billed Charges,309.4,,342.09,90,,Percent of Total Billed Charges,321.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,349.69,92,,Percent of Total Billed Charges,308.26,,349.69,92,,Percent of Total Billed Charges,282.79,,349.69,92,,Percent of Total Billed Charges,297.62,,349.69,92,,Percent of Total Billed Charges,308.26,,296.48,78,,Percent of Total Billed Charges,296.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,204.61,53.83,,Percent of Total Billed Charges,191.95,,131.67,34.64,,Percent of Total Billed Charges,131.13,,189.97,49.98,,Percent of Total Billed Charges,143.68,,131.67,349.69,,																																							
HC KNEE STRAPPING,29530,CPT,,,,BOTH, , ,507.15,426.01,466.58,92,,Percent of Total Billed Charges,423.98,,466.58,92,,Percent of Total Billed Charges,416.37,,466.58,92,,Percent of Total Billed Charges,408.26,,466.58,92,,Percent of Total Billed Charges,423.47,,466.58,92,,Percent of Total Billed Charges,381.88,,466.58,92,,Percent of Total Billed Charges,316.97,,456.44,90,,Percent of Total Billed Charges,253.07,,451.36,89,,Percent of Total Billed Charges,243.43,,417.89,82.4,,Percent of Total Billed Charges,416.88,,422.96,83.4,,Percent of Total Billed Charges,394.56,,422.96,83.4,,Percent of Total Billed Charges,355.51,,422.96,83.4,,Percent of Total Billed Charges,412.82,,456.44,90,,Percent of Total Billed Charges,429.56,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,466.58,92,,Percent of Total Billed Charges,411.3,,466.58,92,,Percent of Total Billed Charges,377.32,,466.58,92,,Percent of Total Billed Charges,397.1,,466.58,92,,Percent of Total Billed Charges,411.3,,395.58,78,,Percent of Total Billed Charges,395.58,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,273,53.83,,Percent of Total Billed Charges,256.11,,175.68,34.64,,Percent of Total Billed Charges,174.97,,253.47,49.98,,Percent of Total Billed Charges,191.7,,175.68,466.58,,																																							
HC ANKLE STRAPPING,29540,CPT,,,,BOTH, , ,418.95,351.92,385.43,92,,Percent of Total Billed Charges,350.24,,385.43,92,,Percent of Total Billed Charges,343.96,,385.43,92,,Percent of Total Billed Charges,337.25,,385.43,92,,Percent of Total Billed Charges,349.82,,385.43,92,,Percent of Total Billed Charges,315.47,,385.43,92,,Percent of Total Billed Charges,261.84,,377.06,90,,Percent of Total Billed Charges,209.06,,372.87,89,,Percent of Total Billed Charges,201.1,,345.21,82.4,,Percent of Total Billed Charges,344.38,,349.4,83.4,,Percent of Total Billed Charges,325.94,,349.4,83.4,,Percent of Total Billed Charges,293.68,,349.4,83.4,,Percent of Total Billed Charges,341.03,,377.06,90,,Percent of Total Billed Charges,354.85,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,385.43,92,,Percent of Total Billed Charges,339.77,,385.43,92,,Percent of Total Billed Charges,311.7,,385.43,92,,Percent of Total Billed Charges,328.04,,385.43,92,,Percent of Total Billed Charges,339.77,,326.78,78,,Percent of Total Billed Charges,326.78,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,225.52,53.83,,Percent of Total Billed Charges,211.57,,145.12,34.64,,Percent of Total Billed Charges,144.54,,209.39,49.98,,Percent of Total Billed Charges,158.36,,145.12,385.43,,																																							
HC BIOFEEDBACK TRAINING BY ANY MODALITY,90901,CPT,,,,BOTH, , ,205.8,172.87,189.34,92,,Percent of Total Billed Charges,172.05,,189.34,92,,Percent of Total Billed Charges,168.96,,189.34,92,,Percent of Total Billed Charges,165.67,,189.34,92,,Percent of Total Billed Charges,171.84,,189.34,92,,Percent of Total Billed Charges,154.97,,189.34,92,,Percent of Total Billed Charges,128.63,,185.22,90,,Percent of Total Billed Charges,102.69,,183.16,89,,Percent of Total Billed Charges,98.78,,169.58,82.4,,Percent of Total Billed Charges,169.17,,171.64,83.4,,Percent of Total Billed Charges,160.11,,171.64,83.4,,Percent of Total Billed Charges,144.27,,171.64,83.4,,Percent of Total Billed Charges,167.52,,185.22,90,,Percent of Total Billed Charges,174.31,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,189.34,92,,Percent of Total Billed Charges,166.9,,189.34,92,,Percent of Total Billed Charges,153.12,,189.34,92,,Percent of Total Billed Charges,161.14,,189.34,92,,Percent of Total Billed Charges,166.9,,160.52,78,,Percent of Total Billed Charges,160.52,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,110.78,53.83,,Percent of Total Billed Charges,103.93,,71.29,34.64,,Percent of Total Billed Charges,71,,102.86,49.98,,Percent of Total Billed Charges,77.79,,71.29,189.34,,																																							
HC VESTIBULAR CANALITH REPOSITIONING,95992,CPT,,,,BOTH, , ,163.8,137.59,150.7,92,,Percent of Total Billed Charges,136.94,,150.7,92,,Percent of Total Billed Charges,134.48,,150.7,92,,Percent of Total Billed Charges,131.86,,150.7,92,,Percent of Total Billed Charges,136.77,,150.7,92,,Percent of Total Billed Charges,123.34,,150.7,92,,Percent of Total Billed Charges,102.38,,147.42,90,,Percent of Total Billed Charges,81.74,,145.78,89,,Percent of Total Billed Charges,78.62,,134.97,82.4,,Percent of Total Billed Charges,134.64,,136.61,83.4,,Percent of Total Billed Charges,127.44,,136.61,83.4,,Percent of Total Billed Charges,114.82,,136.61,83.4,,Percent of Total Billed Charges,133.33,,147.42,90,,Percent of Total Billed Charges,138.74,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,150.7,92,,Percent of Total Billed Charges,132.84,,150.7,92,,Percent of Total Billed Charges,121.87,,150.7,92,,Percent of Total Billed Charges,128.26,,150.7,92,,Percent of Total Billed Charges,132.84,,127.76,78,,Percent of Total Billed Charges,127.76,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,88.17,53.83,,Percent of Total Billed Charges,82.72,,56.74,34.64,,Percent of Total Billed Charges,56.51,,81.87,49.98,,Percent of Total Billed Charges,61.92,,56.74,150.7,,																																							
HC NEUROBEHAVIORAL STATUS,96116,CPT,,,,BOTH, , ,390.6,328.1,359.35,92,,Percent of Total Billed Charges,326.54,,359.35,92,,Percent of Total Billed Charges,320.68,,359.35,92,,Percent of Total Billed Charges,314.43,,359.35,92,,Percent of Total Billed Charges,326.15,,359.35,92,,Percent of Total Billed Charges,294.12,,359.35,92,,Percent of Total Billed Charges,244.13,,351.54,90,,Percent of Total Billed Charges,194.91,,347.63,89,,Percent of Total Billed Charges,187.49,,321.85,82.4,,Percent of Total Billed Charges,321.07,,325.76,83.4,,Percent of Total Billed Charges,303.89,,325.76,83.4,,Percent of Total Billed Charges,273.81,,325.76,83.4,,Percent of Total Billed Charges,317.95,,351.54,90,,Percent of Total Billed Charges,330.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,359.35,92,,Percent of Total Billed Charges,316.78,,359.35,92,,Percent of Total Billed Charges,290.61,,359.35,92,,Percent of Total Billed Charges,305.84,,359.35,92,,Percent of Total Billed Charges,316.78,,304.67,78,,Percent of Total Billed Charges,304.67,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,210.26,53.83,,Percent of Total Billed Charges,197.25,,135.3,34.64,,Percent of Total Billed Charges,134.76,,195.22,49.98,,Percent of Total Billed Charges,147.65,,135.30,359.35,,																																							
HC MECHANICAL TRACTION THERAPY,97012,CPT,,,,BOTH, , ,185.85,156.11,170.98,92,,Percent of Total Billed Charges,155.37,,170.98,92,,Percent of Total Billed Charges,152.58,,170.98,92,,Percent of Total Billed Charges,149.61,,170.98,92,,Percent of Total Billed Charges,155.18,,170.98,92,,Percent of Total Billed Charges,139.95,,170.98,92,,Percent of Total Billed Charges,116.16,,167.27,90,,Percent of Total Billed Charges,92.74,,165.41,89,,Percent of Total Billed Charges,89.21,,153.14,82.4,,Percent of Total Billed Charges,152.77,,155,83.4,,Percent of Total Billed Charges,144.59,,155,83.4,,Percent of Total Billed Charges,130.28,,155,83.4,,Percent of Total Billed Charges,151.28,,167.27,90,,Percent of Total Billed Charges,157.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,170.98,92,,Percent of Total Billed Charges,150.72,,170.98,92,,Percent of Total Billed Charges,138.27,,170.98,92,,Percent of Total Billed Charges,145.52,,170.98,92,,Percent of Total Billed Charges,150.72,,144.96,78,,Percent of Total Billed Charges,144.96,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,100.04,53.83,,Percent of Total Billed Charges,93.85,,64.38,34.64,,Percent of Total Billed Charges,64.12,,92.89,49.98,,Percent of Total Billed Charges,70.25,,64.38,170.98,,																																							
HC VASOPNEUMATIC DEVICE THERAPY,97016,CPT,,,,BOTH, , ,91.35,76.73,84.04,92,,Percent of Total Billed Charges,76.37,,84.04,92,,Percent of Total Billed Charges,75,,84.04,92,,Percent of Total Billed Charges,73.54,,84.04,92,,Percent of Total Billed Charges,76.28,,84.04,92,,Percent of Total Billed Charges,68.79,,84.04,92,,Percent of Total Billed Charges,57.09,,82.22,90,,Percent of Total Billed Charges,45.58,,81.3,89,,Percent of Total Billed Charges,43.85,,75.27,82.4,,Percent of Total Billed Charges,75.09,,76.19,83.4,,Percent of Total Billed Charges,71.07,,76.19,83.4,,Percent of Total Billed Charges,64.04,,76.19,83.4,,Percent of Total Billed Charges,74.36,,82.22,90,,Percent of Total Billed Charges,77.37,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,84.04,92,,Percent of Total Billed Charges,74.08,,84.04,92,,Percent of Total Billed Charges,67.96,,84.04,92,,Percent of Total Billed Charges,71.53,,84.04,92,,Percent of Total Billed Charges,74.08,,71.25,78,,Percent of Total Billed Charges,71.25,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,49.17,53.83,,Percent of Total Billed Charges,46.13,,31.64,34.64,,Percent of Total Billed Charges,31.52,,45.66,49.98,,Percent of Total Billed Charges,34.53,,31.64,84.04,,																																							
HC PARAFFIN BATH THERAPY,97018,CPT,,,,BOTH, , ,133.35,112.01,122.68,92,,Percent of Total Billed Charges,111.48,,122.68,92,,Percent of Total Billed Charges,109.48,,122.68,92,,Percent of Total Billed Charges,107.35,,122.68,92,,Percent of Total Billed Charges,111.35,,122.68,92,,Percent of Total Billed Charges,100.41,,122.68,92,,Percent of Total Billed Charges,83.34,,120.02,90,,Percent of Total Billed Charges,66.54,,118.68,89,,Percent of Total Billed Charges,64.01,,109.88,82.4,,Percent of Total Billed Charges,109.61,,111.21,83.4,,Percent of Total Billed Charges,103.75,,111.21,83.4,,Percent of Total Billed Charges,93.48,,111.21,83.4,,Percent of Total Billed Charges,108.55,,120.02,90,,Percent of Total Billed Charges,112.95,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,122.68,92,,Percent of Total Billed Charges,108.15,,122.68,92,,Percent of Total Billed Charges,99.21,,122.68,92,,Percent of Total Billed Charges,104.41,,122.68,92,,Percent of Total Billed Charges,108.15,,104.01,78,,Percent of Total Billed Charges,104.01,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,71.78,53.83,,Percent of Total Billed Charges,67.34,,46.19,34.64,,Percent of Total Billed Charges,46.01,,66.65,49.98,,Percent of Total Billed Charges,50.41,,46.19,122.68,,																																							
HC WHIRLPOOL THERAPY,97022,CPT,,,,BOTH, , ,218.4,183.46,200.93,92,,Percent of Total Billed Charges,182.58,,200.93,92,,Percent of Total Billed Charges,179.31,,200.93,92,,Percent of Total Billed Charges,175.81,,200.93,92,,Percent of Total Billed Charges,182.36,,200.93,92,,Percent of Total Billed Charges,164.46,,200.93,92,,Percent of Total Billed Charges,136.5,,196.56,90,,Percent of Total Billed Charges,108.98,,194.38,89,,Percent of Total Billed Charges,104.83,,179.96,82.4,,Percent of Total Billed Charges,179.52,,182.15,83.4,,Percent of Total Billed Charges,169.92,,182.15,83.4,,Percent of Total Billed Charges,153.1,,182.15,83.4,,Percent of Total Billed Charges,177.78,,196.56,90,,Percent of Total Billed Charges,184.98,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,200.93,92,,Percent of Total Billed Charges,177.12,,200.93,92,,Percent of Total Billed Charges,162.49,,200.93,92,,Percent of Total Billed Charges,171.01,,200.93,92,,Percent of Total Billed Charges,177.12,,170.35,78,,Percent of Total Billed Charges,170.35,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,117.56,53.83,,Percent of Total Billed Charges,110.29,,75.65,34.64,,Percent of Total Billed Charges,75.35,,109.16,49.98,,Percent of Total Billed Charges,82.56,,75.65,200.93,,																																							
HC PT FUNCTION ELECTRIC STIMULATION 15 MIN,97032,CPT,,,,BOTH, , ,183.75,154.35,169.05,92,,Percent of Total Billed Charges,153.62,,169.05,92,,Percent of Total Billed Charges,150.86,,169.05,92,,Percent of Total Billed Charges,147.92,,169.05,92,,Percent of Total Billed Charges,153.43,,169.05,92,,Percent of Total Billed Charges,138.36,,169.05,92,,Percent of Total Billed Charges,114.84,,165.38,90,,Percent of Total Billed Charges,91.69,,163.54,89,,Percent of Total Billed Charges,88.2,,151.41,82.4,,Percent of Total Billed Charges,151.04,,153.25,83.4,,Percent of Total Billed Charges,142.96,,153.25,83.4,,Percent of Total Billed Charges,128.81,,153.25,83.4,,Percent of Total Billed Charges,149.57,,165.38,90,,Percent of Total Billed Charges,155.64,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,169.05,92,,Percent of Total Billed Charges,149.02,,169.05,92,,Percent of Total Billed Charges,136.71,,169.05,92,,Percent of Total Billed Charges,143.88,,169.05,92,,Percent of Total Billed Charges,149.02,,143.33,78,,Percent of Total Billed Charges,143.33,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,98.91,53.83,,Percent of Total Billed Charges,92.79,,63.65,34.64,,Percent of Total Billed Charges,63.39,,91.84,49.98,,Percent of Total Billed Charges,69.46,,63.65,169.05,,																																							
HC IONTOPHORESIS EACH 15 MIN,97033,CPT,,,,BOTH, , ,202.65,170.23,186.44,92,,Percent of Total Billed Charges,169.42,,186.44,92,,Percent of Total Billed Charges,166.38,,186.44,92,,Percent of Total Billed Charges,163.13,,186.44,92,,Percent of Total Billed Charges,169.21,,186.44,92,,Percent of Total Billed Charges,152.6,,186.44,92,,Percent of Total Billed Charges,126.66,,182.39,90,,Percent of Total Billed Charges,101.12,,180.36,89,,Percent of Total Billed Charges,97.27,,166.98,82.4,,Percent of Total Billed Charges,166.58,,169.01,83.4,,Percent of Total Billed Charges,157.66,,169.01,83.4,,Percent of Total Billed Charges,142.06,,169.01,83.4,,Percent of Total Billed Charges,164.96,,182.39,90,,Percent of Total Billed Charges,171.64,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,186.44,92,,Percent of Total Billed Charges,164.35,,186.44,92,,Percent of Total Billed Charges,150.77,,186.44,92,,Percent of Total Billed Charges,158.67,,186.44,92,,Percent of Total Billed Charges,164.35,,158.07,78,,Percent of Total Billed Charges,158.07,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,109.09,53.83,,Percent of Total Billed Charges,102.34,,70.2,34.64,,Percent of Total Billed Charges,69.91,,101.28,49.98,,Percent of Total Billed Charges,76.6,,70.20,186.44,,																																							
HC ULTRASOUND THERAPY,97035,CPT,,,,BOTH, , ,86.1,72.32,79.21,92,,Percent of Total Billed Charges,71.98,,79.21,92,,Percent of Total Billed Charges,70.69,,79.21,92,,Percent of Total Billed Charges,69.31,,79.21,92,,Percent of Total Billed Charges,71.89,,79.21,92,,Percent of Total Billed Charges,64.83,,79.21,92,,Percent of Total Billed Charges,53.81,,77.49,90,,Percent of Total Billed Charges,42.96,,76.63,89,,Percent of Total Billed Charges,41.33,,70.95,82.4,,Percent of Total Billed Charges,70.77,,71.81,83.4,,Percent of Total Billed Charges,66.99,,71.81,83.4,,Percent of Total Billed Charges,60.36,,71.81,83.4,,Percent of Total Billed Charges,70.09,,77.49,90,,Percent of Total Billed Charges,72.93,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,79.21,92,,Percent of Total Billed Charges,69.83,,79.21,92,,Percent of Total Billed Charges,64.06,,79.21,92,,Percent of Total Billed Charges,67.42,,79.21,92,,Percent of Total Billed Charges,69.83,,67.16,78,,Percent of Total Billed Charges,67.16,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,46.35,53.83,,Percent of Total Billed Charges,43.48,,29.83,34.64,,Percent of Total Billed Charges,29.7,,43.03,49.98,,Percent of Total Billed Charges,32.55,,29.83,79.21,,																																							
HC THERAPEUTIC EXERCISES,97110,CPT,,,,BOTH, , ,123.9,104.08,113.99,92,,Percent of Total Billed Charges,103.58,,113.99,92,,Percent of Total Billed Charges,101.72,,113.99,92,,Percent of Total Billed Charges,99.74,,113.99,92,,Percent of Total Billed Charges,103.46,,113.99,92,,Percent of Total Billed Charges,93.3,,113.99,92,,Percent of Total Billed Charges,77.44,,111.51,90,,Percent of Total Billed Charges,61.83,,110.27,89,,Percent of Total Billed Charges,59.47,,102.09,82.4,,Percent of Total Billed Charges,101.85,,103.33,83.4,,Percent of Total Billed Charges,96.39,,103.33,83.4,,Percent of Total Billed Charges,86.85,,103.33,83.4,,Percent of Total Billed Charges,100.85,,111.51,90,,Percent of Total Billed Charges,104.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,113.99,92,,Percent of Total Billed Charges,100.48,,113.99,92,,Percent of Total Billed Charges,92.18,,113.99,92,,Percent of Total Billed Charges,97.01,,113.99,92,,Percent of Total Billed Charges,100.48,,96.64,78,,Percent of Total Billed Charges,96.64,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,66.7,53.83,,Percent of Total Billed Charges,62.57,,42.92,34.64,,Percent of Total Billed Charges,42.75,,61.93,49.98,,Percent of Total Billed Charges,46.83,,42.92,113.99,,																																							
HC NEUROMUSCULAR REEDUCATION,97112,CPT,,,,BOTH, , ,145.95,122.6,134.27,92,,Percent of Total Billed Charges,122.01,,134.27,92,,Percent of Total Billed Charges,119.82,,134.27,92,,Percent of Total Billed Charges,117.49,,134.27,92,,Percent of Total Billed Charges,121.87,,134.27,92,,Percent of Total Billed Charges,109.9,,134.27,92,,Percent of Total Billed Charges,91.22,,131.36,90,,Percent of Total Billed Charges,72.83,,129.9,89,,Percent of Total Billed Charges,70.06,,120.26,82.4,,Percent of Total Billed Charges,119.97,,121.72,83.4,,Percent of Total Billed Charges,113.55,,121.72,83.4,,Percent of Total Billed Charges,102.31,,121.72,83.4,,Percent of Total Billed Charges,118.8,,131.36,90,,Percent of Total Billed Charges,123.62,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,134.27,92,,Percent of Total Billed Charges,118.37,,134.27,92,,Percent of Total Billed Charges,108.59,,134.27,92,,Percent of Total Billed Charges,114.28,,134.27,92,,Percent of Total Billed Charges,118.37,,113.84,78,,Percent of Total Billed Charges,113.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,78.56,53.83,,Percent of Total Billed Charges,73.7,,50.56,34.64,,Percent of Total Billed Charges,50.35,,72.95,49.98,,Percent of Total Billed Charges,55.17,,50.56,134.27,,																																							
HC AQUATIC THERAPY/EXERCISES,97113,CPT,,,,BOTH, , ,216.3,181.69,199,92,,Percent of Total Billed Charges,180.83,,199,92,,Percent of Total Billed Charges,177.58,,199,92,,Percent of Total Billed Charges,174.12,,199,92,,Percent of Total Billed Charges,180.61,,199,92,,Percent of Total Billed Charges,162.87,,199,92,,Percent of Total Billed Charges,135.19,,194.67,90,,Percent of Total Billed Charges,107.93,,192.51,89,,Percent of Total Billed Charges,103.82,,178.23,82.4,,Percent of Total Billed Charges,177.8,,180.39,83.4,,Percent of Total Billed Charges,168.28,,180.39,83.4,,Percent of Total Billed Charges,151.63,,180.39,83.4,,Percent of Total Billed Charges,176.07,,194.67,90,,Percent of Total Billed Charges,183.21,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,199,92,,Percent of Total Billed Charges,175.42,,199,92,,Percent of Total Billed Charges,160.93,,199,92,,Percent of Total Billed Charges,169.36,,199,92,,Percent of Total Billed Charges,175.42,,168.71,78,,Percent of Total Billed Charges,168.71,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,116.43,53.83,,Percent of Total Billed Charges,109.23,,74.93,34.64,,Percent of Total Billed Charges,74.62,,108.11,49.98,,Percent of Total Billed Charges,81.76,,74.93,199,,																																							
HC GAIT TRAINING THERAPY,97116,CPT,,,,BOTH, , ,124.95,104.96,114.95,92,,Percent of Total Billed Charges,104.46,,114.95,92,,Percent of Total Billed Charges,102.58,,114.95,92,,Percent of Total Billed Charges,100.58,,114.95,92,,Percent of Total Billed Charges,104.33,,114.95,92,,Percent of Total Billed Charges,94.09,,114.95,92,,Percent of Total Billed Charges,78.09,,112.46,90,,Percent of Total Billed Charges,62.35,,111.21,89,,Percent of Total Billed Charges,59.98,,102.96,82.4,,Percent of Total Billed Charges,102.71,,104.21,83.4,,Percent of Total Billed Charges,97.21,,104.21,83.4,,Percent of Total Billed Charges,87.59,,104.21,83.4,,Percent of Total Billed Charges,101.71,,112.46,90,,Percent of Total Billed Charges,105.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,114.95,92,,Percent of Total Billed Charges,101.33,,114.95,92,,Percent of Total Billed Charges,92.96,,114.95,92,,Percent of Total Billed Charges,97.84,,114.95,92,,Percent of Total Billed Charges,101.33,,97.46,78,,Percent of Total Billed Charges,97.46,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,67.26,53.83,,Percent of Total Billed Charges,63.1,,43.28,34.64,,Percent of Total Billed Charges,43.11,,62.45,49.98,,Percent of Total Billed Charges,47.23,,43.28,114.95,,																																							
HC MASSAGE THERAPY,97124,CPT,,,,BOTH, , ,109.2,91.73,100.46,92,,Percent of Total Billed Charges,91.29,,100.46,92,,Percent of Total Billed Charges,89.65,,100.46,92,,Percent of Total Billed Charges,87.91,,100.46,92,,Percent of Total Billed Charges,91.18,,100.46,92,,Percent of Total Billed Charges,82.23,,100.46,92,,Percent of Total Billed Charges,68.25,,98.28,90,,Percent of Total Billed Charges,54.49,,97.19,89,,Percent of Total Billed Charges,52.42,,89.98,82.4,,Percent of Total Billed Charges,89.76,,91.07,83.4,,Percent of Total Billed Charges,84.96,,91.07,83.4,,Percent of Total Billed Charges,76.55,,91.07,83.4,,Percent of Total Billed Charges,88.89,,98.28,90,,Percent of Total Billed Charges,92.49,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,100.46,92,,Percent of Total Billed Charges,88.56,,100.46,92,,Percent of Total Billed Charges,81.24,,100.46,92,,Percent of Total Billed Charges,85.5,,100.46,92,,Percent of Total Billed Charges,88.56,,85.18,78,,Percent of Total Billed Charges,85.18,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,58.78,53.83,,Percent of Total Billed Charges,55.15,,37.83,34.64,,Percent of Total Billed Charges,37.67,,54.58,49.98,,Percent of Total Billed Charges,41.28,,37.83,100.46,,																																							
HC MANUAL THERAPY 1/> REGIONS,97140,CPT,,,,BOTH, , ,198.45,166.7,182.57,92,,Percent of Total Billed Charges,165.9,,182.57,92,,Percent of Total Billed Charges,162.93,,182.57,92,,Percent of Total Billed Charges,159.75,,182.57,92,,Percent of Total Billed Charges,165.71,,182.57,92,,Percent of Total Billed Charges,149.43,,182.57,92,,Percent of Total Billed Charges,124.03,,178.61,90,,Percent of Total Billed Charges,99.03,,176.62,89,,Percent of Total Billed Charges,95.26,,163.52,82.4,,Percent of Total Billed Charges,163.13,,165.51,83.4,,Percent of Total Billed Charges,154.39,,165.51,83.4,,Percent of Total Billed Charges,139.11,,165.51,83.4,,Percent of Total Billed Charges,161.54,,178.61,90,,Percent of Total Billed Charges,168.09,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,182.57,92,,Percent of Total Billed Charges,160.94,,182.57,92,,Percent of Total Billed Charges,147.65,,182.57,92,,Percent of Total Billed Charges,155.39,,182.57,92,,Percent of Total Billed Charges,160.94,,154.79,78,,Percent of Total Billed Charges,154.79,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,106.83,53.83,,Percent of Total Billed Charges,100.22,,68.74,34.64,,Percent of Total Billed Charges,68.47,,99.19,49.98,,Percent of Total Billed Charges,75.01,,68.74,182.57,,																																							
HC GROUP THERAPEUTIC PROCEDURES,97150,CPT,,,,BOTH, , ,70.35,59.09,64.72,92,,Percent of Total Billed Charges,58.81,,64.72,92,,Percent of Total Billed Charges,57.76,,64.72,92,,Percent of Total Billed Charges,56.63,,64.72,92,,Percent of Total Billed Charges,58.74,,64.72,92,,Percent of Total Billed Charges,52.97,,64.72,92,,Percent of Total Billed Charges,43.97,,63.32,90,,Percent of Total Billed Charges,35.1,,62.61,89,,Percent of Total Billed Charges,33.77,,57.97,82.4,,Percent of Total Billed Charges,57.83,,58.67,83.4,,Percent of Total Billed Charges,54.73,,58.67,83.4,,Percent of Total Billed Charges,49.32,,58.67,83.4,,Percent of Total Billed Charges,57.26,,63.32,90,,Percent of Total Billed Charges,59.59,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,64.72,92,,Percent of Total Billed Charges,57.05,,64.72,92,,Percent of Total Billed Charges,52.34,,64.72,92,,Percent of Total Billed Charges,55.08,,64.72,92,,Percent of Total Billed Charges,57.05,,54.87,78,,Percent of Total Billed Charges,54.87,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,37.87,53.83,,Percent of Total Billed Charges,35.53,,24.37,34.64,,Percent of Total Billed Charges,24.27,,35.16,49.98,,Percent of Total Billed Charges,26.59,,24.37,64.72,,																																							
HC THERAPEUTIC ACTIVITIES EACH 15 MIN,97530,CPT,,,,BOTH, , ,133.35,112.01,122.68,92,,Percent of Total Billed Charges,111.48,,122.68,92,,Percent of Total Billed Charges,109.48,,122.68,92,,Percent of Total Billed Charges,107.35,,122.68,92,,Percent of Total Billed Charges,111.35,,122.68,92,,Percent of Total Billed Charges,100.41,,122.68,92,,Percent of Total Billed Charges,83.34,,120.02,90,,Percent of Total Billed Charges,66.54,,118.68,89,,Percent of Total Billed Charges,64.01,,109.88,82.4,,Percent of Total Billed Charges,109.61,,111.21,83.4,,Percent of Total Billed Charges,103.75,,111.21,83.4,,Percent of Total Billed Charges,93.48,,111.21,83.4,,Percent of Total Billed Charges,108.55,,120.02,90,,Percent of Total Billed Charges,112.95,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,122.68,92,,Percent of Total Billed Charges,108.15,,122.68,92,,Percent of Total Billed Charges,99.21,,122.68,92,,Percent of Total Billed Charges,104.41,,122.68,92,,Percent of Total Billed Charges,108.15,,104.01,78,,Percent of Total Billed Charges,104.01,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,71.78,53.83,,Percent of Total Billed Charges,67.34,,46.19,34.64,,Percent of Total Billed Charges,46.01,,66.65,49.98,,Percent of Total Billed Charges,50.41,,46.19,122.68,,																																							
HC SELF CARE MNGMENT TRAINING,97535,CPT,,,,BOTH, , ,9.45,7.94,8.69,92,,Percent of Total Billed Charges,7.9,,8.69,92,,Percent of Total Billed Charges,7.76,,8.69,92,,Percent of Total Billed Charges,7.61,,8.69,92,,Percent of Total Billed Charges,7.89,,8.69,92,,Percent of Total Billed Charges,7.12,,8.69,92,,Percent of Total Billed Charges,5.91,,8.51,90,,Percent of Total Billed Charges,4.72,,8.41,89,,Percent of Total Billed Charges,4.54,,7.79,82.4,,Percent of Total Billed Charges,7.77,,7.88,83.4,,Percent of Total Billed Charges,7.35,,7.88,83.4,,Percent of Total Billed Charges,6.62,,7.88,83.4,,Percent of Total Billed Charges,7.69,,8.51,90,,Percent of Total Billed Charges,8,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,8.69,92,,Percent of Total Billed Charges,7.66,,8.69,92,,Percent of Total Billed Charges,7.03,,8.69,92,,Percent of Total Billed Charges,7.4,,8.69,92,,Percent of Total Billed Charges,7.66,,7.37,78,,Percent of Total Billed Charges,7.37,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5.09,53.83,,Percent of Total Billed Charges,4.77,,3.27,34.64,,Percent of Total Billed Charges,3.26,,4.72,49.98,,Percent of Total Billed Charges,3.57,,3.27,8.69,,																																							
HC COMMUNITY/WORK REINTEGRATIONEACH 15 MIN,97537,CPT,,,,BOTH, , ,9.45,7.94,8.69,92,,Percent of Total Billed Charges,7.9,,8.69,92,,Percent of Total Billed Charges,7.76,,8.69,92,,Percent of Total Billed Charges,7.61,,8.69,92,,Percent of Total Billed Charges,7.89,,8.69,92,,Percent of Total Billed Charges,7.12,,8.69,92,,Percent of Total Billed Charges,5.91,,8.51,90,,Percent of Total Billed Charges,4.72,,8.41,89,,Percent of Total Billed Charges,4.54,,7.79,82.4,,Percent of Total Billed Charges,7.77,,7.88,83.4,,Percent of Total Billed Charges,7.35,,7.88,83.4,,Percent of Total Billed Charges,6.62,,7.88,83.4,,Percent of Total Billed Charges,7.69,,8.51,90,,Percent of Total Billed Charges,8,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,8.69,92,,Percent of Total Billed Charges,7.66,,8.69,92,,Percent of Total Billed Charges,7.03,,8.69,92,,Percent of Total Billed Charges,7.4,,8.69,92,,Percent of Total Billed Charges,7.66,,7.37,78,,Percent of Total Billed Charges,7.37,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5.09,53.83,,Percent of Total Billed Charges,4.77,,3.27,34.64,,Percent of Total Billed Charges,3.26,,4.72,49.98,,Percent of Total Billed Charges,3.57,,3.27,8.69,,																																							
HC WHEELCHAIR MNGMENT TRAINING,97542,CPT,,,,BOTH, , ,101.85,85.55,93.7,92,,Percent of Total Billed Charges,85.15,,93.7,92,,Percent of Total Billed Charges,83.62,,93.7,92,,Percent of Total Billed Charges,81.99,,93.7,92,,Percent of Total Billed Charges,85.04,,93.7,92,,Percent of Total Billed Charges,76.69,,93.7,92,,Percent of Total Billed Charges,63.66,,91.67,90,,Percent of Total Billed Charges,50.82,,90.65,89,,Percent of Total Billed Charges,48.89,,83.92,82.4,,Percent of Total Billed Charges,83.72,,84.94,83.4,,Percent of Total Billed Charges,79.24,,84.94,83.4,,Percent of Total Billed Charges,71.4,,84.94,83.4,,Percent of Total Billed Charges,82.91,,91.67,90,,Percent of Total Billed Charges,86.27,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,93.7,92,,Percent of Total Billed Charges,82.6,,93.7,92,,Percent of Total Billed Charges,75.78,,93.7,92,,Percent of Total Billed Charges,79.75,,93.7,92,,Percent of Total Billed Charges,82.6,,79.44,78,,Percent of Total Billed Charges,79.44,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,54.83,53.83,,Percent of Total Billed Charges,51.43,,35.28,34.64,,Percent of Total Billed Charges,35.14,,50.9,49.98,,Percent of Total Billed Charges,38.5,,35.28,93.7,,																																							
HC WORK HARDENING INITIAL,97545,CPT,,,,BOTH, , ,365.4,306.94,336.17,92,,Percent of Total Billed Charges,305.47,,336.17,92,,Percent of Total Billed Charges,299.99,,336.17,92,,Percent of Total Billed Charges,294.15,,336.17,92,,Percent of Total Billed Charges,305.11,,336.17,92,,Percent of Total Billed Charges,275.15,,336.17,92,,Percent of Total Billed Charges,228.38,,328.86,90,,Percent of Total Billed Charges,182.33,,325.21,89,,Percent of Total Billed Charges,175.39,,301.09,82.4,,Percent of Total Billed Charges,300.36,,304.74,83.4,,Percent of Total Billed Charges,284.28,,304.74,83.4,,Percent of Total Billed Charges,256.15,,304.74,83.4,,Percent of Total Billed Charges,297.44,,328.86,90,,Percent of Total Billed Charges,309.49,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,336.17,92,,Percent of Total Billed Charges,296.34,,336.17,92,,Percent of Total Billed Charges,271.86,,336.17,92,,Percent of Total Billed Charges,286.11,,336.17,92,,Percent of Total Billed Charges,296.34,,285.01,78,,Percent of Total Billed Charges,285.01,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,196.69,53.83,,Percent of Total Billed Charges,184.53,,126.57,34.64,,Percent of Total Billed Charges,126.06,,182.63,49.98,,Percent of Total Billed Charges,138.12,,126.57,336.17,,																																							
HC WORK HARDENING ADDITIONAL,97546,CPT,,,,BOTH, , ,400.05,336.04,368.05,92,,Percent of Total Billed Charges,334.44,,368.05,92,,Percent of Total Billed Charges,328.44,,368.05,92,,Percent of Total Billed Charges,322.04,,368.05,92,,Percent of Total Billed Charges,334.04,,368.05,92,,Percent of Total Billed Charges,301.24,,368.05,92,,Percent of Total Billed Charges,250.03,,360.05,90,,Percent of Total Billed Charges,199.62,,356.04,89,,Percent of Total Billed Charges,192.02,,329.64,82.4,,Percent of Total Billed Charges,328.84,,333.64,83.4,,Percent of Total Billed Charges,311.24,,333.64,83.4,,Percent of Total Billed Charges,280.44,,333.64,83.4,,Percent of Total Billed Charges,325.64,,360.05,90,,Percent of Total Billed Charges,338.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,368.05,92,,Percent of Total Billed Charges,324.44,,368.05,92,,Percent of Total Billed Charges,297.64,,368.05,92,,Percent of Total Billed Charges,313.24,,368.05,92,,Percent of Total Billed Charges,324.44,,312.04,78,,Percent of Total Billed Charges,312.04,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,215.35,53.83,,Percent of Total Billed Charges,202.03,,138.58,34.64,,Percent of Total Billed Charges,138.02,,199.94,49.98,,Percent of Total Billed Charges,151.22,,138.58,368.05,,																																							
HC PHYSICAL PERFORMANCE TEST,97750,CPT,,,,BOTH, , ,13.65,11.47,12.56,92,,Percent of Total Billed Charges,11.41,,12.56,92,,Percent of Total Billed Charges,11.21,,12.56,92,,Percent of Total Billed Charges,10.99,,12.56,92,,Percent of Total Billed Charges,11.4,,12.56,92,,Percent of Total Billed Charges,10.28,,12.56,92,,Percent of Total Billed Charges,8.53,,12.29,90,,Percent of Total Billed Charges,6.81,,12.15,89,,Percent of Total Billed Charges,6.55,,11.25,82.4,,Percent of Total Billed Charges,11.22,,11.38,83.4,,Percent of Total Billed Charges,10.62,,11.38,83.4,,Percent of Total Billed Charges,9.57,,11.38,83.4,,Percent of Total Billed Charges,11.11,,12.29,90,,Percent of Total Billed Charges,11.56,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,12.56,92,,Percent of Total Billed Charges,11.07,,12.56,92,,Percent of Total Billed Charges,10.16,,12.56,92,,Percent of Total Billed Charges,10.69,,12.56,92,,Percent of Total Billed Charges,11.07,,10.65,78,,Percent of Total Billed Charges,10.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,7.35,53.83,,Percent of Total Billed Charges,6.89,,4.73,34.64,,Percent of Total Billed Charges,4.71,,6.82,49.98,,Percent of Total Billed Charges,5.16,,4.73,12.56,,																																							
HC ORTHOTICS MGMT & TRAING INITIAL ENCTR EA 15 MINS,97760,CPT,,,,BOTH, , ,137.55,115.54,126.55,92,,Percent of Total Billed Charges,114.99,,126.55,92,,Percent of Total Billed Charges,112.93,,126.55,92,,Percent of Total Billed Charges,110.73,,126.55,92,,Percent of Total Billed Charges,114.85,,126.55,92,,Percent of Total Billed Charges,103.58,,126.55,92,,Percent of Total Billed Charges,85.97,,123.8,90,,Percent of Total Billed Charges,68.64,,122.42,89,,Percent of Total Billed Charges,66.02,,113.34,82.4,,Percent of Total Billed Charges,113.07,,114.72,83.4,,Percent of Total Billed Charges,107.01,,114.72,83.4,,Percent of Total Billed Charges,96.42,,114.72,83.4,,Percent of Total Billed Charges,111.97,,123.8,90,,Percent of Total Billed Charges,116.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,126.55,92,,Percent of Total Billed Charges,111.55,,126.55,92,,Percent of Total Billed Charges,102.34,,126.55,92,,Percent of Total Billed Charges,107.7,,126.55,92,,Percent of Total Billed Charges,111.55,,107.29,78,,Percent of Total Billed Charges,107.29,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,74.04,53.83,,Percent of Total Billed Charges,69.46,,47.65,34.64,,Percent of Total Billed Charges,47.45,,68.75,49.98,,Percent of Total Billed Charges,51.99,,47.65,126.55,,																																							
HC PROSTHETICS TRAINING INITIAL ENCTR EA 15 MINS,97761,CPT,,,,BOTH, , ,159.6,134.06,146.83,92,,Percent of Total Billed Charges,133.43,,146.83,92,,Percent of Total Billed Charges,131.03,,146.83,92,,Percent of Total Billed Charges,128.48,,146.83,92,,Percent of Total Billed Charges,133.27,,146.83,92,,Percent of Total Billed Charges,120.18,,146.83,92,,Percent of Total Billed Charges,99.75,,143.64,90,,Percent of Total Billed Charges,79.64,,142.04,89,,Percent of Total Billed Charges,76.61,,131.51,82.4,,Percent of Total Billed Charges,131.19,,133.11,83.4,,Percent of Total Billed Charges,124.17,,133.11,83.4,,Percent of Total Billed Charges,111.88,,133.11,83.4,,Percent of Total Billed Charges,129.91,,143.64,90,,Percent of Total Billed Charges,135.18,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,146.83,92,,Percent of Total Billed Charges,129.44,,146.83,92,,Percent of Total Billed Charges,118.74,,146.83,92,,Percent of Total Billed Charges,124.97,,146.83,92,,Percent of Total Billed Charges,129.44,,124.49,78,,Percent of Total Billed Charges,124.49,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,85.91,53.83,,Percent of Total Billed Charges,80.6,,55.29,34.64,,Percent of Total Billed Charges,55.06,,79.77,49.98,,Percent of Total Billed Charges,60.33,,55.29,146.83,,																																							
HC ELEC STIM OTHER THAN WOUND,G0283,CPT,,,,BOTH, , ,11.55,9.7,10.63,92,,Percent of Total Billed Charges,9.66,,10.63,92,,Percent of Total Billed Charges,9.48,,10.63,92,,Percent of Total Billed Charges,9.3,,10.63,92,,Percent of Total Billed Charges,9.64,,10.63,92,,Percent of Total Billed Charges,8.7,,10.63,92,,Percent of Total Billed Charges,7.22,,10.4,90,,Percent of Total Billed Charges,5.76,,10.28,89,,Percent of Total Billed Charges,5.54,,9.52,82.4,,Percent of Total Billed Charges,9.49,,9.63,83.4,,Percent of Total Billed Charges,8.99,,9.63,83.4,,Percent of Total Billed Charges,8.1,,9.63,83.4,,Percent of Total Billed Charges,9.4,,10.4,90,,Percent of Total Billed Charges,9.78,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,10.63,92,,Percent of Total Billed Charges,9.37,,10.63,92,,Percent of Total Billed Charges,8.59,,10.63,92,,Percent of Total Billed Charges,9.04,,10.63,92,,Percent of Total Billed Charges,9.37,,9.01,78,,Percent of Total Billed Charges,9.01,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6.22,53.83,,Percent of Total Billed Charges,5.83,,4,34.64,,Percent of Total Billed Charges,3.98,,5.77,49.98,,Percent of Total Billed Charges,4.37,,4.00,10.63,,																																							
HC STRAPPING LOW BACK,29799,CPT,,,,BOTH, , ,324.45,272.54,298.49,92,,Percent of Total Billed Charges,271.24,,298.49,92,,Percent of Total Billed Charges,266.37,,298.49,92,,Percent of Total Billed Charges,261.18,,298.49,92,,Percent of Total Billed Charges,270.92,,298.49,92,,Percent of Total Billed Charges,244.31,,298.49,92,,Percent of Total Billed Charges,202.78,,292.01,90,,Percent of Total Billed Charges,161.9,,288.76,89,,Percent of Total Billed Charges,155.74,,267.35,82.4,,Percent of Total Billed Charges,266.7,,270.59,83.4,,Percent of Total Billed Charges,252.42,,270.59,83.4,,Percent of Total Billed Charges,227.44,,270.59,83.4,,Percent of Total Billed Charges,264.1,,292.01,90,,Percent of Total Billed Charges,274.81,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,298.49,92,,Percent of Total Billed Charges,263.13,,298.49,92,,Percent of Total Billed Charges,241.39,,298.49,92,,Percent of Total Billed Charges,254.04,,298.49,92,,Percent of Total Billed Charges,263.13,,253.07,78,,Percent of Total Billed Charges,253.07,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,174.65,53.83,,Percent of Total Billed Charges,163.85,,112.39,34.64,,Percent of Total Billed Charges,111.94,,162.16,49.98,,Percent of Total Billed Charges,122.64,,112.39,298.49,,																																							
HC STRAPPING ELBOW,29260,CPT,,,,BOTH, , ,523.95,440.12,482.03,92,,Percent of Total Billed Charges,438.02,,482.03,92,,Percent of Total Billed Charges,430.16,,482.03,92,,Percent of Total Billed Charges,421.78,,482.03,92,,Percent of Total Billed Charges,437.5,,482.03,92,,Percent of Total Billed Charges,394.53,,482.03,92,,Percent of Total Billed Charges,327.47,,471.56,90,,Percent of Total Billed Charges,261.45,,466.32,89,,Percent of Total Billed Charges,251.5,,431.73,82.4,,Percent of Total Billed Charges,430.69,,436.97,83.4,,Percent of Total Billed Charges,407.63,,436.97,83.4,,Percent of Total Billed Charges,367.29,,436.97,83.4,,Percent of Total Billed Charges,426.5,,471.56,90,,Percent of Total Billed Charges,443.79,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,482.03,92,,Percent of Total Billed Charges,424.92,,482.03,92,,Percent of Total Billed Charges,389.82,,482.03,92,,Percent of Total Billed Charges,410.25,,482.03,92,,Percent of Total Billed Charges,424.92,,408.68,78,,Percent of Total Billed Charges,408.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,282.04,53.83,,Percent of Total Billed Charges,264.59,,181.5,34.64,,Percent of Total Billed Charges,180.76,,261.87,49.98,,Percent of Total Billed Charges,198.05,,181.50,482.03,,																																							
HC STRAPPING HAND,29280,CPT,,,,BOTH, , ,523.95,440.12,482.03,92,,Percent of Total Billed Charges,438.02,,482.03,92,,Percent of Total Billed Charges,430.16,,482.03,92,,Percent of Total Billed Charges,421.78,,482.03,92,,Percent of Total Billed Charges,437.5,,482.03,92,,Percent of Total Billed Charges,394.53,,482.03,92,,Percent of Total Billed Charges,327.47,,471.56,90,,Percent of Total Billed Charges,261.45,,466.32,89,,Percent of Total Billed Charges,251.5,,431.73,82.4,,Percent of Total Billed Charges,430.69,,436.97,83.4,,Percent of Total Billed Charges,407.63,,436.97,83.4,,Percent of Total Billed Charges,367.29,,436.97,83.4,,Percent of Total Billed Charges,426.5,,471.56,90,,Percent of Total Billed Charges,443.79,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,482.03,92,,Percent of Total Billed Charges,424.92,,482.03,92,,Percent of Total Billed Charges,389.82,,482.03,92,,Percent of Total Billed Charges,410.25,,482.03,92,,Percent of Total Billed Charges,424.92,,408.68,78,,Percent of Total Billed Charges,408.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,282.04,53.83,,Percent of Total Billed Charges,264.59,,181.5,34.64,,Percent of Total Billed Charges,180.76,,261.87,49.98,,Percent of Total Billed Charges,198.05,,181.50,482.03,,																																							
HC STRAPPING TOE,29550,CPT,,,,BOTH, , ,568.05,477.16,522.61,92,,Percent of Total Billed Charges,474.89,,522.61,92,,Percent of Total Billed Charges,466.37,,522.61,92,,Percent of Total Billed Charges,457.28,,522.61,92,,Percent of Total Billed Charges,474.32,,522.61,92,,Percent of Total Billed Charges,427.74,,522.61,92,,Percent of Total Billed Charges,355.03,,511.25,90,,Percent of Total Billed Charges,283.46,,505.56,89,,Percent of Total Billed Charges,272.66,,468.07,82.4,,Percent of Total Billed Charges,466.94,,473.75,83.4,,Percent of Total Billed Charges,441.94,,473.75,83.4,,Percent of Total Billed Charges,398.2,,473.75,83.4,,Percent of Total Billed Charges,462.39,,511.25,90,,Percent of Total Billed Charges,481.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,522.61,92,,Percent of Total Billed Charges,460.69,,522.61,92,,Percent of Total Billed Charges,422.63,,522.61,92,,Percent of Total Billed Charges,444.78,,522.61,92,,Percent of Total Billed Charges,460.69,,443.08,78,,Percent of Total Billed Charges,443.08,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,305.78,53.83,,Percent of Total Billed Charges,286.87,,196.77,34.64,,Percent of Total Billed Charges,195.98,,283.91,49.98,,Percent of Total Billed Charges,214.72,,196.77,522.61,,																																							
HC APPLICATION LONG ARM SPLINT,29105,CPT,,,,BOTH, , ,53.55,44.98,49.27,92,,Percent of Total Billed Charges,44.77,,49.27,92,,Percent of Total Billed Charges,43.96,,49.27,92,,Percent of Total Billed Charges,43.11,,49.27,92,,Percent of Total Billed Charges,44.71,,49.27,92,,Percent of Total Billed Charges,40.32,,49.27,92,,Percent of Total Billed Charges,33.47,,48.2,90,,Percent of Total Billed Charges,26.72,,47.66,89,,Percent of Total Billed Charges,25.7,,44.13,82.4,,Percent of Total Billed Charges,44.02,,44.66,83.4,,Percent of Total Billed Charges,41.66,,44.66,83.4,,Percent of Total Billed Charges,37.54,,44.66,83.4,,Percent of Total Billed Charges,43.59,,48.2,90,,Percent of Total Billed Charges,45.36,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,49.27,92,,Percent of Total Billed Charges,43.43,,49.27,92,,Percent of Total Billed Charges,39.84,,49.27,92,,Percent of Total Billed Charges,41.93,,49.27,92,,Percent of Total Billed Charges,43.43,,41.77,78,,Percent of Total Billed Charges,41.77,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,28.83,53.83,,Percent of Total Billed Charges,27.04,,18.55,34.64,,Percent of Total Billed Charges,18.47,,26.76,49.98,,Percent of Total Billed Charges,20.24,,18.55,49.27,,																																							
HC APPLICATION DYNAMIC ARM SPLINT,29126,CPT,,,,BOTH, , ,394.8,331.63,363.22,92,,Percent of Total Billed Charges,330.05,,363.22,92,,Percent of Total Billed Charges,324.13,,363.22,92,,Percent of Total Billed Charges,317.81,,363.22,92,,Percent of Total Billed Charges,329.66,,363.22,92,,Percent of Total Billed Charges,297.28,,363.22,92,,Percent of Total Billed Charges,246.75,,355.32,90,,Percent of Total Billed Charges,197.01,,351.37,89,,Percent of Total Billed Charges,189.5,,325.32,82.4,,Percent of Total Billed Charges,324.53,,329.26,83.4,,Percent of Total Billed Charges,307.15,,329.26,83.4,,Percent of Total Billed Charges,276.75,,329.26,83.4,,Percent of Total Billed Charges,321.37,,355.32,90,,Percent of Total Billed Charges,334.4,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,363.22,92,,Percent of Total Billed Charges,320.18,,363.22,92,,Percent of Total Billed Charges,293.73,,363.22,92,,Percent of Total Billed Charges,309.13,,363.22,92,,Percent of Total Billed Charges,320.18,,307.94,78,,Percent of Total Billed Charges,307.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,212.52,53.83,,Percent of Total Billed Charges,199.37,,136.76,34.64,,Percent of Total Billed Charges,136.21,,197.32,49.98,,Percent of Total Billed Charges,149.23,,136.76,363.22,,																																							
HC ESTIM(UNATTENDED),G0283,CPT,,,,BOTH, , ,11.55,9.7,10.63,92,,Percent of Total Billed Charges,9.66,,10.63,92,,Percent of Total Billed Charges,9.48,,10.63,92,,Percent of Total Billed Charges,9.3,,10.63,92,,Percent of Total Billed Charges,9.64,,10.63,92,,Percent of Total Billed Charges,8.7,,10.63,92,,Percent of Total Billed Charges,7.22,,10.4,90,,Percent of Total Billed Charges,5.76,,10.28,89,,Percent of Total Billed Charges,5.54,,9.52,82.4,,Percent of Total Billed Charges,9.49,,9.63,83.4,,Percent of Total Billed Charges,8.99,,9.63,83.4,,Percent of Total Billed Charges,8.1,,9.63,83.4,,Percent of Total Billed Charges,9.4,,10.4,90,,Percent of Total Billed Charges,9.78,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,10.63,92,,Percent of Total Billed Charges,9.37,,10.63,92,,Percent of Total Billed Charges,8.59,,10.63,92,,Percent of Total Billed Charges,9.04,,10.63,92,,Percent of Total Billed Charges,9.37,,9.01,78,,Percent of Total Billed Charges,9.01,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6.22,53.83,,Percent of Total Billed Charges,5.83,,4,34.64,,Percent of Total Billed Charges,3.98,,5.77,49.98,,Percent of Total Billed Charges,4.37,,4.00,10.63,,																																							
HC TRACTION, MECHANICAL,97012,CPT,,,,BOTH, , ,185.85,156.11,170.98,92,,Percent of Total Billed Charges,155.37,,170.98,92,,Percent of Total Billed Charges,152.58,,170.98,92,,Percent of Total Billed Charges,149.61,,170.98,92,,Percent of Total Billed Charges,155.18,,170.98,92,,Percent of Total Billed Charges,139.95,,170.98,92,,Percent of Total Billed Charges,116.16,,167.27,90,,Percent of Total Billed Charges,92.74,,165.41,89,,Percent of Total Billed Charges,89.21,,153.14,82.4,,Percent of Total Billed Charges,152.77,,155,83.4,,Percent of Total Billed Charges,144.59,,155,83.4,,Percent of Total Billed Charges,130.28,,155,83.4,,Percent of Total Billed Charges,151.28,,167.27,90,,Percent of Total Billed Charges,157.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,170.98,92,,Percent of Total Billed Charges,150.72,,170.98,92,,Percent of Total Billed Charges,138.27,,170.98,92,,Percent of Total Billed Charges,145.52,,170.98,92,,Percent of Total Billed Charges,150.72,,144.96,78,,Percent of Total Billed Charges,144.96,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,100.04,53.83,,Percent of Total Billed Charges,93.85,,64.38,34.64,,Percent of Total Billed Charges,64.12,,92.89,49.98,,Percent of Total Billed Charges,70.25,,64.38,170.98,,																																							
HC PARAFFIN BATH,97018,CPT,,,,BOTH, , ,133.35,112.01,122.68,92,,Percent of Total Billed Charges,111.48,,122.68,92,,Percent of Total Billed Charges,109.48,,122.68,92,,Percent of Total Billed Charges,107.35,,122.68,92,,Percent of Total Billed Charges,111.35,,122.68,92,,Percent of Total Billed Charges,100.41,,122.68,92,,Percent of Total Billed Charges,83.34,,120.02,90,,Percent of Total Billed Charges,66.54,,118.68,89,,Percent of Total Billed Charges,64.01,,109.88,82.4,,Percent of Total Billed Charges,109.61,,111.21,83.4,,Percent of Total Billed Charges,103.75,,111.21,83.4,,Percent of Total Billed Charges,93.48,,111.21,83.4,,Percent of Total Billed Charges,108.55,,120.02,90,,Percent of Total Billed Charges,112.95,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,122.68,92,,Percent of Total Billed Charges,108.15,,122.68,92,,Percent of Total Billed Charges,99.21,,122.68,92,,Percent of Total Billed Charges,104.41,,122.68,92,,Percent of Total Billed Charges,108.15,,104.01,78,,Percent of Total Billed Charges,104.01,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,71.78,53.83,,Percent of Total Billed Charges,67.34,,46.19,34.64,,Percent of Total Billed Charges,46.01,,66.65,49.98,,Percent of Total Billed Charges,50.41,,46.19,122.68,,																																							
HC FLUIDOTHERAPY,97022,CPT,,,,BOTH, , ,218.4,183.46,200.93,92,,Percent of Total Billed Charges,182.58,,200.93,92,,Percent of Total Billed Charges,179.31,,200.93,92,,Percent of Total Billed Charges,175.81,,200.93,92,,Percent of Total Billed Charges,182.36,,200.93,92,,Percent of Total Billed Charges,164.46,,200.93,92,,Percent of Total Billed Charges,136.5,,196.56,90,,Percent of Total Billed Charges,108.98,,194.38,89,,Percent of Total Billed Charges,104.83,,179.96,82.4,,Percent of Total Billed Charges,179.52,,182.15,83.4,,Percent of Total Billed Charges,169.92,,182.15,83.4,,Percent of Total Billed Charges,153.1,,182.15,83.4,,Percent of Total Billed Charges,177.78,,196.56,90,,Percent of Total Billed Charges,184.98,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,200.93,92,,Percent of Total Billed Charges,177.12,,200.93,92,,Percent of Total Billed Charges,162.49,,200.93,92,,Percent of Total Billed Charges,171.01,,200.93,92,,Percent of Total Billed Charges,177.12,,170.35,78,,Percent of Total Billed Charges,170.35,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,117.56,53.83,,Percent of Total Billed Charges,110.29,,75.65,34.64,,Percent of Total Billed Charges,75.35,,109.16,49.98,,Percent of Total Billed Charges,82.56,,75.65,200.93,,																																							
HC HAND ROM,95852,CPT,,,,BOTH, , ,130.2,109.37,119.78,92,,Percent of Total Billed Charges,108.85,,119.78,92,,Percent of Total Billed Charges,106.89,,119.78,92,,Percent of Total Billed Charges,104.81,,119.78,92,,Percent of Total Billed Charges,108.72,,119.78,92,,Percent of Total Billed Charges,98.04,,119.78,92,,Percent of Total Billed Charges,81.38,,117.18,90,,Percent of Total Billed Charges,64.97,,115.88,89,,Percent of Total Billed Charges,62.5,,107.28,82.4,,Percent of Total Billed Charges,107.02,,108.59,83.4,,Percent of Total Billed Charges,101.3,,108.59,83.4,,Percent of Total Billed Charges,91.27,,108.59,83.4,,Percent of Total Billed Charges,105.98,,117.18,90,,Percent of Total Billed Charges,110.28,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,119.78,92,,Percent of Total Billed Charges,105.59,,119.78,92,,Percent of Total Billed Charges,96.87,,119.78,92,,Percent of Total Billed Charges,101.95,,119.78,92,,Percent of Total Billed Charges,105.59,,101.56,78,,Percent of Total Billed Charges,101.56,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,70.09,53.83,,Percent of Total Billed Charges,65.75,,45.1,34.64,,Percent of Total Billed Charges,44.92,,65.07,49.98,,Percent of Total Billed Charges,49.22,,45.10,119.78,,																																							
HC APPL MLTLAYR COMPRES LEG BELOW KNEE W/ANKLE FOOT,29581,CPT,,,,BOTH, , ,670.95,563.6,617.27,92,,Percent of Total Billed Charges,560.91,,617.27,92,,Percent of Total Billed Charges,550.85,,617.27,92,,Percent of Total Billed Charges,540.11,,617.27,92,,Percent of Total Billed Charges,560.24,,617.27,92,,Percent of Total Billed Charges,505.23,,617.27,92,,Percent of Total Billed Charges,419.34,,603.86,90,,Percent of Total Billed Charges,334.8,,597.15,89,,Percent of Total Billed Charges,322.06,,552.86,82.4,,Percent of Total Billed Charges,551.52,,559.57,83.4,,Percent of Total Billed Charges,522,,559.57,83.4,,Percent of Total Billed Charges,470.34,,559.57,83.4,,Percent of Total Billed Charges,546.15,,603.86,90,,Percent of Total Billed Charges,568.29,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,617.27,92,,Percent of Total Billed Charges,544.14,,617.27,92,,Percent of Total Billed Charges,499.19,,617.27,92,,Percent of Total Billed Charges,525.35,,617.27,92,,Percent of Total Billed Charges,544.14,,523.34,78,,Percent of Total Billed Charges,523.34,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,361.17,53.83,,Percent of Total Billed Charges,338.83,,232.42,34.64,,Percent of Total Billed Charges,231.48,,335.34,49.98,,Percent of Total Billed Charges,253.62,,232.42,617.27,,																																							
HC APPL MLTLAYR COMPRES SYS UPARM LWARM HAND&FING,29584,CPT,,,,BOTH, , ,670.95,563.6,617.27,92,,Percent of Total Billed Charges,560.91,,617.27,92,,Percent of Total Billed Charges,550.85,,617.27,92,,Percent of Total Billed Charges,540.11,,617.27,92,,Percent of Total Billed Charges,560.24,,617.27,92,,Percent of Total Billed Charges,505.23,,617.27,92,,Percent of Total Billed Charges,419.34,,603.86,90,,Percent of Total Billed Charges,334.8,,597.15,89,,Percent of Total Billed Charges,322.06,,552.86,82.4,,Percent of Total Billed Charges,551.52,,559.57,83.4,,Percent of Total Billed Charges,522,,559.57,83.4,,Percent of Total Billed Charges,470.34,,559.57,83.4,,Percent of Total Billed Charges,546.15,,603.86,90,,Percent of Total Billed Charges,568.29,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,617.27,92,,Percent of Total Billed Charges,544.14,,617.27,92,,Percent of Total Billed Charges,499.19,,617.27,92,,Percent of Total Billed Charges,525.35,,617.27,92,,Percent of Total Billed Charges,544.14,,523.34,78,,Percent of Total Billed Charges,523.34,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,361.17,53.83,,Percent of Total Billed Charges,338.83,,232.42,34.64,,Percent of Total Billed Charges,231.48,,335.34,49.98,,Percent of Total Billed Charges,253.62,,232.42,617.27,,																																							
HC DEBRIDEMENT OPEN WOUND EACH ADDITIONAL 20 SQ CM,97598,CPT,,,,BOTH, , ,77.7,65.27,71.48,92,,Percent of Total Billed Charges,64.96,,71.48,92,,Percent of Total Billed Charges,63.79,,71.48,92,,Percent of Total Billed Charges,62.55,,71.48,92,,Percent of Total Billed Charges,64.88,,71.48,92,,Percent of Total Billed Charges,58.51,,71.48,92,,Percent of Total Billed Charges,48.56,,69.93,90,,Percent of Total Billed Charges,38.77,,69.15,89,,Percent of Total Billed Charges,37.3,,64.02,82.4,,Percent of Total Billed Charges,63.87,,64.8,83.4,,Percent of Total Billed Charges,60.45,,64.8,83.4,,Percent of Total Billed Charges,54.47,,64.8,83.4,,Percent of Total Billed Charges,63.25,,69.93,90,,Percent of Total Billed Charges,65.81,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,71.48,92,,Percent of Total Billed Charges,63.01,,71.48,92,,Percent of Total Billed Charges,57.81,,71.48,92,,Percent of Total Billed Charges,60.84,,71.48,92,,Percent of Total Billed Charges,63.01,,60.61,78,,Percent of Total Billed Charges,60.61,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,41.83,53.83,,Percent of Total Billed Charges,39.24,,26.92,34.64,,Percent of Total Billed Charges,26.81,,38.83,49.98,,Percent of Total Billed Charges,29.37,,26.92,71.48,,																																							
HC DEBRIDEMENT OPEN WOUND 20 SQ CM/<,97597,CPT,,,,BOTH, , ,805.35,676.49,740.92,92,,Percent of Total Billed Charges,673.27,,740.92,92,,Percent of Total Billed Charges,661.19,,740.92,92,,Percent of Total Billed Charges,648.31,,740.92,92,,Percent of Total Billed Charges,672.47,,740.92,92,,Percent of Total Billed Charges,606.43,,740.92,92,,Percent of Total Billed Charges,503.34,,724.82,90,,Percent of Total Billed Charges,401.87,,716.76,89,,Percent of Total Billed Charges,386.57,,663.61,82.4,,Percent of Total Billed Charges,662,,671.66,83.4,,Percent of Total Billed Charges,626.56,,671.66,83.4,,Percent of Total Billed Charges,564.55,,671.66,83.4,,Percent of Total Billed Charges,655.55,,724.82,90,,Percent of Total Billed Charges,682.13,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,740.92,92,,Percent of Total Billed Charges,653.14,,740.92,92,,Percent of Total Billed Charges,599.18,,740.92,92,,Percent of Total Billed Charges,630.59,,740.92,92,,Percent of Total Billed Charges,653.14,,628.17,78,,Percent of Total Billed Charges,628.17,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,433.52,53.83,,Percent of Total Billed Charges,406.7,,278.97,34.64,,Percent of Total Billed Charges,277.85,,402.51,49.98,,Percent of Total Billed Charges,304.42,,278.97,740.92,,																																							
HC BFB TRAINING 1ST 15 MIN,90912,CPT,,,,BOTH, , ,134.4,112.9,123.65,92,,Percent of Total Billed Charges,112.36,,123.65,92,,Percent of Total Billed Charges,110.34,,123.65,92,,Percent of Total Billed Charges,108.19,,123.65,92,,Percent of Total Billed Charges,112.22,,123.65,92,,Percent of Total Billed Charges,101.2,,123.65,92,,Percent of Total Billed Charges,84,,120.96,90,,Percent of Total Billed Charges,67.07,,119.62,89,,Percent of Total Billed Charges,64.51,,110.75,82.4,,Percent of Total Billed Charges,110.48,,112.09,83.4,,Percent of Total Billed Charges,104.56,,112.09,83.4,,Percent of Total Billed Charges,94.21,,112.09,83.4,,Percent of Total Billed Charges,109.4,,120.96,90,,Percent of Total Billed Charges,113.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,123.65,92,,Percent of Total Billed Charges,109,,123.65,92,,Percent of Total Billed Charges,99.99,,123.65,92,,Percent of Total Billed Charges,105.24,,123.65,92,,Percent of Total Billed Charges,109,,104.83,78,,Percent of Total Billed Charges,104.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,72.35,53.83,,Percent of Total Billed Charges,67.87,,46.56,34.64,,Percent of Total Billed Charges,46.37,,67.17,49.98,,Percent of Total Billed Charges,50.8,,46.56,123.65,,																																							
HC BFB TRAINING EA ADDL 15 MIN,90913,CPT,,,,BOTH, , ,134.4,112.9,123.65,92,,Percent of Total Billed Charges,112.36,,123.65,92,,Percent of Total Billed Charges,110.34,,123.65,92,,Percent of Total Billed Charges,108.19,,123.65,92,,Percent of Total Billed Charges,112.22,,123.65,92,,Percent of Total Billed Charges,101.2,,123.65,92,,Percent of Total Billed Charges,84,,120.96,90,,Percent of Total Billed Charges,67.07,,119.62,89,,Percent of Total Billed Charges,64.51,,110.75,82.4,,Percent of Total Billed Charges,110.48,,112.09,83.4,,Percent of Total Billed Charges,104.56,,112.09,83.4,,Percent of Total Billed Charges,94.21,,112.09,83.4,,Percent of Total Billed Charges,109.4,,120.96,90,,Percent of Total Billed Charges,113.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,123.65,92,,Percent of Total Billed Charges,109,,123.65,92,,Percent of Total Billed Charges,99.99,,123.65,92,,Percent of Total Billed Charges,105.24,,123.65,92,,Percent of Total Billed Charges,109,,104.83,78,,Percent of Total Billed Charges,104.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,72.35,53.83,,Percent of Total Billed Charges,67.87,,46.56,34.64,,Percent of Total Billed Charges,46.37,,67.17,49.98,,Percent of Total Billed Charges,50.8,,46.56,123.65,,																																							
HC PT  NONPHYSICIAN TELEPHONE ASSESSMENT 510 MIN,98966,CPT,,,,BOTH, , ,56.7,47.63,52.16,92,,Percent of Total Billed Charges,47.4,,52.16,92,,Percent of Total Billed Charges,46.55,,52.16,92,,Percent of Total Billed Charges,45.64,,52.16,92,,Percent of Total Billed Charges,47.34,,52.16,92,,Percent of Total Billed Charges,42.7,,52.16,92,,Percent of Total Billed Charges,35.44,,51.03,90,,Percent of Total Billed Charges,28.29,,50.46,89,,Percent of Total Billed Charges,27.22,,46.72,82.4,,Percent of Total Billed Charges,46.61,,47.29,83.4,,Percent of Total Billed Charges,44.11,,47.29,83.4,,Percent of Total Billed Charges,39.75,,47.29,83.4,,Percent of Total Billed Charges,46.15,,51.03,90,,Percent of Total Billed Charges,48.02,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,52.16,92,,Percent of Total Billed Charges,45.98,,52.16,92,,Percent of Total Billed Charges,42.18,,52.16,92,,Percent of Total Billed Charges,44.4,,52.16,92,,Percent of Total Billed Charges,45.98,,44.23,78,,Percent of Total Billed Charges,44.23,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,30.52,53.83,,Percent of Total Billed Charges,28.63,,19.64,34.64,,Percent of Total Billed Charges,19.56,,28.34,49.98,,Percent of Total Billed Charges,21.43,,19.64,52.16,,																																							
HC PT  NONPHYSICIAN TELEPHONE ASSESSMENT 1120 MIN,98967,CPT,,,,BOTH, , ,11.55,9.7,10.63,92,,Percent of Total Billed Charges,9.66,,10.63,92,,Percent of Total Billed Charges,9.48,,10.63,92,,Percent of Total Billed Charges,9.3,,10.63,92,,Percent of Total Billed Charges,9.64,,10.63,92,,Percent of Total Billed Charges,8.7,,10.63,92,,Percent of Total Billed Charges,7.22,,10.4,90,,Percent of Total Billed Charges,5.76,,10.28,89,,Percent of Total Billed Charges,5.54,,9.52,82.4,,Percent of Total Billed Charges,9.49,,9.63,83.4,,Percent of Total Billed Charges,8.99,,9.63,83.4,,Percent of Total Billed Charges,8.1,,9.63,83.4,,Percent of Total Billed Charges,9.4,,10.4,90,,Percent of Total Billed Charges,9.78,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,10.63,92,,Percent of Total Billed Charges,9.37,,10.63,92,,Percent of Total Billed Charges,8.59,,10.63,92,,Percent of Total Billed Charges,9.04,,10.63,92,,Percent of Total Billed Charges,9.37,,9.01,78,,Percent of Total Billed Charges,9.01,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6.22,53.83,,Percent of Total Billed Charges,5.83,,4,34.64,,Percent of Total Billed Charges,3.98,,5.77,49.98,,Percent of Total Billed Charges,4.37,,4.00,10.63,,																																							
HC PT NONPHYSICIAN TELEPHONE ASSESSMENT 2130 MIN,98968,CPT,,,,BOTH, , ,170.1,142.88,156.49,92,,Percent of Total Billed Charges,142.2,,156.49,92,,Percent of Total Billed Charges,139.65,,156.49,92,,Percent of Total Billed Charges,136.93,,156.49,92,,Percent of Total Billed Charges,142.03,,156.49,92,,Percent of Total Billed Charges,128.09,,156.49,92,,Percent of Total Billed Charges,106.31,,153.09,90,,Percent of Total Billed Charges,84.88,,151.39,89,,Percent of Total Billed Charges,81.65,,140.16,82.4,,Percent of Total Billed Charges,139.82,,141.86,83.4,,Percent of Total Billed Charges,132.34,,141.86,83.4,,Percent of Total Billed Charges,119.24,,141.86,83.4,,Percent of Total Billed Charges,138.46,,153.09,90,,Percent of Total Billed Charges,144.07,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,156.49,92,,Percent of Total Billed Charges,137.95,,156.49,92,,Percent of Total Billed Charges,126.55,,156.49,92,,Percent of Total Billed Charges,133.19,,156.49,92,,Percent of Total Billed Charges,137.95,,132.68,78,,Percent of Total Billed Charges,132.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,91.56,53.83,,Percent of Total Billed Charges,85.9,,58.92,34.64,,Percent of Total Billed Charges,58.68,,85.02,49.98,,Percent of Total Billed Charges,64.3,,58.92,156.49,,																																							
HC TELEMEDICINE PHYSICAL PERFORMANCE TEST/MEAS W/REPRT EA 15 MIN,97750,CPT,,,,BOTH, , ,13.65,11.47,12.56,92,,Percent of Total Billed Charges,11.41,,12.56,92,,Percent of Total Billed Charges,11.21,,12.56,92,,Percent of Total Billed Charges,10.99,,12.56,92,,Percent of Total Billed Charges,11.4,,12.56,92,,Percent of Total Billed Charges,10.28,,12.56,92,,Percent of Total Billed Charges,8.53,,12.29,90,,Percent of Total Billed Charges,6.81,,12.15,89,,Percent of Total Billed Charges,6.55,,11.25,82.4,,Percent of Total Billed Charges,11.22,,11.38,83.4,,Percent of Total Billed Charges,10.62,,11.38,83.4,,Percent of Total Billed Charges,9.57,,11.38,83.4,,Percent of Total Billed Charges,11.11,,12.29,90,,Percent of Total Billed Charges,11.56,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,12.56,92,,Percent of Total Billed Charges,11.07,,12.56,92,,Percent of Total Billed Charges,10.16,,12.56,92,,Percent of Total Billed Charges,10.69,,12.56,92,,Percent of Total Billed Charges,11.07,,10.65,78,,Percent of Total Billed Charges,10.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,7.35,53.83,,Percent of Total Billed Charges,6.89,,4.73,34.64,,Percent of Total Billed Charges,4.71,,6.82,49.98,,Percent of Total Billed Charges,5.16,,4.73,12.56,,																																							
HC TELEMEDICINE THERAPEUTIC PX 1/> AREAS EACH 15 MIN EXERCISES,97110,CPT,,,,BOTH, , ,123.9,104.08,113.99,92,,Percent of Total Billed Charges,103.58,,113.99,92,,Percent of Total Billed Charges,101.72,,113.99,92,,Percent of Total Billed Charges,99.74,,113.99,92,,Percent of Total Billed Charges,103.46,,113.99,92,,Percent of Total Billed Charges,93.3,,113.99,92,,Percent of Total Billed Charges,77.44,,111.51,90,,Percent of Total Billed Charges,61.83,,110.27,89,,Percent of Total Billed Charges,59.47,,102.09,82.4,,Percent of Total Billed Charges,101.85,,103.33,83.4,,Percent of Total Billed Charges,96.39,,103.33,83.4,,Percent of Total Billed Charges,86.85,,103.33,83.4,,Percent of Total Billed Charges,100.85,,111.51,90,,Percent of Total Billed Charges,104.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,113.99,92,,Percent of Total Billed Charges,100.48,,113.99,92,,Percent of Total Billed Charges,92.18,,113.99,92,,Percent of Total Billed Charges,97.01,,113.99,92,,Percent of Total Billed Charges,100.48,,96.64,78,,Percent of Total Billed Charges,96.64,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,66.7,53.83,,Percent of Total Billed Charges,62.57,,42.92,34.64,,Percent of Total Billed Charges,42.75,,61.93,49.98,,Percent of Total Billed Charges,46.83,,42.92,113.99,,																																							
HC TELEMEDICINE THER PX 1/> AREAS EACH 15 MIN NEUROMUSC REEDUCA,97112,CPT,,,,BOTH, , ,145.95,122.6,134.27,92,,Percent of Total Billed Charges,122.01,,134.27,92,,Percent of Total Billed Charges,119.82,,134.27,92,,Percent of Total Billed Charges,117.49,,134.27,92,,Percent of Total Billed Charges,121.87,,134.27,92,,Percent of Total Billed Charges,109.9,,134.27,92,,Percent of Total Billed Charges,91.22,,131.36,90,,Percent of Total Billed Charges,72.83,,129.9,89,,Percent of Total Billed Charges,70.06,,120.26,82.4,,Percent of Total Billed Charges,119.97,,121.72,83.4,,Percent of Total Billed Charges,113.55,,121.72,83.4,,Percent of Total Billed Charges,102.31,,121.72,83.4,,Percent of Total Billed Charges,118.8,,131.36,90,,Percent of Total Billed Charges,123.62,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,134.27,92,,Percent of Total Billed Charges,118.37,,134.27,92,,Percent of Total Billed Charges,108.59,,134.27,92,,Percent of Total Billed Charges,114.28,,134.27,92,,Percent of Total Billed Charges,118.37,,113.84,78,,Percent of Total Billed Charges,113.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,78.56,53.83,,Percent of Total Billed Charges,73.7,,50.56,34.64,,Percent of Total Billed Charges,50.35,,72.95,49.98,,Percent of Total Billed Charges,55.17,,50.56,134.27,,																																							
HC TELEMEDICINE THER PX 1/> AREAS EA 15 MIN GAIT TRAING W/STAIR,97116,CPT,,,,BOTH, , ,124.95,104.96,114.95,92,,Percent of Total Billed Charges,104.46,,114.95,92,,Percent of Total Billed Charges,102.58,,114.95,92,,Percent of Total Billed Charges,100.58,,114.95,92,,Percent of Total Billed Charges,104.33,,114.95,92,,Percent of Total Billed Charges,94.09,,114.95,92,,Percent of Total Billed Charges,78.09,,112.46,90,,Percent of Total Billed Charges,62.35,,111.21,89,,Percent of Total Billed Charges,59.98,,102.96,82.4,,Percent of Total Billed Charges,102.71,,104.21,83.4,,Percent of Total Billed Charges,97.21,,104.21,83.4,,Percent of Total Billed Charges,87.59,,104.21,83.4,,Percent of Total Billed Charges,101.71,,112.46,90,,Percent of Total Billed Charges,105.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,114.95,92,,Percent of Total Billed Charges,101.33,,114.95,92,,Percent of Total Billed Charges,92.96,,114.95,92,,Percent of Total Billed Charges,97.84,,114.95,92,,Percent of Total Billed Charges,101.33,,97.46,78,,Percent of Total Billed Charges,97.46,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,67.26,53.83,,Percent of Total Billed Charges,63.1,,43.28,34.64,,Percent of Total Billed Charges,43.11,,62.45,49.98,,Percent of Total Billed Charges,47.23,,43.28,114.95,,																																							
HC TELEMEDICINE THERAPEUTIC PROCEDURES GROUP 2/> INDIVIDUALS,97150,CPT,,,,BOTH, , ,70.35,59.09,64.72,92,,Percent of Total Billed Charges,58.81,,64.72,92,,Percent of Total Billed Charges,57.76,,64.72,92,,Percent of Total Billed Charges,56.63,,64.72,92,,Percent of Total Billed Charges,58.74,,64.72,92,,Percent of Total Billed Charges,52.97,,64.72,92,,Percent of Total Billed Charges,43.97,,63.32,90,,Percent of Total Billed Charges,35.1,,62.61,89,,Percent of Total Billed Charges,33.77,,57.97,82.4,,Percent of Total Billed Charges,57.83,,58.67,83.4,,Percent of Total Billed Charges,54.73,,58.67,83.4,,Percent of Total Billed Charges,49.32,,58.67,83.4,,Percent of Total Billed Charges,57.26,,63.32,90,,Percent of Total Billed Charges,59.59,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,64.72,92,,Percent of Total Billed Charges,57.05,,64.72,92,,Percent of Total Billed Charges,52.34,,64.72,92,,Percent of Total Billed Charges,55.08,,64.72,92,,Percent of Total Billed Charges,57.05,,54.87,78,,Percent of Total Billed Charges,54.87,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,37.87,53.83,,Percent of Total Billed Charges,35.53,,24.37,34.64,,Percent of Total Billed Charges,24.27,,35.16,49.98,,Percent of Total Billed Charges,26.59,,24.37,64.72,,																																							
HC TELEMEDICINE THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN,97530,CPT,,,,BOTH, , ,133.35,112.01,122.68,92,,Percent of Total Billed Charges,111.48,,122.68,92,,Percent of Total Billed Charges,109.48,,122.68,92,,Percent of Total Billed Charges,107.35,,122.68,92,,Percent of Total Billed Charges,111.35,,122.68,92,,Percent of Total Billed Charges,100.41,,122.68,92,,Percent of Total Billed Charges,83.34,,120.02,90,,Percent of Total Billed Charges,66.54,,118.68,89,,Percent of Total Billed Charges,64.01,,109.88,82.4,,Percent of Total Billed Charges,109.61,,111.21,83.4,,Percent of Total Billed Charges,103.75,,111.21,83.4,,Percent of Total Billed Charges,93.48,,111.21,83.4,,Percent of Total Billed Charges,108.55,,120.02,90,,Percent of Total Billed Charges,112.95,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,122.68,92,,Percent of Total Billed Charges,108.15,,122.68,92,,Percent of Total Billed Charges,99.21,,122.68,92,,Percent of Total Billed Charges,104.41,,122.68,92,,Percent of Total Billed Charges,108.15,,104.01,78,,Percent of Total Billed Charges,104.01,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,71.78,53.83,,Percent of Total Billed Charges,67.34,,46.19,34.64,,Percent of Total Billed Charges,46.01,,66.65,49.98,,Percent of Total Billed Charges,50.41,,46.19,122.68,,																																							
HC TELEMEDICINE SELFCARE/HOME MGMT TRAINING EACH 15 MINUTES,97535,CPT,,,,BOTH, , ,9.45,7.94,8.69,92,,Percent of Total Billed Charges,7.9,,8.69,92,,Percent of Total Billed Charges,7.76,,8.69,92,,Percent of Total Billed Charges,7.61,,8.69,92,,Percent of Total Billed Charges,7.89,,8.69,92,,Percent of Total Billed Charges,7.12,,8.69,92,,Percent of Total Billed Charges,5.91,,8.51,90,,Percent of Total Billed Charges,4.72,,8.41,89,,Percent of Total Billed Charges,4.54,,7.79,82.4,,Percent of Total Billed Charges,7.77,,7.88,83.4,,Percent of Total Billed Charges,7.35,,7.88,83.4,,Percent of Total Billed Charges,6.62,,7.88,83.4,,Percent of Total Billed Charges,7.69,,8.51,90,,Percent of Total Billed Charges,8,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,8.69,92,,Percent of Total Billed Charges,7.66,,8.69,92,,Percent of Total Billed Charges,7.03,,8.69,92,,Percent of Total Billed Charges,7.4,,8.69,92,,Percent of Total Billed Charges,7.66,,7.37,78,,Percent of Total Billed Charges,7.37,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5.09,53.83,,Percent of Total Billed Charges,4.77,,3.27,34.64,,Percent of Total Billed Charges,3.26,,4.72,49.98,,Percent of Total Billed Charges,3.57,,3.27,8.69,,																																							
HC TELEMEDICINE WHEELCHAIR MGMT EA 15 MIN,97542,CPT,,,,BOTH, , ,101.85,85.55,93.7,92,,Percent of Total Billed Charges,85.15,,93.7,92,,Percent of Total Billed Charges,83.62,,93.7,92,,Percent of Total Billed Charges,81.99,,93.7,92,,Percent of Total Billed Charges,85.04,,93.7,92,,Percent of Total Billed Charges,76.69,,93.7,92,,Percent of Total Billed Charges,63.66,,91.67,90,,Percent of Total Billed Charges,50.82,,90.65,89,,Percent of Total Billed Charges,48.89,,83.92,82.4,,Percent of Total Billed Charges,83.72,,84.94,83.4,,Percent of Total Billed Charges,79.24,,84.94,83.4,,Percent of Total Billed Charges,71.4,,84.94,83.4,,Percent of Total Billed Charges,82.91,,91.67,90,,Percent of Total Billed Charges,86.27,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,93.7,92,,Percent of Total Billed Charges,82.6,,93.7,92,,Percent of Total Billed Charges,75.78,,93.7,92,,Percent of Total Billed Charges,79.75,,93.7,92,,Percent of Total Billed Charges,82.6,,79.44,78,,Percent of Total Billed Charges,79.44,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,54.83,53.83,,Percent of Total Billed Charges,51.43,,35.28,34.64,,Percent of Total Billed Charges,35.14,,50.9,49.98,,Percent of Total Billed Charges,38.5,,35.28,93.7,,																																							
HC TELEMEDICINE ORTHOTICS MGMT & TRAING INITIAL ENCTR EA 15 MINS,97760,CPT,,,,BOTH, , ,137.55,115.54,126.55,92,,Percent of Total Billed Charges,114.99,,126.55,92,,Percent of Total Billed Charges,112.93,,126.55,92,,Percent of Total Billed Charges,110.73,,126.55,92,,Percent of Total Billed Charges,114.85,,126.55,92,,Percent of Total Billed Charges,103.58,,126.55,92,,Percent of Total Billed Charges,85.97,,123.8,90,,Percent of Total Billed Charges,68.64,,122.42,89,,Percent of Total Billed Charges,66.02,,113.34,82.4,,Percent of Total Billed Charges,113.07,,114.72,83.4,,Percent of Total Billed Charges,107.01,,114.72,83.4,,Percent of Total Billed Charges,96.42,,114.72,83.4,,Percent of Total Billed Charges,111.97,,123.8,90,,Percent of Total Billed Charges,116.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,126.55,92,,Percent of Total Billed Charges,111.55,,126.55,92,,Percent of Total Billed Charges,102.34,,126.55,92,,Percent of Total Billed Charges,107.7,,126.55,92,,Percent of Total Billed Charges,111.55,,107.29,78,,Percent of Total Billed Charges,107.29,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,74.04,53.83,,Percent of Total Billed Charges,69.46,,47.65,34.64,,Percent of Total Billed Charges,47.45,,68.75,49.98,,Percent of Total Billed Charges,51.99,,47.65,126.55,,																																							
HC TELEMEDICINE PROSTHETICS TRAINING INITIAL ENCTR EA 15 MINS,97761,CPT,,,,BOTH, , ,159.6,134.06,146.83,92,,Percent of Total Billed Charges,133.43,,146.83,92,,Percent of Total Billed Charges,131.03,,146.83,92,,Percent of Total Billed Charges,128.48,,146.83,92,,Percent of Total Billed Charges,133.27,,146.83,92,,Percent of Total Billed Charges,120.18,,146.83,92,,Percent of Total Billed Charges,99.75,,143.64,90,,Percent of Total Billed Charges,79.64,,142.04,89,,Percent of Total Billed Charges,76.61,,131.51,82.4,,Percent of Total Billed Charges,131.19,,133.11,83.4,,Percent of Total Billed Charges,124.17,,133.11,83.4,,Percent of Total Billed Charges,111.88,,133.11,83.4,,Percent of Total Billed Charges,129.91,,143.64,90,,Percent of Total Billed Charges,135.18,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,146.83,92,,Percent of Total Billed Charges,129.44,,146.83,92,,Percent of Total Billed Charges,118.74,,146.83,92,,Percent of Total Billed Charges,124.97,,146.83,92,,Percent of Total Billed Charges,129.44,,124.49,78,,Percent of Total Billed Charges,124.49,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,85.91,53.83,,Percent of Total Billed Charges,80.6,,55.29,34.64,,Percent of Total Billed Charges,55.06,,79.77,49.98,,Percent of Total Billed Charges,60.33,,55.29,146.83,,																																							
HC ORTHOTICS/PROSTH MGMT &/TRAINJ SBSQ ENCTR 15 MIN,97763,CPT,,,,BOTH, , ,217.35,182.57,199.96,92,,Percent of Total Billed Charges,181.7,,199.96,92,,Percent of Total Billed Charges,178.44,,199.96,92,,Percent of Total Billed Charges,174.97,,199.96,92,,Percent of Total Billed Charges,181.49,,199.96,92,,Percent of Total Billed Charges,163.66,,199.96,92,,Percent of Total Billed Charges,135.84,,195.62,90,,Percent of Total Billed Charges,108.46,,193.44,89,,Percent of Total Billed Charges,104.33,,179.1,82.4,,Percent of Total Billed Charges,178.66,,181.27,83.4,,Percent of Total Billed Charges,169.1,,181.27,83.4,,Percent of Total Billed Charges,152.36,,181.27,83.4,,Percent of Total Billed Charges,176.92,,195.62,90,,Percent of Total Billed Charges,184.1,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,199.96,92,,Percent of Total Billed Charges,176.27,,199.96,92,,Percent of Total Billed Charges,161.71,,199.96,92,,Percent of Total Billed Charges,170.19,,199.96,92,,Percent of Total Billed Charges,176.27,,169.53,78,,Percent of Total Billed Charges,169.53,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,117,53.83,,Percent of Total Billed Charges,109.76,,75.29,34.64,,Percent of Total Billed Charges,74.99,,108.63,49.98,,Percent of Total Billed Charges,82.16,,75.29,199.96,,																																							
HC NO SHOW / WORKWELL EVALUATION,424,RC,,,,BOTH, , ,421.05,353.68,387.37,92,,Percent of Total Billed Charges,352,,387.37,92,,Percent of Total Billed Charges,345.68,,387.37,92,,Percent of Total Billed Charges,338.95,,387.37,92,,Percent of Total Billed Charges,351.58,,387.37,92,,Percent of Total Billed Charges,317.05,,387.37,92,,Percent of Total Billed Charges,263.16,,378.95,90,,Percent of Total Billed Charges,210.1,,374.73,89,,Percent of Total Billed Charges,202.1,,346.95,82.4,,Percent of Total Billed Charges,346.1,,351.16,83.4,,Percent of Total Billed Charges,327.58,,351.16,83.4,,Percent of Total Billed Charges,295.16,,351.16,83.4,,Percent of Total Billed Charges,342.73,,378.95,90,,Percent of Total Billed Charges,356.63,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,387.37,92,,Percent of Total Billed Charges,341.47,,387.37,92,,Percent of Total Billed Charges,313.26,,387.37,92,,Percent of Total Billed Charges,329.68,,387.37,92,,Percent of Total Billed Charges,341.47,,328.42,78,,Percent of Total Billed Charges,328.42,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,226.65,53.83,,Percent of Total Billed Charges,212.63,,145.85,34.64,,Percent of Total Billed Charges,145.26,,210.44,49.98,,Percent of Total Billed Charges,159.16,,145.85,387.37,,																																							
HC PT EVAL LOW COMPLEX 20 MIN,97161,CPT,,,,BOTH, , ,327.6,275.18,301.39,92,,Percent of Total Billed Charges,273.87,,301.39,92,,Percent of Total Billed Charges,268.96,,301.39,92,,Percent of Total Billed Charges,263.72,,301.39,92,,Percent of Total Billed Charges,273.55,,301.39,92,,Percent of Total Billed Charges,246.68,,301.39,92,,Percent of Total Billed Charges,204.75,,294.84,90,,Percent of Total Billed Charges,163.47,,291.56,89,,Percent of Total Billed Charges,157.25,,269.94,82.4,,Percent of Total Billed Charges,269.29,,273.22,83.4,,Percent of Total Billed Charges,254.87,,273.22,83.4,,Percent of Total Billed Charges,229.65,,273.22,83.4,,Percent of Total Billed Charges,266.67,,294.84,90,,Percent of Total Billed Charges,277.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,301.39,92,,Percent of Total Billed Charges,265.68,,301.39,92,,Percent of Total Billed Charges,243.73,,301.39,92,,Percent of Total Billed Charges,256.51,,301.39,92,,Percent of Total Billed Charges,265.68,,255.53,78,,Percent of Total Billed Charges,255.53,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,176.35,53.83,,Percent of Total Billed Charges,165.44,,113.48,34.64,,Percent of Total Billed Charges,113.02,,163.73,49.98,,Percent of Total Billed Charges,123.83,,113.48,301.39,,																																							
HC PT EVAL HIGH COMPLEX 45 MIN,97163,CPT,,,,BOTH, , ,327.6,275.18,301.39,92,,Percent of Total Billed Charges,273.87,,301.39,92,,Percent of Total Billed Charges,268.96,,301.39,92,,Percent of Total Billed Charges,263.72,,301.39,92,,Percent of Total Billed Charges,273.55,,301.39,92,,Percent of Total Billed Charges,246.68,,301.39,92,,Percent of Total Billed Charges,204.75,,294.84,90,,Percent of Total Billed Charges,163.47,,291.56,89,,Percent of Total Billed Charges,157.25,,269.94,82.4,,Percent of Total Billed Charges,269.29,,273.22,83.4,,Percent of Total Billed Charges,254.87,,273.22,83.4,,Percent of Total Billed Charges,229.65,,273.22,83.4,,Percent of Total Billed Charges,266.67,,294.84,90,,Percent of Total Billed Charges,277.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,301.39,92,,Percent of Total Billed Charges,265.68,,301.39,92,,Percent of Total Billed Charges,243.73,,301.39,92,,Percent of Total Billed Charges,256.51,,301.39,92,,Percent of Total Billed Charges,265.68,,255.53,78,,Percent of Total Billed Charges,255.53,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,176.35,53.83,,Percent of Total Billed Charges,165.44,,113.48,34.64,,Percent of Total Billed Charges,113.02,,163.73,49.98,,Percent of Total Billed Charges,123.83,,113.48,301.39,,																																							
HC PT REEVAL EST PLAN CARE,97164,CPT,,,,BOTH, , ,22.05,18.52,20.29,92,,Percent of Total Billed Charges,18.43,,20.29,92,,Percent of Total Billed Charges,18.1,,20.29,92,,Percent of Total Billed Charges,17.75,,20.29,92,,Percent of Total Billed Charges,18.41,,20.29,92,,Percent of Total Billed Charges,16.6,,20.29,92,,Percent of Total Billed Charges,13.78,,19.85,90,,Percent of Total Billed Charges,11,,19.62,89,,Percent of Total Billed Charges,10.58,,18.17,82.4,,Percent of Total Billed Charges,18.13,,18.39,83.4,,Percent of Total Billed Charges,17.15,,18.39,83.4,,Percent of Total Billed Charges,15.46,,18.39,83.4,,Percent of Total Billed Charges,17.95,,19.85,90,,Percent of Total Billed Charges,18.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,20.29,92,,Percent of Total Billed Charges,17.88,,20.29,92,,Percent of Total Billed Charges,16.41,,20.29,92,,Percent of Total Billed Charges,17.27,,20.29,92,,Percent of Total Billed Charges,17.88,,17.2,78,,Percent of Total Billed Charges,17.2,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,11.87,53.83,,Percent of Total Billed Charges,11.14,,7.64,34.64,,Percent of Total Billed Charges,7.61,,11.02,49.98,,Percent of Total Billed Charges,8.33,,7.64,20.29,,																																							
HC PT EVAL MOD COMPLEX 30 MIN,97162,CPT,,,,BOTH, , ,327.6,275.18,301.39,92,,Percent of Total Billed Charges,273.87,,301.39,92,,Percent of Total Billed Charges,268.96,,301.39,92,,Percent of Total Billed Charges,263.72,,301.39,92,,Percent of Total Billed Charges,273.55,,301.39,92,,Percent of Total Billed Charges,246.68,,301.39,92,,Percent of Total Billed Charges,204.75,,294.84,90,,Percent of Total Billed Charges,163.47,,291.56,89,,Percent of Total Billed Charges,157.25,,269.94,82.4,,Percent of Total Billed Charges,269.29,,273.22,83.4,,Percent of Total Billed Charges,254.87,,273.22,83.4,,Percent of Total Billed Charges,229.65,,273.22,83.4,,Percent of Total Billed Charges,266.67,,294.84,90,,Percent of Total Billed Charges,277.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,301.39,92,,Percent of Total Billed Charges,265.68,,301.39,92,,Percent of Total Billed Charges,243.73,,301.39,92,,Percent of Total Billed Charges,256.51,,301.39,92,,Percent of Total Billed Charges,265.68,,255.53,78,,Percent of Total Billed Charges,255.53,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,176.35,53.83,,Percent of Total Billed Charges,165.44,,113.48,34.64,,Percent of Total Billed Charges,113.02,,163.73,49.98,,Percent of Total Billed Charges,123.83,,113.48,301.39,,																																							
HC TELEMEDICINE  PT EVAL LOW COMPLEX 20 MIN,97161,CPT,,,,BOTH, , ,327.6,275.18,301.39,92,,Percent of Total Billed Charges,273.87,,301.39,92,,Percent of Total Billed Charges,268.96,,301.39,92,,Percent of Total Billed Charges,263.72,,301.39,92,,Percent of Total Billed Charges,273.55,,301.39,92,,Percent of Total Billed Charges,246.68,,301.39,92,,Percent of Total Billed Charges,204.75,,294.84,90,,Percent of Total Billed Charges,163.47,,291.56,89,,Percent of Total Billed Charges,157.25,,269.94,82.4,,Percent of Total Billed Charges,269.29,,273.22,83.4,,Percent of Total Billed Charges,254.87,,273.22,83.4,,Percent of Total Billed Charges,229.65,,273.22,83.4,,Percent of Total Billed Charges,266.67,,294.84,90,,Percent of Total Billed Charges,277.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,301.39,92,,Percent of Total Billed Charges,265.68,,301.39,92,,Percent of Total Billed Charges,243.73,,301.39,92,,Percent of Total Billed Charges,256.51,,301.39,92,,Percent of Total Billed Charges,265.68,,255.53,78,,Percent of Total Billed Charges,255.53,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,176.35,53.83,,Percent of Total Billed Charges,165.44,,113.48,34.64,,Percent of Total Billed Charges,113.02,,163.73,49.98,,Percent of Total Billed Charges,123.83,,113.48,301.39,,																																							
HC TELEMEDICINE  PT EVAL MOD COMPLEX 30 MIN,97162,CPT,,,,BOTH, , ,327.6,275.18,301.39,92,,Percent of Total Billed Charges,273.87,,301.39,92,,Percent of Total Billed Charges,268.96,,301.39,92,,Percent of Total Billed Charges,263.72,,301.39,92,,Percent of Total Billed Charges,273.55,,301.39,92,,Percent of Total Billed Charges,246.68,,301.39,92,,Percent of Total Billed Charges,204.75,,294.84,90,,Percent of Total Billed Charges,163.47,,291.56,89,,Percent of Total Billed Charges,157.25,,269.94,82.4,,Percent of Total Billed Charges,269.29,,273.22,83.4,,Percent of Total Billed Charges,254.87,,273.22,83.4,,Percent of Total Billed Charges,229.65,,273.22,83.4,,Percent of Total Billed Charges,266.67,,294.84,90,,Percent of Total Billed Charges,277.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,301.39,92,,Percent of Total Billed Charges,265.68,,301.39,92,,Percent of Total Billed Charges,243.73,,301.39,92,,Percent of Total Billed Charges,256.51,,301.39,92,,Percent of Total Billed Charges,265.68,,255.53,78,,Percent of Total Billed Charges,255.53,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,176.35,53.83,,Percent of Total Billed Charges,165.44,,113.48,34.64,,Percent of Total Billed Charges,113.02,,163.73,49.98,,Percent of Total Billed Charges,123.83,,113.48,301.39,,																																							
HC TELEMEDICINE  PT EVAL HIGH COMPLEX 45 MIN,97163,CPT,,,,BOTH, , ,327.6,275.18,301.39,92,,Percent of Total Billed Charges,273.87,,301.39,92,,Percent of Total Billed Charges,268.96,,301.39,92,,Percent of Total Billed Charges,263.72,,301.39,92,,Percent of Total Billed Charges,273.55,,301.39,92,,Percent of Total Billed Charges,246.68,,301.39,92,,Percent of Total Billed Charges,204.75,,294.84,90,,Percent of Total Billed Charges,163.47,,291.56,89,,Percent of Total Billed Charges,157.25,,269.94,82.4,,Percent of Total Billed Charges,269.29,,273.22,83.4,,Percent of Total Billed Charges,254.87,,273.22,83.4,,Percent of Total Billed Charges,229.65,,273.22,83.4,,Percent of Total Billed Charges,266.67,,294.84,90,,Percent of Total Billed Charges,277.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,301.39,92,,Percent of Total Billed Charges,265.68,,301.39,92,,Percent of Total Billed Charges,243.73,,301.39,92,,Percent of Total Billed Charges,256.51,,301.39,92,,Percent of Total Billed Charges,265.68,,255.53,78,,Percent of Total Billed Charges,255.53,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,176.35,53.83,,Percent of Total Billed Charges,165.44,,113.48,34.64,,Percent of Total Billed Charges,113.02,,163.73,49.98,,Percent of Total Billed Charges,123.83,,113.48,301.39,,																																							
HC TELEMEDICINE PT REEVAL EST PLAN CARE 20 MINS,97164,CPT,,,,BOTH, , ,22.05,18.52,20.29,92,,Percent of Total Billed Charges,18.43,,20.29,92,,Percent of Total Billed Charges,18.1,,20.29,92,,Percent of Total Billed Charges,17.75,,20.29,92,,Percent of Total Billed Charges,18.41,,20.29,92,,Percent of Total Billed Charges,16.6,,20.29,92,,Percent of Total Billed Charges,13.78,,19.85,90,,Percent of Total Billed Charges,11,,19.62,89,,Percent of Total Billed Charges,10.58,,18.17,82.4,,Percent of Total Billed Charges,18.13,,18.39,83.4,,Percent of Total Billed Charges,17.15,,18.39,83.4,,Percent of Total Billed Charges,15.46,,18.39,83.4,,Percent of Total Billed Charges,17.95,,19.85,90,,Percent of Total Billed Charges,18.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,20.29,92,,Percent of Total Billed Charges,17.88,,20.29,92,,Percent of Total Billed Charges,16.41,,20.29,92,,Percent of Total Billed Charges,17.27,,20.29,92,,Percent of Total Billed Charges,17.88,,17.2,78,,Percent of Total Billed Charges,17.2,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,11.87,53.83,,Percent of Total Billed Charges,11.14,,7.64,34.64,,Percent of Total Billed Charges,7.61,,11.02,49.98,,Percent of Total Billed Charges,8.33,,7.64,20.29,,																																							
HC TELEMEDICINE ASSTV TECHNOL ASSMT DIR CNTCT W/REPRT EA 15 MIN,97755,CPT,,,,BOTH, , ,179.55,150.82,165.19,92,,Percent of Total Billed Charges,150.1,,165.19,92,,Percent of Total Billed Charges,147.41,,165.19,92,,Percent of Total Billed Charges,144.54,,165.19,92,,Percent of Total Billed Charges,149.92,,165.19,92,,Percent of Total Billed Charges,135.2,,165.19,92,,Percent of Total Billed Charges,112.22,,161.6,90,,Percent of Total Billed Charges,89.6,,159.8,89,,Percent of Total Billed Charges,86.18,,147.95,82.4,,Percent of Total Billed Charges,147.59,,149.74,83.4,,Percent of Total Billed Charges,139.69,,149.74,83.4,,Percent of Total Billed Charges,125.86,,149.74,83.4,,Percent of Total Billed Charges,146.15,,161.6,90,,Percent of Total Billed Charges,152.08,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,165.19,92,,Percent of Total Billed Charges,145.62,,165.19,92,,Percent of Total Billed Charges,133.59,,165.19,92,,Percent of Total Billed Charges,140.59,,165.19,92,,Percent of Total Billed Charges,145.62,,140.05,78,,Percent of Total Billed Charges,140.05,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,96.65,53.83,,Percent of Total Billed Charges,90.67,,62.2,34.64,,Percent of Total Billed Charges,61.94,,89.74,49.98,,Percent of Total Billed Charges,67.87,,62.20,165.19,,																																							
HC APPLY LONG ARM SPLINT,29105,CPT,,,,BOTH, , ,53.55,44.98,49.27,92,,Percent of Total Billed Charges,44.77,,49.27,92,,Percent of Total Billed Charges,43.96,,49.27,92,,Percent of Total Billed Charges,43.11,,49.27,92,,Percent of Total Billed Charges,44.71,,49.27,92,,Percent of Total Billed Charges,40.32,,49.27,92,,Percent of Total Billed Charges,33.47,,48.2,90,,Percent of Total Billed Charges,26.72,,47.66,89,,Percent of Total Billed Charges,25.7,,44.13,82.4,,Percent of Total Billed Charges,44.02,,44.66,83.4,,Percent of Total Billed Charges,41.66,,44.66,83.4,,Percent of Total Billed Charges,37.54,,44.66,83.4,,Percent of Total Billed Charges,43.59,,48.2,90,,Percent of Total Billed Charges,45.36,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,49.27,92,,Percent of Total Billed Charges,43.43,,49.27,92,,Percent of Total Billed Charges,39.84,,49.27,92,,Percent of Total Billed Charges,41.93,,49.27,92,,Percent of Total Billed Charges,43.43,,41.77,78,,Percent of Total Billed Charges,41.77,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,28.83,53.83,,Percent of Total Billed Charges,27.04,,18.55,34.64,,Percent of Total Billed Charges,18.47,,26.76,49.98,,Percent of Total Billed Charges,20.24,,18.55,49.27,,																																							
HC SHORT ARM SPLINT,29125,CPT,,,,BOTH, , ,408.45,343.1,375.77,92,,Percent of Total Billed Charges,341.46,,375.77,92,,Percent of Total Billed Charges,335.34,,375.77,92,,Percent of Total Billed Charges,328.8,,375.77,92,,Percent of Total Billed Charges,341.06,,375.77,92,,Percent of Total Billed Charges,307.56,,375.77,92,,Percent of Total Billed Charges,255.28,,367.61,90,,Percent of Total Billed Charges,203.82,,363.52,89,,Percent of Total Billed Charges,196.06,,336.56,82.4,,Percent of Total Billed Charges,335.75,,340.65,83.4,,Percent of Total Billed Charges,317.77,,340.65,83.4,,Percent of Total Billed Charges,286.32,,340.65,83.4,,Percent of Total Billed Charges,332.48,,367.61,90,,Percent of Total Billed Charges,345.96,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,375.77,92,,Percent of Total Billed Charges,331.25,,375.77,92,,Percent of Total Billed Charges,303.89,,375.77,92,,Percent of Total Billed Charges,319.82,,375.77,92,,Percent of Total Billed Charges,331.25,,318.59,78,,Percent of Total Billed Charges,318.59,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,219.87,53.83,,Percent of Total Billed Charges,206.27,,141.49,34.64,,Percent of Total Billed Charges,140.92,,204.14,49.98,,Percent of Total Billed Charges,154.39,,141.49,375.77,,																																							
HC SHORT ARM SPLINT , DYNAMIC,29126,CPT,,,,BOTH, , ,394.8,331.63,363.22,92,,Percent of Total Billed Charges,330.05,,363.22,92,,Percent of Total Billed Charges,324.13,,363.22,92,,Percent of Total Billed Charges,317.81,,363.22,92,,Percent of Total Billed Charges,329.66,,363.22,92,,Percent of Total Billed Charges,297.28,,363.22,92,,Percent of Total Billed Charges,246.75,,355.32,90,,Percent of Total Billed Charges,197.01,,351.37,89,,Percent of Total Billed Charges,189.5,,325.32,82.4,,Percent of Total Billed Charges,324.53,,329.26,83.4,,Percent of Total Billed Charges,307.15,,329.26,83.4,,Percent of Total Billed Charges,276.75,,329.26,83.4,,Percent of Total Billed Charges,321.37,,355.32,90,,Percent of Total Billed Charges,334.4,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,363.22,92,,Percent of Total Billed Charges,320.18,,363.22,92,,Percent of Total Billed Charges,293.73,,363.22,92,,Percent of Total Billed Charges,309.13,,363.22,92,,Percent of Total Billed Charges,320.18,,307.94,78,,Percent of Total Billed Charges,307.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,212.52,53.83,,Percent of Total Billed Charges,199.37,,136.76,34.64,,Percent of Total Billed Charges,136.21,,197.32,49.98,,Percent of Total Billed Charges,149.23,,136.76,363.22,,																																							
HC FINGER SPLINT,29130,CPT,,,,BOTH, , ,240.45,201.98,221.21,92,,Percent of Total Billed Charges,201.02,,221.21,92,,Percent of Total Billed Charges,197.41,,221.21,92,,Percent of Total Billed Charges,193.56,,221.21,92,,Percent of Total Billed Charges,200.78,,221.21,92,,Percent of Total Billed Charges,181.06,,221.21,92,,Percent of Total Billed Charges,150.28,,216.41,90,,Percent of Total Billed Charges,119.98,,214,89,,Percent of Total Billed Charges,115.42,,198.13,82.4,,Percent of Total Billed Charges,197.65,,200.54,83.4,,Percent of Total Billed Charges,187.07,,200.54,83.4,,Percent of Total Billed Charges,168.56,,200.54,83.4,,Percent of Total Billed Charges,195.73,,216.41,90,,Percent of Total Billed Charges,203.66,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,221.21,92,,Percent of Total Billed Charges,195,,221.21,92,,Percent of Total Billed Charges,178.89,,221.21,92,,Percent of Total Billed Charges,188.27,,221.21,92,,Percent of Total Billed Charges,195,,187.55,78,,Percent of Total Billed Charges,187.55,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,129.43,53.83,,Percent of Total Billed Charges,121.43,,83.29,34.64,,Percent of Total Billed Charges,82.96,,120.18,49.98,,Percent of Total Billed Charges,90.89,,83.29,221.21,,																																							
HC FINGER SPLINT , DYNAMIC,29131,CPT,,,,BOTH, , ,266.7,224.03,245.36,92,,Percent of Total Billed Charges,222.96,,245.36,92,,Percent of Total Billed Charges,218.96,,245.36,92,,Percent of Total Billed Charges,214.69,,245.36,92,,Percent of Total Billed Charges,222.69,,245.36,92,,Percent of Total Billed Charges,200.83,,245.36,92,,Percent of Total Billed Charges,166.69,,240.03,90,,Percent of Total Billed Charges,133.08,,237.36,89,,Percent of Total Billed Charges,128.02,,219.76,82.4,,Percent of Total Billed Charges,219.23,,222.43,83.4,,Percent of Total Billed Charges,207.49,,222.43,83.4,,Percent of Total Billed Charges,186.96,,222.43,83.4,,Percent of Total Billed Charges,217.09,,240.03,90,,Percent of Total Billed Charges,225.89,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,245.36,92,,Percent of Total Billed Charges,216.29,,245.36,92,,Percent of Total Billed Charges,198.42,,245.36,92,,Percent of Total Billed Charges,208.83,,245.36,92,,Percent of Total Billed Charges,216.29,,208.03,78,,Percent of Total Billed Charges,208.03,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,143.56,53.83,,Percent of Total Billed Charges,134.68,,92.38,34.64,,Percent of Total Billed Charges,92.01,,133.3,49.98,,Percent of Total Billed Charges,100.81,,92.38,245.36,,																																							
HC SHOULDER STRAPPING,29240,CPT,,,,BOTH, , ,606.9,509.8,558.35,92,,Percent of Total Billed Charges,507.37,,558.35,92,,Percent of Total Billed Charges,498.26,,558.35,92,,Percent of Total Billed Charges,488.55,,558.35,92,,Percent of Total Billed Charges,506.76,,558.35,92,,Percent of Total Billed Charges,457,,558.35,92,,Percent of Total Billed Charges,379.31,,546.21,90,,Percent of Total Billed Charges,302.84,,540.14,89,,Percent of Total Billed Charges,291.31,,500.09,82.4,,Percent of Total Billed Charges,498.87,,506.15,83.4,,Percent of Total Billed Charges,472.17,,506.15,83.4,,Percent of Total Billed Charges,425.44,,506.15,83.4,,Percent of Total Billed Charges,494.02,,546.21,90,,Percent of Total Billed Charges,514.04,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,558.35,92,,Percent of Total Billed Charges,492.2,,558.35,92,,Percent of Total Billed Charges,451.53,,558.35,92,,Percent of Total Billed Charges,475.2,,558.35,92,,Percent of Total Billed Charges,492.2,,473.38,78,,Percent of Total Billed Charges,473.38,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,326.69,53.83,,Percent of Total Billed Charges,306.48,,210.23,34.64,,Percent of Total Billed Charges,209.38,,303.33,49.98,,Percent of Total Billed Charges,229.41,,210.23,558.35,,																																							
HC ELBOW OR WRIST STRAPPING,29260,CPT,,,,BOTH, , ,523.95,440.12,482.03,92,,Percent of Total Billed Charges,438.02,,482.03,92,,Percent of Total Billed Charges,430.16,,482.03,92,,Percent of Total Billed Charges,421.78,,482.03,92,,Percent of Total Billed Charges,437.5,,482.03,92,,Percent of Total Billed Charges,394.53,,482.03,92,,Percent of Total Billed Charges,327.47,,471.56,90,,Percent of Total Billed Charges,261.45,,466.32,89,,Percent of Total Billed Charges,251.5,,431.73,82.4,,Percent of Total Billed Charges,430.69,,436.97,83.4,,Percent of Total Billed Charges,407.63,,436.97,83.4,,Percent of Total Billed Charges,367.29,,436.97,83.4,,Percent of Total Billed Charges,426.5,,471.56,90,,Percent of Total Billed Charges,443.79,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,482.03,92,,Percent of Total Billed Charges,424.92,,482.03,92,,Percent of Total Billed Charges,389.82,,482.03,92,,Percent of Total Billed Charges,410.25,,482.03,92,,Percent of Total Billed Charges,424.92,,408.68,78,,Percent of Total Billed Charges,408.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,282.04,53.83,,Percent of Total Billed Charges,264.59,,181.5,34.64,,Percent of Total Billed Charges,180.76,,261.87,49.98,,Percent of Total Billed Charges,198.05,,181.50,482.03,,																																							
HC HAND OR FINGER STRAPPING,29280,CPT,,,,BOTH, , ,523.95,440.12,482.03,92,,Percent of Total Billed Charges,438.02,,482.03,92,,Percent of Total Billed Charges,430.16,,482.03,92,,Percent of Total Billed Charges,421.78,,482.03,92,,Percent of Total Billed Charges,437.5,,482.03,92,,Percent of Total Billed Charges,394.53,,482.03,92,,Percent of Total Billed Charges,327.47,,471.56,90,,Percent of Total Billed Charges,261.45,,466.32,89,,Percent of Total Billed Charges,251.5,,431.73,82.4,,Percent of Total Billed Charges,430.69,,436.97,83.4,,Percent of Total Billed Charges,407.63,,436.97,83.4,,Percent of Total Billed Charges,367.29,,436.97,83.4,,Percent of Total Billed Charges,426.5,,471.56,90,,Percent of Total Billed Charges,443.79,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,482.03,92,,Percent of Total Billed Charges,424.92,,482.03,92,,Percent of Total Billed Charges,389.82,,482.03,92,,Percent of Total Billed Charges,410.25,,482.03,92,,Percent of Total Billed Charges,424.92,,408.68,78,,Percent of Total Billed Charges,408.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,282.04,53.83,,Percent of Total Billed Charges,264.59,,181.5,34.64,,Percent of Total Billed Charges,180.76,,261.87,49.98,,Percent of Total Billed Charges,198.05,,181.50,482.03,,																																							
HC DEVELOPMENTAL TESTING,96110,CPT,,,,BOTH, , ,227.85,191.39,209.62,92,,Percent of Total Billed Charges,190.48,,209.62,92,,Percent of Total Billed Charges,187.06,,209.62,92,,Percent of Total Billed Charges,183.42,,209.62,92,,Percent of Total Billed Charges,190.25,,209.62,92,,Percent of Total Billed Charges,171.57,,209.62,92,,Percent of Total Billed Charges,142.41,,205.07,90,,Percent of Total Billed Charges,113.7,,202.79,89,,Percent of Total Billed Charges,109.37,,187.75,82.4,,Percent of Total Billed Charges,187.29,,190.03,83.4,,Percent of Total Billed Charges,177.27,,190.03,83.4,,Percent of Total Billed Charges,159.72,,190.03,83.4,,Percent of Total Billed Charges,185.47,,205.07,90,,Percent of Total Billed Charges,192.99,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,209.62,92,,Percent of Total Billed Charges,184.79,,209.62,92,,Percent of Total Billed Charges,169.52,,209.62,92,,Percent of Total Billed Charges,178.41,,209.62,92,,Percent of Total Billed Charges,184.79,,177.72,78,,Percent of Total Billed Charges,177.72,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,122.65,53.83,,Percent of Total Billed Charges,115.06,,78.93,34.64,,Percent of Total Billed Charges,78.61,,113.88,49.98,,Percent of Total Billed Charges,86.13,,78.93,209.62,,																																							
HC PARAFFIN BATH THERAPY,97018,CPT,,,,BOTH, , ,133.35,112.01,122.68,92,,Percent of Total Billed Charges,111.48,,122.68,92,,Percent of Total Billed Charges,109.48,,122.68,92,,Percent of Total Billed Charges,107.35,,122.68,92,,Percent of Total Billed Charges,111.35,,122.68,92,,Percent of Total Billed Charges,100.41,,122.68,92,,Percent of Total Billed Charges,83.34,,120.02,90,,Percent of Total Billed Charges,66.54,,118.68,89,,Percent of Total Billed Charges,64.01,,109.88,82.4,,Percent of Total Billed Charges,109.61,,111.21,83.4,,Percent of Total Billed Charges,103.75,,111.21,83.4,,Percent of Total Billed Charges,93.48,,111.21,83.4,,Percent of Total Billed Charges,108.55,,120.02,90,,Percent of Total Billed Charges,112.95,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,122.68,92,,Percent of Total Billed Charges,108.15,,122.68,92,,Percent of Total Billed Charges,99.21,,122.68,92,,Percent of Total Billed Charges,104.41,,122.68,92,,Percent of Total Billed Charges,108.15,,104.01,78,,Percent of Total Billed Charges,104.01,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,71.78,53.83,,Percent of Total Billed Charges,67.34,,46.19,34.64,,Percent of Total Billed Charges,46.01,,66.65,49.98,,Percent of Total Billed Charges,50.41,,46.19,122.68,,																																							
HC WHIRLPOOL THERAPY,97022,CPT,,,,BOTH, , ,218.4,183.46,200.93,92,,Percent of Total Billed Charges,182.58,,200.93,92,,Percent of Total Billed Charges,179.31,,200.93,92,,Percent of Total Billed Charges,175.81,,200.93,92,,Percent of Total Billed Charges,182.36,,200.93,92,,Percent of Total Billed Charges,164.46,,200.93,92,,Percent of Total Billed Charges,136.5,,196.56,90,,Percent of Total Billed Charges,108.98,,194.38,89,,Percent of Total Billed Charges,104.83,,179.96,82.4,,Percent of Total Billed Charges,179.52,,182.15,83.4,,Percent of Total Billed Charges,169.92,,182.15,83.4,,Percent of Total Billed Charges,153.1,,182.15,83.4,,Percent of Total Billed Charges,177.78,,196.56,90,,Percent of Total Billed Charges,184.98,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,200.93,92,,Percent of Total Billed Charges,177.12,,200.93,92,,Percent of Total Billed Charges,162.49,,200.93,92,,Percent of Total Billed Charges,171.01,,200.93,92,,Percent of Total Billed Charges,177.12,,170.35,78,,Percent of Total Billed Charges,170.35,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,117.56,53.83,,Percent of Total Billed Charges,110.29,,75.65,34.64,,Percent of Total Billed Charges,75.35,,109.16,49.98,,Percent of Total Billed Charges,82.56,,75.65,200.93,,																																							
HC IONTOPHORESIS EACH 15 MIN,97033,CPT,,,,BOTH, , ,202.65,170.23,186.44,92,,Percent of Total Billed Charges,169.42,,186.44,92,,Percent of Total Billed Charges,166.38,,186.44,92,,Percent of Total Billed Charges,163.13,,186.44,92,,Percent of Total Billed Charges,169.21,,186.44,92,,Percent of Total Billed Charges,152.6,,186.44,92,,Percent of Total Billed Charges,126.66,,182.39,90,,Percent of Total Billed Charges,101.12,,180.36,89,,Percent of Total Billed Charges,97.27,,166.98,82.4,,Percent of Total Billed Charges,166.58,,169.01,83.4,,Percent of Total Billed Charges,157.66,,169.01,83.4,,Percent of Total Billed Charges,142.06,,169.01,83.4,,Percent of Total Billed Charges,164.96,,182.39,90,,Percent of Total Billed Charges,171.64,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,186.44,92,,Percent of Total Billed Charges,164.35,,186.44,92,,Percent of Total Billed Charges,150.77,,186.44,92,,Percent of Total Billed Charges,158.67,,186.44,92,,Percent of Total Billed Charges,164.35,,158.07,78,,Percent of Total Billed Charges,158.07,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,109.09,53.83,,Percent of Total Billed Charges,102.34,,70.2,34.64,,Percent of Total Billed Charges,69.91,,101.28,49.98,,Percent of Total Billed Charges,76.6,,70.20,186.44,,																																							
HC CONTRAST BATH THERAPY,97034,CPT,,,,BOTH, , ,119.7,100.55,110.12,92,,Percent of Total Billed Charges,100.07,,110.12,92,,Percent of Total Billed Charges,98.27,,110.12,92,,Percent of Total Billed Charges,96.36,,110.12,92,,Percent of Total Billed Charges,99.95,,110.12,92,,Percent of Total Billed Charges,90.13,,110.12,92,,Percent of Total Billed Charges,74.81,,107.73,90,,Percent of Total Billed Charges,59.73,,106.53,89,,Percent of Total Billed Charges,57.46,,98.63,82.4,,Percent of Total Billed Charges,98.39,,99.83,83.4,,Percent of Total Billed Charges,93.13,,99.83,83.4,,Percent of Total Billed Charges,83.91,,99.83,83.4,,Percent of Total Billed Charges,97.44,,107.73,90,,Percent of Total Billed Charges,101.39,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,110.12,92,,Percent of Total Billed Charges,97.08,,110.12,92,,Percent of Total Billed Charges,89.06,,110.12,92,,Percent of Total Billed Charges,93.73,,110.12,92,,Percent of Total Billed Charges,97.08,,93.37,78,,Percent of Total Billed Charges,93.37,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,64.43,53.83,,Percent of Total Billed Charges,60.45,,41.46,34.64,,Percent of Total Billed Charges,41.3,,59.83,49.98,,Percent of Total Billed Charges,45.25,,41.46,110.12,,																																							
HC ULTRASOUND THERAPY,97035,CPT,,,,BOTH, , ,86.1,72.32,79.21,92,,Percent of Total Billed Charges,71.98,,79.21,92,,Percent of Total Billed Charges,70.69,,79.21,92,,Percent of Total Billed Charges,69.31,,79.21,92,,Percent of Total Billed Charges,71.89,,79.21,92,,Percent of Total Billed Charges,64.83,,79.21,92,,Percent of Total Billed Charges,53.81,,77.49,90,,Percent of Total Billed Charges,42.96,,76.63,89,,Percent of Total Billed Charges,41.33,,70.95,82.4,,Percent of Total Billed Charges,70.77,,71.81,83.4,,Percent of Total Billed Charges,66.99,,71.81,83.4,,Percent of Total Billed Charges,60.36,,71.81,83.4,,Percent of Total Billed Charges,70.09,,77.49,90,,Percent of Total Billed Charges,72.93,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,79.21,92,,Percent of Total Billed Charges,69.83,,79.21,92,,Percent of Total Billed Charges,64.06,,79.21,92,,Percent of Total Billed Charges,67.42,,79.21,92,,Percent of Total Billed Charges,69.83,,67.16,78,,Percent of Total Billed Charges,67.16,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,46.35,53.83,,Percent of Total Billed Charges,43.48,,29.83,34.64,,Percent of Total Billed Charges,29.7,,43.03,49.98,,Percent of Total Billed Charges,32.55,,29.83,79.21,,																																							
HC THERAPEUTIC EXERCISES,97110,CPT,,,,BOTH, , ,123.9,104.08,113.99,92,,Percent of Total Billed Charges,103.58,,113.99,92,,Percent of Total Billed Charges,101.72,,113.99,92,,Percent of Total Billed Charges,99.74,,113.99,92,,Percent of Total Billed Charges,103.46,,113.99,92,,Percent of Total Billed Charges,93.3,,113.99,92,,Percent of Total Billed Charges,77.44,,111.51,90,,Percent of Total Billed Charges,61.83,,110.27,89,,Percent of Total Billed Charges,59.47,,102.09,82.4,,Percent of Total Billed Charges,101.85,,103.33,83.4,,Percent of Total Billed Charges,96.39,,103.33,83.4,,Percent of Total Billed Charges,86.85,,103.33,83.4,,Percent of Total Billed Charges,100.85,,111.51,90,,Percent of Total Billed Charges,104.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,113.99,92,,Percent of Total Billed Charges,100.48,,113.99,92,,Percent of Total Billed Charges,92.18,,113.99,92,,Percent of Total Billed Charges,97.01,,113.99,92,,Percent of Total Billed Charges,100.48,,96.64,78,,Percent of Total Billed Charges,96.64,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,66.7,53.83,,Percent of Total Billed Charges,62.57,,42.92,34.64,,Percent of Total Billed Charges,42.75,,61.93,49.98,,Percent of Total Billed Charges,46.83,,42.92,113.99,,																																							
HC NEUROMUSCULAR REEDUCATION,97112,CPT,,,,BOTH, , ,145.95,122.6,134.27,92,,Percent of Total Billed Charges,122.01,,134.27,92,,Percent of Total Billed Charges,119.82,,134.27,92,,Percent of Total Billed Charges,117.49,,134.27,92,,Percent of Total Billed Charges,121.87,,134.27,92,,Percent of Total Billed Charges,109.9,,134.27,92,,Percent of Total Billed Charges,91.22,,131.36,90,,Percent of Total Billed Charges,72.83,,129.9,89,,Percent of Total Billed Charges,70.06,,120.26,82.4,,Percent of Total Billed Charges,119.97,,121.72,83.4,,Percent of Total Billed Charges,113.55,,121.72,83.4,,Percent of Total Billed Charges,102.31,,121.72,83.4,,Percent of Total Billed Charges,118.8,,131.36,90,,Percent of Total Billed Charges,123.62,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,134.27,92,,Percent of Total Billed Charges,118.37,,134.27,92,,Percent of Total Billed Charges,108.59,,134.27,92,,Percent of Total Billed Charges,114.28,,134.27,92,,Percent of Total Billed Charges,118.37,,113.84,78,,Percent of Total Billed Charges,113.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,78.56,53.83,,Percent of Total Billed Charges,73.7,,50.56,34.64,,Percent of Total Billed Charges,50.35,,72.95,49.98,,Percent of Total Billed Charges,55.17,,50.56,134.27,,																																							
HC AQUATIC THERAPY/EXERCISES,97113,CPT,,,,BOTH, , ,216.3,181.69,199,92,,Percent of Total Billed Charges,180.83,,199,92,,Percent of Total Billed Charges,177.58,,199,92,,Percent of Total Billed Charges,174.12,,199,92,,Percent of Total Billed Charges,180.61,,199,92,,Percent of Total Billed Charges,162.87,,199,92,,Percent of Total Billed Charges,135.19,,194.67,90,,Percent of Total Billed Charges,107.93,,192.51,89,,Percent of Total Billed Charges,103.82,,178.23,82.4,,Percent of Total Billed Charges,177.8,,180.39,83.4,,Percent of Total Billed Charges,168.28,,180.39,83.4,,Percent of Total Billed Charges,151.63,,180.39,83.4,,Percent of Total Billed Charges,176.07,,194.67,90,,Percent of Total Billed Charges,183.21,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,199,92,,Percent of Total Billed Charges,175.42,,199,92,,Percent of Total Billed Charges,160.93,,199,92,,Percent of Total Billed Charges,169.36,,199,92,,Percent of Total Billed Charges,175.42,,168.71,78,,Percent of Total Billed Charges,168.71,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,116.43,53.83,,Percent of Total Billed Charges,109.23,,74.93,34.64,,Percent of Total Billed Charges,74.62,,108.11,49.98,,Percent of Total Billed Charges,81.76,,74.93,199,,																																							
HC MASSAGE THERAPY,97124,CPT,,,,BOTH, , ,109.2,91.73,100.46,92,,Percent of Total Billed Charges,91.29,,100.46,92,,Percent of Total Billed Charges,89.65,,100.46,92,,Percent of Total Billed Charges,87.91,,100.46,92,,Percent of Total Billed Charges,91.18,,100.46,92,,Percent of Total Billed Charges,82.23,,100.46,92,,Percent of Total Billed Charges,68.25,,98.28,90,,Percent of Total Billed Charges,54.49,,97.19,89,,Percent of Total Billed Charges,52.42,,89.98,82.4,,Percent of Total Billed Charges,89.76,,91.07,83.4,,Percent of Total Billed Charges,84.96,,91.07,83.4,,Percent of Total Billed Charges,76.55,,91.07,83.4,,Percent of Total Billed Charges,88.89,,98.28,90,,Percent of Total Billed Charges,92.49,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,100.46,92,,Percent of Total Billed Charges,88.56,,100.46,92,,Percent of Total Billed Charges,81.24,,100.46,92,,Percent of Total Billed Charges,85.5,,100.46,92,,Percent of Total Billed Charges,88.56,,85.18,78,,Percent of Total Billed Charges,85.18,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,58.78,53.83,,Percent of Total Billed Charges,55.15,,37.83,34.64,,Percent of Total Billed Charges,37.67,,54.58,49.98,,Percent of Total Billed Charges,41.28,,37.83,100.46,,																																							
HC MANUAL THERAPY 1/> REGIONS,97140,CPT,,,,BOTH, , ,198.45,166.7,182.57,92,,Percent of Total Billed Charges,165.9,,182.57,92,,Percent of Total Billed Charges,162.93,,182.57,92,,Percent of Total Billed Charges,159.75,,182.57,92,,Percent of Total Billed Charges,165.71,,182.57,92,,Percent of Total Billed Charges,149.43,,182.57,92,,Percent of Total Billed Charges,124.03,,178.61,90,,Percent of Total Billed Charges,99.03,,176.62,89,,Percent of Total Billed Charges,95.26,,163.52,82.4,,Percent of Total Billed Charges,163.13,,165.51,83.4,,Percent of Total Billed Charges,154.39,,165.51,83.4,,Percent of Total Billed Charges,139.11,,165.51,83.4,,Percent of Total Billed Charges,161.54,,178.61,90,,Percent of Total Billed Charges,168.09,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,182.57,92,,Percent of Total Billed Charges,160.94,,182.57,92,,Percent of Total Billed Charges,147.65,,182.57,92,,Percent of Total Billed Charges,155.39,,182.57,92,,Percent of Total Billed Charges,160.94,,154.79,78,,Percent of Total Billed Charges,154.79,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,106.83,53.83,,Percent of Total Billed Charges,100.22,,68.74,34.64,,Percent of Total Billed Charges,68.47,,99.19,49.98,,Percent of Total Billed Charges,75.01,,68.74,182.57,,																																							
HC GROUP THERAPEUTIC PROCEDURES,97150,CPT,,,,BOTH, , ,70.35,59.09,64.72,92,,Percent of Total Billed Charges,58.81,,64.72,92,,Percent of Total Billed Charges,57.76,,64.72,92,,Percent of Total Billed Charges,56.63,,64.72,92,,Percent of Total Billed Charges,58.74,,64.72,92,,Percent of Total Billed Charges,52.97,,64.72,92,,Percent of Total Billed Charges,43.97,,63.32,90,,Percent of Total Billed Charges,35.1,,62.61,89,,Percent of Total Billed Charges,33.77,,57.97,82.4,,Percent of Total Billed Charges,57.83,,58.67,83.4,,Percent of Total Billed Charges,54.73,,58.67,83.4,,Percent of Total Billed Charges,49.32,,58.67,83.4,,Percent of Total Billed Charges,57.26,,63.32,90,,Percent of Total Billed Charges,59.59,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,64.72,92,,Percent of Total Billed Charges,57.05,,64.72,92,,Percent of Total Billed Charges,52.34,,64.72,92,,Percent of Total Billed Charges,55.08,,64.72,92,,Percent of Total Billed Charges,57.05,,54.87,78,,Percent of Total Billed Charges,54.87,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,37.87,53.83,,Percent of Total Billed Charges,35.53,,24.37,34.64,,Percent of Total Billed Charges,24.27,,35.16,49.98,,Percent of Total Billed Charges,26.59,,24.37,64.72,,																																							
HC THERAPEUTIC ACTIVITIES EACH 15 MIN,97530,CPT,,,,BOTH, , ,133.35,112.01,122.68,92,,Percent of Total Billed Charges,111.48,,122.68,92,,Percent of Total Billed Charges,109.48,,122.68,92,,Percent of Total Billed Charges,107.35,,122.68,92,,Percent of Total Billed Charges,111.35,,122.68,92,,Percent of Total Billed Charges,100.41,,122.68,92,,Percent of Total Billed Charges,83.34,,120.02,90,,Percent of Total Billed Charges,66.54,,118.68,89,,Percent of Total Billed Charges,64.01,,109.88,82.4,,Percent of Total Billed Charges,109.61,,111.21,83.4,,Percent of Total Billed Charges,103.75,,111.21,83.4,,Percent of Total Billed Charges,93.48,,111.21,83.4,,Percent of Total Billed Charges,108.55,,120.02,90,,Percent of Total Billed Charges,112.95,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,122.68,92,,Percent of Total Billed Charges,108.15,,122.68,92,,Percent of Total Billed Charges,99.21,,122.68,92,,Percent of Total Billed Charges,104.41,,122.68,92,,Percent of Total Billed Charges,108.15,,104.01,78,,Percent of Total Billed Charges,104.01,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,71.78,53.83,,Percent of Total Billed Charges,67.34,,46.19,34.64,,Percent of Total Billed Charges,46.01,,66.65,49.98,,Percent of Total Billed Charges,50.41,,46.19,122.68,,																																							
HC SENSORY INTEGRATION,97533,CPT,,,,BOTH, , ,116.55,97.9,107.23,92,,Percent of Total Billed Charges,97.44,,107.23,92,,Percent of Total Billed Charges,95.69,,107.23,92,,Percent of Total Billed Charges,93.82,,107.23,92,,Percent of Total Billed Charges,97.32,,107.23,92,,Percent of Total Billed Charges,87.76,,107.23,92,,Percent of Total Billed Charges,72.84,,104.9,90,,Percent of Total Billed Charges,58.16,,103.73,89,,Percent of Total Billed Charges,55.94,,96.04,82.4,,Percent of Total Billed Charges,95.8,,97.2,83.4,,Percent of Total Billed Charges,90.68,,97.2,83.4,,Percent of Total Billed Charges,81.7,,97.2,83.4,,Percent of Total Billed Charges,94.87,,104.9,90,,Percent of Total Billed Charges,98.72,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,107.23,92,,Percent of Total Billed Charges,94.52,,107.23,92,,Percent of Total Billed Charges,86.71,,107.23,92,,Percent of Total Billed Charges,91.26,,107.23,92,,Percent of Total Billed Charges,94.52,,90.91,78,,Percent of Total Billed Charges,90.91,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,62.74,53.83,,Percent of Total Billed Charges,58.86,,40.37,34.64,,Percent of Total Billed Charges,40.21,,58.25,49.98,,Percent of Total Billed Charges,44.06,,40.37,107.23,,																																							
HC SELF CARE MNGMENT TRAINING,97535,CPT,,,,BOTH, , ,9.45,7.94,8.69,92,,Percent of Total Billed Charges,7.9,,8.69,92,,Percent of Total Billed Charges,7.76,,8.69,92,,Percent of Total Billed Charges,7.61,,8.69,92,,Percent of Total Billed Charges,7.89,,8.69,92,,Percent of Total Billed Charges,7.12,,8.69,92,,Percent of Total Billed Charges,5.91,,8.51,90,,Percent of Total Billed Charges,4.72,,8.41,89,,Percent of Total Billed Charges,4.54,,7.79,82.4,,Percent of Total Billed Charges,7.77,,7.88,83.4,,Percent of Total Billed Charges,7.35,,7.88,83.4,,Percent of Total Billed Charges,6.62,,7.88,83.4,,Percent of Total Billed Charges,7.69,,8.51,90,,Percent of Total Billed Charges,8,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,8.69,92,,Percent of Total Billed Charges,7.66,,8.69,92,,Percent of Total Billed Charges,7.03,,8.69,92,,Percent of Total Billed Charges,7.4,,8.69,92,,Percent of Total Billed Charges,7.66,,7.37,78,,Percent of Total Billed Charges,7.37,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5.09,53.83,,Percent of Total Billed Charges,4.77,,3.27,34.64,,Percent of Total Billed Charges,3.26,,4.72,49.98,,Percent of Total Billed Charges,3.57,,3.27,8.69,,																																							
HC COMMUNITY/WORK REINTEGRATIONEACH 15 MIN,97537,CPT,,,,BOTH, , ,9.45,7.94,8.69,92,,Percent of Total Billed Charges,7.9,,8.69,92,,Percent of Total Billed Charges,7.76,,8.69,92,,Percent of Total Billed Charges,7.61,,8.69,92,,Percent of Total Billed Charges,7.89,,8.69,92,,Percent of Total Billed Charges,7.12,,8.69,92,,Percent of Total Billed Charges,5.91,,8.51,90,,Percent of Total Billed Charges,4.72,,8.41,89,,Percent of Total Billed Charges,4.54,,7.79,82.4,,Percent of Total Billed Charges,7.77,,7.88,83.4,,Percent of Total Billed Charges,7.35,,7.88,83.4,,Percent of Total Billed Charges,6.62,,7.88,83.4,,Percent of Total Billed Charges,7.69,,8.51,90,,Percent of Total Billed Charges,8,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,8.69,92,,Percent of Total Billed Charges,7.66,,8.69,92,,Percent of Total Billed Charges,7.03,,8.69,92,,Percent of Total Billed Charges,7.4,,8.69,92,,Percent of Total Billed Charges,7.66,,7.37,78,,Percent of Total Billed Charges,7.37,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5.09,53.83,,Percent of Total Billed Charges,4.77,,3.27,34.64,,Percent of Total Billed Charges,3.26,,4.72,49.98,,Percent of Total Billed Charges,3.57,,3.27,8.69,,																																							
HC WHEELCHAIR MNGMENT TRAINING,97542,CPT,,,,BOTH, , ,101.85,85.55,93.7,92,,Percent of Total Billed Charges,85.15,,93.7,92,,Percent of Total Billed Charges,83.62,,93.7,92,,Percent of Total Billed Charges,81.99,,93.7,92,,Percent of Total Billed Charges,85.04,,93.7,92,,Percent of Total Billed Charges,76.69,,93.7,92,,Percent of Total Billed Charges,63.66,,91.67,90,,Percent of Total Billed Charges,50.82,,90.65,89,,Percent of Total Billed Charges,48.89,,83.92,82.4,,Percent of Total Billed Charges,83.72,,84.94,83.4,,Percent of Total Billed Charges,79.24,,84.94,83.4,,Percent of Total Billed Charges,71.4,,84.94,83.4,,Percent of Total Billed Charges,82.91,,91.67,90,,Percent of Total Billed Charges,86.27,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,93.7,92,,Percent of Total Billed Charges,82.6,,93.7,92,,Percent of Total Billed Charges,75.78,,93.7,92,,Percent of Total Billed Charges,79.75,,93.7,92,,Percent of Total Billed Charges,82.6,,79.44,78,,Percent of Total Billed Charges,79.44,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,54.83,53.83,,Percent of Total Billed Charges,51.43,,35.28,34.64,,Percent of Total Billed Charges,35.14,,50.9,49.98,,Percent of Total Billed Charges,38.5,,35.28,93.7,,																																							
HC DEBRIDEMENT SELECTIVE ,<20 SQ CM,97597,CPT,,,,BOTH, , ,805.35,676.49,740.92,92,,Percent of Total Billed Charges,673.27,,740.92,92,,Percent of Total Billed Charges,661.19,,740.92,92,,Percent of Total Billed Charges,648.31,,740.92,92,,Percent of Total Billed Charges,672.47,,740.92,92,,Percent of Total Billed Charges,606.43,,740.92,92,,Percent of Total Billed Charges,503.34,,724.82,90,,Percent of Total Billed Charges,401.87,,716.76,89,,Percent of Total Billed Charges,386.57,,663.61,82.4,,Percent of Total Billed Charges,662,,671.66,83.4,,Percent of Total Billed Charges,626.56,,671.66,83.4,,Percent of Total Billed Charges,564.55,,671.66,83.4,,Percent of Total Billed Charges,655.55,,724.82,90,,Percent of Total Billed Charges,682.13,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,740.92,92,,Percent of Total Billed Charges,653.14,,740.92,92,,Percent of Total Billed Charges,599.18,,740.92,92,,Percent of Total Billed Charges,630.59,,740.92,92,,Percent of Total Billed Charges,653.14,,628.17,78,,Percent of Total Billed Charges,628.17,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,433.52,53.83,,Percent of Total Billed Charges,406.7,,278.97,34.64,,Percent of Total Billed Charges,277.85,,402.51,49.98,,Percent of Total Billed Charges,304.42,,278.97,740.92,,																																							
HC ORTHOTICS MGMT & TRAING INITIAL ENCTR EA 15 MINS,97760,CPT,,,,BOTH, , ,137.55,115.54,126.55,92,,Percent of Total Billed Charges,114.99,,126.55,92,,Percent of Total Billed Charges,112.93,,126.55,92,,Percent of Total Billed Charges,110.73,,126.55,92,,Percent of Total Billed Charges,114.85,,126.55,92,,Percent of Total Billed Charges,103.58,,126.55,92,,Percent of Total Billed Charges,85.97,,123.8,90,,Percent of Total Billed Charges,68.64,,122.42,89,,Percent of Total Billed Charges,66.02,,113.34,82.4,,Percent of Total Billed Charges,113.07,,114.72,83.4,,Percent of Total Billed Charges,107.01,,114.72,83.4,,Percent of Total Billed Charges,96.42,,114.72,83.4,,Percent of Total Billed Charges,111.97,,123.8,90,,Percent of Total Billed Charges,116.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,126.55,92,,Percent of Total Billed Charges,111.55,,126.55,92,,Percent of Total Billed Charges,102.34,,126.55,92,,Percent of Total Billed Charges,107.7,,126.55,92,,Percent of Total Billed Charges,111.55,,107.29,78,,Percent of Total Billed Charges,107.29,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,74.04,53.83,,Percent of Total Billed Charges,69.46,,47.65,34.64,,Percent of Total Billed Charges,47.45,,68.75,49.98,,Percent of Total Billed Charges,51.99,,47.65,126.55,,																																							
HC ELEC STIM OTHER THAN WOUND,G0283,CPT,,,,BOTH, , ,11.55,9.7,10.63,92,,Percent of Total Billed Charges,9.66,,10.63,92,,Percent of Total Billed Charges,9.48,,10.63,92,,Percent of Total Billed Charges,9.3,,10.63,92,,Percent of Total Billed Charges,9.64,,10.63,92,,Percent of Total Billed Charges,8.7,,10.63,92,,Percent of Total Billed Charges,7.22,,10.4,90,,Percent of Total Billed Charges,5.76,,10.28,89,,Percent of Total Billed Charges,5.54,,9.52,82.4,,Percent of Total Billed Charges,9.49,,9.63,83.4,,Percent of Total Billed Charges,8.99,,9.63,83.4,,Percent of Total Billed Charges,8.1,,9.63,83.4,,Percent of Total Billed Charges,9.4,,10.4,90,,Percent of Total Billed Charges,9.78,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,10.63,92,,Percent of Total Billed Charges,9.37,,10.63,92,,Percent of Total Billed Charges,8.59,,10.63,92,,Percent of Total Billed Charges,9.04,,10.63,92,,Percent of Total Billed Charges,9.37,,9.01,78,,Percent of Total Billed Charges,9.01,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6.22,53.83,,Percent of Total Billed Charges,5.83,,4,34.64,,Percent of Total Billed Charges,3.98,,5.77,49.98,,Percent of Total Billed Charges,4.37,,4.00,10.63,,																																							
HC STRAPPING LOW BACK,29799,CPT,,,,BOTH, , ,324.45,272.54,298.49,92,,Percent of Total Billed Charges,271.24,,298.49,92,,Percent of Total Billed Charges,266.37,,298.49,92,,Percent of Total Billed Charges,261.18,,298.49,92,,Percent of Total Billed Charges,270.92,,298.49,92,,Percent of Total Billed Charges,244.31,,298.49,92,,Percent of Total Billed Charges,202.78,,292.01,90,,Percent of Total Billed Charges,161.9,,288.76,89,,Percent of Total Billed Charges,155.74,,267.35,82.4,,Percent of Total Billed Charges,266.7,,270.59,83.4,,Percent of Total Billed Charges,252.42,,270.59,83.4,,Percent of Total Billed Charges,227.44,,270.59,83.4,,Percent of Total Billed Charges,264.1,,292.01,90,,Percent of Total Billed Charges,274.81,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,298.49,92,,Percent of Total Billed Charges,263.13,,298.49,92,,Percent of Total Billed Charges,241.39,,298.49,92,,Percent of Total Billed Charges,254.04,,298.49,92,,Percent of Total Billed Charges,263.13,,253.07,78,,Percent of Total Billed Charges,253.07,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,174.65,53.83,,Percent of Total Billed Charges,163.85,,112.39,34.64,,Percent of Total Billed Charges,111.94,,162.16,49.98,,Percent of Total Billed Charges,122.64,,112.39,298.49,,																																							
HC STRAPPING THORAX,29200,CPT,,,,BOTH, , ,394.8,331.63,363.22,92,,Percent of Total Billed Charges,330.05,,363.22,92,,Percent of Total Billed Charges,324.13,,363.22,92,,Percent of Total Billed Charges,317.81,,363.22,92,,Percent of Total Billed Charges,329.66,,363.22,92,,Percent of Total Billed Charges,297.28,,363.22,92,,Percent of Total Billed Charges,246.75,,355.32,90,,Percent of Total Billed Charges,197.01,,351.37,89,,Percent of Total Billed Charges,189.5,,325.32,82.4,,Percent of Total Billed Charges,324.53,,329.26,83.4,,Percent of Total Billed Charges,307.15,,329.26,83.4,,Percent of Total Billed Charges,276.75,,329.26,83.4,,Percent of Total Billed Charges,321.37,,355.32,90,,Percent of Total Billed Charges,334.4,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,363.22,92,,Percent of Total Billed Charges,320.18,,363.22,92,,Percent of Total Billed Charges,293.73,,363.22,92,,Percent of Total Billed Charges,309.13,,363.22,92,,Percent of Total Billed Charges,320.18,,307.94,78,,Percent of Total Billed Charges,307.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,212.52,53.83,,Percent of Total Billed Charges,199.37,,136.76,34.64,,Percent of Total Billed Charges,136.21,,197.32,49.98,,Percent of Total Billed Charges,149.23,,136.76,363.22,,																																							
HC STRAPPING HIP,29520,CPT,,,,BOTH, , ,380.1,319.28,349.69,92,,Percent of Total Billed Charges,317.76,,349.69,92,,Percent of Total Billed Charges,312.06,,349.69,92,,Percent of Total Billed Charges,305.98,,349.69,92,,Percent of Total Billed Charges,317.38,,349.69,92,,Percent of Total Billed Charges,286.22,,349.69,92,,Percent of Total Billed Charges,237.56,,342.09,90,,Percent of Total Billed Charges,189.67,,338.29,89,,Percent of Total Billed Charges,182.45,,313.2,82.4,,Percent of Total Billed Charges,312.44,,317,83.4,,Percent of Total Billed Charges,295.72,,317,83.4,,Percent of Total Billed Charges,266.45,,317,83.4,,Percent of Total Billed Charges,309.4,,342.09,90,,Percent of Total Billed Charges,321.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,349.69,92,,Percent of Total Billed Charges,308.26,,349.69,92,,Percent of Total Billed Charges,282.79,,349.69,92,,Percent of Total Billed Charges,297.62,,349.69,92,,Percent of Total Billed Charges,308.26,,296.48,78,,Percent of Total Billed Charges,296.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,204.61,53.83,,Percent of Total Billed Charges,191.95,,131.67,34.64,,Percent of Total Billed Charges,131.13,,189.97,49.98,,Percent of Total Billed Charges,143.68,,131.67,349.69,,																																							
HC STRAPPING KNEE,29530,CPT,,,,BOTH, , ,507.15,426.01,466.58,92,,Percent of Total Billed Charges,423.98,,466.58,92,,Percent of Total Billed Charges,416.37,,466.58,92,,Percent of Total Billed Charges,408.26,,466.58,92,,Percent of Total Billed Charges,423.47,,466.58,92,,Percent of Total Billed Charges,381.88,,466.58,92,,Percent of Total Billed Charges,316.97,,456.44,90,,Percent of Total Billed Charges,253.07,,451.36,89,,Percent of Total Billed Charges,243.43,,417.89,82.4,,Percent of Total Billed Charges,416.88,,422.96,83.4,,Percent of Total Billed Charges,394.56,,422.96,83.4,,Percent of Total Billed Charges,355.51,,422.96,83.4,,Percent of Total Billed Charges,412.82,,456.44,90,,Percent of Total Billed Charges,429.56,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,466.58,92,,Percent of Total Billed Charges,411.3,,466.58,92,,Percent of Total Billed Charges,377.32,,466.58,92,,Percent of Total Billed Charges,397.1,,466.58,92,,Percent of Total Billed Charges,411.3,,395.58,78,,Percent of Total Billed Charges,395.58,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,273,53.83,,Percent of Total Billed Charges,256.11,,175.68,34.64,,Percent of Total Billed Charges,174.97,,253.47,49.98,,Percent of Total Billed Charges,191.7,,175.68,466.58,,																																							
HC STRAPPING ANKLE,29540,CPT,,,,BOTH, , ,418.95,351.92,385.43,92,,Percent of Total Billed Charges,350.24,,385.43,92,,Percent of Total Billed Charges,343.96,,385.43,92,,Percent of Total Billed Charges,337.25,,385.43,92,,Percent of Total Billed Charges,349.82,,385.43,92,,Percent of Total Billed Charges,315.47,,385.43,92,,Percent of Total Billed Charges,261.84,,377.06,90,,Percent of Total Billed Charges,209.06,,372.87,89,,Percent of Total Billed Charges,201.1,,345.21,82.4,,Percent of Total Billed Charges,344.38,,349.4,83.4,,Percent of Total Billed Charges,325.94,,349.4,83.4,,Percent of Total Billed Charges,293.68,,349.4,83.4,,Percent of Total Billed Charges,341.03,,377.06,90,,Percent of Total Billed Charges,354.85,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,385.43,92,,Percent of Total Billed Charges,339.77,,385.43,92,,Percent of Total Billed Charges,311.7,,385.43,92,,Percent of Total Billed Charges,328.04,,385.43,92,,Percent of Total Billed Charges,339.77,,326.78,78,,Percent of Total Billed Charges,326.78,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,225.52,53.83,,Percent of Total Billed Charges,211.57,,145.12,34.64,,Percent of Total Billed Charges,144.54,,209.39,49.98,,Percent of Total Billed Charges,158.36,,145.12,385.43,,																																							
HC STRAPPING TOE,29550,CPT,,,,BOTH, , ,568.05,477.16,522.61,92,,Percent of Total Billed Charges,474.89,,522.61,92,,Percent of Total Billed Charges,466.37,,522.61,92,,Percent of Total Billed Charges,457.28,,522.61,92,,Percent of Total Billed Charges,474.32,,522.61,92,,Percent of Total Billed Charges,427.74,,522.61,92,,Percent of Total Billed Charges,355.03,,511.25,90,,Percent of Total Billed Charges,283.46,,505.56,89,,Percent of Total Billed Charges,272.66,,468.07,82.4,,Percent of Total Billed Charges,466.94,,473.75,83.4,,Percent of Total Billed Charges,441.94,,473.75,83.4,,Percent of Total Billed Charges,398.2,,473.75,83.4,,Percent of Total Billed Charges,462.39,,511.25,90,,Percent of Total Billed Charges,481.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,522.61,92,,Percent of Total Billed Charges,460.69,,522.61,92,,Percent of Total Billed Charges,422.63,,522.61,92,,Percent of Total Billed Charges,444.78,,522.61,92,,Percent of Total Billed Charges,460.69,,443.08,78,,Percent of Total Billed Charges,443.08,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,305.78,53.83,,Percent of Total Billed Charges,286.87,,196.77,34.64,,Percent of Total Billed Charges,195.98,,283.91,49.98,,Percent of Total Billed Charges,214.72,,196.77,522.61,,																																							
HC NONSELECTIVE DEBRIDEMENT,97602,CPT,,,,BOTH, , ,541.8,455.11,498.46,92,,Percent of Total Billed Charges,452.94,,498.46,92,,Percent of Total Billed Charges,444.82,,498.46,92,,Percent of Total Billed Charges,436.15,,498.46,92,,Percent of Total Billed Charges,452.4,,498.46,92,,Percent of Total Billed Charges,407.98,,498.46,92,,Percent of Total Billed Charges,338.63,,487.62,90,,Percent of Total Billed Charges,270.36,,482.2,89,,Percent of Total Billed Charges,260.06,,446.44,82.4,,Percent of Total Billed Charges,445.36,,451.86,83.4,,Percent of Total Billed Charges,421.52,,451.86,83.4,,Percent of Total Billed Charges,379.8,,451.86,83.4,,Percent of Total Billed Charges,441.03,,487.62,90,,Percent of Total Billed Charges,458.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,498.46,92,,Percent of Total Billed Charges,439.4,,498.46,92,,Percent of Total Billed Charges,403.1,,498.46,92,,Percent of Total Billed Charges,424.23,,498.46,92,,Percent of Total Billed Charges,439.4,,422.6,78,,Percent of Total Billed Charges,422.6,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,291.65,53.83,,Percent of Total Billed Charges,273.61,,187.68,34.64,,Percent of Total Billed Charges,186.92,,270.79,49.98,,Percent of Total Billed Charges,204.8,,187.68,498.46,,																																							
HC ESTIM(UNATTENDED),G0283,CPT,,,,BOTH, , ,11.55,9.7,10.63,92,,Percent of Total Billed Charges,9.66,,10.63,92,,Percent of Total Billed Charges,9.48,,10.63,92,,Percent of Total Billed Charges,9.3,,10.63,92,,Percent of Total Billed Charges,9.64,,10.63,92,,Percent of Total Billed Charges,8.7,,10.63,92,,Percent of Total Billed Charges,7.22,,10.4,90,,Percent of Total Billed Charges,5.76,,10.28,89,,Percent of Total Billed Charges,5.54,,9.52,82.4,,Percent of Total Billed Charges,9.49,,9.63,83.4,,Percent of Total Billed Charges,8.99,,9.63,83.4,,Percent of Total Billed Charges,8.1,,9.63,83.4,,Percent of Total Billed Charges,9.4,,10.4,90,,Percent of Total Billed Charges,9.78,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,10.63,92,,Percent of Total Billed Charges,9.37,,10.63,92,,Percent of Total Billed Charges,8.59,,10.63,92,,Percent of Total Billed Charges,9.04,,10.63,92,,Percent of Total Billed Charges,9.37,,9.01,78,,Percent of Total Billed Charges,9.01,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6.22,53.83,,Percent of Total Billed Charges,5.83,,4,34.64,,Percent of Total Billed Charges,3.98,,5.77,49.98,,Percent of Total Billed Charges,4.37,,4.00,10.63,,																																							
HC PARAFFIN BATH,97018,CPT,,,,BOTH, , ,133.35,112.01,122.68,92,,Percent of Total Billed Charges,111.48,,122.68,92,,Percent of Total Billed Charges,109.48,,122.68,92,,Percent of Total Billed Charges,107.35,,122.68,92,,Percent of Total Billed Charges,111.35,,122.68,92,,Percent of Total Billed Charges,100.41,,122.68,92,,Percent of Total Billed Charges,83.34,,120.02,90,,Percent of Total Billed Charges,66.54,,118.68,89,,Percent of Total Billed Charges,64.01,,109.88,82.4,,Percent of Total Billed Charges,109.61,,111.21,83.4,,Percent of Total Billed Charges,103.75,,111.21,83.4,,Percent of Total Billed Charges,93.48,,111.21,83.4,,Percent of Total Billed Charges,108.55,,120.02,90,,Percent of Total Billed Charges,112.95,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,122.68,92,,Percent of Total Billed Charges,108.15,,122.68,92,,Percent of Total Billed Charges,99.21,,122.68,92,,Percent of Total Billed Charges,104.41,,122.68,92,,Percent of Total Billed Charges,108.15,,104.01,78,,Percent of Total Billed Charges,104.01,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,71.78,53.83,,Percent of Total Billed Charges,67.34,,46.19,34.64,,Percent of Total Billed Charges,46.01,,66.65,49.98,,Percent of Total Billed Charges,50.41,,46.19,122.68,,																																							
HC FLUIDOTHERAPY,97022,CPT,,,,BOTH, , ,218.4,183.46,200.93,92,,Percent of Total Billed Charges,182.58,,200.93,92,,Percent of Total Billed Charges,179.31,,200.93,92,,Percent of Total Billed Charges,175.81,,200.93,92,,Percent of Total Billed Charges,182.36,,200.93,92,,Percent of Total Billed Charges,164.46,,200.93,92,,Percent of Total Billed Charges,136.5,,196.56,90,,Percent of Total Billed Charges,108.98,,194.38,89,,Percent of Total Billed Charges,104.83,,179.96,82.4,,Percent of Total Billed Charges,179.52,,182.15,83.4,,Percent of Total Billed Charges,169.92,,182.15,83.4,,Percent of Total Billed Charges,153.1,,182.15,83.4,,Percent of Total Billed Charges,177.78,,196.56,90,,Percent of Total Billed Charges,184.98,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,200.93,92,,Percent of Total Billed Charges,177.12,,200.93,92,,Percent of Total Billed Charges,162.49,,200.93,92,,Percent of Total Billed Charges,171.01,,200.93,92,,Percent of Total Billed Charges,177.12,,170.35,78,,Percent of Total Billed Charges,170.35,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,117.56,53.83,,Percent of Total Billed Charges,110.29,,75.65,34.64,,Percent of Total Billed Charges,75.35,,109.16,49.98,,Percent of Total Billed Charges,82.56,,75.65,200.93,,																																							
HC ESTIM(MANUAL),97032,CPT,,,,BOTH, , ,183.75,154.35,169.05,92,,Percent of Total Billed Charges,153.62,,169.05,92,,Percent of Total Billed Charges,150.86,,169.05,92,,Percent of Total Billed Charges,147.92,,169.05,92,,Percent of Total Billed Charges,153.43,,169.05,92,,Percent of Total Billed Charges,138.36,,169.05,92,,Percent of Total Billed Charges,114.84,,165.38,90,,Percent of Total Billed Charges,91.69,,163.54,89,,Percent of Total Billed Charges,88.2,,151.41,82.4,,Percent of Total Billed Charges,151.04,,153.25,83.4,,Percent of Total Billed Charges,142.96,,153.25,83.4,,Percent of Total Billed Charges,128.81,,153.25,83.4,,Percent of Total Billed Charges,149.57,,165.38,90,,Percent of Total Billed Charges,155.64,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,169.05,92,,Percent of Total Billed Charges,149.02,,169.05,92,,Percent of Total Billed Charges,136.71,,169.05,92,,Percent of Total Billed Charges,143.88,,169.05,92,,Percent of Total Billed Charges,149.02,,143.33,78,,Percent of Total Billed Charges,143.33,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,98.91,53.83,,Percent of Total Billed Charges,92.79,,63.65,34.64,,Percent of Total Billed Charges,63.39,,91.84,49.98,,Percent of Total Billed Charges,69.46,,63.65,169.05,,																																							
HC HAND ROM,95852,CPT,,,,BOTH, , ,130.2,109.37,119.78,92,,Percent of Total Billed Charges,108.85,,119.78,92,,Percent of Total Billed Charges,106.89,,119.78,92,,Percent of Total Billed Charges,104.81,,119.78,92,,Percent of Total Billed Charges,108.72,,119.78,92,,Percent of Total Billed Charges,98.04,,119.78,92,,Percent of Total Billed Charges,81.38,,117.18,90,,Percent of Total Billed Charges,64.97,,115.88,89,,Percent of Total Billed Charges,62.5,,107.28,82.4,,Percent of Total Billed Charges,107.02,,108.59,83.4,,Percent of Total Billed Charges,101.3,,108.59,83.4,,Percent of Total Billed Charges,91.27,,108.59,83.4,,Percent of Total Billed Charges,105.98,,117.18,90,,Percent of Total Billed Charges,110.28,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,119.78,92,,Percent of Total Billed Charges,105.59,,119.78,92,,Percent of Total Billed Charges,96.87,,119.78,92,,Percent of Total Billed Charges,101.95,,119.78,92,,Percent of Total Billed Charges,105.59,,101.56,78,,Percent of Total Billed Charges,101.56,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,70.09,53.83,,Percent of Total Billed Charges,65.75,,45.1,34.64,,Percent of Total Billed Charges,44.92,,65.07,49.98,,Percent of Total Billed Charges,49.22,,45.10,119.78,,																																							
HC ORTHOTICS/PROSTH MGMT &/TRAINJ SBSQ ENCTR 15 MIN,97763,CPT,,,,BOTH, , ,217.35,182.57,199.96,92,,Percent of Total Billed Charges,181.7,,199.96,92,,Percent of Total Billed Charges,178.44,,199.96,92,,Percent of Total Billed Charges,174.97,,199.96,92,,Percent of Total Billed Charges,181.49,,199.96,92,,Percent of Total Billed Charges,163.66,,199.96,92,,Percent of Total Billed Charges,135.84,,195.62,90,,Percent of Total Billed Charges,108.46,,193.44,89,,Percent of Total Billed Charges,104.33,,179.1,82.4,,Percent of Total Billed Charges,178.66,,181.27,83.4,,Percent of Total Billed Charges,169.1,,181.27,83.4,,Percent of Total Billed Charges,152.36,,181.27,83.4,,Percent of Total Billed Charges,176.92,,195.62,90,,Percent of Total Billed Charges,184.1,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,199.96,92,,Percent of Total Billed Charges,176.27,,199.96,92,,Percent of Total Billed Charges,161.71,,199.96,92,,Percent of Total Billed Charges,170.19,,199.96,92,,Percent of Total Billed Charges,176.27,,169.53,78,,Percent of Total Billed Charges,169.53,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,117,53.83,,Percent of Total Billed Charges,109.76,,75.29,34.64,,Percent of Total Billed Charges,74.99,,108.63,49.98,,Percent of Total Billed Charges,82.16,,75.29,199.96,,																																							
HC  DEBRIDEMENT OPEN WOUND EACH ADDITIONAL 20 SQ CM,97598,CPT,,,,BOTH, , ,77.7,65.27,71.48,92,,Percent of Total Billed Charges,64.96,,71.48,92,,Percent of Total Billed Charges,63.79,,71.48,92,,Percent of Total Billed Charges,62.55,,71.48,92,,Percent of Total Billed Charges,64.88,,71.48,92,,Percent of Total Billed Charges,58.51,,71.48,92,,Percent of Total Billed Charges,48.56,,69.93,90,,Percent of Total Billed Charges,38.77,,69.15,89,,Percent of Total Billed Charges,37.3,,64.02,82.4,,Percent of Total Billed Charges,63.87,,64.8,83.4,,Percent of Total Billed Charges,60.45,,64.8,83.4,,Percent of Total Billed Charges,54.47,,64.8,83.4,,Percent of Total Billed Charges,63.25,,69.93,90,,Percent of Total Billed Charges,65.81,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,71.48,92,,Percent of Total Billed Charges,63.01,,71.48,92,,Percent of Total Billed Charges,57.81,,71.48,92,,Percent of Total Billed Charges,60.84,,71.48,92,,Percent of Total Billed Charges,63.01,,60.61,78,,Percent of Total Billed Charges,60.61,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,41.83,53.83,,Percent of Total Billed Charges,39.24,,26.92,34.64,,Percent of Total Billed Charges,26.81,,38.83,49.98,,Percent of Total Billed Charges,29.37,,26.92,71.48,,																																							
HC THER IVNTJ 1ST 15 MIN (COG FXN),97129,CPT,,,,BOTH, , ,161.7,135.83,148.76,92,,Percent of Total Billed Charges,135.18,,148.76,92,,Percent of Total Billed Charges,132.76,,148.76,92,,Percent of Total Billed Charges,130.17,,148.76,92,,Percent of Total Billed Charges,135.02,,148.76,92,,Percent of Total Billed Charges,121.76,,148.76,92,,Percent of Total Billed Charges,101.06,,145.53,90,,Percent of Total Billed Charges,80.69,,143.91,89,,Percent of Total Billed Charges,77.62,,133.24,82.4,,Percent of Total Billed Charges,132.92,,134.86,83.4,,Percent of Total Billed Charges,125.8,,134.86,83.4,,Percent of Total Billed Charges,113.35,,134.86,83.4,,Percent of Total Billed Charges,131.62,,145.53,90,,Percent of Total Billed Charges,136.96,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,148.76,92,,Percent of Total Billed Charges,131.14,,148.76,92,,Percent of Total Billed Charges,120.3,,148.76,92,,Percent of Total Billed Charges,126.61,,148.76,92,,Percent of Total Billed Charges,131.14,,126.13,78,,Percent of Total Billed Charges,126.13,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,87.04,53.83,,Percent of Total Billed Charges,81.66,,56.01,34.64,,Percent of Total Billed Charges,55.79,,80.82,49.98,,Percent of Total Billed Charges,61.12,,56.01,148.76,,																																							
HC THER IVNTJ EA ADDL 15 MIN (COG FXN),97130,CPT,,,,BOTH, , ,161.7,135.83,148.76,92,,Percent of Total Billed Charges,135.18,,148.76,92,,Percent of Total Billed Charges,132.76,,148.76,92,,Percent of Total Billed Charges,130.17,,148.76,92,,Percent of Total Billed Charges,135.02,,148.76,92,,Percent of Total Billed Charges,121.76,,148.76,92,,Percent of Total Billed Charges,101.06,,145.53,90,,Percent of Total Billed Charges,80.69,,143.91,89,,Percent of Total Billed Charges,77.62,,133.24,82.4,,Percent of Total Billed Charges,132.92,,134.86,83.4,,Percent of Total Billed Charges,125.8,,134.86,83.4,,Percent of Total Billed Charges,113.35,,134.86,83.4,,Percent of Total Billed Charges,131.62,,145.53,90,,Percent of Total Billed Charges,136.96,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,148.76,92,,Percent of Total Billed Charges,131.14,,148.76,92,,Percent of Total Billed Charges,120.3,,148.76,92,,Percent of Total Billed Charges,126.61,,148.76,92,,Percent of Total Billed Charges,131.14,,126.13,78,,Percent of Total Billed Charges,126.13,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,87.04,53.83,,Percent of Total Billed Charges,81.66,,56.01,34.64,,Percent of Total Billed Charges,55.79,,80.82,49.98,,Percent of Total Billed Charges,61.12,,56.01,148.76,,																																							
HC OT NONPHYSICIAN TELEPHONE ASSESSMENT 510 MIN,98966,CPT,,,,BOTH, , ,56.7,47.63,52.16,92,,Percent of Total Billed Charges,47.4,,52.16,92,,Percent of Total Billed Charges,46.55,,52.16,92,,Percent of Total Billed Charges,45.64,,52.16,92,,Percent of Total Billed Charges,47.34,,52.16,92,,Percent of Total Billed Charges,42.7,,52.16,92,,Percent of Total Billed Charges,35.44,,51.03,90,,Percent of Total Billed Charges,28.29,,50.46,89,,Percent of Total Billed Charges,27.22,,46.72,82.4,,Percent of Total Billed Charges,46.61,,47.29,83.4,,Percent of Total Billed Charges,44.11,,47.29,83.4,,Percent of Total Billed Charges,39.75,,47.29,83.4,,Percent of Total Billed Charges,46.15,,51.03,90,,Percent of Total Billed Charges,48.02,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,52.16,92,,Percent of Total Billed Charges,45.98,,52.16,92,,Percent of Total Billed Charges,42.18,,52.16,92,,Percent of Total Billed Charges,44.4,,52.16,92,,Percent of Total Billed Charges,45.98,,44.23,78,,Percent of Total Billed Charges,44.23,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,30.52,53.83,,Percent of Total Billed Charges,28.63,,19.64,34.64,,Percent of Total Billed Charges,19.56,,28.34,49.98,,Percent of Total Billed Charges,21.43,,19.64,52.16,,																																							
HC OT  NONPHYSICIAN TELEPHONE ASSESSMENT 1120 MIN,98967,CPT,,,,BOTH, , ,11.55,9.7,10.63,92,,Percent of Total Billed Charges,9.66,,10.63,92,,Percent of Total Billed Charges,9.48,,10.63,92,,Percent of Total Billed Charges,9.3,,10.63,92,,Percent of Total Billed Charges,9.64,,10.63,92,,Percent of Total Billed Charges,8.7,,10.63,92,,Percent of Total Billed Charges,7.22,,10.4,90,,Percent of Total Billed Charges,5.76,,10.28,89,,Percent of Total Billed Charges,5.54,,9.52,82.4,,Percent of Total Billed Charges,9.49,,9.63,83.4,,Percent of Total Billed Charges,8.99,,9.63,83.4,,Percent of Total Billed Charges,8.1,,9.63,83.4,,Percent of Total Billed Charges,9.4,,10.4,90,,Percent of Total Billed Charges,9.78,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,10.63,92,,Percent of Total Billed Charges,9.37,,10.63,92,,Percent of Total Billed Charges,8.59,,10.63,92,,Percent of Total Billed Charges,9.04,,10.63,92,,Percent of Total Billed Charges,9.37,,9.01,78,,Percent of Total Billed Charges,9.01,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6.22,53.83,,Percent of Total Billed Charges,5.83,,4,34.64,,Percent of Total Billed Charges,3.98,,5.77,49.98,,Percent of Total Billed Charges,4.37,,4.00,10.63,,																																							
HC OT NONPHYSICIAN TELEPHONE ASSESSMENT 2130 MIN,98968,CPT,,,,BOTH, , ,170.1,142.88,156.49,92,,Percent of Total Billed Charges,142.2,,156.49,92,,Percent of Total Billed Charges,139.65,,156.49,92,,Percent of Total Billed Charges,136.93,,156.49,92,,Percent of Total Billed Charges,142.03,,156.49,92,,Percent of Total Billed Charges,128.09,,156.49,92,,Percent of Total Billed Charges,106.31,,153.09,90,,Percent of Total Billed Charges,84.88,,151.39,89,,Percent of Total Billed Charges,81.65,,140.16,82.4,,Percent of Total Billed Charges,139.82,,141.86,83.4,,Percent of Total Billed Charges,132.34,,141.86,83.4,,Percent of Total Billed Charges,119.24,,141.86,83.4,,Percent of Total Billed Charges,138.46,,153.09,90,,Percent of Total Billed Charges,144.07,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,156.49,92,,Percent of Total Billed Charges,137.95,,156.49,92,,Percent of Total Billed Charges,126.55,,156.49,92,,Percent of Total Billed Charges,133.19,,156.49,92,,Percent of Total Billed Charges,137.95,,132.68,78,,Percent of Total Billed Charges,132.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,91.56,53.83,,Percent of Total Billed Charges,85.9,,58.92,34.64,,Percent of Total Billed Charges,58.68,,85.02,49.98,,Percent of Total Billed Charges,64.3,,58.92,156.49,,																																							
HC TELEMEDICINE OT PHYSICAL PERFORMANCE TEST/MEAS W/REPRT EA 15 MIN,97750,CPT,,,,BOTH, , ,13.65,11.47,12.56,92,,Percent of Total Billed Charges,11.41,,12.56,92,,Percent of Total Billed Charges,11.21,,12.56,92,,Percent of Total Billed Charges,10.99,,12.56,92,,Percent of Total Billed Charges,11.4,,12.56,92,,Percent of Total Billed Charges,10.28,,12.56,92,,Percent of Total Billed Charges,8.53,,12.29,90,,Percent of Total Billed Charges,6.81,,12.15,89,,Percent of Total Billed Charges,6.55,,11.25,82.4,,Percent of Total Billed Charges,11.22,,11.38,83.4,,Percent of Total Billed Charges,10.62,,11.38,83.4,,Percent of Total Billed Charges,9.57,,11.38,83.4,,Percent of Total Billed Charges,11.11,,12.29,90,,Percent of Total Billed Charges,11.56,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,12.56,92,,Percent of Total Billed Charges,11.07,,12.56,92,,Percent of Total Billed Charges,10.16,,12.56,92,,Percent of Total Billed Charges,10.69,,12.56,92,,Percent of Total Billed Charges,11.07,,10.65,78,,Percent of Total Billed Charges,10.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,7.35,53.83,,Percent of Total Billed Charges,6.89,,4.73,34.64,,Percent of Total Billed Charges,4.71,,6.82,49.98,,Percent of Total Billed Charges,5.16,,4.73,12.56,,																																							
HC TELEMEDICINE OT THERAPEUTIC PX 1/> AREAS EACH 15 MIN EXERCISES,97110,CPT,,,,BOTH, , ,123.9,104.08,113.99,92,,Percent of Total Billed Charges,103.58,,113.99,92,,Percent of Total Billed Charges,101.72,,113.99,92,,Percent of Total Billed Charges,99.74,,113.99,92,,Percent of Total Billed Charges,103.46,,113.99,92,,Percent of Total Billed Charges,93.3,,113.99,92,,Percent of Total Billed Charges,77.44,,111.51,90,,Percent of Total Billed Charges,61.83,,110.27,89,,Percent of Total Billed Charges,59.47,,102.09,82.4,,Percent of Total Billed Charges,101.85,,103.33,83.4,,Percent of Total Billed Charges,96.39,,103.33,83.4,,Percent of Total Billed Charges,86.85,,103.33,83.4,,Percent of Total Billed Charges,100.85,,111.51,90,,Percent of Total Billed Charges,104.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,113.99,92,,Percent of Total Billed Charges,100.48,,113.99,92,,Percent of Total Billed Charges,92.18,,113.99,92,,Percent of Total Billed Charges,97.01,,113.99,92,,Percent of Total Billed Charges,100.48,,96.64,78,,Percent of Total Billed Charges,96.64,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,66.7,53.83,,Percent of Total Billed Charges,62.57,,42.92,34.64,,Percent of Total Billed Charges,42.75,,61.93,49.98,,Percent of Total Billed Charges,46.83,,42.92,113.99,,																																							
HC TELEMEDICINE OT THER PX 1/> AREAS EACH 15 MIN NEUROMUSC REEDUCA,97112,CPT,,,,BOTH, , ,145.95,122.6,134.27,92,,Percent of Total Billed Charges,122.01,,134.27,92,,Percent of Total Billed Charges,119.82,,134.27,92,,Percent of Total Billed Charges,117.49,,134.27,92,,Percent of Total Billed Charges,121.87,,134.27,92,,Percent of Total Billed Charges,109.9,,134.27,92,,Percent of Total Billed Charges,91.22,,131.36,90,,Percent of Total Billed Charges,72.83,,129.9,89,,Percent of Total Billed Charges,70.06,,120.26,82.4,,Percent of Total Billed Charges,119.97,,121.72,83.4,,Percent of Total Billed Charges,113.55,,121.72,83.4,,Percent of Total Billed Charges,102.31,,121.72,83.4,,Percent of Total Billed Charges,118.8,,131.36,90,,Percent of Total Billed Charges,123.62,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,134.27,92,,Percent of Total Billed Charges,118.37,,134.27,92,,Percent of Total Billed Charges,108.59,,134.27,92,,Percent of Total Billed Charges,114.28,,134.27,92,,Percent of Total Billed Charges,118.37,,113.84,78,,Percent of Total Billed Charges,113.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,78.56,53.83,,Percent of Total Billed Charges,73.7,,50.56,34.64,,Percent of Total Billed Charges,50.35,,72.95,49.98,,Percent of Total Billed Charges,55.17,,50.56,134.27,,																																							
HC TELEMEDICINE OT THER PX 1/> AREAS EA 15 MIN GAIT TRAING W/STAIR,97116,CPT,,,,BOTH, , ,124.95,104.96,114.95,92,,Percent of Total Billed Charges,104.46,,114.95,92,,Percent of Total Billed Charges,102.58,,114.95,92,,Percent of Total Billed Charges,100.58,,114.95,92,,Percent of Total Billed Charges,104.33,,114.95,92,,Percent of Total Billed Charges,94.09,,114.95,92,,Percent of Total Billed Charges,78.09,,112.46,90,,Percent of Total Billed Charges,62.35,,111.21,89,,Percent of Total Billed Charges,59.98,,102.96,82.4,,Percent of Total Billed Charges,102.71,,104.21,83.4,,Percent of Total Billed Charges,97.21,,104.21,83.4,,Percent of Total Billed Charges,87.59,,104.21,83.4,,Percent of Total Billed Charges,101.71,,112.46,90,,Percent of Total Billed Charges,105.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,114.95,92,,Percent of Total Billed Charges,101.33,,114.95,92,,Percent of Total Billed Charges,92.96,,114.95,92,,Percent of Total Billed Charges,97.84,,114.95,92,,Percent of Total Billed Charges,101.33,,97.46,78,,Percent of Total Billed Charges,97.46,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,67.26,53.83,,Percent of Total Billed Charges,63.1,,43.28,34.64,,Percent of Total Billed Charges,43.11,,62.45,49.98,,Percent of Total Billed Charges,47.23,,43.28,114.95,,																																							
HC TELEMEDICINE OT THERAPEUTIC PROCEDURES GROUP 2/> INDIVIDUALS,97150,CPT,,,,BOTH, , ,70.35,59.09,64.72,92,,Percent of Total Billed Charges,58.81,,64.72,92,,Percent of Total Billed Charges,57.76,,64.72,92,,Percent of Total Billed Charges,56.63,,64.72,92,,Percent of Total Billed Charges,58.74,,64.72,92,,Percent of Total Billed Charges,52.97,,64.72,92,,Percent of Total Billed Charges,43.97,,63.32,90,,Percent of Total Billed Charges,35.1,,62.61,89,,Percent of Total Billed Charges,33.77,,57.97,82.4,,Percent of Total Billed Charges,57.83,,58.67,83.4,,Percent of Total Billed Charges,54.73,,58.67,83.4,,Percent of Total Billed Charges,49.32,,58.67,83.4,,Percent of Total Billed Charges,57.26,,63.32,90,,Percent of Total Billed Charges,59.59,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,64.72,92,,Percent of Total Billed Charges,57.05,,64.72,92,,Percent of Total Billed Charges,52.34,,64.72,92,,Percent of Total Billed Charges,55.08,,64.72,92,,Percent of Total Billed Charges,57.05,,54.87,78,,Percent of Total Billed Charges,54.87,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,37.87,53.83,,Percent of Total Billed Charges,35.53,,24.37,34.64,,Percent of Total Billed Charges,24.27,,35.16,49.98,,Percent of Total Billed Charges,26.59,,24.37,64.72,,																																							
HC TELEMEDICINE OT THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN,97530,CPT,,,,BOTH, , ,133.35,112.01,122.68,92,,Percent of Total Billed Charges,111.48,,122.68,92,,Percent of Total Billed Charges,109.48,,122.68,92,,Percent of Total Billed Charges,107.35,,122.68,92,,Percent of Total Billed Charges,111.35,,122.68,92,,Percent of Total Billed Charges,100.41,,122.68,92,,Percent of Total Billed Charges,83.34,,120.02,90,,Percent of Total Billed Charges,66.54,,118.68,89,,Percent of Total Billed Charges,64.01,,109.88,82.4,,Percent of Total Billed Charges,109.61,,111.21,83.4,,Percent of Total Billed Charges,103.75,,111.21,83.4,,Percent of Total Billed Charges,93.48,,111.21,83.4,,Percent of Total Billed Charges,108.55,,120.02,90,,Percent of Total Billed Charges,112.95,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,122.68,92,,Percent of Total Billed Charges,108.15,,122.68,92,,Percent of Total Billed Charges,99.21,,122.68,92,,Percent of Total Billed Charges,104.41,,122.68,92,,Percent of Total Billed Charges,108.15,,104.01,78,,Percent of Total Billed Charges,104.01,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,71.78,53.83,,Percent of Total Billed Charges,67.34,,46.19,34.64,,Percent of Total Billed Charges,46.01,,66.65,49.98,,Percent of Total Billed Charges,50.41,,46.19,122.68,,																																							
HC TELEMEDICINE OT SELFCARE/HOME MGMT TRAINING EACH 15 MINUTES,97535,CPT,,,,BOTH, , ,9.45,7.94,8.69,92,,Percent of Total Billed Charges,7.9,,8.69,92,,Percent of Total Billed Charges,7.76,,8.69,92,,Percent of Total Billed Charges,7.61,,8.69,92,,Percent of Total Billed Charges,7.89,,8.69,92,,Percent of Total Billed Charges,7.12,,8.69,92,,Percent of Total Billed Charges,5.91,,8.51,90,,Percent of Total Billed Charges,4.72,,8.41,89,,Percent of Total Billed Charges,4.54,,7.79,82.4,,Percent of Total Billed Charges,7.77,,7.88,83.4,,Percent of Total Billed Charges,7.35,,7.88,83.4,,Percent of Total Billed Charges,6.62,,7.88,83.4,,Percent of Total Billed Charges,7.69,,8.51,90,,Percent of Total Billed Charges,8,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,8.69,92,,Percent of Total Billed Charges,7.66,,8.69,92,,Percent of Total Billed Charges,7.03,,8.69,92,,Percent of Total Billed Charges,7.4,,8.69,92,,Percent of Total Billed Charges,7.66,,7.37,78,,Percent of Total Billed Charges,7.37,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5.09,53.83,,Percent of Total Billed Charges,4.77,,3.27,34.64,,Percent of Total Billed Charges,3.26,,4.72,49.98,,Percent of Total Billed Charges,3.57,,3.27,8.69,,																																							
HC TELEMEDICINE OT WHEELCHAIR MGMT EA 15 MIN,97542,CPT,,,,BOTH, , ,101.85,85.55,93.7,92,,Percent of Total Billed Charges,85.15,,93.7,92,,Percent of Total Billed Charges,83.62,,93.7,92,,Percent of Total Billed Charges,81.99,,93.7,92,,Percent of Total Billed Charges,85.04,,93.7,92,,Percent of Total Billed Charges,76.69,,93.7,92,,Percent of Total Billed Charges,63.66,,91.67,90,,Percent of Total Billed Charges,50.82,,90.65,89,,Percent of Total Billed Charges,48.89,,83.92,82.4,,Percent of Total Billed Charges,83.72,,84.94,83.4,,Percent of Total Billed Charges,79.24,,84.94,83.4,,Percent of Total Billed Charges,71.4,,84.94,83.4,,Percent of Total Billed Charges,82.91,,91.67,90,,Percent of Total Billed Charges,86.27,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,93.7,92,,Percent of Total Billed Charges,82.6,,93.7,92,,Percent of Total Billed Charges,75.78,,93.7,92,,Percent of Total Billed Charges,79.75,,93.7,92,,Percent of Total Billed Charges,82.6,,79.44,78,,Percent of Total Billed Charges,79.44,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,54.83,53.83,,Percent of Total Billed Charges,51.43,,35.28,34.64,,Percent of Total Billed Charges,35.14,,50.9,49.98,,Percent of Total Billed Charges,38.5,,35.28,93.7,,																																							
HC TELEMEDICINE OT ORTHOTICS MGMT & TRAING INITIAL ENCTR EA 15 MINS,97760,CPT,,,,BOTH, , ,137.55,115.54,126.55,92,,Percent of Total Billed Charges,114.99,,126.55,92,,Percent of Total Billed Charges,112.93,,126.55,92,,Percent of Total Billed Charges,110.73,,126.55,92,,Percent of Total Billed Charges,114.85,,126.55,92,,Percent of Total Billed Charges,103.58,,126.55,92,,Percent of Total Billed Charges,85.97,,123.8,90,,Percent of Total Billed Charges,68.64,,122.42,89,,Percent of Total Billed Charges,66.02,,113.34,82.4,,Percent of Total Billed Charges,113.07,,114.72,83.4,,Percent of Total Billed Charges,107.01,,114.72,83.4,,Percent of Total Billed Charges,96.42,,114.72,83.4,,Percent of Total Billed Charges,111.97,,123.8,90,,Percent of Total Billed Charges,116.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,126.55,92,,Percent of Total Billed Charges,111.55,,126.55,92,,Percent of Total Billed Charges,102.34,,126.55,92,,Percent of Total Billed Charges,107.7,,126.55,92,,Percent of Total Billed Charges,111.55,,107.29,78,,Percent of Total Billed Charges,107.29,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,74.04,53.83,,Percent of Total Billed Charges,69.46,,47.65,34.64,,Percent of Total Billed Charges,47.45,,68.75,49.98,,Percent of Total Billed Charges,51.99,,47.65,126.55,,																																							
HC TELEMEDICINE OT PROSTHETICS TRAINING INITIAL ENCTR EA 15 MINS,97761,CPT,,,,BOTH, , ,159.6,134.06,146.83,92,,Percent of Total Billed Charges,133.43,,146.83,92,,Percent of Total Billed Charges,131.03,,146.83,92,,Percent of Total Billed Charges,128.48,,146.83,92,,Percent of Total Billed Charges,133.27,,146.83,92,,Percent of Total Billed Charges,120.18,,146.83,92,,Percent of Total Billed Charges,99.75,,143.64,90,,Percent of Total Billed Charges,79.64,,142.04,89,,Percent of Total Billed Charges,76.61,,131.51,82.4,,Percent of Total Billed Charges,131.19,,133.11,83.4,,Percent of Total Billed Charges,124.17,,133.11,83.4,,Percent of Total Billed Charges,111.88,,133.11,83.4,,Percent of Total Billed Charges,129.91,,143.64,90,,Percent of Total Billed Charges,135.18,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,146.83,92,,Percent of Total Billed Charges,129.44,,146.83,92,,Percent of Total Billed Charges,118.74,,146.83,92,,Percent of Total Billed Charges,124.97,,146.83,92,,Percent of Total Billed Charges,129.44,,124.49,78,,Percent of Total Billed Charges,124.49,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,85.91,53.83,,Percent of Total Billed Charges,80.6,,55.29,34.64,,Percent of Total Billed Charges,55.06,,79.77,49.98,,Percent of Total Billed Charges,60.33,,55.29,146.83,,																																							
HC PROSTHETICS TRAINING INITIAL ENCTR EA 15 MINS,97761,CPT,,,,BOTH, , ,159.6,134.06,146.83,92,,Percent of Total Billed Charges,133.43,,146.83,92,,Percent of Total Billed Charges,131.03,,146.83,92,,Percent of Total Billed Charges,128.48,,146.83,92,,Percent of Total Billed Charges,133.27,,146.83,92,,Percent of Total Billed Charges,120.18,,146.83,92,,Percent of Total Billed Charges,99.75,,143.64,90,,Percent of Total Billed Charges,79.64,,142.04,89,,Percent of Total Billed Charges,76.61,,131.51,82.4,,Percent of Total Billed Charges,131.19,,133.11,83.4,,Percent of Total Billed Charges,124.17,,133.11,83.4,,Percent of Total Billed Charges,111.88,,133.11,83.4,,Percent of Total Billed Charges,129.91,,143.64,90,,Percent of Total Billed Charges,135.18,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,146.83,92,,Percent of Total Billed Charges,129.44,,146.83,92,,Percent of Total Billed Charges,118.74,,146.83,92,,Percent of Total Billed Charges,124.97,,146.83,92,,Percent of Total Billed Charges,129.44,,124.49,78,,Percent of Total Billed Charges,124.49,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,85.91,53.83,,Percent of Total Billed Charges,80.6,,55.29,34.64,,Percent of Total Billed Charges,55.06,,79.77,49.98,,Percent of Total Billed Charges,60.33,,55.29,146.83,,																																							
HC  APPLICATION CAST ELBOW FINGER SHORT ARM,29075,CPT,,,,BOTH, , ,1040.55,874.06,957.31,92,,Percent of Total Billed Charges,869.9,,957.31,92,,Percent of Total Billed Charges,854.29,,957.31,92,,Percent of Total Billed Charges,837.64,,957.31,92,,Percent of Total Billed Charges,868.86,,957.31,92,,Percent of Total Billed Charges,783.53,,957.31,92,,Percent of Total Billed Charges,650.34,,936.5,90,,Percent of Total Billed Charges,519.23,,926.09,89,,Percent of Total Billed Charges,499.46,,857.41,82.4,,Percent of Total Billed Charges,855.33,,867.82,83.4,,Percent of Total Billed Charges,809.55,,867.82,83.4,,Percent of Total Billed Charges,729.43,,867.82,83.4,,Percent of Total Billed Charges,847.01,,936.5,90,,Percent of Total Billed Charges,881.35,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,957.31,92,,Percent of Total Billed Charges,843.89,,957.31,92,,Percent of Total Billed Charges,774.17,,957.31,92,,Percent of Total Billed Charges,814.75,,957.31,92,,Percent of Total Billed Charges,843.89,,811.63,78,,Percent of Total Billed Charges,811.63,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,560.13,53.83,,Percent of Total Billed Charges,525.48,,360.45,34.64,,Percent of Total Billed Charges,358.99,,520.07,49.98,,Percent of Total Billed Charges,393.33,,360.45,957.31,,																																							
HC APPLICATION CAST HAND & LOWER FOREARM GAUNTLET,29085,CPT,,,,BOTH, , ,610.05,512.44,561.25,92,,Percent of Total Billed Charges,510,,561.25,92,,Percent of Total Billed Charges,500.85,,561.25,92,,Percent of Total Billed Charges,491.09,,561.25,92,,Percent of Total Billed Charges,509.39,,561.25,92,,Percent of Total Billed Charges,459.37,,561.25,92,,Percent of Total Billed Charges,381.28,,549.05,90,,Percent of Total Billed Charges,304.41,,542.94,89,,Percent of Total Billed Charges,292.82,,502.68,82.4,,Percent of Total Billed Charges,501.46,,508.78,83.4,,Percent of Total Billed Charges,474.62,,508.78,83.4,,Percent of Total Billed Charges,427.65,,508.78,83.4,,Percent of Total Billed Charges,496.58,,549.05,90,,Percent of Total Billed Charges,516.71,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,561.25,92,,Percent of Total Billed Charges,494.75,,561.25,92,,Percent of Total Billed Charges,453.88,,561.25,92,,Percent of Total Billed Charges,477.67,,561.25,92,,Percent of Total Billed Charges,494.75,,475.84,78,,Percent of Total Billed Charges,475.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,328.39,53.83,,Percent of Total Billed Charges,308.08,,211.32,34.64,,Percent of Total Billed Charges,210.47,,304.9,49.98,,Percent of Total Billed Charges,230.6,,211.32,561.25,,																																							
HC APPLICATION CAST FINGER,29086,CPT,,,,BOTH, , ,610.05,512.44,561.25,92,,Percent of Total Billed Charges,510,,561.25,92,,Percent of Total Billed Charges,500.85,,561.25,92,,Percent of Total Billed Charges,491.09,,561.25,92,,Percent of Total Billed Charges,509.39,,561.25,92,,Percent of Total Billed Charges,459.37,,561.25,92,,Percent of Total Billed Charges,381.28,,549.05,90,,Percent of Total Billed Charges,304.41,,542.94,89,,Percent of Total Billed Charges,292.82,,502.68,82.4,,Percent of Total Billed Charges,501.46,,508.78,83.4,,Percent of Total Billed Charges,474.62,,508.78,83.4,,Percent of Total Billed Charges,427.65,,508.78,83.4,,Percent of Total Billed Charges,496.58,,549.05,90,,Percent of Total Billed Charges,516.71,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,561.25,92,,Percent of Total Billed Charges,494.75,,561.25,92,,Percent of Total Billed Charges,453.88,,561.25,92,,Percent of Total Billed Charges,477.67,,561.25,92,,Percent of Total Billed Charges,494.75,,475.84,78,,Percent of Total Billed Charges,475.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,328.39,53.83,,Percent of Total Billed Charges,308.08,,211.32,34.64,,Percent of Total Billed Charges,210.47,,304.9,49.98,,Percent of Total Billed Charges,230.6,,211.32,561.25,,																																							
HC OT EVAL LOW COMPLEX 30 MIN,97165,CPT,,,,BOTH, , ,316.05,265.48,290.77,92,,Percent of Total Billed Charges,264.22,,290.77,92,,Percent of Total Billed Charges,259.48,,290.77,92,,Percent of Total Billed Charges,254.42,,290.77,92,,Percent of Total Billed Charges,263.9,,290.77,92,,Percent of Total Billed Charges,237.99,,290.77,92,,Percent of Total Billed Charges,197.53,,284.45,90,,Percent of Total Billed Charges,157.71,,281.28,89,,Percent of Total Billed Charges,151.7,,260.43,82.4,,Percent of Total Billed Charges,259.79,,263.59,83.4,,Percent of Total Billed Charges,245.89,,263.59,83.4,,Percent of Total Billed Charges,221.55,,263.59,83.4,,Percent of Total Billed Charges,257.26,,284.45,90,,Percent of Total Billed Charges,267.69,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,290.77,92,,Percent of Total Billed Charges,256.32,,290.77,92,,Percent of Total Billed Charges,235.14,,290.77,92,,Percent of Total Billed Charges,247.47,,290.77,92,,Percent of Total Billed Charges,256.32,,246.52,78,,Percent of Total Billed Charges,246.52,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,170.13,53.83,,Percent of Total Billed Charges,159.61,,109.48,34.64,,Percent of Total Billed Charges,109.04,,157.96,49.98,,Percent of Total Billed Charges,119.47,,109.48,290.77,,																																							
HC OT EVAL MOD COMPLEX 45 MIN,97166,CPT,,,,BOTH, , ,316.05,265.48,290.77,92,,Percent of Total Billed Charges,264.22,,290.77,92,,Percent of Total Billed Charges,259.48,,290.77,92,,Percent of Total Billed Charges,254.42,,290.77,92,,Percent of Total Billed Charges,263.9,,290.77,92,,Percent of Total Billed Charges,237.99,,290.77,92,,Percent of Total Billed Charges,197.53,,284.45,90,,Percent of Total Billed Charges,157.71,,281.28,89,,Percent of Total Billed Charges,151.7,,260.43,82.4,,Percent of Total Billed Charges,259.79,,263.59,83.4,,Percent of Total Billed Charges,245.89,,263.59,83.4,,Percent of Total Billed Charges,221.55,,263.59,83.4,,Percent of Total Billed Charges,257.26,,284.45,90,,Percent of Total Billed Charges,267.69,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,290.77,92,,Percent of Total Billed Charges,256.32,,290.77,92,,Percent of Total Billed Charges,235.14,,290.77,92,,Percent of Total Billed Charges,247.47,,290.77,92,,Percent of Total Billed Charges,256.32,,246.52,78,,Percent of Total Billed Charges,246.52,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,170.13,53.83,,Percent of Total Billed Charges,159.61,,109.48,34.64,,Percent of Total Billed Charges,109.04,,157.96,49.98,,Percent of Total Billed Charges,119.47,,109.48,290.77,,																																							
HC OT EVAL HIGH COMPLEX 60 MIN,97167,CPT,,,,BOTH, , ,316.05,265.48,290.77,92,,Percent of Total Billed Charges,264.22,,290.77,92,,Percent of Total Billed Charges,259.48,,290.77,92,,Percent of Total Billed Charges,254.42,,290.77,92,,Percent of Total Billed Charges,263.9,,290.77,92,,Percent of Total Billed Charges,237.99,,290.77,92,,Percent of Total Billed Charges,197.53,,284.45,90,,Percent of Total Billed Charges,157.71,,281.28,89,,Percent of Total Billed Charges,151.7,,260.43,82.4,,Percent of Total Billed Charges,259.79,,263.59,83.4,,Percent of Total Billed Charges,245.89,,263.59,83.4,,Percent of Total Billed Charges,221.55,,263.59,83.4,,Percent of Total Billed Charges,257.26,,284.45,90,,Percent of Total Billed Charges,267.69,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,290.77,92,,Percent of Total Billed Charges,256.32,,290.77,92,,Percent of Total Billed Charges,235.14,,290.77,92,,Percent of Total Billed Charges,247.47,,290.77,92,,Percent of Total Billed Charges,256.32,,246.52,78,,Percent of Total Billed Charges,246.52,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,170.13,53.83,,Percent of Total Billed Charges,159.61,,109.48,34.64,,Percent of Total Billed Charges,109.04,,157.96,49.98,,Percent of Total Billed Charges,119.47,,109.48,290.77,,																																							
HC OT REEVAL EST PLAN CARE,97168,CPT,,,,BOTH, , ,207.9,174.64,191.27,92,,Percent of Total Billed Charges,173.8,,191.27,92,,Percent of Total Billed Charges,170.69,,191.27,92,,Percent of Total Billed Charges,167.36,,191.27,92,,Percent of Total Billed Charges,173.6,,191.27,92,,Percent of Total Billed Charges,156.55,,191.27,92,,Percent of Total Billed Charges,129.94,,187.11,90,,Percent of Total Billed Charges,103.74,,185.03,89,,Percent of Total Billed Charges,99.79,,171.31,82.4,,Percent of Total Billed Charges,170.89,,173.39,83.4,,Percent of Total Billed Charges,161.75,,173.39,83.4,,Percent of Total Billed Charges,145.74,,173.39,83.4,,Percent of Total Billed Charges,169.23,,187.11,90,,Percent of Total Billed Charges,176.09,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,191.27,92,,Percent of Total Billed Charges,168.61,,191.27,92,,Percent of Total Billed Charges,154.68,,191.27,92,,Percent of Total Billed Charges,162.79,,191.27,92,,Percent of Total Billed Charges,168.61,,162.16,78,,Percent of Total Billed Charges,162.16,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,111.91,53.83,,Percent of Total Billed Charges,104.99,,72.02,34.64,,Percent of Total Billed Charges,71.73,,103.91,49.98,,Percent of Total Billed Charges,78.59,,72.02,191.27,,																																							
HC TELEMEDICINE OT EVAL LOW COMPLEX 30 MIN,97165,CPT,,,,BOTH, , ,316.05,265.48,290.77,92,,Percent of Total Billed Charges,264.22,,290.77,92,,Percent of Total Billed Charges,259.48,,290.77,92,,Percent of Total Billed Charges,254.42,,290.77,92,,Percent of Total Billed Charges,263.9,,290.77,92,,Percent of Total Billed Charges,237.99,,290.77,92,,Percent of Total Billed Charges,197.53,,284.45,90,,Percent of Total Billed Charges,157.71,,281.28,89,,Percent of Total Billed Charges,151.7,,260.43,82.4,,Percent of Total Billed Charges,259.79,,263.59,83.4,,Percent of Total Billed Charges,245.89,,263.59,83.4,,Percent of Total Billed Charges,221.55,,263.59,83.4,,Percent of Total Billed Charges,257.26,,284.45,90,,Percent of Total Billed Charges,267.69,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,290.77,92,,Percent of Total Billed Charges,256.32,,290.77,92,,Percent of Total Billed Charges,235.14,,290.77,92,,Percent of Total Billed Charges,247.47,,290.77,92,,Percent of Total Billed Charges,256.32,,246.52,78,,Percent of Total Billed Charges,246.52,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,170.13,53.83,,Percent of Total Billed Charges,159.61,,109.48,34.64,,Percent of Total Billed Charges,109.04,,157.96,49.98,,Percent of Total Billed Charges,119.47,,109.48,290.77,,																																							
HC TELEMEDICINE OT EVAL MOD COMPLEX 45 MIN,97166,CPT,,,,BOTH, , ,316.05,265.48,290.77,92,,Percent of Total Billed Charges,264.22,,290.77,92,,Percent of Total Billed Charges,259.48,,290.77,92,,Percent of Total Billed Charges,254.42,,290.77,92,,Percent of Total Billed Charges,263.9,,290.77,92,,Percent of Total Billed Charges,237.99,,290.77,92,,Percent of Total Billed Charges,197.53,,284.45,90,,Percent of Total Billed Charges,157.71,,281.28,89,,Percent of Total Billed Charges,151.7,,260.43,82.4,,Percent of Total Billed Charges,259.79,,263.59,83.4,,Percent of Total Billed Charges,245.89,,263.59,83.4,,Percent of Total Billed Charges,221.55,,263.59,83.4,,Percent of Total Billed Charges,257.26,,284.45,90,,Percent of Total Billed Charges,267.69,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,290.77,92,,Percent of Total Billed Charges,256.32,,290.77,92,,Percent of Total Billed Charges,235.14,,290.77,92,,Percent of Total Billed Charges,247.47,,290.77,92,,Percent of Total Billed Charges,256.32,,246.52,78,,Percent of Total Billed Charges,246.52,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,170.13,53.83,,Percent of Total Billed Charges,159.61,,109.48,34.64,,Percent of Total Billed Charges,109.04,,157.96,49.98,,Percent of Total Billed Charges,119.47,,109.48,290.77,,																																							
HC TELEMEDICINE OT EVAL HIGH COMPLEX 60 MIN,97167,CPT,,,,BOTH, , ,316.05,265.48,290.77,92,,Percent of Total Billed Charges,264.22,,290.77,92,,Percent of Total Billed Charges,259.48,,290.77,92,,Percent of Total Billed Charges,254.42,,290.77,92,,Percent of Total Billed Charges,263.9,,290.77,92,,Percent of Total Billed Charges,237.99,,290.77,92,,Percent of Total Billed Charges,197.53,,284.45,90,,Percent of Total Billed Charges,157.71,,281.28,89,,Percent of Total Billed Charges,151.7,,260.43,82.4,,Percent of Total Billed Charges,259.79,,263.59,83.4,,Percent of Total Billed Charges,245.89,,263.59,83.4,,Percent of Total Billed Charges,221.55,,263.59,83.4,,Percent of Total Billed Charges,257.26,,284.45,90,,Percent of Total Billed Charges,267.69,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,290.77,92,,Percent of Total Billed Charges,256.32,,290.77,92,,Percent of Total Billed Charges,235.14,,290.77,92,,Percent of Total Billed Charges,247.47,,290.77,92,,Percent of Total Billed Charges,256.32,,246.52,78,,Percent of Total Billed Charges,246.52,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,170.13,53.83,,Percent of Total Billed Charges,159.61,,109.48,34.64,,Percent of Total Billed Charges,109.04,,157.96,49.98,,Percent of Total Billed Charges,119.47,,109.48,290.77,,																																							
HC TELEMEDICINE OT REEVAL EST PLAN CARE 30 MINS,97168,CPT,,,,BOTH, , ,207.9,174.64,191.27,92,,Percent of Total Billed Charges,173.8,,191.27,92,,Percent of Total Billed Charges,170.69,,191.27,92,,Percent of Total Billed Charges,167.36,,191.27,92,,Percent of Total Billed Charges,173.6,,191.27,92,,Percent of Total Billed Charges,156.55,,191.27,92,,Percent of Total Billed Charges,129.94,,187.11,90,,Percent of Total Billed Charges,103.74,,185.03,89,,Percent of Total Billed Charges,99.79,,171.31,82.4,,Percent of Total Billed Charges,170.89,,173.39,83.4,,Percent of Total Billed Charges,161.75,,173.39,83.4,,Percent of Total Billed Charges,145.74,,173.39,83.4,,Percent of Total Billed Charges,169.23,,187.11,90,,Percent of Total Billed Charges,176.09,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,191.27,92,,Percent of Total Billed Charges,168.61,,191.27,92,,Percent of Total Billed Charges,154.68,,191.27,92,,Percent of Total Billed Charges,162.79,,191.27,92,,Percent of Total Billed Charges,168.61,,162.16,78,,Percent of Total Billed Charges,162.16,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,111.91,53.83,,Percent of Total Billed Charges,104.99,,72.02,34.64,,Percent of Total Billed Charges,71.73,,103.91,49.98,,Percent of Total Billed Charges,78.59,,72.02,191.27,,																																							
HC TELEMEDICINE OT ASSTV TECHNOL ASSMT DIR CNTCT W/REPRT EA 15 MIN,97755,CPT,,,,BOTH, , ,179.55,150.82,165.19,92,,Percent of Total Billed Charges,150.1,,165.19,92,,Percent of Total Billed Charges,147.41,,165.19,92,,Percent of Total Billed Charges,144.54,,165.19,92,,Percent of Total Billed Charges,149.92,,165.19,92,,Percent of Total Billed Charges,135.2,,165.19,92,,Percent of Total Billed Charges,112.22,,161.6,90,,Percent of Total Billed Charges,89.6,,159.8,89,,Percent of Total Billed Charges,86.18,,147.95,82.4,,Percent of Total Billed Charges,147.59,,149.74,83.4,,Percent of Total Billed Charges,139.69,,149.74,83.4,,Percent of Total Billed Charges,125.86,,149.74,83.4,,Percent of Total Billed Charges,146.15,,161.6,90,,Percent of Total Billed Charges,152.08,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,165.19,92,,Percent of Total Billed Charges,145.62,,165.19,92,,Percent of Total Billed Charges,133.59,,165.19,92,,Percent of Total Billed Charges,140.59,,165.19,92,,Percent of Total Billed Charges,145.62,,140.05,78,,Percent of Total Billed Charges,140.05,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,96.65,53.83,,Percent of Total Billed Charges,90.67,,62.2,34.64,,Percent of Total Billed Charges,61.94,,89.74,49.98,,Percent of Total Billed Charges,67.87,,62.20,165.19,,																																							
HC SPEECH/LANG THERAPY INDIVIDUAL,92507,CPT,,,,BOTH, , ,215.25,180.81,198.03,92,,Percent of Total Billed Charges,179.95,,198.03,92,,Percent of Total Billed Charges,176.72,,198.03,92,,Percent of Total Billed Charges,173.28,,198.03,92,,Percent of Total Billed Charges,179.73,,198.03,92,,Percent of Total Billed Charges,162.08,,198.03,92,,Percent of Total Billed Charges,134.53,,193.73,90,,Percent of Total Billed Charges,107.41,,191.57,89,,Percent of Total Billed Charges,103.32,,177.37,82.4,,Percent of Total Billed Charges,176.94,,179.52,83.4,,Percent of Total Billed Charges,167.46,,179.52,83.4,,Percent of Total Billed Charges,150.89,,179.52,83.4,,Percent of Total Billed Charges,175.21,,193.73,90,,Percent of Total Billed Charges,182.32,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,198.03,92,,Percent of Total Billed Charges,174.57,,198.03,92,,Percent of Total Billed Charges,160.15,,198.03,92,,Percent of Total Billed Charges,168.54,,198.03,92,,Percent of Total Billed Charges,174.57,,167.9,78,,Percent of Total Billed Charges,167.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,115.87,53.83,,Percent of Total Billed Charges,108.7,,74.56,34.64,,Percent of Total Billed Charges,74.26,,107.58,49.98,,Percent of Total Billed Charges,81.36,,74.56,198.03,,																																							
HC SPEECH/LANG THERAPY GROUP,92508,CPT,,,,BOTH, , ,109.2,91.73,100.46,92,,Percent of Total Billed Charges,91.29,,100.46,92,,Percent of Total Billed Charges,89.65,,100.46,92,,Percent of Total Billed Charges,87.91,,100.46,92,,Percent of Total Billed Charges,91.18,,100.46,92,,Percent of Total Billed Charges,82.23,,100.46,92,,Percent of Total Billed Charges,68.25,,98.28,90,,Percent of Total Billed Charges,54.49,,97.19,89,,Percent of Total Billed Charges,52.42,,89.98,82.4,,Percent of Total Billed Charges,89.76,,91.07,83.4,,Percent of Total Billed Charges,84.96,,91.07,83.4,,Percent of Total Billed Charges,76.55,,91.07,83.4,,Percent of Total Billed Charges,88.89,,98.28,90,,Percent of Total Billed Charges,92.49,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,100.46,92,,Percent of Total Billed Charges,88.56,,100.46,92,,Percent of Total Billed Charges,81.24,,100.46,92,,Percent of Total Billed Charges,85.5,,100.46,92,,Percent of Total Billed Charges,88.56,,85.18,78,,Percent of Total Billed Charges,85.18,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,58.78,53.83,,Percent of Total Billed Charges,55.15,,37.83,34.64,,Percent of Total Billed Charges,37.67,,54.58,49.98,,Percent of Total Billed Charges,41.28,,37.83,100.46,,																																							
HC SWALLOWING TREATMENT,92526,CPT,,,,BOTH, , ,161.7,135.83,148.76,92,,Percent of Total Billed Charges,135.18,,148.76,92,,Percent of Total Billed Charges,132.76,,148.76,92,,Percent of Total Billed Charges,130.17,,148.76,92,,Percent of Total Billed Charges,135.02,,148.76,92,,Percent of Total Billed Charges,121.76,,148.76,92,,Percent of Total Billed Charges,101.06,,145.53,90,,Percent of Total Billed Charges,80.69,,143.91,89,,Percent of Total Billed Charges,77.62,,133.24,82.4,,Percent of Total Billed Charges,132.92,,134.86,83.4,,Percent of Total Billed Charges,125.8,,134.86,83.4,,Percent of Total Billed Charges,113.35,,134.86,83.4,,Percent of Total Billed Charges,131.62,,145.53,90,,Percent of Total Billed Charges,136.96,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,148.76,92,,Percent of Total Billed Charges,131.14,,148.76,92,,Percent of Total Billed Charges,120.3,,148.76,92,,Percent of Total Billed Charges,126.61,,148.76,92,,Percent of Total Billed Charges,131.14,,126.13,78,,Percent of Total Billed Charges,126.13,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,87.04,53.83,,Percent of Total Billed Charges,81.66,,56.01,34.64,,Percent of Total Billed Charges,55.79,,80.82,49.98,,Percent of Total Billed Charges,61.12,,56.01,148.76,,																																							
HC USE OF SPEECH DEVICE SERVICE,92609,CPT,,,,BOTH, , ,224.7,188.75,206.72,92,,Percent of Total Billed Charges,187.85,,206.72,92,,Percent of Total Billed Charges,184.48,,206.72,92,,Percent of Total Billed Charges,180.88,,206.72,92,,Percent of Total Billed Charges,187.62,,206.72,92,,Percent of Total Billed Charges,169.2,,206.72,92,,Percent of Total Billed Charges,140.44,,202.23,90,,Percent of Total Billed Charges,112.13,,199.98,89,,Percent of Total Billed Charges,107.86,,185.15,82.4,,Percent of Total Billed Charges,184.7,,187.4,83.4,,Percent of Total Billed Charges,174.82,,187.4,83.4,,Percent of Total Billed Charges,157.51,,187.4,83.4,,Percent of Total Billed Charges,182.91,,202.23,90,,Percent of Total Billed Charges,190.32,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,206.72,92,,Percent of Total Billed Charges,182.23,,206.72,92,,Percent of Total Billed Charges,167.18,,206.72,92,,Percent of Total Billed Charges,175.94,,206.72,92,,Percent of Total Billed Charges,182.23,,175.27,78,,Percent of Total Billed Charges,175.27,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,120.96,53.83,,Percent of Total Billed Charges,113.47,,77.84,34.64,,Percent of Total Billed Charges,77.52,,112.31,49.98,,Percent of Total Billed Charges,84.94,,77.84,206.72,,																																							
HC COGNITIVE TEST BY HC PRO,96125,CPT,,,,BOTH, , ,414.75,348.39,381.57,92,,Percent of Total Billed Charges,346.73,,381.57,92,,Percent of Total Billed Charges,340.51,,381.57,92,,Percent of Total Billed Charges,333.87,,381.57,92,,Percent of Total Billed Charges,346.32,,381.57,92,,Percent of Total Billed Charges,312.31,,381.57,92,,Percent of Total Billed Charges,259.22,,373.28,90,,Percent of Total Billed Charges,206.96,,369.13,89,,Percent of Total Billed Charges,199.08,,341.75,82.4,,Percent of Total Billed Charges,340.92,,345.9,83.4,,Percent of Total Billed Charges,322.68,,345.9,83.4,,Percent of Total Billed Charges,290.74,,345.9,83.4,,Percent of Total Billed Charges,337.61,,373.28,90,,Percent of Total Billed Charges,351.29,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,381.57,92,,Percent of Total Billed Charges,336.36,,381.57,92,,Percent of Total Billed Charges,308.57,,381.57,92,,Percent of Total Billed Charges,324.75,,381.57,92,,Percent of Total Billed Charges,336.36,,323.51,78,,Percent of Total Billed Charges,323.51,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,223.26,53.83,,Percent of Total Billed Charges,209.45,,143.67,34.64,,Percent of Total Billed Charges,143.09,,207.29,49.98,,Percent of Total Billed Charges,156.78,,143.67,381.57,,																																							
HC  DDS EVALUATION,92523,CPT,,,,BOTH, , ,18.9,15.88,17.39,92,,Percent of Total Billed Charges,15.8,,17.39,92,,Percent of Total Billed Charges,15.52,,17.39,92,,Percent of Total Billed Charges,15.21,,17.39,92,,Percent of Total Billed Charges,15.78,,17.39,92,,Percent of Total Billed Charges,14.23,,17.39,92,,Percent of Total Billed Charges,11.81,,17.01,90,,Percent of Total Billed Charges,9.43,,16.82,89,,Percent of Total Billed Charges,9.07,,15.57,82.4,,Percent of Total Billed Charges,15.54,,15.76,83.4,,Percent of Total Billed Charges,14.7,,15.76,83.4,,Percent of Total Billed Charges,13.25,,15.76,83.4,,Percent of Total Billed Charges,15.38,,17.01,90,,Percent of Total Billed Charges,16.01,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,17.39,92,,Percent of Total Billed Charges,15.33,,17.39,92,,Percent of Total Billed Charges,14.06,,17.39,92,,Percent of Total Billed Charges,14.8,,17.39,92,,Percent of Total Billed Charges,15.33,,14.74,78,,Percent of Total Billed Charges,14.74,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,10.17,53.83,,Percent of Total Billed Charges,9.54,,6.55,34.64,,Percent of Total Billed Charges,6.52,,9.45,49.98,,Percent of Total Billed Charges,7.14,,6.55,17.39,,																																							
HC NO SHOW / DDS EVALUATION,440,RC,,,,BOTH, , ,9.45,7.94,8.69,92,,Percent of Total Billed Charges,7.9,,8.69,92,,Percent of Total Billed Charges,7.76,,8.69,92,,Percent of Total Billed Charges,7.61,,8.69,92,,Percent of Total Billed Charges,7.89,,8.69,92,,Percent of Total Billed Charges,7.12,,8.69,92,,Percent of Total Billed Charges,5.91,,8.51,90,,Percent of Total Billed Charges,4.72,,8.41,89,,Percent of Total Billed Charges,4.54,,7.79,82.4,,Percent of Total Billed Charges,7.77,,7.88,83.4,,Percent of Total Billed Charges,7.35,,7.88,83.4,,Percent of Total Billed Charges,6.62,,7.88,83.4,,Percent of Total Billed Charges,7.69,,8.51,90,,Percent of Total Billed Charges,8,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,8.69,92,,Percent of Total Billed Charges,7.66,,8.69,92,,Percent of Total Billed Charges,7.03,,8.69,92,,Percent of Total Billed Charges,7.4,,8.69,92,,Percent of Total Billed Charges,7.66,,7.37,78,,Percent of Total Billed Charges,7.37,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5.09,53.83,,Percent of Total Billed Charges,4.77,,3.27,34.64,,Percent of Total Billed Charges,3.26,,4.72,49.98,,Percent of Total Billed Charges,3.57,,3.27,8.69,,																																							
HC THER IVNTJ EA ADDL 15 MIN (COG FXN),97130,CPT,,,,BOTH, , ,161.7,135.83,148.76,92,,Percent of Total Billed Charges,135.18,,148.76,92,,Percent of Total Billed Charges,132.76,,148.76,92,,Percent of Total Billed Charges,130.17,,148.76,92,,Percent of Total Billed Charges,135.02,,148.76,92,,Percent of Total Billed Charges,121.76,,148.76,92,,Percent of Total Billed Charges,101.06,,145.53,90,,Percent of Total Billed Charges,80.69,,143.91,89,,Percent of Total Billed Charges,77.62,,133.24,82.4,,Percent of Total Billed Charges,132.92,,134.86,83.4,,Percent of Total Billed Charges,125.8,,134.86,83.4,,Percent of Total Billed Charges,113.35,,134.86,83.4,,Percent of Total Billed Charges,131.62,,145.53,90,,Percent of Total Billed Charges,136.96,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,148.76,92,,Percent of Total Billed Charges,131.14,,148.76,92,,Percent of Total Billed Charges,120.3,,148.76,92,,Percent of Total Billed Charges,126.61,,148.76,92,,Percent of Total Billed Charges,131.14,,126.13,78,,Percent of Total Billed Charges,126.13,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,87.04,53.83,,Percent of Total Billed Charges,81.66,,56.01,34.64,,Percent of Total Billed Charges,55.79,,80.82,49.98,,Percent of Total Billed Charges,61.12,,56.01,148.76,,																																							
HC THER IVNTJ 1ST 15 MIN (COG FXN),97129,CPT,,,,BOTH, , ,161.7,135.83,148.76,92,,Percent of Total Billed Charges,135.18,,148.76,92,,Percent of Total Billed Charges,132.76,,148.76,92,,Percent of Total Billed Charges,130.17,,148.76,92,,Percent of Total Billed Charges,135.02,,148.76,92,,Percent of Total Billed Charges,121.76,,148.76,92,,Percent of Total Billed Charges,101.06,,145.53,90,,Percent of Total Billed Charges,80.69,,143.91,89,,Percent of Total Billed Charges,77.62,,133.24,82.4,,Percent of Total Billed Charges,132.92,,134.86,83.4,,Percent of Total Billed Charges,125.8,,134.86,83.4,,Percent of Total Billed Charges,113.35,,134.86,83.4,,Percent of Total Billed Charges,131.62,,145.53,90,,Percent of Total Billed Charges,136.96,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,148.76,92,,Percent of Total Billed Charges,131.14,,148.76,92,,Percent of Total Billed Charges,120.3,,148.76,92,,Percent of Total Billed Charges,126.61,,148.76,92,,Percent of Total Billed Charges,131.14,,126.13,78,,Percent of Total Billed Charges,126.13,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,87.04,53.83,,Percent of Total Billed Charges,81.66,,56.01,34.64,,Percent of Total Billed Charges,55.79,,80.82,49.98,,Percent of Total Billed Charges,61.12,,56.01,148.76,,																																							
HC ST  NONPHYSICIAN TELEPHONE ASSESSMENT 510 MIN,98966,CPT,,,,BOTH, , ,56.7,47.63,52.16,92,,Percent of Total Billed Charges,47.4,,52.16,92,,Percent of Total Billed Charges,46.55,,52.16,92,,Percent of Total Billed Charges,45.64,,52.16,92,,Percent of Total Billed Charges,47.34,,52.16,92,,Percent of Total Billed Charges,42.7,,52.16,92,,Percent of Total Billed Charges,35.44,,51.03,90,,Percent of Total Billed Charges,28.29,,50.46,89,,Percent of Total Billed Charges,27.22,,46.72,82.4,,Percent of Total Billed Charges,46.61,,47.29,83.4,,Percent of Total Billed Charges,44.11,,47.29,83.4,,Percent of Total Billed Charges,39.75,,47.29,83.4,,Percent of Total Billed Charges,46.15,,51.03,90,,Percent of Total Billed Charges,48.02,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,52.16,92,,Percent of Total Billed Charges,45.98,,52.16,92,,Percent of Total Billed Charges,42.18,,52.16,92,,Percent of Total Billed Charges,44.4,,52.16,92,,Percent of Total Billed Charges,45.98,,44.23,78,,Percent of Total Billed Charges,44.23,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,30.52,53.83,,Percent of Total Billed Charges,28.63,,19.64,34.64,,Percent of Total Billed Charges,19.56,,28.34,49.98,,Percent of Total Billed Charges,21.43,,19.64,52.16,,																																							
HC ST  NONPHYSICIAN TELEPHONE ASSESSMENT 1120 MIN,98967,CPT,,,,BOTH, , ,11.55,9.7,10.63,92,,Percent of Total Billed Charges,9.66,,10.63,92,,Percent of Total Billed Charges,9.48,,10.63,92,,Percent of Total Billed Charges,9.3,,10.63,92,,Percent of Total Billed Charges,9.64,,10.63,92,,Percent of Total Billed Charges,8.7,,10.63,92,,Percent of Total Billed Charges,7.22,,10.4,90,,Percent of Total Billed Charges,5.76,,10.28,89,,Percent of Total Billed Charges,5.54,,9.52,82.4,,Percent of Total Billed Charges,9.49,,9.63,83.4,,Percent of Total Billed Charges,8.99,,9.63,83.4,,Percent of Total Billed Charges,8.1,,9.63,83.4,,Percent of Total Billed Charges,9.4,,10.4,90,,Percent of Total Billed Charges,9.78,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,10.63,92,,Percent of Total Billed Charges,9.37,,10.63,92,,Percent of Total Billed Charges,8.59,,10.63,92,,Percent of Total Billed Charges,9.04,,10.63,92,,Percent of Total Billed Charges,9.37,,9.01,78,,Percent of Total Billed Charges,9.01,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6.22,53.83,,Percent of Total Billed Charges,5.83,,4,34.64,,Percent of Total Billed Charges,3.98,,5.77,49.98,,Percent of Total Billed Charges,4.37,,4.00,10.63,,																																							
HC ST NONPHYSICIAN TELEPHONE ASSESSMENT 2130 MIN,98968,CPT,,,,BOTH, , ,170.1,142.88,156.49,92,,Percent of Total Billed Charges,142.2,,156.49,92,,Percent of Total Billed Charges,139.65,,156.49,92,,Percent of Total Billed Charges,136.93,,156.49,92,,Percent of Total Billed Charges,142.03,,156.49,92,,Percent of Total Billed Charges,128.09,,156.49,92,,Percent of Total Billed Charges,106.31,,153.09,90,,Percent of Total Billed Charges,84.88,,151.39,89,,Percent of Total Billed Charges,81.65,,140.16,82.4,,Percent of Total Billed Charges,139.82,,141.86,83.4,,Percent of Total Billed Charges,132.34,,141.86,83.4,,Percent of Total Billed Charges,119.24,,141.86,83.4,,Percent of Total Billed Charges,138.46,,153.09,90,,Percent of Total Billed Charges,144.07,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,156.49,92,,Percent of Total Billed Charges,137.95,,156.49,92,,Percent of Total Billed Charges,126.55,,156.49,92,,Percent of Total Billed Charges,133.19,,156.49,92,,Percent of Total Billed Charges,137.95,,132.68,78,,Percent of Total Billed Charges,132.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,91.56,53.83,,Percent of Total Billed Charges,85.9,,58.92,34.64,,Percent of Total Billed Charges,58.68,,85.02,49.98,,Percent of Total Billed Charges,64.3,,58.92,156.49,,																																							
HC TELEMEDICINE TX SPEECH LANG VOICE COMMJ &/AUDITORY PROC IND,92507,CPT,,,,BOTH, , ,215.25,180.81,198.03,92,,Percent of Total Billed Charges,179.95,,198.03,92,,Percent of Total Billed Charges,176.72,,198.03,92,,Percent of Total Billed Charges,173.28,,198.03,92,,Percent of Total Billed Charges,179.73,,198.03,92,,Percent of Total Billed Charges,162.08,,198.03,92,,Percent of Total Billed Charges,134.53,,193.73,90,,Percent of Total Billed Charges,107.41,,191.57,89,,Percent of Total Billed Charges,103.32,,177.37,82.4,,Percent of Total Billed Charges,176.94,,179.52,83.4,,Percent of Total Billed Charges,167.46,,179.52,83.4,,Percent of Total Billed Charges,150.89,,179.52,83.4,,Percent of Total Billed Charges,175.21,,193.73,90,,Percent of Total Billed Charges,182.32,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,198.03,92,,Percent of Total Billed Charges,174.57,,198.03,92,,Percent of Total Billed Charges,160.15,,198.03,92,,Percent of Total Billed Charges,168.54,,198.03,92,,Percent of Total Billed Charges,174.57,,167.9,78,,Percent of Total Billed Charges,167.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,115.87,53.83,,Percent of Total Billed Charges,108.7,,74.56,34.64,,Percent of Total Billed Charges,74.26,,107.58,49.98,,Percent of Total Billed Charges,81.36,,74.56,198.03,,																																							
HC EVALUATION OF SPEECH FLUENCY,92521,CPT,,,,BOTH, , ,383.25,321.93,352.59,92,,Percent of Total Billed Charges,320.4,,352.59,92,,Percent of Total Billed Charges,314.65,,352.59,92,,Percent of Total Billed Charges,308.52,,352.59,92,,Percent of Total Billed Charges,320.01,,352.59,92,,Percent of Total Billed Charges,288.59,,352.59,92,,Percent of Total Billed Charges,239.53,,344.93,90,,Percent of Total Billed Charges,191.24,,341.09,89,,Percent of Total Billed Charges,183.96,,315.8,82.4,,Percent of Total Billed Charges,315.03,,319.63,83.4,,Percent of Total Billed Charges,298.17,,319.63,83.4,,Percent of Total Billed Charges,268.66,,319.63,83.4,,Percent of Total Billed Charges,311.97,,344.93,90,,Percent of Total Billed Charges,324.61,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,352.59,92,,Percent of Total Billed Charges,310.82,,352.59,92,,Percent of Total Billed Charges,285.14,,352.59,92,,Percent of Total Billed Charges,300.08,,352.59,92,,Percent of Total Billed Charges,310.82,,298.94,78,,Percent of Total Billed Charges,298.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,206.3,53.83,,Percent of Total Billed Charges,193.54,,132.76,34.64,,Percent of Total Billed Charges,132.22,,191.55,49.98,,Percent of Total Billed Charges,144.87,,132.76,352.59,,																																							
HC EVALUATION OF SPEECH PRODUCTION,92522,CPT,,,,BOTH, , ,310.8,261.07,285.94,92,,Percent of Total Billed Charges,259.83,,285.94,92,,Percent of Total Billed Charges,255.17,,285.94,92,,Percent of Total Billed Charges,250.19,,285.94,92,,Percent of Total Billed Charges,259.52,,285.94,92,,Percent of Total Billed Charges,234.03,,285.94,92,,Percent of Total Billed Charges,194.25,,279.72,90,,Percent of Total Billed Charges,155.09,,276.61,89,,Percent of Total Billed Charges,149.18,,256.1,82.4,,Percent of Total Billed Charges,255.48,,259.21,83.4,,Percent of Total Billed Charges,241.8,,259.21,83.4,,Percent of Total Billed Charges,217.87,,259.21,83.4,,Percent of Total Billed Charges,252.99,,279.72,90,,Percent of Total Billed Charges,263.25,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,285.94,92,,Percent of Total Billed Charges,252.06,,285.94,92,,Percent of Total Billed Charges,231.24,,285.94,92,,Percent of Total Billed Charges,243.36,,285.94,92,,Percent of Total Billed Charges,252.06,,242.42,78,,Percent of Total Billed Charges,242.42,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,167.3,53.83,,Percent of Total Billed Charges,156.95,,107.66,34.64,,Percent of Total Billed Charges,107.23,,155.34,49.98,,Percent of Total Billed Charges,117.48,,107.66,285.94,,																																							
HC SPEECH SOUND LANG COMPREHENSION,92523,CPT,,,,BOTH, , ,645.75,542.43,594.09,92,,Percent of Total Billed Charges,539.85,,594.09,92,,Percent of Total Billed Charges,530.16,,594.09,92,,Percent of Total Billed Charges,519.83,,594.09,92,,Percent of Total Billed Charges,539.2,,594.09,92,,Percent of Total Billed Charges,486.25,,594.09,92,,Percent of Total Billed Charges,403.59,,581.18,90,,Percent of Total Billed Charges,322.23,,574.72,89,,Percent of Total Billed Charges,309.96,,532.1,82.4,,Percent of Total Billed Charges,530.81,,538.56,83.4,,Percent of Total Billed Charges,502.39,,538.56,83.4,,Percent of Total Billed Charges,452.67,,538.56,83.4,,Percent of Total Billed Charges,525.64,,581.18,90,,Percent of Total Billed Charges,546.95,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,594.09,92,,Percent of Total Billed Charges,523.7,,594.09,92,,Percent of Total Billed Charges,480.44,,594.09,92,,Percent of Total Billed Charges,505.62,,594.09,92,,Percent of Total Billed Charges,523.7,,503.69,78,,Percent of Total Billed Charges,503.69,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,347.61,53.83,,Percent of Total Billed Charges,326.1,,223.69,34.64,,Percent of Total Billed Charges,222.78,,322.75,49.98,,Percent of Total Billed Charges,244.09,,223.69,594.09,,																																							
HC BEHAVRAL QUALIT ANALYS VOICE/RES,92524,CPT,,,,BOTH, , ,324.45,272.54,298.49,92,,Percent of Total Billed Charges,271.24,,298.49,92,,Percent of Total Billed Charges,266.37,,298.49,92,,Percent of Total Billed Charges,261.18,,298.49,92,,Percent of Total Billed Charges,270.92,,298.49,92,,Percent of Total Billed Charges,244.31,,298.49,92,,Percent of Total Billed Charges,202.78,,292.01,90,,Percent of Total Billed Charges,161.9,,288.76,89,,Percent of Total Billed Charges,155.74,,267.35,82.4,,Percent of Total Billed Charges,266.7,,270.59,83.4,,Percent of Total Billed Charges,252.42,,270.59,83.4,,Percent of Total Billed Charges,227.44,,270.59,83.4,,Percent of Total Billed Charges,264.1,,292.01,90,,Percent of Total Billed Charges,274.81,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,298.49,92,,Percent of Total Billed Charges,263.13,,298.49,92,,Percent of Total Billed Charges,241.39,,298.49,92,,Percent of Total Billed Charges,254.04,,298.49,92,,Percent of Total Billed Charges,263.13,,253.07,78,,Percent of Total Billed Charges,253.07,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,174.65,53.83,,Percent of Total Billed Charges,163.85,,112.39,34.64,,Percent of Total Billed Charges,111.94,,162.16,49.98,,Percent of Total Billed Charges,122.64,,112.39,298.49,,																																							
HC VOICE PROSTHETIC EVALUATION,92597,CPT,,,,BOTH, , ,369.6,310.46,340.03,92,,Percent of Total Billed Charges,308.99,,340.03,92,,Percent of Total Billed Charges,303.44,,340.03,92,,Percent of Total Billed Charges,297.53,,340.03,92,,Percent of Total Billed Charges,308.62,,340.03,92,,Percent of Total Billed Charges,278.31,,340.03,92,,Percent of Total Billed Charges,231,,332.64,90,,Percent of Total Billed Charges,184.43,,328.94,89,,Percent of Total Billed Charges,177.41,,304.55,82.4,,Percent of Total Billed Charges,303.81,,308.25,83.4,,Percent of Total Billed Charges,287.55,,308.25,83.4,,Percent of Total Billed Charges,259.09,,308.25,83.4,,Percent of Total Billed Charges,300.85,,332.64,90,,Percent of Total Billed Charges,313.05,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,340.03,92,,Percent of Total Billed Charges,299.75,,340.03,92,,Percent of Total Billed Charges,274.98,,340.03,92,,Percent of Total Billed Charges,289.4,,340.03,92,,Percent of Total Billed Charges,299.75,,288.29,78,,Percent of Total Billed Charges,288.29,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,198.96,53.83,,Percent of Total Billed Charges,186.65,,128.03,34.64,,Percent of Total Billed Charges,127.51,,184.73,49.98,,Percent of Total Billed Charges,139.71,,128.03,340.03,,																																							
HC EVALUATION FOR SPEECH DEVICE RX 1HR,92607,CPT,,,,BOTH, , ,529.2,444.53,486.86,92,,Percent of Total Billed Charges,442.41,,486.86,92,,Percent of Total Billed Charges,434.47,,486.86,92,,Percent of Total Billed Charges,426.01,,486.86,92,,Percent of Total Billed Charges,441.88,,486.86,92,,Percent of Total Billed Charges,398.49,,486.86,92,,Percent of Total Billed Charges,330.75,,476.28,90,,Percent of Total Billed Charges,264.07,,470.99,89,,Percent of Total Billed Charges,254.02,,436.06,82.4,,Percent of Total Billed Charges,435,,441.35,83.4,,Percent of Total Billed Charges,411.72,,441.35,83.4,,Percent of Total Billed Charges,370.97,,441.35,83.4,,Percent of Total Billed Charges,430.77,,476.28,90,,Percent of Total Billed Charges,448.23,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,486.86,92,,Percent of Total Billed Charges,429.18,,486.86,92,,Percent of Total Billed Charges,393.72,,486.86,92,,Percent of Total Billed Charges,414.36,,486.86,92,,Percent of Total Billed Charges,429.18,,412.78,78,,Percent of Total Billed Charges,412.78,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,284.87,53.83,,Percent of Total Billed Charges,267.25,,183.31,34.64,,Percent of Total Billed Charges,182.57,,264.49,49.98,,Percent of Total Billed Charges,200.04,,183.31,486.86,,																																							
HC EVALUATE SWALLOWING FUNCTION,92610,CPT,,,,BOTH, , ,329.7,276.95,303.32,92,,Percent of Total Billed Charges,275.63,,303.32,92,,Percent of Total Billed Charges,270.68,,303.32,92,,Percent of Total Billed Charges,265.41,,303.32,92,,Percent of Total Billed Charges,275.3,,303.32,92,,Percent of Total Billed Charges,248.26,,303.32,92,,Percent of Total Billed Charges,206.06,,296.73,90,,Percent of Total Billed Charges,164.52,,293.43,89,,Percent of Total Billed Charges,158.26,,271.67,82.4,,Percent of Total Billed Charges,271.01,,274.97,83.4,,Percent of Total Billed Charges,256.51,,274.97,83.4,,Percent of Total Billed Charges,231.12,,274.97,83.4,,Percent of Total Billed Charges,268.38,,296.73,90,,Percent of Total Billed Charges,279.26,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,303.32,92,,Percent of Total Billed Charges,267.39,,303.32,92,,Percent of Total Billed Charges,245.3,,303.32,92,,Percent of Total Billed Charges,258.16,,303.32,92,,Percent of Total Billed Charges,267.39,,257.17,78,,Percent of Total Billed Charges,257.17,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,177.48,53.83,,Percent of Total Billed Charges,166.5,,114.21,34.64,,Percent of Total Billed Charges,113.75,,164.78,49.98,,Percent of Total Billed Charges,124.63,,114.21,303.32,,																																							
HC MOTION FLUOROSCOPY/SWALLOW,92611,CPT,,,,BOTH, , ,329.7,276.95,303.32,92,,Percent of Total Billed Charges,275.63,,303.32,92,,Percent of Total Billed Charges,270.68,,303.32,92,,Percent of Total Billed Charges,265.41,,303.32,92,,Percent of Total Billed Charges,275.3,,303.32,92,,Percent of Total Billed Charges,248.26,,303.32,92,,Percent of Total Billed Charges,206.06,,296.73,90,,Percent of Total Billed Charges,164.52,,293.43,89,,Percent of Total Billed Charges,158.26,,271.67,82.4,,Percent of Total Billed Charges,271.01,,274.97,83.4,,Percent of Total Billed Charges,256.51,,274.97,83.4,,Percent of Total Billed Charges,231.12,,274.97,83.4,,Percent of Total Billed Charges,268.38,,296.73,90,,Percent of Total Billed Charges,279.26,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,303.32,92,,Percent of Total Billed Charges,267.39,,303.32,92,,Percent of Total Billed Charges,245.3,,303.32,92,,Percent of Total Billed Charges,258.16,,303.32,92,,Percent of Total Billed Charges,267.39,,257.17,78,,Percent of Total Billed Charges,257.17,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,177.48,53.83,,Percent of Total Billed Charges,166.5,,114.21,34.64,,Percent of Total Billed Charges,113.75,,164.78,49.98,,Percent of Total Billed Charges,124.63,,114.21,303.32,,																																							
HC APHASIA EVALUATION PER HR,96105,CPT,,,,BOTH, , ,250.95,210.8,230.87,92,,Percent of Total Billed Charges,209.79,,230.87,92,,Percent of Total Billed Charges,206.03,,230.87,92,,Percent of Total Billed Charges,202.01,,230.87,92,,Percent of Total Billed Charges,209.54,,230.87,92,,Percent of Total Billed Charges,188.97,,230.87,92,,Percent of Total Billed Charges,156.84,,225.86,90,,Percent of Total Billed Charges,125.22,,223.35,89,,Percent of Total Billed Charges,120.46,,206.78,82.4,,Percent of Total Billed Charges,206.28,,209.29,83.4,,Percent of Total Billed Charges,195.24,,209.29,83.4,,Percent of Total Billed Charges,175.92,,209.29,83.4,,Percent of Total Billed Charges,204.27,,225.86,90,,Percent of Total Billed Charges,212.55,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,230.87,92,,Percent of Total Billed Charges,203.52,,230.87,92,,Percent of Total Billed Charges,186.71,,230.87,92,,Percent of Total Billed Charges,196.49,,230.87,92,,Percent of Total Billed Charges,203.52,,195.74,78,,Percent of Total Billed Charges,195.74,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,135.09,53.83,,Percent of Total Billed Charges,126.73,,86.93,34.64,,Percent of Total Billed Charges,86.58,,125.42,49.98,,Percent of Total Billed Charges,94.86,,86.93,230.87,,																																							
HC EVAL SPEECH GEN DEV ADD 30M,92608,CPT,,,,BOTH, , ,15.75,13.23,14.49,92,,Percent of Total Billed Charges,13.17,,14.49,92,,Percent of Total Billed Charges,12.93,,14.49,92,,Percent of Total Billed Charges,12.68,,14.49,92,,Percent of Total Billed Charges,13.15,,14.49,92,,Percent of Total Billed Charges,11.86,,14.49,92,,Percent of Total Billed Charges,9.84,,14.18,90,,Percent of Total Billed Charges,7.86,,14.02,89,,Percent of Total Billed Charges,7.56,,12.98,82.4,,Percent of Total Billed Charges,12.95,,13.14,83.4,,Percent of Total Billed Charges,12.25,,13.14,83.4,,Percent of Total Billed Charges,11.04,,13.14,83.4,,Percent of Total Billed Charges,12.82,,14.18,90,,Percent of Total Billed Charges,13.34,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,14.49,92,,Percent of Total Billed Charges,12.77,,14.49,92,,Percent of Total Billed Charges,11.72,,14.49,92,,Percent of Total Billed Charges,12.33,,14.49,92,,Percent of Total Billed Charges,12.77,,12.29,78,,Percent of Total Billed Charges,12.29,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,8.48,53.83,,Percent of Total Billed Charges,7.95,,5.46,34.64,,Percent of Total Billed Charges,5.43,,7.87,49.98,,Percent of Total Billed Charges,5.95,,5.46,14.49,,																																							
HC FEES EVAL SWALLOW,92612,CPT,,,,BOTH, , ,224.7,188.75,206.72,92,,Percent of Total Billed Charges,187.85,,206.72,92,,Percent of Total Billed Charges,184.48,,206.72,92,,Percent of Total Billed Charges,180.88,,206.72,92,,Percent of Total Billed Charges,187.62,,206.72,92,,Percent of Total Billed Charges,169.2,,206.72,92,,Percent of Total Billed Charges,140.44,,202.23,90,,Percent of Total Billed Charges,112.13,,199.98,89,,Percent of Total Billed Charges,107.86,,185.15,82.4,,Percent of Total Billed Charges,184.7,,187.4,83.4,,Percent of Total Billed Charges,174.82,,187.4,83.4,,Percent of Total Billed Charges,157.51,,187.4,83.4,,Percent of Total Billed Charges,182.91,,202.23,90,,Percent of Total Billed Charges,190.32,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,206.72,92,,Percent of Total Billed Charges,182.23,,206.72,92,,Percent of Total Billed Charges,167.18,,206.72,92,,Percent of Total Billed Charges,175.94,,206.72,92,,Percent of Total Billed Charges,182.23,,175.27,78,,Percent of Total Billed Charges,175.27,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,120.96,53.83,,Percent of Total Billed Charges,113.47,,77.84,34.64,,Percent of Total Billed Charges,77.52,,112.31,49.98,,Percent of Total Billed Charges,84.94,,77.84,206.72,,																																							
HC TELEMEDICINE EVALUATION OF SPEECH FLUENCY,92521,CPT,,,,BOTH, , ,383.25,321.93,352.59,92,,Percent of Total Billed Charges,320.4,,352.59,92,,Percent of Total Billed Charges,314.65,,352.59,92,,Percent of Total Billed Charges,308.52,,352.59,92,,Percent of Total Billed Charges,320.01,,352.59,92,,Percent of Total Billed Charges,288.59,,352.59,92,,Percent of Total Billed Charges,239.53,,344.93,90,,Percent of Total Billed Charges,191.24,,341.09,89,,Percent of Total Billed Charges,183.96,,315.8,82.4,,Percent of Total Billed Charges,315.03,,319.63,83.4,,Percent of Total Billed Charges,298.17,,319.63,83.4,,Percent of Total Billed Charges,268.66,,319.63,83.4,,Percent of Total Billed Charges,311.97,,344.93,90,,Percent of Total Billed Charges,324.61,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,352.59,92,,Percent of Total Billed Charges,310.82,,352.59,92,,Percent of Total Billed Charges,285.14,,352.59,92,,Percent of Total Billed Charges,300.08,,352.59,92,,Percent of Total Billed Charges,310.82,,298.94,78,,Percent of Total Billed Charges,298.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,206.3,53.83,,Percent of Total Billed Charges,193.54,,132.76,34.64,,Percent of Total Billed Charges,132.22,,191.55,49.98,,Percent of Total Billed Charges,144.87,,132.76,352.59,,																																							
HC TELEMEDICINE EVALUATE SPEECH PRODUCTION,92522,CPT,,,,BOTH, , ,310.8,261.07,285.94,92,,Percent of Total Billed Charges,259.83,,285.94,92,,Percent of Total Billed Charges,255.17,,285.94,92,,Percent of Total Billed Charges,250.19,,285.94,92,,Percent of Total Billed Charges,259.52,,285.94,92,,Percent of Total Billed Charges,234.03,,285.94,92,,Percent of Total Billed Charges,194.25,,279.72,90,,Percent of Total Billed Charges,155.09,,276.61,89,,Percent of Total Billed Charges,149.18,,256.1,82.4,,Percent of Total Billed Charges,255.48,,259.21,83.4,,Percent of Total Billed Charges,241.8,,259.21,83.4,,Percent of Total Billed Charges,217.87,,259.21,83.4,,Percent of Total Billed Charges,252.99,,279.72,90,,Percent of Total Billed Charges,263.25,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,285.94,92,,Percent of Total Billed Charges,252.06,,285.94,92,,Percent of Total Billed Charges,231.24,,285.94,92,,Percent of Total Billed Charges,243.36,,285.94,92,,Percent of Total Billed Charges,252.06,,242.42,78,,Percent of Total Billed Charges,242.42,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,167.3,53.83,,Percent of Total Billed Charges,156.95,,107.66,34.64,,Percent of Total Billed Charges,107.23,,155.34,49.98,,Percent of Total Billed Charges,117.48,,107.66,285.94,,																																							
HC TELEMEDICINE EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION,92523,CPT,,,,BOTH, , ,645.75,542.43,594.09,92,,Percent of Total Billed Charges,539.85,,594.09,92,,Percent of Total Billed Charges,530.16,,594.09,92,,Percent of Total Billed Charges,519.83,,594.09,92,,Percent of Total Billed Charges,539.2,,594.09,92,,Percent of Total Billed Charges,486.25,,594.09,92,,Percent of Total Billed Charges,403.59,,581.18,90,,Percent of Total Billed Charges,322.23,,574.72,89,,Percent of Total Billed Charges,309.96,,532.1,82.4,,Percent of Total Billed Charges,530.81,,538.56,83.4,,Percent of Total Billed Charges,502.39,,538.56,83.4,,Percent of Total Billed Charges,452.67,,538.56,83.4,,Percent of Total Billed Charges,525.64,,581.18,90,,Percent of Total Billed Charges,546.95,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,594.09,92,,Percent of Total Billed Charges,523.7,,594.09,92,,Percent of Total Billed Charges,480.44,,594.09,92,,Percent of Total Billed Charges,505.62,,594.09,92,,Percent of Total Billed Charges,523.7,,503.69,78,,Percent of Total Billed Charges,503.69,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,347.61,53.83,,Percent of Total Billed Charges,326.1,,223.69,34.64,,Percent of Total Billed Charges,222.78,,322.75,49.98,,Percent of Total Billed Charges,244.09,,223.69,594.09,,																																							
HC TELEMEDICINE BEHAVIORAL & QUALIT ANALYSIS VOICE AND RESONANCE,92524,CPT,,,,BOTH, , ,324.45,272.54,298.49,92,,Percent of Total Billed Charges,271.24,,298.49,92,,Percent of Total Billed Charges,266.37,,298.49,92,,Percent of Total Billed Charges,261.18,,298.49,92,,Percent of Total Billed Charges,270.92,,298.49,92,,Percent of Total Billed Charges,244.31,,298.49,92,,Percent of Total Billed Charges,202.78,,292.01,90,,Percent of Total Billed Charges,161.9,,288.76,89,,Percent of Total Billed Charges,155.74,,267.35,82.4,,Percent of Total Billed Charges,266.7,,270.59,83.4,,Percent of Total Billed Charges,252.42,,270.59,83.4,,Percent of Total Billed Charges,227.44,,270.59,83.4,,Percent of Total Billed Charges,264.1,,292.01,90,,Percent of Total Billed Charges,274.81,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,298.49,92,,Percent of Total Billed Charges,263.13,,298.49,92,,Percent of Total Billed Charges,241.39,,298.49,92,,Percent of Total Billed Charges,254.04,,298.49,92,,Percent of Total Billed Charges,263.13,,253.07,78,,Percent of Total Billed Charges,253.07,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,174.65,53.83,,Percent of Total Billed Charges,163.85,,112.39,34.64,,Percent of Total Billed Charges,111.94,,162.16,49.98,,Percent of Total Billed Charges,122.64,,112.39,298.49,,																																							
HC  LARYNGOSCOPY FLX/RGD TELESCOPIC W/STROBOSCOPY,31579,CPT,,,,BOTH, , ,1062.6,892.58,977.59,92,,Percent of Total Billed Charges,888.33,,977.59,92,,Percent of Total Billed Charges,872.39,,977.59,92,,Percent of Total Billed Charges,855.39,,977.59,92,,Percent of Total Billed Charges,887.27,,977.59,92,,Percent of Total Billed Charges,800.14,,977.59,92,,Percent of Total Billed Charges,664.13,,956.34,90,,Percent of Total Billed Charges,530.24,,945.71,89,,Percent of Total Billed Charges,510.05,,875.58,82.4,,Percent of Total Billed Charges,873.46,,886.21,83.4,,Percent of Total Billed Charges,826.7,,886.21,83.4,,Percent of Total Billed Charges,744.88,,886.21,83.4,,Percent of Total Billed Charges,864.96,,956.34,90,,Percent of Total Billed Charges,900.02,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,977.59,92,,Percent of Total Billed Charges,861.77,,977.59,92,,Percent of Total Billed Charges,790.57,,977.59,92,,Percent of Total Billed Charges,832.02,,977.59,92,,Percent of Total Billed Charges,861.77,,828.83,78,,Percent of Total Billed Charges,828.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,572,53.83,,Percent of Total Billed Charges,536.61,,368.08,34.64,,Percent of Total Billed Charges,366.6,,531.09,49.98,,Percent of Total Billed Charges,401.66,,368.08,977.59,,																																							
HC  LARYNGEAL FUNCTION STUDIES,92520,CPT,,,,BOTH, , ,421.05,353.68,387.37,92,,Percent of Total Billed Charges,352,,387.37,92,,Percent of Total Billed Charges,345.68,,387.37,92,,Percent of Total Billed Charges,338.95,,387.37,92,,Percent of Total Billed Charges,351.58,,387.37,92,,Percent of Total Billed Charges,317.05,,387.37,92,,Percent of Total Billed Charges,263.16,,378.95,90,,Percent of Total Billed Charges,210.1,,374.73,89,,Percent of Total Billed Charges,202.1,,346.95,82.4,,Percent of Total Billed Charges,346.1,,351.16,83.4,,Percent of Total Billed Charges,327.58,,351.16,83.4,,Percent of Total Billed Charges,295.16,,351.16,83.4,,Percent of Total Billed Charges,342.73,,378.95,90,,Percent of Total Billed Charges,356.63,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,387.37,92,,Percent of Total Billed Charges,341.47,,387.37,92,,Percent of Total Billed Charges,313.26,,387.37,92,,Percent of Total Billed Charges,329.68,,387.37,92,,Percent of Total Billed Charges,341.47,,328.42,78,,Percent of Total Billed Charges,328.42,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,226.65,53.83,,Percent of Total Billed Charges,212.63,,145.85,34.64,,Percent of Total Billed Charges,145.26,,210.44,49.98,,Percent of Total Billed Charges,159.16,,145.85,387.37,,																																							
HC I&D SKIN ABCESS SIMPLE,10060,CPT,,,,BOTH, , ,717.15,602.41,659.78,92,,Percent of Total Billed Charges,599.54,,659.78,92,,Percent of Total Billed Charges,588.78,,659.78,92,,Percent of Total Billed Charges,577.31,,659.78,92,,Percent of Total Billed Charges,598.82,,659.78,92,,Percent of Total Billed Charges,540.01,,659.78,92,,Percent of Total Billed Charges,448.22,,645.44,90,,Percent of Total Billed Charges,357.86,,638.26,89,,Percent of Total Billed Charges,344.23,,590.93,82.4,,Percent of Total Billed Charges,589.5,,598.1,83.4,,Percent of Total Billed Charges,557.94,,598.1,83.4,,Percent of Total Billed Charges,502.72,,598.1,83.4,,Percent of Total Billed Charges,583.76,,645.44,90,,Percent of Total Billed Charges,607.43,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,659.78,92,,Percent of Total Billed Charges,581.61,,659.78,92,,Percent of Total Billed Charges,533.56,,659.78,92,,Percent of Total Billed Charges,561.53,,659.78,92,,Percent of Total Billed Charges,581.61,,559.38,78,,Percent of Total Billed Charges,559.38,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,386.04,53.83,,Percent of Total Billed Charges,362.16,,248.42,34.64,,Percent of Total Billed Charges,247.42,,358.43,49.98,,Percent of Total Billed Charges,271.08,,248.42,659.78,,																																							
HC I&D SKIN ABSCESS COMPLICATED OR MULTIPLE,10061,CPT,,,,BOTH, , ,796.95,669.44,733.19,92,,Percent of Total Billed Charges,666.25,,733.19,92,,Percent of Total Billed Charges,654.3,,733.19,92,,Percent of Total Billed Charges,641.54,,733.19,92,,Percent of Total Billed Charges,665.45,,733.19,92,,Percent of Total Billed Charges,600.1,,733.19,92,,Percent of Total Billed Charges,498.09,,717.26,90,,Percent of Total Billed Charges,397.68,,709.29,89,,Percent of Total Billed Charges,382.54,,656.69,82.4,,Percent of Total Billed Charges,655.09,,664.66,83.4,,Percent of Total Billed Charges,620.03,,664.66,83.4,,Percent of Total Billed Charges,558.66,,664.66,83.4,,Percent of Total Billed Charges,648.72,,717.26,90,,Percent of Total Billed Charges,675.02,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,733.19,92,,Percent of Total Billed Charges,646.33,,733.19,92,,Percent of Total Billed Charges,592.93,,733.19,92,,Percent of Total Billed Charges,624.01,,733.19,92,,Percent of Total Billed Charges,646.33,,621.62,78,,Percent of Total Billed Charges,621.62,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,429,53.83,,Percent of Total Billed Charges,402.46,,276.06,34.64,,Percent of Total Billed Charges,274.95,,398.32,49.98,,Percent of Total Billed Charges,301.25,,276.06,733.19,,																																							
HC DRAIN PILONIDAL CYST SIMPLE,10080,CPT,,,,BOTH, , ,1833.3,1539.97,1686.64,92,,Percent of Total Billed Charges,1532.64,,1686.64,92,,Percent of Total Billed Charges,1505.14,,1686.64,92,,Percent of Total Billed Charges,1475.81,,1686.64,92,,Percent of Total Billed Charges,1530.81,,1686.64,92,,Percent of Total Billed Charges,1380.47,,1686.64,92,,Percent of Total Billed Charges,1145.81,,1649.97,90,,Percent of Total Billed Charges,914.82,,1631.64,89,,Percent of Total Billed Charges,879.98,,1510.64,82.4,,Percent of Total Billed Charges,1506.97,,1528.97,83.4,,Percent of Total Billed Charges,1426.31,,1528.97,83.4,,Percent of Total Billed Charges,1285.14,,1528.97,83.4,,Percent of Total Billed Charges,1492.31,,1649.97,90,,Percent of Total Billed Charges,1552.81,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1686.64,92,,Percent of Total Billed Charges,1486.81,,1686.64,92,,Percent of Total Billed Charges,1363.98,,1686.64,92,,Percent of Total Billed Charges,1435.47,,1686.64,92,,Percent of Total Billed Charges,1486.81,,1429.97,78,,Percent of Total Billed Charges,1429.97,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,986.87,53.83,,Percent of Total Billed Charges,925.82,,635.06,34.64,,Percent of Total Billed Charges,632.49,,916.28,49.98,,Percent of Total Billed Charges,692.99,,635.06,1686.64,,																																							
HC INCISION & REMOVAL OF FB,10120,CPT,,,,BOTH, , ,706.65,593.59,650.12,92,,Percent of Total Billed Charges,590.76,,650.12,92,,Percent of Total Billed Charges,580.16,,650.12,92,,Percent of Total Billed Charges,568.85,,650.12,92,,Percent of Total Billed Charges,590.05,,650.12,92,,Percent of Total Billed Charges,532.11,,650.12,92,,Percent of Total Billed Charges,441.66,,635.99,90,,Percent of Total Billed Charges,352.62,,628.92,89,,Percent of Total Billed Charges,339.19,,582.28,82.4,,Percent of Total Billed Charges,580.87,,589.35,83.4,,Percent of Total Billed Charges,549.77,,589.35,83.4,,Percent of Total Billed Charges,495.36,,589.35,83.4,,Percent of Total Billed Charges,575.21,,635.99,90,,Percent of Total Billed Charges,598.53,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,650.12,92,,Percent of Total Billed Charges,573.09,,650.12,92,,Percent of Total Billed Charges,525.75,,650.12,92,,Percent of Total Billed Charges,553.31,,650.12,92,,Percent of Total Billed Charges,573.09,,551.19,78,,Percent of Total Billed Charges,551.19,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,380.39,53.83,,Percent of Total Billed Charges,356.86,,244.78,34.64,,Percent of Total Billed Charges,243.79,,353.18,49.98,,Percent of Total Billed Charges,267.11,,244.78,650.12,,																																							
HC INCIS & REMOV OF FB COMPLICATED,10121,CPT,,,,BOTH, , ,4303.95,3615.32,3959.63,92,,Percent of Total Billed Charges,3598.1,,3959.63,92,,Percent of Total Billed Charges,3533.54,,3959.63,92,,Percent of Total Billed Charges,3464.68,,3959.63,92,,Percent of Total Billed Charges,3593.8,,3959.63,92,,Percent of Total Billed Charges,3240.87,,3959.63,92,,Percent of Total Billed Charges,2689.97,,3873.56,90,,Percent of Total Billed Charges,2147.67,,3830.52,89,,Percent of Total Billed Charges,2065.9,,3546.45,82.4,,Percent of Total Billed Charges,3537.85,,3589.49,83.4,,Percent of Total Billed Charges,3348.47,,3589.49,83.4,,Percent of Total Billed Charges,3017.07,,3589.49,83.4,,Percent of Total Billed Charges,3503.42,,3873.56,90,,Percent of Total Billed Charges,3645.45,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3959.63,92,,Percent of Total Billed Charges,3490.5,,3959.63,92,,Percent of Total Billed Charges,3202.14,,3959.63,92,,Percent of Total Billed Charges,3369.99,,3959.63,92,,Percent of Total Billed Charges,3490.5,,3357.08,78,,Percent of Total Billed Charges,3357.08,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2316.82,53.83,,Percent of Total Billed Charges,2173.49,,1490.89,34.64,,Percent of Total Billed Charges,1484.86,,2151.11,49.98,,Percent of Total Billed Charges,1626.89,,1490.89,3959.63,,																																							
HC I&D HEMATOMA,10140,CPT,,,,BOTH, , ,5183.85,4354.43,4769.14,92,,Percent of Total Billed Charges,4333.7,,4769.14,92,,Percent of Total Billed Charges,4255.94,,4769.14,92,,Percent of Total Billed Charges,4173,,4769.14,92,,Percent of Total Billed Charges,4328.51,,4769.14,92,,Percent of Total Billed Charges,3903.44,,4769.14,92,,Percent of Total Billed Charges,3239.91,,4665.47,90,,Percent of Total Billed Charges,2586.74,,4613.63,89,,Percent of Total Billed Charges,2488.25,,4271.49,82.4,,Percent of Total Billed Charges,4261.12,,4323.33,83.4,,Percent of Total Billed Charges,4033.04,,4323.33,83.4,,Percent of Total Billed Charges,3633.88,,4323.33,83.4,,Percent of Total Billed Charges,4219.65,,4665.47,90,,Percent of Total Billed Charges,4390.72,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4769.14,92,,Percent of Total Billed Charges,4204.1,,4769.14,92,,Percent of Total Billed Charges,3856.78,,4769.14,92,,Percent of Total Billed Charges,4058.95,,4769.14,92,,Percent of Total Billed Charges,4204.1,,4043.4,78,,Percent of Total Billed Charges,4043.4,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2790.47,53.83,,Percent of Total Billed Charges,2617.84,,1795.69,34.64,,Percent of Total Billed Charges,1788.43,,2590.89,49.98,,Percent of Total Billed Charges,1959.5,,1795.69,4769.14,,																																							
HC PUNCTURE DRAINAGE OF LESION,10160,CPT,,,,BOTH, , ,5020.05,4216.84,4618.45,92,,Percent of Total Billed Charges,4196.76,,4618.45,92,,Percent of Total Billed Charges,4121.46,,4618.45,92,,Percent of Total Billed Charges,4041.14,,4618.45,92,,Percent of Total Billed Charges,4191.74,,4618.45,92,,Percent of Total Billed Charges,3780.1,,4618.45,92,,Percent of Total Billed Charges,3137.53,,4518.05,90,,Percent of Total Billed Charges,2505,,4467.84,89,,Percent of Total Billed Charges,2409.62,,4136.52,82.4,,Percent of Total Billed Charges,4126.48,,4186.72,83.4,,Percent of Total Billed Charges,3905.6,,4186.72,83.4,,Percent of Total Billed Charges,3519.06,,4186.72,83.4,,Percent of Total Billed Charges,4086.32,,4518.05,90,,Percent of Total Billed Charges,4251.98,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4618.45,92,,Percent of Total Billed Charges,4071.26,,4618.45,92,,Percent of Total Billed Charges,3734.92,,4618.45,92,,Percent of Total Billed Charges,3930.7,,4618.45,92,,Percent of Total Billed Charges,4071.26,,3915.64,78,,Percent of Total Billed Charges,3915.64,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2702.29,53.83,,Percent of Total Billed Charges,2535.13,,1738.95,34.64,,Percent of Total Billed Charges,1731.92,,2509.02,49.98,,Percent of Total Billed Charges,1897.58,,1738.95,4618.45,,																																							
HC AVULSION OF NAIL PLATE,11730,CPT,,,,BOTH, , ,340.2,285.77,312.98,92,,Percent of Total Billed Charges,284.41,,312.98,92,,Percent of Total Billed Charges,279.3,,312.98,92,,Percent of Total Billed Charges,273.86,,312.98,92,,Percent of Total Billed Charges,284.07,,312.98,92,,Percent of Total Billed Charges,256.17,,312.98,92,,Percent of Total Billed Charges,212.63,,306.18,90,,Percent of Total Billed Charges,169.76,,302.78,89,,Percent of Total Billed Charges,163.3,,280.32,82.4,,Percent of Total Billed Charges,279.64,,283.73,83.4,,Percent of Total Billed Charges,264.68,,283.73,83.4,,Percent of Total Billed Charges,238.48,,283.73,83.4,,Percent of Total Billed Charges,276.92,,306.18,90,,Percent of Total Billed Charges,288.15,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,312.98,92,,Percent of Total Billed Charges,275.9,,312.98,92,,Percent of Total Billed Charges,253.11,,312.98,92,,Percent of Total Billed Charges,266.38,,312.98,92,,Percent of Total Billed Charges,275.9,,265.36,78,,Percent of Total Billed Charges,265.36,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,183.13,53.83,,Percent of Total Billed Charges,171.8,,117.85,34.64,,Percent of Total Billed Charges,117.37,,170.03,49.98,,Percent of Total Billed Charges,128.6,,117.85,312.98,,																																							
HC EVAC OF SUBUNGUAL HEMATOMA,11740,CPT,,,,BOTH, , ,61.95,52.04,56.99,92,,Percent of Total Billed Charges,51.79,,56.99,92,,Percent of Total Billed Charges,50.86,,56.99,92,,Percent of Total Billed Charges,49.87,,56.99,92,,Percent of Total Billed Charges,51.73,,56.99,92,,Percent of Total Billed Charges,46.65,,56.99,92,,Percent of Total Billed Charges,38.72,,55.76,90,,Percent of Total Billed Charges,30.91,,55.14,89,,Percent of Total Billed Charges,29.74,,51.05,82.4,,Percent of Total Billed Charges,50.92,,51.67,83.4,,Percent of Total Billed Charges,48.2,,51.67,83.4,,Percent of Total Billed Charges,43.43,,51.67,83.4,,Percent of Total Billed Charges,50.43,,55.76,90,,Percent of Total Billed Charges,52.47,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,56.99,92,,Percent of Total Billed Charges,50.24,,56.99,92,,Percent of Total Billed Charges,46.09,,56.99,92,,Percent of Total Billed Charges,48.51,,56.99,92,,Percent of Total Billed Charges,50.24,,48.32,78,,Percent of Total Billed Charges,48.32,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,33.35,53.83,,Percent of Total Billed Charges,31.28,,21.46,34.64,,Percent of Total Billed Charges,21.37,,30.96,49.98,,Percent of Total Billed Charges,23.42,,21.46,56.99,,																																							
HC EXCISION REMOVAL OF NAIL BED,11750,CPT,,,,BOTH, , ,183.75,154.35,169.05,92,,Percent of Total Billed Charges,153.62,,169.05,92,,Percent of Total Billed Charges,150.86,,169.05,92,,Percent of Total Billed Charges,147.92,,169.05,92,,Percent of Total Billed Charges,153.43,,169.05,92,,Percent of Total Billed Charges,138.36,,169.05,92,,Percent of Total Billed Charges,114.84,,165.38,90,,Percent of Total Billed Charges,91.69,,163.54,89,,Percent of Total Billed Charges,88.2,,151.41,82.4,,Percent of Total Billed Charges,151.04,,153.25,83.4,,Percent of Total Billed Charges,142.96,,153.25,83.4,,Percent of Total Billed Charges,128.81,,153.25,83.4,,Percent of Total Billed Charges,149.57,,165.38,90,,Percent of Total Billed Charges,155.64,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,169.05,92,,Percent of Total Billed Charges,149.02,,169.05,92,,Percent of Total Billed Charges,136.71,,169.05,92,,Percent of Total Billed Charges,143.88,,169.05,92,,Percent of Total Billed Charges,149.02,,143.33,78,,Percent of Total Billed Charges,143.33,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,98.91,53.83,,Percent of Total Billed Charges,92.79,,63.65,34.64,,Percent of Total Billed Charges,63.39,,91.84,49.98,,Percent of Total Billed Charges,69.46,,63.65,169.05,,																																							
HC REPAIR NAIL BED TECH,11760,CPT,,,,BOTH, , ,85.05,71.44,78.25,92,,Percent of Total Billed Charges,71.1,,78.25,92,,Percent of Total Billed Charges,69.83,,78.25,92,,Percent of Total Billed Charges,68.47,,78.25,92,,Percent of Total Billed Charges,71.02,,78.25,92,,Percent of Total Billed Charges,64.04,,78.25,92,,Percent of Total Billed Charges,53.16,,76.55,90,,Percent of Total Billed Charges,42.44,,75.69,89,,Percent of Total Billed Charges,40.82,,70.08,82.4,,Percent of Total Billed Charges,69.91,,70.93,83.4,,Percent of Total Billed Charges,66.17,,70.93,83.4,,Percent of Total Billed Charges,59.62,,70.93,83.4,,Percent of Total Billed Charges,69.23,,76.55,90,,Percent of Total Billed Charges,72.04,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,78.25,92,,Percent of Total Billed Charges,68.98,,78.25,92,,Percent of Total Billed Charges,63.28,,78.25,92,,Percent of Total Billed Charges,66.59,,78.25,92,,Percent of Total Billed Charges,68.98,,66.34,78,,Percent of Total Billed Charges,66.34,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,45.78,53.83,,Percent of Total Billed Charges,42.95,,29.46,34.64,,Percent of Total Billed Charges,29.34,,42.51,49.98,,Percent of Total Billed Charges,32.15,,29.46,78.25,,																																							
HC SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/<,12001,CPT,,,,BOTH, , ,759.15,637.69,698.42,92,,Percent of Total Billed Charges,634.65,,698.42,92,,Percent of Total Billed Charges,623.26,,698.42,92,,Percent of Total Billed Charges,611.12,,698.42,92,,Percent of Total Billed Charges,633.89,,698.42,92,,Percent of Total Billed Charges,571.64,,698.42,92,,Percent of Total Billed Charges,474.47,,683.24,90,,Percent of Total Billed Charges,378.82,,675.64,89,,Percent of Total Billed Charges,364.39,,625.54,82.4,,Percent of Total Billed Charges,624.02,,633.13,83.4,,Percent of Total Billed Charges,590.62,,633.13,83.4,,Percent of Total Billed Charges,532.16,,633.13,83.4,,Percent of Total Billed Charges,617.95,,683.24,90,,Percent of Total Billed Charges,643,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,698.42,92,,Percent of Total Billed Charges,615.67,,698.42,92,,Percent of Total Billed Charges,564.81,,698.42,92,,Percent of Total Billed Charges,594.41,,698.42,92,,Percent of Total Billed Charges,615.67,,592.14,78,,Percent of Total Billed Charges,592.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,408.65,53.83,,Percent of Total Billed Charges,383.37,,262.97,34.64,,Percent of Total Billed Charges,261.91,,379.42,49.98,,Percent of Total Billed Charges,286.96,,262.97,698.42,,																																							
HC SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.67.5CM,12002,CPT,,,,BOTH, , ,1031.1,866.12,948.61,92,,Percent of Total Billed Charges,862,,948.61,92,,Percent of Total Billed Charges,846.53,,948.61,92,,Percent of Total Billed Charges,830.04,,948.61,92,,Percent of Total Billed Charges,860.97,,948.61,92,,Percent of Total Billed Charges,776.42,,948.61,92,,Percent of Total Billed Charges,644.44,,927.99,90,,Percent of Total Billed Charges,514.52,,917.68,89,,Percent of Total Billed Charges,494.93,,849.63,82.4,,Percent of Total Billed Charges,847.56,,859.94,83.4,,Percent of Total Billed Charges,802.2,,859.94,83.4,,Percent of Total Billed Charges,722.8,,859.94,83.4,,Percent of Total Billed Charges,839.32,,927.99,90,,Percent of Total Billed Charges,873.34,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,948.61,92,,Percent of Total Billed Charges,836.22,,948.61,92,,Percent of Total Billed Charges,767.14,,948.61,92,,Percent of Total Billed Charges,807.35,,948.61,92,,Percent of Total Billed Charges,836.22,,804.26,78,,Percent of Total Billed Charges,804.26,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,555.04,53.83,,Percent of Total Billed Charges,520.71,,357.17,34.64,,Percent of Total Billed Charges,355.73,,515.34,49.98,,Percent of Total Billed Charges,389.76,,357.17,948.61,,																																							
HC SIMPLE RPR SCALP/NECK/AX/GENIT/TRUNK 7.612.5CM,12004,CPT,,,,BOTH, , ,1303.05,1094.56,1198.81,92,,Percent of Total Billed Charges,1089.35,,1198.81,92,,Percent of Total Billed Charges,1069.8,,1198.81,92,,Percent of Total Billed Charges,1048.96,,1198.81,92,,Percent of Total Billed Charges,1088.05,,1198.81,92,,Percent of Total Billed Charges,981.2,,1198.81,92,,Percent of Total Billed Charges,814.41,,1172.75,90,,Percent of Total Billed Charges,650.22,,1159.71,89,,Percent of Total Billed Charges,625.46,,1073.71,82.4,,Percent of Total Billed Charges,1071.11,,1086.74,83.4,,Percent of Total Billed Charges,1013.77,,1086.74,83.4,,Percent of Total Billed Charges,913.44,,1086.74,83.4,,Percent of Total Billed Charges,1060.68,,1172.75,90,,Percent of Total Billed Charges,1103.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1198.81,92,,Percent of Total Billed Charges,1056.77,,1198.81,92,,Percent of Total Billed Charges,969.47,,1198.81,92,,Percent of Total Billed Charges,1020.29,,1198.81,92,,Percent of Total Billed Charges,1056.77,,1016.38,78,,Percent of Total Billed Charges,1016.38,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,701.43,53.83,,Percent of Total Billed Charges,658.04,,451.38,34.64,,Percent of Total Billed Charges,449.55,,651.26,49.98,,Percent of Total Billed Charges,492.55,,451.38,1198.81,,																																							
HC SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.620.0CM,12005,CPT,,,,BOTH, , ,1782.9,1497.64,1640.27,92,,Percent of Total Billed Charges,1490.5,,1640.27,92,,Percent of Total Billed Charges,1463.76,,1640.27,92,,Percent of Total Billed Charges,1435.23,,1640.27,92,,Percent of Total Billed Charges,1488.72,,1640.27,92,,Percent of Total Billed Charges,1342.52,,1640.27,92,,Percent of Total Billed Charges,1114.31,,1604.61,90,,Percent of Total Billed Charges,889.67,,1586.78,89,,Percent of Total Billed Charges,855.79,,1469.11,82.4,,Percent of Total Billed Charges,1465.54,,1486.94,83.4,,Percent of Total Billed Charges,1387.1,,1486.94,83.4,,Percent of Total Billed Charges,1249.81,,1486.94,83.4,,Percent of Total Billed Charges,1451.28,,1604.61,90,,Percent of Total Billed Charges,1510.12,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1640.27,92,,Percent of Total Billed Charges,1445.93,,1640.27,92,,Percent of Total Billed Charges,1326.48,,1640.27,92,,Percent of Total Billed Charges,1396.01,,1640.27,92,,Percent of Total Billed Charges,1445.93,,1390.66,78,,Percent of Total Billed Charges,1390.66,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,959.74,53.83,,Percent of Total Billed Charges,900.36,,617.6,34.64,,Percent of Total Billed Charges,615.1,,891.09,49.98,,Percent of Total Billed Charges,673.94,,617.60,1640.27,,																																							
HC SIMPLE REPAIR F/E/E/N/L/M 2.5CM/<,12011,CPT,,,,BOTH, , ,778.05,653.56,715.81,92,,Percent of Total Billed Charges,650.45,,715.81,92,,Percent of Total Billed Charges,638.78,,715.81,92,,Percent of Total Billed Charges,626.33,,715.81,92,,Percent of Total Billed Charges,649.67,,715.81,92,,Percent of Total Billed Charges,585.87,,715.81,92,,Percent of Total Billed Charges,486.28,,700.25,90,,Percent of Total Billed Charges,388.25,,692.46,89,,Percent of Total Billed Charges,373.46,,641.11,82.4,,Percent of Total Billed Charges,639.56,,648.89,83.4,,Percent of Total Billed Charges,605.32,,648.89,83.4,,Percent of Total Billed Charges,545.41,,648.89,83.4,,Percent of Total Billed Charges,633.33,,700.25,90,,Percent of Total Billed Charges,659.01,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,715.81,92,,Percent of Total Billed Charges,631,,715.81,92,,Percent of Total Billed Charges,578.87,,715.81,92,,Percent of Total Billed Charges,609.21,,715.81,92,,Percent of Total Billed Charges,631,,606.88,78,,Percent of Total Billed Charges,606.88,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,418.82,53.83,,Percent of Total Billed Charges,392.92,,269.52,34.64,,Percent of Total Billed Charges,268.43,,388.87,49.98,,Percent of Total Billed Charges,294.1,,269.52,715.81,,																																							
HC SIMPLE REPAIR F/E/E/N/L/M 2.6CM5.0 CM,12013,CPT,,,,BOTH, , ,887.25,745.29,816.27,92,,Percent of Total Billed Charges,741.74,,816.27,92,,Percent of Total Billed Charges,728.43,,816.27,92,,Percent of Total Billed Charges,714.24,,816.27,92,,Percent of Total Billed Charges,740.85,,816.27,92,,Percent of Total Billed Charges,668.1,,816.27,92,,Percent of Total Billed Charges,554.53,,798.53,90,,Percent of Total Billed Charges,442.74,,789.65,89,,Percent of Total Billed Charges,425.88,,731.09,82.4,,Percent of Total Billed Charges,729.32,,739.97,83.4,,Percent of Total Billed Charges,690.28,,739.97,83.4,,Percent of Total Billed Charges,621.96,,739.97,83.4,,Percent of Total Billed Charges,722.22,,798.53,90,,Percent of Total Billed Charges,751.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,816.27,92,,Percent of Total Billed Charges,719.56,,816.27,92,,Percent of Total Billed Charges,660.11,,816.27,92,,Percent of Total Billed Charges,694.72,,816.27,92,,Percent of Total Billed Charges,719.56,,692.06,78,,Percent of Total Billed Charges,692.06,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,477.61,53.83,,Percent of Total Billed Charges,448.06,,307.34,34.64,,Percent of Total Billed Charges,306.1,,443.45,49.98,,Percent of Total Billed Charges,335.38,,307.34,816.27,,																																							
HC SIMPLE REPAIR F/E/E/N/L/M 5.1CM7.5 CM,12014,CPT,,,,BOTH, , ,1141.35,958.73,1050.04,92,,Percent of Total Billed Charges,954.17,,1050.04,92,,Percent of Total Billed Charges,937.05,,1050.04,92,,Percent of Total Billed Charges,918.79,,1050.04,92,,Percent of Total Billed Charges,953.03,,1050.04,92,,Percent of Total Billed Charges,859.44,,1050.04,92,,Percent of Total Billed Charges,713.34,,1027.22,90,,Percent of Total Billed Charges,569.53,,1015.8,89,,Percent of Total Billed Charges,547.85,,940.47,82.4,,Percent of Total Billed Charges,938.19,,951.89,83.4,,Percent of Total Billed Charges,887.97,,951.89,83.4,,Percent of Total Billed Charges,800.09,,951.89,83.4,,Percent of Total Billed Charges,929.06,,1027.22,90,,Percent of Total Billed Charges,966.72,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1050.04,92,,Percent of Total Billed Charges,925.63,,1050.04,92,,Percent of Total Billed Charges,849.16,,1050.04,92,,Percent of Total Billed Charges,893.68,,1050.04,92,,Percent of Total Billed Charges,925.63,,890.25,78,,Percent of Total Billed Charges,890.25,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,614.39,53.83,,Percent of Total Billed Charges,576.38,,395.36,34.64,,Percent of Total Billed Charges,393.77,,570.45,49.98,,Percent of Total Billed Charges,431.43,,395.36,1050.04,,																																							
HC SIMPLE REPAIR F/E/E/N/L/M 7.6CM12.5 CM,12015,CPT,,,,BOTH, , ,143.85,120.83,132.34,92,,Percent of Total Billed Charges,120.26,,132.34,92,,Percent of Total Billed Charges,118.1,,132.34,92,,Percent of Total Billed Charges,115.8,,132.34,92,,Percent of Total Billed Charges,120.11,,132.34,92,,Percent of Total Billed Charges,108.32,,132.34,92,,Percent of Total Billed Charges,89.91,,129.47,90,,Percent of Total Billed Charges,71.78,,128.03,89,,Percent of Total Billed Charges,69.05,,118.53,82.4,,Percent of Total Billed Charges,118.24,,119.97,83.4,,Percent of Total Billed Charges,111.92,,119.97,83.4,,Percent of Total Billed Charges,100.84,,119.97,83.4,,Percent of Total Billed Charges,117.09,,129.47,90,,Percent of Total Billed Charges,121.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,132.34,92,,Percent of Total Billed Charges,116.66,,132.34,92,,Percent of Total Billed Charges,107.02,,132.34,92,,Percent of Total Billed Charges,112.63,,132.34,92,,Percent of Total Billed Charges,116.66,,112.2,78,,Percent of Total Billed Charges,112.2,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,77.43,53.83,,Percent of Total Billed Charges,72.64,,49.83,34.64,,Percent of Total Billed Charges,49.63,,71.9,49.98,,Percent of Total Billed Charges,54.38,,49.83,132.34,,																																							
HC INTMD RPR SCLP TRNK EXTM<2.6CM,12031,CPT,,,,BOTH, , ,812.7,682.67,747.68,92,,Percent of Total Billed Charges,679.42,,747.68,92,,Percent of Total Billed Charges,667.23,,747.68,92,,Percent of Total Billed Charges,654.22,,747.68,92,,Percent of Total Billed Charges,678.6,,747.68,92,,Percent of Total Billed Charges,611.96,,747.68,92,,Percent of Total Billed Charges,507.94,,731.43,90,,Percent of Total Billed Charges,405.54,,723.3,89,,Percent of Total Billed Charges,390.1,,669.66,82.4,,Percent of Total Billed Charges,668.04,,677.79,83.4,,Percent of Total Billed Charges,632.28,,677.79,83.4,,Percent of Total Billed Charges,569.7,,677.79,83.4,,Percent of Total Billed Charges,661.54,,731.43,90,,Percent of Total Billed Charges,688.36,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,747.68,92,,Percent of Total Billed Charges,659.1,,747.68,92,,Percent of Total Billed Charges,604.65,,747.68,92,,Percent of Total Billed Charges,636.34,,747.68,92,,Percent of Total Billed Charges,659.1,,633.91,78,,Percent of Total Billed Charges,633.91,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,437.48,53.83,,Percent of Total Billed Charges,410.41,,281.52,34.64,,Percent of Total Billed Charges,280.38,,406.19,49.98,,Percent of Total Billed Charges,307.2,,281.52,747.68,,																																							
HC INTMD RPR SCP TRK EXT 2.67.5CM,12032,CPT,,,,BOTH, , ,858.9,721.48,790.19,92,,Percent of Total Billed Charges,718.04,,790.19,92,,Percent of Total Billed Charges,705.16,,790.19,92,,Percent of Total Billed Charges,691.41,,790.19,92,,Percent of Total Billed Charges,717.18,,790.19,92,,Percent of Total Billed Charges,646.75,,790.19,92,,Percent of Total Billed Charges,536.81,,773.01,90,,Percent of Total Billed Charges,428.59,,764.42,89,,Percent of Total Billed Charges,412.27,,707.73,82.4,,Percent of Total Billed Charges,706.02,,716.32,83.4,,Percent of Total Billed Charges,668.22,,716.32,83.4,,Percent of Total Billed Charges,602.09,,716.32,83.4,,Percent of Total Billed Charges,699.14,,773.01,90,,Percent of Total Billed Charges,727.49,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,790.19,92,,Percent of Total Billed Charges,696.57,,790.19,92,,Percent of Total Billed Charges,639.02,,790.19,92,,Percent of Total Billed Charges,672.52,,790.19,92,,Percent of Total Billed Charges,696.57,,669.94,78,,Percent of Total Billed Charges,669.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,462.35,53.83,,Percent of Total Billed Charges,433.74,,297.52,34.64,,Percent of Total Billed Charges,296.32,,429.28,49.98,,Percent of Total Billed Charges,324.66,,297.52,790.19,,																																							
HC INTMD RPR S/TR/EXT 7.612.5,12034,CPT,,,,BOTH, , ,877.8,737.35,807.58,92,,Percent of Total Billed Charges,733.84,,807.58,92,,Percent of Total Billed Charges,720.67,,807.58,92,,Percent of Total Billed Charges,706.63,,807.58,92,,Percent of Total Billed Charges,732.96,,807.58,92,,Percent of Total Billed Charges,660.98,,807.58,92,,Percent of Total Billed Charges,548.63,,790.02,90,,Percent of Total Billed Charges,438.02,,781.24,89,,Percent of Total Billed Charges,421.34,,723.31,82.4,,Percent of Total Billed Charges,721.55,,732.09,83.4,,Percent of Total Billed Charges,682.93,,732.09,83.4,,Percent of Total Billed Charges,615.34,,732.09,83.4,,Percent of Total Billed Charges,714.53,,790.02,90,,Percent of Total Billed Charges,743.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,807.58,92,,Percent of Total Billed Charges,711.9,,807.58,92,,Percent of Total Billed Charges,653.08,,807.58,92,,Percent of Total Billed Charges,687.32,,807.58,92,,Percent of Total Billed Charges,711.9,,684.68,78,,Percent of Total Billed Charges,684.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,472.52,53.83,,Percent of Total Billed Charges,443.29,,304.07,34.64,,Percent of Total Billed Charges,302.84,,438.72,49.98,,Percent of Total Billed Charges,331.81,,304.07,807.58,,																																							
HC INTMD RPR S/A/T/EXT 12.620,12035,CPT,,,,BOTH, , ,952.35,799.97,876.16,92,,Percent of Total Billed Charges,796.16,,876.16,92,,Percent of Total Billed Charges,781.88,,876.16,92,,Percent of Total Billed Charges,766.64,,876.16,92,,Percent of Total Billed Charges,795.21,,876.16,92,,Percent of Total Billed Charges,717.12,,876.16,92,,Percent of Total Billed Charges,595.22,,857.12,90,,Percent of Total Billed Charges,475.22,,847.59,89,,Percent of Total Billed Charges,457.13,,784.74,82.4,,Percent of Total Billed Charges,782.83,,794.26,83.4,,Percent of Total Billed Charges,740.93,,794.26,83.4,,Percent of Total Billed Charges,667.6,,794.26,83.4,,Percent of Total Billed Charges,775.21,,857.12,90,,Percent of Total Billed Charges,806.64,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,876.16,92,,Percent of Total Billed Charges,772.36,,876.16,92,,Percent of Total Billed Charges,708.55,,876.16,92,,Percent of Total Billed Charges,745.69,,876.16,92,,Percent of Total Billed Charges,772.36,,742.83,78,,Percent of Total Billed Charges,742.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,512.65,53.83,,Percent of Total Billed Charges,480.94,,329.89,34.64,,Percent of Total Billed Charges,328.56,,475.98,49.98,,Percent of Total Billed Charges,359.99,,329.89,876.16,,																																							
HC INTMD RPR NHF/GENIT 2.5CM/<,12041,CPT,,,,BOTH, , ,824.25,692.37,758.31,92,,Percent of Total Billed Charges,689.07,,758.31,92,,Percent of Total Billed Charges,676.71,,758.31,92,,Percent of Total Billed Charges,663.52,,758.31,92,,Percent of Total Billed Charges,688.25,,758.31,92,,Percent of Total Billed Charges,620.66,,758.31,92,,Percent of Total Billed Charges,515.16,,741.83,90,,Percent of Total Billed Charges,411.3,,733.58,89,,Percent of Total Billed Charges,395.64,,679.18,82.4,,Percent of Total Billed Charges,677.53,,687.42,83.4,,Percent of Total Billed Charges,641.27,,687.42,83.4,,Percent of Total Billed Charges,577.8,,687.42,83.4,,Percent of Total Billed Charges,670.94,,741.83,90,,Percent of Total Billed Charges,698.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,758.31,92,,Percent of Total Billed Charges,668.47,,758.31,92,,Percent of Total Billed Charges,613.24,,758.31,92,,Percent of Total Billed Charges,645.39,,758.31,92,,Percent of Total Billed Charges,668.47,,642.92,78,,Percent of Total Billed Charges,642.92,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,443.69,53.83,,Percent of Total Billed Charges,416.25,,285.52,34.64,,Percent of Total Billed Charges,284.37,,411.96,49.98,,Percent of Total Billed Charges,311.57,,285.52,758.31,,																																							
INTMD RPR NHF/GENIT2.67.5,12042,CPT,,,,BOTH, , ,825.3,693.25,759.28,92,,Percent of Total Billed Charges,689.95,,759.28,92,,Percent of Total Billed Charges,677.57,,759.28,92,,Percent of Total Billed Charges,664.37,,759.28,92,,Percent of Total Billed Charges,689.13,,759.28,92,,Percent of Total Billed Charges,621.45,,759.28,92,,Percent of Total Billed Charges,515.81,,742.77,90,,Percent of Total Billed Charges,411.82,,734.52,89,,Percent of Total Billed Charges,396.14,,680.05,82.4,,Percent of Total Billed Charges,678.4,,688.3,83.4,,Percent of Total Billed Charges,642.08,,688.3,83.4,,Percent of Total Billed Charges,578.54,,688.3,83.4,,Percent of Total Billed Charges,671.79,,742.77,90,,Percent of Total Billed Charges,699.03,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,759.28,92,,Percent of Total Billed Charges,669.32,,759.28,92,,Percent of Total Billed Charges,614.02,,759.28,92,,Percent of Total Billed Charges,646.21,,759.28,92,,Percent of Total Billed Charges,669.32,,643.73,78,,Percent of Total Billed Charges,643.73,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,444.26,53.83,,Percent of Total Billed Charges,416.78,,285.88,34.64,,Percent of Total Billed Charges,284.73,,412.48,49.98,,Percent of Total Billed Charges,311.96,,285.88,759.28,,																																							
HC INTMD RPR NHF/GENIT7.612.5,12044,CPT,,,,BOTH, , ,896.7,753.23,824.96,92,,Percent of Total Billed Charges,749.64,,824.96,92,,Percent of Total Billed Charges,736.19,,824.96,92,,Percent of Total Billed Charges,721.84,,824.96,92,,Percent of Total Billed Charges,748.74,,824.96,92,,Percent of Total Billed Charges,675.22,,824.96,92,,Percent of Total Billed Charges,560.44,,807.03,90,,Percent of Total Billed Charges,447.45,,798.06,89,,Percent of Total Billed Charges,430.42,,738.88,82.4,,Percent of Total Billed Charges,737.09,,747.85,83.4,,Percent of Total Billed Charges,697.63,,747.85,83.4,,Percent of Total Billed Charges,628.59,,747.85,83.4,,Percent of Total Billed Charges,729.91,,807.03,90,,Percent of Total Billed Charges,759.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,824.96,92,,Percent of Total Billed Charges,727.22,,824.96,92,,Percent of Total Billed Charges,667.14,,824.96,92,,Percent of Total Billed Charges,702.12,,824.96,92,,Percent of Total Billed Charges,727.22,,699.43,78,,Percent of Total Billed Charges,699.43,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,482.69,53.83,,Percent of Total Billed Charges,452.83,,310.62,34.64,,Percent of Total Billed Charges,309.36,,448.17,49.98,,Percent of Total Billed Charges,338.95,,310.62,824.96,,																																							
HC INTMD RPR FACE/MM 2.5 CM/<,12051,CPT,,,,BOTH, , ,858.9,721.48,790.19,92,,Percent of Total Billed Charges,718.04,,790.19,92,,Percent of Total Billed Charges,705.16,,790.19,92,,Percent of Total Billed Charges,691.41,,790.19,92,,Percent of Total Billed Charges,717.18,,790.19,92,,Percent of Total Billed Charges,646.75,,790.19,92,,Percent of Total Billed Charges,536.81,,773.01,90,,Percent of Total Billed Charges,428.59,,764.42,89,,Percent of Total Billed Charges,412.27,,707.73,82.4,,Percent of Total Billed Charges,706.02,,716.32,83.4,,Percent of Total Billed Charges,668.22,,716.32,83.4,,Percent of Total Billed Charges,602.09,,716.32,83.4,,Percent of Total Billed Charges,699.14,,773.01,90,,Percent of Total Billed Charges,727.49,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,790.19,92,,Percent of Total Billed Charges,696.57,,790.19,92,,Percent of Total Billed Charges,639.02,,790.19,92,,Percent of Total Billed Charges,672.52,,790.19,92,,Percent of Total Billed Charges,696.57,,669.94,78,,Percent of Total Billed Charges,669.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,462.35,53.83,,Percent of Total Billed Charges,433.74,,297.52,34.64,,Percent of Total Billed Charges,296.32,,429.28,49.98,,Percent of Total Billed Charges,324.66,,297.52,790.19,,																																							
HC INTMD RPR FACE/MM 2.65.0 CM,12052,CPT,,,,BOTH, , ,926.1,777.92,852.01,92,,Percent of Total Billed Charges,774.22,,852.01,92,,Percent of Total Billed Charges,760.33,,852.01,92,,Percent of Total Billed Charges,745.51,,852.01,92,,Percent of Total Billed Charges,773.29,,852.01,92,,Percent of Total Billed Charges,697.35,,852.01,92,,Percent of Total Billed Charges,578.81,,833.49,90,,Percent of Total Billed Charges,462.12,,824.23,89,,Percent of Total Billed Charges,444.53,,763.11,82.4,,Percent of Total Billed Charges,761.25,,772.37,83.4,,Percent of Total Billed Charges,720.51,,772.37,83.4,,Percent of Total Billed Charges,649.2,,772.37,83.4,,Percent of Total Billed Charges,753.85,,833.49,90,,Percent of Total Billed Charges,784.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,852.01,92,,Percent of Total Billed Charges,751.07,,852.01,92,,Percent of Total Billed Charges,689.02,,852.01,92,,Percent of Total Billed Charges,725.14,,852.01,92,,Percent of Total Billed Charges,751.07,,722.36,78,,Percent of Total Billed Charges,722.36,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,498.52,53.83,,Percent of Total Billed Charges,467.68,,320.8,34.64,,Percent of Total Billed Charges,319.5,,462.86,49.98,,Percent of Total Billed Charges,350.07,,320.80,852.01,,																																							
HC INTMD RPR FACE/MM 5.17.5 CM,12053,CPT,,,,BOTH, , ,968.1,813.2,890.65,92,,Percent of Total Billed Charges,809.33,,890.65,92,,Percent of Total Billed Charges,794.81,,890.65,92,,Percent of Total Billed Charges,779.32,,890.65,92,,Percent of Total Billed Charges,808.36,,890.65,92,,Percent of Total Billed Charges,728.98,,890.65,92,,Percent of Total Billed Charges,605.06,,871.29,90,,Percent of Total Billed Charges,483.08,,861.61,89,,Percent of Total Billed Charges,464.69,,797.71,82.4,,Percent of Total Billed Charges,795.78,,807.4,83.4,,Percent of Total Billed Charges,753.18,,807.4,83.4,,Percent of Total Billed Charges,678.64,,807.4,83.4,,Percent of Total Billed Charges,788.03,,871.29,90,,Percent of Total Billed Charges,819.98,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,890.65,92,,Percent of Total Billed Charges,785.13,,890.65,92,,Percent of Total Billed Charges,720.27,,890.65,92,,Percent of Total Billed Charges,758.02,,890.65,92,,Percent of Total Billed Charges,785.13,,755.12,78,,Percent of Total Billed Charges,755.12,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,521.13,53.83,,Percent of Total Billed Charges,488.89,,335.35,34.64,,Percent of Total Billed Charges,333.99,,483.86,49.98,,Percent of Total Billed Charges,365.94,,335.35,890.65,,																																							
HC INTMD RPR FACE/MM 12.620 CM,12055,CPT,,,,BOTH, , ,1370.25,1151.01,1260.63,92,,Percent of Total Billed Charges,1145.53,,1260.63,92,,Percent of Total Billed Charges,1124.98,,1260.63,92,,Percent of Total Billed Charges,1103.05,,1260.63,92,,Percent of Total Billed Charges,1144.16,,1260.63,92,,Percent of Total Billed Charges,1031.8,,1260.63,92,,Percent of Total Billed Charges,856.41,,1233.23,90,,Percent of Total Billed Charges,683.75,,1219.52,89,,Percent of Total Billed Charges,657.72,,1129.09,82.4,,Percent of Total Billed Charges,1126.35,,1142.79,83.4,,Percent of Total Billed Charges,1066.05,,1142.79,83.4,,Percent of Total Billed Charges,960.55,,1142.79,83.4,,Percent of Total Billed Charges,1115.38,,1233.23,90,,Percent of Total Billed Charges,1160.6,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1260.63,92,,Percent of Total Billed Charges,1111.27,,1260.63,92,,Percent of Total Billed Charges,1019.47,,1260.63,92,,Percent of Total Billed Charges,1072.91,,1260.63,92,,Percent of Total Billed Charges,1111.27,,1068.8,78,,Percent of Total Billed Charges,1068.8,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,737.61,53.83,,Percent of Total Billed Charges,691.98,,474.65,34.64,,Percent of Total Billed Charges,472.74,,684.85,49.98,,Percent of Total Billed Charges,517.95,,474.65,1260.63,,																																							
HC CMPLX RPR S/A/L 1.12.5 CM,13120,CPT,,,,BOTH, , ,896.7,753.23,824.96,92,,Percent of Total Billed Charges,749.64,,824.96,92,,Percent of Total Billed Charges,736.19,,824.96,92,,Percent of Total Billed Charges,721.84,,824.96,92,,Percent of Total Billed Charges,748.74,,824.96,92,,Percent of Total Billed Charges,675.22,,824.96,92,,Percent of Total Billed Charges,560.44,,807.03,90,,Percent of Total Billed Charges,447.45,,798.06,89,,Percent of Total Billed Charges,430.42,,738.88,82.4,,Percent of Total Billed Charges,737.09,,747.85,83.4,,Percent of Total Billed Charges,697.63,,747.85,83.4,,Percent of Total Billed Charges,628.59,,747.85,83.4,,Percent of Total Billed Charges,729.91,,807.03,90,,Percent of Total Billed Charges,759.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,824.96,92,,Percent of Total Billed Charges,727.22,,824.96,92,,Percent of Total Billed Charges,667.14,,824.96,92,,Percent of Total Billed Charges,702.12,,824.96,92,,Percent of Total Billed Charges,727.22,,699.43,78,,Percent of Total Billed Charges,699.43,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,482.69,53.83,,Percent of Total Billed Charges,452.83,,310.62,34.64,,Percent of Total Billed Charges,309.36,,448.17,49.98,,Percent of Total Billed Charges,338.95,,310.62,824.96,,																																							
HC CMPLX RPR S/A/L 2.67.5 CM,13121,CPT,,,,BOTH, , ,2208.15,1854.85,2031.5,92,,Percent of Total Billed Charges,1846.01,,2031.5,92,,Percent of Total Billed Charges,1812.89,,2031.5,92,,Percent of Total Billed Charges,1777.56,,2031.5,92,,Percent of Total Billed Charges,1843.81,,2031.5,92,,Percent of Total Billed Charges,1662.74,,2031.5,92,,Percent of Total Billed Charges,1380.09,,1987.34,90,,Percent of Total Billed Charges,1101.87,,1965.25,89,,Percent of Total Billed Charges,1059.91,,1819.52,82.4,,Percent of Total Billed Charges,1815.1,,1841.6,83.4,,Percent of Total Billed Charges,1717.94,,1841.6,83.4,,Percent of Total Billed Charges,1547.91,,1841.6,83.4,,Percent of Total Billed Charges,1797.43,,1987.34,90,,Percent of Total Billed Charges,1870.3,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2031.5,92,,Percent of Total Billed Charges,1790.81,,2031.5,92,,Percent of Total Billed Charges,1642.86,,2031.5,92,,Percent of Total Billed Charges,1728.98,,2031.5,92,,Percent of Total Billed Charges,1790.81,,1722.36,78,,Percent of Total Billed Charges,1722.36,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1188.65,53.83,,Percent of Total Billed Charges,1115.12,,764.9,34.64,,Percent of Total Billed Charges,761.81,,1103.63,49.98,,Percent of Total Billed Charges,834.68,,764.90,2031.5,,																																							
HC CMPLX RPR F/C/C/M/ X/G/H/F 1.1 TO 2.5CM,13131,CPT,,,,BOTH, , ,1940.4,1629.94,1785.17,92,,Percent of Total Billed Charges,1622.17,,1785.17,92,,Percent of Total Billed Charges,1593.07,,1785.17,92,,Percent of Total Billed Charges,1562.02,,1785.17,92,,Percent of Total Billed Charges,1620.23,,1785.17,92,,Percent of Total Billed Charges,1461.12,,1785.17,92,,Percent of Total Billed Charges,1212.75,,1746.36,90,,Percent of Total Billed Charges,968.26,,1726.96,89,,Percent of Total Billed Charges,931.39,,1598.89,82.4,,Percent of Total Billed Charges,1595.01,,1618.29,83.4,,Percent of Total Billed Charges,1509.63,,1618.29,83.4,,Percent of Total Billed Charges,1360.22,,1618.29,83.4,,Percent of Total Billed Charges,1579.49,,1746.36,90,,Percent of Total Billed Charges,1643.52,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1785.17,92,,Percent of Total Billed Charges,1573.66,,1785.17,92,,Percent of Total Billed Charges,1443.66,,1785.17,92,,Percent of Total Billed Charges,1519.33,,1785.17,92,,Percent of Total Billed Charges,1573.66,,1513.51,78,,Percent of Total Billed Charges,1513.51,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1044.52,53.83,,Percent of Total Billed Charges,979.9,,672.15,34.64,,Percent of Total Billed Charges,669.44,,969.81,49.98,,Percent of Total Billed Charges,733.47,,672.15,1785.17,,																																							
HC CMPLX RPR F/C/C/M/ X/G/H/F 2.6 TO 7.5CM,13132,CPT,,,,BOTH, , ,1940.4,1629.94,1785.17,92,,Percent of Total Billed Charges,1622.17,,1785.17,92,,Percent of Total Billed Charges,1593.07,,1785.17,92,,Percent of Total Billed Charges,1562.02,,1785.17,92,,Percent of Total Billed Charges,1620.23,,1785.17,92,,Percent of Total Billed Charges,1461.12,,1785.17,92,,Percent of Total Billed Charges,1212.75,,1746.36,90,,Percent of Total Billed Charges,968.26,,1726.96,89,,Percent of Total Billed Charges,931.39,,1598.89,82.4,,Percent of Total Billed Charges,1595.01,,1618.29,83.4,,Percent of Total Billed Charges,1509.63,,1618.29,83.4,,Percent of Total Billed Charges,1360.22,,1618.29,83.4,,Percent of Total Billed Charges,1579.49,,1746.36,90,,Percent of Total Billed Charges,1643.52,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1785.17,92,,Percent of Total Billed Charges,1573.66,,1785.17,92,,Percent of Total Billed Charges,1443.66,,1785.17,92,,Percent of Total Billed Charges,1519.33,,1785.17,92,,Percent of Total Billed Charges,1573.66,,1513.51,78,,Percent of Total Billed Charges,1513.51,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1044.52,53.83,,Percent of Total Billed Charges,979.9,,672.15,34.64,,Percent of Total Billed Charges,669.44,,969.81,49.98,,Percent of Total Billed Charges,733.47,,672.15,1785.17,,																																							
HC TIS TRNFR F/C/C/M/ /G/H/F UP TO 10SQ CM,14040,CPT,,,,BOTH, , ,4243.05,3564.16,3903.61,92,,Percent of Total Billed Charges,3547.19,,3903.61,92,,Percent of Total Billed Charges,3483.54,,3903.61,92,,Percent of Total Billed Charges,3415.66,,3903.61,92,,Percent of Total Billed Charges,3542.95,,3903.61,92,,Percent of Total Billed Charges,3195.02,,3903.61,92,,Percent of Total Billed Charges,2651.91,,3818.75,90,,Percent of Total Billed Charges,2117.28,,3776.31,89,,Percent of Total Billed Charges,2036.66,,3496.27,82.4,,Percent of Total Billed Charges,3487.79,,3538.7,83.4,,Percent of Total Billed Charges,3301.09,,3538.7,83.4,,Percent of Total Billed Charges,2974.38,,3538.7,83.4,,Percent of Total Billed Charges,3453.84,,3818.75,90,,Percent of Total Billed Charges,3593.86,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3903.61,92,,Percent of Total Billed Charges,3441.11,,3903.61,92,,Percent of Total Billed Charges,3156.83,,3903.61,92,,Percent of Total Billed Charges,3322.31,,3903.61,92,,Percent of Total Billed Charges,3441.11,,3309.58,78,,Percent of Total Billed Charges,3309.58,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2284.03,53.83,,Percent of Total Billed Charges,2142.74,,1469.79,34.64,,Percent of Total Billed Charges,1463.85,,2120.68,49.98,,Percent of Total Billed Charges,1603.87,,1469.79,3903.61,,																																							
HC BURN 1ST DEGR NO DSG/DEBRIDEMT TE,16000,CPT,,,,BOTH, , ,666.75,560.07,613.41,92,,Percent of Total Billed Charges,557.4,,613.41,92,,Percent of Total Billed Charges,547.4,,613.41,92,,Percent of Total Billed Charges,536.73,,613.41,92,,Percent of Total Billed Charges,556.74,,613.41,92,,Percent of Total Billed Charges,502.06,,613.41,92,,Percent of Total Billed Charges,416.72,,600.08,90,,Percent of Total Billed Charges,332.71,,593.41,89,,Percent of Total Billed Charges,320.04,,549.4,82.4,,Percent of Total Billed Charges,548.07,,556.07,83.4,,Percent of Total Billed Charges,518.73,,556.07,83.4,,Percent of Total Billed Charges,467.39,,556.07,83.4,,Percent of Total Billed Charges,542.73,,600.08,90,,Percent of Total Billed Charges,564.74,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,613.41,92,,Percent of Total Billed Charges,540.73,,613.41,92,,Percent of Total Billed Charges,496.06,,613.41,92,,Percent of Total Billed Charges,522.07,,613.41,92,,Percent of Total Billed Charges,540.73,,520.07,78,,Percent of Total Billed Charges,520.07,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,358.91,53.83,,Percent of Total Billed Charges,336.71,,230.96,34.64,,Percent of Total Billed Charges,230.03,,333.24,49.98,,Percent of Total Billed Charges,252.03,,230.96,613.41,,																																							
HC DRESS/DEBRIDE P THICK BURN S <5% TOTAL BODY AREA,16020,CPT,,,,BOTH, , ,833.7,700.31,767,92,,Percent of Total Billed Charges,696.97,,767,92,,Percent of Total Billed Charges,684.47,,767,92,,Percent of Total Billed Charges,671.13,,767,92,,Percent of Total Billed Charges,696.14,,767,92,,Percent of Total Billed Charges,627.78,,767,92,,Percent of Total Billed Charges,521.06,,750.33,90,,Percent of Total Billed Charges,416.02,,741.99,89,,Percent of Total Billed Charges,400.18,,686.97,82.4,,Percent of Total Billed Charges,685.3,,695.31,83.4,,Percent of Total Billed Charges,648.62,,695.31,83.4,,Percent of Total Billed Charges,584.42,,695.31,83.4,,Percent of Total Billed Charges,678.63,,750.33,90,,Percent of Total Billed Charges,706.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,767,92,,Percent of Total Billed Charges,676.13,,767,92,,Percent of Total Billed Charges,620.27,,767,92,,Percent of Total Billed Charges,652.79,,767,92,,Percent of Total Billed Charges,676.13,,650.29,78,,Percent of Total Billed Charges,650.29,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,448.78,53.83,,Percent of Total Billed Charges,421.02,,288.79,34.64,,Percent of Total Billed Charges,287.63,,416.68,49.98,,Percent of Total Billed Charges,315.14,,288.79,767,,																																							
HC DRESS/DEBRIDE P THICK BURN M,16025,CPT,,,,BOTH, , ,1185.45,995.78,1090.61,92,,Percent of Total Billed Charges,991.04,,1090.61,92,,Percent of Total Billed Charges,973.25,,1090.61,92,,Percent of Total Billed Charges,954.29,,1090.61,92,,Percent of Total Billed Charges,989.85,,1090.61,92,,Percent of Total Billed Charges,892.64,,1090.61,92,,Percent of Total Billed Charges,740.91,,1066.91,90,,Percent of Total Billed Charges,591.54,,1055.05,89,,Percent of Total Billed Charges,569.02,,976.81,82.4,,Percent of Total Billed Charges,974.44,,988.67,83.4,,Percent of Total Billed Charges,922.28,,988.67,83.4,,Percent of Total Billed Charges,831,,988.67,83.4,,Percent of Total Billed Charges,964.96,,1066.91,90,,Percent of Total Billed Charges,1004.08,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1090.61,92,,Percent of Total Billed Charges,961.4,,1090.61,92,,Percent of Total Billed Charges,881.97,,1090.61,92,,Percent of Total Billed Charges,928.21,,1090.61,92,,Percent of Total Billed Charges,961.4,,924.65,78,,Percent of Total Billed Charges,924.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,638.13,53.83,,Percent of Total Billed Charges,598.65,,410.64,34.64,,Percent of Total Billed Charges,408.98,,592.49,49.98,,Percent of Total Billed Charges,448.1,,410.64,1090.61,,																																							
HC DRESS/DEBRIDE P THICK BURN L,16030,CPT,,,,BOTH, , ,1056.3,887.29,971.8,92,,Percent of Total Billed Charges,883.07,,971.8,92,,Percent of Total Billed Charges,867.22,,971.8,92,,Percent of Total Billed Charges,850.32,,971.8,92,,Percent of Total Billed Charges,882.01,,971.8,92,,Percent of Total Billed Charges,795.39,,971.8,92,,Percent of Total Billed Charges,660.19,,950.67,90,,Percent of Total Billed Charges,527.09,,940.11,89,,Percent of Total Billed Charges,507.02,,870.39,82.4,,Percent of Total Billed Charges,868.28,,880.95,83.4,,Percent of Total Billed Charges,821.8,,880.95,83.4,,Percent of Total Billed Charges,740.47,,880.95,83.4,,Percent of Total Billed Charges,859.83,,950.67,90,,Percent of Total Billed Charges,894.69,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,971.8,92,,Percent of Total Billed Charges,856.66,,971.8,92,,Percent of Total Billed Charges,785.89,,971.8,92,,Percent of Total Billed Charges,827.08,,971.8,92,,Percent of Total Billed Charges,856.66,,823.91,78,,Percent of Total Billed Charges,823.91,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,568.61,53.83,,Percent of Total Billed Charges,533.43,,365.9,34.64,,Percent of Total Billed Charges,364.42,,527.94,49.98,,Percent of Total Billed Charges,399.28,,365.90,971.8,,																																							
HC EXPLORE WOUND EXTREMITY,20103,CPT,,,,BOTH, , ,364.35,306.05,335.2,92,,Percent of Total Billed Charges,304.6,,335.2,92,,Percent of Total Billed Charges,299.13,,335.2,92,,Percent of Total Billed Charges,293.3,,335.2,92,,Percent of Total Billed Charges,304.23,,335.2,92,,Percent of Total Billed Charges,274.36,,335.2,92,,Percent of Total Billed Charges,227.72,,327.92,90,,Percent of Total Billed Charges,181.81,,324.27,89,,Percent of Total Billed Charges,174.89,,300.22,82.4,,Percent of Total Billed Charges,299.5,,303.87,83.4,,Percent of Total Billed Charges,283.46,,303.87,83.4,,Percent of Total Billed Charges,255.41,,303.87,83.4,,Percent of Total Billed Charges,296.58,,327.92,90,,Percent of Total Billed Charges,308.6,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,335.2,92,,Percent of Total Billed Charges,295.49,,335.2,92,,Percent of Total Billed Charges,271.08,,335.2,92,,Percent of Total Billed Charges,285.29,,335.2,92,,Percent of Total Billed Charges,295.49,,284.19,78,,Percent of Total Billed Charges,284.19,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,196.13,53.83,,Percent of Total Billed Charges,184,,126.21,34.64,,Percent of Total Billed Charges,125.7,,182.1,49.98,,Percent of Total Billed Charges,137.72,,126.21,335.2,,																																							
HC INJ TENDON SHEATH/LIGAMENT,20550,CPT,,,,BOTH, , ,989.1,830.84,909.97,92,,Percent of Total Billed Charges,826.89,,909.97,92,,Percent of Total Billed Charges,812.05,,909.97,92,,Percent of Total Billed Charges,796.23,,909.97,92,,Percent of Total Billed Charges,825.9,,909.97,92,,Percent of Total Billed Charges,744.79,,909.97,92,,Percent of Total Billed Charges,618.19,,890.19,90,,Percent of Total Billed Charges,493.56,,880.3,89,,Percent of Total Billed Charges,474.77,,815.02,82.4,,Percent of Total Billed Charges,813.04,,824.91,83.4,,Percent of Total Billed Charges,769.52,,824.91,83.4,,Percent of Total Billed Charges,693.36,,824.91,83.4,,Percent of Total Billed Charges,805.13,,890.19,90,,Percent of Total Billed Charges,837.77,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,909.97,92,,Percent of Total Billed Charges,802.16,,909.97,92,,Percent of Total Billed Charges,735.89,,909.97,92,,Percent of Total Billed Charges,774.47,,909.97,92,,Percent of Total Billed Charges,802.16,,771.5,78,,Percent of Total Billed Charges,771.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,532.43,53.83,,Percent of Total Billed Charges,499.5,,342.62,34.64,,Percent of Total Billed Charges,341.24,,494.35,49.98,,Percent of Total Billed Charges,373.88,,342.62,909.97,,																																							
HC INJ TRIGGER POINT 1/2 MUSCL,20552,CPT,,,,BOTH, , ,981.75,824.67,903.21,92,,Percent of Total Billed Charges,820.74,,903.21,92,,Percent of Total Billed Charges,806.02,,903.21,92,,Percent of Total Billed Charges,790.31,,903.21,92,,Percent of Total Billed Charges,819.76,,903.21,92,,Percent of Total Billed Charges,739.26,,903.21,92,,Percent of Total Billed Charges,613.59,,883.58,90,,Percent of Total Billed Charges,489.89,,873.76,89,,Percent of Total Billed Charges,471.24,,808.96,82.4,,Percent of Total Billed Charges,807,,818.78,83.4,,Percent of Total Billed Charges,763.8,,818.78,83.4,,Percent of Total Billed Charges,688.21,,818.78,83.4,,Percent of Total Billed Charges,799.14,,883.58,90,,Percent of Total Billed Charges,831.54,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,903.21,92,,Percent of Total Billed Charges,796.2,,903.21,92,,Percent of Total Billed Charges,730.42,,903.21,92,,Percent of Total Billed Charges,768.71,,903.21,92,,Percent of Total Billed Charges,796.2,,765.77,78,,Percent of Total Billed Charges,765.77,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,528.48,53.83,,Percent of Total Billed Charges,495.78,,340.08,34.64,,Percent of Total Billed Charges,338.7,,490.68,49.98,,Percent of Total Billed Charges,371.1,,340.08,903.21,,																																							
HC DRAIN/INJ SMALL JOINT/BURSA W/O US,20600,CPT,,,,BOTH, , ,1146.6,963.14,1054.87,92,,Percent of Total Billed Charges,958.56,,1054.87,92,,Percent of Total Billed Charges,941.36,,1054.87,92,,Percent of Total Billed Charges,923.01,,1054.87,92,,Percent of Total Billed Charges,957.41,,1054.87,92,,Percent of Total Billed Charges,863.39,,1054.87,92,,Percent of Total Billed Charges,716.63,,1031.94,90,,Percent of Total Billed Charges,572.15,,1020.47,89,,Percent of Total Billed Charges,550.37,,944.8,82.4,,Percent of Total Billed Charges,942.51,,956.26,83.4,,Percent of Total Billed Charges,892.05,,956.26,83.4,,Percent of Total Billed Charges,803.77,,956.26,83.4,,Percent of Total Billed Charges,933.33,,1031.94,90,,Percent of Total Billed Charges,971.17,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1054.87,92,,Percent of Total Billed Charges,929.89,,1054.87,92,,Percent of Total Billed Charges,853.07,,1054.87,92,,Percent of Total Billed Charges,897.79,,1054.87,92,,Percent of Total Billed Charges,929.89,,894.35,78,,Percent of Total Billed Charges,894.35,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,617.21,53.83,,Percent of Total Billed Charges,579.03,,397.18,34.64,,Percent of Total Billed Charges,395.58,,573.07,49.98,,Percent of Total Billed Charges,433.41,,397.18,1054.87,,																																							
HC DRAIN/INJ INTERMEDIATE JOINT/BURSA W/O US,20605,CPT,,,,BOTH, , ,1181.25,992.25,1086.75,92,,Percent of Total Billed Charges,987.53,,1086.75,92,,Percent of Total Billed Charges,969.81,,1086.75,92,,Percent of Total Billed Charges,950.91,,1086.75,92,,Percent of Total Billed Charges,986.34,,1086.75,92,,Percent of Total Billed Charges,889.48,,1086.75,92,,Percent of Total Billed Charges,738.28,,1063.13,90,,Percent of Total Billed Charges,589.44,,1051.31,89,,Percent of Total Billed Charges,567,,973.35,82.4,,Percent of Total Billed Charges,970.99,,985.16,83.4,,Percent of Total Billed Charges,919.01,,985.16,83.4,,Percent of Total Billed Charges,828.06,,985.16,83.4,,Percent of Total Billed Charges,961.54,,1063.13,90,,Percent of Total Billed Charges,1000.52,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1086.75,92,,Percent of Total Billed Charges,957.99,,1086.75,92,,Percent of Total Billed Charges,878.85,,1086.75,92,,Percent of Total Billed Charges,924.92,,1086.75,92,,Percent of Total Billed Charges,957.99,,921.38,78,,Percent of Total Billed Charges,921.38,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,635.87,53.83,,Percent of Total Billed Charges,596.53,,409.19,34.64,,Percent of Total Billed Charges,407.53,,590.39,49.98,,Percent of Total Billed Charges,446.51,,409.19,1086.75,,																																							
HC DRAIN/INJ MAJOR JOINT/BURSA W/O US,20610,CPT,,,,BOTH, , ,1372.35,1152.77,1262.56,92,,Percent of Total Billed Charges,1147.28,,1262.56,92,,Percent of Total Billed Charges,1126.7,,1262.56,92,,Percent of Total Billed Charges,1104.74,,1262.56,92,,Percent of Total Billed Charges,1145.91,,1262.56,92,,Percent of Total Billed Charges,1033.38,,1262.56,92,,Percent of Total Billed Charges,857.72,,1235.12,90,,Percent of Total Billed Charges,684.8,,1221.39,89,,Percent of Total Billed Charges,658.73,,1130.82,82.4,,Percent of Total Billed Charges,1128.07,,1144.54,83.4,,Percent of Total Billed Charges,1067.69,,1144.54,83.4,,Percent of Total Billed Charges,962.02,,1144.54,83.4,,Percent of Total Billed Charges,1117.09,,1235.12,90,,Percent of Total Billed Charges,1162.38,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1262.56,92,,Percent of Total Billed Charges,1112.98,,1262.56,92,,Percent of Total Billed Charges,1021.03,,1262.56,92,,Percent of Total Billed Charges,1074.55,,1262.56,92,,Percent of Total Billed Charges,1112.98,,1070.43,78,,Percent of Total Billed Charges,1070.43,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,738.74,53.83,,Percent of Total Billed Charges,693.04,,475.38,34.64,,Percent of Total Billed Charges,473.46,,685.9,49.98,,Percent of Total Billed Charges,518.75,,475.38,1262.56,,																																							
HC CLOSED TX NOSE FX W/O STABLJ,21315,CPT,,,,BOTH, , ,4269.3,3586.21,3927.76,92,,Percent of Total Billed Charges,3569.13,,3927.76,92,,Percent of Total Billed Charges,3505.1,,3927.76,92,,Percent of Total Billed Charges,3436.79,,3927.76,92,,Percent of Total Billed Charges,3564.87,,3927.76,92,,Percent of Total Billed Charges,3214.78,,3927.76,92,,Percent of Total Billed Charges,2668.31,,3842.37,90,,Percent of Total Billed Charges,2130.38,,3799.68,89,,Percent of Total Billed Charges,2049.26,,3517.9,82.4,,Percent of Total Billed Charges,3509.36,,3560.6,83.4,,Percent of Total Billed Charges,3321.52,,3560.6,83.4,,Percent of Total Billed Charges,2992.78,,3560.6,83.4,,Percent of Total Billed Charges,3475.21,,3842.37,90,,Percent of Total Billed Charges,3616.1,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3927.76,92,,Percent of Total Billed Charges,3462.4,,3927.76,92,,Percent of Total Billed Charges,3176.36,,3927.76,92,,Percent of Total Billed Charges,3342.86,,3927.76,92,,Percent of Total Billed Charges,3462.4,,3330.05,78,,Percent of Total Billed Charges,3330.05,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2298.16,53.83,,Percent of Total Billed Charges,2156,,1478.89,34.64,,Percent of Total Billed Charges,1472.91,,2133.8,49.98,,Percent of Total Billed Charges,1613.8,,1478.89,3927.76,,																																							
HC CLOSED TREATMENT NASAL SEPTAL FX W / WO STABLJ,21337,CPT,,,,BOTH, , ,6756.75,5675.67,6216.21,92,,Percent of Total Billed Charges,5648.64,,6216.21,92,,Percent of Total Billed Charges,5547.29,,6216.21,92,,Percent of Total Billed Charges,5439.18,,6216.21,92,,Percent of Total Billed Charges,5641.89,,6216.21,92,,Percent of Total Billed Charges,5087.83,,6216.21,92,,Percent of Total Billed Charges,4222.97,,6081.08,90,,Percent of Total Billed Charges,3371.62,,6013.51,89,,Percent of Total Billed Charges,3243.24,,5567.56,82.4,,Percent of Total Billed Charges,5554.05,,5635.13,83.4,,Percent of Total Billed Charges,5256.75,,5635.13,83.4,,Percent of Total Billed Charges,4736.48,,5635.13,83.4,,Percent of Total Billed Charges,5499.99,,6081.08,90,,Percent of Total Billed Charges,5722.97,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6216.21,92,,Percent of Total Billed Charges,5479.72,,6216.21,92,,Percent of Total Billed Charges,5027.02,,6216.21,92,,Percent of Total Billed Charges,5290.54,,6216.21,92,,Percent of Total Billed Charges,5479.72,,5270.27,78,,Percent of Total Billed Charges,5270.27,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3637.16,53.83,,Percent of Total Billed Charges,3412.16,,2340.54,34.64,,Percent of Total Billed Charges,2331.08,,3377.02,49.98,,Percent of Total Billed Charges,2554.05,,2340.54,6216.21,,																																							
HC CLOSED TX ORBIT W/O MANIPULJ,21400,CPT,,,,BOTH, , ,2852.85,2396.39,2624.62,92,,Percent of Total Billed Charges,2384.98,,2624.62,92,,Percent of Total Billed Charges,2342.19,,2624.62,92,,Percent of Total Billed Charges,2296.54,,2624.62,92,,Percent of Total Billed Charges,2382.13,,2624.62,92,,Percent of Total Billed Charges,2148.2,,2624.62,92,,Percent of Total Billed Charges,1783.03,,2567.57,90,,Percent of Total Billed Charges,1423.57,,2539.04,89,,Percent of Total Billed Charges,1369.37,,2350.75,82.4,,Percent of Total Billed Charges,2345.04,,2379.28,83.4,,Percent of Total Billed Charges,2219.52,,2379.28,83.4,,Percent of Total Billed Charges,1999.85,,2379.28,83.4,,Percent of Total Billed Charges,2322.22,,2567.57,90,,Percent of Total Billed Charges,2416.36,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2624.62,92,,Percent of Total Billed Charges,2313.66,,2624.62,92,,Percent of Total Billed Charges,2122.52,,2624.62,92,,Percent of Total Billed Charges,2233.78,,2624.62,92,,Percent of Total Billed Charges,2313.66,,2225.22,78,,Percent of Total Billed Charges,2225.22,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1535.69,53.83,,Percent of Total Billed Charges,1440.69,,988.23,34.64,,Percent of Total Billed Charges,984.23,,1425.85,49.98,,Percent of Total Billed Charges,1078.38,,988.23,2624.62,,																																							
HC TREAT LOWER JAW FRACTURE,21451,CPT,,,,BOTH, , ,2942.1,2471.36,2706.73,92,,Percent of Total Billed Charges,2459.6,,2706.73,92,,Percent of Total Billed Charges,2415.46,,2706.73,92,,Percent of Total Billed Charges,2368.39,,2706.73,92,,Percent of Total Billed Charges,2456.65,,2706.73,92,,Percent of Total Billed Charges,2215.4,,2706.73,92,,Percent of Total Billed Charges,1838.81,,2647.89,90,,Percent of Total Billed Charges,1468.11,,2618.47,89,,Percent of Total Billed Charges,1412.21,,2424.29,82.4,,Percent of Total Billed Charges,2418.41,,2453.71,83.4,,Percent of Total Billed Charges,2288.95,,2453.71,83.4,,Percent of Total Billed Charges,2062.41,,2453.71,83.4,,Percent of Total Billed Charges,2394.87,,2647.89,90,,Percent of Total Billed Charges,2491.96,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2706.73,92,,Percent of Total Billed Charges,2386.04,,2706.73,92,,Percent of Total Billed Charges,2188.92,,2706.73,92,,Percent of Total Billed Charges,2303.66,,2706.73,92,,Percent of Total Billed Charges,2386.04,,2294.84,78,,Percent of Total Billed Charges,2294.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1583.73,53.83,,Percent of Total Billed Charges,1485.76,,1019.14,34.64,,Percent of Total Billed Charges,1015.02,,1470.46,49.98,,Percent of Total Billed Charges,1112.11,,1019.14,2706.73,,																																							
HC RESET DISLOCATED JAW,21480,CPT,,,,BOTH, , ,645.75,542.43,594.09,92,,Percent of Total Billed Charges,539.85,,594.09,92,,Percent of Total Billed Charges,530.16,,594.09,92,,Percent of Total Billed Charges,519.83,,594.09,92,,Percent of Total Billed Charges,539.2,,594.09,92,,Percent of Total Billed Charges,486.25,,594.09,92,,Percent of Total Billed Charges,403.59,,581.18,90,,Percent of Total Billed Charges,322.23,,574.72,89,,Percent of Total Billed Charges,309.96,,532.1,82.4,,Percent of Total Billed Charges,530.81,,538.56,83.4,,Percent of Total Billed Charges,502.39,,538.56,83.4,,Percent of Total Billed Charges,452.67,,538.56,83.4,,Percent of Total Billed Charges,525.64,,581.18,90,,Percent of Total Billed Charges,546.95,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,594.09,92,,Percent of Total Billed Charges,523.7,,594.09,92,,Percent of Total Billed Charges,480.44,,594.09,92,,Percent of Total Billed Charges,505.62,,594.09,92,,Percent of Total Billed Charges,523.7,,503.69,78,,Percent of Total Billed Charges,503.69,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,347.61,53.83,,Percent of Total Billed Charges,326.1,,223.69,34.64,,Percent of Total Billed Charges,222.78,,322.75,49.98,,Percent of Total Billed Charges,244.09,,223.69,594.09,,																																							
HC TREATMENT CLAVICLE WO MANIP,23500,CPT,,,,BOTH, , ,984.9,827.32,906.11,92,,Percent of Total Billed Charges,823.38,,906.11,92,,Percent of Total Billed Charges,808.6,,906.11,92,,Percent of Total Billed Charges,792.84,,906.11,92,,Percent of Total Billed Charges,822.39,,906.11,92,,Percent of Total Billed Charges,741.63,,906.11,92,,Percent of Total Billed Charges,615.56,,886.41,90,,Percent of Total Billed Charges,491.47,,876.56,89,,Percent of Total Billed Charges,472.75,,811.56,82.4,,Percent of Total Billed Charges,809.59,,821.41,83.4,,Percent of Total Billed Charges,766.25,,821.41,83.4,,Percent of Total Billed Charges,690.41,,821.41,83.4,,Percent of Total Billed Charges,801.71,,886.41,90,,Percent of Total Billed Charges,834.21,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,906.11,92,,Percent of Total Billed Charges,798.75,,906.11,92,,Percent of Total Billed Charges,732.77,,906.11,92,,Percent of Total Billed Charges,771.18,,906.11,92,,Percent of Total Billed Charges,798.75,,768.22,78,,Percent of Total Billed Charges,768.22,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,530.17,53.83,,Percent of Total Billed Charges,497.37,,341.17,34.64,,Percent of Total Billed Charges,339.79,,492.25,49.98,,Percent of Total Billed Charges,372.29,,341.17,906.11,,																																							
HC TREATMENT CLAVICLE W MANIP,23505,CPT,,,,BOTH, , ,4611.6,3873.74,4242.67,92,,Percent of Total Billed Charges,3855.3,,4242.67,92,,Percent of Total Billed Charges,3786.12,,4242.67,92,,Percent of Total Billed Charges,3712.34,,4242.67,92,,Percent of Total Billed Charges,3850.69,,4242.67,92,,Percent of Total Billed Charges,3472.53,,4242.67,92,,Percent of Total Billed Charges,2882.25,,4150.44,90,,Percent of Total Billed Charges,2301.19,,4104.32,89,,Percent of Total Billed Charges,2213.57,,3799.96,82.4,,Percent of Total Billed Charges,3790.74,,3846.07,83.4,,Percent of Total Billed Charges,3587.82,,3846.07,83.4,,Percent of Total Billed Charges,3232.73,,3846.07,83.4,,Percent of Total Billed Charges,3753.84,,4150.44,90,,Percent of Total Billed Charges,3906.03,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4242.67,92,,Percent of Total Billed Charges,3740.01,,4242.67,92,,Percent of Total Billed Charges,3431.03,,4242.67,92,,Percent of Total Billed Charges,3610.88,,4242.67,92,,Percent of Total Billed Charges,3740.01,,3597.05,78,,Percent of Total Billed Charges,3597.05,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2482.42,53.83,,Percent of Total Billed Charges,2328.86,,1597.46,34.64,,Percent of Total Billed Charges,1591,,2304.88,49.98,,Percent of Total Billed Charges,1743.18,,1597.46,4242.67,,																																							
HC TREAT CLAVICLE DISL W/O MANIPUL,23540,CPT,,,,BOTH, , ,568.05,477.16,522.61,92,,Percent of Total Billed Charges,474.89,,522.61,92,,Percent of Total Billed Charges,466.37,,522.61,92,,Percent of Total Billed Charges,457.28,,522.61,92,,Percent of Total Billed Charges,474.32,,522.61,92,,Percent of Total Billed Charges,427.74,,522.61,92,,Percent of Total Billed Charges,355.03,,511.25,90,,Percent of Total Billed Charges,283.46,,505.56,89,,Percent of Total Billed Charges,272.66,,468.07,82.4,,Percent of Total Billed Charges,466.94,,473.75,83.4,,Percent of Total Billed Charges,441.94,,473.75,83.4,,Percent of Total Billed Charges,398.2,,473.75,83.4,,Percent of Total Billed Charges,462.39,,511.25,90,,Percent of Total Billed Charges,481.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,522.61,92,,Percent of Total Billed Charges,460.69,,522.61,92,,Percent of Total Billed Charges,422.63,,522.61,92,,Percent of Total Billed Charges,444.78,,522.61,92,,Percent of Total Billed Charges,460.69,,443.08,78,,Percent of Total Billed Charges,443.08,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,305.78,53.83,,Percent of Total Billed Charges,286.87,,196.77,34.64,,Percent of Total Billed Charges,195.98,,283.91,49.98,,Percent of Total Billed Charges,214.72,,196.77,522.61,,																																							
HC SCAPULA FRACTURE W/O MANIPUL,23570,CPT,,,,BOTH, , ,101.85,85.55,93.7,92,,Percent of Total Billed Charges,85.15,,93.7,92,,Percent of Total Billed Charges,83.62,,93.7,92,,Percent of Total Billed Charges,81.99,,93.7,92,,Percent of Total Billed Charges,85.04,,93.7,92,,Percent of Total Billed Charges,76.69,,93.7,92,,Percent of Total Billed Charges,63.66,,91.67,90,,Percent of Total Billed Charges,50.82,,90.65,89,,Percent of Total Billed Charges,48.89,,83.92,82.4,,Percent of Total Billed Charges,83.72,,84.94,83.4,,Percent of Total Billed Charges,79.24,,84.94,83.4,,Percent of Total Billed Charges,71.4,,84.94,83.4,,Percent of Total Billed Charges,82.91,,91.67,90,,Percent of Total Billed Charges,86.27,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,93.7,92,,Percent of Total Billed Charges,82.6,,93.7,92,,Percent of Total Billed Charges,75.78,,93.7,92,,Percent of Total Billed Charges,79.75,,93.7,92,,Percent of Total Billed Charges,82.6,,79.44,78,,Percent of Total Billed Charges,79.44,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,54.83,53.83,,Percent of Total Billed Charges,51.43,,35.28,34.64,,Percent of Total Billed Charges,35.14,,50.9,49.98,,Percent of Total Billed Charges,38.5,,35.28,93.7,,																																							
HC PROX HUM FX W/O MANIPULA,23600,CPT,,,,BOTH, , ,687.75,577.71,632.73,92,,Percent of Total Billed Charges,574.96,,632.73,92,,Percent of Total Billed Charges,564.64,,632.73,92,,Percent of Total Billed Charges,553.64,,632.73,92,,Percent of Total Billed Charges,574.27,,632.73,92,,Percent of Total Billed Charges,517.88,,632.73,92,,Percent of Total Billed Charges,429.84,,618.98,90,,Percent of Total Billed Charges,343.19,,612.1,89,,Percent of Total Billed Charges,330.12,,566.71,82.4,,Percent of Total Billed Charges,565.33,,573.58,83.4,,Percent of Total Billed Charges,535.07,,573.58,83.4,,Percent of Total Billed Charges,482.11,,573.58,83.4,,Percent of Total Billed Charges,559.83,,618.98,90,,Percent of Total Billed Charges,582.52,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,632.73,92,,Percent of Total Billed Charges,557.77,,632.73,92,,Percent of Total Billed Charges,511.69,,632.73,92,,Percent of Total Billed Charges,538.51,,632.73,92,,Percent of Total Billed Charges,557.77,,536.45,78,,Percent of Total Billed Charges,536.45,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,370.22,53.83,,Percent of Total Billed Charges,347.31,,238.24,34.64,,Percent of Total Billed Charges,237.27,,343.74,49.98,,Percent of Total Billed Charges,259.97,,238.24,632.73,,																																							
HC HUM TUBER FX W/O MANIPULA,23620,CPT,,,,BOTH, , ,639.45,537.14,588.29,92,,Percent of Total Billed Charges,534.58,,588.29,92,,Percent of Total Billed Charges,524.99,,588.29,92,,Percent of Total Billed Charges,514.76,,588.29,92,,Percent of Total Billed Charges,533.94,,588.29,92,,Percent of Total Billed Charges,481.51,,588.29,92,,Percent of Total Billed Charges,399.66,,575.51,90,,Percent of Total Billed Charges,319.09,,569.11,89,,Percent of Total Billed Charges,306.94,,526.91,82.4,,Percent of Total Billed Charges,525.63,,533.3,83.4,,Percent of Total Billed Charges,497.49,,533.3,83.4,,Percent of Total Billed Charges,448.25,,533.3,83.4,,Percent of Total Billed Charges,520.51,,575.51,90,,Percent of Total Billed Charges,541.61,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,588.29,92,,Percent of Total Billed Charges,518.59,,588.29,92,,Percent of Total Billed Charges,475.75,,588.29,92,,Percent of Total Billed Charges,500.69,,588.29,92,,Percent of Total Billed Charges,518.59,,498.77,78,,Percent of Total Billed Charges,498.77,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,344.22,53.83,,Percent of Total Billed Charges,322.92,,221.51,34.64,,Percent of Total Billed Charges,220.61,,319.6,49.98,,Percent of Total Billed Charges,241.71,,221.51,588.29,,																																							
HC SHOULDER DISLOC W MANIPUL W/O ANEST,23650,CPT,,,,BOTH, , ,1148.7,964.91,1056.8,92,,Percent of Total Billed Charges,960.31,,1056.8,92,,Percent of Total Billed Charges,943.08,,1056.8,92,,Percent of Total Billed Charges,924.7,,1056.8,92,,Percent of Total Billed Charges,959.16,,1056.8,92,,Percent of Total Billed Charges,864.97,,1056.8,92,,Percent of Total Billed Charges,717.94,,1033.83,90,,Percent of Total Billed Charges,573.2,,1022.34,89,,Percent of Total Billed Charges,551.38,,946.53,82.4,,Percent of Total Billed Charges,944.23,,958.02,83.4,,Percent of Total Billed Charges,893.69,,958.02,83.4,,Percent of Total Billed Charges,805.24,,958.02,83.4,,Percent of Total Billed Charges,935.04,,1033.83,90,,Percent of Total Billed Charges,972.95,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1056.8,92,,Percent of Total Billed Charges,931.6,,1056.8,92,,Percent of Total Billed Charges,854.63,,1056.8,92,,Percent of Total Billed Charges,899.43,,1056.8,92,,Percent of Total Billed Charges,931.6,,895.99,78,,Percent of Total Billed Charges,895.99,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,618.35,53.83,,Percent of Total Billed Charges,580.09,,397.91,34.64,,Percent of Total Billed Charges,396.3,,574.12,49.98,,Percent of Total Billed Charges,434.21,,397.91,1056.8,,																																							
HC REMOVE FB UPPER ARM,24200,CPT,,,,BOTH, , ,414.75,348.39,381.57,92,,Percent of Total Billed Charges,346.73,,381.57,92,,Percent of Total Billed Charges,340.51,,381.57,92,,Percent of Total Billed Charges,333.87,,381.57,92,,Percent of Total Billed Charges,346.32,,381.57,92,,Percent of Total Billed Charges,312.31,,381.57,92,,Percent of Total Billed Charges,259.22,,373.28,90,,Percent of Total Billed Charges,206.96,,369.13,89,,Percent of Total Billed Charges,199.08,,341.75,82.4,,Percent of Total Billed Charges,340.92,,345.9,83.4,,Percent of Total Billed Charges,322.68,,345.9,83.4,,Percent of Total Billed Charges,290.74,,345.9,83.4,,Percent of Total Billed Charges,337.61,,373.28,90,,Percent of Total Billed Charges,351.29,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,381.57,92,,Percent of Total Billed Charges,336.36,,381.57,92,,Percent of Total Billed Charges,308.57,,381.57,92,,Percent of Total Billed Charges,324.75,,381.57,92,,Percent of Total Billed Charges,336.36,,323.51,78,,Percent of Total Billed Charges,323.51,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,223.26,53.83,,Percent of Total Billed Charges,209.45,,143.67,34.64,,Percent of Total Billed Charges,143.09,,207.29,49.98,,Percent of Total Billed Charges,156.78,,143.67,381.57,,																																							
HC HUM SHFT FX W/O MANIPUL,24500,CPT,,,,BOTH, , ,685.65,575.95,630.8,92,,Percent of Total Billed Charges,573.2,,630.8,92,,Percent of Total Billed Charges,562.92,,630.8,92,,Percent of Total Billed Charges,551.95,,630.8,92,,Percent of Total Billed Charges,572.52,,630.8,92,,Percent of Total Billed Charges,516.29,,630.8,92,,Percent of Total Billed Charges,428.53,,617.09,90,,Percent of Total Billed Charges,342.14,,610.23,89,,Percent of Total Billed Charges,329.11,,564.98,82.4,,Percent of Total Billed Charges,563.6,,571.83,83.4,,Percent of Total Billed Charges,533.44,,571.83,83.4,,Percent of Total Billed Charges,480.64,,571.83,83.4,,Percent of Total Billed Charges,558.12,,617.09,90,,Percent of Total Billed Charges,580.75,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,630.8,92,,Percent of Total Billed Charges,556.06,,630.8,92,,Percent of Total Billed Charges,510.12,,630.8,92,,Percent of Total Billed Charges,536.86,,630.8,92,,Percent of Total Billed Charges,556.06,,534.81,78,,Percent of Total Billed Charges,534.81,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,369.09,53.83,,Percent of Total Billed Charges,346.25,,237.51,34.64,,Percent of Total Billed Charges,236.55,,342.69,49.98,,Percent of Total Billed Charges,259.18,,237.51,630.8,,																																							
HC CLOSED TX HUMERAL FRAC W/MANIP,24505,CPT,,,,BOTH, , ,4104.45,3447.74,3776.09,92,,Percent of Total Billed Charges,3431.32,,3776.09,92,,Percent of Total Billed Charges,3369.75,,3776.09,92,,Percent of Total Billed Charges,3304.08,,3776.09,92,,Percent of Total Billed Charges,3427.22,,3776.09,92,,Percent of Total Billed Charges,3090.65,,3776.09,92,,Percent of Total Billed Charges,2565.28,,3694.01,90,,Percent of Total Billed Charges,2048.12,,3652.96,89,,Percent of Total Billed Charges,1970.14,,3382.07,82.4,,Percent of Total Billed Charges,3373.86,,3423.11,83.4,,Percent of Total Billed Charges,3193.26,,3423.11,83.4,,Percent of Total Billed Charges,2877.22,,3423.11,83.4,,Percent of Total Billed Charges,3341.02,,3694.01,90,,Percent of Total Billed Charges,3476.47,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3776.09,92,,Percent of Total Billed Charges,3328.71,,3776.09,92,,Percent of Total Billed Charges,3053.71,,3776.09,92,,Percent of Total Billed Charges,3213.78,,3776.09,92,,Percent of Total Billed Charges,3328.71,,3201.47,78,,Percent of Total Billed Charges,3201.47,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2209.43,53.83,,Percent of Total Billed Charges,2072.75,,1421.78,34.64,,Percent of Total Billed Charges,1416.04,,2051.4,49.98,,Percent of Total Billed Charges,1551.48,,1421.78,3776.09,,																																							
HC HUM EPICOND FX W/O MANIPULAT,24560,CPT,,,,BOTH, , ,633.15,531.85,582.5,92,,Percent of Total Billed Charges,529.31,,582.5,92,,Percent of Total Billed Charges,519.82,,582.5,92,,Percent of Total Billed Charges,509.69,,582.5,92,,Percent of Total Billed Charges,528.68,,582.5,92,,Percent of Total Billed Charges,476.76,,582.5,92,,Percent of Total Billed Charges,395.72,,569.84,90,,Percent of Total Billed Charges,315.94,,563.5,89,,Percent of Total Billed Charges,303.91,,521.72,82.4,,Percent of Total Billed Charges,520.45,,528.05,83.4,,Percent of Total Billed Charges,492.59,,528.05,83.4,,Percent of Total Billed Charges,443.84,,528.05,83.4,,Percent of Total Billed Charges,515.38,,569.84,90,,Percent of Total Billed Charges,536.28,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,582.5,92,,Percent of Total Billed Charges,513.48,,582.5,92,,Percent of Total Billed Charges,471.06,,582.5,92,,Percent of Total Billed Charges,495.76,,582.5,92,,Percent of Total Billed Charges,513.48,,493.86,78,,Percent of Total Billed Charges,493.86,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,340.82,53.83,,Percent of Total Billed Charges,319.74,,219.32,34.64,,Percent of Total Billed Charges,218.44,,316.45,49.98,,Percent of Total Billed Charges,239.33,,219.32,582.5,,																																							
HC CLOSED TX ELBOW DISLOCATE,24605,CPT,,,,BOTH, , ,5781.3,4856.29,5318.8,92,,Percent of Total Billed Charges,4833.17,,5318.8,92,,Percent of Total Billed Charges,4746.45,,5318.8,92,,Percent of Total Billed Charges,4653.95,,5318.8,92,,Percent of Total Billed Charges,4827.39,,5318.8,92,,Percent of Total Billed Charges,4353.32,,5318.8,92,,Percent of Total Billed Charges,3613.31,,5203.17,90,,Percent of Total Billed Charges,2884.87,,5145.36,89,,Percent of Total Billed Charges,2775.02,,4763.79,82.4,,Percent of Total Billed Charges,4752.23,,4821.6,83.4,,Percent of Total Billed Charges,4497.85,,4821.6,83.4,,Percent of Total Billed Charges,4052.69,,4821.6,83.4,,Percent of Total Billed Charges,4705.98,,5203.17,90,,Percent of Total Billed Charges,4896.76,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5318.8,92,,Percent of Total Billed Charges,4688.63,,5318.8,92,,Percent of Total Billed Charges,4301.29,,5318.8,92,,Percent of Total Billed Charges,4526.76,,5318.8,92,,Percent of Total Billed Charges,4688.63,,4509.41,78,,Percent of Total Billed Charges,4509.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3112.07,53.83,,Percent of Total Billed Charges,2919.56,,2002.64,34.64,,Percent of Total Billed Charges,1994.55,,2889.49,49.98,,Percent of Total Billed Charges,2185.33,,2002.64,5318.8,,																																							
HC TREATMENT OFSUBLUX RADIAL W/MANIP,24640,CPT,,,,BOTH, , ,449.4,377.5,413.45,92,,Percent of Total Billed Charges,375.7,,413.45,92,,Percent of Total Billed Charges,368.96,,413.45,92,,Percent of Total Billed Charges,361.77,,413.45,92,,Percent of Total Billed Charges,375.25,,413.45,92,,Percent of Total Billed Charges,338.4,,413.45,92,,Percent of Total Billed Charges,280.88,,404.46,90,,Percent of Total Billed Charges,224.25,,399.97,89,,Percent of Total Billed Charges,215.71,,370.31,82.4,,Percent of Total Billed Charges,369.41,,374.8,83.4,,Percent of Total Billed Charges,349.63,,374.8,83.4,,Percent of Total Billed Charges,315.03,,374.8,83.4,,Percent of Total Billed Charges,365.81,,404.46,90,,Percent of Total Billed Charges,380.64,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,413.45,92,,Percent of Total Billed Charges,364.46,,413.45,92,,Percent of Total Billed Charges,334.35,,413.45,92,,Percent of Total Billed Charges,351.88,,413.45,92,,Percent of Total Billed Charges,364.46,,350.53,78,,Percent of Total Billed Charges,350.53,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,241.91,53.83,,Percent of Total Billed Charges,226.95,,155.67,34.64,,Percent of Total Billed Charges,155.04,,224.61,49.98,,Percent of Total Billed Charges,169.87,,155.67,413.45,,																																							
HC RAD HEAD/NECK FX W/O MANIPULAT,24650,CPT,,,,BOTH, , ,685.65,575.95,630.8,92,,Percent of Total Billed Charges,573.2,,630.8,92,,Percent of Total Billed Charges,562.92,,630.8,92,,Percent of Total Billed Charges,551.95,,630.8,92,,Percent of Total Billed Charges,572.52,,630.8,92,,Percent of Total Billed Charges,516.29,,630.8,92,,Percent of Total Billed Charges,428.53,,617.09,90,,Percent of Total Billed Charges,342.14,,610.23,89,,Percent of Total Billed Charges,329.11,,564.98,82.4,,Percent of Total Billed Charges,563.6,,571.83,83.4,,Percent of Total Billed Charges,533.44,,571.83,83.4,,Percent of Total Billed Charges,480.64,,571.83,83.4,,Percent of Total Billed Charges,558.12,,617.09,90,,Percent of Total Billed Charges,580.75,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,630.8,92,,Percent of Total Billed Charges,556.06,,630.8,92,,Percent of Total Billed Charges,510.12,,630.8,92,,Percent of Total Billed Charges,536.86,,630.8,92,,Percent of Total Billed Charges,556.06,,534.81,78,,Percent of Total Billed Charges,534.81,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,369.09,53.83,,Percent of Total Billed Charges,346.25,,237.51,34.64,,Percent of Total Billed Charges,236.55,,342.69,49.98,,Percent of Total Billed Charges,259.18,,237.51,630.8,,																																							
HC ULNAR PROX FX W/O MANIPULAT,24670,CPT,,,,BOTH, , ,685.65,575.95,630.8,92,,Percent of Total Billed Charges,573.2,,630.8,92,,Percent of Total Billed Charges,562.92,,630.8,92,,Percent of Total Billed Charges,551.95,,630.8,92,,Percent of Total Billed Charges,572.52,,630.8,92,,Percent of Total Billed Charges,516.29,,630.8,92,,Percent of Total Billed Charges,428.53,,617.09,90,,Percent of Total Billed Charges,342.14,,610.23,89,,Percent of Total Billed Charges,329.11,,564.98,82.4,,Percent of Total Billed Charges,563.6,,571.83,83.4,,Percent of Total Billed Charges,533.44,,571.83,83.4,,Percent of Total Billed Charges,480.64,,571.83,83.4,,Percent of Total Billed Charges,558.12,,617.09,90,,Percent of Total Billed Charges,580.75,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,630.8,92,,Percent of Total Billed Charges,556.06,,630.8,92,,Percent of Total Billed Charges,510.12,,630.8,92,,Percent of Total Billed Charges,536.86,,630.8,92,,Percent of Total Billed Charges,556.06,,534.81,78,,Percent of Total Billed Charges,534.81,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,369.09,53.83,,Percent of Total Billed Charges,346.25,,237.51,34.64,,Percent of Total Billed Charges,236.55,,342.69,49.98,,Percent of Total Billed Charges,259.18,,237.51,630.8,,																																							
HC RAD SHAFT FX W/O MANIPULA,25500,CPT,,,,BOTH, , ,759.15,637.69,698.42,92,,Percent of Total Billed Charges,634.65,,698.42,92,,Percent of Total Billed Charges,623.26,,698.42,92,,Percent of Total Billed Charges,611.12,,698.42,92,,Percent of Total Billed Charges,633.89,,698.42,92,,Percent of Total Billed Charges,571.64,,698.42,92,,Percent of Total Billed Charges,474.47,,683.24,90,,Percent of Total Billed Charges,378.82,,675.64,89,,Percent of Total Billed Charges,364.39,,625.54,82.4,,Percent of Total Billed Charges,624.02,,633.13,83.4,,Percent of Total Billed Charges,590.62,,633.13,83.4,,Percent of Total Billed Charges,532.16,,633.13,83.4,,Percent of Total Billed Charges,617.95,,683.24,90,,Percent of Total Billed Charges,643,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,698.42,92,,Percent of Total Billed Charges,615.67,,698.42,92,,Percent of Total Billed Charges,564.81,,698.42,92,,Percent of Total Billed Charges,594.41,,698.42,92,,Percent of Total Billed Charges,615.67,,592.14,78,,Percent of Total Billed Charges,592.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,408.65,53.83,,Percent of Total Billed Charges,383.37,,262.97,34.64,,Percent of Total Billed Charges,261.91,,379.42,49.98,,Percent of Total Billed Charges,286.96,,262.97,698.42,,																																							
HC RAD SHAFT FX W MANIPULA,25505,CPT,,,,BOTH, , ,4104.45,3447.74,3776.09,92,,Percent of Total Billed Charges,3431.32,,3776.09,92,,Percent of Total Billed Charges,3369.75,,3776.09,92,,Percent of Total Billed Charges,3304.08,,3776.09,92,,Percent of Total Billed Charges,3427.22,,3776.09,92,,Percent of Total Billed Charges,3090.65,,3776.09,92,,Percent of Total Billed Charges,2565.28,,3694.01,90,,Percent of Total Billed Charges,2048.12,,3652.96,89,,Percent of Total Billed Charges,1970.14,,3382.07,82.4,,Percent of Total Billed Charges,3373.86,,3423.11,83.4,,Percent of Total Billed Charges,3193.26,,3423.11,83.4,,Percent of Total Billed Charges,2877.22,,3423.11,83.4,,Percent of Total Billed Charges,3341.02,,3694.01,90,,Percent of Total Billed Charges,3476.47,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3776.09,92,,Percent of Total Billed Charges,3328.71,,3776.09,92,,Percent of Total Billed Charges,3053.71,,3776.09,92,,Percent of Total Billed Charges,3213.78,,3776.09,92,,Percent of Total Billed Charges,3328.71,,3201.47,78,,Percent of Total Billed Charges,3201.47,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2209.43,53.83,,Percent of Total Billed Charges,2072.75,,1421.78,34.64,,Percent of Total Billed Charges,1416.04,,2051.4,49.98,,Percent of Total Billed Charges,1551.48,,1421.78,3776.09,,																																							
HC ULN SHAFT FX W/O MANIPULA,25530,CPT,,,,BOTH, , ,759.15,637.69,698.42,92,,Percent of Total Billed Charges,634.65,,698.42,92,,Percent of Total Billed Charges,623.26,,698.42,92,,Percent of Total Billed Charges,611.12,,698.42,92,,Percent of Total Billed Charges,633.89,,698.42,92,,Percent of Total Billed Charges,571.64,,698.42,92,,Percent of Total Billed Charges,474.47,,683.24,90,,Percent of Total Billed Charges,378.82,,675.64,89,,Percent of Total Billed Charges,364.39,,625.54,82.4,,Percent of Total Billed Charges,624.02,,633.13,83.4,,Percent of Total Billed Charges,590.62,,633.13,83.4,,Percent of Total Billed Charges,532.16,,633.13,83.4,,Percent of Total Billed Charges,617.95,,683.24,90,,Percent of Total Billed Charges,643,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,698.42,92,,Percent of Total Billed Charges,615.67,,698.42,92,,Percent of Total Billed Charges,564.81,,698.42,92,,Percent of Total Billed Charges,594.41,,698.42,92,,Percent of Total Billed Charges,615.67,,592.14,78,,Percent of Total Billed Charges,592.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,408.65,53.83,,Percent of Total Billed Charges,383.37,,262.97,34.64,,Percent of Total Billed Charges,261.91,,379.42,49.98,,Percent of Total Billed Charges,286.96,,262.97,698.42,,																																							
HC ULN SHAFT FX W MANIPULA,25535,CPT,,,,BOTH, , ,811.65,681.79,746.72,92,,Percent of Total Billed Charges,678.54,,746.72,92,,Percent of Total Billed Charges,666.36,,746.72,92,,Percent of Total Billed Charges,653.38,,746.72,92,,Percent of Total Billed Charges,677.73,,746.72,92,,Percent of Total Billed Charges,611.17,,746.72,92,,Percent of Total Billed Charges,507.28,,730.49,90,,Percent of Total Billed Charges,405.01,,722.37,89,,Percent of Total Billed Charges,389.59,,668.8,82.4,,Percent of Total Billed Charges,667.18,,676.92,83.4,,Percent of Total Billed Charges,631.46,,676.92,83.4,,Percent of Total Billed Charges,568.97,,676.92,83.4,,Percent of Total Billed Charges,660.68,,730.49,90,,Percent of Total Billed Charges,687.47,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,746.72,92,,Percent of Total Billed Charges,658.25,,746.72,92,,Percent of Total Billed Charges,603.87,,746.72,92,,Percent of Total Billed Charges,635.52,,746.72,92,,Percent of Total Billed Charges,658.25,,633.09,78,,Percent of Total Billed Charges,633.09,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,436.91,53.83,,Percent of Total Billed Charges,409.88,,281.16,34.64,,Percent of Total Billed Charges,280.02,,405.66,49.98,,Percent of Total Billed Charges,306.8,,281.16,746.72,,																																							
HC CLOSED TX RADIAL & ULNAR FRAC WO MANIP,25560,CPT,,,,BOTH, , ,757.05,635.92,696.49,92,,Percent of Total Billed Charges,632.89,,696.49,92,,Percent of Total Billed Charges,621.54,,696.49,92,,Percent of Total Billed Charges,609.43,,696.49,92,,Percent of Total Billed Charges,632.14,,696.49,92,,Percent of Total Billed Charges,570.06,,696.49,92,,Percent of Total Billed Charges,473.16,,681.35,90,,Percent of Total Billed Charges,377.77,,673.77,89,,Percent of Total Billed Charges,363.38,,623.81,82.4,,Percent of Total Billed Charges,622.3,,631.38,83.4,,Percent of Total Billed Charges,588.98,,631.38,83.4,,Percent of Total Billed Charges,530.69,,631.38,83.4,,Percent of Total Billed Charges,616.24,,681.35,90,,Percent of Total Billed Charges,641.22,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,696.49,92,,Percent of Total Billed Charges,613.97,,696.49,92,,Percent of Total Billed Charges,563.25,,696.49,92,,Percent of Total Billed Charges,592.77,,696.49,92,,Percent of Total Billed Charges,613.97,,590.5,78,,Percent of Total Billed Charges,590.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,407.52,53.83,,Percent of Total Billed Charges,382.31,,262.24,34.64,,Percent of Total Billed Charges,261.18,,378.37,49.98,,Percent of Total Billed Charges,286.16,,262.24,696.49,,																																							
HC RAD/ULNAR DIS FX W/O MANIPULA,25600,CPT,,,,BOTH, , ,759.15,637.69,698.42,92,,Percent of Total Billed Charges,634.65,,698.42,92,,Percent of Total Billed Charges,623.26,,698.42,92,,Percent of Total Billed Charges,611.12,,698.42,92,,Percent of Total Billed Charges,633.89,,698.42,92,,Percent of Total Billed Charges,571.64,,698.42,92,,Percent of Total Billed Charges,474.47,,683.24,90,,Percent of Total Billed Charges,378.82,,675.64,89,,Percent of Total Billed Charges,364.39,,625.54,82.4,,Percent of Total Billed Charges,624.02,,633.13,83.4,,Percent of Total Billed Charges,590.62,,633.13,83.4,,Percent of Total Billed Charges,532.16,,633.13,83.4,,Percent of Total Billed Charges,617.95,,683.24,90,,Percent of Total Billed Charges,643,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,698.42,92,,Percent of Total Billed Charges,615.67,,698.42,92,,Percent of Total Billed Charges,564.81,,698.42,92,,Percent of Total Billed Charges,594.41,,698.42,92,,Percent of Total Billed Charges,615.67,,592.14,78,,Percent of Total Billed Charges,592.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,408.65,53.83,,Percent of Total Billed Charges,383.37,,262.97,34.64,,Percent of Total Billed Charges,261.91,,379.42,49.98,,Percent of Total Billed Charges,286.96,,262.97,698.42,,																																							
HC RAD/ULNAR DIS FX W MANIPULA,25605,CPT,,,,BOTH, , ,5976.6,5020.34,5498.47,92,,Percent of Total Billed Charges,4996.44,,5498.47,92,,Percent of Total Billed Charges,4906.79,,5498.47,92,,Percent of Total Billed Charges,4811.16,,5498.47,92,,Percent of Total Billed Charges,4990.46,,5498.47,92,,Percent of Total Billed Charges,4500.38,,5498.47,92,,Percent of Total Billed Charges,3735.38,,5378.94,90,,Percent of Total Billed Charges,2982.32,,5319.17,89,,Percent of Total Billed Charges,2868.77,,4924.72,82.4,,Percent of Total Billed Charges,4912.77,,4984.48,83.4,,Percent of Total Billed Charges,4649.79,,4984.48,83.4,,Percent of Total Billed Charges,4189.6,,4984.48,83.4,,Percent of Total Billed Charges,4864.95,,5378.94,90,,Percent of Total Billed Charges,5062.18,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5498.47,92,,Percent of Total Billed Charges,4847.02,,5498.47,92,,Percent of Total Billed Charges,4446.59,,5498.47,92,,Percent of Total Billed Charges,4679.68,,5498.47,92,,Percent of Total Billed Charges,4847.02,,4661.75,78,,Percent of Total Billed Charges,4661.75,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3217.2,53.83,,Percent of Total Billed Charges,3018.18,,2070.29,34.64,,Percent of Total Billed Charges,2061.93,,2987.1,49.98,,Percent of Total Billed Charges,2259.15,,2070.29,5498.47,,																																							
HC CLOSED TX CARPAL FRAC WO MANIP,25622,CPT,,,,BOTH, , ,688.8,578.59,633.7,92,,Percent of Total Billed Charges,575.84,,633.7,92,,Percent of Total Billed Charges,565.5,,633.7,92,,Percent of Total Billed Charges,554.48,,633.7,92,,Percent of Total Billed Charges,575.15,,633.7,92,,Percent of Total Billed Charges,518.67,,633.7,92,,Percent of Total Billed Charges,430.5,,619.92,90,,Percent of Total Billed Charges,343.71,,613.03,89,,Percent of Total Billed Charges,330.62,,567.57,82.4,,Percent of Total Billed Charges,566.19,,574.46,83.4,,Percent of Total Billed Charges,535.89,,574.46,83.4,,Percent of Total Billed Charges,482.85,,574.46,83.4,,Percent of Total Billed Charges,560.68,,619.92,90,,Percent of Total Billed Charges,583.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,633.7,92,,Percent of Total Billed Charges,558.62,,633.7,92,,Percent of Total Billed Charges,512.47,,633.7,92,,Percent of Total Billed Charges,539.33,,633.7,92,,Percent of Total Billed Charges,558.62,,537.26,78,,Percent of Total Billed Charges,537.26,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,370.78,53.83,,Percent of Total Billed Charges,347.84,,238.6,34.64,,Percent of Total Billed Charges,237.64,,344.26,49.98,,Percent of Total Billed Charges,260.37,,238.60,633.7,,																																							
HC DRAINAGE OF FINGER ABSCESS SIMPLE,26010,CPT,,,,BOTH, , ,602.7,506.27,554.48,92,,Percent of Total Billed Charges,503.86,,554.48,92,,Percent of Total Billed Charges,494.82,,554.48,92,,Percent of Total Billed Charges,485.17,,554.48,92,,Percent of Total Billed Charges,503.25,,554.48,92,,Percent of Total Billed Charges,453.83,,554.48,92,,Percent of Total Billed Charges,376.69,,542.43,90,,Percent of Total Billed Charges,300.75,,536.4,89,,Percent of Total Billed Charges,289.3,,496.62,82.4,,Percent of Total Billed Charges,495.42,,502.65,83.4,,Percent of Total Billed Charges,468.9,,502.65,83.4,,Percent of Total Billed Charges,422.49,,502.65,83.4,,Percent of Total Billed Charges,490.6,,542.43,90,,Percent of Total Billed Charges,510.49,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,554.48,92,,Percent of Total Billed Charges,488.79,,554.48,92,,Percent of Total Billed Charges,448.41,,554.48,92,,Percent of Total Billed Charges,471.91,,554.48,92,,Percent of Total Billed Charges,488.79,,470.11,78,,Percent of Total Billed Charges,470.11,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,324.43,53.83,,Percent of Total Billed Charges,304.36,,208.78,34.64,,Percent of Total Billed Charges,207.93,,301.23,49.98,,Percent of Total Billed Charges,227.82,,208.78,554.48,,																																							
HC CLOSE TX METACARPAL FX WO MANP,26600,CPT,,,,BOTH, , ,681.45,572.42,626.93,92,,Percent of Total Billed Charges,569.69,,626.93,92,,Percent of Total Billed Charges,559.47,,626.93,92,,Percent of Total Billed Charges,548.57,,626.93,92,,Percent of Total Billed Charges,569.01,,626.93,92,,Percent of Total Billed Charges,513.13,,626.93,92,,Percent of Total Billed Charges,425.91,,613.31,90,,Percent of Total Billed Charges,340.04,,606.49,89,,Percent of Total Billed Charges,327.1,,561.51,82.4,,Percent of Total Billed Charges,560.15,,568.33,83.4,,Percent of Total Billed Charges,530.17,,568.33,83.4,,Percent of Total Billed Charges,477.7,,568.33,83.4,,Percent of Total Billed Charges,554.7,,613.31,90,,Percent of Total Billed Charges,577.19,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,626.93,92,,Percent of Total Billed Charges,552.66,,626.93,92,,Percent of Total Billed Charges,507,,626.93,92,,Percent of Total Billed Charges,533.58,,626.93,92,,Percent of Total Billed Charges,552.66,,531.53,78,,Percent of Total Billed Charges,531.53,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,366.82,53.83,,Percent of Total Billed Charges,344.13,,236.05,34.64,,Percent of Total Billed Charges,235.1,,340.59,49.98,,Percent of Total Billed Charges,257.59,,236.05,626.93,,																																							
HC CLOSE TX METACARPAL FX W MANP,26605,CPT,,,,BOTH, , ,681.45,572.42,626.93,92,,Percent of Total Billed Charges,569.69,,626.93,92,,Percent of Total Billed Charges,559.47,,626.93,92,,Percent of Total Billed Charges,548.57,,626.93,92,,Percent of Total Billed Charges,569.01,,626.93,92,,Percent of Total Billed Charges,513.13,,626.93,92,,Percent of Total Billed Charges,425.91,,613.31,90,,Percent of Total Billed Charges,340.04,,606.49,89,,Percent of Total Billed Charges,327.1,,561.51,82.4,,Percent of Total Billed Charges,560.15,,568.33,83.4,,Percent of Total Billed Charges,530.17,,568.33,83.4,,Percent of Total Billed Charges,477.7,,568.33,83.4,,Percent of Total Billed Charges,554.7,,613.31,90,,Percent of Total Billed Charges,577.19,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,626.93,92,,Percent of Total Billed Charges,552.66,,626.93,92,,Percent of Total Billed Charges,507,,626.93,92,,Percent of Total Billed Charges,533.58,,626.93,92,,Percent of Total Billed Charges,552.66,,531.53,78,,Percent of Total Billed Charges,531.53,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,366.82,53.83,,Percent of Total Billed Charges,344.13,,236.05,34.64,,Percent of Total Billed Charges,235.1,,340.59,49.98,,Percent of Total Billed Charges,257.59,,236.05,626.93,,																																							
HC FINGER FX MID/PROX PHALANX W/O MANIPUL,26720,CPT,,,,BOTH, , ,828.45,695.9,762.17,92,,Percent of Total Billed Charges,692.58,,762.17,92,,Percent of Total Billed Charges,680.16,,762.17,92,,Percent of Total Billed Charges,666.9,,762.17,92,,Percent of Total Billed Charges,691.76,,762.17,92,,Percent of Total Billed Charges,623.82,,762.17,92,,Percent of Total Billed Charges,517.78,,745.61,90,,Percent of Total Billed Charges,413.4,,737.32,89,,Percent of Total Billed Charges,397.66,,682.64,82.4,,Percent of Total Billed Charges,680.99,,690.93,83.4,,Percent of Total Billed Charges,644.53,,690.93,83.4,,Percent of Total Billed Charges,580.74,,690.93,83.4,,Percent of Total Billed Charges,674.36,,745.61,90,,Percent of Total Billed Charges,701.7,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,762.17,92,,Percent of Total Billed Charges,671.87,,762.17,92,,Percent of Total Billed Charges,616.37,,762.17,92,,Percent of Total Billed Charges,648.68,,762.17,92,,Percent of Total Billed Charges,671.87,,646.19,78,,Percent of Total Billed Charges,646.19,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,445.95,53.83,,Percent of Total Billed Charges,418.37,,286.98,34.64,,Percent of Total Billed Charges,285.82,,414.06,49.98,,Percent of Total Billed Charges,313.15,,286.98,762.17,,																																							
HC CLOSED TX PHALANGEAL FRAC W MAN,26725,CPT,,,,BOTH, , ,1636.95,1375.04,1505.99,92,,Percent of Total Billed Charges,1368.49,,1505.99,92,,Percent of Total Billed Charges,1343.94,,1505.99,92,,Percent of Total Billed Charges,1317.74,,1505.99,92,,Percent of Total Billed Charges,1366.85,,1505.99,92,,Percent of Total Billed Charges,1232.62,,1505.99,92,,Percent of Total Billed Charges,1023.09,,1473.26,90,,Percent of Total Billed Charges,816.84,,1456.89,89,,Percent of Total Billed Charges,785.74,,1348.85,82.4,,Percent of Total Billed Charges,1345.57,,1365.22,83.4,,Percent of Total Billed Charges,1273.55,,1365.22,83.4,,Percent of Total Billed Charges,1147.5,,1365.22,83.4,,Percent of Total Billed Charges,1332.48,,1473.26,90,,Percent of Total Billed Charges,1386.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1505.99,92,,Percent of Total Billed Charges,1327.57,,1505.99,92,,Percent of Total Billed Charges,1217.89,,1505.99,92,,Percent of Total Billed Charges,1281.73,,1505.99,92,,Percent of Total Billed Charges,1327.57,,1276.82,78,,Percent of Total Billed Charges,1276.82,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,881.17,53.83,,Percent of Total Billed Charges,826.66,,567.04,34.64,,Percent of Total Billed Charges,564.75,,818.15,49.98,,Percent of Total Billed Charges,618.77,,567.04,1505.99,,																																							
HC MP OR IP ARTICLUAR FX W/O MANIPULA,26740,CPT,,,,BOTH, , ,560.7,470.99,515.84,92,,Percent of Total Billed Charges,468.75,,515.84,92,,Percent of Total Billed Charges,460.33,,515.84,92,,Percent of Total Billed Charges,451.36,,515.84,92,,Percent of Total Billed Charges,468.18,,515.84,92,,Percent of Total Billed Charges,422.21,,515.84,92,,Percent of Total Billed Charges,350.44,,504.63,90,,Percent of Total Billed Charges,279.79,,499.02,89,,Percent of Total Billed Charges,269.14,,462.02,82.4,,Percent of Total Billed Charges,460.9,,467.62,83.4,,Percent of Total Billed Charges,436.22,,467.62,83.4,,Percent of Total Billed Charges,393.05,,467.62,83.4,,Percent of Total Billed Charges,456.41,,504.63,90,,Percent of Total Billed Charges,474.91,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,515.84,92,,Percent of Total Billed Charges,454.73,,515.84,92,,Percent of Total Billed Charges,417.16,,515.84,92,,Percent of Total Billed Charges,439.03,,515.84,92,,Percent of Total Billed Charges,454.73,,437.35,78,,Percent of Total Billed Charges,437.35,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,301.82,53.83,,Percent of Total Billed Charges,283.15,,194.23,34.64,,Percent of Total Billed Charges,193.44,,280.24,49.98,,Percent of Total Billed Charges,211.94,,194.23,515.84,,																																							
HC DISTAL PHALANSGEAL FRACTURE W/O MANIPUL,26750,CPT,,,,BOTH, , ,783.3,657.97,720.64,92,,Percent of Total Billed Charges,654.84,,720.64,92,,Percent of Total Billed Charges,643.09,,720.64,92,,Percent of Total Billed Charges,630.56,,720.64,92,,Percent of Total Billed Charges,654.06,,720.64,92,,Percent of Total Billed Charges,589.82,,720.64,92,,Percent of Total Billed Charges,489.56,,704.97,90,,Percent of Total Billed Charges,390.87,,697.14,89,,Percent of Total Billed Charges,375.98,,645.44,82.4,,Percent of Total Billed Charges,643.87,,653.27,83.4,,Percent of Total Billed Charges,609.41,,653.27,83.4,,Percent of Total Billed Charges,549.09,,653.27,83.4,,Percent of Total Billed Charges,637.61,,704.97,90,,Percent of Total Billed Charges,663.46,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,720.64,92,,Percent of Total Billed Charges,635.26,,720.64,92,,Percent of Total Billed Charges,582.78,,720.64,92,,Percent of Total Billed Charges,613.32,,720.64,92,,Percent of Total Billed Charges,635.26,,610.97,78,,Percent of Total Billed Charges,610.97,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,421.65,53.83,,Percent of Total Billed Charges,395.57,,271.34,34.64,,Percent of Total Billed Charges,270.24,,391.49,49.98,,Percent of Total Billed Charges,296.09,,271.34,720.64,,																																							
HC PHAL DISTAL FX FINGER W MANIPULA,26755,CPT,,,,BOTH, , ,1403.85,1179.23,1291.54,92,,Percent of Total Billed Charges,1173.62,,1291.54,92,,Percent of Total Billed Charges,1152.56,,1291.54,92,,Percent of Total Billed Charges,1130.1,,1291.54,92,,Percent of Total Billed Charges,1172.21,,1291.54,92,,Percent of Total Billed Charges,1057.1,,1291.54,92,,Percent of Total Billed Charges,877.41,,1263.47,90,,Percent of Total Billed Charges,700.52,,1249.43,89,,Percent of Total Billed Charges,673.85,,1156.77,82.4,,Percent of Total Billed Charges,1153.96,,1170.81,83.4,,Percent of Total Billed Charges,1092.2,,1170.81,83.4,,Percent of Total Billed Charges,984.1,,1170.81,83.4,,Percent of Total Billed Charges,1142.73,,1263.47,90,,Percent of Total Billed Charges,1189.06,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1291.54,92,,Percent of Total Billed Charges,1138.52,,1291.54,92,,Percent of Total Billed Charges,1044.46,,1291.54,92,,Percent of Total Billed Charges,1099.21,,1291.54,92,,Percent of Total Billed Charges,1138.52,,1095,78,,Percent of Total Billed Charges,1095,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,755.69,53.83,,Percent of Total Billed Charges,708.94,,486.29,34.64,,Percent of Total Billed Charges,484.33,,701.64,49.98,,Percent of Total Billed Charges,530.66,,486.29,1291.54,,																																							
HC IP JOINT DISLOCATION W MANIPULATION,26770,CPT,,,,BOTH, , ,817.95,687.08,752.51,92,,Percent of Total Billed Charges,683.81,,752.51,92,,Percent of Total Billed Charges,671.54,,752.51,92,,Percent of Total Billed Charges,658.45,,752.51,92,,Percent of Total Billed Charges,682.99,,752.51,92,,Percent of Total Billed Charges,615.92,,752.51,92,,Percent of Total Billed Charges,511.22,,736.16,90,,Percent of Total Billed Charges,408.16,,727.98,89,,Percent of Total Billed Charges,392.62,,673.99,82.4,,Percent of Total Billed Charges,672.35,,682.17,83.4,,Percent of Total Billed Charges,636.37,,682.17,83.4,,Percent of Total Billed Charges,573.38,,682.17,83.4,,Percent of Total Billed Charges,665.81,,736.16,90,,Percent of Total Billed Charges,692.8,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,752.51,92,,Percent of Total Billed Charges,663.36,,752.51,92,,Percent of Total Billed Charges,608.55,,752.51,92,,Percent of Total Billed Charges,640.45,,752.51,92,,Percent of Total Billed Charges,663.36,,638,78,,Percent of Total Billed Charges,638,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,440.3,53.83,,Percent of Total Billed Charges,413.06,,283.34,34.64,,Percent of Total Billed Charges,282.19,,408.81,49.98,,Percent of Total Billed Charges,309.19,,283.34,752.51,,																																							
HC CLOSED TX INTER PHALG DISLOC W/AN,26775,CPT,,,,BOTH, , ,664.65,558.31,611.48,92,,Percent of Total Billed Charges,555.65,,611.48,92,,Percent of Total Billed Charges,545.68,,611.48,92,,Percent of Total Billed Charges,535.04,,611.48,92,,Percent of Total Billed Charges,554.98,,611.48,92,,Percent of Total Billed Charges,500.48,,611.48,92,,Percent of Total Billed Charges,415.41,,598.19,90,,Percent of Total Billed Charges,331.66,,591.54,89,,Percent of Total Billed Charges,319.03,,547.67,82.4,,Percent of Total Billed Charges,546.34,,554.32,83.4,,Percent of Total Billed Charges,517.1,,554.32,83.4,,Percent of Total Billed Charges,465.92,,554.32,83.4,,Percent of Total Billed Charges,541.03,,598.19,90,,Percent of Total Billed Charges,562.96,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,611.48,92,,Percent of Total Billed Charges,539.03,,611.48,92,,Percent of Total Billed Charges,494.5,,611.48,92,,Percent of Total Billed Charges,520.42,,611.48,92,,Percent of Total Billed Charges,539.03,,518.43,78,,Percent of Total Billed Charges,518.43,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,357.78,53.83,,Percent of Total Billed Charges,335.65,,230.23,34.64,,Percent of Total Billed Charges,229.3,,332.19,49.98,,Percent of Total Billed Charges,251.24,,230.23,611.48,,																																							
HC HIP DISLOCATE TRAUMA WO ANES,27250,CPT,,,,BOTH, , ,70.35,59.09,64.72,92,,Percent of Total Billed Charges,58.81,,64.72,92,,Percent of Total Billed Charges,57.76,,64.72,92,,Percent of Total Billed Charges,56.63,,64.72,92,,Percent of Total Billed Charges,58.74,,64.72,92,,Percent of Total Billed Charges,52.97,,64.72,92,,Percent of Total Billed Charges,43.97,,63.32,90,,Percent of Total Billed Charges,35.1,,62.61,89,,Percent of Total Billed Charges,33.77,,57.97,82.4,,Percent of Total Billed Charges,57.83,,58.67,83.4,,Percent of Total Billed Charges,54.73,,58.67,83.4,,Percent of Total Billed Charges,49.32,,58.67,83.4,,Percent of Total Billed Charges,57.26,,63.32,90,,Percent of Total Billed Charges,59.59,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,64.72,92,,Percent of Total Billed Charges,57.05,,64.72,92,,Percent of Total Billed Charges,52.34,,64.72,92,,Percent of Total Billed Charges,55.08,,64.72,92,,Percent of Total Billed Charges,57.05,,54.87,78,,Percent of Total Billed Charges,54.87,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,37.87,53.83,,Percent of Total Billed Charges,35.53,,24.37,34.64,,Percent of Total Billed Charges,24.27,,35.16,49.98,,Percent of Total Billed Charges,26.59,,24.37,64.72,,																																							
HC CLOSED TX PATELLA FRACT WO MANIP,27520,CPT,,,,BOTH, , ,757.05,635.92,696.49,92,,Percent of Total Billed Charges,632.89,,696.49,92,,Percent of Total Billed Charges,621.54,,696.49,92,,Percent of Total Billed Charges,609.43,,696.49,92,,Percent of Total Billed Charges,632.14,,696.49,92,,Percent of Total Billed Charges,570.06,,696.49,92,,Percent of Total Billed Charges,473.16,,681.35,90,,Percent of Total Billed Charges,377.77,,673.77,89,,Percent of Total Billed Charges,363.38,,623.81,82.4,,Percent of Total Billed Charges,622.3,,631.38,83.4,,Percent of Total Billed Charges,588.98,,631.38,83.4,,Percent of Total Billed Charges,530.69,,631.38,83.4,,Percent of Total Billed Charges,616.24,,681.35,90,,Percent of Total Billed Charges,641.22,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,696.49,92,,Percent of Total Billed Charges,613.97,,696.49,92,,Percent of Total Billed Charges,563.25,,696.49,92,,Percent of Total Billed Charges,592.77,,696.49,92,,Percent of Total Billed Charges,613.97,,590.5,78,,Percent of Total Billed Charges,590.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,407.52,53.83,,Percent of Total Billed Charges,382.31,,262.24,34.64,,Percent of Total Billed Charges,261.18,,378.37,49.98,,Percent of Total Billed Charges,286.16,,262.24,696.49,,																																							
HC CLOSED TX DISTAL RAD FX WO MAN,27530,CPT,,,,BOTH, , ,708.75,595.35,652.05,92,,Percent of Total Billed Charges,592.52,,652.05,92,,Percent of Total Billed Charges,581.88,,652.05,92,,Percent of Total Billed Charges,570.54,,652.05,92,,Percent of Total Billed Charges,591.81,,652.05,92,,Percent of Total Billed Charges,533.69,,652.05,92,,Percent of Total Billed Charges,442.97,,637.88,90,,Percent of Total Billed Charges,353.67,,630.79,89,,Percent of Total Billed Charges,340.2,,584.01,82.4,,Percent of Total Billed Charges,582.59,,591.1,83.4,,Percent of Total Billed Charges,551.41,,591.1,83.4,,Percent of Total Billed Charges,496.83,,591.1,83.4,,Percent of Total Billed Charges,576.92,,637.88,90,,Percent of Total Billed Charges,600.31,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,652.05,92,,Percent of Total Billed Charges,574.8,,652.05,92,,Percent of Total Billed Charges,527.31,,652.05,92,,Percent of Total Billed Charges,554.95,,652.05,92,,Percent of Total Billed Charges,574.8,,552.83,78,,Percent of Total Billed Charges,552.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,381.52,53.83,,Percent of Total Billed Charges,357.92,,245.51,34.64,,Percent of Total Billed Charges,244.52,,354.23,49.98,,Percent of Total Billed Charges,267.91,,245.51,652.05,,																																							
HC CLOSED TREAT PATELLAR DISLOCATION W/O ANES,27560,CPT,,,,BOTH, , ,652.05,547.72,599.89,92,,Percent of Total Billed Charges,545.11,,599.89,92,,Percent of Total Billed Charges,535.33,,599.89,92,,Percent of Total Billed Charges,524.9,,599.89,92,,Percent of Total Billed Charges,544.46,,599.89,92,,Percent of Total Billed Charges,490.99,,599.89,92,,Percent of Total Billed Charges,407.53,,586.85,90,,Percent of Total Billed Charges,325.37,,580.32,89,,Percent of Total Billed Charges,312.98,,537.29,82.4,,Percent of Total Billed Charges,535.99,,543.81,83.4,,Percent of Total Billed Charges,507.29,,543.81,83.4,,Percent of Total Billed Charges,457.09,,543.81,83.4,,Percent of Total Billed Charges,530.77,,586.85,90,,Percent of Total Billed Charges,552.29,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,599.89,92,,Percent of Total Billed Charges,528.81,,599.89,92,,Percent of Total Billed Charges,485.13,,599.89,92,,Percent of Total Billed Charges,510.56,,599.89,92,,Percent of Total Billed Charges,528.81,,508.6,78,,Percent of Total Billed Charges,508.6,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,351,53.83,,Percent of Total Billed Charges,329.29,,225.87,34.64,,Percent of Total Billed Charges,224.96,,325.89,49.98,,Percent of Total Billed Charges,246.47,,225.87,599.89,,																																							
HC MED MALLEOLUS FX W/O MAN,27760,CPT,,,,BOTH, , ,750.75,630.63,690.69,92,,Percent of Total Billed Charges,627.63,,690.69,92,,Percent of Total Billed Charges,616.37,,690.69,92,,Percent of Total Billed Charges,604.35,,690.69,92,,Percent of Total Billed Charges,626.88,,690.69,92,,Percent of Total Billed Charges,565.31,,690.69,92,,Percent of Total Billed Charges,469.22,,675.68,90,,Percent of Total Billed Charges,374.62,,668.17,89,,Percent of Total Billed Charges,360.36,,618.62,82.4,,Percent of Total Billed Charges,617.12,,626.13,83.4,,Percent of Total Billed Charges,584.08,,626.13,83.4,,Percent of Total Billed Charges,526.28,,626.13,83.4,,Percent of Total Billed Charges,611.11,,675.68,90,,Percent of Total Billed Charges,635.89,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,690.69,92,,Percent of Total Billed Charges,608.86,,690.69,92,,Percent of Total Billed Charges,558.56,,690.69,92,,Percent of Total Billed Charges,587.84,,690.69,92,,Percent of Total Billed Charges,608.86,,585.59,78,,Percent of Total Billed Charges,585.59,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,404.13,53.83,,Percent of Total Billed Charges,379.13,,260.06,34.64,,Percent of Total Billed Charges,259.01,,375.22,49.98,,Percent of Total Billed Charges,283.78,,260.06,690.69,,																																							
HC CLOSED TX POST MALEOLUS WO MAN,27767,CPT,,,,BOTH, , ,700.35,588.29,644.32,92,,Percent of Total Billed Charges,585.49,,644.32,92,,Percent of Total Billed Charges,574.99,,644.32,92,,Percent of Total Billed Charges,563.78,,644.32,92,,Percent of Total Billed Charges,584.79,,644.32,92,,Percent of Total Billed Charges,527.36,,644.32,92,,Percent of Total Billed Charges,437.72,,630.32,90,,Percent of Total Billed Charges,349.47,,623.31,89,,Percent of Total Billed Charges,336.17,,577.09,82.4,,Percent of Total Billed Charges,575.69,,584.09,83.4,,Percent of Total Billed Charges,544.87,,584.09,83.4,,Percent of Total Billed Charges,490.95,,584.09,83.4,,Percent of Total Billed Charges,570.08,,630.32,90,,Percent of Total Billed Charges,593.2,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,644.32,92,,Percent of Total Billed Charges,567.98,,644.32,92,,Percent of Total Billed Charges,521.06,,644.32,92,,Percent of Total Billed Charges,548.37,,644.32,92,,Percent of Total Billed Charges,567.98,,546.27,78,,Percent of Total Billed Charges,546.27,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,377,53.83,,Percent of Total Billed Charges,353.68,,242.6,34.64,,Percent of Total Billed Charges,241.62,,350.03,49.98,,Percent of Total Billed Charges,264.73,,242.60,644.32,,																																							
HC CLOSED TX PROX TIBAL FX WO MAN,27786,CPT,,,,BOTH, , ,70.35,59.09,64.72,92,,Percent of Total Billed Charges,58.81,,64.72,92,,Percent of Total Billed Charges,57.76,,64.72,92,,Percent of Total Billed Charges,56.63,,64.72,92,,Percent of Total Billed Charges,58.74,,64.72,92,,Percent of Total Billed Charges,52.97,,64.72,92,,Percent of Total Billed Charges,43.97,,63.32,90,,Percent of Total Billed Charges,35.1,,62.61,89,,Percent of Total Billed Charges,33.77,,57.97,82.4,,Percent of Total Billed Charges,57.83,,58.67,83.4,,Percent of Total Billed Charges,54.73,,58.67,83.4,,Percent of Total Billed Charges,49.32,,58.67,83.4,,Percent of Total Billed Charges,57.26,,63.32,90,,Percent of Total Billed Charges,59.59,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,64.72,92,,Percent of Total Billed Charges,57.05,,64.72,92,,Percent of Total Billed Charges,52.34,,64.72,92,,Percent of Total Billed Charges,55.08,,64.72,92,,Percent of Total Billed Charges,57.05,,54.87,78,,Percent of Total Billed Charges,54.87,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,37.87,53.83,,Percent of Total Billed Charges,35.53,,24.37,34.64,,Percent of Total Billed Charges,24.27,,35.16,49.98,,Percent of Total Billed Charges,26.59,,24.37,64.72,,																																							
HC CLOSED TX FIBULA DIST FRAC W/MA,27788,CPT,,,,BOTH, , ,749.7,629.75,689.72,92,,Percent of Total Billed Charges,626.75,,689.72,92,,Percent of Total Billed Charges,615.5,,689.72,92,,Percent of Total Billed Charges,603.51,,689.72,92,,Percent of Total Billed Charges,626,,689.72,92,,Percent of Total Billed Charges,564.52,,689.72,92,,Percent of Total Billed Charges,468.56,,674.73,90,,Percent of Total Billed Charges,374.1,,667.23,89,,Percent of Total Billed Charges,359.86,,617.75,82.4,,Percent of Total Billed Charges,616.25,,625.25,83.4,,Percent of Total Billed Charges,583.27,,625.25,83.4,,Percent of Total Billed Charges,525.54,,625.25,83.4,,Percent of Total Billed Charges,610.26,,674.73,90,,Percent of Total Billed Charges,635,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,689.72,92,,Percent of Total Billed Charges,608.01,,689.72,92,,Percent of Total Billed Charges,557.78,,689.72,92,,Percent of Total Billed Charges,587.02,,689.72,92,,Percent of Total Billed Charges,608.01,,584.77,78,,Percent of Total Billed Charges,584.77,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,403.56,53.83,,Percent of Total Billed Charges,378.6,,259.7,34.64,,Percent of Total Billed Charges,258.65,,374.7,49.98,,Percent of Total Billed Charges,283.39,,259.70,689.72,,																																							
HC CLOSED TX BIMAL ANKL FX WO MAN,27808,CPT,,,,BOTH, , ,70.35,59.09,64.72,92,,Percent of Total Billed Charges,58.81,,64.72,92,,Percent of Total Billed Charges,57.76,,64.72,92,,Percent of Total Billed Charges,56.63,,64.72,92,,Percent of Total Billed Charges,58.74,,64.72,92,,Percent of Total Billed Charges,52.97,,64.72,92,,Percent of Total Billed Charges,43.97,,63.32,90,,Percent of Total Billed Charges,35.1,,62.61,89,,Percent of Total Billed Charges,33.77,,57.97,82.4,,Percent of Total Billed Charges,57.83,,58.67,83.4,,Percent of Total Billed Charges,54.73,,58.67,83.4,,Percent of Total Billed Charges,49.32,,58.67,83.4,,Percent of Total Billed Charges,57.26,,63.32,90,,Percent of Total Billed Charges,59.59,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,64.72,92,,Percent of Total Billed Charges,57.05,,64.72,92,,Percent of Total Billed Charges,52.34,,64.72,92,,Percent of Total Billed Charges,55.08,,64.72,92,,Percent of Total Billed Charges,57.05,,54.87,78,,Percent of Total Billed Charges,54.87,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,37.87,53.83,,Percent of Total Billed Charges,35.53,,24.37,34.64,,Percent of Total Billed Charges,24.27,,35.16,49.98,,Percent of Total Billed Charges,26.59,,24.37,64.72,,																																							
HC CLOSE TX ANKLE BIMALOR FX W MANP,27810,CPT,,,,BOTH, , ,2429.7,2040.95,2235.32,92,,Percent of Total Billed Charges,2031.23,,2235.32,92,,Percent of Total Billed Charges,1994.78,,2235.32,92,,Percent of Total Billed Charges,1955.91,,2235.32,92,,Percent of Total Billed Charges,2028.8,,2235.32,92,,Percent of Total Billed Charges,1829.56,,2235.32,92,,Percent of Total Billed Charges,1518.56,,2186.73,90,,Percent of Total Billed Charges,1212.42,,2162.43,89,,Percent of Total Billed Charges,1166.26,,2002.07,82.4,,Percent of Total Billed Charges,1997.21,,2026.37,83.4,,Percent of Total Billed Charges,1890.31,,2026.37,83.4,,Percent of Total Billed Charges,1703.22,,2026.37,83.4,,Percent of Total Billed Charges,1977.78,,2186.73,90,,Percent of Total Billed Charges,2057.96,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2235.32,92,,Percent of Total Billed Charges,1970.49,,2235.32,92,,Percent of Total Billed Charges,1807.7,,2235.32,92,,Percent of Total Billed Charges,1902.46,,2235.32,92,,Percent of Total Billed Charges,1970.49,,1895.17,78,,Percent of Total Billed Charges,1895.17,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1307.91,53.83,,Percent of Total Billed Charges,1227,,841.65,34.64,,Percent of Total Billed Charges,838.25,,1214.36,49.98,,Percent of Total Billed Charges,918.43,,841.65,2235.32,,																																							
HC ANKLE FX WO MANIP,27816,CPT,,,,BOTH, , ,700.35,588.29,644.32,92,,Percent of Total Billed Charges,585.49,,644.32,92,,Percent of Total Billed Charges,574.99,,644.32,92,,Percent of Total Billed Charges,563.78,,644.32,92,,Percent of Total Billed Charges,584.79,,644.32,92,,Percent of Total Billed Charges,527.36,,644.32,92,,Percent of Total Billed Charges,437.72,,630.32,90,,Percent of Total Billed Charges,349.47,,623.31,89,,Percent of Total Billed Charges,336.17,,577.09,82.4,,Percent of Total Billed Charges,575.69,,584.09,83.4,,Percent of Total Billed Charges,544.87,,584.09,83.4,,Percent of Total Billed Charges,490.95,,584.09,83.4,,Percent of Total Billed Charges,570.08,,630.32,90,,Percent of Total Billed Charges,593.2,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,644.32,92,,Percent of Total Billed Charges,567.98,,644.32,92,,Percent of Total Billed Charges,521.06,,644.32,92,,Percent of Total Billed Charges,548.37,,644.32,92,,Percent of Total Billed Charges,567.98,,546.27,78,,Percent of Total Billed Charges,546.27,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,377,53.83,,Percent of Total Billed Charges,353.68,,242.6,34.64,,Percent of Total Billed Charges,241.62,,350.03,49.98,,Percent of Total Billed Charges,264.73,,242.60,644.32,,																																							
HC CLOSE TX TIBIA FX WO MANPUL,27824,CPT,,,,BOTH, , ,685.65,575.95,630.8,92,,Percent of Total Billed Charges,573.2,,630.8,92,,Percent of Total Billed Charges,562.92,,630.8,92,,Percent of Total Billed Charges,551.95,,630.8,92,,Percent of Total Billed Charges,572.52,,630.8,92,,Percent of Total Billed Charges,516.29,,630.8,92,,Percent of Total Billed Charges,428.53,,617.09,90,,Percent of Total Billed Charges,342.14,,610.23,89,,Percent of Total Billed Charges,329.11,,564.98,82.4,,Percent of Total Billed Charges,563.6,,571.83,83.4,,Percent of Total Billed Charges,533.44,,571.83,83.4,,Percent of Total Billed Charges,480.64,,571.83,83.4,,Percent of Total Billed Charges,558.12,,617.09,90,,Percent of Total Billed Charges,580.75,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,630.8,92,,Percent of Total Billed Charges,556.06,,630.8,92,,Percent of Total Billed Charges,510.12,,630.8,92,,Percent of Total Billed Charges,536.86,,630.8,92,,Percent of Total Billed Charges,556.06,,534.81,78,,Percent of Total Billed Charges,534.81,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,369.09,53.83,,Percent of Total Billed Charges,346.25,,237.51,34.64,,Percent of Total Billed Charges,236.55,,342.69,49.98,,Percent of Total Billed Charges,259.18,,237.51,630.8,,																																							
HC REMOVAL OF FOOT FOREIGN BODY,28190,CPT,,,,BOTH, , ,2254.35,1893.65,2074,92,,Percent of Total Billed Charges,1884.64,,2074,92,,Percent of Total Billed Charges,1850.82,,2074,92,,Percent of Total Billed Charges,1814.75,,2074,92,,Percent of Total Billed Charges,1882.38,,2074,92,,Percent of Total Billed Charges,1697.53,,2074,92,,Percent of Total Billed Charges,1408.97,,2028.92,90,,Percent of Total Billed Charges,1124.92,,2006.37,89,,Percent of Total Billed Charges,1082.09,,1857.58,82.4,,Percent of Total Billed Charges,1853.08,,1880.13,83.4,,Percent of Total Billed Charges,1753.88,,1880.13,83.4,,Percent of Total Billed Charges,1580.3,,1880.13,83.4,,Percent of Total Billed Charges,1835.04,,2028.92,90,,Percent of Total Billed Charges,1909.43,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2074,92,,Percent of Total Billed Charges,1828.28,,2074,92,,Percent of Total Billed Charges,1677.24,,2074,92,,Percent of Total Billed Charges,1765.16,,2074,92,,Percent of Total Billed Charges,1828.28,,1758.39,78,,Percent of Total Billed Charges,1758.39,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1213.52,53.83,,Percent of Total Billed Charges,1138.45,,780.91,34.64,,Percent of Total Billed Charges,777.75,,1126.72,49.98,,Percent of Total Billed Charges,852.14,,780.91,2074,,																																							
HC CALCANEAL FX W/O MANIPULATION,28400,CPT,,,,BOTH, , ,748.65,628.87,688.76,92,,Percent of Total Billed Charges,625.87,,688.76,92,,Percent of Total Billed Charges,614.64,,688.76,92,,Percent of Total Billed Charges,602.66,,688.76,92,,Percent of Total Billed Charges,625.12,,688.76,92,,Percent of Total Billed Charges,563.73,,688.76,92,,Percent of Total Billed Charges,467.91,,673.79,90,,Percent of Total Billed Charges,373.58,,666.3,89,,Percent of Total Billed Charges,359.35,,616.89,82.4,,Percent of Total Billed Charges,615.39,,624.37,83.4,,Percent of Total Billed Charges,582.45,,624.37,83.4,,Percent of Total Billed Charges,524.8,,624.37,83.4,,Percent of Total Billed Charges,609.4,,673.79,90,,Percent of Total Billed Charges,634.11,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,688.76,92,,Percent of Total Billed Charges,607.16,,688.76,92,,Percent of Total Billed Charges,557,,688.76,92,,Percent of Total Billed Charges,586.19,,688.76,92,,Percent of Total Billed Charges,607.16,,583.95,78,,Percent of Total Billed Charges,583.95,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,403,53.83,,Percent of Total Billed Charges,378.07,,259.33,34.64,,Percent of Total Billed Charges,258.28,,374.18,49.98,,Percent of Total Billed Charges,282.99,,259.33,688.76,,																																							
HC CLOSE TX TALUS FX WO MANPUL,28430,CPT,,,,BOTH, , ,679.35,570.65,625,92,,Percent of Total Billed Charges,567.94,,625,92,,Percent of Total Billed Charges,557.75,,625,92,,Percent of Total Billed Charges,546.88,,625,92,,Percent of Total Billed Charges,567.26,,625,92,,Percent of Total Billed Charges,511.55,,625,92,,Percent of Total Billed Charges,424.59,,611.42,90,,Percent of Total Billed Charges,339,,604.62,89,,Percent of Total Billed Charges,326.09,,559.78,82.4,,Percent of Total Billed Charges,558.43,,566.58,83.4,,Percent of Total Billed Charges,528.53,,566.58,83.4,,Percent of Total Billed Charges,476.22,,566.58,83.4,,Percent of Total Billed Charges,552.99,,611.42,90,,Percent of Total Billed Charges,575.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,625,92,,Percent of Total Billed Charges,550.95,,625,92,,Percent of Total Billed Charges,505.44,,625,92,,Percent of Total Billed Charges,531.93,,625,92,,Percent of Total Billed Charges,550.95,,529.89,78,,Percent of Total Billed Charges,529.89,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,365.69,53.83,,Percent of Total Billed Charges,343.07,,235.33,34.64,,Percent of Total Billed Charges,234.38,,339.54,49.98,,Percent of Total Billed Charges,256.79,,235.33,625,,																																							
HC METATARSAL FX W/O MANIPULATION,28470,CPT,,,,BOTH, , ,748.65,628.87,688.76,92,,Percent of Total Billed Charges,625.87,,688.76,92,,Percent of Total Billed Charges,614.64,,688.76,92,,Percent of Total Billed Charges,602.66,,688.76,92,,Percent of Total Billed Charges,625.12,,688.76,92,,Percent of Total Billed Charges,563.73,,688.76,92,,Percent of Total Billed Charges,467.91,,673.79,90,,Percent of Total Billed Charges,373.58,,666.3,89,,Percent of Total Billed Charges,359.35,,616.89,82.4,,Percent of Total Billed Charges,615.39,,624.37,83.4,,Percent of Total Billed Charges,582.45,,624.37,83.4,,Percent of Total Billed Charges,524.8,,624.37,83.4,,Percent of Total Billed Charges,609.4,,673.79,90,,Percent of Total Billed Charges,634.11,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,688.76,92,,Percent of Total Billed Charges,607.16,,688.76,92,,Percent of Total Billed Charges,557,,688.76,92,,Percent of Total Billed Charges,586.19,,688.76,92,,Percent of Total Billed Charges,607.16,,583.95,78,,Percent of Total Billed Charges,583.95,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,403,53.83,,Percent of Total Billed Charges,378.07,,259.33,34.64,,Percent of Total Billed Charges,258.28,,374.18,49.98,,Percent of Total Billed Charges,282.99,,259.33,688.76,,																																							
HC METATARSAL FX W/MANIPULATION,28475,CPT,,,,BOTH, , ,748.65,628.87,688.76,92,,Percent of Total Billed Charges,625.87,,688.76,92,,Percent of Total Billed Charges,614.64,,688.76,92,,Percent of Total Billed Charges,602.66,,688.76,92,,Percent of Total Billed Charges,625.12,,688.76,92,,Percent of Total Billed Charges,563.73,,688.76,92,,Percent of Total Billed Charges,467.91,,673.79,90,,Percent of Total Billed Charges,373.58,,666.3,89,,Percent of Total Billed Charges,359.35,,616.89,82.4,,Percent of Total Billed Charges,615.39,,624.37,83.4,,Percent of Total Billed Charges,582.45,,624.37,83.4,,Percent of Total Billed Charges,524.8,,624.37,83.4,,Percent of Total Billed Charges,609.4,,673.79,90,,Percent of Total Billed Charges,634.11,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,688.76,92,,Percent of Total Billed Charges,607.16,,688.76,92,,Percent of Total Billed Charges,557,,688.76,92,,Percent of Total Billed Charges,586.19,,688.76,92,,Percent of Total Billed Charges,607.16,,583.95,78,,Percent of Total Billed Charges,583.95,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,403,53.83,,Percent of Total Billed Charges,378.07,,259.33,34.64,,Percent of Total Billed Charges,258.28,,374.18,49.98,,Percent of Total Billed Charges,282.99,,259.33,688.76,,																																							
HC GREAT TOE FRACTURE W/O MANIPULATION,28490,CPT,,,,BOTH, , ,622.65,523.03,572.84,92,,Percent of Total Billed Charges,520.54,,572.84,92,,Percent of Total Billed Charges,511.2,,572.84,92,,Percent of Total Billed Charges,501.23,,572.84,92,,Percent of Total Billed Charges,519.91,,572.84,92,,Percent of Total Billed Charges,468.86,,572.84,92,,Percent of Total Billed Charges,389.16,,560.39,90,,Percent of Total Billed Charges,310.7,,554.16,89,,Percent of Total Billed Charges,298.87,,513.06,82.4,,Percent of Total Billed Charges,511.82,,519.29,83.4,,Percent of Total Billed Charges,484.42,,519.29,83.4,,Percent of Total Billed Charges,436.48,,519.29,83.4,,Percent of Total Billed Charges,506.84,,560.39,90,,Percent of Total Billed Charges,527.38,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,572.84,92,,Percent of Total Billed Charges,504.97,,572.84,92,,Percent of Total Billed Charges,463.25,,572.84,92,,Percent of Total Billed Charges,487.53,,572.84,92,,Percent of Total Billed Charges,504.97,,485.67,78,,Percent of Total Billed Charges,485.67,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,335.17,53.83,,Percent of Total Billed Charges,314.44,,215.69,34.64,,Percent of Total Billed Charges,214.81,,311.2,49.98,,Percent of Total Billed Charges,235.36,,215.69,572.84,,																																							
HC TOE FX (OTHER THAN GR TOE) W/O MANIPULATION,28510,CPT,,,,BOTH, , ,610.05,512.44,561.25,92,,Percent of Total Billed Charges,510,,561.25,92,,Percent of Total Billed Charges,500.85,,561.25,92,,Percent of Total Billed Charges,491.09,,561.25,92,,Percent of Total Billed Charges,509.39,,561.25,92,,Percent of Total Billed Charges,459.37,,561.25,92,,Percent of Total Billed Charges,381.28,,549.05,90,,Percent of Total Billed Charges,304.41,,542.94,89,,Percent of Total Billed Charges,292.82,,502.68,82.4,,Percent of Total Billed Charges,501.46,,508.78,83.4,,Percent of Total Billed Charges,474.62,,508.78,83.4,,Percent of Total Billed Charges,427.65,,508.78,83.4,,Percent of Total Billed Charges,496.58,,549.05,90,,Percent of Total Billed Charges,516.71,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,561.25,92,,Percent of Total Billed Charges,494.75,,561.25,92,,Percent of Total Billed Charges,453.88,,561.25,92,,Percent of Total Billed Charges,477.67,,561.25,92,,Percent of Total Billed Charges,494.75,,475.84,78,,Percent of Total Billed Charges,475.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,328.39,53.83,,Percent of Total Billed Charges,308.08,,211.32,34.64,,Percent of Total Billed Charges,210.47,,304.9,49.98,,Percent of Total Billed Charges,230.6,,211.32,561.25,,																																							
HC INTERPHALANGEAL TOE DISLOCATION W/O ANES,28660,CPT,,,,BOTH, , ,480.9,403.96,442.43,92,,Percent of Total Billed Charges,402.03,,442.43,92,,Percent of Total Billed Charges,394.82,,442.43,92,,Percent of Total Billed Charges,387.12,,442.43,92,,Percent of Total Billed Charges,401.55,,442.43,92,,Percent of Total Billed Charges,362.12,,442.43,92,,Percent of Total Billed Charges,300.56,,432.81,90,,Percent of Total Billed Charges,239.97,,428,89,,Percent of Total Billed Charges,230.83,,396.26,82.4,,Percent of Total Billed Charges,395.3,,401.07,83.4,,Percent of Total Billed Charges,374.14,,401.07,83.4,,Percent of Total Billed Charges,337.11,,401.07,83.4,,Percent of Total Billed Charges,391.45,,432.81,90,,Percent of Total Billed Charges,407.32,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,442.43,92,,Percent of Total Billed Charges,390.01,,442.43,92,,Percent of Total Billed Charges,357.79,,442.43,92,,Percent of Total Billed Charges,376.54,,442.43,92,,Percent of Total Billed Charges,390.01,,375.1,78,,Percent of Total Billed Charges,375.1,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,258.87,53.83,,Percent of Total Billed Charges,242.85,,166.58,34.64,,Percent of Total Billed Charges,165.91,,240.35,49.98,,Percent of Total Billed Charges,181.78,,166.58,442.43,,																																							
HC APPLY LONG ARM SPLINT,29105,CPT,,,,BOTH, , ,53.55,44.98,49.27,92,,Percent of Total Billed Charges,44.77,,49.27,92,,Percent of Total Billed Charges,43.96,,49.27,92,,Percent of Total Billed Charges,43.11,,49.27,92,,Percent of Total Billed Charges,44.71,,49.27,92,,Percent of Total Billed Charges,40.32,,49.27,92,,Percent of Total Billed Charges,33.47,,48.2,90,,Percent of Total Billed Charges,26.72,,47.66,89,,Percent of Total Billed Charges,25.7,,44.13,82.4,,Percent of Total Billed Charges,44.02,,44.66,83.4,,Percent of Total Billed Charges,41.66,,44.66,83.4,,Percent of Total Billed Charges,37.54,,44.66,83.4,,Percent of Total Billed Charges,43.59,,48.2,90,,Percent of Total Billed Charges,45.36,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,49.27,92,,Percent of Total Billed Charges,43.43,,49.27,92,,Percent of Total Billed Charges,39.84,,49.27,92,,Percent of Total Billed Charges,41.93,,49.27,92,,Percent of Total Billed Charges,43.43,,41.77,78,,Percent of Total Billed Charges,41.77,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,28.83,53.83,,Percent of Total Billed Charges,27.04,,18.55,34.64,,Percent of Total Billed Charges,18.47,,26.76,49.98,,Percent of Total Billed Charges,20.24,,18.55,49.27,,																																							
HC SHORT ARM SPLINT,29125,CPT,,,,BOTH, , ,408.45,343.1,375.77,92,,Percent of Total Billed Charges,341.46,,375.77,92,,Percent of Total Billed Charges,335.34,,375.77,92,,Percent of Total Billed Charges,328.8,,375.77,92,,Percent of Total Billed Charges,341.06,,375.77,92,,Percent of Total Billed Charges,307.56,,375.77,92,,Percent of Total Billed Charges,255.28,,367.61,90,,Percent of Total Billed Charges,203.82,,363.52,89,,Percent of Total Billed Charges,196.06,,336.56,82.4,,Percent of Total Billed Charges,335.75,,340.65,83.4,,Percent of Total Billed Charges,317.77,,340.65,83.4,,Percent of Total Billed Charges,286.32,,340.65,83.4,,Percent of Total Billed Charges,332.48,,367.61,90,,Percent of Total Billed Charges,345.96,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,375.77,92,,Percent of Total Billed Charges,331.25,,375.77,92,,Percent of Total Billed Charges,303.89,,375.77,92,,Percent of Total Billed Charges,319.82,,375.77,92,,Percent of Total Billed Charges,331.25,,318.59,78,,Percent of Total Billed Charges,318.59,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,219.87,53.83,,Percent of Total Billed Charges,206.27,,141.49,34.64,,Percent of Total Billed Charges,140.92,,204.14,49.98,,Percent of Total Billed Charges,154.39,,141.49,375.77,,																																							
HC FINGER SPLINT,29130,CPT,,,,BOTH, , ,240.45,201.98,221.21,92,,Percent of Total Billed Charges,201.02,,221.21,92,,Percent of Total Billed Charges,197.41,,221.21,92,,Percent of Total Billed Charges,193.56,,221.21,92,,Percent of Total Billed Charges,200.78,,221.21,92,,Percent of Total Billed Charges,181.06,,221.21,92,,Percent of Total Billed Charges,150.28,,216.41,90,,Percent of Total Billed Charges,119.98,,214,89,,Percent of Total Billed Charges,115.42,,198.13,82.4,,Percent of Total Billed Charges,197.65,,200.54,83.4,,Percent of Total Billed Charges,187.07,,200.54,83.4,,Percent of Total Billed Charges,168.56,,200.54,83.4,,Percent of Total Billed Charges,195.73,,216.41,90,,Percent of Total Billed Charges,203.66,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,221.21,92,,Percent of Total Billed Charges,195,,221.21,92,,Percent of Total Billed Charges,178.89,,221.21,92,,Percent of Total Billed Charges,188.27,,221.21,92,,Percent of Total Billed Charges,195,,187.55,78,,Percent of Total Billed Charges,187.55,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,129.43,53.83,,Percent of Total Billed Charges,121.43,,83.29,34.64,,Percent of Total Billed Charges,82.96,,120.18,49.98,,Percent of Total Billed Charges,90.89,,83.29,221.21,,																																							
HC SHOULDER STRAPPING,29240,CPT,,,,BOTH, , ,606.9,509.8,558.35,92,,Percent of Total Billed Charges,507.37,,558.35,92,,Percent of Total Billed Charges,498.26,,558.35,92,,Percent of Total Billed Charges,488.55,,558.35,92,,Percent of Total Billed Charges,506.76,,558.35,92,,Percent of Total Billed Charges,457,,558.35,92,,Percent of Total Billed Charges,379.31,,546.21,90,,Percent of Total Billed Charges,302.84,,540.14,89,,Percent of Total Billed Charges,291.31,,500.09,82.4,,Percent of Total Billed Charges,498.87,,506.15,83.4,,Percent of Total Billed Charges,472.17,,506.15,83.4,,Percent of Total Billed Charges,425.44,,506.15,83.4,,Percent of Total Billed Charges,494.02,,546.21,90,,Percent of Total Billed Charges,514.04,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,558.35,92,,Percent of Total Billed Charges,492.2,,558.35,92,,Percent of Total Billed Charges,451.53,,558.35,92,,Percent of Total Billed Charges,475.2,,558.35,92,,Percent of Total Billed Charges,492.2,,473.38,78,,Percent of Total Billed Charges,473.38,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,326.69,53.83,,Percent of Total Billed Charges,306.48,,210.23,34.64,,Percent of Total Billed Charges,209.38,,303.33,49.98,,Percent of Total Billed Charges,229.41,,210.23,558.35,,																																							
HC ELBOW OR WRIST STRAPPING,29260,CPT,,,,BOTH, , ,523.95,440.12,482.03,92,,Percent of Total Billed Charges,438.02,,482.03,92,,Percent of Total Billed Charges,430.16,,482.03,92,,Percent of Total Billed Charges,421.78,,482.03,92,,Percent of Total Billed Charges,437.5,,482.03,92,,Percent of Total Billed Charges,394.53,,482.03,92,,Percent of Total Billed Charges,327.47,,471.56,90,,Percent of Total Billed Charges,261.45,,466.32,89,,Percent of Total Billed Charges,251.5,,431.73,82.4,,Percent of Total Billed Charges,430.69,,436.97,83.4,,Percent of Total Billed Charges,407.63,,436.97,83.4,,Percent of Total Billed Charges,367.29,,436.97,83.4,,Percent of Total Billed Charges,426.5,,471.56,90,,Percent of Total Billed Charges,443.79,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,482.03,92,,Percent of Total Billed Charges,424.92,,482.03,92,,Percent of Total Billed Charges,389.82,,482.03,92,,Percent of Total Billed Charges,410.25,,482.03,92,,Percent of Total Billed Charges,424.92,,408.68,78,,Percent of Total Billed Charges,408.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,282.04,53.83,,Percent of Total Billed Charges,264.59,,181.5,34.64,,Percent of Total Billed Charges,180.76,,261.87,49.98,,Percent of Total Billed Charges,198.05,,181.50,482.03,,																																							
HC HAND OR FINGER STRAPPING,29280,CPT,,,,BOTH, , ,523.95,440.12,482.03,92,,Percent of Total Billed Charges,438.02,,482.03,92,,Percent of Total Billed Charges,430.16,,482.03,92,,Percent of Total Billed Charges,421.78,,482.03,92,,Percent of Total Billed Charges,437.5,,482.03,92,,Percent of Total Billed Charges,394.53,,482.03,92,,Percent of Total Billed Charges,327.47,,471.56,90,,Percent of Total Billed Charges,261.45,,466.32,89,,Percent of Total Billed Charges,251.5,,431.73,82.4,,Percent of Total Billed Charges,430.69,,436.97,83.4,,Percent of Total Billed Charges,407.63,,436.97,83.4,,Percent of Total Billed Charges,367.29,,436.97,83.4,,Percent of Total Billed Charges,426.5,,471.56,90,,Percent of Total Billed Charges,443.79,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,482.03,92,,Percent of Total Billed Charges,424.92,,482.03,92,,Percent of Total Billed Charges,389.82,,482.03,92,,Percent of Total Billed Charges,410.25,,482.03,92,,Percent of Total Billed Charges,424.92,,408.68,78,,Percent of Total Billed Charges,408.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,282.04,53.83,,Percent of Total Billed Charges,264.59,,181.5,34.64,,Percent of Total Billed Charges,180.76,,261.87,49.98,,Percent of Total Billed Charges,198.05,,181.50,482.03,,																																							
HC SPLINT LONG LEG,29505,CPT,,,,BOTH, , ,362.25,304.29,333.27,92,,Percent of Total Billed Charges,302.84,,333.27,92,,Percent of Total Billed Charges,297.41,,333.27,92,,Percent of Total Billed Charges,291.61,,333.27,92,,Percent of Total Billed Charges,302.48,,333.27,92,,Percent of Total Billed Charges,272.77,,333.27,92,,Percent of Total Billed Charges,226.41,,326.03,90,,Percent of Total Billed Charges,180.76,,322.4,89,,Percent of Total Billed Charges,173.88,,298.49,82.4,,Percent of Total Billed Charges,297.77,,302.12,83.4,,Percent of Total Billed Charges,281.83,,302.12,83.4,,Percent of Total Billed Charges,253.94,,302.12,83.4,,Percent of Total Billed Charges,294.87,,326.03,90,,Percent of Total Billed Charges,306.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,333.27,92,,Percent of Total Billed Charges,293.78,,333.27,92,,Percent of Total Billed Charges,269.51,,333.27,92,,Percent of Total Billed Charges,283.64,,333.27,92,,Percent of Total Billed Charges,293.78,,282.56,78,,Percent of Total Billed Charges,282.56,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,195,53.83,,Percent of Total Billed Charges,182.94,,125.48,34.64,,Percent of Total Billed Charges,124.98,,181.05,49.98,,Percent of Total Billed Charges,136.93,,125.48,333.27,,																																							
HC SPLINT SHORT LEG,29515,CPT,,,,BOTH, , ,30.45,25.58,28.01,92,,Percent of Total Billed Charges,25.46,,28.01,92,,Percent of Total Billed Charges,25,,28.01,92,,Percent of Total Billed Charges,24.51,,28.01,92,,Percent of Total Billed Charges,25.43,,28.01,92,,Percent of Total Billed Charges,22.93,,28.01,92,,Percent of Total Billed Charges,19.03,,27.41,90,,Percent of Total Billed Charges,15.19,,27.1,89,,Percent of Total Billed Charges,14.62,,25.09,82.4,,Percent of Total Billed Charges,25.03,,25.4,83.4,,Percent of Total Billed Charges,23.69,,25.4,83.4,,Percent of Total Billed Charges,21.35,,25.4,83.4,,Percent of Total Billed Charges,24.79,,27.41,90,,Percent of Total Billed Charges,25.79,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,28.01,92,,Percent of Total Billed Charges,24.69,,28.01,92,,Percent of Total Billed Charges,22.65,,28.01,92,,Percent of Total Billed Charges,23.84,,28.01,92,,Percent of Total Billed Charges,24.69,,23.75,78,,Percent of Total Billed Charges,23.75,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,16.39,53.83,,Percent of Total Billed Charges,15.38,,10.55,34.64,,Percent of Total Billed Charges,10.51,,15.22,49.98,,Percent of Total Billed Charges,11.51,,10.55,28.01,,																																							
HC KNEE STRAPPING,29530,CPT,,,,BOTH, , ,507.15,426.01,466.58,92,,Percent of Total Billed Charges,423.98,,466.58,92,,Percent of Total Billed Charges,416.37,,466.58,92,,Percent of Total Billed Charges,408.26,,466.58,92,,Percent of Total Billed Charges,423.47,,466.58,92,,Percent of Total Billed Charges,381.88,,466.58,92,,Percent of Total Billed Charges,316.97,,456.44,90,,Percent of Total Billed Charges,253.07,,451.36,89,,Percent of Total Billed Charges,243.43,,417.89,82.4,,Percent of Total Billed Charges,416.88,,422.96,83.4,,Percent of Total Billed Charges,394.56,,422.96,83.4,,Percent of Total Billed Charges,355.51,,422.96,83.4,,Percent of Total Billed Charges,412.82,,456.44,90,,Percent of Total Billed Charges,429.56,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,466.58,92,,Percent of Total Billed Charges,411.3,,466.58,92,,Percent of Total Billed Charges,377.32,,466.58,92,,Percent of Total Billed Charges,397.1,,466.58,92,,Percent of Total Billed Charges,411.3,,395.58,78,,Percent of Total Billed Charges,395.58,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,273,53.83,,Percent of Total Billed Charges,256.11,,175.68,34.64,,Percent of Total Billed Charges,174.97,,253.47,49.98,,Percent of Total Billed Charges,191.7,,175.68,466.58,,																																							
HC ANKLE STRAPPING,29540,CPT,,,,BOTH, , ,418.95,351.92,385.43,92,,Percent of Total Billed Charges,350.24,,385.43,92,,Percent of Total Billed Charges,343.96,,385.43,92,,Percent of Total Billed Charges,337.25,,385.43,92,,Percent of Total Billed Charges,349.82,,385.43,92,,Percent of Total Billed Charges,315.47,,385.43,92,,Percent of Total Billed Charges,261.84,,377.06,90,,Percent of Total Billed Charges,209.06,,372.87,89,,Percent of Total Billed Charges,201.1,,345.21,82.4,,Percent of Total Billed Charges,344.38,,349.4,83.4,,Percent of Total Billed Charges,325.94,,349.4,83.4,,Percent of Total Billed Charges,293.68,,349.4,83.4,,Percent of Total Billed Charges,341.03,,377.06,90,,Percent of Total Billed Charges,354.85,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,385.43,92,,Percent of Total Billed Charges,339.77,,385.43,92,,Percent of Total Billed Charges,311.7,,385.43,92,,Percent of Total Billed Charges,328.04,,385.43,92,,Percent of Total Billed Charges,339.77,,326.78,78,,Percent of Total Billed Charges,326.78,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,225.52,53.83,,Percent of Total Billed Charges,211.57,,145.12,34.64,,Percent of Total Billed Charges,144.54,,209.39,49.98,,Percent of Total Billed Charges,158.36,,145.12,385.43,,																																							
HC TOES STRAPPING,29550,CPT,,,,BOTH, , ,568.05,477.16,522.61,92,,Percent of Total Billed Charges,474.89,,522.61,92,,Percent of Total Billed Charges,466.37,,522.61,92,,Percent of Total Billed Charges,457.28,,522.61,92,,Percent of Total Billed Charges,474.32,,522.61,92,,Percent of Total Billed Charges,427.74,,522.61,92,,Percent of Total Billed Charges,355.03,,511.25,90,,Percent of Total Billed Charges,283.46,,505.56,89,,Percent of Total Billed Charges,272.66,,468.07,82.4,,Percent of Total Billed Charges,466.94,,473.75,83.4,,Percent of Total Billed Charges,441.94,,473.75,83.4,,Percent of Total Billed Charges,398.2,,473.75,83.4,,Percent of Total Billed Charges,462.39,,511.25,90,,Percent of Total Billed Charges,481.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,522.61,92,,Percent of Total Billed Charges,460.69,,522.61,92,,Percent of Total Billed Charges,422.63,,522.61,92,,Percent of Total Billed Charges,444.78,,522.61,92,,Percent of Total Billed Charges,460.69,,443.08,78,,Percent of Total Billed Charges,443.08,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,305.78,53.83,,Percent of Total Billed Charges,286.87,,196.77,34.64,,Percent of Total Billed Charges,195.98,,283.91,49.98,,Percent of Total Billed Charges,214.72,,196.77,522.61,,																																							
HC REMOVAL/BIVALVING BOOT OR BODY CAST,29700,CPT,,,,BOTH, , ,402.15,337.81,369.98,92,,Percent of Total Billed Charges,336.2,,369.98,92,,Percent of Total Billed Charges,330.17,,369.98,92,,Percent of Total Billed Charges,323.73,,369.98,92,,Percent of Total Billed Charges,335.8,,369.98,92,,Percent of Total Billed Charges,302.82,,369.98,92,,Percent of Total Billed Charges,251.34,,361.94,90,,Percent of Total Billed Charges,200.67,,357.91,89,,Percent of Total Billed Charges,193.03,,331.37,82.4,,Percent of Total Billed Charges,330.57,,335.39,83.4,,Percent of Total Billed Charges,312.87,,335.39,83.4,,Percent of Total Billed Charges,281.91,,335.39,83.4,,Percent of Total Billed Charges,327.35,,361.94,90,,Percent of Total Billed Charges,340.62,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,369.98,92,,Percent of Total Billed Charges,326.14,,369.98,92,,Percent of Total Billed Charges,299.2,,369.98,92,,Percent of Total Billed Charges,314.88,,369.98,92,,Percent of Total Billed Charges,326.14,,313.68,78,,Percent of Total Billed Charges,313.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,216.48,53.83,,Percent of Total Billed Charges,203.09,,139.3,34.64,,Percent of Total Billed Charges,138.74,,200.99,49.98,,Percent of Total Billed Charges,152.01,,139.30,369.98,,																																							
HC REMOV/BIVALV FULL ARM OR FULL LEG CAST,29705,CPT,,,,BOTH, , ,817.95,687.08,752.51,92,,Percent of Total Billed Charges,683.81,,752.51,92,,Percent of Total Billed Charges,671.54,,752.51,92,,Percent of Total Billed Charges,658.45,,752.51,92,,Percent of Total Billed Charges,682.99,,752.51,92,,Percent of Total Billed Charges,615.92,,752.51,92,,Percent of Total Billed Charges,511.22,,736.16,90,,Percent of Total Billed Charges,408.16,,727.98,89,,Percent of Total Billed Charges,392.62,,673.99,82.4,,Percent of Total Billed Charges,672.35,,682.17,83.4,,Percent of Total Billed Charges,636.37,,682.17,83.4,,Percent of Total Billed Charges,573.38,,682.17,83.4,,Percent of Total Billed Charges,665.81,,736.16,90,,Percent of Total Billed Charges,692.8,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,752.51,92,,Percent of Total Billed Charges,663.36,,752.51,92,,Percent of Total Billed Charges,608.55,,752.51,92,,Percent of Total Billed Charges,640.45,,752.51,92,,Percent of Total Billed Charges,663.36,,638,78,,Percent of Total Billed Charges,638,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,440.3,53.83,,Percent of Total Billed Charges,413.06,,283.34,34.64,,Percent of Total Billed Charges,282.19,,408.81,49.98,,Percent of Total Billed Charges,309.19,,283.34,752.51,,																																							
HC DRAIN ABSCES NASAL INTERN APPROCH,30000,CPT,,,,BOTH, , ,1319.85,1108.67,1214.26,92,,Percent of Total Billed Charges,1103.39,,1214.26,92,,Percent of Total Billed Charges,1083.6,,1214.26,92,,Percent of Total Billed Charges,1062.48,,1214.26,92,,Percent of Total Billed Charges,1102.07,,1214.26,92,,Percent of Total Billed Charges,993.85,,1214.26,92,,Percent of Total Billed Charges,824.91,,1187.87,90,,Percent of Total Billed Charges,658.61,,1174.67,89,,Percent of Total Billed Charges,633.53,,1087.56,82.4,,Percent of Total Billed Charges,1084.92,,1100.75,83.4,,Percent of Total Billed Charges,1026.84,,1100.75,83.4,,Percent of Total Billed Charges,925.21,,1100.75,83.4,,Percent of Total Billed Charges,1074.36,,1187.87,90,,Percent of Total Billed Charges,1117.91,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1214.26,92,,Percent of Total Billed Charges,1070.4,,1214.26,92,,Percent of Total Billed Charges,981.97,,1214.26,92,,Percent of Total Billed Charges,1033.44,,1214.26,92,,Percent of Total Billed Charges,1070.4,,1029.48,78,,Percent of Total Billed Charges,1029.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,710.48,53.83,,Percent of Total Billed Charges,666.52,,457.2,34.64,,Percent of Total Billed Charges,455.35,,659.66,49.98,,Percent of Total Billed Charges,498.9,,457.20,1214.26,,																																							
HC REMOVE NASAL FOREIGN BODY,30300,CPT,,,,BOTH, , ,454.65,381.91,418.28,92,,Percent of Total Billed Charges,380.09,,418.28,92,,Percent of Total Billed Charges,373.27,,418.28,92,,Percent of Total Billed Charges,365.99,,418.28,92,,Percent of Total Billed Charges,379.63,,418.28,92,,Percent of Total Billed Charges,342.35,,418.28,92,,Percent of Total Billed Charges,284.16,,409.19,90,,Percent of Total Billed Charges,226.87,,404.64,89,,Percent of Total Billed Charges,218.23,,374.63,82.4,,Percent of Total Billed Charges,373.72,,379.18,83.4,,Percent of Total Billed Charges,353.72,,379.18,83.4,,Percent of Total Billed Charges,318.71,,379.18,83.4,,Percent of Total Billed Charges,370.09,,409.19,90,,Percent of Total Billed Charges,385.09,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,418.28,92,,Percent of Total Billed Charges,368.72,,418.28,92,,Percent of Total Billed Charges,338.26,,418.28,92,,Percent of Total Billed Charges,355.99,,418.28,92,,Percent of Total Billed Charges,368.72,,354.63,78,,Percent of Total Billed Charges,354.63,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,244.74,53.83,,Percent of Total Billed Charges,229.6,,157.49,34.64,,Percent of Total Billed Charges,156.85,,227.23,49.98,,Percent of Total Billed Charges,171.86,,157.49,418.28,,																																							
HC CONTROL NASAL HEMORRHAGE, ANTERIOR, SIMPLE (LIMITED CAUTERY AND/OR PACKING) ANY METHOD,30901,CPT,,,,BOTH, , ,521.85,438.35,480.1,92,,Percent of Total Billed Charges,436.27,,480.1,92,,Percent of Total Billed Charges,428.44,,480.1,92,,Percent of Total Billed Charges,420.09,,480.1,92,,Percent of Total Billed Charges,435.74,,480.1,92,,Percent of Total Billed Charges,392.95,,480.1,92,,Percent of Total Billed Charges,326.16,,469.67,90,,Percent of Total Billed Charges,260.4,,464.45,89,,Percent of Total Billed Charges,250.49,,430,82.4,,Percent of Total Billed Charges,428.96,,435.22,83.4,,Percent of Total Billed Charges,406,,435.22,83.4,,Percent of Total Billed Charges,365.82,,435.22,83.4,,Percent of Total Billed Charges,424.79,,469.67,90,,Percent of Total Billed Charges,442.01,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,480.1,92,,Percent of Total Billed Charges,423.22,,480.1,92,,Percent of Total Billed Charges,388.26,,480.1,92,,Percent of Total Billed Charges,408.61,,480.1,92,,Percent of Total Billed Charges,423.22,,407.04,78,,Percent of Total Billed Charges,407.04,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,280.91,53.83,,Percent of Total Billed Charges,263.53,,180.77,34.64,,Percent of Total Billed Charges,180.04,,260.82,49.98,,Percent of Total Billed Charges,197.26,,180.77,480.1,,																																							
HC CONTROL OF NOSEBLEED W PKS INITIAL,30905,CPT,,,,BOTH, , ,400.05,336.04,368.05,92,,Percent of Total Billed Charges,334.44,,368.05,92,,Percent of Total Billed Charges,328.44,,368.05,92,,Percent of Total Billed Charges,322.04,,368.05,92,,Percent of Total Billed Charges,334.04,,368.05,92,,Percent of Total Billed Charges,301.24,,368.05,92,,Percent of Total Billed Charges,250.03,,360.05,90,,Percent of Total Billed Charges,199.62,,356.04,89,,Percent of Total Billed Charges,192.02,,329.64,82.4,,Percent of Total Billed Charges,328.84,,333.64,83.4,,Percent of Total Billed Charges,311.24,,333.64,83.4,,Percent of Total Billed Charges,280.44,,333.64,83.4,,Percent of Total Billed Charges,325.64,,360.05,90,,Percent of Total Billed Charges,338.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,368.05,92,,Percent of Total Billed Charges,324.44,,368.05,92,,Percent of Total Billed Charges,297.64,,368.05,92,,Percent of Total Billed Charges,313.24,,368.05,92,,Percent of Total Billed Charges,324.44,,312.04,78,,Percent of Total Billed Charges,312.04,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,215.35,53.83,,Percent of Total Billed Charges,202.03,,138.58,34.64,,Percent of Total Billed Charges,138.02,,199.94,49.98,,Percent of Total Billed Charges,151.22,,138.58,368.05,,																																							
HC CONTROL OF NOSEBLEED W PKS SUBSEQUENT,30906,CPT,,,,BOTH, , ,445.2,373.97,409.58,92,,Percent of Total Billed Charges,372.19,,409.58,92,,Percent of Total Billed Charges,365.51,,409.58,92,,Percent of Total Billed Charges,358.39,,409.58,92,,Percent of Total Billed Charges,371.74,,409.58,92,,Percent of Total Billed Charges,335.24,,409.58,92,,Percent of Total Billed Charges,278.25,,400.68,90,,Percent of Total Billed Charges,222.15,,396.23,89,,Percent of Total Billed Charges,213.7,,366.84,82.4,,Percent of Total Billed Charges,365.95,,371.3,83.4,,Percent of Total Billed Charges,346.37,,371.3,83.4,,Percent of Total Billed Charges,312.09,,371.3,83.4,,Percent of Total Billed Charges,362.39,,400.68,90,,Percent of Total Billed Charges,377.08,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,409.58,92,,Percent of Total Billed Charges,361.06,,409.58,92,,Percent of Total Billed Charges,331.23,,409.58,92,,Percent of Total Billed Charges,348.59,,409.58,92,,Percent of Total Billed Charges,361.06,,347.26,78,,Percent of Total Billed Charges,347.26,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,239.65,53.83,,Percent of Total Billed Charges,224.83,,154.22,34.64,,Percent of Total Billed Charges,153.59,,222.51,49.98,,Percent of Total Billed Charges,168.29,,154.22,409.58,,																																							
HC ENDOTRACHEAL INTUBATION,31500,CPT,,,,BOTH, , ,615.3,516.85,566.08,92,,Percent of Total Billed Charges,514.39,,566.08,92,,Percent of Total Billed Charges,505.16,,566.08,92,,Percent of Total Billed Charges,495.32,,566.08,92,,Percent of Total Billed Charges,513.78,,566.08,92,,Percent of Total Billed Charges,463.32,,566.08,92,,Percent of Total Billed Charges,384.56,,553.77,90,,Percent of Total Billed Charges,307.03,,547.62,89,,Percent of Total Billed Charges,295.34,,507.01,82.4,,Percent of Total Billed Charges,505.78,,513.16,83.4,,Percent of Total Billed Charges,478.7,,513.16,83.4,,Percent of Total Billed Charges,431.33,,513.16,83.4,,Percent of Total Billed Charges,500.85,,553.77,90,,Percent of Total Billed Charges,521.16,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,566.08,92,,Percent of Total Billed Charges,499.01,,566.08,92,,Percent of Total Billed Charges,457.78,,566.08,92,,Percent of Total Billed Charges,481.78,,566.08,92,,Percent of Total Billed Charges,499.01,,479.93,78,,Percent of Total Billed Charges,479.93,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,331.22,53.83,,Percent of Total Billed Charges,310.73,,213.14,34.64,,Percent of Total Billed Charges,212.28,,307.53,49.98,,Percent of Total Billed Charges,232.58,,213.14,566.08,,																																							
HC INSERTION OF CHEST TUBE,32551,CPT,,,,BOTH, , ,1936.2,1626.41,1781.3,92,,Percent of Total Billed Charges,1618.66,,1781.3,92,,Percent of Total Billed Charges,1589.62,,1781.3,92,,Percent of Total Billed Charges,1558.64,,1781.3,92,,Percent of Total Billed Charges,1616.73,,1781.3,92,,Percent of Total Billed Charges,1457.96,,1781.3,92,,Percent of Total Billed Charges,1210.13,,1742.58,90,,Percent of Total Billed Charges,966.16,,1723.22,89,,Percent of Total Billed Charges,929.38,,1595.43,82.4,,Percent of Total Billed Charges,1591.56,,1614.79,83.4,,Percent of Total Billed Charges,1506.36,,1614.79,83.4,,Percent of Total Billed Charges,1357.28,,1614.79,83.4,,Percent of Total Billed Charges,1576.07,,1742.58,90,,Percent of Total Billed Charges,1639.96,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1781.3,92,,Percent of Total Billed Charges,1570.26,,1781.3,92,,Percent of Total Billed Charges,1440.53,,1781.3,92,,Percent of Total Billed Charges,1516.04,,1781.3,92,,Percent of Total Billed Charges,1570.26,,1510.24,78,,Percent of Total Billed Charges,1510.24,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1042.26,53.83,,Percent of Total Billed Charges,977.78,,670.7,34.64,,Percent of Total Billed Charges,667.99,,967.71,49.98,,Percent of Total Billed Charges,731.88,,670.70,1781.3,,																																							
HC THORACENTESIS W/O GUIDANCE,32554,CPT,,,,BOTH, , ,105,88.2,96.6,92,,Percent of Total Billed Charges,87.78,,96.6,92,,Percent of Total Billed Charges,86.21,,96.6,92,,Percent of Total Billed Charges,84.53,,96.6,92,,Percent of Total Billed Charges,87.68,,96.6,92,,Percent of Total Billed Charges,79.07,,96.6,92,,Percent of Total Billed Charges,65.63,,94.5,90,,Percent of Total Billed Charges,52.4,,93.45,89,,Percent of Total Billed Charges,50.4,,86.52,82.4,,Percent of Total Billed Charges,86.31,,87.57,83.4,,Percent of Total Billed Charges,81.69,,87.57,83.4,,Percent of Total Billed Charges,73.61,,87.57,83.4,,Percent of Total Billed Charges,85.47,,94.5,90,,Percent of Total Billed Charges,88.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,96.6,92,,Percent of Total Billed Charges,85.16,,96.6,92,,Percent of Total Billed Charges,78.12,,96.6,92,,Percent of Total Billed Charges,82.22,,96.6,92,,Percent of Total Billed Charges,85.16,,81.9,78,,Percent of Total Billed Charges,81.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,56.52,53.83,,Percent of Total Billed Charges,53.03,,36.37,34.64,,Percent of Total Billed Charges,36.23,,52.48,49.98,,Percent of Total Billed Charges,39.69,,36.37,96.6,,																																							
HC VENIPUNCTURE,36415,CPT,,,,BOTH, , ,26.25,22.05,24.15,92,,Percent of Total Billed Charges,21.95,,24.15,92,,Percent of Total Billed Charges,21.55,,24.15,92,,Percent of Total Billed Charges,21.13,,24.15,92,,Percent of Total Billed Charges,21.92,,24.15,92,,Percent of Total Billed Charges,19.77,,24.15,92,,Percent of Total Billed Charges,16.41,,23.63,90,,Percent of Total Billed Charges,13.1,,23.36,89,,Percent of Total Billed Charges,12.6,,21.63,82.4,,Percent of Total Billed Charges,21.58,,21.89,83.4,,Percent of Total Billed Charges,20.42,,21.89,83.4,,Percent of Total Billed Charges,18.4,,21.89,83.4,,Percent of Total Billed Charges,21.37,,23.63,90,,Percent of Total Billed Charges,22.23,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,24.15,92,,Percent of Total Billed Charges,21.29,,24.15,92,,Percent of Total Billed Charges,19.53,,24.15,92,,Percent of Total Billed Charges,20.55,,24.15,92,,Percent of Total Billed Charges,21.29,,20.48,78,,Percent of Total Billed Charges,20.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,14.13,53.83,,Percent of Total Billed Charges,13.26,,9.09,34.64,,Percent of Total Billed Charges,9.06,,13.12,49.98,,Percent of Total Billed Charges,9.92,,9.09,24.15,,																																							
HC INSERT NONTUNNEL CV CATH < 5 YEARS OLD,36555,CPT,,,,BOTH, , ,8435.7,7085.99,7760.84,92,,Percent of Total Billed Charges,7052.25,,7760.84,92,,Percent of Total Billed Charges,6925.71,,7760.84,92,,Percent of Total Billed Charges,6790.74,,7760.84,92,,Percent of Total Billed Charges,7043.81,,7760.84,92,,Percent of Total Billed Charges,6352.08,,7760.84,92,,Percent of Total Billed Charges,5272.31,,7592.13,90,,Percent of Total Billed Charges,4209.41,,7507.77,89,,Percent of Total Billed Charges,4049.14,,6951.02,82.4,,Percent of Total Billed Charges,6934.15,,7035.37,83.4,,Percent of Total Billed Charges,6562.97,,7035.37,83.4,,Percent of Total Billed Charges,5913.43,,7035.37,83.4,,Percent of Total Billed Charges,6866.66,,7592.13,90,,Percent of Total Billed Charges,7145.04,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,7760.84,92,,Percent of Total Billed Charges,6841.35,,7760.84,92,,Percent of Total Billed Charges,6276.16,,7760.84,92,,Percent of Total Billed Charges,6605.15,,7760.84,92,,Percent of Total Billed Charges,6841.35,,6579.85,78,,Percent of Total Billed Charges,6579.85,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4540.94,53.83,,Percent of Total Billed Charges,4260.03,,2922.13,34.64,,Percent of Total Billed Charges,2910.32,,4216.16,49.98,,Percent of Total Billed Charges,3188.69,,2922.13,7760.84,,																																							
HC INSERT NONTUNNEL CV CATH => 5 YEARS OLD,36556,CPT,,,,BOTH, , ,4911.9,4126,4518.95,92,,Percent of Total Billed Charges,4106.35,,4518.95,92,,Percent of Total Billed Charges,4032.67,,4518.95,92,,Percent of Total Billed Charges,3954.08,,4518.95,92,,Percent of Total Billed Charges,4101.44,,4518.95,92,,Percent of Total Billed Charges,3698.66,,4518.95,92,,Percent of Total Billed Charges,3069.94,,4420.71,90,,Percent of Total Billed Charges,2451.04,,4371.59,89,,Percent of Total Billed Charges,2357.71,,4047.41,82.4,,Percent of Total Billed Charges,4037.58,,4096.52,83.4,,Percent of Total Billed Charges,3821.46,,4096.52,83.4,,Percent of Total Billed Charges,3443.24,,4096.52,83.4,,Percent of Total Billed Charges,3998.29,,4420.71,90,,Percent of Total Billed Charges,4160.38,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4518.95,92,,Percent of Total Billed Charges,3983.55,,4518.95,92,,Percent of Total Billed Charges,3654.45,,4518.95,92,,Percent of Total Billed Charges,3846.02,,4518.95,92,,Percent of Total Billed Charges,3983.55,,3831.28,78,,Percent of Total Billed Charges,3831.28,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2644.08,53.83,,Percent of Total Billed Charges,2480.51,,1701.48,34.64,,Percent of Total Billed Charges,1694.61,,2454.97,49.98,,Percent of Total Billed Charges,1856.7,,1701.48,4518.95,,																																							
HC INSERT NEEDLE BONE CAVITY,36680,CPT,,,,BOTH, , ,795.9,668.56,732.23,92,,Percent of Total Billed Charges,665.37,,732.23,92,,Percent of Total Billed Charges,653.43,,732.23,92,,Percent of Total Billed Charges,640.7,,732.23,92,,Percent of Total Billed Charges,664.58,,732.23,92,,Percent of Total Billed Charges,599.31,,732.23,92,,Percent of Total Billed Charges,497.44,,716.31,90,,Percent of Total Billed Charges,397.15,,708.35,89,,Percent of Total Billed Charges,382.03,,655.82,82.4,,Percent of Total Billed Charges,654.23,,663.78,83.4,,Percent of Total Billed Charges,619.21,,663.78,83.4,,Percent of Total Billed Charges,557.93,,663.78,83.4,,Percent of Total Billed Charges,647.86,,716.31,90,,Percent of Total Billed Charges,674.13,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,732.23,92,,Percent of Total Billed Charges,645.47,,732.23,92,,Percent of Total Billed Charges,592.15,,732.23,92,,Percent of Total Billed Charges,623.19,,732.23,92,,Percent of Total Billed Charges,645.47,,620.8,78,,Percent of Total Billed Charges,620.8,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,428.43,53.83,,Percent of Total Billed Charges,401.93,,275.7,34.64,,Percent of Total Billed Charges,274.59,,397.79,49.98,,Percent of Total Billed Charges,300.85,,275.70,732.23,,																																							
HC REPAIR LIP VERMILION ONLY,40650,CPT,,,,BOTH, , ,2884.35,2422.85,2653.6,92,,Percent of Total Billed Charges,2411.32,,2653.6,92,,Percent of Total Billed Charges,2368.05,,2653.6,92,,Percent of Total Billed Charges,2321.9,,2653.6,92,,Percent of Total Billed Charges,2408.43,,2653.6,92,,Percent of Total Billed Charges,2171.92,,2653.6,92,,Percent of Total Billed Charges,1802.72,,2595.92,90,,Percent of Total Billed Charges,1439.29,,2567.07,89,,Percent of Total Billed Charges,1384.49,,2376.7,82.4,,Percent of Total Billed Charges,2370.94,,2405.55,83.4,,Percent of Total Billed Charges,2244.02,,2405.55,83.4,,Percent of Total Billed Charges,2021.93,,2405.55,83.4,,Percent of Total Billed Charges,2347.86,,2595.92,90,,Percent of Total Billed Charges,2443.04,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2653.6,92,,Percent of Total Billed Charges,2339.21,,2653.6,92,,Percent of Total Billed Charges,2145.96,,2653.6,92,,Percent of Total Billed Charges,2258.45,,2653.6,92,,Percent of Total Billed Charges,2339.21,,2249.79,78,,Percent of Total Billed Charges,2249.79,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1552.65,53.83,,Percent of Total Billed Charges,1456.6,,999.14,34.64,,Percent of Total Billed Charges,995.1,,1441.6,49.98,,Percent of Total Billed Charges,1090.28,,999.14,2653.6,,																																							
HC RPR LAC 2.5 CM/< MOUTH&/ANT TWOTHIRDS TONG,41250,CPT,,,,BOTH, , ,576.45,484.22,530.33,92,,Percent of Total Billed Charges,481.91,,530.33,92,,Percent of Total Billed Charges,473.27,,530.33,92,,Percent of Total Billed Charges,464.04,,530.33,92,,Percent of Total Billed Charges,481.34,,530.33,92,,Percent of Total Billed Charges,434.07,,530.33,92,,Percent of Total Billed Charges,360.28,,518.81,90,,Percent of Total Billed Charges,287.65,,513.04,89,,Percent of Total Billed Charges,276.7,,474.99,82.4,,Percent of Total Billed Charges,473.84,,480.76,83.4,,Percent of Total Billed Charges,448.48,,480.76,83.4,,Percent of Total Billed Charges,404.09,,480.76,83.4,,Percent of Total Billed Charges,469.23,,518.81,90,,Percent of Total Billed Charges,488.25,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,530.33,92,,Percent of Total Billed Charges,467.5,,530.33,92,,Percent of Total Billed Charges,428.88,,530.33,92,,Percent of Total Billed Charges,451.36,,530.33,92,,Percent of Total Billed Charges,467.5,,449.63,78,,Percent of Total Billed Charges,449.63,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,310.3,53.83,,Percent of Total Billed Charges,291.11,,199.68,34.64,,Percent of Total Billed Charges,198.88,,288.11,49.98,,Percent of Total Billed Charges,217.9,,199.68,530.33,,																																							
HC REPAIR TONGUE LACERATION >2.6 CM,41252,CPT,,,,BOTH, , ,1235.85,1038.11,1136.98,92,,Percent of Total Billed Charges,1033.17,,1136.98,92,,Percent of Total Billed Charges,1014.63,,1136.98,92,,Percent of Total Billed Charges,994.86,,1136.98,92,,Percent of Total Billed Charges,1031.93,,1136.98,92,,Percent of Total Billed Charges,930.6,,1136.98,92,,Percent of Total Billed Charges,772.41,,1112.27,90,,Percent of Total Billed Charges,616.69,,1099.91,89,,Percent of Total Billed Charges,593.21,,1018.34,82.4,,Percent of Total Billed Charges,1015.87,,1030.7,83.4,,Percent of Total Billed Charges,961.49,,1030.7,83.4,,Percent of Total Billed Charges,866.33,,1030.7,83.4,,Percent of Total Billed Charges,1005.98,,1112.27,90,,Percent of Total Billed Charges,1046.76,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1136.98,92,,Percent of Total Billed Charges,1002.27,,1136.98,92,,Percent of Total Billed Charges,919.47,,1136.98,92,,Percent of Total Billed Charges,967.67,,1136.98,92,,Percent of Total Billed Charges,1002.27,,963.96,78,,Percent of Total Billed Charges,963.96,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,665.26,53.83,,Percent of Total Billed Charges,624.1,,428.1,34.64,,Percent of Total Billed Charges,426.37,,617.68,49.98,,Percent of Total Billed Charges,467.15,,428.10,1136.98,,																																							
HC DRAINAGE OF GUM LESION,41800,CPT,,,,BOTH, , ,361.2,303.41,332.3,92,,Percent of Total Billed Charges,301.96,,332.3,92,,Percent of Total Billed Charges,296.55,,332.3,92,,Percent of Total Billed Charges,290.77,,332.3,92,,Percent of Total Billed Charges,301.6,,332.3,92,,Percent of Total Billed Charges,271.98,,332.3,92,,Percent of Total Billed Charges,225.75,,325.08,90,,Percent of Total Billed Charges,180.24,,321.47,89,,Percent of Total Billed Charges,173.38,,297.63,82.4,,Percent of Total Billed Charges,296.91,,301.24,83.4,,Percent of Total Billed Charges,281.01,,301.24,83.4,,Percent of Total Billed Charges,253.2,,301.24,83.4,,Percent of Total Billed Charges,294.02,,325.08,90,,Percent of Total Billed Charges,305.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,332.3,92,,Percent of Total Billed Charges,292.93,,332.3,92,,Percent of Total Billed Charges,268.73,,332.3,92,,Percent of Total Billed Charges,282.82,,332.3,92,,Percent of Total Billed Charges,292.93,,281.74,78,,Percent of Total Billed Charges,281.74,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,194.43,53.83,,Percent of Total Billed Charges,182.41,,125.12,34.64,,Percent of Total Billed Charges,124.61,,180.53,49.98,,Percent of Total Billed Charges,136.53,,125.12,332.3,,																																							
HC GASTRIC INTUBATION W/ASPIR.,43753,CPT,,,,BOTH, , ,1310.4,1100.74,1205.57,92,,Percent of Total Billed Charges,1095.49,,1205.57,92,,Percent of Total Billed Charges,1075.84,,1205.57,92,,Percent of Total Billed Charges,1054.87,,1205.57,92,,Percent of Total Billed Charges,1094.18,,1205.57,92,,Percent of Total Billed Charges,986.73,,1205.57,92,,Percent of Total Billed Charges,819,,1179.36,90,,Percent of Total Billed Charges,653.89,,1166.26,89,,Percent of Total Billed Charges,628.99,,1079.77,82.4,,Percent of Total Billed Charges,1077.15,,1092.87,83.4,,Percent of Total Billed Charges,1019.49,,1092.87,83.4,,Percent of Total Billed Charges,918.59,,1092.87,83.4,,Percent of Total Billed Charges,1066.67,,1179.36,90,,Percent of Total Billed Charges,1109.91,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1205.57,92,,Percent of Total Billed Charges,1062.73,,1205.57,92,,Percent of Total Billed Charges,974.94,,1205.57,92,,Percent of Total Billed Charges,1026.04,,1205.57,92,,Percent of Total Billed Charges,1062.73,,1022.11,78,,Percent of Total Billed Charges,1022.11,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,705.39,53.83,,Percent of Total Billed Charges,661.75,,453.92,34.64,,Percent of Total Billed Charges,452.09,,654.94,49.98,,Percent of Total Billed Charges,495.33,,453.92,1205.57,,																																							
HC INCISION OF RECTAL ABSCESS,46040,CPT,,,,BOTH, , ,8690.85,7300.31,7995.58,92,,Percent of Total Billed Charges,7265.55,,7995.58,92,,Percent of Total Billed Charges,7135.19,,7995.58,92,,Percent of Total Billed Charges,6996.13,,7995.58,92,,Percent of Total Billed Charges,7256.86,,7995.58,92,,Percent of Total Billed Charges,6544.21,,7995.58,92,,Percent of Total Billed Charges,5431.78,,7821.77,90,,Percent of Total Billed Charges,4336.73,,7734.86,89,,Percent of Total Billed Charges,4171.61,,7161.26,82.4,,Percent of Total Billed Charges,7143.88,,7248.17,83.4,,Percent of Total Billed Charges,6761.48,,7248.17,83.4,,Percent of Total Billed Charges,6092.29,,7248.17,83.4,,Percent of Total Billed Charges,7074.35,,7821.77,90,,Percent of Total Billed Charges,7361.15,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,7995.58,92,,Percent of Total Billed Charges,7048.28,,7995.58,92,,Percent of Total Billed Charges,6465.99,,7995.58,92,,Percent of Total Billed Charges,6804.94,,7995.58,92,,Percent of Total Billed Charges,7048.28,,6778.86,78,,Percent of Total Billed Charges,6778.86,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4678.28,53.83,,Percent of Total Billed Charges,4388.88,,3010.51,34.64,,Percent of Total Billed Charges,2998.34,,4343.69,49.98,,Percent of Total Billed Charges,3285.14,,3010.51,7995.58,,																																							
HC INCISION OF ANAL ABSCESS,46050,CPT,,,,BOTH, , ,8690.85,7300.31,7995.58,92,,Percent of Total Billed Charges,7265.55,,7995.58,92,,Percent of Total Billed Charges,7135.19,,7995.58,92,,Percent of Total Billed Charges,6996.13,,7995.58,92,,Percent of Total Billed Charges,7256.86,,7995.58,92,,Percent of Total Billed Charges,6544.21,,7995.58,92,,Percent of Total Billed Charges,5431.78,,7821.77,90,,Percent of Total Billed Charges,4336.73,,7734.86,89,,Percent of Total Billed Charges,4171.61,,7161.26,82.4,,Percent of Total Billed Charges,7143.88,,7248.17,83.4,,Percent of Total Billed Charges,6761.48,,7248.17,83.4,,Percent of Total Billed Charges,6092.29,,7248.17,83.4,,Percent of Total Billed Charges,7074.35,,7821.77,90,,Percent of Total Billed Charges,7361.15,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,7995.58,92,,Percent of Total Billed Charges,7048.28,,7995.58,92,,Percent of Total Billed Charges,6465.99,,7995.58,92,,Percent of Total Billed Charges,6804.94,,7995.58,92,,Percent of Total Billed Charges,7048.28,,6778.86,78,,Percent of Total Billed Charges,6778.86,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4678.28,53.83,,Percent of Total Billed Charges,4388.88,,3010.51,34.64,,Percent of Total Billed Charges,2998.34,,4343.69,49.98,,Percent of Total Billed Charges,3285.14,,3010.51,7995.58,,																																							
HC INCISE EXTERNAL HEMORRHOID,46083,CPT,,,,BOTH, , ,498.75,418.95,458.85,92,,Percent of Total Billed Charges,416.96,,458.85,92,,Percent of Total Billed Charges,409.47,,458.85,92,,Percent of Total Billed Charges,401.49,,458.85,92,,Percent of Total Billed Charges,416.46,,458.85,92,,Percent of Total Billed Charges,375.56,,458.85,92,,Percent of Total Billed Charges,311.72,,448.88,90,,Percent of Total Billed Charges,248.88,,443.89,89,,Percent of Total Billed Charges,239.4,,410.97,82.4,,Percent of Total Billed Charges,409.97,,415.96,83.4,,Percent of Total Billed Charges,388.03,,415.96,83.4,,Percent of Total Billed Charges,349.62,,415.96,83.4,,Percent of Total Billed Charges,405.98,,448.88,90,,Percent of Total Billed Charges,422.44,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,458.85,92,,Percent of Total Billed Charges,404.49,,458.85,92,,Percent of Total Billed Charges,371.07,,458.85,92,,Percent of Total Billed Charges,390.52,,458.85,92,,Percent of Total Billed Charges,404.49,,389.03,78,,Percent of Total Billed Charges,389.03,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,268.48,53.83,,Percent of Total Billed Charges,251.87,,172.77,34.64,,Percent of Total Billed Charges,172.07,,249.28,49.98,,Percent of Total Billed Charges,188.53,,172.77,458.85,,																																							
HC DIAGNOSTIC ANOSCOPY SPX,46600,CPT,,,,BOTH, , ,459.9,386.32,423.11,92,,Percent of Total Billed Charges,384.48,,423.11,92,,Percent of Total Billed Charges,377.58,,423.11,92,,Percent of Total Billed Charges,370.22,,423.11,92,,Percent of Total Billed Charges,384.02,,423.11,92,,Percent of Total Billed Charges,346.3,,423.11,92,,Percent of Total Billed Charges,287.44,,413.91,90,,Percent of Total Billed Charges,229.49,,409.31,89,,Percent of Total Billed Charges,220.75,,378.96,82.4,,Percent of Total Billed Charges,378.04,,383.56,83.4,,Percent of Total Billed Charges,357.8,,383.56,83.4,,Percent of Total Billed Charges,322.39,,383.56,83.4,,Percent of Total Billed Charges,374.36,,413.91,90,,Percent of Total Billed Charges,389.54,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,423.11,92,,Percent of Total Billed Charges,372.98,,423.11,92,,Percent of Total Billed Charges,342.17,,423.11,92,,Percent of Total Billed Charges,360.1,,423.11,92,,Percent of Total Billed Charges,372.98,,358.72,78,,Percent of Total Billed Charges,358.72,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,247.56,53.83,,Percent of Total Billed Charges,232.25,,159.31,34.64,,Percent of Total Billed Charges,158.67,,229.86,49.98,,Percent of Total Billed Charges,173.84,,159.31,423.11,,																																							
HC BLADDER IRRIGATION,51700,CPT,,,,BOTH, , ,575.4,483.34,529.37,92,,Percent of Total Billed Charges,481.03,,529.37,92,,Percent of Total Billed Charges,472.4,,529.37,92,,Percent of Total Billed Charges,463.2,,529.37,92,,Percent of Total Billed Charges,480.46,,529.37,92,,Percent of Total Billed Charges,433.28,,529.37,92,,Percent of Total Billed Charges,359.63,,517.86,90,,Percent of Total Billed Charges,287.12,,512.11,89,,Percent of Total Billed Charges,276.19,,474.13,82.4,,Percent of Total Billed Charges,472.98,,479.88,83.4,,Percent of Total Billed Charges,447.66,,479.88,83.4,,Percent of Total Billed Charges,403.36,,479.88,83.4,,Percent of Total Billed Charges,468.38,,517.86,90,,Percent of Total Billed Charges,487.36,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,529.37,92,,Percent of Total Billed Charges,466.65,,529.37,92,,Percent of Total Billed Charges,428.1,,529.37,92,,Percent of Total Billed Charges,450.54,,529.37,92,,Percent of Total Billed Charges,466.65,,448.81,78,,Percent of Total Billed Charges,448.81,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,309.74,53.83,,Percent of Total Billed Charges,290.58,,199.32,34.64,,Percent of Total Billed Charges,198.51,,287.58,49.98,,Percent of Total Billed Charges,217.5,,199.32,529.37,,																																							
HC URETHRAL CATH INSERTED,51701,CPT,,,,BOTH, , ,480.9,403.96,442.43,92,,Percent of Total Billed Charges,402.03,,442.43,92,,Percent of Total Billed Charges,394.82,,442.43,92,,Percent of Total Billed Charges,387.12,,442.43,92,,Percent of Total Billed Charges,401.55,,442.43,92,,Percent of Total Billed Charges,362.12,,442.43,92,,Percent of Total Billed Charges,300.56,,432.81,90,,Percent of Total Billed Charges,239.97,,428,89,,Percent of Total Billed Charges,230.83,,396.26,82.4,,Percent of Total Billed Charges,395.3,,401.07,83.4,,Percent of Total Billed Charges,374.14,,401.07,83.4,,Percent of Total Billed Charges,337.11,,401.07,83.4,,Percent of Total Billed Charges,391.45,,432.81,90,,Percent of Total Billed Charges,407.32,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,442.43,92,,Percent of Total Billed Charges,390.01,,442.43,92,,Percent of Total Billed Charges,357.79,,442.43,92,,Percent of Total Billed Charges,376.54,,442.43,92,,Percent of Total Billed Charges,390.01,,375.1,78,,Percent of Total Billed Charges,375.1,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,258.87,53.83,,Percent of Total Billed Charges,242.85,,166.58,34.64,,Percent of Total Billed Charges,165.91,,240.35,49.98,,Percent of Total Billed Charges,181.78,,166.58,442.43,,																																							
HC URETHRAL CATH TEMPORARY,51702,CPT,,,,BOTH, , ,270.9,227.56,249.23,92,,Percent of Total Billed Charges,226.47,,249.23,92,,Percent of Total Billed Charges,222.41,,249.23,92,,Percent of Total Billed Charges,218.07,,249.23,92,,Percent of Total Billed Charges,226.2,,249.23,92,,Percent of Total Billed Charges,203.99,,249.23,92,,Percent of Total Billed Charges,169.31,,243.81,90,,Percent of Total Billed Charges,135.18,,241.1,89,,Percent of Total Billed Charges,130.03,,223.22,82.4,,Percent of Total Billed Charges,222.68,,225.93,83.4,,Percent of Total Billed Charges,210.76,,225.93,83.4,,Percent of Total Billed Charges,189.9,,225.93,83.4,,Percent of Total Billed Charges,220.51,,243.81,90,,Percent of Total Billed Charges,229.45,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,249.23,92,,Percent of Total Billed Charges,219.7,,249.23,92,,Percent of Total Billed Charges,201.55,,249.23,92,,Percent of Total Billed Charges,212.11,,249.23,92,,Percent of Total Billed Charges,219.7,,211.3,78,,Percent of Total Billed Charges,211.3,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,145.83,53.83,,Percent of Total Billed Charges,136.8,,93.84,34.64,,Percent of Total Billed Charges,93.46,,135.4,49.98,,Percent of Total Billed Charges,102.4,,93.84,249.23,,																																							
HC CHANGE CYSTOSTOMY TUBE,51705,CPT,,,,BOTH, , ,487.2,409.25,448.22,92,,Percent of Total Billed Charges,407.3,,448.22,92,,Percent of Total Billed Charges,399.99,,448.22,92,,Percent of Total Billed Charges,392.2,,448.22,92,,Percent of Total Billed Charges,406.81,,448.22,92,,Percent of Total Billed Charges,366.86,,448.22,92,,Percent of Total Billed Charges,304.5,,438.48,90,,Percent of Total Billed Charges,243.11,,433.61,89,,Percent of Total Billed Charges,233.86,,401.45,82.4,,Percent of Total Billed Charges,400.48,,406.32,83.4,,Percent of Total Billed Charges,379.04,,406.32,83.4,,Percent of Total Billed Charges,341.53,,406.32,83.4,,Percent of Total Billed Charges,396.58,,438.48,90,,Percent of Total Billed Charges,412.66,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,448.22,92,,Percent of Total Billed Charges,395.12,,448.22,92,,Percent of Total Billed Charges,362.48,,448.22,92,,Percent of Total Billed Charges,381.48,,448.22,92,,Percent of Total Billed Charges,395.12,,380.02,78,,Percent of Total Billed Charges,380.02,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,262.26,53.83,,Percent of Total Billed Charges,246.04,,168.77,34.64,,Percent of Total Billed Charges,168.08,,243.5,49.98,,Percent of Total Billed Charges,184.16,,168.77,448.22,,																																							
HC I&D VULVA/PERINEAL ABSCESS,56405,CPT,,,,BOTH, , ,858.9,721.48,790.19,92,,Percent of Total Billed Charges,718.04,,790.19,92,,Percent of Total Billed Charges,705.16,,790.19,92,,Percent of Total Billed Charges,691.41,,790.19,92,,Percent of Total Billed Charges,717.18,,790.19,92,,Percent of Total Billed Charges,646.75,,790.19,92,,Percent of Total Billed Charges,536.81,,773.01,90,,Percent of Total Billed Charges,428.59,,764.42,89,,Percent of Total Billed Charges,412.27,,707.73,82.4,,Percent of Total Billed Charges,706.02,,716.32,83.4,,Percent of Total Billed Charges,668.22,,716.32,83.4,,Percent of Total Billed Charges,602.09,,716.32,83.4,,Percent of Total Billed Charges,699.14,,773.01,90,,Percent of Total Billed Charges,727.49,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,790.19,92,,Percent of Total Billed Charges,696.57,,790.19,92,,Percent of Total Billed Charges,639.02,,790.19,92,,Percent of Total Billed Charges,672.52,,790.19,92,,Percent of Total Billed Charges,696.57,,669.94,78,,Percent of Total Billed Charges,669.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,462.35,53.83,,Percent of Total Billed Charges,433.74,,297.52,34.64,,Percent of Total Billed Charges,296.32,,429.28,49.98,,Percent of Total Billed Charges,324.66,,297.52,790.19,,																																							
HC DRAINAGE OF GLAND ABSCESS,56420,CPT,,,,BOTH, , ,465.15,390.73,427.94,92,,Percent of Total Billed Charges,388.87,,427.94,92,,Percent of Total Billed Charges,381.89,,427.94,92,,Percent of Total Billed Charges,374.45,,427.94,92,,Percent of Total Billed Charges,388.4,,427.94,92,,Percent of Total Billed Charges,350.26,,427.94,92,,Percent of Total Billed Charges,290.72,,418.64,90,,Percent of Total Billed Charges,232.11,,413.98,89,,Percent of Total Billed Charges,223.27,,383.28,82.4,,Percent of Total Billed Charges,382.35,,387.94,83.4,,Percent of Total Billed Charges,361.89,,387.94,83.4,,Percent of Total Billed Charges,326.07,,387.94,83.4,,Percent of Total Billed Charges,378.63,,418.64,90,,Percent of Total Billed Charges,393.98,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,427.94,92,,Percent of Total Billed Charges,377.24,,427.94,92,,Percent of Total Billed Charges,346.07,,427.94,92,,Percent of Total Billed Charges,364.21,,427.94,92,,Percent of Total Billed Charges,377.24,,362.82,78,,Percent of Total Billed Charges,362.82,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,250.39,53.83,,Percent of Total Billed Charges,234.9,,161.13,34.64,,Percent of Total Billed Charges,160.48,,232.48,49.98,,Percent of Total Billed Charges,175.83,,161.13,427.94,,																																							
HC FETAL NONSTRESS TEST,59025,CPT,,,,BOTH, , ,891.45,748.82,820.13,92,,Percent of Total Billed Charges,745.25,,820.13,92,,Percent of Total Billed Charges,731.88,,820.13,92,,Percent of Total Billed Charges,717.62,,820.13,92,,Percent of Total Billed Charges,744.36,,820.13,92,,Percent of Total Billed Charges,671.26,,820.13,92,,Percent of Total Billed Charges,557.16,,802.31,90,,Percent of Total Billed Charges,444.83,,793.39,89,,Percent of Total Billed Charges,427.9,,734.55,82.4,,Percent of Total Billed Charges,732.77,,743.47,83.4,,Percent of Total Billed Charges,693.55,,743.47,83.4,,Percent of Total Billed Charges,624.91,,743.47,83.4,,Percent of Total Billed Charges,725.64,,802.31,90,,Percent of Total Billed Charges,755.06,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,820.13,92,,Percent of Total Billed Charges,722.97,,820.13,92,,Percent of Total Billed Charges,663.24,,820.13,92,,Percent of Total Billed Charges,698.01,,820.13,92,,Percent of Total Billed Charges,722.97,,695.33,78,,Percent of Total Billed Charges,695.33,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,479.87,53.83,,Percent of Total Billed Charges,450.18,,308.8,34.64,,Percent of Total Billed Charges,307.55,,445.55,49.98,,Percent of Total Billed Charges,336.97,,308.80,820.13,,																																							
HC VAGINAL DELIVERY ONLY,59409,CPT,,,,BOTH, , ,7733.25,6495.93,7114.59,92,,Percent of Total Billed Charges,6465,,7114.59,92,,Percent of Total Billed Charges,6349,,7114.59,92,,Percent of Total Billed Charges,6225.27,,7114.59,92,,Percent of Total Billed Charges,6457.26,,7114.59,92,,Percent of Total Billed Charges,5823.14,,7114.59,92,,Percent of Total Billed Charges,4833.28,,6959.93,90,,Percent of Total Billed Charges,3858.89,,6882.59,89,,Percent of Total Billed Charges,3711.96,,6372.2,82.4,,Percent of Total Billed Charges,6356.73,,6449.53,83.4,,Percent of Total Billed Charges,6016.47,,6449.53,83.4,,Percent of Total Billed Charges,5421.01,,6449.53,83.4,,Percent of Total Billed Charges,6294.87,,6959.93,90,,Percent of Total Billed Charges,6550.06,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,7114.59,92,,Percent of Total Billed Charges,6271.67,,7114.59,92,,Percent of Total Billed Charges,5753.54,,7114.59,92,,Percent of Total Billed Charges,6055.13,,7114.59,92,,Percent of Total Billed Charges,6271.67,,6031.94,78,,Percent of Total Billed Charges,6031.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4162.81,53.83,,Percent of Total Billed Charges,3905.29,,2678.8,34.64,,Percent of Total Billed Charges,2667.97,,3865.08,49.98,,Percent of Total Billed Charges,2923.17,,2678.80,7114.59,,																																							
HC SPINAL FLUID TAP DIAGNOSTIC,62270,CPT,,,,BOTH, , ,1254.75,1053.99,1154.37,92,,Percent of Total Billed Charges,1048.97,,1154.37,92,,Percent of Total Billed Charges,1030.15,,1154.37,92,,Percent of Total Billed Charges,1010.07,,1154.37,92,,Percent of Total Billed Charges,1047.72,,1154.37,92,,Percent of Total Billed Charges,944.83,,1154.37,92,,Percent of Total Billed Charges,784.22,,1129.28,90,,Percent of Total Billed Charges,626.12,,1116.73,89,,Percent of Total Billed Charges,602.28,,1033.91,82.4,,Percent of Total Billed Charges,1031.4,,1046.46,83.4,,Percent of Total Billed Charges,976.2,,1046.46,83.4,,Percent of Total Billed Charges,879.58,,1046.46,83.4,,Percent of Total Billed Charges,1021.37,,1129.28,90,,Percent of Total Billed Charges,1062.77,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1154.37,92,,Percent of Total Billed Charges,1017.6,,1154.37,92,,Percent of Total Billed Charges,933.53,,1154.37,92,,Percent of Total Billed Charges,982.47,,1154.37,92,,Percent of Total Billed Charges,1017.6,,978.71,78,,Percent of Total Billed Charges,978.71,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,675.43,53.83,,Percent of Total Billed Charges,633.65,,434.65,34.64,,Percent of Total Billed Charges,432.89,,627.12,49.98,,Percent of Total Billed Charges,474.3,,434.65,1154.37,,																																							
HC INJ(S), ANES AGENT(S) A/O STEROID; TRIGEMINAL NERVE,64400,CPT,,,,BOTH, , ,1013.25,851.13,932.19,92,,Percent of Total Billed Charges,847.08,,932.19,92,,Percent of Total Billed Charges,831.88,,932.19,92,,Percent of Total Billed Charges,815.67,,932.19,92,,Percent of Total Billed Charges,846.06,,932.19,92,,Percent of Total Billed Charges,762.98,,932.19,92,,Percent of Total Billed Charges,633.28,,911.93,90,,Percent of Total Billed Charges,505.61,,901.79,89,,Percent of Total Billed Charges,486.36,,834.92,82.4,,Percent of Total Billed Charges,832.89,,845.05,83.4,,Percent of Total Billed Charges,788.31,,845.05,83.4,,Percent of Total Billed Charges,710.29,,845.05,83.4,,Percent of Total Billed Charges,824.79,,911.93,90,,Percent of Total Billed Charges,858.22,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,932.19,92,,Percent of Total Billed Charges,821.75,,932.19,92,,Percent of Total Billed Charges,753.86,,932.19,92,,Percent of Total Billed Charges,793.37,,932.19,92,,Percent of Total Billed Charges,821.75,,790.34,78,,Percent of Total Billed Charges,790.34,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,545.43,53.83,,Percent of Total Billed Charges,511.69,,350.99,34.64,,Percent of Total Billed Charges,349.57,,506.42,49.98,,Percent of Total Billed Charges,383.01,,350.99,932.19,,																																							
HC N BLOCK OTHER PERIPHERAL,64450,CPT,,,,BOTH, , ,1791.3,1504.69,1648,92,,Percent of Total Billed Charges,1497.53,,1648,92,,Percent of Total Billed Charges,1470.66,,1648,92,,Percent of Total Billed Charges,1442,,1648,92,,Percent of Total Billed Charges,1495.74,,1648,92,,Percent of Total Billed Charges,1348.85,,1648,92,,Percent of Total Billed Charges,1119.56,,1612.17,90,,Percent of Total Billed Charges,893.86,,1594.26,89,,Percent of Total Billed Charges,859.82,,1476.03,82.4,,Percent of Total Billed Charges,1472.45,,1493.94,83.4,,Percent of Total Billed Charges,1393.63,,1493.94,83.4,,Percent of Total Billed Charges,1255.7,,1493.94,83.4,,Percent of Total Billed Charges,1458.12,,1612.17,90,,Percent of Total Billed Charges,1517.23,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1648,92,,Percent of Total Billed Charges,1452.74,,1648,92,,Percent of Total Billed Charges,1332.73,,1648,92,,Percent of Total Billed Charges,1402.59,,1648,92,,Percent of Total Billed Charges,1452.74,,1397.21,78,,Percent of Total Billed Charges,1397.21,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,964.26,53.83,,Percent of Total Billed Charges,904.61,,620.51,34.64,,Percent of Total Billed Charges,618,,895.29,49.98,,Percent of Total Billed Charges,677.11,,620.51,1648,,																																							
HC REMOVE FOREIGN BODY FROM EYE CONJUCT SUP,65205,CPT,,,,BOTH, , ,589.05,494.8,541.93,92,,Percent of Total Billed Charges,492.45,,541.93,92,,Percent of Total Billed Charges,483.61,,541.93,92,,Percent of Total Billed Charges,474.19,,541.93,92,,Percent of Total Billed Charges,491.86,,541.93,92,,Percent of Total Billed Charges,443.55,,541.93,92,,Percent of Total Billed Charges,368.16,,530.15,90,,Percent of Total Billed Charges,293.94,,524.25,89,,Percent of Total Billed Charges,282.74,,485.38,82.4,,Percent of Total Billed Charges,484.2,,491.27,83.4,,Percent of Total Billed Charges,458.28,,491.27,83.4,,Percent of Total Billed Charges,412.92,,491.27,83.4,,Percent of Total Billed Charges,479.49,,530.15,90,,Percent of Total Billed Charges,498.93,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,541.93,92,,Percent of Total Billed Charges,477.72,,541.93,92,,Percent of Total Billed Charges,438.25,,541.93,92,,Percent of Total Billed Charges,461.23,,541.93,92,,Percent of Total Billed Charges,477.72,,459.46,78,,Percent of Total Billed Charges,459.46,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,317.09,53.83,,Percent of Total Billed Charges,297.47,,204.05,34.64,,Percent of Total Billed Charges,203.22,,294.41,49.98,,Percent of Total Billed Charges,222.66,,204.05,541.93,,																																							
HC REMOVE FOREIGN BODY FROM EYE CONJUCT EMBD,65210,CPT,,,,BOTH, , ,596.4,500.98,548.69,92,,Percent of Total Billed Charges,498.59,,548.69,92,,Percent of Total Billed Charges,489.64,,548.69,92,,Percent of Total Billed Charges,480.1,,548.69,92,,Percent of Total Billed Charges,497.99,,548.69,92,,Percent of Total Billed Charges,449.09,,548.69,92,,Percent of Total Billed Charges,372.75,,536.76,90,,Percent of Total Billed Charges,297.6,,530.8,89,,Percent of Total Billed Charges,286.27,,491.43,82.4,,Percent of Total Billed Charges,490.24,,497.4,83.4,,Percent of Total Billed Charges,464,,497.4,83.4,,Percent of Total Billed Charges,418.08,,497.4,83.4,,Percent of Total Billed Charges,485.47,,536.76,90,,Percent of Total Billed Charges,505.15,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,548.69,92,,Percent of Total Billed Charges,483.68,,548.69,92,,Percent of Total Billed Charges,443.72,,548.69,92,,Percent of Total Billed Charges,466.98,,548.69,92,,Percent of Total Billed Charges,483.68,,465.19,78,,Percent of Total Billed Charges,465.19,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,321.04,53.83,,Percent of Total Billed Charges,301.18,,206.59,34.64,,Percent of Total Billed Charges,205.76,,298.08,49.98,,Percent of Total Billed Charges,225.44,,206.59,548.69,,																																							
HC REMOVE FOREIGN BODY FROM EYE CORNEAL WO SLT LMP,65220,CPT,,,,BOTH, , ,585.9,492.16,539.03,92,,Percent of Total Billed Charges,489.81,,539.03,92,,Percent of Total Billed Charges,481.02,,539.03,92,,Percent of Total Billed Charges,471.65,,539.03,92,,Percent of Total Billed Charges,489.23,,539.03,92,,Percent of Total Billed Charges,441.18,,539.03,92,,Percent of Total Billed Charges,366.19,,527.31,90,,Percent of Total Billed Charges,292.36,,521.45,89,,Percent of Total Billed Charges,281.23,,482.78,82.4,,Percent of Total Billed Charges,481.61,,488.64,83.4,,Percent of Total Billed Charges,455.83,,488.64,83.4,,Percent of Total Billed Charges,410.72,,488.64,83.4,,Percent of Total Billed Charges,476.92,,527.31,90,,Percent of Total Billed Charges,496.26,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,539.03,92,,Percent of Total Billed Charges,475.16,,539.03,92,,Percent of Total Billed Charges,435.91,,539.03,92,,Percent of Total Billed Charges,458.76,,539.03,92,,Percent of Total Billed Charges,475.16,,457,78,,Percent of Total Billed Charges,457,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,315.39,53.83,,Percent of Total Billed Charges,295.88,,202.96,34.64,,Percent of Total Billed Charges,202.14,,292.83,49.98,,Percent of Total Billed Charges,221.47,,202.96,539.03,,																																							
HC REMOVE FOREIGN BODY FROM EYE CORNEAL W SLT LMP,65222,CPT,,,,BOTH, , ,596.4,500.98,548.69,92,,Percent of Total Billed Charges,498.59,,548.69,92,,Percent of Total Billed Charges,489.64,,548.69,92,,Percent of Total Billed Charges,480.1,,548.69,92,,Percent of Total Billed Charges,497.99,,548.69,92,,Percent of Total Billed Charges,449.09,,548.69,92,,Percent of Total Billed Charges,372.75,,536.76,90,,Percent of Total Billed Charges,297.6,,530.8,89,,Percent of Total Billed Charges,286.27,,491.43,82.4,,Percent of Total Billed Charges,490.24,,497.4,83.4,,Percent of Total Billed Charges,464,,497.4,83.4,,Percent of Total Billed Charges,418.08,,497.4,83.4,,Percent of Total Billed Charges,485.47,,536.76,90,,Percent of Total Billed Charges,505.15,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,548.69,92,,Percent of Total Billed Charges,483.68,,548.69,92,,Percent of Total Billed Charges,443.72,,548.69,92,,Percent of Total Billed Charges,466.98,,548.69,92,,Percent of Total Billed Charges,483.68,,465.19,78,,Percent of Total Billed Charges,465.19,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,321.04,53.83,,Percent of Total Billed Charges,301.18,,206.59,34.64,,Percent of Total Billed Charges,205.76,,298.08,49.98,,Percent of Total Billed Charges,225.44,,206.59,548.69,,																																							
HC CLEAR OUTER EAR CANAL WO GEN ANETHS,69200,CPT,,,,BOTH, , ,320.25,269.01,294.63,92,,Percent of Total Billed Charges,267.73,,294.63,92,,Percent of Total Billed Charges,262.93,,294.63,92,,Percent of Total Billed Charges,257.8,,294.63,92,,Percent of Total Billed Charges,267.41,,294.63,92,,Percent of Total Billed Charges,241.15,,294.63,92,,Percent of Total Billed Charges,200.16,,288.23,90,,Percent of Total Billed Charges,159.8,,285.02,89,,Percent of Total Billed Charges,153.72,,263.89,82.4,,Percent of Total Billed Charges,263.25,,267.09,83.4,,Percent of Total Billed Charges,249.15,,267.09,83.4,,Percent of Total Billed Charges,224.5,,267.09,83.4,,Percent of Total Billed Charges,260.68,,288.23,90,,Percent of Total Billed Charges,271.25,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,294.63,92,,Percent of Total Billed Charges,259.72,,294.63,92,,Percent of Total Billed Charges,238.27,,294.63,92,,Percent of Total Billed Charges,250.76,,294.63,92,,Percent of Total Billed Charges,259.72,,249.8,78,,Percent of Total Billed Charges,249.8,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,172.39,53.83,,Percent of Total Billed Charges,161.73,,110.93,34.64,,Percent of Total Billed Charges,110.49,,160.06,49.98,,Percent of Total Billed Charges,121.05,,110.93,294.63,,																																							
HC REMOVE IMPACTED EAR WAX UNILATERAL,69210,CPT,,,,BOTH, , ,29.4,24.7,27.05,92,,Percent of Total Billed Charges,24.58,,27.05,92,,Percent of Total Billed Charges,24.14,,27.05,92,,Percent of Total Billed Charges,23.67,,27.05,92,,Percent of Total Billed Charges,24.55,,27.05,92,,Percent of Total Billed Charges,22.14,,27.05,92,,Percent of Total Billed Charges,18.38,,26.46,90,,Percent of Total Billed Charges,14.67,,26.17,89,,Percent of Total Billed Charges,14.11,,24.23,82.4,,Percent of Total Billed Charges,24.17,,24.52,83.4,,Percent of Total Billed Charges,22.87,,24.52,83.4,,Percent of Total Billed Charges,20.61,,24.52,83.4,,Percent of Total Billed Charges,23.93,,26.46,90,,Percent of Total Billed Charges,24.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,27.05,92,,Percent of Total Billed Charges,23.84,,27.05,92,,Percent of Total Billed Charges,21.87,,27.05,92,,Percent of Total Billed Charges,23.02,,27.05,92,,Percent of Total Billed Charges,23.84,,22.93,78,,Percent of Total Billed Charges,22.93,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,15.83,53.83,,Percent of Total Billed Charges,14.85,,10.18,34.64,,Percent of Total Billed Charges,10.14,,14.69,49.98,,Percent of Total Billed Charges,11.11,,10.18,27.05,,																																							
HC OB FETAL, LIMITED,76815,CPT,,,,BOTH, , ,723.45,607.7,665.57,92,,Percent of Total Billed Charges,604.8,,665.57,92,,Percent of Total Billed Charges,593.95,,665.57,92,,Percent of Total Billed Charges,582.38,,665.57,92,,Percent of Total Billed Charges,604.08,,665.57,92,,Percent of Total Billed Charges,544.76,,665.57,92,,Percent of Total Billed Charges,452.16,,651.11,90,,Percent of Total Billed Charges,361,,643.87,89,,Percent of Total Billed Charges,347.26,,596.12,82.4,,Percent of Total Billed Charges,594.68,,603.36,83.4,,Percent of Total Billed Charges,562.84,,603.36,83.4,,Percent of Total Billed Charges,507.14,,603.36,83.4,,Percent of Total Billed Charges,588.89,,651.11,90,,Percent of Total Billed Charges,612.76,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,665.57,92,,Percent of Total Billed Charges,586.72,,665.57,92,,Percent of Total Billed Charges,538.25,,665.57,92,,Percent of Total Billed Charges,566.46,,665.57,92,,Percent of Total Billed Charges,586.72,,564.29,78,,Percent of Total Billed Charges,564.29,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,389.43,53.83,,Percent of Total Billed Charges,365.34,,250.6,34.64,,Percent of Total Billed Charges,249.59,,361.58,49.98,,Percent of Total Billed Charges,273.46,,250.60,665.57,,																																							
HC IMMUNIZATION ADMIN,90471,CPT,,,,BOTH, , ,135.45,113.78,124.61,92,,Percent of Total Billed Charges,113.24,,124.61,92,,Percent of Total Billed Charges,111.2,,124.61,92,,Percent of Total Billed Charges,109.04,,124.61,92,,Percent of Total Billed Charges,113.1,,124.61,92,,Percent of Total Billed Charges,101.99,,124.61,92,,Percent of Total Billed Charges,84.66,,121.91,90,,Percent of Total Billed Charges,67.59,,120.55,89,,Percent of Total Billed Charges,65.02,,111.61,82.4,,Percent of Total Billed Charges,111.34,,112.97,83.4,,Percent of Total Billed Charges,105.38,,112.97,83.4,,Percent of Total Billed Charges,94.95,,112.97,83.4,,Percent of Total Billed Charges,110.26,,121.91,90,,Percent of Total Billed Charges,114.73,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,124.61,92,,Percent of Total Billed Charges,109.85,,124.61,92,,Percent of Total Billed Charges,100.77,,124.61,92,,Percent of Total Billed Charges,106.06,,124.61,92,,Percent of Total Billed Charges,109.85,,105.65,78,,Percent of Total Billed Charges,105.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,72.91,53.83,,Percent of Total Billed Charges,68.4,,46.92,34.64,,Percent of Total Billed Charges,46.73,,67.7,49.98,,Percent of Total Billed Charges,51.2,,46.92,124.61,,																																							
HC IMMUNIZATION ADMIN EACH ADD,90472,CPT,,,,BOTH, , ,135.45,113.78,124.61,92,,Percent of Total Billed Charges,113.24,,124.61,92,,Percent of Total Billed Charges,111.2,,124.61,92,,Percent of Total Billed Charges,109.04,,124.61,92,,Percent of Total Billed Charges,113.1,,124.61,92,,Percent of Total Billed Charges,101.99,,124.61,92,,Percent of Total Billed Charges,84.66,,121.91,90,,Percent of Total Billed Charges,67.59,,120.55,89,,Percent of Total Billed Charges,65.02,,111.61,82.4,,Percent of Total Billed Charges,111.34,,112.97,83.4,,Percent of Total Billed Charges,105.38,,112.97,83.4,,Percent of Total Billed Charges,94.95,,112.97,83.4,,Percent of Total Billed Charges,110.26,,121.91,90,,Percent of Total Billed Charges,114.73,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,124.61,92,,Percent of Total Billed Charges,109.85,,124.61,92,,Percent of Total Billed Charges,100.77,,124.61,92,,Percent of Total Billed Charges,106.06,,124.61,92,,Percent of Total Billed Charges,109.85,,105.65,78,,Percent of Total Billed Charges,105.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,72.91,53.83,,Percent of Total Billed Charges,68.4,,46.92,34.64,,Percent of Total Billed Charges,46.73,,67.7,49.98,,Percent of Total Billed Charges,51.2,,46.92,124.61,,																																							
HC TEMPORARY EXTERNAL PACING,92953,CPT,,,,BOTH, , ,97.65,82.03,89.84,92,,Percent of Total Billed Charges,81.64,,89.84,92,,Percent of Total Billed Charges,80.17,,89.84,92,,Percent of Total Billed Charges,78.61,,89.84,92,,Percent of Total Billed Charges,81.54,,89.84,92,,Percent of Total Billed Charges,73.53,,89.84,92,,Percent of Total Billed Charges,61.03,,87.89,90,,Percent of Total Billed Charges,48.73,,86.91,89,,Percent of Total Billed Charges,46.87,,80.46,82.4,,Percent of Total Billed Charges,80.27,,81.44,83.4,,Percent of Total Billed Charges,75.97,,81.44,83.4,,Percent of Total Billed Charges,68.45,,81.44,83.4,,Percent of Total Billed Charges,79.49,,87.89,90,,Percent of Total Billed Charges,82.71,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,89.84,92,,Percent of Total Billed Charges,79.19,,89.84,92,,Percent of Total Billed Charges,72.65,,89.84,92,,Percent of Total Billed Charges,76.46,,89.84,92,,Percent of Total Billed Charges,79.19,,76.17,78,,Percent of Total Billed Charges,76.17,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,52.56,53.83,,Percent of Total Billed Charges,49.31,,33.83,34.64,,Percent of Total Billed Charges,33.69,,48.81,49.98,,Percent of Total Billed Charges,36.91,,33.83,89.84,,																																							
HC IV INFUSION HYDRA INITIAL =< 1HR,96360,CPT,,,,BOTH, , ,833.7,700.31,767,92,,Percent of Total Billed Charges,696.97,,767,92,,Percent of Total Billed Charges,684.47,,767,92,,Percent of Total Billed Charges,671.13,,767,92,,Percent of Total Billed Charges,696.14,,767,92,,Percent of Total Billed Charges,627.78,,767,92,,Percent of Total Billed Charges,521.06,,750.33,90,,Percent of Total Billed Charges,416.02,,741.99,89,,Percent of Total Billed Charges,400.18,,686.97,82.4,,Percent of Total Billed Charges,685.3,,695.31,83.4,,Percent of Total Billed Charges,648.62,,695.31,83.4,,Percent of Total Billed Charges,584.42,,695.31,83.4,,Percent of Total Billed Charges,678.63,,750.33,90,,Percent of Total Billed Charges,706.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,767,92,,Percent of Total Billed Charges,676.13,,767,92,,Percent of Total Billed Charges,620.27,,767,92,,Percent of Total Billed Charges,652.79,,767,92,,Percent of Total Billed Charges,676.13,,650.29,78,,Percent of Total Billed Charges,650.29,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,448.78,53.83,,Percent of Total Billed Charges,421.02,,288.79,34.64,,Percent of Total Billed Charges,287.63,,416.68,49.98,,Percent of Total Billed Charges,315.14,,288.79,767,,																																							
HC IV INFUSION HYDRATION EA ADD'L HR,96361,CPT,,,,BOTH, , ,366.45,307.82,337.13,92,,Percent of Total Billed Charges,306.35,,337.13,92,,Percent of Total Billed Charges,300.86,,337.13,92,,Percent of Total Billed Charges,294.99,,337.13,92,,Percent of Total Billed Charges,305.99,,337.13,92,,Percent of Total Billed Charges,275.94,,337.13,92,,Percent of Total Billed Charges,229.03,,329.81,90,,Percent of Total Billed Charges,182.86,,326.14,89,,Percent of Total Billed Charges,175.9,,301.95,82.4,,Percent of Total Billed Charges,301.22,,305.62,83.4,,Percent of Total Billed Charges,285.1,,305.62,83.4,,Percent of Total Billed Charges,256.88,,305.62,83.4,,Percent of Total Billed Charges,298.29,,329.81,90,,Percent of Total Billed Charges,310.38,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,337.13,92,,Percent of Total Billed Charges,297.19,,337.13,92,,Percent of Total Billed Charges,272.64,,337.13,92,,Percent of Total Billed Charges,286.93,,337.13,92,,Percent of Total Billed Charges,297.19,,285.83,78,,Percent of Total Billed Charges,285.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,197.26,53.83,,Percent of Total Billed Charges,185.06,,126.94,34.64,,Percent of Total Billed Charges,126.43,,183.15,49.98,,Percent of Total Billed Charges,138.52,,126.94,337.13,,																																							
HC IV INFUSION THERA/PROPH/DIAG INITIAL,96365,CPT,,,,BOTH, , ,771.75,648.27,710.01,92,,Percent of Total Billed Charges,645.18,,710.01,92,,Percent of Total Billed Charges,633.61,,710.01,92,,Percent of Total Billed Charges,621.26,,710.01,92,,Percent of Total Billed Charges,644.41,,710.01,92,,Percent of Total Billed Charges,581.13,,710.01,92,,Percent of Total Billed Charges,482.34,,694.58,90,,Percent of Total Billed Charges,385.1,,686.86,89,,Percent of Total Billed Charges,370.44,,635.92,82.4,,Percent of Total Billed Charges,634.38,,643.64,83.4,,Percent of Total Billed Charges,600.42,,643.64,83.4,,Percent of Total Billed Charges,541,,643.64,83.4,,Percent of Total Billed Charges,628.2,,694.58,90,,Percent of Total Billed Charges,653.67,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,710.01,92,,Percent of Total Billed Charges,625.89,,710.01,92,,Percent of Total Billed Charges,574.18,,710.01,92,,Percent of Total Billed Charges,604.28,,710.01,92,,Percent of Total Billed Charges,625.89,,601.97,78,,Percent of Total Billed Charges,601.97,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,415.43,53.83,,Percent of Total Billed Charges,389.73,,267.33,34.64,,Percent of Total Billed Charges,266.25,,385.72,49.98,,Percent of Total Billed Charges,291.72,,267.33,710.01,,																																							
HC IV INFUSION THERA/PROPH/DIAG ADDON,96366,CPT,,,,BOTH, , ,339.15,284.89,312.02,92,,Percent of Total Billed Charges,283.53,,312.02,92,,Percent of Total Billed Charges,278.44,,312.02,92,,Percent of Total Billed Charges,273.02,,312.02,92,,Percent of Total Billed Charges,283.19,,312.02,92,,Percent of Total Billed Charges,255.38,,312.02,92,,Percent of Total Billed Charges,211.97,,305.24,90,,Percent of Total Billed Charges,169.24,,301.84,89,,Percent of Total Billed Charges,162.79,,279.46,82.4,,Percent of Total Billed Charges,278.78,,282.85,83.4,,Percent of Total Billed Charges,263.86,,282.85,83.4,,Percent of Total Billed Charges,237.74,,282.85,83.4,,Percent of Total Billed Charges,276.07,,305.24,90,,Percent of Total Billed Charges,287.26,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,312.02,92,,Percent of Total Billed Charges,275.05,,312.02,92,,Percent of Total Billed Charges,252.33,,312.02,92,,Percent of Total Billed Charges,265.55,,312.02,92,,Percent of Total Billed Charges,275.05,,264.54,78,,Percent of Total Billed Charges,264.54,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,182.56,53.83,,Percent of Total Billed Charges,171.27,,117.48,34.64,,Percent of Total Billed Charges,117.01,,169.51,49.98,,Percent of Total Billed Charges,128.2,,117.48,312.02,,																																							
HC TX/PROPH/DG ADDL SEQ IV INF,96367,CPT,,,,BOTH, , ,351.75,295.47,323.61,92,,Percent of Total Billed Charges,294.06,,323.61,92,,Percent of Total Billed Charges,288.79,,323.61,92,,Percent of Total Billed Charges,283.16,,323.61,92,,Percent of Total Billed Charges,293.71,,323.61,92,,Percent of Total Billed Charges,264.87,,323.61,92,,Percent of Total Billed Charges,219.84,,316.58,90,,Percent of Total Billed Charges,175.52,,313.06,89,,Percent of Total Billed Charges,168.84,,289.84,82.4,,Percent of Total Billed Charges,289.14,,293.36,83.4,,Percent of Total Billed Charges,273.66,,293.36,83.4,,Percent of Total Billed Charges,246.58,,293.36,83.4,,Percent of Total Billed Charges,286.32,,316.58,90,,Percent of Total Billed Charges,297.93,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,323.61,92,,Percent of Total Billed Charges,285.27,,323.61,92,,Percent of Total Billed Charges,261.7,,323.61,92,,Percent of Total Billed Charges,275.42,,323.61,92,,Percent of Total Billed Charges,285.27,,274.37,78,,Percent of Total Billed Charges,274.37,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,189.35,53.83,,Percent of Total Billed Charges,177.63,,121.85,34.64,,Percent of Total Billed Charges,121.35,,175.8,49.98,,Percent of Total Billed Charges,132.96,,121.85,323.61,,																																							
HC THER/DIAG CONCURRENT INF,96368,CPT,,,,BOTH, , ,344.4,289.3,316.85,92,,Percent of Total Billed Charges,287.92,,316.85,92,,Percent of Total Billed Charges,282.75,,316.85,92,,Percent of Total Billed Charges,277.24,,316.85,92,,Percent of Total Billed Charges,287.57,,316.85,92,,Percent of Total Billed Charges,259.33,,316.85,92,,Percent of Total Billed Charges,215.25,,309.96,90,,Percent of Total Billed Charges,171.86,,306.52,89,,Percent of Total Billed Charges,165.31,,283.79,82.4,,Percent of Total Billed Charges,283.1,,287.23,83.4,,Percent of Total Billed Charges,267.94,,287.23,83.4,,Percent of Total Billed Charges,241.42,,287.23,83.4,,Percent of Total Billed Charges,280.34,,309.96,90,,Percent of Total Billed Charges,291.71,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,316.85,92,,Percent of Total Billed Charges,279.31,,316.85,92,,Percent of Total Billed Charges,256.23,,316.85,92,,Percent of Total Billed Charges,269.67,,316.85,92,,Percent of Total Billed Charges,279.31,,268.63,78,,Percent of Total Billed Charges,268.63,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,185.39,53.83,,Percent of Total Billed Charges,173.92,,119.3,34.64,,Percent of Total Billed Charges,118.82,,172.13,49.98,,Percent of Total Billed Charges,130.18,,119.30,316.85,,																																							
HC THER/PROPH/DIAG INJ SC/IM,96372,CPT,,,,BOTH, , ,154.35,129.65,142,92,,Percent of Total Billed Charges,129.04,,142,92,,Percent of Total Billed Charges,126.72,,142,92,,Percent of Total Billed Charges,124.25,,142,92,,Percent of Total Billed Charges,128.88,,142,92,,Percent of Total Billed Charges,116.23,,142,92,,Percent of Total Billed Charges,96.47,,138.92,90,,Percent of Total Billed Charges,77.02,,137.37,89,,Percent of Total Billed Charges,74.09,,127.18,82.4,,Percent of Total Billed Charges,126.88,,128.73,83.4,,Percent of Total Billed Charges,120.08,,128.73,83.4,,Percent of Total Billed Charges,108.2,,128.73,83.4,,Percent of Total Billed Charges,125.64,,138.92,90,,Percent of Total Billed Charges,130.73,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,142,92,,Percent of Total Billed Charges,125.18,,142,92,,Percent of Total Billed Charges,114.84,,142,92,,Percent of Total Billed Charges,120.86,,142,92,,Percent of Total Billed Charges,125.18,,120.39,78,,Percent of Total Billed Charges,120.39,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,83.09,53.83,,Percent of Total Billed Charges,77.95,,53.47,34.64,,Percent of Total Billed Charges,53.25,,77.14,49.98,,Percent of Total Billed Charges,58.34,,53.47,142,,																																							
HC THERA/DIAG INJIV PUSH SING/INITL,96374,CPT,,,,BOTH, , ,32.55,27.34,29.95,92,,Percent of Total Billed Charges,27.21,,29.95,92,,Percent of Total Billed Charges,26.72,,29.95,92,,Percent of Total Billed Charges,26.2,,29.95,92,,Percent of Total Billed Charges,27.18,,29.95,92,,Percent of Total Billed Charges,24.51,,29.95,92,,Percent of Total Billed Charges,20.34,,29.3,90,,Percent of Total Billed Charges,16.24,,28.97,89,,Percent of Total Billed Charges,15.62,,26.82,82.4,,Percent of Total Billed Charges,26.76,,27.15,83.4,,Percent of Total Billed Charges,25.32,,27.15,83.4,,Percent of Total Billed Charges,22.82,,27.15,83.4,,Percent of Total Billed Charges,26.5,,29.3,90,,Percent of Total Billed Charges,27.57,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,29.95,92,,Percent of Total Billed Charges,26.4,,29.95,92,,Percent of Total Billed Charges,24.22,,29.95,92,,Percent of Total Billed Charges,25.49,,29.95,92,,Percent of Total Billed Charges,26.4,,25.39,78,,Percent of Total Billed Charges,25.39,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,17.52,53.83,,Percent of Total Billed Charges,16.44,,11.28,34.64,,Percent of Total Billed Charges,11.23,,16.27,49.98,,Percent of Total Billed Charges,12.3,,11.28,29.95,,																																							
HC TX/PRO/DX INJ NEW DRUG ADDON,96375,CPT,,,,BOTH, , ,32.55,27.34,29.95,92,,Percent of Total Billed Charges,27.21,,29.95,92,,Percent of Total Billed Charges,26.72,,29.95,92,,Percent of Total Billed Charges,26.2,,29.95,92,,Percent of Total Billed Charges,27.18,,29.95,92,,Percent of Total Billed Charges,24.51,,29.95,92,,Percent of Total Billed Charges,20.34,,29.3,90,,Percent of Total Billed Charges,16.24,,28.97,89,,Percent of Total Billed Charges,15.62,,26.82,82.4,,Percent of Total Billed Charges,26.76,,27.15,83.4,,Percent of Total Billed Charges,25.32,,27.15,83.4,,Percent of Total Billed Charges,22.82,,27.15,83.4,,Percent of Total Billed Charges,26.5,,29.3,90,,Percent of Total Billed Charges,27.57,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,29.95,92,,Percent of Total Billed Charges,26.4,,29.95,92,,Percent of Total Billed Charges,24.22,,29.95,92,,Percent of Total Billed Charges,25.49,,29.95,92,,Percent of Total Billed Charges,26.4,,25.39,78,,Percent of Total Billed Charges,25.39,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,17.52,53.83,,Percent of Total Billed Charges,16.44,,11.28,34.64,,Percent of Total Billed Charges,11.23,,16.27,49.98,,Percent of Total Billed Charges,12.3,,11.28,29.95,,																																							
HC TX/PRO/DX INJ SAME DRUG ADON,96376,CPT,,,,BOTH, , ,32.55,27.34,29.95,92,,Percent of Total Billed Charges,27.21,,29.95,92,,Percent of Total Billed Charges,26.72,,29.95,92,,Percent of Total Billed Charges,26.2,,29.95,92,,Percent of Total Billed Charges,27.18,,29.95,92,,Percent of Total Billed Charges,24.51,,29.95,92,,Percent of Total Billed Charges,20.34,,29.3,90,,Percent of Total Billed Charges,16.24,,28.97,89,,Percent of Total Billed Charges,15.62,,26.82,82.4,,Percent of Total Billed Charges,26.76,,27.15,83.4,,Percent of Total Billed Charges,25.32,,27.15,83.4,,Percent of Total Billed Charges,22.82,,27.15,83.4,,Percent of Total Billed Charges,26.5,,29.3,90,,Percent of Total Billed Charges,27.57,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,29.95,92,,Percent of Total Billed Charges,26.4,,29.95,92,,Percent of Total Billed Charges,24.22,,29.95,92,,Percent of Total Billed Charges,25.49,,29.95,92,,Percent of Total Billed Charges,26.4,,25.39,78,,Percent of Total Billed Charges,25.39,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,17.52,53.83,,Percent of Total Billed Charges,16.44,,11.28,34.64,,Percent of Total Billed Charges,11.23,,16.27,49.98,,Percent of Total Billed Charges,12.3,,11.28,29.95,,																																							
HC DEBRIDEMENT SELECTIVE ,<20 SQ CM,97597,CPT,,,,BOTH, , ,805.35,676.49,740.92,92,,Percent of Total Billed Charges,673.27,,740.92,92,,Percent of Total Billed Charges,661.19,,740.92,92,,Percent of Total Billed Charges,648.31,,740.92,92,,Percent of Total Billed Charges,672.47,,740.92,92,,Percent of Total Billed Charges,606.43,,740.92,92,,Percent of Total Billed Charges,503.34,,724.82,90,,Percent of Total Billed Charges,401.87,,716.76,89,,Percent of Total Billed Charges,386.57,,663.61,82.4,,Percent of Total Billed Charges,662,,671.66,83.4,,Percent of Total Billed Charges,626.56,,671.66,83.4,,Percent of Total Billed Charges,564.55,,671.66,83.4,,Percent of Total Billed Charges,655.55,,724.82,90,,Percent of Total Billed Charges,682.13,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,740.92,92,,Percent of Total Billed Charges,653.14,,740.92,92,,Percent of Total Billed Charges,599.18,,740.92,92,,Percent of Total Billed Charges,630.59,,740.92,92,,Percent of Total Billed Charges,653.14,,628.17,78,,Percent of Total Billed Charges,628.17,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,433.52,53.83,,Percent of Total Billed Charges,406.7,,278.97,34.64,,Percent of Total Billed Charges,277.85,,402.51,49.98,,Percent of Total Billed Charges,304.42,,278.97,740.92,,																																							
HC EMERGENCY DEPT VISIT LEVEL 1,99281,CPT,,,,BOTH, , ,489.3,411.01,450.16,92,,Percent of Total Billed Charges,409.05,,450.16,92,,Percent of Total Billed Charges,401.72,,450.16,92,,Percent of Total Billed Charges,393.89,,450.16,92,,Percent of Total Billed Charges,408.57,,450.16,92,,Percent of Total Billed Charges,368.44,,450.16,92,,Percent of Total Billed Charges,305.81,,440.37,90,,Percent of Total Billed Charges,244.16,,435.48,89,,Percent of Total Billed Charges,234.86,,403.18,82.4,,Percent of Total Billed Charges,402.2,,408.08,83.4,,Percent of Total Billed Charges,380.68,,408.08,83.4,,Percent of Total Billed Charges,343,,408.08,83.4,,Percent of Total Billed Charges,398.29,,440.37,90,,Percent of Total Billed Charges,414.44,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,450.16,92,,Percent of Total Billed Charges,396.82,,450.16,92,,Percent of Total Billed Charges,364.04,,450.16,92,,Percent of Total Billed Charges,383.12,,450.16,92,,Percent of Total Billed Charges,396.82,,381.65,78,,Percent of Total Billed Charges,381.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,263.39,53.83,,Percent of Total Billed Charges,247.1,,169.49,34.64,,Percent of Total Billed Charges,168.81,,244.55,49.98,,Percent of Total Billed Charges,184.96,,169.49,450.16,,																																							
HC EMERGENCY DEPT VISIT LEVEL 2,99282,CPT,,,,BOTH, , ,84,70.56,77.28,92,,Percent of Total Billed Charges,70.22,,77.28,92,,Percent of Total Billed Charges,68.96,,77.28,92,,Percent of Total Billed Charges,67.62,,77.28,92,,Percent of Total Billed Charges,70.14,,77.28,92,,Percent of Total Billed Charges,63.25,,77.28,92,,Percent of Total Billed Charges,52.5,,75.6,90,,Percent of Total Billed Charges,41.92,,74.76,89,,Percent of Total Billed Charges,40.32,,69.22,82.4,,Percent of Total Billed Charges,69.05,,70.06,83.4,,Percent of Total Billed Charges,65.35,,70.06,83.4,,Percent of Total Billed Charges,58.88,,70.06,83.4,,Percent of Total Billed Charges,68.38,,75.6,90,,Percent of Total Billed Charges,71.15,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,77.28,92,,Percent of Total Billed Charges,68.12,,77.28,92,,Percent of Total Billed Charges,62.5,,77.28,92,,Percent of Total Billed Charges,65.77,,77.28,92,,Percent of Total Billed Charges,68.12,,65.52,78,,Percent of Total Billed Charges,65.52,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,45.22,53.83,,Percent of Total Billed Charges,42.42,,29.1,34.64,,Percent of Total Billed Charges,28.98,,41.98,49.98,,Percent of Total Billed Charges,31.75,,29.10,77.28,,																																							
HC EMERGENCY DEPT VISIT LEVEL 3,99283,CPT,,,,BOTH, , ,1075.2,903.17,989.18,92,,Percent of Total Billed Charges,898.87,,989.18,92,,Percent of Total Billed Charges,882.74,,989.18,92,,Percent of Total Billed Charges,865.54,,989.18,92,,Percent of Total Billed Charges,897.79,,989.18,92,,Percent of Total Billed Charges,809.63,,989.18,92,,Percent of Total Billed Charges,672,,967.68,90,,Percent of Total Billed Charges,536.52,,956.93,89,,Percent of Total Billed Charges,516.1,,885.96,82.4,,Percent of Total Billed Charges,883.81,,896.72,83.4,,Percent of Total Billed Charges,836.51,,896.72,83.4,,Percent of Total Billed Charges,753.72,,896.72,83.4,,Percent of Total Billed Charges,875.21,,967.68,90,,Percent of Total Billed Charges,910.69,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,989.18,92,,Percent of Total Billed Charges,871.99,,989.18,92,,Percent of Total Billed Charges,799.95,,989.18,92,,Percent of Total Billed Charges,841.88,,989.18,92,,Percent of Total Billed Charges,871.99,,838.66,78,,Percent of Total Billed Charges,838.66,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,578.78,53.83,,Percent of Total Billed Charges,542.98,,372.45,34.64,,Percent of Total Billed Charges,370.94,,537.38,49.98,,Percent of Total Billed Charges,406.43,,372.45,989.18,,																																							
HC EMERGENCY DEPT VISIT LEVEL 4,99284,CPT,,,,BOTH, , ,160.65,134.95,147.8,92,,Percent of Total Billed Charges,134.3,,147.8,92,,Percent of Total Billed Charges,131.89,,147.8,92,,Percent of Total Billed Charges,129.32,,147.8,92,,Percent of Total Billed Charges,134.14,,147.8,92,,Percent of Total Billed Charges,120.97,,147.8,92,,Percent of Total Billed Charges,100.41,,144.59,90,,Percent of Total Billed Charges,80.16,,142.98,89,,Percent of Total Billed Charges,77.11,,132.38,82.4,,Percent of Total Billed Charges,132.05,,133.98,83.4,,Percent of Total Billed Charges,124.99,,133.98,83.4,,Percent of Total Billed Charges,112.62,,133.98,83.4,,Percent of Total Billed Charges,130.77,,144.59,90,,Percent of Total Billed Charges,136.07,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,147.8,92,,Percent of Total Billed Charges,130.29,,147.8,92,,Percent of Total Billed Charges,119.52,,147.8,92,,Percent of Total Billed Charges,125.79,,147.8,92,,Percent of Total Billed Charges,130.29,,125.31,78,,Percent of Total Billed Charges,125.31,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,86.48,53.83,,Percent of Total Billed Charges,81.13,,55.65,34.64,,Percent of Total Billed Charges,55.42,,80.29,49.98,,Percent of Total Billed Charges,60.73,,55.65,147.8,,																																							
HC EMERGENCY DEPT VISIT LEVEL 5,99285,CPT,,,,BOTH, , ,2381.4,2000.38,2190.89,92,,Percent of Total Billed Charges,1990.85,,2190.89,92,,Percent of Total Billed Charges,1955.13,,2190.89,92,,Percent of Total Billed Charges,1917.03,,2190.89,92,,Percent of Total Billed Charges,1988.47,,2190.89,92,,Percent of Total Billed Charges,1793.19,,2190.89,92,,Percent of Total Billed Charges,1488.38,,2143.26,90,,Percent of Total Billed Charges,1188.32,,2119.45,89,,Percent of Total Billed Charges,1143.07,,1962.27,82.4,,Percent of Total Billed Charges,1957.51,,1986.09,83.4,,Percent of Total Billed Charges,1852.73,,1986.09,83.4,,Percent of Total Billed Charges,1669.36,,1986.09,83.4,,Percent of Total Billed Charges,1938.46,,2143.26,90,,Percent of Total Billed Charges,2017.05,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2190.89,92,,Percent of Total Billed Charges,1931.32,,2190.89,92,,Percent of Total Billed Charges,1771.76,,2190.89,92,,Percent of Total Billed Charges,1864.64,,2190.89,92,,Percent of Total Billed Charges,1931.32,,1857.49,78,,Percent of Total Billed Charges,1857.49,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1281.91,53.83,,Percent of Total Billed Charges,1202.61,,824.92,34.64,,Percent of Total Billed Charges,821.58,,1190.22,49.98,,Percent of Total Billed Charges,900.17,,824.92,2190.89,,																																							
HC CRITICAL CARE FIRST HOUR,99291,CPT,,,,BOTH, , ,290.85,244.31,267.58,92,,Percent of Total Billed Charges,243.15,,267.58,92,,Percent of Total Billed Charges,238.79,,267.58,92,,Percent of Total Billed Charges,234.13,,267.58,92,,Percent of Total Billed Charges,242.86,,267.58,92,,Percent of Total Billed Charges,219.01,,267.58,92,,Percent of Total Billed Charges,181.78,,261.77,90,,Percent of Total Billed Charges,145.13,,258.86,89,,Percent of Total Billed Charges,139.61,,239.66,82.4,,Percent of Total Billed Charges,239.08,,242.57,83.4,,Percent of Total Billed Charges,226.28,,242.57,83.4,,Percent of Total Billed Charges,203.89,,242.57,83.4,,Percent of Total Billed Charges,236.75,,261.77,90,,Percent of Total Billed Charges,246.35,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,267.58,92,,Percent of Total Billed Charges,235.88,,267.58,92,,Percent of Total Billed Charges,216.39,,267.58,92,,Percent of Total Billed Charges,227.74,,267.58,92,,Percent of Total Billed Charges,235.88,,226.86,78,,Percent of Total Billed Charges,226.86,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,156.56,53.83,,Percent of Total Billed Charges,146.88,,100.75,34.64,,Percent of Total Billed Charges,100.34,,145.37,49.98,,Percent of Total Billed Charges,109.94,,100.75,267.58,,																																							
HC CRITICAL CARE ADDL 30 MIN,99292,CPT,,,,BOTH, , ,1295.7,1088.39,1192.04,92,,Percent of Total Billed Charges,1083.21,,1192.04,92,,Percent of Total Billed Charges,1063.77,,1192.04,92,,Percent of Total Billed Charges,1043.04,,1192.04,92,,Percent of Total Billed Charges,1081.91,,1192.04,92,,Percent of Total Billed Charges,975.66,,1192.04,92,,Percent of Total Billed Charges,809.81,,1166.13,90,,Percent of Total Billed Charges,646.55,,1153.17,89,,Percent of Total Billed Charges,621.94,,1067.66,82.4,,Percent of Total Billed Charges,1065.07,,1080.61,83.4,,Percent of Total Billed Charges,1008.05,,1080.61,83.4,,Percent of Total Billed Charges,908.29,,1080.61,83.4,,Percent of Total Billed Charges,1054.7,,1166.13,90,,Percent of Total Billed Charges,1097.46,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1192.04,92,,Percent of Total Billed Charges,1050.81,,1192.04,92,,Percent of Total Billed Charges,964,,1192.04,92,,Percent of Total Billed Charges,1014.53,,1192.04,92,,Percent of Total Billed Charges,1050.81,,1010.65,78,,Percent of Total Billed Charges,1010.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,697.48,53.83,,Percent of Total Billed Charges,654.33,,448.83,34.64,,Percent of Total Billed Charges,447.02,,647.59,49.98,,Percent of Total Billed Charges,489.77,,448.83,1192.04,,																																							
HC CMPLX RPR S/A/L ADDL 5 CM/>,13122,CPT,,,,BOTH, , ,633.15,531.85,582.5,92,,Percent of Total Billed Charges,529.31,,582.5,92,,Percent of Total Billed Charges,519.82,,582.5,92,,Percent of Total Billed Charges,509.69,,582.5,92,,Percent of Total Billed Charges,528.68,,582.5,92,,Percent of Total Billed Charges,476.76,,582.5,92,,Percent of Total Billed Charges,395.72,,569.84,90,,Percent of Total Billed Charges,315.94,,563.5,89,,Percent of Total Billed Charges,303.91,,521.72,82.4,,Percent of Total Billed Charges,520.45,,528.05,83.4,,Percent of Total Billed Charges,492.59,,528.05,83.4,,Percent of Total Billed Charges,443.84,,528.05,83.4,,Percent of Total Billed Charges,515.38,,569.84,90,,Percent of Total Billed Charges,536.28,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,582.5,92,,Percent of Total Billed Charges,513.48,,582.5,92,,Percent of Total Billed Charges,471.06,,582.5,92,,Percent of Total Billed Charges,495.76,,582.5,92,,Percent of Total Billed Charges,513.48,,493.86,78,,Percent of Total Billed Charges,493.86,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,340.82,53.83,,Percent of Total Billed Charges,319.74,,219.32,34.64,,Percent of Total Billed Charges,218.44,,316.45,49.98,,Percent of Total Billed Charges,239.33,,219.32,582.5,,																																							
HC DRAINAGE EXTERNAL EAR, ABSCESS OR HEMATOMA; SIMPLE,69000,CPT,,,,BOTH, , ,1151.85,967.55,1059.7,92,,Percent of Total Billed Charges,962.95,,1059.7,92,,Percent of Total Billed Charges,945.67,,1059.7,92,,Percent of Total Billed Charges,927.24,,1059.7,92,,Percent of Total Billed Charges,961.79,,1059.7,92,,Percent of Total Billed Charges,867.34,,1059.7,92,,Percent of Total Billed Charges,719.91,,1036.67,90,,Percent of Total Billed Charges,574.77,,1025.15,89,,Percent of Total Billed Charges,552.89,,949.12,82.4,,Percent of Total Billed Charges,946.82,,960.64,83.4,,Percent of Total Billed Charges,896.14,,960.64,83.4,,Percent of Total Billed Charges,807.45,,960.64,83.4,,Percent of Total Billed Charges,937.61,,1036.67,90,,Percent of Total Billed Charges,975.62,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1059.7,92,,Percent of Total Billed Charges,934.15,,1059.7,92,,Percent of Total Billed Charges,856.98,,1059.7,92,,Percent of Total Billed Charges,901.9,,1059.7,92,,Percent of Total Billed Charges,934.15,,898.44,78,,Percent of Total Billed Charges,898.44,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,620.04,53.83,,Percent of Total Billed Charges,581.68,,399,34.64,,Percent of Total Billed Charges,397.39,,575.69,49.98,,Percent of Total Billed Charges,435.4,,399.00,1059.7,,																																							
HC TONGUE AND MOUTH SURGERY,41599,CPT,,,,BOTH, , ,544.95,457.76,501.35,92,,Percent of Total Billed Charges,455.58,,501.35,92,,Percent of Total Billed Charges,447.4,,501.35,92,,Percent of Total Billed Charges,438.68,,501.35,92,,Percent of Total Billed Charges,455.03,,501.35,92,,Percent of Total Billed Charges,410.35,,501.35,92,,Percent of Total Billed Charges,340.59,,490.46,90,,Percent of Total Billed Charges,271.93,,485.01,89,,Percent of Total Billed Charges,261.58,,449.04,82.4,,Percent of Total Billed Charges,447.95,,454.49,83.4,,Percent of Total Billed Charges,423.97,,454.49,83.4,,Percent of Total Billed Charges,382.01,,454.49,83.4,,Percent of Total Billed Charges,443.59,,490.46,90,,Percent of Total Billed Charges,461.57,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,501.35,92,,Percent of Total Billed Charges,441.95,,501.35,92,,Percent of Total Billed Charges,405.44,,501.35,92,,Percent of Total Billed Charges,426.7,,501.35,92,,Percent of Total Billed Charges,441.95,,425.06,78,,Percent of Total Billed Charges,425.06,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,293.35,53.83,,Percent of Total Billed Charges,275.2,,188.77,34.64,,Percent of Total Billed Charges,188.01,,272.37,49.98,,Percent of Total Billed Charges,205.99,,188.77,501.35,,																																							
HC REPAIR, COMPLEX, EYELIDS, NOSE, EARS AND/OR LIPS; 1.1 CM TO 2.5 CM,13151,CPT,,,,BOTH, , ,1797.6,1509.98,1653.79,92,,Percent of Total Billed Charges,1502.79,,1653.79,92,,Percent of Total Billed Charges,1475.83,,1653.79,92,,Percent of Total Billed Charges,1447.07,,1653.79,92,,Percent of Total Billed Charges,1501,,1653.79,92,,Percent of Total Billed Charges,1353.59,,1653.79,92,,Percent of Total Billed Charges,1123.5,,1617.84,90,,Percent of Total Billed Charges,897,,1599.86,89,,Percent of Total Billed Charges,862.85,,1481.22,82.4,,Percent of Total Billed Charges,1477.63,,1499.2,83.4,,Percent of Total Billed Charges,1398.53,,1499.2,83.4,,Percent of Total Billed Charges,1260.12,,1499.2,83.4,,Percent of Total Billed Charges,1463.25,,1617.84,90,,Percent of Total Billed Charges,1522.57,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1653.79,92,,Percent of Total Billed Charges,1457.85,,1653.79,92,,Percent of Total Billed Charges,1337.41,,1653.79,92,,Percent of Total Billed Charges,1407.52,,1653.79,92,,Percent of Total Billed Charges,1457.85,,1402.13,78,,Percent of Total Billed Charges,1402.13,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,967.65,53.83,,Percent of Total Billed Charges,907.79,,622.69,34.64,,Percent of Total Billed Charges,620.17,,898.44,49.98,,Percent of Total Billed Charges,679.49,,622.69,1653.79,,																																							
HC REMOVE IMPACTED EAR WAX UNI,69209,CPT,,,,BOTH, , ,280.35,235.49,257.92,92,,Percent of Total Billed Charges,234.37,,257.92,92,,Percent of Total Billed Charges,230.17,,257.92,92,,Percent of Total Billed Charges,225.68,,257.92,92,,Percent of Total Billed Charges,234.09,,257.92,92,,Percent of Total Billed Charges,211.1,,257.92,92,,Percent of Total Billed Charges,175.22,,252.32,90,,Percent of Total Billed Charges,139.89,,249.51,89,,Percent of Total Billed Charges,134.57,,231.01,82.4,,Percent of Total Billed Charges,230.45,,233.81,83.4,,Percent of Total Billed Charges,218.11,,233.81,83.4,,Percent of Total Billed Charges,196.53,,233.81,83.4,,Percent of Total Billed Charges,228.2,,252.32,90,,Percent of Total Billed Charges,237.46,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,257.92,92,,Percent of Total Billed Charges,227.36,,257.92,92,,Percent of Total Billed Charges,208.58,,257.92,92,,Percent of Total Billed Charges,219.51,,257.92,92,,Percent of Total Billed Charges,227.36,,218.67,78,,Percent of Total Billed Charges,218.67,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,150.91,53.83,,Percent of Total Billed Charges,141.58,,97.11,34.64,,Percent of Total Billed Charges,96.72,,140.12,49.98,,Percent of Total Billed Charges,105.97,,97.11,257.92,,																																							
HC DENTAL SURGERY PROCEDURE,41899,CPT,,,,BOTH, , ,544.95,457.76,501.35,92,,Percent of Total Billed Charges,455.58,,501.35,92,,Percent of Total Billed Charges,447.4,,501.35,92,,Percent of Total Billed Charges,438.68,,501.35,92,,Percent of Total Billed Charges,455.03,,501.35,92,,Percent of Total Billed Charges,410.35,,501.35,92,,Percent of Total Billed Charges,340.59,,490.46,90,,Percent of Total Billed Charges,271.93,,485.01,89,,Percent of Total Billed Charges,261.58,,449.04,82.4,,Percent of Total Billed Charges,447.95,,454.49,83.4,,Percent of Total Billed Charges,423.97,,454.49,83.4,,Percent of Total Billed Charges,382.01,,454.49,83.4,,Percent of Total Billed Charges,443.59,,490.46,90,,Percent of Total Billed Charges,461.57,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,501.35,92,,Percent of Total Billed Charges,441.95,,501.35,92,,Percent of Total Billed Charges,405.44,,501.35,92,,Percent of Total Billed Charges,426.7,,501.35,92,,Percent of Total Billed Charges,441.95,,425.06,78,,Percent of Total Billed Charges,425.06,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,293.35,53.83,,Percent of Total Billed Charges,275.2,,188.77,34.64,,Percent of Total Billed Charges,188.01,,272.37,49.98,,Percent of Total Billed Charges,205.99,,188.77,501.35,,																																							
HC OUTER EAR SURGERY PROCEDURE,69399,CPT,,,,BOTH, , ,544.95,457.76,501.35,92,,Percent of Total Billed Charges,455.58,,501.35,92,,Percent of Total Billed Charges,447.4,,501.35,92,,Percent of Total Billed Charges,438.68,,501.35,92,,Percent of Total Billed Charges,455.03,,501.35,92,,Percent of Total Billed Charges,410.35,,501.35,92,,Percent of Total Billed Charges,340.59,,490.46,90,,Percent of Total Billed Charges,271.93,,485.01,89,,Percent of Total Billed Charges,261.58,,449.04,82.4,,Percent of Total Billed Charges,447.95,,454.49,83.4,,Percent of Total Billed Charges,423.97,,454.49,83.4,,Percent of Total Billed Charges,382.01,,454.49,83.4,,Percent of Total Billed Charges,443.59,,490.46,90,,Percent of Total Billed Charges,461.57,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,501.35,92,,Percent of Total Billed Charges,441.95,,501.35,92,,Percent of Total Billed Charges,405.44,,501.35,92,,Percent of Total Billed Charges,426.7,,501.35,92,,Percent of Total Billed Charges,441.95,,425.06,78,,Percent of Total Billed Charges,425.06,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,293.35,53.83,,Percent of Total Billed Charges,275.2,,188.77,34.64,,Percent of Total Billed Charges,188.01,,272.37,49.98,,Percent of Total Billed Charges,205.99,,188.77,501.35,,																																							
HC DRAINAGE OF MOUTH LESION,40800,CPT,,,,BOTH, , ,1151.85,967.55,1059.7,92,,Percent of Total Billed Charges,962.95,,1059.7,92,,Percent of Total Billed Charges,945.67,,1059.7,92,,Percent of Total Billed Charges,927.24,,1059.7,92,,Percent of Total Billed Charges,961.79,,1059.7,92,,Percent of Total Billed Charges,867.34,,1059.7,92,,Percent of Total Billed Charges,719.91,,1036.67,90,,Percent of Total Billed Charges,574.77,,1025.15,89,,Percent of Total Billed Charges,552.89,,949.12,82.4,,Percent of Total Billed Charges,946.82,,960.64,83.4,,Percent of Total Billed Charges,896.14,,960.64,83.4,,Percent of Total Billed Charges,807.45,,960.64,83.4,,Percent of Total Billed Charges,937.61,,1036.67,90,,Percent of Total Billed Charges,975.62,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1059.7,92,,Percent of Total Billed Charges,934.15,,1059.7,92,,Percent of Total Billed Charges,856.98,,1059.7,92,,Percent of Total Billed Charges,901.9,,1059.7,92,,Percent of Total Billed Charges,934.15,,898.44,78,,Percent of Total Billed Charges,898.44,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,620.04,53.83,,Percent of Total Billed Charges,581.68,,399,34.64,,Percent of Total Billed Charges,397.39,,575.69,49.98,,Percent of Total Billed Charges,435.4,,399.00,1059.7,,																																							
HC REMOVE EYELID FOREIGN BODY,67938,CPT,,,,BOTH, , ,1242.15,1043.41,1142.78,92,,Percent of Total Billed Charges,1038.44,,1142.78,92,,Percent of Total Billed Charges,1019.81,,1142.78,92,,Percent of Total Billed Charges,999.93,,1142.78,92,,Percent of Total Billed Charges,1037.2,,1142.78,92,,Percent of Total Billed Charges,935.34,,1142.78,92,,Percent of Total Billed Charges,776.34,,1117.94,90,,Percent of Total Billed Charges,619.83,,1105.51,89,,Percent of Total Billed Charges,596.23,,1023.53,82.4,,Percent of Total Billed Charges,1021.05,,1035.95,83.4,,Percent of Total Billed Charges,966.39,,1035.95,83.4,,Percent of Total Billed Charges,870.75,,1035.95,83.4,,Percent of Total Billed Charges,1011.11,,1117.94,90,,Percent of Total Billed Charges,1052.1,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1142.78,92,,Percent of Total Billed Charges,1007.38,,1142.78,92,,Percent of Total Billed Charges,924.16,,1142.78,92,,Percent of Total Billed Charges,972.6,,1142.78,92,,Percent of Total Billed Charges,1007.38,,968.88,78,,Percent of Total Billed Charges,968.88,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,668.65,53.83,,Percent of Total Billed Charges,627.29,,430.28,34.64,,Percent of Total Billed Charges,428.54,,620.83,49.98,,Percent of Total Billed Charges,469.53,,430.28,1142.78,,																																							
HC TREAT TOE DISLOCATION,28630,CPT,,,,BOTH, , ,87.15,73.21,80.18,92,,Percent of Total Billed Charges,72.86,,80.18,92,,Percent of Total Billed Charges,71.55,,80.18,92,,Percent of Total Billed Charges,70.16,,80.18,92,,Percent of Total Billed Charges,72.77,,80.18,92,,Percent of Total Billed Charges,65.62,,80.18,92,,Percent of Total Billed Charges,54.47,,78.44,90,,Percent of Total Billed Charges,43.49,,77.56,89,,Percent of Total Billed Charges,41.83,,71.81,82.4,,Percent of Total Billed Charges,71.64,,72.68,83.4,,Percent of Total Billed Charges,67.8,,72.68,83.4,,Percent of Total Billed Charges,61.09,,72.68,83.4,,Percent of Total Billed Charges,70.94,,78.44,90,,Percent of Total Billed Charges,73.82,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,80.18,92,,Percent of Total Billed Charges,70.68,,80.18,92,,Percent of Total Billed Charges,64.84,,80.18,92,,Percent of Total Billed Charges,68.24,,80.18,92,,Percent of Total Billed Charges,70.68,,67.98,78,,Percent of Total Billed Charges,67.98,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,46.91,53.83,,Percent of Total Billed Charges,44.01,,30.19,34.64,,Percent of Total Billed Charges,30.07,,43.56,49.98,,Percent of Total Billed Charges,32.94,,30.19,80.18,,																																							
HC REPAIR, COMPLEX, EYELIDS, NOSE, EARS AND/OR LIPS; 2.6 CM TO 7.5 CM,13152,CPT,,,,BOTH, , ,2160.9,1815.16,1988.03,92,,Percent of Total Billed Charges,1806.51,,1988.03,92,,Percent of Total Billed Charges,1774.1,,1988.03,92,,Percent of Total Billed Charges,1739.52,,1988.03,92,,Percent of Total Billed Charges,1804.35,,1988.03,92,,Percent of Total Billed Charges,1627.16,,1988.03,92,,Percent of Total Billed Charges,1350.56,,1944.81,90,,Percent of Total Billed Charges,1078.29,,1923.2,89,,Percent of Total Billed Charges,1037.23,,1780.58,82.4,,Percent of Total Billed Charges,1776.26,,1802.19,83.4,,Percent of Total Billed Charges,1681.18,,1802.19,83.4,,Percent of Total Billed Charges,1514.79,,1802.19,83.4,,Percent of Total Billed Charges,1758.97,,1944.81,90,,Percent of Total Billed Charges,1830.28,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1988.03,92,,Percent of Total Billed Charges,1752.49,,1988.03,92,,Percent of Total Billed Charges,1607.71,,1988.03,92,,Percent of Total Billed Charges,1691.98,,1988.03,92,,Percent of Total Billed Charges,1752.49,,1685.5,78,,Percent of Total Billed Charges,1685.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1163.21,53.83,,Percent of Total Billed Charges,1091.25,,748.54,34.64,,Percent of Total Billed Charges,745.51,,1080.02,49.98,,Percent of Total Billed Charges,816.82,,748.54,1988.03,,																																							
HC MOD SED SAME PHYS/QHP <5 YRS,99151,CPT,,,,BOTH, , ,1063.65,893.47,978.56,92,,Percent of Total Billed Charges,889.21,,978.56,92,,Percent of Total Billed Charges,873.26,,978.56,92,,Percent of Total Billed Charges,856.24,,978.56,92,,Percent of Total Billed Charges,888.15,,978.56,92,,Percent of Total Billed Charges,800.93,,978.56,92,,Percent of Total Billed Charges,664.78,,957.29,90,,Percent of Total Billed Charges,530.76,,946.65,89,,Percent of Total Billed Charges,510.55,,876.45,82.4,,Percent of Total Billed Charges,874.32,,887.08,83.4,,Percent of Total Billed Charges,827.52,,887.08,83.4,,Percent of Total Billed Charges,745.62,,887.08,83.4,,Percent of Total Billed Charges,865.81,,957.29,90,,Percent of Total Billed Charges,900.91,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,978.56,92,,Percent of Total Billed Charges,862.62,,978.56,92,,Percent of Total Billed Charges,791.36,,978.56,92,,Percent of Total Billed Charges,832.84,,978.56,92,,Percent of Total Billed Charges,862.62,,829.65,78,,Percent of Total Billed Charges,829.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,572.56,53.83,,Percent of Total Billed Charges,537.14,,368.45,34.64,,Percent of Total Billed Charges,366.96,,531.61,49.98,,Percent of Total Billed Charges,402.06,,368.45,978.56,,																																							
HC MOD SED SAME PHYS/QHP INITIAL 15 MINS 5/> YRS,99152,CPT,,,,BOTH, , ,1150.8,966.67,1058.74,92,,Percent of Total Billed Charges,962.07,,1058.74,92,,Percent of Total Billed Charges,944.81,,1058.74,92,,Percent of Total Billed Charges,926.39,,1058.74,92,,Percent of Total Billed Charges,960.92,,1058.74,92,,Percent of Total Billed Charges,866.55,,1058.74,92,,Percent of Total Billed Charges,719.25,,1035.72,90,,Percent of Total Billed Charges,574.25,,1024.21,89,,Percent of Total Billed Charges,552.38,,948.26,82.4,,Percent of Total Billed Charges,945.96,,959.77,83.4,,Percent of Total Billed Charges,895.32,,959.77,83.4,,Percent of Total Billed Charges,806.71,,959.77,83.4,,Percent of Total Billed Charges,936.75,,1035.72,90,,Percent of Total Billed Charges,974.73,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1058.74,92,,Percent of Total Billed Charges,933.3,,1058.74,92,,Percent of Total Billed Charges,856.2,,1058.74,92,,Percent of Total Billed Charges,901.08,,1058.74,92,,Percent of Total Billed Charges,933.3,,897.62,78,,Percent of Total Billed Charges,897.62,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,619.48,53.83,,Percent of Total Billed Charges,581.15,,398.64,34.64,,Percent of Total Billed Charges,397.03,,575.17,49.98,,Percent of Total Billed Charges,435,,398.64,1058.74,,																																							
HC MOD SED SAME PHYS/QHP EACH ADDL 15 MINS,99153,CPT,,,,BOTH, , ,549.15,461.29,505.22,92,,Percent of Total Billed Charges,459.09,,505.22,92,,Percent of Total Billed Charges,450.85,,505.22,92,,Percent of Total Billed Charges,442.07,,505.22,92,,Percent of Total Billed Charges,458.54,,505.22,92,,Percent of Total Billed Charges,413.51,,505.22,92,,Percent of Total Billed Charges,343.22,,494.24,90,,Percent of Total Billed Charges,274.03,,488.74,89,,Percent of Total Billed Charges,263.59,,452.5,82.4,,Percent of Total Billed Charges,451.4,,457.99,83.4,,Percent of Total Billed Charges,427.24,,457.99,83.4,,Percent of Total Billed Charges,384.95,,457.99,83.4,,Percent of Total Billed Charges,447.01,,494.24,90,,Percent of Total Billed Charges,465.13,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,505.22,92,,Percent of Total Billed Charges,445.36,,505.22,92,,Percent of Total Billed Charges,408.57,,505.22,92,,Percent of Total Billed Charges,429.98,,505.22,92,,Percent of Total Billed Charges,445.36,,428.34,78,,Percent of Total Billed Charges,428.34,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,295.61,53.83,,Percent of Total Billed Charges,277.32,,190.23,34.64,,Percent of Total Billed Charges,189.46,,274.47,49.98,,Percent of Total Billed Charges,207.58,,190.23,505.22,,																																							
HC MOD SED OTHER PHYS/QHP INITIAL 15 MINS &LT<5 YRS,99155,CPT,,,,BOTH, , ,1374.45,1154.54,1264.49,92,,Percent of Total Billed Charges,1149.04,,1264.49,92,,Percent of Total Billed Charges,1128.42,,1264.49,92,,Percent of Total Billed Charges,1106.43,,1264.49,92,,Percent of Total Billed Charges,1147.67,,1264.49,92,,Percent of Total Billed Charges,1034.96,,1264.49,92,,Percent of Total Billed Charges,859.03,,1237.01,90,,Percent of Total Billed Charges,685.85,,1223.26,89,,Percent of Total Billed Charges,659.74,,1132.55,82.4,,Percent of Total Billed Charges,1129.8,,1146.29,83.4,,Percent of Total Billed Charges,1069.32,,1146.29,83.4,,Percent of Total Billed Charges,963.49,,1146.29,83.4,,Percent of Total Billed Charges,1118.8,,1237.01,90,,Percent of Total Billed Charges,1164.16,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1264.49,92,,Percent of Total Billed Charges,1114.68,,1264.49,92,,Percent of Total Billed Charges,1022.59,,1264.49,92,,Percent of Total Billed Charges,1076.19,,1264.49,92,,Percent of Total Billed Charges,1114.68,,1072.07,78,,Percent of Total Billed Charges,1072.07,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,739.87,53.83,,Percent of Total Billed Charges,694.1,,476.11,34.64,,Percent of Total Billed Charges,474.19,,686.95,49.98,,Percent of Total Billed Charges,519.54,,476.11,1264.49,,																																							
HC MOD SED OTHER PHYS/QHP INITIAL 15 MINS 5/> YRS,99156,CPT,,,,BOTH, , ,121.8,102.31,112.06,92,,Percent of Total Billed Charges,101.82,,112.06,92,,Percent of Total Billed Charges,100,,112.06,92,,Percent of Total Billed Charges,98.05,,112.06,92,,Percent of Total Billed Charges,101.7,,112.06,92,,Percent of Total Billed Charges,91.72,,112.06,92,,Percent of Total Billed Charges,76.13,,109.62,90,,Percent of Total Billed Charges,60.78,,108.4,89,,Percent of Total Billed Charges,58.46,,100.36,82.4,,Percent of Total Billed Charges,100.12,,101.58,83.4,,Percent of Total Billed Charges,94.76,,101.58,83.4,,Percent of Total Billed Charges,85.38,,101.58,83.4,,Percent of Total Billed Charges,99.15,,109.62,90,,Percent of Total Billed Charges,103.16,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,112.06,92,,Percent of Total Billed Charges,98.78,,112.06,92,,Percent of Total Billed Charges,90.62,,112.06,92,,Percent of Total Billed Charges,95.37,,112.06,92,,Percent of Total Billed Charges,98.78,,95,78,,Percent of Total Billed Charges,95,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,65.56,53.83,,Percent of Total Billed Charges,61.51,,42.19,34.64,,Percent of Total Billed Charges,42.02,,60.88,49.98,,Percent of Total Billed Charges,46.04,,42.19,112.06,,																																							
HC MOD SED OTHER PHYS/QHP EACH ADDL 15 MINS,99157,CPT,,,,BOTH, , ,657.3,552.13,604.72,92,,Percent of Total Billed Charges,549.5,,604.72,92,,Percent of Total Billed Charges,539.64,,604.72,92,,Percent of Total Billed Charges,529.13,,604.72,92,,Percent of Total Billed Charges,548.85,,604.72,92,,Percent of Total Billed Charges,494.95,,604.72,92,,Percent of Total Billed Charges,410.81,,591.57,90,,Percent of Total Billed Charges,327.99,,585,89,,Percent of Total Billed Charges,315.5,,541.62,82.4,,Percent of Total Billed Charges,540.3,,548.19,83.4,,Percent of Total Billed Charges,511.38,,548.19,83.4,,Percent of Total Billed Charges,460.77,,548.19,83.4,,Percent of Total Billed Charges,535.04,,591.57,90,,Percent of Total Billed Charges,556.73,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,604.72,92,,Percent of Total Billed Charges,533.07,,604.72,92,,Percent of Total Billed Charges,489.03,,604.72,92,,Percent of Total Billed Charges,514.67,,604.72,92,,Percent of Total Billed Charges,533.07,,512.69,78,,Percent of Total Billed Charges,512.69,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,353.82,53.83,,Percent of Total Billed Charges,331.94,,227.69,34.64,,Percent of Total Billed Charges,226.77,,328.52,49.98,,Percent of Total Billed Charges,248.46,,227.69,604.72,,																																							
HC DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/&LT;,11042,CPT,,,,BOTH, , ,1412.25,1186.29,1299.27,92,,Percent of Total Billed Charges,1180.64,,1299.27,92,,Percent of Total Billed Charges,1159.46,,1299.27,92,,Percent of Total Billed Charges,1136.86,,1299.27,92,,Percent of Total Billed Charges,1179.23,,1299.27,92,,Percent of Total Billed Charges,1063.42,,1299.27,92,,Percent of Total Billed Charges,882.66,,1271.03,90,,Percent of Total Billed Charges,704.71,,1256.9,89,,Percent of Total Billed Charges,677.88,,1163.69,82.4,,Percent of Total Billed Charges,1160.87,,1177.82,83.4,,Percent of Total Billed Charges,1098.73,,1177.82,83.4,,Percent of Total Billed Charges,989.99,,1177.82,83.4,,Percent of Total Billed Charges,1149.57,,1271.03,90,,Percent of Total Billed Charges,1196.18,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1299.27,92,,Percent of Total Billed Charges,1145.33,,1299.27,92,,Percent of Total Billed Charges,1050.71,,1299.27,92,,Percent of Total Billed Charges,1105.79,,1299.27,92,,Percent of Total Billed Charges,1145.33,,1101.56,78,,Percent of Total Billed Charges,1101.56,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,760.21,53.83,,Percent of Total Billed Charges,713.19,,489.2,34.64,,Percent of Total Billed Charges,487.23,,705.84,49.98,,Percent of Total Billed Charges,533.83,,489.20,1299.27,,																																							
HC REPAIR INTERMEDIATE F/E/E/N/L&/MUC 7.612.5 CM,12054,CPT,,,,BOTH, , ,100.8,84.67,92.74,92,,Percent of Total Billed Charges,84.27,,92.74,92,,Percent of Total Billed Charges,82.76,,92.74,92,,Percent of Total Billed Charges,81.14,,92.74,92,,Percent of Total Billed Charges,84.17,,92.74,92,,Percent of Total Billed Charges,75.9,,92.74,92,,Percent of Total Billed Charges,63,,90.72,90,,Percent of Total Billed Charges,50.3,,89.71,89,,Percent of Total Billed Charges,48.38,,83.06,82.4,,Percent of Total Billed Charges,82.86,,84.07,83.4,,Percent of Total Billed Charges,78.42,,84.07,83.4,,Percent of Total Billed Charges,70.66,,84.07,83.4,,Percent of Total Billed Charges,82.05,,90.72,90,,Percent of Total Billed Charges,85.38,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,92.74,92,,Percent of Total Billed Charges,81.75,,92.74,92,,Percent of Total Billed Charges,75,,92.74,92,,Percent of Total Billed Charges,78.93,,92.74,92,,Percent of Total Billed Charges,81.75,,78.62,78,,Percent of Total Billed Charges,78.62,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,54.26,53.83,,Percent of Total Billed Charges,50.9,,34.92,34.64,,Percent of Total Billed Charges,34.78,,50.38,49.98,,Percent of Total Billed Charges,38.1,,34.92,92.74,,																																							
HC CLSD TX SHOULDER DISLC W/MANIPULATION REQ ANES,23655,CPT,,,,BOTH, , ,5728.8,4812.19,5270.5,92,,Percent of Total Billed Charges,4789.28,,5270.5,92,,Percent of Total Billed Charges,4703.34,,5270.5,92,,Percent of Total Billed Charges,4611.68,,5270.5,92,,Percent of Total Billed Charges,4783.55,,5270.5,92,,Percent of Total Billed Charges,4313.79,,5270.5,92,,Percent of Total Billed Charges,3580.5,,5155.92,90,,Percent of Total Billed Charges,2858.67,,5098.63,89,,Percent of Total Billed Charges,2749.82,,4720.53,82.4,,Percent of Total Billed Charges,4709.07,,4777.82,83.4,,Percent of Total Billed Charges,4457.01,,4777.82,83.4,,Percent of Total Billed Charges,4015.89,,4777.82,83.4,,Percent of Total Billed Charges,4663.24,,5155.92,90,,Percent of Total Billed Charges,4852.29,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5270.5,92,,Percent of Total Billed Charges,4646.06,,5270.5,92,,Percent of Total Billed Charges,4262.23,,5270.5,92,,Percent of Total Billed Charges,4485.65,,5270.5,92,,Percent of Total Billed Charges,4646.06,,4468.46,78,,Percent of Total Billed Charges,4468.46,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3083.81,53.83,,Percent of Total Billed Charges,2893.04,,1984.46,34.64,,Percent of Total Billed Charges,1976.44,,2863.25,49.98,,Percent of Total Billed Charges,2165.49,,1984.46,5270.5,,																																							
HC CLTX ARTCLR FX INVG MTCARPHLNGL/IPHAL JT W/MANJ,26742,CPT,,,,BOTH, , ,6188.7,5198.51,5693.6,92,,Percent of Total Billed Charges,5173.75,,5693.6,92,,Percent of Total Billed Charges,5080.92,,5693.6,92,,Percent of Total Billed Charges,4981.9,,5693.6,92,,Percent of Total Billed Charges,5167.56,,5693.6,92,,Percent of Total Billed Charges,4660.09,,5693.6,92,,Percent of Total Billed Charges,3867.94,,5569.83,90,,Percent of Total Billed Charges,3088.16,,5507.94,89,,Percent of Total Billed Charges,2970.58,,5099.49,82.4,,Percent of Total Billed Charges,5087.11,,5161.38,83.4,,Percent of Total Billed Charges,4814.81,,5161.38,83.4,,Percent of Total Billed Charges,4338.28,,5161.38,83.4,,Percent of Total Billed Charges,5037.6,,5569.83,90,,Percent of Total Billed Charges,5241.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5693.6,92,,Percent of Total Billed Charges,5019.04,,5693.6,92,,Percent of Total Billed Charges,4604.39,,5693.6,92,,Percent of Total Billed Charges,4845.75,,5693.6,92,,Percent of Total Billed Charges,5019.04,,4827.19,78,,Percent of Total Billed Charges,4827.19,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3331.38,53.83,,Percent of Total Billed Charges,3125.29,,2143.77,34.64,,Percent of Total Billed Charges,2135.1,,3093.11,49.98,,Percent of Total Billed Charges,2339.33,,2143.77,5693.6,,																																							
HC TX SPON HIP DISLC ABDCT SPLNT/TRCJ W/MANJ ANES,27257,CPT,,,,BOTH, , ,6188.7,5198.51,5693.6,92,,Percent of Total Billed Charges,5173.75,,5693.6,92,,Percent of Total Billed Charges,5080.92,,5693.6,92,,Percent of Total Billed Charges,4981.9,,5693.6,92,,Percent of Total Billed Charges,5167.56,,5693.6,92,,Percent of Total Billed Charges,4660.09,,5693.6,92,,Percent of Total Billed Charges,3867.94,,5569.83,90,,Percent of Total Billed Charges,3088.16,,5507.94,89,,Percent of Total Billed Charges,2970.58,,5099.49,82.4,,Percent of Total Billed Charges,5087.11,,5161.38,83.4,,Percent of Total Billed Charges,4814.81,,5161.38,83.4,,Percent of Total Billed Charges,4338.28,,5161.38,83.4,,Percent of Total Billed Charges,5037.6,,5569.83,90,,Percent of Total Billed Charges,5241.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5693.6,92,,Percent of Total Billed Charges,5019.04,,5693.6,92,,Percent of Total Billed Charges,4604.39,,5693.6,92,,Percent of Total Billed Charges,4845.75,,5693.6,92,,Percent of Total Billed Charges,5019.04,,4827.19,78,,Percent of Total Billed Charges,4827.19,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3331.38,53.83,,Percent of Total Billed Charges,3125.29,,2143.77,34.64,,Percent of Total Billed Charges,2135.1,,3093.11,49.98,,Percent of Total Billed Charges,2339.33,,2143.77,5693.6,,																																							
HC CLTX POST HIP ARTHRP DISLC REQ ANES,27266,CPT,,,,BOTH, , ,6188.7,5198.51,5693.6,92,,Percent of Total Billed Charges,5173.75,,5693.6,92,,Percent of Total Billed Charges,5080.92,,5693.6,92,,Percent of Total Billed Charges,4981.9,,5693.6,92,,Percent of Total Billed Charges,5167.56,,5693.6,92,,Percent of Total Billed Charges,4660.09,,5693.6,92,,Percent of Total Billed Charges,3867.94,,5569.83,90,,Percent of Total Billed Charges,3088.16,,5507.94,89,,Percent of Total Billed Charges,2970.58,,5099.49,82.4,,Percent of Total Billed Charges,5087.11,,5161.38,83.4,,Percent of Total Billed Charges,4814.81,,5161.38,83.4,,Percent of Total Billed Charges,4338.28,,5161.38,83.4,,Percent of Total Billed Charges,5037.6,,5569.83,90,,Percent of Total Billed Charges,5241.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5693.6,92,,Percent of Total Billed Charges,5019.04,,5693.6,92,,Percent of Total Billed Charges,4604.39,,5693.6,92,,Percent of Total Billed Charges,4845.75,,5693.6,92,,Percent of Total Billed Charges,5019.04,,4827.19,78,,Percent of Total Billed Charges,4827.19,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3331.38,53.83,,Percent of Total Billed Charges,3125.29,,2143.77,34.64,,Percent of Total Billed Charges,2135.1,,3093.11,49.98,,Percent of Total Billed Charges,2339.33,,2143.77,5693.6,,																																							
HC CLTX TRIMALLEOLAR ANKLE FX W/MANIPULATION,27818,CPT,,,,BOTH, , ,6188.7,5198.51,5693.6,92,,Percent of Total Billed Charges,5173.75,,5693.6,92,,Percent of Total Billed Charges,5080.92,,5693.6,92,,Percent of Total Billed Charges,4981.9,,5693.6,92,,Percent of Total Billed Charges,5167.56,,5693.6,92,,Percent of Total Billed Charges,4660.09,,5693.6,92,,Percent of Total Billed Charges,3867.94,,5569.83,90,,Percent of Total Billed Charges,3088.16,,5507.94,89,,Percent of Total Billed Charges,2970.58,,5099.49,82.4,,Percent of Total Billed Charges,5087.11,,5161.38,83.4,,Percent of Total Billed Charges,4814.81,,5161.38,83.4,,Percent of Total Billed Charges,4338.28,,5161.38,83.4,,Percent of Total Billed Charges,5037.6,,5569.83,90,,Percent of Total Billed Charges,5241.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5693.6,92,,Percent of Total Billed Charges,5019.04,,5693.6,92,,Percent of Total Billed Charges,4604.39,,5693.6,92,,Percent of Total Billed Charges,4845.75,,5693.6,92,,Percent of Total Billed Charges,5019.04,,4827.19,78,,Percent of Total Billed Charges,4827.19,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3331.38,53.83,,Percent of Total Billed Charges,3125.29,,2143.77,34.64,,Percent of Total Billed Charges,2135.1,,3093.11,49.98,,Percent of Total Billed Charges,2339.33,,2143.77,5693.6,,																																							
HC CONTROL NASAL HEMORRHAGE ANTERIOR COMPLEX,30903,CPT,,,,BOTH, , ,445.2,373.97,409.58,92,,Percent of Total Billed Charges,372.19,,409.58,92,,Percent of Total Billed Charges,365.51,,409.58,92,,Percent of Total Billed Charges,358.39,,409.58,92,,Percent of Total Billed Charges,371.74,,409.58,92,,Percent of Total Billed Charges,335.24,,409.58,92,,Percent of Total Billed Charges,278.25,,400.68,90,,Percent of Total Billed Charges,222.15,,396.23,89,,Percent of Total Billed Charges,213.7,,366.84,82.4,,Percent of Total Billed Charges,365.95,,371.3,83.4,,Percent of Total Billed Charges,346.37,,371.3,83.4,,Percent of Total Billed Charges,312.09,,371.3,83.4,,Percent of Total Billed Charges,362.39,,400.68,90,,Percent of Total Billed Charges,377.08,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,409.58,92,,Percent of Total Billed Charges,361.06,,409.58,92,,Percent of Total Billed Charges,331.23,,409.58,92,,Percent of Total Billed Charges,348.59,,409.58,92,,Percent of Total Billed Charges,361.06,,347.26,78,,Percent of Total Billed Charges,347.26,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,239.65,53.83,,Percent of Total Billed Charges,224.83,,154.22,34.64,,Percent of Total Billed Charges,153.59,,222.51,49.98,,Percent of Total Billed Charges,168.29,,154.22,409.58,,																																							
HC INCISION & DRAINAGE PILONIDAL CYST COMPLICATED,10081,CPT,,,,BOTH, , ,274.05,230.2,252.13,92,,Percent of Total Billed Charges,229.11,,252.13,92,,Percent of Total Billed Charges,225,,252.13,92,,Percent of Total Billed Charges,220.61,,252.13,92,,Percent of Total Billed Charges,228.83,,252.13,92,,Percent of Total Billed Charges,206.36,,252.13,92,,Percent of Total Billed Charges,171.28,,246.65,90,,Percent of Total Billed Charges,136.75,,243.9,89,,Percent of Total Billed Charges,131.54,,225.82,82.4,,Percent of Total Billed Charges,225.27,,228.56,83.4,,Percent of Total Billed Charges,213.21,,228.56,83.4,,Percent of Total Billed Charges,192.11,,228.56,83.4,,Percent of Total Billed Charges,223.08,,246.65,90,,Percent of Total Billed Charges,232.12,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,252.13,92,,Percent of Total Billed Charges,222.25,,252.13,92,,Percent of Total Billed Charges,203.89,,252.13,92,,Percent of Total Billed Charges,214.58,,252.13,92,,Percent of Total Billed Charges,222.25,,213.76,78,,Percent of Total Billed Charges,213.76,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,147.52,53.83,,Percent of Total Billed Charges,138.4,,94.93,34.64,,Percent of Total Billed Charges,94.55,,136.97,49.98,,Percent of Total Billed Charges,103.59,,94.93,252.13,,																																							
HC TREATMENT CLOSED ELBOW DISLOCATION W/O ANES,24600,CPT,,,,BOTH, , ,1016.4,853.78,935.09,92,,Percent of Total Billed Charges,849.71,,935.09,92,,Percent of Total Billed Charges,834.46,,935.09,92,,Percent of Total Billed Charges,818.2,,935.09,92,,Percent of Total Billed Charges,848.69,,935.09,92,,Percent of Total Billed Charges,765.35,,935.09,92,,Percent of Total Billed Charges,635.25,,914.76,90,,Percent of Total Billed Charges,507.18,,904.6,89,,Percent of Total Billed Charges,487.87,,837.51,82.4,,Percent of Total Billed Charges,835.48,,847.68,83.4,,Percent of Total Billed Charges,790.76,,847.68,83.4,,Percent of Total Billed Charges,712.5,,847.68,83.4,,Percent of Total Billed Charges,827.35,,914.76,90,,Percent of Total Billed Charges,860.89,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,935.09,92,,Percent of Total Billed Charges,824.3,,935.09,92,,Percent of Total Billed Charges,756.2,,935.09,92,,Percent of Total Billed Charges,795.84,,935.09,92,,Percent of Total Billed Charges,824.3,,792.79,78,,Percent of Total Billed Charges,792.79,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,547.13,53.83,,Percent of Total Billed Charges,513.28,,352.08,34.64,,Percent of Total Billed Charges,350.66,,508,49.98,,Percent of Total Billed Charges,384.2,,352.08,935.09,,																																							
HC INSJ TEMP NDWELLG BLADDER CATHETER COMPLICATED,51703,CPT,,,,BOTH, , ,645.75,542.43,594.09,92,,Percent of Total Billed Charges,539.85,,594.09,92,,Percent of Total Billed Charges,530.16,,594.09,92,,Percent of Total Billed Charges,519.83,,594.09,92,,Percent of Total Billed Charges,539.2,,594.09,92,,Percent of Total Billed Charges,486.25,,594.09,92,,Percent of Total Billed Charges,403.59,,581.18,90,,Percent of Total Billed Charges,322.23,,574.72,89,,Percent of Total Billed Charges,309.96,,532.1,82.4,,Percent of Total Billed Charges,530.81,,538.56,83.4,,Percent of Total Billed Charges,502.39,,538.56,83.4,,Percent of Total Billed Charges,452.67,,538.56,83.4,,Percent of Total Billed Charges,525.64,,581.18,90,,Percent of Total Billed Charges,546.95,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,594.09,92,,Percent of Total Billed Charges,523.7,,594.09,92,,Percent of Total Billed Charges,480.44,,594.09,92,,Percent of Total Billed Charges,505.62,,594.09,92,,Percent of Total Billed Charges,523.7,,503.69,78,,Percent of Total Billed Charges,503.69,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,347.61,53.83,,Percent of Total Billed Charges,326.1,,223.69,34.64,,Percent of Total Billed Charges,222.78,,322.75,49.98,,Percent of Total Billed Charges,244.09,,223.69,594.09,,																																							
HC OPEN TREATMENT PROXIMAL HUMERAL FRACTURE,23615,CPT,,,,BOTH, , ,40522.65,34039.03,37280.84,92,,Percent of Total Billed Charges,33876.94,,37280.84,92,,Percent of Total Billed Charges,33269.1,,37280.84,92,,Percent of Total Billed Charges,32620.73,,37280.84,92,,Percent of Total Billed Charges,33836.41,,37280.84,92,,Percent of Total Billed Charges,30513.56,,37280.84,92,,Percent of Total Billed Charges,25326.66,,36470.39,90,,Percent of Total Billed Charges,20220.8,,36065.16,89,,Percent of Total Billed Charges,19450.87,,33390.66,82.4,,Percent of Total Billed Charges,33309.62,,33795.89,83.4,,Percent of Total Billed Charges,31526.62,,33795.89,83.4,,Percent of Total Billed Charges,28406.38,,33795.89,83.4,,Percent of Total Billed Charges,32985.44,,36470.39,90,,Percent of Total Billed Charges,34322.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,37280.84,92,,Percent of Total Billed Charges,32863.87,,37280.84,92,,Percent of Total Billed Charges,30148.85,,37280.84,92,,Percent of Total Billed Charges,31729.23,,37280.84,92,,Percent of Total Billed Charges,32863.87,,31607.67,78,,Percent of Total Billed Charges,31607.67,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,21813.34,53.83,,Percent of Total Billed Charges,20463.94,,14037.05,34.64,,Percent of Total Billed Charges,13980.31,,20253.22,49.98,,Percent of Total Billed Charges,15317.56,,14037.05,37280.84,,																																							
HC CLTX HIP DISLOCATION TRAUMATIC REQ ANESTHESIA,27252,CPT,,,,BOTH, , ,3491.25,2932.65,3211.95,92,,Percent of Total Billed Charges,2918.69,,3211.95,92,,Percent of Total Billed Charges,2866.32,,3211.95,92,,Percent of Total Billed Charges,2810.46,,3211.95,92,,Percent of Total Billed Charges,2915.19,,3211.95,92,,Percent of Total Billed Charges,2628.91,,3211.95,92,,Percent of Total Billed Charges,2182.03,,3142.13,90,,Percent of Total Billed Charges,1742.13,,3107.21,89,,Percent of Total Billed Charges,1675.8,,2876.79,82.4,,Percent of Total Billed Charges,2869.81,,2911.7,83.4,,Percent of Total Billed Charges,2716.19,,2911.7,83.4,,Percent of Total Billed Charges,2447.37,,2911.7,83.4,,Percent of Total Billed Charges,2841.88,,3142.13,90,,Percent of Total Billed Charges,2957.09,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3211.95,92,,Percent of Total Billed Charges,2831.4,,3211.95,92,,Percent of Total Billed Charges,2597.49,,3211.95,92,,Percent of Total Billed Charges,2733.65,,3211.95,92,,Percent of Total Billed Charges,2831.4,,2723.18,78,,Percent of Total Billed Charges,2723.18,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1879.34,53.83,,Percent of Total Billed Charges,1763.08,,1209.37,34.64,,Percent of Total Billed Charges,1204.48,,1744.93,49.98,,Percent of Total Billed Charges,1319.69,,1209.37,3211.95,,																																							
HC CLTX POST HIP ARTHRP DISLC W/O ANES,27265,CPT,,,,BOTH, , ,1016.4,853.78,935.09,92,,Percent of Total Billed Charges,849.71,,935.09,92,,Percent of Total Billed Charges,834.46,,935.09,92,,Percent of Total Billed Charges,818.2,,935.09,92,,Percent of Total Billed Charges,848.69,,935.09,92,,Percent of Total Billed Charges,765.35,,935.09,92,,Percent of Total Billed Charges,635.25,,914.76,90,,Percent of Total Billed Charges,507.18,,904.6,89,,Percent of Total Billed Charges,487.87,,837.51,82.4,,Percent of Total Billed Charges,835.48,,847.68,83.4,,Percent of Total Billed Charges,790.76,,847.68,83.4,,Percent of Total Billed Charges,712.5,,847.68,83.4,,Percent of Total Billed Charges,827.35,,914.76,90,,Percent of Total Billed Charges,860.89,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,935.09,92,,Percent of Total Billed Charges,824.3,,935.09,92,,Percent of Total Billed Charges,756.2,,935.09,92,,Percent of Total Billed Charges,795.84,,935.09,92,,Percent of Total Billed Charges,824.3,,792.79,78,,Percent of Total Billed Charges,792.79,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,547.13,53.83,,Percent of Total Billed Charges,513.28,,352.08,34.64,,Percent of Total Billed Charges,350.66,,508,49.98,,Percent of Total Billed Charges,384.2,,352.08,935.09,,																																							
HC BLEPHAROTOMY DRAINAGE ABSCESS EYELID,67700,CPT,,,,BOTH, , ,1363.95,1145.72,1254.83,92,,Percent of Total Billed Charges,1140.26,,1254.83,92,,Percent of Total Billed Charges,1119.8,,1254.83,92,,Percent of Total Billed Charges,1097.98,,1254.83,92,,Percent of Total Billed Charges,1138.9,,1254.83,92,,Percent of Total Billed Charges,1027.05,,1254.83,92,,Percent of Total Billed Charges,852.47,,1227.56,90,,Percent of Total Billed Charges,680.61,,1213.92,89,,Percent of Total Billed Charges,654.7,,1123.89,82.4,,Percent of Total Billed Charges,1121.17,,1137.53,83.4,,Percent of Total Billed Charges,1061.15,,1137.53,83.4,,Percent of Total Billed Charges,956.13,,1137.53,83.4,,Percent of Total Billed Charges,1110.26,,1227.56,90,,Percent of Total Billed Charges,1155.27,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1254.83,92,,Percent of Total Billed Charges,1106.16,,1254.83,92,,Percent of Total Billed Charges,1014.78,,1254.83,92,,Percent of Total Billed Charges,1067.97,,1254.83,92,,Percent of Total Billed Charges,1106.16,,1063.88,78,,Percent of Total Billed Charges,1063.88,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,734.21,53.83,,Percent of Total Billed Charges,688.79,,472.47,34.64,,Percent of Total Billed Charges,470.56,,681.7,49.98,,Percent of Total Billed Charges,515.57,,472.47,1254.83,,																																							
HC I&D EPIDIDYMIS TSTIS&/SCROTAL SPACE,54700,CPT,,,,BOTH, , ,8363.25,7025.13,7694.19,92,,Percent of Total Billed Charges,6991.68,,7694.19,92,,Percent of Total Billed Charges,6866.23,,7694.19,92,,Percent of Total Billed Charges,6732.42,,7694.19,92,,Percent of Total Billed Charges,6983.31,,7694.19,92,,Percent of Total Billed Charges,6297.53,,7694.19,92,,Percent of Total Billed Charges,5227.03,,7526.93,90,,Percent of Total Billed Charges,4173.26,,7443.29,89,,Percent of Total Billed Charges,4014.36,,6891.32,82.4,,Percent of Total Billed Charges,6874.59,,6974.95,83.4,,Percent of Total Billed Charges,6506.61,,6974.95,83.4,,Percent of Total Billed Charges,5862.64,,6974.95,83.4,,Percent of Total Billed Charges,6807.69,,7526.93,90,,Percent of Total Billed Charges,7083.67,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,7694.19,92,,Percent of Total Billed Charges,6782.6,,7694.19,92,,Percent of Total Billed Charges,6222.26,,7694.19,92,,Percent of Total Billed Charges,6548.42,,7694.19,92,,Percent of Total Billed Charges,6782.6,,6523.34,78,,Percent of Total Billed Charges,6523.34,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4501.94,53.83,,Percent of Total Billed Charges,4223.44,,2897.03,34.64,,Percent of Total Billed Charges,2885.32,,4179.95,49.98,,Percent of Total Billed Charges,3161.31,,2897.03,7694.19,,																																							
HC SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 20.130.0CM,12006,CPT,,,,BOTH, , ,2160.9,1815.16,1988.03,92,,Percent of Total Billed Charges,1806.51,,1988.03,92,,Percent of Total Billed Charges,1774.1,,1988.03,92,,Percent of Total Billed Charges,1739.52,,1988.03,92,,Percent of Total Billed Charges,1804.35,,1988.03,92,,Percent of Total Billed Charges,1627.16,,1988.03,92,,Percent of Total Billed Charges,1350.56,,1944.81,90,,Percent of Total Billed Charges,1078.29,,1923.2,89,,Percent of Total Billed Charges,1037.23,,1780.58,82.4,,Percent of Total Billed Charges,1776.26,,1802.19,83.4,,Percent of Total Billed Charges,1681.18,,1802.19,83.4,,Percent of Total Billed Charges,1514.79,,1802.19,83.4,,Percent of Total Billed Charges,1758.97,,1944.81,90,,Percent of Total Billed Charges,1830.28,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1988.03,92,,Percent of Total Billed Charges,1752.49,,1988.03,92,,Percent of Total Billed Charges,1607.71,,1988.03,92,,Percent of Total Billed Charges,1691.98,,1988.03,92,,Percent of Total Billed Charges,1752.49,,1685.5,78,,Percent of Total Billed Charges,1685.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1163.21,53.83,,Percent of Total Billed Charges,1091.25,,748.54,34.64,,Percent of Total Billed Charges,745.51,,1080.02,49.98,,Percent of Total Billed Charges,816.82,,748.54,1988.03,,																																							
HC I&D ABSCESS PERITONSILLAR,42700,CPT,,,,BOTH, , ,898.8,754.99,826.9,92,,Percent of Total Billed Charges,751.4,,826.9,92,,Percent of Total Billed Charges,737.91,,826.9,92,,Percent of Total Billed Charges,723.53,,826.9,92,,Percent of Total Billed Charges,750.5,,826.9,92,,Percent of Total Billed Charges,676.8,,826.9,92,,Percent of Total Billed Charges,561.75,,808.92,90,,Percent of Total Billed Charges,448.5,,799.93,89,,Percent of Total Billed Charges,431.42,,740.61,82.4,,Percent of Total Billed Charges,738.81,,749.6,83.4,,Percent of Total Billed Charges,699.27,,749.6,83.4,,Percent of Total Billed Charges,630.06,,749.6,83.4,,Percent of Total Billed Charges,731.62,,808.92,90,,Percent of Total Billed Charges,761.28,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,826.9,92,,Percent of Total Billed Charges,728.93,,826.9,92,,Percent of Total Billed Charges,668.71,,826.9,92,,Percent of Total Billed Charges,703.76,,826.9,92,,Percent of Total Billed Charges,728.93,,701.06,78,,Percent of Total Billed Charges,701.06,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,483.82,53.83,,Percent of Total Billed Charges,453.89,,311.34,34.64,,Percent of Total Billed Charges,310.09,,449.22,49.98,,Percent of Total Billed Charges,339.75,,311.34,826.9,,																																							
HC REPAIR INTERMEDIATE S/A/T/E 20.130.0 CM,12036,CPT,,,,BOTH, , ,1370.25,1151.01,1260.63,92,,Percent of Total Billed Charges,1145.53,,1260.63,92,,Percent of Total Billed Charges,1124.98,,1260.63,92,,Percent of Total Billed Charges,1103.05,,1260.63,92,,Percent of Total Billed Charges,1144.16,,1260.63,92,,Percent of Total Billed Charges,1031.8,,1260.63,92,,Percent of Total Billed Charges,856.41,,1233.23,90,,Percent of Total Billed Charges,683.75,,1219.52,89,,Percent of Total Billed Charges,657.72,,1129.09,82.4,,Percent of Total Billed Charges,1126.35,,1142.79,83.4,,Percent of Total Billed Charges,1066.05,,1142.79,83.4,,Percent of Total Billed Charges,960.55,,1142.79,83.4,,Percent of Total Billed Charges,1115.38,,1233.23,90,,Percent of Total Billed Charges,1160.6,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1260.63,92,,Percent of Total Billed Charges,1111.27,,1260.63,92,,Percent of Total Billed Charges,1019.47,,1260.63,92,,Percent of Total Billed Charges,1072.91,,1260.63,92,,Percent of Total Billed Charges,1111.27,,1068.8,78,,Percent of Total Billed Charges,1068.8,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,737.61,53.83,,Percent of Total Billed Charges,691.98,,474.65,34.64,,Percent of Total Billed Charges,472.74,,684.85,49.98,,Percent of Total Billed Charges,517.95,,474.65,1260.63,,																																							
HC INCISION&DRAINAGE UPPER ARM/ELBOW BURSA,23931,CPT,,,,BOTH, , ,5240.55,4402.06,4821.31,92,,Percent of Total Billed Charges,4381.1,,4821.31,92,,Percent of Total Billed Charges,4302.49,,4821.31,92,,Percent of Total Billed Charges,4218.64,,4821.31,92,,Percent of Total Billed Charges,4375.86,,4821.31,92,,Percent of Total Billed Charges,3946.13,,4821.31,92,,Percent of Total Billed Charges,3275.34,,4716.5,90,,Percent of Total Billed Charges,2615.03,,4664.09,89,,Percent of Total Billed Charges,2515.46,,4318.21,82.4,,Percent of Total Billed Charges,4307.73,,4370.62,83.4,,Percent of Total Billed Charges,4077.15,,4370.62,83.4,,Percent of Total Billed Charges,3673.63,,4370.62,83.4,,Percent of Total Billed Charges,4265.81,,4716.5,90,,Percent of Total Billed Charges,4438.75,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4821.31,92,,Percent of Total Billed Charges,4250.09,,4821.31,92,,Percent of Total Billed Charges,3898.97,,4821.31,92,,Percent of Total Billed Charges,4103.35,,4821.31,92,,Percent of Total Billed Charges,4250.09,,4087.63,78,,Percent of Total Billed Charges,4087.63,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2820.99,53.83,,Percent of Total Billed Charges,2646.48,,1815.33,34.64,,Percent of Total Billed Charges,1807.99,,2619.23,49.98,,Percent of Total Billed Charges,1980.93,,1815.33,4821.31,,																																							
HC CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MANJ,25565,CPT,,,,BOTH, , ,2616.6,2197.94,2407.27,92,,Percent of Total Billed Charges,2187.48,,2407.27,92,,Percent of Total Billed Charges,2148.23,,2407.27,92,,Percent of Total Billed Charges,2106.36,,2407.27,92,,Percent of Total Billed Charges,2184.86,,2407.27,92,,Percent of Total Billed Charges,1970.3,,2407.27,92,,Percent of Total Billed Charges,1635.38,,2354.94,90,,Percent of Total Billed Charges,1305.68,,2328.77,89,,Percent of Total Billed Charges,1255.97,,2156.08,82.4,,Percent of Total Billed Charges,2150.85,,2182.24,83.4,,Percent of Total Billed Charges,2035.71,,2182.24,83.4,,Percent of Total Billed Charges,1834.24,,2182.24,83.4,,Percent of Total Billed Charges,2129.91,,2354.94,90,,Percent of Total Billed Charges,2216.26,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2407.27,92,,Percent of Total Billed Charges,2122.06,,2407.27,92,,Percent of Total Billed Charges,1946.75,,2407.27,92,,Percent of Total Billed Charges,2048.8,,2407.27,92,,Percent of Total Billed Charges,2122.06,,2040.95,78,,Percent of Total Billed Charges,2040.95,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1408.52,53.83,,Percent of Total Billed Charges,1321.38,,906.39,34.64,,Percent of Total Billed Charges,902.73,,1307.78,49.98,,Percent of Total Billed Charges,989.07,,906.39,2407.27,,																																							
HC CLTX FX PHLX/PHLG OTH/THN GRT TOE W/MANJ,28515,CPT,,,,BOTH, , ,1016.4,853.78,935.09,92,,Percent of Total Billed Charges,849.71,,935.09,92,,Percent of Total Billed Charges,834.46,,935.09,92,,Percent of Total Billed Charges,818.2,,935.09,92,,Percent of Total Billed Charges,848.69,,935.09,92,,Percent of Total Billed Charges,765.35,,935.09,92,,Percent of Total Billed Charges,635.25,,914.76,90,,Percent of Total Billed Charges,507.18,,904.6,89,,Percent of Total Billed Charges,487.87,,837.51,82.4,,Percent of Total Billed Charges,835.48,,847.68,83.4,,Percent of Total Billed Charges,790.76,,847.68,83.4,,Percent of Total Billed Charges,712.5,,847.68,83.4,,Percent of Total Billed Charges,827.35,,914.76,90,,Percent of Total Billed Charges,860.89,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,935.09,92,,Percent of Total Billed Charges,824.3,,935.09,92,,Percent of Total Billed Charges,756.2,,935.09,92,,Percent of Total Billed Charges,795.84,,935.09,92,,Percent of Total Billed Charges,824.3,,792.79,78,,Percent of Total Billed Charges,792.79,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,547.13,53.83,,Percent of Total Billed Charges,513.28,,352.08,34.64,,Percent of Total Billed Charges,350.66,,508,49.98,,Percent of Total Billed Charges,384.2,,352.08,935.09,,																																							
HC UNLISTED PROCEDURE ABDOMEN PERITONEUM & OMENTUM,49999,CPT,,,,BOTH, , ,2966.25,2491.65,2728.95,92,,Percent of Total Billed Charges,2479.79,,2728.95,92,,Percent of Total Billed Charges,2435.29,,2728.95,92,,Percent of Total Billed Charges,2387.83,,2728.95,92,,Percent of Total Billed Charges,2476.82,,2728.95,92,,Percent of Total Billed Charges,2233.59,,2728.95,92,,Percent of Total Billed Charges,1853.91,,2669.63,90,,Percent of Total Billed Charges,1480.16,,2639.96,89,,Percent of Total Billed Charges,1423.8,,2444.19,82.4,,Percent of Total Billed Charges,2438.26,,2473.85,83.4,,Percent of Total Billed Charges,2307.74,,2473.85,83.4,,Percent of Total Billed Charges,2079.34,,2473.85,83.4,,Percent of Total Billed Charges,2414.53,,2669.63,90,,Percent of Total Billed Charges,2512.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2728.95,92,,Percent of Total Billed Charges,2405.63,,2728.95,92,,Percent of Total Billed Charges,2206.89,,2728.95,92,,Percent of Total Billed Charges,2322.57,,2728.95,92,,Percent of Total Billed Charges,2405.63,,2313.68,78,,Percent of Total Billed Charges,2313.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1596.73,53.83,,Percent of Total Billed Charges,1497.96,,1027.51,34.64,,Percent of Total Billed Charges,1023.36,,1482.53,49.98,,Percent of Total Billed Charges,1121.24,,1027.51,2728.95,,																																							
HC REMOVAL INTRAUTERINE DEVICE IUD,58301,CPT,,,,BOTH, , ,1402.8,1178.35,1290.58,92,,Percent of Total Billed Charges,1172.74,,1290.58,92,,Percent of Total Billed Charges,1151.7,,1290.58,92,,Percent of Total Billed Charges,1129.25,,1290.58,92,,Percent of Total Billed Charges,1171.34,,1290.58,92,,Percent of Total Billed Charges,1056.31,,1290.58,92,,Percent of Total Billed Charges,876.75,,1262.52,90,,Percent of Total Billed Charges,700,,1248.49,89,,Percent of Total Billed Charges,673.34,,1155.91,82.4,,Percent of Total Billed Charges,1153.1,,1169.94,83.4,,Percent of Total Billed Charges,1091.38,,1169.94,83.4,,Percent of Total Billed Charges,983.36,,1169.94,83.4,,Percent of Total Billed Charges,1141.88,,1262.52,90,,Percent of Total Billed Charges,1188.17,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1290.58,92,,Percent of Total Billed Charges,1137.67,,1290.58,92,,Percent of Total Billed Charges,1043.68,,1290.58,92,,Percent of Total Billed Charges,1098.39,,1290.58,92,,Percent of Total Billed Charges,1137.67,,1094.18,78,,Percent of Total Billed Charges,1094.18,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,755.13,53.83,,Percent of Total Billed Charges,708.41,,485.93,34.64,,Percent of Total Billed Charges,483.97,,701.12,49.98,,Percent of Total Billed Charges,530.26,,485.93,1290.58,,																																							
HC RMVL FECAL IMPACTION/FB SPX UNDER ANES,45915,CPT,,,,BOTH, , ,5211.15,4377.37,4794.26,92,,Percent of Total Billed Charges,4356.52,,4794.26,92,,Percent of Total Billed Charges,4278.35,,4794.26,92,,Percent of Total Billed Charges,4194.98,,4794.26,92,,Percent of Total Billed Charges,4351.31,,4794.26,92,,Percent of Total Billed Charges,3924,,4794.26,92,,Percent of Total Billed Charges,3256.97,,4690.04,90,,Percent of Total Billed Charges,2600.36,,4637.92,89,,Percent of Total Billed Charges,2501.35,,4293.99,82.4,,Percent of Total Billed Charges,4283.57,,4346.1,83.4,,Percent of Total Billed Charges,4054.27,,4346.1,83.4,,Percent of Total Billed Charges,3653.02,,4346.1,83.4,,Percent of Total Billed Charges,4241.88,,4690.04,90,,Percent of Total Billed Charges,4413.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4794.26,92,,Percent of Total Billed Charges,4226.24,,4794.26,92,,Percent of Total Billed Charges,3877.1,,4794.26,92,,Percent of Total Billed Charges,4080.33,,4794.26,92,,Percent of Total Billed Charges,4226.24,,4064.7,78,,Percent of Total Billed Charges,4064.7,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2805.16,53.83,,Percent of Total Billed Charges,2631.63,,1805.14,34.64,,Percent of Total Billed Charges,1797.85,,2604.53,49.98,,Percent of Total Billed Charges,1969.81,,1805.14,4794.26,,																																							
HC CLTX METATARSOPHLNGL JT DISLC REQ ANES,28635,CPT,,,,BOTH, , ,6193.95,5202.92,5698.43,92,,Percent of Total Billed Charges,5178.14,,5698.43,92,,Percent of Total Billed Charges,5085.23,,5698.43,92,,Percent of Total Billed Charges,4986.13,,5698.43,92,,Percent of Total Billed Charges,5171.95,,5698.43,92,,Percent of Total Billed Charges,4664.04,,5698.43,92,,Percent of Total Billed Charges,3871.22,,5574.56,90,,Percent of Total Billed Charges,3090.78,,5512.62,89,,Percent of Total Billed Charges,2973.1,,5103.81,82.4,,Percent of Total Billed Charges,5091.43,,5165.75,83.4,,Percent of Total Billed Charges,4818.89,,5165.75,83.4,,Percent of Total Billed Charges,4341.96,,5165.75,83.4,,Percent of Total Billed Charges,5041.88,,5574.56,90,,Percent of Total Billed Charges,5246.28,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5698.43,92,,Percent of Total Billed Charges,5023.29,,5698.43,92,,Percent of Total Billed Charges,4608.3,,5698.43,92,,Percent of Total Billed Charges,4849.86,,5698.43,92,,Percent of Total Billed Charges,5023.29,,4831.28,78,,Percent of Total Billed Charges,4831.28,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3334.2,53.83,,Percent of Total Billed Charges,3127.94,,2145.58,34.64,,Percent of Total Billed Charges,2136.91,,3095.74,49.98,,Percent of Total Billed Charges,2341.31,,2145.58,5698.43,,																																							
HC IRRIGATION CORPORA CAVERNOSA PRIAPISM,54220,CPT,,,,BOTH, , ,1098.3,922.57,1010.44,92,,Percent of Total Billed Charges,918.18,,1010.44,92,,Percent of Total Billed Charges,901.7,,1010.44,92,,Percent of Total Billed Charges,884.13,,1010.44,92,,Percent of Total Billed Charges,917.08,,1010.44,92,,Percent of Total Billed Charges,827.02,,1010.44,92,,Percent of Total Billed Charges,686.44,,988.47,90,,Percent of Total Billed Charges,548.05,,977.49,89,,Percent of Total Billed Charges,527.18,,905,82.4,,Percent of Total Billed Charges,902.8,,915.98,83.4,,Percent of Total Billed Charges,854.48,,915.98,83.4,,Percent of Total Billed Charges,769.91,,915.98,83.4,,Percent of Total Billed Charges,894.02,,988.47,90,,Percent of Total Billed Charges,930.26,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1010.44,92,,Percent of Total Billed Charges,890.72,,1010.44,92,,Percent of Total Billed Charges,817.14,,1010.44,92,,Percent of Total Billed Charges,859.97,,1010.44,92,,Percent of Total Billed Charges,890.72,,856.67,78,,Percent of Total Billed Charges,856.67,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,591.21,53.83,,Percent of Total Billed Charges,554.64,,380.45,34.64,,Percent of Total Billed Charges,378.91,,548.93,49.98,,Percent of Total Billed Charges,415.16,,380.45,1010.44,,																																							
HC CLTX TARSAL DISLC OTH/THN TALOTARSAL W/ANES,28545,CPT,,,,BOTH, , ,14466.9,12152.2,13309.55,92,,Percent of Total Billed Charges,12094.33,,13309.55,92,,Percent of Total Billed Charges,11877.32,,13309.55,92,,Percent of Total Billed Charges,11645.85,,13309.55,92,,Percent of Total Billed Charges,12079.86,,13309.55,92,,Percent of Total Billed Charges,10893.58,,13309.55,92,,Percent of Total Billed Charges,9041.81,,13020.21,90,,Percent of Total Billed Charges,7218.98,,12875.54,89,,Percent of Total Billed Charges,6944.11,,11920.73,82.4,,Percent of Total Billed Charges,11891.79,,12065.39,83.4,,Percent of Total Billed Charges,11255.25,,12065.39,83.4,,Percent of Total Billed Charges,10141.3,,12065.39,83.4,,Percent of Total Billed Charges,11776.06,,13020.21,90,,Percent of Total Billed Charges,12253.46,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,13309.55,92,,Percent of Total Billed Charges,11732.66,,13309.55,92,,Percent of Total Billed Charges,10763.37,,13309.55,92,,Percent of Total Billed Charges,11327.58,,13309.55,92,,Percent of Total Billed Charges,11732.66,,11284.18,78,,Percent of Total Billed Charges,11284.18,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,7787.53,53.83,,Percent of Total Billed Charges,7305.78,,5011.33,34.64,,Percent of Total Billed Charges,4991.08,,7230.56,49.98,,Percent of Total Billed Charges,5468.49,,5011.33,13309.55,,																																							
HC DRAINAGE ABSCESS PALATE UVULA,42000,CPT,,,,BOTH, , ,105,88.2,96.6,92,,Percent of Total Billed Charges,87.78,,96.6,92,,Percent of Total Billed Charges,86.21,,96.6,92,,Percent of Total Billed Charges,84.53,,96.6,92,,Percent of Total Billed Charges,87.68,,96.6,92,,Percent of Total Billed Charges,79.07,,96.6,92,,Percent of Total Billed Charges,65.63,,94.5,90,,Percent of Total Billed Charges,52.4,,93.45,89,,Percent of Total Billed Charges,50.4,,86.52,82.4,,Percent of Total Billed Charges,86.31,,87.57,83.4,,Percent of Total Billed Charges,81.69,,87.57,83.4,,Percent of Total Billed Charges,73.61,,87.57,83.4,,Percent of Total Billed Charges,85.47,,94.5,90,,Percent of Total Billed Charges,88.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,96.6,92,,Percent of Total Billed Charges,85.16,,96.6,92,,Percent of Total Billed Charges,78.12,,96.6,92,,Percent of Total Billed Charges,82.22,,96.6,92,,Percent of Total Billed Charges,85.16,,81.9,78,,Percent of Total Billed Charges,81.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,56.52,53.83,,Percent of Total Billed Charges,53.03,,36.37,34.64,,Percent of Total Billed Charges,36.23,,52.48,49.98,,Percent of Total Billed Charges,39.69,,36.37,96.6,,																																							
HC CLOSED TX PATELLAR DISLOCATION W/ANESTHESIA,27562,CPT,,,,BOTH, , ,6203.4,5210.86,5707.13,92,,Percent of Total Billed Charges,5186.04,,5707.13,92,,Percent of Total Billed Charges,5092.99,,5707.13,92,,Percent of Total Billed Charges,4993.74,,5707.13,92,,Percent of Total Billed Charges,5179.84,,5707.13,92,,Percent of Total Billed Charges,4671.16,,5707.13,92,,Percent of Total Billed Charges,3877.13,,5583.06,90,,Percent of Total Billed Charges,3095.5,,5521.03,89,,Percent of Total Billed Charges,2977.63,,5111.6,82.4,,Percent of Total Billed Charges,5099.19,,5173.64,83.4,,Percent of Total Billed Charges,4826.25,,5173.64,83.4,,Percent of Total Billed Charges,4348.58,,5173.64,83.4,,Percent of Total Billed Charges,5049.57,,5583.06,90,,Percent of Total Billed Charges,5254.28,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5707.13,92,,Percent of Total Billed Charges,5030.96,,5707.13,92,,Percent of Total Billed Charges,4615.33,,5707.13,92,,Percent of Total Billed Charges,4857.26,,5707.13,92,,Percent of Total Billed Charges,5030.96,,4838.65,78,,Percent of Total Billed Charges,4838.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3339.29,53.83,,Percent of Total Billed Charges,3132.72,,2148.86,34.64,,Percent of Total Billed Charges,2140.17,,3100.46,49.98,,Percent of Total Billed Charges,2344.89,,2148.86,5707.13,,																																							
HC TRACHEOTOMY TUBE CHANGE PRIOR TO FISTULA TRACT,31502,CPT,,,,BOTH, , ,898.8,754.99,826.9,92,,Percent of Total Billed Charges,751.4,,826.9,92,,Percent of Total Billed Charges,737.91,,826.9,92,,Percent of Total Billed Charges,723.53,,826.9,92,,Percent of Total Billed Charges,750.5,,826.9,92,,Percent of Total Billed Charges,676.8,,826.9,92,,Percent of Total Billed Charges,561.75,,808.92,90,,Percent of Total Billed Charges,448.5,,799.93,89,,Percent of Total Billed Charges,431.42,,740.61,82.4,,Percent of Total Billed Charges,738.81,,749.6,83.4,,Percent of Total Billed Charges,699.27,,749.6,83.4,,Percent of Total Billed Charges,630.06,,749.6,83.4,,Percent of Total Billed Charges,731.62,,808.92,90,,Percent of Total Billed Charges,761.28,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,826.9,92,,Percent of Total Billed Charges,728.93,,826.9,92,,Percent of Total Billed Charges,668.71,,826.9,92,,Percent of Total Billed Charges,703.76,,826.9,92,,Percent of Total Billed Charges,728.93,,701.06,78,,Percent of Total Billed Charges,701.06,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,483.82,53.83,,Percent of Total Billed Charges,453.89,,311.34,34.64,,Percent of Total Billed Charges,310.09,,449.22,49.98,,Percent of Total Billed Charges,339.75,,311.34,826.9,,																																							
HC NJX C/P/A CAVERNOSA W/PHARMACOLOGIC AGT,54235,CPT,,,,BOTH, , ,1098.3,922.57,1010.44,92,,Percent of Total Billed Charges,918.18,,1010.44,92,,Percent of Total Billed Charges,901.7,,1010.44,92,,Percent of Total Billed Charges,884.13,,1010.44,92,,Percent of Total Billed Charges,917.08,,1010.44,92,,Percent of Total Billed Charges,827.02,,1010.44,92,,Percent of Total Billed Charges,686.44,,988.47,90,,Percent of Total Billed Charges,548.05,,977.49,89,,Percent of Total Billed Charges,527.18,,905,82.4,,Percent of Total Billed Charges,902.8,,915.98,83.4,,Percent of Total Billed Charges,854.48,,915.98,83.4,,Percent of Total Billed Charges,769.91,,915.98,83.4,,Percent of Total Billed Charges,894.02,,988.47,90,,Percent of Total Billed Charges,930.26,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1010.44,92,,Percent of Total Billed Charges,890.72,,1010.44,92,,Percent of Total Billed Charges,817.14,,1010.44,92,,Percent of Total Billed Charges,859.97,,1010.44,92,,Percent of Total Billed Charges,890.72,,856.67,78,,Percent of Total Billed Charges,856.67,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,591.21,53.83,,Percent of Total Billed Charges,554.64,,380.45,34.64,,Percent of Total Billed Charges,378.91,,548.93,49.98,,Percent of Total Billed Charges,415.16,,380.45,1010.44,,																																							
HC CLTX FX GRT TOE PHLX/PHLG W/MANJ,28495,CPT,,,,BOTH, , ,971.25,815.85,893.55,92,,Percent of Total Billed Charges,811.97,,893.55,92,,Percent of Total Billed Charges,797.4,,893.55,92,,Percent of Total Billed Charges,781.86,,893.55,92,,Percent of Total Billed Charges,810.99,,893.55,92,,Percent of Total Billed Charges,731.35,,893.55,92,,Percent of Total Billed Charges,607.03,,874.13,90,,Percent of Total Billed Charges,484.65,,864.41,89,,Percent of Total Billed Charges,466.2,,800.31,82.4,,Percent of Total Billed Charges,798.37,,810.02,83.4,,Percent of Total Billed Charges,755.63,,810.02,83.4,,Percent of Total Billed Charges,680.85,,810.02,83.4,,Percent of Total Billed Charges,790.6,,874.13,90,,Percent of Total Billed Charges,822.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,893.55,92,,Percent of Total Billed Charges,787.68,,893.55,92,,Percent of Total Billed Charges,722.61,,893.55,92,,Percent of Total Billed Charges,760.49,,893.55,92,,Percent of Total Billed Charges,787.68,,757.58,78,,Percent of Total Billed Charges,757.58,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,522.82,53.83,,Percent of Total Billed Charges,490.48,,336.44,34.64,,Percent of Total Billed Charges,335.08,,485.43,49.98,,Percent of Total Billed Charges,367.13,,336.44,893.55,,																																							
HC CLTX INTERPHALANGEAL JOINT DISLOCATION REQ ANES,28665,CPT,,,,BOTH, , ,107.1,89.96,98.53,92,,Percent of Total Billed Charges,89.54,,98.53,92,,Percent of Total Billed Charges,87.93,,98.53,92,,Percent of Total Billed Charges,86.22,,98.53,92,,Percent of Total Billed Charges,89.43,,98.53,92,,Percent of Total Billed Charges,80.65,,98.53,92,,Percent of Total Billed Charges,66.94,,96.39,90,,Percent of Total Billed Charges,53.44,,95.32,89,,Percent of Total Billed Charges,51.41,,88.25,82.4,,Percent of Total Billed Charges,88.04,,89.32,83.4,,Percent of Total Billed Charges,83.32,,89.32,83.4,,Percent of Total Billed Charges,75.08,,89.32,83.4,,Percent of Total Billed Charges,87.18,,96.39,90,,Percent of Total Billed Charges,90.71,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,98.53,92,,Percent of Total Billed Charges,86.86,,98.53,92,,Percent of Total Billed Charges,79.68,,98.53,92,,Percent of Total Billed Charges,83.86,,98.53,92,,Percent of Total Billed Charges,86.86,,83.54,78,,Percent of Total Billed Charges,83.54,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,57.65,53.83,,Percent of Total Billed Charges,54.09,,37.1,34.64,,Percent of Total Billed Charges,36.95,,53.53,49.98,,Percent of Total Billed Charges,40.48,,37.10,98.53,,																																							
HC SIMPLE REPAIR F/E/E/N/L/M 12.6CM20.0 CM,12016,CPT,,,,BOTH, , ,1948.8,1636.99,1792.9,92,,Percent of Total Billed Charges,1629.2,,1792.9,92,,Percent of Total Billed Charges,1599.96,,1792.9,92,,Percent of Total Billed Charges,1568.78,,1792.9,92,,Percent of Total Billed Charges,1627.25,,1792.9,92,,Percent of Total Billed Charges,1467.45,,1792.9,92,,Percent of Total Billed Charges,1218,,1753.92,90,,Percent of Total Billed Charges,972.45,,1734.43,89,,Percent of Total Billed Charges,935.42,,1605.81,82.4,,Percent of Total Billed Charges,1601.91,,1625.3,83.4,,Percent of Total Billed Charges,1516.17,,1625.3,83.4,,Percent of Total Billed Charges,1366.11,,1625.3,83.4,,Percent of Total Billed Charges,1586.32,,1753.92,90,,Percent of Total Billed Charges,1650.63,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1792.9,92,,Percent of Total Billed Charges,1580.48,,1792.9,92,,Percent of Total Billed Charges,1449.91,,1792.9,92,,Percent of Total Billed Charges,1525.91,,1792.9,92,,Percent of Total Billed Charges,1580.48,,1520.06,78,,Percent of Total Billed Charges,1520.06,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1049.04,53.83,,Percent of Total Billed Charges,984.14,,675.06,34.64,,Percent of Total Billed Charges,672.34,,974.01,49.98,,Percent of Total Billed Charges,736.65,,675.06,1792.9,,																																							
HC CLOSED TX TALUS FRACTURE W/MANIPULATION,28435,CPT,,,,BOTH, , ,5910.45,4964.78,5437.61,92,,Percent of Total Billed Charges,4941.14,,5437.61,92,,Percent of Total Billed Charges,4852.48,,5437.61,92,,Percent of Total Billed Charges,4757.91,,5437.61,92,,Percent of Total Billed Charges,4935.23,,5437.61,92,,Percent of Total Billed Charges,4450.57,,5437.61,92,,Percent of Total Billed Charges,3694.03,,5319.41,90,,Percent of Total Billed Charges,2949.31,,5260.3,89,,Percent of Total Billed Charges,2837.02,,4870.21,82.4,,Percent of Total Billed Charges,4858.39,,4929.32,83.4,,Percent of Total Billed Charges,4598.33,,4929.32,83.4,,Percent of Total Billed Charges,4143.23,,4929.32,83.4,,Percent of Total Billed Charges,4811.11,,5319.41,90,,Percent of Total Billed Charges,5006.15,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5437.61,92,,Percent of Total Billed Charges,4793.37,,5437.61,92,,Percent of Total Billed Charges,4397.37,,5437.61,92,,Percent of Total Billed Charges,4627.88,,5437.61,92,,Percent of Total Billed Charges,4793.37,,4610.15,78,,Percent of Total Billed Charges,4610.15,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3181.6,53.83,,Percent of Total Billed Charges,2984.78,,2047.38,34.64,,Percent of Total Billed Charges,2039.11,,2954.04,49.98,,Percent of Total Billed Charges,2234.15,,2047.38,5437.61,,																																							
HC REPAIR COMPLEX F/C/C/M/ X/G/H/F EA ADDL 5 CM/&LT;,13133,CPT,,,,BOTH, , ,1345.05,1129.84,1237.45,92,,Percent of Total Billed Charges,1124.46,,1237.45,92,,Percent of Total Billed Charges,1104.29,,1237.45,92,,Percent of Total Billed Charges,1082.77,,1237.45,92,,Percent of Total Billed Charges,1123.12,,1237.45,92,,Percent of Total Billed Charges,1012.82,,1237.45,92,,Percent of Total Billed Charges,840.66,,1210.55,90,,Percent of Total Billed Charges,671.18,,1197.09,89,,Percent of Total Billed Charges,645.62,,1108.32,82.4,,Percent of Total Billed Charges,1105.63,,1121.77,83.4,,Percent of Total Billed Charges,1046.45,,1121.77,83.4,,Percent of Total Billed Charges,942.88,,1121.77,83.4,,Percent of Total Billed Charges,1094.87,,1210.55,90,,Percent of Total Billed Charges,1139.26,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1237.45,92,,Percent of Total Billed Charges,1090.84,,1237.45,92,,Percent of Total Billed Charges,1000.72,,1237.45,92,,Percent of Total Billed Charges,1053.17,,1237.45,92,,Percent of Total Billed Charges,1090.84,,1049.14,78,,Percent of Total Billed Charges,1049.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,724.04,53.83,,Percent of Total Billed Charges,679.25,,465.93,34.64,,Percent of Total Billed Charges,464.04,,672.26,49.98,,Percent of Total Billed Charges,508.43,,465.93,1237.45,,																																							
HC DRAINAGE SCROTAL WALL ABSCESS,55100,CPT,,,,BOTH, , ,6002.85,5042.39,5522.62,92,,Percent of Total Billed Charges,5018.38,,5522.62,92,,Percent of Total Billed Charges,4928.34,,5522.62,92,,Percent of Total Billed Charges,4832.29,,5522.62,92,,Percent of Total Billed Charges,5012.38,,5522.62,92,,Percent of Total Billed Charges,4520.15,,5522.62,92,,Percent of Total Billed Charges,3751.78,,5402.57,90,,Percent of Total Billed Charges,2995.42,,5342.54,89,,Percent of Total Billed Charges,2881.37,,4946.35,82.4,,Percent of Total Billed Charges,4934.34,,5006.38,83.4,,Percent of Total Billed Charges,4670.22,,5006.38,83.4,,Percent of Total Billed Charges,4208,,5006.38,83.4,,Percent of Total Billed Charges,4886.32,,5402.57,90,,Percent of Total Billed Charges,5084.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5522.62,92,,Percent of Total Billed Charges,4868.31,,5522.62,92,,Percent of Total Billed Charges,4466.12,,5522.62,92,,Percent of Total Billed Charges,4700.23,,5522.62,92,,Percent of Total Billed Charges,4868.31,,4682.22,78,,Percent of Total Billed Charges,4682.22,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3231.33,53.83,,Percent of Total Billed Charges,3031.44,,2079.39,34.64,,Percent of Total Billed Charges,2070.98,,3000.22,49.98,,Percent of Total Billed Charges,2269.08,,2079.39,5522.62,,																																							
HC ASPIRATION BLADDER INSERT SUPRAPUBIC CATHETER,51102,CPT,,,,BOTH, , ,7359.45,6181.94,6770.69,92,,Percent of Total Billed Charges,6152.5,,6770.69,92,,Percent of Total Billed Charges,6042.11,,6770.69,92,,Percent of Total Billed Charges,5924.36,,6770.69,92,,Percent of Total Billed Charges,6145.14,,6770.69,92,,Percent of Total Billed Charges,5541.67,,6770.69,92,,Percent of Total Billed Charges,4599.66,,6623.51,90,,Percent of Total Billed Charges,3672.37,,6549.91,89,,Percent of Total Billed Charges,3532.54,,6064.19,82.4,,Percent of Total Billed Charges,6049.47,,6137.78,83.4,,Percent of Total Billed Charges,5725.65,,6137.78,83.4,,Percent of Total Billed Charges,5158.97,,6137.78,83.4,,Percent of Total Billed Charges,5990.59,,6623.51,90,,Percent of Total Billed Charges,6233.45,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6770.69,92,,Percent of Total Billed Charges,5968.51,,6770.69,92,,Percent of Total Billed Charges,5475.43,,6770.69,92,,Percent of Total Billed Charges,5762.45,,6770.69,92,,Percent of Total Billed Charges,5968.51,,5740.37,78,,Percent of Total Billed Charges,5740.37,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3961.59,53.83,,Percent of Total Billed Charges,3716.52,,2549.31,34.64,,Percent of Total Billed Charges,2539.01,,3678.25,49.98,,Percent of Total Billed Charges,2781.87,,2549.31,6770.69,,																																							
HC AMP F/TH 1/2 JT/PHALANX W/NEURECT W/DIR CLSR,26951,CPT,,,,BOTH, , ,11839.8,9945.43,10892.62,92,,Percent of Total Billed Charges,9898.07,,10892.62,92,,Percent of Total Billed Charges,9720.48,,10892.62,92,,Percent of Total Billed Charges,9531.04,,10892.62,92,,Percent of Total Billed Charges,9886.23,,10892.62,92,,Percent of Total Billed Charges,8915.37,,10892.62,92,,Percent of Total Billed Charges,7399.88,,10655.82,90,,Percent of Total Billed Charges,5908.06,,10537.42,89,,Percent of Total Billed Charges,5683.1,,9756,82.4,,Percent of Total Billed Charges,9732.32,,9874.39,83.4,,Percent of Total Billed Charges,9211.36,,9874.39,83.4,,Percent of Total Billed Charges,8299.7,,9874.39,83.4,,Percent of Total Billed Charges,9637.6,,10655.82,90,,Percent of Total Billed Charges,10028.31,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,10892.62,92,,Percent of Total Billed Charges,9602.08,,10892.62,92,,Percent of Total Billed Charges,8808.81,,10892.62,92,,Percent of Total Billed Charges,9270.56,,10892.62,92,,Percent of Total Billed Charges,9602.08,,9235.04,78,,Percent of Total Billed Charges,9235.04,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6373.36,53.83,,Percent of Total Billed Charges,5979.1,,4101.31,34.64,,Percent of Total Billed Charges,4084.73,,5917.53,49.98,,Percent of Total Billed Charges,4475.44,,4101.31,10892.62,,																																							
HC CLTX TRANSSCAPHOPRILUNAR TYP FX DISLC W/MANJ,25680,CPT,,,,BOTH, , ,971.25,815.85,893.55,92,,Percent of Total Billed Charges,811.97,,893.55,92,,Percent of Total Billed Charges,797.4,,893.55,92,,Percent of Total Billed Charges,781.86,,893.55,92,,Percent of Total Billed Charges,810.99,,893.55,92,,Percent of Total Billed Charges,731.35,,893.55,92,,Percent of Total Billed Charges,607.03,,874.13,90,,Percent of Total Billed Charges,484.65,,864.41,89,,Percent of Total Billed Charges,466.2,,800.31,82.4,,Percent of Total Billed Charges,798.37,,810.02,83.4,,Percent of Total Billed Charges,755.63,,810.02,83.4,,Percent of Total Billed Charges,680.85,,810.02,83.4,,Percent of Total Billed Charges,790.6,,874.13,90,,Percent of Total Billed Charges,822.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,893.55,92,,Percent of Total Billed Charges,787.68,,893.55,92,,Percent of Total Billed Charges,722.61,,893.55,92,,Percent of Total Billed Charges,760.49,,893.55,92,,Percent of Total Billed Charges,787.68,,757.58,78,,Percent of Total Billed Charges,757.58,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,522.82,53.83,,Percent of Total Billed Charges,490.48,,336.44,34.64,,Percent of Total Billed Charges,335.08,,485.43,49.98,,Percent of Total Billed Charges,367.13,,336.44,893.55,,																																							
HC SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK >30.0CM,12007,CPT,,,,BOTH, , ,2622.9,2203.24,2413.07,92,,Percent of Total Billed Charges,2192.74,,2413.07,92,,Percent of Total Billed Charges,2153.4,,2413.07,92,,Percent of Total Billed Charges,2111.43,,2413.07,92,,Percent of Total Billed Charges,2190.12,,2413.07,92,,Percent of Total Billed Charges,1975.04,,2413.07,92,,Percent of Total Billed Charges,1639.31,,2360.61,90,,Percent of Total Billed Charges,1308.83,,2334.38,89,,Percent of Total Billed Charges,1258.99,,2161.27,82.4,,Percent of Total Billed Charges,2156.02,,2187.5,83.4,,Percent of Total Billed Charges,2040.62,,2187.5,83.4,,Percent of Total Billed Charges,1838.65,,2187.5,83.4,,Percent of Total Billed Charges,2135.04,,2360.61,90,,Percent of Total Billed Charges,2221.6,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2413.07,92,,Percent of Total Billed Charges,2127.17,,2413.07,92,,Percent of Total Billed Charges,1951.44,,2413.07,92,,Percent of Total Billed Charges,2053.73,,2413.07,92,,Percent of Total Billed Charges,2127.17,,2045.86,78,,Percent of Total Billed Charges,2045.86,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1411.91,53.83,,Percent of Total Billed Charges,1324.56,,908.57,34.64,,Percent of Total Billed Charges,904.9,,1310.93,49.98,,Percent of Total Billed Charges,991.46,,908.57,2413.07,,																																							
HC CLTX ANKLE DISLC REQ ANES W/WO PRQ SKEL FIXJ,27842,CPT,,,,BOTH, , ,6714.75,5640.39,6177.57,92,,Percent of Total Billed Charges,5613.53,,6177.57,92,,Percent of Total Billed Charges,5512.81,,6177.57,92,,Percent of Total Billed Charges,5405.37,,6177.57,92,,Percent of Total Billed Charges,5606.82,,6177.57,92,,Percent of Total Billed Charges,5056.21,,6177.57,92,,Percent of Total Billed Charges,4196.72,,6043.28,90,,Percent of Total Billed Charges,3350.66,,5976.13,89,,Percent of Total Billed Charges,3223.08,,5532.95,82.4,,Percent of Total Billed Charges,5519.52,,5600.1,83.4,,Percent of Total Billed Charges,5224.08,,5600.1,83.4,,Percent of Total Billed Charges,4707.04,,5600.1,83.4,,Percent of Total Billed Charges,5465.81,,6043.28,90,,Percent of Total Billed Charges,5687.39,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6177.57,92,,Percent of Total Billed Charges,5445.66,,6177.57,92,,Percent of Total Billed Charges,4995.77,,6177.57,92,,Percent of Total Billed Charges,5257.65,,6177.57,92,,Percent of Total Billed Charges,5445.66,,5237.51,78,,Percent of Total Billed Charges,5237.51,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3614.55,53.83,,Percent of Total Billed Charges,3390.95,,2325.99,34.64,,Percent of Total Billed Charges,2316.59,,3356.03,49.98,,Percent of Total Billed Charges,2538.18,,2325.99,6177.57,,																																							
HC AMP F/TH 1/2 JT/PHALANX W/NEURECT LOCAL FLAP,26952,CPT,,,,BOTH, , ,13153.35,11048.81,12101.08,92,,Percent of Total Billed Charges,10996.2,,12101.08,92,,Percent of Total Billed Charges,10798.9,,12101.08,92,,Percent of Total Billed Charges,10588.45,,12101.08,92,,Percent of Total Billed Charges,10983.05,,12101.08,92,,Percent of Total Billed Charges,9904.47,,12101.08,92,,Percent of Total Billed Charges,8220.84,,11838.02,90,,Percent of Total Billed Charges,6563.52,,11706.48,89,,Percent of Total Billed Charges,6313.61,,10838.36,82.4,,Percent of Total Billed Charges,10812.05,,10969.89,83.4,,Percent of Total Billed Charges,10233.31,,10969.89,83.4,,Percent of Total Billed Charges,9220.5,,10969.89,83.4,,Percent of Total Billed Charges,10706.83,,11838.02,90,,Percent of Total Billed Charges,11140.89,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,12101.08,92,,Percent of Total Billed Charges,10667.37,,12101.08,92,,Percent of Total Billed Charges,9786.09,,12101.08,92,,Percent of Total Billed Charges,10299.07,,12101.08,92,,Percent of Total Billed Charges,10667.37,,10259.61,78,,Percent of Total Billed Charges,10259.61,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,7080.45,53.83,,Percent of Total Billed Charges,6642.44,,4556.32,34.64,,Percent of Total Billed Charges,4537.91,,6574.04,49.98,,Percent of Total Billed Charges,4971.97,,4556.32,12101.08,,																																							
HC CLOSED TX CARPAL SCAPHOID FRACTURE W/MANJ,25624,CPT,,,,BOTH, , ,6714.75,5640.39,6177.57,92,,Percent of Total Billed Charges,5613.53,,6177.57,92,,Percent of Total Billed Charges,5512.81,,6177.57,92,,Percent of Total Billed Charges,5405.37,,6177.57,92,,Percent of Total Billed Charges,5606.82,,6177.57,92,,Percent of Total Billed Charges,5056.21,,6177.57,92,,Percent of Total Billed Charges,4196.72,,6043.28,90,,Percent of Total Billed Charges,3350.66,,5976.13,89,,Percent of Total Billed Charges,3223.08,,5532.95,82.4,,Percent of Total Billed Charges,5519.52,,5600.1,83.4,,Percent of Total Billed Charges,5224.08,,5600.1,83.4,,Percent of Total Billed Charges,4707.04,,5600.1,83.4,,Percent of Total Billed Charges,5465.81,,6043.28,90,,Percent of Total Billed Charges,5687.39,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6177.57,92,,Percent of Total Billed Charges,5445.66,,6177.57,92,,Percent of Total Billed Charges,4995.77,,6177.57,92,,Percent of Total Billed Charges,5257.65,,6177.57,92,,Percent of Total Billed Charges,5445.66,,5237.51,78,,Percent of Total Billed Charges,5237.51,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3614.55,53.83,,Percent of Total Billed Charges,3390.95,,2325.99,34.64,,Percent of Total Billed Charges,2316.59,,3356.03,49.98,,Percent of Total Billed Charges,2538.18,,2325.99,6177.57,,																																							
HC OPEN TX DISTAL PHALANGEAL FRACTURE EACH,26765,CPT,,,,BOTH, , ,13648.95,11465.12,12557.03,92,,Percent of Total Billed Charges,11410.52,,12557.03,92,,Percent of Total Billed Charges,11205.79,,12557.03,92,,Percent of Total Billed Charges,10987.4,,12557.03,92,,Percent of Total Billed Charges,11396.87,,12557.03,92,,Percent of Total Billed Charges,10277.66,,12557.03,92,,Percent of Total Billed Charges,8530.59,,12284.06,90,,Percent of Total Billed Charges,6810.83,,12147.57,89,,Percent of Total Billed Charges,6551.5,,11246.73,82.4,,Percent of Total Billed Charges,11219.44,,11383.22,83.4,,Percent of Total Billed Charges,10618.88,,11383.22,83.4,,Percent of Total Billed Charges,9567.91,,11383.22,83.4,,Percent of Total Billed Charges,11110.25,,12284.06,90,,Percent of Total Billed Charges,11560.66,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,12557.03,92,,Percent of Total Billed Charges,11069.3,,12557.03,92,,Percent of Total Billed Charges,10154.82,,12557.03,92,,Percent of Total Billed Charges,10687.13,,12557.03,92,,Percent of Total Billed Charges,11069.3,,10646.18,78,,Percent of Total Billed Charges,10646.18,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,7347.23,53.83,,Percent of Total Billed Charges,6892.72,,4728,34.64,,Percent of Total Billed Charges,4708.89,,6821.75,49.98,,Percent of Total Billed Charges,5159.3,,4728.00,12557.03,,																																							
HC CLTX METACARPOPHALANGEAL DISLC W/MANJ W/ANES,26705,CPT,,,,BOTH, , ,6965.7,5851.19,6408.44,92,,Percent of Total Billed Charges,5823.33,,6408.44,92,,Percent of Total Billed Charges,5718.84,,6408.44,92,,Percent of Total Billed Charges,5607.39,,6408.44,92,,Percent of Total Billed Charges,5816.36,,6408.44,92,,Percent of Total Billed Charges,5245.17,,6408.44,92,,Percent of Total Billed Charges,4353.56,,6269.13,90,,Percent of Total Billed Charges,3475.88,,6199.47,89,,Percent of Total Billed Charges,3343.54,,5739.74,82.4,,Percent of Total Billed Charges,5725.81,,5809.39,83.4,,Percent of Total Billed Charges,5419.31,,5809.39,83.4,,Percent of Total Billed Charges,4882.96,,5809.39,83.4,,Percent of Total Billed Charges,5670.08,,6269.13,90,,Percent of Total Billed Charges,5899.95,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6408.44,92,,Percent of Total Billed Charges,5649.18,,6408.44,92,,Percent of Total Billed Charges,5182.48,,6408.44,92,,Percent of Total Billed Charges,5454.14,,6408.44,92,,Percent of Total Billed Charges,5649.18,,5433.25,78,,Percent of Total Billed Charges,5433.25,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3749.64,53.83,,Percent of Total Billed Charges,3517.68,,2412.92,34.64,,Percent of Total Billed Charges,2403.17,,3481.46,49.98,,Percent of Total Billed Charges,2633.03,,2412.92,6408.44,,																																							
HC REMOVAL IMPLANTABLE CONTRACEPTIVE CAPSULES,11976,CPT,,,,BOTH, , ,2954.7,2481.95,2718.32,92,,Percent of Total Billed Charges,2470.13,,2718.32,92,,Percent of Total Billed Charges,2425.81,,2718.32,92,,Percent of Total Billed Charges,2378.53,,2718.32,92,,Percent of Total Billed Charges,2467.17,,2718.32,92,,Percent of Total Billed Charges,2224.89,,2718.32,92,,Percent of Total Billed Charges,1846.69,,2659.23,90,,Percent of Total Billed Charges,1474.4,,2629.68,89,,Percent of Total Billed Charges,1418.26,,2434.67,82.4,,Percent of Total Billed Charges,2428.76,,2464.22,83.4,,Percent of Total Billed Charges,2298.76,,2464.22,83.4,,Percent of Total Billed Charges,2071.24,,2464.22,83.4,,Percent of Total Billed Charges,2405.13,,2659.23,90,,Percent of Total Billed Charges,2502.63,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2718.32,92,,Percent of Total Billed Charges,2396.26,,2718.32,92,,Percent of Total Billed Charges,2198.3,,2718.32,92,,Percent of Total Billed Charges,2313.53,,2718.32,92,,Percent of Total Billed Charges,2396.26,,2304.67,78,,Percent of Total Billed Charges,2304.67,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1590.52,53.83,,Percent of Total Billed Charges,1492.12,,1023.51,34.64,,Percent of Total Billed Charges,1019.37,,1476.76,49.98,,Percent of Total Billed Charges,1116.88,,1023.51,2718.32,,																																							
HC CYSTO W/SIMPLE REMOVAL STONE & STENT,52310,CPT,,,,BOTH, , ,8062.95,6772.88,7417.91,92,,Percent of Total Billed Charges,6740.63,,7417.91,92,,Percent of Total Billed Charges,6619.68,,7417.91,92,,Percent of Total Billed Charges,6490.67,,7417.91,92,,Percent of Total Billed Charges,6732.56,,7417.91,92,,Percent of Total Billed Charges,6071.4,,7417.91,92,,Percent of Total Billed Charges,5039.34,,7256.66,90,,Percent of Total Billed Charges,4023.41,,7176.03,89,,Percent of Total Billed Charges,3870.22,,6643.87,82.4,,Percent of Total Billed Charges,6627.74,,6724.5,83.4,,Percent of Total Billed Charges,6272.98,,6724.5,83.4,,Percent of Total Billed Charges,5652.13,,6724.5,83.4,,Percent of Total Billed Charges,6563.24,,7256.66,90,,Percent of Total Billed Charges,6829.32,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,7417.91,92,,Percent of Total Billed Charges,6539.05,,7417.91,92,,Percent of Total Billed Charges,5998.83,,7417.91,92,,Percent of Total Billed Charges,6313.29,,7417.91,92,,Percent of Total Billed Charges,6539.05,,6289.1,78,,Percent of Total Billed Charges,6289.1,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4340.29,53.83,,Percent of Total Billed Charges,4071.79,,2793.01,34.64,,Percent of Total Billed Charges,2781.72,,4029.86,49.98,,Percent of Total Billed Charges,3047.8,,2793.01,7417.91,,																																							
HC REMOVAL FOREIGN BODY PHARYNX,42809,CPT,,,,BOTH, , ,1640.1,1377.68,1508.89,92,,Percent of Total Billed Charges,1371.12,,1508.89,92,,Percent of Total Billed Charges,1346.52,,1508.89,92,,Percent of Total Billed Charges,1320.28,,1508.89,92,,Percent of Total Billed Charges,1369.48,,1508.89,92,,Percent of Total Billed Charges,1235,,1508.89,92,,Percent of Total Billed Charges,1025.06,,1476.09,90,,Percent of Total Billed Charges,818.41,,1459.69,89,,Percent of Total Billed Charges,787.25,,1351.44,82.4,,Percent of Total Billed Charges,1348.16,,1367.84,83.4,,Percent of Total Billed Charges,1276,,1367.84,83.4,,Percent of Total Billed Charges,1149.71,,1367.84,83.4,,Percent of Total Billed Charges,1335.04,,1476.09,90,,Percent of Total Billed Charges,1389.16,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1508.89,92,,Percent of Total Billed Charges,1330.12,,1508.89,92,,Percent of Total Billed Charges,1220.23,,1508.89,92,,Percent of Total Billed Charges,1284.2,,1508.89,92,,Percent of Total Billed Charges,1330.12,,1279.28,78,,Percent of Total Billed Charges,1279.28,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,882.87,53.83,,Percent of Total Billed Charges,828.25,,568.13,34.64,,Percent of Total Billed Charges,565.83,,819.72,49.98,,Percent of Total Billed Charges,619.96,,568.13,1508.89,,																																							
HC CLTX CARPO/METACARPL DISLC THMB MANJ EA W/O ANES,26670,CPT,,,,BOTH, , ,1067.85,896.99,982.42,92,,Percent of Total Billed Charges,892.72,,982.42,92,,Percent of Total Billed Charges,876.7,,982.42,92,,Percent of Total Billed Charges,859.62,,982.42,92,,Percent of Total Billed Charges,891.65,,982.42,92,,Percent of Total Billed Charges,804.09,,982.42,92,,Percent of Total Billed Charges,667.41,,961.07,90,,Percent of Total Billed Charges,532.86,,950.39,89,,Percent of Total Billed Charges,512.57,,879.91,82.4,,Percent of Total Billed Charges,877.77,,890.59,83.4,,Percent of Total Billed Charges,830.79,,890.59,83.4,,Percent of Total Billed Charges,748.56,,890.59,83.4,,Percent of Total Billed Charges,869.23,,961.07,90,,Percent of Total Billed Charges,904.47,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,982.42,92,,Percent of Total Billed Charges,866.03,,982.42,92,,Percent of Total Billed Charges,794.48,,982.42,92,,Percent of Total Billed Charges,836.13,,982.42,92,,Percent of Total Billed Charges,866.03,,832.92,78,,Percent of Total Billed Charges,832.92,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,574.82,53.83,,Percent of Total Billed Charges,539.26,,369.9,34.64,,Percent of Total Billed Charges,368.41,,533.71,49.98,,Percent of Total Billed Charges,403.65,,369.90,982.42,,																																							
HC PERQ REPLACEMENT GTUBE NOT REQ REVJ GSTRST TRC,43762,CPT,,,,BOTH, , ,1146.6,963.14,1054.87,92,,Percent of Total Billed Charges,958.56,,1054.87,92,,Percent of Total Billed Charges,941.36,,1054.87,92,,Percent of Total Billed Charges,923.01,,1054.87,92,,Percent of Total Billed Charges,957.41,,1054.87,92,,Percent of Total Billed Charges,863.39,,1054.87,92,,Percent of Total Billed Charges,716.63,,1031.94,90,,Percent of Total Billed Charges,572.15,,1020.47,89,,Percent of Total Billed Charges,550.37,,944.8,82.4,,Percent of Total Billed Charges,942.51,,956.26,83.4,,Percent of Total Billed Charges,892.05,,956.26,83.4,,Percent of Total Billed Charges,803.77,,956.26,83.4,,Percent of Total Billed Charges,933.33,,1031.94,90,,Percent of Total Billed Charges,971.17,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1054.87,92,,Percent of Total Billed Charges,929.89,,1054.87,92,,Percent of Total Billed Charges,853.07,,1054.87,92,,Percent of Total Billed Charges,897.79,,1054.87,92,,Percent of Total Billed Charges,929.89,,894.35,78,,Percent of Total Billed Charges,894.35,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,617.21,53.83,,Percent of Total Billed Charges,579.03,,397.18,34.64,,Percent of Total Billed Charges,395.58,,573.07,49.98,,Percent of Total Billed Charges,433.41,,397.18,1054.87,,																																							
HC PERQ REPLACEMENT GTUBE REQ REVJ GSTRST TRC,43763,CPT,,,,BOTH, , ,1146.6,963.14,1054.87,92,,Percent of Total Billed Charges,958.56,,1054.87,92,,Percent of Total Billed Charges,941.36,,1054.87,92,,Percent of Total Billed Charges,923.01,,1054.87,92,,Percent of Total Billed Charges,957.41,,1054.87,92,,Percent of Total Billed Charges,863.39,,1054.87,92,,Percent of Total Billed Charges,716.63,,1031.94,90,,Percent of Total Billed Charges,572.15,,1020.47,89,,Percent of Total Billed Charges,550.37,,944.8,82.4,,Percent of Total Billed Charges,942.51,,956.26,83.4,,Percent of Total Billed Charges,892.05,,956.26,83.4,,Percent of Total Billed Charges,803.77,,956.26,83.4,,Percent of Total Billed Charges,933.33,,1031.94,90,,Percent of Total Billed Charges,971.17,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1054.87,92,,Percent of Total Billed Charges,929.89,,1054.87,92,,Percent of Total Billed Charges,853.07,,1054.87,92,,Percent of Total Billed Charges,897.79,,1054.87,92,,Percent of Total Billed Charges,929.89,,894.35,78,,Percent of Total Billed Charges,894.35,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,617.21,53.83,,Percent of Total Billed Charges,579.03,,397.18,34.64,,Percent of Total Billed Charges,395.58,,573.07,49.98,,Percent of Total Billed Charges,433.41,,397.18,1054.87,,																																							
HC REMOVAL SKN TAGS MLT FIBRQ TAGS ANY AREA UPW/15,11200,CPT,,,,BOTH, , ,874.65,734.71,804.68,92,,Percent of Total Billed Charges,731.21,,804.68,92,,Percent of Total Billed Charges,718.09,,804.68,92,,Percent of Total Billed Charges,704.09,,804.68,92,,Percent of Total Billed Charges,730.33,,804.68,92,,Percent of Total Billed Charges,658.61,,804.68,92,,Percent of Total Billed Charges,546.66,,787.19,90,,Percent of Total Billed Charges,436.45,,778.44,89,,Percent of Total Billed Charges,419.83,,720.71,82.4,,Percent of Total Billed Charges,718.96,,729.46,83.4,,Percent of Total Billed Charges,680.48,,729.46,83.4,,Percent of Total Billed Charges,613.13,,729.46,83.4,,Percent of Total Billed Charges,711.97,,787.19,90,,Percent of Total Billed Charges,740.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,804.68,92,,Percent of Total Billed Charges,709.34,,804.68,92,,Percent of Total Billed Charges,650.74,,804.68,92,,Percent of Total Billed Charges,684.85,,804.68,92,,Percent of Total Billed Charges,709.34,,682.23,78,,Percent of Total Billed Charges,682.23,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,470.82,53.83,,Percent of Total Billed Charges,441.7,,302.98,34.64,,Percent of Total Billed Charges,301.75,,437.15,49.98,,Percent of Total Billed Charges,330.62,,302.98,804.68,,																																							
HC TX TARSAL BONE FX XCP TALUS&CALCN W/O MANJ,28450,CPT,,,,BOTH, , ,1111.95,934.04,1022.99,92,,Percent of Total Billed Charges,929.59,,1022.99,92,,Percent of Total Billed Charges,912.91,,1022.99,92,,Percent of Total Billed Charges,895.12,,1022.99,92,,Percent of Total Billed Charges,928.48,,1022.99,92,,Percent of Total Billed Charges,837.3,,1022.99,92,,Percent of Total Billed Charges,694.97,,1000.76,90,,Percent of Total Billed Charges,554.86,,989.64,89,,Percent of Total Billed Charges,533.74,,916.25,82.4,,Percent of Total Billed Charges,914.02,,927.37,83.4,,Percent of Total Billed Charges,865.1,,927.37,83.4,,Percent of Total Billed Charges,779.48,,927.37,83.4,,Percent of Total Billed Charges,905.13,,1000.76,90,,Percent of Total Billed Charges,941.82,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1022.99,92,,Percent of Total Billed Charges,901.79,,1022.99,92,,Percent of Total Billed Charges,827.29,,1022.99,92,,Percent of Total Billed Charges,870.66,,1022.99,92,,Percent of Total Billed Charges,901.79,,867.32,78,,Percent of Total Billed Charges,867.32,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,598.56,53.83,,Percent of Total Billed Charges,561.53,,385.18,34.64,,Percent of Total Billed Charges,383.62,,555.75,49.98,,Percent of Total Billed Charges,420.32,,385.18,1022.99,,																																							
HC CLOSED TX ANKLE DISLOCATION W/O ANESTHESIA,27840,CPT,,,,BOTH, , ,1111.95,934.04,1022.99,92,,Percent of Total Billed Charges,929.59,,1022.99,92,,Percent of Total Billed Charges,912.91,,1022.99,92,,Percent of Total Billed Charges,895.12,,1022.99,92,,Percent of Total Billed Charges,928.48,,1022.99,92,,Percent of Total Billed Charges,837.3,,1022.99,92,,Percent of Total Billed Charges,694.97,,1000.76,90,,Percent of Total Billed Charges,554.86,,989.64,89,,Percent of Total Billed Charges,533.74,,916.25,82.4,,Percent of Total Billed Charges,914.02,,927.37,83.4,,Percent of Total Billed Charges,865.1,,927.37,83.4,,Percent of Total Billed Charges,779.48,,927.37,83.4,,Percent of Total Billed Charges,905.13,,1000.76,90,,Percent of Total Billed Charges,941.82,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1022.99,92,,Percent of Total Billed Charges,901.79,,1022.99,92,,Percent of Total Billed Charges,827.29,,1022.99,92,,Percent of Total Billed Charges,870.66,,1022.99,92,,Percent of Total Billed Charges,901.79,,867.32,78,,Percent of Total Billed Charges,867.32,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,598.56,53.83,,Percent of Total Billed Charges,561.53,,385.18,34.64,,Percent of Total Billed Charges,383.62,,555.75,49.98,,Percent of Total Billed Charges,420.32,,385.18,1022.99,,																																							
HC REPLANTATION DIGIT COMPLETE,20822,CPT,,,,BOTH, , ,5205.9,4372.96,4789.43,92,,Percent of Total Billed Charges,4352.13,,4789.43,92,,Percent of Total Billed Charges,4274.04,,4789.43,92,,Percent of Total Billed Charges,4190.75,,4789.43,92,,Percent of Total Billed Charges,4346.93,,4789.43,92,,Percent of Total Billed Charges,3920.04,,4789.43,92,,Percent of Total Billed Charges,3253.69,,4685.31,90,,Percent of Total Billed Charges,2597.74,,4633.25,89,,Percent of Total Billed Charges,2498.83,,4289.66,82.4,,Percent of Total Billed Charges,4279.25,,4341.72,83.4,,Percent of Total Billed Charges,4050.19,,4341.72,83.4,,Percent of Total Billed Charges,3649.34,,4341.72,83.4,,Percent of Total Billed Charges,4237.6,,4685.31,90,,Percent of Total Billed Charges,4409.4,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4789.43,92,,Percent of Total Billed Charges,4221.98,,4789.43,92,,Percent of Total Billed Charges,3873.19,,4789.43,92,,Percent of Total Billed Charges,4076.22,,4789.43,92,,Percent of Total Billed Charges,4221.98,,4060.6,78,,Percent of Total Billed Charges,4060.6,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2802.34,53.83,,Percent of Total Billed Charges,2628.98,,1803.32,34.64,,Percent of Total Billed Charges,1796.04,,2601.91,49.98,,Percent of Total Billed Charges,1967.83,,1803.32,4789.43,,																																							
HC SIMPLE REPAIR F/E/E/N/L/M 20.1CM30.0 CM,12017,CPT,,,,BOTH, , ,2312.1,1942.16,2127.13,92,,Percent of Total Billed Charges,1932.92,,2127.13,92,,Percent of Total Billed Charges,1898.23,,2127.13,92,,Percent of Total Billed Charges,1861.24,,2127.13,92,,Percent of Total Billed Charges,1930.6,,2127.13,92,,Percent of Total Billed Charges,1741.01,,2127.13,92,,Percent of Total Billed Charges,1445.06,,2080.89,90,,Percent of Total Billed Charges,1153.74,,2057.77,89,,Percent of Total Billed Charges,1109.81,,1905.17,82.4,,Percent of Total Billed Charges,1900.55,,1928.29,83.4,,Percent of Total Billed Charges,1798.81,,1928.29,83.4,,Percent of Total Billed Charges,1620.78,,1928.29,83.4,,Percent of Total Billed Charges,1882.05,,2080.89,90,,Percent of Total Billed Charges,1958.35,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2127.13,92,,Percent of Total Billed Charges,1875.11,,2127.13,92,,Percent of Total Billed Charges,1720.2,,2127.13,92,,Percent of Total Billed Charges,1810.37,,2127.13,92,,Percent of Total Billed Charges,1875.11,,1803.44,78,,Percent of Total Billed Charges,1803.44,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1244.6,53.83,,Percent of Total Billed Charges,1167.61,,800.91,34.64,,Percent of Total Billed Charges,797.67,,1155.59,49.98,,Percent of Total Billed Charges,873.97,,800.91,2127.13,,																																							
HC INSJ NONBIODEGRADABLE DRUG DELIVERY IMPLANT,11981,CPT,,,,BOTH, , ,592.2,497.45,544.82,92,,Percent of Total Billed Charges,495.08,,544.82,92,,Percent of Total Billed Charges,486.2,,544.82,92,,Percent of Total Billed Charges,476.72,,544.82,92,,Percent of Total Billed Charges,494.49,,544.82,92,,Percent of Total Billed Charges,445.93,,544.82,92,,Percent of Total Billed Charges,370.13,,532.98,90,,Percent of Total Billed Charges,295.51,,527.06,89,,Percent of Total Billed Charges,284.26,,487.97,82.4,,Percent of Total Billed Charges,486.79,,493.89,83.4,,Percent of Total Billed Charges,460.73,,493.89,83.4,,Percent of Total Billed Charges,415.13,,493.89,83.4,,Percent of Total Billed Charges,482.05,,532.98,90,,Percent of Total Billed Charges,501.59,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,544.82,92,,Percent of Total Billed Charges,480.27,,544.82,92,,Percent of Total Billed Charges,440.6,,544.82,92,,Percent of Total Billed Charges,463.69,,544.82,92,,Percent of Total Billed Charges,480.27,,461.92,78,,Percent of Total Billed Charges,461.92,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,318.78,53.83,,Percent of Total Billed Charges,299.06,,205.14,34.64,,Percent of Total Billed Charges,204.31,,295.98,49.98,,Percent of Total Billed Charges,223.85,,205.14,544.82,,																																							
HC INSERTION INTRAUTERINE DEVICE IUD,58300,CPT,,,,BOTH, , ,5097.75,4282.11,4689.93,92,,Percent of Total Billed Charges,4261.72,,4689.93,92,,Percent of Total Billed Charges,4185.25,,4689.93,92,,Percent of Total Billed Charges,4103.69,,4689.93,92,,Percent of Total Billed Charges,4256.62,,4689.93,92,,Percent of Total Billed Charges,3838.61,,4689.93,92,,Percent of Total Billed Charges,3186.09,,4587.98,90,,Percent of Total Billed Charges,2543.78,,4537,89,,Percent of Total Billed Charges,2446.92,,4200.55,82.4,,Percent of Total Billed Charges,4190.35,,4251.52,83.4,,Percent of Total Billed Charges,3966.05,,4251.52,83.4,,Percent of Total Billed Charges,3573.52,,4251.52,83.4,,Percent of Total Billed Charges,4149.57,,4587.98,90,,Percent of Total Billed Charges,4317.79,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4689.93,92,,Percent of Total Billed Charges,4134.28,,4689.93,92,,Percent of Total Billed Charges,3792.73,,4689.93,92,,Percent of Total Billed Charges,3991.54,,4689.93,92,,Percent of Total Billed Charges,4134.28,,3976.25,78,,Percent of Total Billed Charges,3976.25,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2744.12,53.83,,Percent of Total Billed Charges,2574.36,,1765.86,34.64,,Percent of Total Billed Charges,1758.72,,2547.86,49.98,,Percent of Total Billed Charges,1926.95,,1765.86,4689.93,,																																							
HC TRACHEOSTOMY EMERGENCY PROCEDURE TRANSTRACHEAL,31603,CPT,,,,BOTH, , ,5070.45,4259.18,4664.81,92,,Percent of Total Billed Charges,4238.9,,4664.81,92,,Percent of Total Billed Charges,4162.84,,4664.81,92,,Percent of Total Billed Charges,4081.71,,4664.81,92,,Percent of Total Billed Charges,4233.83,,4664.81,92,,Percent of Total Billed Charges,3818.05,,4664.81,92,,Percent of Total Billed Charges,3169.03,,4563.41,90,,Percent of Total Billed Charges,2530.15,,4512.7,89,,Percent of Total Billed Charges,2433.82,,4178.05,82.4,,Percent of Total Billed Charges,4167.91,,4228.76,83.4,,Percent of Total Billed Charges,3944.81,,4228.76,83.4,,Percent of Total Billed Charges,3554.39,,4228.76,83.4,,Percent of Total Billed Charges,4127.35,,4563.41,90,,Percent of Total Billed Charges,4294.67,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4664.81,92,,Percent of Total Billed Charges,4112.13,,4664.81,92,,Percent of Total Billed Charges,3772.41,,4664.81,92,,Percent of Total Billed Charges,3970.16,,4664.81,92,,Percent of Total Billed Charges,4112.13,,3954.95,78,,Percent of Total Billed Charges,3954.95,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2729.42,53.83,,Percent of Total Billed Charges,2560.58,,1756.4,34.64,,Percent of Total Billed Charges,1749.31,,2534.21,49.98,,Percent of Total Billed Charges,1916.63,,1756.40,4664.81,,																																							
HC  APPLICATION FINGER SPLINT DYNAMIC,29131,CPT,,,,BOTH, , ,266.7,224.03,245.36,92,,Percent of Total Billed Charges,222.96,,245.36,92,,Percent of Total Billed Charges,218.96,,245.36,92,,Percent of Total Billed Charges,214.69,,245.36,92,,Percent of Total Billed Charges,222.69,,245.36,92,,Percent of Total Billed Charges,200.83,,245.36,92,,Percent of Total Billed Charges,166.69,,240.03,90,,Percent of Total Billed Charges,133.08,,237.36,89,,Percent of Total Billed Charges,128.02,,219.76,82.4,,Percent of Total Billed Charges,219.23,,222.43,83.4,,Percent of Total Billed Charges,207.49,,222.43,83.4,,Percent of Total Billed Charges,186.96,,222.43,83.4,,Percent of Total Billed Charges,217.09,,240.03,90,,Percent of Total Billed Charges,225.89,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,245.36,92,,Percent of Total Billed Charges,216.29,,245.36,92,,Percent of Total Billed Charges,198.42,,245.36,92,,Percent of Total Billed Charges,208.83,,245.36,92,,Percent of Total Billed Charges,216.29,,208.03,78,,Percent of Total Billed Charges,208.03,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,143.56,53.83,,Percent of Total Billed Charges,134.68,,92.38,34.64,,Percent of Total Billed Charges,92.01,,133.3,49.98,,Percent of Total Billed Charges,100.81,,92.38,245.36,,																																							
HC EXC THROMBOSED HEMORRHOID XTRNL,46320,CPT,,,,BOTH, , ,5437.95,4567.88,5002.91,92,,Percent of Total Billed Charges,4546.13,,5002.91,92,,Percent of Total Billed Charges,4464.56,,5002.91,92,,Percent of Total Billed Charges,4377.55,,5002.91,92,,Percent of Total Billed Charges,4540.69,,5002.91,92,,Percent of Total Billed Charges,4094.78,,5002.91,92,,Percent of Total Billed Charges,3398.72,,4894.16,90,,Percent of Total Billed Charges,2713.54,,4839.78,89,,Percent of Total Billed Charges,2610.22,,4480.87,82.4,,Percent of Total Billed Charges,4469.99,,4535.25,83.4,,Percent of Total Billed Charges,4230.73,,4535.25,83.4,,Percent of Total Billed Charges,3812,,4535.25,83.4,,Percent of Total Billed Charges,4426.49,,4894.16,90,,Percent of Total Billed Charges,4605.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5002.91,92,,Percent of Total Billed Charges,4410.18,,5002.91,92,,Percent of Total Billed Charges,4045.83,,5002.91,92,,Percent of Total Billed Charges,4257.91,,5002.91,92,,Percent of Total Billed Charges,4410.18,,4241.6,78,,Percent of Total Billed Charges,4241.6,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2927.25,53.83,,Percent of Total Billed Charges,2746.16,,1883.71,34.64,,Percent of Total Billed Charges,1876.09,,2717.89,49.98,,Percent of Total Billed Charges,2055.55,,1883.71,5002.91,,																																							
HC PERICARDIOCENTESIS W/IMAGING,33016,CPT,,,,BOTH, , ,7872.9,6613.24,7243.07,92,,Percent of Total Billed Charges,6581.74,,7243.07,92,,Percent of Total Billed Charges,6463.65,,7243.07,92,,Percent of Total Billed Charges,6337.68,,7243.07,92,,Percent of Total Billed Charges,6573.87,,7243.07,92,,Percent of Total Billed Charges,5928.29,,7243.07,92,,Percent of Total Billed Charges,4920.56,,7085.61,90,,Percent of Total Billed Charges,3928.58,,7006.88,89,,Percent of Total Billed Charges,3778.99,,6487.27,82.4,,Percent of Total Billed Charges,6471.52,,6566,83.4,,Percent of Total Billed Charges,6125.12,,6566,83.4,,Percent of Total Billed Charges,5518.9,,6566,83.4,,Percent of Total Billed Charges,6408.54,,7085.61,90,,Percent of Total Billed Charges,6668.35,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,7243.07,92,,Percent of Total Billed Charges,6384.92,,7243.07,92,,Percent of Total Billed Charges,5857.44,,7243.07,92,,Percent of Total Billed Charges,6164.48,,7243.07,92,,Percent of Total Billed Charges,6384.92,,6140.86,78,,Percent of Total Billed Charges,6140.86,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4237.98,53.83,,Percent of Total Billed Charges,3975.81,,2727.17,34.64,,Percent of Total Billed Charges,2716.15,,3934.88,49.98,,Percent of Total Billed Charges,2975.96,,2727.17,7243.07,,																																							
HC CYSTO CALIBRATION DILAT URTL STRIX/STENOSIS,52281,CPT,,,,BOTH, , ,913.5,767.34,840.42,92,,Percent of Total Billed Charges,763.69,,840.42,92,,Percent of Total Billed Charges,749.98,,840.42,92,,Percent of Total Billed Charges,735.37,,840.42,92,,Percent of Total Billed Charges,762.77,,840.42,92,,Percent of Total Billed Charges,687.87,,840.42,92,,Percent of Total Billed Charges,570.94,,822.15,90,,Percent of Total Billed Charges,455.84,,813.02,89,,Percent of Total Billed Charges,438.48,,752.72,82.4,,Percent of Total Billed Charges,750.9,,761.86,83.4,,Percent of Total Billed Charges,710.7,,761.86,83.4,,Percent of Total Billed Charges,640.36,,761.86,83.4,,Percent of Total Billed Charges,743.59,,822.15,90,,Percent of Total Billed Charges,773.73,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,840.42,92,,Percent of Total Billed Charges,740.85,,840.42,92,,Percent of Total Billed Charges,679.64,,840.42,92,,Percent of Total Billed Charges,715.27,,840.42,92,,Percent of Total Billed Charges,740.85,,712.53,78,,Percent of Total Billed Charges,712.53,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,491.74,53.83,,Percent of Total Billed Charges,461.32,,316.44,34.64,,Percent of Total Billed Charges,315.16,,456.57,49.98,,Percent of Total Billed Charges,345.3,,316.44,840.42,,																																							
HC RPR LAC 2.5 CM/< PST ONETHIRD TONGUE,41251,CPT,,,,BOTH, , ,1098.3,922.57,1010.44,92,,Percent of Total Billed Charges,918.18,,1010.44,92,,Percent of Total Billed Charges,901.7,,1010.44,92,,Percent of Total Billed Charges,884.13,,1010.44,92,,Percent of Total Billed Charges,917.08,,1010.44,92,,Percent of Total Billed Charges,827.02,,1010.44,92,,Percent of Total Billed Charges,686.44,,988.47,90,,Percent of Total Billed Charges,548.05,,977.49,89,,Percent of Total Billed Charges,527.18,,905,82.4,,Percent of Total Billed Charges,902.8,,915.98,83.4,,Percent of Total Billed Charges,854.48,,915.98,83.4,,Percent of Total Billed Charges,769.91,,915.98,83.4,,Percent of Total Billed Charges,894.02,,988.47,90,,Percent of Total Billed Charges,930.26,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1010.44,92,,Percent of Total Billed Charges,890.72,,1010.44,92,,Percent of Total Billed Charges,817.14,,1010.44,92,,Percent of Total Billed Charges,859.97,,1010.44,92,,Percent of Total Billed Charges,890.72,,856.67,78,,Percent of Total Billed Charges,856.67,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,591.21,53.83,,Percent of Total Billed Charges,554.64,,380.45,34.64,,Percent of Total Billed Charges,378.91,,548.93,49.98,,Percent of Total Billed Charges,415.16,,380.45,1010.44,,																																							
HC  UNLISTED PROCEDURE PHARYNX ADENOIDS/TONSILS,42999,CPT,,,,BOTH, , ,900.9,756.76,828.83,92,,Percent of Total Billed Charges,753.15,,828.83,92,,Percent of Total Billed Charges,739.64,,828.83,92,,Percent of Total Billed Charges,725.22,,828.83,92,,Percent of Total Billed Charges,752.25,,828.83,92,,Percent of Total Billed Charges,678.38,,828.83,92,,Percent of Total Billed Charges,563.06,,810.81,90,,Percent of Total Billed Charges,449.55,,801.8,89,,Percent of Total Billed Charges,432.43,,742.34,82.4,,Percent of Total Billed Charges,740.54,,751.35,83.4,,Percent of Total Billed Charges,700.9,,751.35,83.4,,Percent of Total Billed Charges,631.53,,751.35,83.4,,Percent of Total Billed Charges,733.33,,810.81,90,,Percent of Total Billed Charges,763.06,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,828.83,92,,Percent of Total Billed Charges,730.63,,828.83,92,,Percent of Total Billed Charges,670.27,,828.83,92,,Percent of Total Billed Charges,705.4,,828.83,92,,Percent of Total Billed Charges,730.63,,702.7,78,,Percent of Total Billed Charges,702.7,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,484.95,53.83,,Percent of Total Billed Charges,454.95,,312.07,34.64,,Percent of Total Billed Charges,310.81,,450.27,49.98,,Percent of Total Billed Charges,340.54,,312.07,828.83,,																																							
HC FINE NEEDLE ASPIRATION BX W/O IMG GDN 1ST LESION,10021,CPT,,,,BOTH, , ,172.2,144.65,158.42,92,,Percent of Total Billed Charges,143.96,,158.42,92,,Percent of Total Billed Charges,141.38,,158.42,92,,Percent of Total Billed Charges,138.62,,158.42,92,,Percent of Total Billed Charges,143.79,,158.42,92,,Percent of Total Billed Charges,129.67,,158.42,92,,Percent of Total Billed Charges,107.63,,154.98,90,,Percent of Total Billed Charges,85.93,,153.26,89,,Percent of Total Billed Charges,82.66,,141.89,82.4,,Percent of Total Billed Charges,141.55,,143.61,83.4,,Percent of Total Billed Charges,133.97,,143.61,83.4,,Percent of Total Billed Charges,120.71,,143.61,83.4,,Percent of Total Billed Charges,140.17,,154.98,90,,Percent of Total Billed Charges,145.85,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,158.42,92,,Percent of Total Billed Charges,139.65,,158.42,92,,Percent of Total Billed Charges,128.12,,158.42,92,,Percent of Total Billed Charges,134.83,,158.42,92,,Percent of Total Billed Charges,139.65,,134.32,78,,Percent of Total Billed Charges,134.32,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,92.7,53.83,,Percent of Total Billed Charges,86.96,,59.65,34.64,,Percent of Total Billed Charges,59.41,,86.07,49.98,,Percent of Total Billed Charges,65.09,,59.65,158.42,,																																							
HC CHEM CAUT OF GRANLTJ TISSUE,17250,CPT,,,,BOTH, , ,559.65,470.11,514.88,92,,Percent of Total Billed Charges,467.87,,514.88,92,,Percent of Total Billed Charges,459.47,,514.88,92,,Percent of Total Billed Charges,450.52,,514.88,92,,Percent of Total Billed Charges,467.31,,514.88,92,,Percent of Total Billed Charges,421.42,,514.88,92,,Percent of Total Billed Charges,349.78,,503.69,90,,Percent of Total Billed Charges,279.27,,498.09,89,,Percent of Total Billed Charges,268.63,,461.15,82.4,,Percent of Total Billed Charges,460.03,,466.75,83.4,,Percent of Total Billed Charges,435.41,,466.75,83.4,,Percent of Total Billed Charges,392.31,,466.75,83.4,,Percent of Total Billed Charges,455.56,,503.69,90,,Percent of Total Billed Charges,474.02,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,514.88,92,,Percent of Total Billed Charges,453.88,,514.88,92,,Percent of Total Billed Charges,416.38,,514.88,92,,Percent of Total Billed Charges,438.21,,514.88,92,,Percent of Total Billed Charges,453.88,,436.53,78,,Percent of Total Billed Charges,436.53,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,301.26,53.83,,Percent of Total Billed Charges,282.62,,193.86,34.64,,Percent of Total Billed Charges,193.08,,279.71,49.98,,Percent of Total Billed Charges,211.55,,193.86,514.88,,																																							
HC ABDOM PARACENTESIS DX/THER W/IMAGING GUIDANCE,49083,CPT,,,,BOTH, , ,1958.25,1644.93,1801.59,92,,Percent of Total Billed Charges,1637.1,,1801.59,92,,Percent of Total Billed Charges,1607.72,,1801.59,92,,Percent of Total Billed Charges,1576.39,,1801.59,92,,Percent of Total Billed Charges,1635.14,,1801.59,92,,Percent of Total Billed Charges,1474.56,,1801.59,92,,Percent of Total Billed Charges,1223.91,,1762.43,90,,Percent of Total Billed Charges,977.17,,1742.84,89,,Percent of Total Billed Charges,939.96,,1613.6,82.4,,Percent of Total Billed Charges,1609.68,,1633.18,83.4,,Percent of Total Billed Charges,1523.52,,1633.18,83.4,,Percent of Total Billed Charges,1372.73,,1633.18,83.4,,Percent of Total Billed Charges,1594.02,,1762.43,90,,Percent of Total Billed Charges,1658.64,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1801.59,92,,Percent of Total Billed Charges,1588.14,,1801.59,92,,Percent of Total Billed Charges,1456.94,,1801.59,92,,Percent of Total Billed Charges,1533.31,,1801.59,92,,Percent of Total Billed Charges,1588.14,,1527.44,78,,Percent of Total Billed Charges,1527.44,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1054.13,53.83,,Percent of Total Billed Charges,988.92,,678.34,34.64,,Percent of Total Billed Charges,675.6,,978.73,49.98,,Percent of Total Billed Charges,740.22,,678.34,1801.59,,																																							
HC ABDOM PARACENTESIS DX/THER W/O IMAGING GUIDANCE,49082,CPT,,,,BOTH, , ,3532.2,2967.05,3249.62,92,,Percent of Total Billed Charges,2952.92,,3249.62,92,,Percent of Total Billed Charges,2899.94,,3249.62,92,,Percent of Total Billed Charges,2843.42,,3249.62,92,,Percent of Total Billed Charges,2949.39,,3249.62,92,,Percent of Total Billed Charges,2659.75,,3249.62,92,,Percent of Total Billed Charges,2207.63,,3178.98,90,,Percent of Total Billed Charges,1762.57,,3143.66,89,,Percent of Total Billed Charges,1695.46,,2910.53,82.4,,Percent of Total Billed Charges,2903.47,,2945.85,83.4,,Percent of Total Billed Charges,2748.05,,2945.85,83.4,,Percent of Total Billed Charges,2476.07,,2945.85,83.4,,Percent of Total Billed Charges,2875.21,,3178.98,90,,Percent of Total Billed Charges,2991.77,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3249.62,92,,Percent of Total Billed Charges,2864.61,,3249.62,92,,Percent of Total Billed Charges,2627.96,,3249.62,92,,Percent of Total Billed Charges,2765.71,,3249.62,92,,Percent of Total Billed Charges,2864.61,,2755.12,78,,Percent of Total Billed Charges,2755.12,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1901.38,53.83,,Percent of Total Billed Charges,1783.76,,1223.55,34.64,,Percent of Total Billed Charges,1218.61,,1765.39,49.98,,Percent of Total Billed Charges,1335.17,,1223.55,3249.62,,																																							
HC  PERITONEAL LAVAGE W/WO IMAGING GUIDANCE,49084,CPT,,,,BOTH, , ,3532.2,2967.05,3249.62,92,,Percent of Total Billed Charges,2952.92,,3249.62,92,,Percent of Total Billed Charges,2899.94,,3249.62,92,,Percent of Total Billed Charges,2843.42,,3249.62,92,,Percent of Total Billed Charges,2949.39,,3249.62,92,,Percent of Total Billed Charges,2659.75,,3249.62,92,,Percent of Total Billed Charges,2207.63,,3178.98,90,,Percent of Total Billed Charges,1762.57,,3143.66,89,,Percent of Total Billed Charges,1695.46,,2910.53,82.4,,Percent of Total Billed Charges,2903.47,,2945.85,83.4,,Percent of Total Billed Charges,2748.05,,2945.85,83.4,,Percent of Total Billed Charges,2476.07,,2945.85,83.4,,Percent of Total Billed Charges,2875.21,,3178.98,90,,Percent of Total Billed Charges,2991.77,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3249.62,92,,Percent of Total Billed Charges,2864.61,,3249.62,92,,Percent of Total Billed Charges,2627.96,,3249.62,92,,Percent of Total Billed Charges,2765.71,,3249.62,92,,Percent of Total Billed Charges,2864.61,,2755.12,78,,Percent of Total Billed Charges,2755.12,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1901.38,53.83,,Percent of Total Billed Charges,1783.76,,1223.55,34.64,,Percent of Total Billed Charges,1218.61,,1765.39,49.98,,Percent of Total Billed Charges,1335.17,,1223.55,3249.62,,																																							
HC  CASIRIVI AND IMDEVI INFUSION,M0243,CPT,,,,BOTH, , ,1505.7,1264.79,1385.24,92,,Percent of Total Billed Charges,1258.77,,1385.24,92,,Percent of Total Billed Charges,1236.18,,1385.24,92,,Percent of Total Billed Charges,1212.09,,1385.24,92,,Percent of Total Billed Charges,1257.26,,1385.24,92,,Percent of Total Billed Charges,1133.79,,1385.24,92,,Percent of Total Billed Charges,941.06,,1355.13,90,,Percent of Total Billed Charges,751.34,,1340.07,89,,Percent of Total Billed Charges,722.74,,1240.7,82.4,,Percent of Total Billed Charges,1237.69,,1255.75,83.4,,Percent of Total Billed Charges,1171.43,,1255.75,83.4,,Percent of Total Billed Charges,1055.5,,1255.75,83.4,,Percent of Total Billed Charges,1225.64,,1355.13,90,,Percent of Total Billed Charges,1275.33,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1385.24,92,,Percent of Total Billed Charges,1221.12,,1385.24,92,,Percent of Total Billed Charges,1120.24,,1385.24,92,,Percent of Total Billed Charges,1178.96,,1385.24,92,,Percent of Total Billed Charges,1221.12,,1174.45,78,,Percent of Total Billed Charges,1174.45,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,810.52,53.83,,Percent of Total Billed Charges,760.38,,521.57,34.64,,Percent of Total Billed Charges,519.47,,752.55,49.98,,Percent of Total Billed Charges,569.15,,521.57,1385.24,,																																							
HC  CANTHOTOMY SEPARATE PROCEDURE,67715,CPT,,,,BOTH, , ,9351.3,7855.09,8603.2,92,,Percent of Total Billed Charges,7817.69,,8603.2,92,,Percent of Total Billed Charges,7677.42,,8603.2,92,,Percent of Total Billed Charges,7527.8,,8603.2,92,,Percent of Total Billed Charges,7808.34,,8603.2,92,,Percent of Total Billed Charges,7041.53,,8603.2,92,,Percent of Total Billed Charges,5844.56,,8416.17,90,,Percent of Total Billed Charges,4666.3,,8322.66,89,,Percent of Total Billed Charges,4488.62,,7705.47,82.4,,Percent of Total Billed Charges,7686.77,,7798.98,83.4,,Percent of Total Billed Charges,7275.31,,7798.98,83.4,,Percent of Total Billed Charges,6555.26,,7798.98,83.4,,Percent of Total Billed Charges,7611.96,,8416.17,90,,Percent of Total Billed Charges,7920.55,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,8603.2,92,,Percent of Total Billed Charges,7583.9,,8603.2,92,,Percent of Total Billed Charges,6957.37,,8603.2,92,,Percent of Total Billed Charges,7322.07,,8603.2,92,,Percent of Total Billed Charges,7583.9,,7294.01,78,,Percent of Total Billed Charges,7294.01,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5033.8,53.83,,Percent of Total Billed Charges,4722.41,,3239.29,34.64,,Percent of Total Billed Charges,3226.2,,4673.78,49.98,,Percent of Total Billed Charges,3534.79,,3239.29,8603.2,,																																							
HC  RPR LIP FULL THICKNESS HALF/< VERTICAL HEIGHT,40652,CPT,,,,BOTH, , ,2241.75,1883.07,2062.41,92,,Percent of Total Billed Charges,1874.1,,2062.41,92,,Percent of Total Billed Charges,1840.48,,2062.41,92,,Percent of Total Billed Charges,1804.61,,2062.41,92,,Percent of Total Billed Charges,1871.86,,2062.41,92,,Percent of Total Billed Charges,1688.04,,2062.41,92,,Percent of Total Billed Charges,1401.09,,2017.58,90,,Percent of Total Billed Charges,1118.63,,1995.16,89,,Percent of Total Billed Charges,1076.04,,1847.2,82.4,,Percent of Total Billed Charges,1842.72,,1869.62,83.4,,Percent of Total Billed Charges,1744.08,,1869.62,83.4,,Percent of Total Billed Charges,1571.47,,1869.62,83.4,,Percent of Total Billed Charges,1824.78,,2017.58,90,,Percent of Total Billed Charges,1898.76,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2062.41,92,,Percent of Total Billed Charges,1818.06,,2062.41,92,,Percent of Total Billed Charges,1667.86,,2062.41,92,,Percent of Total Billed Charges,1755.29,,2062.41,92,,Percent of Total Billed Charges,1818.06,,1748.57,78,,Percent of Total Billed Charges,1748.57,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1206.73,53.83,,Percent of Total Billed Charges,1132.08,,776.54,34.64,,Percent of Total Billed Charges,773.4,,1120.43,49.98,,Percent of Total Billed Charges,847.38,,776.54,2062.41,,																																							
HC  IM ADM INTRANSL/ORAL 1 VACCINE,90473,CPT,,,,BOTH, , ,256.2,215.21,235.7,92,,Percent of Total Billed Charges,214.18,,235.7,92,,Percent of Total Billed Charges,210.34,,235.7,92,,Percent of Total Billed Charges,206.24,,235.7,92,,Percent of Total Billed Charges,213.93,,235.7,92,,Percent of Total Billed Charges,192.92,,235.7,92,,Percent of Total Billed Charges,160.13,,230.58,90,,Percent of Total Billed Charges,127.84,,228.02,89,,Percent of Total Billed Charges,122.98,,211.11,82.4,,Percent of Total Billed Charges,210.6,,213.67,83.4,,Percent of Total Billed Charges,199.32,,213.67,83.4,,Percent of Total Billed Charges,179.6,,213.67,83.4,,Percent of Total Billed Charges,208.55,,230.58,90,,Percent of Total Billed Charges,217,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,235.7,92,,Percent of Total Billed Charges,207.78,,235.7,92,,Percent of Total Billed Charges,190.61,,235.7,92,,Percent of Total Billed Charges,200.6,,235.7,92,,Percent of Total Billed Charges,207.78,,199.84,78,,Percent of Total Billed Charges,199.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,137.91,53.83,,Percent of Total Billed Charges,129.38,,88.75,34.64,,Percent of Total Billed Charges,88.39,,128.05,49.98,,Percent of Total Billed Charges,96.84,,88.75,235.7,,																																							
HC  IM ADM INTRANSL/ORAL EA ADDL VACCINE,90474,CPT,,,,BOTH, , ,133.35,112.01,122.68,92,,Percent of Total Billed Charges,111.48,,122.68,92,,Percent of Total Billed Charges,109.48,,122.68,92,,Percent of Total Billed Charges,107.35,,122.68,92,,Percent of Total Billed Charges,111.35,,122.68,92,,Percent of Total Billed Charges,100.41,,122.68,92,,Percent of Total Billed Charges,83.34,,120.02,90,,Percent of Total Billed Charges,66.54,,118.68,89,,Percent of Total Billed Charges,64.01,,109.88,82.4,,Percent of Total Billed Charges,109.61,,111.21,83.4,,Percent of Total Billed Charges,103.75,,111.21,83.4,,Percent of Total Billed Charges,93.48,,111.21,83.4,,Percent of Total Billed Charges,108.55,,120.02,90,,Percent of Total Billed Charges,112.95,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,122.68,92,,Percent of Total Billed Charges,108.15,,122.68,92,,Percent of Total Billed Charges,99.21,,122.68,92,,Percent of Total Billed Charges,104.41,,122.68,92,,Percent of Total Billed Charges,108.15,,104.01,78,,Percent of Total Billed Charges,104.01,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,71.78,53.83,,Percent of Total Billed Charges,67.34,,46.19,34.64,,Percent of Total Billed Charges,46.01,,66.65,49.98,,Percent of Total Billed Charges,50.41,,46.19,122.68,,																																							
HC  BAMLAN AND ETESEV INFUSION,M0245,CPT,,,,BOTH, , ,1254.75,1053.99,1154.37,92,,Percent of Total Billed Charges,1048.97,,1154.37,92,,Percent of Total Billed Charges,1030.15,,1154.37,92,,Percent of Total Billed Charges,1010.07,,1154.37,92,,Percent of Total Billed Charges,1047.72,,1154.37,92,,Percent of Total Billed Charges,944.83,,1154.37,92,,Percent of Total Billed Charges,784.22,,1129.28,90,,Percent of Total Billed Charges,626.12,,1116.73,89,,Percent of Total Billed Charges,602.28,,1033.91,82.4,,Percent of Total Billed Charges,1031.4,,1046.46,83.4,,Percent of Total Billed Charges,976.2,,1046.46,83.4,,Percent of Total Billed Charges,879.58,,1046.46,83.4,,Percent of Total Billed Charges,1021.37,,1129.28,90,,Percent of Total Billed Charges,1062.77,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1154.37,92,,Percent of Total Billed Charges,1017.6,,1154.37,92,,Percent of Total Billed Charges,933.53,,1154.37,92,,Percent of Total Billed Charges,982.47,,1154.37,92,,Percent of Total Billed Charges,1017.6,,978.71,78,,Percent of Total Billed Charges,978.71,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,675.43,53.83,,Percent of Total Billed Charges,633.65,,434.65,34.64,,Percent of Total Billed Charges,432.89,,627.12,49.98,,Percent of Total Billed Charges,474.3,,434.65,1154.37,,																																							
HC  CLTX SHOULDER DISLC W/SURG/ANTMCL NECK FX W/MANJ,23675,CPT,,,,BOTH, , ,6896.4,5792.98,6344.69,92,,Percent of Total Billed Charges,5765.39,,6344.69,92,,Percent of Total Billed Charges,5661.94,,6344.69,92,,Percent of Total Billed Charges,5551.6,,6344.69,92,,Percent of Total Billed Charges,5758.49,,6344.69,92,,Percent of Total Billed Charges,5192.99,,6344.69,92,,Percent of Total Billed Charges,4310.25,,6206.76,90,,Percent of Total Billed Charges,3441.3,,6137.8,89,,Percent of Total Billed Charges,3310.27,,5682.63,82.4,,Percent of Total Billed Charges,5668.84,,5751.6,83.4,,Percent of Total Billed Charges,5365.4,,5751.6,83.4,,Percent of Total Billed Charges,4834.38,,5751.6,83.4,,Percent of Total Billed Charges,5613.67,,6206.76,90,,Percent of Total Billed Charges,5841.25,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6344.69,92,,Percent of Total Billed Charges,5592.98,,6344.69,92,,Percent of Total Billed Charges,5130.92,,6344.69,92,,Percent of Total Billed Charges,5399.88,,6344.69,92,,Percent of Total Billed Charges,5592.98,,5379.19,78,,Percent of Total Billed Charges,5379.19,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3712.33,53.83,,Percent of Total Billed Charges,3482.68,,2388.91,34.64,,Percent of Total Billed Charges,2379.26,,3446.82,49.98,,Percent of Total Billed Charges,2606.84,,2388.91,6344.69,,																																							
HC  PERQ DRAINAGE PLEURA INSERT CATH W/O IMAGING,32556,CPT,,,,BOTH, , ,8048.25,6760.53,7404.39,92,,Percent of Total Billed Charges,6728.34,,7404.39,92,,Percent of Total Billed Charges,6607.61,,7404.39,92,,Percent of Total Billed Charges,6478.84,,7404.39,92,,Percent of Total Billed Charges,6720.29,,7404.39,92,,Percent of Total Billed Charges,6060.33,,7404.39,92,,Percent of Total Billed Charges,5030.16,,7243.43,90,,Percent of Total Billed Charges,4016.08,,7162.94,89,,Percent of Total Billed Charges,3863.16,,6631.76,82.4,,Percent of Total Billed Charges,6615.66,,6712.24,83.4,,Percent of Total Billed Charges,6261.54,,6712.24,83.4,,Percent of Total Billed Charges,5641.82,,6712.24,83.4,,Percent of Total Billed Charges,6551.28,,7243.43,90,,Percent of Total Billed Charges,6816.87,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,7404.39,92,,Percent of Total Billed Charges,6527.13,,7404.39,92,,Percent of Total Billed Charges,5987.9,,7404.39,92,,Percent of Total Billed Charges,6301.78,,7404.39,92,,Percent of Total Billed Charges,6527.13,,6277.64,78,,Percent of Total Billed Charges,6277.64,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4332.37,53.83,,Percent of Total Billed Charges,4064.37,,2787.91,34.64,,Percent of Total Billed Charges,2776.65,,4022.52,49.98,,Percent of Total Billed Charges,3042.24,,2787.91,7404.39,,																																							
HC  CYSTOURETHROSCOPY,52000,CPT,,,,BOTH, , ,2721.6,2286.14,2503.87,92,,Percent of Total Billed Charges,2275.26,,2503.87,92,,Percent of Total Billed Charges,2234.43,,2503.87,92,,Percent of Total Billed Charges,2190.89,,2503.87,92,,Percent of Total Billed Charges,2272.54,,2503.87,92,,Percent of Total Billed Charges,2049.36,,2503.87,92,,Percent of Total Billed Charges,1701,,2449.44,90,,Percent of Total Billed Charges,1358.08,,2422.22,89,,Percent of Total Billed Charges,1306.37,,2242.6,82.4,,Percent of Total Billed Charges,2237.16,,2269.81,83.4,,Percent of Total Billed Charges,2117.4,,2269.81,83.4,,Percent of Total Billed Charges,1907.84,,2269.81,83.4,,Percent of Total Billed Charges,2215.38,,2449.44,90,,Percent of Total Billed Charges,2305.2,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2503.87,92,,Percent of Total Billed Charges,2207.22,,2503.87,92,,Percent of Total Billed Charges,2024.87,,2503.87,92,,Percent of Total Billed Charges,2131.01,,2503.87,92,,Percent of Total Billed Charges,2207.22,,2122.85,78,,Percent of Total Billed Charges,2122.85,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1465.04,53.83,,Percent of Total Billed Charges,1374.41,,942.76,34.64,,Percent of Total Billed Charges,938.95,,1360.26,49.98,,Percent of Total Billed Charges,1028.76,,942.76,2503.87,,																																							
HC CLOSED TX RADIAL HEAD/NECK FX W/MANIPULATION,24655,CPT,,,,BOTH, , ,6896.4,5792.98,6344.69,92,,Percent of Total Billed Charges,5765.39,,6344.69,92,,Percent of Total Billed Charges,5661.94,,6344.69,92,,Percent of Total Billed Charges,5551.6,,6344.69,92,,Percent of Total Billed Charges,5758.49,,6344.69,92,,Percent of Total Billed Charges,5192.99,,6344.69,92,,Percent of Total Billed Charges,4310.25,,6206.76,90,,Percent of Total Billed Charges,3441.3,,6137.8,89,,Percent of Total Billed Charges,3310.27,,5682.63,82.4,,Percent of Total Billed Charges,5668.84,,5751.6,83.4,,Percent of Total Billed Charges,5365.4,,5751.6,83.4,,Percent of Total Billed Charges,4834.38,,5751.6,83.4,,Percent of Total Billed Charges,5613.67,,6206.76,90,,Percent of Total Billed Charges,5841.25,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6344.69,92,,Percent of Total Billed Charges,5592.98,,6344.69,92,,Percent of Total Billed Charges,5130.92,,6344.69,92,,Percent of Total Billed Charges,5399.88,,6344.69,92,,Percent of Total Billed Charges,5592.98,,5379.19,78,,Percent of Total Billed Charges,5379.19,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3712.33,53.83,,Percent of Total Billed Charges,3482.68,,2388.91,34.64,,Percent of Total Billed Charges,2379.26,,3446.82,49.98,,Percent of Total Billed Charges,2606.84,,2388.91,6344.69,,																																							
HC N BLOCK INJ FACIAL,64999,CPT,,,,BOTH, , ,374.85,314.87,344.86,92,,Percent of Total Billed Charges,313.37,,344.86,92,,Percent of Total Billed Charges,307.75,,344.86,92,,Percent of Total Billed Charges,301.75,,344.86,92,,Percent of Total Billed Charges,313,,344.86,92,,Percent of Total Billed Charges,282.26,,344.86,92,,Percent of Total Billed Charges,234.28,,337.37,90,,Percent of Total Billed Charges,187.05,,333.62,89,,Percent of Total Billed Charges,179.93,,308.88,82.4,,Percent of Total Billed Charges,308.13,,312.62,83.4,,Percent of Total Billed Charges,291.63,,312.62,83.4,,Percent of Total Billed Charges,262.77,,312.62,83.4,,Percent of Total Billed Charges,305.13,,337.37,90,,Percent of Total Billed Charges,317.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,344.86,92,,Percent of Total Billed Charges,304,,344.86,92,,Percent of Total Billed Charges,278.89,,344.86,92,,Percent of Total Billed Charges,293.51,,344.86,92,,Percent of Total Billed Charges,304,,292.38,78,,Percent of Total Billed Charges,292.38,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,201.78,53.83,,Percent of Total Billed Charges,189.3,,129.85,34.64,,Percent of Total Billed Charges,129.32,,187.35,49.98,,Percent of Total Billed Charges,141.69,,129.85,344.86,,																																							
HC THROMBOLYSIS CEREBRAL IV INFUSION,37195,CPT,,,,BOTH, , ,139.65,117.31,128.48,92,,Percent of Total Billed Charges,116.75,,128.48,92,,Percent of Total Billed Charges,114.65,,128.48,92,,Percent of Total Billed Charges,112.42,,128.48,92,,Percent of Total Billed Charges,116.61,,128.48,92,,Percent of Total Billed Charges,105.16,,128.48,92,,Percent of Total Billed Charges,87.28,,125.69,90,,Percent of Total Billed Charges,69.69,,124.29,89,,Percent of Total Billed Charges,67.03,,115.07,82.4,,Percent of Total Billed Charges,114.79,,116.47,83.4,,Percent of Total Billed Charges,108.65,,116.47,83.4,,Percent of Total Billed Charges,97.89,,116.47,83.4,,Percent of Total Billed Charges,113.68,,125.69,90,,Percent of Total Billed Charges,118.28,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,128.48,92,,Percent of Total Billed Charges,113.26,,128.48,92,,Percent of Total Billed Charges,103.9,,128.48,92,,Percent of Total Billed Charges,109.35,,128.48,92,,Percent of Total Billed Charges,113.26,,108.93,78,,Percent of Total Billed Charges,108.93,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,75.17,53.83,,Percent of Total Billed Charges,70.52,,48.37,34.64,,Percent of Total Billed Charges,48.18,,69.8,49.98,,Percent of Total Billed Charges,52.79,,48.37,128.48,,																																							
HC INTRO ANY HEMOSTATIC AGENT/PACK VAG HEMRRG SPX,57180,CPT,,,,BOTH, , ,842.1,707.36,774.73,92,,Percent of Total Billed Charges,704,,774.73,92,,Percent of Total Billed Charges,691.36,,774.73,92,,Percent of Total Billed Charges,677.89,,774.73,92,,Percent of Total Billed Charges,703.15,,774.73,92,,Percent of Total Billed Charges,634.1,,774.73,92,,Percent of Total Billed Charges,526.31,,757.89,90,,Percent of Total Billed Charges,420.21,,749.47,89,,Percent of Total Billed Charges,404.21,,693.89,82.4,,Percent of Total Billed Charges,692.21,,702.31,83.4,,Percent of Total Billed Charges,655.15,,702.31,83.4,,Percent of Total Billed Charges,590.31,,702.31,83.4,,Percent of Total Billed Charges,685.47,,757.89,90,,Percent of Total Billed Charges,713.26,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,774.73,92,,Percent of Total Billed Charges,682.94,,774.73,92,,Percent of Total Billed Charges,626.52,,774.73,92,,Percent of Total Billed Charges,659.36,,774.73,92,,Percent of Total Billed Charges,682.94,,656.84,78,,Percent of Total Billed Charges,656.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,453.3,53.83,,Percent of Total Billed Charges,425.26,,291.7,34.64,,Percent of Total Billed Charges,290.52,,420.88,49.98,,Percent of Total Billed Charges,318.31,,291.70,774.73,,																																							
HC  RMVL EMBEDDED FB VESTIBULE MOUTH SMPL,40804,CPT,,,,BOTH, , ,3474.45,2918.54,3196.49,92,,Percent of Total Billed Charges,2904.64,,3196.49,92,,Percent of Total Billed Charges,2852.52,,3196.49,92,,Percent of Total Billed Charges,2796.93,,3196.49,92,,Percent of Total Billed Charges,2901.17,,3196.49,92,,Percent of Total Billed Charges,2616.26,,3196.49,92,,Percent of Total Billed Charges,2171.53,,3127.01,90,,Percent of Total Billed Charges,1733.75,,3092.26,89,,Percent of Total Billed Charges,1667.74,,2862.95,82.4,,Percent of Total Billed Charges,2856,,2897.69,83.4,,Percent of Total Billed Charges,2703.12,,2897.69,83.4,,Percent of Total Billed Charges,2435.59,,2897.69,83.4,,Percent of Total Billed Charges,2828.2,,3127.01,90,,Percent of Total Billed Charges,2942.86,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3196.49,92,,Percent of Total Billed Charges,2817.78,,3196.49,92,,Percent of Total Billed Charges,2584.99,,3196.49,92,,Percent of Total Billed Charges,2720.49,,3196.49,92,,Percent of Total Billed Charges,2817.78,,2710.07,78,,Percent of Total Billed Charges,2710.07,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1870.3,53.83,,Percent of Total Billed Charges,1754.6,,1203.55,34.64,,Percent of Total Billed Charges,1198.69,,1736.53,49.98,,Percent of Total Billed Charges,1313.34,,1203.55,3196.49,,																																							
HC  EXCISION LESION CONJUNCTIVA </1 CM,68110,CPT,,,,BOTH, , ,8595.3,7220.05,7907.68,92,,Percent of Total Billed Charges,7185.67,,7907.68,92,,Percent of Total Billed Charges,7056.74,,7907.68,92,,Percent of Total Billed Charges,6919.22,,7907.68,92,,Percent of Total Billed Charges,7177.08,,7907.68,92,,Percent of Total Billed Charges,6472.26,,7907.68,92,,Percent of Total Billed Charges,5372.06,,7735.77,90,,Percent of Total Billed Charges,4289.05,,7649.82,89,,Percent of Total Billed Charges,4125.74,,7082.53,82.4,,Percent of Total Billed Charges,7065.34,,7168.48,83.4,,Percent of Total Billed Charges,6687.14,,7168.48,83.4,,Percent of Total Billed Charges,6025.31,,7168.48,83.4,,Percent of Total Billed Charges,6996.57,,7735.77,90,,Percent of Total Billed Charges,7280.22,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,7907.68,92,,Percent of Total Billed Charges,6970.79,,7907.68,92,,Percent of Total Billed Charges,6394.9,,7907.68,92,,Percent of Total Billed Charges,6730.12,,7907.68,92,,Percent of Total Billed Charges,6970.79,,6704.33,78,,Percent of Total Billed Charges,6704.33,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4626.85,53.83,,Percent of Total Billed Charges,4340.63,,2977.41,34.64,,Percent of Total Billed Charges,2965.38,,4295.93,49.98,,Percent of Total Billed Charges,3249.02,,2977.41,7907.68,,																																							
HC  REPAIR COMPLEX TRUNK 2.67.5 CM,13101,CPT,,,,BOTH, , ,2250.15,1890.13,2070.14,92,,Percent of Total Billed Charges,1881.13,,2070.14,92,,Percent of Total Billed Charges,1847.37,,2070.14,92,,Percent of Total Billed Charges,1811.37,,2070.14,92,,Percent of Total Billed Charges,1878.88,,2070.14,92,,Percent of Total Billed Charges,1694.36,,2070.14,92,,Percent of Total Billed Charges,1406.34,,2025.14,90,,Percent of Total Billed Charges,1122.82,,2002.63,89,,Percent of Total Billed Charges,1080.07,,1854.12,82.4,,Percent of Total Billed Charges,1849.62,,1876.63,83.4,,Percent of Total Billed Charges,1750.62,,1876.63,83.4,,Percent of Total Billed Charges,1577.36,,1876.63,83.4,,Percent of Total Billed Charges,1831.62,,2025.14,90,,Percent of Total Billed Charges,1905.88,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2070.14,92,,Percent of Total Billed Charges,1824.87,,2070.14,92,,Percent of Total Billed Charges,1674.11,,2070.14,92,,Percent of Total Billed Charges,1761.87,,2070.14,92,,Percent of Total Billed Charges,1824.87,,1755.12,78,,Percent of Total Billed Charges,1755.12,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1211.26,53.83,,Percent of Total Billed Charges,1136.33,,779.45,34.64,,Percent of Total Billed Charges,776.3,,1124.62,49.98,,Percent of Total Billed Charges,850.56,,779.45,2070.14,,																																							
HC  CLTX FX W8 BRG ARTCLR PRTN DSTL TIB W/SKEL TRACJ,27825,CPT,,,,BOTH, , ,5976.6,5020.34,5498.47,92,,Percent of Total Billed Charges,4996.44,,5498.47,92,,Percent of Total Billed Charges,4906.79,,5498.47,92,,Percent of Total Billed Charges,4811.16,,5498.47,92,,Percent of Total Billed Charges,4990.46,,5498.47,92,,Percent of Total Billed Charges,4500.38,,5498.47,92,,Percent of Total Billed Charges,3735.38,,5378.94,90,,Percent of Total Billed Charges,2982.32,,5319.17,89,,Percent of Total Billed Charges,2868.77,,4924.72,82.4,,Percent of Total Billed Charges,4912.77,,4984.48,83.4,,Percent of Total Billed Charges,4649.79,,4984.48,83.4,,Percent of Total Billed Charges,4189.6,,4984.48,83.4,,Percent of Total Billed Charges,4864.95,,5378.94,90,,Percent of Total Billed Charges,5062.18,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5498.47,92,,Percent of Total Billed Charges,4847.02,,5498.47,92,,Percent of Total Billed Charges,4446.59,,5498.47,92,,Percent of Total Billed Charges,4679.68,,5498.47,92,,Percent of Total Billed Charges,4847.02,,4661.75,78,,Percent of Total Billed Charges,4661.75,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3217.2,53.83,,Percent of Total Billed Charges,3018.18,,2070.29,34.64,,Percent of Total Billed Charges,2061.93,,2987.1,49.98,,Percent of Total Billed Charges,2259.15,,2070.29,5498.47,,																																							
HC  CLOSED TX FEMORAL SHAFT FX W/O MANIPULATION,27500,CPT,,,,BOTH, , ,884.1,742.64,813.37,92,,Percent of Total Billed Charges,739.11,,813.37,92,,Percent of Total Billed Charges,725.85,,813.37,92,,Percent of Total Billed Charges,711.7,,813.37,92,,Percent of Total Billed Charges,738.22,,813.37,92,,Percent of Total Billed Charges,665.73,,813.37,92,,Percent of Total Billed Charges,552.56,,795.69,90,,Percent of Total Billed Charges,441.17,,786.85,89,,Percent of Total Billed Charges,424.37,,728.5,82.4,,Percent of Total Billed Charges,726.73,,737.34,83.4,,Percent of Total Billed Charges,687.83,,737.34,83.4,,Percent of Total Billed Charges,619.75,,737.34,83.4,,Percent of Total Billed Charges,719.66,,795.69,90,,Percent of Total Billed Charges,748.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,813.37,92,,Percent of Total Billed Charges,717.01,,813.37,92,,Percent of Total Billed Charges,657.77,,813.37,92,,Percent of Total Billed Charges,692.25,,813.37,92,,Percent of Total Billed Charges,717.01,,689.6,78,,Percent of Total Billed Charges,689.6,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,475.91,53.83,,Percent of Total Billed Charges,446.47,,306.25,34.64,,Percent of Total Billed Charges,305.01,,441.87,49.98,,Percent of Total Billed Charges,334.19,,306.25,813.37,,																																							
HC  CLTX FEM SHFT FX W/MANJ W/WO SKIN/SKELETAL TRACJ,27502,CPT,,,,BOTH, , ,5976.6,5020.34,5498.47,92,,Percent of Total Billed Charges,4996.44,,5498.47,92,,Percent of Total Billed Charges,4906.79,,5498.47,92,,Percent of Total Billed Charges,4811.16,,5498.47,92,,Percent of Total Billed Charges,4990.46,,5498.47,92,,Percent of Total Billed Charges,4500.38,,5498.47,92,,Percent of Total Billed Charges,3735.38,,5378.94,90,,Percent of Total Billed Charges,2982.32,,5319.17,89,,Percent of Total Billed Charges,2868.77,,4924.72,82.4,,Percent of Total Billed Charges,4912.77,,4984.48,83.4,,Percent of Total Billed Charges,4649.79,,4984.48,83.4,,Percent of Total Billed Charges,4189.6,,4984.48,83.4,,Percent of Total Billed Charges,4864.95,,5378.94,90,,Percent of Total Billed Charges,5062.18,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5498.47,92,,Percent of Total Billed Charges,4847.02,,5498.47,92,,Percent of Total Billed Charges,4446.59,,5498.47,92,,Percent of Total Billed Charges,4679.68,,5498.47,92,,Percent of Total Billed Charges,4847.02,,4661.75,78,,Percent of Total Billed Charges,4661.75,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3217.2,53.83,,Percent of Total Billed Charges,3018.18,,2070.29,34.64,,Percent of Total Billed Charges,2061.93,,2987.1,49.98,,Percent of Total Billed Charges,2259.15,,2070.29,5498.47,,																																							
HC  CLTX MEDIAL MALLS FX W/MANJ W/WO SKN/SKEL TRACJ,27762,CPT,,,,BOTH, , ,5976.6,5020.34,5498.47,92,,Percent of Total Billed Charges,4996.44,,5498.47,92,,Percent of Total Billed Charges,4906.79,,5498.47,92,,Percent of Total Billed Charges,4811.16,,5498.47,92,,Percent of Total Billed Charges,4990.46,,5498.47,92,,Percent of Total Billed Charges,4500.38,,5498.47,92,,Percent of Total Billed Charges,3735.38,,5378.94,90,,Percent of Total Billed Charges,2982.32,,5319.17,89,,Percent of Total Billed Charges,2868.77,,4924.72,82.4,,Percent of Total Billed Charges,4912.77,,4984.48,83.4,,Percent of Total Billed Charges,4649.79,,4984.48,83.4,,Percent of Total Billed Charges,4189.6,,4984.48,83.4,,Percent of Total Billed Charges,4864.95,,5378.94,90,,Percent of Total Billed Charges,5062.18,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5498.47,92,,Percent of Total Billed Charges,4847.02,,5498.47,92,,Percent of Total Billed Charges,4446.59,,5498.47,92,,Percent of Total Billed Charges,4679.68,,5498.47,92,,Percent of Total Billed Charges,4847.02,,4661.75,78,,Percent of Total Billed Charges,4661.75,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3217.2,53.83,,Percent of Total Billed Charges,3018.18,,2070.29,34.64,,Percent of Total Billed Charges,2061.93,,2987.1,49.98,,Percent of Total Billed Charges,2259.15,,2070.29,5498.47,,																																							
HC  CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ,27752,CPT,,,,BOTH, , ,5976.6,5020.34,5498.47,92,,Percent of Total Billed Charges,4996.44,,5498.47,92,,Percent of Total Billed Charges,4906.79,,5498.47,92,,Percent of Total Billed Charges,4811.16,,5498.47,92,,Percent of Total Billed Charges,4990.46,,5498.47,92,,Percent of Total Billed Charges,4500.38,,5498.47,92,,Percent of Total Billed Charges,3735.38,,5378.94,90,,Percent of Total Billed Charges,2982.32,,5319.17,89,,Percent of Total Billed Charges,2868.77,,4924.72,82.4,,Percent of Total Billed Charges,4912.77,,4984.48,83.4,,Percent of Total Billed Charges,4649.79,,4984.48,83.4,,Percent of Total Billed Charges,4189.6,,4984.48,83.4,,Percent of Total Billed Charges,4864.95,,5378.94,90,,Percent of Total Billed Charges,5062.18,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5498.47,92,,Percent of Total Billed Charges,4847.02,,5498.47,92,,Percent of Total Billed Charges,4446.59,,5498.47,92,,Percent of Total Billed Charges,4679.68,,5498.47,92,,Percent of Total Billed Charges,4847.02,,4661.75,78,,Percent of Total Billed Charges,4661.75,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3217.2,53.83,,Percent of Total Billed Charges,3018.18,,2070.29,34.64,,Percent of Total Billed Charges,2061.93,,2987.1,49.98,,Percent of Total Billed Charges,2259.15,,2070.29,5498.47,,																																							
HC  CLTX ACETABULM HIP/SOCKT FX MANJ W/WO SKEL TRACJ,27222,CPT,,,,BOTH, , ,884.1,742.64,813.37,92,,Percent of Total Billed Charges,739.11,,813.37,92,,Percent of Total Billed Charges,725.85,,813.37,92,,Percent of Total Billed Charges,711.7,,813.37,92,,Percent of Total Billed Charges,738.22,,813.37,92,,Percent of Total Billed Charges,665.73,,813.37,92,,Percent of Total Billed Charges,552.56,,795.69,90,,Percent of Total Billed Charges,441.17,,786.85,89,,Percent of Total Billed Charges,424.37,,728.5,82.4,,Percent of Total Billed Charges,726.73,,737.34,83.4,,Percent of Total Billed Charges,687.83,,737.34,83.4,,Percent of Total Billed Charges,619.75,,737.34,83.4,,Percent of Total Billed Charges,719.66,,795.69,90,,Percent of Total Billed Charges,748.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,813.37,92,,Percent of Total Billed Charges,717.01,,813.37,92,,Percent of Total Billed Charges,657.77,,813.37,92,,Percent of Total Billed Charges,692.25,,813.37,92,,Percent of Total Billed Charges,717.01,,689.6,78,,Percent of Total Billed Charges,689.6,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,475.91,53.83,,Percent of Total Billed Charges,446.47,,306.25,34.64,,Percent of Total Billed Charges,305.01,,441.87,49.98,,Percent of Total Billed Charges,334.19,,306.25,813.37,,																																							
HC CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES,26700,CPT,,,,BOTH, , ,884.1,742.64,813.37,92,,Percent of Total Billed Charges,739.11,,813.37,92,,Percent of Total Billed Charges,725.85,,813.37,92,,Percent of Total Billed Charges,711.7,,813.37,92,,Percent of Total Billed Charges,738.22,,813.37,92,,Percent of Total Billed Charges,665.73,,813.37,92,,Percent of Total Billed Charges,552.56,,795.69,90,,Percent of Total Billed Charges,441.17,,786.85,89,,Percent of Total Billed Charges,424.37,,728.5,82.4,,Percent of Total Billed Charges,726.73,,737.34,83.4,,Percent of Total Billed Charges,687.83,,737.34,83.4,,Percent of Total Billed Charges,619.75,,737.34,83.4,,Percent of Total Billed Charges,719.66,,795.69,90,,Percent of Total Billed Charges,748.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,813.37,92,,Percent of Total Billed Charges,717.01,,813.37,92,,Percent of Total Billed Charges,657.77,,813.37,92,,Percent of Total Billed Charges,692.25,,813.37,92,,Percent of Total Billed Charges,717.01,,689.6,78,,Percent of Total Billed Charges,689.6,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,475.91,53.83,,Percent of Total Billed Charges,446.47,,306.25,34.64,,Percent of Total Billed Charges,305.01,,441.87,49.98,,Percent of Total Billed Charges,334.19,,306.25,813.37,,																																							
HC  REPAIR INTERMEDIATE N/H/F/XTRNL GENT 12.620 CM,12045,CPT,,,,BOTH, , ,2250.15,1890.13,2070.14,92,,Percent of Total Billed Charges,1881.13,,2070.14,92,,Percent of Total Billed Charges,1847.37,,2070.14,92,,Percent of Total Billed Charges,1811.37,,2070.14,92,,Percent of Total Billed Charges,1878.88,,2070.14,92,,Percent of Total Billed Charges,1694.36,,2070.14,92,,Percent of Total Billed Charges,1406.34,,2025.14,90,,Percent of Total Billed Charges,1122.82,,2002.63,89,,Percent of Total Billed Charges,1080.07,,1854.12,82.4,,Percent of Total Billed Charges,1849.62,,1876.63,83.4,,Percent of Total Billed Charges,1750.62,,1876.63,83.4,,Percent of Total Billed Charges,1577.36,,1876.63,83.4,,Percent of Total Billed Charges,1831.62,,2025.14,90,,Percent of Total Billed Charges,1905.88,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2070.14,92,,Percent of Total Billed Charges,1824.87,,2070.14,92,,Percent of Total Billed Charges,1674.11,,2070.14,92,,Percent of Total Billed Charges,1761.87,,2070.14,92,,Percent of Total Billed Charges,1824.87,,1755.12,78,,Percent of Total Billed Charges,1755.12,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1211.26,53.83,,Percent of Total Billed Charges,1136.33,,779.45,34.64,,Percent of Total Billed Charges,776.3,,1124.62,49.98,,Percent of Total Billed Charges,850.56,,779.45,2070.14,,																																							
HC  CLOSED TREATMENT NASAL FRACTURE W/STABILIZATION,21320,CPT,,,,BOTH, , ,11293.8,9486.79,10390.3,92,,Percent of Total Billed Charges,9441.62,,10390.3,92,,Percent of Total Billed Charges,9272.21,,10390.3,92,,Percent of Total Billed Charges,9091.51,,10390.3,92,,Percent of Total Billed Charges,9430.32,,10390.3,92,,Percent of Total Billed Charges,8504.23,,10390.3,92,,Percent of Total Billed Charges,7058.63,,10164.42,90,,Percent of Total Billed Charges,5635.61,,10051.48,89,,Percent of Total Billed Charges,5421.02,,9306.09,82.4,,Percent of Total Billed Charges,9283.5,,9419.03,83.4,,Percent of Total Billed Charges,8786.58,,9419.03,83.4,,Percent of Total Billed Charges,7916.95,,9419.03,83.4,,Percent of Total Billed Charges,9193.15,,10164.42,90,,Percent of Total Billed Charges,9565.85,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,10390.3,92,,Percent of Total Billed Charges,9159.27,,10390.3,92,,Percent of Total Billed Charges,8402.59,,10390.3,92,,Percent of Total Billed Charges,8843.05,,10390.3,92,,Percent of Total Billed Charges,9159.27,,8809.16,78,,Percent of Total Billed Charges,8809.16,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6079.45,53.83,,Percent of Total Billed Charges,5703.37,,3912.17,34.64,,Percent of Total Billed Charges,3896.36,,5644.64,49.98,,Percent of Total Billed Charges,4269.06,,3912.17,10390.3,,																																							
HC  THORACOTOMY W/CARDIAC MASSAGE,32160,CPT,,,,BOTH, , ,2323.65,1951.87,2137.76,92,,Percent of Total Billed Charges,1942.57,,2137.76,92,,Percent of Total Billed Charges,1907.72,,2137.76,92,,Percent of Total Billed Charges,1870.54,,2137.76,92,,Percent of Total Billed Charges,1940.25,,2137.76,92,,Percent of Total Billed Charges,1749.71,,2137.76,92,,Percent of Total Billed Charges,1452.28,,2091.29,90,,Percent of Total Billed Charges,1159.5,,2068.05,89,,Percent of Total Billed Charges,1115.35,,1914.69,82.4,,Percent of Total Billed Charges,1910.04,,1937.92,83.4,,Percent of Total Billed Charges,1807.8,,1937.92,83.4,,Percent of Total Billed Charges,1628.88,,1937.92,83.4,,Percent of Total Billed Charges,1891.45,,2091.29,90,,Percent of Total Billed Charges,1968.13,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2137.76,92,,Percent of Total Billed Charges,1884.48,,2137.76,92,,Percent of Total Billed Charges,1728.8,,2137.76,92,,Percent of Total Billed Charges,1819.42,,2137.76,92,,Percent of Total Billed Charges,1884.48,,1812.45,78,,Percent of Total Billed Charges,1812.45,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1250.82,53.83,,Percent of Total Billed Charges,1173.44,,804.91,34.64,,Percent of Total Billed Charges,801.66,,1161.36,49.98,,Percent of Total Billed Charges,878.34,,804.91,2137.76,,																																							
HC  INSERTION CATHETER ARTERY,36620,CPT,,,,BOTH, , ,49.35,41.45,45.4,92,,Percent of Total Billed Charges,41.26,,45.4,92,,Percent of Total Billed Charges,40.52,,45.4,92,,Percent of Total Billed Charges,39.73,,45.4,92,,Percent of Total Billed Charges,41.21,,45.4,92,,Percent of Total Billed Charges,37.16,,45.4,92,,Percent of Total Billed Charges,30.84,,44.42,90,,Percent of Total Billed Charges,24.63,,43.92,89,,Percent of Total Billed Charges,23.69,,40.66,82.4,,Percent of Total Billed Charges,40.57,,41.16,83.4,,Percent of Total Billed Charges,38.39,,41.16,83.4,,Percent of Total Billed Charges,34.59,,41.16,83.4,,Percent of Total Billed Charges,40.17,,44.42,90,,Percent of Total Billed Charges,41.8,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,45.4,92,,Percent of Total Billed Charges,40.02,,45.4,92,,Percent of Total Billed Charges,36.72,,45.4,92,,Percent of Total Billed Charges,38.64,,45.4,92,,Percent of Total Billed Charges,40.02,,38.49,78,,Percent of Total Billed Charges,38.49,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,26.57,53.83,,Percent of Total Billed Charges,24.92,,17.09,34.64,,Percent of Total Billed Charges,17.03,,24.67,49.98,,Percent of Total Billed Charges,18.65,,17.09,45.4,,																																							
HC TWIST DRILL HOLE SUBDURAL/VENTRICULAR PUNCTURE,61105,CPT,,,,BOTH, , ,1855.35,1558.49,1706.92,92,,Percent of Total Billed Charges,1551.07,,1706.92,92,,Percent of Total Billed Charges,1523.24,,1706.92,92,,Percent of Total Billed Charges,1493.56,,1706.92,92,,Percent of Total Billed Charges,1549.22,,1706.92,92,,Percent of Total Billed Charges,1397.08,,1706.92,92,,Percent of Total Billed Charges,1159.59,,1669.82,90,,Percent of Total Billed Charges,925.82,,1651.26,89,,Percent of Total Billed Charges,890.57,,1528.81,82.4,,Percent of Total Billed Charges,1525.1,,1547.36,83.4,,Percent of Total Billed Charges,1443.46,,1547.36,83.4,,Percent of Total Billed Charges,1300.6,,1547.36,83.4,,Percent of Total Billed Charges,1510.25,,1669.82,90,,Percent of Total Billed Charges,1571.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1706.92,92,,Percent of Total Billed Charges,1504.69,,1706.92,92,,Percent of Total Billed Charges,1380.38,,1706.92,92,,Percent of Total Billed Charges,1452.74,,1706.92,92,,Percent of Total Billed Charges,1504.69,,1447.17,78,,Percent of Total Billed Charges,1447.17,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,998.73,53.83,,Percent of Total Billed Charges,936.95,,642.69,34.64,,Percent of Total Billed Charges,640.1,,927.3,49.98,,Percent of Total Billed Charges,701.32,,642.69,1706.92,,																																							
HC  TWIST DRILL HOLE EVAC&/DRG SUBDURAL HEMATOMA,61108,CPT,,,,BOTH, , ,1855.35,1558.49,1706.92,92,,Percent of Total Billed Charges,1551.07,,1706.92,92,,Percent of Total Billed Charges,1523.24,,1706.92,92,,Percent of Total Billed Charges,1493.56,,1706.92,92,,Percent of Total Billed Charges,1549.22,,1706.92,92,,Percent of Total Billed Charges,1397.08,,1706.92,92,,Percent of Total Billed Charges,1159.59,,1669.82,90,,Percent of Total Billed Charges,925.82,,1651.26,89,,Percent of Total Billed Charges,890.57,,1528.81,82.4,,Percent of Total Billed Charges,1525.1,,1547.36,83.4,,Percent of Total Billed Charges,1443.46,,1547.36,83.4,,Percent of Total Billed Charges,1300.6,,1547.36,83.4,,Percent of Total Billed Charges,1510.25,,1669.82,90,,Percent of Total Billed Charges,1571.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1706.92,92,,Percent of Total Billed Charges,1504.69,,1706.92,92,,Percent of Total Billed Charges,1380.38,,1706.92,92,,Percent of Total Billed Charges,1452.74,,1706.92,92,,Percent of Total Billed Charges,1504.69,,1447.17,78,,Percent of Total Billed Charges,1447.17,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,998.73,53.83,,Percent of Total Billed Charges,936.95,,642.69,34.64,,Percent of Total Billed Charges,640.1,,927.3,49.98,,Percent of Total Billed Charges,701.32,,642.69,1706.92,,																																							
HC CLTX SHOULDER DISLC W/FX HUMERAL TUBRST W/MANJ,23665,CPT,,,,BOTH, , ,6011.25,5049.45,5530.35,92,,Percent of Total Billed Charges,5025.41,,5530.35,92,,Percent of Total Billed Charges,4935.24,,5530.35,92,,Percent of Total Billed Charges,4839.06,,5530.35,92,,Percent of Total Billed Charges,5019.39,,5530.35,92,,Percent of Total Billed Charges,4526.47,,5530.35,92,,Percent of Total Billed Charges,3757.03,,5410.13,90,,Percent of Total Billed Charges,2999.61,,5350.01,89,,Percent of Total Billed Charges,2885.4,,4953.27,82.4,,Percent of Total Billed Charges,4941.25,,5013.38,83.4,,Percent of Total Billed Charges,4676.75,,5013.38,83.4,,Percent of Total Billed Charges,4213.89,,5013.38,83.4,,Percent of Total Billed Charges,4893.16,,5410.13,90,,Percent of Total Billed Charges,5091.53,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5530.35,92,,Percent of Total Billed Charges,4875.12,,5530.35,92,,Percent of Total Billed Charges,4472.37,,5530.35,92,,Percent of Total Billed Charges,4706.81,,5530.35,92,,Percent of Total Billed Charges,4875.12,,4688.78,78,,Percent of Total Billed Charges,4688.78,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3235.86,53.83,,Percent of Total Billed Charges,3035.68,,2082.3,34.64,,Percent of Total Billed Charges,2073.88,,3004.42,49.98,,Percent of Total Billed Charges,2272.25,,2082.30,5530.35,,																																							
HC TX INCOMPLETE ABORTION ANY TRIMESTER SURGICAL,59812,CPT,,,,BOTH, , ,11323.2,9511.49,10417.34,92,,Percent of Total Billed Charges,9466.2,,10417.34,92,,Percent of Total Billed Charges,9296.35,,10417.34,92,,Percent of Total Billed Charges,9115.18,,10417.34,92,,Percent of Total Billed Charges,9454.87,,10417.34,92,,Percent of Total Billed Charges,8526.37,,10417.34,92,,Percent of Total Billed Charges,7077,,10190.88,90,,Percent of Total Billed Charges,5650.28,,10077.65,89,,Percent of Total Billed Charges,5435.14,,9330.32,82.4,,Percent of Total Billed Charges,9307.67,,9443.55,83.4,,Percent of Total Billed Charges,8809.45,,9443.55,83.4,,Percent of Total Billed Charges,7937.56,,9443.55,83.4,,Percent of Total Billed Charges,9217.08,,10190.88,90,,Percent of Total Billed Charges,9590.75,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,10417.34,92,,Percent of Total Billed Charges,9183.12,,10417.34,92,,Percent of Total Billed Charges,8424.46,,10417.34,92,,Percent of Total Billed Charges,8866.07,,10417.34,92,,Percent of Total Billed Charges,9183.12,,8832.1,78,,Percent of Total Billed Charges,8832.1,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6095.28,53.83,,Percent of Total Billed Charges,5718.22,,3922.36,34.64,,Percent of Total Billed Charges,3906.5,,5659.34,49.98,,Percent of Total Billed Charges,4280.17,,3922.36,10417.34,,																																							
HC I&D DEEP ABSC/HMTMA SOFT TISSUE NECK/THORAX,21501,CPT,,,,BOTH, , ,10232.25,8595.09,9413.67,92,,Percent of Total Billed Charges,8554.16,,9413.67,92,,Percent of Total Billed Charges,8400.68,,9413.67,92,,Percent of Total Billed Charges,8236.96,,9413.67,92,,Percent of Total Billed Charges,8543.93,,9413.67,92,,Percent of Total Billed Charges,7704.88,,9413.67,92,,Percent of Total Billed Charges,6395.16,,9209.03,90,,Percent of Total Billed Charges,5105.89,,9106.7,89,,Percent of Total Billed Charges,4911.48,,8431.37,82.4,,Percent of Total Billed Charges,8410.91,,8533.7,83.4,,Percent of Total Billed Charges,7960.69,,8533.7,83.4,,Percent of Total Billed Charges,7172.81,,8533.7,83.4,,Percent of Total Billed Charges,8329.05,,9209.03,90,,Percent of Total Billed Charges,8666.72,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,9413.67,92,,Percent of Total Billed Charges,8298.35,,9413.67,92,,Percent of Total Billed Charges,7612.79,,9413.67,92,,Percent of Total Billed Charges,8011.85,,9413.67,92,,Percent of Total Billed Charges,8298.35,,7981.16,78,,Percent of Total Billed Charges,7981.16,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5508.02,53.83,,Percent of Total Billed Charges,5167.29,,3544.45,34.64,,Percent of Total Billed Charges,3530.13,,5114.08,49.98,,Percent of Total Billed Charges,3867.79,,3544.45,9413.67,,																																							
HC IM ADM THRU 18YR ANY RTE 1ST/ONLY COMPT VAC/TOX,90460,CPT,,,,BOTH, , ,135.45,113.78,124.61,92,,Percent of Total Billed Charges,113.24,,124.61,92,,Percent of Total Billed Charges,111.2,,124.61,92,,Percent of Total Billed Charges,109.04,,124.61,92,,Percent of Total Billed Charges,113.1,,124.61,92,,Percent of Total Billed Charges,101.99,,124.61,92,,Percent of Total Billed Charges,84.66,,121.91,90,,Percent of Total Billed Charges,67.59,,120.55,89,,Percent of Total Billed Charges,65.02,,111.61,82.4,,Percent of Total Billed Charges,111.34,,112.97,83.4,,Percent of Total Billed Charges,105.38,,112.97,83.4,,Percent of Total Billed Charges,94.95,,112.97,83.4,,Percent of Total Billed Charges,110.26,,121.91,90,,Percent of Total Billed Charges,114.73,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,124.61,92,,Percent of Total Billed Charges,109.85,,124.61,92,,Percent of Total Billed Charges,100.77,,124.61,92,,Percent of Total Billed Charges,106.06,,124.61,92,,Percent of Total Billed Charges,109.85,,105.65,78,,Percent of Total Billed Charges,105.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,72.91,53.83,,Percent of Total Billed Charges,68.4,,46.92,34.64,,Percent of Total Billed Charges,46.73,,67.7,49.98,,Percent of Total Billed Charges,51.2,,46.92,124.61,,																																							
HC IM ADM THRU 18YR ANY RTE ADDL VAC/TOX COMPT,90461,CPT,,,,BOTH, , ,135.45,113.78,124.61,92,,Percent of Total Billed Charges,113.24,,124.61,92,,Percent of Total Billed Charges,111.2,,124.61,92,,Percent of Total Billed Charges,109.04,,124.61,92,,Percent of Total Billed Charges,113.1,,124.61,92,,Percent of Total Billed Charges,101.99,,124.61,92,,Percent of Total Billed Charges,84.66,,121.91,90,,Percent of Total Billed Charges,67.59,,120.55,89,,Percent of Total Billed Charges,65.02,,111.61,82.4,,Percent of Total Billed Charges,111.34,,112.97,83.4,,Percent of Total Billed Charges,105.38,,112.97,83.4,,Percent of Total Billed Charges,94.95,,112.97,83.4,,Percent of Total Billed Charges,110.26,,121.91,90,,Percent of Total Billed Charges,114.73,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,124.61,92,,Percent of Total Billed Charges,109.85,,124.61,92,,Percent of Total Billed Charges,100.77,,124.61,92,,Percent of Total Billed Charges,106.06,,124.61,92,,Percent of Total Billed Charges,109.85,,105.65,78,,Percent of Total Billed Charges,105.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,72.91,53.83,,Percent of Total Billed Charges,68.4,,46.92,34.64,,Percent of Total Billed Charges,46.73,,67.7,49.98,,Percent of Total Billed Charges,51.2,,46.92,124.61,,																																							
HC CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/WO MANJ,24530,CPT,,,,BOTH, , ,846.3,710.89,778.6,92,,Percent of Total Billed Charges,707.51,,778.6,92,,Percent of Total Billed Charges,694.81,,778.6,92,,Percent of Total Billed Charges,681.27,,778.6,92,,Percent of Total Billed Charges,706.66,,778.6,92,,Percent of Total Billed Charges,637.26,,778.6,92,,Percent of Total Billed Charges,528.94,,761.67,90,,Percent of Total Billed Charges,422.3,,753.21,89,,Percent of Total Billed Charges,406.22,,697.35,82.4,,Percent of Total Billed Charges,695.66,,705.81,83.4,,Percent of Total Billed Charges,658.42,,705.81,83.4,,Percent of Total Billed Charges,593.26,,705.81,83.4,,Percent of Total Billed Charges,688.89,,761.67,90,,Percent of Total Billed Charges,716.82,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,778.6,92,,Percent of Total Billed Charges,686.35,,778.6,92,,Percent of Total Billed Charges,629.65,,778.6,92,,Percent of Total Billed Charges,662.65,,778.6,92,,Percent of Total Billed Charges,686.35,,660.11,78,,Percent of Total Billed Charges,660.11,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,455.56,53.83,,Percent of Total Billed Charges,427.38,,293.16,34.64,,Percent of Total Billed Charges,291.97,,422.98,49.98,,Percent of Total Billed Charges,319.9,,293.16,778.6,,																																							
HC MANIPULATION TMJ THERAPEUTIC REQUIRE ANESTHESIA,21073,CPT,,,,BOTH, , ,5559.75,4670.19,5114.97,92,,Percent of Total Billed Charges,4647.95,,5114.97,92,,Percent of Total Billed Charges,4564.55,,5114.97,92,,Percent of Total Billed Charges,4475.6,,5114.97,92,,Percent of Total Billed Charges,4642.39,,5114.97,92,,Percent of Total Billed Charges,4186.49,,5114.97,92,,Percent of Total Billed Charges,3474.84,,5003.78,90,,Percent of Total Billed Charges,2774.32,,4948.18,89,,Percent of Total Billed Charges,2668.68,,4581.23,82.4,,Percent of Total Billed Charges,4570.11,,4636.83,83.4,,Percent of Total Billed Charges,4325.49,,4636.83,83.4,,Percent of Total Billed Charges,3897.38,,4636.83,83.4,,Percent of Total Billed Charges,4525.64,,5003.78,90,,Percent of Total Billed Charges,4709.11,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5114.97,92,,Percent of Total Billed Charges,4508.96,,5114.97,92,,Percent of Total Billed Charges,4136.45,,5114.97,92,,Percent of Total Billed Charges,4353.28,,5114.97,92,,Percent of Total Billed Charges,4508.96,,4336.61,78,,Percent of Total Billed Charges,4336.61,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2992.81,53.83,,Percent of Total Billed Charges,2807.67,,1925.9,34.64,,Percent of Total Billed Charges,1918.11,,2778.76,49.98,,Percent of Total Billed Charges,2101.59,,1925.90,5114.97,,																																							
HC CLTX TIBIAL FX PROXIMAL W/WO MANJ W/SKEL TRACJ,27532,CPT,,,,BOTH, , ,11521.65,9678.19,10599.92,92,,Percent of Total Billed Charges,9632.1,,10599.92,92,,Percent of Total Billed Charges,9459.27,,10599.92,92,,Percent of Total Billed Charges,9274.93,,10599.92,92,,Percent of Total Billed Charges,9620.58,,10599.92,92,,Percent of Total Billed Charges,8675.8,,10599.92,92,,Percent of Total Billed Charges,7201.03,,10369.49,90,,Percent of Total Billed Charges,5749.3,,10254.27,89,,Percent of Total Billed Charges,5530.39,,9493.84,82.4,,Percent of Total Billed Charges,9470.8,,9609.06,83.4,,Percent of Total Billed Charges,8963.84,,9609.06,83.4,,Percent of Total Billed Charges,8076.68,,9609.06,83.4,,Percent of Total Billed Charges,9378.62,,10369.49,90,,Percent of Total Billed Charges,9758.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,10599.92,92,,Percent of Total Billed Charges,9344.06,,10599.92,92,,Percent of Total Billed Charges,8572.11,,10599.92,92,,Percent of Total Billed Charges,9021.45,,10599.92,92,,Percent of Total Billed Charges,9344.06,,8986.89,78,,Percent of Total Billed Charges,8986.89,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6202.1,53.83,,Percent of Total Billed Charges,5818.43,,3991.1,34.64,,Percent of Total Billed Charges,3974.97,,5758.52,49.98,,Percent of Total Billed Charges,4355.18,,3991.10,10599.92,,																																							
HC  RDCTJ TORSION TSTIS W/WO FIXJ CLAT TESTIS,54600,CPT,,,,BOTH, , ,12405.75,10420.83,11413.29,92,,Percent of Total Billed Charges,10371.21,,11413.29,92,,Percent of Total Billed Charges,10185.12,,11413.29,92,,Percent of Total Billed Charges,9986.63,,11413.29,92,,Percent of Total Billed Charges,10358.8,,11413.29,92,,Percent of Total Billed Charges,9341.53,,11413.29,92,,Percent of Total Billed Charges,7753.59,,11165.18,90,,Percent of Total Billed Charges,6190.47,,11041.12,89,,Percent of Total Billed Charges,5954.76,,10222.34,82.4,,Percent of Total Billed Charges,10197.53,,10346.4,83.4,,Percent of Total Billed Charges,9651.67,,10346.4,83.4,,Percent of Total Billed Charges,8696.43,,10346.4,83.4,,Percent of Total Billed Charges,10098.28,,11165.18,90,,Percent of Total Billed Charges,10507.67,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,11413.29,92,,Percent of Total Billed Charges,10061.06,,11413.29,92,,Percent of Total Billed Charges,9229.88,,11413.29,92,,Percent of Total Billed Charges,9713.7,,11413.29,92,,Percent of Total Billed Charges,10061.06,,9676.49,78,,Percent of Total Billed Charges,9676.49,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6678.02,53.83,,Percent of Total Billed Charges,6264.9,,4297.35,34.64,,Percent of Total Billed Charges,4279.98,,6200.39,49.98,,Percent of Total Billed Charges,4689.37,,4297.35,11413.29,,																																							
HC ED LEVEL 0,99281,CPT,,,,BOTH, , ,477.75,401.31,439.53,92,,Percent of Total Billed Charges,399.4,,439.53,92,,Percent of Total Billed Charges,392.23,,439.53,92,,Percent of Total Billed Charges,384.59,,439.53,92,,Percent of Total Billed Charges,398.92,,439.53,92,,Percent of Total Billed Charges,359.75,,439.53,92,,Percent of Total Billed Charges,298.59,,429.98,90,,Percent of Total Billed Charges,238.4,,425.2,89,,Percent of Total Billed Charges,229.32,,393.67,82.4,,Percent of Total Billed Charges,392.71,,398.44,83.4,,Percent of Total Billed Charges,371.69,,398.44,83.4,,Percent of Total Billed Charges,334.9,,398.44,83.4,,Percent of Total Billed Charges,388.89,,429.98,90,,Percent of Total Billed Charges,404.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,439.53,92,,Percent of Total Billed Charges,387.46,,439.53,92,,Percent of Total Billed Charges,355.45,,439.53,92,,Percent of Total Billed Charges,374.08,,439.53,92,,Percent of Total Billed Charges,387.46,,372.65,78,,Percent of Total Billed Charges,372.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,257.17,53.83,,Percent of Total Billed Charges,241.26,,165.49,34.64,,Percent of Total Billed Charges,164.82,,238.78,49.98,,Percent of Total Billed Charges,180.59,,165.49,439.53,,																																							
HC OFFICE O/P NEW SF 15 TO 29 MIN,99202,CPT,,,,BOTH, , ,370.65,311.35,341,92,,Percent of Total Billed Charges,309.86,,341,92,,Percent of Total Billed Charges,304.3,,341,92,,Percent of Total Billed Charges,298.37,,341,92,,Percent of Total Billed Charges,309.49,,341,92,,Percent of Total Billed Charges,279.1,,341,92,,Percent of Total Billed Charges,231.66,,333.59,90,,Percent of Total Billed Charges,184.95,,329.88,89,,Percent of Total Billed Charges,177.91,,305.42,82.4,,Percent of Total Billed Charges,304.67,,309.12,83.4,,Percent of Total Billed Charges,288.37,,309.12,83.4,,Percent of Total Billed Charges,259.83,,309.12,83.4,,Percent of Total Billed Charges,301.71,,333.59,90,,Percent of Total Billed Charges,313.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,341,92,,Percent of Total Billed Charges,300.6,,341,92,,Percent of Total Billed Charges,275.76,,341,92,,Percent of Total Billed Charges,290.22,,341,92,,Percent of Total Billed Charges,300.6,,289.11,78,,Percent of Total Billed Charges,289.11,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,199.52,53.83,,Percent of Total Billed Charges,187.18,,128.39,34.64,,Percent of Total Billed Charges,127.87,,185.25,49.98,,Percent of Total Billed Charges,140.11,,128.39,341,,																																							
HC OFFICE O/P NEW SF 3044 MIN,99203,CPT,,,,BOTH, , ,499.8,419.83,459.82,92,,Percent of Total Billed Charges,417.83,,459.82,92,,Percent of Total Billed Charges,410.34,,459.82,92,,Percent of Total Billed Charges,402.34,,459.82,92,,Percent of Total Billed Charges,417.33,,459.82,92,,Percent of Total Billed Charges,376.35,,459.82,92,,Percent of Total Billed Charges,312.38,,449.82,90,,Percent of Total Billed Charges,249.4,,444.82,89,,Percent of Total Billed Charges,239.9,,411.84,82.4,,Percent of Total Billed Charges,410.84,,416.83,83.4,,Percent of Total Billed Charges,388.84,,416.83,83.4,,Percent of Total Billed Charges,350.36,,416.83,83.4,,Percent of Total Billed Charges,406.84,,449.82,90,,Percent of Total Billed Charges,423.33,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,459.82,92,,Percent of Total Billed Charges,405.34,,459.82,92,,Percent of Total Billed Charges,371.85,,459.82,92,,Percent of Total Billed Charges,391.34,,459.82,92,,Percent of Total Billed Charges,405.34,,389.84,78,,Percent of Total Billed Charges,389.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,269.04,53.83,,Percent of Total Billed Charges,252.4,,173.13,34.64,,Percent of Total Billed Charges,172.43,,249.8,49.98,,Percent of Total Billed Charges,188.92,,173.13,459.82,,																																							
HC OFFICE O/P NEW SF 4559 MIN,99204,CPT,,,,BOTH, , ,618.45,519.5,568.97,92,,Percent of Total Billed Charges,517.02,,568.97,92,,Percent of Total Billed Charges,507.75,,568.97,92,,Percent of Total Billed Charges,497.85,,568.97,92,,Percent of Total Billed Charges,516.41,,568.97,92,,Percent of Total Billed Charges,465.69,,568.97,92,,Percent of Total Billed Charges,386.53,,556.61,90,,Percent of Total Billed Charges,308.61,,550.42,89,,Percent of Total Billed Charges,296.86,,509.6,82.4,,Percent of Total Billed Charges,508.37,,515.79,83.4,,Percent of Total Billed Charges,481.15,,515.79,83.4,,Percent of Total Billed Charges,433.53,,515.79,83.4,,Percent of Total Billed Charges,503.42,,556.61,90,,Percent of Total Billed Charges,523.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,568.97,92,,Percent of Total Billed Charges,501.56,,568.97,92,,Percent of Total Billed Charges,460.13,,568.97,92,,Percent of Total Billed Charges,484.25,,568.97,92,,Percent of Total Billed Charges,501.56,,482.39,78,,Percent of Total Billed Charges,482.39,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,332.91,53.83,,Percent of Total Billed Charges,312.32,,214.23,34.64,,Percent of Total Billed Charges,213.37,,309.1,49.98,,Percent of Total Billed Charges,233.77,,214.23,568.97,,																																							
HC SPIROMETRY SIMPLE OR BEDSIDE,94010,CPT,,,,BOTH, , ,456.75,383.67,420.21,92,,Percent of Total Billed Charges,381.84,,420.21,92,,Percent of Total Billed Charges,374.99,,420.21,92,,Percent of Total Billed Charges,367.68,,420.21,92,,Percent of Total Billed Charges,381.39,,420.21,92,,Percent of Total Billed Charges,343.93,,420.21,92,,Percent of Total Billed Charges,285.47,,411.08,90,,Percent of Total Billed Charges,227.92,,406.51,89,,Percent of Total Billed Charges,219.24,,376.36,82.4,,Percent of Total Billed Charges,375.45,,380.93,83.4,,Percent of Total Billed Charges,355.35,,380.93,83.4,,Percent of Total Billed Charges,320.18,,380.93,83.4,,Percent of Total Billed Charges,371.79,,411.08,90,,Percent of Total Billed Charges,386.87,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,420.21,92,,Percent of Total Billed Charges,370.42,,420.21,92,,Percent of Total Billed Charges,339.82,,420.21,92,,Percent of Total Billed Charges,357.64,,420.21,92,,Percent of Total Billed Charges,370.42,,356.27,78,,Percent of Total Billed Charges,356.27,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,245.87,53.83,,Percent of Total Billed Charges,230.66,,158.22,34.64,,Percent of Total Billed Charges,157.58,,228.28,49.98,,Percent of Total Billed Charges,172.65,,158.22,420.21,,																																							
HC SPIROMETRY PRE AND POST,94060,CPT,,,,BOTH, , ,872.55,732.94,802.75,92,,Percent of Total Billed Charges,729.45,,802.75,92,,Percent of Total Billed Charges,716.36,,802.75,92,,Percent of Total Billed Charges,702.4,,802.75,92,,Percent of Total Billed Charges,728.58,,802.75,92,,Percent of Total Billed Charges,657.03,,802.75,92,,Percent of Total Billed Charges,545.34,,785.3,90,,Percent of Total Billed Charges,435.4,,776.57,89,,Percent of Total Billed Charges,418.82,,718.98,82.4,,Percent of Total Billed Charges,717.24,,727.71,83.4,,Percent of Total Billed Charges,678.84,,727.71,83.4,,Percent of Total Billed Charges,611.66,,727.71,83.4,,Percent of Total Billed Charges,710.26,,785.3,90,,Percent of Total Billed Charges,739.05,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,802.75,92,,Percent of Total Billed Charges,707.64,,802.75,92,,Percent of Total Billed Charges,649.18,,802.75,92,,Percent of Total Billed Charges,683.21,,802.75,92,,Percent of Total Billed Charges,707.64,,680.59,78,,Percent of Total Billed Charges,680.59,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,469.69,53.83,,Percent of Total Billed Charges,440.64,,302.25,34.64,,Percent of Total Billed Charges,301.03,,436.1,49.98,,Percent of Total Billed Charges,329.82,,302.25,802.75,,																																							
HC SPIROMETRY MULTIPLE W ADMIN AGNTS,94070,CPT,,,,BOTH, , ,1129.8,949.03,1039.42,92,,Percent of Total Billed Charges,944.51,,1039.42,92,,Percent of Total Billed Charges,927.57,,1039.42,92,,Percent of Total Billed Charges,909.49,,1039.42,92,,Percent of Total Billed Charges,943.38,,1039.42,92,,Percent of Total Billed Charges,850.74,,1039.42,92,,Percent of Total Billed Charges,706.13,,1016.82,90,,Percent of Total Billed Charges,563.77,,1005.52,89,,Percent of Total Billed Charges,542.3,,930.96,82.4,,Percent of Total Billed Charges,928.7,,942.25,83.4,,Percent of Total Billed Charges,878.98,,942.25,83.4,,Percent of Total Billed Charges,791.99,,942.25,83.4,,Percent of Total Billed Charges,919.66,,1016.82,90,,Percent of Total Billed Charges,956.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1039.42,92,,Percent of Total Billed Charges,916.27,,1039.42,92,,Percent of Total Billed Charges,840.57,,1039.42,92,,Percent of Total Billed Charges,884.63,,1039.42,92,,Percent of Total Billed Charges,916.27,,881.24,78,,Percent of Total Billed Charges,881.24,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,608.17,53.83,,Percent of Total Billed Charges,570.55,,391.36,34.64,,Percent of Total Billed Charges,389.78,,564.67,49.98,,Percent of Total Billed Charges,427.06,,391.36,1039.42,,																																							
HC PULM FUNCT TST PLETHYSMOGRAP,94726,CPT,,,,BOTH, , ,330.75,277.83,304.29,92,,Percent of Total Billed Charges,276.51,,304.29,92,,Percent of Total Billed Charges,271.55,,304.29,92,,Percent of Total Billed Charges,266.25,,304.29,92,,Percent of Total Billed Charges,276.18,,304.29,92,,Percent of Total Billed Charges,249.05,,304.29,92,,Percent of Total Billed Charges,206.72,,297.68,90,,Percent of Total Billed Charges,165.04,,294.37,89,,Percent of Total Billed Charges,158.76,,272.54,82.4,,Percent of Total Billed Charges,271.88,,275.85,83.4,,Percent of Total Billed Charges,257.32,,275.85,83.4,,Percent of Total Billed Charges,231.86,,275.85,83.4,,Percent of Total Billed Charges,269.23,,297.68,90,,Percent of Total Billed Charges,280.15,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,304.29,92,,Percent of Total Billed Charges,268.24,,304.29,92,,Percent of Total Billed Charges,246.08,,304.29,92,,Percent of Total Billed Charges,258.98,,304.29,92,,Percent of Total Billed Charges,268.24,,257.99,78,,Percent of Total Billed Charges,257.99,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,178.04,53.83,,Percent of Total Billed Charges,167.03,,114.57,34.64,,Percent of Total Billed Charges,114.11,,165.31,49.98,,Percent of Total Billed Charges,125.02,,114.57,304.29,,																																							
HC PULM FUNCTION TEST BY GAS,94727,CPT,,,,BOTH, , ,359.1,301.64,330.37,92,,Percent of Total Billed Charges,300.21,,330.37,92,,Percent of Total Billed Charges,294.82,,330.37,92,,Percent of Total Billed Charges,289.08,,330.37,92,,Percent of Total Billed Charges,299.85,,330.37,92,,Percent of Total Billed Charges,270.4,,330.37,92,,Percent of Total Billed Charges,224.44,,323.19,90,,Percent of Total Billed Charges,179.19,,319.6,89,,Percent of Total Billed Charges,172.37,,295.9,82.4,,Percent of Total Billed Charges,295.18,,299.49,83.4,,Percent of Total Billed Charges,279.38,,299.49,83.4,,Percent of Total Billed Charges,251.73,,299.49,83.4,,Percent of Total Billed Charges,292.31,,323.19,90,,Percent of Total Billed Charges,304.16,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,330.37,92,,Percent of Total Billed Charges,291.23,,330.37,92,,Percent of Total Billed Charges,267.17,,330.37,92,,Percent of Total Billed Charges,281.18,,330.37,92,,Percent of Total Billed Charges,291.23,,280.1,78,,Percent of Total Billed Charges,280.1,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,193.3,53.83,,Percent of Total Billed Charges,181.35,,124.39,34.64,,Percent of Total Billed Charges,123.89,,179.48,49.98,,Percent of Total Billed Charges,135.74,,124.39,330.37,,																																							
HC C02/MEMBANE DIFFUSE CAPACITY,94729,CPT,,,,BOTH, , ,324.45,272.54,298.49,92,,Percent of Total Billed Charges,271.24,,298.49,92,,Percent of Total Billed Charges,266.37,,298.49,92,,Percent of Total Billed Charges,261.18,,298.49,92,,Percent of Total Billed Charges,270.92,,298.49,92,,Percent of Total Billed Charges,244.31,,298.49,92,,Percent of Total Billed Charges,202.78,,292.01,90,,Percent of Total Billed Charges,161.9,,288.76,89,,Percent of Total Billed Charges,155.74,,267.35,82.4,,Percent of Total Billed Charges,266.7,,270.59,83.4,,Percent of Total Billed Charges,252.42,,270.59,83.4,,Percent of Total Billed Charges,227.44,,270.59,83.4,,Percent of Total Billed Charges,264.1,,292.01,90,,Percent of Total Billed Charges,274.81,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,298.49,92,,Percent of Total Billed Charges,263.13,,298.49,92,,Percent of Total Billed Charges,241.39,,298.49,92,,Percent of Total Billed Charges,254.04,,298.49,92,,Percent of Total Billed Charges,263.13,,253.07,78,,Percent of Total Billed Charges,253.07,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,174.65,53.83,,Percent of Total Billed Charges,163.85,,112.39,34.64,,Percent of Total Billed Charges,111.94,,162.16,49.98,,Percent of Total Billed Charges,122.64,,112.39,298.49,,																																							
HC O2 PROTOCOL SPOT CHECK,94760,CPT,,,,BOTH, , ,95.55,80.26,87.91,92,,Percent of Total Billed Charges,79.88,,87.91,92,,Percent of Total Billed Charges,78.45,,87.91,92,,Percent of Total Billed Charges,76.92,,87.91,92,,Percent of Total Billed Charges,79.78,,87.91,92,,Percent of Total Billed Charges,71.95,,87.91,92,,Percent of Total Billed Charges,59.72,,86,90,,Percent of Total Billed Charges,47.68,,85.04,89,,Percent of Total Billed Charges,45.86,,78.73,82.4,,Percent of Total Billed Charges,78.54,,79.69,83.4,,Percent of Total Billed Charges,74.34,,79.69,83.4,,Percent of Total Billed Charges,66.98,,79.69,83.4,,Percent of Total Billed Charges,77.78,,86,90,,Percent of Total Billed Charges,80.93,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,87.91,92,,Percent of Total Billed Charges,77.49,,87.91,92,,Percent of Total Billed Charges,71.09,,87.91,92,,Percent of Total Billed Charges,74.82,,87.91,92,,Percent of Total Billed Charges,77.49,,74.53,78,,Percent of Total Billed Charges,74.53,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,51.43,53.83,,Percent of Total Billed Charges,48.25,,33.1,34.64,,Percent of Total Billed Charges,32.96,,47.76,49.98,,Percent of Total Billed Charges,36.12,,33.10,87.91,,																																							
HC MEASURE BLOOD OXYGEN LEVEL; MULTIPLE,94761,CPT,,,,BOTH, , ,266.7,224.03,245.36,92,,Percent of Total Billed Charges,222.96,,245.36,92,,Percent of Total Billed Charges,218.96,,245.36,92,,Percent of Total Billed Charges,214.69,,245.36,92,,Percent of Total Billed Charges,222.69,,245.36,92,,Percent of Total Billed Charges,200.83,,245.36,92,,Percent of Total Billed Charges,166.69,,240.03,90,,Percent of Total Billed Charges,133.08,,237.36,89,,Percent of Total Billed Charges,128.02,,219.76,82.4,,Percent of Total Billed Charges,219.23,,222.43,83.4,,Percent of Total Billed Charges,207.49,,222.43,83.4,,Percent of Total Billed Charges,186.96,,222.43,83.4,,Percent of Total Billed Charges,217.09,,240.03,90,,Percent of Total Billed Charges,225.89,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,245.36,92,,Percent of Total Billed Charges,216.29,,245.36,92,,Percent of Total Billed Charges,198.42,,245.36,92,,Percent of Total Billed Charges,208.83,,245.36,92,,Percent of Total Billed Charges,216.29,,208.03,78,,Percent of Total Billed Charges,208.03,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,143.56,53.83,,Percent of Total Billed Charges,134.68,,92.38,34.64,,Percent of Total Billed Charges,92.01,,133.3,49.98,,Percent of Total Billed Charges,100.81,,92.38,245.36,,																																							
HC MEASURE BLOOD OXYGEN LEVEL; CONT OVERNIGHT MONITORING,94762,CPT,,,,BOTH, , ,52.5,44.1,48.3,92,,Percent of Total Billed Charges,43.89,,48.3,92,,Percent of Total Billed Charges,43.1,,48.3,92,,Percent of Total Billed Charges,42.26,,48.3,92,,Percent of Total Billed Charges,43.84,,48.3,92,,Percent of Total Billed Charges,39.53,,48.3,92,,Percent of Total Billed Charges,32.81,,47.25,90,,Percent of Total Billed Charges,26.2,,46.73,89,,Percent of Total Billed Charges,25.2,,43.26,82.4,,Percent of Total Billed Charges,43.16,,43.79,83.4,,Percent of Total Billed Charges,40.85,,43.79,83.4,,Percent of Total Billed Charges,36.8,,43.79,83.4,,Percent of Total Billed Charges,42.74,,47.25,90,,Percent of Total Billed Charges,44.47,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,48.3,92,,Percent of Total Billed Charges,42.58,,48.3,92,,Percent of Total Billed Charges,39.06,,48.3,92,,Percent of Total Billed Charges,41.11,,48.3,92,,Percent of Total Billed Charges,42.58,,40.95,78,,Percent of Total Billed Charges,40.95,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,28.26,53.83,,Percent of Total Billed Charges,26.51,,18.19,34.64,,Percent of Total Billed Charges,18.11,,26.24,49.98,,Percent of Total Billed Charges,19.85,,18.19,48.3,,																																							
HC EXTUBATION OF AIRWAY,94799,CPT,,,,BOTH, , ,300.3,252.25,276.28,92,,Percent of Total Billed Charges,251.05,,276.28,92,,Percent of Total Billed Charges,246.55,,276.28,92,,Percent of Total Billed Charges,241.74,,276.28,92,,Percent of Total Billed Charges,250.75,,276.28,92,,Percent of Total Billed Charges,226.13,,276.28,92,,Percent of Total Billed Charges,187.69,,270.27,90,,Percent of Total Billed Charges,149.85,,267.27,89,,Percent of Total Billed Charges,144.14,,247.45,82.4,,Percent of Total Billed Charges,246.85,,250.45,83.4,,Percent of Total Billed Charges,233.63,,250.45,83.4,,Percent of Total Billed Charges,210.51,,250.45,83.4,,Percent of Total Billed Charges,244.44,,270.27,90,,Percent of Total Billed Charges,254.35,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,276.28,92,,Percent of Total Billed Charges,243.54,,276.28,92,,Percent of Total Billed Charges,223.42,,276.28,92,,Percent of Total Billed Charges,235.13,,276.28,92,,Percent of Total Billed Charges,243.54,,234.23,78,,Percent of Total Billed Charges,234.23,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,161.65,53.83,,Percent of Total Billed Charges,151.65,,104.02,34.64,,Percent of Total Billed Charges,103.6,,150.09,49.98,,Percent of Total Billed Charges,113.51,,104.02,276.28,,																																							
HC NITRIC OXIDE EXPIRED GAS DETERM,95012,CPT,,,,BOTH, , ,116.55,97.9,107.23,92,,Percent of Total Billed Charges,97.44,,107.23,92,,Percent of Total Billed Charges,95.69,,107.23,92,,Percent of Total Billed Charges,93.82,,107.23,92,,Percent of Total Billed Charges,97.32,,107.23,92,,Percent of Total Billed Charges,87.76,,107.23,92,,Percent of Total Billed Charges,72.84,,104.9,90,,Percent of Total Billed Charges,58.16,,103.73,89,,Percent of Total Billed Charges,55.94,,96.04,82.4,,Percent of Total Billed Charges,95.8,,97.2,83.4,,Percent of Total Billed Charges,90.68,,97.2,83.4,,Percent of Total Billed Charges,81.7,,97.2,83.4,,Percent of Total Billed Charges,94.87,,104.9,90,,Percent of Total Billed Charges,98.72,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,107.23,92,,Percent of Total Billed Charges,94.52,,107.23,92,,Percent of Total Billed Charges,86.71,,107.23,92,,Percent of Total Billed Charges,91.26,,107.23,92,,Percent of Total Billed Charges,94.52,,90.91,78,,Percent of Total Billed Charges,90.91,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,62.74,53.83,,Percent of Total Billed Charges,58.86,,40.37,34.64,,Percent of Total Billed Charges,40.21,,58.25,49.98,,Percent of Total Billed Charges,44.06,,40.37,107.23,,																																							
HC PULSE OX SPOT CHECK,94760,CPT,,,,BOTH, , ,95.55,80.26,87.91,92,,Percent of Total Billed Charges,79.88,,87.91,92,,Percent of Total Billed Charges,78.45,,87.91,92,,Percent of Total Billed Charges,76.92,,87.91,92,,Percent of Total Billed Charges,79.78,,87.91,92,,Percent of Total Billed Charges,71.95,,87.91,92,,Percent of Total Billed Charges,59.72,,86,90,,Percent of Total Billed Charges,47.68,,85.04,89,,Percent of Total Billed Charges,45.86,,78.73,82.4,,Percent of Total Billed Charges,78.54,,79.69,83.4,,Percent of Total Billed Charges,74.34,,79.69,83.4,,Percent of Total Billed Charges,66.98,,79.69,83.4,,Percent of Total Billed Charges,77.78,,86,90,,Percent of Total Billed Charges,80.93,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,87.91,92,,Percent of Total Billed Charges,77.49,,87.91,92,,Percent of Total Billed Charges,71.09,,87.91,92,,Percent of Total Billed Charges,74.82,,87.91,92,,Percent of Total Billed Charges,77.49,,74.53,78,,Percent of Total Billed Charges,74.53,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,51.43,53.83,,Percent of Total Billed Charges,48.25,,33.1,34.64,,Percent of Total Billed Charges,32.96,,47.76,49.98,,Percent of Total Billed Charges,36.12,,33.10,87.91,,																																							
HC INCENTIVE SPIROMETRY,94799,CPT,,,,BOTH, , ,300.3,252.25,276.28,92,,Percent of Total Billed Charges,251.05,,276.28,92,,Percent of Total Billed Charges,246.55,,276.28,92,,Percent of Total Billed Charges,241.74,,276.28,92,,Percent of Total Billed Charges,250.75,,276.28,92,,Percent of Total Billed Charges,226.13,,276.28,92,,Percent of Total Billed Charges,187.69,,270.27,90,,Percent of Total Billed Charges,149.85,,267.27,89,,Percent of Total Billed Charges,144.14,,247.45,82.4,,Percent of Total Billed Charges,246.85,,250.45,83.4,,Percent of Total Billed Charges,233.63,,250.45,83.4,,Percent of Total Billed Charges,210.51,,250.45,83.4,,Percent of Total Billed Charges,244.44,,270.27,90,,Percent of Total Billed Charges,254.35,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,276.28,92,,Percent of Total Billed Charges,243.54,,276.28,92,,Percent of Total Billed Charges,223.42,,276.28,92,,Percent of Total Billed Charges,235.13,,276.28,92,,Percent of Total Billed Charges,243.54,,234.23,78,,Percent of Total Billed Charges,234.23,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,161.65,53.83,,Percent of Total Billed Charges,151.65,,104.02,34.64,,Percent of Total Billed Charges,103.6,,150.09,49.98,,Percent of Total Billed Charges,113.51,,104.02,276.28,,																																							
HC PEAK FLOW MEASUREMENTS PRE/POST,94799,CPT,,,,BOTH, , ,300.3,252.25,276.28,92,,Percent of Total Billed Charges,251.05,,276.28,92,,Percent of Total Billed Charges,246.55,,276.28,92,,Percent of Total Billed Charges,241.74,,276.28,92,,Percent of Total Billed Charges,250.75,,276.28,92,,Percent of Total Billed Charges,226.13,,276.28,92,,Percent of Total Billed Charges,187.69,,270.27,90,,Percent of Total Billed Charges,149.85,,267.27,89,,Percent of Total Billed Charges,144.14,,247.45,82.4,,Percent of Total Billed Charges,246.85,,250.45,83.4,,Percent of Total Billed Charges,233.63,,250.45,83.4,,Percent of Total Billed Charges,210.51,,250.45,83.4,,Percent of Total Billed Charges,244.44,,270.27,90,,Percent of Total Billed Charges,254.35,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,276.28,92,,Percent of Total Billed Charges,243.54,,276.28,92,,Percent of Total Billed Charges,223.42,,276.28,92,,Percent of Total Billed Charges,235.13,,276.28,92,,Percent of Total Billed Charges,243.54,,234.23,78,,Percent of Total Billed Charges,234.23,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,161.65,53.83,,Percent of Total Billed Charges,151.65,,104.02,34.64,,Percent of Total Billed Charges,103.6,,150.09,49.98,,Percent of Total Billed Charges,113.51,,104.02,276.28,,																																							
HC TRACHEOSTOMY TUBE CARE,94799,CPT,,,,BOTH, , ,300.3,252.25,276.28,92,,Percent of Total Billed Charges,251.05,,276.28,92,,Percent of Total Billed Charges,246.55,,276.28,92,,Percent of Total Billed Charges,241.74,,276.28,92,,Percent of Total Billed Charges,250.75,,276.28,92,,Percent of Total Billed Charges,226.13,,276.28,92,,Percent of Total Billed Charges,187.69,,270.27,90,,Percent of Total Billed Charges,149.85,,267.27,89,,Percent of Total Billed Charges,144.14,,247.45,82.4,,Percent of Total Billed Charges,246.85,,250.45,83.4,,Percent of Total Billed Charges,233.63,,250.45,83.4,,Percent of Total Billed Charges,210.51,,250.45,83.4,,Percent of Total Billed Charges,244.44,,270.27,90,,Percent of Total Billed Charges,254.35,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,276.28,92,,Percent of Total Billed Charges,243.54,,276.28,92,,Percent of Total Billed Charges,223.42,,276.28,92,,Percent of Total Billed Charges,235.13,,276.28,92,,Percent of Total Billed Charges,243.54,,234.23,78,,Percent of Total Billed Charges,234.23,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,161.65,53.83,,Percent of Total Billed Charges,151.65,,104.02,34.64,,Percent of Total Billed Charges,103.6,,150.09,49.98,,Percent of Total Billed Charges,113.51,,104.02,276.28,,																																							
HC EXERCISE TEST FOR BRONCHOSPASM,94617,CPT,,,,BOTH, , ,569.1,478.04,523.57,92,,Percent of Total Billed Charges,475.77,,523.57,92,,Percent of Total Billed Charges,467.23,,523.57,92,,Percent of Total Billed Charges,458.13,,523.57,92,,Percent of Total Billed Charges,475.2,,523.57,92,,Percent of Total Billed Charges,428.53,,523.57,92,,Percent of Total Billed Charges,355.69,,512.19,90,,Percent of Total Billed Charges,283.98,,506.5,89,,Percent of Total Billed Charges,273.17,,468.94,82.4,,Percent of Total Billed Charges,467.8,,474.63,83.4,,Percent of Total Billed Charges,442.76,,474.63,83.4,,Percent of Total Billed Charges,398.94,,474.63,83.4,,Percent of Total Billed Charges,463.25,,512.19,90,,Percent of Total Billed Charges,482.03,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,523.57,92,,Percent of Total Billed Charges,461.54,,523.57,92,,Percent of Total Billed Charges,423.41,,523.57,92,,Percent of Total Billed Charges,445.61,,523.57,92,,Percent of Total Billed Charges,461.54,,443.9,78,,Percent of Total Billed Charges,443.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,306.35,53.83,,Percent of Total Billed Charges,287.4,,197.14,34.64,,Percent of Total Billed Charges,196.34,,284.44,49.98,,Percent of Total Billed Charges,215.12,,197.14,523.57,,																																							
HC PULMONARY STRESS TESTING,94618,CPT,,,,BOTH, , ,569.1,478.04,523.57,92,,Percent of Total Billed Charges,475.77,,523.57,92,,Percent of Total Billed Charges,467.23,,523.57,92,,Percent of Total Billed Charges,458.13,,523.57,92,,Percent of Total Billed Charges,475.2,,523.57,92,,Percent of Total Billed Charges,428.53,,523.57,92,,Percent of Total Billed Charges,355.69,,512.19,90,,Percent of Total Billed Charges,283.98,,506.5,89,,Percent of Total Billed Charges,273.17,,468.94,82.4,,Percent of Total Billed Charges,467.8,,474.63,83.4,,Percent of Total Billed Charges,442.76,,474.63,83.4,,Percent of Total Billed Charges,398.94,,474.63,83.4,,Percent of Total Billed Charges,463.25,,512.19,90,,Percent of Total Billed Charges,482.03,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,523.57,92,,Percent of Total Billed Charges,461.54,,523.57,92,,Percent of Total Billed Charges,423.41,,523.57,92,,Percent of Total Billed Charges,445.61,,523.57,92,,Percent of Total Billed Charges,461.54,,443.9,78,,Percent of Total Billed Charges,443.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,306.35,53.83,,Percent of Total Billed Charges,287.4,,197.14,34.64,,Percent of Total Billed Charges,196.34,,284.44,49.98,,Percent of Total Billed Charges,215.12,,197.14,523.57,,																																							
HC NONINVASIVE EAR/PULSE OX SINGLE DETER PREOP,94760,CPT,,,,BOTH, , ,95.55,80.26,87.91,92,,Percent of Total Billed Charges,79.88,,87.91,92,,Percent of Total Billed Charges,78.45,,87.91,92,,Percent of Total Billed Charges,76.92,,87.91,92,,Percent of Total Billed Charges,79.78,,87.91,92,,Percent of Total Billed Charges,71.95,,87.91,92,,Percent of Total Billed Charges,59.72,,86,90,,Percent of Total Billed Charges,47.68,,85.04,89,,Percent of Total Billed Charges,45.86,,78.73,82.4,,Percent of Total Billed Charges,78.54,,79.69,83.4,,Percent of Total Billed Charges,74.34,,79.69,83.4,,Percent of Total Billed Charges,66.98,,79.69,83.4,,Percent of Total Billed Charges,77.78,,86,90,,Percent of Total Billed Charges,80.93,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,87.91,92,,Percent of Total Billed Charges,77.49,,87.91,92,,Percent of Total Billed Charges,71.09,,87.91,92,,Percent of Total Billed Charges,74.82,,87.91,92,,Percent of Total Billed Charges,77.49,,74.53,78,,Percent of Total Billed Charges,74.53,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,51.43,53.83,,Percent of Total Billed Charges,48.25,,33.1,34.64,,Percent of Total Billed Charges,32.96,,47.76,49.98,,Percent of Total Billed Charges,36.12,,33.10,87.91,,																																							
HC HEARING SCREEN OTOACOUSTIC EMISS, LIMITED,92587,CPT,,,,BOTH, , ,779.1,654.44,716.77,92,,Percent of Total Billed Charges,651.33,,716.77,92,,Percent of Total Billed Charges,639.64,,716.77,92,,Percent of Total Billed Charges,627.18,,716.77,92,,Percent of Total Billed Charges,650.55,,716.77,92,,Percent of Total Billed Charges,586.66,,716.77,92,,Percent of Total Billed Charges,486.94,,701.19,90,,Percent of Total Billed Charges,388.77,,693.4,89,,Percent of Total Billed Charges,373.97,,641.98,82.4,,Percent of Total Billed Charges,640.42,,649.77,83.4,,Percent of Total Billed Charges,606.14,,649.77,83.4,,Percent of Total Billed Charges,546.15,,649.77,83.4,,Percent of Total Billed Charges,634.19,,701.19,90,,Percent of Total Billed Charges,659.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,716.77,92,,Percent of Total Billed Charges,631.85,,716.77,92,,Percent of Total Billed Charges,579.65,,716.77,92,,Percent of Total Billed Charges,610.04,,716.77,92,,Percent of Total Billed Charges,631.85,,607.7,78,,Percent of Total Billed Charges,607.7,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,419.39,53.83,,Percent of Total Billed Charges,393.45,,269.88,34.64,,Percent of Total Billed Charges,268.79,,389.39,49.98,,Percent of Total Billed Charges,294.5,,269.88,716.77,,																																							
HC AEP SCR AUDITORY POTENTIAL W/STIMULI AUTO ALYS,92650,CPT,,,,BOTH, , ,779.1,654.44,716.77,92,,Percent of Total Billed Charges,651.33,,716.77,92,,Percent of Total Billed Charges,639.64,,716.77,92,,Percent of Total Billed Charges,627.18,,716.77,92,,Percent of Total Billed Charges,650.55,,716.77,92,,Percent of Total Billed Charges,586.66,,716.77,92,,Percent of Total Billed Charges,486.94,,701.19,90,,Percent of Total Billed Charges,388.77,,693.4,89,,Percent of Total Billed Charges,373.97,,641.98,82.4,,Percent of Total Billed Charges,640.42,,649.77,83.4,,Percent of Total Billed Charges,606.14,,649.77,83.4,,Percent of Total Billed Charges,546.15,,649.77,83.4,,Percent of Total Billed Charges,634.19,,701.19,90,,Percent of Total Billed Charges,659.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,716.77,92,,Percent of Total Billed Charges,631.85,,716.77,92,,Percent of Total Billed Charges,579.65,,716.77,92,,Percent of Total Billed Charges,610.04,,716.77,92,,Percent of Total Billed Charges,631.85,,607.7,78,,Percent of Total Billed Charges,607.7,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,419.39,53.83,,Percent of Total Billed Charges,393.45,,269.88,34.64,,Percent of Total Billed Charges,268.79,,389.39,49.98,,Percent of Total Billed Charges,294.5,,269.88,716.77,,																																							
HC HEART/LUNG RESUSCITATION CPR,92950,CPT,,,,BOTH, , ,909.3,763.81,836.56,92,,Percent of Total Billed Charges,760.17,,836.56,92,,Percent of Total Billed Charges,746.54,,836.56,92,,Percent of Total Billed Charges,731.99,,836.56,92,,Percent of Total Billed Charges,759.27,,836.56,92,,Percent of Total Billed Charges,684.7,,836.56,92,,Percent of Total Billed Charges,568.31,,818.37,90,,Percent of Total Billed Charges,453.74,,809.28,89,,Percent of Total Billed Charges,436.46,,749.26,82.4,,Percent of Total Billed Charges,747.44,,758.36,83.4,,Percent of Total Billed Charges,707.44,,758.36,83.4,,Percent of Total Billed Charges,637.42,,758.36,83.4,,Percent of Total Billed Charges,740.17,,818.37,90,,Percent of Total Billed Charges,770.18,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,836.56,92,,Percent of Total Billed Charges,737.44,,836.56,92,,Percent of Total Billed Charges,676.52,,836.56,92,,Percent of Total Billed Charges,711.98,,836.56,92,,Percent of Total Billed Charges,737.44,,709.25,78,,Percent of Total Billed Charges,709.25,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,489.48,53.83,,Percent of Total Billed Charges,459.2,,314.98,34.64,,Percent of Total Billed Charges,313.71,,454.47,49.98,,Percent of Total Billed Charges,343.72,,314.98,836.56,,																																							
HC CARDIOVERSION ELECTRICAL EXT,92960,CPT,,,,BOTH, , ,212.1,178.16,195.13,92,,Percent of Total Billed Charges,177.32,,195.13,92,,Percent of Total Billed Charges,174.13,,195.13,92,,Percent of Total Billed Charges,170.74,,195.13,92,,Percent of Total Billed Charges,177.1,,195.13,92,,Percent of Total Billed Charges,159.71,,195.13,92,,Percent of Total Billed Charges,132.56,,190.89,90,,Percent of Total Billed Charges,105.84,,188.77,89,,Percent of Total Billed Charges,101.81,,174.77,82.4,,Percent of Total Billed Charges,174.35,,176.89,83.4,,Percent of Total Billed Charges,165.01,,176.89,83.4,,Percent of Total Billed Charges,148.68,,176.89,83.4,,Percent of Total Billed Charges,172.65,,190.89,90,,Percent of Total Billed Charges,179.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,195.13,92,,Percent of Total Billed Charges,172.01,,195.13,92,,Percent of Total Billed Charges,157.8,,195.13,92,,Percent of Total Billed Charges,166.07,,195.13,92,,Percent of Total Billed Charges,172.01,,165.44,78,,Percent of Total Billed Charges,165.44,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,114.17,53.83,,Percent of Total Billed Charges,107.11,,73.47,34.64,,Percent of Total Billed Charges,73.17,,106.01,49.98,,Percent of Total Billed Charges,80.17,,73.47,195.13,,																																							
HC ECHO PEDS COMPLETE,93303,CPT,,,,BOTH, , ,2034.9,1709.32,1872.11,92,,Percent of Total Billed Charges,1701.18,,1872.11,92,,Percent of Total Billed Charges,1670.65,,1872.11,92,,Percent of Total Billed Charges,1638.09,,1872.11,92,,Percent of Total Billed Charges,1699.14,,1872.11,92,,Percent of Total Billed Charges,1532.28,,1872.11,92,,Percent of Total Billed Charges,1271.81,,1831.41,90,,Percent of Total Billed Charges,1015.42,,1811.06,89,,Percent of Total Billed Charges,976.75,,1676.76,82.4,,Percent of Total Billed Charges,1672.69,,1697.11,83.4,,Percent of Total Billed Charges,1583.15,,1697.11,83.4,,Percent of Total Billed Charges,1426.46,,1697.11,83.4,,Percent of Total Billed Charges,1656.41,,1831.41,90,,Percent of Total Billed Charges,1723.56,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1872.11,92,,Percent of Total Billed Charges,1650.3,,1872.11,92,,Percent of Total Billed Charges,1513.97,,1872.11,92,,Percent of Total Billed Charges,1593.33,,1872.11,92,,Percent of Total Billed Charges,1650.3,,1587.22,78,,Percent of Total Billed Charges,1587.22,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1095.39,53.83,,Percent of Total Billed Charges,1027.62,,704.89,34.64,,Percent of Total Billed Charges,702.04,,1017.04,49.98,,Percent of Total Billed Charges,769.19,,704.89,1872.11,,																																							
HC ECHO PEDS FU/LIMITED,93304,CPT,,,,BOTH, , ,855.75,718.83,787.29,92,,Percent of Total Billed Charges,715.41,,787.29,92,,Percent of Total Billed Charges,702.57,,787.29,92,,Percent of Total Billed Charges,688.88,,787.29,92,,Percent of Total Billed Charges,714.55,,787.29,92,,Percent of Total Billed Charges,644.38,,787.29,92,,Percent of Total Billed Charges,534.84,,770.18,90,,Percent of Total Billed Charges,427.02,,761.62,89,,Percent of Total Billed Charges,410.76,,705.14,82.4,,Percent of Total Billed Charges,703.43,,713.7,83.4,,Percent of Total Billed Charges,665.77,,713.7,83.4,,Percent of Total Billed Charges,599.88,,713.7,83.4,,Percent of Total Billed Charges,696.58,,770.18,90,,Percent of Total Billed Charges,724.82,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,787.29,92,,Percent of Total Billed Charges,694.01,,787.29,92,,Percent of Total Billed Charges,636.68,,787.29,92,,Percent of Total Billed Charges,670.05,,787.29,92,,Percent of Total Billed Charges,694.01,,667.49,78,,Percent of Total Billed Charges,667.49,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,460.65,53.83,,Percent of Total Billed Charges,432.15,,296.43,34.64,,Percent of Total Billed Charges,295.23,,427.7,49.98,,Percent of Total Billed Charges,323.47,,296.43,787.29,,																																							
HC ECHO 2D W/ DOPPLER & COLOR FLOW; COMPLETE,93306,CPT,,,,BOTH, , ,3305.4,2776.54,3040.97,92,,Percent of Total Billed Charges,2763.31,,3040.97,92,,Percent of Total Billed Charges,2713.73,,3040.97,92,,Percent of Total Billed Charges,2660.85,,3040.97,92,,Percent of Total Billed Charges,2760.01,,3040.97,92,,Percent of Total Billed Charges,2488.97,,3040.97,92,,Percent of Total Billed Charges,2065.88,,2974.86,90,,Percent of Total Billed Charges,1649.39,,2941.81,89,,Percent of Total Billed Charges,1586.59,,2723.65,82.4,,Percent of Total Billed Charges,2717.04,,2756.7,83.4,,Percent of Total Billed Charges,2571.6,,2756.7,83.4,,Percent of Total Billed Charges,2317.09,,2756.7,83.4,,Percent of Total Billed Charges,2690.6,,2974.86,90,,Percent of Total Billed Charges,2799.67,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3040.97,92,,Percent of Total Billed Charges,2680.68,,3040.97,92,,Percent of Total Billed Charges,2459.22,,3040.97,92,,Percent of Total Billed Charges,2588.13,,3040.97,92,,Percent of Total Billed Charges,2680.68,,2578.21,78,,Percent of Total Billed Charges,2578.21,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1779.3,53.83,,Percent of Total Billed Charges,1669.23,,1144.99,34.64,,Percent of Total Billed Charges,1140.36,,1652.04,49.98,,Percent of Total Billed Charges,1249.44,,1144.99,3040.97,,																																							
HC ECHO 2D W/O DOPPLER & COLOR FLOW; COMPLETE,93307,CPT,,,,BOTH, , ,1578.15,1325.65,1451.9,92,,Percent of Total Billed Charges,1319.33,,1451.9,92,,Percent of Total Billed Charges,1295.66,,1451.9,92,,Percent of Total Billed Charges,1270.41,,1451.9,92,,Percent of Total Billed Charges,1317.76,,1451.9,92,,Percent of Total Billed Charges,1188.35,,1451.9,92,,Percent of Total Billed Charges,986.34,,1420.34,90,,Percent of Total Billed Charges,787.5,,1404.55,89,,Percent of Total Billed Charges,757.51,,1300.4,82.4,,Percent of Total Billed Charges,1297.24,,1316.18,83.4,,Percent of Total Billed Charges,1227.8,,1316.18,83.4,,Percent of Total Billed Charges,1106.28,,1316.18,83.4,,Percent of Total Billed Charges,1284.61,,1420.34,90,,Percent of Total Billed Charges,1336.69,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1451.9,92,,Percent of Total Billed Charges,1279.88,,1451.9,92,,Percent of Total Billed Charges,1174.14,,1451.9,92,,Percent of Total Billed Charges,1235.69,,1451.9,92,,Percent of Total Billed Charges,1279.88,,1230.96,78,,Percent of Total Billed Charges,1230.96,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,849.52,53.83,,Percent of Total Billed Charges,796.97,,546.67,34.64,,Percent of Total Billed Charges,544.46,,788.76,49.98,,Percent of Total Billed Charges,596.54,,546.67,1451.9,,																																							
HC ECHO 2D FU/LIMITED,93308,CPT,,,,BOTH, , ,1075.2,903.17,989.18,92,,Percent of Total Billed Charges,898.87,,989.18,92,,Percent of Total Billed Charges,882.74,,989.18,92,,Percent of Total Billed Charges,865.54,,989.18,92,,Percent of Total Billed Charges,897.79,,989.18,92,,Percent of Total Billed Charges,809.63,,989.18,92,,Percent of Total Billed Charges,672,,967.68,90,,Percent of Total Billed Charges,536.52,,956.93,89,,Percent of Total Billed Charges,516.1,,885.96,82.4,,Percent of Total Billed Charges,883.81,,896.72,83.4,,Percent of Total Billed Charges,836.51,,896.72,83.4,,Percent of Total Billed Charges,753.72,,896.72,83.4,,Percent of Total Billed Charges,875.21,,967.68,90,,Percent of Total Billed Charges,910.69,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,989.18,92,,Percent of Total Billed Charges,871.99,,989.18,92,,Percent of Total Billed Charges,799.95,,989.18,92,,Percent of Total Billed Charges,841.88,,989.18,92,,Percent of Total Billed Charges,871.99,,838.66,78,,Percent of Total Billed Charges,838.66,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,578.78,53.83,,Percent of Total Billed Charges,542.98,,372.45,34.64,,Percent of Total Billed Charges,370.94,,537.38,49.98,,Percent of Total Billed Charges,406.43,,372.45,989.18,,																																							
HC ECHO TRANSESOPHAGEAL (TEE),93312,CPT,,,,BOTH, , ,2954.7,2481.95,2718.32,92,,Percent of Total Billed Charges,2470.13,,2718.32,92,,Percent of Total Billed Charges,2425.81,,2718.32,92,,Percent of Total Billed Charges,2378.53,,2718.32,92,,Percent of Total Billed Charges,2467.17,,2718.32,92,,Percent of Total Billed Charges,2224.89,,2718.32,92,,Percent of Total Billed Charges,1846.69,,2659.23,90,,Percent of Total Billed Charges,1474.4,,2629.68,89,,Percent of Total Billed Charges,1418.26,,2434.67,82.4,,Percent of Total Billed Charges,2428.76,,2464.22,83.4,,Percent of Total Billed Charges,2298.76,,2464.22,83.4,,Percent of Total Billed Charges,2071.24,,2464.22,83.4,,Percent of Total Billed Charges,2405.13,,2659.23,90,,Percent of Total Billed Charges,2502.63,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2718.32,92,,Percent of Total Billed Charges,2396.26,,2718.32,92,,Percent of Total Billed Charges,2198.3,,2718.32,92,,Percent of Total Billed Charges,2313.53,,2718.32,92,,Percent of Total Billed Charges,2396.26,,2304.67,78,,Percent of Total Billed Charges,2304.67,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1590.52,53.83,,Percent of Total Billed Charges,1492.12,,1023.51,34.64,,Percent of Total Billed Charges,1019.37,,1476.76,49.98,,Percent of Total Billed Charges,1116.88,,1023.51,2718.32,,																																							
HC ECHO CARDIAC DOPPLER; COMPLETE,93320,CPT,,,,BOTH, , ,838.95,704.72,771.83,92,,Percent of Total Billed Charges,701.36,,771.83,92,,Percent of Total Billed Charges,688.78,,771.83,92,,Percent of Total Billed Charges,675.35,,771.83,92,,Percent of Total Billed Charges,700.52,,771.83,92,,Percent of Total Billed Charges,631.73,,771.83,92,,Percent of Total Billed Charges,524.34,,755.06,90,,Percent of Total Billed Charges,418.64,,746.67,89,,Percent of Total Billed Charges,402.7,,691.29,82.4,,Percent of Total Billed Charges,689.62,,699.68,83.4,,Percent of Total Billed Charges,652.7,,699.68,83.4,,Percent of Total Billed Charges,588.1,,699.68,83.4,,Percent of Total Billed Charges,682.91,,755.06,90,,Percent of Total Billed Charges,710.59,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,771.83,92,,Percent of Total Billed Charges,680.39,,771.83,92,,Percent of Total Billed Charges,624.18,,771.83,92,,Percent of Total Billed Charges,656.9,,771.83,92,,Percent of Total Billed Charges,680.39,,654.38,78,,Percent of Total Billed Charges,654.38,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,451.61,53.83,,Percent of Total Billed Charges,423.67,,290.61,34.64,,Percent of Total Billed Charges,289.44,,419.31,49.98,,Percent of Total Billed Charges,317.12,,290.61,771.83,,																																							
HC ECHO CARDIAC DOPPLER; FU/LIMITED,93321,CPT,,,,BOTH, , ,86.1,72.32,79.21,92,,Percent of Total Billed Charges,71.98,,79.21,92,,Percent of Total Billed Charges,70.69,,79.21,92,,Percent of Total Billed Charges,69.31,,79.21,92,,Percent of Total Billed Charges,71.89,,79.21,92,,Percent of Total Billed Charges,64.83,,79.21,92,,Percent of Total Billed Charges,53.81,,77.49,90,,Percent of Total Billed Charges,42.96,,76.63,89,,Percent of Total Billed Charges,41.33,,70.95,82.4,,Percent of Total Billed Charges,70.77,,71.81,83.4,,Percent of Total Billed Charges,66.99,,71.81,83.4,,Percent of Total Billed Charges,60.36,,71.81,83.4,,Percent of Total Billed Charges,70.09,,77.49,90,,Percent of Total Billed Charges,72.93,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,79.21,92,,Percent of Total Billed Charges,69.83,,79.21,92,,Percent of Total Billed Charges,64.06,,79.21,92,,Percent of Total Billed Charges,67.42,,79.21,92,,Percent of Total Billed Charges,69.83,,67.16,78,,Percent of Total Billed Charges,67.16,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,46.35,53.83,,Percent of Total Billed Charges,43.48,,29.83,34.64,,Percent of Total Billed Charges,29.7,,43.03,49.98,,Percent of Total Billed Charges,32.55,,29.83,79.21,,																																							
HC ECHO CARDIAC DOPPLER COLOR FLOW ADDON,93325,CPT,,,,BOTH, , ,677.25,568.89,623.07,92,,Percent of Total Billed Charges,566.18,,623.07,92,,Percent of Total Billed Charges,556.02,,623.07,92,,Percent of Total Billed Charges,545.19,,623.07,92,,Percent of Total Billed Charges,565.5,,623.07,92,,Percent of Total Billed Charges,509.97,,623.07,92,,Percent of Total Billed Charges,423.28,,609.53,90,,Percent of Total Billed Charges,337.95,,602.75,89,,Percent of Total Billed Charges,325.08,,558.05,82.4,,Percent of Total Billed Charges,556.7,,564.83,83.4,,Percent of Total Billed Charges,526.9,,564.83,83.4,,Percent of Total Billed Charges,474.75,,564.83,83.4,,Percent of Total Billed Charges,551.28,,609.53,90,,Percent of Total Billed Charges,573.63,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,623.07,92,,Percent of Total Billed Charges,549.25,,623.07,92,,Percent of Total Billed Charges,503.87,,623.07,92,,Percent of Total Billed Charges,530.29,,623.07,92,,Percent of Total Billed Charges,549.25,,528.26,78,,Percent of Total Billed Charges,528.26,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,364.56,53.83,,Percent of Total Billed Charges,342.01,,234.6,34.64,,Percent of Total Billed Charges,233.65,,338.49,49.98,,Percent of Total Billed Charges,256,,234.60,623.07,,																																							
HC STRESS TTE ONLY,93350,CPT,,,,BOTH, , ,1187.55,997.54,1092.55,92,,Percent of Total Billed Charges,992.79,,1092.55,92,,Percent of Total Billed Charges,974.98,,1092.55,92,,Percent of Total Billed Charges,955.98,,1092.55,92,,Percent of Total Billed Charges,991.6,,1092.55,92,,Percent of Total Billed Charges,894.23,,1092.55,92,,Percent of Total Billed Charges,742.22,,1068.8,90,,Percent of Total Billed Charges,592.59,,1056.92,89,,Percent of Total Billed Charges,570.02,,978.54,82.4,,Percent of Total Billed Charges,976.17,,990.42,83.4,,Percent of Total Billed Charges,923.91,,990.42,83.4,,Percent of Total Billed Charges,832.47,,990.42,83.4,,Percent of Total Billed Charges,966.67,,1068.8,90,,Percent of Total Billed Charges,1005.85,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1092.55,92,,Percent of Total Billed Charges,963.1,,1092.55,92,,Percent of Total Billed Charges,883.54,,1092.55,92,,Percent of Total Billed Charges,929.85,,1092.55,92,,Percent of Total Billed Charges,963.1,,926.29,78,,Percent of Total Billed Charges,926.29,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,639.26,53.83,,Percent of Total Billed Charges,599.71,,411.37,34.64,,Percent of Total Billed Charges,409.7,,593.54,49.98,,Percent of Total Billed Charges,448.89,,411.37,1092.55,,																																							
HC STRESS TTE COMPLETE,93351,CPT,,,,BOTH, , ,1811.25,1521.45,1666.35,92,,Percent of Total Billed Charges,1514.21,,1666.35,92,,Percent of Total Billed Charges,1487.04,,1666.35,92,,Percent of Total Billed Charges,1458.06,,1666.35,92,,Percent of Total Billed Charges,1512.39,,1666.35,92,,Percent of Total Billed Charges,1363.87,,1666.35,92,,Percent of Total Billed Charges,1132.03,,1630.13,90,,Percent of Total Billed Charges,903.81,,1612.01,89,,Percent of Total Billed Charges,869.4,,1492.47,82.4,,Percent of Total Billed Charges,1488.85,,1510.58,83.4,,Percent of Total Billed Charges,1409.15,,1510.58,83.4,,Percent of Total Billed Charges,1269.69,,1510.58,83.4,,Percent of Total Billed Charges,1474.36,,1630.13,90,,Percent of Total Billed Charges,1534.13,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1666.35,92,,Percent of Total Billed Charges,1468.92,,1666.35,92,,Percent of Total Billed Charges,1347.57,,1666.35,92,,Percent of Total Billed Charges,1418.21,,1666.35,92,,Percent of Total Billed Charges,1468.92,,1412.78,78,,Percent of Total Billed Charges,1412.78,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,975,53.83,,Percent of Total Billed Charges,914.68,,627.42,34.64,,Percent of Total Billed Charges,624.88,,905.26,49.98,,Percent of Total Billed Charges,684.65,,627.42,1666.35,,																																							
HC ELECTROPHYSIOLOGY EVALUATION,93642,CPT,,,,BOTH, , ,4270.35,3587.09,3928.72,92,,Percent of Total Billed Charges,3570.01,,3928.72,92,,Percent of Total Billed Charges,3505.96,,3928.72,92,,Percent of Total Billed Charges,3437.63,,3928.72,92,,Percent of Total Billed Charges,3565.74,,3928.72,92,,Percent of Total Billed Charges,3215.57,,3928.72,92,,Percent of Total Billed Charges,2668.97,,3843.32,90,,Percent of Total Billed Charges,2130.9,,3800.61,89,,Percent of Total Billed Charges,2049.77,,3518.77,82.4,,Percent of Total Billed Charges,3510.23,,3561.47,83.4,,Percent of Total Billed Charges,3322.33,,3561.47,83.4,,Percent of Total Billed Charges,2993.52,,3561.47,83.4,,Percent of Total Billed Charges,3476.06,,3843.32,90,,Percent of Total Billed Charges,3616.99,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3928.72,92,,Percent of Total Billed Charges,3463.25,,3928.72,92,,Percent of Total Billed Charges,3177.14,,3928.72,92,,Percent of Total Billed Charges,3343.68,,3928.72,92,,Percent of Total Billed Charges,3463.25,,3330.87,78,,Percent of Total Billed Charges,3330.87,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2298.73,53.83,,Percent of Total Billed Charges,2156.53,,1479.25,34.64,,Percent of Total Billed Charges,1473.27,,2134.32,49.98,,Percent of Total Billed Charges,1614.19,,1479.25,3928.72,,																																							
HC TILT TABLE EVALUATION,93660,CPT,,,,BOTH, , ,1310.4,1100.74,1205.57,92,,Percent of Total Billed Charges,1095.49,,1205.57,92,,Percent of Total Billed Charges,1075.84,,1205.57,92,,Percent of Total Billed Charges,1054.87,,1205.57,92,,Percent of Total Billed Charges,1094.18,,1205.57,92,,Percent of Total Billed Charges,986.73,,1205.57,92,,Percent of Total Billed Charges,819,,1179.36,90,,Percent of Total Billed Charges,653.89,,1166.26,89,,Percent of Total Billed Charges,628.99,,1079.77,82.4,,Percent of Total Billed Charges,1077.15,,1092.87,83.4,,Percent of Total Billed Charges,1019.49,,1092.87,83.4,,Percent of Total Billed Charges,918.59,,1092.87,83.4,,Percent of Total Billed Charges,1066.67,,1179.36,90,,Percent of Total Billed Charges,1109.91,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1205.57,92,,Percent of Total Billed Charges,1062.73,,1205.57,92,,Percent of Total Billed Charges,974.94,,1205.57,92,,Percent of Total Billed Charges,1026.04,,1205.57,92,,Percent of Total Billed Charges,1062.73,,1022.11,78,,Percent of Total Billed Charges,1022.11,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,705.39,53.83,,Percent of Total Billed Charges,661.75,,453.92,34.64,,Percent of Total Billed Charges,452.09,,654.94,49.98,,Percent of Total Billed Charges,495.33,,453.92,1205.57,,																																							
HC TTE W OR WO FOL WCON,DOPPLER,C8929,CPT,,,,BOTH, , ,2401.35,2017.13,2209.24,92,,Percent of Total Billed Charges,2007.53,,2209.24,92,,Percent of Total Billed Charges,1971.51,,2209.24,92,,Percent of Total Billed Charges,1933.09,,2209.24,92,,Percent of Total Billed Charges,2005.13,,2209.24,92,,Percent of Total Billed Charges,1808.22,,2209.24,92,,Percent of Total Billed Charges,1500.84,,2161.22,90,,Percent of Total Billed Charges,1198.27,,2137.2,89,,Percent of Total Billed Charges,1152.65,,1978.71,82.4,,Percent of Total Billed Charges,1973.91,,2002.73,83.4,,Percent of Total Billed Charges,1868.25,,2002.73,83.4,,Percent of Total Billed Charges,1683.35,,2002.73,83.4,,Percent of Total Billed Charges,1954.7,,2161.22,90,,Percent of Total Billed Charges,2033.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2209.24,92,,Percent of Total Billed Charges,1947.49,,2209.24,92,,Percent of Total Billed Charges,1786.6,,2209.24,92,,Percent of Total Billed Charges,1880.26,,2209.24,92,,Percent of Total Billed Charges,1947.49,,1873.05,78,,Percent of Total Billed Charges,1873.05,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1292.65,53.83,,Percent of Total Billed Charges,1212.68,,831.83,34.64,,Percent of Total Billed Charges,828.47,,1200.19,49.98,,Percent of Total Billed Charges,907.71,,831.83,2209.24,,																																							
HC TTE CONGENITAL COMPLETE WITH CONTRAST,C8921,CPT,,,,BOTH, , ,2484.3,2086.81,2285.56,92,,Percent of Total Billed Charges,2076.87,,2285.56,92,,Percent of Total Billed Charges,2039.61,,2285.56,92,,Percent of Total Billed Charges,1999.86,,2285.56,92,,Percent of Total Billed Charges,2074.39,,2285.56,92,,Percent of Total Billed Charges,1870.68,,2285.56,92,,Percent of Total Billed Charges,1552.69,,2235.87,90,,Percent of Total Billed Charges,1239.67,,2211.03,89,,Percent of Total Billed Charges,1192.46,,2047.06,82.4,,Percent of Total Billed Charges,2042.09,,2071.91,83.4,,Percent of Total Billed Charges,1932.79,,2071.91,83.4,,Percent of Total Billed Charges,1741.49,,2071.91,83.4,,Percent of Total Billed Charges,2022.22,,2235.87,90,,Percent of Total Billed Charges,2104.2,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2285.56,92,,Percent of Total Billed Charges,2014.77,,2285.56,92,,Percent of Total Billed Charges,1848.32,,2285.56,92,,Percent of Total Billed Charges,1945.21,,2285.56,92,,Percent of Total Billed Charges,2014.77,,1937.75,78,,Percent of Total Billed Charges,1937.75,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1337.3,53.83,,Percent of Total Billed Charges,1254.57,,860.56,34.64,,Percent of Total Billed Charges,857.08,,1241.65,49.98,,Percent of Total Billed Charges,939.07,,860.56,2285.56,,																																							
HC TTE CONGENITAL FOLLOW UP OR LIMITED WITH CONTRAST,C8922,CPT,,,,BOTH, , ,2484.3,2086.81,2285.56,92,,Percent of Total Billed Charges,2076.87,,2285.56,92,,Percent of Total Billed Charges,2039.61,,2285.56,92,,Percent of Total Billed Charges,1999.86,,2285.56,92,,Percent of Total Billed Charges,2074.39,,2285.56,92,,Percent of Total Billed Charges,1870.68,,2285.56,92,,Percent of Total Billed Charges,1552.69,,2235.87,90,,Percent of Total Billed Charges,1239.67,,2211.03,89,,Percent of Total Billed Charges,1192.46,,2047.06,82.4,,Percent of Total Billed Charges,2042.09,,2071.91,83.4,,Percent of Total Billed Charges,1932.79,,2071.91,83.4,,Percent of Total Billed Charges,1741.49,,2071.91,83.4,,Percent of Total Billed Charges,2022.22,,2235.87,90,,Percent of Total Billed Charges,2104.2,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2285.56,92,,Percent of Total Billed Charges,2014.77,,2285.56,92,,Percent of Total Billed Charges,1848.32,,2285.56,92,,Percent of Total Billed Charges,1945.21,,2285.56,92,,Percent of Total Billed Charges,2014.77,,1937.75,78,,Percent of Total Billed Charges,1937.75,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1337.3,53.83,,Percent of Total Billed Charges,1254.57,,860.56,34.64,,Percent of Total Billed Charges,857.08,,1241.65,49.98,,Percent of Total Billed Charges,939.07,,860.56,2285.56,,																																							
HC TTE COMPLETE W/O DOPPLER, CF WITH CONTRAST,C8923,CPT,,,,BOTH, , ,2484.3,2086.81,2285.56,92,,Percent of Total Billed Charges,2076.87,,2285.56,92,,Percent of Total Billed Charges,2039.61,,2285.56,92,,Percent of Total Billed Charges,1999.86,,2285.56,92,,Percent of Total Billed Charges,2074.39,,2285.56,92,,Percent of Total Billed Charges,1870.68,,2285.56,92,,Percent of Total Billed Charges,1552.69,,2235.87,90,,Percent of Total Billed Charges,1239.67,,2211.03,89,,Percent of Total Billed Charges,1192.46,,2047.06,82.4,,Percent of Total Billed Charges,2042.09,,2071.91,83.4,,Percent of Total Billed Charges,1932.79,,2071.91,83.4,,Percent of Total Billed Charges,1741.49,,2071.91,83.4,,Percent of Total Billed Charges,2022.22,,2235.87,90,,Percent of Total Billed Charges,2104.2,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2285.56,92,,Percent of Total Billed Charges,2014.77,,2285.56,92,,Percent of Total Billed Charges,1848.32,,2285.56,92,,Percent of Total Billed Charges,1945.21,,2285.56,92,,Percent of Total Billed Charges,2014.77,,1937.75,78,,Percent of Total Billed Charges,1937.75,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1337.3,53.83,,Percent of Total Billed Charges,1254.57,,860.56,34.64,,Percent of Total Billed Charges,857.08,,1241.65,49.98,,Percent of Total Billed Charges,939.07,,860.56,2285.56,,																																							
HC TTE FOLLOW UP OR LIMITED WITH CONTRAST,C8924,CPT,,,,BOTH, , ,1662.15,1396.21,1529.18,92,,Percent of Total Billed Charges,1389.56,,1529.18,92,,Percent of Total Billed Charges,1364.63,,1529.18,92,,Percent of Total Billed Charges,1338.03,,1529.18,92,,Percent of Total Billed Charges,1387.9,,1529.18,92,,Percent of Total Billed Charges,1251.6,,1529.18,92,,Percent of Total Billed Charges,1038.84,,1495.94,90,,Percent of Total Billed Charges,829.41,,1479.31,89,,Percent of Total Billed Charges,797.83,,1369.61,82.4,,Percent of Total Billed Charges,1366.29,,1386.23,83.4,,Percent of Total Billed Charges,1293.15,,1386.23,83.4,,Percent of Total Billed Charges,1165.17,,1386.23,83.4,,Percent of Total Billed Charges,1352.99,,1495.94,90,,Percent of Total Billed Charges,1407.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1529.18,92,,Percent of Total Billed Charges,1348,,1529.18,92,,Percent of Total Billed Charges,1236.64,,1529.18,92,,Percent of Total Billed Charges,1301.46,,1529.18,92,,Percent of Total Billed Charges,1348,,1296.48,78,,Percent of Total Billed Charges,1296.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,894.74,53.83,,Percent of Total Billed Charges,839.39,,575.77,34.64,,Percent of Total Billed Charges,573.44,,830.74,49.98,,Percent of Total Billed Charges,628.29,,575.77,1529.18,,																																							
HC TEE PLACEMENT, ACQ, INTER, REPORT WITH CONTRAST,C8925,CPT,,,,BOTH, , ,2484.3,2086.81,2285.56,92,,Percent of Total Billed Charges,2076.87,,2285.56,92,,Percent of Total Billed Charges,2039.61,,2285.56,92,,Percent of Total Billed Charges,1999.86,,2285.56,92,,Percent of Total Billed Charges,2074.39,,2285.56,92,,Percent of Total Billed Charges,1870.68,,2285.56,92,,Percent of Total Billed Charges,1552.69,,2235.87,90,,Percent of Total Billed Charges,1239.67,,2211.03,89,,Percent of Total Billed Charges,1192.46,,2047.06,82.4,,Percent of Total Billed Charges,2042.09,,2071.91,83.4,,Percent of Total Billed Charges,1932.79,,2071.91,83.4,,Percent of Total Billed Charges,1741.49,,2071.91,83.4,,Percent of Total Billed Charges,2022.22,,2235.87,90,,Percent of Total Billed Charges,2104.2,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2285.56,92,,Percent of Total Billed Charges,2014.77,,2285.56,92,,Percent of Total Billed Charges,1848.32,,2285.56,92,,Percent of Total Billed Charges,1945.21,,2285.56,92,,Percent of Total Billed Charges,2014.77,,1937.75,78,,Percent of Total Billed Charges,1937.75,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1337.3,53.83,,Percent of Total Billed Charges,1254.57,,860.56,34.64,,Percent of Total Billed Charges,857.08,,1241.65,49.98,,Percent of Total Billed Charges,939.07,,860.56,2285.56,,																																							
HC TEE CONGENITAL PLACEMENT, IMAGE, INTER, REPORT WITH CONTRAST,C8926,CPT,,,,BOTH, , ,2484.3,2086.81,2285.56,92,,Percent of Total Billed Charges,2076.87,,2285.56,92,,Percent of Total Billed Charges,2039.61,,2285.56,92,,Percent of Total Billed Charges,1999.86,,2285.56,92,,Percent of Total Billed Charges,2074.39,,2285.56,92,,Percent of Total Billed Charges,1870.68,,2285.56,92,,Percent of Total Billed Charges,1552.69,,2235.87,90,,Percent of Total Billed Charges,1239.67,,2211.03,89,,Percent of Total Billed Charges,1192.46,,2047.06,82.4,,Percent of Total Billed Charges,2042.09,,2071.91,83.4,,Percent of Total Billed Charges,1932.79,,2071.91,83.4,,Percent of Total Billed Charges,1741.49,,2071.91,83.4,,Percent of Total Billed Charges,2022.22,,2235.87,90,,Percent of Total Billed Charges,2104.2,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2285.56,92,,Percent of Total Billed Charges,2014.77,,2285.56,92,,Percent of Total Billed Charges,1848.32,,2285.56,92,,Percent of Total Billed Charges,1945.21,,2285.56,92,,Percent of Total Billed Charges,2014.77,,1937.75,78,,Percent of Total Billed Charges,1937.75,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1337.3,53.83,,Percent of Total Billed Charges,1254.57,,860.56,34.64,,Percent of Total Billed Charges,857.08,,1241.65,49.98,,Percent of Total Billed Charges,939.07,,860.56,2285.56,,																																							
HC TEE MONITOR, PLACEMENT, ACQ, INTER, W/ CONTRAST,C8927,CPT,,,,BOTH, , ,2484.3,2086.81,2285.56,92,,Percent of Total Billed Charges,2076.87,,2285.56,92,,Percent of Total Billed Charges,2039.61,,2285.56,92,,Percent of Total Billed Charges,1999.86,,2285.56,92,,Percent of Total Billed Charges,2074.39,,2285.56,92,,Percent of Total Billed Charges,1870.68,,2285.56,92,,Percent of Total Billed Charges,1552.69,,2235.87,90,,Percent of Total Billed Charges,1239.67,,2211.03,89,,Percent of Total Billed Charges,1192.46,,2047.06,82.4,,Percent of Total Billed Charges,2042.09,,2071.91,83.4,,Percent of Total Billed Charges,1932.79,,2071.91,83.4,,Percent of Total Billed Charges,1741.49,,2071.91,83.4,,Percent of Total Billed Charges,2022.22,,2235.87,90,,Percent of Total Billed Charges,2104.2,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2285.56,92,,Percent of Total Billed Charges,2014.77,,2285.56,92,,Percent of Total Billed Charges,1848.32,,2285.56,92,,Percent of Total Billed Charges,1945.21,,2285.56,92,,Percent of Total Billed Charges,2014.77,,1937.75,78,,Percent of Total Billed Charges,1937.75,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1337.3,53.83,,Percent of Total Billed Charges,1254.57,,860.56,34.64,,Percent of Total Billed Charges,857.08,,1241.65,49.98,,Percent of Total Billed Charges,939.07,,860.56,2285.56,,																																							
HC STRESS TTE (NO ECG MONITORING) WITH CONTRAST,C8928,CPT,,,,BOTH, , ,2484.3,2086.81,2285.56,92,,Percent of Total Billed Charges,2076.87,,2285.56,92,,Percent of Total Billed Charges,2039.61,,2285.56,92,,Percent of Total Billed Charges,1999.86,,2285.56,92,,Percent of Total Billed Charges,2074.39,,2285.56,92,,Percent of Total Billed Charges,1870.68,,2285.56,92,,Percent of Total Billed Charges,1552.69,,2235.87,90,,Percent of Total Billed Charges,1239.67,,2211.03,89,,Percent of Total Billed Charges,1192.46,,2047.06,82.4,,Percent of Total Billed Charges,2042.09,,2071.91,83.4,,Percent of Total Billed Charges,1932.79,,2071.91,83.4,,Percent of Total Billed Charges,1741.49,,2071.91,83.4,,Percent of Total Billed Charges,2022.22,,2235.87,90,,Percent of Total Billed Charges,2104.2,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2285.56,92,,Percent of Total Billed Charges,2014.77,,2285.56,92,,Percent of Total Billed Charges,1848.32,,2285.56,92,,Percent of Total Billed Charges,1945.21,,2285.56,92,,Percent of Total Billed Charges,2014.77,,1937.75,78,,Percent of Total Billed Charges,1937.75,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1337.3,53.83,,Percent of Total Billed Charges,1254.57,,860.56,34.64,,Percent of Total Billed Charges,857.08,,1241.65,49.98,,Percent of Total Billed Charges,939.07,,860.56,2285.56,,																																							
HC STRESS TTE (WITH ECG MONITORING ) WITH CONTRAST,C8930,CPT,,,,BOTH, , ,2484.3,2086.81,2285.56,92,,Percent of Total Billed Charges,2076.87,,2285.56,92,,Percent of Total Billed Charges,2039.61,,2285.56,92,,Percent of Total Billed Charges,1999.86,,2285.56,92,,Percent of Total Billed Charges,2074.39,,2285.56,92,,Percent of Total Billed Charges,1870.68,,2285.56,92,,Percent of Total Billed Charges,1552.69,,2235.87,90,,Percent of Total Billed Charges,1239.67,,2211.03,89,,Percent of Total Billed Charges,1192.46,,2047.06,82.4,,Percent of Total Billed Charges,2042.09,,2071.91,83.4,,Percent of Total Billed Charges,1932.79,,2071.91,83.4,,Percent of Total Billed Charges,1741.49,,2071.91,83.4,,Percent of Total Billed Charges,2022.22,,2235.87,90,,Percent of Total Billed Charges,2104.2,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2285.56,92,,Percent of Total Billed Charges,2014.77,,2285.56,92,,Percent of Total Billed Charges,1848.32,,2285.56,92,,Percent of Total Billed Charges,1945.21,,2285.56,92,,Percent of Total Billed Charges,2014.77,,1937.75,78,,Percent of Total Billed Charges,1937.75,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1337.3,53.83,,Percent of Total Billed Charges,1254.57,,860.56,34.64,,Percent of Total Billed Charges,857.08,,1241.65,49.98,,Percent of Total Billed Charges,939.07,,860.56,2285.56,,																																							
HC  EPHYS EVAL SUBQ IMPLANTABLE DEFIBRILLATOR,93644,CPT,,,,BOTH, , ,526.05,441.88,483.97,92,,Percent of Total Billed Charges,439.78,,483.97,92,,Percent of Total Billed Charges,431.89,,483.97,92,,Percent of Total Billed Charges,423.47,,483.97,92,,Percent of Total Billed Charges,439.25,,483.97,92,,Percent of Total Billed Charges,396.12,,483.97,92,,Percent of Total Billed Charges,328.78,,473.45,90,,Percent of Total Billed Charges,262.5,,468.18,89,,Percent of Total Billed Charges,252.5,,433.47,82.4,,Percent of Total Billed Charges,432.41,,438.73,83.4,,Percent of Total Billed Charges,409.27,,438.73,83.4,,Percent of Total Billed Charges,368.76,,438.73,83.4,,Percent of Total Billed Charges,428.2,,473.45,90,,Percent of Total Billed Charges,445.56,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,483.97,92,,Percent of Total Billed Charges,426.63,,483.97,92,,Percent of Total Billed Charges,391.38,,483.97,92,,Percent of Total Billed Charges,411.9,,483.97,92,,Percent of Total Billed Charges,426.63,,410.32,78,,Percent of Total Billed Charges,410.32,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,283.17,53.83,,Percent of Total Billed Charges,265.66,,182.22,34.64,,Percent of Total Billed Charges,181.49,,262.92,49.98,,Percent of Total Billed Charges,198.85,,182.22,483.97,,																																							
HC INTRACARD ECHOCARD W/THER/DX IVNTJ INCL IMG S&I,93662,CPT,,,,BOTH, , ,1108.8,931.39,1020.1,92,,Percent of Total Billed Charges,926.96,,1020.1,92,,Percent of Total Billed Charges,910.32,,1020.1,92,,Percent of Total Billed Charges,892.58,,1020.1,92,,Percent of Total Billed Charges,925.85,,1020.1,92,,Percent of Total Billed Charges,834.93,,1020.1,92,,Percent of Total Billed Charges,693,,997.92,90,,Percent of Total Billed Charges,553.29,,986.83,89,,Percent of Total Billed Charges,532.22,,913.65,82.4,,Percent of Total Billed Charges,911.43,,924.74,83.4,,Percent of Total Billed Charges,862.65,,924.74,83.4,,Percent of Total Billed Charges,777.27,,924.74,83.4,,Percent of Total Billed Charges,902.56,,997.92,90,,Percent of Total Billed Charges,939.15,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1020.1,92,,Percent of Total Billed Charges,899.24,,1020.1,92,,Percent of Total Billed Charges,824.95,,1020.1,92,,Percent of Total Billed Charges,868.19,,1020.1,92,,Percent of Total Billed Charges,899.24,,864.86,78,,Percent of Total Billed Charges,864.86,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,596.87,53.83,,Percent of Total Billed Charges,559.94,,384.09,34.64,,Percent of Total Billed Charges,382.54,,554.18,49.98,,Percent of Total Billed Charges,419.13,,384.09,1020.1,,																																							
HC INSERT HEART PM ATRIAL,33206,CPT,,,,BOTH, , ,28509.6,23948.06,26228.83,92,,Percent of Total Billed Charges,23834.03,,26228.83,92,,Percent of Total Billed Charges,23406.38,,26228.83,92,,Percent of Total Billed Charges,22950.23,,26228.83,92,,Percent of Total Billed Charges,23805.52,,26228.83,92,,Percent of Total Billed Charges,21467.73,,26228.83,92,,Percent of Total Billed Charges,17818.5,,25658.64,90,,Percent of Total Billed Charges,14226.29,,25373.54,89,,Percent of Total Billed Charges,13684.61,,23491.91,82.4,,Percent of Total Billed Charges,23434.89,,23777.01,83.4,,Percent of Total Billed Charges,22180.47,,23777.01,83.4,,Percent of Total Billed Charges,19985.23,,23777.01,83.4,,Percent of Total Billed Charges,23206.81,,25658.64,90,,Percent of Total Billed Charges,24147.63,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,26228.83,92,,Percent of Total Billed Charges,23121.29,,26228.83,92,,Percent of Total Billed Charges,21211.14,,26228.83,92,,Percent of Total Billed Charges,22323.02,,26228.83,92,,Percent of Total Billed Charges,23121.29,,22237.49,78,,Percent of Total Billed Charges,22237.49,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,15346.72,53.83,,Percent of Total Billed Charges,14397.35,,9875.73,34.64,,Percent of Total Billed Charges,9835.81,,14249.1,49.98,,Percent of Total Billed Charges,10776.63,,9875.73,26228.83,,																																							
HC INSERT/REPL PERM PACER W/VENTRICULAR,33207,CPT,,,,BOTH, , ,33514.95,28152.56,30833.75,92,,Percent of Total Billed Charges,28018.5,,30833.75,92,,Percent of Total Billed Charges,27515.77,,30833.75,92,,Percent of Total Billed Charges,26979.53,,30833.75,92,,Percent of Total Billed Charges,27984.98,,30833.75,92,,Percent of Total Billed Charges,25236.76,,30833.75,92,,Percent of Total Billed Charges,20946.84,,30163.46,90,,Percent of Total Billed Charges,16723.96,,29828.31,89,,Percent of Total Billed Charges,16087.18,,27616.32,82.4,,Percent of Total Billed Charges,27549.29,,27951.47,83.4,,Percent of Total Billed Charges,26074.63,,27951.47,83.4,,Percent of Total Billed Charges,23493.98,,27951.47,83.4,,Percent of Total Billed Charges,27281.17,,30163.46,90,,Percent of Total Billed Charges,28387.16,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,30833.75,92,,Percent of Total Billed Charges,27180.62,,30833.75,92,,Percent of Total Billed Charges,24935.12,,30833.75,92,,Percent of Total Billed Charges,26242.21,,30833.75,92,,Percent of Total Billed Charges,27180.62,,26141.66,78,,Percent of Total Billed Charges,26141.66,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,18041.1,53.83,,Percent of Total Billed Charges,16925.05,,11609.58,34.64,,Percent of Total Billed Charges,11562.66,,16750.77,49.98,,Percent of Total Billed Charges,12668.65,,11609.58,30833.75,,																																							
HC INSERT/REPL PERM PACEMAKER W/ATRIAL AND VENTRICULAR,33208,CPT,,,,BOTH, , ,40077.45,33665.06,36871.25,92,,Percent of Total Billed Charges,33504.75,,36871.25,92,,Percent of Total Billed Charges,32903.59,,36871.25,92,,Percent of Total Billed Charges,32262.35,,36871.25,92,,Percent of Total Billed Charges,33464.67,,36871.25,92,,Percent of Total Billed Charges,30178.32,,36871.25,92,,Percent of Total Billed Charges,25048.41,,36069.71,90,,Percent of Total Billed Charges,19998.65,,35668.93,89,,Percent of Total Billed Charges,19237.18,,33023.82,82.4,,Percent of Total Billed Charges,32943.66,,33424.59,83.4,,Percent of Total Billed Charges,31180.26,,33424.59,83.4,,Percent of Total Billed Charges,28094.29,,33424.59,83.4,,Percent of Total Billed Charges,32623.04,,36069.71,90,,Percent of Total Billed Charges,33945.6,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,36871.25,92,,Percent of Total Billed Charges,32502.81,,36871.25,92,,Percent of Total Billed Charges,29817.62,,36871.25,92,,Percent of Total Billed Charges,31380.64,,36871.25,92,,Percent of Total Billed Charges,32502.81,,31260.41,78,,Percent of Total Billed Charges,31260.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,21573.69,53.83,,Percent of Total Billed Charges,20239.11,,13882.83,34.64,,Percent of Total Billed Charges,13826.72,,20030.71,49.98,,Percent of Total Billed Charges,15149.28,,13882.83,36871.25,,																																							
HC INSERT ELECTRD/PM CATH SNGL,33210,CPT,,,,BOTH, , ,11734.8,9857.23,10796.02,92,,Percent of Total Billed Charges,9810.29,,10796.02,92,,Percent of Total Billed Charges,9634.27,,10796.02,92,,Percent of Total Billed Charges,9446.51,,10796.02,92,,Percent of Total Billed Charges,9798.56,,10796.02,92,,Percent of Total Billed Charges,8836.3,,10796.02,92,,Percent of Total Billed Charges,7334.25,,10561.32,90,,Percent of Total Billed Charges,5855.67,,10443.97,89,,Percent of Total Billed Charges,5632.7,,9669.48,82.4,,Percent of Total Billed Charges,9646.01,,9786.82,83.4,,Percent of Total Billed Charges,9129.67,,9786.82,83.4,,Percent of Total Billed Charges,8226.09,,9786.82,83.4,,Percent of Total Billed Charges,9552.13,,10561.32,90,,Percent of Total Billed Charges,9939.38,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,10796.02,92,,Percent of Total Billed Charges,9516.92,,10796.02,92,,Percent of Total Billed Charges,8730.69,,10796.02,92,,Percent of Total Billed Charges,9188.35,,10796.02,92,,Percent of Total Billed Charges,9516.92,,9153.14,78,,Percent of Total Billed Charges,9153.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6316.84,53.83,,Percent of Total Billed Charges,5926.07,,4064.93,34.64,,Percent of Total Billed Charges,4048.51,,5865.05,49.98,,Percent of Total Billed Charges,4435.75,,4064.93,10796.02,,																																							
HC KCC REPOSITION PACER LEAD 33215,33215,CPT,,,,BOTH, , ,10999.8,9239.83,10119.82,92,,Percent of Total Billed Charges,9195.83,,10119.82,92,,Percent of Total Billed Charges,9030.84,,10119.82,92,,Percent of Total Billed Charges,8854.84,,10119.82,92,,Percent of Total Billed Charges,9184.83,,10119.82,92,,Percent of Total Billed Charges,8282.85,,10119.82,92,,Percent of Total Billed Charges,6874.88,,9899.82,90,,Percent of Total Billed Charges,5488.9,,9789.82,89,,Percent of Total Billed Charges,5279.9,,9063.84,82.4,,Percent of Total Billed Charges,9041.84,,9173.83,83.4,,Percent of Total Billed Charges,8557.84,,9173.83,83.4,,Percent of Total Billed Charges,7710.86,,9173.83,83.4,,Percent of Total Billed Charges,8953.84,,9899.82,90,,Percent of Total Billed Charges,9316.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,10119.82,92,,Percent of Total Billed Charges,8920.84,,10119.82,92,,Percent of Total Billed Charges,8183.85,,10119.82,92,,Percent of Total Billed Charges,8612.84,,10119.82,92,,Percent of Total Billed Charges,8920.84,,8579.84,78,,Percent of Total Billed Charges,8579.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5921.19,53.83,,Percent of Total Billed Charges,5554.9,,3810.33,34.64,,Percent of Total Billed Charges,3794.93,,5497.7,49.98,,Percent of Total Billed Charges,4157.92,,3810.33,10119.82,,																																							
HC INSERT 1 ELECTRODE PMDEFIBRILLATOR,33216,CPT,,,,BOTH, , ,14386.05,12084.28,13235.17,92,,Percent of Total Billed Charges,12026.74,,13235.17,92,,Percent of Total Billed Charges,11810.95,,13235.17,92,,Percent of Total Billed Charges,11580.77,,13235.17,92,,Percent of Total Billed Charges,12012.35,,13235.17,92,,Percent of Total Billed Charges,10832.7,,13235.17,92,,Percent of Total Billed Charges,8991.28,,12947.45,90,,Percent of Total Billed Charges,7178.64,,12803.58,89,,Percent of Total Billed Charges,6905.3,,11854.11,82.4,,Percent of Total Billed Charges,11825.33,,11997.97,83.4,,Percent of Total Billed Charges,11192.35,,11997.97,83.4,,Percent of Total Billed Charges,10084.62,,11997.97,83.4,,Percent of Total Billed Charges,11710.24,,12947.45,90,,Percent of Total Billed Charges,12184.98,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,13235.17,92,,Percent of Total Billed Charges,11667.09,,13235.17,92,,Percent of Total Billed Charges,10703.22,,13235.17,92,,Percent of Total Billed Charges,11264.28,,13235.17,92,,Percent of Total Billed Charges,11667.09,,11221.12,78,,Percent of Total Billed Charges,11221.12,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,7744.01,53.83,,Percent of Total Billed Charges,7264.96,,4983.33,34.64,,Percent of Total Billed Charges,4963.19,,7190.15,49.98,,Percent of Total Billed Charges,5437.93,,4983.33,13235.17,,																																							
HC INSERT 2 ELECTRODE PMDEFIBRILLATOR,33217,CPT,,,,BOTH, , ,14386.05,12084.28,13235.17,92,,Percent of Total Billed Charges,12026.74,,13235.17,92,,Percent of Total Billed Charges,11810.95,,13235.17,92,,Percent of Total Billed Charges,11580.77,,13235.17,92,,Percent of Total Billed Charges,12012.35,,13235.17,92,,Percent of Total Billed Charges,10832.7,,13235.17,92,,Percent of Total Billed Charges,8991.28,,12947.45,90,,Percent of Total Billed Charges,7178.64,,12803.58,89,,Percent of Total Billed Charges,6905.3,,11854.11,82.4,,Percent of Total Billed Charges,11825.33,,11997.97,83.4,,Percent of Total Billed Charges,11192.35,,11997.97,83.4,,Percent of Total Billed Charges,10084.62,,11997.97,83.4,,Percent of Total Billed Charges,11710.24,,12947.45,90,,Percent of Total Billed Charges,12184.98,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,13235.17,92,,Percent of Total Billed Charges,11667.09,,13235.17,92,,Percent of Total Billed Charges,10703.22,,13235.17,92,,Percent of Total Billed Charges,11264.28,,13235.17,92,,Percent of Total Billed Charges,11667.09,,11221.12,78,,Percent of Total Billed Charges,11221.12,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,7744.01,53.83,,Percent of Total Billed Charges,7264.96,,4983.33,34.64,,Percent of Total Billed Charges,4963.19,,7190.15,49.98,,Percent of Total Billed Charges,5437.93,,4983.33,13235.17,,																																							
HC INSERT PM PULSE GEN MULT LEADS,33221,CPT,,,,BOTH, , ,28641.9,24059.2,26350.55,92,,Percent of Total Billed Charges,23944.63,,26350.55,92,,Percent of Total Billed Charges,23515,,26350.55,92,,Percent of Total Billed Charges,23056.73,,26350.55,92,,Percent of Total Billed Charges,23915.99,,26350.55,92,,Percent of Total Billed Charges,21567.35,,26350.55,92,,Percent of Total Billed Charges,17901.19,,25777.71,90,,Percent of Total Billed Charges,14292.31,,25491.29,89,,Percent of Total Billed Charges,13748.11,,23600.93,82.4,,Percent of Total Billed Charges,23543.64,,23887.34,83.4,,Percent of Total Billed Charges,22283.4,,23887.34,83.4,,Percent of Total Billed Charges,20077.97,,23887.34,83.4,,Percent of Total Billed Charges,23314.51,,25777.71,90,,Percent of Total Billed Charges,24259.69,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,26350.55,92,,Percent of Total Billed Charges,23228.58,,26350.55,92,,Percent of Total Billed Charges,21309.57,,26350.55,92,,Percent of Total Billed Charges,22426.61,,26350.55,92,,Percent of Total Billed Charges,23228.58,,22340.68,78,,Percent of Total Billed Charges,22340.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,15417.93,53.83,,Percent of Total Billed Charges,14464.16,,9921.55,34.64,,Percent of Total Billed Charges,9881.46,,14315.22,49.98,,Percent of Total Billed Charges,10826.64,,9921.55,26350.55,,																																							
HC RELOCATE SKIN POCKET FOR PACEMAKER,33222,CPT,,,,BOTH, , ,3915.45,3288.98,3602.21,92,,Percent of Total Billed Charges,3273.32,,3602.21,92,,Percent of Total Billed Charges,3214.58,,3602.21,92,,Percent of Total Billed Charges,3151.94,,3602.21,92,,Percent of Total Billed Charges,3269.4,,3602.21,92,,Percent of Total Billed Charges,2948.33,,3602.21,92,,Percent of Total Billed Charges,2447.16,,3523.91,90,,Percent of Total Billed Charges,1953.81,,3484.75,89,,Percent of Total Billed Charges,1879.42,,3226.33,82.4,,Percent of Total Billed Charges,3218.5,,3265.49,83.4,,Percent of Total Billed Charges,3046.22,,3265.49,83.4,,Percent of Total Billed Charges,2744.73,,3265.49,83.4,,Percent of Total Billed Charges,3187.18,,3523.91,90,,Percent of Total Billed Charges,3316.39,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3602.21,92,,Percent of Total Billed Charges,3175.43,,3602.21,92,,Percent of Total Billed Charges,2913.09,,3602.21,92,,Percent of Total Billed Charges,3065.8,,3602.21,92,,Percent of Total Billed Charges,3175.43,,3054.05,78,,Percent of Total Billed Charges,3054.05,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2107.69,53.83,,Percent of Total Billed Charges,1977.3,,1356.31,34.64,,Percent of Total Billed Charges,1350.83,,1956.94,49.98,,Percent of Total Billed Charges,1480.04,,1356.31,3602.21,,																																							
HC RELOCATE SKIN POCKET FOR DEFIBRILLATOR,33223,CPT,,,,BOTH, , ,4681.95,3932.84,4307.39,92,,Percent of Total Billed Charges,3914.11,,4307.39,92,,Percent of Total Billed Charges,3843.88,,4307.39,92,,Percent of Total Billed Charges,3768.97,,4307.39,92,,Percent of Total Billed Charges,3909.43,,4307.39,92,,Percent of Total Billed Charges,3525.51,,4307.39,92,,Percent of Total Billed Charges,2926.22,,4213.76,90,,Percent of Total Billed Charges,2336.29,,4166.94,89,,Percent of Total Billed Charges,2247.34,,3857.93,82.4,,Percent of Total Billed Charges,3848.56,,3904.75,83.4,,Percent of Total Billed Charges,3642.56,,3904.75,83.4,,Percent of Total Billed Charges,3282.05,,3904.75,83.4,,Percent of Total Billed Charges,3811.11,,4213.76,90,,Percent of Total Billed Charges,3965.61,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4307.39,92,,Percent of Total Billed Charges,3797.06,,4307.39,92,,Percent of Total Billed Charges,3483.37,,4307.39,92,,Percent of Total Billed Charges,3665.97,,4307.39,92,,Percent of Total Billed Charges,3797.06,,3651.92,78,,Percent of Total Billed Charges,3651.92,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2520.29,53.83,,Percent of Total Billed Charges,2364.38,,1621.83,34.64,,Percent of Total Billed Charges,1615.27,,2340.04,49.98,,Percent of Total Billed Charges,1769.78,,1621.83,4307.39,,																																							
HC INSERT PACING LEAD & CONNECT,33224,CPT,,,,BOTH, , ,48948.9,41117.08,45032.99,92,,Percent of Total Billed Charges,40921.28,,45032.99,92,,Percent of Total Billed Charges,40187.05,,45032.99,92,,Percent of Total Billed Charges,39403.86,,45032.99,92,,Percent of Total Billed Charges,40872.33,,45032.99,92,,Percent of Total Billed Charges,36858.52,,45032.99,92,,Percent of Total Billed Charges,30593.06,,44054.01,90,,Percent of Total Billed Charges,24425.5,,43564.52,89,,Percent of Total Billed Charges,23495.47,,40333.89,82.4,,Percent of Total Billed Charges,40236,,40823.38,83.4,,Percent of Total Billed Charges,38082.24,,40823.38,83.4,,Percent of Total Billed Charges,34313.18,,40823.38,83.4,,Percent of Total Billed Charges,39844.4,,44054.01,90,,Percent of Total Billed Charges,41459.72,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,45032.99,92,,Percent of Total Billed Charges,39697.56,,45032.99,92,,Percent of Total Billed Charges,36417.98,,45032.99,92,,Percent of Total Billed Charges,38326.99,,45032.99,92,,Percent of Total Billed Charges,39697.56,,38180.14,78,,Percent of Total Billed Charges,38180.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,26349.19,53.83,,Percent of Total Billed Charges,24719.19,,16955.9,34.64,,Percent of Total Billed Charges,16887.37,,24464.66,49.98,,Percent of Total Billed Charges,18502.68,,16955.90,45032.99,,																																							
HC INSERT LEFT VENTRICULAR PACING LEAD ADDON,33225,CPT,,,,BOTH, , ,57542.1,48335.36,52938.73,92,,Percent of Total Billed Charges,48105.2,,52938.73,92,,Percent of Total Billed Charges,47242.06,,52938.73,92,,Percent of Total Billed Charges,46321.39,,52938.73,92,,Percent of Total Billed Charges,48047.65,,52938.73,92,,Percent of Total Billed Charges,43329.2,,52938.73,92,,Percent of Total Billed Charges,35963.81,,51787.89,90,,Percent of Total Billed Charges,28713.51,,51212.47,89,,Percent of Total Billed Charges,27620.21,,47414.69,82.4,,Percent of Total Billed Charges,47299.61,,47990.11,83.4,,Percent of Total Billed Charges,44767.75,,47990.11,83.4,,Percent of Total Billed Charges,40337.01,,47990.11,83.4,,Percent of Total Billed Charges,46839.27,,51787.89,90,,Percent of Total Billed Charges,48738.16,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,52938.73,92,,Percent of Total Billed Charges,46666.64,,52938.73,92,,Percent of Total Billed Charges,42811.32,,52938.73,92,,Percent of Total Billed Charges,45055.46,,52938.73,92,,Percent of Total Billed Charges,46666.64,,44882.84,78,,Percent of Total Billed Charges,44882.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,30974.91,53.83,,Percent of Total Billed Charges,29058.76,,19932.58,34.64,,Percent of Total Billed Charges,19852.02,,28759.54,49.98,,Percent of Total Billed Charges,21750.91,,19932.58,52938.73,,																																							
HC REPOSITION LEFT VENTRICULAR LEAD,33226,CPT,,,,BOTH, , ,5652.15,4747.81,5199.98,92,,Percent of Total Billed Charges,4725.2,,5199.98,92,,Percent of Total Billed Charges,4640.42,,5199.98,92,,Percent of Total Billed Charges,4549.98,,5199.98,92,,Percent of Total Billed Charges,4719.55,,5199.98,92,,Percent of Total Billed Charges,4256.07,,5199.98,92,,Percent of Total Billed Charges,3532.59,,5086.94,90,,Percent of Total Billed Charges,2820.42,,5030.41,89,,Percent of Total Billed Charges,2713.03,,4657.37,82.4,,Percent of Total Billed Charges,4646.07,,4713.89,83.4,,Percent of Total Billed Charges,4397.37,,4713.89,83.4,,Percent of Total Billed Charges,3962.16,,4713.89,83.4,,Percent of Total Billed Charges,4600.85,,5086.94,90,,Percent of Total Billed Charges,4787.37,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5199.98,92,,Percent of Total Billed Charges,4583.89,,5199.98,92,,Percent of Total Billed Charges,4205.2,,5199.98,92,,Percent of Total Billed Charges,4425.63,,5199.98,92,,Percent of Total Billed Charges,4583.89,,4408.68,78,,Percent of Total Billed Charges,4408.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3042.55,53.83,,Percent of Total Billed Charges,2854.34,,1957.9,34.64,,Percent of Total Billed Charges,1949.99,,2824.94,49.98,,Percent of Total Billed Charges,2136.51,,1957.90,5199.98,,																																							
HC REMOVE&REPLACE PM GEN SINGL,33227,CPT,,,,BOTH, , ,2698.5,2266.74,2482.62,92,,Percent of Total Billed Charges,2255.95,,2482.62,92,,Percent of Total Billed Charges,2215.47,,2482.62,92,,Percent of Total Billed Charges,2172.29,,2482.62,92,,Percent of Total Billed Charges,2253.25,,2482.62,92,,Percent of Total Billed Charges,2031.97,,2482.62,92,,Percent of Total Billed Charges,1686.56,,2428.65,90,,Percent of Total Billed Charges,1346.55,,2401.67,89,,Percent of Total Billed Charges,1295.28,,2223.56,82.4,,Percent of Total Billed Charges,2218.17,,2250.55,83.4,,Percent of Total Billed Charges,2099.43,,2250.55,83.4,,Percent of Total Billed Charges,1891.65,,2250.55,83.4,,Percent of Total Billed Charges,2196.58,,2428.65,90,,Percent of Total Billed Charges,2285.63,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2482.62,92,,Percent of Total Billed Charges,2188.48,,2482.62,92,,Percent of Total Billed Charges,2007.68,,2482.62,92,,Percent of Total Billed Charges,2112.93,,2482.62,92,,Percent of Total Billed Charges,2188.48,,2104.83,78,,Percent of Total Billed Charges,2104.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1452.6,53.83,,Percent of Total Billed Charges,1362.74,,934.76,34.64,,Percent of Total Billed Charges,930.98,,1348.71,49.98,,Percent of Total Billed Charges,1020.03,,934.76,2482.62,,																																							
HC REMV&REPLC PM GENERATOR DUAL LEAD,33228,CPT,,,,BOTH, , ,34789.65,29223.31,32006.48,92,,Percent of Total Billed Charges,29084.15,,32006.48,92,,Percent of Total Billed Charges,28562.3,,32006.48,92,,Percent of Total Billed Charges,28005.67,,32006.48,92,,Percent of Total Billed Charges,29049.36,,32006.48,92,,Percent of Total Billed Charges,26196.61,,32006.48,92,,Percent of Total Billed Charges,21743.53,,31310.69,90,,Percent of Total Billed Charges,17360.04,,30962.79,89,,Percent of Total Billed Charges,16699.03,,28666.67,82.4,,Percent of Total Billed Charges,28597.09,,29014.57,83.4,,Percent of Total Billed Charges,27066.35,,29014.57,83.4,,Percent of Total Billed Charges,24387.54,,29014.57,83.4,,Percent of Total Billed Charges,28318.78,,31310.69,90,,Percent of Total Billed Charges,29466.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,32006.48,92,,Percent of Total Billed Charges,28214.41,,32006.48,92,,Percent of Total Billed Charges,25883.5,,32006.48,92,,Percent of Total Billed Charges,27240.3,,32006.48,92,,Percent of Total Billed Charges,28214.41,,27135.93,78,,Percent of Total Billed Charges,27135.93,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,18727.27,53.83,,Percent of Total Billed Charges,17568.77,,12051.13,34.64,,Percent of Total Billed Charges,12002.43,,17387.87,49.98,,Percent of Total Billed Charges,13150.49,,12051.13,32006.48,,																																							
HC REMV&REPLC PM GEN MULT LEADS,33229,CPT,,,,BOTH, , ,29594.25,24859.17,27226.71,92,,Percent of Total Billed Charges,24740.79,,27226.71,92,,Percent of Total Billed Charges,24296.88,,27226.71,92,,Percent of Total Billed Charges,23823.37,,27226.71,92,,Percent of Total Billed Charges,24711.2,,27226.71,92,,Percent of Total Billed Charges,22284.47,,27226.71,92,,Percent of Total Billed Charges,18496.41,,26634.83,90,,Percent of Total Billed Charges,14767.53,,26338.88,89,,Percent of Total Billed Charges,14205.24,,24385.66,82.4,,Percent of Total Billed Charges,24326.47,,24681.6,83.4,,Percent of Total Billed Charges,23024.33,,24681.6,83.4,,Percent of Total Billed Charges,20745.57,,24681.6,83.4,,Percent of Total Billed Charges,24089.72,,26634.83,90,,Percent of Total Billed Charges,25066.33,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,27226.71,92,,Percent of Total Billed Charges,24000.94,,27226.71,92,,Percent of Total Billed Charges,22018.12,,27226.71,92,,Percent of Total Billed Charges,23172.3,,27226.71,92,,Percent of Total Billed Charges,24000.94,,23083.52,78,,Percent of Total Billed Charges,23083.52,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,15930.58,53.83,,Percent of Total Billed Charges,14945.1,,10251.45,34.64,,Percent of Total Billed Charges,10210.02,,14791.21,49.98,,Percent of Total Billed Charges,11186.63,,10251.45,27226.71,,																																							
HC INSRT PULSE GEN W/MULT LEADS,33231,CPT,,,,BOTH, , ,97820.1,82168.88,89994.49,92,,Percent of Total Billed Charges,81777.6,,89994.49,92,,Percent of Total Billed Charges,80310.3,,89994.49,92,,Percent of Total Billed Charges,78745.18,,89994.49,92,,Percent of Total Billed Charges,81679.78,,89994.49,92,,Percent of Total Billed Charges,73658.54,,89994.49,92,,Percent of Total Billed Charges,61137.56,,88038.09,90,,Percent of Total Billed Charges,48812.23,,87059.89,89,,Percent of Total Billed Charges,46953.65,,80603.76,82.4,,Percent of Total Billed Charges,80408.12,,81581.96,83.4,,Percent of Total Billed Charges,76104.04,,81581.96,83.4,,Percent of Total Billed Charges,68571.89,,81581.96,83.4,,Percent of Total Billed Charges,79625.56,,88038.09,90,,Percent of Total Billed Charges,82853.62,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,89994.49,92,,Percent of Total Billed Charges,79332.1,,89994.49,92,,Percent of Total Billed Charges,72778.15,,89994.49,92,,Percent of Total Billed Charges,76593.14,,89994.49,92,,Percent of Total Billed Charges,79332.1,,76299.68,78,,Percent of Total Billed Charges,76299.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,52656.56,53.83,,Percent of Total Billed Charges,49399.15,,33884.88,34.64,,Percent of Total Billed Charges,33747.93,,48890.49,49.98,,Percent of Total Billed Charges,36976,,33884.88,89994.49,,																																							
HC REMOVAL OF PM GENERATOR,33233,CPT,,,,BOTH, , ,21666.75,18200.07,19933.41,92,,Percent of Total Billed Charges,18113.4,,19933.41,92,,Percent of Total Billed Charges,17788.4,,19933.41,92,,Percent of Total Billed Charges,17441.73,,19933.41,92,,Percent of Total Billed Charges,18091.74,,19933.41,92,,Percent of Total Billed Charges,16315.06,,19933.41,92,,Percent of Total Billed Charges,13541.72,,19500.08,90,,Percent of Total Billed Charges,10811.71,,19283.41,89,,Percent of Total Billed Charges,10400.04,,17853.4,82.4,,Percent of Total Billed Charges,17810.07,,18070.07,83.4,,Percent of Total Billed Charges,16856.73,,18070.07,83.4,,Percent of Total Billed Charges,15188.39,,18070.07,83.4,,Percent of Total Billed Charges,17636.73,,19500.08,90,,Percent of Total Billed Charges,18351.74,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,19933.41,92,,Percent of Total Billed Charges,17571.73,,19933.41,92,,Percent of Total Billed Charges,16120.06,,19933.41,92,,Percent of Total Billed Charges,16965.07,,19933.41,92,,Percent of Total Billed Charges,17571.73,,16900.07,78,,Percent of Total Billed Charges,16900.07,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,11663.21,53.83,,Percent of Total Billed Charges,10941.71,,7505.36,34.64,,Percent of Total Billed Charges,7475.03,,10829.04,49.98,,Percent of Total Billed Charges,8190.03,,7505.36,19933.41,,																																							
HC REMOVAL OF PACEMAKER SYSTEM,33234,CPT,,,,BOTH, , ,6904.8,5800.03,6352.42,92,,Percent of Total Billed Charges,5772.41,,6352.42,92,,Percent of Total Billed Charges,5668.84,,6352.42,92,,Percent of Total Billed Charges,5558.36,,6352.42,92,,Percent of Total Billed Charges,5765.51,,6352.42,92,,Percent of Total Billed Charges,5199.31,,6352.42,92,,Percent of Total Billed Charges,4315.5,,6214.32,90,,Percent of Total Billed Charges,3445.5,,6145.27,89,,Percent of Total Billed Charges,3314.3,,5689.56,82.4,,Percent of Total Billed Charges,5675.75,,5758.6,83.4,,Percent of Total Billed Charges,5371.93,,5758.6,83.4,,Percent of Total Billed Charges,4840.26,,5758.6,83.4,,Percent of Total Billed Charges,5620.51,,6214.32,90,,Percent of Total Billed Charges,5848.37,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6352.42,92,,Percent of Total Billed Charges,5599.79,,6352.42,92,,Percent of Total Billed Charges,5137.17,,6352.42,92,,Percent of Total Billed Charges,5406.46,,6352.42,92,,Percent of Total Billed Charges,5599.79,,5385.74,78,,Percent of Total Billed Charges,5385.74,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3716.85,53.83,,Percent of Total Billed Charges,3486.92,,2391.82,34.64,,Percent of Total Billed Charges,2382.16,,3451.02,49.98,,Percent of Total Billed Charges,2610.01,,2391.82,6352.42,,																																							
HC REMOVE PULSE GENERATOR,33241,CPT,,,,BOTH, , ,6904.8,5800.03,6352.42,92,,Percent of Total Billed Charges,5772.41,,6352.42,92,,Percent of Total Billed Charges,5668.84,,6352.42,92,,Percent of Total Billed Charges,5558.36,,6352.42,92,,Percent of Total Billed Charges,5765.51,,6352.42,92,,Percent of Total Billed Charges,5199.31,,6352.42,92,,Percent of Total Billed Charges,4315.5,,6214.32,90,,Percent of Total Billed Charges,3445.5,,6145.27,89,,Percent of Total Billed Charges,3314.3,,5689.56,82.4,,Percent of Total Billed Charges,5675.75,,5758.6,83.4,,Percent of Total Billed Charges,5371.93,,5758.6,83.4,,Percent of Total Billed Charges,4840.26,,5758.6,83.4,,Percent of Total Billed Charges,5620.51,,6214.32,90,,Percent of Total Billed Charges,5848.37,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6352.42,92,,Percent of Total Billed Charges,5599.79,,6352.42,92,,Percent of Total Billed Charges,5137.17,,6352.42,92,,Percent of Total Billed Charges,5406.46,,6352.42,92,,Percent of Total Billed Charges,5599.79,,5385.74,78,,Percent of Total Billed Charges,5385.74,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3716.85,53.83,,Percent of Total Billed Charges,3486.92,,2391.82,34.64,,Percent of Total Billed Charges,2382.16,,3451.02,49.98,,Percent of Total Billed Charges,2610.01,,2391.82,6352.42,,																																							
HC REMOVE ELCTRD TRANSVENOUSLY,33244,CPT,,,,BOTH, , ,6234.9,5237.32,5736.11,92,,Percent of Total Billed Charges,5212.38,,5736.11,92,,Percent of Total Billed Charges,5118.85,,5736.11,92,,Percent of Total Billed Charges,5019.09,,5736.11,92,,Percent of Total Billed Charges,5206.14,,5736.11,92,,Percent of Total Billed Charges,4694.88,,5736.11,92,,Percent of Total Billed Charges,3896.81,,5611.41,90,,Percent of Total Billed Charges,3111.22,,5549.06,89,,Percent of Total Billed Charges,2992.75,,5137.56,82.4,,Percent of Total Billed Charges,5125.09,,5199.91,83.4,,Percent of Total Billed Charges,4850.75,,5199.91,83.4,,Percent of Total Billed Charges,4370.66,,5199.91,83.4,,Percent of Total Billed Charges,5075.21,,5611.41,90,,Percent of Total Billed Charges,5280.96,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5736.11,92,,Percent of Total Billed Charges,5056.5,,5736.11,92,,Percent of Total Billed Charges,4638.77,,5736.11,92,,Percent of Total Billed Charges,4881.93,,5736.11,92,,Percent of Total Billed Charges,5056.5,,4863.22,78,,Percent of Total Billed Charges,4863.22,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3356.25,53.83,,Percent of Total Billed Charges,3148.62,,2159.77,34.64,,Percent of Total Billed Charges,2151.04,,3116.2,49.98,,Percent of Total Billed Charges,2356.79,,2159.77,5736.11,,																																							
HC INSJ/RPLCMT DEFIB W/LEAD(S),33249,CPT,,,,BOTH, , ,116247.6,97647.98,106947.79,92,,Percent of Total Billed Charges,97182.99,,106947.79,92,,Percent of Total Billed Charges,95439.28,,106947.79,92,,Percent of Total Billed Charges,93579.32,,106947.79,92,,Percent of Total Billed Charges,97066.75,,106947.79,92,,Percent of Total Billed Charges,87534.44,,106947.79,92,,Percent of Total Billed Charges,72654.75,,104622.84,90,,Percent of Total Billed Charges,58007.55,,103460.36,89,,Percent of Total Billed Charges,55798.85,,95788.02,82.4,,Percent of Total Billed Charges,95555.53,,96950.5,83.4,,Percent of Total Billed Charges,90440.63,,96950.5,83.4,,Percent of Total Billed Charges,81489.57,,96950.5,83.4,,Percent of Total Billed Charges,94625.55,,104622.84,90,,Percent of Total Billed Charges,98461.72,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,106947.79,92,,Percent of Total Billed Charges,94276.8,,106947.79,92,,Percent of Total Billed Charges,86488.21,,106947.79,92,,Percent of Total Billed Charges,91021.87,,106947.79,92,,Percent of Total Billed Charges,94276.8,,90673.13,78,,Percent of Total Billed Charges,90673.13,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,62576.08,53.83,,Percent of Total Billed Charges,58705.04,,40268.17,34.64,,Percent of Total Billed Charges,40105.42,,58100.55,49.98,,Percent of Total Billed Charges,43941.59,,40268.17,106947.79,,																																							
HC RMVL& REPLC PULSE GEN 1 LEAD,33262,CPT,,,,BOTH, , ,97820.1,82168.88,89994.49,92,,Percent of Total Billed Charges,81777.6,,89994.49,92,,Percent of Total Billed Charges,80310.3,,89994.49,92,,Percent of Total Billed Charges,78745.18,,89994.49,92,,Percent of Total Billed Charges,81679.78,,89994.49,92,,Percent of Total Billed Charges,73658.54,,89994.49,92,,Percent of Total Billed Charges,61137.56,,88038.09,90,,Percent of Total Billed Charges,48812.23,,87059.89,89,,Percent of Total Billed Charges,46953.65,,80603.76,82.4,,Percent of Total Billed Charges,80408.12,,81581.96,83.4,,Percent of Total Billed Charges,76104.04,,81581.96,83.4,,Percent of Total Billed Charges,68571.89,,81581.96,83.4,,Percent of Total Billed Charges,79625.56,,88038.09,90,,Percent of Total Billed Charges,82853.62,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,89994.49,92,,Percent of Total Billed Charges,79332.1,,89994.49,92,,Percent of Total Billed Charges,72778.15,,89994.49,92,,Percent of Total Billed Charges,76593.14,,89994.49,92,,Percent of Total Billed Charges,79332.1,,76299.68,78,,Percent of Total Billed Charges,76299.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,52656.56,53.83,,Percent of Total Billed Charges,49399.15,,33884.88,34.64,,Percent of Total Billed Charges,33747.93,,48890.49,49.98,,Percent of Total Billed Charges,36976,,33884.88,89994.49,,																																							
HC RMVL & RPLCMT DFB GEN 2 LEAD,33263,CPT,,,,BOTH, , ,114994.95,96595.76,105795.35,92,,Percent of Total Billed Charges,96135.78,,105795.35,92,,Percent of Total Billed Charges,94410.85,,105795.35,92,,Percent of Total Billed Charges,92570.93,,105795.35,92,,Percent of Total Billed Charges,96020.78,,105795.35,92,,Percent of Total Billed Charges,86591.2,,105795.35,92,,Percent of Total Billed Charges,71871.84,,103495.46,90,,Percent of Total Billed Charges,57382.48,,102345.51,89,,Percent of Total Billed Charges,55197.58,,94755.84,82.4,,Percent of Total Billed Charges,94525.85,,95905.79,83.4,,Percent of Total Billed Charges,89466.07,,95905.79,83.4,,Percent of Total Billed Charges,80611.46,,95905.79,83.4,,Percent of Total Billed Charges,93605.89,,103495.46,90,,Percent of Total Billed Charges,97400.72,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,105795.35,92,,Percent of Total Billed Charges,93260.9,,105795.35,92,,Percent of Total Billed Charges,85556.24,,105795.35,92,,Percent of Total Billed Charges,90041.05,,105795.35,92,,Percent of Total Billed Charges,93260.9,,89696.06,78,,Percent of Total Billed Charges,89696.06,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,61901.78,53.83,,Percent of Total Billed Charges,58072.45,,39834.25,34.64,,Percent of Total Billed Charges,39673.26,,57474.48,49.98,,Percent of Total Billed Charges,43468.09,,39834.25,105795.35,,																																							
HC RMVL & RPLCMT DFB GEN MLT LD,33264,CPT,,,,BOTH, , ,114994.95,96595.76,105795.35,92,,Percent of Total Billed Charges,96135.78,,105795.35,92,,Percent of Total Billed Charges,94410.85,,105795.35,92,,Percent of Total Billed Charges,92570.93,,105795.35,92,,Percent of Total Billed Charges,96020.78,,105795.35,92,,Percent of Total Billed Charges,86591.2,,105795.35,92,,Percent of Total Billed Charges,71871.84,,103495.46,90,,Percent of Total Billed Charges,57382.48,,102345.51,89,,Percent of Total Billed Charges,55197.58,,94755.84,82.4,,Percent of Total Billed Charges,94525.85,,95905.79,83.4,,Percent of Total Billed Charges,89466.07,,95905.79,83.4,,Percent of Total Billed Charges,80611.46,,95905.79,83.4,,Percent of Total Billed Charges,93605.89,,103495.46,90,,Percent of Total Billed Charges,97400.72,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,105795.35,92,,Percent of Total Billed Charges,93260.9,,105795.35,92,,Percent of Total Billed Charges,85556.24,,105795.35,92,,Percent of Total Billed Charges,90041.05,,105795.35,92,,Percent of Total Billed Charges,93260.9,,89696.06,78,,Percent of Total Billed Charges,89696.06,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,61901.78,53.83,,Percent of Total Billed Charges,58072.45,,39834.25,34.64,,Percent of Total Billed Charges,39673.26,,57474.48,49.98,,Percent of Total Billed Charges,43468.09,,39834.25,105795.35,,																																							
HC INS/REP SUBQ DEFIBRILLATOR,33270,CPT,,,,BOTH, , ,101973.9,85658.08,93815.99,92,,Percent of Total Billed Charges,85250.18,,93815.99,92,,Percent of Total Billed Charges,83720.57,,93815.99,92,,Percent of Total Billed Charges,82088.99,,93815.99,92,,Percent of Total Billed Charges,85148.21,,93815.99,92,,Percent of Total Billed Charges,76786.35,,93815.99,92,,Percent of Total Billed Charges,63733.69,,91776.51,90,,Percent of Total Billed Charges,50884.98,,90756.77,89,,Percent of Total Billed Charges,48947.47,,84026.49,82.4,,Percent of Total Billed Charges,83822.55,,85046.23,83.4,,Percent of Total Billed Charges,79335.69,,85046.23,83.4,,Percent of Total Billed Charges,71483.7,,85046.23,83.4,,Percent of Total Billed Charges,83006.75,,91776.51,90,,Percent of Total Billed Charges,86371.89,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,93815.99,92,,Percent of Total Billed Charges,82700.83,,93815.99,92,,Percent of Total Billed Charges,75868.58,,93815.99,92,,Percent of Total Billed Charges,79845.56,,93815.99,92,,Percent of Total Billed Charges,82700.83,,79539.64,78,,Percent of Total Billed Charges,79539.64,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,54892.55,53.83,,Percent of Total Billed Charges,51496.82,,35323.76,34.64,,Percent of Total Billed Charges,35181,,50966.56,49.98,,Percent of Total Billed Charges,38546.13,,35323.76,93815.99,,																																							
HC INSERT IAORT PERCUT DEVICE,33967,CPT,,,,BOTH, , ,1492.05,1253.32,1372.69,92,,Percent of Total Billed Charges,1247.35,,1372.69,92,,Percent of Total Billed Charges,1224.97,,1372.69,92,,Percent of Total Billed Charges,1201.1,,1372.69,92,,Percent of Total Billed Charges,1245.86,,1372.69,92,,Percent of Total Billed Charges,1123.51,,1372.69,92,,Percent of Total Billed Charges,932.53,,1342.85,90,,Percent of Total Billed Charges,744.53,,1327.92,89,,Percent of Total Billed Charges,716.18,,1229.45,82.4,,Percent of Total Billed Charges,1226.47,,1244.37,83.4,,Percent of Total Billed Charges,1160.81,,1244.37,83.4,,Percent of Total Billed Charges,1045.93,,1244.37,83.4,,Percent of Total Billed Charges,1214.53,,1342.85,90,,Percent of Total Billed Charges,1263.77,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1372.69,92,,Percent of Total Billed Charges,1210.05,,1372.69,92,,Percent of Total Billed Charges,1110.09,,1372.69,92,,Percent of Total Billed Charges,1168.28,,1372.69,92,,Percent of Total Billed Charges,1210.05,,1163.8,78,,Percent of Total Billed Charges,1163.8,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,803.17,53.83,,Percent of Total Billed Charges,753.49,,516.85,34.64,,Percent of Total Billed Charges,514.76,,745.73,49.98,,Percent of Total Billed Charges,563.99,,516.85,1372.69,,																																							
HC CATH ACCESSAORTA,36200,CPT,,,,BOTH, , ,1920.45,1613.18,1766.81,92,,Percent of Total Billed Charges,1605.5,,1766.81,92,,Percent of Total Billed Charges,1576.69,,1766.81,92,,Percent of Total Billed Charges,1545.96,,1766.81,92,,Percent of Total Billed Charges,1603.58,,1766.81,92,,Percent of Total Billed Charges,1446.1,,1766.81,92,,Percent of Total Billed Charges,1200.28,,1728.41,90,,Percent of Total Billed Charges,958.3,,1709.2,89,,Percent of Total Billed Charges,921.82,,1582.45,82.4,,Percent of Total Billed Charges,1578.61,,1601.66,83.4,,Percent of Total Billed Charges,1494.11,,1601.66,83.4,,Percent of Total Billed Charges,1346.24,,1601.66,83.4,,Percent of Total Billed Charges,1563.25,,1728.41,90,,Percent of Total Billed Charges,1626.62,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1766.81,92,,Percent of Total Billed Charges,1557.48,,1766.81,92,,Percent of Total Billed Charges,1428.81,,1766.81,92,,Percent of Total Billed Charges,1503.71,,1766.81,92,,Percent of Total Billed Charges,1557.48,,1497.95,78,,Percent of Total Billed Charges,1497.95,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1033.78,53.83,,Percent of Total Billed Charges,969.83,,665.24,34.64,,Percent of Total Billed Charges,662.56,,959.84,49.98,,Percent of Total Billed Charges,725.93,,665.24,1766.81,,																																							
HC THORACIC/BRACHIOCEPHALIC 1ST ORD,36215,CPT,,,,BOTH, , ,2336.25,1962.45,2149.35,92,,Percent of Total Billed Charges,1953.11,,2149.35,92,,Percent of Total Billed Charges,1918.06,,2149.35,92,,Percent of Total Billed Charges,1880.68,,2149.35,92,,Percent of Total Billed Charges,1950.77,,2149.35,92,,Percent of Total Billed Charges,1759.2,,2149.35,92,,Percent of Total Billed Charges,1460.16,,2102.63,90,,Percent of Total Billed Charges,1165.79,,2079.26,89,,Percent of Total Billed Charges,1121.4,,1925.07,82.4,,Percent of Total Billed Charges,1920.4,,1948.43,83.4,,Percent of Total Billed Charges,1817.6,,1948.43,83.4,,Percent of Total Billed Charges,1637.71,,1948.43,83.4,,Percent of Total Billed Charges,1901.71,,2102.63,90,,Percent of Total Billed Charges,1978.8,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2149.35,92,,Percent of Total Billed Charges,1894.7,,2149.35,92,,Percent of Total Billed Charges,1738.17,,2149.35,92,,Percent of Total Billed Charges,1829.28,,2149.35,92,,Percent of Total Billed Charges,1894.7,,1822.28,78,,Percent of Total Billed Charges,1822.28,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1257.6,53.83,,Percent of Total Billed Charges,1179.81,,809.28,34.64,,Percent of Total Billed Charges,806.01,,1167.66,49.98,,Percent of Total Billed Charges,883.1,,809.28,2149.35,,																																							
HC THORACIC/BRACHIOCEPHALIC 2ND ORD,36216,CPT,,,,BOTH, , ,1940.4,1629.94,1785.17,92,,Percent of Total Billed Charges,1622.17,,1785.17,92,,Percent of Total Billed Charges,1593.07,,1785.17,92,,Percent of Total Billed Charges,1562.02,,1785.17,92,,Percent of Total Billed Charges,1620.23,,1785.17,92,,Percent of Total Billed Charges,1461.12,,1785.17,92,,Percent of Total Billed Charges,1212.75,,1746.36,90,,Percent of Total Billed Charges,968.26,,1726.96,89,,Percent of Total Billed Charges,931.39,,1598.89,82.4,,Percent of Total Billed Charges,1595.01,,1618.29,83.4,,Percent of Total Billed Charges,1509.63,,1618.29,83.4,,Percent of Total Billed Charges,1360.22,,1618.29,83.4,,Percent of Total Billed Charges,1579.49,,1746.36,90,,Percent of Total Billed Charges,1643.52,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1785.17,92,,Percent of Total Billed Charges,1573.66,,1785.17,92,,Percent of Total Billed Charges,1443.66,,1785.17,92,,Percent of Total Billed Charges,1519.33,,1785.17,92,,Percent of Total Billed Charges,1573.66,,1513.51,78,,Percent of Total Billed Charges,1513.51,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1044.52,53.83,,Percent of Total Billed Charges,979.9,,672.15,34.64,,Percent of Total Billed Charges,669.44,,969.81,49.98,,Percent of Total Billed Charges,733.47,,672.15,1785.17,,																																							
HC PLACE CATH THORACIC AORTA,36221,CPT,,,,BOTH, , ,7367.85,6188.99,6778.42,92,,Percent of Total Billed Charges,6159.52,,6778.42,92,,Percent of Total Billed Charges,6049,,6778.42,92,,Percent of Total Billed Charges,5931.12,,6778.42,92,,Percent of Total Billed Charges,6152.15,,6778.42,92,,Percent of Total Billed Charges,5547.99,,6778.42,92,,Percent of Total Billed Charges,4604.91,,6631.07,90,,Percent of Total Billed Charges,3676.56,,6557.39,89,,Percent of Total Billed Charges,3536.57,,6071.11,82.4,,Percent of Total Billed Charges,6056.37,,6144.79,83.4,,Percent of Total Billed Charges,5732.19,,6144.79,83.4,,Percent of Total Billed Charges,5164.86,,6144.79,83.4,,Percent of Total Billed Charges,5997.43,,6631.07,90,,Percent of Total Billed Charges,6240.57,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6778.42,92,,Percent of Total Billed Charges,5975.33,,6778.42,92,,Percent of Total Billed Charges,5481.68,,6778.42,92,,Percent of Total Billed Charges,5769.03,,6778.42,92,,Percent of Total Billed Charges,5975.33,,5746.92,78,,Percent of Total Billed Charges,5746.92,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3966.11,53.83,,Percent of Total Billed Charges,3720.76,,2552.22,34.64,,Percent of Total Billed Charges,2541.91,,3682.45,49.98,,Percent of Total Billed Charges,2785.05,,2552.22,6778.42,,																																							
HC PLACE CATH CAROTID/INOM ART,36222,CPT,,,,BOTH, , ,7367.85,6188.99,6778.42,92,,Percent of Total Billed Charges,6159.52,,6778.42,92,,Percent of Total Billed Charges,6049,,6778.42,92,,Percent of Total Billed Charges,5931.12,,6778.42,92,,Percent of Total Billed Charges,6152.15,,6778.42,92,,Percent of Total Billed Charges,5547.99,,6778.42,92,,Percent of Total Billed Charges,4604.91,,6631.07,90,,Percent of Total Billed Charges,3676.56,,6557.39,89,,Percent of Total Billed Charges,3536.57,,6071.11,82.4,,Percent of Total Billed Charges,6056.37,,6144.79,83.4,,Percent of Total Billed Charges,5732.19,,6144.79,83.4,,Percent of Total Billed Charges,5164.86,,6144.79,83.4,,Percent of Total Billed Charges,5997.43,,6631.07,90,,Percent of Total Billed Charges,6240.57,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6778.42,92,,Percent of Total Billed Charges,5975.33,,6778.42,92,,Percent of Total Billed Charges,5481.68,,6778.42,92,,Percent of Total Billed Charges,5769.03,,6778.42,92,,Percent of Total Billed Charges,5975.33,,5746.92,78,,Percent of Total Billed Charges,5746.92,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3966.11,53.83,,Percent of Total Billed Charges,3720.76,,2552.22,34.64,,Percent of Total Billed Charges,2541.91,,3682.45,49.98,,Percent of Total Billed Charges,2785.05,,2552.22,6778.42,,																																							
HC PLACE CATH SUBCLAVIAN ART,36225,CPT,,,,BOTH, , ,7367.85,6188.99,6778.42,92,,Percent of Total Billed Charges,6159.52,,6778.42,92,,Percent of Total Billed Charges,6049,,6778.42,92,,Percent of Total Billed Charges,5931.12,,6778.42,92,,Percent of Total Billed Charges,6152.15,,6778.42,92,,Percent of Total Billed Charges,5547.99,,6778.42,92,,Percent of Total Billed Charges,4604.91,,6631.07,90,,Percent of Total Billed Charges,3676.56,,6557.39,89,,Percent of Total Billed Charges,3536.57,,6071.11,82.4,,Percent of Total Billed Charges,6056.37,,6144.79,83.4,,Percent of Total Billed Charges,5732.19,,6144.79,83.4,,Percent of Total Billed Charges,5164.86,,6144.79,83.4,,Percent of Total Billed Charges,5997.43,,6631.07,90,,Percent of Total Billed Charges,6240.57,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6778.42,92,,Percent of Total Billed Charges,5975.33,,6778.42,92,,Percent of Total Billed Charges,5481.68,,6778.42,92,,Percent of Total Billed Charges,5769.03,,6778.42,92,,Percent of Total Billed Charges,5975.33,,5746.92,78,,Percent of Total Billed Charges,5746.92,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3966.11,53.83,,Percent of Total Billed Charges,3720.76,,2552.22,34.64,,Percent of Total Billed Charges,2541.91,,3682.45,49.98,,Percent of Total Billed Charges,2785.05,,2552.22,6778.42,,																																							
HC INS CATH ABD/LEXT ART 1ST,36245,CPT,,,,BOTH, , ,2266.95,1904.24,2085.59,92,,Percent of Total Billed Charges,1895.17,,2085.59,92,,Percent of Total Billed Charges,1861.17,,2085.59,92,,Percent of Total Billed Charges,1824.89,,2085.59,92,,Percent of Total Billed Charges,1892.9,,2085.59,92,,Percent of Total Billed Charges,1707.01,,2085.59,92,,Percent of Total Billed Charges,1416.84,,2040.26,90,,Percent of Total Billed Charges,1131.21,,2017.59,89,,Percent of Total Billed Charges,1088.14,,1867.97,82.4,,Percent of Total Billed Charges,1863.43,,1890.64,83.4,,Percent of Total Billed Charges,1763.69,,1890.64,83.4,,Percent of Total Billed Charges,1589.13,,1890.64,83.4,,Percent of Total Billed Charges,1845.3,,2040.26,90,,Percent of Total Billed Charges,1920.11,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2085.59,92,,Percent of Total Billed Charges,1838.5,,2085.59,92,,Percent of Total Billed Charges,1686.61,,2085.59,92,,Percent of Total Billed Charges,1775.02,,2085.59,92,,Percent of Total Billed Charges,1838.5,,1768.22,78,,Percent of Total Billed Charges,1768.22,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1220.3,53.83,,Percent of Total Billed Charges,1144.81,,785.27,34.64,,Percent of Total Billed Charges,782.1,,1133.02,49.98,,Percent of Total Billed Charges,856.91,,785.27,2085.59,,																																							
HC INS CATH ABD/LEXTREMITY ARTERY 2ND,36246,CPT,,,,BOTH, , ,2492.7,2093.87,2293.28,92,,Percent of Total Billed Charges,2083.9,,2293.28,92,,Percent of Total Billed Charges,2046.51,,2293.28,92,,Percent of Total Billed Charges,2006.62,,2293.28,92,,Percent of Total Billed Charges,2081.4,,2293.28,92,,Percent of Total Billed Charges,1877,,2293.28,92,,Percent of Total Billed Charges,1557.94,,2243.43,90,,Percent of Total Billed Charges,1243.86,,2218.5,89,,Percent of Total Billed Charges,1196.5,,2053.98,82.4,,Percent of Total Billed Charges,2049,,2078.91,83.4,,Percent of Total Billed Charges,1939.32,,2078.91,83.4,,Percent of Total Billed Charges,1747.38,,2078.91,83.4,,Percent of Total Billed Charges,2029.06,,2243.43,90,,Percent of Total Billed Charges,2111.32,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2293.28,92,,Percent of Total Billed Charges,2021.58,,2293.28,92,,Percent of Total Billed Charges,1854.57,,2293.28,92,,Percent of Total Billed Charges,1951.78,,2293.28,92,,Percent of Total Billed Charges,2021.58,,1944.31,78,,Percent of Total Billed Charges,1944.31,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1341.82,53.83,,Percent of Total Billed Charges,1258.81,,863.47,34.64,,Percent of Total Billed Charges,859.98,,1245.85,49.98,,Percent of Total Billed Charges,942.24,,863.47,2293.28,,																																							
HC INS CATH ABD/LEXTREMITY ARTERY 3RD,36247,CPT,,,,BOTH, , ,3547.95,2980.28,3264.11,92,,Percent of Total Billed Charges,2966.09,,3264.11,92,,Percent of Total Billed Charges,2912.87,,3264.11,92,,Percent of Total Billed Charges,2856.1,,3264.11,92,,Percent of Total Billed Charges,2962.54,,3264.11,92,,Percent of Total Billed Charges,2671.61,,3264.11,92,,Percent of Total Billed Charges,2217.47,,3193.16,90,,Percent of Total Billed Charges,1770.43,,3157.68,89,,Percent of Total Billed Charges,1703.02,,2923.51,82.4,,Percent of Total Billed Charges,2916.41,,2958.99,83.4,,Percent of Total Billed Charges,2760.31,,2958.99,83.4,,Percent of Total Billed Charges,2487.11,,2958.99,83.4,,Percent of Total Billed Charges,2888.03,,3193.16,90,,Percent of Total Billed Charges,3005.11,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3264.11,92,,Percent of Total Billed Charges,2877.39,,3264.11,92,,Percent of Total Billed Charges,2639.67,,3264.11,92,,Percent of Total Billed Charges,2778.04,,3264.11,92,,Percent of Total Billed Charges,2877.39,,2767.4,78,,Percent of Total Billed Charges,2767.4,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1909.86,53.83,,Percent of Total Billed Charges,1791.71,,1229.01,34.64,,Percent of Total Billed Charges,1224.04,,1773.27,49.98,,Percent of Total Billed Charges,1341.13,,1229.01,3264.11,,																																							
HC INS CATH RENAL ARTERY 1ST UNILATERAL,36251,CPT,,,,BOTH, , ,9560.25,8030.61,8795.43,92,,Percent of Total Billed Charges,7992.37,,8795.43,92,,Percent of Total Billed Charges,7848.97,,8795.43,92,,Percent of Total Billed Charges,7696,,8795.43,92,,Percent of Total Billed Charges,7982.81,,8795.43,92,,Percent of Total Billed Charges,7198.87,,8795.43,92,,Percent of Total Billed Charges,5975.16,,8604.23,90,,Percent of Total Billed Charges,4770.56,,8508.62,89,,Percent of Total Billed Charges,4588.92,,7877.65,82.4,,Percent of Total Billed Charges,7858.53,,7973.25,83.4,,Percent of Total Billed Charges,7437.87,,7973.25,83.4,,Percent of Total Billed Charges,6701.74,,7973.25,83.4,,Percent of Total Billed Charges,7782.04,,8604.23,90,,Percent of Total Billed Charges,8097.53,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,8795.43,92,,Percent of Total Billed Charges,7753.36,,8795.43,92,,Percent of Total Billed Charges,7112.83,,8795.43,92,,Percent of Total Billed Charges,7485.68,,8795.43,92,,Percent of Total Billed Charges,7753.36,,7457,78,,Percent of Total Billed Charges,7457,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5146.28,53.83,,Percent of Total Billed Charges,4827.93,,3311.67,34.64,,Percent of Total Billed Charges,3298.29,,4778.21,49.98,,Percent of Total Billed Charges,3613.77,,3311.67,8795.43,,																																							
HC INS CATH REN ART 1ST BILAT,36252,CPT,,,,BOTH, , ,7389.9,6207.52,6798.71,92,,Percent of Total Billed Charges,6177.96,,6798.71,92,,Percent of Total Billed Charges,6067.11,,6798.71,92,,Percent of Total Billed Charges,5948.87,,6798.71,92,,Percent of Total Billed Charges,6170.57,,6798.71,92,,Percent of Total Billed Charges,5564.59,,6798.71,92,,Percent of Total Billed Charges,4618.69,,6650.91,90,,Percent of Total Billed Charges,3687.56,,6577.01,89,,Percent of Total Billed Charges,3547.15,,6089.28,82.4,,Percent of Total Billed Charges,6074.5,,6163.18,83.4,,Percent of Total Billed Charges,5749.34,,6163.18,83.4,,Percent of Total Billed Charges,5180.32,,6163.18,83.4,,Percent of Total Billed Charges,6015.38,,6650.91,90,,Percent of Total Billed Charges,6259.25,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6798.71,92,,Percent of Total Billed Charges,5993.21,,6798.71,92,,Percent of Total Billed Charges,5498.09,,6798.71,92,,Percent of Total Billed Charges,5786.29,,6798.71,92,,Percent of Total Billed Charges,5993.21,,5764.12,78,,Percent of Total Billed Charges,5764.12,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3977.98,53.83,,Percent of Total Billed Charges,3731.9,,2559.86,34.64,,Percent of Total Billed Charges,2549.52,,3693.47,49.98,,Percent of Total Billed Charges,2793.38,,2559.86,6798.71,,																																							
HC INS CATH REN ART 2ND+ BILAT,36254,CPT,,,,BOTH, , ,7389.9,6207.52,6798.71,92,,Percent of Total Billed Charges,6177.96,,6798.71,92,,Percent of Total Billed Charges,6067.11,,6798.71,92,,Percent of Total Billed Charges,5948.87,,6798.71,92,,Percent of Total Billed Charges,6170.57,,6798.71,92,,Percent of Total Billed Charges,5564.59,,6798.71,92,,Percent of Total Billed Charges,4618.69,,6650.91,90,,Percent of Total Billed Charges,3687.56,,6577.01,89,,Percent of Total Billed Charges,3547.15,,6089.28,82.4,,Percent of Total Billed Charges,6074.5,,6163.18,83.4,,Percent of Total Billed Charges,5749.34,,6163.18,83.4,,Percent of Total Billed Charges,5180.32,,6163.18,83.4,,Percent of Total Billed Charges,6015.38,,6650.91,90,,Percent of Total Billed Charges,6259.25,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6798.71,92,,Percent of Total Billed Charges,5993.21,,6798.71,92,,Percent of Total Billed Charges,5498.09,,6798.71,92,,Percent of Total Billed Charges,5786.29,,6798.71,92,,Percent of Total Billed Charges,5993.21,,5764.12,78,,Percent of Total Billed Charges,5764.12,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3977.98,53.83,,Percent of Total Billed Charges,3731.9,,2559.86,34.64,,Percent of Total Billed Charges,2549.52,,3693.47,49.98,,Percent of Total Billed Charges,2793.38,,2559.86,6798.71,,																																							
HC PRIM ART MECH THROMBECTOMY,37184,CPT,,,,BOTH, , ,29605.8,24868.87,27237.34,92,,Percent of Total Billed Charges,24750.45,,27237.34,92,,Percent of Total Billed Charges,24306.36,,27237.34,92,,Percent of Total Billed Charges,23832.67,,27237.34,92,,Percent of Total Billed Charges,24720.84,,27237.34,92,,Percent of Total Billed Charges,22293.17,,27237.34,92,,Percent of Total Billed Charges,18503.63,,26645.22,90,,Percent of Total Billed Charges,14773.29,,26349.16,89,,Percent of Total Billed Charges,14210.78,,24395.18,82.4,,Percent of Total Billed Charges,24335.97,,24691.24,83.4,,Percent of Total Billed Charges,23033.31,,24691.24,83.4,,Percent of Total Billed Charges,20753.67,,24691.24,83.4,,Percent of Total Billed Charges,24099.12,,26645.22,90,,Percent of Total Billed Charges,25076.11,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,27237.34,92,,Percent of Total Billed Charges,24010.3,,27237.34,92,,Percent of Total Billed Charges,22026.72,,27237.34,92,,Percent of Total Billed Charges,23181.34,,27237.34,92,,Percent of Total Billed Charges,24010.3,,23092.52,78,,Percent of Total Billed Charges,23092.52,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,15936.8,53.83,,Percent of Total Billed Charges,14950.93,,10255.45,34.64,,Percent of Total Billed Charges,10214,,14796.98,49.98,,Percent of Total Billed Charges,11190.99,,10255.45,27237.34,,																																							
HC THROMBOLYTIC ART THERAPY,37211,CPT,,,,BOTH, , ,14062.65,11812.63,12937.64,92,,Percent of Total Billed Charges,11756.38,,12937.64,92,,Percent of Total Billed Charges,11545.44,,12937.64,92,,Percent of Total Billed Charges,11320.43,,12937.64,92,,Percent of Total Billed Charges,11742.31,,12937.64,92,,Percent of Total Billed Charges,10589.18,,12937.64,92,,Percent of Total Billed Charges,8789.16,,12656.39,90,,Percent of Total Billed Charges,7017.26,,12515.76,89,,Percent of Total Billed Charges,6750.07,,11587.62,82.4,,Percent of Total Billed Charges,11559.5,,11728.25,83.4,,Percent of Total Billed Charges,10940.74,,11728.25,83.4,,Percent of Total Billed Charges,9857.92,,11728.25,83.4,,Percent of Total Billed Charges,11447,,12656.39,90,,Percent of Total Billed Charges,11911.06,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,12937.64,92,,Percent of Total Billed Charges,11404.81,,12937.64,92,,Percent of Total Billed Charges,10462.61,,12937.64,92,,Percent of Total Billed Charges,11011.05,,12937.64,92,,Percent of Total Billed Charges,11404.81,,10968.87,78,,Percent of Total Billed Charges,10968.87,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,7569.92,53.83,,Percent of Total Billed Charges,7101.64,,4871.3,34.64,,Percent of Total Billed Charges,4851.61,,7028.51,49.98,,Percent of Total Billed Charges,5315.68,,4871.30,12937.64,,																																							
HC TRANSCATH STENT CCA W/EPS,37215,CPT,,,,BOTH, , ,2010.75,1689.03,1849.89,92,,Percent of Total Billed Charges,1680.99,,1849.89,92,,Percent of Total Billed Charges,1650.83,,1849.89,92,,Percent of Total Billed Charges,1618.65,,1849.89,92,,Percent of Total Billed Charges,1678.98,,1849.89,92,,Percent of Total Billed Charges,1514.09,,1849.89,92,,Percent of Total Billed Charges,1256.72,,1809.68,90,,Percent of Total Billed Charges,1003.36,,1789.57,89,,Percent of Total Billed Charges,965.16,,1656.86,82.4,,Percent of Total Billed Charges,1652.84,,1676.97,83.4,,Percent of Total Billed Charges,1564.36,,1676.97,83.4,,Percent of Total Billed Charges,1409.54,,1676.97,83.4,,Percent of Total Billed Charges,1636.75,,1809.68,90,,Percent of Total Billed Charges,1703.11,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1849.89,92,,Percent of Total Billed Charges,1630.72,,1849.89,92,,Percent of Total Billed Charges,1496,,1849.89,92,,Percent of Total Billed Charges,1574.42,,1849.89,92,,Percent of Total Billed Charges,1630.72,,1568.39,78,,Percent of Total Billed Charges,1568.39,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1082.39,53.83,,Percent of Total Billed Charges,1015.43,,696.52,34.64,,Percent of Total Billed Charges,693.71,,1004.97,49.98,,Percent of Total Billed Charges,760.06,,696.52,1849.89,,																																							
HC ILIAC REVASC,37220,CPT,,,,BOTH, , ,13437.9,11287.84,12362.87,92,,Percent of Total Billed Charges,11234.08,,12362.87,92,,Percent of Total Billed Charges,11032.52,,12362.87,92,,Percent of Total Billed Charges,10817.51,,12362.87,92,,Percent of Total Billed Charges,11220.65,,12362.87,92,,Percent of Total Billed Charges,10118.74,,12362.87,92,,Percent of Total Billed Charges,8398.69,,12094.11,90,,Percent of Total Billed Charges,6705.51,,11959.73,89,,Percent of Total Billed Charges,6450.19,,11072.83,82.4,,Percent of Total Billed Charges,11045.95,,11207.21,83.4,,Percent of Total Billed Charges,10454.69,,11207.21,83.4,,Percent of Total Billed Charges,9419.97,,11207.21,83.4,,Percent of Total Billed Charges,10938.45,,12094.11,90,,Percent of Total Billed Charges,11381.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,12362.87,92,,Percent of Total Billed Charges,10898.14,,12362.87,92,,Percent of Total Billed Charges,9997.8,,12362.87,92,,Percent of Total Billed Charges,10521.88,,12362.87,92,,Percent of Total Billed Charges,10898.14,,10481.56,78,,Percent of Total Billed Charges,10481.56,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,7233.62,53.83,,Percent of Total Billed Charges,6786.14,,4654.89,34.64,,Percent of Total Billed Charges,4636.08,,6716.26,49.98,,Percent of Total Billed Charges,5079.53,,4654.89,12362.87,,																																							
HC ILIAC REVASC W/STENT,37221,CPT,,,,BOTH, , ,30860.55,25922.86,28391.71,92,,Percent of Total Billed Charges,25799.42,,28391.71,92,,Percent of Total Billed Charges,25336.51,,28391.71,92,,Percent of Total Billed Charges,24842.74,,28391.71,92,,Percent of Total Billed Charges,25768.56,,28391.71,92,,Percent of Total Billed Charges,23237.99,,28391.71,92,,Percent of Total Billed Charges,19287.84,,27774.5,90,,Percent of Total Billed Charges,15399.41,,27465.89,89,,Percent of Total Billed Charges,14813.06,,25429.09,82.4,,Percent of Total Billed Charges,25367.37,,25737.7,83.4,,Percent of Total Billed Charges,24009.51,,25737.7,83.4,,Percent of Total Billed Charges,21633.25,,25737.7,83.4,,Percent of Total Billed Charges,25120.49,,27774.5,90,,Percent of Total Billed Charges,26138.89,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,28391.71,92,,Percent of Total Billed Charges,25027.91,,28391.71,92,,Percent of Total Billed Charges,22960.25,,28391.71,92,,Percent of Total Billed Charges,24163.81,,28391.71,92,,Percent of Total Billed Charges,25027.91,,24071.23,78,,Percent of Total Billed Charges,24071.23,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,16612.23,53.83,,Percent of Total Billed Charges,15584.58,,10690.09,34.64,,Percent of Total Billed Charges,10646.89,,15424.1,49.98,,Percent of Total Billed Charges,11665.29,,10690.09,28391.71,,																																							
HC ILIAC REVASC W/STENT ADDON,37223,CPT,,,,BOTH, , ,17278.8,14514.19,15896.5,92,,Percent of Total Billed Charges,14445.08,,15896.5,92,,Percent of Total Billed Charges,14185.89,,15896.5,92,,Percent of Total Billed Charges,13909.43,,15896.5,92,,Percent of Total Billed Charges,14427.8,,15896.5,92,,Percent of Total Billed Charges,13010.94,,15896.5,92,,Percent of Total Billed Charges,10799.25,,15550.92,90,,Percent of Total Billed Charges,8622.12,,15378.13,89,,Percent of Total Billed Charges,8293.82,,14237.73,82.4,,Percent of Total Billed Charges,14203.17,,14410.52,83.4,,Percent of Total Billed Charges,13442.91,,14410.52,83.4,,Percent of Total Billed Charges,12112.44,,14410.52,83.4,,Percent of Total Billed Charges,14064.94,,15550.92,90,,Percent of Total Billed Charges,14635.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,15896.5,92,,Percent of Total Billed Charges,14013.11,,15896.5,92,,Percent of Total Billed Charges,12855.43,,15896.5,92,,Percent of Total Billed Charges,13529.3,,15896.5,92,,Percent of Total Billed Charges,14013.11,,13477.46,78,,Percent of Total Billed Charges,13477.46,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,9301.18,53.83,,Percent of Total Billed Charges,8725.79,,5985.38,34.64,,Percent of Total Billed Charges,5961.19,,8635.94,49.98,,Percent of Total Billed Charges,6531.39,,5985.38,15896.5,,																																							
HC FEM/POPL REVAS W/TLA,37224,CPT,,,,BOTH, , ,13437.9,11287.84,12362.87,92,,Percent of Total Billed Charges,11234.08,,12362.87,92,,Percent of Total Billed Charges,11032.52,,12362.87,92,,Percent of Total Billed Charges,10817.51,,12362.87,92,,Percent of Total Billed Charges,11220.65,,12362.87,92,,Percent of Total Billed Charges,10118.74,,12362.87,92,,Percent of Total Billed Charges,8398.69,,12094.11,90,,Percent of Total Billed Charges,6705.51,,11959.73,89,,Percent of Total Billed Charges,6450.19,,11072.83,82.4,,Percent of Total Billed Charges,11045.95,,11207.21,83.4,,Percent of Total Billed Charges,10454.69,,11207.21,83.4,,Percent of Total Billed Charges,9419.97,,11207.21,83.4,,Percent of Total Billed Charges,10938.45,,12094.11,90,,Percent of Total Billed Charges,11381.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,12362.87,92,,Percent of Total Billed Charges,10898.14,,12362.87,92,,Percent of Total Billed Charges,9997.8,,12362.87,92,,Percent of Total Billed Charges,10521.88,,12362.87,92,,Percent of Total Billed Charges,10898.14,,10481.56,78,,Percent of Total Billed Charges,10481.56,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,7233.62,53.83,,Percent of Total Billed Charges,6786.14,,4654.89,34.64,,Percent of Total Billed Charges,4636.08,,6716.26,49.98,,Percent of Total Billed Charges,5079.53,,4654.89,12362.87,,																																							
HC FEM/POPL REVASC W/STENT,37226,CPT,,,,BOTH, , ,28537.95,23971.88,26254.91,92,,Percent of Total Billed Charges,23857.73,,26254.91,92,,Percent of Total Billed Charges,23429.66,,26254.91,92,,Percent of Total Billed Charges,22973.05,,26254.91,92,,Percent of Total Billed Charges,23829.19,,26254.91,92,,Percent of Total Billed Charges,21489.08,,26254.91,92,,Percent of Total Billed Charges,17836.22,,25684.16,90,,Percent of Total Billed Charges,14240.44,,25398.78,89,,Percent of Total Billed Charges,13698.22,,23515.27,82.4,,Percent of Total Billed Charges,23458.19,,23800.65,83.4,,Percent of Total Billed Charges,22202.53,,23800.65,83.4,,Percent of Total Billed Charges,20005.1,,23800.65,83.4,,Percent of Total Billed Charges,23229.89,,25684.16,90,,Percent of Total Billed Charges,24171.64,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,26254.91,92,,Percent of Total Billed Charges,23144.28,,26254.91,92,,Percent of Total Billed Charges,21232.23,,26254.91,92,,Percent of Total Billed Charges,22345.21,,26254.91,92,,Percent of Total Billed Charges,23144.28,,22259.6,78,,Percent of Total Billed Charges,22259.6,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,15361.98,53.83,,Percent of Total Billed Charges,14411.66,,9885.55,34.64,,Percent of Total Billed Charges,9845.59,,14263.27,49.98,,Percent of Total Billed Charges,10787.35,,9885.55,26254.91,,																																							
HC TIB/PER REVASC W/TLA,37228,CPT,,,,BOTH, , ,31871.7,26772.23,29321.96,92,,Percent of Total Billed Charges,26644.74,,29321.96,92,,Percent of Total Billed Charges,26166.67,,29321.96,92,,Percent of Total Billed Charges,25656.72,,29321.96,92,,Percent of Total Billed Charges,26612.87,,29321.96,92,,Percent of Total Billed Charges,23999.39,,29321.96,92,,Percent of Total Billed Charges,19919.81,,28684.53,90,,Percent of Total Billed Charges,15903.98,,28365.81,89,,Percent of Total Billed Charges,15298.42,,26262.28,82.4,,Percent of Total Billed Charges,26198.54,,26581,83.4,,Percent of Total Billed Charges,24796.18,,26581,83.4,,Percent of Total Billed Charges,22342.06,,26581,83.4,,Percent of Total Billed Charges,25943.56,,28684.53,90,,Percent of Total Billed Charges,26995.33,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,29321.96,92,,Percent of Total Billed Charges,25847.95,,29321.96,92,,Percent of Total Billed Charges,23712.54,,29321.96,92,,Percent of Total Billed Charges,24955.54,,29321.96,92,,Percent of Total Billed Charges,25847.95,,24859.93,78,,Percent of Total Billed Charges,24859.93,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,17156.54,53.83,,Percent of Total Billed Charges,16095.21,,11040.36,34.64,,Percent of Total Billed Charges,10995.74,,15929.48,49.98,,Percent of Total Billed Charges,12047.5,,11040.36,29321.96,,																																							
HC TIB/PER REVASC W/STENT,37230,CPT,,,,BOTH, , ,4017.3,3374.53,3695.92,92,,Percent of Total Billed Charges,3358.46,,3695.92,92,,Percent of Total Billed Charges,3298.2,,3695.92,92,,Percent of Total Billed Charges,3233.93,,3695.92,92,,Percent of Total Billed Charges,3354.45,,3695.92,92,,Percent of Total Billed Charges,3025.03,,3695.92,92,,Percent of Total Billed Charges,2510.81,,3615.57,90,,Percent of Total Billed Charges,2004.63,,3575.4,89,,Percent of Total Billed Charges,1928.3,,3310.26,82.4,,Percent of Total Billed Charges,3302.22,,3350.43,83.4,,Percent of Total Billed Charges,3125.46,,3350.43,83.4,,Percent of Total Billed Charges,2816.13,,3350.43,83.4,,Percent of Total Billed Charges,3270.08,,3615.57,90,,Percent of Total Billed Charges,3402.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3695.92,92,,Percent of Total Billed Charges,3258.03,,3695.92,92,,Percent of Total Billed Charges,2988.87,,3695.92,92,,Percent of Total Billed Charges,3145.55,,3695.92,92,,Percent of Total Billed Charges,3258.03,,3133.49,78,,Percent of Total Billed Charges,3133.49,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2162.51,53.83,,Percent of Total Billed Charges,2028.74,,1391.59,34.64,,Percent of Total Billed Charges,1385.97,,2007.85,49.98,,Percent of Total Billed Charges,1518.54,,1391.59,3695.92,,																																							
HC TIB/PER REVASC ADDON,37232,CPT,,,,BOTH, , ,13003.2,10922.69,11962.94,92,,Percent of Total Billed Charges,10870.68,,11962.94,92,,Percent of Total Billed Charges,10675.63,,11962.94,92,,Percent of Total Billed Charges,10467.58,,11962.94,92,,Percent of Total Billed Charges,10857.67,,11962.94,92,,Percent of Total Billed Charges,9791.41,,11962.94,92,,Percent of Total Billed Charges,8127,,11702.88,90,,Percent of Total Billed Charges,6488.6,,11572.85,89,,Percent of Total Billed Charges,6241.54,,10714.64,82.4,,Percent of Total Billed Charges,10688.63,,10844.67,83.4,,Percent of Total Billed Charges,10116.49,,10844.67,83.4,,Percent of Total Billed Charges,9115.24,,10844.67,83.4,,Percent of Total Billed Charges,10584.6,,11702.88,90,,Percent of Total Billed Charges,11013.71,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,11962.94,92,,Percent of Total Billed Charges,10545.6,,11962.94,92,,Percent of Total Billed Charges,9674.38,,11962.94,92,,Percent of Total Billed Charges,10181.51,,11962.94,92,,Percent of Total Billed Charges,10545.6,,10142.5,78,,Percent of Total Billed Charges,10142.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6999.62,53.83,,Percent of Total Billed Charges,6566.62,,4504.31,34.64,,Percent of Total Billed Charges,4486.1,,6499,49.98,,Percent of Total Billed Charges,4915.21,,4504.31,11962.94,,																																							
HC OPEN/PERQ PLACE STENT 1ST,37236,CPT,,,,BOTH, , ,33018.3,27735.37,30376.84,92,,Percent of Total Billed Charges,27603.3,,30376.84,92,,Percent of Total Billed Charges,27108.02,,30376.84,92,,Percent of Total Billed Charges,26579.73,,30376.84,92,,Percent of Total Billed Charges,27570.28,,30376.84,92,,Percent of Total Billed Charges,24862.78,,30376.84,92,,Percent of Total Billed Charges,20636.44,,29716.47,90,,Percent of Total Billed Charges,16476.13,,29386.29,89,,Percent of Total Billed Charges,15848.78,,27207.08,82.4,,Percent of Total Billed Charges,27141.04,,27537.26,83.4,,Percent of Total Billed Charges,25688.24,,27537.26,83.4,,Percent of Total Billed Charges,23145.83,,27537.26,83.4,,Percent of Total Billed Charges,26876.9,,29716.47,90,,Percent of Total Billed Charges,27966.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,30376.84,92,,Percent of Total Billed Charges,26777.84,,30376.84,92,,Percent of Total Billed Charges,24565.62,,30376.84,92,,Percent of Total Billed Charges,25853.33,,30376.84,92,,Percent of Total Billed Charges,26777.84,,25754.27,78,,Percent of Total Billed Charges,25754.27,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,17773.75,53.83,,Percent of Total Billed Charges,16674.24,,11437.54,34.64,,Percent of Total Billed Charges,11391.31,,16502.55,49.98,,Percent of Total Billed Charges,12480.92,,11437.54,30376.84,,																																							
HC OPEN/PERQ PLACE STENT EA ADD,37237,CPT,,,,BOTH, , ,15968.4,13413.46,14690.93,92,,Percent of Total Billed Charges,13349.58,,14690.93,92,,Percent of Total Billed Charges,13110.06,,14690.93,92,,Percent of Total Billed Charges,12854.56,,14690.93,92,,Percent of Total Billed Charges,13333.61,,14690.93,92,,Percent of Total Billed Charges,12024.21,,14690.93,92,,Percent of Total Billed Charges,9980.25,,14371.56,90,,Percent of Total Billed Charges,7968.23,,14211.88,89,,Percent of Total Billed Charges,7664.83,,13157.96,82.4,,Percent of Total Billed Charges,13126.02,,13317.65,83.4,,Percent of Total Billed Charges,12423.42,,13317.65,83.4,,Percent of Total Billed Charges,11193.85,,13317.65,83.4,,Percent of Total Billed Charges,12998.28,,14371.56,90,,Percent of Total Billed Charges,13525.23,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,14690.93,92,,Percent of Total Billed Charges,12950.37,,14690.93,92,,Percent of Total Billed Charges,11880.49,,14690.93,92,,Percent of Total Billed Charges,12503.26,,14690.93,92,,Percent of Total Billed Charges,12950.37,,12455.35,78,,Percent of Total Billed Charges,12455.35,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,8595.79,53.83,,Percent of Total Billed Charges,8064.04,,5531.45,34.64,,Percent of Total Billed Charges,5509.1,,7981.01,49.98,,Percent of Total Billed Charges,6036.06,,5531.45,14690.93,,																																							
HC VASC EMBOLIZE/OCCLUDE ARTERY,37242,CPT,,,,BOTH, , ,3543.75,2976.75,3260.25,92,,Percent of Total Billed Charges,2962.58,,3260.25,92,,Percent of Total Billed Charges,2909.42,,3260.25,92,,Percent of Total Billed Charges,2852.72,,3260.25,92,,Percent of Total Billed Charges,2959.03,,3260.25,92,,Percent of Total Billed Charges,2668.44,,3260.25,92,,Percent of Total Billed Charges,2214.84,,3189.38,90,,Percent of Total Billed Charges,1768.33,,3153.94,89,,Percent of Total Billed Charges,1701,,2920.05,82.4,,Percent of Total Billed Charges,2912.96,,2955.49,83.4,,Percent of Total Billed Charges,2757.04,,2955.49,83.4,,Percent of Total Billed Charges,2484.17,,2955.49,83.4,,Percent of Total Billed Charges,2884.61,,3189.38,90,,Percent of Total Billed Charges,3001.56,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3260.25,92,,Percent of Total Billed Charges,2873.98,,3260.25,92,,Percent of Total Billed Charges,2636.55,,3260.25,92,,Percent of Total Billed Charges,2774.76,,3260.25,92,,Percent of Total Billed Charges,2873.98,,2764.13,78,,Percent of Total Billed Charges,2764.13,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1907.6,53.83,,Percent of Total Billed Charges,1789.59,,1227.56,34.64,,Percent of Total Billed Charges,1222.59,,1771.17,49.98,,Percent of Total Billed Charges,1339.54,,1227.56,3260.25,,																																							
HC ANGIOGRAPHY EXTREMITY UNILATERAL RS&I,75710,CPT,,,,BOTH, , ,9727.2,8170.85,6809.04,92,,Percent of Total Billed Charges,8131.94,,6809.04,92,,Percent of Total Billed Charges,7986.03,,6809.04,92,,Percent of Total Billed Charges,7830.4,,6809.04,92,,Percent of Total Billed Charges,8122.21,,6809.04,92,,Percent of Total Billed Charges,7324.58,,6809.04,92,,Percent of Total Billed Charges,6079.5,,8754.48,90,,Percent of Total Billed Charges,4853.87,,8657.21,89,,Percent of Total Billed Charges,4669.06,,8015.21,82.4,,Percent of Total Billed Charges,7995.76,,8112.48,83.4,,Percent of Total Billed Charges,7567.76,,8112.48,83.4,,Percent of Total Billed Charges,6818.77,,8112.48,83.4,,Percent of Total Billed Charges,7917.94,,8754.48,90,,Percent of Total Billed Charges,8238.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,8949.02,92,,Percent of Total Billed Charges,7888.76,,8949.02,92,,Percent of Total Billed Charges,7237.04,,8949.02,92,,Percent of Total Billed Charges,7616.4,,8949.02,92,,Percent of Total Billed Charges,7888.76,,7587.22,78,,Percent of Total Billed Charges,7587.22,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5236.15,53.83,,Percent of Total Billed Charges,4912.24,,3369.5,34.64,,Percent of Total Billed Charges,3355.88,,4861.65,49.98,,Percent of Total Billed Charges,3676.88,,3369.50,8949.02,,																																							
HC ANGIO BILATERAL EXTREMITY,75716,CPT,,,,BOTH, , ,10950.45,9198.38,7665.32,92,,Percent of Total Billed Charges,9154.58,,7665.32,92,,Percent of Total Billed Charges,8990.32,,7665.32,92,,Percent of Total Billed Charges,8815.11,,7665.32,92,,Percent of Total Billed Charges,9143.63,,7665.32,92,,Percent of Total Billed Charges,8245.69,,7665.32,92,,Percent of Total Billed Charges,6844.03,,9855.41,90,,Percent of Total Billed Charges,5464.27,,9745.9,89,,Percent of Total Billed Charges,5256.22,,9023.17,82.4,,Percent of Total Billed Charges,9001.27,,9132.68,83.4,,Percent of Total Billed Charges,8519.45,,9132.68,83.4,,Percent of Total Billed Charges,7676.27,,9132.68,83.4,,Percent of Total Billed Charges,8913.67,,9855.41,90,,Percent of Total Billed Charges,9275.03,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,10074.41,92,,Percent of Total Billed Charges,8880.81,,10074.41,92,,Percent of Total Billed Charges,8147.13,,10074.41,92,,Percent of Total Billed Charges,8574.2,,10074.41,92,,Percent of Total Billed Charges,8880.81,,8541.35,78,,Percent of Total Billed Charges,8541.35,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5894.63,53.83,,Percent of Total Billed Charges,5529.98,,3793.24,34.64,,Percent of Total Billed Charges,3777.91,,5473.03,49.98,,Percent of Total Billed Charges,4139.27,,3793.24,10074.41,,																																							
HC PRQ CARDIAC ANGIOPLAST 1 ART,92920,CPT,,,,BOTH, , ,15378.3,12917.77,14148.04,92,,Percent of Total Billed Charges,12856.26,,14148.04,92,,Percent of Total Billed Charges,12625.58,,14148.04,92,,Percent of Total Billed Charges,12379.53,,14148.04,92,,Percent of Total Billed Charges,12840.88,,14148.04,92,,Percent of Total Billed Charges,11579.86,,14148.04,92,,Percent of Total Billed Charges,9611.44,,13840.47,90,,Percent of Total Billed Charges,7673.77,,13686.69,89,,Percent of Total Billed Charges,7381.58,,12671.72,82.4,,Percent of Total Billed Charges,12640.96,,12825.5,83.4,,Percent of Total Billed Charges,11964.32,,12825.5,83.4,,Percent of Total Billed Charges,10780.19,,12825.5,83.4,,Percent of Total Billed Charges,12517.94,,13840.47,90,,Percent of Total Billed Charges,13025.42,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,14148.04,92,,Percent of Total Billed Charges,12471.8,,14148.04,92,,Percent of Total Billed Charges,11441.46,,14148.04,92,,Percent of Total Billed Charges,12041.21,,14148.04,92,,Percent of Total Billed Charges,12471.8,,11995.07,78,,Percent of Total Billed Charges,11995.07,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,8278.14,53.83,,Percent of Total Billed Charges,7766.04,,5327.04,34.64,,Percent of Total Billed Charges,5305.51,,7686.07,49.98,,Percent of Total Billed Charges,5813,,5327.04,14148.04,,																																							
HC PRQ CARDIAC ANGIO ADDL ART,92921,CPT,,,,BOTH, , ,15378.3,12917.77,14148.04,92,,Percent of Total Billed Charges,12856.26,,14148.04,92,,Percent of Total Billed Charges,12625.58,,14148.04,92,,Percent of Total Billed Charges,12379.53,,14148.04,92,,Percent of Total Billed Charges,12840.88,,14148.04,92,,Percent of Total Billed Charges,11579.86,,14148.04,92,,Percent of Total Billed Charges,9611.44,,13840.47,90,,Percent of Total Billed Charges,7673.77,,13686.69,89,,Percent of Total Billed Charges,7381.58,,12671.72,82.4,,Percent of Total Billed Charges,12640.96,,12825.5,83.4,,Percent of Total Billed Charges,11964.32,,12825.5,83.4,,Percent of Total Billed Charges,10780.19,,12825.5,83.4,,Percent of Total Billed Charges,12517.94,,13840.47,90,,Percent of Total Billed Charges,13025.42,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,14148.04,92,,Percent of Total Billed Charges,12471.8,,14148.04,92,,Percent of Total Billed Charges,11441.46,,14148.04,92,,Percent of Total Billed Charges,12041.21,,14148.04,92,,Percent of Total Billed Charges,12471.8,,11995.07,78,,Percent of Total Billed Charges,11995.07,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,8278.14,53.83,,Percent of Total Billed Charges,7766.04,,5327.04,34.64,,Percent of Total Billed Charges,5305.51,,7686.07,49.98,,Percent of Total Billed Charges,5813,,5327.04,14148.04,,																																							
HC PRQ CARD STENT W/ANGIO 1 VSL,92928,CPT,,,,BOTH, , ,23358.3,19620.97,21489.64,92,,Percent of Total Billed Charges,19527.54,,21489.64,92,,Percent of Total Billed Charges,19177.16,,21489.64,92,,Percent of Total Billed Charges,18803.43,,21489.64,92,,Percent of Total Billed Charges,19504.18,,21489.64,92,,Percent of Total Billed Charges,17588.8,,21489.64,92,,Percent of Total Billed Charges,14598.94,,21022.47,90,,Percent of Total Billed Charges,11655.79,,20788.89,89,,Percent of Total Billed Charges,11211.98,,19247.24,82.4,,Percent of Total Billed Charges,19200.52,,19480.82,83.4,,Percent of Total Billed Charges,18172.76,,19480.82,83.4,,Percent of Total Billed Charges,16374.17,,19480.82,83.4,,Percent of Total Billed Charges,19013.66,,21022.47,90,,Percent of Total Billed Charges,19784.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,21489.64,92,,Percent of Total Billed Charges,18943.58,,21489.64,92,,Percent of Total Billed Charges,17378.58,,21489.64,92,,Percent of Total Billed Charges,18289.55,,21489.64,92,,Percent of Total Billed Charges,18943.58,,18219.47,78,,Percent of Total Billed Charges,18219.47,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,12573.77,53.83,,Percent of Total Billed Charges,11795.94,,8091.32,34.64,,Percent of Total Billed Charges,8058.61,,11674.48,49.98,,Percent of Total Billed Charges,8829.44,,8091.32,21489.64,,																																							
HC PRQ CARD STENT W/ANGIO ADDL,92929,CPT,,,,BOTH, , ,23358.3,19620.97,21489.64,92,,Percent of Total Billed Charges,19527.54,,21489.64,92,,Percent of Total Billed Charges,19177.16,,21489.64,92,,Percent of Total Billed Charges,18803.43,,21489.64,92,,Percent of Total Billed Charges,19504.18,,21489.64,92,,Percent of Total Billed Charges,17588.8,,21489.64,92,,Percent of Total Billed Charges,14598.94,,21022.47,90,,Percent of Total Billed Charges,11655.79,,20788.89,89,,Percent of Total Billed Charges,11211.98,,19247.24,82.4,,Percent of Total Billed Charges,19200.52,,19480.82,83.4,,Percent of Total Billed Charges,18172.76,,19480.82,83.4,,Percent of Total Billed Charges,16374.17,,19480.82,83.4,,Percent of Total Billed Charges,19013.66,,21022.47,90,,Percent of Total Billed Charges,19784.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,21489.64,92,,Percent of Total Billed Charges,18943.58,,21489.64,92,,Percent of Total Billed Charges,17378.58,,21489.64,92,,Percent of Total Billed Charges,18289.55,,21489.64,92,,Percent of Total Billed Charges,18943.58,,18219.47,78,,Percent of Total Billed Charges,18219.47,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,12573.77,53.83,,Percent of Total Billed Charges,11795.94,,8091.32,34.64,,Percent of Total Billed Charges,8058.61,,11674.48,49.98,,Percent of Total Billed Charges,8829.44,,8091.32,21489.64,,																																							
HC PRQ REVASC BYP GRAFT 1 VSL,92937,CPT,,,,BOTH, , ,23358.3,19620.97,21489.64,92,,Percent of Total Billed Charges,19527.54,,21489.64,92,,Percent of Total Billed Charges,19177.16,,21489.64,92,,Percent of Total Billed Charges,18803.43,,21489.64,92,,Percent of Total Billed Charges,19504.18,,21489.64,92,,Percent of Total Billed Charges,17588.8,,21489.64,92,,Percent of Total Billed Charges,14598.94,,21022.47,90,,Percent of Total Billed Charges,11655.79,,20788.89,89,,Percent of Total Billed Charges,11211.98,,19247.24,82.4,,Percent of Total Billed Charges,19200.52,,19480.82,83.4,,Percent of Total Billed Charges,18172.76,,19480.82,83.4,,Percent of Total Billed Charges,16374.17,,19480.82,83.4,,Percent of Total Billed Charges,19013.66,,21022.47,90,,Percent of Total Billed Charges,19784.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,21489.64,92,,Percent of Total Billed Charges,18943.58,,21489.64,92,,Percent of Total Billed Charges,17378.58,,21489.64,92,,Percent of Total Billed Charges,18289.55,,21489.64,92,,Percent of Total Billed Charges,18943.58,,18219.47,78,,Percent of Total Billed Charges,18219.47,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,12573.77,53.83,,Percent of Total Billed Charges,11795.94,,8091.32,34.64,,Percent of Total Billed Charges,8058.61,,11674.48,49.98,,Percent of Total Billed Charges,8829.44,,8091.32,21489.64,,																																							
HC PRQ CARD REVASC MI 1 VSL,92941,CPT,,,,BOTH, , ,23358.3,19620.97,21489.64,92,,Percent of Total Billed Charges,19527.54,,21489.64,92,,Percent of Total Billed Charges,19177.16,,21489.64,92,,Percent of Total Billed Charges,18803.43,,21489.64,92,,Percent of Total Billed Charges,19504.18,,21489.64,92,,Percent of Total Billed Charges,17588.8,,21489.64,92,,Percent of Total Billed Charges,14598.94,,21022.47,90,,Percent of Total Billed Charges,11655.79,,20788.89,89,,Percent of Total Billed Charges,11211.98,,19247.24,82.4,,Percent of Total Billed Charges,19200.52,,19480.82,83.4,,Percent of Total Billed Charges,18172.76,,19480.82,83.4,,Percent of Total Billed Charges,16374.17,,19480.82,83.4,,Percent of Total Billed Charges,19013.66,,21022.47,90,,Percent of Total Billed Charges,19784.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,21489.64,92,,Percent of Total Billed Charges,18943.58,,21489.64,92,,Percent of Total Billed Charges,17378.58,,21489.64,92,,Percent of Total Billed Charges,18289.55,,21489.64,92,,Percent of Total Billed Charges,18943.58,,18219.47,78,,Percent of Total Billed Charges,18219.47,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,12573.77,53.83,,Percent of Total Billed Charges,11795.94,,8091.32,34.64,,Percent of Total Billed Charges,8058.61,,11674.48,49.98,,Percent of Total Billed Charges,8829.44,,8091.32,21489.64,,																																							
HC CARDIOVERSION ELECTRICAL EXT,92960,CPT,,,,BOTH, , ,212.1,178.16,195.13,92,,Percent of Total Billed Charges,177.32,,195.13,92,,Percent of Total Billed Charges,174.13,,195.13,92,,Percent of Total Billed Charges,170.74,,195.13,92,,Percent of Total Billed Charges,177.1,,195.13,92,,Percent of Total Billed Charges,159.71,,195.13,92,,Percent of Total Billed Charges,132.56,,190.89,90,,Percent of Total Billed Charges,105.84,,188.77,89,,Percent of Total Billed Charges,101.81,,174.77,82.4,,Percent of Total Billed Charges,174.35,,176.89,83.4,,Percent of Total Billed Charges,165.01,,176.89,83.4,,Percent of Total Billed Charges,148.68,,176.89,83.4,,Percent of Total Billed Charges,172.65,,190.89,90,,Percent of Total Billed Charges,179.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,195.13,92,,Percent of Total Billed Charges,172.01,,195.13,92,,Percent of Total Billed Charges,157.8,,195.13,92,,Percent of Total Billed Charges,166.07,,195.13,92,,Percent of Total Billed Charges,172.01,,165.44,78,,Percent of Total Billed Charges,165.44,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,114.17,53.83,,Percent of Total Billed Charges,107.11,,73.47,34.64,,Percent of Total Billed Charges,73.17,,106.01,49.98,,Percent of Total Billed Charges,80.17,,73.47,195.13,,																																							
HC INTRAVASC US HEART ADDON,92978,CPT,,,,BOTH, , ,5012.7,4210.67,4611.68,92,,Percent of Total Billed Charges,4190.62,,4611.68,92,,Percent of Total Billed Charges,4115.43,,4611.68,92,,Percent of Total Billed Charges,4035.22,,4611.68,92,,Percent of Total Billed Charges,4185.6,,4611.68,92,,Percent of Total Billed Charges,3774.56,,4611.68,92,,Percent of Total Billed Charges,3132.94,,4511.43,90,,Percent of Total Billed Charges,2501.34,,4461.3,89,,Percent of Total Billed Charges,2406.1,,4130.46,82.4,,Percent of Total Billed Charges,4120.44,,4180.59,83.4,,Percent of Total Billed Charges,3899.88,,4180.59,83.4,,Percent of Total Billed Charges,3513.9,,4180.59,83.4,,Percent of Total Billed Charges,4080.34,,4511.43,90,,Percent of Total Billed Charges,4245.76,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4611.68,92,,Percent of Total Billed Charges,4065.3,,4611.68,92,,Percent of Total Billed Charges,3729.45,,4611.68,92,,Percent of Total Billed Charges,3924.94,,4611.68,92,,Percent of Total Billed Charges,4065.3,,3909.91,78,,Percent of Total Billed Charges,3909.91,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2698.34,53.83,,Percent of Total Billed Charges,2531.41,,1736.4,34.64,,Percent of Total Billed Charges,1729.38,,2505.35,49.98,,Percent of Total Billed Charges,1894.8,,1736.40,4611.68,,																																							
HC RIGHT HEART CATH,93451,CPT,,,,BOTH, , ,12826.8,10774.51,11800.66,92,,Percent of Total Billed Charges,10723.2,,11800.66,92,,Percent of Total Billed Charges,10530.8,,11800.66,92,,Percent of Total Billed Charges,10325.57,,11800.66,92,,Percent of Total Billed Charges,10710.38,,11800.66,92,,Percent of Total Billed Charges,9658.58,,11800.66,92,,Percent of Total Billed Charges,8016.75,,11544.12,90,,Percent of Total Billed Charges,6400.57,,11415.85,89,,Percent of Total Billed Charges,6156.86,,10569.28,82.4,,Percent of Total Billed Charges,10543.63,,10697.55,83.4,,Percent of Total Billed Charges,9979.25,,10697.55,83.4,,Percent of Total Billed Charges,8991.59,,10697.55,83.4,,Percent of Total Billed Charges,10441.02,,11544.12,90,,Percent of Total Billed Charges,10864.3,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,11800.66,92,,Percent of Total Billed Charges,10402.53,,11800.66,92,,Percent of Total Billed Charges,9543.14,,11800.66,92,,Percent of Total Billed Charges,10043.38,,11800.66,92,,Percent of Total Billed Charges,10402.53,,10004.9,78,,Percent of Total Billed Charges,10004.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6904.67,53.83,,Percent of Total Billed Charges,6477.53,,4443.2,34.64,,Percent of Total Billed Charges,4425.25,,6410.83,49.98,,Percent of Total Billed Charges,4848.53,,4443.20,11800.66,,																																							
HC R&L HRT CATH W/VENTRICLGRPHY,93453,CPT,,,,BOTH, , ,12826.8,10774.51,11800.66,92,,Percent of Total Billed Charges,10723.2,,11800.66,92,,Percent of Total Billed Charges,10530.8,,11800.66,92,,Percent of Total Billed Charges,10325.57,,11800.66,92,,Percent of Total Billed Charges,10710.38,,11800.66,92,,Percent of Total Billed Charges,9658.58,,11800.66,92,,Percent of Total Billed Charges,8016.75,,11544.12,90,,Percent of Total Billed Charges,6400.57,,11415.85,89,,Percent of Total Billed Charges,6156.86,,10569.28,82.4,,Percent of Total Billed Charges,10543.63,,10697.55,83.4,,Percent of Total Billed Charges,9979.25,,10697.55,83.4,,Percent of Total Billed Charges,8991.59,,10697.55,83.4,,Percent of Total Billed Charges,10441.02,,11544.12,90,,Percent of Total Billed Charges,10864.3,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,11800.66,92,,Percent of Total Billed Charges,10402.53,,11800.66,92,,Percent of Total Billed Charges,9543.14,,11800.66,92,,Percent of Total Billed Charges,10043.38,,11800.66,92,,Percent of Total Billed Charges,10402.53,,10004.9,78,,Percent of Total Billed Charges,10004.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6904.67,53.83,,Percent of Total Billed Charges,6477.53,,4443.2,34.64,,Percent of Total Billed Charges,4425.25,,6410.83,49.98,,Percent of Total Billed Charges,4848.53,,4443.20,11800.66,,																																							
HC CORONARY ARTERY ANGIO S&I,93454,CPT,,,,BOTH, , ,12826.8,10774.51,11800.66,92,,Percent of Total Billed Charges,10723.2,,11800.66,92,,Percent of Total Billed Charges,10530.8,,11800.66,92,,Percent of Total Billed Charges,10325.57,,11800.66,92,,Percent of Total Billed Charges,10710.38,,11800.66,92,,Percent of Total Billed Charges,9658.58,,11800.66,92,,Percent of Total Billed Charges,8016.75,,11544.12,90,,Percent of Total Billed Charges,6400.57,,11415.85,89,,Percent of Total Billed Charges,6156.86,,10569.28,82.4,,Percent of Total Billed Charges,10543.63,,10697.55,83.4,,Percent of Total Billed Charges,9979.25,,10697.55,83.4,,Percent of Total Billed Charges,8991.59,,10697.55,83.4,,Percent of Total Billed Charges,10441.02,,11544.12,90,,Percent of Total Billed Charges,10864.3,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,11800.66,92,,Percent of Total Billed Charges,10402.53,,11800.66,92,,Percent of Total Billed Charges,9543.14,,11800.66,92,,Percent of Total Billed Charges,10043.38,,11800.66,92,,Percent of Total Billed Charges,10402.53,,10004.9,78,,Percent of Total Billed Charges,10004.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6904.67,53.83,,Percent of Total Billed Charges,6477.53,,4443.2,34.64,,Percent of Total Billed Charges,4425.25,,6410.83,49.98,,Percent of Total Billed Charges,4848.53,,4443.20,11800.66,,																																							
HC CORONARY ART/GRFT ANGIO S&I,93455,CPT,,,,BOTH, , ,12826.8,10774.51,11800.66,92,,Percent of Total Billed Charges,10723.2,,11800.66,92,,Percent of Total Billed Charges,10530.8,,11800.66,92,,Percent of Total Billed Charges,10325.57,,11800.66,92,,Percent of Total Billed Charges,10710.38,,11800.66,92,,Percent of Total Billed Charges,9658.58,,11800.66,92,,Percent of Total Billed Charges,8016.75,,11544.12,90,,Percent of Total Billed Charges,6400.57,,11415.85,89,,Percent of Total Billed Charges,6156.86,,10569.28,82.4,,Percent of Total Billed Charges,10543.63,,10697.55,83.4,,Percent of Total Billed Charges,9979.25,,10697.55,83.4,,Percent of Total Billed Charges,8991.59,,10697.55,83.4,,Percent of Total Billed Charges,10441.02,,11544.12,90,,Percent of Total Billed Charges,10864.3,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,11800.66,92,,Percent of Total Billed Charges,10402.53,,11800.66,92,,Percent of Total Billed Charges,9543.14,,11800.66,92,,Percent of Total Billed Charges,10043.38,,11800.66,92,,Percent of Total Billed Charges,10402.53,,10004.9,78,,Percent of Total Billed Charges,10004.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6904.67,53.83,,Percent of Total Billed Charges,6477.53,,4443.2,34.64,,Percent of Total Billed Charges,4425.25,,6410.83,49.98,,Percent of Total Billed Charges,4848.53,,4443.20,11800.66,,																																							
HC R HRT CORONARY ARTERY ANGIO,93456,CPT,,,,BOTH, , ,12826.8,10774.51,11800.66,92,,Percent of Total Billed Charges,10723.2,,11800.66,92,,Percent of Total Billed Charges,10530.8,,11800.66,92,,Percent of Total Billed Charges,10325.57,,11800.66,92,,Percent of Total Billed Charges,10710.38,,11800.66,92,,Percent of Total Billed Charges,9658.58,,11800.66,92,,Percent of Total Billed Charges,8016.75,,11544.12,90,,Percent of Total Billed Charges,6400.57,,11415.85,89,,Percent of Total Billed Charges,6156.86,,10569.28,82.4,,Percent of Total Billed Charges,10543.63,,10697.55,83.4,,Percent of Total Billed Charges,9979.25,,10697.55,83.4,,Percent of Total Billed Charges,8991.59,,10697.55,83.4,,Percent of Total Billed Charges,10441.02,,11544.12,90,,Percent of Total Billed Charges,10864.3,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,11800.66,92,,Percent of Total Billed Charges,10402.53,,11800.66,92,,Percent of Total Billed Charges,9543.14,,11800.66,92,,Percent of Total Billed Charges,10043.38,,11800.66,92,,Percent of Total Billed Charges,10402.53,,10004.9,78,,Percent of Total Billed Charges,10004.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6904.67,53.83,,Percent of Total Billed Charges,6477.53,,4443.2,34.64,,Percent of Total Billed Charges,4425.25,,6410.83,49.98,,Percent of Total Billed Charges,4848.53,,4443.20,11800.66,,																																							
HC R HRT ART/GRFT ANGIO,93457,CPT,,,,BOTH, , ,12826.8,10774.51,11800.66,92,,Percent of Total Billed Charges,10723.2,,11800.66,92,,Percent of Total Billed Charges,10530.8,,11800.66,92,,Percent of Total Billed Charges,10325.57,,11800.66,92,,Percent of Total Billed Charges,10710.38,,11800.66,92,,Percent of Total Billed Charges,9658.58,,11800.66,92,,Percent of Total Billed Charges,8016.75,,11544.12,90,,Percent of Total Billed Charges,6400.57,,11415.85,89,,Percent of Total Billed Charges,6156.86,,10569.28,82.4,,Percent of Total Billed Charges,10543.63,,10697.55,83.4,,Percent of Total Billed Charges,9979.25,,10697.55,83.4,,Percent of Total Billed Charges,8991.59,,10697.55,83.4,,Percent of Total Billed Charges,10441.02,,11544.12,90,,Percent of Total Billed Charges,10864.3,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,11800.66,92,,Percent of Total Billed Charges,10402.53,,11800.66,92,,Percent of Total Billed Charges,9543.14,,11800.66,92,,Percent of Total Billed Charges,10043.38,,11800.66,92,,Percent of Total Billed Charges,10402.53,,10004.9,78,,Percent of Total Billed Charges,10004.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6904.67,53.83,,Percent of Total Billed Charges,6477.53,,4443.2,34.64,,Percent of Total Billed Charges,4425.25,,6410.83,49.98,,Percent of Total Billed Charges,4848.53,,4443.20,11800.66,,																																							
HC L HRT ARTERY/VENTRICLE ANGIO,93458,CPT,,,,BOTH, , ,12826.8,10774.51,11800.66,92,,Percent of Total Billed Charges,10723.2,,11800.66,92,,Percent of Total Billed Charges,10530.8,,11800.66,92,,Percent of Total Billed Charges,10325.57,,11800.66,92,,Percent of Total Billed Charges,10710.38,,11800.66,92,,Percent of Total Billed Charges,9658.58,,11800.66,92,,Percent of Total Billed Charges,8016.75,,11544.12,90,,Percent of Total Billed Charges,6400.57,,11415.85,89,,Percent of Total Billed Charges,6156.86,,10569.28,82.4,,Percent of Total Billed Charges,10543.63,,10697.55,83.4,,Percent of Total Billed Charges,9979.25,,10697.55,83.4,,Percent of Total Billed Charges,8991.59,,10697.55,83.4,,Percent of Total Billed Charges,10441.02,,11544.12,90,,Percent of Total Billed Charges,10864.3,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,11800.66,92,,Percent of Total Billed Charges,10402.53,,11800.66,92,,Percent of Total Billed Charges,9543.14,,11800.66,92,,Percent of Total Billed Charges,10043.38,,11800.66,92,,Percent of Total Billed Charges,10402.53,,10004.9,78,,Percent of Total Billed Charges,10004.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6904.67,53.83,,Percent of Total Billed Charges,6477.53,,4443.2,34.64,,Percent of Total Billed Charges,4425.25,,6410.83,49.98,,Percent of Total Billed Charges,4848.53,,4443.20,11800.66,,																																							
HC L HRT ART/GRFT ANGIO,93459,CPT,,,,BOTH, , ,12826.8,10774.51,11800.66,92,,Percent of Total Billed Charges,10723.2,,11800.66,92,,Percent of Total Billed Charges,10530.8,,11800.66,92,,Percent of Total Billed Charges,10325.57,,11800.66,92,,Percent of Total Billed Charges,10710.38,,11800.66,92,,Percent of Total Billed Charges,9658.58,,11800.66,92,,Percent of Total Billed Charges,8016.75,,11544.12,90,,Percent of Total Billed Charges,6400.57,,11415.85,89,,Percent of Total Billed Charges,6156.86,,10569.28,82.4,,Percent of Total Billed Charges,10543.63,,10697.55,83.4,,Percent of Total Billed Charges,9979.25,,10697.55,83.4,,Percent of Total Billed Charges,8991.59,,10697.55,83.4,,Percent of Total Billed Charges,10441.02,,11544.12,90,,Percent of Total Billed Charges,10864.3,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,11800.66,92,,Percent of Total Billed Charges,10402.53,,11800.66,92,,Percent of Total Billed Charges,9543.14,,11800.66,92,,Percent of Total Billed Charges,10043.38,,11800.66,92,,Percent of Total Billed Charges,10402.53,,10004.9,78,,Percent of Total Billed Charges,10004.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6904.67,53.83,,Percent of Total Billed Charges,6477.53,,4443.2,34.64,,Percent of Total Billed Charges,4425.25,,6410.83,49.98,,Percent of Total Billed Charges,4848.53,,4443.20,11800.66,,																																							
HC R&L HRT ART/VENTRICLE ANGIO,93460,CPT,,,,BOTH, , ,12826.8,10774.51,11800.66,92,,Percent of Total Billed Charges,10723.2,,11800.66,92,,Percent of Total Billed Charges,10530.8,,11800.66,92,,Percent of Total Billed Charges,10325.57,,11800.66,92,,Percent of Total Billed Charges,10710.38,,11800.66,92,,Percent of Total Billed Charges,9658.58,,11800.66,92,,Percent of Total Billed Charges,8016.75,,11544.12,90,,Percent of Total Billed Charges,6400.57,,11415.85,89,,Percent of Total Billed Charges,6156.86,,10569.28,82.4,,Percent of Total Billed Charges,10543.63,,10697.55,83.4,,Percent of Total Billed Charges,9979.25,,10697.55,83.4,,Percent of Total Billed Charges,8991.59,,10697.55,83.4,,Percent of Total Billed Charges,10441.02,,11544.12,90,,Percent of Total Billed Charges,10864.3,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,11800.66,92,,Percent of Total Billed Charges,10402.53,,11800.66,92,,Percent of Total Billed Charges,9543.14,,11800.66,92,,Percent of Total Billed Charges,10043.38,,11800.66,92,,Percent of Total Billed Charges,10402.53,,10004.9,78,,Percent of Total Billed Charges,10004.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6904.67,53.83,,Percent of Total Billed Charges,6477.53,,4443.2,34.64,,Percent of Total Billed Charges,4425.25,,6410.83,49.98,,Percent of Total Billed Charges,4848.53,,4443.20,11800.66,,																																							
HC R&L HRT ART/VENTRICLE ANGIO W IMAGING OF BYPASS GRAFTS,93461,CPT,,,,BOTH, , ,12826.8,10774.51,11800.66,92,,Percent of Total Billed Charges,10723.2,,11800.66,92,,Percent of Total Billed Charges,10530.8,,11800.66,92,,Percent of Total Billed Charges,10325.57,,11800.66,92,,Percent of Total Billed Charges,10710.38,,11800.66,92,,Percent of Total Billed Charges,9658.58,,11800.66,92,,Percent of Total Billed Charges,8016.75,,11544.12,90,,Percent of Total Billed Charges,6400.57,,11415.85,89,,Percent of Total Billed Charges,6156.86,,10569.28,82.4,,Percent of Total Billed Charges,10543.63,,10697.55,83.4,,Percent of Total Billed Charges,9979.25,,10697.55,83.4,,Percent of Total Billed Charges,8991.59,,10697.55,83.4,,Percent of Total Billed Charges,10441.02,,11544.12,90,,Percent of Total Billed Charges,10864.3,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,11800.66,92,,Percent of Total Billed Charges,10402.53,,11800.66,92,,Percent of Total Billed Charges,9543.14,,11800.66,92,,Percent of Total Billed Charges,10043.38,,11800.66,92,,Percent of Total Billed Charges,10402.53,,10004.9,78,,Percent of Total Billed Charges,10004.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6904.67,53.83,,Percent of Total Billed Charges,6477.53,,4443.2,34.64,,Percent of Total Billed Charges,4425.25,,6410.83,49.98,,Percent of Total Billed Charges,4848.53,,4443.20,11800.66,,																																							
HC INJECT SUPRAVALVULAR AORTAGRAPHY,93567,CPT,,,,BOTH, , ,366.45,307.82,337.13,92,,Percent of Total Billed Charges,306.35,,337.13,92,,Percent of Total Billed Charges,300.86,,337.13,92,,Percent of Total Billed Charges,294.99,,337.13,92,,Percent of Total Billed Charges,305.99,,337.13,92,,Percent of Total Billed Charges,275.94,,337.13,92,,Percent of Total Billed Charges,229.03,,329.81,90,,Percent of Total Billed Charges,182.86,,326.14,89,,Percent of Total Billed Charges,175.9,,301.95,82.4,,Percent of Total Billed Charges,301.22,,305.62,83.4,,Percent of Total Billed Charges,285.1,,305.62,83.4,,Percent of Total Billed Charges,256.88,,305.62,83.4,,Percent of Total Billed Charges,298.29,,329.81,90,,Percent of Total Billed Charges,310.38,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,337.13,92,,Percent of Total Billed Charges,297.19,,337.13,92,,Percent of Total Billed Charges,272.64,,337.13,92,,Percent of Total Billed Charges,286.93,,337.13,92,,Percent of Total Billed Charges,297.19,,285.83,78,,Percent of Total Billed Charges,285.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,197.26,53.83,,Percent of Total Billed Charges,185.06,,126.94,34.64,,Percent of Total Billed Charges,126.43,,183.15,49.98,,Percent of Total Billed Charges,138.52,,126.94,337.13,,																																							
HC HEART FLOW RESERVE MEASUREMENT; INITIAL,93571,CPT,,,,BOTH, , ,4287.15,3601.21,3944.18,92,,Percent of Total Billed Charges,3584.06,,3944.18,92,,Percent of Total Billed Charges,3519.75,,3944.18,92,,Percent of Total Billed Charges,3451.16,,3944.18,92,,Percent of Total Billed Charges,3579.77,,3944.18,92,,Percent of Total Billed Charges,3228.22,,3944.18,92,,Percent of Total Billed Charges,2679.47,,3858.44,90,,Percent of Total Billed Charges,2139.29,,3815.56,89,,Percent of Total Billed Charges,2057.83,,3532.61,82.4,,Percent of Total Billed Charges,3524.04,,3575.48,83.4,,Percent of Total Billed Charges,3335.4,,3575.48,83.4,,Percent of Total Billed Charges,3005.29,,3575.48,83.4,,Percent of Total Billed Charges,3489.74,,3858.44,90,,Percent of Total Billed Charges,3631.22,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3944.18,92,,Percent of Total Billed Charges,3476.88,,3944.18,92,,Percent of Total Billed Charges,3189.64,,3944.18,92,,Percent of Total Billed Charges,3356.84,,3944.18,92,,Percent of Total Billed Charges,3476.88,,3343.98,78,,Percent of Total Billed Charges,3343.98,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2307.77,53.83,,Percent of Total Billed Charges,2165.01,,1485.07,34.64,,Percent of Total Billed Charges,1479.07,,2142.72,49.98,,Percent of Total Billed Charges,1620.54,,1485.07,3944.18,,																																							
HC HEART FLOW RESERVE MEASUREMENT; ADDITIONAL,93572,CPT,,,,BOTH, , ,2874.9,2414.92,2644.91,92,,Percent of Total Billed Charges,2403.42,,2644.91,92,,Percent of Total Billed Charges,2360.29,,2644.91,92,,Percent of Total Billed Charges,2314.29,,2644.91,92,,Percent of Total Billed Charges,2400.54,,2644.91,92,,Percent of Total Billed Charges,2164.8,,2644.91,92,,Percent of Total Billed Charges,1796.81,,2587.41,90,,Percent of Total Billed Charges,1434.58,,2558.66,89,,Percent of Total Billed Charges,1379.95,,2368.92,82.4,,Percent of Total Billed Charges,2363.17,,2397.67,83.4,,Percent of Total Billed Charges,2236.67,,2397.67,83.4,,Percent of Total Billed Charges,2015.3,,2397.67,83.4,,Percent of Total Billed Charges,2340.17,,2587.41,90,,Percent of Total Billed Charges,2435.04,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2644.91,92,,Percent of Total Billed Charges,2331.54,,2644.91,92,,Percent of Total Billed Charges,2138.93,,2644.91,92,,Percent of Total Billed Charges,2251.05,,2644.91,92,,Percent of Total Billed Charges,2331.54,,2242.42,78,,Percent of Total Billed Charges,2242.42,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1547.56,53.83,,Percent of Total Billed Charges,1451.82,,995.87,34.64,,Percent of Total Billed Charges,991.84,,1436.88,49.98,,Percent of Total Billed Charges,1086.71,,995.87,2644.91,,																																							
HC MAP TACHYCARDIA ADDON,93609,CPT,,,,BOTH, , ,2082.15,1749.01,1915.58,92,,Percent of Total Billed Charges,1740.68,,1915.58,92,,Percent of Total Billed Charges,1709.45,,1915.58,92,,Percent of Total Billed Charges,1676.13,,1915.58,92,,Percent of Total Billed Charges,1738.6,,1915.58,92,,Percent of Total Billed Charges,1567.86,,1915.58,92,,Percent of Total Billed Charges,1301.34,,1873.94,90,,Percent of Total Billed Charges,1038.99,,1853.11,89,,Percent of Total Billed Charges,999.43,,1715.69,82.4,,Percent of Total Billed Charges,1711.53,,1736.51,83.4,,Percent of Total Billed Charges,1619.91,,1736.51,83.4,,Percent of Total Billed Charges,1459.59,,1736.51,83.4,,Percent of Total Billed Charges,1694.87,,1873.94,90,,Percent of Total Billed Charges,1763.58,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1915.58,92,,Percent of Total Billed Charges,1688.62,,1915.58,92,,Percent of Total Billed Charges,1549.12,,1915.58,92,,Percent of Total Billed Charges,1630.32,,1915.58,92,,Percent of Total Billed Charges,1688.62,,1624.08,78,,Percent of Total Billed Charges,1624.08,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1120.82,53.83,,Percent of Total Billed Charges,1051.49,,721.26,34.64,,Percent of Total Billed Charges,718.34,,1040.66,49.98,,Percent of Total Billed Charges,787.05,,721.26,1915.58,,																																							
HC ELECTROPHYS MAP 3D ADDON,93613,CPT,,,,BOTH, , ,3963.75,3329.55,3646.65,92,,Percent of Total Billed Charges,3313.7,,3646.65,92,,Percent of Total Billed Charges,3254.24,,3646.65,92,,Percent of Total Billed Charges,3190.82,,3646.65,92,,Percent of Total Billed Charges,3309.73,,3646.65,92,,Percent of Total Billed Charges,2984.7,,3646.65,92,,Percent of Total Billed Charges,2477.34,,3567.38,90,,Percent of Total Billed Charges,1977.91,,3527.74,89,,Percent of Total Billed Charges,1902.6,,3266.13,82.4,,Percent of Total Billed Charges,3258.2,,3305.77,83.4,,Percent of Total Billed Charges,3083.8,,3305.77,83.4,,Percent of Total Billed Charges,2778.59,,3305.77,83.4,,Percent of Total Billed Charges,3226.49,,3567.38,90,,Percent of Total Billed Charges,3357.3,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3646.65,92,,Percent of Total Billed Charges,3214.6,,3646.65,92,,Percent of Total Billed Charges,2949.03,,3646.65,92,,Percent of Total Billed Charges,3103.62,,3646.65,92,,Percent of Total Billed Charges,3214.6,,3091.73,78,,Percent of Total Billed Charges,3091.73,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2133.69,53.83,,Percent of Total Billed Charges,2001.69,,1373.04,34.64,,Percent of Total Billed Charges,1367.49,,1981.08,49.98,,Percent of Total Billed Charges,1498.3,,1373.04,3646.65,,																																							
HC COMPREHENSIVE ELECTROPHYSIOLOGY EVAL W/O INDUCTION,93619,CPT,,,,BOTH, , ,17483.55,14686.18,16084.87,92,,Percent of Total Billed Charges,14616.25,,16084.87,92,,Percent of Total Billed Charges,14353.99,,16084.87,92,,Percent of Total Billed Charges,14074.26,,16084.87,92,,Percent of Total Billed Charges,14598.76,,16084.87,92,,Percent of Total Billed Charges,13165.11,,16084.87,92,,Percent of Total Billed Charges,10927.22,,15735.2,90,,Percent of Total Billed Charges,8724.29,,15560.36,89,,Percent of Total Billed Charges,8392.1,,14406.45,82.4,,Percent of Total Billed Charges,14371.48,,14581.28,83.4,,Percent of Total Billed Charges,13602.2,,14581.28,83.4,,Percent of Total Billed Charges,12255.97,,14581.28,83.4,,Percent of Total Billed Charges,14231.61,,15735.2,90,,Percent of Total Billed Charges,14808.57,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,16084.87,92,,Percent of Total Billed Charges,14179.16,,16084.87,92,,Percent of Total Billed Charges,13007.76,,16084.87,92,,Percent of Total Billed Charges,13689.62,,16084.87,92,,Percent of Total Billed Charges,14179.16,,13637.17,78,,Percent of Total Billed Charges,13637.17,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,9411.39,53.83,,Percent of Total Billed Charges,8829.19,,6056.3,34.64,,Percent of Total Billed Charges,6031.82,,8738.28,49.98,,Percent of Total Billed Charges,6608.78,,6056.30,16084.87,,																																							
HC COMPREHENSIVE ELECTROPHYSIOLOGY EVAL W/INDUCT OR ATTEMPT,93620,CPT,,,,BOTH, , ,17483.55,14686.18,16084.87,92,,Percent of Total Billed Charges,14616.25,,16084.87,92,,Percent of Total Billed Charges,14353.99,,16084.87,92,,Percent of Total Billed Charges,14074.26,,16084.87,92,,Percent of Total Billed Charges,14598.76,,16084.87,92,,Percent of Total Billed Charges,13165.11,,16084.87,92,,Percent of Total Billed Charges,10927.22,,15735.2,90,,Percent of Total Billed Charges,8724.29,,15560.36,89,,Percent of Total Billed Charges,8392.1,,14406.45,82.4,,Percent of Total Billed Charges,14371.48,,14581.28,83.4,,Percent of Total Billed Charges,13602.2,,14581.28,83.4,,Percent of Total Billed Charges,12255.97,,14581.28,83.4,,Percent of Total Billed Charges,14231.61,,15735.2,90,,Percent of Total Billed Charges,14808.57,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,16084.87,92,,Percent of Total Billed Charges,14179.16,,16084.87,92,,Percent of Total Billed Charges,13007.76,,16084.87,92,,Percent of Total Billed Charges,13689.62,,16084.87,92,,Percent of Total Billed Charges,14179.16,,13637.17,78,,Percent of Total Billed Charges,13637.17,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,9411.39,53.83,,Percent of Total Billed Charges,8829.19,,6056.3,34.64,,Percent of Total Billed Charges,6031.82,,8738.28,49.98,,Percent of Total Billed Charges,6608.78,,6056.30,16084.87,,																																							
HC PROGRAM STIMULATION AFTER IV DRUG INFUSION,93623,CPT,,,,BOTH, , ,1684.2,1414.73,1549.46,92,,Percent of Total Billed Charges,1407.99,,1549.46,92,,Percent of Total Billed Charges,1382.73,,1549.46,92,,Percent of Total Billed Charges,1355.78,,1549.46,92,,Percent of Total Billed Charges,1406.31,,1549.46,92,,Percent of Total Billed Charges,1268.2,,1549.46,92,,Percent of Total Billed Charges,1052.63,,1515.78,90,,Percent of Total Billed Charges,840.42,,1498.94,89,,Percent of Total Billed Charges,808.42,,1387.78,82.4,,Percent of Total Billed Charges,1384.41,,1404.62,83.4,,Percent of Total Billed Charges,1310.31,,1404.62,83.4,,Percent of Total Billed Charges,1180.62,,1404.62,83.4,,Percent of Total Billed Charges,1370.94,,1515.78,90,,Percent of Total Billed Charges,1426.52,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1549.46,92,,Percent of Total Billed Charges,1365.89,,1549.46,92,,Percent of Total Billed Charges,1253.04,,1549.46,92,,Percent of Total Billed Charges,1318.73,,1549.46,92,,Percent of Total Billed Charges,1365.89,,1313.68,78,,Percent of Total Billed Charges,1313.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,906.6,53.83,,Percent of Total Billed Charges,850.52,,583.41,34.64,,Percent of Total Billed Charges,581.05,,841.76,49.98,,Percent of Total Billed Charges,636.63,,583.41,1549.46,,																																							
HC ELECTROPHYSIOLOGY EVALUATION; INITIAL IMP/REP & TESTING,93641,CPT,,,,BOTH, , ,3734.85,3137.27,3436.06,92,,Percent of Total Billed Charges,3122.33,,3436.06,92,,Percent of Total Billed Charges,3066.31,,3436.06,92,,Percent of Total Billed Charges,3006.55,,3436.06,92,,Percent of Total Billed Charges,3118.6,,3436.06,92,,Percent of Total Billed Charges,2812.34,,3436.06,92,,Percent of Total Billed Charges,2334.28,,3361.37,90,,Percent of Total Billed Charges,1863.69,,3324.02,89,,Percent of Total Billed Charges,1792.73,,3077.52,82.4,,Percent of Total Billed Charges,3070.05,,3114.86,83.4,,Percent of Total Billed Charges,2905.71,,3114.86,83.4,,Percent of Total Billed Charges,2618.13,,3114.86,83.4,,Percent of Total Billed Charges,3040.17,,3361.37,90,,Percent of Total Billed Charges,3163.42,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3436.06,92,,Percent of Total Billed Charges,3028.96,,3436.06,92,,Percent of Total Billed Charges,2778.73,,3436.06,92,,Percent of Total Billed Charges,2924.39,,3436.06,92,,Percent of Total Billed Charges,3028.96,,2913.18,78,,Percent of Total Billed Charges,2913.18,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2010.47,53.83,,Percent of Total Billed Charges,1886.1,,1293.75,34.64,,Percent of Total Billed Charges,1288.52,,1866.68,49.98,,Percent of Total Billed Charges,1411.77,,1293.75,3436.06,,																																							
HC ELECTROPHYSIOLOGY EVALUATION,93642,CPT,,,,BOTH, , ,4270.35,3587.09,3928.72,92,,Percent of Total Billed Charges,3570.01,,3928.72,92,,Percent of Total Billed Charges,3505.96,,3928.72,92,,Percent of Total Billed Charges,3437.63,,3928.72,92,,Percent of Total Billed Charges,3565.74,,3928.72,92,,Percent of Total Billed Charges,3215.57,,3928.72,92,,Percent of Total Billed Charges,2668.97,,3843.32,90,,Percent of Total Billed Charges,2130.9,,3800.61,89,,Percent of Total Billed Charges,2049.77,,3518.77,82.4,,Percent of Total Billed Charges,3510.23,,3561.47,83.4,,Percent of Total Billed Charges,3322.33,,3561.47,83.4,,Percent of Total Billed Charges,2993.52,,3561.47,83.4,,Percent of Total Billed Charges,3476.06,,3843.32,90,,Percent of Total Billed Charges,3616.99,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3928.72,92,,Percent of Total Billed Charges,3463.25,,3928.72,92,,Percent of Total Billed Charges,3177.14,,3928.72,92,,Percent of Total Billed Charges,3343.68,,3928.72,92,,Percent of Total Billed Charges,3463.25,,3330.87,78,,Percent of Total Billed Charges,3330.87,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2298.73,53.83,,Percent of Total Billed Charges,2156.53,,1479.25,34.64,,Percent of Total Billed Charges,1473.27,,2134.32,49.98,,Percent of Total Billed Charges,1614.19,,1479.25,3928.72,,																																							
HC ABLATE HEART DYSRHYTHM FOCUS,93650,CPT,,,,BOTH, , ,13466.25,11311.65,12388.95,92,,Percent of Total Billed Charges,11257.79,,12388.95,92,,Percent of Total Billed Charges,11055.79,,12388.95,92,,Percent of Total Billed Charges,10840.33,,12388.95,92,,Percent of Total Billed Charges,11244.32,,12388.95,92,,Percent of Total Billed Charges,10140.09,,12388.95,92,,Percent of Total Billed Charges,8416.41,,12119.63,90,,Percent of Total Billed Charges,6719.66,,11984.96,89,,Percent of Total Billed Charges,6463.8,,11096.19,82.4,,Percent of Total Billed Charges,11069.26,,11230.85,83.4,,Percent of Total Billed Charges,10476.74,,11230.85,83.4,,Percent of Total Billed Charges,9439.84,,11230.85,83.4,,Percent of Total Billed Charges,10961.53,,12119.63,90,,Percent of Total Billed Charges,11405.91,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,12388.95,92,,Percent of Total Billed Charges,10921.13,,12388.95,92,,Percent of Total Billed Charges,10018.89,,12388.95,92,,Percent of Total Billed Charges,10544.07,,12388.95,92,,Percent of Total Billed Charges,10921.13,,10503.68,78,,Percent of Total Billed Charges,10503.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,7248.88,53.83,,Percent of Total Billed Charges,6800.46,,4664.71,34.64,,Percent of Total Billed Charges,4645.86,,6730.43,49.98,,Percent of Total Billed Charges,5090.24,,4664.71,12388.95,,																																							
HC EP & ABLATE SUPRAVENT ARRHYT,93653,CPT,,,,BOTH, , ,50082.9,42069.64,46076.27,92,,Percent of Total Billed Charges,41869.3,,46076.27,92,,Percent of Total Billed Charges,41118.06,,46076.27,92,,Percent of Total Billed Charges,40316.73,,46076.27,92,,Percent of Total Billed Charges,41819.22,,46076.27,92,,Percent of Total Billed Charges,37712.42,,46076.27,92,,Percent of Total Billed Charges,31301.81,,45074.61,90,,Percent of Total Billed Charges,24991.37,,44573.78,89,,Percent of Total Billed Charges,24039.79,,41268.31,82.4,,Percent of Total Billed Charges,41168.14,,41769.14,83.4,,Percent of Total Billed Charges,38964.5,,41769.14,83.4,,Percent of Total Billed Charges,35108.11,,41769.14,83.4,,Percent of Total Billed Charges,40767.48,,45074.61,90,,Percent of Total Billed Charges,42420.22,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,46076.27,92,,Percent of Total Billed Charges,40617.23,,46076.27,92,,Percent of Total Billed Charges,37261.68,,46076.27,92,,Percent of Total Billed Charges,39214.91,,46076.27,92,,Percent of Total Billed Charges,40617.23,,39064.66,78,,Percent of Total Billed Charges,39064.66,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,26959.63,53.83,,Percent of Total Billed Charges,25291.86,,17348.72,34.64,,Percent of Total Billed Charges,17278.6,,25031.43,49.98,,Percent of Total Billed Charges,18931.34,,17348.72,46076.27,,																																							
HC EP & ABLATE VENTRIC TACHY,93654,CPT,,,,BOTH, , ,42603.75,35787.15,39195.45,92,,Percent of Total Billed Charges,35616.74,,39195.45,92,,Percent of Total Billed Charges,34977.68,,39195.45,92,,Percent of Total Billed Charges,34296.02,,39195.45,92,,Percent of Total Billed Charges,35574.13,,39195.45,92,,Percent of Total Billed Charges,32080.62,,39195.45,92,,Percent of Total Billed Charges,26627.34,,38343.38,90,,Percent of Total Billed Charges,21259.27,,37917.34,89,,Percent of Total Billed Charges,20449.8,,35105.49,82.4,,Percent of Total Billed Charges,35020.28,,35531.53,83.4,,Percent of Total Billed Charges,33145.72,,35531.53,83.4,,Percent of Total Billed Charges,29865.23,,35531.53,83.4,,Percent of Total Billed Charges,34679.45,,38343.38,90,,Percent of Total Billed Charges,36085.38,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,39195.45,92,,Percent of Total Billed Charges,34551.64,,39195.45,92,,Percent of Total Billed Charges,31697.19,,39195.45,92,,Percent of Total Billed Charges,33358.74,,39195.45,92,,Percent of Total Billed Charges,34551.64,,33230.93,78,,Percent of Total Billed Charges,33230.93,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,22933.6,53.83,,Percent of Total Billed Charges,21514.89,,14757.94,34.64,,Percent of Total Billed Charges,14698.29,,21293.35,49.98,,Percent of Total Billed Charges,16104.22,,14757.94,39195.45,,																																							
HC ABLATE ARRHYTHMIA ADD ON,93655,CPT,,,,BOTH, , ,27316.8,22946.11,25131.46,92,,Percent of Total Billed Charges,22836.84,,25131.46,92,,Percent of Total Billed Charges,22427.09,,25131.46,92,,Percent of Total Billed Charges,21990.02,,25131.46,92,,Percent of Total Billed Charges,22809.53,,25131.46,92,,Percent of Total Billed Charges,20569.55,,25131.46,92,,Percent of Total Billed Charges,17073,,24585.12,90,,Percent of Total Billed Charges,13631.08,,24311.95,89,,Percent of Total Billed Charges,13112.06,,22509.04,82.4,,Percent of Total Billed Charges,22454.41,,22782.21,83.4,,Percent of Total Billed Charges,21252.47,,22782.21,83.4,,Percent of Total Billed Charges,19149.08,,22782.21,83.4,,Percent of Total Billed Charges,22235.88,,24585.12,90,,Percent of Total Billed Charges,23137.33,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,25131.46,92,,Percent of Total Billed Charges,22153.92,,25131.46,92,,Percent of Total Billed Charges,20323.7,,25131.46,92,,Percent of Total Billed Charges,21389.05,,25131.46,92,,Percent of Total Billed Charges,22153.92,,21307.1,78,,Percent of Total Billed Charges,21307.1,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,14704.63,53.83,,Percent of Total Billed Charges,13794.98,,9462.54,34.64,,Percent of Total Billed Charges,9424.3,,13652.94,49.98,,Percent of Total Billed Charges,10325.75,,9462.54,25131.46,,																																							
HC PERC DRUGEL COR STENT BRAN,C9600,CPT,,,,BOTH, , ,22254.75,18693.99,20474.37,92,,Percent of Total Billed Charges,18604.97,,20474.37,92,,Percent of Total Billed Charges,18271.15,,20474.37,92,,Percent of Total Billed Charges,17915.07,,20474.37,92,,Percent of Total Billed Charges,18582.72,,20474.37,92,,Percent of Total Billed Charges,16757.83,,20474.37,92,,Percent of Total Billed Charges,13909.22,,20029.28,90,,Percent of Total Billed Charges,11105.12,,19806.73,89,,Percent of Total Billed Charges,10682.28,,18337.91,82.4,,Percent of Total Billed Charges,18293.4,,18560.46,83.4,,Percent of Total Billed Charges,17314.2,,18560.46,83.4,,Percent of Total Billed Charges,15600.58,,18560.46,83.4,,Percent of Total Billed Charges,18115.37,,20029.28,90,,Percent of Total Billed Charges,18849.77,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,20474.37,92,,Percent of Total Billed Charges,18048.6,,20474.37,92,,Percent of Total Billed Charges,16557.53,,20474.37,92,,Percent of Total Billed Charges,17425.47,,20474.37,92,,Percent of Total Billed Charges,18048.6,,17358.71,78,,Percent of Total Billed Charges,17358.71,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,11979.73,53.83,,Percent of Total Billed Charges,11238.65,,7709.05,34.64,,Percent of Total Billed Charges,7677.89,,11122.92,49.98,,Percent of Total Billed Charges,8412.3,,7709.05,20474.37,,																																							
HC PERC DE COR REVASC T CABG S,C9601,CPT,,,,BOTH, , ,22254.75,18693.99,20474.37,92,,Percent of Total Billed Charges,18604.97,,20474.37,92,,Percent of Total Billed Charges,18271.15,,20474.37,92,,Percent of Total Billed Charges,17915.07,,20474.37,92,,Percent of Total Billed Charges,18582.72,,20474.37,92,,Percent of Total Billed Charges,16757.83,,20474.37,92,,Percent of Total Billed Charges,13909.22,,20029.28,90,,Percent of Total Billed Charges,11105.12,,19806.73,89,,Percent of Total Billed Charges,10682.28,,18337.91,82.4,,Percent of Total Billed Charges,18293.4,,18560.46,83.4,,Percent of Total Billed Charges,17314.2,,18560.46,83.4,,Percent of Total Billed Charges,15600.58,,18560.46,83.4,,Percent of Total Billed Charges,18115.37,,20029.28,90,,Percent of Total Billed Charges,18849.77,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,20474.37,92,,Percent of Total Billed Charges,18048.6,,20474.37,92,,Percent of Total Billed Charges,16557.53,,20474.37,92,,Percent of Total Billed Charges,17425.47,,20474.37,92,,Percent of Total Billed Charges,18048.6,,17358.71,78,,Percent of Total Billed Charges,17358.71,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,11979.73,53.83,,Percent of Total Billed Charges,11238.65,,7709.05,34.64,,Percent of Total Billed Charges,7677.89,,11122.92,49.98,,Percent of Total Billed Charges,8412.3,,7709.05,20474.37,,																																							
HC PERC DE COR REVASC T CABG B,C9604,CPT,,,,BOTH, , ,22254.75,18693.99,20474.37,92,,Percent of Total Billed Charges,18604.97,,20474.37,92,,Percent of Total Billed Charges,18271.15,,20474.37,92,,Percent of Total Billed Charges,17915.07,,20474.37,92,,Percent of Total Billed Charges,18582.72,,20474.37,92,,Percent of Total Billed Charges,16757.83,,20474.37,92,,Percent of Total Billed Charges,13909.22,,20029.28,90,,Percent of Total Billed Charges,11105.12,,19806.73,89,,Percent of Total Billed Charges,10682.28,,18337.91,82.4,,Percent of Total Billed Charges,18293.4,,18560.46,83.4,,Percent of Total Billed Charges,17314.2,,18560.46,83.4,,Percent of Total Billed Charges,15600.58,,18560.46,83.4,,Percent of Total Billed Charges,18115.37,,20029.28,90,,Percent of Total Billed Charges,18849.77,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,20474.37,92,,Percent of Total Billed Charges,18048.6,,20474.37,92,,Percent of Total Billed Charges,16557.53,,20474.37,92,,Percent of Total Billed Charges,17425.47,,20474.37,92,,Percent of Total Billed Charges,18048.6,,17358.71,78,,Percent of Total Billed Charges,17358.71,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,11979.73,53.83,,Percent of Total Billed Charges,11238.65,,7709.05,34.64,,Percent of Total Billed Charges,7677.89,,11122.92,49.98,,Percent of Total Billed Charges,8412.3,,7709.05,20474.37,,																																							
HC PERC DE COR REVASC W AMI S,C9605,CPT,,,,BOTH, , ,22254.75,18693.99,20474.37,92,,Percent of Total Billed Charges,18604.97,,20474.37,92,,Percent of Total Billed Charges,18271.15,,20474.37,92,,Percent of Total Billed Charges,17915.07,,20474.37,92,,Percent of Total Billed Charges,18582.72,,20474.37,92,,Percent of Total Billed Charges,16757.83,,20474.37,92,,Percent of Total Billed Charges,13909.22,,20029.28,90,,Percent of Total Billed Charges,11105.12,,19806.73,89,,Percent of Total Billed Charges,10682.28,,18337.91,82.4,,Percent of Total Billed Charges,18293.4,,18560.46,83.4,,Percent of Total Billed Charges,17314.2,,18560.46,83.4,,Percent of Total Billed Charges,15600.58,,18560.46,83.4,,Percent of Total Billed Charges,18115.37,,20029.28,90,,Percent of Total Billed Charges,18849.77,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,20474.37,92,,Percent of Total Billed Charges,18048.6,,20474.37,92,,Percent of Total Billed Charges,16557.53,,20474.37,92,,Percent of Total Billed Charges,17425.47,,20474.37,92,,Percent of Total Billed Charges,18048.6,,17358.71,78,,Percent of Total Billed Charges,17358.71,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,11979.73,53.83,,Percent of Total Billed Charges,11238.65,,7709.05,34.64,,Percent of Total Billed Charges,7677.89,,11122.92,49.98,,Percent of Total Billed Charges,8412.3,,7709.05,20474.37,,																																							
HC CAK PTA/ATHER/STENT STEMI DES,C9606,CPT,,,,BOTH, , ,49144.2,41281.13,45212.66,92,,Percent of Total Billed Charges,41084.55,,45212.66,92,,Percent of Total Billed Charges,40347.39,,45212.66,92,,Percent of Total Billed Charges,39561.08,,45212.66,92,,Percent of Total Billed Charges,41035.41,,45212.66,92,,Percent of Total Billed Charges,37005.58,,45212.66,92,,Percent of Total Billed Charges,30715.13,,44229.78,90,,Percent of Total Billed Charges,24522.96,,43738.34,89,,Percent of Total Billed Charges,23589.22,,40494.82,82.4,,Percent of Total Billed Charges,40396.53,,40986.26,83.4,,Percent of Total Billed Charges,38234.19,,40986.26,83.4,,Percent of Total Billed Charges,34450.08,,40986.26,83.4,,Percent of Total Billed Charges,40003.38,,44229.78,90,,Percent of Total Billed Charges,41625.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,45212.66,92,,Percent of Total Billed Charges,39855.95,,45212.66,92,,Percent of Total Billed Charges,36563.28,,45212.66,92,,Percent of Total Billed Charges,38479.91,,45212.66,92,,Percent of Total Billed Charges,39855.95,,38332.48,78,,Percent of Total Billed Charges,38332.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,26454.32,53.83,,Percent of Total Billed Charges,24817.82,,17023.55,34.64,,Percent of Total Billed Charges,16954.75,,24562.27,49.98,,Percent of Total Billed Charges,18576.51,,17023.55,45212.66,,																																							
HC ILIAC ART ANGIO,CARDIAC CATH,G0278,CPT,,,,BOTH, , ,144.9,121.72,133.31,92,,Percent of Total Billed Charges,121.14,,133.31,92,,Percent of Total Billed Charges,118.96,,133.31,92,,Percent of Total Billed Charges,116.64,,133.31,92,,Percent of Total Billed Charges,120.99,,133.31,92,,Percent of Total Billed Charges,109.11,,133.31,92,,Percent of Total Billed Charges,90.56,,130.41,90,,Percent of Total Billed Charges,72.31,,128.96,89,,Percent of Total Billed Charges,69.55,,119.4,82.4,,Percent of Total Billed Charges,119.11,,120.85,83.4,,Percent of Total Billed Charges,112.73,,120.85,83.4,,Percent of Total Billed Charges,101.57,,120.85,83.4,,Percent of Total Billed Charges,117.95,,130.41,90,,Percent of Total Billed Charges,122.73,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,133.31,92,,Percent of Total Billed Charges,117.51,,133.31,92,,Percent of Total Billed Charges,107.81,,133.31,92,,Percent of Total Billed Charges,113.46,,133.31,92,,Percent of Total Billed Charges,117.51,,113.02,78,,Percent of Total Billed Charges,113.02,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,78,53.83,,Percent of Total Billed Charges,73.17,,50.19,34.64,,Percent of Total Billed Charges,49.99,,72.42,49.98,,Percent of Total Billed Charges,54.77,,50.19,133.31,,																																							
HC INSERTION OF IMPLANTABLE DEFIBRILLATOR PULSE GENERATOR ; DUAL LEADS,33230,CPT,,,,BOTH, , ,101973.9,85658.08,93815.99,92,,Percent of Total Billed Charges,85250.18,,93815.99,92,,Percent of Total Billed Charges,83720.57,,93815.99,92,,Percent of Total Billed Charges,82088.99,,93815.99,92,,Percent of Total Billed Charges,85148.21,,93815.99,92,,Percent of Total Billed Charges,76786.35,,93815.99,92,,Percent of Total Billed Charges,63733.69,,91776.51,90,,Percent of Total Billed Charges,50884.98,,90756.77,89,,Percent of Total Billed Charges,48947.47,,84026.49,82.4,,Percent of Total Billed Charges,83822.55,,85046.23,83.4,,Percent of Total Billed Charges,79335.69,,85046.23,83.4,,Percent of Total Billed Charges,71483.7,,85046.23,83.4,,Percent of Total Billed Charges,83006.75,,91776.51,90,,Percent of Total Billed Charges,86371.89,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,93815.99,92,,Percent of Total Billed Charges,82700.83,,93815.99,92,,Percent of Total Billed Charges,75868.58,,93815.99,92,,Percent of Total Billed Charges,79845.56,,93815.99,92,,Percent of Total Billed Charges,82700.83,,79539.64,78,,Percent of Total Billed Charges,79539.64,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,54892.55,53.83,,Percent of Total Billed Charges,51496.82,,35323.76,34.64,,Percent of Total Billed Charges,35181,,50966.56,49.98,,Percent of Total Billed Charges,38546.13,,35323.76,93815.99,,																																							
HC INSERTION OF IMPLANTABLE DEFIBRILLATOR PULSE GENERATOR ; SINGLE LEAD,33240,CPT,,,,BOTH, , ,75827.85,63695.39,69761.62,92,,Percent of Total Billed Charges,63392.08,,69761.62,92,,Percent of Total Billed Charges,62254.66,,69761.62,92,,Percent of Total Billed Charges,61041.42,,69761.62,92,,Percent of Total Billed Charges,63316.25,,69761.62,92,,Percent of Total Billed Charges,57098.37,,69761.62,92,,Percent of Total Billed Charges,47392.41,,68245.07,90,,Percent of Total Billed Charges,37838.1,,67486.79,89,,Percent of Total Billed Charges,36397.37,,62482.15,82.4,,Percent of Total Billed Charges,62330.49,,63240.43,83.4,,Percent of Total Billed Charges,58994.07,,63240.43,83.4,,Percent of Total Billed Charges,53155.32,,63240.43,83.4,,Percent of Total Billed Charges,61723.87,,68245.07,90,,Percent of Total Billed Charges,64226.19,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,69761.62,92,,Percent of Total Billed Charges,61496.39,,69761.62,92,,Percent of Total Billed Charges,56415.92,,69761.62,92,,Percent of Total Billed Charges,59373.21,,69761.62,92,,Percent of Total Billed Charges,61496.39,,59145.72,78,,Percent of Total Billed Charges,59145.72,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,40818.13,53.83,,Percent of Total Billed Charges,38293.06,,26266.77,34.64,,Percent of Total Billed Charges,26160.61,,37898.76,49.98,,Percent of Total Billed Charges,28662.93,,26266.77,69761.62,,																																							
HC INSERT SUBQ IMPLANTABLE DEFIBRILLATOR ELECTRODE,33271,CPT,,,,BOTH, , ,21659.4,18193.9,19926.65,92,,Percent of Total Billed Charges,18107.26,,19926.65,92,,Percent of Total Billed Charges,17782.37,,19926.65,92,,Percent of Total Billed Charges,17435.82,,19926.65,92,,Percent of Total Billed Charges,18085.6,,19926.65,92,,Percent of Total Billed Charges,16309.53,,19926.65,92,,Percent of Total Billed Charges,13537.13,,19493.46,90,,Percent of Total Billed Charges,10808.04,,19276.87,89,,Percent of Total Billed Charges,10396.51,,17847.35,82.4,,Percent of Total Billed Charges,17804.03,,18063.94,83.4,,Percent of Total Billed Charges,16851.01,,18063.94,83.4,,Percent of Total Billed Charges,15183.24,,18063.94,83.4,,Percent of Total Billed Charges,17630.75,,19493.46,90,,Percent of Total Billed Charges,18345.51,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,19926.65,92,,Percent of Total Billed Charges,17565.77,,19926.65,92,,Percent of Total Billed Charges,16114.59,,19926.65,92,,Percent of Total Billed Charges,16959.31,,19926.65,92,,Percent of Total Billed Charges,17565.77,,16894.33,78,,Percent of Total Billed Charges,16894.33,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,11659.26,53.83,,Percent of Total Billed Charges,10938,,7502.82,34.64,,Percent of Total Billed Charges,7472.49,,10825.37,49.98,,Percent of Total Billed Charges,8187.25,,7502.82,19926.65,,																																							
HC INTRODUCTION OF NEEDLE OR INTRACATHETER, CAROTID OR VERTEBRAL ARTERY,36100,CPT,,,,BOTH, , ,1588.65,1334.47,1461.56,92,,Percent of Total Billed Charges,1328.11,,1461.56,92,,Percent of Total Billed Charges,1304.28,,1461.56,92,,Percent of Total Billed Charges,1278.86,,1461.56,92,,Percent of Total Billed Charges,1326.52,,1461.56,92,,Percent of Total Billed Charges,1196.25,,1461.56,92,,Percent of Total Billed Charges,992.91,,1429.79,90,,Percent of Total Billed Charges,792.74,,1413.9,89,,Percent of Total Billed Charges,762.55,,1309.05,82.4,,Percent of Total Billed Charges,1305.87,,1324.93,83.4,,Percent of Total Billed Charges,1235.97,,1324.93,83.4,,Percent of Total Billed Charges,1113.64,,1324.93,83.4,,Percent of Total Billed Charges,1293.16,,1429.79,90,,Percent of Total Billed Charges,1345.59,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1461.56,92,,Percent of Total Billed Charges,1288.4,,1461.56,92,,Percent of Total Billed Charges,1181.96,,1461.56,92,,Percent of Total Billed Charges,1243.91,,1461.56,92,,Percent of Total Billed Charges,1288.4,,1239.15,78,,Percent of Total Billed Charges,1239.15,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,855.17,53.83,,Percent of Total Billed Charges,802.27,,550.31,34.64,,Percent of Total Billed Charges,548.08,,794.01,49.98,,Percent of Total Billed Charges,600.51,,550.31,1461.56,,																																							
HC SELECTIVE CATHETER PLACEMENT, INTERNAL CAROTID ARTERY,36224,CPT,,,,BOTH, , ,17001.6,14281.34,15641.47,92,,Percent of Total Billed Charges,14213.34,,15641.47,92,,Percent of Total Billed Charges,13958.31,,15641.47,92,,Percent of Total Billed Charges,13686.29,,15641.47,92,,Percent of Total Billed Charges,14196.34,,15641.47,92,,Percent of Total Billed Charges,12802.2,,15641.47,92,,Percent of Total Billed Charges,10626,,15301.44,90,,Percent of Total Billed Charges,8483.8,,15131.42,89,,Percent of Total Billed Charges,8160.77,,14009.32,82.4,,Percent of Total Billed Charges,13975.32,,14179.33,83.4,,Percent of Total Billed Charges,13227.24,,14179.33,83.4,,Percent of Total Billed Charges,11918.12,,14179.33,83.4,,Percent of Total Billed Charges,13839.3,,15301.44,90,,Percent of Total Billed Charges,14400.36,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,15641.47,92,,Percent of Total Billed Charges,13788.3,,15641.47,92,,Percent of Total Billed Charges,12649.19,,15641.47,92,,Percent of Total Billed Charges,13312.25,,15641.47,92,,Percent of Total Billed Charges,13788.3,,13261.25,78,,Percent of Total Billed Charges,13261.25,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,9151.96,53.83,,Percent of Total Billed Charges,8585.81,,5889.35,34.64,,Percent of Total Billed Charges,5865.55,,8497.4,49.98,,Percent of Total Billed Charges,6426.6,,5889.35,15641.47,,																																							
HC SELECTIVE CATHETER PLACEMENT, VERTEBRAL ARTERY W CERVICOCERBRAL ARCH,36226,CPT,,,,BOTH, , ,2040.15,1713.73,1876.94,92,,Percent of Total Billed Charges,1705.57,,1876.94,92,,Percent of Total Billed Charges,1674.96,,1876.94,92,,Percent of Total Billed Charges,1642.32,,1876.94,92,,Percent of Total Billed Charges,1703.53,,1876.94,92,,Percent of Total Billed Charges,1536.23,,1876.94,92,,Percent of Total Billed Charges,1275.09,,1836.14,90,,Percent of Total Billed Charges,1018.03,,1815.73,89,,Percent of Total Billed Charges,979.27,,1681.08,82.4,,Percent of Total Billed Charges,1677,,1701.49,83.4,,Percent of Total Billed Charges,1587.24,,1701.49,83.4,,Percent of Total Billed Charges,1430.15,,1701.49,83.4,,Percent of Total Billed Charges,1660.68,,1836.14,90,,Percent of Total Billed Charges,1728.01,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1876.94,92,,Percent of Total Billed Charges,1654.56,,1876.94,92,,Percent of Total Billed Charges,1517.87,,1876.94,92,,Percent of Total Billed Charges,1597.44,,1876.94,92,,Percent of Total Billed Charges,1654.56,,1591.32,78,,Percent of Total Billed Charges,1591.32,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1098.21,53.83,,Percent of Total Billed Charges,1030.28,,706.71,34.64,,Percent of Total Billed Charges,703.85,,1019.67,49.98,,Percent of Total Billed Charges,771.18,,706.71,1876.94,,																																							
HC INS CATH REN ART 2ND+ UNILAT,36253,CPT,,,,BOTH, , ,9560.25,8030.61,8795.43,92,,Percent of Total Billed Charges,7992.37,,8795.43,92,,Percent of Total Billed Charges,7848.97,,8795.43,92,,Percent of Total Billed Charges,7696,,8795.43,92,,Percent of Total Billed Charges,7982.81,,8795.43,92,,Percent of Total Billed Charges,7198.87,,8795.43,92,,Percent of Total Billed Charges,5975.16,,8604.23,90,,Percent of Total Billed Charges,4770.56,,8508.62,89,,Percent of Total Billed Charges,4588.92,,7877.65,82.4,,Percent of Total Billed Charges,7858.53,,7973.25,83.4,,Percent of Total Billed Charges,7437.87,,7973.25,83.4,,Percent of Total Billed Charges,6701.74,,7973.25,83.4,,Percent of Total Billed Charges,7782.04,,8604.23,90,,Percent of Total Billed Charges,8097.53,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,8795.43,92,,Percent of Total Billed Charges,7753.36,,8795.43,92,,Percent of Total Billed Charges,7112.83,,8795.43,92,,Percent of Total Billed Charges,7485.68,,8795.43,92,,Percent of Total Billed Charges,7753.36,,7457,78,,Percent of Total Billed Charges,7457,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5146.28,53.83,,Percent of Total Billed Charges,4827.93,,3311.67,34.64,,Percent of Total Billed Charges,3298.29,,4778.21,49.98,,Percent of Total Billed Charges,3613.77,,3311.67,8795.43,,																																							
HC THROMBOLYSIS VENOUS INFUSION,37212,CPT,,,,BOTH, , ,3882.9,3261.64,3572.27,92,,Percent of Total Billed Charges,3246.1,,3572.27,92,,Percent of Total Billed Charges,3187.86,,3572.27,92,,Percent of Total Billed Charges,3125.73,,3572.27,92,,Percent of Total Billed Charges,3242.22,,3572.27,92,,Percent of Total Billed Charges,2923.82,,3572.27,92,,Percent of Total Billed Charges,2426.81,,3494.61,90,,Percent of Total Billed Charges,1937.57,,3455.78,89,,Percent of Total Billed Charges,1863.79,,3199.51,82.4,,Percent of Total Billed Charges,3191.74,,3238.34,83.4,,Percent of Total Billed Charges,3020.9,,3238.34,83.4,,Percent of Total Billed Charges,2721.91,,3238.34,83.4,,Percent of Total Billed Charges,3160.68,,3494.61,90,,Percent of Total Billed Charges,3288.82,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3572.27,92,,Percent of Total Billed Charges,3149.03,,3572.27,92,,Percent of Total Billed Charges,2888.88,,3572.27,92,,Percent of Total Billed Charges,3040.31,,3572.27,92,,Percent of Total Billed Charges,3149.03,,3028.66,78,,Percent of Total Billed Charges,3028.66,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2090.17,53.83,,Percent of Total Billed Charges,1960.86,,1345.04,34.64,,Percent of Total Billed Charges,1339.6,,1940.67,49.98,,Percent of Total Billed Charges,1467.74,,1345.04,3572.27,,																																							
HC THROMBOLYSIS ARTERIAL OR VENOUS INFUSTION DAY 2,37213,CPT,,,,BOTH, , ,9858.45,8281.1,9069.77,92,,Percent of Total Billed Charges,8241.66,,9069.77,92,,Percent of Total Billed Charges,8093.79,,9069.77,92,,Percent of Total Billed Charges,7936.05,,9069.77,92,,Percent of Total Billed Charges,8231.81,,9069.77,92,,Percent of Total Billed Charges,7423.41,,9069.77,92,,Percent of Total Billed Charges,6161.53,,8872.61,90,,Percent of Total Billed Charges,4919.37,,8774.02,89,,Percent of Total Billed Charges,4732.06,,8123.36,82.4,,Percent of Total Billed Charges,8103.65,,8221.95,83.4,,Percent of Total Billed Charges,7669.87,,8221.95,83.4,,Percent of Total Billed Charges,6910.77,,8221.95,83.4,,Percent of Total Billed Charges,8024.78,,8872.61,90,,Percent of Total Billed Charges,8350.11,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,9069.77,92,,Percent of Total Billed Charges,7995.2,,9069.77,92,,Percent of Total Billed Charges,7334.69,,9069.77,92,,Percent of Total Billed Charges,7719.17,,9069.77,92,,Percent of Total Billed Charges,7995.2,,7689.59,78,,Percent of Total Billed Charges,7689.59,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5306.8,53.83,,Percent of Total Billed Charges,4978.52,,3414.97,34.64,,Percent of Total Billed Charges,3401.17,,4927.25,49.98,,Percent of Total Billed Charges,3726.49,,3414.97,9069.77,,																																							
HC THROMBOLYSIS ARTERIAL OR VENOUS INFUSTION FINAL DAY,37214,CPT,,,,BOTH, , ,9858.45,8281.1,9069.77,92,,Percent of Total Billed Charges,8241.66,,9069.77,92,,Percent of Total Billed Charges,8093.79,,9069.77,92,,Percent of Total Billed Charges,7936.05,,9069.77,92,,Percent of Total Billed Charges,8231.81,,9069.77,92,,Percent of Total Billed Charges,7423.41,,9069.77,92,,Percent of Total Billed Charges,6161.53,,8872.61,90,,Percent of Total Billed Charges,4919.37,,8774.02,89,,Percent of Total Billed Charges,4732.06,,8123.36,82.4,,Percent of Total Billed Charges,8103.65,,8221.95,83.4,,Percent of Total Billed Charges,7669.87,,8221.95,83.4,,Percent of Total Billed Charges,6910.77,,8221.95,83.4,,Percent of Total Billed Charges,8024.78,,8872.61,90,,Percent of Total Billed Charges,8350.11,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,9069.77,92,,Percent of Total Billed Charges,7995.2,,9069.77,92,,Percent of Total Billed Charges,7334.69,,9069.77,92,,Percent of Total Billed Charges,7719.17,,9069.77,92,,Percent of Total Billed Charges,7995.2,,7689.59,78,,Percent of Total Billed Charges,7689.59,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5306.8,53.83,,Percent of Total Billed Charges,4978.52,,3414.97,34.64,,Percent of Total Billed Charges,3401.17,,4927.25,49.98,,Percent of Total Billed Charges,3726.49,,3414.97,9069.77,,																																							
HC CAROTID ARTERY STENT WITHOUT DISTAL EMBOLIC PROTECTION,37216,CPT,,,,BOTH, , ,1941.45,1630.82,1786.13,92,,Percent of Total Billed Charges,1623.05,,1786.13,92,,Percent of Total Billed Charges,1593.93,,1786.13,92,,Percent of Total Billed Charges,1562.87,,1786.13,92,,Percent of Total Billed Charges,1621.11,,1786.13,92,,Percent of Total Billed Charges,1461.91,,1786.13,92,,Percent of Total Billed Charges,1213.41,,1747.31,90,,Percent of Total Billed Charges,968.78,,1727.89,89,,Percent of Total Billed Charges,931.9,,1599.75,82.4,,Percent of Total Billed Charges,1595.87,,1619.17,83.4,,Percent of Total Billed Charges,1510.45,,1619.17,83.4,,Percent of Total Billed Charges,1360.96,,1619.17,83.4,,Percent of Total Billed Charges,1580.34,,1747.31,90,,Percent of Total Billed Charges,1644.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1786.13,92,,Percent of Total Billed Charges,1574.52,,1786.13,92,,Percent of Total Billed Charges,1444.44,,1786.13,92,,Percent of Total Billed Charges,1520.16,,1786.13,92,,Percent of Total Billed Charges,1574.52,,1514.33,78,,Percent of Total Billed Charges,1514.33,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1045.08,53.83,,Percent of Total Billed Charges,980.43,,672.52,34.64,,Percent of Total Billed Charges,669.8,,970.34,49.98,,Percent of Total Billed Charges,733.87,,672.52,1786.13,,																																							
HC COMMON CAROTID OR INNOMINATE STENT PLACEMENT BY RETROGRADE TREATMENT,37217,CPT,,,,BOTH, , ,4009.95,3368.36,3689.15,92,,Percent of Total Billed Charges,3352.32,,3689.15,92,,Percent of Total Billed Charges,3292.17,,3689.15,92,,Percent of Total Billed Charges,3228.01,,3689.15,92,,Percent of Total Billed Charges,3348.31,,3689.15,92,,Percent of Total Billed Charges,3019.49,,3689.15,92,,Percent of Total Billed Charges,2506.22,,3608.96,90,,Percent of Total Billed Charges,2000.97,,3568.86,89,,Percent of Total Billed Charges,1924.78,,3304.2,82.4,,Percent of Total Billed Charges,3296.18,,3344.3,83.4,,Percent of Total Billed Charges,3119.74,,3344.3,83.4,,Percent of Total Billed Charges,2810.97,,3344.3,83.4,,Percent of Total Billed Charges,3264.1,,3608.96,90,,Percent of Total Billed Charges,3396.43,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3689.15,92,,Percent of Total Billed Charges,3252.07,,3689.15,92,,Percent of Total Billed Charges,2983.4,,3689.15,92,,Percent of Total Billed Charges,3139.79,,3689.15,92,,Percent of Total Billed Charges,3252.07,,3127.76,78,,Percent of Total Billed Charges,3127.76,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2158.56,53.83,,Percent of Total Billed Charges,2025.02,,1389.05,34.64,,Percent of Total Billed Charges,1383.43,,2004.17,49.98,,Percent of Total Billed Charges,1515.76,,1389.05,3689.15,,																																							
HC PTA ILIAC ARTERY EACH ADD'L IPSILATERAL,37222,CPT,,,,BOTH, , ,15164.1,12737.84,13950.97,92,,Percent of Total Billed Charges,12677.19,,13950.97,92,,Percent of Total Billed Charges,12449.73,,13950.97,92,,Percent of Total Billed Charges,12207.1,,13950.97,92,,Percent of Total Billed Charges,12662.02,,13950.97,92,,Percent of Total Billed Charges,11418.57,,13950.97,92,,Percent of Total Billed Charges,9477.56,,13647.69,90,,Percent of Total Billed Charges,7566.89,,13496.05,89,,Percent of Total Billed Charges,7278.77,,12495.22,82.4,,Percent of Total Billed Charges,12464.89,,12646.86,83.4,,Percent of Total Billed Charges,11797.67,,12646.86,83.4,,Percent of Total Billed Charges,10630.03,,12646.86,83.4,,Percent of Total Billed Charges,12343.58,,13647.69,90,,Percent of Total Billed Charges,12843.99,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,13950.97,92,,Percent of Total Billed Charges,12298.09,,13950.97,92,,Percent of Total Billed Charges,11282.09,,13950.97,92,,Percent of Total Billed Charges,11873.49,,13950.97,92,,Percent of Total Billed Charges,12298.09,,11828,78,,Percent of Total Billed Charges,11828,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,8162.84,53.83,,Percent of Total Billed Charges,7657.87,,5252.84,34.64,,Percent of Total Billed Charges,5231.61,,7579.02,49.98,,Percent of Total Billed Charges,5732.03,,5252.84,13950.97,,																																							
HC PTA/ STENT TIBIOPERONEAL ATERY EACH ADD'L,37234,CPT,,,,BOTH, , ,15164.1,12737.84,13950.97,92,,Percent of Total Billed Charges,12677.19,,13950.97,92,,Percent of Total Billed Charges,12449.73,,13950.97,92,,Percent of Total Billed Charges,12207.1,,13950.97,92,,Percent of Total Billed Charges,12662.02,,13950.97,92,,Percent of Total Billed Charges,11418.57,,13950.97,92,,Percent of Total Billed Charges,9477.56,,13647.69,90,,Percent of Total Billed Charges,7566.89,,13496.05,89,,Percent of Total Billed Charges,7278.77,,12495.22,82.4,,Percent of Total Billed Charges,12464.89,,12646.86,83.4,,Percent of Total Billed Charges,11797.67,,12646.86,83.4,,Percent of Total Billed Charges,10630.03,,12646.86,83.4,,Percent of Total Billed Charges,12343.58,,13647.69,90,,Percent of Total Billed Charges,12843.99,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,13950.97,92,,Percent of Total Billed Charges,12298.09,,13950.97,92,,Percent of Total Billed Charges,11282.09,,13950.97,92,,Percent of Total Billed Charges,11873.49,,13950.97,92,,Percent of Total Billed Charges,12298.09,,11828,78,,Percent of Total Billed Charges,11828,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,8162.84,53.83,,Percent of Total Billed Charges,7657.87,,5252.84,34.64,,Percent of Total Billed Charges,5231.61,,7579.02,49.98,,Percent of Total Billed Charges,5732.03,,5252.84,13950.97,,																																							
HC TRANSCATHETER PLACEMENT OF STENT INITIAL VEIN OPEN/PERQ,37238,CPT,,,,BOTH, , ,66450.3,55818.25,61134.28,92,,Percent of Total Billed Charges,55552.45,,61134.28,92,,Percent of Total Billed Charges,54555.7,,61134.28,92,,Percent of Total Billed Charges,53492.49,,61134.28,92,,Percent of Total Billed Charges,55486,,61134.28,92,,Percent of Total Billed Charges,50037.08,,61134.28,92,,Percent of Total Billed Charges,41531.44,,59805.27,90,,Percent of Total Billed Charges,33158.7,,59140.77,89,,Percent of Total Billed Charges,31896.14,,54755.05,82.4,,Percent of Total Billed Charges,54622.15,,55419.55,83.4,,Percent of Total Billed Charges,51698.33,,55419.55,83.4,,Percent of Total Billed Charges,46581.66,,55419.55,83.4,,Percent of Total Billed Charges,54090.54,,59805.27,90,,Percent of Total Billed Charges,56283.4,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,61134.28,92,,Percent of Total Billed Charges,53891.19,,61134.28,92,,Percent of Total Billed Charges,49439.02,,61134.28,92,,Percent of Total Billed Charges,52030.58,,61134.28,92,,Percent of Total Billed Charges,53891.19,,51831.23,78,,Percent of Total Billed Charges,51831.23,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,35770.2,53.83,,Percent of Total Billed Charges,33557.4,,23018.38,34.64,,Percent of Total Billed Charges,22925.35,,33211.86,49.98,,Percent of Total Billed Charges,25118.21,,23018.38,61134.28,,																																							
HC TRANSCATHETER PLACEMENT OF STENT EACH ADDITIONAL VEIN OPEN/PERQ,37239,CPT,,,,BOTH, , ,32135.25,26993.61,29564.43,92,,Percent of Total Billed Charges,26865.07,,29564.43,92,,Percent of Total Billed Charges,26383.04,,29564.43,92,,Percent of Total Billed Charges,25868.88,,29564.43,92,,Percent of Total Billed Charges,26832.93,,29564.43,92,,Percent of Total Billed Charges,24197.84,,29564.43,92,,Percent of Total Billed Charges,20084.53,,28921.73,90,,Percent of Total Billed Charges,16035.49,,28600.37,89,,Percent of Total Billed Charges,15424.92,,26479.45,82.4,,Percent of Total Billed Charges,26415.18,,26800.8,83.4,,Percent of Total Billed Charges,25001.22,,26800.8,83.4,,Percent of Total Billed Charges,22526.81,,26800.8,83.4,,Percent of Total Billed Charges,26158.09,,28921.73,90,,Percent of Total Billed Charges,27218.56,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,29564.43,92,,Percent of Total Billed Charges,26061.69,,29564.43,92,,Percent of Total Billed Charges,23908.63,,29564.43,92,,Percent of Total Billed Charges,25161.9,,29564.43,92,,Percent of Total Billed Charges,26061.69,,25065.5,78,,Percent of Total Billed Charges,25065.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,17298.41,53.83,,Percent of Total Billed Charges,16228.3,,11131.65,34.64,,Percent of Total Billed Charges,11086.66,,16061.2,49.98,,Percent of Total Billed Charges,12147.12,,11131.65,29564.43,,																																							
HC VASCULAR EMBOLIZATION/ OCCLUSION VENOUS (OTHER THAN HEMORRHAGE OR TUMOR),37241,CPT,,,,BOTH, , ,55960.8,47007.07,51483.94,92,,Percent of Total Billed Charges,46783.23,,51483.94,92,,Percent of Total Billed Charges,45943.82,,51483.94,92,,Percent of Total Billed Charges,45048.44,,51483.94,92,,Percent of Total Billed Charges,46727.27,,51483.94,92,,Percent of Total Billed Charges,42138.48,,51483.94,92,,Percent of Total Billed Charges,34975.5,,50364.72,90,,Percent of Total Billed Charges,27924.44,,49805.11,89,,Percent of Total Billed Charges,26861.18,,46111.7,82.4,,Percent of Total Billed Charges,45999.78,,46671.31,83.4,,Percent of Total Billed Charges,43537.5,,46671.31,83.4,,Percent of Total Billed Charges,39228.52,,46671.31,83.4,,Percent of Total Billed Charges,45552.09,,50364.72,90,,Percent of Total Billed Charges,47398.8,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,51483.94,92,,Percent of Total Billed Charges,45384.21,,51483.94,92,,Percent of Total Billed Charges,41634.84,,51483.94,92,,Percent of Total Billed Charges,43817.31,,51483.94,92,,Percent of Total Billed Charges,45384.21,,43649.42,78,,Percent of Total Billed Charges,43649.42,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,30123.7,53.83,,Percent of Total Billed Charges,28260.2,,19384.82,34.64,,Percent of Total Billed Charges,19306.48,,27969.21,49.98,,Percent of Total Billed Charges,21153.18,,19384.82,51483.94,,																																							
HC POST EMBOLIZATION ANGIO,75898,CPT,,,,BOTH, , ,8435.7,7085.99,7760.84,92,,Percent of Total Billed Charges,7052.25,,7760.84,92,,Percent of Total Billed Charges,6925.71,,7760.84,92,,Percent of Total Billed Charges,6790.74,,7760.84,92,,Percent of Total Billed Charges,7043.81,,7760.84,92,,Percent of Total Billed Charges,6352.08,,7760.84,92,,Percent of Total Billed Charges,5272.31,,7592.13,90,,Percent of Total Billed Charges,4209.41,,7507.77,89,,Percent of Total Billed Charges,4049.14,,6951.02,82.4,,Percent of Total Billed Charges,6934.15,,7035.37,83.4,,Percent of Total Billed Charges,6562.97,,7035.37,83.4,,Percent of Total Billed Charges,5913.43,,7035.37,83.4,,Percent of Total Billed Charges,6866.66,,7592.13,90,,Percent of Total Billed Charges,7145.04,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,7760.84,92,,Percent of Total Billed Charges,6841.35,,7760.84,92,,Percent of Total Billed Charges,6276.16,,7760.84,92,,Percent of Total Billed Charges,6605.15,,7760.84,92,,Percent of Total Billed Charges,6841.35,,6579.85,78,,Percent of Total Billed Charges,6579.85,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4540.94,53.83,,Percent of Total Billed Charges,4260.03,,2922.13,34.64,,Percent of Total Billed Charges,2910.32,,4216.16,49.98,,Percent of Total Billed Charges,3188.69,,2922.13,7760.84,,																																							
HC ATHERECTOMY WITH OR WITHOUT BALLOON ANGIOPLASTY, SINGLE VESSEL,92924,CPT,,,,BOTH, , ,29325.45,24633.38,26979.41,92,,Percent of Total Billed Charges,24516.08,,26979.41,92,,Percent of Total Billed Charges,24076.19,,26979.41,92,,Percent of Total Billed Charges,23606.99,,26979.41,92,,Percent of Total Billed Charges,24486.75,,26979.41,92,,Percent of Total Billed Charges,22082.06,,26979.41,92,,Percent of Total Billed Charges,18328.41,,26392.91,90,,Percent of Total Billed Charges,14633.4,,26099.65,89,,Percent of Total Billed Charges,14076.22,,24164.17,82.4,,Percent of Total Billed Charges,24105.52,,24457.43,83.4,,Percent of Total Billed Charges,22815.2,,24457.43,83.4,,Percent of Total Billed Charges,20557.14,,24457.43,83.4,,Percent of Total Billed Charges,23870.92,,26392.91,90,,Percent of Total Billed Charges,24838.66,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,26979.41,92,,Percent of Total Billed Charges,23782.94,,26979.41,92,,Percent of Total Billed Charges,21818.13,,26979.41,92,,Percent of Total Billed Charges,22961.83,,26979.41,92,,Percent of Total Billed Charges,23782.94,,22873.85,78,,Percent of Total Billed Charges,22873.85,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,15785.89,53.83,,Percent of Total Billed Charges,14809.35,,10158.34,34.64,,Percent of Total Billed Charges,10117.28,,14656.86,49.98,,Percent of Total Billed Charges,11085.02,,10158.34,26979.41,,																																							
HC ATHERECTOMY WITH OR WITHOUT BALLOON ANGIOPLASTY, EACH ADD'L VESSEL,92925,CPT,,,,BOTH, , ,29325.45,24633.38,26979.41,92,,Percent of Total Billed Charges,24516.08,,26979.41,92,,Percent of Total Billed Charges,24076.19,,26979.41,92,,Percent of Total Billed Charges,23606.99,,26979.41,92,,Percent of Total Billed Charges,24486.75,,26979.41,92,,Percent of Total Billed Charges,22082.06,,26979.41,92,,Percent of Total Billed Charges,18328.41,,26392.91,90,,Percent of Total Billed Charges,14633.4,,26099.65,89,,Percent of Total Billed Charges,14076.22,,24164.17,82.4,,Percent of Total Billed Charges,24105.52,,24457.43,83.4,,Percent of Total Billed Charges,22815.2,,24457.43,83.4,,Percent of Total Billed Charges,20557.14,,24457.43,83.4,,Percent of Total Billed Charges,23870.92,,26392.91,90,,Percent of Total Billed Charges,24838.66,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,26979.41,92,,Percent of Total Billed Charges,23782.94,,26979.41,92,,Percent of Total Billed Charges,21818.13,,26979.41,92,,Percent of Total Billed Charges,22961.83,,26979.41,92,,Percent of Total Billed Charges,23782.94,,22873.85,78,,Percent of Total Billed Charges,22873.85,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,15785.89,53.83,,Percent of Total Billed Charges,14809.35,,10158.34,34.64,,Percent of Total Billed Charges,10117.28,,14656.86,49.98,,Percent of Total Billed Charges,11085.02,,10158.34,26979.41,,																																							
HC PTA/ATHERECTOMY/ STENT,92933,CPT,,,,BOTH, , ,49144.2,41281.13,45212.66,92,,Percent of Total Billed Charges,41084.55,,45212.66,92,,Percent of Total Billed Charges,40347.39,,45212.66,92,,Percent of Total Billed Charges,39561.08,,45212.66,92,,Percent of Total Billed Charges,41035.41,,45212.66,92,,Percent of Total Billed Charges,37005.58,,45212.66,92,,Percent of Total Billed Charges,30715.13,,44229.78,90,,Percent of Total Billed Charges,24522.96,,43738.34,89,,Percent of Total Billed Charges,23589.22,,40494.82,82.4,,Percent of Total Billed Charges,40396.53,,40986.26,83.4,,Percent of Total Billed Charges,38234.19,,40986.26,83.4,,Percent of Total Billed Charges,34450.08,,40986.26,83.4,,Percent of Total Billed Charges,40003.38,,44229.78,90,,Percent of Total Billed Charges,41625.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,45212.66,92,,Percent of Total Billed Charges,39855.95,,45212.66,92,,Percent of Total Billed Charges,36563.28,,45212.66,92,,Percent of Total Billed Charges,38479.91,,45212.66,92,,Percent of Total Billed Charges,39855.95,,38332.48,78,,Percent of Total Billed Charges,38332.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,26454.32,53.83,,Percent of Total Billed Charges,24817.82,,17023.55,34.64,,Percent of Total Billed Charges,16954.75,,24562.27,49.98,,Percent of Total Billed Charges,18576.51,,17023.55,45212.66,,																																							
HC PTA/ ATHERECOMTY/ STENT EACH ADDITIONAL BRANCH,92934,CPT,,,,BOTH, , ,23358.3,19620.97,21489.64,92,,Percent of Total Billed Charges,19527.54,,21489.64,92,,Percent of Total Billed Charges,19177.16,,21489.64,92,,Percent of Total Billed Charges,18803.43,,21489.64,92,,Percent of Total Billed Charges,19504.18,,21489.64,92,,Percent of Total Billed Charges,17588.8,,21489.64,92,,Percent of Total Billed Charges,14598.94,,21022.47,90,,Percent of Total Billed Charges,11655.79,,20788.89,89,,Percent of Total Billed Charges,11211.98,,19247.24,82.4,,Percent of Total Billed Charges,19200.52,,19480.82,83.4,,Percent of Total Billed Charges,18172.76,,19480.82,83.4,,Percent of Total Billed Charges,16374.17,,19480.82,83.4,,Percent of Total Billed Charges,19013.66,,21022.47,90,,Percent of Total Billed Charges,19784.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,21489.64,92,,Percent of Total Billed Charges,18943.58,,21489.64,92,,Percent of Total Billed Charges,17378.58,,21489.64,92,,Percent of Total Billed Charges,18289.55,,21489.64,92,,Percent of Total Billed Charges,18943.58,,18219.47,78,,Percent of Total Billed Charges,18219.47,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,12573.77,53.83,,Percent of Total Billed Charges,11795.94,,8091.32,34.64,,Percent of Total Billed Charges,8058.61,,11674.48,49.98,,Percent of Total Billed Charges,8829.44,,8091.32,21489.64,,																																							
HC PERCUTANEOUS TRANSLUMINAL REVASCULARIZATION BYPASS GRAFT ADDL,92938,CPT,,,,BOTH, , ,23358.3,19620.97,21489.64,92,,Percent of Total Billed Charges,19527.54,,21489.64,92,,Percent of Total Billed Charges,19177.16,,21489.64,92,,Percent of Total Billed Charges,18803.43,,21489.64,92,,Percent of Total Billed Charges,19504.18,,21489.64,92,,Percent of Total Billed Charges,17588.8,,21489.64,92,,Percent of Total Billed Charges,14598.94,,21022.47,90,,Percent of Total Billed Charges,11655.79,,20788.89,89,,Percent of Total Billed Charges,11211.98,,19247.24,82.4,,Percent of Total Billed Charges,19200.52,,19480.82,83.4,,Percent of Total Billed Charges,18172.76,,19480.82,83.4,,Percent of Total Billed Charges,16374.17,,19480.82,83.4,,Percent of Total Billed Charges,19013.66,,21022.47,90,,Percent of Total Billed Charges,19784.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,21489.64,92,,Percent of Total Billed Charges,18943.58,,21489.64,92,,Percent of Total Billed Charges,17378.58,,21489.64,92,,Percent of Total Billed Charges,18289.55,,21489.64,92,,Percent of Total Billed Charges,18943.58,,18219.47,78,,Percent of Total Billed Charges,18219.47,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,12573.77,53.83,,Percent of Total Billed Charges,11795.94,,8091.32,34.64,,Percent of Total Billed Charges,8058.61,,11674.48,49.98,,Percent of Total Billed Charges,8829.44,,8091.32,21489.64,,																																							
HC PERCUTANEOUS TRANSLUMINAL REVASCULARIZATION CHRONIC SINGLE VESSEL,92943,CPT,,,,BOTH, , ,23358.3,19620.97,21489.64,92,,Percent of Total Billed Charges,19527.54,,21489.64,92,,Percent of Total Billed Charges,19177.16,,21489.64,92,,Percent of Total Billed Charges,18803.43,,21489.64,92,,Percent of Total Billed Charges,19504.18,,21489.64,92,,Percent of Total Billed Charges,17588.8,,21489.64,92,,Percent of Total Billed Charges,14598.94,,21022.47,90,,Percent of Total Billed Charges,11655.79,,20788.89,89,,Percent of Total Billed Charges,11211.98,,19247.24,82.4,,Percent of Total Billed Charges,19200.52,,19480.82,83.4,,Percent of Total Billed Charges,18172.76,,19480.82,83.4,,Percent of Total Billed Charges,16374.17,,19480.82,83.4,,Percent of Total Billed Charges,19013.66,,21022.47,90,,Percent of Total Billed Charges,19784.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,21489.64,92,,Percent of Total Billed Charges,18943.58,,21489.64,92,,Percent of Total Billed Charges,17378.58,,21489.64,92,,Percent of Total Billed Charges,18289.55,,21489.64,92,,Percent of Total Billed Charges,18943.58,,18219.47,78,,Percent of Total Billed Charges,18219.47,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,12573.77,53.83,,Percent of Total Billed Charges,11795.94,,8091.32,34.64,,Percent of Total Billed Charges,8058.61,,11674.48,49.98,,Percent of Total Billed Charges,8829.44,,8091.32,21489.64,,																																							
HC INTRAVASC US HEART ADDON,92979,CPT,,,,BOTH, , ,2507.4,2106.22,2306.81,92,,Percent of Total Billed Charges,2096.19,,2306.81,92,,Percent of Total Billed Charges,2058.58,,2306.81,92,,Percent of Total Billed Charges,2018.46,,2306.81,92,,Percent of Total Billed Charges,2093.68,,2306.81,92,,Percent of Total Billed Charges,1888.07,,2306.81,92,,Percent of Total Billed Charges,1567.13,,2256.66,90,,Percent of Total Billed Charges,1251.19,,2231.59,89,,Percent of Total Billed Charges,1203.55,,2066.1,82.4,,Percent of Total Billed Charges,2061.08,,2091.17,83.4,,Percent of Total Billed Charges,1950.76,,2091.17,83.4,,Percent of Total Billed Charges,1757.69,,2091.17,83.4,,Percent of Total Billed Charges,2041.02,,2256.66,90,,Percent of Total Billed Charges,2123.77,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2306.81,92,,Percent of Total Billed Charges,2033.5,,2306.81,92,,Percent of Total Billed Charges,1865.51,,2306.81,92,,Percent of Total Billed Charges,1963.29,,2306.81,92,,Percent of Total Billed Charges,2033.5,,1955.77,78,,Percent of Total Billed Charges,1955.77,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1349.73,53.83,,Percent of Total Billed Charges,1266.24,,868.56,34.64,,Percent of Total Billed Charges,865.05,,1253.2,49.98,,Percent of Total Billed Charges,947.8,,868.56,2306.81,,																																							
HC LEFT HEART CATHETERIZATION W/VENTRCLGRPHY,93452,CPT,,,,BOTH, , ,12826.8,10774.51,11800.66,92,,Percent of Total Billed Charges,10723.2,,11800.66,92,,Percent of Total Billed Charges,10530.8,,11800.66,92,,Percent of Total Billed Charges,10325.57,,11800.66,92,,Percent of Total Billed Charges,10710.38,,11800.66,92,,Percent of Total Billed Charges,9658.58,,11800.66,92,,Percent of Total Billed Charges,8016.75,,11544.12,90,,Percent of Total Billed Charges,6400.57,,11415.85,89,,Percent of Total Billed Charges,6156.86,,10569.28,82.4,,Percent of Total Billed Charges,10543.63,,10697.55,83.4,,Percent of Total Billed Charges,9979.25,,10697.55,83.4,,Percent of Total Billed Charges,8991.59,,10697.55,83.4,,Percent of Total Billed Charges,10441.02,,11544.12,90,,Percent of Total Billed Charges,10864.3,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,11800.66,92,,Percent of Total Billed Charges,10402.53,,11800.66,92,,Percent of Total Billed Charges,9543.14,,11800.66,92,,Percent of Total Billed Charges,10043.38,,11800.66,92,,Percent of Total Billed Charges,10402.53,,10004.9,78,,Percent of Total Billed Charges,10004.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6904.67,53.83,,Percent of Total Billed Charges,6477.53,,4443.2,34.64,,Percent of Total Billed Charges,4425.25,,6410.83,49.98,,Percent of Total Billed Charges,4848.53,,4443.20,11800.66,,																																							
HC INJECT PULM ART HRT CATH,93568,CPT,,,,BOTH, , ,156.45,131.42,143.93,92,,Percent of Total Billed Charges,130.79,,143.93,92,,Percent of Total Billed Charges,128.45,,143.93,92,,Percent of Total Billed Charges,125.94,,143.93,92,,Percent of Total Billed Charges,130.64,,143.93,92,,Percent of Total Billed Charges,117.81,,143.93,92,,Percent of Total Billed Charges,97.78,,140.81,90,,Percent of Total Billed Charges,78.07,,139.24,89,,Percent of Total Billed Charges,75.1,,128.91,82.4,,Percent of Total Billed Charges,128.6,,130.48,83.4,,Percent of Total Billed Charges,121.72,,130.48,83.4,,Percent of Total Billed Charges,109.67,,130.48,83.4,,Percent of Total Billed Charges,127.35,,140.81,90,,Percent of Total Billed Charges,132.51,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,143.93,92,,Percent of Total Billed Charges,126.88,,143.93,92,,Percent of Total Billed Charges,116.4,,143.93,92,,Percent of Total Billed Charges,122.5,,143.93,92,,Percent of Total Billed Charges,126.88,,122.03,78,,Percent of Total Billed Charges,122.03,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,84.22,53.83,,Percent of Total Billed Charges,79.01,,54.19,34.64,,Percent of Total Billed Charges,53.98,,78.19,49.98,,Percent of Total Billed Charges,59.14,,54.19,143.93,,																																							
HC INTRAATRIAL PACING,93610,CPT,,,,BOTH, , ,15343.65,12888.67,14116.16,92,,Percent of Total Billed Charges,12827.29,,14116.16,92,,Percent of Total Billed Charges,12597.14,,14116.16,92,,Percent of Total Billed Charges,12351.64,,14116.16,92,,Percent of Total Billed Charges,12811.95,,14116.16,92,,Percent of Total Billed Charges,11553.77,,14116.16,92,,Percent of Total Billed Charges,9589.78,,13809.29,90,,Percent of Total Billed Charges,7656.48,,13655.85,89,,Percent of Total Billed Charges,7364.95,,12643.17,82.4,,Percent of Total Billed Charges,12612.48,,12796.6,83.4,,Percent of Total Billed Charges,11937.36,,12796.6,83.4,,Percent of Total Billed Charges,10755.9,,12796.6,83.4,,Percent of Total Billed Charges,12489.73,,13809.29,90,,Percent of Total Billed Charges,12996.07,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,14116.16,92,,Percent of Total Billed Charges,12443.7,,14116.16,92,,Percent of Total Billed Charges,11415.68,,14116.16,92,,Percent of Total Billed Charges,12014.08,,14116.16,92,,Percent of Total Billed Charges,12443.7,,11968.05,78,,Percent of Total Billed Charges,11968.05,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,8259.49,53.83,,Percent of Total Billed Charges,7748.54,,5315.04,34.64,,Percent of Total Billed Charges,5293.56,,7668.76,49.98,,Percent of Total Billed Charges,5799.9,,5315.04,14116.16,,																																							
HC INTRAVENTRICULAR PACING,93612,CPT,,,,BOTH, , ,15343.65,12888.67,14116.16,92,,Percent of Total Billed Charges,12827.29,,14116.16,92,,Percent of Total Billed Charges,12597.14,,14116.16,92,,Percent of Total Billed Charges,12351.64,,14116.16,92,,Percent of Total Billed Charges,12811.95,,14116.16,92,,Percent of Total Billed Charges,11553.77,,14116.16,92,,Percent of Total Billed Charges,9589.78,,13809.29,90,,Percent of Total Billed Charges,7656.48,,13655.85,89,,Percent of Total Billed Charges,7364.95,,12643.17,82.4,,Percent of Total Billed Charges,12612.48,,12796.6,83.4,,Percent of Total Billed Charges,11937.36,,12796.6,83.4,,Percent of Total Billed Charges,10755.9,,12796.6,83.4,,Percent of Total Billed Charges,12489.73,,13809.29,90,,Percent of Total Billed Charges,12996.07,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,14116.16,92,,Percent of Total Billed Charges,12443.7,,14116.16,92,,Percent of Total Billed Charges,11415.68,,14116.16,92,,Percent of Total Billed Charges,12014.08,,14116.16,92,,Percent of Total Billed Charges,12443.7,,11968.05,78,,Percent of Total Billed Charges,11968.05,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,8259.49,53.83,,Percent of Total Billed Charges,7748.54,,5315.04,34.64,,Percent of Total Billed Charges,5293.56,,7668.76,49.98,,Percent of Total Billed Charges,5799.9,,5315.04,14116.16,,																																							
HC INDUCTION OF ARRHYTHMIA BY ELECTRIACAL PACING,93618,CPT,,,,BOTH, , ,3173.1,2665.4,2919.25,92,,Percent of Total Billed Charges,2652.71,,2919.25,92,,Percent of Total Billed Charges,2605.12,,2919.25,92,,Percent of Total Billed Charges,2554.35,,2919.25,92,,Percent of Total Billed Charges,2649.54,,2919.25,92,,Percent of Total Billed Charges,2389.34,,2919.25,92,,Percent of Total Billed Charges,1983.19,,2855.79,90,,Percent of Total Billed Charges,1583.38,,2824.06,89,,Percent of Total Billed Charges,1523.09,,2614.63,82.4,,Percent of Total Billed Charges,2608.29,,2646.37,83.4,,Percent of Total Billed Charges,2468.67,,2646.37,83.4,,Percent of Total Billed Charges,2224.34,,2646.37,83.4,,Percent of Total Billed Charges,2582.9,,2855.79,90,,Percent of Total Billed Charges,2687.62,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2919.25,92,,Percent of Total Billed Charges,2573.38,,2919.25,92,,Percent of Total Billed Charges,2360.79,,2919.25,92,,Percent of Total Billed Charges,2484.54,,2919.25,92,,Percent of Total Billed Charges,2573.38,,2475.02,78,,Percent of Total Billed Charges,2475.02,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1708.08,53.83,,Percent of Total Billed Charges,1602.42,,1099.16,34.64,,Percent of Total Billed Charges,1094.72,,1585.92,49.98,,Percent of Total Billed Charges,1199.43,,1099.16,2919.25,,																																							
HC ELECTROPHYSIOLOGIC STUDY,93624,CPT,,,,BOTH, , ,17483.55,14686.18,16084.87,92,,Percent of Total Billed Charges,14616.25,,16084.87,92,,Percent of Total Billed Charges,14353.99,,16084.87,92,,Percent of Total Billed Charges,14074.26,,16084.87,92,,Percent of Total Billed Charges,14598.76,,16084.87,92,,Percent of Total Billed Charges,13165.11,,16084.87,92,,Percent of Total Billed Charges,10927.22,,15735.2,90,,Percent of Total Billed Charges,8724.29,,15560.36,89,,Percent of Total Billed Charges,8392.1,,14406.45,82.4,,Percent of Total Billed Charges,14371.48,,14581.28,83.4,,Percent of Total Billed Charges,13602.2,,14581.28,83.4,,Percent of Total Billed Charges,12255.97,,14581.28,83.4,,Percent of Total Billed Charges,14231.61,,15735.2,90,,Percent of Total Billed Charges,14808.57,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,16084.87,92,,Percent of Total Billed Charges,14179.16,,16084.87,92,,Percent of Total Billed Charges,13007.76,,16084.87,92,,Percent of Total Billed Charges,13689.62,,16084.87,92,,Percent of Total Billed Charges,14179.16,,13637.17,78,,Percent of Total Billed Charges,13637.17,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,9411.39,53.83,,Percent of Total Billed Charges,8829.19,,6056.3,34.64,,Percent of Total Billed Charges,6031.82,,8738.28,49.98,,Percent of Total Billed Charges,6608.78,,6056.30,16084.87,,																																							
HC EP EVAL WITH INDUCTION AND VENTRICULAR TACHYCARDIA ABLATION,93654,CPT,,,,BOTH, , ,42603.75,35787.15,39195.45,92,,Percent of Total Billed Charges,35616.74,,39195.45,92,,Percent of Total Billed Charges,34977.68,,39195.45,92,,Percent of Total Billed Charges,34296.02,,39195.45,92,,Percent of Total Billed Charges,35574.13,,39195.45,92,,Percent of Total Billed Charges,32080.62,,39195.45,92,,Percent of Total Billed Charges,26627.34,,38343.38,90,,Percent of Total Billed Charges,21259.27,,37917.34,89,,Percent of Total Billed Charges,20449.8,,35105.49,82.4,,Percent of Total Billed Charges,35020.28,,35531.53,83.4,,Percent of Total Billed Charges,33145.72,,35531.53,83.4,,Percent of Total Billed Charges,29865.23,,35531.53,83.4,,Percent of Total Billed Charges,34679.45,,38343.38,90,,Percent of Total Billed Charges,36085.38,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,39195.45,92,,Percent of Total Billed Charges,34551.64,,39195.45,92,,Percent of Total Billed Charges,31697.19,,39195.45,92,,Percent of Total Billed Charges,33358.74,,39195.45,92,,Percent of Total Billed Charges,34551.64,,33230.93,78,,Percent of Total Billed Charges,33230.93,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,22933.6,53.83,,Percent of Total Billed Charges,21514.89,,14757.94,34.64,,Percent of Total Billed Charges,14698.29,,21293.35,49.98,,Percent of Total Billed Charges,16104.22,,14757.94,39195.45,,																																							
HC TRANSLUMINAL PERIPHERAL ATHERECTOMY RENAL ARTERY,0234T,CPT,,,,BOTH, , ,26707.8,22434.55,24571.18,92,,Percent of Total Billed Charges,22327.72,,24571.18,92,,Percent of Total Billed Charges,21927.1,,24571.18,92,,Percent of Total Billed Charges,21499.78,,24571.18,92,,Percent of Total Billed Charges,22301.01,,24571.18,92,,Percent of Total Billed Charges,20110.97,,24571.18,92,,Percent of Total Billed Charges,16692.38,,24037.02,90,,Percent of Total Billed Charges,13327.19,,23769.94,89,,Percent of Total Billed Charges,12819.74,,22007.23,82.4,,Percent of Total Billed Charges,21953.81,,22274.31,83.4,,Percent of Total Billed Charges,20778.67,,22274.31,83.4,,Percent of Total Billed Charges,18722.17,,22274.31,83.4,,Percent of Total Billed Charges,21740.15,,24037.02,90,,Percent of Total Billed Charges,22621.51,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,24571.18,92,,Percent of Total Billed Charges,21660.03,,24571.18,92,,Percent of Total Billed Charges,19870.6,,24571.18,92,,Percent of Total Billed Charges,20912.21,,24571.18,92,,Percent of Total Billed Charges,21660.03,,20832.08,78,,Percent of Total Billed Charges,20832.08,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,14376.81,53.83,,Percent of Total Billed Charges,13487.44,,9251.58,34.64,,Percent of Total Billed Charges,9214.19,,13348.56,49.98,,Percent of Total Billed Charges,10095.55,,9251.58,24571.18,,																																							
HC VISCERAL ARTERY EACH VESSEL,0235T,CPT,,,,BOTH, , ,26707.8,22434.55,24571.18,92,,Percent of Total Billed Charges,22327.72,,24571.18,92,,Percent of Total Billed Charges,21927.1,,24571.18,92,,Percent of Total Billed Charges,21499.78,,24571.18,92,,Percent of Total Billed Charges,22301.01,,24571.18,92,,Percent of Total Billed Charges,20110.97,,24571.18,92,,Percent of Total Billed Charges,16692.38,,24037.02,90,,Percent of Total Billed Charges,13327.19,,23769.94,89,,Percent of Total Billed Charges,12819.74,,22007.23,82.4,,Percent of Total Billed Charges,21953.81,,22274.31,83.4,,Percent of Total Billed Charges,20778.67,,22274.31,83.4,,Percent of Total Billed Charges,18722.17,,22274.31,83.4,,Percent of Total Billed Charges,21740.15,,24037.02,90,,Percent of Total Billed Charges,22621.51,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,24571.18,92,,Percent of Total Billed Charges,21660.03,,24571.18,92,,Percent of Total Billed Charges,19870.6,,24571.18,92,,Percent of Total Billed Charges,20912.21,,24571.18,92,,Percent of Total Billed Charges,21660.03,,20832.08,78,,Percent of Total Billed Charges,20832.08,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,14376.81,53.83,,Percent of Total Billed Charges,13487.44,,9251.58,34.64,,Percent of Total Billed Charges,9214.19,,13348.56,49.98,,Percent of Total Billed Charges,10095.55,,9251.58,24571.18,,																																							
HC PERC DE COR STENT ATHER S,C9602,CPT,,,,BOTH, , ,49144.2,41281.13,45212.66,92,,Percent of Total Billed Charges,41084.55,,45212.66,92,,Percent of Total Billed Charges,40347.39,,45212.66,92,,Percent of Total Billed Charges,39561.08,,45212.66,92,,Percent of Total Billed Charges,41035.41,,45212.66,92,,Percent of Total Billed Charges,37005.58,,45212.66,92,,Percent of Total Billed Charges,30715.13,,44229.78,90,,Percent of Total Billed Charges,24522.96,,43738.34,89,,Percent of Total Billed Charges,23589.22,,40494.82,82.4,,Percent of Total Billed Charges,40396.53,,40986.26,83.4,,Percent of Total Billed Charges,38234.19,,40986.26,83.4,,Percent of Total Billed Charges,34450.08,,40986.26,83.4,,Percent of Total Billed Charges,40003.38,,44229.78,90,,Percent of Total Billed Charges,41625.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,45212.66,92,,Percent of Total Billed Charges,39855.95,,45212.66,92,,Percent of Total Billed Charges,36563.28,,45212.66,92,,Percent of Total Billed Charges,38479.91,,45212.66,92,,Percent of Total Billed Charges,39855.95,,38332.48,78,,Percent of Total Billed Charges,38332.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,26454.32,53.83,,Percent of Total Billed Charges,24817.82,,17023.55,34.64,,Percent of Total Billed Charges,16954.75,,24562.27,49.98,,Percent of Total Billed Charges,18576.51,,17023.55,45212.66,,																																							
HC PERC DE COR STENT ATHER BR,C9603,CPT,,,,BOTH, , ,22254.75,18693.99,20474.37,92,,Percent of Total Billed Charges,18604.97,,20474.37,92,,Percent of Total Billed Charges,18271.15,,20474.37,92,,Percent of Total Billed Charges,17915.07,,20474.37,92,,Percent of Total Billed Charges,18582.72,,20474.37,92,,Percent of Total Billed Charges,16757.83,,20474.37,92,,Percent of Total Billed Charges,13909.22,,20029.28,90,,Percent of Total Billed Charges,11105.12,,19806.73,89,,Percent of Total Billed Charges,10682.28,,18337.91,82.4,,Percent of Total Billed Charges,18293.4,,18560.46,83.4,,Percent of Total Billed Charges,17314.2,,18560.46,83.4,,Percent of Total Billed Charges,15600.58,,18560.46,83.4,,Percent of Total Billed Charges,18115.37,,20029.28,90,,Percent of Total Billed Charges,18849.77,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,20474.37,92,,Percent of Total Billed Charges,18048.6,,20474.37,92,,Percent of Total Billed Charges,16557.53,,20474.37,92,,Percent of Total Billed Charges,17425.47,,20474.37,92,,Percent of Total Billed Charges,18048.6,,17358.71,78,,Percent of Total Billed Charges,17358.71,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,11979.73,53.83,,Percent of Total Billed Charges,11238.65,,7709.05,34.64,,Percent of Total Billed Charges,7677.89,,11122.92,49.98,,Percent of Total Billed Charges,8412.3,,7709.05,20474.37,,																																							
HC PERC DE COR REVASC CHRO SIN,C9607,CPT,,,,BOTH, , ,49144.2,41281.13,45212.66,92,,Percent of Total Billed Charges,41084.55,,45212.66,92,,Percent of Total Billed Charges,40347.39,,45212.66,92,,Percent of Total Billed Charges,39561.08,,45212.66,92,,Percent of Total Billed Charges,41035.41,,45212.66,92,,Percent of Total Billed Charges,37005.58,,45212.66,92,,Percent of Total Billed Charges,30715.13,,44229.78,90,,Percent of Total Billed Charges,24522.96,,43738.34,89,,Percent of Total Billed Charges,23589.22,,40494.82,82.4,,Percent of Total Billed Charges,40396.53,,40986.26,83.4,,Percent of Total Billed Charges,38234.19,,40986.26,83.4,,Percent of Total Billed Charges,34450.08,,40986.26,83.4,,Percent of Total Billed Charges,40003.38,,44229.78,90,,Percent of Total Billed Charges,41625.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,45212.66,92,,Percent of Total Billed Charges,39855.95,,45212.66,92,,Percent of Total Billed Charges,36563.28,,45212.66,92,,Percent of Total Billed Charges,38479.91,,45212.66,92,,Percent of Total Billed Charges,39855.95,,38332.48,78,,Percent of Total Billed Charges,38332.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,26454.32,53.83,,Percent of Total Billed Charges,24817.82,,17023.55,34.64,,Percent of Total Billed Charges,16954.75,,24562.27,49.98,,Percent of Total Billed Charges,18576.51,,17023.55,45212.66,,																																							
HC PERC DE COR REVASC CHRO ADD,C9608,CPT,,,,BOTH, , ,22254.75,18693.99,20474.37,92,,Percent of Total Billed Charges,18604.97,,20474.37,92,,Percent of Total Billed Charges,18271.15,,20474.37,92,,Percent of Total Billed Charges,17915.07,,20474.37,92,,Percent of Total Billed Charges,18582.72,,20474.37,92,,Percent of Total Billed Charges,16757.83,,20474.37,92,,Percent of Total Billed Charges,13909.22,,20029.28,90,,Percent of Total Billed Charges,11105.12,,19806.73,89,,Percent of Total Billed Charges,10682.28,,18337.91,82.4,,Percent of Total Billed Charges,18293.4,,18560.46,83.4,,Percent of Total Billed Charges,17314.2,,18560.46,83.4,,Percent of Total Billed Charges,15600.58,,18560.46,83.4,,Percent of Total Billed Charges,18115.37,,20029.28,90,,Percent of Total Billed Charges,18849.77,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,20474.37,92,,Percent of Total Billed Charges,18048.6,,20474.37,92,,Percent of Total Billed Charges,16557.53,,20474.37,92,,Percent of Total Billed Charges,17425.47,,20474.37,92,,Percent of Total Billed Charges,18048.6,,17358.71,78,,Percent of Total Billed Charges,17358.71,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,11979.73,53.83,,Percent of Total Billed Charges,11238.65,,7709.05,34.64,,Percent of Total Billed Charges,7677.89,,11122.92,49.98,,Percent of Total Billed Charges,8412.3,,7709.05,20474.37,,																																							
HC TAVR/TAVI PERCU FEM ARTERY APPR,33361,CPT,,,,BOTH, , ,8958.6,7525.22,8241.91,92,,Percent of Total Billed Charges,7489.39,,8241.91,92,,Percent of Total Billed Charges,7355.01,,8241.91,92,,Percent of Total Billed Charges,7211.67,,8241.91,92,,Percent of Total Billed Charges,7480.43,,8241.91,92,,Percent of Total Billed Charges,6745.83,,8241.91,92,,Percent of Total Billed Charges,5599.13,,8062.74,90,,Percent of Total Billed Charges,4470.34,,7973.15,89,,Percent of Total Billed Charges,4300.13,,7381.89,82.4,,Percent of Total Billed Charges,7363.97,,7471.47,83.4,,Percent of Total Billed Charges,6969.79,,7471.47,83.4,,Percent of Total Billed Charges,6279.98,,7471.47,83.4,,Percent of Total Billed Charges,7292.3,,8062.74,90,,Percent of Total Billed Charges,7587.93,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,8241.91,92,,Percent of Total Billed Charges,7265.42,,8241.91,92,,Percent of Total Billed Charges,6665.2,,8241.91,92,,Percent of Total Billed Charges,7014.58,,8241.91,92,,Percent of Total Billed Charges,7265.42,,6987.71,78,,Percent of Total Billed Charges,6987.71,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4822.41,53.83,,Percent of Total Billed Charges,4524.09,,3103.26,34.64,,Percent of Total Billed Charges,3090.72,,4477.51,49.98,,Percent of Total Billed Charges,3386.35,,3103.26,8241.91,,																																							
HC TAVR/TAVI TRANSAPICAL EXPOSURE,33366,CPT,,,,BOTH, , ,12707.1,10673.96,11690.53,92,,Percent of Total Billed Charges,10623.14,,11690.53,92,,Percent of Total Billed Charges,10432.53,,11690.53,92,,Percent of Total Billed Charges,10229.22,,11690.53,92,,Percent of Total Billed Charges,10610.43,,11690.53,92,,Percent of Total Billed Charges,9568.45,,11690.53,92,,Percent of Total Billed Charges,7941.94,,11436.39,90,,Percent of Total Billed Charges,6340.84,,11309.32,89,,Percent of Total Billed Charges,6099.41,,10470.65,82.4,,Percent of Total Billed Charges,10445.24,,10597.72,83.4,,Percent of Total Billed Charges,9886.12,,10597.72,83.4,,Percent of Total Billed Charges,8907.68,,10597.72,83.4,,Percent of Total Billed Charges,10343.58,,11436.39,90,,Percent of Total Billed Charges,10762.91,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,11690.53,92,,Percent of Total Billed Charges,10305.46,,11690.53,92,,Percent of Total Billed Charges,9454.08,,11690.53,92,,Percent of Total Billed Charges,9949.66,,11690.53,92,,Percent of Total Billed Charges,10305.46,,9911.54,78,,Percent of Total Billed Charges,9911.54,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6840.23,53.83,,Percent of Total Billed Charges,6417.09,,4401.74,34.64,,Percent of Total Billed Charges,4383.95,,6351.01,49.98,,Percent of Total Billed Charges,4803.28,,4401.74,11690.53,,																																							
HC PTA/ATHEREC FEMPOP,37225,CPT,,,,BOTH, , ,32202.45,27050.06,29626.25,92,,Percent of Total Billed Charges,26921.25,,29626.25,92,,Percent of Total Billed Charges,26438.21,,29626.25,92,,Percent of Total Billed Charges,25922.97,,29626.25,92,,Percent of Total Billed Charges,26889.05,,29626.25,92,,Percent of Total Billed Charges,24248.44,,29626.25,92,,Percent of Total Billed Charges,20126.53,,28982.21,90,,Percent of Total Billed Charges,16069.02,,28660.18,89,,Percent of Total Billed Charges,15457.18,,26534.82,82.4,,Percent of Total Billed Charges,26470.41,,26856.84,83.4,,Percent of Total Billed Charges,25053.51,,26856.84,83.4,,Percent of Total Billed Charges,22573.92,,26856.84,83.4,,Percent of Total Billed Charges,26212.79,,28982.21,90,,Percent of Total Billed Charges,27275.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,29626.25,92,,Percent of Total Billed Charges,26116.19,,29626.25,92,,Percent of Total Billed Charges,23958.62,,29626.25,92,,Percent of Total Billed Charges,25214.52,,29626.25,92,,Percent of Total Billed Charges,26116.19,,25117.91,78,,Percent of Total Billed Charges,25117.91,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,17334.58,53.83,,Percent of Total Billed Charges,16262.24,,11154.93,34.64,,Percent of Total Billed Charges,11109.85,,16094.78,49.98,,Percent of Total Billed Charges,12172.53,,11154.93,29626.25,,																																							
HC PTA/ST/ATH FEM/POP,37227,CPT,,,,BOTH, , ,55767.6,46844.78,51306.19,92,,Percent of Total Billed Charges,46621.71,,51306.19,92,,Percent of Total Billed Charges,45785.2,,51306.19,92,,Percent of Total Billed Charges,44892.92,,51306.19,92,,Percent of Total Billed Charges,46565.95,,51306.19,92,,Percent of Total Billed Charges,41993,,51306.19,92,,Percent of Total Billed Charges,34854.75,,50190.84,90,,Percent of Total Billed Charges,27828.03,,49633.16,89,,Percent of Total Billed Charges,26768.45,,45952.5,82.4,,Percent of Total Billed Charges,45840.97,,46510.18,83.4,,Percent of Total Billed Charges,43387.19,,46510.18,83.4,,Percent of Total Billed Charges,39093.09,,46510.18,83.4,,Percent of Total Billed Charges,45394.83,,50190.84,90,,Percent of Total Billed Charges,47235.16,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,51306.19,92,,Percent of Total Billed Charges,45227.52,,51306.19,92,,Percent of Total Billed Charges,41491.09,,51306.19,92,,Percent of Total Billed Charges,43666.03,,51306.19,92,,Percent of Total Billed Charges,45227.52,,43498.73,78,,Percent of Total Billed Charges,43498.73,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,30019.7,53.83,,Percent of Total Billed Charges,28162.64,,19317.9,34.64,,Percent of Total Billed Charges,19239.82,,27872.65,49.98,,Percent of Total Billed Charges,21080.15,,19317.90,51306.19,,																																							
HC PTA/ATHER TIB/PER INITIAL,37229,CPT,,,,BOTH, , ,40915.35,34368.89,37642.12,92,,Percent of Total Billed Charges,34205.23,,37642.12,92,,Percent of Total Billed Charges,33591.5,,37642.12,92,,Percent of Total Billed Charges,32936.86,,37642.12,92,,Percent of Total Billed Charges,34164.32,,37642.12,92,,Percent of Total Billed Charges,30809.26,,37642.12,92,,Percent of Total Billed Charges,25572.09,,36823.82,90,,Percent of Total Billed Charges,20416.76,,36414.66,89,,Percent of Total Billed Charges,19639.37,,33714.25,82.4,,Percent of Total Billed Charges,33632.42,,34123.4,83.4,,Percent of Total Billed Charges,31832.14,,34123.4,83.4,,Percent of Total Billed Charges,28681.66,,34123.4,83.4,,Percent of Total Billed Charges,33305.09,,36823.82,90,,Percent of Total Billed Charges,34655.3,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,37642.12,92,,Percent of Total Billed Charges,33182.35,,37642.12,92,,Percent of Total Billed Charges,30441.02,,37642.12,92,,Percent of Total Billed Charges,32036.72,,37642.12,92,,Percent of Total Billed Charges,33182.35,,31913.97,78,,Percent of Total Billed Charges,31913.97,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,22024.73,53.83,,Percent of Total Billed Charges,20662.25,,14173.08,34.64,,Percent of Total Billed Charges,14115.8,,20449.49,49.98,,Percent of Total Billed Charges,15466,,14173.08,37642.12,,																																							
HC PTA/STENT/ATH TIB/PER,37231,CPT,,,,BOTH, , ,43731.45,36734.42,40232.93,92,,Percent of Total Billed Charges,36559.49,,40232.93,92,,Percent of Total Billed Charges,35903.52,,40232.93,92,,Percent of Total Billed Charges,35203.82,,40232.93,92,,Percent of Total Billed Charges,36515.76,,40232.93,92,,Percent of Total Billed Charges,32929.78,,40232.93,92,,Percent of Total Billed Charges,27332.16,,39358.31,90,,Percent of Total Billed Charges,21821.99,,38920.99,89,,Percent of Total Billed Charges,20991.1,,36034.71,82.4,,Percent of Total Billed Charges,35947.25,,36472.03,83.4,,Percent of Total Billed Charges,34023.07,,36472.03,83.4,,Percent of Total Billed Charges,30655.75,,36472.03,83.4,,Percent of Total Billed Charges,35597.4,,39358.31,90,,Percent of Total Billed Charges,37040.54,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,40232.93,92,,Percent of Total Billed Charges,35466.21,,40232.93,92,,Percent of Total Billed Charges,32536.2,,40232.93,92,,Percent of Total Billed Charges,34241.73,,40232.93,92,,Percent of Total Billed Charges,35466.21,,34110.53,78,,Percent of Total Billed Charges,34110.53,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,23540.64,53.83,,Percent of Total Billed Charges,22084.38,,15148.57,34.64,,Percent of Total Billed Charges,15087.35,,21856.98,49.98,,Percent of Total Billed Charges,16530.49,,15148.57,40232.93,,																																							
HC PTA/ATH ADDITIONAL TIB/PERONEAL,37233,CPT,,,,BOTH, , ,31156.65,26171.59,28664.12,92,,Percent of Total Billed Charges,26046.96,,28664.12,92,,Percent of Total Billed Charges,25579.61,,28664.12,92,,Percent of Total Billed Charges,25081.1,,28664.12,92,,Percent of Total Billed Charges,26015.8,,28664.12,92,,Percent of Total Billed Charges,23460.96,,28664.12,92,,Percent of Total Billed Charges,19472.91,,28040.99,90,,Percent of Total Billed Charges,15547.17,,27729.42,89,,Percent of Total Billed Charges,14955.19,,25673.08,82.4,,Percent of Total Billed Charges,25610.77,,25984.65,83.4,,Percent of Total Billed Charges,24239.87,,25984.65,83.4,,Percent of Total Billed Charges,21840.81,,25984.65,83.4,,Percent of Total Billed Charges,25361.51,,28040.99,90,,Percent of Total Billed Charges,26389.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,28664.12,92,,Percent of Total Billed Charges,25268.04,,28664.12,92,,Percent of Total Billed Charges,23180.55,,28664.12,92,,Percent of Total Billed Charges,24395.66,,28664.12,92,,Percent of Total Billed Charges,25268.04,,24302.19,78,,Percent of Total Billed Charges,24302.19,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,16771.62,53.83,,Percent of Total Billed Charges,15734.11,,10792.66,34.64,,Percent of Total Billed Charges,10749.04,,15572.09,49.98,,Percent of Total Billed Charges,11777.21,,10792.66,28664.12,,																																							
HC TIB/PER REVASC STNT & ATHER,37235,CPT,,,,BOTH, , ,55767.6,46844.78,51306.19,92,,Percent of Total Billed Charges,46621.71,,51306.19,92,,Percent of Total Billed Charges,45785.2,,51306.19,92,,Percent of Total Billed Charges,44892.92,,51306.19,92,,Percent of Total Billed Charges,46565.95,,51306.19,92,,Percent of Total Billed Charges,41993,,51306.19,92,,Percent of Total Billed Charges,34854.75,,50190.84,90,,Percent of Total Billed Charges,27828.03,,49633.16,89,,Percent of Total Billed Charges,26768.45,,45952.5,82.4,,Percent of Total Billed Charges,45840.97,,46510.18,83.4,,Percent of Total Billed Charges,43387.19,,46510.18,83.4,,Percent of Total Billed Charges,39093.09,,46510.18,83.4,,Percent of Total Billed Charges,45394.83,,50190.84,90,,Percent of Total Billed Charges,47235.16,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,51306.19,92,,Percent of Total Billed Charges,45227.52,,51306.19,92,,Percent of Total Billed Charges,41491.09,,51306.19,92,,Percent of Total Billed Charges,43666.03,,51306.19,92,,Percent of Total Billed Charges,45227.52,,43498.73,78,,Percent of Total Billed Charges,43498.73,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,30019.7,53.83,,Percent of Total Billed Charges,28162.64,,19317.9,34.64,,Percent of Total Billed Charges,19239.82,,27872.65,49.98,,Percent of Total Billed Charges,21080.15,,19317.90,51306.19,,																																							
HC ATHERECTOMY/IVC ABDOMINAL AORTA,0236T,CPT,,,,BOTH, , ,23665.95,19879.4,21772.67,92,,Percent of Total Billed Charges,19784.73,,21772.67,92,,Percent of Total Billed Charges,19429.74,,21772.67,92,,Percent of Total Billed Charges,19051.09,,21772.67,92,,Percent of Total Billed Charges,19761.07,,21772.67,92,,Percent of Total Billed Charges,17820.46,,21772.67,92,,Percent of Total Billed Charges,14791.22,,21299.36,90,,Percent of Total Billed Charges,11809.31,,21062.7,89,,Percent of Total Billed Charges,11359.66,,19500.74,82.4,,Percent of Total Billed Charges,19453.41,,19737.4,83.4,,Percent of Total Billed Charges,18412.11,,19737.4,83.4,,Percent of Total Billed Charges,16589.83,,19737.4,83.4,,Percent of Total Billed Charges,19264.08,,21299.36,90,,Percent of Total Billed Charges,20045.06,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,21772.67,92,,Percent of Total Billed Charges,19193.09,,21772.67,92,,Percent of Total Billed Charges,17607.47,,21772.67,92,,Percent of Total Billed Charges,18530.44,,21772.67,92,,Percent of Total Billed Charges,19193.09,,18459.44,78,,Percent of Total Billed Charges,18459.44,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,12739.38,53.83,,Percent of Total Billed Charges,11951.3,,8197.89,34.64,,Percent of Total Billed Charges,8164.75,,11828.24,49.98,,Percent of Total Billed Charges,8945.73,,8197.89,21772.67,,																																							
HC ATHERECTOMY/IVC BRACHIOCEPHALIC TRUNK AND BRANCHES EACH VESSEL,0237T,CPT,,,,BOTH, , ,23665.95,19879.4,21772.67,92,,Percent of Total Billed Charges,19784.73,,21772.67,92,,Percent of Total Billed Charges,19429.74,,21772.67,92,,Percent of Total Billed Charges,19051.09,,21772.67,92,,Percent of Total Billed Charges,19761.07,,21772.67,92,,Percent of Total Billed Charges,17820.46,,21772.67,92,,Percent of Total Billed Charges,14791.22,,21299.36,90,,Percent of Total Billed Charges,11809.31,,21062.7,89,,Percent of Total Billed Charges,11359.66,,19500.74,82.4,,Percent of Total Billed Charges,19453.41,,19737.4,83.4,,Percent of Total Billed Charges,18412.11,,19737.4,83.4,,Percent of Total Billed Charges,16589.83,,19737.4,83.4,,Percent of Total Billed Charges,19264.08,,21299.36,90,,Percent of Total Billed Charges,20045.06,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,21772.67,92,,Percent of Total Billed Charges,19193.09,,21772.67,92,,Percent of Total Billed Charges,17607.47,,21772.67,92,,Percent of Total Billed Charges,18530.44,,21772.67,92,,Percent of Total Billed Charges,19193.09,,18459.44,78,,Percent of Total Billed Charges,18459.44,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,12739.38,53.83,,Percent of Total Billed Charges,11951.3,,8197.89,34.64,,Percent of Total Billed Charges,8164.75,,11828.24,49.98,,Percent of Total Billed Charges,8945.73,,8197.89,21772.67,,																																							
HC ATHERECTOMY/IVC ILIAC ARTERY EACH VESSEL,0238T,CPT,,,,BOTH, , ,5121.9,4302.4,4712.15,92,,Percent of Total Billed Charges,4281.91,,4712.15,92,,Percent of Total Billed Charges,4205.08,,4712.15,92,,Percent of Total Billed Charges,4123.13,,4712.15,92,,Percent of Total Billed Charges,4276.79,,4712.15,92,,Percent of Total Billed Charges,3856.79,,4712.15,92,,Percent of Total Billed Charges,3201.19,,4609.71,90,,Percent of Total Billed Charges,2555.83,,4558.49,89,,Percent of Total Billed Charges,2458.51,,4220.45,82.4,,Percent of Total Billed Charges,4210.2,,4271.66,83.4,,Percent of Total Billed Charges,3984.84,,4271.66,83.4,,Percent of Total Billed Charges,3590.45,,4271.66,83.4,,Percent of Total Billed Charges,4169.23,,4609.71,90,,Percent of Total Billed Charges,4338.25,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4712.15,92,,Percent of Total Billed Charges,4153.86,,4712.15,92,,Percent of Total Billed Charges,3810.69,,4712.15,92,,Percent of Total Billed Charges,4010.45,,4712.15,92,,Percent of Total Billed Charges,4153.86,,3995.08,78,,Percent of Total Billed Charges,3995.08,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2757.12,53.83,,Percent of Total Billed Charges,2586.56,,1774.23,34.64,,Percent of Total Billed Charges,1767.06,,2559.93,49.98,,Percent of Total Billed Charges,1936.08,,1774.23,4712.15,,																																							
HC IVUS INITAL VESSEL,37252,CPT,,,,BOTH, , ,2020.2,1696.97,1858.58,92,,Percent of Total Billed Charges,1688.89,,1858.58,92,,Percent of Total Billed Charges,1658.58,,1858.58,92,,Percent of Total Billed Charges,1626.26,,1858.58,92,,Percent of Total Billed Charges,1686.87,,1858.58,92,,Percent of Total Billed Charges,1521.21,,1858.58,92,,Percent of Total Billed Charges,1262.63,,1818.18,90,,Percent of Total Billed Charges,1008.08,,1797.98,89,,Percent of Total Billed Charges,969.7,,1664.64,82.4,,Percent of Total Billed Charges,1660.6,,1684.85,83.4,,Percent of Total Billed Charges,1571.72,,1684.85,83.4,,Percent of Total Billed Charges,1416.16,,1684.85,83.4,,Percent of Total Billed Charges,1644.44,,1818.18,90,,Percent of Total Billed Charges,1711.11,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1858.58,92,,Percent of Total Billed Charges,1638.38,,1858.58,92,,Percent of Total Billed Charges,1503.03,,1858.58,92,,Percent of Total Billed Charges,1581.82,,1858.58,92,,Percent of Total Billed Charges,1638.38,,1575.76,78,,Percent of Total Billed Charges,1575.76,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1087.47,53.83,,Percent of Total Billed Charges,1020.2,,699.8,34.64,,Percent of Total Billed Charges,696.97,,1009.7,49.98,,Percent of Total Billed Charges,763.64,,699.80,1858.58,,																																							
HC IVUS EACH ADD'L VESSEL,37253,CPT,,,,BOTH, , ,1272.6,1068.98,1170.79,92,,Percent of Total Billed Charges,1063.89,,1170.79,92,,Percent of Total Billed Charges,1044.8,,1170.79,92,,Percent of Total Billed Charges,1024.44,,1170.79,92,,Percent of Total Billed Charges,1062.62,,1170.79,92,,Percent of Total Billed Charges,958.27,,1170.79,92,,Percent of Total Billed Charges,795.38,,1145.34,90,,Percent of Total Billed Charges,635.03,,1132.61,89,,Percent of Total Billed Charges,610.85,,1048.62,82.4,,Percent of Total Billed Charges,1046.08,,1061.35,83.4,,Percent of Total Billed Charges,990.08,,1061.35,83.4,,Percent of Total Billed Charges,892.09,,1061.35,83.4,,Percent of Total Billed Charges,1035.9,,1145.34,90,,Percent of Total Billed Charges,1077.89,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1170.79,92,,Percent of Total Billed Charges,1032.08,,1170.79,92,,Percent of Total Billed Charges,946.81,,1170.79,92,,Percent of Total Billed Charges,996.45,,1170.79,92,,Percent of Total Billed Charges,1032.08,,992.63,78,,Percent of Total Billed Charges,992.63,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,685.04,53.83,,Percent of Total Billed Charges,642.66,,440.83,34.64,,Percent of Total Billed Charges,439.05,,636.05,49.98,,Percent of Total Billed Charges,481.04,,440.83,1170.79,,																																							
HC ANGIOGRAPHY PULMONARY,75741,CPT,,,,BOTH, , ,4586.4,3852.58,4219.49,92,,Percent of Total Billed Charges,3834.23,,4219.49,92,,Percent of Total Billed Charges,3765.43,,4219.49,92,,Percent of Total Billed Charges,3692.05,,4219.49,92,,Percent of Total Billed Charges,3829.64,,4219.49,92,,Percent of Total Billed Charges,3453.56,,4219.49,92,,Percent of Total Billed Charges,2866.5,,4127.76,90,,Percent of Total Billed Charges,2288.61,,4081.9,89,,Percent of Total Billed Charges,2201.47,,3779.19,82.4,,Percent of Total Billed Charges,3770.02,,3825.06,83.4,,Percent of Total Billed Charges,3568.22,,3825.06,83.4,,Percent of Total Billed Charges,3215.07,,3825.06,83.4,,Percent of Total Billed Charges,3733.33,,4127.76,90,,Percent of Total Billed Charges,3884.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4219.49,92,,Percent of Total Billed Charges,3719.57,,4219.49,92,,Percent of Total Billed Charges,3412.28,,4219.49,92,,Percent of Total Billed Charges,3591.15,,4219.49,92,,Percent of Total Billed Charges,3719.57,,3577.39,78,,Percent of Total Billed Charges,3577.39,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2468.86,53.83,,Percent of Total Billed Charges,2316.13,,1588.73,34.64,,Percent of Total Billed Charges,1582.31,,2292.28,49.98,,Percent of Total Billed Charges,1733.66,,1588.73,4219.49,,																																							
HC VENOGRAPHY CAVAL SUPERIOR,75827,CPT,,,,BOTH, , ,1731.45,1454.42,1592.93,92,,Percent of Total Billed Charges,1447.49,,1592.93,92,,Percent of Total Billed Charges,1421.52,,1592.93,92,,Percent of Total Billed Charges,1393.82,,1592.93,92,,Percent of Total Billed Charges,1445.76,,1592.93,92,,Percent of Total Billed Charges,1303.78,,1592.93,92,,Percent of Total Billed Charges,1082.16,,1558.31,90,,Percent of Total Billed Charges,863.99,,1540.99,89,,Percent of Total Billed Charges,831.1,,1426.71,82.4,,Percent of Total Billed Charges,1423.25,,1444.03,83.4,,Percent of Total Billed Charges,1347.07,,1444.03,83.4,,Percent of Total Billed Charges,1213.75,,1444.03,83.4,,Percent of Total Billed Charges,1409.4,,1558.31,90,,Percent of Total Billed Charges,1466.54,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1592.93,92,,Percent of Total Billed Charges,1404.21,,1592.93,92,,Percent of Total Billed Charges,1288.2,,1592.93,92,,Percent of Total Billed Charges,1355.73,,1592.93,92,,Percent of Total Billed Charges,1404.21,,1350.53,78,,Percent of Total Billed Charges,1350.53,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,932.04,53.83,,Percent of Total Billed Charges,874.38,,599.77,34.64,,Percent of Total Billed Charges,597.35,,865.38,49.98,,Percent of Total Billed Charges,654.49,,599.77,1592.93,,																																							
HC PROGRAMMING SUBCUT ICD,93260,CPT,,,,BOTH, , ,11.55,9.7,10.63,92,,Percent of Total Billed Charges,9.66,,10.63,92,,Percent of Total Billed Charges,9.48,,10.63,92,,Percent of Total Billed Charges,9.3,,10.63,92,,Percent of Total Billed Charges,9.64,,10.63,92,,Percent of Total Billed Charges,8.7,,10.63,92,,Percent of Total Billed Charges,7.22,,10.4,90,,Percent of Total Billed Charges,5.76,,10.28,89,,Percent of Total Billed Charges,5.54,,9.52,82.4,,Percent of Total Billed Charges,9.49,,9.63,83.4,,Percent of Total Billed Charges,8.99,,9.63,83.4,,Percent of Total Billed Charges,8.1,,9.63,83.4,,Percent of Total Billed Charges,9.4,,10.4,90,,Percent of Total Billed Charges,9.78,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,10.63,92,,Percent of Total Billed Charges,9.37,,10.63,92,,Percent of Total Billed Charges,8.59,,10.63,92,,Percent of Total Billed Charges,9.04,,10.63,92,,Percent of Total Billed Charges,9.37,,9.01,78,,Percent of Total Billed Charges,9.01,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6.22,53.83,,Percent of Total Billed Charges,5.83,,4,34.64,,Percent of Total Billed Charges,3.98,,5.77,49.98,,Percent of Total Billed Charges,4.37,,4.00,10.63,,																																							
HC INTERROGATE SUBCUT ICD,93261,CPT,,,,BOTH, , ,11.55,9.7,10.63,92,,Percent of Total Billed Charges,9.66,,10.63,92,,Percent of Total Billed Charges,9.48,,10.63,92,,Percent of Total Billed Charges,9.3,,10.63,92,,Percent of Total Billed Charges,9.64,,10.63,92,,Percent of Total Billed Charges,8.7,,10.63,92,,Percent of Total Billed Charges,7.22,,10.4,90,,Percent of Total Billed Charges,5.76,,10.28,89,,Percent of Total Billed Charges,5.54,,9.52,82.4,,Percent of Total Billed Charges,9.49,,9.63,83.4,,Percent of Total Billed Charges,8.99,,9.63,83.4,,Percent of Total Billed Charges,8.1,,9.63,83.4,,Percent of Total Billed Charges,9.4,,10.4,90,,Percent of Total Billed Charges,9.78,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,10.63,92,,Percent of Total Billed Charges,9.37,,10.63,92,,Percent of Total Billed Charges,8.59,,10.63,92,,Percent of Total Billed Charges,9.04,,10.63,92,,Percent of Total Billed Charges,9.37,,9.01,78,,Percent of Total Billed Charges,9.01,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6.22,53.83,,Percent of Total Billed Charges,5.83,,4,34.64,,Percent of Total Billed Charges,3.98,,5.77,49.98,,Percent of Total Billed Charges,4.37,,4.00,10.63,,																																							
HC BUNDLE OF HIS RECORDING,93600,CPT,,,,BOTH, , ,15343.65,12888.67,14116.16,92,,Percent of Total Billed Charges,12827.29,,14116.16,92,,Percent of Total Billed Charges,12597.14,,14116.16,92,,Percent of Total Billed Charges,12351.64,,14116.16,92,,Percent of Total Billed Charges,12811.95,,14116.16,92,,Percent of Total Billed Charges,11553.77,,14116.16,92,,Percent of Total Billed Charges,9589.78,,13809.29,90,,Percent of Total Billed Charges,7656.48,,13655.85,89,,Percent of Total Billed Charges,7364.95,,12643.17,82.4,,Percent of Total Billed Charges,12612.48,,12796.6,83.4,,Percent of Total Billed Charges,11937.36,,12796.6,83.4,,Percent of Total Billed Charges,10755.9,,12796.6,83.4,,Percent of Total Billed Charges,12489.73,,13809.29,90,,Percent of Total Billed Charges,12996.07,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,14116.16,92,,Percent of Total Billed Charges,12443.7,,14116.16,92,,Percent of Total Billed Charges,11415.68,,14116.16,92,,Percent of Total Billed Charges,12014.08,,14116.16,92,,Percent of Total Billed Charges,12443.7,,11968.05,78,,Percent of Total Billed Charges,11968.05,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,8259.49,53.83,,Percent of Total Billed Charges,7748.54,,5315.04,34.64,,Percent of Total Billed Charges,5293.56,,7668.76,49.98,,Percent of Total Billed Charges,5799.9,,5315.04,14116.16,,																																							
HC INTRAATRIAL RECORDING,93602,CPT,,,,BOTH, , ,15343.65,12888.67,14116.16,92,,Percent of Total Billed Charges,12827.29,,14116.16,92,,Percent of Total Billed Charges,12597.14,,14116.16,92,,Percent of Total Billed Charges,12351.64,,14116.16,92,,Percent of Total Billed Charges,12811.95,,14116.16,92,,Percent of Total Billed Charges,11553.77,,14116.16,92,,Percent of Total Billed Charges,9589.78,,13809.29,90,,Percent of Total Billed Charges,7656.48,,13655.85,89,,Percent of Total Billed Charges,7364.95,,12643.17,82.4,,Percent of Total Billed Charges,12612.48,,12796.6,83.4,,Percent of Total Billed Charges,11937.36,,12796.6,83.4,,Percent of Total Billed Charges,10755.9,,12796.6,83.4,,Percent of Total Billed Charges,12489.73,,13809.29,90,,Percent of Total Billed Charges,12996.07,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,14116.16,92,,Percent of Total Billed Charges,12443.7,,14116.16,92,,Percent of Total Billed Charges,11415.68,,14116.16,92,,Percent of Total Billed Charges,12014.08,,14116.16,92,,Percent of Total Billed Charges,12443.7,,11968.05,78,,Percent of Total Billed Charges,11968.05,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,8259.49,53.83,,Percent of Total Billed Charges,7748.54,,5315.04,34.64,,Percent of Total Billed Charges,5293.56,,7668.76,49.98,,Percent of Total Billed Charges,5799.9,,5315.04,14116.16,,																																							
HC RIGHT VENTRICULAR RECORDING,93603,CPT,,,,BOTH, , ,3943.8,3312.79,3628.3,92,,Percent of Total Billed Charges,3297.02,,3628.3,92,,Percent of Total Billed Charges,3237.86,,3628.3,92,,Percent of Total Billed Charges,3174.76,,3628.3,92,,Percent of Total Billed Charges,3293.07,,3628.3,92,,Percent of Total Billed Charges,2969.68,,3628.3,92,,Percent of Total Billed Charges,2464.88,,3549.42,90,,Percent of Total Billed Charges,1967.96,,3509.98,89,,Percent of Total Billed Charges,1893.02,,3249.69,82.4,,Percent of Total Billed Charges,3241.8,,3289.13,83.4,,Percent of Total Billed Charges,3068.28,,3289.13,83.4,,Percent of Total Billed Charges,2764.6,,3289.13,83.4,,Percent of Total Billed Charges,3210.25,,3549.42,90,,Percent of Total Billed Charges,3340.4,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3628.3,92,,Percent of Total Billed Charges,3198.42,,3628.3,92,,Percent of Total Billed Charges,2934.19,,3628.3,92,,Percent of Total Billed Charges,3088,,3628.3,92,,Percent of Total Billed Charges,3198.42,,3076.16,78,,Percent of Total Billed Charges,3076.16,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2122.95,53.83,,Percent of Total Billed Charges,1991.62,,1366.13,34.64,,Percent of Total Billed Charges,1360.61,,1971.11,49.98,,Percent of Total Billed Charges,1490.76,,1366.13,3628.3,,																																							
HC TRLML BALO ANGIOP OPEN/PERQ IMG S&I 1ST ART,37246,CPT,,,,BOTH, , ,25538.1,21452,23495.05,92,,Percent of Total Billed Charges,21349.85,,23495.05,92,,Percent of Total Billed Charges,20966.78,,23495.05,92,,Percent of Total Billed Charges,20558.17,,23495.05,92,,Percent of Total Billed Charges,21324.31,,23495.05,92,,Percent of Total Billed Charges,19230.19,,23495.05,92,,Percent of Total Billed Charges,15961.31,,22984.29,90,,Percent of Total Billed Charges,12743.51,,22728.91,89,,Percent of Total Billed Charges,12258.29,,21043.39,82.4,,Percent of Total Billed Charges,20992.32,,21298.78,83.4,,Percent of Total Billed Charges,19868.64,,21298.78,83.4,,Percent of Total Billed Charges,17902.21,,21298.78,83.4,,Percent of Total Billed Charges,20788.01,,22984.29,90,,Percent of Total Billed Charges,21630.77,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,23495.05,92,,Percent of Total Billed Charges,20711.4,,23495.05,92,,Percent of Total Billed Charges,19000.35,,23495.05,92,,Percent of Total Billed Charges,19996.33,,23495.05,92,,Percent of Total Billed Charges,20711.4,,19919.72,78,,Percent of Total Billed Charges,19919.72,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,13747.16,53.83,,Percent of Total Billed Charges,12896.74,,8846.4,34.64,,Percent of Total Billed Charges,8810.64,,12763.94,49.98,,Percent of Total Billed Charges,9653.4,,8846.40,23495.05,,																																							
HC TRLML BALO ANGIOP OPEN/PERQ IMG S&I EA ADDL ART,37247,CPT,,,,BOTH, , ,12771.15,10727.77,11749.46,92,,Percent of Total Billed Charges,10676.68,,11749.46,92,,Percent of Total Billed Charges,10485.11,,11749.46,92,,Percent of Total Billed Charges,10280.78,,11749.46,92,,Percent of Total Billed Charges,10663.91,,11749.46,92,,Percent of Total Billed Charges,9616.68,,11749.46,92,,Percent of Total Billed Charges,7981.97,,11494.04,90,,Percent of Total Billed Charges,6372.8,,11366.32,89,,Percent of Total Billed Charges,6130.15,,10523.43,82.4,,Percent of Total Billed Charges,10497.89,,10651.14,83.4,,Percent of Total Billed Charges,9935.95,,10651.14,83.4,,Percent of Total Billed Charges,8952.58,,10651.14,83.4,,Percent of Total Billed Charges,10395.72,,11494.04,90,,Percent of Total Billed Charges,10817.16,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,11749.46,92,,Percent of Total Billed Charges,10357.4,,11749.46,92,,Percent of Total Billed Charges,9501.74,,11749.46,92,,Percent of Total Billed Charges,9999.81,,11749.46,92,,Percent of Total Billed Charges,10357.4,,9961.5,78,,Percent of Total Billed Charges,9961.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6874.71,53.83,,Percent of Total Billed Charges,6449.43,,4423.93,34.64,,Percent of Total Billed Charges,4406.05,,6383.02,49.98,,Percent of Total Billed Charges,4827.49,,4423.93,11749.46,,																																							
HC TRLML BALO ANGIOP OPEN/PERQ W/IMG S&I 1ST VEIN,37248,CPT,,,,BOTH, , ,25538.1,21452,23495.05,92,,Percent of Total Billed Charges,21349.85,,23495.05,92,,Percent of Total Billed Charges,20966.78,,23495.05,92,,Percent of Total Billed Charges,20558.17,,23495.05,92,,Percent of Total Billed Charges,21324.31,,23495.05,92,,Percent of Total Billed Charges,19230.19,,23495.05,92,,Percent of Total Billed Charges,15961.31,,22984.29,90,,Percent of Total Billed Charges,12743.51,,22728.91,89,,Percent of Total Billed Charges,12258.29,,21043.39,82.4,,Percent of Total Billed Charges,20992.32,,21298.78,83.4,,Percent of Total Billed Charges,19868.64,,21298.78,83.4,,Percent of Total Billed Charges,17902.21,,21298.78,83.4,,Percent of Total Billed Charges,20788.01,,22984.29,90,,Percent of Total Billed Charges,21630.77,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,23495.05,92,,Percent of Total Billed Charges,20711.4,,23495.05,92,,Percent of Total Billed Charges,19000.35,,23495.05,92,,Percent of Total Billed Charges,19996.33,,23495.05,92,,Percent of Total Billed Charges,20711.4,,19919.72,78,,Percent of Total Billed Charges,19919.72,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,13747.16,53.83,,Percent of Total Billed Charges,12896.74,,8846.4,34.64,,Percent of Total Billed Charges,8810.64,,12763.94,49.98,,Percent of Total Billed Charges,9653.4,,8846.40,23495.05,,																																							
HC TRLML BALO ANGIOP OPEN/PERQ W/IMG S&I ADDL VEIN,37249,CPT,,,,BOTH, , ,12771.15,10727.77,11749.46,92,,Percent of Total Billed Charges,10676.68,,11749.46,92,,Percent of Total Billed Charges,10485.11,,11749.46,92,,Percent of Total Billed Charges,10280.78,,11749.46,92,,Percent of Total Billed Charges,10663.91,,11749.46,92,,Percent of Total Billed Charges,9616.68,,11749.46,92,,Percent of Total Billed Charges,7981.97,,11494.04,90,,Percent of Total Billed Charges,6372.8,,11366.32,89,,Percent of Total Billed Charges,6130.15,,10523.43,82.4,,Percent of Total Billed Charges,10497.89,,10651.14,83.4,,Percent of Total Billed Charges,9935.95,,10651.14,83.4,,Percent of Total Billed Charges,8952.58,,10651.14,83.4,,Percent of Total Billed Charges,10395.72,,11494.04,90,,Percent of Total Billed Charges,10817.16,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,11749.46,92,,Percent of Total Billed Charges,10357.4,,11749.46,92,,Percent of Total Billed Charges,9501.74,,11749.46,92,,Percent of Total Billed Charges,9999.81,,11749.46,92,,Percent of Total Billed Charges,10357.4,,9961.5,78,,Percent of Total Billed Charges,9961.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6874.71,53.83,,Percent of Total Billed Charges,6449.43,,4423.93,34.64,,Percent of Total Billed Charges,4406.05,,6383.02,49.98,,Percent of Total Billed Charges,4827.49,,4423.93,11749.46,,																																							
HC UPG PACEMAKER SYS CONVERT 1CHMBR SYS 2CHMBR SYS,33214,CPT,,,,BOTH, , ,43346.1,36410.72,39878.41,92,,Percent of Total Billed Charges,36237.34,,39878.41,92,,Percent of Total Billed Charges,35587.15,,39878.41,92,,Percent of Total Billed Charges,34893.61,,39878.41,92,,Percent of Total Billed Charges,36193.99,,39878.41,92,,Percent of Total Billed Charges,32639.61,,39878.41,92,,Percent of Total Billed Charges,27091.31,,39011.49,90,,Percent of Total Billed Charges,21629.7,,38578.03,89,,Percent of Total Billed Charges,20806.13,,35717.19,82.4,,Percent of Total Billed Charges,35630.49,,36150.65,83.4,,Percent of Total Billed Charges,33723.27,,36150.65,83.4,,Percent of Total Billed Charges,30385.62,,36150.65,83.4,,Percent of Total Billed Charges,35283.73,,39011.49,90,,Percent of Total Billed Charges,36714.15,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,39878.41,92,,Percent of Total Billed Charges,35153.69,,39878.41,92,,Percent of Total Billed Charges,32249.5,,39878.41,92,,Percent of Total Billed Charges,33940,,39878.41,92,,Percent of Total Billed Charges,35153.69,,33809.96,78,,Percent of Total Billed Charges,33809.96,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,23333.21,53.83,,Percent of Total Billed Charges,21889.78,,15015.09,34.64,,Percent of Total Billed Charges,14954.4,,21664.38,49.98,,Percent of Total Billed Charges,16384.83,,15015.09,39878.41,,																																							
HC INSJ/RPLCMT TEMP TRANSVNS 2CHMBR PACG ELTRDS SPX,33211,CPT,,,,BOTH, , ,32124.75,26984.79,29554.77,92,,Percent of Total Billed Charges,26856.29,,29554.77,92,,Percent of Total Billed Charges,26374.42,,29554.77,92,,Percent of Total Billed Charges,25860.42,,29554.77,92,,Percent of Total Billed Charges,26824.17,,29554.77,92,,Percent of Total Billed Charges,24189.94,,29554.77,92,,Percent of Total Billed Charges,20077.97,,28912.28,90,,Percent of Total Billed Charges,16030.25,,28591.03,89,,Percent of Total Billed Charges,15419.88,,26470.79,82.4,,Percent of Total Billed Charges,26406.54,,26792.04,83.4,,Percent of Total Billed Charges,24993.06,,26792.04,83.4,,Percent of Total Billed Charges,22519.45,,26792.04,83.4,,Percent of Total Billed Charges,26149.55,,28912.28,90,,Percent of Total Billed Charges,27209.66,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,29554.77,92,,Percent of Total Billed Charges,26053.17,,29554.77,92,,Percent of Total Billed Charges,23900.81,,29554.77,92,,Percent of Total Billed Charges,25153.68,,29554.77,92,,Percent of Total Billed Charges,26053.17,,25057.31,78,,Percent of Total Billed Charges,25057.31,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,17292.75,53.83,,Percent of Total Billed Charges,16223,,11128.01,34.64,,Percent of Total Billed Charges,11083.04,,16055.95,49.98,,Percent of Total Billed Charges,12143.16,,11128.01,29554.77,,																																							
HC RPR 1 TRANSVNS ELTRD PRM PM/PACING IMPLNTBL DFB,33218,CPT,,,,BOTH, , ,10999.8,9239.83,10119.82,92,,Percent of Total Billed Charges,9195.83,,10119.82,92,,Percent of Total Billed Charges,9030.84,,10119.82,92,,Percent of Total Billed Charges,8854.84,,10119.82,92,,Percent of Total Billed Charges,9184.83,,10119.82,92,,Percent of Total Billed Charges,8282.85,,10119.82,92,,Percent of Total Billed Charges,6874.88,,9899.82,90,,Percent of Total Billed Charges,5488.9,,9789.82,89,,Percent of Total Billed Charges,5279.9,,9063.84,82.4,,Percent of Total Billed Charges,9041.84,,9173.83,83.4,,Percent of Total Billed Charges,8557.84,,9173.83,83.4,,Percent of Total Billed Charges,7710.86,,9173.83,83.4,,Percent of Total Billed Charges,8953.84,,9899.82,90,,Percent of Total Billed Charges,9316.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,10119.82,92,,Percent of Total Billed Charges,8920.84,,10119.82,92,,Percent of Total Billed Charges,8183.85,,10119.82,92,,Percent of Total Billed Charges,8612.84,,10119.82,92,,Percent of Total Billed Charges,8920.84,,8579.84,78,,Percent of Total Billed Charges,8579.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5921.19,53.83,,Percent of Total Billed Charges,5554.9,,3810.33,34.64,,Percent of Total Billed Charges,3794.93,,5497.7,49.98,,Percent of Total Billed Charges,4157.92,,3810.33,10119.82,,																																							
HC RPR 2 TRANSVNS ELECTRODES PRM PM/IMPLANTABLE DFB,33220,CPT,,,,BOTH, , ,10999.8,9239.83,10119.82,92,,Percent of Total Billed Charges,9195.83,,10119.82,92,,Percent of Total Billed Charges,9030.84,,10119.82,92,,Percent of Total Billed Charges,8854.84,,10119.82,92,,Percent of Total Billed Charges,9184.83,,10119.82,92,,Percent of Total Billed Charges,8282.85,,10119.82,92,,Percent of Total Billed Charges,6874.88,,9899.82,90,,Percent of Total Billed Charges,5488.9,,9789.82,89,,Percent of Total Billed Charges,5279.9,,9063.84,82.4,,Percent of Total Billed Charges,9041.84,,9173.83,83.4,,Percent of Total Billed Charges,8557.84,,9173.83,83.4,,Percent of Total Billed Charges,7710.86,,9173.83,83.4,,Percent of Total Billed Charges,8953.84,,9899.82,90,,Percent of Total Billed Charges,9316.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,10119.82,92,,Percent of Total Billed Charges,8920.84,,10119.82,92,,Percent of Total Billed Charges,8183.85,,10119.82,92,,Percent of Total Billed Charges,8612.84,,10119.82,92,,Percent of Total Billed Charges,8920.84,,8579.84,78,,Percent of Total Billed Charges,8579.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5921.19,53.83,,Percent of Total Billed Charges,5554.9,,3810.33,34.64,,Percent of Total Billed Charges,3794.93,,5497.7,49.98,,Percent of Total Billed Charges,4157.92,,3810.33,10119.82,,																																							
HC RMVL TRANSVNS PM ELTRD DUAL LEAD SYS,33235,CPT,,,,BOTH, , ,10999.8,9239.83,10119.82,92,,Percent of Total Billed Charges,9195.83,,10119.82,92,,Percent of Total Billed Charges,9030.84,,10119.82,92,,Percent of Total Billed Charges,8854.84,,10119.82,92,,Percent of Total Billed Charges,9184.83,,10119.82,92,,Percent of Total Billed Charges,8282.85,,10119.82,92,,Percent of Total Billed Charges,6874.88,,9899.82,90,,Percent of Total Billed Charges,5488.9,,9789.82,89,,Percent of Total Billed Charges,5279.9,,9063.84,82.4,,Percent of Total Billed Charges,9041.84,,9173.83,83.4,,Percent of Total Billed Charges,8557.84,,9173.83,83.4,,Percent of Total Billed Charges,7710.86,,9173.83,83.4,,Percent of Total Billed Charges,8953.84,,9899.82,90,,Percent of Total Billed Charges,9316.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,10119.82,92,,Percent of Total Billed Charges,8920.84,,10119.82,92,,Percent of Total Billed Charges,8183.85,,10119.82,92,,Percent of Total Billed Charges,8612.84,,10119.82,92,,Percent of Total Billed Charges,8920.84,,8579.84,78,,Percent of Total Billed Charges,8579.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5921.19,53.83,,Percent of Total Billed Charges,5554.9,,3810.33,34.64,,Percent of Total Billed Charges,3794.93,,5497.7,49.98,,Percent of Total Billed Charges,4157.92,,3810.33,10119.82,,																																							
HC REMOVE SUBQ IMPLANTABLE DEFIBRILLATOR ELECTRODE,33272,CPT,,,,BOTH, , ,10999.8,9239.83,10119.82,92,,Percent of Total Billed Charges,9195.83,,10119.82,92,,Percent of Total Billed Charges,9030.84,,10119.82,92,,Percent of Total Billed Charges,8854.84,,10119.82,92,,Percent of Total Billed Charges,9184.83,,10119.82,92,,Percent of Total Billed Charges,8282.85,,10119.82,92,,Percent of Total Billed Charges,6874.88,,9899.82,90,,Percent of Total Billed Charges,5488.9,,9789.82,89,,Percent of Total Billed Charges,5279.9,,9063.84,82.4,,Percent of Total Billed Charges,9041.84,,9173.83,83.4,,Percent of Total Billed Charges,8557.84,,9173.83,83.4,,Percent of Total Billed Charges,7710.86,,9173.83,83.4,,Percent of Total Billed Charges,8953.84,,9899.82,90,,Percent of Total Billed Charges,9316.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,10119.82,92,,Percent of Total Billed Charges,8920.84,,10119.82,92,,Percent of Total Billed Charges,8183.85,,10119.82,92,,Percent of Total Billed Charges,8612.84,,10119.82,92,,Percent of Total Billed Charges,8920.84,,8579.84,78,,Percent of Total Billed Charges,8579.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5921.19,53.83,,Percent of Total Billed Charges,5554.9,,3810.33,34.64,,Percent of Total Billed Charges,3794.93,,5497.7,49.98,,Percent of Total Billed Charges,4157.92,,3810.33,10119.82,,																																							
HC REPOS PREVIOUSLY IMPLANTED SUBQ IMPLANTABLE DFB,33273,CPT,,,,BOTH, , ,10999.8,9239.83,10119.82,92,,Percent of Total Billed Charges,9195.83,,10119.82,92,,Percent of Total Billed Charges,9030.84,,10119.82,92,,Percent of Total Billed Charges,8854.84,,10119.82,92,,Percent of Total Billed Charges,9184.83,,10119.82,92,,Percent of Total Billed Charges,8282.85,,10119.82,92,,Percent of Total Billed Charges,6874.88,,9899.82,90,,Percent of Total Billed Charges,5488.9,,9789.82,89,,Percent of Total Billed Charges,5279.9,,9063.84,82.4,,Percent of Total Billed Charges,9041.84,,9173.83,83.4,,Percent of Total Billed Charges,8557.84,,9173.83,83.4,,Percent of Total Billed Charges,7710.86,,9173.83,83.4,,Percent of Total Billed Charges,8953.84,,9899.82,90,,Percent of Total Billed Charges,9316.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,10119.82,92,,Percent of Total Billed Charges,8920.84,,10119.82,92,,Percent of Total Billed Charges,8183.85,,10119.82,92,,Percent of Total Billed Charges,8612.84,,10119.82,92,,Percent of Total Billed Charges,8920.84,,8579.84,78,,Percent of Total Billed Charges,8579.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5921.19,53.83,,Percent of Total Billed Charges,5554.9,,3810.33,34.64,,Percent of Total Billed Charges,3794.93,,5497.7,49.98,,Percent of Total Billed Charges,4157.92,,3810.33,10119.82,,																																							
HC VASC EMBOLIZE/OCCLUDE ORGAN,37243,CPT,,,,BOTH, , ,55960.8,47007.07,51483.94,92,,Percent of Total Billed Charges,46783.23,,51483.94,92,,Percent of Total Billed Charges,45943.82,,51483.94,92,,Percent of Total Billed Charges,45048.44,,51483.94,92,,Percent of Total Billed Charges,46727.27,,51483.94,92,,Percent of Total Billed Charges,42138.48,,51483.94,92,,Percent of Total Billed Charges,34975.5,,50364.72,90,,Percent of Total Billed Charges,27924.44,,49805.11,89,,Percent of Total Billed Charges,26861.18,,46111.7,82.4,,Percent of Total Billed Charges,45999.78,,46671.31,83.4,,Percent of Total Billed Charges,43537.5,,46671.31,83.4,,Percent of Total Billed Charges,39228.52,,46671.31,83.4,,Percent of Total Billed Charges,45552.09,,50364.72,90,,Percent of Total Billed Charges,47398.8,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,51483.94,92,,Percent of Total Billed Charges,45384.21,,51483.94,92,,Percent of Total Billed Charges,41634.84,,51483.94,92,,Percent of Total Billed Charges,43817.31,,51483.94,92,,Percent of Total Billed Charges,45384.21,,43649.42,78,,Percent of Total Billed Charges,43649.42,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,30123.7,53.83,,Percent of Total Billed Charges,28260.2,,19384.82,34.64,,Percent of Total Billed Charges,19306.48,,27969.21,49.98,,Percent of Total Billed Charges,21153.18,,19384.82,51483.94,,																																							
HC VASCULAR EMBOLIZATION OR OCCLUSION HEMORRHAGE,37244,CPT,,,,BOTH, , ,55960.8,47007.07,51483.94,92,,Percent of Total Billed Charges,46783.23,,51483.94,92,,Percent of Total Billed Charges,45943.82,,51483.94,92,,Percent of Total Billed Charges,45048.44,,51483.94,92,,Percent of Total Billed Charges,46727.27,,51483.94,92,,Percent of Total Billed Charges,42138.48,,51483.94,92,,Percent of Total Billed Charges,34975.5,,50364.72,90,,Percent of Total Billed Charges,27924.44,,49805.11,89,,Percent of Total Billed Charges,26861.18,,46111.7,82.4,,Percent of Total Billed Charges,45999.78,,46671.31,83.4,,Percent of Total Billed Charges,43537.5,,46671.31,83.4,,Percent of Total Billed Charges,39228.52,,46671.31,83.4,,Percent of Total Billed Charges,45552.09,,50364.72,90,,Percent of Total Billed Charges,47398.8,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,51483.94,92,,Percent of Total Billed Charges,45384.21,,51483.94,92,,Percent of Total Billed Charges,41634.84,,51483.94,92,,Percent of Total Billed Charges,43817.31,,51483.94,92,,Percent of Total Billed Charges,45384.21,,43649.42,78,,Percent of Total Billed Charges,43649.42,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,30123.7,53.83,,Percent of Total Billed Charges,28260.2,,19384.82,34.64,,Percent of Total Billed Charges,19306.48,,27969.21,49.98,,Percent of Total Billed Charges,21153.18,,19384.82,51483.94,,																																							
HC PRQ TRLUML CORONRY CHRNIC OCCLUS REVASC ADDL VSL,92944,CPT,,,,BOTH, , ,23358.3,19620.97,21489.64,92,,Percent of Total Billed Charges,19527.54,,21489.64,92,,Percent of Total Billed Charges,19177.16,,21489.64,92,,Percent of Total Billed Charges,18803.43,,21489.64,92,,Percent of Total Billed Charges,19504.18,,21489.64,92,,Percent of Total Billed Charges,17588.8,,21489.64,92,,Percent of Total Billed Charges,14598.94,,21022.47,90,,Percent of Total Billed Charges,11655.79,,20788.89,89,,Percent of Total Billed Charges,11211.98,,19247.24,82.4,,Percent of Total Billed Charges,19200.52,,19480.82,83.4,,Percent of Total Billed Charges,18172.76,,19480.82,83.4,,Percent of Total Billed Charges,16374.17,,19480.82,83.4,,Percent of Total Billed Charges,19013.66,,21022.47,90,,Percent of Total Billed Charges,19784.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,21489.64,92,,Percent of Total Billed Charges,18943.58,,21489.64,92,,Percent of Total Billed Charges,17378.58,,21489.64,92,,Percent of Total Billed Charges,18289.55,,21489.64,92,,Percent of Total Billed Charges,18943.58,,18219.47,78,,Percent of Total Billed Charges,18219.47,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,12573.77,53.83,,Percent of Total Billed Charges,11795.94,,8091.32,34.64,,Percent of Total Billed Charges,8058.61,,11674.48,49.98,,Percent of Total Billed Charges,8829.44,,8091.32,21489.64,,																																							
HC PRQ TRANSLUMINAL CORONARY MECHANICL THROMBECTOMY,92973,CPT,,,,BOTH, , ,7183.05,6033.76,6608.41,92,,Percent of Total Billed Charges,6005.03,,6608.41,92,,Percent of Total Billed Charges,5897.28,,6608.41,92,,Percent of Total Billed Charges,5782.36,,6608.41,92,,Percent of Total Billed Charges,5997.85,,6608.41,92,,Percent of Total Billed Charges,5408.84,,6608.41,92,,Percent of Total Billed Charges,4489.41,,6464.75,90,,Percent of Total Billed Charges,3584.34,,6392.91,89,,Percent of Total Billed Charges,3447.86,,5918.83,82.4,,Percent of Total Billed Charges,5904.47,,5990.66,83.4,,Percent of Total Billed Charges,5588.41,,5990.66,83.4,,Percent of Total Billed Charges,5035.32,,5990.66,83.4,,Percent of Total Billed Charges,5847,,6464.75,90,,Percent of Total Billed Charges,6084.04,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6608.41,92,,Percent of Total Billed Charges,5825.45,,6608.41,92,,Percent of Total Billed Charges,5344.19,,6608.41,92,,Percent of Total Billed Charges,5624.33,,6608.41,92,,Percent of Total Billed Charges,5825.45,,5602.78,78,,Percent of Total Billed Charges,5602.78,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3866.64,53.83,,Percent of Total Billed Charges,3627.44,,2488.21,34.64,,Percent of Total Billed Charges,2478.15,,3590.09,49.98,,Percent of Total Billed Charges,2715.19,,2488.21,6608.41,,																																							
HC INSERTION FLOW DIRECTED CATHETER FOR MONITORING,93503,CPT,,,,BOTH, , ,4986.45,4188.62,4587.53,92,,Percent of Total Billed Charges,4168.67,,4587.53,92,,Percent of Total Billed Charges,4093.88,,4587.53,92,,Percent of Total Billed Charges,4014.09,,4587.53,92,,Percent of Total Billed Charges,4163.69,,4587.53,92,,Percent of Total Billed Charges,3754.8,,4587.53,92,,Percent of Total Billed Charges,3116.53,,4487.81,90,,Percent of Total Billed Charges,2488.24,,4437.94,89,,Percent of Total Billed Charges,2393.5,,4108.83,82.4,,Percent of Total Billed Charges,4098.86,,4158.7,83.4,,Percent of Total Billed Charges,3879.46,,4158.7,83.4,,Percent of Total Billed Charges,3495.5,,4158.7,83.4,,Percent of Total Billed Charges,4058.97,,4487.81,90,,Percent of Total Billed Charges,4223.52,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4587.53,92,,Percent of Total Billed Charges,4044.01,,4587.53,92,,Percent of Total Billed Charges,3709.92,,4587.53,92,,Percent of Total Billed Charges,3904.39,,4587.53,92,,Percent of Total Billed Charges,4044.01,,3889.43,78,,Percent of Total Billed Charges,3889.43,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2684.21,53.83,,Percent of Total Billed Charges,2518.16,,1727.31,34.64,,Percent of Total Billed Charges,1720.33,,2492.23,49.98,,Percent of Total Billed Charges,1884.88,,1727.31,4587.53,,																																							
HC ENDOMYOCARDIAL BIOPSY,93505,CPT,,,,BOTH, , ,10871.7,9132.23,10001.96,92,,Percent of Total Billed Charges,9088.74,,10001.96,92,,Percent of Total Billed Charges,8925.67,,10001.96,92,,Percent of Total Billed Charges,8751.72,,10001.96,92,,Percent of Total Billed Charges,9077.87,,10001.96,92,,Percent of Total Billed Charges,8186.39,,10001.96,92,,Percent of Total Billed Charges,6794.81,,9784.53,90,,Percent of Total Billed Charges,5424.98,,9675.81,89,,Percent of Total Billed Charges,5218.42,,8958.28,82.4,,Percent of Total Billed Charges,8936.54,,9067,83.4,,Percent of Total Billed Charges,8458.18,,9067,83.4,,Percent of Total Billed Charges,7621.06,,9067,83.4,,Percent of Total Billed Charges,8849.56,,9784.53,90,,Percent of Total Billed Charges,9208.33,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,10001.96,92,,Percent of Total Billed Charges,8816.95,,10001.96,92,,Percent of Total Billed Charges,8088.54,,10001.96,92,,Percent of Total Billed Charges,8512.54,,10001.96,92,,Percent of Total Billed Charges,8816.95,,8479.93,78,,Percent of Total Billed Charges,8479.93,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5852.24,53.83,,Percent of Total Billed Charges,5490.21,,3765.96,34.64,,Percent of Total Billed Charges,3750.74,,5433.68,49.98,,Percent of Total Billed Charges,4109.5,,3765.96,10001.96,,																																							
HC ESOPHGL REC ATRIAL W/WO VENTR ELECTRGRAMS W/PACG,93616,CPT,,,,BOTH, , ,3943.8,3312.79,3628.3,92,,Percent of Total Billed Charges,3297.02,,3628.3,92,,Percent of Total Billed Charges,3237.86,,3628.3,92,,Percent of Total Billed Charges,3174.76,,3628.3,92,,Percent of Total Billed Charges,3293.07,,3628.3,92,,Percent of Total Billed Charges,2969.68,,3628.3,92,,Percent of Total Billed Charges,2464.88,,3549.42,90,,Percent of Total Billed Charges,1967.96,,3509.98,89,,Percent of Total Billed Charges,1893.02,,3249.69,82.4,,Percent of Total Billed Charges,3241.8,,3289.13,83.4,,Percent of Total Billed Charges,3068.28,,3289.13,83.4,,Percent of Total Billed Charges,2764.6,,3289.13,83.4,,Percent of Total Billed Charges,3210.25,,3549.42,90,,Percent of Total Billed Charges,3340.4,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3628.3,92,,Percent of Total Billed Charges,3198.42,,3628.3,92,,Percent of Total Billed Charges,2934.19,,3628.3,92,,Percent of Total Billed Charges,3088,,3628.3,92,,Percent of Total Billed Charges,3198.42,,3076.16,78,,Percent of Total Billed Charges,3076.16,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2122.95,53.83,,Percent of Total Billed Charges,1991.62,,1366.13,34.64,,Percent of Total Billed Charges,1360.61,,1971.11,49.98,,Percent of Total Billed Charges,1490.76,,1366.13,3628.3,,																																							
HC EPHYS EVL TRNSPTL TX ATRIAL FIB ISOLAT PULM VEIN,93656,CPT,,,,BOTH, , ,42603.75,35787.15,39195.45,92,,Percent of Total Billed Charges,35616.74,,39195.45,92,,Percent of Total Billed Charges,34977.68,,39195.45,92,,Percent of Total Billed Charges,34296.02,,39195.45,92,,Percent of Total Billed Charges,35574.13,,39195.45,92,,Percent of Total Billed Charges,32080.62,,39195.45,92,,Percent of Total Billed Charges,26627.34,,38343.38,90,,Percent of Total Billed Charges,21259.27,,37917.34,89,,Percent of Total Billed Charges,20449.8,,35105.49,82.4,,Percent of Total Billed Charges,35020.28,,35531.53,83.4,,Percent of Total Billed Charges,33145.72,,35531.53,83.4,,Percent of Total Billed Charges,29865.23,,35531.53,83.4,,Percent of Total Billed Charges,34679.45,,38343.38,90,,Percent of Total Billed Charges,36085.38,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,39195.45,92,,Percent of Total Billed Charges,34551.64,,39195.45,92,,Percent of Total Billed Charges,31697.19,,39195.45,92,,Percent of Total Billed Charges,33358.74,,39195.45,92,,Percent of Total Billed Charges,34551.64,,33230.93,78,,Percent of Total Billed Charges,33230.93,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,22933.6,53.83,,Percent of Total Billed Charges,21514.89,,14757.94,34.64,,Percent of Total Billed Charges,14698.29,,21293.35,49.98,,Percent of Total Billed Charges,16104.22,,14757.94,39195.45,,																																							
HC ABLATE L/R ATRIAL FIBRIL W/ISOLATED PULM VEIN,93657,CPT,,,,BOTH, , ,27316.8,22946.11,25131.46,92,,Percent of Total Billed Charges,22836.84,,25131.46,92,,Percent of Total Billed Charges,22427.09,,25131.46,92,,Percent of Total Billed Charges,21990.02,,25131.46,92,,Percent of Total Billed Charges,22809.53,,25131.46,92,,Percent of Total Billed Charges,20569.55,,25131.46,92,,Percent of Total Billed Charges,17073,,24585.12,90,,Percent of Total Billed Charges,13631.08,,24311.95,89,,Percent of Total Billed Charges,13112.06,,22509.04,82.4,,Percent of Total Billed Charges,22454.41,,22782.21,83.4,,Percent of Total Billed Charges,21252.47,,22782.21,83.4,,Percent of Total Billed Charges,19149.08,,22782.21,83.4,,Percent of Total Billed Charges,22235.88,,24585.12,90,,Percent of Total Billed Charges,23137.33,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,25131.46,92,,Percent of Total Billed Charges,22153.92,,25131.46,92,,Percent of Total Billed Charges,20323.7,,25131.46,92,,Percent of Total Billed Charges,21389.05,,25131.46,92,,Percent of Total Billed Charges,22153.92,,21307.1,78,,Percent of Total Billed Charges,21307.1,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,14704.63,53.83,,Percent of Total Billed Charges,13794.98,,9462.54,34.64,,Percent of Total Billed Charges,9424.3,,13652.94,49.98,,Percent of Total Billed Charges,10325.75,,9462.54,25131.46,,																																							
HC INS PACEMAKER PULSE GEN ONLY W/EXIST DUAL LEADS,33213,CPT,,,,BOTH, , ,27249.6,22889.66,25069.63,92,,Percent of Total Billed Charges,22780.67,,25069.63,92,,Percent of Total Billed Charges,22371.92,,25069.63,92,,Percent of Total Billed Charges,21935.93,,25069.63,92,,Percent of Total Billed Charges,22753.42,,25069.63,92,,Percent of Total Billed Charges,20518.95,,25069.63,92,,Percent of Total Billed Charges,17031,,24524.64,90,,Percent of Total Billed Charges,13597.55,,24252.14,89,,Percent of Total Billed Charges,13079.81,,22453.67,82.4,,Percent of Total Billed Charges,22399.17,,22726.17,83.4,,Percent of Total Billed Charges,21200.19,,22726.17,83.4,,Percent of Total Billed Charges,19101.97,,22726.17,83.4,,Percent of Total Billed Charges,22181.17,,24524.64,90,,Percent of Total Billed Charges,23080.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,25069.63,92,,Percent of Total Billed Charges,22099.43,,25069.63,92,,Percent of Total Billed Charges,20273.7,,25069.63,92,,Percent of Total Billed Charges,21336.44,,25069.63,92,,Percent of Total Billed Charges,22099.43,,21254.69,78,,Percent of Total Billed Charges,21254.69,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,14668.46,53.83,,Percent of Total Billed Charges,13761.05,,9439.26,34.64,,Percent of Total Billed Charges,9401.11,,13619.35,49.98,,Percent of Total Billed Charges,10300.35,,9439.26,25069.63,,																																							
HC INSERT PPG ONLY WITH EXISTING SINGLE LEAD SYSTEM,33212,CPT,,,,BOTH, , ,25856.25,21719.25,23787.75,92,,Percent of Total Billed Charges,21615.83,,23787.75,92,,Percent of Total Billed Charges,21227.98,,23787.75,92,,Percent of Total Billed Charges,20814.28,,23787.75,92,,Percent of Total Billed Charges,21589.97,,23787.75,92,,Percent of Total Billed Charges,19469.76,,23787.75,92,,Percent of Total Billed Charges,16160.16,,23270.63,90,,Percent of Total Billed Charges,12902.27,,23012.06,89,,Percent of Total Billed Charges,12411,,21305.55,82.4,,Percent of Total Billed Charges,21253.84,,21564.11,83.4,,Percent of Total Billed Charges,20116.16,,21564.11,83.4,,Percent of Total Billed Charges,18125.23,,21564.11,83.4,,Percent of Total Billed Charges,21046.99,,23270.63,90,,Percent of Total Billed Charges,21900.24,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,23787.75,92,,Percent of Total Billed Charges,20969.42,,23787.75,92,,Percent of Total Billed Charges,19237.05,,23787.75,92,,Percent of Total Billed Charges,20245.44,,23787.75,92,,Percent of Total Billed Charges,20969.42,,20167.88,78,,Percent of Total Billed Charges,20167.88,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,13918.42,53.83,,Percent of Total Billed Charges,13057.41,,8956.61,34.64,,Percent of Total Billed Charges,8920.41,,12922.95,49.98,,Percent of Total Billed Charges,9773.66,,8956.61,23787.75,,																																							
HC PERQ BALLOON VALVULOPLASTY AORTIC VALVE,92986,CPT,,,,BOTH, , ,22892.1,19229.36,21060.73,92,,Percent of Total Billed Charges,19137.8,,21060.73,92,,Percent of Total Billed Charges,18794.41,,21060.73,92,,Percent of Total Billed Charges,18428.14,,21060.73,92,,Percent of Total Billed Charges,19114.9,,21060.73,92,,Percent of Total Billed Charges,17237.75,,21060.73,92,,Percent of Total Billed Charges,14307.56,,20602.89,90,,Percent of Total Billed Charges,11423.16,,20373.97,89,,Percent of Total Billed Charges,10988.21,,18863.09,82.4,,Percent of Total Billed Charges,18817.31,,19092.01,83.4,,Percent of Total Billed Charges,17810.05,,19092.01,83.4,,Percent of Total Billed Charges,16047.36,,19092.01,83.4,,Percent of Total Billed Charges,18634.17,,20602.89,90,,Percent of Total Billed Charges,19389.61,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,21060.73,92,,Percent of Total Billed Charges,18565.49,,21060.73,92,,Percent of Total Billed Charges,17031.72,,21060.73,92,,Percent of Total Billed Charges,17924.51,,21060.73,92,,Percent of Total Billed Charges,18565.49,,17855.84,78,,Percent of Total Billed Charges,17855.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,12322.82,53.83,,Percent of Total Billed Charges,11560.51,,7929.82,34.64,,Percent of Total Billed Charges,7897.77,,11441.47,49.98,,Percent of Total Billed Charges,8653.21,,7929.82,21060.73,,																																							
HC PERQ BALLOON VALVULOPLASTY PULMONARY VALVE,92990,CPT,,,,BOTH, , ,47318.25,39747.33,43532.79,92,,Percent of Total Billed Charges,39558.06,,43532.79,92,,Percent of Total Billed Charges,38848.28,,43532.79,92,,Percent of Total Billed Charges,38091.19,,43532.79,92,,Percent of Total Billed Charges,39510.74,,43532.79,92,,Percent of Total Billed Charges,35630.64,,43532.79,92,,Percent of Total Billed Charges,29573.91,,42586.43,90,,Percent of Total Billed Charges,23611.81,,42113.24,89,,Percent of Total Billed Charges,22712.76,,38990.24,82.4,,Percent of Total Billed Charges,38895.6,,39463.42,83.4,,Percent of Total Billed Charges,36813.6,,39463.42,83.4,,Percent of Total Billed Charges,33170.09,,39463.42,83.4,,Percent of Total Billed Charges,38517.06,,42586.43,90,,Percent of Total Billed Charges,40078.56,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,43532.79,92,,Percent of Total Billed Charges,38375.1,,43532.79,92,,Percent of Total Billed Charges,35204.78,,43532.79,92,,Percent of Total Billed Charges,37050.19,,43532.79,92,,Percent of Total Billed Charges,38375.1,,36908.24,78,,Percent of Total Billed Charges,36908.24,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,25471.41,53.83,,Percent of Total Billed Charges,23895.72,,16391.04,34.64,,Percent of Total Billed Charges,16324.8,,23649.66,49.98,,Percent of Total Billed Charges,17886.3,,16391.04,43532.79,,																																							
HC INSJ PERQ VAD L HRT ARTERIAL,33990,CPT,,,,BOTH, , ,9096.15,7640.77,8368.46,92,,Percent of Total Billed Charges,7604.38,,8368.46,92,,Percent of Total Billed Charges,7467.94,,8368.46,92,,Percent of Total Billed Charges,7322.4,,8368.46,92,,Percent of Total Billed Charges,7595.29,,8368.46,92,,Percent of Total Billed Charges,6849.4,,8368.46,92,,Percent of Total Billed Charges,5685.09,,8186.54,90,,Percent of Total Billed Charges,4538.98,,8095.57,89,,Percent of Total Billed Charges,4366.15,,7495.23,82.4,,Percent of Total Billed Charges,7477.04,,7586.19,83.4,,Percent of Total Billed Charges,7076.8,,7586.19,83.4,,Percent of Total Billed Charges,6376.4,,7586.19,83.4,,Percent of Total Billed Charges,7404.27,,8186.54,90,,Percent of Total Billed Charges,7704.44,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,8368.46,92,,Percent of Total Billed Charges,7376.98,,8368.46,92,,Percent of Total Billed Charges,6767.54,,8368.46,92,,Percent of Total Billed Charges,7122.29,,8368.46,92,,Percent of Total Billed Charges,7376.98,,7095,78,,Percent of Total Billed Charges,7095,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4896.46,53.83,,Percent of Total Billed Charges,4593.56,,3150.91,34.64,,Percent of Total Billed Charges,3138.17,,4546.26,49.98,,Percent of Total Billed Charges,3438.34,,3150.91,8368.46,,																																							
HC RMVL PERQ LEFT HEART VAD,33992,CPT,,,,BOTH, , ,6298.95,5291.12,5795.03,92,,Percent of Total Billed Charges,5265.92,,5795.03,92,,Percent of Total Billed Charges,5171.44,,5795.03,92,,Percent of Total Billed Charges,5070.65,,5795.03,92,,Percent of Total Billed Charges,5259.62,,5795.03,92,,Percent of Total Billed Charges,4743.11,,5795.03,92,,Percent of Total Billed Charges,3936.84,,5669.06,90,,Percent of Total Billed Charges,3143.18,,5606.07,89,,Percent of Total Billed Charges,3023.5,,5190.33,82.4,,Percent of Total Billed Charges,5177.74,,5253.32,83.4,,Percent of Total Billed Charges,4900.58,,5253.32,83.4,,Percent of Total Billed Charges,4415.56,,5253.32,83.4,,Percent of Total Billed Charges,5127.35,,5669.06,90,,Percent of Total Billed Charges,5335.21,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5795.03,92,,Percent of Total Billed Charges,5108.45,,5795.03,92,,Percent of Total Billed Charges,4686.42,,5795.03,92,,Percent of Total Billed Charges,4932.08,,5795.03,92,,Percent of Total Billed Charges,5108.45,,4913.18,78,,Percent of Total Billed Charges,4913.18,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3390.72,53.83,,Percent of Total Billed Charges,3180.97,,2181.96,34.64,,Percent of Total Billed Charges,2173.14,,3148.22,49.98,,Percent of Total Billed Charges,2381,,2181.96,5795.03,,																																							
HC REPOSG PERQ R/L HRT VAD,33993,CPT,,,,BOTH, , ,9096.15,7640.77,8368.46,92,,Percent of Total Billed Charges,7604.38,,8368.46,92,,Percent of Total Billed Charges,7467.94,,8368.46,92,,Percent of Total Billed Charges,7322.4,,8368.46,92,,Percent of Total Billed Charges,7595.29,,8368.46,92,,Percent of Total Billed Charges,6849.4,,8368.46,92,,Percent of Total Billed Charges,5685.09,,8186.54,90,,Percent of Total Billed Charges,4538.98,,8095.57,89,,Percent of Total Billed Charges,4366.15,,7495.23,82.4,,Percent of Total Billed Charges,7477.04,,7586.19,83.4,,Percent of Total Billed Charges,7076.8,,7586.19,83.4,,Percent of Total Billed Charges,6376.4,,7586.19,83.4,,Percent of Total Billed Charges,7404.27,,8186.54,90,,Percent of Total Billed Charges,7704.44,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,8368.46,92,,Percent of Total Billed Charges,7376.98,,8368.46,92,,Percent of Total Billed Charges,6767.54,,8368.46,92,,Percent of Total Billed Charges,7122.29,,8368.46,92,,Percent of Total Billed Charges,7376.98,,7095,78,,Percent of Total Billed Charges,7095,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4896.46,53.83,,Percent of Total Billed Charges,4593.56,,3150.91,34.64,,Percent of Total Billed Charges,3138.17,,4546.26,49.98,,Percent of Total Billed Charges,3438.34,,3150.91,8368.46,,																																							
HC OPEN FEM ART EXPOS SLVR EVASC PROSTH UNI,34812,CPT,,,,BOTH, , ,769.65,646.51,708.08,92,,Percent of Total Billed Charges,643.43,,708.08,92,,Percent of Total Billed Charges,631.88,,708.08,92,,Percent of Total Billed Charges,619.57,,708.08,92,,Percent of Total Billed Charges,642.66,,708.08,92,,Percent of Total Billed Charges,579.55,,708.08,92,,Percent of Total Billed Charges,481.03,,692.69,90,,Percent of Total Billed Charges,384.06,,684.99,89,,Percent of Total Billed Charges,369.43,,634.19,82.4,,Percent of Total Billed Charges,632.65,,641.89,83.4,,Percent of Total Billed Charges,598.79,,641.89,83.4,,Percent of Total Billed Charges,539.52,,641.89,83.4,,Percent of Total Billed Charges,626.5,,692.69,90,,Percent of Total Billed Charges,651.89,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,708.08,92,,Percent of Total Billed Charges,624.19,,708.08,92,,Percent of Total Billed Charges,572.62,,708.08,92,,Percent of Total Billed Charges,602.64,,708.08,92,,Percent of Total Billed Charges,624.19,,600.33,78,,Percent of Total Billed Charges,600.33,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,414.3,53.83,,Percent of Total Billed Charges,388.67,,266.61,34.64,,Percent of Total Billed Charges,265.53,,384.67,49.98,,Percent of Total Billed Charges,290.93,,266.61,708.08,,																																							
HC TCAT INSJ/RPL PERM LEADLESS PACEMAKER RV W/IMG,33274,CPT,,,,BOTH, , ,67363.8,56585.59,61974.7,92,,Percent of Total Billed Charges,56316.14,,61974.7,92,,Percent of Total Billed Charges,55305.68,,61974.7,92,,Percent of Total Billed Charges,54227.86,,61974.7,92,,Percent of Total Billed Charges,56248.77,,61974.7,92,,Percent of Total Billed Charges,50724.94,,61974.7,92,,Percent of Total Billed Charges,42102.38,,60627.42,90,,Percent of Total Billed Charges,33614.54,,59953.78,89,,Percent of Total Billed Charges,32334.62,,55507.77,82.4,,Percent of Total Billed Charges,55373.04,,56181.41,83.4,,Percent of Total Billed Charges,52409.04,,56181.41,83.4,,Percent of Total Billed Charges,47222.02,,56181.41,83.4,,Percent of Total Billed Charges,54834.13,,60627.42,90,,Percent of Total Billed Charges,57057.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,61974.7,92,,Percent of Total Billed Charges,54632.04,,61974.7,92,,Percent of Total Billed Charges,50118.67,,61974.7,92,,Percent of Total Billed Charges,52745.86,,61974.7,92,,Percent of Total Billed Charges,54632.04,,52543.76,78,,Percent of Total Billed Charges,52543.76,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,36261.93,53.83,,Percent of Total Billed Charges,34018.72,,23334.82,34.64,,Percent of Total Billed Charges,23240.51,,33668.43,49.98,,Percent of Total Billed Charges,25463.52,,23334.82,61974.7,,																																							
HC TCAT RMVL PERM LDLS PM RT VENT, INCL IMAGE GUIDANCE,33275,CPT,,,,BOTH, , ,12760.65,10718.95,11739.8,92,,Percent of Total Billed Charges,10667.9,,11739.8,92,,Percent of Total Billed Charges,10476.49,,11739.8,92,,Percent of Total Billed Charges,10272.32,,11739.8,92,,Percent of Total Billed Charges,10655.14,,11739.8,92,,Percent of Total Billed Charges,9608.77,,11739.8,92,,Percent of Total Billed Charges,7975.41,,11484.59,90,,Percent of Total Billed Charges,6367.56,,11356.98,89,,Percent of Total Billed Charges,6125.11,,10514.78,82.4,,Percent of Total Billed Charges,10489.25,,10642.38,83.4,,Percent of Total Billed Charges,9927.79,,10642.38,83.4,,Percent of Total Billed Charges,8945.22,,10642.38,83.4,,Percent of Total Billed Charges,10387.17,,11484.59,90,,Percent of Total Billed Charges,10808.27,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,11739.8,92,,Percent of Total Billed Charges,10348.89,,11739.8,92,,Percent of Total Billed Charges,9493.92,,11739.8,92,,Percent of Total Billed Charges,9991.59,,11739.8,92,,Percent of Total Billed Charges,10348.89,,9953.31,78,,Percent of Total Billed Charges,9953.31,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6869.06,53.83,,Percent of Total Billed Charges,6444.13,,4420.29,34.64,,Percent of Total Billed Charges,4402.42,,6377.77,49.98,,Percent of Total Billed Charges,4823.53,,4420.29,11739.8,,																																							
HC INSERTION SUBQ CARDIAC RHYTHM MONITOR W/PRGRMG,33285,CPT,,,,BOTH, , ,32482.8,27285.55,29884.18,92,,Percent of Total Billed Charges,27155.62,,29884.18,92,,Percent of Total Billed Charges,26668.38,,29884.18,92,,Percent of Total Billed Charges,26148.65,,29884.18,92,,Percent of Total Billed Charges,27123.14,,29884.18,92,,Percent of Total Billed Charges,24459.55,,29884.18,92,,Percent of Total Billed Charges,20301.75,,29234.52,90,,Percent of Total Billed Charges,16208.92,,28909.69,89,,Percent of Total Billed Charges,15591.74,,26765.83,82.4,,Percent of Total Billed Charges,26700.86,,27090.66,83.4,,Percent of Total Billed Charges,25271.62,,27090.66,83.4,,Percent of Total Billed Charges,22770.44,,27090.66,83.4,,Percent of Total Billed Charges,26441,,29234.52,90,,Percent of Total Billed Charges,27512.93,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,29884.18,92,,Percent of Total Billed Charges,26343.55,,29884.18,92,,Percent of Total Billed Charges,24167.2,,29884.18,92,,Percent of Total Billed Charges,25434.03,,29884.18,92,,Percent of Total Billed Charges,26343.55,,25336.58,78,,Percent of Total Billed Charges,25336.58,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,17485.49,53.83,,Percent of Total Billed Charges,16403.81,,11252.04,34.64,,Percent of Total Billed Charges,11206.57,,16234.9,49.98,,Percent of Total Billed Charges,12278.5,,11252.04,29884.18,,																																							
HC REMOVAL SUBCUTANEOUS CARDIAC RHYTHM MONITOR,33286,CPT,,,,BOTH, , ,2542.05,2135.32,2338.69,92,,Percent of Total Billed Charges,2125.15,,2338.69,92,,Percent of Total Billed Charges,2087.02,,2338.69,92,,Percent of Total Billed Charges,2046.35,,2338.69,92,,Percent of Total Billed Charges,2122.61,,2338.69,92,,Percent of Total Billed Charges,1914.16,,2338.69,92,,Percent of Total Billed Charges,1588.78,,2287.85,90,,Percent of Total Billed Charges,1268.48,,2262.42,89,,Percent of Total Billed Charges,1220.18,,2094.65,82.4,,Percent of Total Billed Charges,2089.57,,2120.07,83.4,,Percent of Total Billed Charges,1977.71,,2120.07,83.4,,Percent of Total Billed Charges,1781.98,,2120.07,83.4,,Percent of Total Billed Charges,2069.23,,2287.85,90,,Percent of Total Billed Charges,2153.12,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2338.69,92,,Percent of Total Billed Charges,2061.6,,2338.69,92,,Percent of Total Billed Charges,1891.29,,2338.69,92,,Percent of Total Billed Charges,1990.43,,2338.69,92,,Percent of Total Billed Charges,2061.6,,1982.8,78,,Percent of Total Billed Charges,1982.8,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1368.39,53.83,,Percent of Total Billed Charges,1283.74,,880.57,34.64,,Percent of Total Billed Charges,877.01,,1270.52,49.98,,Percent of Total Billed Charges,960.89,,880.57,2338.69,,																																							
HC PERQ CLSR TCAT L ATR APNDGE W/ENDOCARDIAL IMPLNT,33340,CPT,,,,BOTH, , ,3943.8,3312.79,3628.3,92,,Percent of Total Billed Charges,3297.02,,3628.3,92,,Percent of Total Billed Charges,3237.86,,3628.3,92,,Percent of Total Billed Charges,3174.76,,3628.3,92,,Percent of Total Billed Charges,3293.07,,3628.3,92,,Percent of Total Billed Charges,2969.68,,3628.3,92,,Percent of Total Billed Charges,2464.88,,3549.42,90,,Percent of Total Billed Charges,1967.96,,3509.98,89,,Percent of Total Billed Charges,1893.02,,3249.69,82.4,,Percent of Total Billed Charges,3241.8,,3289.13,83.4,,Percent of Total Billed Charges,3068.28,,3289.13,83.4,,Percent of Total Billed Charges,2764.6,,3289.13,83.4,,Percent of Total Billed Charges,3210.25,,3549.42,90,,Percent of Total Billed Charges,3340.4,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3628.3,92,,Percent of Total Billed Charges,3198.42,,3628.3,92,,Percent of Total Billed Charges,2934.19,,3628.3,92,,Percent of Total Billed Charges,3088,,3628.3,92,,Percent of Total Billed Charges,3198.42,,3076.16,78,,Percent of Total Billed Charges,3076.16,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2122.95,53.83,,Percent of Total Billed Charges,1991.62,,1366.13,34.64,,Percent of Total Billed Charges,1360.61,,1971.11,49.98,,Percent of Total Billed Charges,1490.76,,1366.13,3628.3,,																																							
HC US GUIDE VASCULAR ACCESS,76937,CPT,,,,BOTH, , ,1838.55,1544.38,1691.47,92,,Percent of Total Billed Charges,1537.03,,1691.47,92,,Percent of Total Billed Charges,1509.45,,1691.47,92,,Percent of Total Billed Charges,1480.03,,1691.47,92,,Percent of Total Billed Charges,1535.19,,1691.47,92,,Percent of Total Billed Charges,1384.43,,1691.47,92,,Percent of Total Billed Charges,1149.09,,1654.7,90,,Percent of Total Billed Charges,917.44,,1636.31,89,,Percent of Total Billed Charges,882.5,,1514.97,82.4,,Percent of Total Billed Charges,1511.29,,1533.35,83.4,,Percent of Total Billed Charges,1430.39,,1533.35,83.4,,Percent of Total Billed Charges,1288.82,,1533.35,83.4,,Percent of Total Billed Charges,1496.58,,1654.7,90,,Percent of Total Billed Charges,1557.25,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1691.47,92,,Percent of Total Billed Charges,1491.06,,1691.47,92,,Percent of Total Billed Charges,1367.88,,1691.47,92,,Percent of Total Billed Charges,1439.58,,1691.47,92,,Percent of Total Billed Charges,1491.06,,1434.07,78,,Percent of Total Billed Charges,1434.07,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,989.69,53.83,,Percent of Total Billed Charges,928.47,,636.87,34.64,,Percent of Total Billed Charges,634.3,,918.91,49.98,,Percent of Total Billed Charges,694.97,,636.87,1691.47,,																																							
HC PLACE CATH INTRACRANIAL ART,36228,CPT,,,,BOTH, , ,1108.8,931.39,1020.1,92,,Percent of Total Billed Charges,926.96,,1020.1,92,,Percent of Total Billed Charges,910.32,,1020.1,92,,Percent of Total Billed Charges,892.58,,1020.1,92,,Percent of Total Billed Charges,925.85,,1020.1,92,,Percent of Total Billed Charges,834.93,,1020.1,92,,Percent of Total Billed Charges,693,,997.92,90,,Percent of Total Billed Charges,553.29,,986.83,89,,Percent of Total Billed Charges,532.22,,913.65,82.4,,Percent of Total Billed Charges,911.43,,924.74,83.4,,Percent of Total Billed Charges,862.65,,924.74,83.4,,Percent of Total Billed Charges,777.27,,924.74,83.4,,Percent of Total Billed Charges,902.56,,997.92,90,,Percent of Total Billed Charges,939.15,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1020.1,92,,Percent of Total Billed Charges,899.24,,1020.1,92,,Percent of Total Billed Charges,824.95,,1020.1,92,,Percent of Total Billed Charges,868.19,,1020.1,92,,Percent of Total Billed Charges,899.24,,864.86,78,,Percent of Total Billed Charges,864.86,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,596.87,53.83,,Percent of Total Billed Charges,559.94,,384.09,34.64,,Percent of Total Billed Charges,382.54,,554.18,49.98,,Percent of Total Billed Charges,419.13,,384.09,1020.1,,																																							
HC TCAT PERMANENT OCCLUSION/EMBOLIZATION PRQ CNS,61624,CPT,,,,BOTH, , ,4735.5,3977.82,4356.66,92,,Percent of Total Billed Charges,3958.88,,4356.66,92,,Percent of Total Billed Charges,3887.85,,4356.66,92,,Percent of Total Billed Charges,3812.08,,4356.66,92,,Percent of Total Billed Charges,3954.14,,4356.66,92,,Percent of Total Billed Charges,3565.83,,4356.66,92,,Percent of Total Billed Charges,2959.69,,4261.95,90,,Percent of Total Billed Charges,2363.01,,4214.6,89,,Percent of Total Billed Charges,2273.04,,3902.05,82.4,,Percent of Total Billed Charges,3892.58,,3949.41,83.4,,Percent of Total Billed Charges,3684.22,,3949.41,83.4,,Percent of Total Billed Charges,3319.59,,3949.41,83.4,,Percent of Total Billed Charges,3854.7,,4261.95,90,,Percent of Total Billed Charges,4010.97,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4356.66,92,,Percent of Total Billed Charges,3840.49,,4356.66,92,,Percent of Total Billed Charges,3523.21,,4356.66,92,,Percent of Total Billed Charges,3707.9,,4356.66,92,,Percent of Total Billed Charges,3840.49,,3693.69,78,,Percent of Total Billed Charges,3693.69,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2549.12,53.83,,Percent of Total Billed Charges,2391.43,,1640.38,34.64,,Percent of Total Billed Charges,1633.75,,2366.8,49.98,,Percent of Total Billed Charges,1790.02,,1640.38,4356.66,,																																							
HC EVASC PRLNG ADMN RX AGNT 1ST,61650,CPT,,,,BOTH, , ,72.45,60.86,66.65,92,,Percent of Total Billed Charges,60.57,,66.65,92,,Percent of Total Billed Charges,59.48,,66.65,92,,Percent of Total Billed Charges,58.32,,66.65,92,,Percent of Total Billed Charges,60.5,,66.65,92,,Percent of Total Billed Charges,54.55,,66.65,92,,Percent of Total Billed Charges,45.28,,65.21,90,,Percent of Total Billed Charges,36.15,,64.48,89,,Percent of Total Billed Charges,34.78,,59.7,82.4,,Percent of Total Billed Charges,59.55,,60.42,83.4,,Percent of Total Billed Charges,56.37,,60.42,83.4,,Percent of Total Billed Charges,50.79,,60.42,83.4,,Percent of Total Billed Charges,58.97,,65.21,90,,Percent of Total Billed Charges,61.37,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,66.65,92,,Percent of Total Billed Charges,58.76,,66.65,92,,Percent of Total Billed Charges,53.9,,66.65,92,,Percent of Total Billed Charges,56.73,,66.65,92,,Percent of Total Billed Charges,58.76,,56.51,78,,Percent of Total Billed Charges,56.51,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,39,53.83,,Percent of Total Billed Charges,36.59,,25.1,34.64,,Percent of Total Billed Charges,25,,36.21,49.98,,Percent of Total Billed Charges,27.39,,25.10,66.65,,																																							
HC EVASC PRLNG ADMN RX AGNT ADD,61651,CPT,,,,BOTH, , ,316.05,265.48,290.77,92,,Percent of Total Billed Charges,264.22,,290.77,92,,Percent of Total Billed Charges,259.48,,290.77,92,,Percent of Total Billed Charges,254.42,,290.77,92,,Percent of Total Billed Charges,263.9,,290.77,92,,Percent of Total Billed Charges,237.99,,290.77,92,,Percent of Total Billed Charges,197.53,,284.45,90,,Percent of Total Billed Charges,157.71,,281.28,89,,Percent of Total Billed Charges,151.7,,260.43,82.4,,Percent of Total Billed Charges,259.79,,263.59,83.4,,Percent of Total Billed Charges,245.89,,263.59,83.4,,Percent of Total Billed Charges,221.55,,263.59,83.4,,Percent of Total Billed Charges,257.26,,284.45,90,,Percent of Total Billed Charges,267.69,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,290.77,92,,Percent of Total Billed Charges,256.32,,290.77,92,,Percent of Total Billed Charges,235.14,,290.77,92,,Percent of Total Billed Charges,247.47,,290.77,92,,Percent of Total Billed Charges,256.32,,246.52,78,,Percent of Total Billed Charges,246.52,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,170.13,53.83,,Percent of Total Billed Charges,159.61,,109.48,34.64,,Percent of Total Billed Charges,109.04,,157.96,49.98,,Percent of Total Billed Charges,119.47,,109.48,290.77,,																																							
HC PERQ ART TRLUML MTHROMBEC &/NFS INTRACRANIAL,61645,CPT,,,,BOTH, , ,3829.35,3216.65,3523,92,,Percent of Total Billed Charges,3201.34,,3523,92,,Percent of Total Billed Charges,3143.9,,3523,92,,Percent of Total Billed Charges,3082.63,,3523,92,,Percent of Total Billed Charges,3197.51,,3523,92,,Percent of Total Billed Charges,2883.5,,3523,92,,Percent of Total Billed Charges,2393.34,,3446.42,90,,Percent of Total Billed Charges,1910.85,,3408.12,89,,Percent of Total Billed Charges,1838.09,,3155.38,82.4,,Percent of Total Billed Charges,3147.73,,3193.68,83.4,,Percent of Total Billed Charges,2979.23,,3193.68,83.4,,Percent of Total Billed Charges,2684.37,,3193.68,83.4,,Percent of Total Billed Charges,3117.09,,3446.42,90,,Percent of Total Billed Charges,3243.46,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3523,92,,Percent of Total Billed Charges,3105.6,,3523,92,,Percent of Total Billed Charges,2849.04,,3523,92,,Percent of Total Billed Charges,2998.38,,3523,92,,Percent of Total Billed Charges,3105.6,,2986.89,78,,Percent of Total Billed Charges,2986.89,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2061.34,53.83,,Percent of Total Billed Charges,1933.82,,1326.49,34.64,,Percent of Total Billed Charges,1321.13,,1913.91,49.98,,Percent of Total Billed Charges,1447.49,,1326.49,3523,,																																							
HC ARYSM VASC MALFRMJ IA EMBOLIZATION,61710,CPT,,,,BOTH, , ,10046.4,8438.98,9242.69,92,,Percent of Total Billed Charges,8398.79,,9242.69,92,,Percent of Total Billed Charges,8248.09,,9242.69,92,,Percent of Total Billed Charges,8087.35,,9242.69,92,,Percent of Total Billed Charges,8388.74,,9242.69,92,,Percent of Total Billed Charges,7564.94,,9242.69,92,,Percent of Total Billed Charges,6279,,9041.76,90,,Percent of Total Billed Charges,5013.15,,8941.3,89,,Percent of Total Billed Charges,4822.27,,8278.23,82.4,,Percent of Total Billed Charges,8258.14,,8378.7,83.4,,Percent of Total Billed Charges,7816.1,,8378.7,83.4,,Percent of Total Billed Charges,7042.53,,8378.7,83.4,,Percent of Total Billed Charges,8177.77,,9041.76,90,,Percent of Total Billed Charges,8509.3,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,9242.69,92,,Percent of Total Billed Charges,8147.63,,9242.69,92,,Percent of Total Billed Charges,7474.52,,9242.69,92,,Percent of Total Billed Charges,7866.33,,9242.69,92,,Percent of Total Billed Charges,8147.63,,7836.19,78,,Percent of Total Billed Charges,7836.19,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5407.98,53.83,,Percent of Total Billed Charges,5073.43,,3480.07,34.64,,Percent of Total Billed Charges,3466.01,,5021.19,49.98,,Percent of Total Billed Charges,3797.54,,3480.07,9242.69,,																																							
HC BALLOON ANGIOPLASTY INTRACRANIAL PERCUTANEOUS,61630,CPT,,,,BOTH, , ,6413.4,5387.26,5900.33,92,,Percent of Total Billed Charges,5361.6,,5900.33,92,,Percent of Total Billed Charges,5265.4,,5900.33,92,,Percent of Total Billed Charges,5162.79,,5900.33,92,,Percent of Total Billed Charges,5355.19,,5900.33,92,,Percent of Total Billed Charges,4829.29,,5900.33,92,,Percent of Total Billed Charges,4008.38,,5772.06,90,,Percent of Total Billed Charges,3200.29,,5707.93,89,,Percent of Total Billed Charges,3078.43,,5284.64,82.4,,Percent of Total Billed Charges,5271.81,,5348.78,83.4,,Percent of Total Billed Charges,4989.63,,5348.78,83.4,,Percent of Total Billed Charges,4495.79,,5348.78,83.4,,Percent of Total Billed Charges,5220.51,,5772.06,90,,Percent of Total Billed Charges,5432.15,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5900.33,92,,Percent of Total Billed Charges,5201.27,,5900.33,92,,Percent of Total Billed Charges,4771.57,,5900.33,92,,Percent of Total Billed Charges,5021.69,,5900.33,92,,Percent of Total Billed Charges,5201.27,,5002.45,78,,Percent of Total Billed Charges,5002.45,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3452.33,53.83,,Percent of Total Billed Charges,3238.77,,2221.6,34.64,,Percent of Total Billed Charges,2212.62,,3205.42,49.98,,Percent of Total Billed Charges,2424.27,,2221.60,5900.33,,																																							
HC INTRACRAN ANGIOPLSTY W/STENT,61635,CPT,,,,BOTH, , ,6710.55,5636.86,6173.71,92,,Percent of Total Billed Charges,5610.02,,6173.71,92,,Percent of Total Billed Charges,5509.36,,6173.71,92,,Percent of Total Billed Charges,5401.99,,6173.71,92,,Percent of Total Billed Charges,5603.31,,6173.71,92,,Percent of Total Billed Charges,5053.04,,6173.71,92,,Percent of Total Billed Charges,4194.09,,6039.5,90,,Percent of Total Billed Charges,3348.56,,5972.39,89,,Percent of Total Billed Charges,3221.06,,5529.49,82.4,,Percent of Total Billed Charges,5516.07,,5596.6,83.4,,Percent of Total Billed Charges,5220.81,,5596.6,83.4,,Percent of Total Billed Charges,4704.1,,5596.6,83.4,,Percent of Total Billed Charges,5462.39,,6039.5,90,,Percent of Total Billed Charges,5683.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6173.71,92,,Percent of Total Billed Charges,5442.26,,6173.71,92,,Percent of Total Billed Charges,4992.65,,6173.71,92,,Percent of Total Billed Charges,5254.36,,6173.71,92,,Percent of Total Billed Charges,5442.26,,5234.23,78,,Percent of Total Billed Charges,5234.23,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3612.29,53.83,,Percent of Total Billed Charges,3388.83,,2324.53,34.64,,Percent of Total Billed Charges,2315.14,,3353.93,49.98,,Percent of Total Billed Charges,2536.59,,2324.53,6173.71,,																																							
HC TCAT PERMANT OCCLUSION/EMBOLIZATION PRQ NONCNS,61626,CPT,,,,BOTH, , ,29605.8,24868.87,27237.34,92,,Percent of Total Billed Charges,24750.45,,27237.34,92,,Percent of Total Billed Charges,24306.36,,27237.34,92,,Percent of Total Billed Charges,23832.67,,27237.34,92,,Percent of Total Billed Charges,24720.84,,27237.34,92,,Percent of Total Billed Charges,22293.17,,27237.34,92,,Percent of Total Billed Charges,18503.63,,26645.22,90,,Percent of Total Billed Charges,14773.29,,26349.16,89,,Percent of Total Billed Charges,14210.78,,24395.18,82.4,,Percent of Total Billed Charges,24335.97,,24691.24,83.4,,Percent of Total Billed Charges,23033.31,,24691.24,83.4,,Percent of Total Billed Charges,20753.67,,24691.24,83.4,,Percent of Total Billed Charges,24099.12,,26645.22,90,,Percent of Total Billed Charges,25076.11,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,27237.34,92,,Percent of Total Billed Charges,24010.3,,27237.34,92,,Percent of Total Billed Charges,22026.72,,27237.34,92,,Percent of Total Billed Charges,23181.34,,27237.34,92,,Percent of Total Billed Charges,24010.3,,23092.52,78,,Percent of Total Billed Charges,23092.52,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,15936.8,53.83,,Percent of Total Billed Charges,14950.93,,10255.45,34.64,,Percent of Total Billed Charges,10214,,14796.98,49.98,,Percent of Total Billed Charges,11190.99,,10255.45,27237.34,,																																							
HC XRAYS TRANSCATH THERAPY,75894,CPT,,,,BOTH, , ,2607.15,2190.01,2398.58,92,,Percent of Total Billed Charges,2179.58,,2398.58,92,,Percent of Total Billed Charges,2140.47,,2398.58,92,,Percent of Total Billed Charges,2098.76,,2398.58,92,,Percent of Total Billed Charges,2176.97,,2398.58,92,,Percent of Total Billed Charges,1963.18,,2398.58,92,,Percent of Total Billed Charges,1629.47,,2346.44,90,,Percent of Total Billed Charges,1300.97,,2320.36,89,,Percent of Total Billed Charges,1251.43,,2148.29,82.4,,Percent of Total Billed Charges,2143.08,,2174.36,83.4,,Percent of Total Billed Charges,2028.36,,2174.36,83.4,,Percent of Total Billed Charges,1827.61,,2174.36,83.4,,Percent of Total Billed Charges,2122.22,,2346.44,90,,Percent of Total Billed Charges,2208.26,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2398.58,92,,Percent of Total Billed Charges,2114.4,,2398.58,92,,Percent of Total Billed Charges,1939.72,,2398.58,92,,Percent of Total Billed Charges,2041.4,,2398.58,92,,Percent of Total Billed Charges,2114.4,,2033.58,78,,Percent of Total Billed Charges,2033.58,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1403.43,53.83,,Percent of Total Billed Charges,1316.61,,903.12,34.64,,Percent of Total Billed Charges,899.47,,1303.05,49.98,,Percent of Total Billed Charges,985.5,,903.12,2398.58,,																																							
HC PERICARDIOCENTESIS W/IMAGING,33016,CPT,,,,BOTH, , ,7872.9,6613.24,7243.07,92,,Percent of Total Billed Charges,6581.74,,7243.07,92,,Percent of Total Billed Charges,6463.65,,7243.07,92,,Percent of Total Billed Charges,6337.68,,7243.07,92,,Percent of Total Billed Charges,6573.87,,7243.07,92,,Percent of Total Billed Charges,5928.29,,7243.07,92,,Percent of Total Billed Charges,4920.56,,7085.61,90,,Percent of Total Billed Charges,3928.58,,7006.88,89,,Percent of Total Billed Charges,3778.99,,6487.27,82.4,,Percent of Total Billed Charges,6471.52,,6566,83.4,,Percent of Total Billed Charges,6125.12,,6566,83.4,,Percent of Total Billed Charges,5518.9,,6566,83.4,,Percent of Total Billed Charges,6408.54,,7085.61,90,,Percent of Total Billed Charges,6668.35,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,7243.07,92,,Percent of Total Billed Charges,6384.92,,7243.07,92,,Percent of Total Billed Charges,5857.44,,7243.07,92,,Percent of Total Billed Charges,6164.48,,7243.07,92,,Percent of Total Billed Charges,6384.92,,6140.86,78,,Percent of Total Billed Charges,6140.86,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4237.98,53.83,,Percent of Total Billed Charges,3975.81,,2727.17,34.64,,Percent of Total Billed Charges,2716.15,,3934.88,49.98,,Percent of Total Billed Charges,2975.96,,2727.17,7243.07,,																																							
HC PRIM ART MTHRMBC SBSQ VSL,37185,CPT,,,,BOTH, , ,5117.7,4298.87,4708.28,92,,Percent of Total Billed Charges,4278.4,,4708.28,92,,Percent of Total Billed Charges,4201.63,,4708.28,92,,Percent of Total Billed Charges,4119.75,,4708.28,92,,Percent of Total Billed Charges,4273.28,,4708.28,92,,Percent of Total Billed Charges,3853.63,,4708.28,92,,Percent of Total Billed Charges,3198.56,,4605.93,90,,Percent of Total Billed Charges,2553.73,,4554.75,89,,Percent of Total Billed Charges,2456.5,,4216.98,82.4,,Percent of Total Billed Charges,4206.75,,4268.16,83.4,,Percent of Total Billed Charges,3981.57,,4268.16,83.4,,Percent of Total Billed Charges,3587.51,,4268.16,83.4,,Percent of Total Billed Charges,4165.81,,4605.93,90,,Percent of Total Billed Charges,4334.69,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4708.28,92,,Percent of Total Billed Charges,4150.45,,4708.28,92,,Percent of Total Billed Charges,3807.57,,4708.28,92,,Percent of Total Billed Charges,4007.16,,4708.28,92,,Percent of Total Billed Charges,4150.45,,3991.81,78,,Percent of Total Billed Charges,3991.81,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2754.86,53.83,,Percent of Total Billed Charges,2584.44,,1772.77,34.64,,Percent of Total Billed Charges,1765.61,,2557.83,49.98,,Percent of Total Billed Charges,1934.49,,1772.77,4708.28,,																																							
HC SEC ART THROMBECTOMY ADDON,37186,CPT,,,,BOTH, , ,6115.2,5136.77,5625.98,92,,Percent of Total Billed Charges,5112.31,,5625.98,92,,Percent of Total Billed Charges,5020.58,,5625.98,92,,Percent of Total Billed Charges,4922.74,,5625.98,92,,Percent of Total Billed Charges,5106.19,,5625.98,92,,Percent of Total Billed Charges,4604.75,,5625.98,92,,Percent of Total Billed Charges,3822,,5503.68,90,,Percent of Total Billed Charges,3051.48,,5442.53,89,,Percent of Total Billed Charges,2935.3,,5038.92,82.4,,Percent of Total Billed Charges,5026.69,,5100.08,83.4,,Percent of Total Billed Charges,4757.63,,5100.08,83.4,,Percent of Total Billed Charges,4286.76,,5100.08,83.4,,Percent of Total Billed Charges,4977.77,,5503.68,90,,Percent of Total Billed Charges,5179.57,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5625.98,92,,Percent of Total Billed Charges,4959.43,,5625.98,92,,Percent of Total Billed Charges,4549.71,,5625.98,92,,Percent of Total Billed Charges,4788.2,,5625.98,92,,Percent of Total Billed Charges,4959.43,,4769.86,78,,Percent of Total Billed Charges,4769.86,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3291.81,53.83,,Percent of Total Billed Charges,3088.18,,2118.31,34.64,,Percent of Total Billed Charges,2109.74,,3056.38,49.98,,Percent of Total Billed Charges,2311.55,,2118.31,5625.98,,																																							
HC PRQ TRANSLUMINAL MECHANICAL THROMBECTOMY VEIN,37187,CPT,,,,BOTH, , ,21847.35,18351.77,20099.56,92,,Percent of Total Billed Charges,18264.38,,20099.56,92,,Percent of Total Billed Charges,17936.67,,20099.56,92,,Percent of Total Billed Charges,17587.12,,20099.56,92,,Percent of Total Billed Charges,18242.54,,20099.56,92,,Percent of Total Billed Charges,16451.05,,20099.56,92,,Percent of Total Billed Charges,13654.59,,19662.62,90,,Percent of Total Billed Charges,10901.83,,19444.14,89,,Percent of Total Billed Charges,10486.73,,18002.22,82.4,,Percent of Total Billed Charges,17958.52,,18220.69,83.4,,Percent of Total Billed Charges,16997.24,,18220.69,83.4,,Percent of Total Billed Charges,15314.99,,18220.69,83.4,,Percent of Total Billed Charges,17783.74,,19662.62,90,,Percent of Total Billed Charges,18504.71,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,20099.56,92,,Percent of Total Billed Charges,17718.2,,20099.56,92,,Percent of Total Billed Charges,16254.43,,20099.56,92,,Percent of Total Billed Charges,17106.48,,20099.56,92,,Percent of Total Billed Charges,17718.2,,17040.93,78,,Percent of Total Billed Charges,17040.93,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,11760.43,53.83,,Percent of Total Billed Charges,11032.91,,7567.92,34.64,,Percent of Total Billed Charges,7537.34,,10919.31,49.98,,Percent of Total Billed Charges,8258.3,,7567.92,20099.56,,																																							
HC PRQ TRLUML MCHNL THRMBC VEIN REPEAT TX,37188,CPT,,,,BOTH, , ,12220.95,10265.6,11243.27,92,,Percent of Total Billed Charges,10216.71,,11243.27,92,,Percent of Total Billed Charges,10033.4,,11243.27,92,,Percent of Total Billed Charges,9837.86,,11243.27,92,,Percent of Total Billed Charges,10204.49,,11243.27,92,,Percent of Total Billed Charges,9202.38,,11243.27,92,,Percent of Total Billed Charges,7638.09,,10998.86,90,,Percent of Total Billed Charges,6098.25,,10876.65,89,,Percent of Total Billed Charges,5866.06,,10070.06,82.4,,Percent of Total Billed Charges,10045.62,,10192.27,83.4,,Percent of Total Billed Charges,9507.9,,10192.27,83.4,,Percent of Total Billed Charges,8566.89,,10192.27,83.4,,Percent of Total Billed Charges,9947.85,,10998.86,90,,Percent of Total Billed Charges,10351.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,11243.27,92,,Percent of Total Billed Charges,9911.19,,11243.27,92,,Percent of Total Billed Charges,9092.39,,11243.27,92,,Percent of Total Billed Charges,9569,,11243.27,92,,Percent of Total Billed Charges,9911.19,,9532.34,78,,Percent of Total Billed Charges,9532.34,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6578.54,53.83,,Percent of Total Billed Charges,6171.58,,4233.34,34.64,,Percent of Total Billed Charges,4216.23,,6108.03,49.98,,Percent of Total Billed Charges,4619.52,,4233.34,11243.27,,																																							
HC  REVASC INTRAVASC LITHOTRIPSY,C9764,CPT,,,,BOTH, , ,22294.65,18727.51,20511.08,92,,Percent of Total Billed Charges,18638.33,,20511.08,92,,Percent of Total Billed Charges,18303.91,,20511.08,92,,Percent of Total Billed Charges,17947.19,,20511.08,92,,Percent of Total Billed Charges,18616.03,,20511.08,92,,Percent of Total Billed Charges,16787.87,,20511.08,92,,Percent of Total Billed Charges,13934.16,,20065.19,90,,Percent of Total Billed Charges,11125.03,,19842.24,89,,Percent of Total Billed Charges,10701.43,,18370.79,82.4,,Percent of Total Billed Charges,18326.2,,18593.74,83.4,,Percent of Total Billed Charges,17345.24,,18593.74,83.4,,Percent of Total Billed Charges,15628.55,,18593.74,83.4,,Percent of Total Billed Charges,18147.85,,20065.19,90,,Percent of Total Billed Charges,18883.57,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,20511.08,92,,Percent of Total Billed Charges,18080.96,,20511.08,92,,Percent of Total Billed Charges,16587.22,,20511.08,92,,Percent of Total Billed Charges,17456.71,,20511.08,92,,Percent of Total Billed Charges,18080.96,,17389.83,78,,Percent of Total Billed Charges,17389.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,12001.21,53.83,,Percent of Total Billed Charges,11258.8,,7722.87,34.64,,Percent of Total Billed Charges,7691.65,,11142.87,49.98,,Percent of Total Billed Charges,8427.38,,7722.87,20511.08,,																																							
HC  REVASC INTRA LITHOTRIPSTENT,C9765,CPT,,,,BOTH, , ,45167.85,37940.99,41554.42,92,,Percent of Total Billed Charges,37760.32,,41554.42,92,,Percent of Total Billed Charges,37082.8,,41554.42,92,,Percent of Total Billed Charges,36360.12,,41554.42,92,,Percent of Total Billed Charges,37715.15,,41554.42,92,,Percent of Total Billed Charges,34011.39,,41554.42,92,,Percent of Total Billed Charges,28229.91,,40651.07,90,,Percent of Total Billed Charges,22538.76,,40199.39,89,,Percent of Total Billed Charges,21680.57,,37218.31,82.4,,Percent of Total Billed Charges,37127.97,,37669.99,83.4,,Percent of Total Billed Charges,35140.59,,37669.99,83.4,,Percent of Total Billed Charges,31662.66,,37669.99,83.4,,Percent of Total Billed Charges,36766.63,,40651.07,90,,Percent of Total Billed Charges,38257.17,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,41554.42,92,,Percent of Total Billed Charges,36631.13,,41554.42,92,,Percent of Total Billed Charges,33604.88,,41554.42,92,,Percent of Total Billed Charges,35366.43,,41554.42,92,,Percent of Total Billed Charges,36631.13,,35230.92,78,,Percent of Total Billed Charges,35230.92,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,24313.85,53.83,,Percent of Total Billed Charges,22809.76,,15646.14,34.64,,Percent of Total Billed Charges,15582.91,,22574.89,49.98,,Percent of Total Billed Charges,17073.45,,15646.14,41554.42,,																																							
HC  REVASC LITHOTRIPSTENTATHER,C9767,CPT,,,,BOTH, , ,7225.05,6069.04,6647.05,92,,Percent of Total Billed Charges,6040.14,,6647.05,92,,Percent of Total Billed Charges,5931.77,,6647.05,92,,Percent of Total Billed Charges,5816.17,,6647.05,92,,Percent of Total Billed Charges,6032.92,,6647.05,92,,Percent of Total Billed Charges,5440.46,,6647.05,92,,Percent of Total Billed Charges,4515.66,,6502.55,90,,Percent of Total Billed Charges,3605.3,,6430.29,89,,Percent of Total Billed Charges,3468.02,,5953.44,82.4,,Percent of Total Billed Charges,5938.99,,6025.69,83.4,,Percent of Total Billed Charges,5621.09,,6025.69,83.4,,Percent of Total Billed Charges,5064.76,,6025.69,83.4,,Percent of Total Billed Charges,5881.19,,6502.55,90,,Percent of Total Billed Charges,6119.62,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6647.05,92,,Percent of Total Billed Charges,5859.52,,6647.05,92,,Percent of Total Billed Charges,5375.44,,6647.05,92,,Percent of Total Billed Charges,5657.21,,6647.05,92,,Percent of Total Billed Charges,5859.52,,5635.54,78,,Percent of Total Billed Charges,5635.54,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3889.24,53.83,,Percent of Total Billed Charges,3648.65,,2502.76,34.64,,Percent of Total Billed Charges,2492.64,,3611.08,49.98,,Percent of Total Billed Charges,2731.07,,2502.76,6647.05,,																																							
HC  REVASC INTRA LITHOTRIPATHER,C9766,CPT,,,,BOTH, , ,45167.85,37940.99,41554.42,92,,Percent of Total Billed Charges,37760.32,,41554.42,92,,Percent of Total Billed Charges,37082.8,,41554.42,92,,Percent of Total Billed Charges,36360.12,,41554.42,92,,Percent of Total Billed Charges,37715.15,,41554.42,92,,Percent of Total Billed Charges,34011.39,,41554.42,92,,Percent of Total Billed Charges,28229.91,,40651.07,90,,Percent of Total Billed Charges,22538.76,,40199.39,89,,Percent of Total Billed Charges,21680.57,,37218.31,82.4,,Percent of Total Billed Charges,37127.97,,37669.99,83.4,,Percent of Total Billed Charges,35140.59,,37669.99,83.4,,Percent of Total Billed Charges,31662.66,,37669.99,83.4,,Percent of Total Billed Charges,36766.63,,40651.07,90,,Percent of Total Billed Charges,38257.17,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,41554.42,92,,Percent of Total Billed Charges,36631.13,,41554.42,92,,Percent of Total Billed Charges,33604.88,,41554.42,92,,Percent of Total Billed Charges,35366.43,,41554.42,92,,Percent of Total Billed Charges,36631.13,,35230.92,78,,Percent of Total Billed Charges,35230.92,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,24313.85,53.83,,Percent of Total Billed Charges,22809.76,,15646.14,34.64,,Percent of Total Billed Charges,15582.91,,22574.89,49.98,,Percent of Total Billed Charges,17073.45,,15646.14,41554.42,,																																							
HC  REVASC LITHOTRIP TIBI/PERONE,C9772,CPT,,,,BOTH, , ,45167.85,37940.99,41554.42,92,,Percent of Total Billed Charges,37760.32,,41554.42,92,,Percent of Total Billed Charges,37082.8,,41554.42,92,,Percent of Total Billed Charges,36360.12,,41554.42,92,,Percent of Total Billed Charges,37715.15,,41554.42,92,,Percent of Total Billed Charges,34011.39,,41554.42,92,,Percent of Total Billed Charges,28229.91,,40651.07,90,,Percent of Total Billed Charges,22538.76,,40199.39,89,,Percent of Total Billed Charges,21680.57,,37218.31,82.4,,Percent of Total Billed Charges,37127.97,,37669.99,83.4,,Percent of Total Billed Charges,35140.59,,37669.99,83.4,,Percent of Total Billed Charges,31662.66,,37669.99,83.4,,Percent of Total Billed Charges,36766.63,,40651.07,90,,Percent of Total Billed Charges,38257.17,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,41554.42,92,,Percent of Total Billed Charges,36631.13,,41554.42,92,,Percent of Total Billed Charges,33604.88,,41554.42,92,,Percent of Total Billed Charges,35366.43,,41554.42,92,,Percent of Total Billed Charges,36631.13,,35230.92,78,,Percent of Total Billed Charges,35230.92,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,24313.85,53.83,,Percent of Total Billed Charges,22809.76,,15646.14,34.64,,Percent of Total Billed Charges,15582.91,,22574.89,49.98,,Percent of Total Billed Charges,17073.45,,15646.14,41554.42,,																																							
HC  REVASC LITHOTRSTENT TIB/PER,C9773,CPT,,,,BOTH, , ,7225.05,6069.04,6647.05,92,,Percent of Total Billed Charges,6040.14,,6647.05,92,,Percent of Total Billed Charges,5931.77,,6647.05,92,,Percent of Total Billed Charges,5816.17,,6647.05,92,,Percent of Total Billed Charges,6032.92,,6647.05,92,,Percent of Total Billed Charges,5440.46,,6647.05,92,,Percent of Total Billed Charges,4515.66,,6502.55,90,,Percent of Total Billed Charges,3605.3,,6430.29,89,,Percent of Total Billed Charges,3468.02,,5953.44,82.4,,Percent of Total Billed Charges,5938.99,,6025.69,83.4,,Percent of Total Billed Charges,5621.09,,6025.69,83.4,,Percent of Total Billed Charges,5064.76,,6025.69,83.4,,Percent of Total Billed Charges,5881.19,,6502.55,90,,Percent of Total Billed Charges,6119.62,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6647.05,92,,Percent of Total Billed Charges,5859.52,,6647.05,92,,Percent of Total Billed Charges,5375.44,,6647.05,92,,Percent of Total Billed Charges,5657.21,,6647.05,92,,Percent of Total Billed Charges,5859.52,,5635.54,78,,Percent of Total Billed Charges,5635.54,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3889.24,53.83,,Percent of Total Billed Charges,3648.65,,2502.76,34.64,,Percent of Total Billed Charges,2492.64,,3611.08,49.98,,Percent of Total Billed Charges,2731.07,,2502.76,6647.05,,																																							
HC  REVASC LITHOTRATHER TIB/PER,C9774,CPT,,,,BOTH, , ,7225.05,6069.04,6647.05,92,,Percent of Total Billed Charges,6040.14,,6647.05,92,,Percent of Total Billed Charges,5931.77,,6647.05,92,,Percent of Total Billed Charges,5816.17,,6647.05,92,,Percent of Total Billed Charges,6032.92,,6647.05,92,,Percent of Total Billed Charges,5440.46,,6647.05,92,,Percent of Total Billed Charges,4515.66,,6502.55,90,,Percent of Total Billed Charges,3605.3,,6430.29,89,,Percent of Total Billed Charges,3468.02,,5953.44,82.4,,Percent of Total Billed Charges,5938.99,,6025.69,83.4,,Percent of Total Billed Charges,5621.09,,6025.69,83.4,,Percent of Total Billed Charges,5064.76,,6025.69,83.4,,Percent of Total Billed Charges,5881.19,,6502.55,90,,Percent of Total Billed Charges,6119.62,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6647.05,92,,Percent of Total Billed Charges,5859.52,,6647.05,92,,Percent of Total Billed Charges,5375.44,,6647.05,92,,Percent of Total Billed Charges,5657.21,,6647.05,92,,Percent of Total Billed Charges,5859.52,,5635.54,78,,Percent of Total Billed Charges,5635.54,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3889.24,53.83,,Percent of Total Billed Charges,3648.65,,2502.76,34.64,,Percent of Total Billed Charges,2492.64,,3611.08,49.98,,Percent of Total Billed Charges,2731.07,,2502.76,6647.05,,																																							
HC  REVASC LITHSTENATH TIB/PER,C9775,CPT,,,,BOTH, , ,7225.05,6069.04,6647.05,92,,Percent of Total Billed Charges,6040.14,,6647.05,92,,Percent of Total Billed Charges,5931.77,,6647.05,92,,Percent of Total Billed Charges,5816.17,,6647.05,92,,Percent of Total Billed Charges,6032.92,,6647.05,92,,Percent of Total Billed Charges,5440.46,,6647.05,92,,Percent of Total Billed Charges,4515.66,,6502.55,90,,Percent of Total Billed Charges,3605.3,,6430.29,89,,Percent of Total Billed Charges,3468.02,,5953.44,82.4,,Percent of Total Billed Charges,5938.99,,6025.69,83.4,,Percent of Total Billed Charges,5621.09,,6025.69,83.4,,Percent of Total Billed Charges,5064.76,,6025.69,83.4,,Percent of Total Billed Charges,5881.19,,6502.55,90,,Percent of Total Billed Charges,6119.62,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6647.05,92,,Percent of Total Billed Charges,5859.52,,6647.05,92,,Percent of Total Billed Charges,5375.44,,6647.05,92,,Percent of Total Billed Charges,5657.21,,6647.05,92,,Percent of Total Billed Charges,5859.52,,5635.54,78,,Percent of Total Billed Charges,5635.54,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3889.24,53.83,,Percent of Total Billed Charges,3648.65,,2502.76,34.64,,Percent of Total Billed Charges,2492.64,,3611.08,49.98,,Percent of Total Billed Charges,2731.07,,2502.76,6647.05,,																																							
HC  UNLISTED CARDIOVASCULAR SERVICE/PROCEDURE,93799,CPT,,,,BOTH, , ,576.45,484.22,530.33,92,,Percent of Total Billed Charges,481.91,,530.33,92,,Percent of Total Billed Charges,473.27,,530.33,92,,Percent of Total Billed Charges,464.04,,530.33,92,,Percent of Total Billed Charges,481.34,,530.33,92,,Percent of Total Billed Charges,434.07,,530.33,92,,Percent of Total Billed Charges,360.28,,518.81,90,,Percent of Total Billed Charges,287.65,,513.04,89,,Percent of Total Billed Charges,276.7,,474.99,82.4,,Percent of Total Billed Charges,473.84,,480.76,83.4,,Percent of Total Billed Charges,448.48,,480.76,83.4,,Percent of Total Billed Charges,404.09,,480.76,83.4,,Percent of Total Billed Charges,469.23,,518.81,90,,Percent of Total Billed Charges,488.25,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,530.33,92,,Percent of Total Billed Charges,467.5,,530.33,92,,Percent of Total Billed Charges,428.88,,530.33,92,,Percent of Total Billed Charges,451.36,,530.33,92,,Percent of Total Billed Charges,467.5,,449.63,78,,Percent of Total Billed Charges,449.63,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,310.3,53.83,,Percent of Total Billed Charges,291.11,,199.68,34.64,,Percent of Total Billed Charges,198.88,,288.11,49.98,,Percent of Total Billed Charges,217.9,,199.68,530.33,,																																							
HC  UNLISTED CARDIAC SURGERY,33999,CPT,,,,BOTH, , ,2434.95,2045.36,2240.15,92,,Percent of Total Billed Charges,2035.62,,2240.15,92,,Percent of Total Billed Charges,1999.09,,2240.15,92,,Percent of Total Billed Charges,1960.13,,2240.15,92,,Percent of Total Billed Charges,2033.18,,2240.15,92,,Percent of Total Billed Charges,1833.52,,2240.15,92,,Percent of Total Billed Charges,1521.84,,2191.46,90,,Percent of Total Billed Charges,1215.04,,2167.11,89,,Percent of Total Billed Charges,1168.78,,2006.4,82.4,,Percent of Total Billed Charges,2001.53,,2030.75,83.4,,Percent of Total Billed Charges,1894.39,,2030.75,83.4,,Percent of Total Billed Charges,1706.9,,2030.75,83.4,,Percent of Total Billed Charges,1982.05,,2191.46,90,,Percent of Total Billed Charges,2062.4,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2240.15,92,,Percent of Total Billed Charges,1974.74,,2240.15,92,,Percent of Total Billed Charges,1811.6,,2240.15,92,,Percent of Total Billed Charges,1906.57,,2240.15,92,,Percent of Total Billed Charges,1974.74,,1899.26,78,,Percent of Total Billed Charges,1899.26,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1310.73,53.83,,Percent of Total Billed Charges,1229.65,,843.47,34.64,,Percent of Total Billed Charges,840.06,,1216.99,49.98,,Percent of Total Billed Charges,920.41,,843.47,2240.15,,																																							
HC TCAT PLMT&RMVL CEPD PERQ,33370,CPT,,,,BOTH, , ,984.9,827.32,906.11,92,,Percent of Total Billed Charges,823.38,,906.11,92,,Percent of Total Billed Charges,808.6,,906.11,92,,Percent of Total Billed Charges,792.84,,906.11,92,,Percent of Total Billed Charges,822.39,,906.11,92,,Percent of Total Billed Charges,741.63,,906.11,92,,Percent of Total Billed Charges,615.56,,886.41,90,,Percent of Total Billed Charges,491.47,,876.56,89,,Percent of Total Billed Charges,472.75,,811.56,82.4,,Percent of Total Billed Charges,809.59,,821.41,83.4,,Percent of Total Billed Charges,766.25,,821.41,83.4,,Percent of Total Billed Charges,690.41,,821.41,83.4,,Percent of Total Billed Charges,801.71,,886.41,90,,Percent of Total Billed Charges,834.21,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,906.11,92,,Percent of Total Billed Charges,798.75,,906.11,92,,Percent of Total Billed Charges,732.77,,906.11,92,,Percent of Total Billed Charges,771.18,,906.11,92,,Percent of Total Billed Charges,798.75,,768.22,78,,Percent of Total Billed Charges,768.22,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,530.17,53.83,,Percent of Total Billed Charges,497.37,,341.17,34.64,,Percent of Total Billed Charges,339.79,,492.25,49.98,,Percent of Total Billed Charges,372.29,,341.17,906.11,,																																							
HC CARDIOVASCULAR STRESS TEST W/O INTRP AND REPORT,93017,CPT,,,,BOTH, , ,130.2,109.37,119.78,92,,Percent of Total Billed Charges,108.85,,119.78,92,,Percent of Total Billed Charges,106.89,,119.78,92,,Percent of Total Billed Charges,104.81,,119.78,92,,Percent of Total Billed Charges,108.72,,119.78,92,,Percent of Total Billed Charges,98.04,,119.78,92,,Percent of Total Billed Charges,81.38,,117.18,90,,Percent of Total Billed Charges,64.97,,115.88,89,,Percent of Total Billed Charges,62.5,,107.28,82.4,,Percent of Total Billed Charges,107.02,,108.59,83.4,,Percent of Total Billed Charges,101.3,,108.59,83.4,,Percent of Total Billed Charges,91.27,,108.59,83.4,,Percent of Total Billed Charges,105.98,,117.18,90,,Percent of Total Billed Charges,110.28,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,119.78,92,,Percent of Total Billed Charges,105.59,,119.78,92,,Percent of Total Billed Charges,96.87,,119.78,92,,Percent of Total Billed Charges,101.95,,119.78,92,,Percent of Total Billed Charges,105.59,,101.56,78,,Percent of Total Billed Charges,101.56,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,70.09,53.83,,Percent of Total Billed Charges,65.75,,45.1,34.64,,Percent of Total Billed Charges,44.92,,65.07,49.98,,Percent of Total Billed Charges,49.22,,45.10,119.78,,																																							
HC ECHO 2D W/ DOPPLER & COLOR FLOW; COMPLETE,93306,CPT,,,,BOTH, , ,3305.4,2776.54,3040.97,92,,Percent of Total Billed Charges,2763.31,,3040.97,92,,Percent of Total Billed Charges,2713.73,,3040.97,92,,Percent of Total Billed Charges,2660.85,,3040.97,92,,Percent of Total Billed Charges,2760.01,,3040.97,92,,Percent of Total Billed Charges,2488.97,,3040.97,92,,Percent of Total Billed Charges,2065.88,,2974.86,90,,Percent of Total Billed Charges,1649.39,,2941.81,89,,Percent of Total Billed Charges,1586.59,,2723.65,82.4,,Percent of Total Billed Charges,2717.04,,2756.7,83.4,,Percent of Total Billed Charges,2571.6,,2756.7,83.4,,Percent of Total Billed Charges,2317.09,,2756.7,83.4,,Percent of Total Billed Charges,2690.6,,2974.86,90,,Percent of Total Billed Charges,2799.67,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3040.97,92,,Percent of Total Billed Charges,2680.68,,3040.97,92,,Percent of Total Billed Charges,2459.22,,3040.97,92,,Percent of Total Billed Charges,2588.13,,3040.97,92,,Percent of Total Billed Charges,2680.68,,2578.21,78,,Percent of Total Billed Charges,2578.21,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1779.3,53.83,,Percent of Total Billed Charges,1669.23,,1144.99,34.64,,Percent of Total Billed Charges,1140.36,,1652.04,49.98,,Percent of Total Billed Charges,1249.44,,1144.99,3040.97,,																																							
HC DS MINOR PROCEDURE PER MINUTE,490,RC,,,,BOTH, , ,69.3,58.21,63.76,92,,Percent of Total Billed Charges,57.93,,63.76,92,,Percent of Total Billed Charges,56.9,,63.76,92,,Percent of Total Billed Charges,55.79,,63.76,92,,Percent of Total Billed Charges,57.87,,63.76,92,,Percent of Total Billed Charges,52.18,,63.76,92,,Percent of Total Billed Charges,43.31,,62.37,90,,Percent of Total Billed Charges,34.58,,61.68,89,,Percent of Total Billed Charges,33.26,,57.1,82.4,,Percent of Total Billed Charges,56.96,,57.8,83.4,,Percent of Total Billed Charges,53.92,,57.8,83.4,,Percent of Total Billed Charges,48.58,,57.8,83.4,,Percent of Total Billed Charges,56.41,,62.37,90,,Percent of Total Billed Charges,58.7,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,63.76,92,,Percent of Total Billed Charges,56.2,,63.76,92,,Percent of Total Billed Charges,51.56,,63.76,92,,Percent of Total Billed Charges,54.26,,63.76,92,,Percent of Total Billed Charges,56.2,,54.05,78,,Percent of Total Billed Charges,54.05,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,37.3,53.83,,Percent of Total Billed Charges,35,,24.01,34.64,,Percent of Total Billed Charges,23.91,,34.64,49.98,,Percent of Total Billed Charges,26.2,,24.01,63.76,,																																							
HC INJ TENDON SHEATH/LIGAMENT,20550,CPT,,,,BOTH, , ,989.1,830.84,909.97,92,,Percent of Total Billed Charges,826.89,,909.97,92,,Percent of Total Billed Charges,812.05,,909.97,92,,Percent of Total Billed Charges,796.23,,909.97,92,,Percent of Total Billed Charges,825.9,,909.97,92,,Percent of Total Billed Charges,744.79,,909.97,92,,Percent of Total Billed Charges,618.19,,890.19,90,,Percent of Total Billed Charges,493.56,,880.3,89,,Percent of Total Billed Charges,474.77,,815.02,82.4,,Percent of Total Billed Charges,813.04,,824.91,83.4,,Percent of Total Billed Charges,769.52,,824.91,83.4,,Percent of Total Billed Charges,693.36,,824.91,83.4,,Percent of Total Billed Charges,805.13,,890.19,90,,Percent of Total Billed Charges,837.77,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,909.97,92,,Percent of Total Billed Charges,802.16,,909.97,92,,Percent of Total Billed Charges,735.89,,909.97,92,,Percent of Total Billed Charges,774.47,,909.97,92,,Percent of Total Billed Charges,802.16,,771.5,78,,Percent of Total Billed Charges,771.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,532.43,53.83,,Percent of Total Billed Charges,499.5,,342.62,34.64,,Percent of Total Billed Charges,341.24,,494.35,49.98,,Percent of Total Billed Charges,373.88,,342.62,909.97,,																																							
HC INJ TRIGGER POINT 1/2 MUSCL,20552,CPT,,,,BOTH, , ,981.75,824.67,903.21,92,,Percent of Total Billed Charges,820.74,,903.21,92,,Percent of Total Billed Charges,806.02,,903.21,92,,Percent of Total Billed Charges,790.31,,903.21,92,,Percent of Total Billed Charges,819.76,,903.21,92,,Percent of Total Billed Charges,739.26,,903.21,92,,Percent of Total Billed Charges,613.59,,883.58,90,,Percent of Total Billed Charges,489.89,,873.76,89,,Percent of Total Billed Charges,471.24,,808.96,82.4,,Percent of Total Billed Charges,807,,818.78,83.4,,Percent of Total Billed Charges,763.8,,818.78,83.4,,Percent of Total Billed Charges,688.21,,818.78,83.4,,Percent of Total Billed Charges,799.14,,883.58,90,,Percent of Total Billed Charges,831.54,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,903.21,92,,Percent of Total Billed Charges,796.2,,903.21,92,,Percent of Total Billed Charges,730.42,,903.21,92,,Percent of Total Billed Charges,768.71,,903.21,92,,Percent of Total Billed Charges,796.2,,765.77,78,,Percent of Total Billed Charges,765.77,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,528.48,53.83,,Percent of Total Billed Charges,495.78,,340.08,34.64,,Percent of Total Billed Charges,338.7,,490.68,49.98,,Percent of Total Billed Charges,371.1,,340.08,903.21,,																																							
HC INJECT TRIGGER POINTS 3/>,20553,CPT,,,,BOTH, , ,1116.15,937.57,1026.86,92,,Percent of Total Billed Charges,933.1,,1026.86,92,,Percent of Total Billed Charges,916.36,,1026.86,92,,Percent of Total Billed Charges,898.5,,1026.86,92,,Percent of Total Billed Charges,931.99,,1026.86,92,,Percent of Total Billed Charges,840.46,,1026.86,92,,Percent of Total Billed Charges,697.59,,1004.54,90,,Percent of Total Billed Charges,556.96,,993.37,89,,Percent of Total Billed Charges,535.75,,919.71,82.4,,Percent of Total Billed Charges,917.48,,930.87,83.4,,Percent of Total Billed Charges,868.36,,930.87,83.4,,Percent of Total Billed Charges,782.42,,930.87,83.4,,Percent of Total Billed Charges,908.55,,1004.54,90,,Percent of Total Billed Charges,945.38,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1026.86,92,,Percent of Total Billed Charges,905.2,,1026.86,92,,Percent of Total Billed Charges,830.42,,1026.86,92,,Percent of Total Billed Charges,873.95,,1026.86,92,,Percent of Total Billed Charges,905.2,,870.6,78,,Percent of Total Billed Charges,870.6,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,600.82,53.83,,Percent of Total Billed Charges,563.66,,386.63,34.64,,Percent of Total Billed Charges,385.07,,557.85,49.98,,Percent of Total Billed Charges,421.9,,386.63,1026.86,,																																							
HC DRAIN/INJ INTERMEDIATE JOINT/BURSA W/O US,20605,CPT,,,,BOTH, , ,1181.25,992.25,1086.75,92,,Percent of Total Billed Charges,987.53,,1086.75,92,,Percent of Total Billed Charges,969.81,,1086.75,92,,Percent of Total Billed Charges,950.91,,1086.75,92,,Percent of Total Billed Charges,986.34,,1086.75,92,,Percent of Total Billed Charges,889.48,,1086.75,92,,Percent of Total Billed Charges,738.28,,1063.13,90,,Percent of Total Billed Charges,589.44,,1051.31,89,,Percent of Total Billed Charges,567,,973.35,82.4,,Percent of Total Billed Charges,970.99,,985.16,83.4,,Percent of Total Billed Charges,919.01,,985.16,83.4,,Percent of Total Billed Charges,828.06,,985.16,83.4,,Percent of Total Billed Charges,961.54,,1063.13,90,,Percent of Total Billed Charges,1000.52,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1086.75,92,,Percent of Total Billed Charges,957.99,,1086.75,92,,Percent of Total Billed Charges,878.85,,1086.75,92,,Percent of Total Billed Charges,924.92,,1086.75,92,,Percent of Total Billed Charges,957.99,,921.38,78,,Percent of Total Billed Charges,921.38,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,635.87,53.83,,Percent of Total Billed Charges,596.53,,409.19,34.64,,Percent of Total Billed Charges,407.53,,590.39,49.98,,Percent of Total Billed Charges,446.51,,409.19,1086.75,,																																							
HC DRAIN/INJ MAJOR JOINT/BURSA W/O US,20610,CPT,,,,BOTH, , ,1372.35,1152.77,1262.56,92,,Percent of Total Billed Charges,1147.28,,1262.56,92,,Percent of Total Billed Charges,1126.7,,1262.56,92,,Percent of Total Billed Charges,1104.74,,1262.56,92,,Percent of Total Billed Charges,1145.91,,1262.56,92,,Percent of Total Billed Charges,1033.38,,1262.56,92,,Percent of Total Billed Charges,857.72,,1235.12,90,,Percent of Total Billed Charges,684.8,,1221.39,89,,Percent of Total Billed Charges,658.73,,1130.82,82.4,,Percent of Total Billed Charges,1128.07,,1144.54,83.4,,Percent of Total Billed Charges,1067.69,,1144.54,83.4,,Percent of Total Billed Charges,962.02,,1144.54,83.4,,Percent of Total Billed Charges,1117.09,,1235.12,90,,Percent of Total Billed Charges,1162.38,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1262.56,92,,Percent of Total Billed Charges,1112.98,,1262.56,92,,Percent of Total Billed Charges,1021.03,,1262.56,92,,Percent of Total Billed Charges,1074.55,,1262.56,92,,Percent of Total Billed Charges,1112.98,,1070.43,78,,Percent of Total Billed Charges,1070.43,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,738.74,53.83,,Percent of Total Billed Charges,693.04,,475.38,34.64,,Percent of Total Billed Charges,473.46,,685.9,49.98,,Percent of Total Billed Charges,518.75,,475.38,1262.56,,																																							
HC INJECT EPIDURAL PATCH,62273,CPT,,,,BOTH, , ,3241.35,2722.73,2982.04,92,,Percent of Total Billed Charges,2709.77,,2982.04,92,,Percent of Total Billed Charges,2661.15,,2982.04,92,,Percent of Total Billed Charges,2609.29,,2982.04,92,,Percent of Total Billed Charges,2706.53,,2982.04,92,,Percent of Total Billed Charges,2440.74,,2982.04,92,,Percent of Total Billed Charges,2025.84,,2917.22,90,,Percent of Total Billed Charges,1617.43,,2884.8,89,,Percent of Total Billed Charges,1555.85,,2670.87,82.4,,Percent of Total Billed Charges,2664.39,,2703.29,83.4,,Percent of Total Billed Charges,2521.77,,2703.29,83.4,,Percent of Total Billed Charges,2272.19,,2703.29,83.4,,Percent of Total Billed Charges,2638.46,,2917.22,90,,Percent of Total Billed Charges,2745.42,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2982.04,92,,Percent of Total Billed Charges,2628.73,,2982.04,92,,Percent of Total Billed Charges,2411.56,,2982.04,92,,Percent of Total Billed Charges,2537.98,,2982.04,92,,Percent of Total Billed Charges,2628.73,,2528.25,78,,Percent of Total Billed Charges,2528.25,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1744.82,53.83,,Percent of Total Billed Charges,1636.88,,1122.8,34.64,,Percent of Total Billed Charges,1118.27,,1620.03,49.98,,Percent of Total Billed Charges,1225.23,,1122.80,2982.04,,																																							
HC IMPLANT NEUROELECTRODES,63650,CPT,,,,BOTH, , ,18999.75,15959.79,17479.77,92,,Percent of Total Billed Charges,15883.79,,17479.77,92,,Percent of Total Billed Charges,15598.79,,17479.77,92,,Percent of Total Billed Charges,15294.8,,17479.77,92,,Percent of Total Billed Charges,15864.79,,17479.77,92,,Percent of Total Billed Charges,14306.81,,17479.77,92,,Percent of Total Billed Charges,11874.84,,17099.78,90,,Percent of Total Billed Charges,9480.88,,16909.78,89,,Percent of Total Billed Charges,9119.88,,15655.79,82.4,,Percent of Total Billed Charges,15617.79,,15845.79,83.4,,Percent of Total Billed Charges,14781.81,,15845.79,83.4,,Percent of Total Billed Charges,13318.82,,15845.79,83.4,,Percent of Total Billed Charges,15465.8,,17099.78,90,,Percent of Total Billed Charges,16092.79,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,17479.77,92,,Percent of Total Billed Charges,15408.8,,17479.77,92,,Percent of Total Billed Charges,14135.81,,17479.77,92,,Percent of Total Billed Charges,14876.8,,17479.77,92,,Percent of Total Billed Charges,15408.8,,14819.81,78,,Percent of Total Billed Charges,14819.81,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,10227.57,53.83,,Percent of Total Billed Charges,9594.87,,6581.51,34.64,,Percent of Total Billed Charges,6554.91,,9496.08,49.98,,Percent of Total Billed Charges,7181.91,,6581.51,17479.77,,																																							
HC INJ(S), ANES AGENT(S) A/O STEROID; TRIGEMINAL NERVE,64400,CPT,,,,BOTH, , ,1013.25,851.13,932.19,92,,Percent of Total Billed Charges,847.08,,932.19,92,,Percent of Total Billed Charges,831.88,,932.19,92,,Percent of Total Billed Charges,815.67,,932.19,92,,Percent of Total Billed Charges,846.06,,932.19,92,,Percent of Total Billed Charges,762.98,,932.19,92,,Percent of Total Billed Charges,633.28,,911.93,90,,Percent of Total Billed Charges,505.61,,901.79,89,,Percent of Total Billed Charges,486.36,,834.92,82.4,,Percent of Total Billed Charges,832.89,,845.05,83.4,,Percent of Total Billed Charges,788.31,,845.05,83.4,,Percent of Total Billed Charges,710.29,,845.05,83.4,,Percent of Total Billed Charges,824.79,,911.93,90,,Percent of Total Billed Charges,858.22,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,932.19,92,,Percent of Total Billed Charges,821.75,,932.19,92,,Percent of Total Billed Charges,753.86,,932.19,92,,Percent of Total Billed Charges,793.37,,932.19,92,,Percent of Total Billed Charges,821.75,,790.34,78,,Percent of Total Billed Charges,790.34,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,545.43,53.83,,Percent of Total Billed Charges,511.69,,350.99,34.64,,Percent of Total Billed Charges,349.57,,506.42,49.98,,Percent of Total Billed Charges,383.01,,350.99,932.19,,																																							
HC N BLOCK INJ ILIOINGUINAL,ILIOHYPOGASTRC NERVE,64425,CPT,,,,BOTH, , ,1534.05,1288.6,1411.33,92,,Percent of Total Billed Charges,1282.47,,1411.33,92,,Percent of Total Billed Charges,1259.46,,1411.33,92,,Percent of Total Billed Charges,1234.91,,1411.33,92,,Percent of Total Billed Charges,1280.93,,1411.33,92,,Percent of Total Billed Charges,1155.14,,1411.33,92,,Percent of Total Billed Charges,958.78,,1380.65,90,,Percent of Total Billed Charges,765.49,,1365.3,89,,Percent of Total Billed Charges,736.34,,1264.06,82.4,,Percent of Total Billed Charges,1260.99,,1279.4,83.4,,Percent of Total Billed Charges,1193.49,,1279.4,83.4,,Percent of Total Billed Charges,1075.37,,1279.4,83.4,,Percent of Total Billed Charges,1248.72,,1380.65,90,,Percent of Total Billed Charges,1299.34,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1411.33,92,,Percent of Total Billed Charges,1244.11,,1411.33,92,,Percent of Total Billed Charges,1141.33,,1411.33,92,,Percent of Total Billed Charges,1201.16,,1411.33,92,,Percent of Total Billed Charges,1244.11,,1196.56,78,,Percent of Total Billed Charges,1196.56,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,825.78,53.83,,Percent of Total Billed Charges,774.7,,531.39,34.64,,Percent of Total Billed Charges,529.25,,766.72,49.98,,Percent of Total Billed Charges,579.87,,531.39,1411.33,,																																							
HC N BLOCK OTHER PERIPHERAL,64450,CPT,,,,BOTH, , ,1791.3,1504.69,1648,92,,Percent of Total Billed Charges,1497.53,,1648,92,,Percent of Total Billed Charges,1470.66,,1648,92,,Percent of Total Billed Charges,1442,,1648,92,,Percent of Total Billed Charges,1495.74,,1648,92,,Percent of Total Billed Charges,1348.85,,1648,92,,Percent of Total Billed Charges,1119.56,,1612.17,90,,Percent of Total Billed Charges,893.86,,1594.26,89,,Percent of Total Billed Charges,859.82,,1476.03,82.4,,Percent of Total Billed Charges,1472.45,,1493.94,83.4,,Percent of Total Billed Charges,1393.63,,1493.94,83.4,,Percent of Total Billed Charges,1255.7,,1493.94,83.4,,Percent of Total Billed Charges,1458.12,,1612.17,90,,Percent of Total Billed Charges,1517.23,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1648,92,,Percent of Total Billed Charges,1452.74,,1648,92,,Percent of Total Billed Charges,1332.73,,1648,92,,Percent of Total Billed Charges,1402.59,,1648,92,,Percent of Total Billed Charges,1452.74,,1397.21,78,,Percent of Total Billed Charges,1397.21,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,964.26,53.83,,Percent of Total Billed Charges,904.61,,620.51,34.64,,Percent of Total Billed Charges,618,,895.29,49.98,,Percent of Total Billed Charges,677.11,,620.51,1648,,																																							
HC INJ FORAMEN EPIDURAL L/S,64483,CPT,,,,BOTH, , ,4374.3,3674.41,4024.36,92,,Percent of Total Billed Charges,3656.91,,4024.36,92,,Percent of Total Billed Charges,3591.3,,4024.36,92,,Percent of Total Billed Charges,3521.31,,4024.36,92,,Percent of Total Billed Charges,3652.54,,4024.36,92,,Percent of Total Billed Charges,3293.85,,4024.36,92,,Percent of Total Billed Charges,2733.94,,3936.87,90,,Percent of Total Billed Charges,2182.78,,3893.13,89,,Percent of Total Billed Charges,2099.66,,3604.42,82.4,,Percent of Total Billed Charges,3595.67,,3648.17,83.4,,Percent of Total Billed Charges,3403.21,,3648.17,83.4,,Percent of Total Billed Charges,3066.38,,3648.17,83.4,,Percent of Total Billed Charges,3560.68,,3936.87,90,,Percent of Total Billed Charges,3705.03,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4024.36,92,,Percent of Total Billed Charges,3547.56,,4024.36,92,,Percent of Total Billed Charges,3254.48,,4024.36,92,,Percent of Total Billed Charges,3425.08,,4024.36,92,,Percent of Total Billed Charges,3547.56,,3411.95,78,,Percent of Total Billed Charges,3411.95,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2354.69,53.83,,Percent of Total Billed Charges,2209.02,,1515.26,34.64,,Percent of Total Billed Charges,1509.13,,2186.28,49.98,,Percent of Total Billed Charges,1653.49,,1515.26,4024.36,,																																							
HC INJ FORAMEN EPIDURAL; LUMBAR OR SACRAL ADDON,64484,CPT,,,,BOTH, , ,2090.55,1756.06,1923.31,92,,Percent of Total Billed Charges,1747.7,,1923.31,92,,Percent of Total Billed Charges,1716.34,,1923.31,92,,Percent of Total Billed Charges,1682.89,,1923.31,92,,Percent of Total Billed Charges,1745.61,,1923.31,92,,Percent of Total Billed Charges,1574.18,,1923.31,92,,Percent of Total Billed Charges,1306.59,,1881.5,90,,Percent of Total Billed Charges,1043.18,,1860.59,89,,Percent of Total Billed Charges,1003.46,,1722.61,82.4,,Percent of Total Billed Charges,1718.43,,1743.52,83.4,,Percent of Total Billed Charges,1626.45,,1743.52,83.4,,Percent of Total Billed Charges,1465.48,,1743.52,83.4,,Percent of Total Billed Charges,1701.71,,1881.5,90,,Percent of Total Billed Charges,1770.7,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1923.31,92,,Percent of Total Billed Charges,1695.44,,1923.31,92,,Percent of Total Billed Charges,1555.37,,1923.31,92,,Percent of Total Billed Charges,1636.9,,1923.31,92,,Percent of Total Billed Charges,1695.44,,1630.63,78,,Percent of Total Billed Charges,1630.63,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1125.34,53.83,,Percent of Total Billed Charges,1055.73,,724.17,34.64,,Percent of Total Billed Charges,721.24,,1044.86,49.98,,Percent of Total Billed Charges,790.23,,724.17,1923.31,,																																							
HC INJ PARAVERTEBRAL FACET JNT C/T 1 LEV,64490,CPT,,,,BOTH, , ,2724.75,2288.79,2506.77,92,,Percent of Total Billed Charges,2277.89,,2506.77,92,,Percent of Total Billed Charges,2237.02,,2506.77,92,,Percent of Total Billed Charges,2193.42,,2506.77,92,,Percent of Total Billed Charges,2275.17,,2506.77,92,,Percent of Total Billed Charges,2051.74,,2506.77,92,,Percent of Total Billed Charges,1702.97,,2452.28,90,,Percent of Total Billed Charges,1359.65,,2425.03,89,,Percent of Total Billed Charges,1307.88,,2245.19,82.4,,Percent of Total Billed Charges,2239.74,,2272.44,83.4,,Percent of Total Billed Charges,2119.86,,2272.44,83.4,,Percent of Total Billed Charges,1910.05,,2272.44,83.4,,Percent of Total Billed Charges,2217.95,,2452.28,90,,Percent of Total Billed Charges,2307.86,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2506.77,92,,Percent of Total Billed Charges,2209.77,,2506.77,92,,Percent of Total Billed Charges,2027.21,,2506.77,92,,Percent of Total Billed Charges,2133.48,,2506.77,92,,Percent of Total Billed Charges,2209.77,,2125.31,78,,Percent of Total Billed Charges,2125.31,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1466.73,53.83,,Percent of Total Billed Charges,1376,,943.85,34.64,,Percent of Total Billed Charges,940.04,,1361.83,49.98,,Percent of Total Billed Charges,1029.96,,943.85,2506.77,,																																							
HC INJ PARAVERT F JNT L/S 1 LEV,64493,CPT,,,,BOTH, , ,4374.3,3674.41,4024.36,92,,Percent of Total Billed Charges,3656.91,,4024.36,92,,Percent of Total Billed Charges,3591.3,,4024.36,92,,Percent of Total Billed Charges,3521.31,,4024.36,92,,Percent of Total Billed Charges,3652.54,,4024.36,92,,Percent of Total Billed Charges,3293.85,,4024.36,92,,Percent of Total Billed Charges,2733.94,,3936.87,90,,Percent of Total Billed Charges,2182.78,,3893.13,89,,Percent of Total Billed Charges,2099.66,,3604.42,82.4,,Percent of Total Billed Charges,3595.67,,3648.17,83.4,,Percent of Total Billed Charges,3403.21,,3648.17,83.4,,Percent of Total Billed Charges,3066.38,,3648.17,83.4,,Percent of Total Billed Charges,3560.68,,3936.87,90,,Percent of Total Billed Charges,3705.03,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4024.36,92,,Percent of Total Billed Charges,3547.56,,4024.36,92,,Percent of Total Billed Charges,3254.48,,4024.36,92,,Percent of Total Billed Charges,3425.08,,4024.36,92,,Percent of Total Billed Charges,3547.56,,3411.95,78,,Percent of Total Billed Charges,3411.95,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2354.69,53.83,,Percent of Total Billed Charges,2209.02,,1515.26,34.64,,Percent of Total Billed Charges,1509.13,,2186.28,49.98,,Percent of Total Billed Charges,1653.49,,1515.26,4024.36,,																																							
HC INJ PARAVERT F JNT L/S 2 LEV,64494,CPT,,,,BOTH, , ,256.2,215.21,235.7,92,,Percent of Total Billed Charges,214.18,,235.7,92,,Percent of Total Billed Charges,210.34,,235.7,92,,Percent of Total Billed Charges,206.24,,235.7,92,,Percent of Total Billed Charges,213.93,,235.7,92,,Percent of Total Billed Charges,192.92,,235.7,92,,Percent of Total Billed Charges,160.13,,230.58,90,,Percent of Total Billed Charges,127.84,,228.02,89,,Percent of Total Billed Charges,122.98,,211.11,82.4,,Percent of Total Billed Charges,210.6,,213.67,83.4,,Percent of Total Billed Charges,199.32,,213.67,83.4,,Percent of Total Billed Charges,179.6,,213.67,83.4,,Percent of Total Billed Charges,208.55,,230.58,90,,Percent of Total Billed Charges,217,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,235.7,92,,Percent of Total Billed Charges,207.78,,235.7,92,,Percent of Total Billed Charges,190.61,,235.7,92,,Percent of Total Billed Charges,200.6,,235.7,92,,Percent of Total Billed Charges,207.78,,199.84,78,,Percent of Total Billed Charges,199.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,137.91,53.83,,Percent of Total Billed Charges,129.38,,88.75,34.64,,Percent of Total Billed Charges,88.39,,128.05,49.98,,Percent of Total Billed Charges,96.84,,88.75,235.7,,																																							
HC INJ PARAVERT F JNT L/S 3 LEV,64495,CPT,,,,BOTH, , ,6144.6,5161.46,5653.03,92,,Percent of Total Billed Charges,5136.89,,5653.03,92,,Percent of Total Billed Charges,5044.72,,5653.03,92,,Percent of Total Billed Charges,4946.4,,5653.03,92,,Percent of Total Billed Charges,5130.74,,5653.03,92,,Percent of Total Billed Charges,4626.88,,5653.03,92,,Percent of Total Billed Charges,3840.38,,5530.14,90,,Percent of Total Billed Charges,3066.16,,5468.69,89,,Percent of Total Billed Charges,2949.41,,5063.15,82.4,,Percent of Total Billed Charges,5050.86,,5124.6,83.4,,Percent of Total Billed Charges,4780.5,,5124.6,83.4,,Percent of Total Billed Charges,4307.36,,5124.6,83.4,,Percent of Total Billed Charges,5001.7,,5530.14,90,,Percent of Total Billed Charges,5204.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5653.03,92,,Percent of Total Billed Charges,4983.27,,5653.03,92,,Percent of Total Billed Charges,4571.58,,5653.03,92,,Percent of Total Billed Charges,4811.22,,5653.03,92,,Percent of Total Billed Charges,4983.27,,4792.79,78,,Percent of Total Billed Charges,4792.79,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3307.64,53.83,,Percent of Total Billed Charges,3103.02,,2128.49,34.64,,Percent of Total Billed Charges,2119.89,,3071.07,49.98,,Percent of Total Billed Charges,2322.66,,2128.49,5653.03,,																																							
HC N BLOCK LUMBAR/THORACIC,64520,CPT,,,,BOTH, , ,2231.25,1874.25,2052.75,92,,Percent of Total Billed Charges,1865.33,,2052.75,92,,Percent of Total Billed Charges,1831.86,,2052.75,92,,Percent of Total Billed Charges,1796.16,,2052.75,92,,Percent of Total Billed Charges,1863.09,,2052.75,92,,Percent of Total Billed Charges,1680.13,,2052.75,92,,Percent of Total Billed Charges,1394.53,,2008.13,90,,Percent of Total Billed Charges,1113.39,,1985.81,89,,Percent of Total Billed Charges,1071,,1838.55,82.4,,Percent of Total Billed Charges,1834.09,,1860.86,83.4,,Percent of Total Billed Charges,1735.91,,1860.86,83.4,,Percent of Total Billed Charges,1564.11,,1860.86,83.4,,Percent of Total Billed Charges,1816.24,,2008.13,90,,Percent of Total Billed Charges,1889.87,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2052.75,92,,Percent of Total Billed Charges,1809.54,,2052.75,92,,Percent of Total Billed Charges,1660.05,,2052.75,92,,Percent of Total Billed Charges,1747.07,,2052.75,92,,Percent of Total Billed Charges,1809.54,,1740.38,78,,Percent of Total Billed Charges,1740.38,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1201.08,53.83,,Percent of Total Billed Charges,1126.78,,772.91,34.64,,Percent of Total Billed Charges,769.78,,1115.18,49.98,,Percent of Total Billed Charges,843.41,,772.91,2052.75,,																																							
HC DESTROY CERV/THOR FACET JNT,64633,CPT,,,,BOTH, , ,363.3,305.17,334.24,92,,Percent of Total Billed Charges,303.72,,334.24,92,,Percent of Total Billed Charges,298.27,,334.24,92,,Percent of Total Billed Charges,292.46,,334.24,92,,Percent of Total Billed Charges,303.36,,334.24,92,,Percent of Total Billed Charges,273.56,,334.24,92,,Percent of Total Billed Charges,227.06,,326.97,90,,Percent of Total Billed Charges,181.29,,323.34,89,,Percent of Total Billed Charges,174.38,,299.36,82.4,,Percent of Total Billed Charges,298.63,,302.99,83.4,,Percent of Total Billed Charges,282.65,,302.99,83.4,,Percent of Total Billed Charges,254.67,,302.99,83.4,,Percent of Total Billed Charges,295.73,,326.97,90,,Percent of Total Billed Charges,307.72,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,334.24,92,,Percent of Total Billed Charges,294.64,,334.24,92,,Percent of Total Billed Charges,270.3,,334.24,92,,Percent of Total Billed Charges,284.46,,334.24,92,,Percent of Total Billed Charges,294.64,,283.37,78,,Percent of Total Billed Charges,283.37,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,195.56,53.83,,Percent of Total Billed Charges,183.47,,125.85,34.64,,Percent of Total Billed Charges,125.34,,181.58,49.98,,Percent of Total Billed Charges,137.33,,125.85,334.24,,																																							
HC ELECTRONIC ANALYSIS NEURO STIM GENERATOR COMPLEX,95972,CPT,,,,BOTH, , ,392.7,329.87,361.28,92,,Percent of Total Billed Charges,328.3,,361.28,92,,Percent of Total Billed Charges,322.41,,361.28,92,,Percent of Total Billed Charges,316.12,,361.28,92,,Percent of Total Billed Charges,327.9,,361.28,92,,Percent of Total Billed Charges,295.7,,361.28,92,,Percent of Total Billed Charges,245.44,,353.43,90,,Percent of Total Billed Charges,195.96,,349.5,89,,Percent of Total Billed Charges,188.5,,323.58,82.4,,Percent of Total Billed Charges,322.8,,327.51,83.4,,Percent of Total Billed Charges,305.52,,327.51,83.4,,Percent of Total Billed Charges,275.28,,327.51,83.4,,Percent of Total Billed Charges,319.66,,353.43,90,,Percent of Total Billed Charges,332.62,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,361.28,92,,Percent of Total Billed Charges,318.48,,361.28,92,,Percent of Total Billed Charges,292.17,,361.28,92,,Percent of Total Billed Charges,307.48,,361.28,92,,Percent of Total Billed Charges,318.48,,306.31,78,,Percent of Total Billed Charges,306.31,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,211.39,53.83,,Percent of Total Billed Charges,198.31,,136.03,34.64,,Percent of Total Billed Charges,135.48,,196.27,49.98,,Percent of Total Billed Charges,148.44,,136.03,361.28,,																																							
HC INJ FOR SACROILIAC JT ANESTH,G0260,CPT,,,,BOTH, , ,2277.45,1913.06,2095.25,92,,Percent of Total Billed Charges,1903.95,,2095.25,92,,Percent of Total Billed Charges,1869.79,,2095.25,92,,Percent of Total Billed Charges,1833.35,,2095.25,92,,Percent of Total Billed Charges,1901.67,,2095.25,92,,Percent of Total Billed Charges,1714.92,,2095.25,92,,Percent of Total Billed Charges,1423.41,,2049.71,90,,Percent of Total Billed Charges,1136.45,,2026.93,89,,Percent of Total Billed Charges,1093.18,,1876.62,82.4,,Percent of Total Billed Charges,1872.06,,1899.39,83.4,,Percent of Total Billed Charges,1771.86,,1899.39,83.4,,Percent of Total Billed Charges,1596.49,,1899.39,83.4,,Percent of Total Billed Charges,1853.84,,2049.71,90,,Percent of Total Billed Charges,1929,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2095.25,92,,Percent of Total Billed Charges,1847.01,,2095.25,92,,Percent of Total Billed Charges,1694.42,,2095.25,92,,Percent of Total Billed Charges,1783.24,,2095.25,92,,Percent of Total Billed Charges,1847.01,,1776.41,78,,Percent of Total Billed Charges,1776.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1225.95,53.83,,Percent of Total Billed Charges,1150.11,,788.91,34.64,,Percent of Total Billed Charges,785.72,,1138.27,49.98,,Percent of Total Billed Charges,860.88,,788.91,2095.25,,																																							
HC INJ FOR DISCOGR EA LEVEL LUMBAR,62290,CPT,,,,BOTH, , ,1479.45,1242.74,1361.09,92,,Percent of Total Billed Charges,1236.82,,1361.09,92,,Percent of Total Billed Charges,1214.63,,1361.09,92,,Percent of Total Billed Charges,1190.96,,1361.09,92,,Percent of Total Billed Charges,1235.34,,1361.09,92,,Percent of Total Billed Charges,1114.03,,1361.09,92,,Percent of Total Billed Charges,924.66,,1331.51,90,,Percent of Total Billed Charges,738.25,,1316.71,89,,Percent of Total Billed Charges,710.14,,1219.07,82.4,,Percent of Total Billed Charges,1216.11,,1233.86,83.4,,Percent of Total Billed Charges,1151.01,,1233.86,83.4,,Percent of Total Billed Charges,1037.09,,1233.86,83.4,,Percent of Total Billed Charges,1204.27,,1331.51,90,,Percent of Total Billed Charges,1253.09,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1361.09,92,,Percent of Total Billed Charges,1199.83,,1361.09,92,,Percent of Total Billed Charges,1100.71,,1361.09,92,,Percent of Total Billed Charges,1158.41,,1361.09,92,,Percent of Total Billed Charges,1199.83,,1153.97,78,,Percent of Total Billed Charges,1153.97,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,796.39,53.83,,Percent of Total Billed Charges,747.12,,512.48,34.64,,Percent of Total Billed Charges,510.41,,739.43,49.98,,Percent of Total Billed Charges,559.23,,512.48,1361.09,,																																							
HC INJ(S), ANES AGENT(S) A/O STEROID; GREATER OCCIPITAL NERVE,64405,CPT,,,,BOTH, , ,1366.05,1147.48,1256.77,92,,Percent of Total Billed Charges,1142.02,,1256.77,92,,Percent of Total Billed Charges,1121.53,,1256.77,92,,Percent of Total Billed Charges,1099.67,,1256.77,92,,Percent of Total Billed Charges,1140.65,,1256.77,92,,Percent of Total Billed Charges,1028.64,,1256.77,92,,Percent of Total Billed Charges,853.78,,1229.45,90,,Percent of Total Billed Charges,681.66,,1215.78,89,,Percent of Total Billed Charges,655.7,,1125.63,82.4,,Percent of Total Billed Charges,1122.89,,1139.29,83.4,,Percent of Total Billed Charges,1062.79,,1139.29,83.4,,Percent of Total Billed Charges,957.6,,1139.29,83.4,,Percent of Total Billed Charges,1111.96,,1229.45,90,,Percent of Total Billed Charges,1157.04,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1256.77,92,,Percent of Total Billed Charges,1107.87,,1256.77,92,,Percent of Total Billed Charges,1016.34,,1256.77,92,,Percent of Total Billed Charges,1069.62,,1256.77,92,,Percent of Total Billed Charges,1107.87,,1065.52,78,,Percent of Total Billed Charges,1065.52,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,735.34,53.83,,Percent of Total Billed Charges,689.86,,473.2,34.64,,Percent of Total Billed Charges,471.29,,682.75,49.98,,Percent of Total Billed Charges,516.37,,473.20,1256.77,,																																							
HC NERVE BLOCK SUPRASCAPULAR,64418,CPT,,,,BOTH, , ,1045.8,878.47,962.14,92,,Percent of Total Billed Charges,874.29,,962.14,92,,Percent of Total Billed Charges,858.6,,962.14,92,,Percent of Total Billed Charges,841.87,,962.14,92,,Percent of Total Billed Charges,873.24,,962.14,92,,Percent of Total Billed Charges,787.49,,962.14,92,,Percent of Total Billed Charges,653.63,,941.22,90,,Percent of Total Billed Charges,521.85,,930.76,89,,Percent of Total Billed Charges,501.98,,861.74,82.4,,Percent of Total Billed Charges,859.65,,872.2,83.4,,Percent of Total Billed Charges,813.63,,872.2,83.4,,Percent of Total Billed Charges,733.11,,872.2,83.4,,Percent of Total Billed Charges,851.28,,941.22,90,,Percent of Total Billed Charges,885.79,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,962.14,92,,Percent of Total Billed Charges,848.14,,962.14,92,,Percent of Total Billed Charges,778.08,,962.14,92,,Percent of Total Billed Charges,818.86,,962.14,92,,Percent of Total Billed Charges,848.14,,815.72,78,,Percent of Total Billed Charges,815.72,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,562.95,53.83,,Percent of Total Billed Charges,528.13,,362.27,34.64,,Percent of Total Billed Charges,360.8,,522.69,49.98,,Percent of Total Billed Charges,395.31,,362.27,962.14,,																																							
HC INTERCOSTAL NERVE BLOCK SINGLE,64420,CPT,,,,BOTH, , ,2034.9,1709.32,1872.11,92,,Percent of Total Billed Charges,1701.18,,1872.11,92,,Percent of Total Billed Charges,1670.65,,1872.11,92,,Percent of Total Billed Charges,1638.09,,1872.11,92,,Percent of Total Billed Charges,1699.14,,1872.11,92,,Percent of Total Billed Charges,1532.28,,1872.11,92,,Percent of Total Billed Charges,1271.81,,1831.41,90,,Percent of Total Billed Charges,1015.42,,1811.06,89,,Percent of Total Billed Charges,976.75,,1676.76,82.4,,Percent of Total Billed Charges,1672.69,,1697.11,83.4,,Percent of Total Billed Charges,1583.15,,1697.11,83.4,,Percent of Total Billed Charges,1426.46,,1697.11,83.4,,Percent of Total Billed Charges,1656.41,,1831.41,90,,Percent of Total Billed Charges,1723.56,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1872.11,92,,Percent of Total Billed Charges,1650.3,,1872.11,92,,Percent of Total Billed Charges,1513.97,,1872.11,92,,Percent of Total Billed Charges,1593.33,,1872.11,92,,Percent of Total Billed Charges,1650.3,,1587.22,78,,Percent of Total Billed Charges,1587.22,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1095.39,53.83,,Percent of Total Billed Charges,1027.62,,704.89,34.64,,Percent of Total Billed Charges,702.04,,1017.04,49.98,,Percent of Total Billed Charges,769.19,,704.89,1872.11,,																																							
HC TRANSFORA EPIDUR CERVI/THOR SING,64479,CPT,,,,BOTH, , ,4228.35,3551.81,3890.08,92,,Percent of Total Billed Charges,3534.9,,3890.08,92,,Percent of Total Billed Charges,3471.48,,3890.08,92,,Percent of Total Billed Charges,3403.82,,3890.08,92,,Percent of Total Billed Charges,3530.67,,3890.08,92,,Percent of Total Billed Charges,3183.95,,3890.08,92,,Percent of Total Billed Charges,2642.72,,3805.52,90,,Percent of Total Billed Charges,2109.95,,3763.23,89,,Percent of Total Billed Charges,2029.61,,3484.16,82.4,,Percent of Total Billed Charges,3475.7,,3526.44,83.4,,Percent of Total Billed Charges,3289.66,,3526.44,83.4,,Percent of Total Billed Charges,2964.07,,3526.44,83.4,,Percent of Total Billed Charges,3441.88,,3805.52,90,,Percent of Total Billed Charges,3581.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3890.08,92,,Percent of Total Billed Charges,3429.19,,3890.08,92,,Percent of Total Billed Charges,3145.89,,3890.08,92,,Percent of Total Billed Charges,3310.8,,3890.08,92,,Percent of Total Billed Charges,3429.19,,3298.11,78,,Percent of Total Billed Charges,3298.11,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2276.12,53.83,,Percent of Total Billed Charges,2135.32,,1464.7,34.64,,Percent of Total Billed Charges,1458.78,,2113.33,49.98,,Percent of Total Billed Charges,1598.32,,1464.70,3890.08,,																																							
HC TRANSFORA EPIDUR CERVI/THOR ADDTL,64480,CPT,,,,BOTH, , ,6329.4,5316.7,5823.05,92,,Percent of Total Billed Charges,5291.38,,5823.05,92,,Percent of Total Billed Charges,5196.44,,5823.05,92,,Percent of Total Billed Charges,5095.17,,5823.05,92,,Percent of Total Billed Charges,5285.05,,5823.05,92,,Percent of Total Billed Charges,4766.04,,5823.05,92,,Percent of Total Billed Charges,3955.88,,5696.46,90,,Percent of Total Billed Charges,3158.37,,5633.17,89,,Percent of Total Billed Charges,3038.11,,5215.43,82.4,,Percent of Total Billed Charges,5202.77,,5278.72,83.4,,Percent of Total Billed Charges,4924.27,,5278.72,83.4,,Percent of Total Billed Charges,4436.91,,5278.72,83.4,,Percent of Total Billed Charges,5152.13,,5696.46,90,,Percent of Total Billed Charges,5361,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5823.05,92,,Percent of Total Billed Charges,5133.14,,5823.05,92,,Percent of Total Billed Charges,4709.07,,5823.05,92,,Percent of Total Billed Charges,4955.92,,5823.05,92,,Percent of Total Billed Charges,5133.14,,4936.93,78,,Percent of Total Billed Charges,4936.93,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3407.12,53.83,,Percent of Total Billed Charges,3196.35,,2192.5,34.64,,Percent of Total Billed Charges,2183.64,,3163.43,49.98,,Percent of Total Billed Charges,2392.51,,2192.50,5823.05,,																																							
HC FACET CERV THOR 2ND LVL,64491,CPT,,,,BOTH, , ,1681.05,1412.08,1546.57,92,,Percent of Total Billed Charges,1405.36,,1546.57,92,,Percent of Total Billed Charges,1380.14,,1546.57,92,,Percent of Total Billed Charges,1353.25,,1546.57,92,,Percent of Total Billed Charges,1403.68,,1546.57,92,,Percent of Total Billed Charges,1265.83,,1546.57,92,,Percent of Total Billed Charges,1050.66,,1512.95,90,,Percent of Total Billed Charges,838.84,,1496.13,89,,Percent of Total Billed Charges,806.9,,1385.19,82.4,,Percent of Total Billed Charges,1381.82,,1402,83.4,,Percent of Total Billed Charges,1307.86,,1402,83.4,,Percent of Total Billed Charges,1178.42,,1402,83.4,,Percent of Total Billed Charges,1368.37,,1512.95,90,,Percent of Total Billed Charges,1423.85,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1546.57,92,,Percent of Total Billed Charges,1363.33,,1546.57,92,,Percent of Total Billed Charges,1250.7,,1546.57,92,,Percent of Total Billed Charges,1316.26,,1546.57,92,,Percent of Total Billed Charges,1363.33,,1311.22,78,,Percent of Total Billed Charges,1311.22,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,904.91,53.83,,Percent of Total Billed Charges,848.93,,582.32,34.64,,Percent of Total Billed Charges,579.96,,840.19,49.98,,Percent of Total Billed Charges,635.44,,582.32,1546.57,,																																							
HC FACET CERV THOR 3RD OR MORE LVL,64492,CPT,,,,BOTH, , ,600.6,504.5,552.55,92,,Percent of Total Billed Charges,502.1,,552.55,92,,Percent of Total Billed Charges,493.09,,552.55,92,,Percent of Total Billed Charges,483.48,,552.55,92,,Percent of Total Billed Charges,501.5,,552.55,92,,Percent of Total Billed Charges,452.25,,552.55,92,,Percent of Total Billed Charges,375.38,,540.54,90,,Percent of Total Billed Charges,299.7,,534.53,89,,Percent of Total Billed Charges,288.29,,494.89,82.4,,Percent of Total Billed Charges,493.69,,500.9,83.4,,Percent of Total Billed Charges,467.27,,500.9,83.4,,Percent of Total Billed Charges,421.02,,500.9,83.4,,Percent of Total Billed Charges,488.89,,540.54,90,,Percent of Total Billed Charges,508.71,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,552.55,92,,Percent of Total Billed Charges,487.09,,552.55,92,,Percent of Total Billed Charges,446.85,,552.55,92,,Percent of Total Billed Charges,470.27,,552.55,92,,Percent of Total Billed Charges,487.09,,468.47,78,,Percent of Total Billed Charges,468.47,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,323.3,53.83,,Percent of Total Billed Charges,303.3,,208.05,34.64,,Percent of Total Billed Charges,207.21,,300.18,49.98,,Percent of Total Billed Charges,227.03,,208.05,552.55,,																																							
HC NEURO DESTR INTERCOSTAL NERVE,64620,CPT,,,,BOTH, , ,2022.3,1698.73,1860.52,92,,Percent of Total Billed Charges,1690.64,,1860.52,92,,Percent of Total Billed Charges,1660.31,,1860.52,92,,Percent of Total Billed Charges,1627.95,,1860.52,92,,Percent of Total Billed Charges,1688.62,,1860.52,92,,Percent of Total Billed Charges,1522.79,,1860.52,92,,Percent of Total Billed Charges,1263.94,,1820.07,90,,Percent of Total Billed Charges,1009.13,,1799.85,89,,Percent of Total Billed Charges,970.7,,1666.38,82.4,,Percent of Total Billed Charges,1662.33,,1686.6,83.4,,Percent of Total Billed Charges,1573.35,,1686.6,83.4,,Percent of Total Billed Charges,1417.63,,1686.6,83.4,,Percent of Total Billed Charges,1646.15,,1820.07,90,,Percent of Total Billed Charges,1712.89,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1860.52,92,,Percent of Total Billed Charges,1640.09,,1860.52,92,,Percent of Total Billed Charges,1504.59,,1860.52,92,,Percent of Total Billed Charges,1583.46,,1860.52,92,,Percent of Total Billed Charges,1640.09,,1577.39,78,,Percent of Total Billed Charges,1577.39,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1088.6,53.83,,Percent of Total Billed Charges,1021.26,,700.52,34.64,,Percent of Total Billed Charges,697.69,,1010.75,49.98,,Percent of Total Billed Charges,764.43,,700.52,1860.52,,																																							
HC DESTROY C/TH FACET JNT ADDL,64634,CPT,,,,BOTH, , ,851.55,715.3,783.43,92,,Percent of Total Billed Charges,711.9,,783.43,92,,Percent of Total Billed Charges,699.12,,783.43,92,,Percent of Total Billed Charges,685.5,,783.43,92,,Percent of Total Billed Charges,711.04,,783.43,92,,Percent of Total Billed Charges,641.22,,783.43,92,,Percent of Total Billed Charges,532.22,,766.4,90,,Percent of Total Billed Charges,424.92,,757.88,89,,Percent of Total Billed Charges,408.74,,701.68,82.4,,Percent of Total Billed Charges,699.97,,710.19,83.4,,Percent of Total Billed Charges,662.51,,710.19,83.4,,Percent of Total Billed Charges,596.94,,710.19,83.4,,Percent of Total Billed Charges,693.16,,766.4,90,,Percent of Total Billed Charges,721.26,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,783.43,92,,Percent of Total Billed Charges,690.61,,783.43,92,,Percent of Total Billed Charges,633.55,,783.43,92,,Percent of Total Billed Charges,666.76,,783.43,92,,Percent of Total Billed Charges,690.61,,664.21,78,,Percent of Total Billed Charges,664.21,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,458.39,53.83,,Percent of Total Billed Charges,430.03,,294.98,34.64,,Percent of Total Billed Charges,293.78,,425.6,49.98,,Percent of Total Billed Charges,321.89,,294.98,783.43,,																																							
HC DESTROY LUMB/SAC FACET JNT,64635,CPT,,,,BOTH, , ,3543.75,2976.75,3260.25,92,,Percent of Total Billed Charges,2962.58,,3260.25,92,,Percent of Total Billed Charges,2909.42,,3260.25,92,,Percent of Total Billed Charges,2852.72,,3260.25,92,,Percent of Total Billed Charges,2959.03,,3260.25,92,,Percent of Total Billed Charges,2668.44,,3260.25,92,,Percent of Total Billed Charges,2214.84,,3189.38,90,,Percent of Total Billed Charges,1768.33,,3153.94,89,,Percent of Total Billed Charges,1701,,2920.05,82.4,,Percent of Total Billed Charges,2912.96,,2955.49,83.4,,Percent of Total Billed Charges,2757.04,,2955.49,83.4,,Percent of Total Billed Charges,2484.17,,2955.49,83.4,,Percent of Total Billed Charges,2884.61,,3189.38,90,,Percent of Total Billed Charges,3001.56,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3260.25,92,,Percent of Total Billed Charges,2873.98,,3260.25,92,,Percent of Total Billed Charges,2636.55,,3260.25,92,,Percent of Total Billed Charges,2774.76,,3260.25,92,,Percent of Total Billed Charges,2873.98,,2764.13,78,,Percent of Total Billed Charges,2764.13,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1907.6,53.83,,Percent of Total Billed Charges,1789.59,,1227.56,34.64,,Percent of Total Billed Charges,1222.59,,1771.17,49.98,,Percent of Total Billed Charges,1339.54,,1227.56,3260.25,,																																							
HC DESTROY L/S FACET JNT ADDL,64636,CPT,,,,BOTH, , ,1726.2,1450.01,1588.1,92,,Percent of Total Billed Charges,1443.1,,1588.1,92,,Percent of Total Billed Charges,1417.21,,1588.1,92,,Percent of Total Billed Charges,1389.59,,1588.1,92,,Percent of Total Billed Charges,1441.38,,1588.1,92,,Percent of Total Billed Charges,1299.83,,1588.1,92,,Percent of Total Billed Charges,1078.88,,1553.58,90,,Percent of Total Billed Charges,861.37,,1536.32,89,,Percent of Total Billed Charges,828.58,,1422.39,82.4,,Percent of Total Billed Charges,1418.94,,1439.65,83.4,,Percent of Total Billed Charges,1342.98,,1439.65,83.4,,Percent of Total Billed Charges,1210.07,,1439.65,83.4,,Percent of Total Billed Charges,1405.13,,1553.58,90,,Percent of Total Billed Charges,1462.09,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1588.1,92,,Percent of Total Billed Charges,1399.95,,1588.1,92,,Percent of Total Billed Charges,1284.29,,1588.1,92,,Percent of Total Billed Charges,1351.61,,1588.1,92,,Percent of Total Billed Charges,1399.95,,1346.44,78,,Percent of Total Billed Charges,1346.44,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,929.21,53.83,,Percent of Total Billed Charges,871.73,,597.96,34.64,,Percent of Total Billed Charges,595.54,,862.75,49.98,,Percent of Total Billed Charges,652.5,,597.96,1588.1,,																																							
HC NEURO DESTR OTHR PERIPH NERVE,64640,CPT,,,,BOTH, , ,2176.65,1828.39,2002.52,92,,Percent of Total Billed Charges,1819.68,,2002.52,92,,Percent of Total Billed Charges,1787.03,,2002.52,92,,Percent of Total Billed Charges,1752.2,,2002.52,92,,Percent of Total Billed Charges,1817.5,,2002.52,92,,Percent of Total Billed Charges,1639.02,,2002.52,92,,Percent of Total Billed Charges,1360.41,,1958.99,90,,Percent of Total Billed Charges,1086.15,,1937.22,89,,Percent of Total Billed Charges,1044.79,,1793.56,82.4,,Percent of Total Billed Charges,1789.21,,1815.33,83.4,,Percent of Total Billed Charges,1693.43,,1815.33,83.4,,Percent of Total Billed Charges,1525.83,,1815.33,83.4,,Percent of Total Billed Charges,1771.79,,1958.99,90,,Percent of Total Billed Charges,1843.62,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2002.52,92,,Percent of Total Billed Charges,1765.26,,2002.52,92,,Percent of Total Billed Charges,1619.43,,2002.52,92,,Percent of Total Billed Charges,1704.32,,2002.52,92,,Percent of Total Billed Charges,1765.26,,1697.79,78,,Percent of Total Billed Charges,1697.79,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1171.69,53.83,,Percent of Total Billed Charges,1099.21,,753.99,34.64,,Percent of Total Billed Charges,750.94,,1087.89,49.98,,Percent of Total Billed Charges,822.77,,753.99,2002.52,,																																							
HC BIER BLOCK,64999,CPT,,,,BOTH, , ,374.85,314.87,344.86,92,,Percent of Total Billed Charges,313.37,,344.86,92,,Percent of Total Billed Charges,307.75,,344.86,92,,Percent of Total Billed Charges,301.75,,344.86,92,,Percent of Total Billed Charges,313,,344.86,92,,Percent of Total Billed Charges,282.26,,344.86,92,,Percent of Total Billed Charges,234.28,,337.37,90,,Percent of Total Billed Charges,187.05,,333.62,89,,Percent of Total Billed Charges,179.93,,308.88,82.4,,Percent of Total Billed Charges,308.13,,312.62,83.4,,Percent of Total Billed Charges,291.63,,312.62,83.4,,Percent of Total Billed Charges,262.77,,312.62,83.4,,Percent of Total Billed Charges,305.13,,337.37,90,,Percent of Total Billed Charges,317.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,344.86,92,,Percent of Total Billed Charges,304,,344.86,92,,Percent of Total Billed Charges,278.89,,344.86,92,,Percent of Total Billed Charges,293.51,,344.86,92,,Percent of Total Billed Charges,304,,292.38,78,,Percent of Total Billed Charges,292.38,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,201.78,53.83,,Percent of Total Billed Charges,189.3,,129.85,34.64,,Percent of Total Billed Charges,129.32,,187.35,49.98,,Percent of Total Billed Charges,141.69,,129.85,344.86,,																																							
HC NJX INTERLAMINAR CRV/THRC,62320,CPT,,,,BOTH, , ,2516.85,2114.15,2315.5,92,,Percent of Total Billed Charges,2104.09,,2315.5,92,,Percent of Total Billed Charges,2066.33,,2315.5,92,,Percent of Total Billed Charges,2026.06,,2315.5,92,,Percent of Total Billed Charges,2101.57,,2315.5,92,,Percent of Total Billed Charges,1895.19,,2315.5,92,,Percent of Total Billed Charges,1573.03,,2265.17,90,,Percent of Total Billed Charges,1255.91,,2240,89,,Percent of Total Billed Charges,1208.09,,2073.88,82.4,,Percent of Total Billed Charges,2068.85,,2099.05,83.4,,Percent of Total Billed Charges,1958.11,,2099.05,83.4,,Percent of Total Billed Charges,1764.31,,2099.05,83.4,,Percent of Total Billed Charges,2048.72,,2265.17,90,,Percent of Total Billed Charges,2131.77,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2315.5,92,,Percent of Total Billed Charges,2041.17,,2315.5,92,,Percent of Total Billed Charges,1872.54,,2315.5,92,,Percent of Total Billed Charges,1970.69,,2315.5,92,,Percent of Total Billed Charges,2041.17,,1963.14,78,,Percent of Total Billed Charges,1963.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1354.82,53.83,,Percent of Total Billed Charges,1271.01,,871.84,34.64,,Percent of Total Billed Charges,868.31,,1257.92,49.98,,Percent of Total Billed Charges,951.37,,871.84,2315.5,,																																							
HC NJX INTERLAMINAR LMBR/SAC,62322,CPT,,,,BOTH, , ,2516.85,2114.15,2315.5,92,,Percent of Total Billed Charges,2104.09,,2315.5,92,,Percent of Total Billed Charges,2066.33,,2315.5,92,,Percent of Total Billed Charges,2026.06,,2315.5,92,,Percent of Total Billed Charges,2101.57,,2315.5,92,,Percent of Total Billed Charges,1895.19,,2315.5,92,,Percent of Total Billed Charges,1573.03,,2265.17,90,,Percent of Total Billed Charges,1255.91,,2240,89,,Percent of Total Billed Charges,1208.09,,2073.88,82.4,,Percent of Total Billed Charges,2068.85,,2099.05,83.4,,Percent of Total Billed Charges,1958.11,,2099.05,83.4,,Percent of Total Billed Charges,1764.31,,2099.05,83.4,,Percent of Total Billed Charges,2048.72,,2265.17,90,,Percent of Total Billed Charges,2131.77,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2315.5,92,,Percent of Total Billed Charges,2041.17,,2315.5,92,,Percent of Total Billed Charges,1872.54,,2315.5,92,,Percent of Total Billed Charges,1970.69,,2315.5,92,,Percent of Total Billed Charges,2041.17,,1963.14,78,,Percent of Total Billed Charges,1963.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1354.82,53.83,,Percent of Total Billed Charges,1271.01,,871.84,34.64,,Percent of Total Billed Charges,868.31,,1257.92,49.98,,Percent of Total Billed Charges,951.37,,871.84,2315.5,,																																							
HC BRNCHSC W/TRACHEAL/BRONCHIAL DILAT/CLSD RDCTJ FX,31630,CPT,,,,BOTH, , ,11021.85,9258.35,10140.1,92,,Percent of Total Billed Charges,9214.27,,10140.1,92,,Percent of Total Billed Charges,9048.94,,10140.1,92,,Percent of Total Billed Charges,8872.59,,10140.1,92,,Percent of Total Billed Charges,9203.24,,10140.1,92,,Percent of Total Billed Charges,8299.45,,10140.1,92,,Percent of Total Billed Charges,6888.66,,9919.67,90,,Percent of Total Billed Charges,5499.9,,9809.45,89,,Percent of Total Billed Charges,5290.49,,9082,82.4,,Percent of Total Billed Charges,9059.96,,9192.22,83.4,,Percent of Total Billed Charges,8575,,9192.22,83.4,,Percent of Total Billed Charges,7726.32,,9192.22,83.4,,Percent of Total Billed Charges,8971.79,,9919.67,90,,Percent of Total Billed Charges,9335.51,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,10140.1,92,,Percent of Total Billed Charges,8938.72,,10140.1,92,,Percent of Total Billed Charges,8200.26,,10140.1,92,,Percent of Total Billed Charges,8630.11,,10140.1,92,,Percent of Total Billed Charges,8938.72,,8597.04,78,,Percent of Total Billed Charges,8597.04,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5933.06,53.83,,Percent of Total Billed Charges,5566.03,,3817.97,34.64,,Percent of Total Billed Charges,3802.54,,5508.72,49.98,,Percent of Total Billed Charges,4166.26,,3817.97,10140.1,,																																							
HC BRONCHOSCOPIC THERMOPLASTY ONE LOBE,31660,CPT,,,,BOTH, , ,1978.2,1661.69,1819.94,92,,Percent of Total Billed Charges,1653.78,,1819.94,92,,Percent of Total Billed Charges,1624.1,,1819.94,92,,Percent of Total Billed Charges,1592.45,,1819.94,92,,Percent of Total Billed Charges,1651.8,,1819.94,92,,Percent of Total Billed Charges,1489.58,,1819.94,92,,Percent of Total Billed Charges,1236.38,,1780.38,90,,Percent of Total Billed Charges,987.12,,1760.6,89,,Percent of Total Billed Charges,949.54,,1630.04,82.4,,Percent of Total Billed Charges,1626.08,,1649.82,83.4,,Percent of Total Billed Charges,1539.04,,1649.82,83.4,,Percent of Total Billed Charges,1386.72,,1649.82,83.4,,Percent of Total Billed Charges,1610.25,,1780.38,90,,Percent of Total Billed Charges,1675.54,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1819.94,92,,Percent of Total Billed Charges,1604.32,,1819.94,92,,Percent of Total Billed Charges,1471.78,,1819.94,92,,Percent of Total Billed Charges,1548.93,,1819.94,92,,Percent of Total Billed Charges,1604.32,,1543,78,,Percent of Total Billed Charges,1543,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1064.87,53.83,,Percent of Total Billed Charges,998.99,,685.25,34.64,,Percent of Total Billed Charges,682.48,,988.7,49.98,,Percent of Total Billed Charges,747.76,,685.25,1819.94,,																																							
HC NONSELECTIVE DEBRIDEMENT,97602,CPT,,,,BOTH, , ,541.8,455.11,498.46,92,,Percent of Total Billed Charges,452.94,,498.46,92,,Percent of Total Billed Charges,444.82,,498.46,92,,Percent of Total Billed Charges,436.15,,498.46,92,,Percent of Total Billed Charges,452.4,,498.46,92,,Percent of Total Billed Charges,407.98,,498.46,92,,Percent of Total Billed Charges,338.63,,487.62,90,,Percent of Total Billed Charges,270.36,,482.2,89,,Percent of Total Billed Charges,260.06,,446.44,82.4,,Percent of Total Billed Charges,445.36,,451.86,83.4,,Percent of Total Billed Charges,421.52,,451.86,83.4,,Percent of Total Billed Charges,379.8,,451.86,83.4,,Percent of Total Billed Charges,441.03,,487.62,90,,Percent of Total Billed Charges,458.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,498.46,92,,Percent of Total Billed Charges,439.4,,498.46,92,,Percent of Total Billed Charges,403.1,,498.46,92,,Percent of Total Billed Charges,424.23,,498.46,92,,Percent of Total Billed Charges,439.4,,422.6,78,,Percent of Total Billed Charges,422.6,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,291.65,53.83,,Percent of Total Billed Charges,273.61,,187.68,34.64,,Percent of Total Billed Charges,186.92,,270.79,49.98,,Percent of Total Billed Charges,204.8,,187.68,498.46,,																																							
HC NEGATIVE PRESSURE <= 50 SQ CM,97605,CPT,,,,BOTH, , ,541.8,455.11,498.46,92,,Percent of Total Billed Charges,452.94,,498.46,92,,Percent of Total Billed Charges,444.82,,498.46,92,,Percent of Total Billed Charges,436.15,,498.46,92,,Percent of Total Billed Charges,452.4,,498.46,92,,Percent of Total Billed Charges,407.98,,498.46,92,,Percent of Total Billed Charges,338.63,,487.62,90,,Percent of Total Billed Charges,270.36,,482.2,89,,Percent of Total Billed Charges,260.06,,446.44,82.4,,Percent of Total Billed Charges,445.36,,451.86,83.4,,Percent of Total Billed Charges,421.52,,451.86,83.4,,Percent of Total Billed Charges,379.8,,451.86,83.4,,Percent of Total Billed Charges,441.03,,487.62,90,,Percent of Total Billed Charges,458.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,498.46,92,,Percent of Total Billed Charges,439.4,,498.46,92,,Percent of Total Billed Charges,403.1,,498.46,92,,Percent of Total Billed Charges,424.23,,498.46,92,,Percent of Total Billed Charges,439.4,,422.6,78,,Percent of Total Billed Charges,422.6,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,291.65,53.83,,Percent of Total Billed Charges,273.61,,187.68,34.64,,Percent of Total Billed Charges,186.92,,270.79,49.98,,Percent of Total Billed Charges,204.8,,187.68,498.46,,																																							
HC NEGATIVE PRESSURE > 50 SQ CM,97606,CPT,,,,BOTH, , ,95.55,80.26,87.91,92,,Percent of Total Billed Charges,79.88,,87.91,92,,Percent of Total Billed Charges,78.45,,87.91,92,,Percent of Total Billed Charges,76.92,,87.91,92,,Percent of Total Billed Charges,79.78,,87.91,92,,Percent of Total Billed Charges,71.95,,87.91,92,,Percent of Total Billed Charges,59.72,,86,90,,Percent of Total Billed Charges,47.68,,85.04,89,,Percent of Total Billed Charges,45.86,,78.73,82.4,,Percent of Total Billed Charges,78.54,,79.69,83.4,,Percent of Total Billed Charges,74.34,,79.69,83.4,,Percent of Total Billed Charges,66.98,,79.69,83.4,,Percent of Total Billed Charges,77.78,,86,90,,Percent of Total Billed Charges,80.93,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,87.91,92,,Percent of Total Billed Charges,77.49,,87.91,92,,Percent of Total Billed Charges,71.09,,87.91,92,,Percent of Total Billed Charges,74.82,,87.91,92,,Percent of Total Billed Charges,77.49,,74.53,78,,Percent of Total Billed Charges,74.53,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,51.43,53.83,,Percent of Total Billed Charges,48.25,,33.1,34.64,,Percent of Total Billed Charges,32.96,,47.76,49.98,,Percent of Total Billed Charges,36.12,,33.10,87.91,,																																							
HC OFFICE O/P NEW SF 15 TO 29 MIN,99202,CPT,,,,BOTH, , ,223.65,187.87,205.76,92,,Percent of Total Billed Charges,186.97,,205.76,92,,Percent of Total Billed Charges,183.62,,205.76,92,,Percent of Total Billed Charges,180.04,,205.76,92,,Percent of Total Billed Charges,186.75,,205.76,92,,Percent of Total Billed Charges,168.41,,205.76,92,,Percent of Total Billed Charges,139.78,,201.29,90,,Percent of Total Billed Charges,111.6,,199.05,89,,Percent of Total Billed Charges,107.35,,184.29,82.4,,Percent of Total Billed Charges,183.84,,186.52,83.4,,Percent of Total Billed Charges,174,,186.52,83.4,,Percent of Total Billed Charges,156.78,,186.52,83.4,,Percent of Total Billed Charges,182.05,,201.29,90,,Percent of Total Billed Charges,189.43,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,205.76,92,,Percent of Total Billed Charges,181.38,,205.76,92,,Percent of Total Billed Charges,166.4,,205.76,92,,Percent of Total Billed Charges,175.12,,205.76,92,,Percent of Total Billed Charges,181.38,,174.45,78,,Percent of Total Billed Charges,174.45,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,120.39,53.83,,Percent of Total Billed Charges,112.94,,77.47,34.64,,Percent of Total Billed Charges,77.16,,111.78,49.98,,Percent of Total Billed Charges,84.54,,77.47,205.76,,																																							
HC OFFICE O/P NEW SF 3044 MIN,99203,CPT,,,,BOTH, , ,267.75,224.91,246.33,92,,Percent of Total Billed Charges,223.84,,246.33,92,,Percent of Total Billed Charges,219.82,,246.33,92,,Percent of Total Billed Charges,215.54,,246.33,92,,Percent of Total Billed Charges,223.57,,246.33,92,,Percent of Total Billed Charges,201.62,,246.33,92,,Percent of Total Billed Charges,167.34,,240.98,90,,Percent of Total Billed Charges,133.61,,238.3,89,,Percent of Total Billed Charges,128.52,,220.63,82.4,,Percent of Total Billed Charges,220.09,,223.3,83.4,,Percent of Total Billed Charges,208.31,,223.3,83.4,,Percent of Total Billed Charges,187.69,,223.3,83.4,,Percent of Total Billed Charges,217.95,,240.98,90,,Percent of Total Billed Charges,226.78,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,246.33,92,,Percent of Total Billed Charges,217.15,,246.33,92,,Percent of Total Billed Charges,199.21,,246.33,92,,Percent of Total Billed Charges,209.65,,246.33,92,,Percent of Total Billed Charges,217.15,,208.85,78,,Percent of Total Billed Charges,208.85,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,144.13,53.83,,Percent of Total Billed Charges,135.21,,92.75,34.64,,Percent of Total Billed Charges,92.37,,133.82,49.98,,Percent of Total Billed Charges,101.21,,92.75,246.33,,																																							
HC OFFICE O/P NEW SF 4559 MIN,99204,CPT,,,,BOTH, , ,313.95,263.72,288.83,92,,Percent of Total Billed Charges,262.46,,288.83,92,,Percent of Total Billed Charges,257.75,,288.83,92,,Percent of Total Billed Charges,252.73,,288.83,92,,Percent of Total Billed Charges,262.15,,288.83,92,,Percent of Total Billed Charges,236.4,,288.83,92,,Percent of Total Billed Charges,196.22,,282.56,90,,Percent of Total Billed Charges,156.66,,279.42,89,,Percent of Total Billed Charges,150.7,,258.69,82.4,,Percent of Total Billed Charges,258.07,,261.83,83.4,,Percent of Total Billed Charges,244.25,,261.83,83.4,,Percent of Total Billed Charges,220.08,,261.83,83.4,,Percent of Total Billed Charges,255.56,,282.56,90,,Percent of Total Billed Charges,265.92,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,288.83,92,,Percent of Total Billed Charges,254.61,,288.83,92,,Percent of Total Billed Charges,233.58,,288.83,92,,Percent of Total Billed Charges,245.82,,288.83,92,,Percent of Total Billed Charges,254.61,,244.88,78,,Percent of Total Billed Charges,244.88,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,169,53.83,,Percent of Total Billed Charges,158.54,,108.75,34.64,,Percent of Total Billed Charges,108.31,,156.91,49.98,,Percent of Total Billed Charges,118.67,,108.75,288.83,,																																							
HC OFFICE O/P NEW SF 6074 MIN,99205,CPT,,,,BOTH, , ,359.1,301.64,330.37,92,,Percent of Total Billed Charges,300.21,,330.37,92,,Percent of Total Billed Charges,294.82,,330.37,92,,Percent of Total Billed Charges,289.08,,330.37,92,,Percent of Total Billed Charges,299.85,,330.37,92,,Percent of Total Billed Charges,270.4,,330.37,92,,Percent of Total Billed Charges,224.44,,323.19,90,,Percent of Total Billed Charges,179.19,,319.6,89,,Percent of Total Billed Charges,172.37,,295.9,82.4,,Percent of Total Billed Charges,295.18,,299.49,83.4,,Percent of Total Billed Charges,279.38,,299.49,83.4,,Percent of Total Billed Charges,251.73,,299.49,83.4,,Percent of Total Billed Charges,292.31,,323.19,90,,Percent of Total Billed Charges,304.16,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,330.37,92,,Percent of Total Billed Charges,291.23,,330.37,92,,Percent of Total Billed Charges,267.17,,330.37,92,,Percent of Total Billed Charges,281.18,,330.37,92,,Percent of Total Billed Charges,291.23,,280.1,78,,Percent of Total Billed Charges,280.1,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,193.3,53.83,,Percent of Total Billed Charges,181.35,,124.39,34.64,,Percent of Total Billed Charges,123.89,,179.48,49.98,,Percent of Total Billed Charges,135.74,,124.39,330.37,,																																							
HC OFFICE O/P EST MINIMAL PROB,99211,CPT,,,,BOTH, , ,162.75,136.71,149.73,92,,Percent of Total Billed Charges,136.06,,149.73,92,,Percent of Total Billed Charges,133.62,,149.73,92,,Percent of Total Billed Charges,131.01,,149.73,92,,Percent of Total Billed Charges,135.9,,149.73,92,,Percent of Total Billed Charges,122.55,,149.73,92,,Percent of Total Billed Charges,101.72,,146.48,90,,Percent of Total Billed Charges,81.21,,144.85,89,,Percent of Total Billed Charges,78.12,,134.11,82.4,,Percent of Total Billed Charges,133.78,,135.73,83.4,,Percent of Total Billed Charges,126.62,,135.73,83.4,,Percent of Total Billed Charges,114.09,,135.73,83.4,,Percent of Total Billed Charges,132.48,,146.48,90,,Percent of Total Billed Charges,137.85,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,149.73,92,,Percent of Total Billed Charges,131.99,,149.73,92,,Percent of Total Billed Charges,121.09,,149.73,92,,Percent of Total Billed Charges,127.43,,149.73,92,,Percent of Total Billed Charges,131.99,,126.95,78,,Percent of Total Billed Charges,126.95,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,87.61,53.83,,Percent of Total Billed Charges,82.19,,56.38,34.64,,Percent of Total Billed Charges,56.15,,81.34,49.98,,Percent of Total Billed Charges,61.52,,56.38,149.73,,																																							
HC OFFICE O/P EST SF 1019 MIN,99212,CPT,,,,BOTH, , ,222.6,186.98,204.79,92,,Percent of Total Billed Charges,186.09,,204.79,92,,Percent of Total Billed Charges,182.75,,204.79,92,,Percent of Total Billed Charges,179.19,,204.79,92,,Percent of Total Billed Charges,185.87,,204.79,92,,Percent of Total Billed Charges,167.62,,204.79,92,,Percent of Total Billed Charges,139.13,,200.34,90,,Percent of Total Billed Charges,111.08,,198.11,89,,Percent of Total Billed Charges,106.85,,183.42,82.4,,Percent of Total Billed Charges,182.98,,185.65,83.4,,Percent of Total Billed Charges,173.18,,185.65,83.4,,Percent of Total Billed Charges,156.04,,185.65,83.4,,Percent of Total Billed Charges,181.2,,200.34,90,,Percent of Total Billed Charges,188.54,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,204.79,92,,Percent of Total Billed Charges,180.53,,204.79,92,,Percent of Total Billed Charges,165.61,,204.79,92,,Percent of Total Billed Charges,174.3,,204.79,92,,Percent of Total Billed Charges,180.53,,173.63,78,,Percent of Total Billed Charges,173.63,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,119.83,53.83,,Percent of Total Billed Charges,112.41,,77.11,34.64,,Percent of Total Billed Charges,76.8,,111.26,49.98,,Percent of Total Billed Charges,84.14,,77.11,204.79,,																																							
HC OFFICE O/P EST LOW 2029 MIN,99213,CPT,,,,BOTH, , ,267.75,224.91,246.33,92,,Percent of Total Billed Charges,223.84,,246.33,92,,Percent of Total Billed Charges,219.82,,246.33,92,,Percent of Total Billed Charges,215.54,,246.33,92,,Percent of Total Billed Charges,223.57,,246.33,92,,Percent of Total Billed Charges,201.62,,246.33,92,,Percent of Total Billed Charges,167.34,,240.98,90,,Percent of Total Billed Charges,133.61,,238.3,89,,Percent of Total Billed Charges,128.52,,220.63,82.4,,Percent of Total Billed Charges,220.09,,223.3,83.4,,Percent of Total Billed Charges,208.31,,223.3,83.4,,Percent of Total Billed Charges,187.69,,223.3,83.4,,Percent of Total Billed Charges,217.95,,240.98,90,,Percent of Total Billed Charges,226.78,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,246.33,92,,Percent of Total Billed Charges,217.15,,246.33,92,,Percent of Total Billed Charges,199.21,,246.33,92,,Percent of Total Billed Charges,209.65,,246.33,92,,Percent of Total Billed Charges,217.15,,208.85,78,,Percent of Total Billed Charges,208.85,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,144.13,53.83,,Percent of Total Billed Charges,135.21,,92.75,34.64,,Percent of Total Billed Charges,92.37,,133.82,49.98,,Percent of Total Billed Charges,101.21,,92.75,246.33,,																																							
HC OFFICE O/P EST MOD 3039 MIN,99214,CPT,,,,BOTH, , ,313.95,263.72,288.83,92,,Percent of Total Billed Charges,262.46,,288.83,92,,Percent of Total Billed Charges,257.75,,288.83,92,,Percent of Total Billed Charges,252.73,,288.83,92,,Percent of Total Billed Charges,262.15,,288.83,92,,Percent of Total Billed Charges,236.4,,288.83,92,,Percent of Total Billed Charges,196.22,,282.56,90,,Percent of Total Billed Charges,156.66,,279.42,89,,Percent of Total Billed Charges,150.7,,258.69,82.4,,Percent of Total Billed Charges,258.07,,261.83,83.4,,Percent of Total Billed Charges,244.25,,261.83,83.4,,Percent of Total Billed Charges,220.08,,261.83,83.4,,Percent of Total Billed Charges,255.56,,282.56,90,,Percent of Total Billed Charges,265.92,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,288.83,92,,Percent of Total Billed Charges,254.61,,288.83,92,,Percent of Total Billed Charges,233.58,,288.83,92,,Percent of Total Billed Charges,245.82,,288.83,92,,Percent of Total Billed Charges,254.61,,244.88,78,,Percent of Total Billed Charges,244.88,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,169,53.83,,Percent of Total Billed Charges,158.54,,108.75,34.64,,Percent of Total Billed Charges,108.31,,156.91,49.98,,Percent of Total Billed Charges,118.67,,108.75,288.83,,																																							
HC OFFICE O/P EST HI 4054 MIN,99215,CPT,,,,BOTH, , ,359.1,301.64,330.37,92,,Percent of Total Billed Charges,300.21,,330.37,92,,Percent of Total Billed Charges,294.82,,330.37,92,,Percent of Total Billed Charges,289.08,,330.37,92,,Percent of Total Billed Charges,299.85,,330.37,92,,Percent of Total Billed Charges,270.4,,330.37,92,,Percent of Total Billed Charges,224.44,,323.19,90,,Percent of Total Billed Charges,179.19,,319.6,89,,Percent of Total Billed Charges,172.37,,295.9,82.4,,Percent of Total Billed Charges,295.18,,299.49,83.4,,Percent of Total Billed Charges,279.38,,299.49,83.4,,Percent of Total Billed Charges,251.73,,299.49,83.4,,Percent of Total Billed Charges,292.31,,323.19,90,,Percent of Total Billed Charges,304.16,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,330.37,92,,Percent of Total Billed Charges,291.23,,330.37,92,,Percent of Total Billed Charges,267.17,,330.37,92,,Percent of Total Billed Charges,281.18,,330.37,92,,Percent of Total Billed Charges,291.23,,280.1,78,,Percent of Total Billed Charges,280.1,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,193.3,53.83,,Percent of Total Billed Charges,181.35,,124.39,34.64,,Percent of Total Billed Charges,123.89,,179.48,49.98,,Percent of Total Billed Charges,135.74,,124.39,330.37,,																																							
HC OFFICE CONSULTATION NEW/ESTAB PATIENT 30 MIN,99242,CPT,,,,BOTH, , ,542.85,455.99,499.42,92,,Percent of Total Billed Charges,453.82,,499.42,92,,Percent of Total Billed Charges,445.68,,499.42,92,,Percent of Total Billed Charges,436.99,,499.42,92,,Percent of Total Billed Charges,453.28,,499.42,92,,Percent of Total Billed Charges,408.77,,499.42,92,,Percent of Total Billed Charges,339.28,,488.57,90,,Percent of Total Billed Charges,270.88,,483.14,89,,Percent of Total Billed Charges,260.57,,447.31,82.4,,Percent of Total Billed Charges,446.22,,452.74,83.4,,Percent of Total Billed Charges,422.34,,452.74,83.4,,Percent of Total Billed Charges,380.54,,452.74,83.4,,Percent of Total Billed Charges,441.88,,488.57,90,,Percent of Total Billed Charges,459.79,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,499.42,92,,Percent of Total Billed Charges,440.25,,499.42,92,,Percent of Total Billed Charges,403.88,,499.42,92,,Percent of Total Billed Charges,425.05,,499.42,92,,Percent of Total Billed Charges,440.25,,423.42,78,,Percent of Total Billed Charges,423.42,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,292.22,53.83,,Percent of Total Billed Charges,274.14,,188.04,34.64,,Percent of Total Billed Charges,187.28,,271.32,49.98,,Percent of Total Billed Charges,205.2,,188.04,499.42,,																																							
HC OFFICE O/P EST LOW 2029 MIN,99213,CPT,,,,BOTH, , ,267.75,224.91,246.33,92,,Percent of Total Billed Charges,223.84,,246.33,92,,Percent of Total Billed Charges,219.82,,246.33,92,,Percent of Total Billed Charges,215.54,,246.33,92,,Percent of Total Billed Charges,223.57,,246.33,92,,Percent of Total Billed Charges,201.62,,246.33,92,,Percent of Total Billed Charges,167.34,,240.98,90,,Percent of Total Billed Charges,133.61,,238.3,89,,Percent of Total Billed Charges,128.52,,220.63,82.4,,Percent of Total Billed Charges,220.09,,223.3,83.4,,Percent of Total Billed Charges,208.31,,223.3,83.4,,Percent of Total Billed Charges,187.69,,223.3,83.4,,Percent of Total Billed Charges,217.95,,240.98,90,,Percent of Total Billed Charges,226.78,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,246.33,92,,Percent of Total Billed Charges,217.15,,246.33,92,,Percent of Total Billed Charges,199.21,,246.33,92,,Percent of Total Billed Charges,209.65,,246.33,92,,Percent of Total Billed Charges,217.15,,208.85,78,,Percent of Total Billed Charges,208.85,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,144.13,53.83,,Percent of Total Billed Charges,135.21,,92.75,34.64,,Percent of Total Billed Charges,92.37,,133.82,49.98,,Percent of Total Billed Charges,101.21,,92.75,246.33,,																																							
HC PROLNG E/M SVC BEFORE&/AFTER DIR PT CARE 1ST HR,99358,CPT,,,,BOTH, , ,505.05,424.24,464.65,92,,Percent of Total Billed Charges,422.22,,464.65,92,,Percent of Total Billed Charges,414.65,,464.65,92,,Percent of Total Billed Charges,406.57,,464.65,92,,Percent of Total Billed Charges,421.72,,464.65,92,,Percent of Total Billed Charges,380.3,,464.65,92,,Percent of Total Billed Charges,315.66,,454.55,90,,Percent of Total Billed Charges,252.02,,449.49,89,,Percent of Total Billed Charges,242.42,,416.16,82.4,,Percent of Total Billed Charges,415.15,,421.21,83.4,,Percent of Total Billed Charges,392.93,,421.21,83.4,,Percent of Total Billed Charges,354.04,,421.21,83.4,,Percent of Total Billed Charges,411.11,,454.55,90,,Percent of Total Billed Charges,427.78,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,464.65,92,,Percent of Total Billed Charges,409.6,,464.65,92,,Percent of Total Billed Charges,375.76,,464.65,92,,Percent of Total Billed Charges,395.45,,464.65,92,,Percent of Total Billed Charges,409.6,,393.94,78,,Percent of Total Billed Charges,393.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,271.87,53.83,,Percent of Total Billed Charges,255.05,,174.95,34.64,,Percent of Total Billed Charges,174.24,,252.42,49.98,,Percent of Total Billed Charges,190.91,,174.95,464.65,,																																							
HC PROLNG E/M BEFORE&/AFTER DIR CARE EA 30 MINUTES,99359,CPT,,,,BOTH, , ,243.6,204.62,224.11,92,,Percent of Total Billed Charges,203.65,,224.11,92,,Percent of Total Billed Charges,200,,224.11,92,,Percent of Total Billed Charges,196.1,,224.11,92,,Percent of Total Billed Charges,203.41,,224.11,92,,Percent of Total Billed Charges,183.43,,224.11,92,,Percent of Total Billed Charges,152.25,,219.24,90,,Percent of Total Billed Charges,121.56,,216.8,89,,Percent of Total Billed Charges,116.93,,200.73,82.4,,Percent of Total Billed Charges,200.24,,203.16,83.4,,Percent of Total Billed Charges,189.52,,203.16,83.4,,Percent of Total Billed Charges,170.76,,203.16,83.4,,Percent of Total Billed Charges,198.29,,219.24,90,,Percent of Total Billed Charges,206.33,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,224.11,92,,Percent of Total Billed Charges,197.56,,224.11,92,,Percent of Total Billed Charges,181.24,,224.11,92,,Percent of Total Billed Charges,190.74,,224.11,92,,Percent of Total Billed Charges,197.56,,190.01,78,,Percent of Total Billed Charges,190.01,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,131.13,53.83,,Percent of Total Billed Charges,123.02,,84.38,34.64,,Percent of Total Billed Charges,84.04,,121.75,49.98,,Percent of Total Billed Charges,92.08,,84.38,224.11,,																																							
HC ADVANCE CARE PLANNING FIRST 30 MINS,99497,CPT,,,,BOTH, , ,384.3,322.81,353.56,92,,Percent of Total Billed Charges,321.27,,353.56,92,,Percent of Total Billed Charges,315.51,,353.56,92,,Percent of Total Billed Charges,309.36,,353.56,92,,Percent of Total Billed Charges,320.89,,353.56,92,,Percent of Total Billed Charges,289.38,,353.56,92,,Percent of Total Billed Charges,240.19,,345.87,90,,Percent of Total Billed Charges,191.77,,342.03,89,,Percent of Total Billed Charges,184.46,,316.66,82.4,,Percent of Total Billed Charges,315.89,,320.51,83.4,,Percent of Total Billed Charges,298.99,,320.51,83.4,,Percent of Total Billed Charges,269.39,,320.51,83.4,,Percent of Total Billed Charges,312.82,,345.87,90,,Percent of Total Billed Charges,325.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,353.56,92,,Percent of Total Billed Charges,311.67,,353.56,92,,Percent of Total Billed Charges,285.92,,353.56,92,,Percent of Total Billed Charges,300.91,,353.56,92,,Percent of Total Billed Charges,311.67,,299.75,78,,Percent of Total Billed Charges,299.75,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,206.87,53.83,,Percent of Total Billed Charges,194.07,,133.12,34.64,,Percent of Total Billed Charges,132.58,,192.07,49.98,,Percent of Total Billed Charges,145.27,,133.12,353.56,,																																							
HC ADVANCE CARE PLANNING EA ADDL 30 MINS,99498,CPT,,,,BOTH, , ,339.15,284.89,312.02,92,,Percent of Total Billed Charges,283.53,,312.02,92,,Percent of Total Billed Charges,278.44,,312.02,92,,Percent of Total Billed Charges,273.02,,312.02,92,,Percent of Total Billed Charges,283.19,,312.02,92,,Percent of Total Billed Charges,255.38,,312.02,92,,Percent of Total Billed Charges,211.97,,305.24,90,,Percent of Total Billed Charges,169.24,,301.84,89,,Percent of Total Billed Charges,162.79,,279.46,82.4,,Percent of Total Billed Charges,278.78,,282.85,83.4,,Percent of Total Billed Charges,263.86,,282.85,83.4,,Percent of Total Billed Charges,237.74,,282.85,83.4,,Percent of Total Billed Charges,276.07,,305.24,90,,Percent of Total Billed Charges,287.26,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,312.02,92,,Percent of Total Billed Charges,275.05,,312.02,92,,Percent of Total Billed Charges,252.33,,312.02,92,,Percent of Total Billed Charges,265.55,,312.02,92,,Percent of Total Billed Charges,275.05,,264.54,78,,Percent of Total Billed Charges,264.54,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,182.56,53.83,,Percent of Total Billed Charges,171.27,,117.48,34.64,,Percent of Total Billed Charges,117.01,,169.51,49.98,,Percent of Total Billed Charges,128.2,,117.48,312.02,,																																							
HC OFFICE O/P NEW SF 1529 MIN (TELEMED),99202,CPT,,,,BOTH, , ,223.65,187.87,205.76,92,,Percent of Total Billed Charges,186.97,,205.76,92,,Percent of Total Billed Charges,183.62,,205.76,92,,Percent of Total Billed Charges,180.04,,205.76,92,,Percent of Total Billed Charges,186.75,,205.76,92,,Percent of Total Billed Charges,168.41,,205.76,92,,Percent of Total Billed Charges,139.78,,201.29,90,,Percent of Total Billed Charges,111.6,,199.05,89,,Percent of Total Billed Charges,107.35,,184.29,82.4,,Percent of Total Billed Charges,183.84,,186.52,83.4,,Percent of Total Billed Charges,174,,186.52,83.4,,Percent of Total Billed Charges,156.78,,186.52,83.4,,Percent of Total Billed Charges,182.05,,201.29,90,,Percent of Total Billed Charges,189.43,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,205.76,92,,Percent of Total Billed Charges,181.38,,205.76,92,,Percent of Total Billed Charges,166.4,,205.76,92,,Percent of Total Billed Charges,175.12,,205.76,92,,Percent of Total Billed Charges,181.38,,174.45,78,,Percent of Total Billed Charges,174.45,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,120.39,53.83,,Percent of Total Billed Charges,112.94,,77.47,34.64,,Percent of Total Billed Charges,77.16,,111.78,49.98,,Percent of Total Billed Charges,84.54,,77.47,205.76,,																																							
HC OFFICE O/P NEW SF 3044 MIN (TELEMED),99203,CPT,,,,BOTH, , ,267.75,224.91,246.33,92,,Percent of Total Billed Charges,223.84,,246.33,92,,Percent of Total Billed Charges,219.82,,246.33,92,,Percent of Total Billed Charges,215.54,,246.33,92,,Percent of Total Billed Charges,223.57,,246.33,92,,Percent of Total Billed Charges,201.62,,246.33,92,,Percent of Total Billed Charges,167.34,,240.98,90,,Percent of Total Billed Charges,133.61,,238.3,89,,Percent of Total Billed Charges,128.52,,220.63,82.4,,Percent of Total Billed Charges,220.09,,223.3,83.4,,Percent of Total Billed Charges,208.31,,223.3,83.4,,Percent of Total Billed Charges,187.69,,223.3,83.4,,Percent of Total Billed Charges,217.95,,240.98,90,,Percent of Total Billed Charges,226.78,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,246.33,92,,Percent of Total Billed Charges,217.15,,246.33,92,,Percent of Total Billed Charges,199.21,,246.33,92,,Percent of Total Billed Charges,209.65,,246.33,92,,Percent of Total Billed Charges,217.15,,208.85,78,,Percent of Total Billed Charges,208.85,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,144.13,53.83,,Percent of Total Billed Charges,135.21,,92.75,34.64,,Percent of Total Billed Charges,92.37,,133.82,49.98,,Percent of Total Billed Charges,101.21,,92.75,246.33,,																																							
HC OFFICE O/P NEW SF 4559 MIN (TELEMED),99204,CPT,,,,BOTH, , ,313.95,263.72,288.83,92,,Percent of Total Billed Charges,262.46,,288.83,92,,Percent of Total Billed Charges,257.75,,288.83,92,,Percent of Total Billed Charges,252.73,,288.83,92,,Percent of Total Billed Charges,262.15,,288.83,92,,Percent of Total Billed Charges,236.4,,288.83,92,,Percent of Total Billed Charges,196.22,,282.56,90,,Percent of Total Billed Charges,156.66,,279.42,89,,Percent of Total Billed Charges,150.7,,258.69,82.4,,Percent of Total Billed Charges,258.07,,261.83,83.4,,Percent of Total Billed Charges,244.25,,261.83,83.4,,Percent of Total Billed Charges,220.08,,261.83,83.4,,Percent of Total Billed Charges,255.56,,282.56,90,,Percent of Total Billed Charges,265.92,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,288.83,92,,Percent of Total Billed Charges,254.61,,288.83,92,,Percent of Total Billed Charges,233.58,,288.83,92,,Percent of Total Billed Charges,245.82,,288.83,92,,Percent of Total Billed Charges,254.61,,244.88,78,,Percent of Total Billed Charges,244.88,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,169,53.83,,Percent of Total Billed Charges,158.54,,108.75,34.64,,Percent of Total Billed Charges,108.31,,156.91,49.98,,Percent of Total Billed Charges,118.67,,108.75,288.83,,																																							
HC OFFICE O/P NEW SF 6074 MIN (TELEMED),99205,CPT,,,,BOTH, , ,359.1,301.64,330.37,92,,Percent of Total Billed Charges,300.21,,330.37,92,,Percent of Total Billed Charges,294.82,,330.37,92,,Percent of Total Billed Charges,289.08,,330.37,92,,Percent of Total Billed Charges,299.85,,330.37,92,,Percent of Total Billed Charges,270.4,,330.37,92,,Percent of Total Billed Charges,224.44,,323.19,90,,Percent of Total Billed Charges,179.19,,319.6,89,,Percent of Total Billed Charges,172.37,,295.9,82.4,,Percent of Total Billed Charges,295.18,,299.49,83.4,,Percent of Total Billed Charges,279.38,,299.49,83.4,,Percent of Total Billed Charges,251.73,,299.49,83.4,,Percent of Total Billed Charges,292.31,,323.19,90,,Percent of Total Billed Charges,304.16,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,330.37,92,,Percent of Total Billed Charges,291.23,,330.37,92,,Percent of Total Billed Charges,267.17,,330.37,92,,Percent of Total Billed Charges,281.18,,330.37,92,,Percent of Total Billed Charges,291.23,,280.1,78,,Percent of Total Billed Charges,280.1,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,193.3,53.83,,Percent of Total Billed Charges,181.35,,124.39,34.64,,Percent of Total Billed Charges,123.89,,179.48,49.98,,Percent of Total Billed Charges,135.74,,124.39,330.37,,																																							
HC OFFICE O/P EST MINIMAL PROB (TELEMED),99211,CPT,,,,BOTH, , ,162.75,136.71,149.73,92,,Percent of Total Billed Charges,136.06,,149.73,92,,Percent of Total Billed Charges,133.62,,149.73,92,,Percent of Total Billed Charges,131.01,,149.73,92,,Percent of Total Billed Charges,135.9,,149.73,92,,Percent of Total Billed Charges,122.55,,149.73,92,,Percent of Total Billed Charges,101.72,,146.48,90,,Percent of Total Billed Charges,81.21,,144.85,89,,Percent of Total Billed Charges,78.12,,134.11,82.4,,Percent of Total Billed Charges,133.78,,135.73,83.4,,Percent of Total Billed Charges,126.62,,135.73,83.4,,Percent of Total Billed Charges,114.09,,135.73,83.4,,Percent of Total Billed Charges,132.48,,146.48,90,,Percent of Total Billed Charges,137.85,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,149.73,92,,Percent of Total Billed Charges,131.99,,149.73,92,,Percent of Total Billed Charges,121.09,,149.73,92,,Percent of Total Billed Charges,127.43,,149.73,92,,Percent of Total Billed Charges,131.99,,126.95,78,,Percent of Total Billed Charges,126.95,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,87.61,53.83,,Percent of Total Billed Charges,82.19,,56.38,34.64,,Percent of Total Billed Charges,56.15,,81.34,49.98,,Percent of Total Billed Charges,61.52,,56.38,149.73,,																																							
HC OFFICE O/P EST SF 1019 MIN (TELEMED),99212,CPT,,,,BOTH, , ,222.6,186.98,204.79,92,,Percent of Total Billed Charges,186.09,,204.79,92,,Percent of Total Billed Charges,182.75,,204.79,92,,Percent of Total Billed Charges,179.19,,204.79,92,,Percent of Total Billed Charges,185.87,,204.79,92,,Percent of Total Billed Charges,167.62,,204.79,92,,Percent of Total Billed Charges,139.13,,200.34,90,,Percent of Total Billed Charges,111.08,,198.11,89,,Percent of Total Billed Charges,106.85,,183.42,82.4,,Percent of Total Billed Charges,182.98,,185.65,83.4,,Percent of Total Billed Charges,173.18,,185.65,83.4,,Percent of Total Billed Charges,156.04,,185.65,83.4,,Percent of Total Billed Charges,181.2,,200.34,90,,Percent of Total Billed Charges,188.54,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,204.79,92,,Percent of Total Billed Charges,180.53,,204.79,92,,Percent of Total Billed Charges,165.61,,204.79,92,,Percent of Total Billed Charges,174.3,,204.79,92,,Percent of Total Billed Charges,180.53,,173.63,78,,Percent of Total Billed Charges,173.63,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,119.83,53.83,,Percent of Total Billed Charges,112.41,,77.11,34.64,,Percent of Total Billed Charges,76.8,,111.26,49.98,,Percent of Total Billed Charges,84.14,,77.11,204.79,,																																							
HC OFFICE O/P EST LOW 2029 MIN (TELEMED),99213,CPT,,,,BOTH, , ,267.75,224.91,246.33,92,,Percent of Total Billed Charges,223.84,,246.33,92,,Percent of Total Billed Charges,219.82,,246.33,92,,Percent of Total Billed Charges,215.54,,246.33,92,,Percent of Total Billed Charges,223.57,,246.33,92,,Percent of Total Billed Charges,201.62,,246.33,92,,Percent of Total Billed Charges,167.34,,240.98,90,,Percent of Total Billed Charges,133.61,,238.3,89,,Percent of Total Billed Charges,128.52,,220.63,82.4,,Percent of Total Billed Charges,220.09,,223.3,83.4,,Percent of Total Billed Charges,208.31,,223.3,83.4,,Percent of Total Billed Charges,187.69,,223.3,83.4,,Percent of Total Billed Charges,217.95,,240.98,90,,Percent of Total Billed Charges,226.78,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,246.33,92,,Percent of Total Billed Charges,217.15,,246.33,92,,Percent of Total Billed Charges,199.21,,246.33,92,,Percent of Total Billed Charges,209.65,,246.33,92,,Percent of Total Billed Charges,217.15,,208.85,78,,Percent of Total Billed Charges,208.85,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,144.13,53.83,,Percent of Total Billed Charges,135.21,,92.75,34.64,,Percent of Total Billed Charges,92.37,,133.82,49.98,,Percent of Total Billed Charges,101.21,,92.75,246.33,,																																							
HC OFFICE O/P EST MOD 3039 MIN (TELEMED),99214,CPT,,,,BOTH, , ,313.95,263.72,288.83,92,,Percent of Total Billed Charges,262.46,,288.83,92,,Percent of Total Billed Charges,257.75,,288.83,92,,Percent of Total Billed Charges,252.73,,288.83,92,,Percent of Total Billed Charges,262.15,,288.83,92,,Percent of Total Billed Charges,236.4,,288.83,92,,Percent of Total Billed Charges,196.22,,282.56,90,,Percent of Total Billed Charges,156.66,,279.42,89,,Percent of Total Billed Charges,150.7,,258.69,82.4,,Percent of Total Billed Charges,258.07,,261.83,83.4,,Percent of Total Billed Charges,244.25,,261.83,83.4,,Percent of Total Billed Charges,220.08,,261.83,83.4,,Percent of Total Billed Charges,255.56,,282.56,90,,Percent of Total Billed Charges,265.92,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,288.83,92,,Percent of Total Billed Charges,254.61,,288.83,92,,Percent of Total Billed Charges,233.58,,288.83,92,,Percent of Total Billed Charges,245.82,,288.83,92,,Percent of Total Billed Charges,254.61,,244.88,78,,Percent of Total Billed Charges,244.88,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,169,53.83,,Percent of Total Billed Charges,158.54,,108.75,34.64,,Percent of Total Billed Charges,108.31,,156.91,49.98,,Percent of Total Billed Charges,118.67,,108.75,288.83,,																																							
HC OFFICE O/P EST HI 4054 MIN (TELEMED),99215,CPT,,,,BOTH, , ,359.1,301.64,330.37,92,,Percent of Total Billed Charges,300.21,,330.37,92,,Percent of Total Billed Charges,294.82,,330.37,92,,Percent of Total Billed Charges,289.08,,330.37,92,,Percent of Total Billed Charges,299.85,,330.37,92,,Percent of Total Billed Charges,270.4,,330.37,92,,Percent of Total Billed Charges,224.44,,323.19,90,,Percent of Total Billed Charges,179.19,,319.6,89,,Percent of Total Billed Charges,172.37,,295.9,82.4,,Percent of Total Billed Charges,295.18,,299.49,83.4,,Percent of Total Billed Charges,279.38,,299.49,83.4,,Percent of Total Billed Charges,251.73,,299.49,83.4,,Percent of Total Billed Charges,292.31,,323.19,90,,Percent of Total Billed Charges,304.16,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,330.37,92,,Percent of Total Billed Charges,291.23,,330.37,92,,Percent of Total Billed Charges,267.17,,330.37,92,,Percent of Total Billed Charges,281.18,,330.37,92,,Percent of Total Billed Charges,291.23,,280.1,78,,Percent of Total Billed Charges,280.1,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,193.3,53.83,,Percent of Total Billed Charges,181.35,,124.39,34.64,,Percent of Total Billed Charges,123.89,,179.48,49.98,,Percent of Total Billed Charges,135.74,,124.39,330.37,,																																							
HC REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT,69209,CPT,,,,BOTH, , ,280.35,235.49,257.92,92,,Percent of Total Billed Charges,234.37,,257.92,92,,Percent of Total Billed Charges,230.17,,257.92,92,,Percent of Total Billed Charges,225.68,,257.92,92,,Percent of Total Billed Charges,234.09,,257.92,92,,Percent of Total Billed Charges,211.1,,257.92,92,,Percent of Total Billed Charges,175.22,,252.32,90,,Percent of Total Billed Charges,139.89,,249.51,89,,Percent of Total Billed Charges,134.57,,231.01,82.4,,Percent of Total Billed Charges,230.45,,233.81,83.4,,Percent of Total Billed Charges,218.11,,233.81,83.4,,Percent of Total Billed Charges,196.53,,233.81,83.4,,Percent of Total Billed Charges,228.2,,252.32,90,,Percent of Total Billed Charges,237.46,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,257.92,92,,Percent of Total Billed Charges,227.36,,257.92,92,,Percent of Total Billed Charges,208.58,,257.92,92,,Percent of Total Billed Charges,219.51,,257.92,92,,Percent of Total Billed Charges,227.36,,218.67,78,,Percent of Total Billed Charges,218.67,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,150.91,53.83,,Percent of Total Billed Charges,141.58,,97.11,34.64,,Percent of Total Billed Charges,96.72,,140.12,49.98,,Percent of Total Billed Charges,105.97,,97.11,257.92,,																																							
HC REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT,69210,CPT,,,,BOTH, , ,29.4,24.7,27.05,92,,Percent of Total Billed Charges,24.58,,27.05,92,,Percent of Total Billed Charges,24.14,,27.05,92,,Percent of Total Billed Charges,23.67,,27.05,92,,Percent of Total Billed Charges,24.55,,27.05,92,,Percent of Total Billed Charges,22.14,,27.05,92,,Percent of Total Billed Charges,18.38,,26.46,90,,Percent of Total Billed Charges,14.67,,26.17,89,,Percent of Total Billed Charges,14.11,,24.23,82.4,,Percent of Total Billed Charges,24.17,,24.52,83.4,,Percent of Total Billed Charges,22.87,,24.52,83.4,,Percent of Total Billed Charges,20.61,,24.52,83.4,,Percent of Total Billed Charges,23.93,,26.46,90,,Percent of Total Billed Charges,24.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,27.05,92,,Percent of Total Billed Charges,23.84,,27.05,92,,Percent of Total Billed Charges,21.87,,27.05,92,,Percent of Total Billed Charges,23.02,,27.05,92,,Percent of Total Billed Charges,23.84,,22.93,78,,Percent of Total Billed Charges,22.93,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,15.83,53.83,,Percent of Total Billed Charges,14.85,,10.18,34.64,,Percent of Total Billed Charges,10.14,,14.69,49.98,,Percent of Total Billed Charges,11.11,,10.18,27.05,,																																							
HC I&D HEMATOMA SEROMA/FLUID COLLECTION,10140,CPT,,,,BOTH, , ,5183.85,4354.43,4769.14,92,,Percent of Total Billed Charges,4333.7,,4769.14,92,,Percent of Total Billed Charges,4255.94,,4769.14,92,,Percent of Total Billed Charges,4173,,4769.14,92,,Percent of Total Billed Charges,4328.51,,4769.14,92,,Percent of Total Billed Charges,3903.44,,4769.14,92,,Percent of Total Billed Charges,3239.91,,4665.47,90,,Percent of Total Billed Charges,2586.74,,4613.63,89,,Percent of Total Billed Charges,2488.25,,4271.49,82.4,,Percent of Total Billed Charges,4261.12,,4323.33,83.4,,Percent of Total Billed Charges,4033.04,,4323.33,83.4,,Percent of Total Billed Charges,3633.88,,4323.33,83.4,,Percent of Total Billed Charges,4219.65,,4665.47,90,,Percent of Total Billed Charges,4390.72,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4769.14,92,,Percent of Total Billed Charges,4204.1,,4769.14,92,,Percent of Total Billed Charges,3856.78,,4769.14,92,,Percent of Total Billed Charges,4058.95,,4769.14,92,,Percent of Total Billed Charges,4204.1,,4043.4,78,,Percent of Total Billed Charges,4043.4,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2790.47,53.83,,Percent of Total Billed Charges,2617.84,,1795.69,34.64,,Percent of Total Billed Charges,1788.43,,2590.89,49.98,,Percent of Total Billed Charges,1959.5,,1795.69,4769.14,,																																							
HC PARING/CUTTING BENIGN HYPERKERATOTIC LESION 1,11055,CPT,,,,BOTH, , ,888.3,746.17,817.24,92,,Percent of Total Billed Charges,742.62,,817.24,92,,Percent of Total Billed Charges,729.29,,817.24,92,,Percent of Total Billed Charges,715.08,,817.24,92,,Percent of Total Billed Charges,741.73,,817.24,92,,Percent of Total Billed Charges,668.89,,817.24,92,,Percent of Total Billed Charges,555.19,,799.47,90,,Percent of Total Billed Charges,443.26,,790.59,89,,Percent of Total Billed Charges,426.38,,731.96,82.4,,Percent of Total Billed Charges,730.18,,740.84,83.4,,Percent of Total Billed Charges,691.1,,740.84,83.4,,Percent of Total Billed Charges,622.7,,740.84,83.4,,Percent of Total Billed Charges,723.08,,799.47,90,,Percent of Total Billed Charges,752.39,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,817.24,92,,Percent of Total Billed Charges,720.41,,817.24,92,,Percent of Total Billed Charges,660.9,,817.24,92,,Percent of Total Billed Charges,695.54,,817.24,92,,Percent of Total Billed Charges,720.41,,692.87,78,,Percent of Total Billed Charges,692.87,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,478.17,53.83,,Percent of Total Billed Charges,448.59,,307.71,34.64,,Percent of Total Billed Charges,306.46,,443.97,49.98,,Percent of Total Billed Charges,335.78,,307.71,817.24,,																																							
HC PARING/CUTTING BENIGN HYPERKERATOTIC LESION 24,11056,CPT,,,,BOTH, , ,888.3,746.17,817.24,92,,Percent of Total Billed Charges,742.62,,817.24,92,,Percent of Total Billed Charges,729.29,,817.24,92,,Percent of Total Billed Charges,715.08,,817.24,92,,Percent of Total Billed Charges,741.73,,817.24,92,,Percent of Total Billed Charges,668.89,,817.24,92,,Percent of Total Billed Charges,555.19,,799.47,90,,Percent of Total Billed Charges,443.26,,790.59,89,,Percent of Total Billed Charges,426.38,,731.96,82.4,,Percent of Total Billed Charges,730.18,,740.84,83.4,,Percent of Total Billed Charges,691.1,,740.84,83.4,,Percent of Total Billed Charges,622.7,,740.84,83.4,,Percent of Total Billed Charges,723.08,,799.47,90,,Percent of Total Billed Charges,752.39,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,817.24,92,,Percent of Total Billed Charges,720.41,,817.24,92,,Percent of Total Billed Charges,660.9,,817.24,92,,Percent of Total Billed Charges,695.54,,817.24,92,,Percent of Total Billed Charges,720.41,,692.87,78,,Percent of Total Billed Charges,692.87,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,478.17,53.83,,Percent of Total Billed Charges,448.59,,307.71,34.64,,Percent of Total Billed Charges,306.46,,443.97,49.98,,Percent of Total Billed Charges,335.78,,307.71,817.24,,																																							
HC SUB GRFT F/S/N/H/F/G/M/D >/= 100SCM 1ST 100SQ CM,15277,CPT,,,,BOTH, , ,7079.1,5946.44,6512.77,92,,Percent of Total Billed Charges,5918.13,,6512.77,92,,Percent of Total Billed Charges,5811.94,,6512.77,92,,Percent of Total Billed Charges,5698.68,,6512.77,92,,Percent of Total Billed Charges,5911.05,,6512.77,92,,Percent of Total Billed Charges,5330.56,,6512.77,92,,Percent of Total Billed Charges,4424.44,,6371.19,90,,Percent of Total Billed Charges,3532.47,,6300.4,89,,Percent of Total Billed Charges,3397.97,,5833.18,82.4,,Percent of Total Billed Charges,5819.02,,5903.97,83.4,,Percent of Total Billed Charges,5507.54,,5903.97,83.4,,Percent of Total Billed Charges,4962.45,,5903.97,83.4,,Percent of Total Billed Charges,5762.39,,6371.19,90,,Percent of Total Billed Charges,5996,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6512.77,92,,Percent of Total Billed Charges,5741.15,,6512.77,92,,Percent of Total Billed Charges,5266.85,,6512.77,92,,Percent of Total Billed Charges,5542.94,,6512.77,92,,Percent of Total Billed Charges,5741.15,,5521.7,78,,Percent of Total Billed Charges,5521.7,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3810.68,53.83,,Percent of Total Billed Charges,3574.95,,2452.2,34.64,,Percent of Total Billed Charges,2442.29,,3538.13,49.98,,Percent of Total Billed Charges,2675.9,,2452.20,6512.77,,																																							
HC SUB GRFT F/S/N/H/F/G/M/D >/= 100SCM ADL 100SQ CM,15278,CPT,,,,BOTH, , ,998.55,838.78,918.67,92,,Percent of Total Billed Charges,834.79,,918.67,92,,Percent of Total Billed Charges,819.81,,918.67,92,,Percent of Total Billed Charges,803.83,,918.67,92,,Percent of Total Billed Charges,833.79,,918.67,92,,Percent of Total Billed Charges,751.91,,918.67,92,,Percent of Total Billed Charges,624.09,,898.7,90,,Percent of Total Billed Charges,498.28,,888.71,89,,Percent of Total Billed Charges,479.3,,822.81,82.4,,Percent of Total Billed Charges,820.81,,832.79,83.4,,Percent of Total Billed Charges,776.87,,832.79,83.4,,Percent of Total Billed Charges,699.98,,832.79,83.4,,Percent of Total Billed Charges,812.82,,898.7,90,,Percent of Total Billed Charges,845.77,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,918.67,92,,Percent of Total Billed Charges,809.82,,918.67,92,,Percent of Total Billed Charges,742.92,,918.67,92,,Percent of Total Billed Charges,781.86,,918.67,92,,Percent of Total Billed Charges,809.82,,778.87,78,,Percent of Total Billed Charges,778.87,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,537.52,53.83,,Percent of Total Billed Charges,504.27,,345.9,34.64,,Percent of Total Billed Charges,344.5,,499.08,49.98,,Percent of Total Billed Charges,377.45,,345.90,918.67,,																																							
HC PROLONGED OFFICE/OUTPATIENT E/M SVC EA 15 MIN,99417,CPT,,,,BOTH, , ,118.65,99.67,109.16,92,,Percent of Total Billed Charges,99.19,,109.16,92,,Percent of Total Billed Charges,97.41,,109.16,92,,Percent of Total Billed Charges,95.51,,109.16,92,,Percent of Total Billed Charges,99.07,,109.16,92,,Percent of Total Billed Charges,89.34,,109.16,92,,Percent of Total Billed Charges,74.16,,106.79,90,,Percent of Total Billed Charges,59.21,,105.6,89,,Percent of Total Billed Charges,56.95,,97.77,82.4,,Percent of Total Billed Charges,97.53,,98.95,83.4,,Percent of Total Billed Charges,92.31,,98.95,83.4,,Percent of Total Billed Charges,83.17,,98.95,83.4,,Percent of Total Billed Charges,96.58,,106.79,90,,Percent of Total Billed Charges,100.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,109.16,92,,Percent of Total Billed Charges,96.23,,109.16,92,,Percent of Total Billed Charges,88.28,,109.16,92,,Percent of Total Billed Charges,92.9,,109.16,92,,Percent of Total Billed Charges,96.23,,92.55,78,,Percent of Total Billed Charges,92.55,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,63.87,53.83,,Percent of Total Billed Charges,59.92,,41.1,34.64,,Percent of Total Billed Charges,40.93,,59.3,49.98,,Percent of Total Billed Charges,44.85,,41.10,109.16,,																																							
HC EM MNTR PHYSIOL PARAM 1ST SET UP PT EDUCAJ EQP,99453,CPT,,,,BOTH, , ,468.3,393.37,430.84,92,,Percent of Total Billed Charges,391.5,,430.84,92,,Percent of Total Billed Charges,384.47,,430.84,92,,Percent of Total Billed Charges,376.98,,430.84,92,,Percent of Total Billed Charges,391.03,,430.84,92,,Percent of Total Billed Charges,352.63,,430.84,92,,Percent of Total Billed Charges,292.69,,421.47,90,,Percent of Total Billed Charges,233.68,,416.79,89,,Percent of Total Billed Charges,224.78,,385.88,82.4,,Percent of Total Billed Charges,384.94,,390.56,83.4,,Percent of Total Billed Charges,364.34,,390.56,83.4,,Percent of Total Billed Charges,328.28,,390.56,83.4,,Percent of Total Billed Charges,381.2,,421.47,90,,Percent of Total Billed Charges,396.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,430.84,92,,Percent of Total Billed Charges,379.79,,430.84,92,,Percent of Total Billed Charges,348.42,,430.84,92,,Percent of Total Billed Charges,366.68,,430.84,92,,Percent of Total Billed Charges,379.79,,365.27,78,,Percent of Total Billed Charges,365.27,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,252.09,53.83,,Percent of Total Billed Charges,236.49,,162.22,34.64,,Percent of Total Billed Charges,161.56,,234.06,49.98,,Percent of Total Billed Charges,177.02,,162.22,430.84,,																																							
HC REM MNTR PHYSIOL PARAM 1ST DEV SUPPLY EA 30 D,99454,CPT,,,,BOTH, , ,135.45,113.78,124.61,92,,Percent of Total Billed Charges,113.24,,124.61,92,,Percent of Total Billed Charges,111.2,,124.61,92,,Percent of Total Billed Charges,109.04,,124.61,92,,Percent of Total Billed Charges,113.1,,124.61,92,,Percent of Total Billed Charges,101.99,,124.61,92,,Percent of Total Billed Charges,84.66,,121.91,90,,Percent of Total Billed Charges,67.59,,120.55,89,,Percent of Total Billed Charges,65.02,,111.61,82.4,,Percent of Total Billed Charges,111.34,,112.97,83.4,,Percent of Total Billed Charges,105.38,,112.97,83.4,,Percent of Total Billed Charges,94.95,,112.97,83.4,,Percent of Total Billed Charges,110.26,,121.91,90,,Percent of Total Billed Charges,114.73,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,124.61,92,,Percent of Total Billed Charges,109.85,,124.61,92,,Percent of Total Billed Charges,100.77,,124.61,92,,Percent of Total Billed Charges,106.06,,124.61,92,,Percent of Total Billed Charges,109.85,,105.65,78,,Percent of Total Billed Charges,105.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,72.91,53.83,,Percent of Total Billed Charges,68.4,,46.92,34.64,,Percent of Total Billed Charges,46.73,,67.7,49.98,,Percent of Total Billed Charges,51.2,,46.92,124.61,,																																							
HC PRINCIPAL CARE MGMT SVC 1ST 30 STAFF CAL MO,99426,CPT,,,,BOTH, , ,29.4,24.7,27.05,92,,Percent of Total Billed Charges,24.58,,27.05,92,,Percent of Total Billed Charges,24.14,,27.05,92,,Percent of Total Billed Charges,23.67,,27.05,92,,Percent of Total Billed Charges,24.55,,27.05,92,,Percent of Total Billed Charges,22.14,,27.05,92,,Percent of Total Billed Charges,18.38,,26.46,90,,Percent of Total Billed Charges,14.67,,26.17,89,,Percent of Total Billed Charges,14.11,,24.23,82.4,,Percent of Total Billed Charges,24.17,,24.52,83.4,,Percent of Total Billed Charges,22.87,,24.52,83.4,,Percent of Total Billed Charges,20.61,,24.52,83.4,,Percent of Total Billed Charges,23.93,,26.46,90,,Percent of Total Billed Charges,24.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,27.05,92,,Percent of Total Billed Charges,23.84,,27.05,92,,Percent of Total Billed Charges,21.87,,27.05,92,,Percent of Total Billed Charges,23.02,,27.05,92,,Percent of Total Billed Charges,23.84,,22.93,78,,Percent of Total Billed Charges,22.93,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,15.83,53.83,,Percent of Total Billed Charges,14.85,,10.18,34.64,,Percent of Total Billed Charges,10.14,,14.69,49.98,,Percent of Total Billed Charges,11.11,,10.18,27.05,,																																							
HC PRINCIPAL CARE MGMT SVC EA ADDL 30 STAFF CAL MO,99427,CPT,,,,BOTH, , ,205.8,172.87,189.34,92,,Percent of Total Billed Charges,172.05,,189.34,92,,Percent of Total Billed Charges,168.96,,189.34,92,,Percent of Total Billed Charges,165.67,,189.34,92,,Percent of Total Billed Charges,171.84,,189.34,92,,Percent of Total Billed Charges,154.97,,189.34,92,,Percent of Total Billed Charges,128.63,,185.22,90,,Percent of Total Billed Charges,102.69,,183.16,89,,Percent of Total Billed Charges,98.78,,169.58,82.4,,Percent of Total Billed Charges,169.17,,171.64,83.4,,Percent of Total Billed Charges,160.11,,171.64,83.4,,Percent of Total Billed Charges,144.27,,171.64,83.4,,Percent of Total Billed Charges,167.52,,185.22,90,,Percent of Total Billed Charges,174.31,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,189.34,92,,Percent of Total Billed Charges,166.9,,189.34,92,,Percent of Total Billed Charges,153.12,,189.34,92,,Percent of Total Billed Charges,161.14,,189.34,92,,Percent of Total Billed Charges,166.9,,160.52,78,,Percent of Total Billed Charges,160.52,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,110.78,53.83,,Percent of Total Billed Charges,103.93,,71.29,34.64,,Percent of Total Billed Charges,71,,102.86,49.98,,Percent of Total Billed Charges,77.79,,71.29,189.34,,																																							
HC MEDICAL GENETICS COUNSELING EACH 30 MINUTES,96040,CPT,,,,BOTH, , ,185.85,156.11,170.98,92,,Percent of Total Billed Charges,155.37,,170.98,92,,Percent of Total Billed Charges,152.58,,170.98,92,,Percent of Total Billed Charges,149.61,,170.98,92,,Percent of Total Billed Charges,155.18,,170.98,92,,Percent of Total Billed Charges,139.95,,170.98,92,,Percent of Total Billed Charges,116.16,,167.27,90,,Percent of Total Billed Charges,92.74,,165.41,89,,Percent of Total Billed Charges,89.21,,153.14,82.4,,Percent of Total Billed Charges,152.77,,155,83.4,,Percent of Total Billed Charges,144.59,,155,83.4,,Percent of Total Billed Charges,130.28,,155,83.4,,Percent of Total Billed Charges,151.28,,167.27,90,,Percent of Total Billed Charges,157.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,170.98,92,,Percent of Total Billed Charges,150.72,,170.98,92,,Percent of Total Billed Charges,138.27,,170.98,92,,Percent of Total Billed Charges,145.52,,170.98,92,,Percent of Total Billed Charges,150.72,,144.96,78,,Percent of Total Billed Charges,144.96,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,100.04,53.83,,Percent of Total Billed Charges,93.85,,64.38,34.64,,Percent of Total Billed Charges,64.12,,92.89,49.98,,Percent of Total Billed Charges,70.25,,64.38,170.98,,																																							
HC OFFICE O/P NEW SF 3044 MIN,99203,CPT,,,,BOTH, , ,267.75,224.91,246.33,92,,Percent of Total Billed Charges,223.84,,246.33,92,,Percent of Total Billed Charges,219.82,,246.33,92,,Percent of Total Billed Charges,215.54,,246.33,92,,Percent of Total Billed Charges,223.57,,246.33,92,,Percent of Total Billed Charges,201.62,,246.33,92,,Percent of Total Billed Charges,167.34,,240.98,90,,Percent of Total Billed Charges,133.61,,238.3,89,,Percent of Total Billed Charges,128.52,,220.63,82.4,,Percent of Total Billed Charges,220.09,,223.3,83.4,,Percent of Total Billed Charges,208.31,,223.3,83.4,,Percent of Total Billed Charges,187.69,,223.3,83.4,,Percent of Total Billed Charges,217.95,,240.98,90,,Percent of Total Billed Charges,226.78,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,246.33,92,,Percent of Total Billed Charges,217.15,,246.33,92,,Percent of Total Billed Charges,199.21,,246.33,92,,Percent of Total Billed Charges,209.65,,246.33,92,,Percent of Total Billed Charges,217.15,,208.85,78,,Percent of Total Billed Charges,208.85,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,144.13,53.83,,Percent of Total Billed Charges,135.21,,92.75,34.64,,Percent of Total Billed Charges,92.37,,133.82,49.98,,Percent of Total Billed Charges,101.21,,92.75,246.33,,																																							
HC OFFICE O/P NEW SF 4559 MIN,99204,CPT,,,,BOTH, , ,313.95,263.72,288.83,92,,Percent of Total Billed Charges,262.46,,288.83,92,,Percent of Total Billed Charges,257.75,,288.83,92,,Percent of Total Billed Charges,252.73,,288.83,92,,Percent of Total Billed Charges,262.15,,288.83,92,,Percent of Total Billed Charges,236.4,,288.83,92,,Percent of Total Billed Charges,196.22,,282.56,90,,Percent of Total Billed Charges,156.66,,279.42,89,,Percent of Total Billed Charges,150.7,,258.69,82.4,,Percent of Total Billed Charges,258.07,,261.83,83.4,,Percent of Total Billed Charges,244.25,,261.83,83.4,,Percent of Total Billed Charges,220.08,,261.83,83.4,,Percent of Total Billed Charges,255.56,,282.56,90,,Percent of Total Billed Charges,265.92,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,288.83,92,,Percent of Total Billed Charges,254.61,,288.83,92,,Percent of Total Billed Charges,233.58,,288.83,92,,Percent of Total Billed Charges,245.82,,288.83,92,,Percent of Total Billed Charges,254.61,,244.88,78,,Percent of Total Billed Charges,244.88,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,169,53.83,,Percent of Total Billed Charges,158.54,,108.75,34.64,,Percent of Total Billed Charges,108.31,,156.91,49.98,,Percent of Total Billed Charges,118.67,,108.75,288.83,,																																							
HC OFFICE O/P NEW SF 6074 MIN,99205,CPT,,,,BOTH, , ,359.1,301.64,330.37,92,,Percent of Total Billed Charges,300.21,,330.37,92,,Percent of Total Billed Charges,294.82,,330.37,92,,Percent of Total Billed Charges,289.08,,330.37,92,,Percent of Total Billed Charges,299.85,,330.37,92,,Percent of Total Billed Charges,270.4,,330.37,92,,Percent of Total Billed Charges,224.44,,323.19,90,,Percent of Total Billed Charges,179.19,,319.6,89,,Percent of Total Billed Charges,172.37,,295.9,82.4,,Percent of Total Billed Charges,295.18,,299.49,83.4,,Percent of Total Billed Charges,279.38,,299.49,83.4,,Percent of Total Billed Charges,251.73,,299.49,83.4,,Percent of Total Billed Charges,292.31,,323.19,90,,Percent of Total Billed Charges,304.16,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,330.37,92,,Percent of Total Billed Charges,291.23,,330.37,92,,Percent of Total Billed Charges,267.17,,330.37,92,,Percent of Total Billed Charges,281.18,,330.37,92,,Percent of Total Billed Charges,291.23,,280.1,78,,Percent of Total Billed Charges,280.1,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,193.3,53.83,,Percent of Total Billed Charges,181.35,,124.39,34.64,,Percent of Total Billed Charges,123.89,,179.48,49.98,,Percent of Total Billed Charges,135.74,,124.39,330.37,,																																							
HC OFFICE O/P EST MINIMAL PROB,99211,CPT,,,,BOTH, , ,162.75,136.71,149.73,92,,Percent of Total Billed Charges,136.06,,149.73,92,,Percent of Total Billed Charges,133.62,,149.73,92,,Percent of Total Billed Charges,131.01,,149.73,92,,Percent of Total Billed Charges,135.9,,149.73,92,,Percent of Total Billed Charges,122.55,,149.73,92,,Percent of Total Billed Charges,101.72,,146.48,90,,Percent of Total Billed Charges,81.21,,144.85,89,,Percent of Total Billed Charges,78.12,,134.11,82.4,,Percent of Total Billed Charges,133.78,,135.73,83.4,,Percent of Total Billed Charges,126.62,,135.73,83.4,,Percent of Total Billed Charges,114.09,,135.73,83.4,,Percent of Total Billed Charges,132.48,,146.48,90,,Percent of Total Billed Charges,137.85,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,149.73,92,,Percent of Total Billed Charges,131.99,,149.73,92,,Percent of Total Billed Charges,121.09,,149.73,92,,Percent of Total Billed Charges,127.43,,149.73,92,,Percent of Total Billed Charges,131.99,,126.95,78,,Percent of Total Billed Charges,126.95,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,87.61,53.83,,Percent of Total Billed Charges,82.19,,56.38,34.64,,Percent of Total Billed Charges,56.15,,81.34,49.98,,Percent of Total Billed Charges,61.52,,56.38,149.73,,																																							
HC OFFICE O/P EST SF 1019 MIN,99212,CPT,,,,BOTH, , ,222.6,186.98,204.79,92,,Percent of Total Billed Charges,186.09,,204.79,92,,Percent of Total Billed Charges,182.75,,204.79,92,,Percent of Total Billed Charges,179.19,,204.79,92,,Percent of Total Billed Charges,185.87,,204.79,92,,Percent of Total Billed Charges,167.62,,204.79,92,,Percent of Total Billed Charges,139.13,,200.34,90,,Percent of Total Billed Charges,111.08,,198.11,89,,Percent of Total Billed Charges,106.85,,183.42,82.4,,Percent of Total Billed Charges,182.98,,185.65,83.4,,Percent of Total Billed Charges,173.18,,185.65,83.4,,Percent of Total Billed Charges,156.04,,185.65,83.4,,Percent of Total Billed Charges,181.2,,200.34,90,,Percent of Total Billed Charges,188.54,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,204.79,92,,Percent of Total Billed Charges,180.53,,204.79,92,,Percent of Total Billed Charges,165.61,,204.79,92,,Percent of Total Billed Charges,174.3,,204.79,92,,Percent of Total Billed Charges,180.53,,173.63,78,,Percent of Total Billed Charges,173.63,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,119.83,53.83,,Percent of Total Billed Charges,112.41,,77.11,34.64,,Percent of Total Billed Charges,76.8,,111.26,49.98,,Percent of Total Billed Charges,84.14,,77.11,204.79,,																																							
HC OFFICE O/P EST MOD 3039 MIN,99214,CPT,,,,BOTH, , ,313.95,263.72,288.83,92,,Percent of Total Billed Charges,262.46,,288.83,92,,Percent of Total Billed Charges,257.75,,288.83,92,,Percent of Total Billed Charges,252.73,,288.83,92,,Percent of Total Billed Charges,262.15,,288.83,92,,Percent of Total Billed Charges,236.4,,288.83,92,,Percent of Total Billed Charges,196.22,,282.56,90,,Percent of Total Billed Charges,156.66,,279.42,89,,Percent of Total Billed Charges,150.7,,258.69,82.4,,Percent of Total Billed Charges,258.07,,261.83,83.4,,Percent of Total Billed Charges,244.25,,261.83,83.4,,Percent of Total Billed Charges,220.08,,261.83,83.4,,Percent of Total Billed Charges,255.56,,282.56,90,,Percent of Total Billed Charges,265.92,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,288.83,92,,Percent of Total Billed Charges,254.61,,288.83,92,,Percent of Total Billed Charges,233.58,,288.83,92,,Percent of Total Billed Charges,245.82,,288.83,92,,Percent of Total Billed Charges,254.61,,244.88,78,,Percent of Total Billed Charges,244.88,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,169,53.83,,Percent of Total Billed Charges,158.54,,108.75,34.64,,Percent of Total Billed Charges,108.31,,156.91,49.98,,Percent of Total Billed Charges,118.67,,108.75,288.83,,																																							
HC OFFICE O/P EST HI 4054 MIN,99215,CPT,,,,BOTH, , ,359.1,301.64,330.37,92,,Percent of Total Billed Charges,300.21,,330.37,92,,Percent of Total Billed Charges,294.82,,330.37,92,,Percent of Total Billed Charges,289.08,,330.37,92,,Percent of Total Billed Charges,299.85,,330.37,92,,Percent of Total Billed Charges,270.4,,330.37,92,,Percent of Total Billed Charges,224.44,,323.19,90,,Percent of Total Billed Charges,179.19,,319.6,89,,Percent of Total Billed Charges,172.37,,295.9,82.4,,Percent of Total Billed Charges,295.18,,299.49,83.4,,Percent of Total Billed Charges,279.38,,299.49,83.4,,Percent of Total Billed Charges,251.73,,299.49,83.4,,Percent of Total Billed Charges,292.31,,323.19,90,,Percent of Total Billed Charges,304.16,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,330.37,92,,Percent of Total Billed Charges,291.23,,330.37,92,,Percent of Total Billed Charges,267.17,,330.37,92,,Percent of Total Billed Charges,281.18,,330.37,92,,Percent of Total Billed Charges,291.23,,280.1,78,,Percent of Total Billed Charges,280.1,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,193.3,53.83,,Percent of Total Billed Charges,181.35,,124.39,34.64,,Percent of Total Billed Charges,123.89,,179.48,49.98,,Percent of Total Billed Charges,135.74,,124.39,330.37,,																																							
HC OP/OV CONSULT ATION LEVEL 3,99243,CPT,,,,BOTH, , ,657.3,552.13,604.72,92,,Percent of Total Billed Charges,549.5,,604.72,92,,Percent of Total Billed Charges,539.64,,604.72,92,,Percent of Total Billed Charges,529.13,,604.72,92,,Percent of Total Billed Charges,548.85,,604.72,92,,Percent of Total Billed Charges,494.95,,604.72,92,,Percent of Total Billed Charges,410.81,,591.57,90,,Percent of Total Billed Charges,327.99,,585,89,,Percent of Total Billed Charges,315.5,,541.62,82.4,,Percent of Total Billed Charges,540.3,,548.19,83.4,,Percent of Total Billed Charges,511.38,,548.19,83.4,,Percent of Total Billed Charges,460.77,,548.19,83.4,,Percent of Total Billed Charges,535.04,,591.57,90,,Percent of Total Billed Charges,556.73,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,604.72,92,,Percent of Total Billed Charges,533.07,,604.72,92,,Percent of Total Billed Charges,489.03,,604.72,92,,Percent of Total Billed Charges,514.67,,604.72,92,,Percent of Total Billed Charges,533.07,,512.69,78,,Percent of Total Billed Charges,512.69,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,353.82,53.83,,Percent of Total Billed Charges,331.94,,227.69,34.64,,Percent of Total Billed Charges,226.77,,328.52,49.98,,Percent of Total Billed Charges,248.46,,227.69,604.72,,																																							
HC OP/OV CONSULT ATION LEVEL 4,99244,CPT,,,,BOTH, , ,973.35,817.61,895.48,92,,Percent of Total Billed Charges,813.72,,895.48,92,,Percent of Total Billed Charges,799.12,,895.48,92,,Percent of Total Billed Charges,783.55,,895.48,92,,Percent of Total Billed Charges,812.75,,895.48,92,,Percent of Total Billed Charges,732.93,,895.48,92,,Percent of Total Billed Charges,608.34,,876.02,90,,Percent of Total Billed Charges,485.7,,866.28,89,,Percent of Total Billed Charges,467.21,,802.04,82.4,,Percent of Total Billed Charges,800.09,,811.77,83.4,,Percent of Total Billed Charges,757.27,,811.77,83.4,,Percent of Total Billed Charges,682.32,,811.77,83.4,,Percent of Total Billed Charges,792.31,,876.02,90,,Percent of Total Billed Charges,824.43,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,895.48,92,,Percent of Total Billed Charges,789.39,,895.48,92,,Percent of Total Billed Charges,724.17,,895.48,92,,Percent of Total Billed Charges,762.13,,895.48,92,,Percent of Total Billed Charges,789.39,,759.21,78,,Percent of Total Billed Charges,759.21,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,523.95,53.83,,Percent of Total Billed Charges,491.54,,337.17,34.64,,Percent of Total Billed Charges,335.81,,486.48,49.98,,Percent of Total Billed Charges,367.93,,337.17,895.48,,																																							
HC OP/OV CONSULT ATION LEVEL 5,99245,CPT,,,,BOTH, , ,1194.9,1003.72,1099.31,92,,Percent of Total Billed Charges,998.94,,1099.31,92,,Percent of Total Billed Charges,981.01,,1099.31,92,,Percent of Total Billed Charges,961.89,,1099.31,92,,Percent of Total Billed Charges,997.74,,1099.31,92,,Percent of Total Billed Charges,899.76,,1099.31,92,,Percent of Total Billed Charges,746.81,,1075.41,90,,Percent of Total Billed Charges,596.26,,1063.46,89,,Percent of Total Billed Charges,573.55,,984.6,82.4,,Percent of Total Billed Charges,982.21,,996.55,83.4,,Percent of Total Billed Charges,929.63,,996.55,83.4,,Percent of Total Billed Charges,837.62,,996.55,83.4,,Percent of Total Billed Charges,972.65,,1075.41,90,,Percent of Total Billed Charges,1012.08,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1099.31,92,,Percent of Total Billed Charges,969.06,,1099.31,92,,Percent of Total Billed Charges,889.01,,1099.31,92,,Percent of Total Billed Charges,935.61,,1099.31,92,,Percent of Total Billed Charges,969.06,,932.02,78,,Percent of Total Billed Charges,932.02,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,643.21,53.83,,Percent of Total Billed Charges,603.42,,413.91,34.64,,Percent of Total Billed Charges,412.24,,597.21,49.98,,Percent of Total Billed Charges,451.67,,413.91,1099.31,,																																							
HC NICU TRANSPORT,546,RC,,,,BOTH, , ,2564.1,2153.84,2358.97,92,,Percent of Total Billed Charges,2143.59,,2358.97,92,,Percent of Total Billed Charges,2105.13,,2358.97,92,,Percent of Total Billed Charges,2064.1,,2358.97,92,,Percent of Total Billed Charges,2141.02,,2358.97,92,,Percent of Total Billed Charges,1930.77,,2358.97,92,,Percent of Total Billed Charges,1602.56,,2307.69,90,,Percent of Total Billed Charges,1279.49,,2282.05,89,,Percent of Total Billed Charges,1230.77,,2112.82,82.4,,Percent of Total Billed Charges,2107.69,,2138.46,83.4,,Percent of Total Billed Charges,1994.87,,2138.46,83.4,,Percent of Total Billed Charges,1797.43,,2138.46,83.4,,Percent of Total Billed Charges,2087.18,,2307.69,90,,Percent of Total Billed Charges,2171.79,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2358.97,92,,Percent of Total Billed Charges,2079.49,,2358.97,92,,Percent of Total Billed Charges,1907.69,,2358.97,92,,Percent of Total Billed Charges,2007.69,,2358.97,92,,Percent of Total Billed Charges,2079.49,,2000,78,,Percent of Total Billed Charges,2000,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1380.26,53.83,,Percent of Total Billed Charges,1294.87,,888.2,34.64,,Percent of Total Billed Charges,884.61,,1281.54,49.98,,Percent of Total Billed Charges,969.23,,888.20,2358.97,,																																							
HC MRI TMJ,70336,CPT,,,,BOTH, , ,3686.55,3096.7,3317.9,92,,Percent of Total Billed Charges,3081.96,,3317.9,92,,Percent of Total Billed Charges,3026.66,,3317.9,92,,Percent of Total Billed Charges,2967.67,,3317.9,92,,Percent of Total Billed Charges,3078.27,,3317.9,92,,Percent of Total Billed Charges,2775.97,,3317.9,92,,Percent of Total Billed Charges,2304.09,,3317.9,90,,Percent of Total Billed Charges,1839.59,,3281.03,89,,Percent of Total Billed Charges,1769.54,,3037.72,82.4,,Percent of Total Billed Charges,3030.34,,3074.58,83.4,,Percent of Total Billed Charges,2868.14,,3074.58,83.4,,Percent of Total Billed Charges,2584.27,,3074.58,83.4,,Percent of Total Billed Charges,3000.85,,3317.9,90,,Percent of Total Billed Charges,3122.51,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3391.63,92,,Percent of Total Billed Charges,2989.79,,3391.63,92,,Percent of Total Billed Charges,2742.79,,3391.63,92,,Percent of Total Billed Charges,2886.57,,3391.63,92,,Percent of Total Billed Charges,2989.79,,2875.51,78,,Percent of Total Billed Charges,2875.51,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1984.47,53.83,,Percent of Total Billed Charges,1861.71,,1277.02,34.64,,Percent of Total Billed Charges,1271.86,,1842.54,49.98,,Percent of Total Billed Charges,1393.52,,1277.02,3391.63,,																																							
HC ORBIT BILATERAL,70540,CPT,,,,BOTH, , ,3886.05,3264.28,3497.45,92,,Percent of Total Billed Charges,3248.74,,3497.45,92,,Percent of Total Billed Charges,3190.45,,3497.45,92,,Percent of Total Billed Charges,3128.27,,3497.45,92,,Percent of Total Billed Charges,3244.85,,3497.45,92,,Percent of Total Billed Charges,2926.2,,3497.45,92,,Percent of Total Billed Charges,2428.78,,3497.45,90,,Percent of Total Billed Charges,1939.14,,3458.58,89,,Percent of Total Billed Charges,1865.3,,3202.11,82.4,,Percent of Total Billed Charges,3194.33,,3240.97,83.4,,Percent of Total Billed Charges,3023.35,,3240.97,83.4,,Percent of Total Billed Charges,2724.12,,3240.97,83.4,,Percent of Total Billed Charges,3163.24,,3497.45,90,,Percent of Total Billed Charges,3291.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3575.17,92,,Percent of Total Billed Charges,3151.59,,3575.17,92,,Percent of Total Billed Charges,2891.22,,3575.17,92,,Percent of Total Billed Charges,3042.78,,3575.17,92,,Percent of Total Billed Charges,3151.59,,3031.12,78,,Percent of Total Billed Charges,3031.12,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2091.86,53.83,,Percent of Total Billed Charges,1962.46,,1346.13,34.64,,Percent of Total Billed Charges,1340.69,,1942.25,49.98,,Percent of Total Billed Charges,1468.93,,1346.13,3575.17,,																																							
HC MRI ORBIT/FACE/NECK W/O & W CONTRAST,70543,CPT,,,,BOTH, , ,8393.7,7050.71,7554.33,92,,Percent of Total Billed Charges,7017.13,,7554.33,92,,Percent of Total Billed Charges,6891.23,,7554.33,92,,Percent of Total Billed Charges,6756.93,,7554.33,92,,Percent of Total Billed Charges,7008.74,,7554.33,92,,Percent of Total Billed Charges,6320.46,,7554.33,92,,Percent of Total Billed Charges,5246.06,,7554.33,90,,Percent of Total Billed Charges,4188.46,,7470.39,89,,Percent of Total Billed Charges,4028.98,,6916.41,82.4,,Percent of Total Billed Charges,6899.62,,7000.35,83.4,,Percent of Total Billed Charges,6530.3,,7000.35,83.4,,Percent of Total Billed Charges,5883.98,,7000.35,83.4,,Percent of Total Billed Charges,6832.47,,7554.33,90,,Percent of Total Billed Charges,7109.46,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,7722.2,92,,Percent of Total Billed Charges,6807.29,,7722.2,92,,Percent of Total Billed Charges,6244.91,,7722.2,92,,Percent of Total Billed Charges,6572.27,,7722.2,92,,Percent of Total Billed Charges,6807.29,,6547.09,78,,Percent of Total Billed Charges,6547.09,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4518.33,53.83,,Percent of Total Billed Charges,4238.82,,2907.58,34.64,,Percent of Total Billed Charges,2895.83,,4195.17,49.98,,Percent of Total Billed Charges,3172.82,,2907.58,7722.2,,																																							
HC MR ANGIOGRAPHY HEAD W/O CONTRAST,70544,CPT,,,,BOTH, , ,3778.95,3174.32,3401.06,92,,Percent of Total Billed Charges,3159.2,,3401.06,92,,Percent of Total Billed Charges,3102.52,,3401.06,92,,Percent of Total Billed Charges,3042.05,,3401.06,92,,Percent of Total Billed Charges,3155.42,,3401.06,92,,Percent of Total Billed Charges,2845.55,,3401.06,92,,Percent of Total Billed Charges,2361.84,,3401.06,90,,Percent of Total Billed Charges,1885.7,,3363.27,89,,Percent of Total Billed Charges,1813.9,,3113.85,82.4,,Percent of Total Billed Charges,3106.3,,3151.64,83.4,,Percent of Total Billed Charges,2940.02,,3151.64,83.4,,Percent of Total Billed Charges,2649.04,,3151.64,83.4,,Percent of Total Billed Charges,3076.07,,3401.06,90,,Percent of Total Billed Charges,3200.77,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3476.63,92,,Percent of Total Billed Charges,3064.73,,3476.63,92,,Percent of Total Billed Charges,2811.54,,3476.63,92,,Percent of Total Billed Charges,2958.92,,3476.63,92,,Percent of Total Billed Charges,3064.73,,2947.58,78,,Percent of Total Billed Charges,2947.58,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2034.21,53.83,,Percent of Total Billed Charges,1908.37,,1309.03,34.64,,Percent of Total Billed Charges,1303.74,,1888.72,49.98,,Percent of Total Billed Charges,1428.44,,1309.03,3476.63,,																																							
HC MR ANGIOGRAPHY HEAD W/ CONTRAST,70545,CPT,,,,BOTH, , ,5004.3,4203.61,4503.87,92,,Percent of Total Billed Charges,4183.59,,4503.87,92,,Percent of Total Billed Charges,4108.53,,4503.87,92,,Percent of Total Billed Charges,4028.46,,4503.87,92,,Percent of Total Billed Charges,4178.59,,4503.87,92,,Percent of Total Billed Charges,3768.24,,4503.87,92,,Percent of Total Billed Charges,3127.69,,4503.87,90,,Percent of Total Billed Charges,2497.15,,4453.83,89,,Percent of Total Billed Charges,2402.06,,4123.54,82.4,,Percent of Total Billed Charges,4113.53,,4173.59,83.4,,Percent of Total Billed Charges,3893.35,,4173.59,83.4,,Percent of Total Billed Charges,3508.01,,4173.59,83.4,,Percent of Total Billed Charges,4073.5,,4503.87,90,,Percent of Total Billed Charges,4238.64,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4603.96,92,,Percent of Total Billed Charges,4058.49,,4603.96,92,,Percent of Total Billed Charges,3723.2,,4603.96,92,,Percent of Total Billed Charges,3918.37,,4603.96,92,,Percent of Total Billed Charges,4058.49,,3903.35,78,,Percent of Total Billed Charges,3903.35,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2693.81,53.83,,Percent of Total Billed Charges,2527.17,,1733.49,34.64,,Percent of Total Billed Charges,1726.48,,2501.15,49.98,,Percent of Total Billed Charges,1891.63,,1733.49,4603.96,,																																							
HC MR ANGIOGRAPHY HEAD W/O & W CONTRAST,70546,CPT,,,,BOTH, , ,5196.45,4365.02,4676.81,92,,Percent of Total Billed Charges,4344.23,,4676.81,92,,Percent of Total Billed Charges,4266.29,,4676.81,92,,Percent of Total Billed Charges,4183.14,,4676.81,92,,Percent of Total Billed Charges,4339.04,,4676.81,92,,Percent of Total Billed Charges,3912.93,,4676.81,92,,Percent of Total Billed Charges,3247.78,,4676.81,90,,Percent of Total Billed Charges,2593.03,,4624.84,89,,Percent of Total Billed Charges,2494.3,,4281.87,82.4,,Percent of Total Billed Charges,4271.48,,4333.84,83.4,,Percent of Total Billed Charges,4042.84,,4333.84,83.4,,Percent of Total Billed Charges,3642.71,,4333.84,83.4,,Percent of Total Billed Charges,4229.91,,4676.81,90,,Percent of Total Billed Charges,4401.39,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4780.73,92,,Percent of Total Billed Charges,4214.32,,4780.73,92,,Percent of Total Billed Charges,3866.16,,4780.73,92,,Percent of Total Billed Charges,4068.82,,4780.73,92,,Percent of Total Billed Charges,4214.32,,4053.23,78,,Percent of Total Billed Charges,4053.23,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2797.25,53.83,,Percent of Total Billed Charges,2624.21,,1800.05,34.64,,Percent of Total Billed Charges,1792.78,,2597.19,49.98,,Percent of Total Billed Charges,1964.26,,1800.05,4780.73,,																																							
HC MR ANGIOGRAPHY NECK W/O CONTRAST,70547,CPT,,,,BOTH, , ,3778.95,3174.32,3401.06,92,,Percent of Total Billed Charges,3159.2,,3401.06,92,,Percent of Total Billed Charges,3102.52,,3401.06,92,,Percent of Total Billed Charges,3042.05,,3401.06,92,,Percent of Total Billed Charges,3155.42,,3401.06,92,,Percent of Total Billed Charges,2845.55,,3401.06,92,,Percent of Total Billed Charges,2361.84,,3401.06,90,,Percent of Total Billed Charges,1885.7,,3363.27,89,,Percent of Total Billed Charges,1813.9,,3113.85,82.4,,Percent of Total Billed Charges,3106.3,,3151.64,83.4,,Percent of Total Billed Charges,2940.02,,3151.64,83.4,,Percent of Total Billed Charges,2649.04,,3151.64,83.4,,Percent of Total Billed Charges,3076.07,,3401.06,90,,Percent of Total Billed Charges,3200.77,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3476.63,92,,Percent of Total Billed Charges,3064.73,,3476.63,92,,Percent of Total Billed Charges,2811.54,,3476.63,92,,Percent of Total Billed Charges,2958.92,,3476.63,92,,Percent of Total Billed Charges,3064.73,,2947.58,78,,Percent of Total Billed Charges,2947.58,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2034.21,53.83,,Percent of Total Billed Charges,1908.37,,1309.03,34.64,,Percent of Total Billed Charges,1303.74,,1888.72,49.98,,Percent of Total Billed Charges,1428.44,,1309.03,3476.63,,																																							
HC MR ANGIOGRAPHY NECK W CONTRAST,70548,CPT,,,,BOTH, , ,5004.3,4203.61,4503.87,92,,Percent of Total Billed Charges,4183.59,,4503.87,92,,Percent of Total Billed Charges,4108.53,,4503.87,92,,Percent of Total Billed Charges,4028.46,,4503.87,92,,Percent of Total Billed Charges,4178.59,,4503.87,92,,Percent of Total Billed Charges,3768.24,,4503.87,92,,Percent of Total Billed Charges,3127.69,,4503.87,90,,Percent of Total Billed Charges,2497.15,,4453.83,89,,Percent of Total Billed Charges,2402.06,,4123.54,82.4,,Percent of Total Billed Charges,4113.53,,4173.59,83.4,,Percent of Total Billed Charges,3893.35,,4173.59,83.4,,Percent of Total Billed Charges,3508.01,,4173.59,83.4,,Percent of Total Billed Charges,4073.5,,4503.87,90,,Percent of Total Billed Charges,4238.64,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4603.96,92,,Percent of Total Billed Charges,4058.49,,4603.96,92,,Percent of Total Billed Charges,3723.2,,4603.96,92,,Percent of Total Billed Charges,3918.37,,4603.96,92,,Percent of Total Billed Charges,4058.49,,3903.35,78,,Percent of Total Billed Charges,3903.35,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2693.81,53.83,,Percent of Total Billed Charges,2527.17,,1733.49,34.64,,Percent of Total Billed Charges,1726.48,,2501.15,49.98,,Percent of Total Billed Charges,1891.63,,1733.49,4603.96,,																																							
HC MR ANGIOGRAPHY NECK W/O & W CONTRAST,70549,CPT,,,,BOTH, , ,5196.45,4365.02,4676.81,92,,Percent of Total Billed Charges,4344.23,,4676.81,92,,Percent of Total Billed Charges,4266.29,,4676.81,92,,Percent of Total Billed Charges,4183.14,,4676.81,92,,Percent of Total Billed Charges,4339.04,,4676.81,92,,Percent of Total Billed Charges,3912.93,,4676.81,92,,Percent of Total Billed Charges,3247.78,,4676.81,90,,Percent of Total Billed Charges,2593.03,,4624.84,89,,Percent of Total Billed Charges,2494.3,,4281.87,82.4,,Percent of Total Billed Charges,4271.48,,4333.84,83.4,,Percent of Total Billed Charges,4042.84,,4333.84,83.4,,Percent of Total Billed Charges,3642.71,,4333.84,83.4,,Percent of Total Billed Charges,4229.91,,4676.81,90,,Percent of Total Billed Charges,4401.39,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4780.73,92,,Percent of Total Billed Charges,4214.32,,4780.73,92,,Percent of Total Billed Charges,3866.16,,4780.73,92,,Percent of Total Billed Charges,4068.82,,4780.73,92,,Percent of Total Billed Charges,4214.32,,4053.23,78,,Percent of Total Billed Charges,4053.23,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2797.25,53.83,,Percent of Total Billed Charges,2624.21,,1800.05,34.64,,Percent of Total Billed Charges,1792.78,,2597.19,49.98,,Percent of Total Billed Charges,1964.26,,1800.05,4780.73,,																																							
HC MRI CHEST W/O CONTRAST,71550,CPT,,,,BOTH, , ,3686.55,3096.7,3317.9,92,,Percent of Total Billed Charges,3081.96,,3317.9,92,,Percent of Total Billed Charges,3026.66,,3317.9,92,,Percent of Total Billed Charges,2967.67,,3317.9,92,,Percent of Total Billed Charges,3078.27,,3317.9,92,,Percent of Total Billed Charges,2775.97,,3317.9,92,,Percent of Total Billed Charges,2304.09,,3317.9,90,,Percent of Total Billed Charges,1839.59,,3281.03,89,,Percent of Total Billed Charges,1769.54,,3037.72,82.4,,Percent of Total Billed Charges,3030.34,,3074.58,83.4,,Percent of Total Billed Charges,2868.14,,3074.58,83.4,,Percent of Total Billed Charges,2584.27,,3074.58,83.4,,Percent of Total Billed Charges,3000.85,,3317.9,90,,Percent of Total Billed Charges,3122.51,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3391.63,92,,Percent of Total Billed Charges,2989.79,,3391.63,92,,Percent of Total Billed Charges,2742.79,,3391.63,92,,Percent of Total Billed Charges,2886.57,,3391.63,92,,Percent of Total Billed Charges,2989.79,,2875.51,78,,Percent of Total Billed Charges,2875.51,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1984.47,53.83,,Percent of Total Billed Charges,1861.71,,1277.02,34.64,,Percent of Total Billed Charges,1271.86,,1842.54,49.98,,Percent of Total Billed Charges,1393.52,,1277.02,3391.63,,																																							
HC MRI CHEST W/O & W CONTRAST,71552,CPT,,,,BOTH, , ,5306.7,4457.63,4776.03,92,,Percent of Total Billed Charges,4436.4,,4776.03,92,,Percent of Total Billed Charges,4356.8,,4776.03,92,,Percent of Total Billed Charges,4271.89,,4776.03,92,,Percent of Total Billed Charges,4431.09,,4776.03,92,,Percent of Total Billed Charges,3995.95,,4776.03,92,,Percent of Total Billed Charges,3316.69,,4776.03,90,,Percent of Total Billed Charges,2648.04,,4722.96,89,,Percent of Total Billed Charges,2547.22,,4372.72,82.4,,Percent of Total Billed Charges,4362.11,,4425.79,83.4,,Percent of Total Billed Charges,4128.61,,4425.79,83.4,,Percent of Total Billed Charges,3720,,4425.79,83.4,,Percent of Total Billed Charges,4319.65,,4776.03,90,,Percent of Total Billed Charges,4494.77,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4882.16,92,,Percent of Total Billed Charges,4303.73,,4882.16,92,,Percent of Total Billed Charges,3948.18,,4882.16,92,,Percent of Total Billed Charges,4155.15,,4882.16,92,,Percent of Total Billed Charges,4303.73,,4139.23,78,,Percent of Total Billed Charges,4139.23,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2856.6,53.83,,Percent of Total Billed Charges,2679.88,,1838.24,34.64,,Percent of Total Billed Charges,1830.81,,2652.29,49.98,,Percent of Total Billed Charges,2005.93,,1838.24,4882.16,,																																							
HC MRI NECK SPINE W CONTRAST,72142,CPT,,,,BOTH, , ,5303.55,4454.98,4773.2,92,,Percent of Total Billed Charges,4433.77,,4773.2,92,,Percent of Total Billed Charges,4354.21,,4773.2,92,,Percent of Total Billed Charges,4269.36,,4773.2,92,,Percent of Total Billed Charges,4428.46,,4773.2,92,,Percent of Total Billed Charges,3993.57,,4773.2,92,,Percent of Total Billed Charges,3314.72,,4773.2,90,,Percent of Total Billed Charges,2646.47,,4720.16,89,,Percent of Total Billed Charges,2545.7,,4370.13,82.4,,Percent of Total Billed Charges,4359.52,,4423.16,83.4,,Percent of Total Billed Charges,4126.16,,4423.16,83.4,,Percent of Total Billed Charges,3717.79,,4423.16,83.4,,Percent of Total Billed Charges,4317.09,,4773.2,90,,Percent of Total Billed Charges,4492.11,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4879.27,92,,Percent of Total Billed Charges,4301.18,,4879.27,92,,Percent of Total Billed Charges,3945.84,,4879.27,92,,Percent of Total Billed Charges,4152.68,,4879.27,92,,Percent of Total Billed Charges,4301.18,,4136.77,78,,Percent of Total Billed Charges,4136.77,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2854.9,53.83,,Percent of Total Billed Charges,2678.29,,1837.15,34.64,,Percent of Total Billed Charges,1829.72,,2650.71,49.98,,Percent of Total Billed Charges,2004.74,,1837.15,4879.27,,																																							
HC MRI CHEST SPINE W CONTRAST,72147,CPT,,,,BOTH, , ,5643.75,4740.75,5079.38,92,,Percent of Total Billed Charges,4718.18,,5079.38,92,,Percent of Total Billed Charges,4633.52,,5079.38,92,,Percent of Total Billed Charges,4543.22,,5079.38,92,,Percent of Total Billed Charges,4712.53,,5079.38,92,,Percent of Total Billed Charges,4249.74,,5079.38,92,,Percent of Total Billed Charges,3527.34,,5079.38,90,,Percent of Total Billed Charges,2816.23,,5022.94,89,,Percent of Total Billed Charges,2709,,4650.45,82.4,,Percent of Total Billed Charges,4639.16,,4706.89,83.4,,Percent of Total Billed Charges,4390.84,,4706.89,83.4,,Percent of Total Billed Charges,3956.27,,4706.89,83.4,,Percent of Total Billed Charges,4594.01,,5079.38,90,,Percent of Total Billed Charges,4780.26,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5192.25,92,,Percent of Total Billed Charges,4577.08,,5192.25,92,,Percent of Total Billed Charges,4198.95,,5192.25,92,,Percent of Total Billed Charges,4419.06,,5192.25,92,,Percent of Total Billed Charges,4577.08,,4402.13,78,,Percent of Total Billed Charges,4402.13,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3038.03,53.83,,Percent of Total Billed Charges,2850.09,,1955,34.64,,Percent of Total Billed Charges,1947.09,,2820.75,49.98,,Percent of Total Billed Charges,2133.34,,1955.00,5192.25,,																																							
HC MRI PELVIS WO CONTRAST,72195,CPT,,,,BOTH, , ,4171.65,3504.19,3754.49,92,,Percent of Total Billed Charges,3487.5,,3754.49,92,,Percent of Total Billed Charges,3424.92,,3754.49,92,,Percent of Total Billed Charges,3358.18,,3754.49,92,,Percent of Total Billed Charges,3483.33,,3754.49,92,,Percent of Total Billed Charges,3141.25,,3754.49,92,,Percent of Total Billed Charges,2607.28,,3754.49,90,,Percent of Total Billed Charges,2081.65,,3712.77,89,,Percent of Total Billed Charges,2002.39,,3437.44,82.4,,Percent of Total Billed Charges,3429.1,,3479.16,83.4,,Percent of Total Billed Charges,3245.54,,3479.16,83.4,,Percent of Total Billed Charges,2924.33,,3479.16,83.4,,Percent of Total Billed Charges,3395.72,,3754.49,90,,Percent of Total Billed Charges,3533.39,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3837.92,92,,Percent of Total Billed Charges,3383.21,,3837.92,92,,Percent of Total Billed Charges,3103.71,,3837.92,92,,Percent of Total Billed Charges,3266.4,,3837.92,92,,Percent of Total Billed Charges,3383.21,,3253.89,78,,Percent of Total Billed Charges,3253.89,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2245.6,53.83,,Percent of Total Billed Charges,2106.68,,1445.06,34.64,,Percent of Total Billed Charges,1439.22,,2084.99,49.98,,Percent of Total Billed Charges,1576.88,,1445.06,3837.92,,																																							
HC MRI PELVIS WO/W CONTRAST,72197,CPT,,,,BOTH, , ,6009.15,5047.69,5408.24,92,,Percent of Total Billed Charges,5023.65,,5408.24,92,,Percent of Total Billed Charges,4933.51,,5408.24,92,,Percent of Total Billed Charges,4837.37,,5408.24,92,,Percent of Total Billed Charges,5017.64,,5408.24,92,,Percent of Total Billed Charges,4524.89,,5408.24,92,,Percent of Total Billed Charges,3755.72,,5408.24,90,,Percent of Total Billed Charges,2998.57,,5348.14,89,,Percent of Total Billed Charges,2884.39,,4951.54,82.4,,Percent of Total Billed Charges,4939.52,,5011.63,83.4,,Percent of Total Billed Charges,4675.12,,5011.63,83.4,,Percent of Total Billed Charges,4212.41,,5011.63,83.4,,Percent of Total Billed Charges,4891.45,,5408.24,90,,Percent of Total Billed Charges,5089.75,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5528.42,92,,Percent of Total Billed Charges,4873.42,,5528.42,92,,Percent of Total Billed Charges,4470.81,,5528.42,92,,Percent of Total Billed Charges,4705.16,,5528.42,92,,Percent of Total Billed Charges,4873.42,,4687.14,78,,Percent of Total Billed Charges,4687.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3234.73,53.83,,Percent of Total Billed Charges,3034.62,,2081.57,34.64,,Percent of Total Billed Charges,2073.16,,3003.37,49.98,,Percent of Total Billed Charges,2271.46,,2081.57,5528.42,,																																							
HC MRI UPPER EXTREMITY W/O CONT,73218,CPT,,,,BOTH, , ,4164.3,3498.01,3747.87,92,,Percent of Total Billed Charges,3481.35,,3747.87,92,,Percent of Total Billed Charges,3418.89,,3747.87,92,,Percent of Total Billed Charges,3352.26,,3747.87,92,,Percent of Total Billed Charges,3477.19,,3747.87,92,,Percent of Total Billed Charges,3135.72,,3747.87,92,,Percent of Total Billed Charges,2602.69,,3747.87,90,,Percent of Total Billed Charges,2077.99,,3706.23,89,,Percent of Total Billed Charges,1998.86,,3431.38,82.4,,Percent of Total Billed Charges,3423.05,,3473.03,83.4,,Percent of Total Billed Charges,3239.83,,3473.03,83.4,,Percent of Total Billed Charges,2919.17,,3473.03,83.4,,Percent of Total Billed Charges,3389.74,,3747.87,90,,Percent of Total Billed Charges,3527.16,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3831.16,92,,Percent of Total Billed Charges,3377.25,,3831.16,92,,Percent of Total Billed Charges,3098.24,,3831.16,92,,Percent of Total Billed Charges,3260.65,,3831.16,92,,Percent of Total Billed Charges,3377.25,,3248.15,78,,Percent of Total Billed Charges,3248.15,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2241.64,53.83,,Percent of Total Billed Charges,2102.97,,1442.51,34.64,,Percent of Total Billed Charges,1436.68,,2081.32,49.98,,Percent of Total Billed Charges,1574.11,,1442.51,3831.16,,																																							
HC MRI UPPR EXTREMITY W/O&W/CONT,73220,CPT,,,,BOTH, , ,5629.05,4728.4,5066.15,92,,Percent of Total Billed Charges,4705.89,,5066.15,92,,Percent of Total Billed Charges,4621.45,,5066.15,92,,Percent of Total Billed Charges,4531.39,,5066.15,92,,Percent of Total Billed Charges,4700.26,,5066.15,92,,Percent of Total Billed Charges,4238.67,,5066.15,92,,Percent of Total Billed Charges,3518.16,,5066.15,90,,Percent of Total Billed Charges,2808.9,,5009.85,89,,Percent of Total Billed Charges,2701.94,,4638.34,82.4,,Percent of Total Billed Charges,4627.08,,4694.63,83.4,,Percent of Total Billed Charges,4379.4,,4694.63,83.4,,Percent of Total Billed Charges,3945.96,,4694.63,83.4,,Percent of Total Billed Charges,4582.05,,5066.15,90,,Percent of Total Billed Charges,4767.81,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5178.73,92,,Percent of Total Billed Charges,4565.16,,5178.73,92,,Percent of Total Billed Charges,4188.01,,5178.73,92,,Percent of Total Billed Charges,4407.55,,5178.73,92,,Percent of Total Billed Charges,4565.16,,4390.66,78,,Percent of Total Billed Charges,4390.66,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3030.12,53.83,,Percent of Total Billed Charges,2842.67,,1949.9,34.64,,Percent of Total Billed Charges,1942.02,,2813.4,49.98,,Percent of Total Billed Charges,2127.78,,1949.90,5178.73,,																																							
HC MRI JOINT UPR EXTREM W/O CONT,73221,CPT,,,,BOTH, , ,535.5,449.82,481.95,92,,Percent of Total Billed Charges,447.68,,481.95,92,,Percent of Total Billed Charges,439.65,,481.95,92,,Percent of Total Billed Charges,431.08,,481.95,92,,Percent of Total Billed Charges,447.14,,481.95,92,,Percent of Total Billed Charges,403.23,,481.95,92,,Percent of Total Billed Charges,334.69,,481.95,90,,Percent of Total Billed Charges,267.21,,476.6,89,,Percent of Total Billed Charges,257.04,,441.25,82.4,,Percent of Total Billed Charges,440.18,,446.61,83.4,,Percent of Total Billed Charges,416.62,,446.61,83.4,,Percent of Total Billed Charges,375.39,,446.61,83.4,,Percent of Total Billed Charges,435.9,,481.95,90,,Percent of Total Billed Charges,453.57,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,492.66,92,,Percent of Total Billed Charges,434.29,,492.66,92,,Percent of Total Billed Charges,398.41,,492.66,92,,Percent of Total Billed Charges,419.3,,492.66,92,,Percent of Total Billed Charges,434.29,,417.69,78,,Percent of Total Billed Charges,417.69,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,288.26,53.83,,Percent of Total Billed Charges,270.43,,185.5,34.64,,Percent of Total Billed Charges,184.75,,267.64,49.98,,Percent of Total Billed Charges,202.42,,185.50,492.66,,																																							
HC MRI JOINT UPR EXTREM W/ CONT,73222,CPT,,,,BOTH, , ,6154.05,5169.4,5538.65,92,,Percent of Total Billed Charges,5144.79,,5538.65,92,,Percent of Total Billed Charges,5052.48,,5538.65,92,,Percent of Total Billed Charges,4954.01,,5538.65,92,,Percent of Total Billed Charges,5138.63,,5538.65,92,,Percent of Total Billed Charges,4634,,5538.65,92,,Percent of Total Billed Charges,3846.28,,5538.65,90,,Percent of Total Billed Charges,3070.87,,5477.1,89,,Percent of Total Billed Charges,2953.94,,5070.94,82.4,,Percent of Total Billed Charges,5058.63,,5132.48,83.4,,Percent of Total Billed Charges,4787.85,,5132.48,83.4,,Percent of Total Billed Charges,4313.99,,5132.48,83.4,,Percent of Total Billed Charges,5009.4,,5538.65,90,,Percent of Total Billed Charges,5212.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5661.73,92,,Percent of Total Billed Charges,4990.93,,5661.73,92,,Percent of Total Billed Charges,4578.61,,5661.73,92,,Percent of Total Billed Charges,4818.62,,5661.73,92,,Percent of Total Billed Charges,4990.93,,4800.16,78,,Percent of Total Billed Charges,4800.16,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3312.73,53.83,,Percent of Total Billed Charges,3107.8,,2131.76,34.64,,Percent of Total Billed Charges,2123.15,,3075.79,49.98,,Percent of Total Billed Charges,2326.23,,2131.76,5661.73,,																																							
HC MRI JOINT UPR EXTR W/O&W/CONT,73223,CPT,,,,BOTH, , ,7285.95,6120.2,6557.36,92,,Percent of Total Billed Charges,6091.05,,6557.36,92,,Percent of Total Billed Charges,5981.76,,6557.36,92,,Percent of Total Billed Charges,5865.19,,6557.36,92,,Percent of Total Billed Charges,6083.77,,6557.36,92,,Percent of Total Billed Charges,5486.32,,6557.36,92,,Percent of Total Billed Charges,4553.72,,6557.36,90,,Percent of Total Billed Charges,3635.69,,6484.5,89,,Percent of Total Billed Charges,3497.26,,6003.62,82.4,,Percent of Total Billed Charges,5989.05,,6076.48,83.4,,Percent of Total Billed Charges,5668.47,,6076.48,83.4,,Percent of Total Billed Charges,5107.45,,6076.48,83.4,,Percent of Total Billed Charges,5930.76,,6557.36,90,,Percent of Total Billed Charges,6171.2,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6703.07,92,,Percent of Total Billed Charges,5908.91,,6703.07,92,,Percent of Total Billed Charges,5420.75,,6703.07,92,,Percent of Total Billed Charges,5704.9,,6703.07,92,,Percent of Total Billed Charges,5908.91,,5683.04,78,,Percent of Total Billed Charges,5683.04,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3922.03,53.83,,Percent of Total Billed Charges,3679.4,,2523.85,34.64,,Percent of Total Billed Charges,2513.65,,3641.52,49.98,,Percent of Total Billed Charges,2754.09,,2523.85,6703.07,,																																							
HC MR ANGIO UPR EXTR W/O&W/CONT,73225,CPT,,,,BOTH, , ,2847.6,2391.98,2562.84,92,,Percent of Total Billed Charges,2380.59,,2562.84,92,,Percent of Total Billed Charges,2337.88,,2562.84,92,,Percent of Total Billed Charges,2292.32,,2562.84,92,,Percent of Total Billed Charges,2377.75,,2562.84,92,,Percent of Total Billed Charges,2144.24,,2562.84,92,,Percent of Total Billed Charges,1779.75,,2562.84,90,,Percent of Total Billed Charges,1420.95,,2534.36,89,,Percent of Total Billed Charges,1366.85,,2346.42,82.4,,Percent of Total Billed Charges,2340.73,,2374.9,83.4,,Percent of Total Billed Charges,2215.43,,2374.9,83.4,,Percent of Total Billed Charges,1996.17,,2374.9,83.4,,Percent of Total Billed Charges,2317.95,,2562.84,90,,Percent of Total Billed Charges,2411.92,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2619.79,92,,Percent of Total Billed Charges,2309.4,,2619.79,92,,Percent of Total Billed Charges,2118.61,,2619.79,92,,Percent of Total Billed Charges,2229.67,,2619.79,92,,Percent of Total Billed Charges,2309.4,,2221.13,78,,Percent of Total Billed Charges,2221.13,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1532.86,53.83,,Percent of Total Billed Charges,1438.04,,986.41,34.64,,Percent of Total Billed Charges,982.42,,1423.23,49.98,,Percent of Total Billed Charges,1076.39,,986.41,2619.79,,																																							
HC MRI LOWER EXTREMITY W/O CONT,73718,CPT,,,,BOTH, , ,5301.45,4453.22,4771.31,92,,Percent of Total Billed Charges,4432.01,,4771.31,92,,Percent of Total Billed Charges,4352.49,,4771.31,92,,Percent of Total Billed Charges,4267.67,,4771.31,92,,Percent of Total Billed Charges,4426.71,,4771.31,92,,Percent of Total Billed Charges,3991.99,,4771.31,92,,Percent of Total Billed Charges,3313.41,,4771.31,90,,Percent of Total Billed Charges,2645.42,,4718.29,89,,Percent of Total Billed Charges,2544.7,,4368.39,82.4,,Percent of Total Billed Charges,4357.79,,4421.41,83.4,,Percent of Total Billed Charges,4124.53,,4421.41,83.4,,Percent of Total Billed Charges,3716.32,,4421.41,83.4,,Percent of Total Billed Charges,4315.38,,4771.31,90,,Percent of Total Billed Charges,4490.33,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4877.33,92,,Percent of Total Billed Charges,4299.48,,4877.33,92,,Percent of Total Billed Charges,3944.28,,4877.33,92,,Percent of Total Billed Charges,4151.04,,4877.33,92,,Percent of Total Billed Charges,4299.48,,4135.13,78,,Percent of Total Billed Charges,4135.13,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2853.77,53.83,,Percent of Total Billed Charges,2677.23,,1836.42,34.64,,Percent of Total Billed Charges,1829,,2649.66,49.98,,Percent of Total Billed Charges,2003.95,,1836.42,4877.33,,																																							
HC MRI LOWER EXTREMITY W/ CONT,73719,CPT,,,,BOTH, , ,6359.85,5342.27,5723.87,92,,Percent of Total Billed Charges,5316.83,,5723.87,92,,Percent of Total Billed Charges,5221.44,,5723.87,92,,Percent of Total Billed Charges,5119.68,,5723.87,92,,Percent of Total Billed Charges,5310.47,,5723.87,92,,Percent of Total Billed Charges,4788.97,,5723.87,92,,Percent of Total Billed Charges,3974.91,,5723.87,90,,Percent of Total Billed Charges,3173.57,,5660.27,89,,Percent of Total Billed Charges,3052.73,,5240.52,82.4,,Percent of Total Billed Charges,5227.8,,5304.11,83.4,,Percent of Total Billed Charges,4947.96,,5304.11,83.4,,Percent of Total Billed Charges,4458.25,,5304.11,83.4,,Percent of Total Billed Charges,5176.92,,5723.87,90,,Percent of Total Billed Charges,5386.79,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5851.06,92,,Percent of Total Billed Charges,5157.84,,5851.06,92,,Percent of Total Billed Charges,4731.73,,5851.06,92,,Percent of Total Billed Charges,4979.76,,5851.06,92,,Percent of Total Billed Charges,5157.84,,4960.68,78,,Percent of Total Billed Charges,4960.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3423.51,53.83,,Percent of Total Billed Charges,3211.72,,2203.05,34.64,,Percent of Total Billed Charges,2194.15,,3178.65,49.98,,Percent of Total Billed Charges,2404.02,,2203.05,5851.06,,																																							
HC MRI LOWER EXTREMITY W/O&W/CONT,73720,CPT,,,,BOTH, , ,9258.9,7777.48,8333.01,92,,Percent of Total Billed Charges,7740.44,,8333.01,92,,Percent of Total Billed Charges,7601.56,,8333.01,92,,Percent of Total Billed Charges,7453.41,,8333.01,92,,Percent of Total Billed Charges,7731.18,,8333.01,92,,Percent of Total Billed Charges,6971.95,,8333.01,92,,Percent of Total Billed Charges,5786.81,,8333.01,90,,Percent of Total Billed Charges,4620.19,,8240.42,89,,Percent of Total Billed Charges,4444.27,,7629.33,82.4,,Percent of Total Billed Charges,7610.82,,7721.92,83.4,,Percent of Total Billed Charges,7203.42,,7721.92,83.4,,Percent of Total Billed Charges,6490.49,,7721.92,83.4,,Percent of Total Billed Charges,7536.74,,8333.01,90,,Percent of Total Billed Charges,7842.29,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,8518.19,92,,Percent of Total Billed Charges,7508.97,,8518.19,92,,Percent of Total Billed Charges,6888.62,,8518.19,92,,Percent of Total Billed Charges,7249.72,,8518.19,92,,Percent of Total Billed Charges,7508.97,,7221.94,78,,Percent of Total Billed Charges,7221.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4984.07,53.83,,Percent of Total Billed Charges,4675.74,,3207.28,34.64,,Percent of Total Billed Charges,3194.32,,4627.6,49.98,,Percent of Total Billed Charges,3499.86,,3207.28,8518.19,,																																							
HC MRI JOINT OF LOWER EXTREMITY W/O CONT,73721,CPT,,,,BOTH, , ,5301.45,4453.22,4771.31,92,,Percent of Total Billed Charges,4432.01,,4771.31,92,,Percent of Total Billed Charges,4352.49,,4771.31,92,,Percent of Total Billed Charges,4267.67,,4771.31,92,,Percent of Total Billed Charges,4426.71,,4771.31,92,,Percent of Total Billed Charges,3991.99,,4771.31,92,,Percent of Total Billed Charges,3313.41,,4771.31,90,,Percent of Total Billed Charges,2645.42,,4718.29,89,,Percent of Total Billed Charges,2544.7,,4368.39,82.4,,Percent of Total Billed Charges,4357.79,,4421.41,83.4,,Percent of Total Billed Charges,4124.53,,4421.41,83.4,,Percent of Total Billed Charges,3716.32,,4421.41,83.4,,Percent of Total Billed Charges,4315.38,,4771.31,90,,Percent of Total Billed Charges,4490.33,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4877.33,92,,Percent of Total Billed Charges,4299.48,,4877.33,92,,Percent of Total Billed Charges,3944.28,,4877.33,92,,Percent of Total Billed Charges,4151.04,,4877.33,92,,Percent of Total Billed Charges,4299.48,,4135.13,78,,Percent of Total Billed Charges,4135.13,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2853.77,53.83,,Percent of Total Billed Charges,2677.23,,1836.42,34.64,,Percent of Total Billed Charges,1829,,2649.66,49.98,,Percent of Total Billed Charges,2003.95,,1836.42,4877.33,,																																							
HC MRI JOINT OF LOWER EXTREMITY W/ CONT,73722,CPT,,,,BOTH, , ,5949.3,4997.41,5354.37,92,,Percent of Total Billed Charges,4973.61,,5354.37,92,,Percent of Total Billed Charges,4884.38,,5354.37,92,,Percent of Total Billed Charges,4789.19,,5354.37,92,,Percent of Total Billed Charges,4967.67,,5354.37,92,,Percent of Total Billed Charges,4479.82,,5354.37,92,,Percent of Total Billed Charges,3718.31,,5354.37,90,,Percent of Total Billed Charges,2968.7,,5294.88,89,,Percent of Total Billed Charges,2855.66,,4902.22,82.4,,Percent of Total Billed Charges,4890.32,,4961.72,83.4,,Percent of Total Billed Charges,4628.56,,4961.72,83.4,,Percent of Total Billed Charges,4170.46,,4961.72,83.4,,Percent of Total Billed Charges,4842.73,,5354.37,90,,Percent of Total Billed Charges,5039.06,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5473.36,92,,Percent of Total Billed Charges,4824.88,,5473.36,92,,Percent of Total Billed Charges,4426.28,,5473.36,92,,Percent of Total Billed Charges,4658.3,,5473.36,92,,Percent of Total Billed Charges,4824.88,,4640.45,78,,Percent of Total Billed Charges,4640.45,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3202.51,53.83,,Percent of Total Billed Charges,3004.4,,2060.84,34.64,,Percent of Total Billed Charges,2052.51,,2973.46,49.98,,Percent of Total Billed Charges,2248.84,,2060.84,5473.36,,																																							
HC MRI JOINT LOWER EXTR W/O&W/CONT,73723,CPT,,,,BOTH, , ,7282.8,6117.55,6554.52,92,,Percent of Total Billed Charges,6088.42,,6554.52,92,,Percent of Total Billed Charges,5979.18,,6554.52,92,,Percent of Total Billed Charges,5862.65,,6554.52,92,,Percent of Total Billed Charges,6081.14,,6554.52,92,,Percent of Total Billed Charges,5483.95,,6554.52,92,,Percent of Total Billed Charges,4551.75,,6554.52,90,,Percent of Total Billed Charges,3634.12,,6481.69,89,,Percent of Total Billed Charges,3495.74,,6001.03,82.4,,Percent of Total Billed Charges,5986.46,,6073.86,83.4,,Percent of Total Billed Charges,5666.02,,6073.86,83.4,,Percent of Total Billed Charges,5105.24,,6073.86,83.4,,Percent of Total Billed Charges,5928.2,,6554.52,90,,Percent of Total Billed Charges,6168.53,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6700.18,92,,Percent of Total Billed Charges,5906.35,,6700.18,92,,Percent of Total Billed Charges,5418.4,,6700.18,92,,Percent of Total Billed Charges,5702.43,,6700.18,92,,Percent of Total Billed Charges,5906.35,,5680.58,78,,Percent of Total Billed Charges,5680.58,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3920.33,53.83,,Percent of Total Billed Charges,3677.81,,2522.76,34.64,,Percent of Total Billed Charges,2512.57,,3639.94,49.98,,Percent of Total Billed Charges,2752.9,,2522.76,6700.18,,																																							
HC MR ANGIO LOWER EXT W OR W/O CONT,73725,CPT,,,,BOTH, , ,5100.9,4284.76,4590.81,92,,Percent of Total Billed Charges,4264.35,,4590.81,92,,Percent of Total Billed Charges,4187.84,,4590.81,92,,Percent of Total Billed Charges,4106.22,,4590.81,92,,Percent of Total Billed Charges,4259.25,,4590.81,92,,Percent of Total Billed Charges,3840.98,,4590.81,92,,Percent of Total Billed Charges,3188.06,,4590.81,90,,Percent of Total Billed Charges,2545.35,,4539.8,89,,Percent of Total Billed Charges,2448.43,,4203.14,82.4,,Percent of Total Billed Charges,4192.94,,4254.15,83.4,,Percent of Total Billed Charges,3968.5,,4254.15,83.4,,Percent of Total Billed Charges,3575.73,,4254.15,83.4,,Percent of Total Billed Charges,4152.13,,4590.81,90,,Percent of Total Billed Charges,4320.46,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4692.83,92,,Percent of Total Billed Charges,4136.83,,4692.83,92,,Percent of Total Billed Charges,3795.07,,4692.83,92,,Percent of Total Billed Charges,3994,,4692.83,92,,Percent of Total Billed Charges,4136.83,,3978.7,78,,Percent of Total Billed Charges,3978.7,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2745.81,53.83,,Percent of Total Billed Charges,2575.95,,1766.95,34.64,,Percent of Total Billed Charges,1759.81,,2549.43,49.98,,Percent of Total Billed Charges,1928.14,,1766.95,4692.83,,																																							
HC MRI ABDOMEN W/O CONTRAST,74181,CPT,,,,BOTH, , ,3931.2,3302.21,3538.08,92,,Percent of Total Billed Charges,3286.48,,3538.08,92,,Percent of Total Billed Charges,3227.52,,3538.08,92,,Percent of Total Billed Charges,3164.62,,3538.08,92,,Percent of Total Billed Charges,3282.55,,3538.08,92,,Percent of Total Billed Charges,2960.19,,3538.08,92,,Percent of Total Billed Charges,2457,,3538.08,90,,Percent of Total Billed Charges,1961.67,,3498.77,89,,Percent of Total Billed Charges,1886.98,,3239.31,82.4,,Percent of Total Billed Charges,3231.45,,3278.62,83.4,,Percent of Total Billed Charges,3058.47,,3278.62,83.4,,Percent of Total Billed Charges,2755.77,,3278.62,83.4,,Percent of Total Billed Charges,3200,,3538.08,90,,Percent of Total Billed Charges,3329.73,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3616.7,92,,Percent of Total Billed Charges,3188.2,,3616.7,92,,Percent of Total Billed Charges,2924.81,,3616.7,92,,Percent of Total Billed Charges,3078.13,,3616.7,92,,Percent of Total Billed Charges,3188.2,,3066.34,78,,Percent of Total Billed Charges,3066.34,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2116.16,53.83,,Percent of Total Billed Charges,1985.26,,1361.77,34.64,,Percent of Total Billed Charges,1356.26,,1964.81,49.98,,Percent of Total Billed Charges,1485.99,,1361.77,3616.7,,																																							
HC MRI ABDOMEN W/O & W/CONTRAST,74183,CPT,,,,BOTH, , ,5541.9,4655.2,4987.71,92,,Percent of Total Billed Charges,4633.03,,4987.71,92,,Percent of Total Billed Charges,4549.9,,4987.71,92,,Percent of Total Billed Charges,4461.23,,4987.71,92,,Percent of Total Billed Charges,4627.49,,4987.71,92,,Percent of Total Billed Charges,4173.05,,4987.71,92,,Percent of Total Billed Charges,3463.69,,4987.71,90,,Percent of Total Billed Charges,2765.41,,4932.29,89,,Percent of Total Billed Charges,2660.11,,4566.53,82.4,,Percent of Total Billed Charges,4555.44,,4621.94,83.4,,Percent of Total Billed Charges,4311.6,,4621.94,83.4,,Percent of Total Billed Charges,3884.87,,4621.94,83.4,,Percent of Total Billed Charges,4511.11,,4987.71,90,,Percent of Total Billed Charges,4693.99,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5098.55,92,,Percent of Total Billed Charges,4494.48,,5098.55,92,,Percent of Total Billed Charges,4123.17,,5098.55,92,,Percent of Total Billed Charges,4339.31,,5098.55,92,,Percent of Total Billed Charges,4494.48,,4322.68,78,,Percent of Total Billed Charges,4322.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2983.2,53.83,,Percent of Total Billed Charges,2798.66,,1919.71,34.64,,Percent of Total Billed Charges,1911.96,,2769.84,49.98,,Percent of Total Billed Charges,2094.84,,1919.71,5098.55,,																																							
HC CARDIAC MRI FOR MORPH W/O CONT,75557,CPT,,,,BOTH, , ,2324.7,1952.75,2092.23,92,,Percent of Total Billed Charges,1943.45,,2092.23,92,,Percent of Total Billed Charges,1908.58,,2092.23,92,,Percent of Total Billed Charges,1871.38,,2092.23,92,,Percent of Total Billed Charges,1941.12,,2092.23,92,,Percent of Total Billed Charges,1750.5,,2092.23,92,,Percent of Total Billed Charges,1452.94,,2092.23,90,,Percent of Total Billed Charges,1160.03,,2068.98,89,,Percent of Total Billed Charges,1115.86,,1915.55,82.4,,Percent of Total Billed Charges,1910.9,,1938.8,83.4,,Percent of Total Billed Charges,1808.62,,1938.8,83.4,,Percent of Total Billed Charges,1629.61,,1938.8,83.4,,Percent of Total Billed Charges,1892.31,,2092.23,90,,Percent of Total Billed Charges,1969.02,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2138.72,92,,Percent of Total Billed Charges,1885.33,,2138.72,92,,Percent of Total Billed Charges,1729.58,,2138.72,92,,Percent of Total Billed Charges,1820.24,,2138.72,92,,Percent of Total Billed Charges,1885.33,,1813.27,78,,Percent of Total Billed Charges,1813.27,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1251.39,53.83,,Percent of Total Billed Charges,1173.97,,805.28,34.64,,Percent of Total Billed Charges,802.02,,1161.89,49.98,,Percent of Total Billed Charges,878.74,,805.28,2138.72,,																																							
HC CARDIAC MRI FOR MORPH W/ CONT,75561,CPT,,,,BOTH, , ,252,211.68,226.8,92,,Percent of Total Billed Charges,210.67,,226.8,92,,Percent of Total Billed Charges,206.89,,226.8,92,,Percent of Total Billed Charges,202.86,,226.8,92,,Percent of Total Billed Charges,210.42,,226.8,92,,Percent of Total Billed Charges,189.76,,226.8,92,,Percent of Total Billed Charges,157.5,,226.8,90,,Percent of Total Billed Charges,125.75,,224.28,89,,Percent of Total Billed Charges,120.96,,207.65,82.4,,Percent of Total Billed Charges,207.14,,210.17,83.4,,Percent of Total Billed Charges,196.06,,210.17,83.4,,Percent of Total Billed Charges,176.65,,210.17,83.4,,Percent of Total Billed Charges,205.13,,226.8,90,,Percent of Total Billed Charges,213.44,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,231.84,92,,Percent of Total Billed Charges,204.37,,231.84,92,,Percent of Total Billed Charges,187.49,,231.84,92,,Percent of Total Billed Charges,197.32,,231.84,92,,Percent of Total Billed Charges,204.37,,196.56,78,,Percent of Total Billed Charges,196.56,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,135.65,53.83,,Percent of Total Billed Charges,127.26,,87.29,34.64,,Percent of Total Billed Charges,86.94,,125.95,49.98,,Percent of Total Billed Charges,95.26,,87.29,231.84,,																																							
HC CARD MRI VELOC FLOW MAPPING ADD,75565,CPT,,,,BOTH, , ,1877.4,1577.02,1689.66,92,,Percent of Total Billed Charges,1569.51,,1689.66,92,,Percent of Total Billed Charges,1541.35,,1689.66,92,,Percent of Total Billed Charges,1511.31,,1689.66,92,,Percent of Total Billed Charges,1567.63,,1689.66,92,,Percent of Total Billed Charges,1413.68,,1689.66,92,,Percent of Total Billed Charges,1173.38,,1689.66,90,,Percent of Total Billed Charges,936.82,,1670.89,89,,Percent of Total Billed Charges,901.15,,1546.98,82.4,,Percent of Total Billed Charges,1543.22,,1565.75,83.4,,Percent of Total Billed Charges,1460.62,,1565.75,83.4,,Percent of Total Billed Charges,1316.06,,1565.75,83.4,,Percent of Total Billed Charges,1528.2,,1689.66,90,,Percent of Total Billed Charges,1590.16,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1727.21,92,,Percent of Total Billed Charges,1522.57,,1727.21,92,,Percent of Total Billed Charges,1396.79,,1727.21,92,,Percent of Total Billed Charges,1470,,1727.21,92,,Percent of Total Billed Charges,1522.57,,1464.37,78,,Percent of Total Billed Charges,1464.37,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1010.6,53.83,,Percent of Total Billed Charges,948.09,,650.33,34.64,,Percent of Total Billed Charges,647.7,,938.32,49.98,,Percent of Total Billed Charges,709.66,,650.33,1727.21,,																																							
HC 3D RENDER W/INTRP POSTPROCES,76376,CPT,,,,BOTH, , ,256.2,215.21,230.58,92,,Percent of Total Billed Charges,214.18,,230.58,92,,Percent of Total Billed Charges,210.34,,230.58,92,,Percent of Total Billed Charges,206.24,,230.58,92,,Percent of Total Billed Charges,213.93,,230.58,92,,Percent of Total Billed Charges,192.92,,230.58,92,,Percent of Total Billed Charges,160.13,,230.58,90,,Percent of Total Billed Charges,127.84,,228.02,89,,Percent of Total Billed Charges,122.98,,211.11,82.4,,Percent of Total Billed Charges,210.6,,213.67,83.4,,Percent of Total Billed Charges,199.32,,213.67,83.4,,Percent of Total Billed Charges,179.6,,213.67,83.4,,Percent of Total Billed Charges,208.55,,230.58,90,,Percent of Total Billed Charges,217,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,235.7,92,,Percent of Total Billed Charges,207.78,,235.7,92,,Percent of Total Billed Charges,190.61,,235.7,92,,Percent of Total Billed Charges,200.6,,235.7,92,,Percent of Total Billed Charges,207.78,,199.84,78,,Percent of Total Billed Charges,199.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,137.91,53.83,,Percent of Total Billed Charges,129.38,,88.75,34.64,,Percent of Total Billed Charges,88.39,,128.05,49.98,,Percent of Total Billed Charges,96.84,,88.75,235.7,,																																							
HC MRI PROCEDURE,76498,CPT,,,,BOTH, , ,2328.9,1956.28,2096.01,92,,Percent of Total Billed Charges,1946.96,,2096.01,92,,Percent of Total Billed Charges,1912.03,,2096.01,92,,Percent of Total Billed Charges,1874.76,,2096.01,92,,Percent of Total Billed Charges,1944.63,,2096.01,92,,Percent of Total Billed Charges,1753.66,,2096.01,92,,Percent of Total Billed Charges,1455.56,,2096.01,90,,Percent of Total Billed Charges,1162.12,,2072.72,89,,Percent of Total Billed Charges,1117.87,,1919.01,82.4,,Percent of Total Billed Charges,1914.36,,1942.3,83.4,,Percent of Total Billed Charges,1811.88,,1942.3,83.4,,Percent of Total Billed Charges,1632.56,,1942.3,83.4,,Percent of Total Billed Charges,1895.72,,2096.01,90,,Percent of Total Billed Charges,1972.58,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2142.59,92,,Percent of Total Billed Charges,1888.74,,2142.59,92,,Percent of Total Billed Charges,1732.7,,2142.59,92,,Percent of Total Billed Charges,1823.53,,2142.59,92,,Percent of Total Billed Charges,1888.74,,1816.54,78,,Percent of Total Billed Charges,1816.54,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1253.65,53.83,,Percent of Total Billed Charges,1176.09,,806.73,34.64,,Percent of Total Billed Charges,803.47,,1163.98,49.98,,Percent of Total Billed Charges,880.32,,806.73,2142.59,,																																							
HC MR GUIDANCE FOR NEEDLE PLACE,77021,CPT,,,,BOTH, , ,3407.25,2862.09,3066.53,92,,Percent of Total Billed Charges,2848.46,,3066.53,92,,Percent of Total Billed Charges,2797.35,,3066.53,92,,Percent of Total Billed Charges,2742.84,,3066.53,92,,Percent of Total Billed Charges,2845.05,,3066.53,92,,Percent of Total Billed Charges,2565.66,,3066.53,92,,Percent of Total Billed Charges,2129.53,,3066.53,90,,Percent of Total Billed Charges,1700.22,,3032.45,89,,Percent of Total Billed Charges,1635.48,,2807.57,82.4,,Percent of Total Billed Charges,2800.76,,2841.65,83.4,,Percent of Total Billed Charges,2650.84,,2841.65,83.4,,Percent of Total Billed Charges,2388.48,,2841.65,83.4,,Percent of Total Billed Charges,2773.5,,3066.53,90,,Percent of Total Billed Charges,2885.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3134.67,92,,Percent of Total Billed Charges,2763.28,,3134.67,92,,Percent of Total Billed Charges,2534.99,,3134.67,92,,Percent of Total Billed Charges,2667.88,,3134.67,92,,Percent of Total Billed Charges,2763.28,,2657.66,78,,Percent of Total Billed Charges,2657.66,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1834.12,53.83,,Percent of Total Billed Charges,1720.66,,1180.27,34.64,,Percent of Total Billed Charges,1175.5,,1702.94,49.98,,Percent of Total Billed Charges,1287.94,,1180.27,3134.67,,																																							
HC MRA ABDOMEN W/CONTRAST,C8900,CPT,,,,BOTH, , ,4792.2,4025.45,4312.98,92,,Percent of Total Billed Charges,4006.28,,4312.98,92,,Percent of Total Billed Charges,3934.4,,4312.98,92,,Percent of Total Billed Charges,3857.72,,4312.98,92,,Percent of Total Billed Charges,4001.49,,4312.98,92,,Percent of Total Billed Charges,3608.53,,4312.98,92,,Percent of Total Billed Charges,2995.13,,4312.98,90,,Percent of Total Billed Charges,2391.31,,4265.06,89,,Percent of Total Billed Charges,2300.26,,3948.77,82.4,,Percent of Total Billed Charges,3939.19,,3996.69,83.4,,Percent of Total Billed Charges,3728.33,,3996.69,83.4,,Percent of Total Billed Charges,3359.33,,3996.69,83.4,,Percent of Total Billed Charges,3900.85,,4312.98,90,,Percent of Total Billed Charges,4058.99,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4408.82,92,,Percent of Total Billed Charges,3886.47,,4408.82,92,,Percent of Total Billed Charges,3565.4,,4408.82,92,,Percent of Total Billed Charges,3752.29,,4408.82,92,,Percent of Total Billed Charges,3886.47,,3737.92,78,,Percent of Total Billed Charges,3737.92,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2579.64,53.83,,Percent of Total Billed Charges,2420.06,,1660.02,34.64,,Percent of Total Billed Charges,1653.31,,2395.14,49.98,,Percent of Total Billed Charges,1811.45,,1660.02,4408.82,,																																							
HC MRA ABDOMEN WO/CONTRAST,C8901,CPT,,,,BOTH, , ,4187.4,3517.42,3768.66,92,,Percent of Total Billed Charges,3500.67,,3768.66,92,,Percent of Total Billed Charges,3437.86,,3768.66,92,,Percent of Total Billed Charges,3370.86,,3768.66,92,,Percent of Total Billed Charges,3496.48,,3768.66,92,,Percent of Total Billed Charges,3153.11,,3768.66,92,,Percent of Total Billed Charges,2617.13,,3768.66,90,,Percent of Total Billed Charges,2089.51,,3726.79,89,,Percent of Total Billed Charges,2009.95,,3450.42,82.4,,Percent of Total Billed Charges,3442.04,,3492.29,83.4,,Percent of Total Billed Charges,3257.8,,3492.29,83.4,,Percent of Total Billed Charges,2935.37,,3492.29,83.4,,Percent of Total Billed Charges,3408.54,,3768.66,90,,Percent of Total Billed Charges,3546.73,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3852.41,92,,Percent of Total Billed Charges,3395.98,,3852.41,92,,Percent of Total Billed Charges,3115.43,,3852.41,92,,Percent of Total Billed Charges,3278.73,,3852.41,92,,Percent of Total Billed Charges,3395.98,,3266.17,78,,Percent of Total Billed Charges,3266.17,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2254.08,53.83,,Percent of Total Billed Charges,2114.64,,1450.52,34.64,,Percent of Total Billed Charges,1444.65,,2092.86,49.98,,Percent of Total Billed Charges,1582.84,,1450.52,3852.41,,																																							
HC MRA ABDOMEN WO/W CONTRAST,C8902,CPT,,,,BOTH, , ,5629.05,4728.4,5066.15,92,,Percent of Total Billed Charges,4705.89,,5066.15,92,,Percent of Total Billed Charges,4621.45,,5066.15,92,,Percent of Total Billed Charges,4531.39,,5066.15,92,,Percent of Total Billed Charges,4700.26,,5066.15,92,,Percent of Total Billed Charges,4238.67,,5066.15,92,,Percent of Total Billed Charges,3518.16,,5066.15,90,,Percent of Total Billed Charges,2808.9,,5009.85,89,,Percent of Total Billed Charges,2701.94,,4638.34,82.4,,Percent of Total Billed Charges,4627.08,,4694.63,83.4,,Percent of Total Billed Charges,4379.4,,4694.63,83.4,,Percent of Total Billed Charges,3945.96,,4694.63,83.4,,Percent of Total Billed Charges,4582.05,,5066.15,90,,Percent of Total Billed Charges,4767.81,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5178.73,92,,Percent of Total Billed Charges,4565.16,,5178.73,92,,Percent of Total Billed Charges,4188.01,,5178.73,92,,Percent of Total Billed Charges,4407.55,,5178.73,92,,Percent of Total Billed Charges,4565.16,,4390.66,78,,Percent of Total Billed Charges,4390.66,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3030.12,53.83,,Percent of Total Billed Charges,2842.67,,1949.9,34.64,,Percent of Total Billed Charges,1942.02,,2813.4,49.98,,Percent of Total Billed Charges,2127.78,,1949.90,5178.73,,																																							
HC MRA CHEST WO/CONTRAST,C8910,CPT,,,,BOTH, , ,3802.05,3193.72,3421.85,92,,Percent of Total Billed Charges,3178.51,,3421.85,92,,Percent of Total Billed Charges,3121.48,,3421.85,92,,Percent of Total Billed Charges,3060.65,,3421.85,92,,Percent of Total Billed Charges,3174.71,,3421.85,92,,Percent of Total Billed Charges,2862.94,,3421.85,92,,Percent of Total Billed Charges,2376.28,,3421.85,90,,Percent of Total Billed Charges,1897.22,,3383.82,89,,Percent of Total Billed Charges,1824.98,,3132.89,82.4,,Percent of Total Billed Charges,3125.29,,3170.91,83.4,,Percent of Total Billed Charges,2957.99,,3170.91,83.4,,Percent of Total Billed Charges,2665.24,,3170.91,83.4,,Percent of Total Billed Charges,3094.87,,3421.85,90,,Percent of Total Billed Charges,3220.34,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3497.89,92,,Percent of Total Billed Charges,3083.46,,3497.89,92,,Percent of Total Billed Charges,2828.73,,3497.89,92,,Percent of Total Billed Charges,2977.01,,3497.89,92,,Percent of Total Billed Charges,3083.46,,2965.6,78,,Percent of Total Billed Charges,2965.6,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2046.64,53.83,,Percent of Total Billed Charges,1920.04,,1317.03,34.64,,Percent of Total Billed Charges,1311.71,,1900.26,49.98,,Percent of Total Billed Charges,1437.17,,1317.03,3497.89,,																																							
HC MRA WO FOL W/CONTRAST, CHEST,71555,CPT,,,,BOTH, , ,5657.4,4752.22,5091.66,92,,Percent of Total Billed Charges,4729.59,,5091.66,92,,Percent of Total Billed Charges,4644.73,,5091.66,92,,Percent of Total Billed Charges,4554.21,,5091.66,92,,Percent of Total Billed Charges,4723.93,,5091.66,92,,Percent of Total Billed Charges,4260.02,,5091.66,92,,Percent of Total Billed Charges,3535.88,,5091.66,90,,Percent of Total Billed Charges,2823.04,,5035.09,89,,Percent of Total Billed Charges,2715.55,,4661.7,82.4,,Percent of Total Billed Charges,4650.38,,4718.27,83.4,,Percent of Total Billed Charges,4401.46,,4718.27,83.4,,Percent of Total Billed Charges,3965.84,,4718.27,83.4,,Percent of Total Billed Charges,4605.12,,5091.66,90,,Percent of Total Billed Charges,4791.82,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5204.81,92,,Percent of Total Billed Charges,4588.15,,5204.81,92,,Percent of Total Billed Charges,4209.11,,5204.81,92,,Percent of Total Billed Charges,4429.74,,5204.81,92,,Percent of Total Billed Charges,4588.15,,4412.77,78,,Percent of Total Billed Charges,4412.77,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3045.38,53.83,,Percent of Total Billed Charges,2856.99,,1959.72,34.64,,Percent of Total Billed Charges,1951.8,,2827.57,49.98,,Percent of Total Billed Charges,2138.5,,1959.72,5204.81,,																																							
HC MRA W/CONTRAST, LOWER EXTREMITY,C8912,CPT,,,,BOTH, , ,5241.6,4402.94,4717.44,92,,Percent of Total Billed Charges,4381.98,,4717.44,92,,Percent of Total Billed Charges,4303.35,,4717.44,92,,Percent of Total Billed Charges,4219.49,,4717.44,92,,Percent of Total Billed Charges,4376.74,,4717.44,92,,Percent of Total Billed Charges,3946.92,,4717.44,92,,Percent of Total Billed Charges,3276,,4717.44,90,,Percent of Total Billed Charges,2615.56,,4665.02,89,,Percent of Total Billed Charges,2515.97,,4319.08,82.4,,Percent of Total Billed Charges,4308.6,,4371.49,83.4,,Percent of Total Billed Charges,4077.96,,4371.49,83.4,,Percent of Total Billed Charges,3674.36,,4371.49,83.4,,Percent of Total Billed Charges,4266.66,,4717.44,90,,Percent of Total Billed Charges,4439.64,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4822.27,92,,Percent of Total Billed Charges,4250.94,,4822.27,92,,Percent of Total Billed Charges,3899.75,,4822.27,92,,Percent of Total Billed Charges,4104.17,,4822.27,92,,Percent of Total Billed Charges,4250.94,,4088.45,78,,Percent of Total Billed Charges,4088.45,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2821.55,53.83,,Percent of Total Billed Charges,2647.01,,1815.69,34.64,,Percent of Total Billed Charges,1808.35,,2619.75,49.98,,Percent of Total Billed Charges,1981.32,,1815.69,4822.27,,																																							
HC MRA W/O CONTRAST, LOWER EXTREMITY,C8913,CPT,,,,BOTH, , ,5100.9,4284.76,4590.81,92,,Percent of Total Billed Charges,4264.35,,4590.81,92,,Percent of Total Billed Charges,4187.84,,4590.81,92,,Percent of Total Billed Charges,4106.22,,4590.81,92,,Percent of Total Billed Charges,4259.25,,4590.81,92,,Percent of Total Billed Charges,3840.98,,4590.81,92,,Percent of Total Billed Charges,3188.06,,4590.81,90,,Percent of Total Billed Charges,2545.35,,4539.8,89,,Percent of Total Billed Charges,2448.43,,4203.14,82.4,,Percent of Total Billed Charges,4192.94,,4254.15,83.4,,Percent of Total Billed Charges,3968.5,,4254.15,83.4,,Percent of Total Billed Charges,3575.73,,4254.15,83.4,,Percent of Total Billed Charges,4152.13,,4590.81,90,,Percent of Total Billed Charges,4320.46,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4692.83,92,,Percent of Total Billed Charges,4136.83,,4692.83,92,,Percent of Total Billed Charges,3795.07,,4692.83,92,,Percent of Total Billed Charges,3994,,4692.83,92,,Percent of Total Billed Charges,4136.83,,3978.7,78,,Percent of Total Billed Charges,3978.7,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2745.81,53.83,,Percent of Total Billed Charges,2575.95,,1766.95,34.64,,Percent of Total Billed Charges,1759.81,,2549.43,49.98,,Percent of Total Billed Charges,1928.14,,1766.95,4692.83,,																																							
HC MRA W/O FOL W/CONTRAST, LOWER EXTREMITY,C8914,CPT,,,,BOTH, , ,6743.1,5664.2,6068.79,92,,Percent of Total Billed Charges,5637.23,,6068.79,92,,Percent of Total Billed Charges,5536.09,,6068.79,92,,Percent of Total Billed Charges,5428.2,,6068.79,92,,Percent of Total Billed Charges,5630.49,,6068.79,92,,Percent of Total Billed Charges,5077.55,,6068.79,92,,Percent of Total Billed Charges,4214.44,,6068.79,90,,Percent of Total Billed Charges,3364.81,,6001.36,89,,Percent of Total Billed Charges,3236.69,,5556.31,82.4,,Percent of Total Billed Charges,5542.83,,5623.75,83.4,,Percent of Total Billed Charges,5246.13,,5623.75,83.4,,Percent of Total Billed Charges,4726.91,,5623.75,83.4,,Percent of Total Billed Charges,5488.88,,6068.79,90,,Percent of Total Billed Charges,5711.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6203.65,92,,Percent of Total Billed Charges,5468.65,,6203.65,92,,Percent of Total Billed Charges,5016.87,,6203.65,92,,Percent of Total Billed Charges,5279.85,,6203.65,92,,Percent of Total Billed Charges,5468.65,,5259.62,78,,Percent of Total Billed Charges,5259.62,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3629.81,53.83,,Percent of Total Billed Charges,3405.27,,2335.81,34.64,,Percent of Total Billed Charges,2326.37,,3370.2,49.98,,Percent of Total Billed Charges,2548.89,,2335.81,6203.65,,																																							
HC MRA PELVIS W/O CONTRAST,C8919,CPT,,,,BOTH, , ,3541.65,2974.99,3187.49,92,,Percent of Total Billed Charges,2960.82,,3187.49,92,,Percent of Total Billed Charges,2907.69,,3187.49,92,,Percent of Total Billed Charges,2851.03,,3187.49,92,,Percent of Total Billed Charges,2957.28,,3187.49,92,,Percent of Total Billed Charges,2666.86,,3187.49,92,,Percent of Total Billed Charges,2213.53,,3187.49,90,,Percent of Total Billed Charges,1767.28,,3152.07,89,,Percent of Total Billed Charges,1699.99,,2918.32,82.4,,Percent of Total Billed Charges,2911.24,,2953.74,83.4,,Percent of Total Billed Charges,2755.4,,2953.74,83.4,,Percent of Total Billed Charges,2482.7,,2953.74,83.4,,Percent of Total Billed Charges,2882.9,,3187.49,90,,Percent of Total Billed Charges,2999.78,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3258.32,92,,Percent of Total Billed Charges,2872.28,,3258.32,92,,Percent of Total Billed Charges,2634.99,,3258.32,92,,Percent of Total Billed Charges,2773.11,,3258.32,92,,Percent of Total Billed Charges,2872.28,,2762.49,78,,Percent of Total Billed Charges,2762.49,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1906.47,53.83,,Percent of Total Billed Charges,1788.53,,1226.83,34.64,,Percent of Total Billed Charges,1221.87,,1770.12,49.98,,Percent of Total Billed Charges,1338.74,,1226.83,3258.32,,																																							
HC MRA W/O FOL W/CONTRAST, PELVIS,C8920,CPT,,,,BOTH, , ,5656.35,4751.33,5090.72,92,,Percent of Total Billed Charges,4728.71,,5090.72,92,,Percent of Total Billed Charges,4643.86,,5090.72,92,,Percent of Total Billed Charges,4553.36,,5090.72,92,,Percent of Total Billed Charges,4723.05,,5090.72,92,,Percent of Total Billed Charges,4259.23,,5090.72,92,,Percent of Total Billed Charges,3535.22,,5090.72,90,,Percent of Total Billed Charges,2822.52,,5034.15,89,,Percent of Total Billed Charges,2715.05,,4660.83,82.4,,Percent of Total Billed Charges,4649.52,,4717.4,83.4,,Percent of Total Billed Charges,4400.64,,4717.4,83.4,,Percent of Total Billed Charges,3965.1,,4717.4,83.4,,Percent of Total Billed Charges,4604.27,,5090.72,90,,Percent of Total Billed Charges,4790.93,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5203.84,92,,Percent of Total Billed Charges,4587.3,,5203.84,92,,Percent of Total Billed Charges,4208.32,,5203.84,92,,Percent of Total Billed Charges,4428.92,,5203.84,92,,Percent of Total Billed Charges,4587.3,,4411.95,78,,Percent of Total Billed Charges,4411.95,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3044.81,53.83,,Percent of Total Billed Charges,2856.46,,1959.36,34.64,,Percent of Total Billed Charges,1951.44,,2827.04,49.98,,Percent of Total Billed Charges,2138.1,,1959.36,5203.84,,																																							
HC MRI CHEST W CONTRAST,71551,CPT,,,,BOTH, , ,3962.7,3328.67,3566.43,92,,Percent of Total Billed Charges,3312.82,,3566.43,92,,Percent of Total Billed Charges,3253.38,,3566.43,92,,Percent of Total Billed Charges,3189.97,,3566.43,92,,Percent of Total Billed Charges,3308.85,,3566.43,92,,Percent of Total Billed Charges,2983.91,,3566.43,92,,Percent of Total Billed Charges,2476.69,,3566.43,90,,Percent of Total Billed Charges,1977.39,,3526.8,89,,Percent of Total Billed Charges,1902.1,,3265.26,82.4,,Percent of Total Billed Charges,3257.34,,3304.89,83.4,,Percent of Total Billed Charges,3082.98,,3304.89,83.4,,Percent of Total Billed Charges,2777.85,,3304.89,83.4,,Percent of Total Billed Charges,3225.64,,3566.43,90,,Percent of Total Billed Charges,3356.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3645.68,92,,Percent of Total Billed Charges,3213.75,,3645.68,92,,Percent of Total Billed Charges,2948.25,,3645.68,92,,Percent of Total Billed Charges,3102.79,,3645.68,92,,Percent of Total Billed Charges,3213.75,,3090.91,78,,Percent of Total Billed Charges,3090.91,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2133.12,53.83,,Percent of Total Billed Charges,2001.16,,1372.68,34.64,,Percent of Total Billed Charges,1367.13,,1980.56,49.98,,Percent of Total Billed Charges,1497.9,,1372.68,3645.68,,																																							
HC MRI ANGIOGRAM SPINE W WO CONTRAST,72159,CPT,,,,BOTH, , ,2952.6,2480.18,2657.34,92,,Percent of Total Billed Charges,2468.37,,2657.34,92,,Percent of Total Billed Charges,2424.08,,2657.34,92,,Percent of Total Billed Charges,2376.84,,2657.34,92,,Percent of Total Billed Charges,2465.42,,2657.34,92,,Percent of Total Billed Charges,2223.31,,2657.34,92,,Percent of Total Billed Charges,1845.38,,2657.34,90,,Percent of Total Billed Charges,1473.35,,2627.81,89,,Percent of Total Billed Charges,1417.25,,2432.94,82.4,,Percent of Total Billed Charges,2427.04,,2462.47,83.4,,Percent of Total Billed Charges,2297.12,,2462.47,83.4,,Percent of Total Billed Charges,2069.77,,2462.47,83.4,,Percent of Total Billed Charges,2403.42,,2657.34,90,,Percent of Total Billed Charges,2500.85,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2716.39,92,,Percent of Total Billed Charges,2394.56,,2716.39,92,,Percent of Total Billed Charges,2196.73,,2716.39,92,,Percent of Total Billed Charges,2311.89,,2716.39,92,,Percent of Total Billed Charges,2394.56,,2303.03,78,,Percent of Total Billed Charges,2303.03,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1589.38,53.83,,Percent of Total Billed Charges,1491.06,,1022.78,34.64,,Percent of Total Billed Charges,1018.65,,1475.71,49.98,,Percent of Total Billed Charges,1116.08,,1022.78,2716.39,,																																							
HC MRI PELVIS W CONTRAST,72196,CPT,,,,BOTH, , ,4605.3,3868.45,4144.77,92,,Percent of Total Billed Charges,3850.03,,4144.77,92,,Percent of Total Billed Charges,3780.95,,4144.77,92,,Percent of Total Billed Charges,3707.27,,4144.77,92,,Percent of Total Billed Charges,3845.43,,4144.77,92,,Percent of Total Billed Charges,3467.79,,4144.77,92,,Percent of Total Billed Charges,2878.31,,4144.77,90,,Percent of Total Billed Charges,2298.04,,4098.72,89,,Percent of Total Billed Charges,2210.54,,3794.77,82.4,,Percent of Total Billed Charges,3785.56,,3840.82,83.4,,Percent of Total Billed Charges,3582.92,,3840.82,83.4,,Percent of Total Billed Charges,3228.32,,3840.82,83.4,,Percent of Total Billed Charges,3748.71,,4144.77,90,,Percent of Total Billed Charges,3900.69,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4236.88,92,,Percent of Total Billed Charges,3734.9,,4236.88,92,,Percent of Total Billed Charges,3426.34,,4236.88,92,,Percent of Total Billed Charges,3605.95,,4236.88,92,,Percent of Total Billed Charges,3734.9,,3592.13,78,,Percent of Total Billed Charges,3592.13,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2479.03,53.83,,Percent of Total Billed Charges,2325.68,,1595.28,34.64,,Percent of Total Billed Charges,1588.83,,2301.73,49.98,,Percent of Total Billed Charges,1740.8,,1595.28,4236.88,,																																							
HC MRI ANGIOGRAM PELVIS W WO CONTRAST,72198,CPT,,,,BOTH, , ,5141.85,4319.15,4627.67,92,,Percent of Total Billed Charges,4298.59,,4627.67,92,,Percent of Total Billed Charges,4221.46,,4627.67,92,,Percent of Total Billed Charges,4139.19,,4627.67,92,,Percent of Total Billed Charges,4293.44,,4627.67,92,,Percent of Total Billed Charges,3871.81,,4627.67,92,,Percent of Total Billed Charges,3213.66,,4627.67,90,,Percent of Total Billed Charges,2565.78,,4576.25,89,,Percent of Total Billed Charges,2468.09,,4236.88,82.4,,Percent of Total Billed Charges,4226.6,,4288.3,83.4,,Percent of Total Billed Charges,4000.36,,4288.3,83.4,,Percent of Total Billed Charges,3604.44,,4288.3,83.4,,Percent of Total Billed Charges,4185.47,,4627.67,90,,Percent of Total Billed Charges,4355.15,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4730.5,92,,Percent of Total Billed Charges,4170.04,,4730.5,92,,Percent of Total Billed Charges,3825.54,,4730.5,92,,Percent of Total Billed Charges,4026.07,,4730.5,92,,Percent of Total Billed Charges,4170.04,,4010.64,78,,Percent of Total Billed Charges,4010.64,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2767.86,53.83,,Percent of Total Billed Charges,2596.63,,1781.14,34.64,,Percent of Total Billed Charges,1773.94,,2569.9,49.98,,Percent of Total Billed Charges,1943.62,,1781.14,4730.5,,																																							
HC MRI UPPER EXTREMITY W CONTRAST,73219,CPT,,,,BOTH, , ,4755.45,3994.58,4279.91,92,,Percent of Total Billed Charges,3975.56,,4279.91,92,,Percent of Total Billed Charges,3904.22,,4279.91,92,,Percent of Total Billed Charges,3828.14,,4279.91,92,,Percent of Total Billed Charges,3970.8,,4279.91,92,,Percent of Total Billed Charges,3580.85,,4279.91,92,,Percent of Total Billed Charges,2972.16,,4279.91,90,,Percent of Total Billed Charges,2372.97,,4232.35,89,,Percent of Total Billed Charges,2282.62,,3918.49,82.4,,Percent of Total Billed Charges,3908.98,,3966.05,83.4,,Percent of Total Billed Charges,3699.74,,3966.05,83.4,,Percent of Total Billed Charges,3333.57,,3966.05,83.4,,Percent of Total Billed Charges,3870.94,,4279.91,90,,Percent of Total Billed Charges,4027.87,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4375.01,92,,Percent of Total Billed Charges,3856.67,,4375.01,92,,Percent of Total Billed Charges,3538.05,,4375.01,92,,Percent of Total Billed Charges,3723.52,,4375.01,92,,Percent of Total Billed Charges,3856.67,,3709.25,78,,Percent of Total Billed Charges,3709.25,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2559.86,53.83,,Percent of Total Billed Charges,2401.5,,1647.29,34.64,,Percent of Total Billed Charges,1640.63,,2376.77,49.98,,Percent of Total Billed Charges,1797.56,,1647.29,4375.01,,																																							
HC MRI ABDOMEN W CONTRAST,74182,CPT,,,,BOTH, , ,4366.95,3668.24,3930.26,92,,Percent of Total Billed Charges,3650.77,,3930.26,92,,Percent of Total Billed Charges,3585.27,,3930.26,92,,Percent of Total Billed Charges,3515.39,,3930.26,92,,Percent of Total Billed Charges,3646.4,,3930.26,92,,Percent of Total Billed Charges,3288.31,,3930.26,92,,Percent of Total Billed Charges,2729.34,,3930.26,90,,Percent of Total Billed Charges,2179.11,,3886.59,89,,Percent of Total Billed Charges,2096.14,,3598.37,82.4,,Percent of Total Billed Charges,3589.63,,3642.04,83.4,,Percent of Total Billed Charges,3397.49,,3642.04,83.4,,Percent of Total Billed Charges,3061.23,,3642.04,83.4,,Percent of Total Billed Charges,3554.7,,3930.26,90,,Percent of Total Billed Charges,3698.81,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4017.59,92,,Percent of Total Billed Charges,3541.6,,4017.59,92,,Percent of Total Billed Charges,3249.01,,4017.59,92,,Percent of Total Billed Charges,3419.32,,4017.59,92,,Percent of Total Billed Charges,3541.6,,3406.22,78,,Percent of Total Billed Charges,3406.22,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2350.73,53.83,,Percent of Total Billed Charges,2205.31,,1512.71,34.64,,Percent of Total Billed Charges,1506.6,,2182.6,49.98,,Percent of Total Billed Charges,1650.71,,1512.71,4017.59,,																																							
HC MRI FETAL SNGL/1ST GESTATION,74712,CPT,,,,BOTH, , ,1308.3,1098.97,1177.47,92,,Percent of Total Billed Charges,1093.74,,1177.47,92,,Percent of Total Billed Charges,1074.11,,1177.47,92,,Percent of Total Billed Charges,1053.18,,1177.47,92,,Percent of Total Billed Charges,1092.43,,1177.47,92,,Percent of Total Billed Charges,985.15,,1177.47,92,,Percent of Total Billed Charges,817.69,,1177.47,90,,Percent of Total Billed Charges,652.84,,1164.39,89,,Percent of Total Billed Charges,627.98,,1078.04,82.4,,Percent of Total Billed Charges,1075.42,,1091.12,83.4,,Percent of Total Billed Charges,1017.86,,1091.12,83.4,,Percent of Total Billed Charges,917.12,,1091.12,83.4,,Percent of Total Billed Charges,1064.96,,1177.47,90,,Percent of Total Billed Charges,1108.13,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1203.64,92,,Percent of Total Billed Charges,1061.03,,1203.64,92,,Percent of Total Billed Charges,973.38,,1203.64,92,,Percent of Total Billed Charges,1024.4,,1203.64,92,,Percent of Total Billed Charges,1061.03,,1020.47,78,,Percent of Total Billed Charges,1020.47,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,704.26,53.83,,Percent of Total Billed Charges,660.69,,453.2,34.64,,Percent of Total Billed Charges,451.36,,653.89,49.98,,Percent of Total Billed Charges,494.54,,453.20,1203.64,,																																							
HC MRI FETAL EA ADDL GESTATION,74713,CPT,,,,BOTH, , ,653.1,548.6,587.79,92,,Percent of Total Billed Charges,545.99,,587.79,92,,Percent of Total Billed Charges,536.2,,587.79,92,,Percent of Total Billed Charges,525.75,,587.79,92,,Percent of Total Billed Charges,545.34,,587.79,92,,Percent of Total Billed Charges,491.78,,587.79,92,,Percent of Total Billed Charges,408.19,,587.79,90,,Percent of Total Billed Charges,325.9,,581.26,89,,Percent of Total Billed Charges,313.49,,538.15,82.4,,Percent of Total Billed Charges,536.85,,544.69,83.4,,Percent of Total Billed Charges,508.11,,544.69,83.4,,Percent of Total Billed Charges,457.82,,544.69,83.4,,Percent of Total Billed Charges,531.62,,587.79,90,,Percent of Total Billed Charges,553.18,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,600.85,92,,Percent of Total Billed Charges,529.66,,600.85,92,,Percent of Total Billed Charges,485.91,,600.85,92,,Percent of Total Billed Charges,511.38,,600.85,92,,Percent of Total Billed Charges,529.66,,509.42,78,,Percent of Total Billed Charges,509.42,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,351.56,53.83,,Percent of Total Billed Charges,329.82,,226.23,34.64,,Percent of Total Billed Charges,225.32,,326.42,49.98,,Percent of Total Billed Charges,246.87,,226.23,600.85,,																																							
HC MR SPECTROSCOPY,76390,CPT,,,,BOTH, , ,3436.65,2886.79,3092.99,92,,Percent of Total Billed Charges,2873.04,,3092.99,92,,Percent of Total Billed Charges,2821.49,,3092.99,92,,Percent of Total Billed Charges,2766.5,,3092.99,92,,Percent of Total Billed Charges,2869.6,,3092.99,92,,Percent of Total Billed Charges,2587.8,,3092.99,92,,Percent of Total Billed Charges,2147.91,,3092.99,90,,Percent of Total Billed Charges,1714.89,,3058.62,89,,Percent of Total Billed Charges,1649.59,,2831.8,82.4,,Percent of Total Billed Charges,2824.93,,2866.17,83.4,,Percent of Total Billed Charges,2673.71,,2866.17,83.4,,Percent of Total Billed Charges,2409.09,,2866.17,83.4,,Percent of Total Billed Charges,2797.43,,3092.99,90,,Percent of Total Billed Charges,2910.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3161.72,92,,Percent of Total Billed Charges,2787.12,,3161.72,92,,Percent of Total Billed Charges,2556.87,,3161.72,92,,Percent of Total Billed Charges,2690.9,,3161.72,92,,Percent of Total Billed Charges,2787.12,,2680.59,78,,Percent of Total Billed Charges,2680.59,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1849.95,53.83,,Percent of Total Billed Charges,1735.51,,1190.46,34.64,,Percent of Total Billed Charges,1185.64,,1717.64,49.98,,Percent of Total Billed Charges,1299.05,,1190.46,3161.72,,																																							
HC MRI BREAST WITHOUT CONTRAST MATERIAL UNILATERAL,77046,CPT,,,,BOTH, , ,1067.85,896.99,961.07,92,,Percent of Total Billed Charges,892.72,,961.07,92,,Percent of Total Billed Charges,876.7,,961.07,92,,Percent of Total Billed Charges,859.62,,961.07,92,,Percent of Total Billed Charges,891.65,,961.07,92,,Percent of Total Billed Charges,804.09,,961.07,92,,Percent of Total Billed Charges,667.41,,961.07,90,,Percent of Total Billed Charges,532.86,,950.39,89,,Percent of Total Billed Charges,512.57,,879.91,82.4,,Percent of Total Billed Charges,877.77,,890.59,83.4,,Percent of Total Billed Charges,830.79,,890.59,83.4,,Percent of Total Billed Charges,748.56,,890.59,83.4,,Percent of Total Billed Charges,869.23,,961.07,90,,Percent of Total Billed Charges,904.47,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,982.42,92,,Percent of Total Billed Charges,866.03,,982.42,92,,Percent of Total Billed Charges,794.48,,982.42,92,,Percent of Total Billed Charges,836.13,,982.42,92,,Percent of Total Billed Charges,866.03,,832.92,78,,Percent of Total Billed Charges,832.92,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,574.82,53.83,,Percent of Total Billed Charges,539.26,,369.9,34.64,,Percent of Total Billed Charges,368.41,,533.71,49.98,,Percent of Total Billed Charges,403.65,,369.90,982.42,,																																							
HC MRI BREAST WITHOUT CONTRAST MATERIAL BILATERAL,77047,CPT,,,,BOTH, , ,1067.85,896.99,961.07,92,,Percent of Total Billed Charges,892.72,,961.07,92,,Percent of Total Billed Charges,876.7,,961.07,92,,Percent of Total Billed Charges,859.62,,961.07,92,,Percent of Total Billed Charges,891.65,,961.07,92,,Percent of Total Billed Charges,804.09,,961.07,92,,Percent of Total Billed Charges,667.41,,961.07,90,,Percent of Total Billed Charges,532.86,,950.39,89,,Percent of Total Billed Charges,512.57,,879.91,82.4,,Percent of Total Billed Charges,877.77,,890.59,83.4,,Percent of Total Billed Charges,830.79,,890.59,83.4,,Percent of Total Billed Charges,748.56,,890.59,83.4,,Percent of Total Billed Charges,869.23,,961.07,90,,Percent of Total Billed Charges,904.47,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,982.42,92,,Percent of Total Billed Charges,866.03,,982.42,92,,Percent of Total Billed Charges,794.48,,982.42,92,,Percent of Total Billed Charges,836.13,,982.42,92,,Percent of Total Billed Charges,866.03,,832.92,78,,Percent of Total Billed Charges,832.92,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,574.82,53.83,,Percent of Total Billed Charges,539.26,,369.9,34.64,,Percent of Total Billed Charges,368.41,,533.71,49.98,,Percent of Total Billed Charges,403.65,,369.90,982.42,,																																							
HC MRI BREAST W/OUT&WITH CONTRAST W/CAD UNILATERAL,77048,CPT,,,,BOTH, , ,5715.15,4800.73,5143.64,92,,Percent of Total Billed Charges,4777.87,,5143.64,92,,Percent of Total Billed Charges,4692.14,,5143.64,92,,Percent of Total Billed Charges,4600.7,,5143.64,92,,Percent of Total Billed Charges,4772.15,,5143.64,92,,Percent of Total Billed Charges,4303.51,,5143.64,92,,Percent of Total Billed Charges,3571.97,,5143.64,90,,Percent of Total Billed Charges,2851.86,,5086.48,89,,Percent of Total Billed Charges,2743.27,,4709.28,82.4,,Percent of Total Billed Charges,4697.85,,4766.44,83.4,,Percent of Total Billed Charges,4446.39,,4766.44,83.4,,Percent of Total Billed Charges,4006.32,,4766.44,83.4,,Percent of Total Billed Charges,4652.13,,5143.64,90,,Percent of Total Billed Charges,4840.73,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5257.94,92,,Percent of Total Billed Charges,4634.99,,5257.94,92,,Percent of Total Billed Charges,4252.07,,5257.94,92,,Percent of Total Billed Charges,4474.96,,5257.94,92,,Percent of Total Billed Charges,4634.99,,4457.82,78,,Percent of Total Billed Charges,4457.82,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3076.47,53.83,,Percent of Total Billed Charges,2886.15,,1979.73,34.64,,Percent of Total Billed Charges,1971.73,,2856.43,49.98,,Percent of Total Billed Charges,2160.33,,1979.73,5257.94,,																																							
HC MRI BREAST WITHOUT&WITH CONTRAST W/CAD BILATERAL,77049,CPT,,,,BOTH, , ,6661.2,5595.41,5995.08,92,,Percent of Total Billed Charges,5568.76,,5995.08,92,,Percent of Total Billed Charges,5468.85,,5995.08,92,,Percent of Total Billed Charges,5362.27,,5995.08,92,,Percent of Total Billed Charges,5562.1,,5995.08,92,,Percent of Total Billed Charges,5015.88,,5995.08,92,,Percent of Total Billed Charges,4163.25,,5995.08,90,,Percent of Total Billed Charges,3323.94,,5928.47,89,,Percent of Total Billed Charges,3197.38,,5488.83,82.4,,Percent of Total Billed Charges,5475.51,,5555.44,83.4,,Percent of Total Billed Charges,5182.41,,5555.44,83.4,,Percent of Total Billed Charges,4669.5,,5555.44,83.4,,Percent of Total Billed Charges,5422.22,,5995.08,90,,Percent of Total Billed Charges,5642.04,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6128.3,92,,Percent of Total Billed Charges,5402.23,,6128.3,92,,Percent of Total Billed Charges,4955.93,,6128.3,92,,Percent of Total Billed Charges,5215.72,,6128.3,92,,Percent of Total Billed Charges,5402.23,,5195.74,78,,Percent of Total Billed Charges,5195.74,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3585.72,53.83,,Percent of Total Billed Charges,3363.91,,2307.44,34.64,,Percent of Total Billed Charges,2298.11,,3329.27,49.98,,Percent of Total Billed Charges,2517.93,,2307.44,6128.3,,																																							
HC MRI W/CONT, BREAST, UNI,C8903,CPT,,,,BOTH, , ,933.45,784.1,840.11,92,,Percent of Total Billed Charges,780.36,,840.11,92,,Percent of Total Billed Charges,766.36,,840.11,92,,Percent of Total Billed Charges,751.43,,840.11,92,,Percent of Total Billed Charges,779.43,,840.11,92,,Percent of Total Billed Charges,702.89,,840.11,92,,Percent of Total Billed Charges,583.41,,840.11,90,,Percent of Total Billed Charges,465.79,,830.77,89,,Percent of Total Billed Charges,448.06,,769.16,82.4,,Percent of Total Billed Charges,767.3,,778.5,83.4,,Percent of Total Billed Charges,726.22,,778.5,83.4,,Percent of Total Billed Charges,654.35,,778.5,83.4,,Percent of Total Billed Charges,759.83,,840.11,90,,Percent of Total Billed Charges,790.63,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,858.77,92,,Percent of Total Billed Charges,757.03,,858.77,92,,Percent of Total Billed Charges,694.49,,858.77,92,,Percent of Total Billed Charges,730.89,,858.77,92,,Percent of Total Billed Charges,757.03,,728.09,78,,Percent of Total Billed Charges,728.09,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,502.48,53.83,,Percent of Total Billed Charges,471.39,,323.35,34.64,,Percent of Total Billed Charges,322.04,,466.54,49.98,,Percent of Total Billed Charges,352.84,,323.35,858.77,,																																							
HC CAD BREAST MRI,C8937,CPT,,,,BOTH, , ,40.95,34.4,36.86,92,,Percent of Total Billed Charges,34.23,,36.86,92,,Percent of Total Billed Charges,33.62,,36.86,92,,Percent of Total Billed Charges,32.96,,36.86,92,,Percent of Total Billed Charges,34.19,,36.86,92,,Percent of Total Billed Charges,30.84,,36.86,92,,Percent of Total Billed Charges,25.59,,36.86,90,,Percent of Total Billed Charges,20.43,,36.45,89,,Percent of Total Billed Charges,19.66,,33.74,82.4,,Percent of Total Billed Charges,33.66,,34.15,83.4,,Percent of Total Billed Charges,31.86,,34.15,83.4,,Percent of Total Billed Charges,28.71,,34.15,83.4,,Percent of Total Billed Charges,33.33,,36.86,90,,Percent of Total Billed Charges,34.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,37.67,92,,Percent of Total Billed Charges,33.21,,37.67,92,,Percent of Total Billed Charges,30.47,,37.67,92,,Percent of Total Billed Charges,32.06,,37.67,92,,Percent of Total Billed Charges,33.21,,31.94,78,,Percent of Total Billed Charges,31.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,22.04,53.83,,Percent of Total Billed Charges,20.68,,14.19,34.64,,Percent of Total Billed Charges,14.13,,20.47,49.98,,Percent of Total Billed Charges,15.48,,14.19,37.67,,																																							
HC MAGNETIC RESONANCE ELASTOGRAPHY,76391,CPT,,,,BOTH, , ,252,211.68,226.8,92,,Percent of Total Billed Charges,210.67,,226.8,92,,Percent of Total Billed Charges,206.89,,226.8,92,,Percent of Total Billed Charges,202.86,,226.8,92,,Percent of Total Billed Charges,210.42,,226.8,92,,Percent of Total Billed Charges,189.76,,226.8,92,,Percent of Total Billed Charges,157.5,,226.8,90,,Percent of Total Billed Charges,125.75,,224.28,89,,Percent of Total Billed Charges,120.96,,207.65,82.4,,Percent of Total Billed Charges,207.14,,210.17,83.4,,Percent of Total Billed Charges,196.06,,210.17,83.4,,Percent of Total Billed Charges,176.65,,210.17,83.4,,Percent of Total Billed Charges,205.13,,226.8,90,,Percent of Total Billed Charges,213.44,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,231.84,92,,Percent of Total Billed Charges,204.37,,231.84,92,,Percent of Total Billed Charges,187.49,,231.84,92,,Percent of Total Billed Charges,197.32,,231.84,92,,Percent of Total Billed Charges,204.37,,196.56,78,,Percent of Total Billed Charges,196.56,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,135.65,53.83,,Percent of Total Billed Charges,127.26,,87.29,34.64,,Percent of Total Billed Charges,86.94,,125.95,49.98,,Percent of Total Billed Charges,95.26,,87.29,231.84,,																																							
HC MRI BRAIN STEM W/O CONTRAST,70551,CPT,,,,BOTH, , ,3502.8,2942.35,3152.52,92,,Percent of Total Billed Charges,2928.34,,3152.52,92,,Percent of Total Billed Charges,2875.8,,3152.52,92,,Percent of Total Billed Charges,2819.75,,3152.52,92,,Percent of Total Billed Charges,2924.84,,3152.52,92,,Percent of Total Billed Charges,2637.61,,3152.52,92,,Percent of Total Billed Charges,2189.25,,3152.52,90,,Percent of Total Billed Charges,1747.9,,3117.49,89,,Percent of Total Billed Charges,1681.34,,2886.31,82.4,,Percent of Total Billed Charges,2879.3,,2921.34,83.4,,Percent of Total Billed Charges,2725.18,,2921.34,83.4,,Percent of Total Billed Charges,2455.46,,2921.34,83.4,,Percent of Total Billed Charges,2851.28,,3152.52,90,,Percent of Total Billed Charges,2966.87,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3222.58,92,,Percent of Total Billed Charges,2840.77,,3222.58,92,,Percent of Total Billed Charges,2606.08,,3222.58,92,,Percent of Total Billed Charges,2742.69,,3222.58,92,,Percent of Total Billed Charges,2840.77,,2732.18,78,,Percent of Total Billed Charges,2732.18,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1885.56,53.83,,Percent of Total Billed Charges,1768.91,,1213.37,34.64,,Percent of Total Billed Charges,1208.47,,1750.7,49.98,,Percent of Total Billed Charges,1324.06,,1213.37,3222.58,,																																							
HC MRI BRAIN STEM W CONTRAST,70552,CPT,,,,BOTH, , ,3649.8,3065.83,3284.82,92,,Percent of Total Billed Charges,3051.23,,3284.82,92,,Percent of Total Billed Charges,2996.49,,3284.82,92,,Percent of Total Billed Charges,2938.09,,3284.82,92,,Percent of Total Billed Charges,3047.58,,3284.82,92,,Percent of Total Billed Charges,2748.3,,3284.82,92,,Percent of Total Billed Charges,2281.13,,3284.82,90,,Percent of Total Billed Charges,1821.25,,3248.32,89,,Percent of Total Billed Charges,1751.9,,3007.44,82.4,,Percent of Total Billed Charges,3000.14,,3043.93,83.4,,Percent of Total Billed Charges,2839.54,,3043.93,83.4,,Percent of Total Billed Charges,2558.51,,3043.93,83.4,,Percent of Total Billed Charges,2970.94,,3284.82,90,,Percent of Total Billed Charges,3091.38,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3357.82,92,,Percent of Total Billed Charges,2959.99,,3357.82,92,,Percent of Total Billed Charges,2715.45,,3357.82,92,,Percent of Total Billed Charges,2857.79,,3357.82,92,,Percent of Total Billed Charges,2959.99,,2846.84,78,,Percent of Total Billed Charges,2846.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1964.69,53.83,,Percent of Total Billed Charges,1843.15,,1264.29,34.64,,Percent of Total Billed Charges,1259.18,,1824.17,49.98,,Percent of Total Billed Charges,1379.62,,1264.29,3357.82,,																																							
HC MRI BRAIN STEM W/O & W CONTRAST,70553,CPT,,,,BOTH, , ,6185.55,5195.86,5567,92,,Percent of Total Billed Charges,5171.12,,5567,92,,Percent of Total Billed Charges,5078.34,,5567,92,,Percent of Total Billed Charges,4979.37,,5567,92,,Percent of Total Billed Charges,5164.93,,5567,92,,Percent of Total Billed Charges,4657.72,,5567,92,,Percent of Total Billed Charges,3865.97,,5567,90,,Percent of Total Billed Charges,3086.59,,5505.14,89,,Percent of Total Billed Charges,2969.06,,5096.89,82.4,,Percent of Total Billed Charges,5084.52,,5158.75,83.4,,Percent of Total Billed Charges,4812.36,,5158.75,83.4,,Percent of Total Billed Charges,4336.07,,5158.75,83.4,,Percent of Total Billed Charges,5035.04,,5567,90,,Percent of Total Billed Charges,5239.16,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5690.71,92,,Percent of Total Billed Charges,5016.48,,5690.71,92,,Percent of Total Billed Charges,4602.05,,5690.71,92,,Percent of Total Billed Charges,4843.29,,5690.71,92,,Percent of Total Billed Charges,5016.48,,4824.73,78,,Percent of Total Billed Charges,4824.73,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3329.68,53.83,,Percent of Total Billed Charges,3123.7,,2142.67,34.64,,Percent of Total Billed Charges,2134.01,,3091.54,49.98,,Percent of Total Billed Charges,2338.14,,2142.67,5690.71,,																																							
HC MRI NECK SPINE W/O CONTRAST,72141,CPT,,,,BOTH, , ,4855.2,4078.37,4369.68,92,,Percent of Total Billed Charges,4058.95,,4369.68,92,,Percent of Total Billed Charges,3986.12,,4369.68,92,,Percent of Total Billed Charges,3908.44,,4369.68,92,,Percent of Total Billed Charges,4054.09,,4369.68,92,,Percent of Total Billed Charges,3655.97,,4369.68,92,,Percent of Total Billed Charges,3034.5,,4369.68,90,,Percent of Total Billed Charges,2422.74,,4321.13,89,,Percent of Total Billed Charges,2330.5,,4000.68,82.4,,Percent of Total Billed Charges,3990.97,,4049.24,83.4,,Percent of Total Billed Charges,3777.35,,4049.24,83.4,,Percent of Total Billed Charges,3403.5,,4049.24,83.4,,Percent of Total Billed Charges,3952.13,,4369.68,90,,Percent of Total Billed Charges,4112.35,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4466.78,92,,Percent of Total Billed Charges,3937.57,,4466.78,92,,Percent of Total Billed Charges,3612.27,,4466.78,92,,Percent of Total Billed Charges,3801.62,,4466.78,92,,Percent of Total Billed Charges,3937.57,,3787.06,78,,Percent of Total Billed Charges,3787.06,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2613.55,53.83,,Percent of Total Billed Charges,2451.88,,1681.84,34.64,,Percent of Total Billed Charges,1675.04,,2426.63,49.98,,Percent of Total Billed Charges,1835.27,,1681.84,4466.78,,																																							
HC MRI CHEST SPINE W/O CONTRAST,72146,CPT,,,,BOTH, , ,5211.15,4377.37,4690.04,92,,Percent of Total Billed Charges,4356.52,,4690.04,92,,Percent of Total Billed Charges,4278.35,,4690.04,92,,Percent of Total Billed Charges,4194.98,,4690.04,92,,Percent of Total Billed Charges,4351.31,,4690.04,92,,Percent of Total Billed Charges,3924,,4690.04,92,,Percent of Total Billed Charges,3256.97,,4690.04,90,,Percent of Total Billed Charges,2600.36,,4637.92,89,,Percent of Total Billed Charges,2501.35,,4293.99,82.4,,Percent of Total Billed Charges,4283.57,,4346.1,83.4,,Percent of Total Billed Charges,4054.27,,4346.1,83.4,,Percent of Total Billed Charges,3653.02,,4346.1,83.4,,Percent of Total Billed Charges,4241.88,,4690.04,90,,Percent of Total Billed Charges,4413.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4794.26,92,,Percent of Total Billed Charges,4226.24,,4794.26,92,,Percent of Total Billed Charges,3877.1,,4794.26,92,,Percent of Total Billed Charges,4080.33,,4794.26,92,,Percent of Total Billed Charges,4226.24,,4064.7,78,,Percent of Total Billed Charges,4064.7,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2805.16,53.83,,Percent of Total Billed Charges,2631.63,,1805.14,34.64,,Percent of Total Billed Charges,1797.85,,2604.53,49.98,,Percent of Total Billed Charges,1969.81,,1805.14,4794.26,,																																							
HC MRI LUMBAR SPINE W/O CONTRAST,72148,CPT,,,,BOTH, , ,4013.1,3371,3611.79,92,,Percent of Total Billed Charges,3354.95,,3611.79,92,,Percent of Total Billed Charges,3294.76,,3611.79,92,,Percent of Total Billed Charges,3230.55,,3611.79,92,,Percent of Total Billed Charges,3350.94,,3611.79,92,,Percent of Total Billed Charges,3021.86,,3611.79,92,,Percent of Total Billed Charges,2508.19,,3611.79,90,,Percent of Total Billed Charges,2002.54,,3571.66,89,,Percent of Total Billed Charges,1926.29,,3306.79,82.4,,Percent of Total Billed Charges,3298.77,,3346.93,83.4,,Percent of Total Billed Charges,3122.19,,3346.93,83.4,,Percent of Total Billed Charges,2813.18,,3346.93,83.4,,Percent of Total Billed Charges,3266.66,,3611.79,90,,Percent of Total Billed Charges,3399.1,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3692.05,92,,Percent of Total Billed Charges,3254.62,,3692.05,92,,Percent of Total Billed Charges,2985.75,,3692.05,92,,Percent of Total Billed Charges,3142.26,,3692.05,92,,Percent of Total Billed Charges,3254.62,,3130.22,78,,Percent of Total Billed Charges,3130.22,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2160.25,53.83,,Percent of Total Billed Charges,2026.62,,1390.14,34.64,,Percent of Total Billed Charges,1384.52,,2005.75,49.98,,Percent of Total Billed Charges,1516.95,,1390.14,3692.05,,																																							
HC MRI LUMBAR SPINE W CONTRAST,72149,CPT,,,,BOTH, , ,4245.15,3565.93,3820.64,92,,Percent of Total Billed Charges,3548.95,,3820.64,92,,Percent of Total Billed Charges,3485.27,,3820.64,92,,Percent of Total Billed Charges,3417.35,,3820.64,92,,Percent of Total Billed Charges,3544.7,,3820.64,92,,Percent of Total Billed Charges,3196.6,,3820.64,92,,Percent of Total Billed Charges,2653.22,,3820.64,90,,Percent of Total Billed Charges,2118.33,,3778.18,89,,Percent of Total Billed Charges,2037.67,,3498,82.4,,Percent of Total Billed Charges,3489.51,,3540.46,83.4,,Percent of Total Billed Charges,3302.73,,3540.46,83.4,,Percent of Total Billed Charges,2975.85,,3540.46,83.4,,Percent of Total Billed Charges,3455.55,,3820.64,90,,Percent of Total Billed Charges,3595.64,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3905.54,92,,Percent of Total Billed Charges,3442.82,,3905.54,92,,Percent of Total Billed Charges,3158.39,,3905.54,92,,Percent of Total Billed Charges,3323.95,,3905.54,92,,Percent of Total Billed Charges,3442.82,,3311.22,78,,Percent of Total Billed Charges,3311.22,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2285.16,53.83,,Percent of Total Billed Charges,2143.8,,1470.52,34.64,,Percent of Total Billed Charges,1464.58,,2121.73,49.98,,Percent of Total Billed Charges,1604.67,,1470.52,3905.54,,																																							
HC MRI NECK SPINE W/WO CONTRAST,72156,CPT,,,,BOTH, , ,10670.1,8962.88,9603.09,92,,Percent of Total Billed Charges,8920.2,,9603.09,92,,Percent of Total Billed Charges,8760.15,,9603.09,92,,Percent of Total Billed Charges,8589.43,,9603.09,92,,Percent of Total Billed Charges,8909.53,,9603.09,92,,Percent of Total Billed Charges,8034.59,,9603.09,92,,Percent of Total Billed Charges,6668.81,,9603.09,90,,Percent of Total Billed Charges,5324.38,,9496.39,89,,Percent of Total Billed Charges,5121.65,,8792.16,82.4,,Percent of Total Billed Charges,8770.82,,8898.86,83.4,,Percent of Total Billed Charges,8301.34,,8898.86,83.4,,Percent of Total Billed Charges,7479.74,,8898.86,83.4,,Percent of Total Billed Charges,8685.46,,9603.09,90,,Percent of Total Billed Charges,9037.57,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,9816.49,92,,Percent of Total Billed Charges,8653.45,,9816.49,92,,Percent of Total Billed Charges,7938.55,,9816.49,92,,Percent of Total Billed Charges,8354.69,,9816.49,92,,Percent of Total Billed Charges,8653.45,,8322.68,78,,Percent of Total Billed Charges,8322.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5743.71,53.83,,Percent of Total Billed Charges,5388.4,,3696.12,34.64,,Percent of Total Billed Charges,3681.18,,5332.92,49.98,,Percent of Total Billed Charges,4033.3,,3696.12,9816.49,,																																							
HC MRI CHEST SPINE W/WO CONTRAST,72157,CPT,,,,BOTH, , ,10423.35,8755.61,9381.02,92,,Percent of Total Billed Charges,8713.92,,9381.02,92,,Percent of Total Billed Charges,8557.57,,9381.02,92,,Percent of Total Billed Charges,8390.8,,9381.02,92,,Percent of Total Billed Charges,8703.5,,9381.02,92,,Percent of Total Billed Charges,7848.78,,9381.02,92,,Percent of Total Billed Charges,6514.59,,9381.02,90,,Percent of Total Billed Charges,5201.25,,9276.78,89,,Percent of Total Billed Charges,5003.21,,8588.84,82.4,,Percent of Total Billed Charges,8567.99,,8693.07,83.4,,Percent of Total Billed Charges,8109.37,,8693.07,83.4,,Percent of Total Billed Charges,7306.77,,8693.07,83.4,,Percent of Total Billed Charges,8484.61,,9381.02,90,,Percent of Total Billed Charges,8828.58,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,9589.48,92,,Percent of Total Billed Charges,8453.34,,9589.48,92,,Percent of Total Billed Charges,7754.97,,9589.48,92,,Percent of Total Billed Charges,8161.48,,9589.48,92,,Percent of Total Billed Charges,8453.34,,8130.21,78,,Percent of Total Billed Charges,8130.21,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5610.89,53.83,,Percent of Total Billed Charges,5263.79,,3610.65,34.64,,Percent of Total Billed Charges,3596.06,,5209.59,49.98,,Percent of Total Billed Charges,3940.03,,3610.65,9589.48,,																																							
HC MRI LUMBAR SPINE WO/W CONTRAST,72158,CPT,,,,BOTH, , ,882,740.88,793.8,92,,Percent of Total Billed Charges,737.35,,793.8,92,,Percent of Total Billed Charges,724.12,,793.8,92,,Percent of Total Billed Charges,710.01,,793.8,92,,Percent of Total Billed Charges,736.47,,793.8,92,,Percent of Total Billed Charges,664.15,,793.8,92,,Percent of Total Billed Charges,551.25,,793.8,90,,Percent of Total Billed Charges,440.12,,784.98,89,,Percent of Total Billed Charges,423.36,,726.77,82.4,,Percent of Total Billed Charges,725,,735.59,83.4,,Percent of Total Billed Charges,686.2,,735.59,83.4,,Percent of Total Billed Charges,618.28,,735.59,83.4,,Percent of Total Billed Charges,717.95,,793.8,90,,Percent of Total Billed Charges,747.05,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,811.44,92,,Percent of Total Billed Charges,715.3,,811.44,92,,Percent of Total Billed Charges,656.21,,811.44,92,,Percent of Total Billed Charges,690.61,,811.44,92,,Percent of Total Billed Charges,715.3,,687.96,78,,Percent of Total Billed Charges,687.96,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,474.78,53.83,,Percent of Total Billed Charges,445.41,,305.52,34.64,,Percent of Total Billed Charges,304.29,,440.82,49.98,,Percent of Total Billed Charges,333.4,,305.52,811.44,,																																							
HC LACTATED RINGERS 1000ML,J7120,CPT,,,,BOTH, , ,43.05,36.16,39.61,92,,Percent of Total Billed Charges,35.99,,39.61,92,,Percent of Total Billed Charges,35.34,,39.61,92,,Percent of Total Billed Charges,34.66,,39.61,92,,Percent of Total Billed Charges,35.95,,39.61,92,,Percent of Total Billed Charges,32.42,,39.61,92,,Percent of Total Billed Charges,26.91,,38.75,90,,Percent of Total Billed Charges,21.48,,38.31,89,,Percent of Total Billed Charges,20.66,,35.47,82.4,,Percent of Total Billed Charges,35.39,,35.9,83.4,,Percent of Total Billed Charges,33.49,,35.9,83.4,,Percent of Total Billed Charges,30.18,,35.9,83.4,,Percent of Total Billed Charges,35.04,,38.75,90,,Percent of Total Billed Charges,36.46,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,39.61,92,,Percent of Total Billed Charges,34.91,,39.61,92,,Percent of Total Billed Charges,32.03,,39.61,92,,Percent of Total Billed Charges,33.71,,39.61,92,,Percent of Total Billed Charges,34.91,,33.58,78,,Percent of Total Billed Charges,33.58,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,23.17,53.83,,Percent of Total Billed Charges,21.74,,14.91,34.64,,Percent of Total Billed Charges,14.85,,21.52,49.98,,Percent of Total Billed Charges,16.27,,14.91,39.61,,																																							
HC APLIGRAFTPER 1 SQ CM (44),Q4101,CPT,,,,BOTH, , ,243.6,204.62,224.11,92,,Percent of Total Billed Charges,203.65,,224.11,92,,Percent of Total Billed Charges,200,,224.11,92,,Percent of Total Billed Charges,196.1,,224.11,92,,Percent of Total Billed Charges,203.41,,224.11,92,,Percent of Total Billed Charges,183.43,,224.11,92,,Percent of Total Billed Charges,152.25,,219.24,90,,Percent of Total Billed Charges,121.56,,216.8,89,,Percent of Total Billed Charges,116.93,,200.73,82.4,,Percent of Total Billed Charges,200.24,,203.16,83.4,,Percent of Total Billed Charges,189.52,,203.16,83.4,,Percent of Total Billed Charges,170.76,,203.16,83.4,,Percent of Total Billed Charges,198.29,,219.24,90,,Percent of Total Billed Charges,206.33,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,224.11,92,,Percent of Total Billed Charges,197.56,,224.11,92,,Percent of Total Billed Charges,181.24,,224.11,92,,Percent of Total Billed Charges,190.74,,224.11,92,,Percent of Total Billed Charges,197.56,,190.01,78,,Percent of Total Billed Charges,190.01,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,131.13,53.83,,Percent of Total Billed Charges,123.02,,84.38,34.64,,Percent of Total Billed Charges,84.04,,121.75,49.98,,Percent of Total Billed Charges,92.08,,84.38,224.11,,																																							
HC OASISPER 1 SQ CM,Q4102,CPT,,,,BOTH, , ,58.8,49.39,54.1,92,,Percent of Total Billed Charges,49.16,,54.1,92,,Percent of Total Billed Charges,48.27,,54.1,92,,Percent of Total Billed Charges,47.33,,54.1,92,,Percent of Total Billed Charges,49.1,,54.1,92,,Percent of Total Billed Charges,44.28,,54.1,92,,Percent of Total Billed Charges,36.75,,52.92,90,,Percent of Total Billed Charges,29.34,,52.33,89,,Percent of Total Billed Charges,28.22,,48.45,82.4,,Percent of Total Billed Charges,48.33,,49.04,83.4,,Percent of Total Billed Charges,45.75,,49.04,83.4,,Percent of Total Billed Charges,41.22,,49.04,83.4,,Percent of Total Billed Charges,47.86,,52.92,90,,Percent of Total Billed Charges,49.8,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,54.1,92,,Percent of Total Billed Charges,47.69,,54.1,92,,Percent of Total Billed Charges,43.75,,54.1,92,,Percent of Total Billed Charges,46.04,,54.1,92,,Percent of Total Billed Charges,47.69,,45.86,78,,Percent of Total Billed Charges,45.86,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,31.65,53.83,,Percent of Total Billed Charges,29.69,,20.37,34.64,,Percent of Total Billed Charges,20.29,,29.39,49.98,,Percent of Total Billed Charges,22.23,,20.37,54.1,,																																							
HC GRAFT JACKETPER 1 SQ CM,Q4107,CPT,,,,BOTH, , ,549.15,461.29,505.22,92,,Percent of Total Billed Charges,459.09,,505.22,92,,Percent of Total Billed Charges,450.85,,505.22,92,,Percent of Total Billed Charges,442.07,,505.22,92,,Percent of Total Billed Charges,458.54,,505.22,92,,Percent of Total Billed Charges,413.51,,505.22,92,,Percent of Total Billed Charges,343.22,,494.24,90,,Percent of Total Billed Charges,274.03,,488.74,89,,Percent of Total Billed Charges,263.59,,452.5,82.4,,Percent of Total Billed Charges,451.4,,457.99,83.4,,Percent of Total Billed Charges,427.24,,457.99,83.4,,Percent of Total Billed Charges,384.95,,457.99,83.4,,Percent of Total Billed Charges,447.01,,494.24,90,,Percent of Total Billed Charges,465.13,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,505.22,92,,Percent of Total Billed Charges,445.36,,505.22,92,,Percent of Total Billed Charges,408.57,,505.22,92,,Percent of Total Billed Charges,429.98,,505.22,92,,Percent of Total Billed Charges,445.36,,428.34,78,,Percent of Total Billed Charges,428.34,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,295.61,53.83,,Percent of Total Billed Charges,277.32,,190.23,34.64,,Percent of Total Billed Charges,189.46,,274.47,49.98,,Percent of Total Billed Charges,207.58,,190.23,505.22,,																																							
HC OASIS TRILAYER WND MATRIX, 1 CM,Q4124,CPT,,,,BOTH, , ,7.35,6.17,6.76,92,,Percent of Total Billed Charges,6.14,,6.76,92,,Percent of Total Billed Charges,6.03,,6.76,92,,Percent of Total Billed Charges,5.92,,6.76,92,,Percent of Total Billed Charges,6.14,,6.76,92,,Percent of Total Billed Charges,5.53,,6.76,92,,Percent of Total Billed Charges,4.59,,6.62,90,,Percent of Total Billed Charges,3.67,,6.54,89,,Percent of Total Billed Charges,3.53,,6.06,82.4,,Percent of Total Billed Charges,6.04,,6.13,83.4,,Percent of Total Billed Charges,5.72,,6.13,83.4,,Percent of Total Billed Charges,5.15,,6.13,83.4,,Percent of Total Billed Charges,5.98,,6.62,90,,Percent of Total Billed Charges,6.23,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6.76,92,,Percent of Total Billed Charges,5.96,,6.76,92,,Percent of Total Billed Charges,5.47,,6.76,92,,Percent of Total Billed Charges,5.76,,6.76,92,,Percent of Total Billed Charges,5.96,,5.73,78,,Percent of Total Billed Charges,5.73,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3.96,53.83,,Percent of Total Billed Charges,3.71,,2.55,34.64,,Percent of Total Billed Charges,2.54,,3.67,49.98,,Percent of Total Billed Charges,2.78,,2.55,6.76,,																																							
HC INJ PERFLUTREN LIP MICROS,ML,Q9957,CPT,,,,BOTH, , ,233.1,195.8,214.45,92,,Percent of Total Billed Charges,194.87,,214.45,92,,Percent of Total Billed Charges,191.38,,214.45,92,,Percent of Total Billed Charges,187.65,,214.45,92,,Percent of Total Billed Charges,194.64,,214.45,92,,Percent of Total Billed Charges,175.52,,214.45,92,,Percent of Total Billed Charges,145.69,,209.79,90,,Percent of Total Billed Charges,116.32,,207.46,89,,Percent of Total Billed Charges,111.89,,192.07,82.4,,Percent of Total Billed Charges,191.61,,194.41,83.4,,Percent of Total Billed Charges,181.35,,194.41,83.4,,Percent of Total Billed Charges,163.4,,194.41,83.4,,Percent of Total Billed Charges,189.74,,209.79,90,,Percent of Total Billed Charges,197.44,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,214.45,92,,Percent of Total Billed Charges,189.04,,214.45,92,,Percent of Total Billed Charges,173.43,,214.45,92,,Percent of Total Billed Charges,182.52,,214.45,92,,Percent of Total Billed Charges,189.04,,181.82,78,,Percent of Total Billed Charges,181.82,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,125.48,53.83,,Percent of Total Billed Charges,117.72,,80.75,34.64,,Percent of Total Billed Charges,80.42,,116.5,49.98,,Percent of Total Billed Charges,88.11,,80.75,214.45,,																																							
HC HOCM 250299MG/ML IODINE,1ML,Q9961,CPT,,,,BOTH, , ,26.25,22.05,24.15,92,,Percent of Total Billed Charges,21.95,,24.15,92,,Percent of Total Billed Charges,21.55,,24.15,92,,Percent of Total Billed Charges,21.13,,24.15,92,,Percent of Total Billed Charges,21.92,,24.15,92,,Percent of Total Billed Charges,19.77,,24.15,92,,Percent of Total Billed Charges,16.41,,23.63,90,,Percent of Total Billed Charges,13.1,,23.36,89,,Percent of Total Billed Charges,12.6,,21.63,82.4,,Percent of Total Billed Charges,21.58,,21.89,83.4,,Percent of Total Billed Charges,20.42,,21.89,83.4,,Percent of Total Billed Charges,18.4,,21.89,83.4,,Percent of Total Billed Charges,21.37,,23.63,90,,Percent of Total Billed Charges,22.23,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,24.15,92,,Percent of Total Billed Charges,21.29,,24.15,92,,Percent of Total Billed Charges,19.53,,24.15,92,,Percent of Total Billed Charges,20.55,,24.15,92,,Percent of Total Billed Charges,21.29,,20.48,78,,Percent of Total Billed Charges,20.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,14.13,53.83,,Percent of Total Billed Charges,13.26,,9.09,34.64,,Percent of Total Billed Charges,9.06,,13.12,49.98,,Percent of Total Billed Charges,9.92,,9.09,24.15,,																																							
HC LOCM 100199MG/ML IODINE,1ML,Q9965,CPT,,,,BOTH, , ,5.25,4.41,4.83,92,,Percent of Total Billed Charges,4.39,,4.83,92,,Percent of Total Billed Charges,4.31,,4.83,92,,Percent of Total Billed Charges,4.23,,4.83,92,,Percent of Total Billed Charges,4.38,,4.83,92,,Percent of Total Billed Charges,3.95,,4.83,92,,Percent of Total Billed Charges,3.28,,4.73,90,,Percent of Total Billed Charges,2.62,,4.67,89,,Percent of Total Billed Charges,2.52,,4.33,82.4,,Percent of Total Billed Charges,4.32,,4.38,83.4,,Percent of Total Billed Charges,4.08,,4.38,83.4,,Percent of Total Billed Charges,3.68,,4.38,83.4,,Percent of Total Billed Charges,4.27,,4.73,90,,Percent of Total Billed Charges,4.45,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4.83,92,,Percent of Total Billed Charges,4.26,,4.83,92,,Percent of Total Billed Charges,3.91,,4.83,92,,Percent of Total Billed Charges,4.11,,4.83,92,,Percent of Total Billed Charges,4.26,,4.1,78,,Percent of Total Billed Charges,4.1,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2.83,53.83,,Percent of Total Billed Charges,2.65,,1.82,34.64,,Percent of Total Billed Charges,1.81,,2.62,49.98,,Percent of Total Billed Charges,1.98,,1.82,4.83,,																																							
HC LOCM 200299MG/ML IODINE,1ML,Q9966,CPT,,,,BOTH, , ,2.1,1.76,1.93,92,,Percent of Total Billed Charges,1.76,,1.93,92,,Percent of Total Billed Charges,1.72,,1.93,92,,Percent of Total Billed Charges,1.69,,1.93,92,,Percent of Total Billed Charges,1.75,,1.93,92,,Percent of Total Billed Charges,1.58,,1.93,92,,Percent of Total Billed Charges,1.31,,1.89,90,,Percent of Total Billed Charges,1.05,,1.87,89,,Percent of Total Billed Charges,1.01,,1.73,82.4,,Percent of Total Billed Charges,1.73,,1.75,83.4,,Percent of Total Billed Charges,1.63,,1.75,83.4,,Percent of Total Billed Charges,1.47,,1.75,83.4,,Percent of Total Billed Charges,1.71,,1.89,90,,Percent of Total Billed Charges,1.78,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1.93,92,,Percent of Total Billed Charges,1.7,,1.93,92,,Percent of Total Billed Charges,1.56,,1.93,92,,Percent of Total Billed Charges,1.64,,1.93,92,,Percent of Total Billed Charges,1.7,,1.64,78,,Percent of Total Billed Charges,1.64,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1.13,53.83,,Percent of Total Billed Charges,1.06,,0.73,34.64,,Percent of Total Billed Charges,0.72,,1.05,49.98,,Percent of Total Billed Charges,0.79,,0.73,1.93,,																																							
HC LOCM 300399MG/ML IODINE,1ML,Q9967,CPT,,,,BOTH, , ,2.1,1.76,1.93,92,,Percent of Total Billed Charges,1.76,,1.93,92,,Percent of Total Billed Charges,1.72,,1.93,92,,Percent of Total Billed Charges,1.69,,1.93,92,,Percent of Total Billed Charges,1.75,,1.93,92,,Percent of Total Billed Charges,1.58,,1.93,92,,Percent of Total Billed Charges,1.31,,1.89,90,,Percent of Total Billed Charges,1.05,,1.87,89,,Percent of Total Billed Charges,1.01,,1.73,82.4,,Percent of Total Billed Charges,1.73,,1.75,83.4,,Percent of Total Billed Charges,1.63,,1.75,83.4,,Percent of Total Billed Charges,1.47,,1.75,83.4,,Percent of Total Billed Charges,1.71,,1.89,90,,Percent of Total Billed Charges,1.78,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1.93,92,,Percent of Total Billed Charges,1.7,,1.93,92,,Percent of Total Billed Charges,1.56,,1.93,92,,Percent of Total Billed Charges,1.64,,1.93,92,,Percent of Total Billed Charges,1.7,,1.64,78,,Percent of Total Billed Charges,1.64,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1.13,53.83,,Percent of Total Billed Charges,1.06,,0.73,34.64,,Percent of Total Billed Charges,0.72,,1.05,49.98,,Percent of Total Billed Charges,0.79,,0.73,1.93,,																																							
HC RHOPHYLAC INJECTION,J2791,CPT,,,,BOTH, , ,35.7,29.99,32.84,92,,Percent of Total Billed Charges,29.85,,32.84,92,,Percent of Total Billed Charges,29.31,,32.84,92,,Percent of Total Billed Charges,28.74,,32.84,92,,Percent of Total Billed Charges,29.81,,32.84,92,,Percent of Total Billed Charges,26.88,,32.84,92,,Percent of Total Billed Charges,22.31,,32.13,90,,Percent of Total Billed Charges,17.81,,31.77,89,,Percent of Total Billed Charges,17.14,,29.42,82.4,,Percent of Total Billed Charges,29.35,,29.77,83.4,,Percent of Total Billed Charges,27.77,,29.77,83.4,,Percent of Total Billed Charges,25.03,,29.77,83.4,,Percent of Total Billed Charges,29.06,,32.13,90,,Percent of Total Billed Charges,30.24,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,32.84,92,,Percent of Total Billed Charges,28.95,,32.84,92,,Percent of Total Billed Charges,26.56,,32.84,92,,Percent of Total Billed Charges,27.95,,32.84,92,,Percent of Total Billed Charges,28.95,,27.85,78,,Percent of Total Billed Charges,27.85,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,19.22,53.83,,Percent of Total Billed Charges,18.03,,12.37,34.64,,Percent of Total Billed Charges,12.32,,17.84,49.98,,Percent of Total Billed Charges,13.49,,12.37,32.84,,																																							
HC CULTURED CHONDROCYTES IMPLNT VERICEL #81073 1 MEMBRANE 6986610305,J7330,CPT,,,,BOTH, , ,85855.35,72118.49,78986.92,92,,Percent of Total Billed Charges,71775.07,,78986.92,92,,Percent of Total Billed Charges,70487.24,,78986.92,92,,Percent of Total Billed Charges,69113.56,,78986.92,92,,Percent of Total Billed Charges,71689.22,,78986.92,92,,Percent of Total Billed Charges,64649.08,,78986.92,92,,Percent of Total Billed Charges,53659.59,,77269.82,90,,Percent of Total Billed Charges,42841.82,,76411.26,89,,Percent of Total Billed Charges,41210.57,,70744.81,82.4,,Percent of Total Billed Charges,70573.1,,71603.36,83.4,,Percent of Total Billed Charges,66795.46,,71603.36,83.4,,Percent of Total Billed Charges,60184.6,,71603.36,83.4,,Percent of Total Billed Charges,69886.25,,77269.82,90,,Percent of Total Billed Charges,72719.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,78986.92,92,,Percent of Total Billed Charges,69628.69,,78986.92,92,,Percent of Total Billed Charges,63876.38,,78986.92,92,,Percent of Total Billed Charges,67224.74,,78986.92,92,,Percent of Total Billed Charges,69628.69,,66967.17,78,,Percent of Total Billed Charges,66967.17,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,46215.93,53.83,,Percent of Total Billed Charges,43356.95,,29740.29,34.64,,Percent of Total Billed Charges,29620.1,,42910.5,49.98,,Percent of Total Billed Charges,32453.32,,29740.29,78986.92,,																																							
HC CULTURED CHONDROCYTES IMPLNT VERICEL #81074 2 MEMBRANES 6986610308,J7330,CPT,,,,BOTH, , ,110482.05,92804.92,101643.49,92,,Percent of Total Billed Charges,92362.99,,101643.49,92,,Percent of Total Billed Charges,90705.76,,101643.49,92,,Percent of Total Billed Charges,88938.05,,101643.49,92,,Percent of Total Billed Charges,92252.51,,101643.49,92,,Percent of Total Billed Charges,83192.98,,101643.49,92,,Percent of Total Billed Charges,69051.28,,99433.85,90,,Percent of Total Billed Charges,55130.54,,98329.02,89,,Percent of Total Billed Charges,53031.38,,91037.21,82.4,,Percent of Total Billed Charges,90816.25,,92142.03,83.4,,Percent of Total Billed Charges,85955.03,,92142.03,83.4,,Percent of Total Billed Charges,77447.92,,92142.03,83.4,,Percent of Total Billed Charges,89932.39,,99433.85,90,,Percent of Total Billed Charges,93578.3,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,101643.49,92,,Percent of Total Billed Charges,89600.94,,101643.49,92,,Percent of Total Billed Charges,82198.65,,101643.49,92,,Percent of Total Billed Charges,86507.45,,101643.49,92,,Percent of Total Billed Charges,89600.94,,86176,78,,Percent of Total Billed Charges,86176,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,59472.49,53.83,,Percent of Total Billed Charges,55793.44,,38270.98,34.64,,Percent of Total Billed Charges,38116.31,,55218.93,49.98,,Percent of Total Billed Charges,41762.21,,38270.98,101643.49,,																																							
HC GRAFIX PRIME PER SQ CM 2X3 (6),Q4133,CPT,,,,BOTH, , ,606.9,509.8,558.35,92,,Percent of Total Billed Charges,507.37,,558.35,92,,Percent of Total Billed Charges,498.26,,558.35,92,,Percent of Total Billed Charges,488.55,,558.35,92,,Percent of Total Billed Charges,506.76,,558.35,92,,Percent of Total Billed Charges,457,,558.35,92,,Percent of Total Billed Charges,379.31,,546.21,90,,Percent of Total Billed Charges,302.84,,540.14,89,,Percent of Total Billed Charges,291.31,,500.09,82.4,,Percent of Total Billed Charges,498.87,,506.15,83.4,,Percent of Total Billed Charges,472.17,,506.15,83.4,,Percent of Total Billed Charges,425.44,,506.15,83.4,,Percent of Total Billed Charges,494.02,,546.21,90,,Percent of Total Billed Charges,514.04,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,558.35,92,,Percent of Total Billed Charges,492.2,,558.35,92,,Percent of Total Billed Charges,451.53,,558.35,92,,Percent of Total Billed Charges,475.2,,558.35,92,,Percent of Total Billed Charges,492.2,,473.38,78,,Percent of Total Billed Charges,473.38,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,326.69,53.83,,Percent of Total Billed Charges,306.48,,210.23,34.64,,Percent of Total Billed Charges,209.38,,303.33,49.98,,Percent of Total Billed Charges,229.41,,210.23,558.35,,																																							
HC GRAFIX PRIME PER SQ CM 1.5X2 (3),Q4133,CPT,,,,BOTH, , ,1152.9,968.44,1060.67,92,,Percent of Total Billed Charges,963.82,,1060.67,92,,Percent of Total Billed Charges,946.53,,1060.67,92,,Percent of Total Billed Charges,928.08,,1060.67,92,,Percent of Total Billed Charges,962.67,,1060.67,92,,Percent of Total Billed Charges,868.13,,1060.67,92,,Percent of Total Billed Charges,720.56,,1037.61,90,,Percent of Total Billed Charges,575.3,,1026.08,89,,Percent of Total Billed Charges,553.39,,949.99,82.4,,Percent of Total Billed Charges,947.68,,961.52,83.4,,Percent of Total Billed Charges,896.96,,961.52,83.4,,Percent of Total Billed Charges,808.18,,961.52,83.4,,Percent of Total Billed Charges,938.46,,1037.61,90,,Percent of Total Billed Charges,976.51,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1060.67,92,,Percent of Total Billed Charges,935,,1060.67,92,,Percent of Total Billed Charges,857.76,,1060.67,92,,Percent of Total Billed Charges,902.72,,1060.67,92,,Percent of Total Billed Charges,935,,899.26,78,,Percent of Total Billed Charges,899.26,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,620.61,53.83,,Percent of Total Billed Charges,582.21,,399.36,34.64,,Percent of Total Billed Charges,397.75,,576.22,49.98,,Percent of Total Billed Charges,435.8,,399.36,1060.67,,																																							
HC GRAFIX PL PRIME PER SQ CM 3X3 (9),Q4133,CPT,,,,BOTH, , ,455.7,382.79,419.24,92,,Percent of Total Billed Charges,380.97,,419.24,92,,Percent of Total Billed Charges,374.13,,419.24,92,,Percent of Total Billed Charges,366.84,,419.24,92,,Percent of Total Billed Charges,380.51,,419.24,92,,Percent of Total Billed Charges,343.14,,419.24,92,,Percent of Total Billed Charges,284.81,,410.13,90,,Percent of Total Billed Charges,227.39,,405.57,89,,Percent of Total Billed Charges,218.74,,375.5,82.4,,Percent of Total Billed Charges,374.59,,380.05,83.4,,Percent of Total Billed Charges,354.53,,380.05,83.4,,Percent of Total Billed Charges,319.45,,380.05,83.4,,Percent of Total Billed Charges,370.94,,410.13,90,,Percent of Total Billed Charges,385.98,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,419.24,92,,Percent of Total Billed Charges,369.57,,419.24,92,,Percent of Total Billed Charges,339.04,,419.24,92,,Percent of Total Billed Charges,356.81,,419.24,92,,Percent of Total Billed Charges,369.57,,355.45,78,,Percent of Total Billed Charges,355.45,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,245.3,53.83,,Percent of Total Billed Charges,230.13,,157.85,34.64,,Percent of Total Billed Charges,157.22,,227.76,49.98,,Percent of Total Billed Charges,172.25,,157.85,419.24,,																																							
HC GRAFIX PL PRIME PER SQ CM 5X5 (25),Q4133,CPT,,,,BOTH, , ,313.95,263.72,288.83,92,,Percent of Total Billed Charges,262.46,,288.83,92,,Percent of Total Billed Charges,257.75,,288.83,92,,Percent of Total Billed Charges,252.73,,288.83,92,,Percent of Total Billed Charges,262.15,,288.83,92,,Percent of Total Billed Charges,236.4,,288.83,92,,Percent of Total Billed Charges,196.22,,282.56,90,,Percent of Total Billed Charges,156.66,,279.42,89,,Percent of Total Billed Charges,150.7,,258.69,82.4,,Percent of Total Billed Charges,258.07,,261.83,83.4,,Percent of Total Billed Charges,244.25,,261.83,83.4,,Percent of Total Billed Charges,220.08,,261.83,83.4,,Percent of Total Billed Charges,255.56,,282.56,90,,Percent of Total Billed Charges,265.92,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,288.83,92,,Percent of Total Billed Charges,254.61,,288.83,92,,Percent of Total Billed Charges,233.58,,288.83,92,,Percent of Total Billed Charges,245.82,,288.83,92,,Percent of Total Billed Charges,254.61,,244.88,78,,Percent of Total Billed Charges,244.88,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,169,53.83,,Percent of Total Billed Charges,158.54,,108.75,34.64,,Percent of Total Billed Charges,108.31,,156.91,49.98,,Percent of Total Billed Charges,118.67,,108.75,288.83,,																																							
HC GRAFIX PL PRIME PER SQ CM 3X4 (12),Q4133,CPT,,,,BOTH, , ,368.55,309.58,339.07,92,,Percent of Total Billed Charges,308.11,,339.07,92,,Percent of Total Billed Charges,302.58,,339.07,92,,Percent of Total Billed Charges,296.68,,339.07,92,,Percent of Total Billed Charges,307.74,,339.07,92,,Percent of Total Billed Charges,277.52,,339.07,92,,Percent of Total Billed Charges,230.34,,331.7,90,,Percent of Total Billed Charges,183.91,,328.01,89,,Percent of Total Billed Charges,176.9,,303.69,82.4,,Percent of Total Billed Charges,302.95,,307.37,83.4,,Percent of Total Billed Charges,286.73,,307.37,83.4,,Percent of Total Billed Charges,258.35,,307.37,83.4,,Percent of Total Billed Charges,300,,331.7,90,,Percent of Total Billed Charges,312.16,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,339.07,92,,Percent of Total Billed Charges,298.89,,339.07,92,,Percent of Total Billed Charges,274.2,,339.07,92,,Percent of Total Billed Charges,288.57,,339.07,92,,Percent of Total Billed Charges,298.89,,287.47,78,,Percent of Total Billed Charges,287.47,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,198.39,53.83,,Percent of Total Billed Charges,186.12,,127.67,34.64,,Percent of Total Billed Charges,127.15,,184.2,49.98,,Percent of Total Billed Charges,139.31,,127.67,339.07,,																																							
HC GRAFIX PL PRIME 16 MM ROUND (2),Q4133,CPT,,,,BOTH, , ,973.35,817.61,895.48,92,,Percent of Total Billed Charges,813.72,,895.48,92,,Percent of Total Billed Charges,799.12,,895.48,92,,Percent of Total Billed Charges,783.55,,895.48,92,,Percent of Total Billed Charges,812.75,,895.48,92,,Percent of Total Billed Charges,732.93,,895.48,92,,Percent of Total Billed Charges,608.34,,876.02,90,,Percent of Total Billed Charges,485.7,,866.28,89,,Percent of Total Billed Charges,467.21,,802.04,82.4,,Percent of Total Billed Charges,800.09,,811.77,83.4,,Percent of Total Billed Charges,757.27,,811.77,83.4,,Percent of Total Billed Charges,682.32,,811.77,83.4,,Percent of Total Billed Charges,792.31,,876.02,90,,Percent of Total Billed Charges,824.43,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,895.48,92,,Percent of Total Billed Charges,789.39,,895.48,92,,Percent of Total Billed Charges,724.17,,895.48,92,,Percent of Total Billed Charges,762.13,,895.48,92,,Percent of Total Billed Charges,789.39,,759.21,78,,Percent of Total Billed Charges,759.21,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,523.95,53.83,,Percent of Total Billed Charges,491.54,,337.17,34.64,,Percent of Total Billed Charges,335.81,,486.48,49.98,,Percent of Total Billed Charges,367.93,,337.17,895.48,,																																							
HC GRAFT PURAPLY AM 1.6 DISC (1),Q4196,CPT,,,,BOTH, , ,1966.65,1651.99,1809.32,92,,Percent of Total Billed Charges,1644.12,,1809.32,92,,Percent of Total Billed Charges,1614.62,,1809.32,92,,Percent of Total Billed Charges,1583.15,,1809.32,92,,Percent of Total Billed Charges,1642.15,,1809.32,92,,Percent of Total Billed Charges,1480.89,,1809.32,92,,Percent of Total Billed Charges,1229.16,,1769.99,90,,Percent of Total Billed Charges,981.36,,1750.32,89,,Percent of Total Billed Charges,943.99,,1620.52,82.4,,Percent of Total Billed Charges,1616.59,,1640.19,83.4,,Percent of Total Billed Charges,1530.05,,1640.19,83.4,,Percent of Total Billed Charges,1378.62,,1640.19,83.4,,Percent of Total Billed Charges,1600.85,,1769.99,90,,Percent of Total Billed Charges,1665.75,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1809.32,92,,Percent of Total Billed Charges,1594.95,,1809.32,92,,Percent of Total Billed Charges,1463.19,,1809.32,92,,Percent of Total Billed Charges,1539.89,,1809.32,92,,Percent of Total Billed Charges,1594.95,,1533.99,78,,Percent of Total Billed Charges,1533.99,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1058.65,53.83,,Percent of Total Billed Charges,993.16,,681.25,34.64,,Percent of Total Billed Charges,678.49,,982.93,49.98,,Percent of Total Billed Charges,743.39,,681.25,1809.32,,																																							
HC GRAFT PURAPLY AM PER SQ CM 5X5 (25),Q4196,CPT,,,,BOTH, , ,321.3,269.89,295.6,92,,Percent of Total Billed Charges,268.61,,295.6,92,,Percent of Total Billed Charges,263.79,,295.6,92,,Percent of Total Billed Charges,258.65,,295.6,92,,Percent of Total Billed Charges,268.29,,295.6,92,,Percent of Total Billed Charges,241.94,,295.6,92,,Percent of Total Billed Charges,200.81,,289.17,90,,Percent of Total Billed Charges,160.33,,285.96,89,,Percent of Total Billed Charges,154.22,,264.75,82.4,,Percent of Total Billed Charges,264.11,,267.96,83.4,,Percent of Total Billed Charges,249.97,,267.96,83.4,,Percent of Total Billed Charges,225.23,,267.96,83.4,,Percent of Total Billed Charges,261.54,,289.17,90,,Percent of Total Billed Charges,272.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,295.6,92,,Percent of Total Billed Charges,260.57,,295.6,92,,Percent of Total Billed Charges,239.05,,295.6,92,,Percent of Total Billed Charges,251.58,,295.6,92,,Percent of Total Billed Charges,260.57,,250.61,78,,Percent of Total Billed Charges,250.61,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,172.96,53.83,,Percent of Total Billed Charges,162.26,,111.3,34.64,,Percent of Total Billed Charges,110.85,,160.59,49.98,,Percent of Total Billed Charges,121.45,,111.30,295.6,,																																							
HC GRAFT PURAPLY AM PER SQ CM 2X4 (8),Q4196,CPT,,,,BOTH, , ,455.7,382.79,419.24,92,,Percent of Total Billed Charges,380.97,,419.24,92,,Percent of Total Billed Charges,374.13,,419.24,92,,Percent of Total Billed Charges,366.84,,419.24,92,,Percent of Total Billed Charges,380.51,,419.24,92,,Percent of Total Billed Charges,343.14,,419.24,92,,Percent of Total Billed Charges,284.81,,410.13,90,,Percent of Total Billed Charges,227.39,,405.57,89,,Percent of Total Billed Charges,218.74,,375.5,82.4,,Percent of Total Billed Charges,374.59,,380.05,83.4,,Percent of Total Billed Charges,354.53,,380.05,83.4,,Percent of Total Billed Charges,319.45,,380.05,83.4,,Percent of Total Billed Charges,370.94,,410.13,90,,Percent of Total Billed Charges,385.98,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,419.24,92,,Percent of Total Billed Charges,369.57,,419.24,92,,Percent of Total Billed Charges,339.04,,419.24,92,,Percent of Total Billed Charges,356.81,,419.24,92,,Percent of Total Billed Charges,369.57,,355.45,78,,Percent of Total Billed Charges,355.45,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,245.3,53.83,,Percent of Total Billed Charges,230.13,,157.85,34.64,,Percent of Total Billed Charges,157.22,,227.76,49.98,,Percent of Total Billed Charges,172.25,,157.85,419.24,,																																							
HC GRAFT PURAPLY AM PER SQ CM 2X2 (4),Q4196,CPT,,,,BOTH, , ,81.9,68.8,75.35,92,,Percent of Total Billed Charges,68.47,,75.35,92,,Percent of Total Billed Charges,67.24,,75.35,92,,Percent of Total Billed Charges,65.93,,75.35,92,,Percent of Total Billed Charges,68.39,,75.35,92,,Percent of Total Billed Charges,61.67,,75.35,92,,Percent of Total Billed Charges,51.19,,73.71,90,,Percent of Total Billed Charges,40.87,,72.89,89,,Percent of Total Billed Charges,39.31,,67.49,82.4,,Percent of Total Billed Charges,67.32,,68.3,83.4,,Percent of Total Billed Charges,63.72,,68.3,83.4,,Percent of Total Billed Charges,57.41,,68.3,83.4,,Percent of Total Billed Charges,66.67,,73.71,90,,Percent of Total Billed Charges,69.37,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,75.35,92,,Percent of Total Billed Charges,66.42,,75.35,92,,Percent of Total Billed Charges,60.93,,75.35,92,,Percent of Total Billed Charges,64.13,,75.35,92,,Percent of Total Billed Charges,66.42,,63.88,78,,Percent of Total Billed Charges,63.88,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,44.09,53.83,,Percent of Total Billed Charges,41.36,,28.37,34.64,,Percent of Total Billed Charges,28.26,,40.93,49.98,,Percent of Total Billed Charges,30.96,,28.37,75.35,,																																							
HC OASIS WOUND MATRIX PER SQ CM 7X3 (21),Q4102,CPT,,,,BOTH, , ,56.7,47.63,52.16,92,,Percent of Total Billed Charges,47.4,,52.16,92,,Percent of Total Billed Charges,46.55,,52.16,92,,Percent of Total Billed Charges,45.64,,52.16,92,,Percent of Total Billed Charges,47.34,,52.16,92,,Percent of Total Billed Charges,42.7,,52.16,92,,Percent of Total Billed Charges,35.44,,51.03,90,,Percent of Total Billed Charges,28.29,,50.46,89,,Percent of Total Billed Charges,27.22,,46.72,82.4,,Percent of Total Billed Charges,46.61,,47.29,83.4,,Percent of Total Billed Charges,44.11,,47.29,83.4,,Percent of Total Billed Charges,39.75,,47.29,83.4,,Percent of Total Billed Charges,46.15,,51.03,90,,Percent of Total Billed Charges,48.02,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,52.16,92,,Percent of Total Billed Charges,45.98,,52.16,92,,Percent of Total Billed Charges,42.18,,52.16,92,,Percent of Total Billed Charges,44.4,,52.16,92,,Percent of Total Billed Charges,45.98,,44.23,78,,Percent of Total Billed Charges,44.23,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,30.52,53.83,,Percent of Total Billed Charges,28.63,,19.64,34.64,,Percent of Total Billed Charges,19.56,,28.34,49.98,,Percent of Total Billed Charges,21.43,,19.64,52.16,,																																							
HC OASIS TRILAYER WOUND MATRIX PER SQ CM 3X7 (21),Q4124,CPT,,,,BOTH, , ,7.35,6.17,6.76,92,,Percent of Total Billed Charges,6.14,,6.76,92,,Percent of Total Billed Charges,6.03,,6.76,92,,Percent of Total Billed Charges,5.92,,6.76,92,,Percent of Total Billed Charges,6.14,,6.76,92,,Percent of Total Billed Charges,5.53,,6.76,92,,Percent of Total Billed Charges,4.59,,6.62,90,,Percent of Total Billed Charges,3.67,,6.54,89,,Percent of Total Billed Charges,3.53,,6.06,82.4,,Percent of Total Billed Charges,6.04,,6.13,83.4,,Percent of Total Billed Charges,5.72,,6.13,83.4,,Percent of Total Billed Charges,5.15,,6.13,83.4,,Percent of Total Billed Charges,5.98,,6.62,90,,Percent of Total Billed Charges,6.23,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6.76,92,,Percent of Total Billed Charges,5.96,,6.76,92,,Percent of Total Billed Charges,5.47,,6.76,92,,Percent of Total Billed Charges,5.76,,6.76,92,,Percent of Total Billed Charges,5.96,,5.73,78,,Percent of Total Billed Charges,5.73,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3.96,53.83,,Percent of Total Billed Charges,3.71,,2.55,34.64,,Percent of Total Billed Charges,2.54,,3.67,49.98,,Percent of Total Billed Charges,2.78,,2.55,6.76,,																																							
HC OASIS BURN MATRIX PER SQ CM 3X3.5 (11),Q4103,CPT,,,,BOTH, , ,6.3,5.29,5.8,92,,Percent of Total Billed Charges,5.27,,5.8,92,,Percent of Total Billed Charges,5.17,,5.8,92,,Percent of Total Billed Charges,5.07,,5.8,92,,Percent of Total Billed Charges,5.26,,5.8,92,,Percent of Total Billed Charges,4.74,,5.8,92,,Percent of Total Billed Charges,3.94,,5.67,90,,Percent of Total Billed Charges,3.14,,5.61,89,,Percent of Total Billed Charges,3.02,,5.19,82.4,,Percent of Total Billed Charges,5.18,,5.25,83.4,,Percent of Total Billed Charges,4.9,,5.25,83.4,,Percent of Total Billed Charges,4.42,,5.25,83.4,,Percent of Total Billed Charges,5.13,,5.67,90,,Percent of Total Billed Charges,5.34,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5.8,92,,Percent of Total Billed Charges,5.11,,5.8,92,,Percent of Total Billed Charges,4.69,,5.8,92,,Percent of Total Billed Charges,4.93,,5.8,92,,Percent of Total Billed Charges,5.11,,4.91,78,,Percent of Total Billed Charges,4.91,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3.39,53.83,,Percent of Total Billed Charges,3.18,,2.18,34.64,,Percent of Total Billed Charges,2.17,,3.15,49.98,,Percent of Total Billed Charges,2.38,,2.18,5.8,,																																							
HC OASIS BURN MATRIX PER SQ CM 3X7 (21),Q4103,CPT,,,,BOTH, , ,65.1,54.68,59.89,92,,Percent of Total Billed Charges,54.42,,59.89,92,,Percent of Total Billed Charges,53.45,,59.89,92,,Percent of Total Billed Charges,52.41,,59.89,92,,Percent of Total Billed Charges,54.36,,59.89,92,,Percent of Total Billed Charges,49.02,,59.89,92,,Percent of Total Billed Charges,40.69,,58.59,90,,Percent of Total Billed Charges,32.48,,57.94,89,,Percent of Total Billed Charges,31.25,,53.64,82.4,,Percent of Total Billed Charges,53.51,,54.29,83.4,,Percent of Total Billed Charges,50.65,,54.29,83.4,,Percent of Total Billed Charges,45.64,,54.29,83.4,,Percent of Total Billed Charges,52.99,,58.59,90,,Percent of Total Billed Charges,55.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,59.89,92,,Percent of Total Billed Charges,52.8,,59.89,92,,Percent of Total Billed Charges,48.43,,59.89,92,,Percent of Total Billed Charges,50.97,,59.89,92,,Percent of Total Billed Charges,52.8,,50.78,78,,Percent of Total Billed Charges,50.78,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,35.04,53.83,,Percent of Total Billed Charges,32.88,,22.55,34.64,,Percent of Total Billed Charges,22.46,,32.54,49.98,,Percent of Total Billed Charges,24.61,,22.55,59.89,,																																							
HC OASIS BURN MATRIX PER SQ CM 5X7 (35),Q4103,CPT,,,,BOTH, , ,53.55,44.98,49.27,92,,Percent of Total Billed Charges,44.77,,49.27,92,,Percent of Total Billed Charges,43.96,,49.27,92,,Percent of Total Billed Charges,43.11,,49.27,92,,Percent of Total Billed Charges,44.71,,49.27,92,,Percent of Total Billed Charges,40.32,,49.27,92,,Percent of Total Billed Charges,33.47,,48.2,90,,Percent of Total Billed Charges,26.72,,47.66,89,,Percent of Total Billed Charges,25.7,,44.13,82.4,,Percent of Total Billed Charges,44.02,,44.66,83.4,,Percent of Total Billed Charges,41.66,,44.66,83.4,,Percent of Total Billed Charges,37.54,,44.66,83.4,,Percent of Total Billed Charges,43.59,,48.2,90,,Percent of Total Billed Charges,45.36,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,49.27,92,,Percent of Total Billed Charges,43.43,,49.27,92,,Percent of Total Billed Charges,39.84,,49.27,92,,Percent of Total Billed Charges,41.93,,49.27,92,,Percent of Total Billed Charges,43.43,,41.77,78,,Percent of Total Billed Charges,41.77,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,28.83,53.83,,Percent of Total Billed Charges,27.04,,18.55,34.64,,Percent of Total Billed Charges,18.47,,26.76,49.98,,Percent of Total Billed Charges,20.24,,18.55,49.27,,																																							
HC GRAFT PURAPLY AM PER SQ CM 4X4 (16),Q4196,CPT,,,,BOTH, , ,352.8,296.35,324.58,92,,Percent of Total Billed Charges,294.94,,324.58,92,,Percent of Total Billed Charges,289.65,,324.58,92,,Percent of Total Billed Charges,284,,324.58,92,,Percent of Total Billed Charges,294.59,,324.58,92,,Percent of Total Billed Charges,265.66,,324.58,92,,Percent of Total Billed Charges,220.5,,317.52,90,,Percent of Total Billed Charges,176.05,,313.99,89,,Percent of Total Billed Charges,169.34,,290.71,82.4,,Percent of Total Billed Charges,290,,294.24,83.4,,Percent of Total Billed Charges,274.48,,294.24,83.4,,Percent of Total Billed Charges,247.31,,294.24,83.4,,Percent of Total Billed Charges,287.18,,317.52,90,,Percent of Total Billed Charges,298.82,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,324.58,92,,Percent of Total Billed Charges,286.12,,324.58,92,,Percent of Total Billed Charges,262.48,,324.58,92,,Percent of Total Billed Charges,276.24,,324.58,92,,Percent of Total Billed Charges,286.12,,275.18,78,,Percent of Total Billed Charges,275.18,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,189.91,53.83,,Percent of Total Billed Charges,178.16,,122.21,34.64,,Percent of Total Billed Charges,121.72,,176.33,49.98,,Percent of Total Billed Charges,133.36,,122.21,324.58,,																																							
HC KERECIS OMEGA3 MARIGEN, 16 MM CIRCULAR (2),Q4158,CPT,,,,BOTH, , ,1130.85,949.91,1040.38,92,,Percent of Total Billed Charges,945.39,,1040.38,92,,Percent of Total Billed Charges,928.43,,1040.38,92,,Percent of Total Billed Charges,910.33,,1040.38,92,,Percent of Total Billed Charges,944.26,,1040.38,92,,Percent of Total Billed Charges,851.53,,1040.38,92,,Percent of Total Billed Charges,706.78,,1017.77,90,,Percent of Total Billed Charges,564.29,,1006.46,89,,Percent of Total Billed Charges,542.81,,931.82,82.4,,Percent of Total Billed Charges,929.56,,943.13,83.4,,Percent of Total Billed Charges,879.8,,943.13,83.4,,Percent of Total Billed Charges,792.73,,943.13,83.4,,Percent of Total Billed Charges,920.51,,1017.77,90,,Percent of Total Billed Charges,957.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1040.38,92,,Percent of Total Billed Charges,917.12,,1040.38,92,,Percent of Total Billed Charges,841.35,,1040.38,92,,Percent of Total Billed Charges,885.46,,1040.38,92,,Percent of Total Billed Charges,917.12,,882.06,78,,Percent of Total Billed Charges,882.06,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,608.74,53.83,,Percent of Total Billed Charges,571.08,,391.73,34.64,,Percent of Total Billed Charges,390.14,,565.2,49.98,,Percent of Total Billed Charges,427.46,,391.73,1040.38,,																																							
HC KERECIS OMEGA3 WOUND 1.75X.1.75CM, PER SQ CM (4),Q4158,CPT,,,,BOTH, , ,599.55,503.62,551.59,92,,Percent of Total Billed Charges,501.22,,551.59,92,,Percent of Total Billed Charges,492.23,,551.59,92,,Percent of Total Billed Charges,482.64,,551.59,92,,Percent of Total Billed Charges,500.62,,551.59,92,,Percent of Total Billed Charges,451.46,,551.59,92,,Percent of Total Billed Charges,374.72,,539.6,90,,Percent of Total Billed Charges,299.18,,533.6,89,,Percent of Total Billed Charges,287.78,,494.03,82.4,,Percent of Total Billed Charges,492.83,,500.02,83.4,,Percent of Total Billed Charges,466.45,,500.02,83.4,,Percent of Total Billed Charges,420.28,,500.02,83.4,,Percent of Total Billed Charges,488.03,,539.6,90,,Percent of Total Billed Charges,507.82,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,551.59,92,,Percent of Total Billed Charges,486.24,,551.59,92,,Percent of Total Billed Charges,446.07,,551.59,92,,Percent of Total Billed Charges,469.45,,551.59,92,,Percent of Total Billed Charges,486.24,,467.65,78,,Percent of Total Billed Charges,467.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,322.74,53.83,,Percent of Total Billed Charges,302.77,,207.68,34.64,,Percent of Total Billed Charges,206.84,,299.66,49.98,,Percent of Total Billed Charges,226.63,,207.68,551.59,,																																							
HC MIRRAGEN ADV WND MAT PER SQ (6),A2002,CPT,,,,BOTH, , ,65.1,54.68,59.89,92,,Percent of Total Billed Charges,54.42,,59.89,92,,Percent of Total Billed Charges,53.45,,59.89,92,,Percent of Total Billed Charges,52.41,,59.89,92,,Percent of Total Billed Charges,54.36,,59.89,92,,Percent of Total Billed Charges,49.02,,59.89,92,,Percent of Total Billed Charges,40.69,,58.59,90,,Percent of Total Billed Charges,32.48,,57.94,89,,Percent of Total Billed Charges,31.25,,53.64,82.4,,Percent of Total Billed Charges,53.51,,54.29,83.4,,Percent of Total Billed Charges,50.65,,54.29,83.4,,Percent of Total Billed Charges,45.64,,54.29,83.4,,Percent of Total Billed Charges,52.99,,58.59,90,,Percent of Total Billed Charges,55.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,59.89,92,,Percent of Total Billed Charges,52.8,,59.89,92,,Percent of Total Billed Charges,48.43,,59.89,92,,Percent of Total Billed Charges,50.97,,59.89,92,,Percent of Total Billed Charges,52.8,,50.78,78,,Percent of Total Billed Charges,50.78,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,35.04,53.83,,Percent of Total Billed Charges,32.88,,22.55,34.64,,Percent of Total Billed Charges,22.46,,32.54,49.98,,Percent of Total Billed Charges,24.61,,22.55,59.89,,																																							
HC TRAUMA CODE,G0390,CPT,,,,BOTH, , ,5248.95,4409.12,4829.03,92,,Percent of Total Billed Charges,4388.12,,4829.03,92,,Percent of Total Billed Charges,4309.39,,4829.03,92,,Percent of Total Billed Charges,4225.4,,4829.03,92,,Percent of Total Billed Charges,4382.87,,4829.03,92,,Percent of Total Billed Charges,3952.46,,4829.03,92,,Percent of Total Billed Charges,3280.59,,4724.06,90,,Percent of Total Billed Charges,2619.23,,4671.57,89,,Percent of Total Billed Charges,2519.5,,4325.13,82.4,,Percent of Total Billed Charges,4314.64,,4377.62,83.4,,Percent of Total Billed Charges,4083.68,,4377.62,83.4,,Percent of Total Billed Charges,3679.51,,4377.62,83.4,,Percent of Total Billed Charges,4272.65,,4724.06,90,,Percent of Total Billed Charges,4445.86,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4829.03,92,,Percent of Total Billed Charges,4256.9,,4829.03,92,,Percent of Total Billed Charges,3905.22,,4829.03,92,,Percent of Total Billed Charges,4109.93,,4829.03,92,,Percent of Total Billed Charges,4256.9,,4094.18,78,,Percent of Total Billed Charges,4094.18,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2825.51,53.83,,Percent of Total Billed Charges,2650.72,,1818.24,34.64,,Percent of Total Billed Charges,1810.89,,2623.43,49.98,,Percent of Total Billed Charges,1984.1,,1818.24,4829.03,,																																							
HC TRAUMA ALERT,G0390,CPT,,,,BOTH, , ,4432.05,3722.92,4077.49,92,,Percent of Total Billed Charges,3705.19,,4077.49,92,,Percent of Total Billed Charges,3638.71,,4077.49,92,,Percent of Total Billed Charges,3567.8,,4077.49,92,,Percent of Total Billed Charges,3700.76,,4077.49,92,,Percent of Total Billed Charges,3337.33,,4077.49,92,,Percent of Total Billed Charges,2770.03,,3988.85,90,,Percent of Total Billed Charges,2211.59,,3944.52,89,,Percent of Total Billed Charges,2127.38,,3652.01,82.4,,Percent of Total Billed Charges,3643.15,,3696.33,83.4,,Percent of Total Billed Charges,3448.13,,3696.33,83.4,,Percent of Total Billed Charges,3106.87,,3696.33,83.4,,Percent of Total Billed Charges,3607.69,,3988.85,90,,Percent of Total Billed Charges,3753.95,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4077.49,92,,Percent of Total Billed Charges,3594.39,,4077.49,92,,Percent of Total Billed Charges,3297.45,,4077.49,92,,Percent of Total Billed Charges,3470.3,,4077.49,92,,Percent of Total Billed Charges,3594.39,,3457,78,,Percent of Total Billed Charges,3457,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2385.77,53.83,,Percent of Total Billed Charges,2238.19,,1535.26,34.64,,Percent of Total Billed Charges,1529.06,,2215.14,49.98,,Percent of Total Billed Charges,1675.31,,1535.26,4077.49,,																																							
HC TRAUMA REFERRAL,683,RC,,,,BOTH, , ,3931.2,3302.21,3616.7,92,,Percent of Total Billed Charges,3286.48,,3616.7,92,,Percent of Total Billed Charges,3227.52,,3616.7,92,,Percent of Total Billed Charges,3164.62,,3616.7,92,,Percent of Total Billed Charges,3282.55,,3616.7,92,,Percent of Total Billed Charges,2960.19,,3616.7,92,,Percent of Total Billed Charges,2457,,3538.08,90,,Percent of Total Billed Charges,1961.67,,3498.77,89,,Percent of Total Billed Charges,1886.98,,3239.31,82.4,,Percent of Total Billed Charges,3231.45,,3278.62,83.4,,Percent of Total Billed Charges,3058.47,,3278.62,83.4,,Percent of Total Billed Charges,2755.77,,3278.62,83.4,,Percent of Total Billed Charges,3200,,3538.08,90,,Percent of Total Billed Charges,3329.73,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3616.7,92,,Percent of Total Billed Charges,3188.2,,3616.7,92,,Percent of Total Billed Charges,2924.81,,3616.7,92,,Percent of Total Billed Charges,3078.13,,3616.7,92,,Percent of Total Billed Charges,3188.2,,3066.34,78,,Percent of Total Billed Charges,3066.34,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2116.16,53.83,,Percent of Total Billed Charges,1985.26,,1361.77,34.64,,Percent of Total Billed Charges,1356.26,,1964.81,49.98,,Percent of Total Billed Charges,1485.99,,1361.77,3616.7,,																																							
HC CSECTION RECOVERY 30 M,710,RC,,,,BOTH, , ,49.35,41.45,45.4,92,,Percent of Total Billed Charges,41.26,,45.4,92,,Percent of Total Billed Charges,40.52,,45.4,92,,Percent of Total Billed Charges,39.73,,45.4,92,,Percent of Total Billed Charges,41.21,,45.4,92,,Percent of Total Billed Charges,37.16,,45.4,92,,Percent of Total Billed Charges,30.84,,44.42,90,,Percent of Total Billed Charges,24.63,,43.92,89,,Percent of Total Billed Charges,23.69,,40.66,82.4,,Percent of Total Billed Charges,40.57,,41.16,83.4,,Percent of Total Billed Charges,38.39,,41.16,83.4,,Percent of Total Billed Charges,34.59,,41.16,83.4,,Percent of Total Billed Charges,40.17,,44.42,90,,Percent of Total Billed Charges,41.8,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,45.4,92,,Percent of Total Billed Charges,40.02,,45.4,92,,Percent of Total Billed Charges,36.72,,45.4,92,,Percent of Total Billed Charges,38.64,,45.4,92,,Percent of Total Billed Charges,40.02,,38.49,78,,Percent of Total Billed Charges,38.49,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,26.57,53.83,,Percent of Total Billed Charges,24.92,,17.09,34.64,,Percent of Total Billed Charges,17.03,,24.67,49.98,,Percent of Total Billed Charges,18.65,,17.09,45.4,,																																							
HC CSECTION RECOVERY 60 M,710,RC,,,,BOTH, , ,920.85,773.51,847.18,92,,Percent of Total Billed Charges,769.83,,847.18,92,,Percent of Total Billed Charges,756.02,,847.18,92,,Percent of Total Billed Charges,741.28,,847.18,92,,Percent of Total Billed Charges,768.91,,847.18,92,,Percent of Total Billed Charges,693.4,,847.18,92,,Percent of Total Billed Charges,575.53,,828.77,90,,Percent of Total Billed Charges,459.5,,819.56,89,,Percent of Total Billed Charges,442.01,,758.78,82.4,,Percent of Total Billed Charges,756.94,,767.99,83.4,,Percent of Total Billed Charges,716.42,,767.99,83.4,,Percent of Total Billed Charges,645.52,,767.99,83.4,,Percent of Total Billed Charges,749.57,,828.77,90,,Percent of Total Billed Charges,779.96,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,847.18,92,,Percent of Total Billed Charges,746.81,,847.18,92,,Percent of Total Billed Charges,685.11,,847.18,92,,Percent of Total Billed Charges,721.03,,847.18,92,,Percent of Total Billed Charges,746.81,,718.26,78,,Percent of Total Billed Charges,718.26,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,495.69,53.83,,Percent of Total Billed Charges,465.03,,318.98,34.64,,Percent of Total Billed Charges,317.69,,460.24,49.98,,Percent of Total Billed Charges,348.08,,318.98,847.18,,																																							
HC CSECTION RECOVERY 90 M,710,RC,,,,BOTH, , ,1462.65,1228.63,1345.64,92,,Percent of Total Billed Charges,1222.78,,1345.64,92,,Percent of Total Billed Charges,1200.84,,1345.64,92,,Percent of Total Billed Charges,1177.43,,1345.64,92,,Percent of Total Billed Charges,1221.31,,1345.64,92,,Percent of Total Billed Charges,1101.38,,1345.64,92,,Percent of Total Billed Charges,914.16,,1316.39,90,,Percent of Total Billed Charges,729.86,,1301.76,89,,Percent of Total Billed Charges,702.07,,1205.22,82.4,,Percent of Total Billed Charges,1202.3,,1219.85,83.4,,Percent of Total Billed Charges,1137.94,,1219.85,83.4,,Percent of Total Billed Charges,1025.32,,1219.85,83.4,,Percent of Total Billed Charges,1190.6,,1316.39,90,,Percent of Total Billed Charges,1238.86,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1345.64,92,,Percent of Total Billed Charges,1186.21,,1345.64,92,,Percent of Total Billed Charges,1088.21,,1345.64,92,,Percent of Total Billed Charges,1145.25,,1345.64,92,,Percent of Total Billed Charges,1186.21,,1140.87,78,,Percent of Total Billed Charges,1140.87,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,787.34,53.83,,Percent of Total Billed Charges,738.64,,506.66,34.64,,Percent of Total Billed Charges,504.61,,731.03,49.98,,Percent of Total Billed Charges,552.88,,506.66,1345.64,,																																							
HC CSECTION RECOVERY ADDTN 30M,710,RC,,,,BOTH, , ,469.35,394.25,431.8,92,,Percent of Total Billed Charges,392.38,,431.8,92,,Percent of Total Billed Charges,385.34,,431.8,92,,Percent of Total Billed Charges,377.83,,431.8,92,,Percent of Total Billed Charges,391.91,,431.8,92,,Percent of Total Billed Charges,353.42,,431.8,92,,Percent of Total Billed Charges,293.34,,422.42,90,,Percent of Total Billed Charges,234.21,,417.72,89,,Percent of Total Billed Charges,225.29,,386.74,82.4,,Percent of Total Billed Charges,385.81,,391.44,83.4,,Percent of Total Billed Charges,365.15,,391.44,83.4,,Percent of Total Billed Charges,329.01,,391.44,83.4,,Percent of Total Billed Charges,382.05,,422.42,90,,Percent of Total Billed Charges,397.54,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,431.8,92,,Percent of Total Billed Charges,380.64,,431.8,92,,Percent of Total Billed Charges,349.2,,431.8,92,,Percent of Total Billed Charges,367.5,,431.8,92,,Percent of Total Billed Charges,380.64,,366.09,78,,Percent of Total Billed Charges,366.09,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,252.65,53.83,,Percent of Total Billed Charges,237.02,,162.58,34.64,,Percent of Total Billed Charges,161.93,,234.58,49.98,,Percent of Total Billed Charges,177.41,,162.58,431.8,,																																							
HC PHASE 1 RECOVERY,710,RC,,,,BOTH, , ,25.2,21.17,23.18,92,,Percent of Total Billed Charges,21.07,,23.18,92,,Percent of Total Billed Charges,20.69,,23.18,92,,Percent of Total Billed Charges,20.29,,23.18,92,,Percent of Total Billed Charges,21.04,,23.18,92,,Percent of Total Billed Charges,18.98,,23.18,92,,Percent of Total Billed Charges,15.75,,22.68,90,,Percent of Total Billed Charges,12.57,,22.43,89,,Percent of Total Billed Charges,12.1,,20.76,82.4,,Percent of Total Billed Charges,20.71,,21.02,83.4,,Percent of Total Billed Charges,19.61,,21.02,83.4,,Percent of Total Billed Charges,17.67,,21.02,83.4,,Percent of Total Billed Charges,20.51,,22.68,90,,Percent of Total Billed Charges,21.34,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,23.18,92,,Percent of Total Billed Charges,20.44,,23.18,92,,Percent of Total Billed Charges,18.75,,23.18,92,,Percent of Total Billed Charges,19.73,,23.18,92,,Percent of Total Billed Charges,20.44,,19.66,78,,Percent of Total Billed Charges,19.66,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,13.57,53.83,,Percent of Total Billed Charges,12.73,,8.73,34.64,,Percent of Total Billed Charges,8.69,,12.59,49.98,,Percent of Total Billed Charges,9.53,,8.73,23.18,,																																							
HC PHASE II RECOVERY,710,RC,,,,BOTH, , ,11.55,9.7,10.63,92,,Percent of Total Billed Charges,9.66,,10.63,92,,Percent of Total Billed Charges,9.48,,10.63,92,,Percent of Total Billed Charges,9.3,,10.63,92,,Percent of Total Billed Charges,9.64,,10.63,92,,Percent of Total Billed Charges,8.7,,10.63,92,,Percent of Total Billed Charges,7.22,,10.4,90,,Percent of Total Billed Charges,5.76,,10.28,89,,Percent of Total Billed Charges,5.54,,9.52,82.4,,Percent of Total Billed Charges,9.49,,9.63,83.4,,Percent of Total Billed Charges,8.99,,9.63,83.4,,Percent of Total Billed Charges,8.1,,9.63,83.4,,Percent of Total Billed Charges,9.4,,10.4,90,,Percent of Total Billed Charges,9.78,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,10.63,92,,Percent of Total Billed Charges,9.37,,10.63,92,,Percent of Total Billed Charges,8.59,,10.63,92,,Percent of Total Billed Charges,9.04,,10.63,92,,Percent of Total Billed Charges,9.37,,9.01,78,,Percent of Total Billed Charges,9.01,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6.22,53.83,,Percent of Total Billed Charges,5.83,,4,34.64,,Percent of Total Billed Charges,3.98,,5.77,49.98,,Percent of Total Billed Charges,4.37,,4.00,10.63,,																																							
HC VAGINAL DELIVERY RECOVERY 120 M,710,RC,,,,BOTH, , ,1549.8,1301.83,1425.82,92,,Percent of Total Billed Charges,1295.63,,1425.82,92,,Percent of Total Billed Charges,1272.39,,1425.82,92,,Percent of Total Billed Charges,1247.59,,1425.82,92,,Percent of Total Billed Charges,1294.08,,1425.82,92,,Percent of Total Billed Charges,1167,,1425.82,92,,Percent of Total Billed Charges,968.63,,1394.82,90,,Percent of Total Billed Charges,773.35,,1379.32,89,,Percent of Total Billed Charges,743.9,,1277.04,82.4,,Percent of Total Billed Charges,1273.94,,1292.53,83.4,,Percent of Total Billed Charges,1205.74,,1292.53,83.4,,Percent of Total Billed Charges,1086.41,,1292.53,83.4,,Percent of Total Billed Charges,1261.54,,1394.82,90,,Percent of Total Billed Charges,1312.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1425.82,92,,Percent of Total Billed Charges,1256.89,,1425.82,92,,Percent of Total Billed Charges,1153.05,,1425.82,92,,Percent of Total Billed Charges,1213.49,,1425.82,92,,Percent of Total Billed Charges,1256.89,,1208.84,78,,Percent of Total Billed Charges,1208.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,834.26,53.83,,Percent of Total Billed Charges,782.65,,536.85,34.64,,Percent of Total Billed Charges,534.68,,774.59,49.98,,Percent of Total Billed Charges,585.82,,536.85,1425.82,,																																							
HC VAGINAL DELIVERY RECOVERY 60 M,710,RC,,,,BOTH, , ,736.05,618.28,677.17,92,,Percent of Total Billed Charges,615.34,,677.17,92,,Percent of Total Billed Charges,604.3,,677.17,92,,Percent of Total Billed Charges,592.52,,677.17,92,,Percent of Total Billed Charges,614.6,,677.17,92,,Percent of Total Billed Charges,554.25,,677.17,92,,Percent of Total Billed Charges,460.03,,662.45,90,,Percent of Total Billed Charges,367.29,,655.08,89,,Percent of Total Billed Charges,353.3,,606.51,82.4,,Percent of Total Billed Charges,605.03,,613.87,83.4,,Percent of Total Billed Charges,572.65,,613.87,83.4,,Percent of Total Billed Charges,515.97,,613.87,83.4,,Percent of Total Billed Charges,599.14,,662.45,90,,Percent of Total Billed Charges,623.43,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,677.17,92,,Percent of Total Billed Charges,596.94,,677.17,92,,Percent of Total Billed Charges,547.62,,677.17,92,,Percent of Total Billed Charges,576.33,,677.17,92,,Percent of Total Billed Charges,596.94,,574.12,78,,Percent of Total Billed Charges,574.12,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,396.22,53.83,,Percent of Total Billed Charges,371.71,,254.97,34.64,,Percent of Total Billed Charges,253.94,,367.88,49.98,,Percent of Total Billed Charges,278.23,,254.97,677.17,,																																							
HC VAGINAL DELIVERY RECOVERY 90 M,710,RC,,,,BOTH, , ,1075.2,903.17,989.18,92,,Percent of Total Billed Charges,898.87,,989.18,92,,Percent of Total Billed Charges,882.74,,989.18,92,,Percent of Total Billed Charges,865.54,,989.18,92,,Percent of Total Billed Charges,897.79,,989.18,92,,Percent of Total Billed Charges,809.63,,989.18,92,,Percent of Total Billed Charges,672,,967.68,90,,Percent of Total Billed Charges,536.52,,956.93,89,,Percent of Total Billed Charges,516.1,,885.96,82.4,,Percent of Total Billed Charges,883.81,,896.72,83.4,,Percent of Total Billed Charges,836.51,,896.72,83.4,,Percent of Total Billed Charges,753.72,,896.72,83.4,,Percent of Total Billed Charges,875.21,,967.68,90,,Percent of Total Billed Charges,910.69,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,989.18,92,,Percent of Total Billed Charges,871.99,,989.18,92,,Percent of Total Billed Charges,799.95,,989.18,92,,Percent of Total Billed Charges,841.88,,989.18,92,,Percent of Total Billed Charges,871.99,,838.66,78,,Percent of Total Billed Charges,838.66,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,578.78,53.83,,Percent of Total Billed Charges,542.98,,372.45,34.64,,Percent of Total Billed Charges,370.94,,537.38,49.98,,Percent of Total Billed Charges,406.43,,372.45,989.18,,																																							
HC VENIPUNCTURE,36415,CPT,,,,BOTH, , ,26.25,22.05,24.15,92,,Percent of Total Billed Charges,21.95,,24.15,92,,Percent of Total Billed Charges,21.55,,24.15,92,,Percent of Total Billed Charges,21.13,,24.15,92,,Percent of Total Billed Charges,21.92,,24.15,92,,Percent of Total Billed Charges,19.77,,24.15,92,,Percent of Total Billed Charges,16.41,,23.63,90,,Percent of Total Billed Charges,13.1,,23.36,89,,Percent of Total Billed Charges,12.6,,21.63,82.4,,Percent of Total Billed Charges,21.58,,21.89,83.4,,Percent of Total Billed Charges,20.42,,21.89,83.4,,Percent of Total Billed Charges,18.4,,21.89,83.4,,Percent of Total Billed Charges,21.37,,23.63,90,,Percent of Total Billed Charges,22.23,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,24.15,92,,Percent of Total Billed Charges,21.29,,24.15,92,,Percent of Total Billed Charges,19.53,,24.15,92,,Percent of Total Billed Charges,20.55,,24.15,92,,Percent of Total Billed Charges,21.29,,20.48,78,,Percent of Total Billed Charges,20.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,14.13,53.83,,Percent of Total Billed Charges,13.26,,9.09,34.64,,Percent of Total Billed Charges,9.06,,13.12,49.98,,Percent of Total Billed Charges,9.92,,9.09,24.15,,																																							
HC CSECTION <=90 MIN,720,RC,,,,BOTH, , ,6946.8,5835.31,6391.06,92,,Percent of Total Billed Charges,5807.52,,6391.06,92,,Percent of Total Billed Charges,5703.32,,6391.06,92,,Percent of Total Billed Charges,5592.17,,6391.06,92,,Percent of Total Billed Charges,5800.58,,6391.06,92,,Percent of Total Billed Charges,5230.94,,6391.06,92,,Percent of Total Billed Charges,4341.75,,6252.12,90,,Percent of Total Billed Charges,3466.45,,6182.65,89,,Percent of Total Billed Charges,3334.46,,5724.16,82.4,,Percent of Total Billed Charges,5710.27,,5793.63,83.4,,Percent of Total Billed Charges,5404.61,,5793.63,83.4,,Percent of Total Billed Charges,4869.71,,5793.63,83.4,,Percent of Total Billed Charges,5654.7,,6252.12,90,,Percent of Total Billed Charges,5883.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6391.06,92,,Percent of Total Billed Charges,5633.85,,6391.06,92,,Percent of Total Billed Charges,5168.42,,6391.06,92,,Percent of Total Billed Charges,5439.34,,6391.06,92,,Percent of Total Billed Charges,5633.85,,5418.5,78,,Percent of Total Billed Charges,5418.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3739.46,53.83,,Percent of Total Billed Charges,3508.13,,2406.37,34.64,,Percent of Total Billed Charges,2396.65,,3472.01,49.98,,Percent of Total Billed Charges,2625.89,,2406.37,6391.06,,																																							
HC CSECTION > 90 MIN PER 30 MIN,720,RC,,,,BOTH, , ,114.45,96.14,105.29,92,,Percent of Total Billed Charges,95.68,,105.29,92,,Percent of Total Billed Charges,93.96,,105.29,92,,Percent of Total Billed Charges,92.13,,105.29,92,,Percent of Total Billed Charges,95.57,,105.29,92,,Percent of Total Billed Charges,86.18,,105.29,92,,Percent of Total Billed Charges,71.53,,103.01,90,,Percent of Total Billed Charges,57.11,,101.86,89,,Percent of Total Billed Charges,54.94,,94.31,82.4,,Percent of Total Billed Charges,94.08,,95.45,83.4,,Percent of Total Billed Charges,89.04,,95.45,83.4,,Percent of Total Billed Charges,80.23,,95.45,83.4,,Percent of Total Billed Charges,93.16,,103.01,90,,Percent of Total Billed Charges,96.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,105.29,92,,Percent of Total Billed Charges,92.82,,105.29,92,,Percent of Total Billed Charges,85.15,,105.29,92,,Percent of Total Billed Charges,89.61,,105.29,92,,Percent of Total Billed Charges,92.82,,89.27,78,,Percent of Total Billed Charges,89.27,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,61.61,53.83,,Percent of Total Billed Charges,57.8,,39.65,34.64,,Percent of Total Billed Charges,39.49,,57.2,49.98,,Percent of Total Billed Charges,43.26,,39.65,105.29,,																																							
HC DELIVERY VAGINAL,720,RC,,,,BOTH, , ,5230.05,4393.24,4811.65,92,,Percent of Total Billed Charges,4372.32,,4811.65,92,,Percent of Total Billed Charges,4293.87,,4811.65,92,,Percent of Total Billed Charges,4210.19,,4811.65,92,,Percent of Total Billed Charges,4367.09,,4811.65,92,,Percent of Total Billed Charges,3938.23,,4811.65,92,,Percent of Total Billed Charges,3268.78,,4707.05,90,,Percent of Total Billed Charges,2609.79,,4654.74,89,,Percent of Total Billed Charges,2510.42,,4309.56,82.4,,Percent of Total Billed Charges,4299.1,,4361.86,83.4,,Percent of Total Billed Charges,4068.98,,4361.86,83.4,,Percent of Total Billed Charges,3666.27,,4361.86,83.4,,Percent of Total Billed Charges,4257.26,,4707.05,90,,Percent of Total Billed Charges,4429.85,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4811.65,92,,Percent of Total Billed Charges,4241.57,,4811.65,92,,Percent of Total Billed Charges,3891.16,,4811.65,92,,Percent of Total Billed Charges,4095.13,,4811.65,92,,Percent of Total Billed Charges,4241.57,,4079.44,78,,Percent of Total Billed Charges,4079.44,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2815.34,53.83,,Percent of Total Billed Charges,2641.18,,1811.69,34.64,,Percent of Total Billed Charges,1804.37,,2613.98,49.98,,Percent of Total Billed Charges,1976.96,,1811.69,4811.65,,																																							
HC DELIVERY VAGINAL COMPLEX,720,RC,,,,BOTH, , ,7915.95,6649.4,7282.67,92,,Percent of Total Billed Charges,6617.73,,7282.67,92,,Percent of Total Billed Charges,6498.99,,7282.67,92,,Percent of Total Billed Charges,6372.34,,7282.67,92,,Percent of Total Billed Charges,6609.82,,7282.67,92,,Percent of Total Billed Charges,5960.71,,7282.67,92,,Percent of Total Billed Charges,4947.47,,7124.36,90,,Percent of Total Billed Charges,3950.06,,7045.2,89,,Percent of Total Billed Charges,3799.66,,6522.74,82.4,,Percent of Total Billed Charges,6506.91,,6601.9,83.4,,Percent of Total Billed Charges,6158.61,,6601.9,83.4,,Percent of Total Billed Charges,5549.08,,6601.9,83.4,,Percent of Total Billed Charges,6443.58,,7124.36,90,,Percent of Total Billed Charges,6704.81,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,7282.67,92,,Percent of Total Billed Charges,6419.84,,7282.67,92,,Percent of Total Billed Charges,5889.47,,7282.67,92,,Percent of Total Billed Charges,6198.19,,7282.67,92,,Percent of Total Billed Charges,6419.84,,6174.44,78,,Percent of Total Billed Charges,6174.44,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4261.16,53.83,,Percent of Total Billed Charges,3997.55,,2742.09,34.64,,Percent of Total Billed Charges,2731,,3956.39,49.98,,Percent of Total Billed Charges,2992.23,,2742.09,7282.67,,																																							
HC URETHRAL CATH INSERTED,51701,CPT,,,,BOTH, , ,480.9,403.96,442.43,92,,Percent of Total Billed Charges,402.03,,442.43,92,,Percent of Total Billed Charges,394.82,,442.43,92,,Percent of Total Billed Charges,387.12,,442.43,92,,Percent of Total Billed Charges,401.55,,442.43,92,,Percent of Total Billed Charges,362.12,,442.43,92,,Percent of Total Billed Charges,300.56,,432.81,90,,Percent of Total Billed Charges,239.97,,428,89,,Percent of Total Billed Charges,230.83,,396.26,82.4,,Percent of Total Billed Charges,395.3,,401.07,83.4,,Percent of Total Billed Charges,374.14,,401.07,83.4,,Percent of Total Billed Charges,337.11,,401.07,83.4,,Percent of Total Billed Charges,391.45,,432.81,90,,Percent of Total Billed Charges,407.32,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,442.43,92,,Percent of Total Billed Charges,390.01,,442.43,92,,Percent of Total Billed Charges,357.79,,442.43,92,,Percent of Total Billed Charges,376.54,,442.43,92,,Percent of Total Billed Charges,390.01,,375.1,78,,Percent of Total Billed Charges,375.1,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,258.87,53.83,,Percent of Total Billed Charges,242.85,,166.58,34.64,,Percent of Total Billed Charges,165.91,,240.35,49.98,,Percent of Total Billed Charges,181.78,,166.58,442.43,,																																							
HC URETHRAL CATH TEMPORARY,51702,CPT,,,,BOTH, , ,270.9,227.56,249.23,92,,Percent of Total Billed Charges,226.47,,249.23,92,,Percent of Total Billed Charges,222.41,,249.23,92,,Percent of Total Billed Charges,218.07,,249.23,92,,Percent of Total Billed Charges,226.2,,249.23,92,,Percent of Total Billed Charges,203.99,,249.23,92,,Percent of Total Billed Charges,169.31,,243.81,90,,Percent of Total Billed Charges,135.18,,241.1,89,,Percent of Total Billed Charges,130.03,,223.22,82.4,,Percent of Total Billed Charges,222.68,,225.93,83.4,,Percent of Total Billed Charges,210.76,,225.93,83.4,,Percent of Total Billed Charges,189.9,,225.93,83.4,,Percent of Total Billed Charges,220.51,,243.81,90,,Percent of Total Billed Charges,229.45,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,249.23,92,,Percent of Total Billed Charges,219.7,,249.23,92,,Percent of Total Billed Charges,201.55,,249.23,92,,Percent of Total Billed Charges,212.11,,249.23,92,,Percent of Total Billed Charges,219.7,,211.3,78,,Percent of Total Billed Charges,211.3,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,145.83,53.83,,Percent of Total Billed Charges,136.8,,93.84,34.64,,Percent of Total Billed Charges,93.46,,135.4,49.98,,Percent of Total Billed Charges,102.4,,93.84,249.23,,																																							
HC AMNIOCENTESIS, DIAGNOSTIC,59000,CPT,,,,BOTH, , ,2123.1,1783.4,1953.25,92,,Percent of Total Billed Charges,1774.91,,1953.25,92,,Percent of Total Billed Charges,1743.07,,1953.25,92,,Percent of Total Billed Charges,1709.1,,1953.25,92,,Percent of Total Billed Charges,1772.79,,1953.25,92,,Percent of Total Billed Charges,1598.69,,1953.25,92,,Percent of Total Billed Charges,1326.94,,1910.79,90,,Percent of Total Billed Charges,1059.43,,1889.56,89,,Percent of Total Billed Charges,1019.09,,1749.43,82.4,,Percent of Total Billed Charges,1745.19,,1770.67,83.4,,Percent of Total Billed Charges,1651.77,,1770.67,83.4,,Percent of Total Billed Charges,1488.29,,1770.67,83.4,,Percent of Total Billed Charges,1728.2,,1910.79,90,,Percent of Total Billed Charges,1798.27,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1953.25,92,,Percent of Total Billed Charges,1721.83,,1953.25,92,,Percent of Total Billed Charges,1579.59,,1953.25,92,,Percent of Total Billed Charges,1662.39,,1953.25,92,,Percent of Total Billed Charges,1721.83,,1656.02,78,,Percent of Total Billed Charges,1656.02,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1142.86,53.83,,Percent of Total Billed Charges,1072.17,,735.44,34.64,,Percent of Total Billed Charges,732.47,,1061.13,49.98,,Percent of Total Billed Charges,802.53,,735.44,1953.25,,																																							
HC FETAL CONTRACTION STRESS TEST,59020,CPT,,,,BOTH, , ,729.75,612.99,671.37,92,,Percent of Total Billed Charges,610.07,,671.37,92,,Percent of Total Billed Charges,599.12,,671.37,92,,Percent of Total Billed Charges,587.45,,671.37,92,,Percent of Total Billed Charges,609.34,,671.37,92,,Percent of Total Billed Charges,549.5,,671.37,92,,Percent of Total Billed Charges,456.09,,656.78,90,,Percent of Total Billed Charges,364.15,,649.48,89,,Percent of Total Billed Charges,350.28,,601.31,82.4,,Percent of Total Billed Charges,599.85,,608.61,83.4,,Percent of Total Billed Charges,567.75,,608.61,83.4,,Percent of Total Billed Charges,511.55,,608.61,83.4,,Percent of Total Billed Charges,594.02,,656.78,90,,Percent of Total Billed Charges,618.1,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,671.37,92,,Percent of Total Billed Charges,591.83,,671.37,92,,Percent of Total Billed Charges,542.93,,671.37,92,,Percent of Total Billed Charges,571.39,,671.37,92,,Percent of Total Billed Charges,591.83,,569.21,78,,Percent of Total Billed Charges,569.21,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,392.82,53.83,,Percent of Total Billed Charges,368.52,,252.79,34.64,,Percent of Total Billed Charges,251.76,,364.73,49.98,,Percent of Total Billed Charges,275.85,,252.79,671.37,,																																							
HC FETAL NONSTRESS TEST,59025,CPT,,,,BOTH, , ,891.45,748.82,820.13,92,,Percent of Total Billed Charges,745.25,,820.13,92,,Percent of Total Billed Charges,731.88,,820.13,92,,Percent of Total Billed Charges,717.62,,820.13,92,,Percent of Total Billed Charges,744.36,,820.13,92,,Percent of Total Billed Charges,671.26,,820.13,92,,Percent of Total Billed Charges,557.16,,802.31,90,,Percent of Total Billed Charges,444.83,,793.39,89,,Percent of Total Billed Charges,427.9,,734.55,82.4,,Percent of Total Billed Charges,732.77,,743.47,83.4,,Percent of Total Billed Charges,693.55,,743.47,83.4,,Percent of Total Billed Charges,624.91,,743.47,83.4,,Percent of Total Billed Charges,725.64,,802.31,90,,Percent of Total Billed Charges,755.06,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,820.13,92,,Percent of Total Billed Charges,722.97,,820.13,92,,Percent of Total Billed Charges,663.24,,820.13,92,,Percent of Total Billed Charges,698.01,,820.13,92,,Percent of Total Billed Charges,722.97,,695.33,78,,Percent of Total Billed Charges,695.33,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,479.87,53.83,,Percent of Total Billed Charges,450.18,,308.8,34.64,,Percent of Total Billed Charges,307.55,,445.55,49.98,,Percent of Total Billed Charges,336.97,,308.80,820.13,,																																							
HC ANTEPARTUM MANIPULATION,59412,CPT,,,,BOTH, , ,6587.7,5533.67,6060.68,92,,Percent of Total Billed Charges,5507.32,,6060.68,92,,Percent of Total Billed Charges,5408.5,,6060.68,92,,Percent of Total Billed Charges,5303.1,,6060.68,92,,Percent of Total Billed Charges,5500.73,,6060.68,92,,Percent of Total Billed Charges,4960.54,,6060.68,92,,Percent of Total Billed Charges,4117.31,,5928.93,90,,Percent of Total Billed Charges,3287.26,,5863.05,89,,Percent of Total Billed Charges,3162.1,,5428.26,82.4,,Percent of Total Billed Charges,5415.09,,5494.14,83.4,,Percent of Total Billed Charges,5125.23,,5494.14,83.4,,Percent of Total Billed Charges,4617.98,,5494.14,83.4,,Percent of Total Billed Charges,5362.39,,5928.93,90,,Percent of Total Billed Charges,5579.78,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6060.68,92,,Percent of Total Billed Charges,5342.62,,6060.68,92,,Percent of Total Billed Charges,4901.25,,6060.68,92,,Percent of Total Billed Charges,5158.17,,6060.68,92,,Percent of Total Billed Charges,5342.62,,5138.41,78,,Percent of Total Billed Charges,5138.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3546.16,53.83,,Percent of Total Billed Charges,3326.79,,2281.98,34.64,,Percent of Total Billed Charges,2272.76,,3292.53,49.98,,Percent of Total Billed Charges,2490.15,,2281.98,6060.68,,																																							
HC DELIVERY OF PLACENTA,59414,CPT,,,,BOTH, , ,7903.35,6638.81,7271.08,92,,Percent of Total Billed Charges,6607.2,,7271.08,92,,Percent of Total Billed Charges,6488.65,,7271.08,92,,Percent of Total Billed Charges,6362.2,,7271.08,92,,Percent of Total Billed Charges,6599.3,,7271.08,92,,Percent of Total Billed Charges,5951.22,,7271.08,92,,Percent of Total Billed Charges,4939.59,,7113.02,90,,Percent of Total Billed Charges,3943.77,,7033.98,89,,Percent of Total Billed Charges,3793.61,,6512.36,82.4,,Percent of Total Billed Charges,6496.55,,6591.39,83.4,,Percent of Total Billed Charges,6148.81,,6591.39,83.4,,Percent of Total Billed Charges,5540.25,,6591.39,83.4,,Percent of Total Billed Charges,6433.33,,7113.02,90,,Percent of Total Billed Charges,6694.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,7271.08,92,,Percent of Total Billed Charges,6409.62,,7271.08,92,,Percent of Total Billed Charges,5880.09,,7271.08,92,,Percent of Total Billed Charges,6188.32,,7271.08,92,,Percent of Total Billed Charges,6409.62,,6164.61,78,,Percent of Total Billed Charges,6164.61,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4254.37,53.83,,Percent of Total Billed Charges,3991.19,,2737.72,34.64,,Percent of Total Billed Charges,2726.66,,3950.09,49.98,,Percent of Total Billed Charges,2987.47,,2737.72,7271.08,,																																							
HC IV INFUSION HYDRA INITIAL =< 1HR,96360,CPT,,,,BOTH, , ,833.7,700.31,767,92,,Percent of Total Billed Charges,696.97,,767,92,,Percent of Total Billed Charges,684.47,,767,92,,Percent of Total Billed Charges,671.13,,767,92,,Percent of Total Billed Charges,696.14,,767,92,,Percent of Total Billed Charges,627.78,,767,92,,Percent of Total Billed Charges,521.06,,750.33,90,,Percent of Total Billed Charges,416.02,,741.99,89,,Percent of Total Billed Charges,400.18,,686.97,82.4,,Percent of Total Billed Charges,685.3,,695.31,83.4,,Percent of Total Billed Charges,648.62,,695.31,83.4,,Percent of Total Billed Charges,584.42,,695.31,83.4,,Percent of Total Billed Charges,678.63,,750.33,90,,Percent of Total Billed Charges,706.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,767,92,,Percent of Total Billed Charges,676.13,,767,92,,Percent of Total Billed Charges,620.27,,767,92,,Percent of Total Billed Charges,652.79,,767,92,,Percent of Total Billed Charges,676.13,,650.29,78,,Percent of Total Billed Charges,650.29,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,448.78,53.83,,Percent of Total Billed Charges,421.02,,288.79,34.64,,Percent of Total Billed Charges,287.63,,416.68,49.98,,Percent of Total Billed Charges,315.14,,288.79,767,,																																							
HC IV INFUSION HYDRATION EA ADD'L HR,96361,CPT,,,,BOTH, , ,366.45,307.82,337.13,92,,Percent of Total Billed Charges,306.35,,337.13,92,,Percent of Total Billed Charges,300.86,,337.13,92,,Percent of Total Billed Charges,294.99,,337.13,92,,Percent of Total Billed Charges,305.99,,337.13,92,,Percent of Total Billed Charges,275.94,,337.13,92,,Percent of Total Billed Charges,229.03,,329.81,90,,Percent of Total Billed Charges,182.86,,326.14,89,,Percent of Total Billed Charges,175.9,,301.95,82.4,,Percent of Total Billed Charges,301.22,,305.62,83.4,,Percent of Total Billed Charges,285.1,,305.62,83.4,,Percent of Total Billed Charges,256.88,,305.62,83.4,,Percent of Total Billed Charges,298.29,,329.81,90,,Percent of Total Billed Charges,310.38,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,337.13,92,,Percent of Total Billed Charges,297.19,,337.13,92,,Percent of Total Billed Charges,272.64,,337.13,92,,Percent of Total Billed Charges,286.93,,337.13,92,,Percent of Total Billed Charges,297.19,,285.83,78,,Percent of Total Billed Charges,285.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,197.26,53.83,,Percent of Total Billed Charges,185.06,,126.94,34.64,,Percent of Total Billed Charges,126.43,,183.15,49.98,,Percent of Total Billed Charges,138.52,,126.94,337.13,,																																							
HC IV INFUSION THERA/PROPH/DIAG INITIAL,96365,CPT,,,,BOTH, , ,771.75,648.27,710.01,92,,Percent of Total Billed Charges,645.18,,710.01,92,,Percent of Total Billed Charges,633.61,,710.01,92,,Percent of Total Billed Charges,621.26,,710.01,92,,Percent of Total Billed Charges,644.41,,710.01,92,,Percent of Total Billed Charges,581.13,,710.01,92,,Percent of Total Billed Charges,482.34,,694.58,90,,Percent of Total Billed Charges,385.1,,686.86,89,,Percent of Total Billed Charges,370.44,,635.92,82.4,,Percent of Total Billed Charges,634.38,,643.64,83.4,,Percent of Total Billed Charges,600.42,,643.64,83.4,,Percent of Total Billed Charges,541,,643.64,83.4,,Percent of Total Billed Charges,628.2,,694.58,90,,Percent of Total Billed Charges,653.67,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,710.01,92,,Percent of Total Billed Charges,625.89,,710.01,92,,Percent of Total Billed Charges,574.18,,710.01,92,,Percent of Total Billed Charges,604.28,,710.01,92,,Percent of Total Billed Charges,625.89,,601.97,78,,Percent of Total Billed Charges,601.97,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,415.43,53.83,,Percent of Total Billed Charges,389.73,,267.33,34.64,,Percent of Total Billed Charges,266.25,,385.72,49.98,,Percent of Total Billed Charges,291.72,,267.33,710.01,,																																							
HC IV INFUSION THERA/PROPH/DIAG ADDON,96366,CPT,,,,BOTH, , ,339.15,284.89,312.02,92,,Percent of Total Billed Charges,283.53,,312.02,92,,Percent of Total Billed Charges,278.44,,312.02,92,,Percent of Total Billed Charges,273.02,,312.02,92,,Percent of Total Billed Charges,283.19,,312.02,92,,Percent of Total Billed Charges,255.38,,312.02,92,,Percent of Total Billed Charges,211.97,,305.24,90,,Percent of Total Billed Charges,169.24,,301.84,89,,Percent of Total Billed Charges,162.79,,279.46,82.4,,Percent of Total Billed Charges,278.78,,282.85,83.4,,Percent of Total Billed Charges,263.86,,282.85,83.4,,Percent of Total Billed Charges,237.74,,282.85,83.4,,Percent of Total Billed Charges,276.07,,305.24,90,,Percent of Total Billed Charges,287.26,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,312.02,92,,Percent of Total Billed Charges,275.05,,312.02,92,,Percent of Total Billed Charges,252.33,,312.02,92,,Percent of Total Billed Charges,265.55,,312.02,92,,Percent of Total Billed Charges,275.05,,264.54,78,,Percent of Total Billed Charges,264.54,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,182.56,53.83,,Percent of Total Billed Charges,171.27,,117.48,34.64,,Percent of Total Billed Charges,117.01,,169.51,49.98,,Percent of Total Billed Charges,128.2,,117.48,312.02,,																																							
HC TX/PROPH/DG ADDL SEQ IV INF,96367,CPT,,,,BOTH, , ,351.75,295.47,323.61,92,,Percent of Total Billed Charges,294.06,,323.61,92,,Percent of Total Billed Charges,288.79,,323.61,92,,Percent of Total Billed Charges,283.16,,323.61,92,,Percent of Total Billed Charges,293.71,,323.61,92,,Percent of Total Billed Charges,264.87,,323.61,92,,Percent of Total Billed Charges,219.84,,316.58,90,,Percent of Total Billed Charges,175.52,,313.06,89,,Percent of Total Billed Charges,168.84,,289.84,82.4,,Percent of Total Billed Charges,289.14,,293.36,83.4,,Percent of Total Billed Charges,273.66,,293.36,83.4,,Percent of Total Billed Charges,246.58,,293.36,83.4,,Percent of Total Billed Charges,286.32,,316.58,90,,Percent of Total Billed Charges,297.93,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,323.61,92,,Percent of Total Billed Charges,285.27,,323.61,92,,Percent of Total Billed Charges,261.7,,323.61,92,,Percent of Total Billed Charges,275.42,,323.61,92,,Percent of Total Billed Charges,285.27,,274.37,78,,Percent of Total Billed Charges,274.37,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,189.35,53.83,,Percent of Total Billed Charges,177.63,,121.85,34.64,,Percent of Total Billed Charges,121.35,,175.8,49.98,,Percent of Total Billed Charges,132.96,,121.85,323.61,,																																							
HC THER/DIAG CONCURRENT INF,96368,CPT,,,,BOTH, , ,344.4,289.3,316.85,92,,Percent of Total Billed Charges,287.92,,316.85,92,,Percent of Total Billed Charges,282.75,,316.85,92,,Percent of Total Billed Charges,277.24,,316.85,92,,Percent of Total Billed Charges,287.57,,316.85,92,,Percent of Total Billed Charges,259.33,,316.85,92,,Percent of Total Billed Charges,215.25,,309.96,90,,Percent of Total Billed Charges,171.86,,306.52,89,,Percent of Total Billed Charges,165.31,,283.79,82.4,,Percent of Total Billed Charges,283.1,,287.23,83.4,,Percent of Total Billed Charges,267.94,,287.23,83.4,,Percent of Total Billed Charges,241.42,,287.23,83.4,,Percent of Total Billed Charges,280.34,,309.96,90,,Percent of Total Billed Charges,291.71,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,316.85,92,,Percent of Total Billed Charges,279.31,,316.85,92,,Percent of Total Billed Charges,256.23,,316.85,92,,Percent of Total Billed Charges,269.67,,316.85,92,,Percent of Total Billed Charges,279.31,,268.63,78,,Percent of Total Billed Charges,268.63,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,185.39,53.83,,Percent of Total Billed Charges,173.92,,119.3,34.64,,Percent of Total Billed Charges,118.82,,172.13,49.98,,Percent of Total Billed Charges,130.18,,119.30,316.85,,																																							
HC THER/PROPH/DIAG INJ SC/IM,96372,CPT,,,,BOTH, , ,154.35,129.65,142,92,,Percent of Total Billed Charges,129.04,,142,92,,Percent of Total Billed Charges,126.72,,142,92,,Percent of Total Billed Charges,124.25,,142,92,,Percent of Total Billed Charges,128.88,,142,92,,Percent of Total Billed Charges,116.23,,142,92,,Percent of Total Billed Charges,96.47,,138.92,90,,Percent of Total Billed Charges,77.02,,137.37,89,,Percent of Total Billed Charges,74.09,,127.18,82.4,,Percent of Total Billed Charges,126.88,,128.73,83.4,,Percent of Total Billed Charges,120.08,,128.73,83.4,,Percent of Total Billed Charges,108.2,,128.73,83.4,,Percent of Total Billed Charges,125.64,,138.92,90,,Percent of Total Billed Charges,130.73,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,142,92,,Percent of Total Billed Charges,125.18,,142,92,,Percent of Total Billed Charges,114.84,,142,92,,Percent of Total Billed Charges,120.86,,142,92,,Percent of Total Billed Charges,125.18,,120.39,78,,Percent of Total Billed Charges,120.39,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,83.09,53.83,,Percent of Total Billed Charges,77.95,,53.47,34.64,,Percent of Total Billed Charges,53.25,,77.14,49.98,,Percent of Total Billed Charges,58.34,,53.47,142,,																																							
HC THERA/DIAG INJIV PUSH SING/INITL,96374,CPT,,,,BOTH, , ,32.55,27.34,29.95,92,,Percent of Total Billed Charges,27.21,,29.95,92,,Percent of Total Billed Charges,26.72,,29.95,92,,Percent of Total Billed Charges,26.2,,29.95,92,,Percent of Total Billed Charges,27.18,,29.95,92,,Percent of Total Billed Charges,24.51,,29.95,92,,Percent of Total Billed Charges,20.34,,29.3,90,,Percent of Total Billed Charges,16.24,,28.97,89,,Percent of Total Billed Charges,15.62,,26.82,82.4,,Percent of Total Billed Charges,26.76,,27.15,83.4,,Percent of Total Billed Charges,25.32,,27.15,83.4,,Percent of Total Billed Charges,22.82,,27.15,83.4,,Percent of Total Billed Charges,26.5,,29.3,90,,Percent of Total Billed Charges,27.57,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,29.95,92,,Percent of Total Billed Charges,26.4,,29.95,92,,Percent of Total Billed Charges,24.22,,29.95,92,,Percent of Total Billed Charges,25.49,,29.95,92,,Percent of Total Billed Charges,26.4,,25.39,78,,Percent of Total Billed Charges,25.39,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,17.52,53.83,,Percent of Total Billed Charges,16.44,,11.28,34.64,,Percent of Total Billed Charges,11.23,,16.27,49.98,,Percent of Total Billed Charges,12.3,,11.28,29.95,,																																							
HC TX/PRO/DX INJ NEW DRUG ADDON,96375,CPT,,,,BOTH, , ,32.55,27.34,29.95,92,,Percent of Total Billed Charges,27.21,,29.95,92,,Percent of Total Billed Charges,26.72,,29.95,92,,Percent of Total Billed Charges,26.2,,29.95,92,,Percent of Total Billed Charges,27.18,,29.95,92,,Percent of Total Billed Charges,24.51,,29.95,92,,Percent of Total Billed Charges,20.34,,29.3,90,,Percent of Total Billed Charges,16.24,,28.97,89,,Percent of Total Billed Charges,15.62,,26.82,82.4,,Percent of Total Billed Charges,26.76,,27.15,83.4,,Percent of Total Billed Charges,25.32,,27.15,83.4,,Percent of Total Billed Charges,22.82,,27.15,83.4,,Percent of Total Billed Charges,26.5,,29.3,90,,Percent of Total Billed Charges,27.57,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,29.95,92,,Percent of Total Billed Charges,26.4,,29.95,92,,Percent of Total Billed Charges,24.22,,29.95,92,,Percent of Total Billed Charges,25.49,,29.95,92,,Percent of Total Billed Charges,26.4,,25.39,78,,Percent of Total Billed Charges,25.39,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,17.52,53.83,,Percent of Total Billed Charges,16.44,,11.28,34.64,,Percent of Total Billed Charges,11.23,,16.27,49.98,,Percent of Total Billed Charges,12.3,,11.28,29.95,,																																							
HC TX/PRO/DX INJ SAME DRUG ADON,96376,CPT,,,,BOTH, , ,32.55,27.34,29.95,92,,Percent of Total Billed Charges,27.21,,29.95,92,,Percent of Total Billed Charges,26.72,,29.95,92,,Percent of Total Billed Charges,26.2,,29.95,92,,Percent of Total Billed Charges,27.18,,29.95,92,,Percent of Total Billed Charges,24.51,,29.95,92,,Percent of Total Billed Charges,20.34,,29.3,90,,Percent of Total Billed Charges,16.24,,28.97,89,,Percent of Total Billed Charges,15.62,,26.82,82.4,,Percent of Total Billed Charges,26.76,,27.15,83.4,,Percent of Total Billed Charges,25.32,,27.15,83.4,,Percent of Total Billed Charges,22.82,,27.15,83.4,,Percent of Total Billed Charges,26.5,,29.3,90,,Percent of Total Billed Charges,27.57,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,29.95,92,,Percent of Total Billed Charges,26.4,,29.95,92,,Percent of Total Billed Charges,24.22,,29.95,92,,Percent of Total Billed Charges,25.49,,29.95,92,,Percent of Total Billed Charges,26.4,,25.39,78,,Percent of Total Billed Charges,25.39,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,17.52,53.83,,Percent of Total Billed Charges,16.44,,11.28,34.64,,Percent of Total Billed Charges,11.23,,16.27,49.98,,Percent of Total Billed Charges,12.3,,11.28,29.95,,																																							
HC OFFICE O/P NEW SF 1529 MIN,99202,CPT,,,,BOTH, , ,347.55,291.94,319.75,92,,Percent of Total Billed Charges,290.55,,319.75,92,,Percent of Total Billed Charges,285.34,,319.75,92,,Percent of Total Billed Charges,279.78,,319.75,92,,Percent of Total Billed Charges,290.2,,319.75,92,,Percent of Total Billed Charges,261.71,,319.75,92,,Percent of Total Billed Charges,217.22,,312.8,90,,Percent of Total Billed Charges,173.43,,309.32,89,,Percent of Total Billed Charges,166.82,,286.38,82.4,,Percent of Total Billed Charges,285.69,,289.86,83.4,,Percent of Total Billed Charges,270.39,,289.86,83.4,,Percent of Total Billed Charges,243.63,,289.86,83.4,,Percent of Total Billed Charges,282.91,,312.8,90,,Percent of Total Billed Charges,294.37,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,319.75,92,,Percent of Total Billed Charges,281.86,,319.75,92,,Percent of Total Billed Charges,258.58,,319.75,92,,Percent of Total Billed Charges,272.13,,319.75,92,,Percent of Total Billed Charges,281.86,,271.09,78,,Percent of Total Billed Charges,271.09,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,187.09,53.83,,Percent of Total Billed Charges,175.51,,120.39,34.64,,Percent of Total Billed Charges,119.9,,173.71,49.98,,Percent of Total Billed Charges,131.37,,120.39,319.75,,																																							
HC OFFICE O/P NEW SF 3044 MIN,99203,CPT,,,,BOTH, , ,460.95,387.2,424.07,92,,Percent of Total Billed Charges,385.35,,424.07,92,,Percent of Total Billed Charges,378.44,,424.07,92,,Percent of Total Billed Charges,371.06,,424.07,92,,Percent of Total Billed Charges,384.89,,424.07,92,,Percent of Total Billed Charges,347.1,,424.07,92,,Percent of Total Billed Charges,288.09,,414.86,90,,Percent of Total Billed Charges,230.01,,410.25,89,,Percent of Total Billed Charges,221.26,,379.82,82.4,,Percent of Total Billed Charges,378.9,,384.43,83.4,,Percent of Total Billed Charges,358.62,,384.43,83.4,,Percent of Total Billed Charges,323.13,,384.43,83.4,,Percent of Total Billed Charges,375.21,,414.86,90,,Percent of Total Billed Charges,390.42,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,424.07,92,,Percent of Total Billed Charges,373.83,,424.07,92,,Percent of Total Billed Charges,342.95,,424.07,92,,Percent of Total Billed Charges,360.92,,424.07,92,,Percent of Total Billed Charges,373.83,,359.54,78,,Percent of Total Billed Charges,359.54,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,248.13,53.83,,Percent of Total Billed Charges,232.78,,159.67,34.64,,Percent of Total Billed Charges,159.03,,230.38,49.98,,Percent of Total Billed Charges,174.24,,159.67,424.07,,																																							
HC OFFICE O/P NEW SF 4559 MIN,99204,CPT,,,,BOTH, , ,573.3,481.57,527.44,92,,Percent of Total Billed Charges,479.28,,527.44,92,,Percent of Total Billed Charges,470.68,,527.44,92,,Percent of Total Billed Charges,461.51,,527.44,92,,Percent of Total Billed Charges,478.71,,527.44,92,,Percent of Total Billed Charges,431.69,,527.44,92,,Percent of Total Billed Charges,358.31,,515.97,90,,Percent of Total Billed Charges,286.08,,510.24,89,,Percent of Total Billed Charges,275.18,,472.4,82.4,,Percent of Total Billed Charges,471.25,,478.13,83.4,,Percent of Total Billed Charges,446.03,,478.13,83.4,,Percent of Total Billed Charges,401.88,,478.13,83.4,,Percent of Total Billed Charges,466.67,,515.97,90,,Percent of Total Billed Charges,485.59,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,527.44,92,,Percent of Total Billed Charges,464.95,,527.44,92,,Percent of Total Billed Charges,426.54,,527.44,92,,Percent of Total Billed Charges,448.89,,527.44,92,,Percent of Total Billed Charges,464.95,,447.17,78,,Percent of Total Billed Charges,447.17,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,308.61,53.83,,Percent of Total Billed Charges,289.52,,198.59,34.64,,Percent of Total Billed Charges,197.79,,286.54,49.98,,Percent of Total Billed Charges,216.71,,198.59,527.44,,																																							
HC OFFICE O/P NEW SF 6074 MIN,99205,CPT,,,,BOTH, , ,801.15,672.97,737.06,92,,Percent of Total Billed Charges,669.76,,737.06,92,,Percent of Total Billed Charges,657.74,,737.06,92,,Percent of Total Billed Charges,644.93,,737.06,92,,Percent of Total Billed Charges,668.96,,737.06,92,,Percent of Total Billed Charges,603.27,,737.06,92,,Percent of Total Billed Charges,500.72,,721.04,90,,Percent of Total Billed Charges,399.77,,713.02,89,,Percent of Total Billed Charges,384.55,,660.15,82.4,,Percent of Total Billed Charges,658.55,,668.16,83.4,,Percent of Total Billed Charges,623.29,,668.16,83.4,,Percent of Total Billed Charges,561.61,,668.16,83.4,,Percent of Total Billed Charges,652.14,,721.04,90,,Percent of Total Billed Charges,678.57,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,737.06,92,,Percent of Total Billed Charges,649.73,,737.06,92,,Percent of Total Billed Charges,596.06,,737.06,92,,Percent of Total Billed Charges,627.3,,737.06,92,,Percent of Total Billed Charges,649.73,,624.9,78,,Percent of Total Billed Charges,624.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,431.26,53.83,,Percent of Total Billed Charges,404.58,,277.52,34.64,,Percent of Total Billed Charges,276.4,,400.41,49.98,,Percent of Total Billed Charges,302.83,,277.52,737.06,,																																							
HC OFFICE O/P EST MINIMAL PROB,99211,CPT,,,,BOTH, , ,29.4,24.7,27.05,92,,Percent of Total Billed Charges,24.58,,27.05,92,,Percent of Total Billed Charges,24.14,,27.05,92,,Percent of Total Billed Charges,23.67,,27.05,92,,Percent of Total Billed Charges,24.55,,27.05,92,,Percent of Total Billed Charges,22.14,,27.05,92,,Percent of Total Billed Charges,18.38,,26.46,90,,Percent of Total Billed Charges,14.67,,26.17,89,,Percent of Total Billed Charges,14.11,,24.23,82.4,,Percent of Total Billed Charges,24.17,,24.52,83.4,,Percent of Total Billed Charges,22.87,,24.52,83.4,,Percent of Total Billed Charges,20.61,,24.52,83.4,,Percent of Total Billed Charges,23.93,,26.46,90,,Percent of Total Billed Charges,24.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,27.05,92,,Percent of Total Billed Charges,23.84,,27.05,92,,Percent of Total Billed Charges,21.87,,27.05,92,,Percent of Total Billed Charges,23.02,,27.05,92,,Percent of Total Billed Charges,23.84,,22.93,78,,Percent of Total Billed Charges,22.93,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,15.83,53.83,,Percent of Total Billed Charges,14.85,,10.18,34.64,,Percent of Total Billed Charges,10.14,,14.69,49.98,,Percent of Total Billed Charges,11.11,,10.18,27.05,,																																							
HC OFFICE O/P EST SF 1019 MIN,99212,CPT,,,,BOTH, , ,337.05,283.12,310.09,92,,Percent of Total Billed Charges,281.77,,310.09,92,,Percent of Total Billed Charges,276.72,,310.09,92,,Percent of Total Billed Charges,271.33,,310.09,92,,Percent of Total Billed Charges,281.44,,310.09,92,,Percent of Total Billed Charges,253.8,,310.09,92,,Percent of Total Billed Charges,210.66,,303.35,90,,Percent of Total Billed Charges,168.19,,299.97,89,,Percent of Total Billed Charges,161.78,,277.73,82.4,,Percent of Total Billed Charges,277.06,,281.1,83.4,,Percent of Total Billed Charges,262.22,,281.1,83.4,,Percent of Total Billed Charges,236.27,,281.1,83.4,,Percent of Total Billed Charges,274.36,,303.35,90,,Percent of Total Billed Charges,285.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,310.09,92,,Percent of Total Billed Charges,273.35,,310.09,92,,Percent of Total Billed Charges,250.77,,310.09,92,,Percent of Total Billed Charges,263.91,,310.09,92,,Percent of Total Billed Charges,273.35,,262.9,78,,Percent of Total Billed Charges,262.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,181.43,53.83,,Percent of Total Billed Charges,170.21,,116.75,34.64,,Percent of Total Billed Charges,116.28,,168.46,49.98,,Percent of Total Billed Charges,127.4,,116.75,310.09,,																																							
HC OFFICE O/P EST LOW 2029 MIN,99213,CPT,,,,BOTH, , ,370.65,311.35,341,92,,Percent of Total Billed Charges,309.86,,341,92,,Percent of Total Billed Charges,304.3,,341,92,,Percent of Total Billed Charges,298.37,,341,92,,Percent of Total Billed Charges,309.49,,341,92,,Percent of Total Billed Charges,279.1,,341,92,,Percent of Total Billed Charges,231.66,,333.59,90,,Percent of Total Billed Charges,184.95,,329.88,89,,Percent of Total Billed Charges,177.91,,305.42,82.4,,Percent of Total Billed Charges,304.67,,309.12,83.4,,Percent of Total Billed Charges,288.37,,309.12,83.4,,Percent of Total Billed Charges,259.83,,309.12,83.4,,Percent of Total Billed Charges,301.71,,333.59,90,,Percent of Total Billed Charges,313.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,341,92,,Percent of Total Billed Charges,300.6,,341,92,,Percent of Total Billed Charges,275.76,,341,92,,Percent of Total Billed Charges,290.22,,341,92,,Percent of Total Billed Charges,300.6,,289.11,78,,Percent of Total Billed Charges,289.11,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,199.52,53.83,,Percent of Total Billed Charges,187.18,,128.39,34.64,,Percent of Total Billed Charges,127.87,,185.25,49.98,,Percent of Total Billed Charges,140.11,,128.39,341,,																																							
HC OFFICE O/P EST MOD 3039 MIN,99214,CPT,,,,BOTH, , ,426.3,358.09,392.2,92,,Percent of Total Billed Charges,356.39,,392.2,92,,Percent of Total Billed Charges,349.99,,392.2,92,,Percent of Total Billed Charges,343.17,,392.2,92,,Percent of Total Billed Charges,355.96,,392.2,92,,Percent of Total Billed Charges,321,,392.2,92,,Percent of Total Billed Charges,266.44,,383.67,90,,Percent of Total Billed Charges,212.72,,379.41,89,,Percent of Total Billed Charges,204.62,,351.27,82.4,,Percent of Total Billed Charges,350.42,,355.53,83.4,,Percent of Total Billed Charges,331.66,,355.53,83.4,,Percent of Total Billed Charges,298.84,,355.53,83.4,,Percent of Total Billed Charges,347.01,,383.67,90,,Percent of Total Billed Charges,361.08,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,392.2,92,,Percent of Total Billed Charges,345.73,,392.2,92,,Percent of Total Billed Charges,317.17,,392.2,92,,Percent of Total Billed Charges,333.79,,392.2,92,,Percent of Total Billed Charges,345.73,,332.51,78,,Percent of Total Billed Charges,332.51,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,229.48,53.83,,Percent of Total Billed Charges,215.28,,147.67,34.64,,Percent of Total Billed Charges,147.07,,213.06,49.98,,Percent of Total Billed Charges,161.14,,147.67,392.2,,																																							
HC OFFICE O/P EST HI 4054 MIN,99215,CPT,,,,BOTH, , ,560.7,470.99,515.84,92,,Percent of Total Billed Charges,468.75,,515.84,92,,Percent of Total Billed Charges,460.33,,515.84,92,,Percent of Total Billed Charges,451.36,,515.84,92,,Percent of Total Billed Charges,468.18,,515.84,92,,Percent of Total Billed Charges,422.21,,515.84,92,,Percent of Total Billed Charges,350.44,,504.63,90,,Percent of Total Billed Charges,279.79,,499.02,89,,Percent of Total Billed Charges,269.14,,462.02,82.4,,Percent of Total Billed Charges,460.9,,467.62,83.4,,Percent of Total Billed Charges,436.22,,467.62,83.4,,Percent of Total Billed Charges,393.05,,467.62,83.4,,Percent of Total Billed Charges,456.41,,504.63,90,,Percent of Total Billed Charges,474.91,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,515.84,92,,Percent of Total Billed Charges,454.73,,515.84,92,,Percent of Total Billed Charges,417.16,,515.84,92,,Percent of Total Billed Charges,439.03,,515.84,92,,Percent of Total Billed Charges,454.73,,437.35,78,,Percent of Total Billed Charges,437.35,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,301.82,53.83,,Percent of Total Billed Charges,283.15,,194.23,34.64,,Percent of Total Billed Charges,193.44,,280.24,49.98,,Percent of Total Billed Charges,211.94,,194.23,515.84,,																																							
HC CHORIONIC VILLUS SAMPLING,59015,CPT,,,,BOTH, , ,3155.25,2650.41,2902.83,92,,Percent of Total Billed Charges,2637.79,,2902.83,92,,Percent of Total Billed Charges,2590.46,,2902.83,92,,Percent of Total Billed Charges,2539.98,,2902.83,92,,Percent of Total Billed Charges,2634.63,,2902.83,92,,Percent of Total Billed Charges,2375.9,,2902.83,92,,Percent of Total Billed Charges,1972.03,,2839.73,90,,Percent of Total Billed Charges,1574.47,,2808.17,89,,Percent of Total Billed Charges,1514.52,,2599.93,82.4,,Percent of Total Billed Charges,2593.62,,2631.48,83.4,,Percent of Total Billed Charges,2454.78,,2631.48,83.4,,Percent of Total Billed Charges,2211.83,,2631.48,83.4,,Percent of Total Billed Charges,2568.37,,2839.73,90,,Percent of Total Billed Charges,2672.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2902.83,92,,Percent of Total Billed Charges,2558.91,,2902.83,92,,Percent of Total Billed Charges,2347.51,,2902.83,92,,Percent of Total Billed Charges,2470.56,,2902.83,92,,Percent of Total Billed Charges,2558.91,,2461.1,78,,Percent of Total Billed Charges,2461.1,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1698.47,53.83,,Percent of Total Billed Charges,1593.4,,1092.98,34.64,,Percent of Total Billed Charges,1088.56,,1576.99,49.98,,Percent of Total Billed Charges,1192.68,,1092.98,2902.83,,																																							
HC INSJ NONBIODEGRADABLE DRUG DELIVERY IMPLANT,11981,CPT,,,,BOTH, , ,592.2,497.45,544.82,92,,Percent of Total Billed Charges,495.08,,544.82,92,,Percent of Total Billed Charges,486.2,,544.82,92,,Percent of Total Billed Charges,476.72,,544.82,92,,Percent of Total Billed Charges,494.49,,544.82,92,,Percent of Total Billed Charges,445.93,,544.82,92,,Percent of Total Billed Charges,370.13,,532.98,90,,Percent of Total Billed Charges,295.51,,527.06,89,,Percent of Total Billed Charges,284.26,,487.97,82.4,,Percent of Total Billed Charges,486.79,,493.89,83.4,,Percent of Total Billed Charges,460.73,,493.89,83.4,,Percent of Total Billed Charges,415.13,,493.89,83.4,,Percent of Total Billed Charges,482.05,,532.98,90,,Percent of Total Billed Charges,501.59,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,544.82,92,,Percent of Total Billed Charges,480.27,,544.82,92,,Percent of Total Billed Charges,440.6,,544.82,92,,Percent of Total Billed Charges,463.69,,544.82,92,,Percent of Total Billed Charges,480.27,,461.92,78,,Percent of Total Billed Charges,461.92,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,318.78,53.83,,Percent of Total Billed Charges,299.06,,205.14,34.64,,Percent of Total Billed Charges,204.31,,295.98,49.98,,Percent of Total Billed Charges,223.85,,205.14,544.82,,																																							
HC INSERTION INTRAUTERINE DEVICE IUD,58300,CPT,,,,BOTH, , ,5097.75,4282.11,4689.93,92,,Percent of Total Billed Charges,4261.72,,4689.93,92,,Percent of Total Billed Charges,4185.25,,4689.93,92,,Percent of Total Billed Charges,4103.69,,4689.93,92,,Percent of Total Billed Charges,4256.62,,4689.93,92,,Percent of Total Billed Charges,3838.61,,4689.93,92,,Percent of Total Billed Charges,3186.09,,4587.98,90,,Percent of Total Billed Charges,2543.78,,4537,89,,Percent of Total Billed Charges,2446.92,,4200.55,82.4,,Percent of Total Billed Charges,4190.35,,4251.52,83.4,,Percent of Total Billed Charges,3966.05,,4251.52,83.4,,Percent of Total Billed Charges,3573.52,,4251.52,83.4,,Percent of Total Billed Charges,4149.57,,4587.98,90,,Percent of Total Billed Charges,4317.79,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4689.93,92,,Percent of Total Billed Charges,4134.28,,4689.93,92,,Percent of Total Billed Charges,3792.73,,4689.93,92,,Percent of Total Billed Charges,3991.54,,4689.93,92,,Percent of Total Billed Charges,4134.28,,3976.25,78,,Percent of Total Billed Charges,3976.25,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2744.12,53.83,,Percent of Total Billed Charges,2574.36,,1765.86,34.64,,Percent of Total Billed Charges,1758.72,,2547.86,49.98,,Percent of Total Billed Charges,1926.95,,1765.86,4689.93,,																																							
HC UNLISTED PROCEDURE MATERNITY CARE & DELIVERY,59899,CPT,,,,BOTH, , ,72.45,60.86,66.65,92,,Percent of Total Billed Charges,60.57,,66.65,92,,Percent of Total Billed Charges,59.48,,66.65,92,,Percent of Total Billed Charges,58.32,,66.65,92,,Percent of Total Billed Charges,60.5,,66.65,92,,Percent of Total Billed Charges,54.55,,66.65,92,,Percent of Total Billed Charges,45.28,,65.21,90,,Percent of Total Billed Charges,36.15,,64.48,89,,Percent of Total Billed Charges,34.78,,59.7,82.4,,Percent of Total Billed Charges,59.55,,60.42,83.4,,Percent of Total Billed Charges,56.37,,60.42,83.4,,Percent of Total Billed Charges,50.79,,60.42,83.4,,Percent of Total Billed Charges,58.97,,65.21,90,,Percent of Total Billed Charges,61.37,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,66.65,92,,Percent of Total Billed Charges,58.76,,66.65,92,,Percent of Total Billed Charges,53.9,,66.65,92,,Percent of Total Billed Charges,56.73,,66.65,92,,Percent of Total Billed Charges,58.76,,56.51,78,,Percent of Total Billed Charges,56.51,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,39,53.83,,Percent of Total Billed Charges,36.59,,25.1,34.64,,Percent of Total Billed Charges,25,,36.21,49.98,,Percent of Total Billed Charges,27.39,,25.10,66.65,,																																							
HC INSERTION CERVICAL DILATOR,59200,CPT,,,,BOTH, , ,701.4,589.18,645.29,92,,Percent of Total Billed Charges,586.37,,645.29,92,,Percent of Total Billed Charges,575.85,,645.29,92,,Percent of Total Billed Charges,564.63,,645.29,92,,Percent of Total Billed Charges,585.67,,645.29,92,,Percent of Total Billed Charges,528.15,,645.29,92,,Percent of Total Billed Charges,438.38,,631.26,90,,Percent of Total Billed Charges,350,,624.25,89,,Percent of Total Billed Charges,336.67,,577.95,82.4,,Percent of Total Billed Charges,576.55,,584.97,83.4,,Percent of Total Billed Charges,545.69,,584.97,83.4,,Percent of Total Billed Charges,491.68,,584.97,83.4,,Percent of Total Billed Charges,570.94,,631.26,90,,Percent of Total Billed Charges,594.09,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,645.29,92,,Percent of Total Billed Charges,568.84,,645.29,92,,Percent of Total Billed Charges,521.84,,645.29,92,,Percent of Total Billed Charges,549.2,,645.29,92,,Percent of Total Billed Charges,568.84,,547.09,78,,Percent of Total Billed Charges,547.09,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,377.56,53.83,,Percent of Total Billed Charges,354.21,,242.96,34.64,,Percent of Total Billed Charges,241.98,,350.56,49.98,,Percent of Total Billed Charges,265.13,,242.96,645.29,,																																							
HC ELECTROCARDIOGRAM TRACING,93005,CPT,,,,BOTH, , ,37.8,31.75,34.78,92,,Percent of Total Billed Charges,31.6,,34.78,92,,Percent of Total Billed Charges,31.03,,34.78,92,,Percent of Total Billed Charges,30.43,,34.78,92,,Percent of Total Billed Charges,31.56,,34.78,92,,Percent of Total Billed Charges,28.46,,34.78,92,,Percent of Total Billed Charges,23.63,,34.02,90,,Percent of Total Billed Charges,18.86,,33.64,89,,Percent of Total Billed Charges,18.14,,31.15,82.4,,Percent of Total Billed Charges,31.07,,31.53,83.4,,Percent of Total Billed Charges,29.41,,31.53,83.4,,Percent of Total Billed Charges,26.5,,31.53,83.4,,Percent of Total Billed Charges,30.77,,34.02,90,,Percent of Total Billed Charges,32.02,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,34.78,92,,Percent of Total Billed Charges,30.66,,34.78,92,,Percent of Total Billed Charges,28.12,,34.78,92,,Percent of Total Billed Charges,29.6,,34.78,92,,Percent of Total Billed Charges,30.66,,29.48,78,,Percent of Total Billed Charges,29.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,20.35,53.83,,Percent of Total Billed Charges,19.09,,13.09,34.64,,Percent of Total Billed Charges,13.04,,18.89,49.98,,Percent of Total Billed Charges,14.29,,13.09,34.78,,																																							
HC EVENT MONITOR SETUP,93270,CPT,,,,BOTH, , ,258.3,216.97,237.64,92,,Percent of Total Billed Charges,215.94,,237.64,92,,Percent of Total Billed Charges,212.06,,237.64,92,,Percent of Total Billed Charges,207.93,,237.64,92,,Percent of Total Billed Charges,215.68,,237.64,92,,Percent of Total Billed Charges,194.5,,237.64,92,,Percent of Total Billed Charges,161.44,,232.47,90,,Percent of Total Billed Charges,128.89,,229.89,89,,Percent of Total Billed Charges,123.98,,212.84,82.4,,Percent of Total Billed Charges,212.32,,215.42,83.4,,Percent of Total Billed Charges,200.96,,215.42,83.4,,Percent of Total Billed Charges,181.07,,215.42,83.4,,Percent of Total Billed Charges,210.26,,232.47,90,,Percent of Total Billed Charges,218.78,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,237.64,92,,Percent of Total Billed Charges,209.48,,237.64,92,,Percent of Total Billed Charges,192.18,,237.64,92,,Percent of Total Billed Charges,202.25,,237.64,92,,Percent of Total Billed Charges,209.48,,201.47,78,,Percent of Total Billed Charges,201.47,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,139.04,53.83,,Percent of Total Billed Charges,130.44,,89.48,34.64,,Percent of Total Billed Charges,89.11,,129.1,49.98,,Percent of Total Billed Charges,97.64,,89.48,237.64,,																																							
HC EVENT MONITOR SCAN,93271,CPT,,,,BOTH, , ,71.4,59.98,65.69,92,,Percent of Total Billed Charges,59.69,,65.69,92,,Percent of Total Billed Charges,58.62,,65.69,92,,Percent of Total Billed Charges,57.48,,65.69,92,,Percent of Total Billed Charges,59.62,,65.69,92,,Percent of Total Billed Charges,53.76,,65.69,92,,Percent of Total Billed Charges,44.63,,64.26,90,,Percent of Total Billed Charges,35.63,,63.55,89,,Percent of Total Billed Charges,34.27,,58.83,82.4,,Percent of Total Billed Charges,58.69,,59.55,83.4,,Percent of Total Billed Charges,55.55,,59.55,83.4,,Percent of Total Billed Charges,50.05,,59.55,83.4,,Percent of Total Billed Charges,58.12,,64.26,90,,Percent of Total Billed Charges,60.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,65.69,92,,Percent of Total Billed Charges,57.91,,65.69,92,,Percent of Total Billed Charges,53.12,,65.69,92,,Percent of Total Billed Charges,55.91,,65.69,92,,Percent of Total Billed Charges,57.91,,55.69,78,,Percent of Total Billed Charges,55.69,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,38.43,53.83,,Percent of Total Billed Charges,36.06,,24.73,34.64,,Percent of Total Billed Charges,24.63,,35.69,49.98,,Percent of Total Billed Charges,26.99,,24.73,65.69,,																																							
HC HOLTER MONITOR SETUP,93225,CPT,,,,BOTH, , ,775.95,651.8,713.87,92,,Percent of Total Billed Charges,648.69,,713.87,92,,Percent of Total Billed Charges,637.05,,713.87,92,,Percent of Total Billed Charges,624.64,,713.87,92,,Percent of Total Billed Charges,647.92,,713.87,92,,Percent of Total Billed Charges,584.29,,713.87,92,,Percent of Total Billed Charges,484.97,,698.36,90,,Percent of Total Billed Charges,387.2,,690.6,89,,Percent of Total Billed Charges,372.46,,639.38,82.4,,Percent of Total Billed Charges,637.83,,647.14,83.4,,Percent of Total Billed Charges,603.69,,647.14,83.4,,Percent of Total Billed Charges,543.94,,647.14,83.4,,Percent of Total Billed Charges,631.62,,698.36,90,,Percent of Total Billed Charges,657.23,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,713.87,92,,Percent of Total Billed Charges,629.3,,713.87,92,,Percent of Total Billed Charges,577.31,,713.87,92,,Percent of Total Billed Charges,607.57,,713.87,92,,Percent of Total Billed Charges,629.3,,605.24,78,,Percent of Total Billed Charges,605.24,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,417.69,53.83,,Percent of Total Billed Charges,391.85,,268.79,34.64,,Percent of Total Billed Charges,267.7,,387.82,49.98,,Percent of Total Billed Charges,293.31,,268.79,713.87,,																																							
HC HOLTER MONITOR SCAN,93226,CPT,,,,BOTH, , ,1095.15,919.93,1007.54,92,,Percent of Total Billed Charges,915.55,,1007.54,92,,Percent of Total Billed Charges,899.12,,1007.54,92,,Percent of Total Billed Charges,881.6,,1007.54,92,,Percent of Total Billed Charges,914.45,,1007.54,92,,Percent of Total Billed Charges,824.65,,1007.54,92,,Percent of Total Billed Charges,684.47,,985.64,90,,Percent of Total Billed Charges,546.48,,974.68,89,,Percent of Total Billed Charges,525.67,,902.4,82.4,,Percent of Total Billed Charges,900.21,,913.36,83.4,,Percent of Total Billed Charges,852.03,,913.36,83.4,,Percent of Total Billed Charges,767.7,,913.36,83.4,,Percent of Total Billed Charges,891.45,,985.64,90,,Percent of Total Billed Charges,927.59,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1007.54,92,,Percent of Total Billed Charges,888.17,,1007.54,92,,Percent of Total Billed Charges,814.79,,1007.54,92,,Percent of Total Billed Charges,857.5,,1007.54,92,,Percent of Total Billed Charges,888.17,,854.22,78,,Percent of Total Billed Charges,854.22,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,589.52,53.83,,Percent of Total Billed Charges,553.05,,379.36,34.64,,Percent of Total Billed Charges,377.83,,547.36,49.98,,Percent of Total Billed Charges,413.97,,379.36,1007.54,,																																							
HC EVENT MONITOR SETUP,93270,CPT,,,,BOTH, , ,258.3,216.97,237.64,92,,Percent of Total Billed Charges,215.94,,237.64,92,,Percent of Total Billed Charges,212.06,,237.64,92,,Percent of Total Billed Charges,207.93,,237.64,92,,Percent of Total Billed Charges,215.68,,237.64,92,,Percent of Total Billed Charges,194.5,,237.64,92,,Percent of Total Billed Charges,161.44,,232.47,90,,Percent of Total Billed Charges,128.89,,229.89,89,,Percent of Total Billed Charges,123.98,,212.84,82.4,,Percent of Total Billed Charges,212.32,,215.42,83.4,,Percent of Total Billed Charges,200.96,,215.42,83.4,,Percent of Total Billed Charges,181.07,,215.42,83.4,,Percent of Total Billed Charges,210.26,,232.47,90,,Percent of Total Billed Charges,218.78,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,237.64,92,,Percent of Total Billed Charges,209.48,,237.64,92,,Percent of Total Billed Charges,192.18,,237.64,92,,Percent of Total Billed Charges,202.25,,237.64,92,,Percent of Total Billed Charges,209.48,,201.47,78,,Percent of Total Billed Charges,201.47,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,139.04,53.83,,Percent of Total Billed Charges,130.44,,89.48,34.64,,Percent of Total Billed Charges,89.11,,129.1,49.98,,Percent of Total Billed Charges,97.64,,89.48,237.64,,																																							
HC  EXTERNAL ECG REC>48HR<7D RECORDING,93242,CPT,,,,BOTH, , ,141.75,119.07,130.41,92,,Percent of Total Billed Charges,118.5,,130.41,92,,Percent of Total Billed Charges,116.38,,130.41,92,,Percent of Total Billed Charges,114.11,,130.41,92,,Percent of Total Billed Charges,118.36,,130.41,92,,Percent of Total Billed Charges,106.74,,130.41,92,,Percent of Total Billed Charges,88.59,,127.58,90,,Percent of Total Billed Charges,70.73,,126.16,89,,Percent of Total Billed Charges,68.04,,116.8,82.4,,Percent of Total Billed Charges,116.52,,118.22,83.4,,Percent of Total Billed Charges,110.28,,118.22,83.4,,Percent of Total Billed Charges,99.37,,118.22,83.4,,Percent of Total Billed Charges,115.38,,127.58,90,,Percent of Total Billed Charges,120.06,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,130.41,92,,Percent of Total Billed Charges,114.96,,130.41,92,,Percent of Total Billed Charges,105.46,,130.41,92,,Percent of Total Billed Charges,110.99,,130.41,92,,Percent of Total Billed Charges,114.96,,110.57,78,,Percent of Total Billed Charges,110.57,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,76.3,53.83,,Percent of Total Billed Charges,71.58,,49.1,34.64,,Percent of Total Billed Charges,48.9,,70.85,49.98,,Percent of Total Billed Charges,53.58,,49.10,130.41,,																																							
HC EXTERNAL ECG REC>7D<15D RECORDING,93246,CPT,,,,BOTH, , ,234.15,196.69,215.42,92,,Percent of Total Billed Charges,195.75,,215.42,92,,Percent of Total Billed Charges,192.24,,215.42,92,,Percent of Total Billed Charges,188.49,,215.42,92,,Percent of Total Billed Charges,195.52,,215.42,92,,Percent of Total Billed Charges,176.31,,215.42,92,,Percent of Total Billed Charges,146.34,,210.74,90,,Percent of Total Billed Charges,116.84,,208.39,89,,Percent of Total Billed Charges,112.39,,192.94,82.4,,Percent of Total Billed Charges,192.47,,195.28,83.4,,Percent of Total Billed Charges,182.17,,195.28,83.4,,Percent of Total Billed Charges,164.14,,195.28,83.4,,Percent of Total Billed Charges,190.6,,210.74,90,,Percent of Total Billed Charges,198.33,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,215.42,92,,Percent of Total Billed Charges,189.9,,215.42,92,,Percent of Total Billed Charges,174.21,,215.42,92,,Percent of Total Billed Charges,183.34,,215.42,92,,Percent of Total Billed Charges,189.9,,182.64,78,,Percent of Total Billed Charges,182.64,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,126.04,53.83,,Percent of Total Billed Charges,118.25,,81.11,34.64,,Percent of Total Billed Charges,80.78,,117.03,49.98,,Percent of Total Billed Charges,88.51,,81.11,215.42,,																																							
HC  EXTERNAL ECG REC>48HR<7D SCANNING ALYS W/REPORT,93243,CPT,,,,BOTH, , ,234.15,196.69,215.42,92,,Percent of Total Billed Charges,195.75,,215.42,92,,Percent of Total Billed Charges,192.24,,215.42,92,,Percent of Total Billed Charges,188.49,,215.42,92,,Percent of Total Billed Charges,195.52,,215.42,92,,Percent of Total Billed Charges,176.31,,215.42,92,,Percent of Total Billed Charges,146.34,,210.74,90,,Percent of Total Billed Charges,116.84,,208.39,89,,Percent of Total Billed Charges,112.39,,192.94,82.4,,Percent of Total Billed Charges,192.47,,195.28,83.4,,Percent of Total Billed Charges,182.17,,195.28,83.4,,Percent of Total Billed Charges,164.14,,195.28,83.4,,Percent of Total Billed Charges,190.6,,210.74,90,,Percent of Total Billed Charges,198.33,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,215.42,92,,Percent of Total Billed Charges,189.9,,215.42,92,,Percent of Total Billed Charges,174.21,,215.42,92,,Percent of Total Billed Charges,183.34,,215.42,92,,Percent of Total Billed Charges,189.9,,182.64,78,,Percent of Total Billed Charges,182.64,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,126.04,53.83,,Percent of Total Billed Charges,118.25,,81.11,34.64,,Percent of Total Billed Charges,80.78,,117.03,49.98,,Percent of Total Billed Charges,88.51,,81.11,215.42,,																																							
HC  EXTERNAL ECG REC>7D<15D SCANNING ALYS W/REPORT,93247,CPT,,,,BOTH, , ,468.3,393.37,430.84,92,,Percent of Total Billed Charges,391.5,,430.84,92,,Percent of Total Billed Charges,384.47,,430.84,92,,Percent of Total Billed Charges,376.98,,430.84,92,,Percent of Total Billed Charges,391.03,,430.84,92,,Percent of Total Billed Charges,352.63,,430.84,92,,Percent of Total Billed Charges,292.69,,421.47,90,,Percent of Total Billed Charges,233.68,,416.79,89,,Percent of Total Billed Charges,224.78,,385.88,82.4,,Percent of Total Billed Charges,384.94,,390.56,83.4,,Percent of Total Billed Charges,364.34,,390.56,83.4,,Percent of Total Billed Charges,328.28,,390.56,83.4,,Percent of Total Billed Charges,381.2,,421.47,90,,Percent of Total Billed Charges,396.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,430.84,92,,Percent of Total Billed Charges,379.79,,430.84,92,,Percent of Total Billed Charges,348.42,,430.84,92,,Percent of Total Billed Charges,366.68,,430.84,92,,Percent of Total Billed Charges,379.79,,365.27,78,,Percent of Total Billed Charges,365.27,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,252.09,53.83,,Percent of Total Billed Charges,236.49,,162.22,34.64,,Percent of Total Billed Charges,161.56,,234.06,49.98,,Percent of Total Billed Charges,177.02,,162.22,430.84,,																																							
HC CPAP FOLLOWUP,95811,CPT,,,,BOTH, , ,7945.35,6674.09,7309.72,92,,Percent of Total Billed Charges,6642.31,,7309.72,92,,Percent of Total Billed Charges,6523.13,,7309.72,92,,Percent of Total Billed Charges,6396.01,,7309.72,92,,Percent of Total Billed Charges,6634.37,,7309.72,92,,Percent of Total Billed Charges,5982.85,,7309.72,92,,Percent of Total Billed Charges,4965.84,,7150.82,90,,Percent of Total Billed Charges,3964.73,,7071.36,89,,Percent of Total Billed Charges,3813.77,,6546.97,82.4,,Percent of Total Billed Charges,6531.08,,6626.42,83.4,,Percent of Total Billed Charges,6181.48,,6626.42,83.4,,Percent of Total Billed Charges,5569.69,,6626.42,83.4,,Percent of Total Billed Charges,6467.51,,7150.82,90,,Percent of Total Billed Charges,6729.71,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,7309.72,92,,Percent of Total Billed Charges,6443.68,,7309.72,92,,Percent of Total Billed Charges,5911.34,,7309.72,92,,Percent of Total Billed Charges,6221.21,,7309.72,92,,Percent of Total Billed Charges,6443.68,,6197.37,78,,Percent of Total Billed Charges,6197.37,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4276.98,53.83,,Percent of Total Billed Charges,4012.4,,2752.27,34.64,,Percent of Total Billed Charges,2741.15,,3971.09,49.98,,Percent of Total Billed Charges,3003.34,,2752.27,7309.72,,																																							
HC EEG EXTENDED MONITORING 61119 MINS,95813,CPT,,,,BOTH, , ,1107.75,930.51,1019.13,92,,Percent of Total Billed Charges,926.08,,1019.13,92,,Percent of Total Billed Charges,909.46,,1019.13,92,,Percent of Total Billed Charges,891.74,,1019.13,92,,Percent of Total Billed Charges,924.97,,1019.13,92,,Percent of Total Billed Charges,834.14,,1019.13,92,,Percent of Total Billed Charges,692.34,,996.98,90,,Percent of Total Billed Charges,552.77,,985.9,89,,Percent of Total Billed Charges,531.72,,912.79,82.4,,Percent of Total Billed Charges,910.57,,923.86,83.4,,Percent of Total Billed Charges,861.83,,923.86,83.4,,Percent of Total Billed Charges,776.53,,923.86,83.4,,Percent of Total Billed Charges,901.71,,996.98,90,,Percent of Total Billed Charges,938.26,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1019.13,92,,Percent of Total Billed Charges,898.39,,1019.13,92,,Percent of Total Billed Charges,824.17,,1019.13,92,,Percent of Total Billed Charges,867.37,,1019.13,92,,Percent of Total Billed Charges,898.39,,864.05,78,,Percent of Total Billed Charges,864.05,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,596.3,53.83,,Percent of Total Billed Charges,559.41,,383.72,34.64,,Percent of Total Billed Charges,382.17,,553.65,49.98,,Percent of Total Billed Charges,418.73,,383.72,1019.13,,																																							
HC EEG AWAKE AND DROWSY,95816,CPT,,,,BOTH, , ,1156.05,971.08,1063.57,92,,Percent of Total Billed Charges,966.46,,1063.57,92,,Percent of Total Billed Charges,949.12,,1063.57,92,,Percent of Total Billed Charges,930.62,,1063.57,92,,Percent of Total Billed Charges,965.3,,1063.57,92,,Percent of Total Billed Charges,870.51,,1063.57,92,,Percent of Total Billed Charges,722.53,,1040.45,90,,Percent of Total Billed Charges,576.87,,1028.88,89,,Percent of Total Billed Charges,554.9,,952.59,82.4,,Percent of Total Billed Charges,950.27,,964.15,83.4,,Percent of Total Billed Charges,899.41,,964.15,83.4,,Percent of Total Billed Charges,810.39,,964.15,83.4,,Percent of Total Billed Charges,941.02,,1040.45,90,,Percent of Total Billed Charges,979.17,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1063.57,92,,Percent of Total Billed Charges,937.56,,1063.57,92,,Percent of Total Billed Charges,860.1,,1063.57,92,,Percent of Total Billed Charges,905.19,,1063.57,92,,Percent of Total Billed Charges,937.56,,901.72,78,,Percent of Total Billed Charges,901.72,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,622.3,53.83,,Percent of Total Billed Charges,583.81,,400.46,34.64,,Percent of Total Billed Charges,398.84,,577.79,49.98,,Percent of Total Billed Charges,436.99,,400.46,1063.57,,																																							
HC HOME SLEEP TEST/TYPE 3 PORTA,G0399,CPT,,,,BOTH, , ,2842.35,2387.57,2614.96,92,,Percent of Total Billed Charges,2376.2,,2614.96,92,,Percent of Total Billed Charges,2333.57,,2614.96,92,,Percent of Total Billed Charges,2288.09,,2614.96,92,,Percent of Total Billed Charges,2373.36,,2614.96,92,,Percent of Total Billed Charges,2140.29,,2614.96,92,,Percent of Total Billed Charges,1776.47,,2558.12,90,,Percent of Total Billed Charges,1418.33,,2529.69,89,,Percent of Total Billed Charges,1364.33,,2342.1,82.4,,Percent of Total Billed Charges,2336.41,,2370.52,83.4,,Percent of Total Billed Charges,2211.35,,2370.52,83.4,,Percent of Total Billed Charges,1992.49,,2370.52,83.4,,Percent of Total Billed Charges,2313.67,,2558.12,90,,Percent of Total Billed Charges,2407.47,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2614.96,92,,Percent of Total Billed Charges,2305.15,,2614.96,92,,Percent of Total Billed Charges,2114.71,,2614.96,92,,Percent of Total Billed Charges,2225.56,,2614.96,92,,Percent of Total Billed Charges,2305.15,,2217.03,78,,Percent of Total Billed Charges,2217.03,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1530.04,53.83,,Percent of Total Billed Charges,1435.39,,984.59,34.64,,Percent of Total Billed Charges,980.61,,1420.61,49.98,,Percent of Total Billed Charges,1074.41,,984.59,2614.96,,																																							
HC EEG CONT REC W/VID EEG TECH,95700,CPT,,,,BOTH, , ,1100.4,924.34,1012.37,92,,Percent of Total Billed Charges,919.93,,1012.37,92,,Percent of Total Billed Charges,903.43,,1012.37,92,,Percent of Total Billed Charges,885.82,,1012.37,92,,Percent of Total Billed Charges,918.83,,1012.37,92,,Percent of Total Billed Charges,828.6,,1012.37,92,,Percent of Total Billed Charges,687.75,,990.36,90,,Percent of Total Billed Charges,549.1,,979.36,89,,Percent of Total Billed Charges,528.19,,906.73,82.4,,Percent of Total Billed Charges,904.53,,917.73,83.4,,Percent of Total Billed Charges,856.11,,917.73,83.4,,Percent of Total Billed Charges,771.38,,917.73,83.4,,Percent of Total Billed Charges,895.73,,990.36,90,,Percent of Total Billed Charges,932.04,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1012.37,92,,Percent of Total Billed Charges,892.42,,1012.37,92,,Percent of Total Billed Charges,818.7,,1012.37,92,,Percent of Total Billed Charges,861.61,,1012.37,92,,Percent of Total Billed Charges,892.42,,858.31,78,,Percent of Total Billed Charges,858.31,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,592.35,53.83,,Percent of Total Billed Charges,555.7,,381.18,34.64,,Percent of Total Billed Charges,379.64,,549.98,49.98,,Percent of Total Billed Charges,415.95,,381.18,1012.37,,																																							
HC VEEG 212 HR UNMONITORED,95711,CPT,,,,BOTH, , ,1100.4,924.34,1012.37,92,,Percent of Total Billed Charges,919.93,,1012.37,92,,Percent of Total Billed Charges,903.43,,1012.37,92,,Percent of Total Billed Charges,885.82,,1012.37,92,,Percent of Total Billed Charges,918.83,,1012.37,92,,Percent of Total Billed Charges,828.6,,1012.37,92,,Percent of Total Billed Charges,687.75,,990.36,90,,Percent of Total Billed Charges,549.1,,979.36,89,,Percent of Total Billed Charges,528.19,,906.73,82.4,,Percent of Total Billed Charges,904.53,,917.73,83.4,,Percent of Total Billed Charges,856.11,,917.73,83.4,,Percent of Total Billed Charges,771.38,,917.73,83.4,,Percent of Total Billed Charges,895.73,,990.36,90,,Percent of Total Billed Charges,932.04,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1012.37,92,,Percent of Total Billed Charges,892.42,,1012.37,92,,Percent of Total Billed Charges,818.7,,1012.37,92,,Percent of Total Billed Charges,861.61,,1012.37,92,,Percent of Total Billed Charges,892.42,,858.31,78,,Percent of Total Billed Charges,858.31,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,592.35,53.83,,Percent of Total Billed Charges,555.7,,381.18,34.64,,Percent of Total Billed Charges,379.64,,549.98,49.98,,Percent of Total Billed Charges,415.95,,381.18,1012.37,,																																							
HC VEEG 212 HR INTMT MNTR,95712,CPT,,,,BOTH, , ,1100.4,924.34,1012.37,92,,Percent of Total Billed Charges,919.93,,1012.37,92,,Percent of Total Billed Charges,903.43,,1012.37,92,,Percent of Total Billed Charges,885.82,,1012.37,92,,Percent of Total Billed Charges,918.83,,1012.37,92,,Percent of Total Billed Charges,828.6,,1012.37,92,,Percent of Total Billed Charges,687.75,,990.36,90,,Percent of Total Billed Charges,549.1,,979.36,89,,Percent of Total Billed Charges,528.19,,906.73,82.4,,Percent of Total Billed Charges,904.53,,917.73,83.4,,Percent of Total Billed Charges,856.11,,917.73,83.4,,Percent of Total Billed Charges,771.38,,917.73,83.4,,Percent of Total Billed Charges,895.73,,990.36,90,,Percent of Total Billed Charges,932.04,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1012.37,92,,Percent of Total Billed Charges,892.42,,1012.37,92,,Percent of Total Billed Charges,818.7,,1012.37,92,,Percent of Total Billed Charges,861.61,,1012.37,92,,Percent of Total Billed Charges,892.42,,858.31,78,,Percent of Total Billed Charges,858.31,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,592.35,53.83,,Percent of Total Billed Charges,555.7,,381.18,34.64,,Percent of Total Billed Charges,379.64,,549.98,49.98,,Percent of Total Billed Charges,415.95,,381.18,1012.37,,																																							
HC VEEG 212 HR CONT MNTR,95713,CPT,,,,BOTH, , ,2111.55,1773.7,1942.63,92,,Percent of Total Billed Charges,1765.26,,1942.63,92,,Percent of Total Billed Charges,1733.58,,1942.63,92,,Percent of Total Billed Charges,1699.8,,1942.63,92,,Percent of Total Billed Charges,1763.14,,1942.63,92,,Percent of Total Billed Charges,1590,,1942.63,92,,Percent of Total Billed Charges,1319.72,,1900.4,90,,Percent of Total Billed Charges,1053.66,,1879.28,89,,Percent of Total Billed Charges,1013.54,,1739.92,82.4,,Percent of Total Billed Charges,1735.69,,1761.03,83.4,,Percent of Total Billed Charges,1642.79,,1761.03,83.4,,Percent of Total Billed Charges,1480.2,,1761.03,83.4,,Percent of Total Billed Charges,1718.8,,1900.4,90,,Percent of Total Billed Charges,1788.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1942.63,92,,Percent of Total Billed Charges,1712.47,,1942.63,92,,Percent of Total Billed Charges,1570.99,,1942.63,92,,Percent of Total Billed Charges,1653.34,,1942.63,92,,Percent of Total Billed Charges,1712.47,,1647.01,78,,Percent of Total Billed Charges,1647.01,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1136.65,53.83,,Percent of Total Billed Charges,1066.33,,731.44,34.64,,Percent of Total Billed Charges,728.48,,1055.35,49.98,,Percent of Total Billed Charges,798.17,,731.44,1942.63,,																																							
HC VEEG EA 1226 HR UNMNTR,95714,CPT,,,,BOTH, , ,2111.55,1773.7,1942.63,92,,Percent of Total Billed Charges,1765.26,,1942.63,92,,Percent of Total Billed Charges,1733.58,,1942.63,92,,Percent of Total Billed Charges,1699.8,,1942.63,92,,Percent of Total Billed Charges,1763.14,,1942.63,92,,Percent of Total Billed Charges,1590,,1942.63,92,,Percent of Total Billed Charges,1319.72,,1900.4,90,,Percent of Total Billed Charges,1053.66,,1879.28,89,,Percent of Total Billed Charges,1013.54,,1739.92,82.4,,Percent of Total Billed Charges,1735.69,,1761.03,83.4,,Percent of Total Billed Charges,1642.79,,1761.03,83.4,,Percent of Total Billed Charges,1480.2,,1761.03,83.4,,Percent of Total Billed Charges,1718.8,,1900.4,90,,Percent of Total Billed Charges,1788.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1942.63,92,,Percent of Total Billed Charges,1712.47,,1942.63,92,,Percent of Total Billed Charges,1570.99,,1942.63,92,,Percent of Total Billed Charges,1653.34,,1942.63,92,,Percent of Total Billed Charges,1712.47,,1647.01,78,,Percent of Total Billed Charges,1647.01,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1136.65,53.83,,Percent of Total Billed Charges,1066.33,,731.44,34.64,,Percent of Total Billed Charges,728.48,,1055.35,49.98,,Percent of Total Billed Charges,798.17,,731.44,1942.63,,																																							
HC VEEG EA 1226HR INTMT MNTR,95715,CPT,,,,BOTH, , ,2111.55,1773.7,1942.63,92,,Percent of Total Billed Charges,1765.26,,1942.63,92,,Percent of Total Billed Charges,1733.58,,1942.63,92,,Percent of Total Billed Charges,1699.8,,1942.63,92,,Percent of Total Billed Charges,1763.14,,1942.63,92,,Percent of Total Billed Charges,1590,,1942.63,92,,Percent of Total Billed Charges,1319.72,,1900.4,90,,Percent of Total Billed Charges,1053.66,,1879.28,89,,Percent of Total Billed Charges,1013.54,,1739.92,82.4,,Percent of Total Billed Charges,1735.69,,1761.03,83.4,,Percent of Total Billed Charges,1642.79,,1761.03,83.4,,Percent of Total Billed Charges,1480.2,,1761.03,83.4,,Percent of Total Billed Charges,1718.8,,1900.4,90,,Percent of Total Billed Charges,1788.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1942.63,92,,Percent of Total Billed Charges,1712.47,,1942.63,92,,Percent of Total Billed Charges,1570.99,,1942.63,92,,Percent of Total Billed Charges,1653.34,,1942.63,92,,Percent of Total Billed Charges,1712.47,,1647.01,78,,Percent of Total Billed Charges,1647.01,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1136.65,53.83,,Percent of Total Billed Charges,1066.33,,731.44,34.64,,Percent of Total Billed Charges,728.48,,1055.35,49.98,,Percent of Total Billed Charges,798.17,,731.44,1942.63,,																																							
HC VEEG EA 1226HR CONT MNTR,95716,CPT,,,,BOTH, , ,3951.15,3318.97,3635.06,92,,Percent of Total Billed Charges,3303.16,,3635.06,92,,Percent of Total Billed Charges,3243.89,,3635.06,92,,Percent of Total Billed Charges,3180.68,,3635.06,92,,Percent of Total Billed Charges,3299.21,,3635.06,92,,Percent of Total Billed Charges,2975.22,,3635.06,92,,Percent of Total Billed Charges,2469.47,,3556.04,90,,Percent of Total Billed Charges,1971.62,,3516.52,89,,Percent of Total Billed Charges,1896.55,,3255.75,82.4,,Percent of Total Billed Charges,3247.85,,3295.26,83.4,,Percent of Total Billed Charges,3073.99,,3295.26,83.4,,Percent of Total Billed Charges,2769.76,,3295.26,83.4,,Percent of Total Billed Charges,3216.24,,3556.04,90,,Percent of Total Billed Charges,3346.62,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3635.06,92,,Percent of Total Billed Charges,3204.38,,3635.06,92,,Percent of Total Billed Charges,2939.66,,3635.06,92,,Percent of Total Billed Charges,3093.75,,3635.06,92,,Percent of Total Billed Charges,3204.38,,3081.9,78,,Percent of Total Billed Charges,3081.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2126.9,53.83,,Percent of Total Billed Charges,1995.33,,1368.68,34.64,,Percent of Total Billed Charges,1363.15,,1974.78,49.98,,Percent of Total Billed Charges,1493.53,,1368.68,3635.06,,																																							
HC  SLP STDY UNATND W/HRT RATE/O2 SAT/RESP/SLP TIME,95800,CPT,,,,BOTH, , ,2842.35,2387.57,2614.96,92,,Percent of Total Billed Charges,2376.2,,2614.96,92,,Percent of Total Billed Charges,2333.57,,2614.96,92,,Percent of Total Billed Charges,2288.09,,2614.96,92,,Percent of Total Billed Charges,2373.36,,2614.96,92,,Percent of Total Billed Charges,2140.29,,2614.96,92,,Percent of Total Billed Charges,1776.47,,2558.12,90,,Percent of Total Billed Charges,1418.33,,2529.69,89,,Percent of Total Billed Charges,1364.33,,2342.1,82.4,,Percent of Total Billed Charges,2336.41,,2370.52,83.4,,Percent of Total Billed Charges,2211.35,,2370.52,83.4,,Percent of Total Billed Charges,1992.49,,2370.52,83.4,,Percent of Total Billed Charges,2313.67,,2558.12,90,,Percent of Total Billed Charges,2407.47,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2614.96,92,,Percent of Total Billed Charges,2305.15,,2614.96,92,,Percent of Total Billed Charges,2114.71,,2614.96,92,,Percent of Total Billed Charges,2225.56,,2614.96,92,,Percent of Total Billed Charges,2305.15,,2217.03,78,,Percent of Total Billed Charges,2217.03,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1530.04,53.83,,Percent of Total Billed Charges,1435.39,,984.59,34.64,,Percent of Total Billed Charges,980.61,,1420.61,49.98,,Percent of Total Billed Charges,1074.41,,984.59,2614.96,,																																							
HC DIAGNOSTIC BRONCHOSCOPY/WASH,31622,CPT,,,,BOTH, , ,2716.35,2281.73,2499.04,92,,Percent of Total Billed Charges,2270.87,,2499.04,92,,Percent of Total Billed Charges,2230.12,,2499.04,92,,Percent of Total Billed Charges,2186.66,,2499.04,92,,Percent of Total Billed Charges,2268.15,,2499.04,92,,Percent of Total Billed Charges,2045.41,,2499.04,92,,Percent of Total Billed Charges,1697.72,,2444.72,90,,Percent of Total Billed Charges,1355.46,,2417.55,89,,Percent of Total Billed Charges,1303.85,,2238.27,82.4,,Percent of Total Billed Charges,2232.84,,2265.44,83.4,,Percent of Total Billed Charges,2113.32,,2265.44,83.4,,Percent of Total Billed Charges,1904.16,,2265.44,83.4,,Percent of Total Billed Charges,2211.11,,2444.72,90,,Percent of Total Billed Charges,2300.75,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2499.04,92,,Percent of Total Billed Charges,2202.96,,2499.04,92,,Percent of Total Billed Charges,2020.96,,2499.04,92,,Percent of Total Billed Charges,2126.9,,2499.04,92,,Percent of Total Billed Charges,2202.96,,2118.75,78,,Percent of Total Billed Charges,2118.75,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1462.21,53.83,,Percent of Total Billed Charges,1371.76,,940.94,34.64,,Percent of Total Billed Charges,937.14,,1357.63,49.98,,Percent of Total Billed Charges,1026.78,,940.94,2499.04,,																																							
HC DIAGNOSTIC BRONCHOSCOPY/LAVAGE,31624,CPT,,,,BOTH, , ,2716.35,2281.73,2499.04,92,,Percent of Total Billed Charges,2270.87,,2499.04,92,,Percent of Total Billed Charges,2230.12,,2499.04,92,,Percent of Total Billed Charges,2186.66,,2499.04,92,,Percent of Total Billed Charges,2268.15,,2499.04,92,,Percent of Total Billed Charges,2045.41,,2499.04,92,,Percent of Total Billed Charges,1697.72,,2444.72,90,,Percent of Total Billed Charges,1355.46,,2417.55,89,,Percent of Total Billed Charges,1303.85,,2238.27,82.4,,Percent of Total Billed Charges,2232.84,,2265.44,83.4,,Percent of Total Billed Charges,2113.32,,2265.44,83.4,,Percent of Total Billed Charges,1904.16,,2265.44,83.4,,Percent of Total Billed Charges,2211.11,,2444.72,90,,Percent of Total Billed Charges,2300.75,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2499.04,92,,Percent of Total Billed Charges,2202.96,,2499.04,92,,Percent of Total Billed Charges,2020.96,,2499.04,92,,Percent of Total Billed Charges,2126.9,,2499.04,92,,Percent of Total Billed Charges,2202.96,,2118.75,78,,Percent of Total Billed Charges,2118.75,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1462.21,53.83,,Percent of Total Billed Charges,1371.76,,940.94,34.64,,Percent of Total Billed Charges,937.14,,1357.63,49.98,,Percent of Total Billed Charges,1026.78,,940.94,2499.04,,																																							
HC BRONCHOSCOPY W/BIOPSY(S),31625,CPT,,,,BOTH, , ,2716.35,2281.73,2499.04,92,,Percent of Total Billed Charges,2270.87,,2499.04,92,,Percent of Total Billed Charges,2230.12,,2499.04,92,,Percent of Total Billed Charges,2186.66,,2499.04,92,,Percent of Total Billed Charges,2268.15,,2499.04,92,,Percent of Total Billed Charges,2045.41,,2499.04,92,,Percent of Total Billed Charges,1697.72,,2444.72,90,,Percent of Total Billed Charges,1355.46,,2417.55,89,,Percent of Total Billed Charges,1303.85,,2238.27,82.4,,Percent of Total Billed Charges,2232.84,,2265.44,83.4,,Percent of Total Billed Charges,2113.32,,2265.44,83.4,,Percent of Total Billed Charges,1904.16,,2265.44,83.4,,Percent of Total Billed Charges,2211.11,,2444.72,90,,Percent of Total Billed Charges,2300.75,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2499.04,92,,Percent of Total Billed Charges,2202.96,,2499.04,92,,Percent of Total Billed Charges,2020.96,,2499.04,92,,Percent of Total Billed Charges,2126.9,,2499.04,92,,Percent of Total Billed Charges,2202.96,,2118.75,78,,Percent of Total Billed Charges,2118.75,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1462.21,53.83,,Percent of Total Billed Charges,1371.76,,940.94,34.64,,Percent of Total Billed Charges,937.14,,1357.63,49.98,,Percent of Total Billed Charges,1026.78,,940.94,2499.04,,																																							
HC BRONCHOSCOPY/LUNG BX EACH,31628,CPT,,,,BOTH, , ,9131.85,7670.75,8401.3,92,,Percent of Total Billed Charges,7634.23,,8401.3,92,,Percent of Total Billed Charges,7497.25,,8401.3,92,,Percent of Total Billed Charges,7351.14,,8401.3,92,,Percent of Total Billed Charges,7625.09,,8401.3,92,,Percent of Total Billed Charges,6876.28,,8401.3,92,,Percent of Total Billed Charges,5707.41,,8218.67,90,,Percent of Total Billed Charges,4556.79,,8127.35,89,,Percent of Total Billed Charges,4383.29,,7524.64,82.4,,Percent of Total Billed Charges,7506.38,,7615.96,83.4,,Percent of Total Billed Charges,7104.58,,7615.96,83.4,,Percent of Total Billed Charges,6401.43,,7615.96,83.4,,Percent of Total Billed Charges,7433.33,,8218.67,90,,Percent of Total Billed Charges,7734.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,8401.3,92,,Percent of Total Billed Charges,7405.93,,8401.3,92,,Percent of Total Billed Charges,6794.1,,8401.3,92,,Percent of Total Billed Charges,7150.24,,8401.3,92,,Percent of Total Billed Charges,7405.93,,7122.84,78,,Percent of Total Billed Charges,7122.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4915.67,53.83,,Percent of Total Billed Charges,4611.58,,3163.27,34.64,,Percent of Total Billed Charges,3150.49,,4564.1,49.98,,Percent of Total Billed Charges,3451.84,,3163.27,8401.3,,																																							
HC BRONCH W/TRANSBRONCH NEED ASP BX EACH,31629,CPT,,,,BOTH, , ,8749.65,7349.71,8049.68,92,,Percent of Total Billed Charges,7314.71,,8049.68,92,,Percent of Total Billed Charges,7183.46,,8049.68,92,,Percent of Total Billed Charges,7043.47,,8049.68,92,,Percent of Total Billed Charges,7305.96,,8049.68,92,,Percent of Total Billed Charges,6588.49,,8049.68,92,,Percent of Total Billed Charges,5468.53,,7874.69,90,,Percent of Total Billed Charges,4366.08,,7787.19,89,,Percent of Total Billed Charges,4199.83,,7209.71,82.4,,Percent of Total Billed Charges,7192.21,,7297.21,83.4,,Percent of Total Billed Charges,6807.23,,7297.21,83.4,,Percent of Total Billed Charges,6133.5,,7297.21,83.4,,Percent of Total Billed Charges,7122.22,,7874.69,90,,Percent of Total Billed Charges,7410.95,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,8049.68,92,,Percent of Total Billed Charges,7095.97,,8049.68,92,,Percent of Total Billed Charges,6509.74,,8049.68,92,,Percent of Total Billed Charges,6850.98,,8049.68,92,,Percent of Total Billed Charges,7095.97,,6824.73,78,,Percent of Total Billed Charges,6824.73,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4709.94,53.83,,Percent of Total Billed Charges,4418.57,,3030.88,34.64,,Percent of Total Billed Charges,3018.63,,4373.08,49.98,,Percent of Total Billed Charges,3307.37,,3030.88,8049.68,,																																							
HC BRONCH W/TRACH DILATE & PLACMENT OF STENT,31631,CPT,,,,BOTH, , ,17164.35,14418.05,15791.2,92,,Percent of Total Billed Charges,14349.4,,15791.2,92,,Percent of Total Billed Charges,14091.93,,15791.2,92,,Percent of Total Billed Charges,13817.3,,15791.2,92,,Percent of Total Billed Charges,14332.23,,15791.2,92,,Percent of Total Billed Charges,12924.76,,15791.2,92,,Percent of Total Billed Charges,10727.72,,15447.92,90,,Percent of Total Billed Charges,8565.01,,15276.27,89,,Percent of Total Billed Charges,8238.89,,14143.42,82.4,,Percent of Total Billed Charges,14109.1,,14315.07,83.4,,Percent of Total Billed Charges,13353.86,,14315.07,83.4,,Percent of Total Billed Charges,12032.21,,14315.07,83.4,,Percent of Total Billed Charges,13971.78,,15447.92,90,,Percent of Total Billed Charges,14538.2,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,15791.2,92,,Percent of Total Billed Charges,13920.29,,15791.2,92,,Percent of Total Billed Charges,12770.28,,15791.2,92,,Percent of Total Billed Charges,13439.69,,15791.2,92,,Percent of Total Billed Charges,13920.29,,13388.19,78,,Percent of Total Billed Charges,13388.19,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,9239.57,53.83,,Percent of Total Billed Charges,8668,,5945.73,34.64,,Percent of Total Billed Charges,5921.7,,8578.74,49.98,,Percent of Total Billed Charges,6488.12,,5945.73,15791.2,,																																							
HC ESOPHAGOSCOPY WITH SUBMUSCOAL INJECTION,43201,CPT,,,,BOTH, , ,2840.25,2385.81,2613.03,92,,Percent of Total Billed Charges,2374.45,,2613.03,92,,Percent of Total Billed Charges,2331.85,,2613.03,92,,Percent of Total Billed Charges,2286.4,,2613.03,92,,Percent of Total Billed Charges,2371.61,,2613.03,92,,Percent of Total Billed Charges,2138.71,,2613.03,92,,Percent of Total Billed Charges,1775.16,,2556.23,90,,Percent of Total Billed Charges,1417.28,,2527.82,89,,Percent of Total Billed Charges,1363.32,,2340.37,82.4,,Percent of Total Billed Charges,2334.69,,2368.77,83.4,,Percent of Total Billed Charges,2209.71,,2368.77,83.4,,Percent of Total Billed Charges,1991.02,,2368.77,83.4,,Percent of Total Billed Charges,2311.96,,2556.23,90,,Percent of Total Billed Charges,2405.69,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2613.03,92,,Percent of Total Billed Charges,2303.44,,2613.03,92,,Percent of Total Billed Charges,2113.15,,2613.03,92,,Percent of Total Billed Charges,2223.92,,2613.03,92,,Percent of Total Billed Charges,2303.44,,2215.4,78,,Percent of Total Billed Charges,2215.4,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1528.91,53.83,,Percent of Total Billed Charges,1434.33,,983.86,34.64,,Percent of Total Billed Charges,979.89,,1419.56,49.98,,Percent of Total Billed Charges,1073.61,,983.86,2613.03,,																																							
HC EGD DIAGNOSTIC BRUSH WASH,43235,CPT,,,,BOTH, , ,2661.75,2235.87,2448.81,92,,Percent of Total Billed Charges,2225.22,,2448.81,92,,Percent of Total Billed Charges,2185.3,,2448.81,92,,Percent of Total Billed Charges,2142.71,,2448.81,92,,Percent of Total Billed Charges,2222.56,,2448.81,92,,Percent of Total Billed Charges,2004.3,,2448.81,92,,Percent of Total Billed Charges,1663.59,,2395.58,90,,Percent of Total Billed Charges,1328.21,,2368.96,89,,Percent of Total Billed Charges,1277.64,,2193.28,82.4,,Percent of Total Billed Charges,2187.96,,2219.9,83.4,,Percent of Total Billed Charges,2070.84,,2219.9,83.4,,Percent of Total Billed Charges,1865.89,,2219.9,83.4,,Percent of Total Billed Charges,2166.66,,2395.58,90,,Percent of Total Billed Charges,2254.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2448.81,92,,Percent of Total Billed Charges,2158.68,,2448.81,92,,Percent of Total Billed Charges,1980.34,,2448.81,92,,Percent of Total Billed Charges,2084.15,,2448.81,92,,Percent of Total Billed Charges,2158.68,,2076.17,78,,Percent of Total Billed Charges,2076.17,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1432.82,53.83,,Percent of Total Billed Charges,1344.18,,922.03,34.64,,Percent of Total Billed Charges,918.3,,1330.34,49.98,,Percent of Total Billed Charges,1006.14,,922.03,2448.81,,																																							
HC EGD BIOPSY SINGLE/MULTIPLE,43239,CPT,,,,BOTH, , ,2661.75,2235.87,2448.81,92,,Percent of Total Billed Charges,2225.22,,2448.81,92,,Percent of Total Billed Charges,2185.3,,2448.81,92,,Percent of Total Billed Charges,2142.71,,2448.81,92,,Percent of Total Billed Charges,2222.56,,2448.81,92,,Percent of Total Billed Charges,2004.3,,2448.81,92,,Percent of Total Billed Charges,1663.59,,2395.58,90,,Percent of Total Billed Charges,1328.21,,2368.96,89,,Percent of Total Billed Charges,1277.64,,2193.28,82.4,,Percent of Total Billed Charges,2187.96,,2219.9,83.4,,Percent of Total Billed Charges,2070.84,,2219.9,83.4,,Percent of Total Billed Charges,1865.89,,2219.9,83.4,,Percent of Total Billed Charges,2166.66,,2395.58,90,,Percent of Total Billed Charges,2254.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2448.81,92,,Percent of Total Billed Charges,2158.68,,2448.81,92,,Percent of Total Billed Charges,1980.34,,2448.81,92,,Percent of Total Billed Charges,2084.15,,2448.81,92,,Percent of Total Billed Charges,2158.68,,2076.17,78,,Percent of Total Billed Charges,2076.17,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1432.82,53.83,,Percent of Total Billed Charges,1344.18,,922.03,34.64,,Percent of Total Billed Charges,918.3,,1330.34,49.98,,Percent of Total Billed Charges,1006.14,,922.03,2448.81,,																																							
HC EGD INJECTION VARICES,43243,CPT,,,,BOTH, , ,2661.75,2235.87,2448.81,92,,Percent of Total Billed Charges,2225.22,,2448.81,92,,Percent of Total Billed Charges,2185.3,,2448.81,92,,Percent of Total Billed Charges,2142.71,,2448.81,92,,Percent of Total Billed Charges,2222.56,,2448.81,92,,Percent of Total Billed Charges,2004.3,,2448.81,92,,Percent of Total Billed Charges,1663.59,,2395.58,90,,Percent of Total Billed Charges,1328.21,,2368.96,89,,Percent of Total Billed Charges,1277.64,,2193.28,82.4,,Percent of Total Billed Charges,2187.96,,2219.9,83.4,,Percent of Total Billed Charges,2070.84,,2219.9,83.4,,Percent of Total Billed Charges,1865.89,,2219.9,83.4,,Percent of Total Billed Charges,2166.66,,2395.58,90,,Percent of Total Billed Charges,2254.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2448.81,92,,Percent of Total Billed Charges,2158.68,,2448.81,92,,Percent of Total Billed Charges,1980.34,,2448.81,92,,Percent of Total Billed Charges,2084.15,,2448.81,92,,Percent of Total Billed Charges,2158.68,,2076.17,78,,Percent of Total Billed Charges,2076.17,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1432.82,53.83,,Percent of Total Billed Charges,1344.18,,922.03,34.64,,Percent of Total Billed Charges,918.3,,1330.34,49.98,,Percent of Total Billed Charges,1006.14,,922.03,2448.81,,																																							
HC EGD VARICES LIGATION,43244,CPT,,,,BOTH, , ,2661.75,2235.87,2448.81,92,,Percent of Total Billed Charges,2225.22,,2448.81,92,,Percent of Total Billed Charges,2185.3,,2448.81,92,,Percent of Total Billed Charges,2142.71,,2448.81,92,,Percent of Total Billed Charges,2222.56,,2448.81,92,,Percent of Total Billed Charges,2004.3,,2448.81,92,,Percent of Total Billed Charges,1663.59,,2395.58,90,,Percent of Total Billed Charges,1328.21,,2368.96,89,,Percent of Total Billed Charges,1277.64,,2193.28,82.4,,Percent of Total Billed Charges,2187.96,,2219.9,83.4,,Percent of Total Billed Charges,2070.84,,2219.9,83.4,,Percent of Total Billed Charges,1865.89,,2219.9,83.4,,Percent of Total Billed Charges,2166.66,,2395.58,90,,Percent of Total Billed Charges,2254.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2448.81,92,,Percent of Total Billed Charges,2158.68,,2448.81,92,,Percent of Total Billed Charges,1980.34,,2448.81,92,,Percent of Total Billed Charges,2084.15,,2448.81,92,,Percent of Total Billed Charges,2158.68,,2076.17,78,,Percent of Total Billed Charges,2076.17,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1432.82,53.83,,Percent of Total Billed Charges,1344.18,,922.03,34.64,,Percent of Total Billed Charges,918.3,,1330.34,49.98,,Percent of Total Billed Charges,1006.14,,922.03,2448.81,,																																							
HC EGD PLACE GASTROSTOMY TUBE,43246,CPT,,,,BOTH, , ,2661.75,2235.87,2448.81,92,,Percent of Total Billed Charges,2225.22,,2448.81,92,,Percent of Total Billed Charges,2185.3,,2448.81,92,,Percent of Total Billed Charges,2142.71,,2448.81,92,,Percent of Total Billed Charges,2222.56,,2448.81,92,,Percent of Total Billed Charges,2004.3,,2448.81,92,,Percent of Total Billed Charges,1663.59,,2395.58,90,,Percent of Total Billed Charges,1328.21,,2368.96,89,,Percent of Total Billed Charges,1277.64,,2193.28,82.4,,Percent of Total Billed Charges,2187.96,,2219.9,83.4,,Percent of Total Billed Charges,2070.84,,2219.9,83.4,,Percent of Total Billed Charges,1865.89,,2219.9,83.4,,Percent of Total Billed Charges,2166.66,,2395.58,90,,Percent of Total Billed Charges,2254.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2448.81,92,,Percent of Total Billed Charges,2158.68,,2448.81,92,,Percent of Total Billed Charges,1980.34,,2448.81,92,,Percent of Total Billed Charges,2084.15,,2448.81,92,,Percent of Total Billed Charges,2158.68,,2076.17,78,,Percent of Total Billed Charges,2076.17,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1432.82,53.83,,Percent of Total Billed Charges,1344.18,,922.03,34.64,,Percent of Total Billed Charges,918.3,,1330.34,49.98,,Percent of Total Billed Charges,1006.14,,922.03,2448.81,,																																							
HC EGD REMOVE FOREIGN BODY,43247,CPT,,,,BOTH, , ,2661.75,2235.87,2448.81,92,,Percent of Total Billed Charges,2225.22,,2448.81,92,,Percent of Total Billed Charges,2185.3,,2448.81,92,,Percent of Total Billed Charges,2142.71,,2448.81,92,,Percent of Total Billed Charges,2222.56,,2448.81,92,,Percent of Total Billed Charges,2004.3,,2448.81,92,,Percent of Total Billed Charges,1663.59,,2395.58,90,,Percent of Total Billed Charges,1328.21,,2368.96,89,,Percent of Total Billed Charges,1277.64,,2193.28,82.4,,Percent of Total Billed Charges,2187.96,,2219.9,83.4,,Percent of Total Billed Charges,2070.84,,2219.9,83.4,,Percent of Total Billed Charges,1865.89,,2219.9,83.4,,Percent of Total Billed Charges,2166.66,,2395.58,90,,Percent of Total Billed Charges,2254.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2448.81,92,,Percent of Total Billed Charges,2158.68,,2448.81,92,,Percent of Total Billed Charges,1980.34,,2448.81,92,,Percent of Total Billed Charges,2084.15,,2448.81,92,,Percent of Total Billed Charges,2158.68,,2076.17,78,,Percent of Total Billed Charges,2076.17,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1432.82,53.83,,Percent of Total Billed Charges,1344.18,,922.03,34.64,,Percent of Total Billed Charges,918.3,,1330.34,49.98,,Percent of Total Billed Charges,1006.14,,922.03,2448.81,,																																							
HC EGD GUIDE WIRE INSERTION,43248,CPT,,,,BOTH, , ,2661.75,2235.87,2448.81,92,,Percent of Total Billed Charges,2225.22,,2448.81,92,,Percent of Total Billed Charges,2185.3,,2448.81,92,,Percent of Total Billed Charges,2142.71,,2448.81,92,,Percent of Total Billed Charges,2222.56,,2448.81,92,,Percent of Total Billed Charges,2004.3,,2448.81,92,,Percent of Total Billed Charges,1663.59,,2395.58,90,,Percent of Total Billed Charges,1328.21,,2368.96,89,,Percent of Total Billed Charges,1277.64,,2193.28,82.4,,Percent of Total Billed Charges,2187.96,,2219.9,83.4,,Percent of Total Billed Charges,2070.84,,2219.9,83.4,,Percent of Total Billed Charges,1865.89,,2219.9,83.4,,Percent of Total Billed Charges,2166.66,,2395.58,90,,Percent of Total Billed Charges,2254.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2448.81,92,,Percent of Total Billed Charges,2158.68,,2448.81,92,,Percent of Total Billed Charges,1980.34,,2448.81,92,,Percent of Total Billed Charges,2084.15,,2448.81,92,,Percent of Total Billed Charges,2158.68,,2076.17,78,,Percent of Total Billed Charges,2076.17,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1432.82,53.83,,Percent of Total Billed Charges,1344.18,,922.03,34.64,,Percent of Total Billed Charges,918.3,,1330.34,49.98,,Percent of Total Billed Charges,1006.14,,922.03,2448.81,,																																							
HC EGD W/DILATION/BALLOON <30MM,43249,CPT,,,,BOTH, , ,2661.75,2235.87,2448.81,92,,Percent of Total Billed Charges,2225.22,,2448.81,92,,Percent of Total Billed Charges,2185.3,,2448.81,92,,Percent of Total Billed Charges,2142.71,,2448.81,92,,Percent of Total Billed Charges,2222.56,,2448.81,92,,Percent of Total Billed Charges,2004.3,,2448.81,92,,Percent of Total Billed Charges,1663.59,,2395.58,90,,Percent of Total Billed Charges,1328.21,,2368.96,89,,Percent of Total Billed Charges,1277.64,,2193.28,82.4,,Percent of Total Billed Charges,2187.96,,2219.9,83.4,,Percent of Total Billed Charges,2070.84,,2219.9,83.4,,Percent of Total Billed Charges,1865.89,,2219.9,83.4,,Percent of Total Billed Charges,2166.66,,2395.58,90,,Percent of Total Billed Charges,2254.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2448.81,92,,Percent of Total Billed Charges,2158.68,,2448.81,92,,Percent of Total Billed Charges,1980.34,,2448.81,92,,Percent of Total Billed Charges,2084.15,,2448.81,92,,Percent of Total Billed Charges,2158.68,,2076.17,78,,Percent of Total Billed Charges,2076.17,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1432.82,53.83,,Percent of Total Billed Charges,1344.18,,922.03,34.64,,Percent of Total Billed Charges,918.3,,1330.34,49.98,,Percent of Total Billed Charges,1006.14,,922.03,2448.81,,																																							
HC EGD CAUTERY TUMOR POLYP,43250,CPT,,,,BOTH, , ,2661.75,2235.87,2448.81,92,,Percent of Total Billed Charges,2225.22,,2448.81,92,,Percent of Total Billed Charges,2185.3,,2448.81,92,,Percent of Total Billed Charges,2142.71,,2448.81,92,,Percent of Total Billed Charges,2222.56,,2448.81,92,,Percent of Total Billed Charges,2004.3,,2448.81,92,,Percent of Total Billed Charges,1663.59,,2395.58,90,,Percent of Total Billed Charges,1328.21,,2368.96,89,,Percent of Total Billed Charges,1277.64,,2193.28,82.4,,Percent of Total Billed Charges,2187.96,,2219.9,83.4,,Percent of Total Billed Charges,2070.84,,2219.9,83.4,,Percent of Total Billed Charges,1865.89,,2219.9,83.4,,Percent of Total Billed Charges,2166.66,,2395.58,90,,Percent of Total Billed Charges,2254.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2448.81,92,,Percent of Total Billed Charges,2158.68,,2448.81,92,,Percent of Total Billed Charges,1980.34,,2448.81,92,,Percent of Total Billed Charges,2084.15,,2448.81,92,,Percent of Total Billed Charges,2158.68,,2076.17,78,,Percent of Total Billed Charges,2076.17,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1432.82,53.83,,Percent of Total Billed Charges,1344.18,,922.03,34.64,,Percent of Total Billed Charges,918.3,,1330.34,49.98,,Percent of Total Billed Charges,1006.14,,922.03,2448.81,,																																							
HC EGD REMOVE LESION SNARE,43251,CPT,,,,BOTH, , ,2661.75,2235.87,2448.81,92,,Percent of Total Billed Charges,2225.22,,2448.81,92,,Percent of Total Billed Charges,2185.3,,2448.81,92,,Percent of Total Billed Charges,2142.71,,2448.81,92,,Percent of Total Billed Charges,2222.56,,2448.81,92,,Percent of Total Billed Charges,2004.3,,2448.81,92,,Percent of Total Billed Charges,1663.59,,2395.58,90,,Percent of Total Billed Charges,1328.21,,2368.96,89,,Percent of Total Billed Charges,1277.64,,2193.28,82.4,,Percent of Total Billed Charges,2187.96,,2219.9,83.4,,Percent of Total Billed Charges,2070.84,,2219.9,83.4,,Percent of Total Billed Charges,1865.89,,2219.9,83.4,,Percent of Total Billed Charges,2166.66,,2395.58,90,,Percent of Total Billed Charges,2254.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2448.81,92,,Percent of Total Billed Charges,2158.68,,2448.81,92,,Percent of Total Billed Charges,1980.34,,2448.81,92,,Percent of Total Billed Charges,2084.15,,2448.81,92,,Percent of Total Billed Charges,2158.68,,2076.17,78,,Percent of Total Billed Charges,2076.17,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1432.82,53.83,,Percent of Total Billed Charges,1344.18,,922.03,34.64,,Percent of Total Billed Charges,918.3,,1330.34,49.98,,Percent of Total Billed Charges,1006.14,,922.03,2448.81,,																																							
HC EGD CONTROL BLEEDING ANY,43255,CPT,,,,BOTH, , ,2661.75,2235.87,2448.81,92,,Percent of Total Billed Charges,2225.22,,2448.81,92,,Percent of Total Billed Charges,2185.3,,2448.81,92,,Percent of Total Billed Charges,2142.71,,2448.81,92,,Percent of Total Billed Charges,2222.56,,2448.81,92,,Percent of Total Billed Charges,2004.3,,2448.81,92,,Percent of Total Billed Charges,1663.59,,2395.58,90,,Percent of Total Billed Charges,1328.21,,2368.96,89,,Percent of Total Billed Charges,1277.64,,2193.28,82.4,,Percent of Total Billed Charges,2187.96,,2219.9,83.4,,Percent of Total Billed Charges,2070.84,,2219.9,83.4,,Percent of Total Billed Charges,1865.89,,2219.9,83.4,,Percent of Total Billed Charges,2166.66,,2395.58,90,,Percent of Total Billed Charges,2254.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2448.81,92,,Percent of Total Billed Charges,2158.68,,2448.81,92,,Percent of Total Billed Charges,1980.34,,2448.81,92,,Percent of Total Billed Charges,2084.15,,2448.81,92,,Percent of Total Billed Charges,2158.68,,2076.17,78,,Percent of Total Billed Charges,2076.17,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1432.82,53.83,,Percent of Total Billed Charges,1344.18,,922.03,34.64,,Percent of Total Billed Charges,918.3,,1330.34,49.98,,Percent of Total Billed Charges,1006.14,,922.03,2448.81,,																																							
HC ERCP W/SPECIMEN COLLECTION,43260,CPT,,,,BOTH, , ,6788.25,5702.13,6245.19,92,,Percent of Total Billed Charges,5674.98,,6245.19,92,,Percent of Total Billed Charges,5573.15,,6245.19,92,,Percent of Total Billed Charges,5464.54,,6245.19,92,,Percent of Total Billed Charges,5668.19,,6245.19,92,,Percent of Total Billed Charges,5111.55,,6245.19,92,,Percent of Total Billed Charges,4242.66,,6109.43,90,,Percent of Total Billed Charges,3387.34,,6041.54,89,,Percent of Total Billed Charges,3258.36,,5593.52,82.4,,Percent of Total Billed Charges,5579.94,,5661.4,83.4,,Percent of Total Billed Charges,5281.26,,5661.4,83.4,,Percent of Total Billed Charges,4758.56,,5661.4,83.4,,Percent of Total Billed Charges,5525.64,,6109.43,90,,Percent of Total Billed Charges,5749.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6245.19,92,,Percent of Total Billed Charges,5505.27,,6245.19,92,,Percent of Total Billed Charges,5050.46,,6245.19,92,,Percent of Total Billed Charges,5315.2,,6245.19,92,,Percent of Total Billed Charges,5505.27,,5294.84,78,,Percent of Total Billed Charges,5294.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3654.11,53.83,,Percent of Total Billed Charges,3428.07,,2351.45,34.64,,Percent of Total Billed Charges,2341.95,,3392.77,49.98,,Percent of Total Billed Charges,2565.96,,2351.45,6245.19,,																																							
HC ENDO CHOLANGIOPANCREATOGRAPH,43262,CPT,,,,BOTH, , ,6788.25,5702.13,6245.19,92,,Percent of Total Billed Charges,5674.98,,6245.19,92,,Percent of Total Billed Charges,5573.15,,6245.19,92,,Percent of Total Billed Charges,5464.54,,6245.19,92,,Percent of Total Billed Charges,5668.19,,6245.19,92,,Percent of Total Billed Charges,5111.55,,6245.19,92,,Percent of Total Billed Charges,4242.66,,6109.43,90,,Percent of Total Billed Charges,3387.34,,6041.54,89,,Percent of Total Billed Charges,3258.36,,5593.52,82.4,,Percent of Total Billed Charges,5579.94,,5661.4,83.4,,Percent of Total Billed Charges,5281.26,,5661.4,83.4,,Percent of Total Billed Charges,4758.56,,5661.4,83.4,,Percent of Total Billed Charges,5525.64,,6109.43,90,,Percent of Total Billed Charges,5749.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6245.19,92,,Percent of Total Billed Charges,5505.27,,6245.19,92,,Percent of Total Billed Charges,5050.46,,6245.19,92,,Percent of Total Billed Charges,5315.2,,6245.19,92,,Percent of Total Billed Charges,5505.27,,5294.84,78,,Percent of Total Billed Charges,5294.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3654.11,53.83,,Percent of Total Billed Charges,3428.07,,2351.45,34.64,,Percent of Total Billed Charges,2341.95,,3392.77,49.98,,Percent of Total Billed Charges,2565.96,,2351.45,6245.19,,																																							
HC ERCP REMOVE DUCT CALCULI,43264,CPT,,,,BOTH, , ,6788.25,5702.13,6245.19,92,,Percent of Total Billed Charges,5674.98,,6245.19,92,,Percent of Total Billed Charges,5573.15,,6245.19,92,,Percent of Total Billed Charges,5464.54,,6245.19,92,,Percent of Total Billed Charges,5668.19,,6245.19,92,,Percent of Total Billed Charges,5111.55,,6245.19,92,,Percent of Total Billed Charges,4242.66,,6109.43,90,,Percent of Total Billed Charges,3387.34,,6041.54,89,,Percent of Total Billed Charges,3258.36,,5593.52,82.4,,Percent of Total Billed Charges,5579.94,,5661.4,83.4,,Percent of Total Billed Charges,5281.26,,5661.4,83.4,,Percent of Total Billed Charges,4758.56,,5661.4,83.4,,Percent of Total Billed Charges,5525.64,,6109.43,90,,Percent of Total Billed Charges,5749.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6245.19,92,,Percent of Total Billed Charges,5505.27,,6245.19,92,,Percent of Total Billed Charges,5050.46,,6245.19,92,,Percent of Total Billed Charges,5315.2,,6245.19,92,,Percent of Total Billed Charges,5505.27,,5294.84,78,,Percent of Total Billed Charges,5294.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3654.11,53.83,,Percent of Total Billed Charges,3428.07,,2351.45,34.64,,Percent of Total Billed Charges,2341.95,,3392.77,49.98,,Percent of Total Billed Charges,2565.96,,2351.45,6245.19,,																																							
HC ERCP DUCT STENT PLACEMENT,43274,CPT,,,,BOTH, , ,14683.2,12333.89,13508.54,92,,Percent of Total Billed Charges,12275.16,,13508.54,92,,Percent of Total Billed Charges,12054.91,,13508.54,92,,Percent of Total Billed Charges,11819.98,,13508.54,92,,Percent of Total Billed Charges,12260.47,,13508.54,92,,Percent of Total Billed Charges,11056.45,,13508.54,92,,Percent of Total Billed Charges,9177,,13214.88,90,,Percent of Total Billed Charges,7326.92,,13068.05,89,,Percent of Total Billed Charges,7047.94,,12098.96,82.4,,Percent of Total Billed Charges,12069.59,,12245.79,83.4,,Percent of Total Billed Charges,11423.53,,12245.79,83.4,,Percent of Total Billed Charges,10292.92,,12245.79,83.4,,Percent of Total Billed Charges,11952.12,,13214.88,90,,Percent of Total Billed Charges,12436.67,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,13508.54,92,,Percent of Total Billed Charges,11908.08,,13508.54,92,,Percent of Total Billed Charges,10924.3,,13508.54,92,,Percent of Total Billed Charges,11496.95,,13508.54,92,,Percent of Total Billed Charges,11908.08,,11452.9,78,,Percent of Total Billed Charges,11452.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,7903.97,53.83,,Percent of Total Billed Charges,7415.02,,5086.26,34.64,,Percent of Total Billed Charges,5065.7,,7338.66,49.98,,Percent of Total Billed Charges,5550.25,,5086.26,13508.54,,																																							
HC ERCP REMOVE FORGN BODY DUCT,43275,CPT,,,,BOTH, , ,14683.2,12333.89,13508.54,92,,Percent of Total Billed Charges,12275.16,,13508.54,92,,Percent of Total Billed Charges,12054.91,,13508.54,92,,Percent of Total Billed Charges,11819.98,,13508.54,92,,Percent of Total Billed Charges,12260.47,,13508.54,92,,Percent of Total Billed Charges,11056.45,,13508.54,92,,Percent of Total Billed Charges,9177,,13214.88,90,,Percent of Total Billed Charges,7326.92,,13068.05,89,,Percent of Total Billed Charges,7047.94,,12098.96,82.4,,Percent of Total Billed Charges,12069.59,,12245.79,83.4,,Percent of Total Billed Charges,11423.53,,12245.79,83.4,,Percent of Total Billed Charges,10292.92,,12245.79,83.4,,Percent of Total Billed Charges,11952.12,,13214.88,90,,Percent of Total Billed Charges,12436.67,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,13508.54,92,,Percent of Total Billed Charges,11908.08,,13508.54,92,,Percent of Total Billed Charges,10924.3,,13508.54,92,,Percent of Total Billed Charges,11496.95,,13508.54,92,,Percent of Total Billed Charges,11908.08,,11452.9,78,,Percent of Total Billed Charges,11452.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,7903.97,53.83,,Percent of Total Billed Charges,7415.02,,5086.26,34.64,,Percent of Total Billed Charges,5065.7,,7338.66,49.98,,Percent of Total Billed Charges,5550.25,,5086.26,13508.54,,																																							
HC ERCP STENT EXCHANGE W/DILATE,43276,CPT,,,,BOTH, , ,14683.2,12333.89,13508.54,92,,Percent of Total Billed Charges,12275.16,,13508.54,92,,Percent of Total Billed Charges,12054.91,,13508.54,92,,Percent of Total Billed Charges,11819.98,,13508.54,92,,Percent of Total Billed Charges,12260.47,,13508.54,92,,Percent of Total Billed Charges,11056.45,,13508.54,92,,Percent of Total Billed Charges,9177,,13214.88,90,,Percent of Total Billed Charges,7326.92,,13068.05,89,,Percent of Total Billed Charges,7047.94,,12098.96,82.4,,Percent of Total Billed Charges,12069.59,,12245.79,83.4,,Percent of Total Billed Charges,11423.53,,12245.79,83.4,,Percent of Total Billed Charges,10292.92,,12245.79,83.4,,Percent of Total Billed Charges,11952.12,,13214.88,90,,Percent of Total Billed Charges,12436.67,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,13508.54,92,,Percent of Total Billed Charges,11908.08,,13508.54,92,,Percent of Total Billed Charges,10924.3,,13508.54,92,,Percent of Total Billed Charges,11496.95,,13508.54,92,,Percent of Total Billed Charges,11908.08,,11452.9,78,,Percent of Total Billed Charges,11452.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,7903.97,53.83,,Percent of Total Billed Charges,7415.02,,5086.26,34.64,,Percent of Total Billed Charges,5065.7,,7338.66,49.98,,Percent of Total Billed Charges,5550.25,,5086.26,13508.54,,																																							
HC SMALL BOWEL ENDOSCOPY,44360,CPT,,,,BOTH, , ,259.35,217.85,238.6,92,,Percent of Total Billed Charges,216.82,,238.6,92,,Percent of Total Billed Charges,212.93,,238.6,92,,Percent of Total Billed Charges,208.78,,238.6,92,,Percent of Total Billed Charges,216.56,,238.6,92,,Percent of Total Billed Charges,195.29,,238.6,92,,Percent of Total Billed Charges,162.09,,233.42,90,,Percent of Total Billed Charges,129.42,,230.82,89,,Percent of Total Billed Charges,124.49,,213.7,82.4,,Percent of Total Billed Charges,213.19,,216.3,83.4,,Percent of Total Billed Charges,201.77,,216.3,83.4,,Percent of Total Billed Charges,181.8,,216.3,83.4,,Percent of Total Billed Charges,211.11,,233.42,90,,Percent of Total Billed Charges,219.67,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,238.6,92,,Percent of Total Billed Charges,210.33,,238.6,92,,Percent of Total Billed Charges,192.96,,238.6,92,,Percent of Total Billed Charges,203.07,,238.6,92,,Percent of Total Billed Charges,210.33,,202.29,78,,Percent of Total Billed Charges,202.29,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,139.61,53.83,,Percent of Total Billed Charges,130.97,,89.84,34.64,,Percent of Total Billed Charges,89.48,,129.62,49.98,,Percent of Total Billed Charges,98.03,,89.84,238.6,,																																							
HC SMALL BOWEL ENDOSCOPY BR/WA,44380,CPT,,,,BOTH, , ,259.35,217.85,238.6,92,,Percent of Total Billed Charges,216.82,,238.6,92,,Percent of Total Billed Charges,212.93,,238.6,92,,Percent of Total Billed Charges,208.78,,238.6,92,,Percent of Total Billed Charges,216.56,,238.6,92,,Percent of Total Billed Charges,195.29,,238.6,92,,Percent of Total Billed Charges,162.09,,233.42,90,,Percent of Total Billed Charges,129.42,,230.82,89,,Percent of Total Billed Charges,124.49,,213.7,82.4,,Percent of Total Billed Charges,213.19,,216.3,83.4,,Percent of Total Billed Charges,201.77,,216.3,83.4,,Percent of Total Billed Charges,181.8,,216.3,83.4,,Percent of Total Billed Charges,211.11,,233.42,90,,Percent of Total Billed Charges,219.67,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,238.6,92,,Percent of Total Billed Charges,210.33,,238.6,92,,Percent of Total Billed Charges,192.96,,238.6,92,,Percent of Total Billed Charges,203.07,,238.6,92,,Percent of Total Billed Charges,210.33,,202.29,78,,Percent of Total Billed Charges,202.29,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,139.61,53.83,,Percent of Total Billed Charges,130.97,,89.84,34.64,,Percent of Total Billed Charges,89.48,,129.62,49.98,,Percent of Total Billed Charges,98.03,,89.84,238.6,,																																							
HC COLONOSCOPY THRU STOMA SPX,44388,CPT,,,,BOTH, , ,282.45,237.26,259.85,92,,Percent of Total Billed Charges,236.13,,259.85,92,,Percent of Total Billed Charges,231.89,,259.85,92,,Percent of Total Billed Charges,227.37,,259.85,92,,Percent of Total Billed Charges,235.85,,259.85,92,,Percent of Total Billed Charges,212.68,,259.85,92,,Percent of Total Billed Charges,176.53,,254.21,90,,Percent of Total Billed Charges,140.94,,251.38,89,,Percent of Total Billed Charges,135.58,,232.74,82.4,,Percent of Total Billed Charges,232.17,,235.56,83.4,,Percent of Total Billed Charges,219.75,,235.56,83.4,,Percent of Total Billed Charges,198,,235.56,83.4,,Percent of Total Billed Charges,229.91,,254.21,90,,Percent of Total Billed Charges,239.24,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,259.85,92,,Percent of Total Billed Charges,229.07,,259.85,92,,Percent of Total Billed Charges,210.14,,259.85,92,,Percent of Total Billed Charges,221.16,,259.85,92,,Percent of Total Billed Charges,229.07,,220.31,78,,Percent of Total Billed Charges,220.31,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,152.04,53.83,,Percent of Total Billed Charges,142.64,,97.84,34.64,,Percent of Total Billed Charges,97.45,,141.17,49.98,,Percent of Total Billed Charges,106.77,,97.84,259.85,,																																							
HC COLONOSCOPY/STOMA W/SNARE POLYPEC,44394,CPT,,,,BOTH, , ,282.45,237.26,259.85,92,,Percent of Total Billed Charges,236.13,,259.85,92,,Percent of Total Billed Charges,231.89,,259.85,92,,Percent of Total Billed Charges,227.37,,259.85,92,,Percent of Total Billed Charges,235.85,,259.85,92,,Percent of Total Billed Charges,212.68,,259.85,92,,Percent of Total Billed Charges,176.53,,254.21,90,,Percent of Total Billed Charges,140.94,,251.38,89,,Percent of Total Billed Charges,135.58,,232.74,82.4,,Percent of Total Billed Charges,232.17,,235.56,83.4,,Percent of Total Billed Charges,219.75,,235.56,83.4,,Percent of Total Billed Charges,198,,235.56,83.4,,Percent of Total Billed Charges,229.91,,254.21,90,,Percent of Total Billed Charges,239.24,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,259.85,92,,Percent of Total Billed Charges,229.07,,259.85,92,,Percent of Total Billed Charges,210.14,,259.85,92,,Percent of Total Billed Charges,221.16,,259.85,92,,Percent of Total Billed Charges,229.07,,220.31,78,,Percent of Total Billed Charges,220.31,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,152.04,53.83,,Percent of Total Billed Charges,142.64,,97.84,34.64,,Percent of Total Billed Charges,97.45,,141.17,49.98,,Percent of Total Billed Charges,106.77,,97.84,259.85,,																																							
HC DIAGNOSTIC SIGMOIDOSCOPY,45330,CPT,,,,BOTH, , ,1761.9,1480,1620.95,92,,Percent of Total Billed Charges,1472.95,,1620.95,92,,Percent of Total Billed Charges,1446.52,,1620.95,92,,Percent of Total Billed Charges,1418.33,,1620.95,92,,Percent of Total Billed Charges,1471.19,,1620.95,92,,Percent of Total Billed Charges,1326.71,,1620.95,92,,Percent of Total Billed Charges,1101.19,,1585.71,90,,Percent of Total Billed Charges,879.19,,1568.09,89,,Percent of Total Billed Charges,845.71,,1451.81,82.4,,Percent of Total Billed Charges,1448.28,,1469.42,83.4,,Percent of Total Billed Charges,1370.76,,1469.42,83.4,,Percent of Total Billed Charges,1235.09,,1469.42,83.4,,Percent of Total Billed Charges,1434.19,,1585.71,90,,Percent of Total Billed Charges,1492.33,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1620.95,92,,Percent of Total Billed Charges,1428.9,,1620.95,92,,Percent of Total Billed Charges,1310.85,,1620.95,92,,Percent of Total Billed Charges,1379.57,,1620.95,92,,Percent of Total Billed Charges,1428.9,,1374.28,78,,Percent of Total Billed Charges,1374.28,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,948.43,53.83,,Percent of Total Billed Charges,889.76,,610.32,34.64,,Percent of Total Billed Charges,607.86,,880.6,49.98,,Percent of Total Billed Charges,666,,610.32,1620.95,,																																							
HC SIGMOIDOSCOPY AND BIOPSY,45331,CPT,,,,BOTH, , ,1761.9,1480,1620.95,92,,Percent of Total Billed Charges,1472.95,,1620.95,92,,Percent of Total Billed Charges,1446.52,,1620.95,92,,Percent of Total Billed Charges,1418.33,,1620.95,92,,Percent of Total Billed Charges,1471.19,,1620.95,92,,Percent of Total Billed Charges,1326.71,,1620.95,92,,Percent of Total Billed Charges,1101.19,,1585.71,90,,Percent of Total Billed Charges,879.19,,1568.09,89,,Percent of Total Billed Charges,845.71,,1451.81,82.4,,Percent of Total Billed Charges,1448.28,,1469.42,83.4,,Percent of Total Billed Charges,1370.76,,1469.42,83.4,,Percent of Total Billed Charges,1235.09,,1469.42,83.4,,Percent of Total Billed Charges,1434.19,,1585.71,90,,Percent of Total Billed Charges,1492.33,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1620.95,92,,Percent of Total Billed Charges,1428.9,,1620.95,92,,Percent of Total Billed Charges,1310.85,,1620.95,92,,Percent of Total Billed Charges,1379.57,,1620.95,92,,Percent of Total Billed Charges,1428.9,,1374.28,78,,Percent of Total Billed Charges,1374.28,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,948.43,53.83,,Percent of Total Billed Charges,889.76,,610.32,34.64,,Percent of Total Billed Charges,607.86,,880.6,49.98,,Percent of Total Billed Charges,666,,610.32,1620.95,,																																							
HC SIGMOIDOSCOPY FOR BLEEDING,45334,CPT,,,,BOTH, , ,2896.95,2433.44,2665.19,92,,Percent of Total Billed Charges,2421.85,,2665.19,92,,Percent of Total Billed Charges,2378.4,,2665.19,92,,Percent of Total Billed Charges,2332.04,,2665.19,92,,Percent of Total Billed Charges,2418.95,,2665.19,92,,Percent of Total Billed Charges,2181.4,,2665.19,92,,Percent of Total Billed Charges,1810.59,,2607.26,90,,Percent of Total Billed Charges,1445.58,,2578.29,89,,Percent of Total Billed Charges,1390.54,,2387.09,82.4,,Percent of Total Billed Charges,2381.29,,2416.06,83.4,,Percent of Total Billed Charges,2253.83,,2416.06,83.4,,Percent of Total Billed Charges,2030.76,,2416.06,83.4,,Percent of Total Billed Charges,2358.12,,2607.26,90,,Percent of Total Billed Charges,2453.72,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2665.19,92,,Percent of Total Billed Charges,2349.43,,2665.19,92,,Percent of Total Billed Charges,2155.33,,2665.19,92,,Percent of Total Billed Charges,2268.31,,2665.19,92,,Percent of Total Billed Charges,2349.43,,2259.62,78,,Percent of Total Billed Charges,2259.62,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1559.43,53.83,,Percent of Total Billed Charges,1462.96,,1003.5,34.64,,Percent of Total Billed Charges,999.45,,1447.9,49.98,,Percent of Total Billed Charges,1095.05,,1003.50,2665.19,,																																							
HC SIGMOIDOSCOPY W/LESION REMOVAL BY SNARE,45338,CPT,,,,BOTH, , ,2823.45,2371.7,2597.57,92,,Percent of Total Billed Charges,2360.4,,2597.57,92,,Percent of Total Billed Charges,2318.05,,2597.57,92,,Percent of Total Billed Charges,2272.88,,2597.57,92,,Percent of Total Billed Charges,2357.58,,2597.57,92,,Percent of Total Billed Charges,2126.06,,2597.57,92,,Percent of Total Billed Charges,1764.66,,2541.11,90,,Percent of Total Billed Charges,1408.9,,2512.87,89,,Percent of Total Billed Charges,1355.26,,2326.52,82.4,,Percent of Total Billed Charges,2320.88,,2354.76,83.4,,Percent of Total Billed Charges,2196.64,,2354.76,83.4,,Percent of Total Billed Charges,1979.24,,2354.76,83.4,,Percent of Total Billed Charges,2298.29,,2541.11,90,,Percent of Total Billed Charges,2391.46,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2597.57,92,,Percent of Total Billed Charges,2289.82,,2597.57,92,,Percent of Total Billed Charges,2100.65,,2597.57,92,,Percent of Total Billed Charges,2210.76,,2597.57,92,,Percent of Total Billed Charges,2289.82,,2202.29,78,,Percent of Total Billed Charges,2202.29,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1519.86,53.83,,Percent of Total Billed Charges,1425.84,,978.04,34.64,,Percent of Total Billed Charges,974.09,,1411.16,49.98,,Percent of Total Billed Charges,1067.26,,978.04,2597.57,,																																							
HC DIAGNOSTIC COLONOSCOPY,45378,CPT,,,,BOTH, , ,282.45,237.26,259.85,92,,Percent of Total Billed Charges,236.13,,259.85,92,,Percent of Total Billed Charges,231.89,,259.85,92,,Percent of Total Billed Charges,227.37,,259.85,92,,Percent of Total Billed Charges,235.85,,259.85,92,,Percent of Total Billed Charges,212.68,,259.85,92,,Percent of Total Billed Charges,176.53,,254.21,90,,Percent of Total Billed Charges,140.94,,251.38,89,,Percent of Total Billed Charges,135.58,,232.74,82.4,,Percent of Total Billed Charges,232.17,,235.56,83.4,,Percent of Total Billed Charges,219.75,,235.56,83.4,,Percent of Total Billed Charges,198,,235.56,83.4,,Percent of Total Billed Charges,229.91,,254.21,90,,Percent of Total Billed Charges,239.24,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,259.85,92,,Percent of Total Billed Charges,229.07,,259.85,92,,Percent of Total Billed Charges,210.14,,259.85,92,,Percent of Total Billed Charges,221.16,,259.85,92,,Percent of Total Billed Charges,229.07,,220.31,78,,Percent of Total Billed Charges,220.31,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,152.04,53.83,,Percent of Total Billed Charges,142.64,,97.84,34.64,,Percent of Total Billed Charges,97.45,,141.17,49.98,,Percent of Total Billed Charges,106.77,,97.84,259.85,,																																							
HC COLONOSCOPY W/FB REMOVAL,45379,CPT,,,,BOTH, , ,282.45,237.26,259.85,92,,Percent of Total Billed Charges,236.13,,259.85,92,,Percent of Total Billed Charges,231.89,,259.85,92,,Percent of Total Billed Charges,227.37,,259.85,92,,Percent of Total Billed Charges,235.85,,259.85,92,,Percent of Total Billed Charges,212.68,,259.85,92,,Percent of Total Billed Charges,176.53,,254.21,90,,Percent of Total Billed Charges,140.94,,251.38,89,,Percent of Total Billed Charges,135.58,,232.74,82.4,,Percent of Total Billed Charges,232.17,,235.56,83.4,,Percent of Total Billed Charges,219.75,,235.56,83.4,,Percent of Total Billed Charges,198,,235.56,83.4,,Percent of Total Billed Charges,229.91,,254.21,90,,Percent of Total Billed Charges,239.24,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,259.85,92,,Percent of Total Billed Charges,229.07,,259.85,92,,Percent of Total Billed Charges,210.14,,259.85,92,,Percent of Total Billed Charges,221.16,,259.85,92,,Percent of Total Billed Charges,229.07,,220.31,78,,Percent of Total Billed Charges,220.31,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,152.04,53.83,,Percent of Total Billed Charges,142.64,,97.84,34.64,,Percent of Total Billed Charges,97.45,,141.17,49.98,,Percent of Total Billed Charges,106.77,,97.84,259.85,,																																							
HC COLONOSCOPY AND BIOPSY,45380,CPT,,,,BOTH, , ,282.45,237.26,259.85,92,,Percent of Total Billed Charges,236.13,,259.85,92,,Percent of Total Billed Charges,231.89,,259.85,92,,Percent of Total Billed Charges,227.37,,259.85,92,,Percent of Total Billed Charges,235.85,,259.85,92,,Percent of Total Billed Charges,212.68,,259.85,92,,Percent of Total Billed Charges,176.53,,254.21,90,,Percent of Total Billed Charges,140.94,,251.38,89,,Percent of Total Billed Charges,135.58,,232.74,82.4,,Percent of Total Billed Charges,232.17,,235.56,83.4,,Percent of Total Billed Charges,219.75,,235.56,83.4,,Percent of Total Billed Charges,198,,235.56,83.4,,Percent of Total Billed Charges,229.91,,254.21,90,,Percent of Total Billed Charges,239.24,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,259.85,92,,Percent of Total Billed Charges,229.07,,259.85,92,,Percent of Total Billed Charges,210.14,,259.85,92,,Percent of Total Billed Charges,221.16,,259.85,92,,Percent of Total Billed Charges,229.07,,220.31,78,,Percent of Total Billed Charges,220.31,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,152.04,53.83,,Percent of Total Billed Charges,142.64,,97.84,34.64,,Percent of Total Billed Charges,97.45,,141.17,49.98,,Percent of Total Billed Charges,106.77,,97.84,259.85,,																																							
HC COLON W/SUBMUCOSAL INJ,45381,CPT,,,,BOTH, , ,3042.9,2556.04,2799.47,92,,Percent of Total Billed Charges,2543.86,,2799.47,92,,Percent of Total Billed Charges,2498.22,,2799.47,92,,Percent of Total Billed Charges,2449.53,,2799.47,92,,Percent of Total Billed Charges,2540.82,,2799.47,92,,Percent of Total Billed Charges,2291.3,,2799.47,92,,Percent of Total Billed Charges,1901.81,,2738.61,90,,Percent of Total Billed Charges,1518.41,,2708.18,89,,Percent of Total Billed Charges,1460.59,,2507.35,82.4,,Percent of Total Billed Charges,2501.26,,2537.78,83.4,,Percent of Total Billed Charges,2367.38,,2537.78,83.4,,Percent of Total Billed Charges,2133.07,,2537.78,83.4,,Percent of Total Billed Charges,2476.92,,2738.61,90,,Percent of Total Billed Charges,2577.34,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2799.47,92,,Percent of Total Billed Charges,2467.79,,2799.47,92,,Percent of Total Billed Charges,2263.92,,2799.47,92,,Percent of Total Billed Charges,2382.59,,2799.47,92,,Percent of Total Billed Charges,2467.79,,2373.46,78,,Percent of Total Billed Charges,2373.46,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1637.99,53.83,,Percent of Total Billed Charges,1536.66,,1054.06,34.64,,Percent of Total Billed Charges,1049.8,,1520.84,49.98,,Percent of Total Billed Charges,1150.22,,1054.06,2799.47,,																																							
HC COLONOSCOPY W/CNTRL OF BLEEDING,45382,CPT,,,,BOTH, , ,282.45,237.26,259.85,92,,Percent of Total Billed Charges,236.13,,259.85,92,,Percent of Total Billed Charges,231.89,,259.85,92,,Percent of Total Billed Charges,227.37,,259.85,92,,Percent of Total Billed Charges,235.85,,259.85,92,,Percent of Total Billed Charges,212.68,,259.85,92,,Percent of Total Billed Charges,176.53,,254.21,90,,Percent of Total Billed Charges,140.94,,251.38,89,,Percent of Total Billed Charges,135.58,,232.74,82.4,,Percent of Total Billed Charges,232.17,,235.56,83.4,,Percent of Total Billed Charges,219.75,,235.56,83.4,,Percent of Total Billed Charges,198,,235.56,83.4,,Percent of Total Billed Charges,229.91,,254.21,90,,Percent of Total Billed Charges,239.24,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,259.85,92,,Percent of Total Billed Charges,229.07,,259.85,92,,Percent of Total Billed Charges,210.14,,259.85,92,,Percent of Total Billed Charges,221.16,,259.85,92,,Percent of Total Billed Charges,229.07,,220.31,78,,Percent of Total Billed Charges,220.31,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,152.04,53.83,,Percent of Total Billed Charges,142.64,,97.84,34.64,,Percent of Total Billed Charges,97.45,,141.17,49.98,,Percent of Total Billed Charges,106.77,,97.84,259.85,,																																							
HC COLONOSCOPY W/LESION REMOVAL BY HOT BX,45384,CPT,,,,BOTH, , ,282.45,237.26,259.85,92,,Percent of Total Billed Charges,236.13,,259.85,92,,Percent of Total Billed Charges,231.89,,259.85,92,,Percent of Total Billed Charges,227.37,,259.85,92,,Percent of Total Billed Charges,235.85,,259.85,92,,Percent of Total Billed Charges,212.68,,259.85,92,,Percent of Total Billed Charges,176.53,,254.21,90,,Percent of Total Billed Charges,140.94,,251.38,89,,Percent of Total Billed Charges,135.58,,232.74,82.4,,Percent of Total Billed Charges,232.17,,235.56,83.4,,Percent of Total Billed Charges,219.75,,235.56,83.4,,Percent of Total Billed Charges,198,,235.56,83.4,,Percent of Total Billed Charges,229.91,,254.21,90,,Percent of Total Billed Charges,239.24,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,259.85,92,,Percent of Total Billed Charges,229.07,,259.85,92,,Percent of Total Billed Charges,210.14,,259.85,92,,Percent of Total Billed Charges,221.16,,259.85,92,,Percent of Total Billed Charges,229.07,,220.31,78,,Percent of Total Billed Charges,220.31,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,152.04,53.83,,Percent of Total Billed Charges,142.64,,97.84,34.64,,Percent of Total Billed Charges,97.45,,141.17,49.98,,Percent of Total Billed Charges,106.77,,97.84,259.85,,																																							
HC COLONOSCOPY W/LESION REMOVAL BY SNARE,45385,CPT,,,,BOTH, , ,282.45,237.26,259.85,92,,Percent of Total Billed Charges,236.13,,259.85,92,,Percent of Total Billed Charges,231.89,,259.85,92,,Percent of Total Billed Charges,227.37,,259.85,92,,Percent of Total Billed Charges,235.85,,259.85,92,,Percent of Total Billed Charges,212.68,,259.85,92,,Percent of Total Billed Charges,176.53,,254.21,90,,Percent of Total Billed Charges,140.94,,251.38,89,,Percent of Total Billed Charges,135.58,,232.74,82.4,,Percent of Total Billed Charges,232.17,,235.56,83.4,,Percent of Total Billed Charges,219.75,,235.56,83.4,,Percent of Total Billed Charges,198,,235.56,83.4,,Percent of Total Billed Charges,229.91,,254.21,90,,Percent of Total Billed Charges,239.24,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,259.85,92,,Percent of Total Billed Charges,229.07,,259.85,92,,Percent of Total Billed Charges,210.14,,259.85,92,,Percent of Total Billed Charges,221.16,,259.85,92,,Percent of Total Billed Charges,229.07,,220.31,78,,Percent of Total Billed Charges,220.31,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,152.04,53.83,,Percent of Total Billed Charges,142.64,,97.84,34.64,,Percent of Total Billed Charges,97.45,,141.17,49.98,,Percent of Total Billed Charges,106.77,,97.84,259.85,,																																							
HC COLONOSCOPY W/BALLOON DILAT,45386,CPT,,,,BOTH, , ,3042.9,2556.04,2799.47,92,,Percent of Total Billed Charges,2543.86,,2799.47,92,,Percent of Total Billed Charges,2498.22,,2799.47,92,,Percent of Total Billed Charges,2449.53,,2799.47,92,,Percent of Total Billed Charges,2540.82,,2799.47,92,,Percent of Total Billed Charges,2291.3,,2799.47,92,,Percent of Total Billed Charges,1901.81,,2738.61,90,,Percent of Total Billed Charges,1518.41,,2708.18,89,,Percent of Total Billed Charges,1460.59,,2507.35,82.4,,Percent of Total Billed Charges,2501.26,,2537.78,83.4,,Percent of Total Billed Charges,2367.38,,2537.78,83.4,,Percent of Total Billed Charges,2133.07,,2537.78,83.4,,Percent of Total Billed Charges,2476.92,,2738.61,90,,Percent of Total Billed Charges,2577.34,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2799.47,92,,Percent of Total Billed Charges,2467.79,,2799.47,92,,Percent of Total Billed Charges,2263.92,,2799.47,92,,Percent of Total Billed Charges,2382.59,,2799.47,92,,Percent of Total Billed Charges,2467.79,,2373.46,78,,Percent of Total Billed Charges,2373.46,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1637.99,53.83,,Percent of Total Billed Charges,1536.66,,1054.06,34.64,,Percent of Total Billed Charges,1049.8,,1520.84,49.98,,Percent of Total Billed Charges,1150.22,,1054.06,2799.47,,																																							
HC COLONOSCOPY W/ABLATION,45388,CPT,,,,BOTH, , ,4737.6,3979.58,4358.59,92,,Percent of Total Billed Charges,3960.63,,4358.59,92,,Percent of Total Billed Charges,3889.57,,4358.59,92,,Percent of Total Billed Charges,3813.77,,4358.59,92,,Percent of Total Billed Charges,3955.9,,4358.59,92,,Percent of Total Billed Charges,3567.41,,4358.59,92,,Percent of Total Billed Charges,2961,,4263.84,90,,Percent of Total Billed Charges,2364.06,,4216.46,89,,Percent of Total Billed Charges,2274.05,,3903.78,82.4,,Percent of Total Billed Charges,3894.31,,3951.16,83.4,,Percent of Total Billed Charges,3685.85,,3951.16,83.4,,Percent of Total Billed Charges,3321.06,,3951.16,83.4,,Percent of Total Billed Charges,3856.41,,4263.84,90,,Percent of Total Billed Charges,4012.75,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4358.59,92,,Percent of Total Billed Charges,3842.19,,4358.59,92,,Percent of Total Billed Charges,3524.77,,4358.59,92,,Percent of Total Billed Charges,3709.54,,4358.59,92,,Percent of Total Billed Charges,3842.19,,3695.33,78,,Percent of Total Billed Charges,3695.33,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2550.25,53.83,,Percent of Total Billed Charges,2392.49,,1641.1,34.64,,Percent of Total Billed Charges,1634.47,,2367.85,49.98,,Percent of Total Billed Charges,1790.81,,1641.10,4358.59,,																																							
HC ESOPHAGEAL MOTILITY TESTING,91010,CPT,,,,BOTH, , ,203.7,171.11,187.4,92,,Percent of Total Billed Charges,170.29,,187.4,92,,Percent of Total Billed Charges,167.24,,187.4,92,,Percent of Total Billed Charges,163.98,,187.4,92,,Percent of Total Billed Charges,170.09,,187.4,92,,Percent of Total Billed Charges,153.39,,187.4,92,,Percent of Total Billed Charges,127.31,,183.33,90,,Percent of Total Billed Charges,101.65,,181.29,89,,Percent of Total Billed Charges,97.78,,167.85,82.4,,Percent of Total Billed Charges,167.44,,169.89,83.4,,Percent of Total Billed Charges,158.48,,169.89,83.4,,Percent of Total Billed Charges,142.79,,169.89,83.4,,Percent of Total Billed Charges,165.81,,183.33,90,,Percent of Total Billed Charges,172.53,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,187.4,92,,Percent of Total Billed Charges,165.2,,187.4,92,,Percent of Total Billed Charges,151.55,,187.4,92,,Percent of Total Billed Charges,159.5,,187.4,92,,Percent of Total Billed Charges,165.2,,158.89,78,,Percent of Total Billed Charges,158.89,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,109.65,53.83,,Percent of Total Billed Charges,102.87,,70.56,34.64,,Percent of Total Billed Charges,70.28,,101.81,49.98,,Percent of Total Billed Charges,77,,70.56,187.4,,																																							
HC GESOPHAGUS REFLUX TST W/ELECTROD,91035,CPT,,,,BOTH, , ,2323.65,1951.87,2137.76,92,,Percent of Total Billed Charges,1942.57,,2137.76,92,,Percent of Total Billed Charges,1907.72,,2137.76,92,,Percent of Total Billed Charges,1870.54,,2137.76,92,,Percent of Total Billed Charges,1940.25,,2137.76,92,,Percent of Total Billed Charges,1749.71,,2137.76,92,,Percent of Total Billed Charges,1452.28,,2091.29,90,,Percent of Total Billed Charges,1159.5,,2068.05,89,,Percent of Total Billed Charges,1115.35,,1914.69,82.4,,Percent of Total Billed Charges,1910.04,,1937.92,83.4,,Percent of Total Billed Charges,1807.8,,1937.92,83.4,,Percent of Total Billed Charges,1628.88,,1937.92,83.4,,Percent of Total Billed Charges,1891.45,,2091.29,90,,Percent of Total Billed Charges,1968.13,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2137.76,92,,Percent of Total Billed Charges,1884.48,,2137.76,92,,Percent of Total Billed Charges,1728.8,,2137.76,92,,Percent of Total Billed Charges,1819.42,,2137.76,92,,Percent of Total Billed Charges,1884.48,,1812.45,78,,Percent of Total Billed Charges,1812.45,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1250.82,53.83,,Percent of Total Billed Charges,1173.44,,804.91,34.64,,Percent of Total Billed Charges,801.66,,1161.36,49.98,,Percent of Total Billed Charges,878.34,,804.91,2137.76,,																																							
HC GI TRACT CAPSULE ENDOSCOPY,91110,CPT,,,,BOTH, , ,3830.4,3217.54,3523.97,92,,Percent of Total Billed Charges,3202.21,,3523.97,92,,Percent of Total Billed Charges,3144.76,,3523.97,92,,Percent of Total Billed Charges,3083.47,,3523.97,92,,Percent of Total Billed Charges,3198.38,,3523.97,92,,Percent of Total Billed Charges,2884.29,,3523.97,92,,Percent of Total Billed Charges,2394,,3447.36,90,,Percent of Total Billed Charges,1911.37,,3409.06,89,,Percent of Total Billed Charges,1838.59,,3156.25,82.4,,Percent of Total Billed Charges,3148.59,,3194.55,83.4,,Percent of Total Billed Charges,2980.05,,3194.55,83.4,,Percent of Total Billed Charges,2685.11,,3194.55,83.4,,Percent of Total Billed Charges,3117.95,,3447.36,90,,Percent of Total Billed Charges,3244.35,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3523.97,92,,Percent of Total Billed Charges,3106.45,,3523.97,92,,Percent of Total Billed Charges,2849.82,,3523.97,92,,Percent of Total Billed Charges,2999.2,,3523.97,92,,Percent of Total Billed Charges,3106.45,,2987.71,78,,Percent of Total Billed Charges,2987.71,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2061.9,53.83,,Percent of Total Billed Charges,1934.35,,1326.85,34.64,,Percent of Total Billed Charges,1321.49,,1914.43,49.98,,Percent of Total Billed Charges,1447.89,,1326.85,3523.97,,																																							
HC GI ENDOSCOPIC ULTRASOUND,43237,CPT,,,,BOTH, , ,5993.4,5034.46,5513.93,92,,Percent of Total Billed Charges,5010.48,,5513.93,92,,Percent of Total Billed Charges,4920.58,,5513.93,92,,Percent of Total Billed Charges,4824.69,,5513.93,92,,Percent of Total Billed Charges,5004.49,,5513.93,92,,Percent of Total Billed Charges,4513.03,,5513.93,92,,Percent of Total Billed Charges,3745.88,,5394.06,90,,Percent of Total Billed Charges,2990.71,,5334.13,89,,Percent of Total Billed Charges,2876.83,,4938.56,82.4,,Percent of Total Billed Charges,4926.57,,4998.5,83.4,,Percent of Total Billed Charges,4662.87,,4998.5,83.4,,Percent of Total Billed Charges,4201.37,,4998.5,83.4,,Percent of Total Billed Charges,4878.63,,5394.06,90,,Percent of Total Billed Charges,5076.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5513.93,92,,Percent of Total Billed Charges,4860.65,,5513.93,92,,Percent of Total Billed Charges,4459.09,,5513.93,92,,Percent of Total Billed Charges,4692.83,,5513.93,92,,Percent of Total Billed Charges,4860.65,,4674.85,78,,Percent of Total Billed Charges,4674.85,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3226.25,53.83,,Percent of Total Billed Charges,3026.67,,2076.11,34.64,,Percent of Total Billed Charges,2067.72,,2995.5,49.98,,Percent of Total Billed Charges,2265.51,,2076.11,5513.93,,																																							
HC ENTEROSCOPY W/CNTRL BLEEDING,44366,CPT,,,,BOTH, , ,259.35,217.85,238.6,92,,Percent of Total Billed Charges,216.82,,238.6,92,,Percent of Total Billed Charges,212.93,,238.6,92,,Percent of Total Billed Charges,208.78,,238.6,92,,Percent of Total Billed Charges,216.56,,238.6,92,,Percent of Total Billed Charges,195.29,,238.6,92,,Percent of Total Billed Charges,162.09,,233.42,90,,Percent of Total Billed Charges,129.42,,230.82,89,,Percent of Total Billed Charges,124.49,,213.7,82.4,,Percent of Total Billed Charges,213.19,,216.3,83.4,,Percent of Total Billed Charges,201.77,,216.3,83.4,,Percent of Total Billed Charges,181.8,,216.3,83.4,,Percent of Total Billed Charges,211.11,,233.42,90,,Percent of Total Billed Charges,219.67,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,238.6,92,,Percent of Total Billed Charges,210.33,,238.6,92,,Percent of Total Billed Charges,192.96,,238.6,92,,Percent of Total Billed Charges,203.07,,238.6,92,,Percent of Total Billed Charges,210.33,,202.29,78,,Percent of Total Billed Charges,202.29,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,139.61,53.83,,Percent of Total Billed Charges,130.97,,89.84,34.64,,Percent of Total Billed Charges,89.48,,129.62,49.98,,Percent of Total Billed Charges,98.03,,89.84,238.6,,																																							
HC DX BRONCHOSCOPE/BRUSH,31623,CPT,,,,BOTH, , ,5116.65,4297.99,4707.32,92,,Percent of Total Billed Charges,4277.52,,4707.32,92,,Percent of Total Billed Charges,4200.77,,4707.32,92,,Percent of Total Billed Charges,4118.9,,4707.32,92,,Percent of Total Billed Charges,4272.4,,4707.32,92,,Percent of Total Billed Charges,3852.84,,4707.32,92,,Percent of Total Billed Charges,3197.91,,4604.99,90,,Percent of Total Billed Charges,2553.21,,4553.82,89,,Percent of Total Billed Charges,2455.99,,4216.12,82.4,,Percent of Total Billed Charges,4205.89,,4267.29,83.4,,Percent of Total Billed Charges,3980.75,,4267.29,83.4,,Percent of Total Billed Charges,3586.77,,4267.29,83.4,,Percent of Total Billed Charges,4164.95,,4604.99,90,,Percent of Total Billed Charges,4333.8,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4707.32,92,,Percent of Total Billed Charges,4149.6,,4707.32,92,,Percent of Total Billed Charges,3806.79,,4707.32,92,,Percent of Total Billed Charges,4006.34,,4707.32,92,,Percent of Total Billed Charges,4149.6,,3990.99,78,,Percent of Total Billed Charges,3990.99,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2754.29,53.83,,Percent of Total Billed Charges,2583.91,,1772.41,34.64,,Percent of Total Billed Charges,1765.24,,2557.3,49.98,,Percent of Total Billed Charges,1934.09,,1772.41,4707.32,,																																							
HC BRONCHOSCOPY W/MARKERS,31626,CPT,,,,BOTH, , ,15127.35,12706.97,13917.16,92,,Percent of Total Billed Charges,12646.46,,13917.16,92,,Percent of Total Billed Charges,12419.55,,13917.16,92,,Percent of Total Billed Charges,12177.52,,13917.16,92,,Percent of Total Billed Charges,12631.34,,13917.16,92,,Percent of Total Billed Charges,11390.89,,13917.16,92,,Percent of Total Billed Charges,9454.59,,13614.62,90,,Percent of Total Billed Charges,7548.55,,13463.34,89,,Percent of Total Billed Charges,7261.13,,12464.94,82.4,,Percent of Total Billed Charges,12434.68,,12616.21,83.4,,Percent of Total Billed Charges,11769.08,,12616.21,83.4,,Percent of Total Billed Charges,10604.27,,12616.21,83.4,,Percent of Total Billed Charges,12313.66,,13614.62,90,,Percent of Total Billed Charges,12812.87,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,13917.16,92,,Percent of Total Billed Charges,12268.28,,13917.16,92,,Percent of Total Billed Charges,11254.75,,13917.16,92,,Percent of Total Billed Charges,11844.72,,13917.16,92,,Percent of Total Billed Charges,12268.28,,11799.33,78,,Percent of Total Billed Charges,11799.33,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,8143.05,53.83,,Percent of Total Billed Charges,7639.31,,5240.11,34.64,,Percent of Total Billed Charges,5218.94,,7560.65,49.98,,Percent of Total Billed Charges,5718.14,,5240.11,13917.16,,																																							
HC NAVIGATIONAL BRONCHOSCOPY,31627,CPT,,,,BOTH, , ,2799.3,2351.41,2575.36,92,,Percent of Total Billed Charges,2340.21,,2575.36,92,,Percent of Total Billed Charges,2298.23,,2575.36,92,,Percent of Total Billed Charges,2253.44,,2575.36,92,,Percent of Total Billed Charges,2337.42,,2575.36,92,,Percent of Total Billed Charges,2107.87,,2575.36,92,,Percent of Total Billed Charges,1749.56,,2519.37,90,,Percent of Total Billed Charges,1396.85,,2491.38,89,,Percent of Total Billed Charges,1343.66,,2306.62,82.4,,Percent of Total Billed Charges,2301.02,,2334.62,83.4,,Percent of Total Billed Charges,2177.86,,2334.62,83.4,,Percent of Total Billed Charges,1962.31,,2334.62,83.4,,Percent of Total Billed Charges,2278.63,,2519.37,90,,Percent of Total Billed Charges,2371.01,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2575.36,92,,Percent of Total Billed Charges,2270.23,,2575.36,92,,Percent of Total Billed Charges,2082.68,,2575.36,92,,Percent of Total Billed Charges,2191.85,,2575.36,92,,Percent of Total Billed Charges,2270.23,,2183.45,78,,Percent of Total Billed Charges,2183.45,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1506.86,53.83,,Percent of Total Billed Charges,1413.65,,969.68,34.64,,Percent of Total Billed Charges,965.76,,1399.09,49.98,,Percent of Total Billed Charges,1058.14,,969.68,2575.36,,																																							
HC BRONCHOSCOPY/LUNG BX ADDL,31632,CPT,,,,BOTH, , ,2228.1,1871.6,2049.85,92,,Percent of Total Billed Charges,1862.69,,2049.85,92,,Percent of Total Billed Charges,1829.27,,2049.85,92,,Percent of Total Billed Charges,1793.62,,2049.85,92,,Percent of Total Billed Charges,1860.46,,2049.85,92,,Percent of Total Billed Charges,1677.76,,2049.85,92,,Percent of Total Billed Charges,1392.56,,2005.29,90,,Percent of Total Billed Charges,1111.82,,1983.01,89,,Percent of Total Billed Charges,1069.49,,1835.95,82.4,,Percent of Total Billed Charges,1831.5,,1858.24,83.4,,Percent of Total Billed Charges,1733.46,,1858.24,83.4,,Percent of Total Billed Charges,1561.9,,1858.24,83.4,,Percent of Total Billed Charges,1813.67,,2005.29,90,,Percent of Total Billed Charges,1887.2,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2049.85,92,,Percent of Total Billed Charges,1806.99,,2049.85,92,,Percent of Total Billed Charges,1657.71,,2049.85,92,,Percent of Total Billed Charges,1744.6,,2049.85,92,,Percent of Total Billed Charges,1806.99,,1737.92,78,,Percent of Total Billed Charges,1737.92,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1199.39,53.83,,Percent of Total Billed Charges,1125.19,,771.81,34.64,,Percent of Total Billed Charges,768.69,,1113.6,49.98,,Percent of Total Billed Charges,842.22,,771.81,2049.85,,																																							
HC STOMACH SURGERY PROCEDURE,43999,CPT,,,,BOTH, , ,3568.95,2997.92,3283.43,92,,Percent of Total Billed Charges,2983.64,,3283.43,92,,Percent of Total Billed Charges,2930.11,,3283.43,92,,Percent of Total Billed Charges,2873,,3283.43,92,,Percent of Total Billed Charges,2980.07,,3283.43,92,,Percent of Total Billed Charges,2687.42,,3283.43,92,,Percent of Total Billed Charges,2230.59,,3212.06,90,,Percent of Total Billed Charges,1780.91,,3176.37,89,,Percent of Total Billed Charges,1713.1,,2940.81,82.4,,Percent of Total Billed Charges,2933.68,,2976.5,83.4,,Percent of Total Billed Charges,2776.64,,2976.5,83.4,,Percent of Total Billed Charges,2501.83,,2976.5,83.4,,Percent of Total Billed Charges,2905.13,,3212.06,90,,Percent of Total Billed Charges,3022.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3283.43,92,,Percent of Total Billed Charges,2894.42,,3283.43,92,,Percent of Total Billed Charges,2655.3,,3283.43,92,,Percent of Total Billed Charges,2794.49,,3283.43,92,,Percent of Total Billed Charges,2894.42,,2783.78,78,,Percent of Total Billed Charges,2783.78,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1921.17,53.83,,Percent of Total Billed Charges,1802.32,,1236.28,34.64,,Percent of Total Billed Charges,1231.29,,1783.76,49.98,,Percent of Total Billed Charges,1349.06,,1236.28,3283.43,,																																							
HC EGD US FINE NEEDLE BX/ASPIR,43238,CPT,,,,BOTH, , ,6882.75,5781.51,6332.13,92,,Percent of Total Billed Charges,5753.98,,6332.13,92,,Percent of Total Billed Charges,5650.74,,6332.13,92,,Percent of Total Billed Charges,5540.61,,6332.13,92,,Percent of Total Billed Charges,5747.1,,6332.13,92,,Percent of Total Billed Charges,5182.71,,6332.13,92,,Percent of Total Billed Charges,4301.72,,6194.48,90,,Percent of Total Billed Charges,3434.49,,6125.65,89,,Percent of Total Billed Charges,3303.72,,5671.39,82.4,,Percent of Total Billed Charges,5657.62,,5740.21,83.4,,Percent of Total Billed Charges,5354.78,,5740.21,83.4,,Percent of Total Billed Charges,4824.81,,5740.21,83.4,,Percent of Total Billed Charges,5602.56,,6194.48,90,,Percent of Total Billed Charges,5829.69,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6332.13,92,,Percent of Total Billed Charges,5581.91,,6332.13,92,,Percent of Total Billed Charges,5120.77,,6332.13,92,,Percent of Total Billed Charges,5389.19,,6332.13,92,,Percent of Total Billed Charges,5581.91,,5368.55,78,,Percent of Total Billed Charges,5368.55,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3704.98,53.83,,Percent of Total Billed Charges,3475.79,,2384.18,34.64,,Percent of Total Billed Charges,2374.55,,3440,49.98,,Percent of Total Billed Charges,2601.68,,2384.18,6332.13,,																																							
HC BRONCHOSCOPY WITH ULTRASOUND (EBUS) 1OR2 STATION,31652,CPT,,,,BOTH, , ,9379.65,7878.91,8629.28,92,,Percent of Total Billed Charges,7841.39,,8629.28,92,,Percent of Total Billed Charges,7700.69,,8629.28,92,,Percent of Total Billed Charges,7550.62,,8629.28,92,,Percent of Total Billed Charges,7832.01,,8629.28,92,,Percent of Total Billed Charges,7062.88,,8629.28,92,,Percent of Total Billed Charges,5862.28,,8441.69,90,,Percent of Total Billed Charges,4680.45,,8347.89,89,,Percent of Total Billed Charges,4502.23,,7728.83,82.4,,Percent of Total Billed Charges,7710.07,,7822.63,83.4,,Percent of Total Billed Charges,7297.37,,7822.63,83.4,,Percent of Total Billed Charges,6575.13,,7822.63,83.4,,Percent of Total Billed Charges,7635.04,,8441.69,90,,Percent of Total Billed Charges,7944.56,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,8629.28,92,,Percent of Total Billed Charges,7606.9,,8629.28,92,,Percent of Total Billed Charges,6978.46,,8629.28,92,,Percent of Total Billed Charges,7344.27,,8629.28,92,,Percent of Total Billed Charges,7606.9,,7316.13,78,,Percent of Total Billed Charges,7316.13,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5049.07,53.83,,Percent of Total Billed Charges,4736.72,,3249.11,34.64,,Percent of Total Billed Charges,3235.98,,4687.95,49.98,,Percent of Total Billed Charges,3545.51,,3249.11,8629.28,,																																							
HC BRONCHOSCOPY WITH ULTRASOUND (EBUS) 3OR MORE STATION,31653,CPT,,,,BOTH, , ,9379.65,7878.91,8629.28,92,,Percent of Total Billed Charges,7841.39,,8629.28,92,,Percent of Total Billed Charges,7700.69,,8629.28,92,,Percent of Total Billed Charges,7550.62,,8629.28,92,,Percent of Total Billed Charges,7832.01,,8629.28,92,,Percent of Total Billed Charges,7062.88,,8629.28,92,,Percent of Total Billed Charges,5862.28,,8441.69,90,,Percent of Total Billed Charges,4680.45,,8347.89,89,,Percent of Total Billed Charges,4502.23,,7728.83,82.4,,Percent of Total Billed Charges,7710.07,,7822.63,83.4,,Percent of Total Billed Charges,7297.37,,7822.63,83.4,,Percent of Total Billed Charges,6575.13,,7822.63,83.4,,Percent of Total Billed Charges,7635.04,,8441.69,90,,Percent of Total Billed Charges,7944.56,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,8629.28,92,,Percent of Total Billed Charges,7606.9,,8629.28,92,,Percent of Total Billed Charges,6978.46,,8629.28,92,,Percent of Total Billed Charges,7344.27,,8629.28,92,,Percent of Total Billed Charges,7606.9,,7316.13,78,,Percent of Total Billed Charges,7316.13,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5049.07,53.83,,Percent of Total Billed Charges,4736.72,,3249.11,34.64,,Percent of Total Billed Charges,3235.98,,4687.95,49.98,,Percent of Total Billed Charges,3545.51,,3249.11,8629.28,,																																							
HC EGD WITH BALLOON DILATATION >30MM,43233,CPT,,,,BOTH, , ,5899.95,4955.96,5427.95,92,,Percent of Total Billed Charges,4932.36,,5427.95,92,,Percent of Total Billed Charges,4843.86,,5427.95,92,,Percent of Total Billed Charges,4749.46,,5427.95,92,,Percent of Total Billed Charges,4926.46,,5427.95,92,,Percent of Total Billed Charges,4442.66,,5427.95,92,,Percent of Total Billed Charges,3687.47,,5309.96,90,,Percent of Total Billed Charges,2944.08,,5250.96,89,,Percent of Total Billed Charges,2831.98,,4861.56,82.4,,Percent of Total Billed Charges,4849.76,,4920.56,83.4,,Percent of Total Billed Charges,4590.16,,4920.56,83.4,,Percent of Total Billed Charges,4135.86,,4920.56,83.4,,Percent of Total Billed Charges,4802.56,,5309.96,90,,Percent of Total Billed Charges,4997.26,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5427.95,92,,Percent of Total Billed Charges,4784.86,,5427.95,92,,Percent of Total Billed Charges,4389.56,,5427.95,92,,Percent of Total Billed Charges,4619.66,,5427.95,92,,Percent of Total Billed Charges,4784.86,,4601.96,78,,Percent of Total Billed Charges,4601.96,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3175.94,53.83,,Percent of Total Billed Charges,2979.47,,2043.74,34.64,,Percent of Total Billed Charges,2035.48,,2948.8,49.98,,Percent of Total Billed Charges,2230.18,,2043.74,5427.95,,																																							
HC ENDOSCOPIC ULTRASOUND WITH PSEUDOCYST DRAINAGE,43240,CPT,,,,BOTH, , ,10780.35,9055.49,9917.92,92,,Percent of Total Billed Charges,9012.37,,9917.92,92,,Percent of Total Billed Charges,8850.67,,9917.92,92,,Percent of Total Billed Charges,8678.18,,9917.92,92,,Percent of Total Billed Charges,9001.59,,9917.92,92,,Percent of Total Billed Charges,8117.6,,9917.92,92,,Percent of Total Billed Charges,6737.72,,9702.32,90,,Percent of Total Billed Charges,5379.39,,9594.51,89,,Percent of Total Billed Charges,5174.57,,8883.01,82.4,,Percent of Total Billed Charges,8861.45,,8990.81,83.4,,Percent of Total Billed Charges,8387.11,,8990.81,83.4,,Percent of Total Billed Charges,7557.03,,8990.81,83.4,,Percent of Total Billed Charges,8775.2,,9702.32,90,,Percent of Total Billed Charges,9130.96,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,9917.92,92,,Percent of Total Billed Charges,8742.86,,9917.92,92,,Percent of Total Billed Charges,8020.58,,9917.92,92,,Percent of Total Billed Charges,8441.01,,9917.92,92,,Percent of Total Billed Charges,8742.86,,8408.67,78,,Percent of Total Billed Charges,8408.67,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5803.06,53.83,,Percent of Total Billed Charges,5444.08,,3734.31,34.64,,Percent of Total Billed Charges,3719.22,,5388.02,49.98,,Percent of Total Billed Charges,4074.97,,3734.31,9917.92,,																																							
HC (EGD) ENTEROSCOPY WITH BIOPSY,44361,CPT,,,,BOTH, , ,512.4,430.42,471.41,92,,Percent of Total Billed Charges,428.37,,471.41,92,,Percent of Total Billed Charges,420.68,,471.41,92,,Percent of Total Billed Charges,412.48,,471.41,92,,Percent of Total Billed Charges,427.85,,471.41,92,,Percent of Total Billed Charges,385.84,,471.41,92,,Percent of Total Billed Charges,320.25,,461.16,90,,Percent of Total Billed Charges,255.69,,456.04,89,,Percent of Total Billed Charges,245.95,,422.22,82.4,,Percent of Total Billed Charges,421.19,,427.34,83.4,,Percent of Total Billed Charges,398.65,,427.34,83.4,,Percent of Total Billed Charges,359.19,,427.34,83.4,,Percent of Total Billed Charges,417.09,,461.16,90,,Percent of Total Billed Charges,434,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,471.41,92,,Percent of Total Billed Charges,415.56,,471.41,92,,Percent of Total Billed Charges,381.23,,471.41,92,,Percent of Total Billed Charges,401.21,,471.41,92,,Percent of Total Billed Charges,415.56,,399.67,78,,Percent of Total Billed Charges,399.67,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,275.82,53.83,,Percent of Total Billed Charges,258.76,,177.5,34.64,,Percent of Total Billed Charges,176.78,,256.1,49.98,,Percent of Total Billed Charges,193.69,,177.50,471.41,,																																							
HC (EGD) ENTEROSCOPY WITH SNARE POLYPECTOMY,44364,CPT,,,,BOTH, , ,512.4,430.42,471.41,92,,Percent of Total Billed Charges,428.37,,471.41,92,,Percent of Total Billed Charges,420.68,,471.41,92,,Percent of Total Billed Charges,412.48,,471.41,92,,Percent of Total Billed Charges,427.85,,471.41,92,,Percent of Total Billed Charges,385.84,,471.41,92,,Percent of Total Billed Charges,320.25,,461.16,90,,Percent of Total Billed Charges,255.69,,456.04,89,,Percent of Total Billed Charges,245.95,,422.22,82.4,,Percent of Total Billed Charges,421.19,,427.34,83.4,,Percent of Total Billed Charges,398.65,,427.34,83.4,,Percent of Total Billed Charges,359.19,,427.34,83.4,,Percent of Total Billed Charges,417.09,,461.16,90,,Percent of Total Billed Charges,434,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,471.41,92,,Percent of Total Billed Charges,415.56,,471.41,92,,Percent of Total Billed Charges,381.23,,471.41,92,,Percent of Total Billed Charges,401.21,,471.41,92,,Percent of Total Billed Charges,415.56,,399.67,78,,Percent of Total Billed Charges,399.67,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,275.82,53.83,,Percent of Total Billed Charges,258.76,,177.5,34.64,,Percent of Total Billed Charges,176.78,,256.1,49.98,,Percent of Total Billed Charges,193.69,,177.50,471.41,,																																							
HC (COLON) ENTEROSCOPY,44376,CPT,,,,BOTH, , ,512.4,430.42,471.41,92,,Percent of Total Billed Charges,428.37,,471.41,92,,Percent of Total Billed Charges,420.68,,471.41,92,,Percent of Total Billed Charges,412.48,,471.41,92,,Percent of Total Billed Charges,427.85,,471.41,92,,Percent of Total Billed Charges,385.84,,471.41,92,,Percent of Total Billed Charges,320.25,,461.16,90,,Percent of Total Billed Charges,255.69,,456.04,89,,Percent of Total Billed Charges,245.95,,422.22,82.4,,Percent of Total Billed Charges,421.19,,427.34,83.4,,Percent of Total Billed Charges,398.65,,427.34,83.4,,Percent of Total Billed Charges,359.19,,427.34,83.4,,Percent of Total Billed Charges,417.09,,461.16,90,,Percent of Total Billed Charges,434,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,471.41,92,,Percent of Total Billed Charges,415.56,,471.41,92,,Percent of Total Billed Charges,381.23,,471.41,92,,Percent of Total Billed Charges,401.21,,471.41,92,,Percent of Total Billed Charges,415.56,,399.67,78,,Percent of Total Billed Charges,399.67,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,275.82,53.83,,Percent of Total Billed Charges,258.76,,177.5,34.64,,Percent of Total Billed Charges,176.78,,256.1,49.98,,Percent of Total Billed Charges,193.69,,177.50,471.41,,																																							
HC (COLON) ENTEROSCOPY WITH BIOPSY,44377,CPT,,,,BOTH, , ,512.4,430.42,471.41,92,,Percent of Total Billed Charges,428.37,,471.41,92,,Percent of Total Billed Charges,420.68,,471.41,92,,Percent of Total Billed Charges,412.48,,471.41,92,,Percent of Total Billed Charges,427.85,,471.41,92,,Percent of Total Billed Charges,385.84,,471.41,92,,Percent of Total Billed Charges,320.25,,461.16,90,,Percent of Total Billed Charges,255.69,,456.04,89,,Percent of Total Billed Charges,245.95,,422.22,82.4,,Percent of Total Billed Charges,421.19,,427.34,83.4,,Percent of Total Billed Charges,398.65,,427.34,83.4,,Percent of Total Billed Charges,359.19,,427.34,83.4,,Percent of Total Billed Charges,417.09,,461.16,90,,Percent of Total Billed Charges,434,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,471.41,92,,Percent of Total Billed Charges,415.56,,471.41,92,,Percent of Total Billed Charges,381.23,,471.41,92,,Percent of Total Billed Charges,401.21,,471.41,92,,Percent of Total Billed Charges,415.56,,399.67,78,,Percent of Total Billed Charges,399.67,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,275.82,53.83,,Percent of Total Billed Charges,258.76,,177.5,34.64,,Percent of Total Billed Charges,176.78,,256.1,49.98,,Percent of Total Billed Charges,193.69,,177.50,471.41,,																																							
HC (COLON) ENTEROSCOPY WITH CONTROL OF BLEEDING,44378,CPT,,,,BOTH, , ,512.4,430.42,471.41,92,,Percent of Total Billed Charges,428.37,,471.41,92,,Percent of Total Billed Charges,420.68,,471.41,92,,Percent of Total Billed Charges,412.48,,471.41,92,,Percent of Total Billed Charges,427.85,,471.41,92,,Percent of Total Billed Charges,385.84,,471.41,92,,Percent of Total Billed Charges,320.25,,461.16,90,,Percent of Total Billed Charges,255.69,,456.04,89,,Percent of Total Billed Charges,245.95,,422.22,82.4,,Percent of Total Billed Charges,421.19,,427.34,83.4,,Percent of Total Billed Charges,398.65,,427.34,83.4,,Percent of Total Billed Charges,359.19,,427.34,83.4,,Percent of Total Billed Charges,417.09,,461.16,90,,Percent of Total Billed Charges,434,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,471.41,92,,Percent of Total Billed Charges,415.56,,471.41,92,,Percent of Total Billed Charges,381.23,,471.41,92,,Percent of Total Billed Charges,401.21,,471.41,92,,Percent of Total Billed Charges,415.56,,399.67,78,,Percent of Total Billed Charges,399.67,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,275.82,53.83,,Percent of Total Billed Charges,258.76,,177.5,34.64,,Percent of Total Billed Charges,176.78,,256.1,49.98,,Percent of Total Billed Charges,193.69,,177.50,471.41,,																																							
HC (COLON) ENDOSCOPIC ULTRASOUND SIGMOIDOSCOPY/BIOPSY/FNA,45342,CPT,,,,BOTH, , ,9167.55,7700.74,8434.15,92,,Percent of Total Billed Charges,7664.07,,8434.15,92,,Percent of Total Billed Charges,7526.56,,8434.15,92,,Percent of Total Billed Charges,7379.88,,8434.15,92,,Percent of Total Billed Charges,7654.9,,8434.15,92,,Percent of Total Billed Charges,6903.17,,8434.15,92,,Percent of Total Billed Charges,5729.72,,8250.8,90,,Percent of Total Billed Charges,4574.61,,8159.12,89,,Percent of Total Billed Charges,4400.42,,7554.06,82.4,,Percent of Total Billed Charges,7535.73,,7645.74,83.4,,Percent of Total Billed Charges,7132.35,,7645.74,83.4,,Percent of Total Billed Charges,6426.45,,7645.74,83.4,,Percent of Total Billed Charges,7462.39,,8250.8,90,,Percent of Total Billed Charges,7764.91,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,8434.15,92,,Percent of Total Billed Charges,7434.88,,8434.15,92,,Percent of Total Billed Charges,6820.66,,8434.15,92,,Percent of Total Billed Charges,7178.19,,8434.15,92,,Percent of Total Billed Charges,7434.88,,7150.69,78,,Percent of Total Billed Charges,7150.69,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4934.89,53.83,,Percent of Total Billed Charges,4629.61,,3175.64,34.64,,Percent of Total Billed Charges,3162.8,,4581.94,49.98,,Percent of Total Billed Charges,3465.33,,3175.64,8434.15,,																																							
HC 24 HOUR PH STUDY (REFLUX TEST),91034,CPT,,,,BOTH, , ,195.3,164.05,179.68,92,,Percent of Total Billed Charges,163.27,,179.68,92,,Percent of Total Billed Charges,160.34,,179.68,92,,Percent of Total Billed Charges,157.22,,179.68,92,,Percent of Total Billed Charges,163.08,,179.68,92,,Percent of Total Billed Charges,147.06,,179.68,92,,Percent of Total Billed Charges,122.06,,175.77,90,,Percent of Total Billed Charges,97.45,,173.82,89,,Percent of Total Billed Charges,93.74,,160.93,82.4,,Percent of Total Billed Charges,160.54,,162.88,83.4,,Percent of Total Billed Charges,151.94,,162.88,83.4,,Percent of Total Billed Charges,136.91,,162.88,83.4,,Percent of Total Billed Charges,158.97,,175.77,90,,Percent of Total Billed Charges,165.42,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,179.68,92,,Percent of Total Billed Charges,158.39,,179.68,92,,Percent of Total Billed Charges,145.3,,179.68,92,,Percent of Total Billed Charges,152.92,,179.68,92,,Percent of Total Billed Charges,158.39,,152.33,78,,Percent of Total Billed Charges,152.33,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,105.13,53.83,,Percent of Total Billed Charges,98.63,,67.65,34.64,,Percent of Total Billed Charges,67.38,,97.61,49.98,,Percent of Total Billed Charges,73.82,,67.65,179.68,,																																							
HC MOD SED SAME PHYS/QHP INITIAL 15 MINS 5/> YRS,99152,CPT,,,,BOTH, , ,1150.8,966.67,1058.74,92,,Percent of Total Billed Charges,962.07,,1058.74,92,,Percent of Total Billed Charges,944.81,,1058.74,92,,Percent of Total Billed Charges,926.39,,1058.74,92,,Percent of Total Billed Charges,960.92,,1058.74,92,,Percent of Total Billed Charges,866.55,,1058.74,92,,Percent of Total Billed Charges,719.25,,1035.72,90,,Percent of Total Billed Charges,574.25,,1024.21,89,,Percent of Total Billed Charges,552.38,,948.26,82.4,,Percent of Total Billed Charges,945.96,,959.77,83.4,,Percent of Total Billed Charges,895.32,,959.77,83.4,,Percent of Total Billed Charges,806.71,,959.77,83.4,,Percent of Total Billed Charges,936.75,,1035.72,90,,Percent of Total Billed Charges,974.73,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1058.74,92,,Percent of Total Billed Charges,933.3,,1058.74,92,,Percent of Total Billed Charges,856.2,,1058.74,92,,Percent of Total Billed Charges,901.08,,1058.74,92,,Percent of Total Billed Charges,933.3,,897.62,78,,Percent of Total Billed Charges,897.62,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,619.48,53.83,,Percent of Total Billed Charges,581.15,,398.64,34.64,,Percent of Total Billed Charges,397.03,,575.17,49.98,,Percent of Total Billed Charges,435,,398.64,1058.74,,																																							
HC MOD SED SAME PHYS/QHP EACH ADDL 15 MINS,99153,CPT,,,,BOTH, , ,549.15,461.29,505.22,92,,Percent of Total Billed Charges,459.09,,505.22,92,,Percent of Total Billed Charges,450.85,,505.22,92,,Percent of Total Billed Charges,442.07,,505.22,92,,Percent of Total Billed Charges,458.54,,505.22,92,,Percent of Total Billed Charges,413.51,,505.22,92,,Percent of Total Billed Charges,343.22,,494.24,90,,Percent of Total Billed Charges,274.03,,488.74,89,,Percent of Total Billed Charges,263.59,,452.5,82.4,,Percent of Total Billed Charges,451.4,,457.99,83.4,,Percent of Total Billed Charges,427.24,,457.99,83.4,,Percent of Total Billed Charges,384.95,,457.99,83.4,,Percent of Total Billed Charges,447.01,,494.24,90,,Percent of Total Billed Charges,465.13,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,505.22,92,,Percent of Total Billed Charges,445.36,,505.22,92,,Percent of Total Billed Charges,408.57,,505.22,92,,Percent of Total Billed Charges,429.98,,505.22,92,,Percent of Total Billed Charges,445.36,,428.34,78,,Percent of Total Billed Charges,428.34,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,295.61,53.83,,Percent of Total Billed Charges,277.32,,190.23,34.64,,Percent of Total Billed Charges,189.46,,274.47,49.98,,Percent of Total Billed Charges,207.58,,190.23,505.22,,																																							
HC FLEXIABLE SIGMOIDOSCOPY WITH SUBMUCOSAL INJECTION,45335,CPT,,,,BOTH, , ,3712.8,3118.75,3415.78,92,,Percent of Total Billed Charges,3103.9,,3415.78,92,,Percent of Total Billed Charges,3048.21,,3415.78,92,,Percent of Total Billed Charges,2988.8,,3415.78,92,,Percent of Total Billed Charges,3100.19,,3415.78,92,,Percent of Total Billed Charges,2795.74,,3415.78,92,,Percent of Total Billed Charges,2320.5,,3341.52,90,,Percent of Total Billed Charges,1852.69,,3304.39,89,,Percent of Total Billed Charges,1782.14,,3059.35,82.4,,Percent of Total Billed Charges,3051.92,,3096.48,83.4,,Percent of Total Billed Charges,2888.56,,3096.48,83.4,,Percent of Total Billed Charges,2602.67,,3096.48,83.4,,Percent of Total Billed Charges,3022.22,,3341.52,90,,Percent of Total Billed Charges,3144.74,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3415.78,92,,Percent of Total Billed Charges,3011.08,,3415.78,92,,Percent of Total Billed Charges,2762.32,,3415.78,92,,Percent of Total Billed Charges,2907.12,,3415.78,92,,Percent of Total Billed Charges,3011.08,,2895.98,78,,Percent of Total Billed Charges,2895.98,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1998.6,53.83,,Percent of Total Billed Charges,1874.96,,1286.11,34.64,,Percent of Total Billed Charges,1280.92,,1855.66,49.98,,Percent of Total Billed Charges,1403.44,,1286.11,3415.78,,																																							
HC FLEXIABLE SIGMOIDOSCOPY WITH DILATATION,45340,CPT,,,,BOTH, , ,4880.4,4099.54,4489.97,92,,Percent of Total Billed Charges,4080.01,,4489.97,92,,Percent of Total Billed Charges,4006.81,,4489.97,92,,Percent of Total Billed Charges,3928.72,,4489.97,92,,Percent of Total Billed Charges,4075.13,,4489.97,92,,Percent of Total Billed Charges,3674.94,,4489.97,92,,Percent of Total Billed Charges,3050.25,,4392.36,90,,Percent of Total Billed Charges,2435.32,,4343.56,89,,Percent of Total Billed Charges,2342.59,,4021.45,82.4,,Percent of Total Billed Charges,4011.69,,4070.25,83.4,,Percent of Total Billed Charges,3796.95,,4070.25,83.4,,Percent of Total Billed Charges,3421.16,,4070.25,83.4,,Percent of Total Billed Charges,3972.65,,4392.36,90,,Percent of Total Billed Charges,4133.7,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4489.97,92,,Percent of Total Billed Charges,3958,,4489.97,92,,Percent of Total Billed Charges,3631.02,,4489.97,92,,Percent of Total Billed Charges,3821.35,,4489.97,92,,Percent of Total Billed Charges,3958,,3806.71,78,,Percent of Total Billed Charges,3806.71,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2627.12,53.83,,Percent of Total Billed Charges,2464.6,,1690.57,34.64,,Percent of Total Billed Charges,1683.74,,2439.22,49.98,,Percent of Total Billed Charges,1844.79,,1690.57,4489.97,,																																							
HC ESOPHAGOGASTRIC DUODENOSCOPY SUBMUCOSAL INJECTION,43236,CPT,,,,BOTH, , ,3826.2,3214.01,3520.1,92,,Percent of Total Billed Charges,3198.7,,3520.1,92,,Percent of Total Billed Charges,3141.31,,3520.1,92,,Percent of Total Billed Charges,3080.09,,3520.1,92,,Percent of Total Billed Charges,3194.88,,3520.1,92,,Percent of Total Billed Charges,2881.13,,3520.1,92,,Percent of Total Billed Charges,2391.38,,3443.58,90,,Percent of Total Billed Charges,1909.27,,3405.32,89,,Percent of Total Billed Charges,1836.58,,3152.79,82.4,,Percent of Total Billed Charges,3145.14,,3191.05,83.4,,Percent of Total Billed Charges,2976.78,,3191.05,83.4,,Percent of Total Billed Charges,2682.17,,3191.05,83.4,,Percent of Total Billed Charges,3114.53,,3443.58,90,,Percent of Total Billed Charges,3240.79,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3520.1,92,,Percent of Total Billed Charges,3103.05,,3520.1,92,,Percent of Total Billed Charges,2846.69,,3520.1,92,,Percent of Total Billed Charges,2995.91,,3520.1,92,,Percent of Total Billed Charges,3103.05,,2984.44,78,,Percent of Total Billed Charges,2984.44,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2059.64,53.83,,Percent of Total Billed Charges,1932.23,,1325.4,34.64,,Percent of Total Billed Charges,1320.04,,1912.33,49.98,,Percent of Total Billed Charges,1446.3,,1325.40,3520.1,,																																							
HC EGD ENDOSCOPIC STENT PLACEMENT W/WIRE& DILATION,43266,CPT,,,,BOTH, , ,21547.05,18099.52,19823.29,92,,Percent of Total Billed Charges,18013.33,,19823.29,92,,Percent of Total Billed Charges,17690.13,,19823.29,92,,Percent of Total Billed Charges,17345.38,,19823.29,92,,Percent of Total Billed Charges,17991.79,,19823.29,92,,Percent of Total Billed Charges,16224.93,,19823.29,92,,Percent of Total Billed Charges,13466.91,,19392.35,90,,Percent of Total Billed Charges,10751.98,,19176.87,89,,Percent of Total Billed Charges,10342.58,,17754.77,82.4,,Percent of Total Billed Charges,17711.68,,17970.24,83.4,,Percent of Total Billed Charges,16763.6,,17970.24,83.4,,Percent of Total Billed Charges,15104.48,,17970.24,83.4,,Percent of Total Billed Charges,17539.3,,19392.35,90,,Percent of Total Billed Charges,18250.35,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,19823.29,92,,Percent of Total Billed Charges,17474.66,,19823.29,92,,Percent of Total Billed Charges,16031.01,,19823.29,92,,Percent of Total Billed Charges,16871.34,,19823.29,92,,Percent of Total Billed Charges,17474.66,,16806.7,78,,Percent of Total Billed Charges,16806.7,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,11598.78,53.83,,Percent of Total Billed Charges,10881.26,,7463.9,34.64,,Percent of Total Billed Charges,7433.73,,10769.22,49.98,,Percent of Total Billed Charges,8144.78,,7463.90,19823.29,,																																							
HC BRONCHOSCOPY W/REMOVAL FOREIGN BODY,31635,CPT,,,,BOTH, , ,330.75,277.83,304.29,92,,Percent of Total Billed Charges,276.51,,304.29,92,,Percent of Total Billed Charges,271.55,,304.29,92,,Percent of Total Billed Charges,266.25,,304.29,92,,Percent of Total Billed Charges,276.18,,304.29,92,,Percent of Total Billed Charges,249.05,,304.29,92,,Percent of Total Billed Charges,206.72,,297.68,90,,Percent of Total Billed Charges,165.04,,294.37,89,,Percent of Total Billed Charges,158.76,,272.54,82.4,,Percent of Total Billed Charges,271.88,,275.85,83.4,,Percent of Total Billed Charges,257.32,,275.85,83.4,,Percent of Total Billed Charges,231.86,,275.85,83.4,,Percent of Total Billed Charges,269.23,,297.68,90,,Percent of Total Billed Charges,280.15,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,304.29,92,,Percent of Total Billed Charges,268.24,,304.29,92,,Percent of Total Billed Charges,246.08,,304.29,92,,Percent of Total Billed Charges,258.98,,304.29,92,,Percent of Total Billed Charges,268.24,,257.99,78,,Percent of Total Billed Charges,257.99,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,178.04,53.83,,Percent of Total Billed Charges,167.03,,114.57,34.64,,Percent of Total Billed Charges,114.11,,165.31,49.98,,Percent of Total Billed Charges,125.02,,114.57,304.29,,																																							
HC SIGMOIDOSCOPY FLX W/RMVL FOREIGN BODY,45332,CPT,,,,BOTH, , ,4659.9,3914.32,4287.11,92,,Percent of Total Billed Charges,3895.68,,4287.11,92,,Percent of Total Billed Charges,3825.78,,4287.11,92,,Percent of Total Billed Charges,3751.22,,4287.11,92,,Percent of Total Billed Charges,3891.02,,4287.11,92,,Percent of Total Billed Charges,3508.9,,4287.11,92,,Percent of Total Billed Charges,2912.44,,4193.91,90,,Percent of Total Billed Charges,2325.29,,4147.31,89,,Percent of Total Billed Charges,2236.75,,3839.76,82.4,,Percent of Total Billed Charges,3830.44,,3886.36,83.4,,Percent of Total Billed Charges,3625.4,,3886.36,83.4,,Percent of Total Billed Charges,3266.59,,3886.36,83.4,,Percent of Total Billed Charges,3793.16,,4193.91,90,,Percent of Total Billed Charges,3946.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4287.11,92,,Percent of Total Billed Charges,3779.18,,4287.11,92,,Percent of Total Billed Charges,3466.97,,4287.11,92,,Percent of Total Billed Charges,3648.7,,4287.11,92,,Percent of Total Billed Charges,3779.18,,3634.72,78,,Percent of Total Billed Charges,3634.72,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2508.42,53.83,,Percent of Total Billed Charges,2353.25,,1614.19,34.64,,Percent of Total Billed Charges,1607.67,,2329.02,49.98,,Percent of Total Billed Charges,1761.44,,1614.19,4287.11,,																																							
HC TRACHEOBRNCHSC THRU EST TRACHS INC,31615,CPT,,,,BOTH, , ,3010.35,2528.69,2769.52,92,,Percent of Total Billed Charges,2516.65,,2769.52,92,,Percent of Total Billed Charges,2471.5,,2769.52,92,,Percent of Total Billed Charges,2423.33,,2769.52,92,,Percent of Total Billed Charges,2513.64,,2769.52,92,,Percent of Total Billed Charges,2266.79,,2769.52,92,,Percent of Total Billed Charges,1881.47,,2709.32,90,,Percent of Total Billed Charges,1502.16,,2679.21,89,,Percent of Total Billed Charges,1444.97,,2480.53,82.4,,Percent of Total Billed Charges,2474.51,,2510.63,83.4,,Percent of Total Billed Charges,2342.05,,2510.63,83.4,,Percent of Total Billed Charges,2110.26,,2510.63,83.4,,Percent of Total Billed Charges,2450.42,,2709.32,90,,Percent of Total Billed Charges,2549.77,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2769.52,92,,Percent of Total Billed Charges,2441.39,,2769.52,92,,Percent of Total Billed Charges,2239.7,,2769.52,92,,Percent of Total Billed Charges,2357.1,,2769.52,92,,Percent of Total Billed Charges,2441.39,,2348.07,78,,Percent of Total Billed Charges,2348.07,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1620.47,53.83,,Percent of Total Billed Charges,1520.23,,1042.79,34.64,,Percent of Total Billed Charges,1038.57,,1504.57,49.98,,Percent of Total Billed Charges,1137.91,,1042.79,2769.52,,																																							
HC COLONOSCOPY FLEXIBLE WITH BAND LIGATION(S),45398,CPT,,,,BOTH, , ,4659.9,3914.32,4287.11,92,,Percent of Total Billed Charges,3895.68,,4287.11,92,,Percent of Total Billed Charges,3825.78,,4287.11,92,,Percent of Total Billed Charges,3751.22,,4287.11,92,,Percent of Total Billed Charges,3891.02,,4287.11,92,,Percent of Total Billed Charges,3508.9,,4287.11,92,,Percent of Total Billed Charges,2912.44,,4193.91,90,,Percent of Total Billed Charges,2325.29,,4147.31,89,,Percent of Total Billed Charges,2236.75,,3839.76,82.4,,Percent of Total Billed Charges,3830.44,,3886.36,83.4,,Percent of Total Billed Charges,3625.4,,3886.36,83.4,,Percent of Total Billed Charges,3266.59,,3886.36,83.4,,Percent of Total Billed Charges,3793.16,,4193.91,90,,Percent of Total Billed Charges,3946.94,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4287.11,92,,Percent of Total Billed Charges,3779.18,,4287.11,92,,Percent of Total Billed Charges,3466.97,,4287.11,92,,Percent of Total Billed Charges,3648.7,,4287.11,92,,Percent of Total Billed Charges,3779.18,,3634.72,78,,Percent of Total Billed Charges,3634.72,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2508.42,53.83,,Percent of Total Billed Charges,2353.25,,1614.19,34.64,,Percent of Total Billed Charges,1607.67,,2329.02,49.98,,Percent of Total Billed Charges,1761.44,,1614.19,4287.11,,																																							
HC SIGMOIDOSCOPY FLX WITH WITH BAND LIGATION(S),45350,CPT,,,,BOTH, , ,509.25,427.77,468.51,92,,Percent of Total Billed Charges,425.73,,468.51,92,,Percent of Total Billed Charges,418.09,,468.51,92,,Percent of Total Billed Charges,409.95,,468.51,92,,Percent of Total Billed Charges,425.22,,468.51,92,,Percent of Total Billed Charges,383.47,,468.51,92,,Percent of Total Billed Charges,318.28,,458.33,90,,Percent of Total Billed Charges,254.12,,453.23,89,,Percent of Total Billed Charges,244.44,,419.62,82.4,,Percent of Total Billed Charges,418.6,,424.71,83.4,,Percent of Total Billed Charges,396.2,,424.71,83.4,,Percent of Total Billed Charges,356.98,,424.71,83.4,,Percent of Total Billed Charges,414.53,,458.33,90,,Percent of Total Billed Charges,431.33,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,468.51,92,,Percent of Total Billed Charges,413,,468.51,92,,Percent of Total Billed Charges,378.88,,468.51,92,,Percent of Total Billed Charges,398.74,,468.51,92,,Percent of Total Billed Charges,413,,397.22,78,,Percent of Total Billed Charges,397.22,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,274.13,53.83,,Percent of Total Billed Charges,257.17,,176.4,34.64,,Percent of Total Billed Charges,175.69,,254.52,49.98,,Percent of Total Billed Charges,192.5,,176.40,468.51,,																																							
HC COLONOSCOPY STOMA W/SUBMUCOSAL INJECTION,44404,CPT,,,,BOTH, , ,509.25,427.77,468.51,92,,Percent of Total Billed Charges,425.73,,468.51,92,,Percent of Total Billed Charges,418.09,,468.51,92,,Percent of Total Billed Charges,409.95,,468.51,92,,Percent of Total Billed Charges,425.22,,468.51,92,,Percent of Total Billed Charges,383.47,,468.51,92,,Percent of Total Billed Charges,318.28,,458.33,90,,Percent of Total Billed Charges,254.12,,453.23,89,,Percent of Total Billed Charges,244.44,,419.62,82.4,,Percent of Total Billed Charges,418.6,,424.71,83.4,,Percent of Total Billed Charges,396.2,,424.71,83.4,,Percent of Total Billed Charges,356.98,,424.71,83.4,,Percent of Total Billed Charges,414.53,,458.33,90,,Percent of Total Billed Charges,431.33,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,468.51,92,,Percent of Total Billed Charges,413,,468.51,92,,Percent of Total Billed Charges,378.88,,468.51,92,,Percent of Total Billed Charges,398.74,,468.51,92,,Percent of Total Billed Charges,413,,397.22,78,,Percent of Total Billed Charges,397.22,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,274.13,53.83,,Percent of Total Billed Charges,257.17,,176.4,34.64,,Percent of Total Billed Charges,175.69,,254.52,49.98,,Percent of Total Billed Charges,192.5,,176.40,468.51,,																																							
HC COLONOSCOPY STOMA W/BIOPSY SINGLE/MULTIPLE,44389,CPT,,,,BOTH, , ,509.25,427.77,468.51,92,,Percent of Total Billed Charges,425.73,,468.51,92,,Percent of Total Billed Charges,418.09,,468.51,92,,Percent of Total Billed Charges,409.95,,468.51,92,,Percent of Total Billed Charges,425.22,,468.51,92,,Percent of Total Billed Charges,383.47,,468.51,92,,Percent of Total Billed Charges,318.28,,458.33,90,,Percent of Total Billed Charges,254.12,,453.23,89,,Percent of Total Billed Charges,244.44,,419.62,82.4,,Percent of Total Billed Charges,418.6,,424.71,83.4,,Percent of Total Billed Charges,396.2,,424.71,83.4,,Percent of Total Billed Charges,356.98,,424.71,83.4,,Percent of Total Billed Charges,414.53,,458.33,90,,Percent of Total Billed Charges,431.33,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,468.51,92,,Percent of Total Billed Charges,413,,468.51,92,,Percent of Total Billed Charges,378.88,,468.51,92,,Percent of Total Billed Charges,398.74,,468.51,92,,Percent of Total Billed Charges,413,,397.22,78,,Percent of Total Billed Charges,397.22,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,274.13,53.83,,Percent of Total Billed Charges,257.17,,176.4,34.64,,Percent of Total Billed Charges,175.69,,254.52,49.98,,Percent of Total Billed Charges,192.5,,176.40,468.51,,																																							
HC ERCP BALLOON DILATE BILIARY/PANC DUCT/AMPULLA EA,43277,CPT,,,,BOTH, , ,12681.9,10652.8,11667.35,92,,Percent of Total Billed Charges,10602.07,,11667.35,92,,Percent of Total Billed Charges,10411.84,,11667.35,92,,Percent of Total Billed Charges,10208.93,,11667.35,92,,Percent of Total Billed Charges,10589.39,,11667.35,92,,Percent of Total Billed Charges,9549.47,,11667.35,92,,Percent of Total Billed Charges,7926.19,,11413.71,90,,Percent of Total Billed Charges,6328.27,,11286.89,89,,Percent of Total Billed Charges,6087.31,,10449.89,82.4,,Percent of Total Billed Charges,10424.52,,10576.7,83.4,,Percent of Total Billed Charges,9866.52,,10576.7,83.4,,Percent of Total Billed Charges,8890.01,,10576.7,83.4,,Percent of Total Billed Charges,10323.07,,11413.71,90,,Percent of Total Billed Charges,10741.57,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,11667.35,92,,Percent of Total Billed Charges,10285.02,,11667.35,92,,Percent of Total Billed Charges,9435.33,,11667.35,92,,Percent of Total Billed Charges,9929.93,,11667.35,92,,Percent of Total Billed Charges,10285.02,,9891.88,78,,Percent of Total Billed Charges,9891.88,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6826.67,53.83,,Percent of Total Billed Charges,6404.36,,4393.01,34.64,,Percent of Total Billed Charges,4375.26,,6338.41,49.98,,Percent of Total Billed Charges,4793.76,,4393.01,11667.35,,																																							
HC EGD US GUIDED TRANSMURAL INJXN/FIDUCIAL MARKER,43253,CPT,,,,BOTH, , ,6598.2,5542.49,6070.34,92,,Percent of Total Billed Charges,5516.1,,6070.34,92,,Percent of Total Billed Charges,5417.12,,6070.34,92,,Percent of Total Billed Charges,5311.55,,6070.34,92,,Percent of Total Billed Charges,5509.5,,6070.34,92,,Percent of Total Billed Charges,4968.44,,6070.34,92,,Percent of Total Billed Charges,4123.88,,5938.38,90,,Percent of Total Billed Charges,3292.5,,5872.4,89,,Percent of Total Billed Charges,3167.14,,5436.92,82.4,,Percent of Total Billed Charges,5423.72,,5502.9,83.4,,Percent of Total Billed Charges,5133.4,,5502.9,83.4,,Percent of Total Billed Charges,4625.34,,5502.9,83.4,,Percent of Total Billed Charges,5370.93,,5938.38,90,,Percent of Total Billed Charges,5588.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6070.34,92,,Percent of Total Billed Charges,5351.14,,6070.34,92,,Percent of Total Billed Charges,4909.06,,6070.34,92,,Percent of Total Billed Charges,5166.39,,6070.34,92,,Percent of Total Billed Charges,5351.14,,5146.6,78,,Percent of Total Billed Charges,5146.6,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3551.81,53.83,,Percent of Total Billed Charges,3332.09,,2285.62,34.64,,Percent of Total Billed Charges,2276.38,,3297.78,49.98,,Percent of Total Billed Charges,2494.12,,2285.62,6070.34,,																																							
HC GI TRANSIT & PRES MEAS WIRELESS CAPSULE W/INTERP,91112,CPT,,,,BOTH, , ,3583.65,3010.27,3296.96,92,,Percent of Total Billed Charges,2995.93,,3296.96,92,,Percent of Total Billed Charges,2942.18,,3296.96,92,,Percent of Total Billed Charges,2884.84,,3296.96,92,,Percent of Total Billed Charges,2992.35,,3296.96,92,,Percent of Total Billed Charges,2698.49,,3296.96,92,,Percent of Total Billed Charges,2239.78,,3225.29,90,,Percent of Total Billed Charges,1788.24,,3189.45,89,,Percent of Total Billed Charges,1720.15,,2952.93,82.4,,Percent of Total Billed Charges,2945.76,,2988.76,83.4,,Percent of Total Billed Charges,2788.08,,2988.76,83.4,,Percent of Total Billed Charges,2512.14,,2988.76,83.4,,Percent of Total Billed Charges,2917.09,,3225.29,90,,Percent of Total Billed Charges,3035.35,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3296.96,92,,Percent of Total Billed Charges,2906.34,,3296.96,92,,Percent of Total Billed Charges,2666.24,,3296.96,92,,Percent of Total Billed Charges,2806,,3296.96,92,,Percent of Total Billed Charges,2906.34,,2795.25,78,,Percent of Total Billed Charges,2795.25,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1929.08,53.83,,Percent of Total Billed Charges,1809.74,,1241.38,34.64,,Percent of Total Billed Charges,1236.36,,1791.11,49.98,,Percent of Total Billed Charges,1354.62,,1241.38,3296.96,,																																							
HC PERQ REPLACEMENT GTUBE NOT REQ REVJ GSTRST TRC,43762,CPT,,,,BOTH, , ,1146.6,963.14,1054.87,92,,Percent of Total Billed Charges,958.56,,1054.87,92,,Percent of Total Billed Charges,941.36,,1054.87,92,,Percent of Total Billed Charges,923.01,,1054.87,92,,Percent of Total Billed Charges,957.41,,1054.87,92,,Percent of Total Billed Charges,863.39,,1054.87,92,,Percent of Total Billed Charges,716.63,,1031.94,90,,Percent of Total Billed Charges,572.15,,1020.47,89,,Percent of Total Billed Charges,550.37,,944.8,82.4,,Percent of Total Billed Charges,942.51,,956.26,83.4,,Percent of Total Billed Charges,892.05,,956.26,83.4,,Percent of Total Billed Charges,803.77,,956.26,83.4,,Percent of Total Billed Charges,933.33,,1031.94,90,,Percent of Total Billed Charges,971.17,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1054.87,92,,Percent of Total Billed Charges,929.89,,1054.87,92,,Percent of Total Billed Charges,853.07,,1054.87,92,,Percent of Total Billed Charges,897.79,,1054.87,92,,Percent of Total Billed Charges,929.89,,894.35,78,,Percent of Total Billed Charges,894.35,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,617.21,53.83,,Percent of Total Billed Charges,579.03,,397.18,34.64,,Percent of Total Billed Charges,395.58,,573.07,49.98,,Percent of Total Billed Charges,433.41,,397.18,1054.87,,																																							
HC INJECT SI JOINT ARTHRGRPHY&/ANES/STEROID W/IMA,27096,CPT,,,,BOTH, , ,558.6,469.22,513.91,92,,Percent of Total Billed Charges,466.99,,513.91,92,,Percent of Total Billed Charges,458.61,,513.91,92,,Percent of Total Billed Charges,449.67,,513.91,92,,Percent of Total Billed Charges,466.43,,513.91,92,,Percent of Total Billed Charges,420.63,,513.91,92,,Percent of Total Billed Charges,349.13,,502.74,90,,Percent of Total Billed Charges,278.74,,497.15,89,,Percent of Total Billed Charges,268.13,,460.29,82.4,,Percent of Total Billed Charges,459.17,,465.87,83.4,,Percent of Total Billed Charges,434.59,,465.87,83.4,,Percent of Total Billed Charges,391.58,,465.87,83.4,,Percent of Total Billed Charges,454.7,,502.74,90,,Percent of Total Billed Charges,473.13,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,513.91,92,,Percent of Total Billed Charges,453.02,,513.91,92,,Percent of Total Billed Charges,415.6,,513.91,92,,Percent of Total Billed Charges,437.38,,513.91,92,,Percent of Total Billed Charges,453.02,,435.71,78,,Percent of Total Billed Charges,435.71,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,300.69,53.83,,Percent of Total Billed Charges,282.09,,193.5,34.64,,Percent of Total Billed Charges,192.72,,279.19,49.98,,Percent of Total Billed Charges,211.15,,193.50,513.91,,																																							
HC ENDOSCOPIC PAPILLA CANNULATION BILE/PANCREATIC,43273,CPT,,,,BOTH, , ,3672.9,3085.24,3379.07,92,,Percent of Total Billed Charges,3070.54,,3379.07,92,,Percent of Total Billed Charges,3015.45,,3379.07,92,,Percent of Total Billed Charges,2956.68,,3379.07,92,,Percent of Total Billed Charges,3066.87,,3379.07,92,,Percent of Total Billed Charges,2765.69,,3379.07,92,,Percent of Total Billed Charges,2295.56,,3305.61,90,,Percent of Total Billed Charges,1832.78,,3268.88,89,,Percent of Total Billed Charges,1762.99,,3026.47,82.4,,Percent of Total Billed Charges,3019.12,,3063.2,83.4,,Percent of Total Billed Charges,2857.52,,3063.2,83.4,,Percent of Total Billed Charges,2574.7,,3063.2,83.4,,Percent of Total Billed Charges,2989.74,,3305.61,90,,Percent of Total Billed Charges,3110.95,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3379.07,92,,Percent of Total Billed Charges,2978.72,,3379.07,92,,Percent of Total Billed Charges,2732.64,,3379.07,92,,Percent of Total Billed Charges,2875.88,,3379.07,92,,Percent of Total Billed Charges,2978.72,,2864.86,78,,Percent of Total Billed Charges,2864.86,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1977.12,53.83,,Percent of Total Billed Charges,1854.81,,1272.29,34.64,,Percent of Total Billed Charges,1267.15,,1835.72,49.98,,Percent of Total Billed Charges,1388.36,,1272.29,3379.07,,																																							
HC ERCP DESTRUCTION/LITHOTRIPSY CALCULI ANY METHOD,43265,CPT,,,,BOTH, , ,19926.9,16738.6,18332.75,92,,Percent of Total Billed Charges,16658.89,,18332.75,92,,Percent of Total Billed Charges,16359.98,,18332.75,92,,Percent of Total Billed Charges,16041.15,,18332.75,92,,Percent of Total Billed Charges,16638.96,,18332.75,92,,Percent of Total Billed Charges,15004.96,,18332.75,92,,Percent of Total Billed Charges,12454.31,,17934.21,90,,Percent of Total Billed Charges,9943.52,,17734.94,89,,Percent of Total Billed Charges,9564.91,,16419.77,82.4,,Percent of Total Billed Charges,16379.91,,16619.03,83.4,,Percent of Total Billed Charges,15503.13,,16619.03,83.4,,Percent of Total Billed Charges,13968.76,,16619.03,83.4,,Percent of Total Billed Charges,16220.5,,17934.21,90,,Percent of Total Billed Charges,16878.08,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,18332.75,92,,Percent of Total Billed Charges,16160.72,,18332.75,92,,Percent of Total Billed Charges,14825.61,,18332.75,92,,Percent of Total Billed Charges,15602.76,,18332.75,92,,Percent of Total Billed Charges,16160.72,,15542.98,78,,Percent of Total Billed Charges,15542.98,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,10726.65,53.83,,Percent of Total Billed Charges,10063.08,,6902.68,34.64,,Percent of Total Billed Charges,6874.78,,9959.46,49.98,,Percent of Total Billed Charges,7532.37,,6902.68,18332.75,,																																							
HC COLORECTAL SCRN; HI RISK IND,G0105,CPT,,,,BOTH, , ,4353.3,3656.77,4005.04,92,,Percent of Total Billed Charges,3639.36,,4005.04,92,,Percent of Total Billed Charges,3574.06,,4005.04,92,,Percent of Total Billed Charges,3504.41,,4005.04,92,,Percent of Total Billed Charges,3635.01,,4005.04,92,,Percent of Total Billed Charges,3278.03,,4005.04,92,,Percent of Total Billed Charges,2720.81,,3917.97,90,,Percent of Total Billed Charges,2172.3,,3874.44,89,,Percent of Total Billed Charges,2089.58,,3587.12,82.4,,Percent of Total Billed Charges,3578.41,,3630.65,83.4,,Percent of Total Billed Charges,3386.87,,3630.65,83.4,,Percent of Total Billed Charges,3051.66,,3630.65,83.4,,Percent of Total Billed Charges,3543.59,,3917.97,90,,Percent of Total Billed Charges,3687.25,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4005.04,92,,Percent of Total Billed Charges,3530.53,,4005.04,92,,Percent of Total Billed Charges,3238.86,,4005.04,92,,Percent of Total Billed Charges,3408.63,,4005.04,92,,Percent of Total Billed Charges,3530.53,,3395.57,78,,Percent of Total Billed Charges,3395.57,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2343.38,53.83,,Percent of Total Billed Charges,2198.42,,1507.98,34.64,,Percent of Total Billed Charges,1501.89,,2175.78,49.98,,Percent of Total Billed Charges,1645.55,,1507.98,4005.04,,																																							
HC COLON CA SCRN NOT HI RSK IND,G0121,CPT,,,,BOTH, , ,3245.55,2726.26,2985.91,92,,Percent of Total Billed Charges,2713.28,,2985.91,92,,Percent of Total Billed Charges,2664.6,,2985.91,92,,Percent of Total Billed Charges,2612.67,,2985.91,92,,Percent of Total Billed Charges,2710.03,,2985.91,92,,Percent of Total Billed Charges,2443.9,,2985.91,92,,Percent of Total Billed Charges,2028.47,,2921,90,,Percent of Total Billed Charges,1619.53,,2888.54,89,,Percent of Total Billed Charges,1557.86,,2674.33,82.4,,Percent of Total Billed Charges,2667.84,,2706.79,83.4,,Percent of Total Billed Charges,2525.04,,2706.79,83.4,,Percent of Total Billed Charges,2275.13,,2706.79,83.4,,Percent of Total Billed Charges,2641.88,,2921,90,,Percent of Total Billed Charges,2748.98,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2985.91,92,,Percent of Total Billed Charges,2632.14,,2985.91,92,,Percent of Total Billed Charges,2414.69,,2985.91,92,,Percent of Total Billed Charges,2541.27,,2985.91,92,,Percent of Total Billed Charges,2632.14,,2531.53,78,,Percent of Total Billed Charges,2531.53,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1747.08,53.83,,Percent of Total Billed Charges,1639,,1124.26,34.64,,Percent of Total Billed Charges,1119.71,,1622.13,49.98,,Percent of Total Billed Charges,1226.82,,1124.26,2985.91,,																																							
HC EGD DILATION GASTRIC/DUODENAL STRICTURE,43245,CPT,,,,BOTH, , ,7557.9,6348.64,6953.27,92,,Percent of Total Billed Charges,6318.4,,6953.27,92,,Percent of Total Billed Charges,6205.04,,6953.27,92,,Percent of Total Billed Charges,6084.11,,6953.27,92,,Percent of Total Billed Charges,6310.85,,6953.27,92,,Percent of Total Billed Charges,5691.1,,6953.27,92,,Percent of Total Billed Charges,4723.69,,6802.11,90,,Percent of Total Billed Charges,3771.39,,6726.53,89,,Percent of Total Billed Charges,3627.79,,6227.71,82.4,,Percent of Total Billed Charges,6212.59,,6303.29,83.4,,Percent of Total Billed Charges,5880.05,,6303.29,83.4,,Percent of Total Billed Charges,5298.09,,6303.29,83.4,,Percent of Total Billed Charges,6152.13,,6802.11,90,,Percent of Total Billed Charges,6401.54,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6953.27,92,,Percent of Total Billed Charges,6129.46,,6953.27,92,,Percent of Total Billed Charges,5623.08,,6953.27,92,,Percent of Total Billed Charges,5917.84,,6953.27,92,,Percent of Total Billed Charges,6129.46,,5895.16,78,,Percent of Total Billed Charges,5895.16,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4068.42,53.83,,Percent of Total Billed Charges,3816.74,,2618.06,34.64,,Percent of Total Billed Charges,2607.48,,3777.44,49.98,,Percent of Total Billed Charges,2856.89,,2618.06,6953.27,,																																							
HC SGMDSC FLX W/DCMPRN W/PLMT DCMPRN TUBE,45337,CPT,,,,BOTH, , ,3773.7,3169.91,3471.8,92,,Percent of Total Billed Charges,3154.81,,3471.8,92,,Percent of Total Billed Charges,3098.21,,3471.8,92,,Percent of Total Billed Charges,3037.83,,3471.8,92,,Percent of Total Billed Charges,3151.04,,3471.8,92,,Percent of Total Billed Charges,2841.6,,3471.8,92,,Percent of Total Billed Charges,2358.56,,3396.33,90,,Percent of Total Billed Charges,1883.08,,3358.59,89,,Percent of Total Billed Charges,1811.38,,3109.53,82.4,,Percent of Total Billed Charges,3101.98,,3147.27,83.4,,Percent of Total Billed Charges,2935.94,,3147.27,83.4,,Percent of Total Billed Charges,2645.36,,3147.27,83.4,,Percent of Total Billed Charges,3071.79,,3396.33,90,,Percent of Total Billed Charges,3196.32,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3471.8,92,,Percent of Total Billed Charges,3060.47,,3471.8,92,,Percent of Total Billed Charges,2807.63,,3471.8,92,,Percent of Total Billed Charges,2954.81,,3471.8,92,,Percent of Total Billed Charges,3060.47,,2943.49,78,,Percent of Total Billed Charges,2943.49,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2031.38,53.83,,Percent of Total Billed Charges,1905.72,,1307.21,34.64,,Percent of Total Billed Charges,1301.93,,1886.1,49.98,,Percent of Total Billed Charges,1426.46,,1307.21,3471.8,,																																							
HC ESOPHAGOSCOPY FLEXIBLE REMOVAL FOREIGN BODY,43215,CPT,,,,BOTH, , ,7561.05,6351.28,6956.17,92,,Percent of Total Billed Charges,6321.04,,6956.17,92,,Percent of Total Billed Charges,6207.62,,6956.17,92,,Percent of Total Billed Charges,6086.65,,6956.17,92,,Percent of Total Billed Charges,6313.48,,6956.17,92,,Percent of Total Billed Charges,5693.47,,6956.17,92,,Percent of Total Billed Charges,4725.66,,6804.95,90,,Percent of Total Billed Charges,3772.96,,6729.33,89,,Percent of Total Billed Charges,3629.3,,6230.31,82.4,,Percent of Total Billed Charges,6215.18,,6305.92,83.4,,Percent of Total Billed Charges,5882.5,,6305.92,83.4,,Percent of Total Billed Charges,5300.3,,6305.92,83.4,,Percent of Total Billed Charges,6154.69,,6804.95,90,,Percent of Total Billed Charges,6404.21,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6956.17,92,,Percent of Total Billed Charges,6132.01,,6956.17,92,,Percent of Total Billed Charges,5625.42,,6956.17,92,,Percent of Total Billed Charges,5920.3,,6956.17,92,,Percent of Total Billed Charges,6132.01,,5897.62,78,,Percent of Total Billed Charges,5897.62,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4070.11,53.83,,Percent of Total Billed Charges,3818.33,,2619.15,34.64,,Percent of Total Billed Charges,2608.56,,3779.01,49.98,,Percent of Total Billed Charges,2858.08,,2619.15,6956.17,,																																							
HC COLONOSCOPY FLX W/ENDOSCOPIC MUCOSAL RESECTION,45390,CPT,,,,BOTH, , ,11579.4,9726.7,10653.05,92,,Percent of Total Billed Charges,9680.38,,10653.05,92,,Percent of Total Billed Charges,9506.69,,10653.05,92,,Percent of Total Billed Charges,9321.42,,10653.05,92,,Percent of Total Billed Charges,9668.8,,10653.05,92,,Percent of Total Billed Charges,8719.29,,10653.05,92,,Percent of Total Billed Charges,7237.13,,10421.46,90,,Percent of Total Billed Charges,5778.12,,10305.67,89,,Percent of Total Billed Charges,5558.11,,9541.43,82.4,,Percent of Total Billed Charges,9518.27,,9657.22,83.4,,Percent of Total Billed Charges,9008.77,,9657.22,83.4,,Percent of Total Billed Charges,8117.16,,9657.22,83.4,,Percent of Total Billed Charges,9425.63,,10421.46,90,,Percent of Total Billed Charges,9807.75,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,10653.05,92,,Percent of Total Billed Charges,9390.89,,10653.05,92,,Percent of Total Billed Charges,8615.07,,10653.05,92,,Percent of Total Billed Charges,9066.67,,10653.05,92,,Percent of Total Billed Charges,9390.89,,9031.93,78,,Percent of Total Billed Charges,9031.93,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6233.19,53.83,,Percent of Total Billed Charges,5847.6,,4011.1,34.64,,Percent of Total Billed Charges,3994.89,,5787.38,49.98,,Percent of Total Billed Charges,4377.01,,4011.10,10653.05,,																																							
HC EDG US EXAM SURGICAL ALTER STOM DUODENUM/JEJUNUM,43259,CPT,,,,BOTH, , ,7561.05,6351.28,6956.17,92,,Percent of Total Billed Charges,6321.04,,6956.17,92,,Percent of Total Billed Charges,6207.62,,6956.17,92,,Percent of Total Billed Charges,6086.65,,6956.17,92,,Percent of Total Billed Charges,6313.48,,6956.17,92,,Percent of Total Billed Charges,5693.47,,6956.17,92,,Percent of Total Billed Charges,4725.66,,6804.95,90,,Percent of Total Billed Charges,3772.96,,6729.33,89,,Percent of Total Billed Charges,3629.3,,6230.31,82.4,,Percent of Total Billed Charges,6215.18,,6305.92,83.4,,Percent of Total Billed Charges,5882.5,,6305.92,83.4,,Percent of Total Billed Charges,5300.3,,6305.92,83.4,,Percent of Total Billed Charges,6154.69,,6804.95,90,,Percent of Total Billed Charges,6404.21,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6956.17,92,,Percent of Total Billed Charges,6132.01,,6956.17,92,,Percent of Total Billed Charges,5625.42,,6956.17,92,,Percent of Total Billed Charges,5920.3,,6956.17,92,,Percent of Total Billed Charges,6132.01,,5897.62,78,,Percent of Total Billed Charges,5897.62,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4070.11,53.83,,Percent of Total Billed Charges,3818.33,,2619.15,34.64,,Percent of Total Billed Charges,2608.56,,3779.01,49.98,,Percent of Total Billed Charges,2858.08,,2619.15,6956.17,,																																							
HC  HC ANOSCOPY W/RMVL LESION CAUTERY,46610,CPT,,,,BOTH, , ,11296.95,9489.44,10393.19,92,,Percent of Total Billed Charges,9444.25,,10393.19,92,,Percent of Total Billed Charges,9274.8,,10393.19,92,,Percent of Total Billed Charges,9094.04,,10393.19,92,,Percent of Total Billed Charges,9432.95,,10393.19,92,,Percent of Total Billed Charges,8506.6,,10393.19,92,,Percent of Total Billed Charges,7060.59,,10167.26,90,,Percent of Total Billed Charges,5637.18,,10054.29,89,,Percent of Total Billed Charges,5422.54,,9308.69,82.4,,Percent of Total Billed Charges,9286.09,,9421.66,83.4,,Percent of Total Billed Charges,8789.03,,9421.66,83.4,,Percent of Total Billed Charges,7919.16,,9421.66,83.4,,Percent of Total Billed Charges,9195.72,,10167.26,90,,Percent of Total Billed Charges,9568.52,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,10393.19,92,,Percent of Total Billed Charges,9161.83,,10393.19,92,,Percent of Total Billed Charges,8404.93,,10393.19,92,,Percent of Total Billed Charges,8845.51,,10393.19,92,,Percent of Total Billed Charges,9161.83,,8811.62,78,,Percent of Total Billed Charges,8811.62,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6081.15,53.83,,Percent of Total Billed Charges,5704.96,,3913.26,34.64,,Percent of Total Billed Charges,3897.45,,5646.22,49.98,,Percent of Total Billed Charges,4270.25,,3913.26,10393.19,,																																							
HC BRNSCHSC TNDSC EBUS DX/TX INTERVENTION PERPH LES,31654,CPT,,,,BOTH, , ,1945.65,1634.35,1790,92,,Percent of Total Billed Charges,1626.56,,1790,92,,Percent of Total Billed Charges,1597.38,,1790,92,,Percent of Total Billed Charges,1566.25,,1790,92,,Percent of Total Billed Charges,1624.62,,1790,92,,Percent of Total Billed Charges,1465.07,,1790,92,,Percent of Total Billed Charges,1216.03,,1751.09,90,,Percent of Total Billed Charges,970.88,,1731.63,89,,Percent of Total Billed Charges,933.91,,1603.22,82.4,,Percent of Total Billed Charges,1599.32,,1622.67,83.4,,Percent of Total Billed Charges,1513.72,,1622.67,83.4,,Percent of Total Billed Charges,1363.9,,1622.67,83.4,,Percent of Total Billed Charges,1583.76,,1751.09,90,,Percent of Total Billed Charges,1647.97,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1790,92,,Percent of Total Billed Charges,1577.92,,1790,92,,Percent of Total Billed Charges,1447.56,,1790,92,,Percent of Total Billed Charges,1523.44,,1790,92,,Percent of Total Billed Charges,1577.92,,1517.61,78,,Percent of Total Billed Charges,1517.61,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1047.34,53.83,,Percent of Total Billed Charges,982.55,,673.97,34.64,,Percent of Total Billed Charges,671.25,,972.44,49.98,,Percent of Total Billed Charges,735.46,,673.97,1790,,																																							
HC  COLONOSCOPY FLEXIBLE WITH DECOMPRESSION,45393,CPT,,,,BOTH, , ,4960.2,4166.57,4563.38,92,,Percent of Total Billed Charges,4146.73,,4563.38,92,,Percent of Total Billed Charges,4072.32,,4563.38,92,,Percent of Total Billed Charges,3992.96,,4563.38,92,,Percent of Total Billed Charges,4141.77,,4563.38,92,,Percent of Total Billed Charges,3735.03,,4563.38,92,,Percent of Total Billed Charges,3100.13,,4464.18,90,,Percent of Total Billed Charges,2475.14,,4414.58,89,,Percent of Total Billed Charges,2380.9,,4087.2,82.4,,Percent of Total Billed Charges,4077.28,,4136.81,83.4,,Percent of Total Billed Charges,3859.04,,4136.81,83.4,,Percent of Total Billed Charges,3477.1,,4136.81,83.4,,Percent of Total Billed Charges,4037.6,,4464.18,90,,Percent of Total Billed Charges,4201.29,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4563.38,92,,Percent of Total Billed Charges,4022.72,,4563.38,92,,Percent of Total Billed Charges,3690.39,,4563.38,92,,Percent of Total Billed Charges,3883.84,,4563.38,92,,Percent of Total Billed Charges,4022.72,,3868.96,78,,Percent of Total Billed Charges,3868.96,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2670.08,53.83,,Percent of Total Billed Charges,2504.9,,1718.21,34.64,,Percent of Total Billed Charges,1711.27,,2479.11,49.98,,Percent of Total Billed Charges,1874.96,,1718.21,4563.38,,																																							
HC EGD INTRMURAL NEEDLE ASPIR/BIOP ALTERED ANATOMY,43242,CPT,,,,BOTH, , ,756,635.04,695.52,92,,Percent of Total Billed Charges,632.02,,695.52,92,,Percent of Total Billed Charges,620.68,,695.52,92,,Percent of Total Billed Charges,608.58,,695.52,92,,Percent of Total Billed Charges,631.26,,695.52,92,,Percent of Total Billed Charges,569.27,,695.52,92,,Percent of Total Billed Charges,472.5,,680.4,90,,Percent of Total Billed Charges,377.24,,672.84,89,,Percent of Total Billed Charges,362.88,,622.94,82.4,,Percent of Total Billed Charges,621.43,,630.5,83.4,,Percent of Total Billed Charges,588.17,,630.5,83.4,,Percent of Total Billed Charges,529.96,,630.5,83.4,,Percent of Total Billed Charges,615.38,,680.4,90,,Percent of Total Billed Charges,640.33,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,695.52,92,,Percent of Total Billed Charges,613.12,,695.52,92,,Percent of Total Billed Charges,562.46,,695.52,92,,Percent of Total Billed Charges,591.95,,695.52,92,,Percent of Total Billed Charges,613.12,,589.68,78,,Percent of Total Billed Charges,589.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,406.95,53.83,,Percent of Total Billed Charges,381.78,,261.88,34.64,,Percent of Total Billed Charges,260.82,,377.85,49.98,,Percent of Total Billed Charges,285.77,,261.88,695.52,,																																							
HC  LARYNGOSCOPY W/WO TRACHEOSCOPY ASPIRATION,31515,CPT,,,,BOTH, , ,1913.1,1607,1760.05,92,,Percent of Total Billed Charges,1599.35,,1760.05,92,,Percent of Total Billed Charges,1570.66,,1760.05,92,,Percent of Total Billed Charges,1540.05,,1760.05,92,,Percent of Total Billed Charges,1597.44,,1760.05,92,,Percent of Total Billed Charges,1440.56,,1760.05,92,,Percent of Total Billed Charges,1195.69,,1721.79,90,,Percent of Total Billed Charges,954.64,,1702.66,89,,Percent of Total Billed Charges,918.29,,1576.39,82.4,,Percent of Total Billed Charges,1572.57,,1595.53,83.4,,Percent of Total Billed Charges,1488.39,,1595.53,83.4,,Percent of Total Billed Charges,1341.08,,1595.53,83.4,,Percent of Total Billed Charges,1557.26,,1721.79,90,,Percent of Total Billed Charges,1620.4,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1760.05,92,,Percent of Total Billed Charges,1551.52,,1760.05,92,,Percent of Total Billed Charges,1423.35,,1760.05,92,,Percent of Total Billed Charges,1497.96,,1760.05,92,,Percent of Total Billed Charges,1551.52,,1492.22,78,,Percent of Total Billed Charges,1492.22,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1029.82,53.83,,Percent of Total Billed Charges,966.12,,662.7,34.64,,Percent of Total Billed Charges,660.02,,956.17,49.98,,Percent of Total Billed Charges,723.15,,662.70,1760.05,,																																							
HC  LARYNGOSCOPY W/WO TRACHEOSCOPY DX EXCEPT NEWBORN,31525,CPT,,,,BOTH, , ,7237.65,6079.63,6658.64,92,,Percent of Total Billed Charges,6050.68,,6658.64,92,,Percent of Total Billed Charges,5942.11,,6658.64,92,,Percent of Total Billed Charges,5826.31,,6658.64,92,,Percent of Total Billed Charges,6043.44,,6658.64,92,,Percent of Total Billed Charges,5449.95,,6658.64,92,,Percent of Total Billed Charges,4523.53,,6513.89,90,,Percent of Total Billed Charges,3611.59,,6441.51,89,,Percent of Total Billed Charges,3474.07,,5963.82,82.4,,Percent of Total Billed Charges,5949.35,,6036.2,83.4,,Percent of Total Billed Charges,5630.89,,6036.2,83.4,,Percent of Total Billed Charges,5073.59,,6036.2,83.4,,Percent of Total Billed Charges,5891.45,,6513.89,90,,Percent of Total Billed Charges,6130.29,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6658.64,92,,Percent of Total Billed Charges,5869.73,,6658.64,92,,Percent of Total Billed Charges,5384.81,,6658.64,92,,Percent of Total Billed Charges,5667.08,,6658.64,92,,Percent of Total Billed Charges,5869.73,,5645.37,78,,Percent of Total Billed Charges,5645.37,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3896.03,53.83,,Percent of Total Billed Charges,3655.01,,2507.12,34.64,,Percent of Total Billed Charges,2496.99,,3617.38,49.98,,Percent of Total Billed Charges,2735.83,,2507.12,6658.64,,																																							
HC  ENTEROSCOPY > 2ND PRTN W/PLMT PRQ TUBE,44372,CPT,,,,BOTH, , ,7879.2,6618.53,7248.86,92,,Percent of Total Billed Charges,6587.01,,7248.86,92,,Percent of Total Billed Charges,6468.82,,7248.86,92,,Percent of Total Billed Charges,6342.76,,7248.86,92,,Percent of Total Billed Charges,6579.13,,7248.86,92,,Percent of Total Billed Charges,5933.04,,7248.86,92,,Percent of Total Billed Charges,4924.5,,7091.28,90,,Percent of Total Billed Charges,3931.72,,7012.49,89,,Percent of Total Billed Charges,3782.02,,6492.46,82.4,,Percent of Total Billed Charges,6476.7,,6571.25,83.4,,Percent of Total Billed Charges,6130.02,,6571.25,83.4,,Percent of Total Billed Charges,5523.32,,6571.25,83.4,,Percent of Total Billed Charges,6413.67,,7091.28,90,,Percent of Total Billed Charges,6673.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,7248.86,92,,Percent of Total Billed Charges,6390.03,,7248.86,92,,Percent of Total Billed Charges,5862.12,,7248.86,92,,Percent of Total Billed Charges,6169.41,,7248.86,92,,Percent of Total Billed Charges,6390.03,,6145.78,78,,Percent of Total Billed Charges,6145.78,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4241.37,53.83,,Percent of Total Billed Charges,3979,,2729.35,34.64,,Percent of Total Billed Charges,2718.32,,3938.02,49.98,,Percent of Total Billed Charges,2978.34,,2729.35,7248.86,,																																							
HC BRONCHOSCOPY W/EXCISION TUMOR,31640,CPT,,,,BOTH, , ,14152.95,11888.48,13020.71,92,,Percent of Total Billed Charges,11831.87,,13020.71,92,,Percent of Total Billed Charges,11619.57,,13020.71,92,,Percent of Total Billed Charges,11393.12,,13020.71,92,,Percent of Total Billed Charges,11817.71,,13020.71,92,,Percent of Total Billed Charges,10657.17,,13020.71,92,,Percent of Total Billed Charges,8845.59,,12737.66,90,,Percent of Total Billed Charges,7062.32,,12596.13,89,,Percent of Total Billed Charges,6793.42,,11662.03,82.4,,Percent of Total Billed Charges,11633.72,,11803.56,83.4,,Percent of Total Billed Charges,11011,,11803.56,83.4,,Percent of Total Billed Charges,9921.22,,11803.56,83.4,,Percent of Total Billed Charges,11520.5,,12737.66,90,,Percent of Total Billed Charges,11987.55,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,13020.71,92,,Percent of Total Billed Charges,11478.04,,13020.71,92,,Percent of Total Billed Charges,10529.79,,13020.71,92,,Percent of Total Billed Charges,11081.76,,13020.71,92,,Percent of Total Billed Charges,11478.04,,11039.3,78,,Percent of Total Billed Charges,11039.3,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,7618.53,53.83,,Percent of Total Billed Charges,7147.24,,4902.58,34.64,,Percent of Total Billed Charges,4882.77,,7073.64,49.98,,Percent of Total Billed Charges,5349.82,,4902.58,13020.71,,																																							
HC BRONCHOSCOPY W/THER ASPIR TRACHBRNCL TREE 1ST,31645,CPT,,,,BOTH, , ,6894.3,5791.21,6342.76,92,,Percent of Total Billed Charges,5763.63,,6342.76,92,,Percent of Total Billed Charges,5660.22,,6342.76,92,,Percent of Total Billed Charges,5549.91,,6342.76,92,,Percent of Total Billed Charges,5756.74,,6342.76,92,,Percent of Total Billed Charges,5191.41,,6342.76,92,,Percent of Total Billed Charges,4308.94,,6204.87,90,,Percent of Total Billed Charges,3440.26,,6135.93,89,,Percent of Total Billed Charges,3309.26,,5680.9,82.4,,Percent of Total Billed Charges,5667.11,,5749.85,83.4,,Percent of Total Billed Charges,5363.77,,5749.85,83.4,,Percent of Total Billed Charges,4832.9,,5749.85,83.4,,Percent of Total Billed Charges,5611.96,,6204.87,90,,Percent of Total Billed Charges,5839.47,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6342.76,92,,Percent of Total Billed Charges,5591.28,,6342.76,92,,Percent of Total Billed Charges,5129.36,,6342.76,92,,Percent of Total Billed Charges,5398.24,,6342.76,92,,Percent of Total Billed Charges,5591.28,,5377.55,78,,Percent of Total Billed Charges,5377.55,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3711.2,53.83,,Percent of Total Billed Charges,3481.62,,2388.19,34.64,,Percent of Total Billed Charges,2378.53,,3445.77,49.98,,Percent of Total Billed Charges,2606.05,,2388.19,6342.76,,																																							
HC  EGD ABLATE TUMOR POLYP/LESION W/DILATION& WIRE,43270,CPT,,,,BOTH, , ,7382.55,6201.34,6791.95,92,,Percent of Total Billed Charges,6171.81,,6791.95,92,,Percent of Total Billed Charges,6061.07,,6791.95,92,,Percent of Total Billed Charges,5942.95,,6791.95,92,,Percent of Total Billed Charges,6164.43,,6791.95,92,,Percent of Total Billed Charges,5559.06,,6791.95,92,,Percent of Total Billed Charges,4614.09,,6644.3,90,,Percent of Total Billed Charges,3683.89,,6570.47,89,,Percent of Total Billed Charges,3543.62,,6083.22,82.4,,Percent of Total Billed Charges,6068.46,,6157.05,83.4,,Percent of Total Billed Charges,5743.62,,6157.05,83.4,,Percent of Total Billed Charges,5175.17,,6157.05,83.4,,Percent of Total Billed Charges,6009.4,,6644.3,90,,Percent of Total Billed Charges,6253.02,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6791.95,92,,Percent of Total Billed Charges,5987.25,,6791.95,92,,Percent of Total Billed Charges,5492.62,,6791.95,92,,Percent of Total Billed Charges,5780.54,,6791.95,92,,Percent of Total Billed Charges,5987.25,,5758.39,78,,Percent of Total Billed Charges,5758.39,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3974.03,53.83,,Percent of Total Billed Charges,3728.19,,2557.32,34.64,,Percent of Total Billed Charges,2546.98,,3689.8,49.98,,Percent of Total Billed Charges,2790.6,,2557.32,6791.95,,																																							
HC  SIGMOIDOSCOPY FLX NDSC US XM,45341,CPT,,,,BOTH, , ,3667.65,3080.83,3374.24,92,,Percent of Total Billed Charges,3066.16,,3374.24,92,,Percent of Total Billed Charges,3011.14,,3374.24,92,,Percent of Total Billed Charges,2952.46,,3374.24,92,,Percent of Total Billed Charges,3062.49,,3374.24,92,,Percent of Total Billed Charges,2761.74,,3374.24,92,,Percent of Total Billed Charges,2292.28,,3300.89,90,,Percent of Total Billed Charges,1830.16,,3264.21,89,,Percent of Total Billed Charges,1760.47,,3022.14,82.4,,Percent of Total Billed Charges,3014.81,,3058.82,83.4,,Percent of Total Billed Charges,2853.43,,3058.82,83.4,,Percent of Total Billed Charges,2571.02,,3058.82,83.4,,Percent of Total Billed Charges,2985.47,,3300.89,90,,Percent of Total Billed Charges,3106.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3374.24,92,,Percent of Total Billed Charges,2974.46,,3374.24,92,,Percent of Total Billed Charges,2728.73,,3374.24,92,,Percent of Total Billed Charges,2871.77,,3374.24,92,,Percent of Total Billed Charges,2974.46,,2860.77,78,,Percent of Total Billed Charges,2860.77,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1974.3,53.83,,Percent of Total Billed Charges,1852.16,,1270.47,34.64,,Percent of Total Billed Charges,1265.34,,1833.09,49.98,,Percent of Total Billed Charges,1386.37,,1270.47,3374.24,,																																							
HC COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX,45391,CPT,,,,BOTH, , ,4793.25,4026.33,4409.79,92,,Percent of Total Billed Charges,4007.16,,4409.79,92,,Percent of Total Billed Charges,3935.26,,4409.79,92,,Percent of Total Billed Charges,3858.57,,4409.79,92,,Percent of Total Billed Charges,4002.36,,4409.79,92,,Percent of Total Billed Charges,3609.32,,4409.79,92,,Percent of Total Billed Charges,2995.78,,4313.93,90,,Percent of Total Billed Charges,2391.83,,4265.99,89,,Percent of Total Billed Charges,2300.76,,3949.64,82.4,,Percent of Total Billed Charges,3940.05,,3997.57,83.4,,Percent of Total Billed Charges,3729.15,,3997.57,83.4,,Percent of Total Billed Charges,3360.07,,3997.57,83.4,,Percent of Total Billed Charges,3901.71,,4313.93,90,,Percent of Total Billed Charges,4059.88,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4409.79,92,,Percent of Total Billed Charges,3887.33,,4409.79,92,,Percent of Total Billed Charges,3566.18,,4409.79,92,,Percent of Total Billed Charges,3753.11,,4409.79,92,,Percent of Total Billed Charges,3887.33,,3738.74,78,,Percent of Total Billed Charges,3738.74,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2580.21,53.83,,Percent of Total Billed Charges,2420.59,,1660.38,34.64,,Percent of Total Billed Charges,1653.67,,2395.67,49.98,,Percent of Total Billed Charges,1811.85,,1660.38,4409.79,,																																							
HC  SIGMOIDOSCOPY FLX ABLATION TUMOR POLYP/OTH LES,45346,CPT,,,,BOTH, , ,4793.25,4026.33,4409.79,92,,Percent of Total Billed Charges,4007.16,,4409.79,92,,Percent of Total Billed Charges,3935.26,,4409.79,92,,Percent of Total Billed Charges,3858.57,,4409.79,92,,Percent of Total Billed Charges,4002.36,,4409.79,92,,Percent of Total Billed Charges,3609.32,,4409.79,92,,Percent of Total Billed Charges,2995.78,,4313.93,90,,Percent of Total Billed Charges,2391.83,,4265.99,89,,Percent of Total Billed Charges,2300.76,,3949.64,82.4,,Percent of Total Billed Charges,3940.05,,3997.57,83.4,,Percent of Total Billed Charges,3729.15,,3997.57,83.4,,Percent of Total Billed Charges,3360.07,,3997.57,83.4,,Percent of Total Billed Charges,3901.71,,4313.93,90,,Percent of Total Billed Charges,4059.88,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4409.79,92,,Percent of Total Billed Charges,3887.33,,4409.79,92,,Percent of Total Billed Charges,3566.18,,4409.79,92,,Percent of Total Billed Charges,3753.11,,4409.79,92,,Percent of Total Billed Charges,3887.33,,3738.74,78,,Percent of Total Billed Charges,3738.74,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2580.21,53.83,,Percent of Total Billed Charges,2420.59,,1660.38,34.64,,Percent of Total Billed Charges,1653.67,,2395.67,49.98,,Percent of Total Billed Charges,1811.85,,1660.38,4409.79,,																																							
HC  ANOSCOPY W/BX SINGLE/MULTIPLE,46606,CPT,,,,BOTH, , ,4450.95,3738.8,4094.87,92,,Percent of Total Billed Charges,3720.99,,4094.87,92,,Percent of Total Billed Charges,3654.23,,4094.87,92,,Percent of Total Billed Charges,3583.01,,4094.87,92,,Percent of Total Billed Charges,3716.54,,4094.87,92,,Percent of Total Billed Charges,3351.57,,4094.87,92,,Percent of Total Billed Charges,2781.84,,4005.86,90,,Percent of Total Billed Charges,2221.02,,3961.35,89,,Percent of Total Billed Charges,2136.46,,3667.58,82.4,,Percent of Total Billed Charges,3658.68,,3712.09,83.4,,Percent of Total Billed Charges,3462.84,,3712.09,83.4,,Percent of Total Billed Charges,3120.12,,3712.09,83.4,,Percent of Total Billed Charges,3623.07,,4005.86,90,,Percent of Total Billed Charges,3769.95,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4094.87,92,,Percent of Total Billed Charges,3609.72,,4094.87,92,,Percent of Total Billed Charges,3311.51,,4094.87,92,,Percent of Total Billed Charges,3485.09,,4094.87,92,,Percent of Total Billed Charges,3609.72,,3471.74,78,,Percent of Total Billed Charges,3471.74,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2395.95,53.83,,Percent of Total Billed Charges,2247.73,,1541.81,34.64,,Percent of Total Billed Charges,1535.58,,2224.58,49.98,,Percent of Total Billed Charges,1682.46,,1541.81,4094.87,,																																							
HC CA SCREEN;FLEXI SIGMOIDSCOPE,G0104,CPT,,,,BOTH, , ,3405.15,2860.33,3132.74,92,,Percent of Total Billed Charges,2846.71,,3132.74,92,,Percent of Total Billed Charges,2795.63,,3132.74,92,,Percent of Total Billed Charges,2741.15,,3132.74,92,,Percent of Total Billed Charges,2843.3,,3132.74,92,,Percent of Total Billed Charges,2564.08,,3132.74,92,,Percent of Total Billed Charges,2128.22,,3064.64,90,,Percent of Total Billed Charges,1699.17,,3030.58,89,,Percent of Total Billed Charges,1634.47,,2805.84,82.4,,Percent of Total Billed Charges,2799.03,,2839.9,83.4,,Percent of Total Billed Charges,2649.21,,2839.9,83.4,,Percent of Total Billed Charges,2387.01,,2839.9,83.4,,Percent of Total Billed Charges,2771.79,,3064.64,90,,Percent of Total Billed Charges,2884.16,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3132.74,92,,Percent of Total Billed Charges,2761.58,,3132.74,92,,Percent of Total Billed Charges,2533.43,,3132.74,92,,Percent of Total Billed Charges,2666.23,,3132.74,92,,Percent of Total Billed Charges,2761.58,,2656.02,78,,Percent of Total Billed Charges,2656.02,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1832.99,53.83,,Percent of Total Billed Charges,1719.6,,1179.54,34.64,,Percent of Total Billed Charges,1174.78,,1701.89,49.98,,Percent of Total Billed Charges,1287.15,,1179.54,3132.74,,																																							
HC ILEOSCOPY STOMA W/BX SINGLE/MULTIPLE,44382,CPT,,,,BOTH, , ,3474.45,2918.54,3196.49,92,,Percent of Total Billed Charges,2904.64,,3196.49,92,,Percent of Total Billed Charges,2852.52,,3196.49,92,,Percent of Total Billed Charges,2796.93,,3196.49,92,,Percent of Total Billed Charges,2901.17,,3196.49,92,,Percent of Total Billed Charges,2616.26,,3196.49,92,,Percent of Total Billed Charges,2171.53,,3127.01,90,,Percent of Total Billed Charges,1733.75,,3092.26,89,,Percent of Total Billed Charges,1667.74,,2862.95,82.4,,Percent of Total Billed Charges,2856,,2897.69,83.4,,Percent of Total Billed Charges,2703.12,,2897.69,83.4,,Percent of Total Billed Charges,2435.59,,2897.69,83.4,,Percent of Total Billed Charges,2828.2,,3127.01,90,,Percent of Total Billed Charges,2942.86,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3196.49,92,,Percent of Total Billed Charges,2817.78,,3196.49,92,,Percent of Total Billed Charges,2584.99,,3196.49,92,,Percent of Total Billed Charges,2720.49,,3196.49,92,,Percent of Total Billed Charges,2817.78,,2710.07,78,,Percent of Total Billed Charges,2710.07,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1870.3,53.83,,Percent of Total Billed Charges,1754.6,,1203.55,34.64,,Percent of Total Billed Charges,1198.69,,1736.53,49.98,,Percent of Total Billed Charges,1313.34,,1203.55,3196.49,,																																							
HC  ERCP W/BIOPSY SINGLE/MULTIPLE,43261,CPT,,,,BOTH, , ,13222.65,11107.03,12164.84,92,,Percent of Total Billed Charges,11054.14,,12164.84,92,,Percent of Total Billed Charges,10855.8,,12164.84,92,,Percent of Total Billed Charges,10644.23,,12164.84,92,,Percent of Total Billed Charges,11040.91,,12164.84,92,,Percent of Total Billed Charges,9956.66,,12164.84,92,,Percent of Total Billed Charges,8264.16,,11900.39,90,,Percent of Total Billed Charges,6598.1,,11768.16,89,,Percent of Total Billed Charges,6346.87,,10895.46,82.4,,Percent of Total Billed Charges,10869.02,,11027.69,83.4,,Percent of Total Billed Charges,10287.22,,11027.69,83.4,,Percent of Total Billed Charges,9269.08,,11027.69,83.4,,Percent of Total Billed Charges,10763.24,,11900.39,90,,Percent of Total Billed Charges,11199.58,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,12164.84,92,,Percent of Total Billed Charges,10723.57,,12164.84,92,,Percent of Total Billed Charges,9837.65,,12164.84,92,,Percent of Total Billed Charges,10353.33,,12164.84,92,,Percent of Total Billed Charges,10723.57,,10313.67,78,,Percent of Total Billed Charges,10313.67,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,7117.75,53.83,,Percent of Total Billed Charges,6677.44,,4580.33,34.64,,Percent of Total Billed Charges,4561.81,,6608.68,49.98,,Percent of Total Billed Charges,4998.16,,4580.33,12164.84,,																																							
HC BILE TRACT SURGERY PROCEDURE,47999,CPT,,,,BOTH, , ,3474.45,2918.54,3196.49,92,,Percent of Total Billed Charges,2904.64,,3196.49,92,,Percent of Total Billed Charges,2852.52,,3196.49,92,,Percent of Total Billed Charges,2796.93,,3196.49,92,,Percent of Total Billed Charges,2901.17,,3196.49,92,,Percent of Total Billed Charges,2616.26,,3196.49,92,,Percent of Total Billed Charges,2171.53,,3127.01,90,,Percent of Total Billed Charges,1733.75,,3092.26,89,,Percent of Total Billed Charges,1667.74,,2862.95,82.4,,Percent of Total Billed Charges,2856,,2897.69,83.4,,Percent of Total Billed Charges,2703.12,,2897.69,83.4,,Percent of Total Billed Charges,2435.59,,2897.69,83.4,,Percent of Total Billed Charges,2828.2,,3127.01,90,,Percent of Total Billed Charges,2942.86,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3196.49,92,,Percent of Total Billed Charges,2817.78,,3196.49,92,,Percent of Total Billed Charges,2584.99,,3196.49,92,,Percent of Total Billed Charges,2720.49,,3196.49,92,,Percent of Total Billed Charges,2817.78,,2710.07,78,,Percent of Total Billed Charges,2710.07,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1870.3,53.83,,Percent of Total Billed Charges,1754.6,,1203.55,34.64,,Percent of Total Billed Charges,1198.69,,1736.53,49.98,,Percent of Total Billed Charges,1313.34,,1203.55,3196.49,,																																							
HC ESOPHAGOSCOPY FLEXIBLE TRANSORAL DIAGNOSTIC,43200,CPT,,,,BOTH, , ,3474.45,2918.54,3196.49,92,,Percent of Total Billed Charges,2904.64,,3196.49,92,,Percent of Total Billed Charges,2852.52,,3196.49,92,,Percent of Total Billed Charges,2796.93,,3196.49,92,,Percent of Total Billed Charges,2901.17,,3196.49,92,,Percent of Total Billed Charges,2616.26,,3196.49,92,,Percent of Total Billed Charges,2171.53,,3127.01,90,,Percent of Total Billed Charges,1733.75,,3092.26,89,,Percent of Total Billed Charges,1667.74,,2862.95,82.4,,Percent of Total Billed Charges,2856,,2897.69,83.4,,Percent of Total Billed Charges,2703.12,,2897.69,83.4,,Percent of Total Billed Charges,2435.59,,2897.69,83.4,,Percent of Total Billed Charges,2828.2,,3127.01,90,,Percent of Total Billed Charges,2942.86,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3196.49,92,,Percent of Total Billed Charges,2817.78,,3196.49,92,,Percent of Total Billed Charges,2584.99,,3196.49,92,,Percent of Total Billed Charges,2720.49,,3196.49,92,,Percent of Total Billed Charges,2817.78,,2710.07,78,,Percent of Total Billed Charges,2710.07,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1870.3,53.83,,Percent of Total Billed Charges,1754.6,,1203.55,34.64,,Percent of Total Billed Charges,1198.69,,1736.53,49.98,,Percent of Total Billed Charges,1313.34,,1203.55,3196.49,,																																							
HC  COLONOSCOPY STOMA CONTROL BLEEDING,44391,CPT,,,,BOTH, , ,4450.95,3738.8,4094.87,92,,Percent of Total Billed Charges,3720.99,,4094.87,92,,Percent of Total Billed Charges,3654.23,,4094.87,92,,Percent of Total Billed Charges,3583.01,,4094.87,92,,Percent of Total Billed Charges,3716.54,,4094.87,92,,Percent of Total Billed Charges,3351.57,,4094.87,92,,Percent of Total Billed Charges,2781.84,,4005.86,90,,Percent of Total Billed Charges,2221.02,,3961.35,89,,Percent of Total Billed Charges,2136.46,,3667.58,82.4,,Percent of Total Billed Charges,3658.68,,3712.09,83.4,,Percent of Total Billed Charges,3462.84,,3712.09,83.4,,Percent of Total Billed Charges,3120.12,,3712.09,83.4,,Percent of Total Billed Charges,3623.07,,4005.86,90,,Percent of Total Billed Charges,3769.95,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4094.87,92,,Percent of Total Billed Charges,3609.72,,4094.87,92,,Percent of Total Billed Charges,3311.51,,4094.87,92,,Percent of Total Billed Charges,3485.09,,4094.87,92,,Percent of Total Billed Charges,3609.72,,3471.74,78,,Percent of Total Billed Charges,3471.74,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2395.95,53.83,,Percent of Total Billed Charges,2247.73,,1541.81,34.64,,Percent of Total Billed Charges,1535.58,,2224.58,49.98,,Percent of Total Billed Charges,1682.46,,1541.81,4094.87,,																																							
HC  PREPARE FECAL MICROBIOTA FOR INSTILLATION,44705,CPT,,,,BOTH, , ,3474.45,2918.54,3196.49,92,,Percent of Total Billed Charges,2904.64,,3196.49,92,,Percent of Total Billed Charges,2852.52,,3196.49,92,,Percent of Total Billed Charges,2796.93,,3196.49,92,,Percent of Total Billed Charges,2901.17,,3196.49,92,,Percent of Total Billed Charges,2616.26,,3196.49,92,,Percent of Total Billed Charges,2171.53,,3127.01,90,,Percent of Total Billed Charges,1733.75,,3092.26,89,,Percent of Total Billed Charges,1667.74,,2862.95,82.4,,Percent of Total Billed Charges,2856,,2897.69,83.4,,Percent of Total Billed Charges,2703.12,,2897.69,83.4,,Percent of Total Billed Charges,2435.59,,2897.69,83.4,,Percent of Total Billed Charges,2828.2,,3127.01,90,,Percent of Total Billed Charges,2942.86,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3196.49,92,,Percent of Total Billed Charges,2817.78,,3196.49,92,,Percent of Total Billed Charges,2584.99,,3196.49,92,,Percent of Total Billed Charges,2720.49,,3196.49,92,,Percent of Total Billed Charges,2817.78,,2710.07,78,,Percent of Total Billed Charges,2710.07,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1870.3,53.83,,Percent of Total Billed Charges,1754.6,,1203.55,34.64,,Percent of Total Billed Charges,1198.69,,1736.53,49.98,,Percent of Total Billed Charges,1313.34,,1203.55,3196.49,,																																							
HC COLSC FLX W/US GUID NDL ASPIR/BX W/US RCTM ET AL,45392,CPT,,,,BOTH, , ,4450.95,3738.8,4094.87,92,,Percent of Total Billed Charges,3720.99,,4094.87,92,,Percent of Total Billed Charges,3654.23,,4094.87,92,,Percent of Total Billed Charges,3583.01,,4094.87,92,,Percent of Total Billed Charges,3716.54,,4094.87,92,,Percent of Total Billed Charges,3351.57,,4094.87,92,,Percent of Total Billed Charges,2781.84,,4005.86,90,,Percent of Total Billed Charges,2221.02,,3961.35,89,,Percent of Total Billed Charges,2136.46,,3667.58,82.4,,Percent of Total Billed Charges,3658.68,,3712.09,83.4,,Percent of Total Billed Charges,3462.84,,3712.09,83.4,,Percent of Total Billed Charges,3120.12,,3712.09,83.4,,Percent of Total Billed Charges,3623.07,,4005.86,90,,Percent of Total Billed Charges,3769.95,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4094.87,92,,Percent of Total Billed Charges,3609.72,,4094.87,92,,Percent of Total Billed Charges,3311.51,,4094.87,92,,Percent of Total Billed Charges,3485.09,,4094.87,92,,Percent of Total Billed Charges,3609.72,,3471.74,78,,Percent of Total Billed Charges,3471.74,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2395.95,53.83,,Percent of Total Billed Charges,2247.73,,1541.81,34.64,,Percent of Total Billed Charges,1535.58,,2224.58,49.98,,Percent of Total Billed Charges,1682.46,,1541.81,4094.87,,																																							
HC ENTEROSCOPY > 2ND PRTN W/RMVL LESION CAUTERY,44365,CPT,,,,BOTH, , ,6974.1,5858.24,6416.17,92,,Percent of Total Billed Charges,5830.35,,6416.17,92,,Percent of Total Billed Charges,5725.74,,6416.17,92,,Percent of Total Billed Charges,5614.15,,6416.17,92,,Percent of Total Billed Charges,5823.37,,6416.17,92,,Percent of Total Billed Charges,5251.5,,6416.17,92,,Percent of Total Billed Charges,4358.81,,6276.69,90,,Percent of Total Billed Charges,3480.08,,6206.95,89,,Percent of Total Billed Charges,3347.57,,5746.66,82.4,,Percent of Total Billed Charges,5732.71,,5816.4,83.4,,Percent of Total Billed Charges,5425.85,,5816.4,83.4,,Percent of Total Billed Charges,4888.84,,5816.4,83.4,,Percent of Total Billed Charges,5676.92,,6276.69,90,,Percent of Total Billed Charges,5907.06,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6416.17,92,,Percent of Total Billed Charges,5656,,6416.17,92,,Percent of Total Billed Charges,5188.73,,6416.17,92,,Percent of Total Billed Charges,5460.72,,6416.17,92,,Percent of Total Billed Charges,5656,,5439.8,78,,Percent of Total Billed Charges,5439.8,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3754.16,53.83,,Percent of Total Billed Charges,3521.92,,2415.83,34.64,,Percent of Total Billed Charges,2406.06,,3485.66,49.98,,Percent of Total Billed Charges,2636.21,,2415.83,6416.17,,																																							
HC ESOPHAGOSCOPY FLEXIBLE TRANSORAL ULTRASOUND EXAM,43231,CPT,,,,BOTH, , ,6974.1,5858.24,6416.17,92,,Percent of Total Billed Charges,5830.35,,6416.17,92,,Percent of Total Billed Charges,5725.74,,6416.17,92,,Percent of Total Billed Charges,5614.15,,6416.17,92,,Percent of Total Billed Charges,5823.37,,6416.17,92,,Percent of Total Billed Charges,5251.5,,6416.17,92,,Percent of Total Billed Charges,4358.81,,6276.69,90,,Percent of Total Billed Charges,3480.08,,6206.95,89,,Percent of Total Billed Charges,3347.57,,5746.66,82.4,,Percent of Total Billed Charges,5732.71,,5816.4,83.4,,Percent of Total Billed Charges,5425.85,,5816.4,83.4,,Percent of Total Billed Charges,4888.84,,5816.4,83.4,,Percent of Total Billed Charges,5676.92,,6276.69,90,,Percent of Total Billed Charges,5907.06,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6416.17,92,,Percent of Total Billed Charges,5656,,6416.17,92,,Percent of Total Billed Charges,5188.73,,6416.17,92,,Percent of Total Billed Charges,5460.72,,6416.17,92,,Percent of Total Billed Charges,5656,,5439.8,78,,Percent of Total Billed Charges,5439.8,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3754.16,53.83,,Percent of Total Billed Charges,3521.92,,2415.83,34.64,,Percent of Total Billed Charges,2406.06,,3485.66,49.98,,Percent of Total Billed Charges,2636.21,,2415.83,6416.17,,																																							
HC  COLONOSCOPY THROUGH STOMA WITH DECOMPRESSION,44408,CPT,,,,BOTH, , ,3405.15,2860.33,3132.74,92,,Percent of Total Billed Charges,2846.71,,3132.74,92,,Percent of Total Billed Charges,2795.63,,3132.74,92,,Percent of Total Billed Charges,2741.15,,3132.74,92,,Percent of Total Billed Charges,2843.3,,3132.74,92,,Percent of Total Billed Charges,2564.08,,3132.74,92,,Percent of Total Billed Charges,2128.22,,3064.64,90,,Percent of Total Billed Charges,1699.17,,3030.58,89,,Percent of Total Billed Charges,1634.47,,2805.84,82.4,,Percent of Total Billed Charges,2799.03,,2839.9,83.4,,Percent of Total Billed Charges,2649.21,,2839.9,83.4,,Percent of Total Billed Charges,2387.01,,2839.9,83.4,,Percent of Total Billed Charges,2771.79,,3064.64,90,,Percent of Total Billed Charges,2884.16,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3132.74,92,,Percent of Total Billed Charges,2761.58,,3132.74,92,,Percent of Total Billed Charges,2533.43,,3132.74,92,,Percent of Total Billed Charges,2666.23,,3132.74,92,,Percent of Total Billed Charges,2761.58,,2656.02,78,,Percent of Total Billed Charges,2656.02,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1832.99,53.83,,Percent of Total Billed Charges,1719.6,,1179.54,34.64,,Percent of Total Billed Charges,1174.78,,1701.89,49.98,,Percent of Total Billed Charges,1287.15,,1179.54,3132.74,,																																							
HC  ESOPHAGOSCOPY FLEX TRANSORAL LESION ABLATION,43229,CPT,,,,BOTH, , ,13222.65,11107.03,12164.84,92,,Percent of Total Billed Charges,11054.14,,12164.84,92,,Percent of Total Billed Charges,10855.8,,12164.84,92,,Percent of Total Billed Charges,10644.23,,12164.84,92,,Percent of Total Billed Charges,11040.91,,12164.84,92,,Percent of Total Billed Charges,9956.66,,12164.84,92,,Percent of Total Billed Charges,8264.16,,11900.39,90,,Percent of Total Billed Charges,6598.1,,11768.16,89,,Percent of Total Billed Charges,6346.87,,10895.46,82.4,,Percent of Total Billed Charges,10869.02,,11027.69,83.4,,Percent of Total Billed Charges,10287.22,,11027.69,83.4,,Percent of Total Billed Charges,9269.08,,11027.69,83.4,,Percent of Total Billed Charges,10763.24,,11900.39,90,,Percent of Total Billed Charges,11199.58,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,12164.84,92,,Percent of Total Billed Charges,10723.57,,12164.84,92,,Percent of Total Billed Charges,9837.65,,12164.84,92,,Percent of Total Billed Charges,10353.33,,12164.84,92,,Percent of Total Billed Charges,10723.57,,10313.67,78,,Percent of Total Billed Charges,10313.67,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,7117.75,53.83,,Percent of Total Billed Charges,6677.44,,4580.33,34.64,,Percent of Total Billed Charges,4561.81,,6608.68,49.98,,Percent of Total Billed Charges,4998.16,,4580.33,12164.84,,																																							
HC EGD TRANSORAL ENDOSCOPIC MUCOSAL RESECTION,43254,CPT,,,,BOTH, , ,7009.8,5888.23,6449.02,92,,Percent of Total Billed Charges,5860.19,,6449.02,92,,Percent of Total Billed Charges,5755.05,,6449.02,92,,Percent of Total Billed Charges,5642.89,,6449.02,92,,Percent of Total Billed Charges,5853.18,,6449.02,92,,Percent of Total Billed Charges,5278.38,,6449.02,92,,Percent of Total Billed Charges,4381.13,,6308.82,90,,Percent of Total Billed Charges,3497.89,,6238.72,89,,Percent of Total Billed Charges,3364.7,,5776.08,82.4,,Percent of Total Billed Charges,5762.06,,5846.17,83.4,,Percent of Total Billed Charges,5453.62,,5846.17,83.4,,Percent of Total Billed Charges,4913.87,,5846.17,83.4,,Percent of Total Billed Charges,5705.98,,6308.82,90,,Percent of Total Billed Charges,5937.3,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6449.02,92,,Percent of Total Billed Charges,5684.95,,6449.02,92,,Percent of Total Billed Charges,5215.29,,6449.02,92,,Percent of Total Billed Charges,5488.67,,6449.02,92,,Percent of Total Billed Charges,5684.95,,5467.64,78,,Percent of Total Billed Charges,5467.64,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3773.38,53.83,,Percent of Total Billed Charges,3539.95,,2428.19,34.64,,Percent of Total Billed Charges,2418.38,,3503.5,49.98,,Percent of Total Billed Charges,2649.7,,2428.19,6449.02,,																																							
HC COLONOSCOPY FLX WITH ENDOSCOPIC STENT PLACEMENT,45389,CPT,,,,BOTH, , ,21722.4,18246.82,19984.61,92,,Percent of Total Billed Charges,18159.93,,19984.61,92,,Percent of Total Billed Charges,17834.09,,19984.61,92,,Percent of Total Billed Charges,17486.53,,19984.61,92,,Percent of Total Billed Charges,18138.2,,19984.61,92,,Percent of Total Billed Charges,16356.97,,19984.61,92,,Percent of Total Billed Charges,13576.5,,19550.16,90,,Percent of Total Billed Charges,10839.48,,19332.94,89,,Percent of Total Billed Charges,10426.75,,17899.26,82.4,,Percent of Total Billed Charges,17855.81,,18116.48,83.4,,Percent of Total Billed Charges,16900.03,,18116.48,83.4,,Percent of Total Billed Charges,15227.4,,18116.48,83.4,,Percent of Total Billed Charges,17682.03,,19550.16,90,,Percent of Total Billed Charges,18398.87,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,19984.61,92,,Percent of Total Billed Charges,17616.87,,19984.61,92,,Percent of Total Billed Charges,16161.47,,19984.61,92,,Percent of Total Billed Charges,17008.64,,19984.61,92,,Percent of Total Billed Charges,17616.87,,16943.47,78,,Percent of Total Billed Charges,16943.47,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,11693.17,53.83,,Percent of Total Billed Charges,10969.81,,7524.64,34.64,,Percent of Total Billed Charges,7494.23,,10856.86,49.98,,Percent of Total Billed Charges,8211.07,,7524.64,19984.61,,																																							
HC COLONOSCOPY STOMA W/ENDOSCOPIC MUCOSAL RESCJ,44403,CPT,,,,BOTH, , ,4475.1,3759.08,4117.09,92,,Percent of Total Billed Charges,3741.18,,4117.09,92,,Percent of Total Billed Charges,3674.06,,4117.09,92,,Percent of Total Billed Charges,3602.46,,4117.09,92,,Percent of Total Billed Charges,3736.71,,4117.09,92,,Percent of Total Billed Charges,3369.75,,4117.09,92,,Percent of Total Billed Charges,2796.94,,4027.59,90,,Percent of Total Billed Charges,2233.07,,3982.84,89,,Percent of Total Billed Charges,2148.05,,3687.48,82.4,,Percent of Total Billed Charges,3678.53,,3732.23,83.4,,Percent of Total Billed Charges,3481.63,,3732.23,83.4,,Percent of Total Billed Charges,3137.05,,3732.23,83.4,,Percent of Total Billed Charges,3642.73,,4027.59,90,,Percent of Total Billed Charges,3790.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4117.09,92,,Percent of Total Billed Charges,3629.31,,4117.09,92,,Percent of Total Billed Charges,3329.47,,4117.09,92,,Percent of Total Billed Charges,3504,,4117.09,92,,Percent of Total Billed Charges,3629.31,,3490.58,78,,Percent of Total Billed Charges,3490.58,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2408.95,53.83,,Percent of Total Billed Charges,2259.93,,1550.17,34.64,,Percent of Total Billed Charges,1543.91,,2236.65,49.98,,Percent of Total Billed Charges,1691.59,,1550.17,4117.09,,																																							
HC ESOPHAGOSCOPY FLEX BALLOON DILAT <30 MM DIAM,43220,CPT,,,,BOTH, , ,6675.9,5607.76,6141.83,92,,Percent of Total Billed Charges,5581.05,,6141.83,92,,Percent of Total Billed Charges,5480.91,,6141.83,92,,Percent of Total Billed Charges,5374.1,,6141.83,92,,Percent of Total Billed Charges,5574.38,,6141.83,92,,Percent of Total Billed Charges,5026.95,,6141.83,92,,Percent of Total Billed Charges,4172.44,,6008.31,90,,Percent of Total Billed Charges,3331.27,,5941.55,89,,Percent of Total Billed Charges,3204.43,,5500.94,82.4,,Percent of Total Billed Charges,5487.59,,5567.7,83.4,,Percent of Total Billed Charges,5193.85,,5567.7,83.4,,Percent of Total Billed Charges,4679.81,,5567.7,83.4,,Percent of Total Billed Charges,5434.18,,6008.31,90,,Percent of Total Billed Charges,5654.49,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6141.83,92,,Percent of Total Billed Charges,5414.15,,6141.83,92,,Percent of Total Billed Charges,4966.87,,6141.83,92,,Percent of Total Billed Charges,5227.23,,6141.83,92,,Percent of Total Billed Charges,5414.15,,5207.2,78,,Percent of Total Billed Charges,5207.2,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3593.64,53.83,,Percent of Total Billed Charges,3371.33,,2312.53,34.64,,Percent of Total Billed Charges,2303.19,,3336.61,49.98,,Percent of Total Billed Charges,2523.49,,2312.53,6141.83,,																																							
HC NDSC EVAL INTSTINAL POUCH DX W/COLLJ SPEC SPX,44385,CPT,,,,BOTH, , ,3261.3,2739.49,3000.4,92,,Percent of Total Billed Charges,2726.45,,3000.4,92,,Percent of Total Billed Charges,2677.53,,3000.4,92,,Percent of Total Billed Charges,2625.35,,3000.4,92,,Percent of Total Billed Charges,2723.19,,3000.4,92,,Percent of Total Billed Charges,2455.76,,3000.4,92,,Percent of Total Billed Charges,2038.31,,2935.17,90,,Percent of Total Billed Charges,1627.39,,2902.56,89,,Percent of Total Billed Charges,1565.42,,2687.31,82.4,,Percent of Total Billed Charges,2680.79,,2719.92,83.4,,Percent of Total Billed Charges,2537.29,,2719.92,83.4,,Percent of Total Billed Charges,2286.17,,2719.92,83.4,,Percent of Total Billed Charges,2654.7,,2935.17,90,,Percent of Total Billed Charges,2762.32,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3000.4,92,,Percent of Total Billed Charges,2644.91,,3000.4,92,,Percent of Total Billed Charges,2426.41,,3000.4,92,,Percent of Total Billed Charges,2553.6,,3000.4,92,,Percent of Total Billed Charges,2644.91,,2543.81,78,,Percent of Total Billed Charges,2543.81,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1755.56,53.83,,Percent of Total Billed Charges,1646.96,,1129.71,34.64,,Percent of Total Billed Charges,1125.15,,1630,49.98,,Percent of Total Billed Charges,1232.77,,1129.71,3000.4,,																																							
HC ENTEROSCOPY > 2ND PRTN ABLTJ LESION,44369,CPT,,,,BOTH, , ,7078.05,5945.56,6511.81,92,,Percent of Total Billed Charges,5917.25,,6511.81,92,,Percent of Total Billed Charges,5811.08,,6511.81,92,,Percent of Total Billed Charges,5697.83,,6511.81,92,,Percent of Total Billed Charges,5910.17,,6511.81,92,,Percent of Total Billed Charges,5329.77,,6511.81,92,,Percent of Total Billed Charges,4423.78,,6370.25,90,,Percent of Total Billed Charges,3531.95,,6299.46,89,,Percent of Total Billed Charges,3397.46,,5832.31,82.4,,Percent of Total Billed Charges,5818.16,,5903.09,83.4,,Percent of Total Billed Charges,5506.72,,5903.09,83.4,,Percent of Total Billed Charges,4961.71,,5903.09,83.4,,Percent of Total Billed Charges,5761.53,,6370.25,90,,Percent of Total Billed Charges,5995.11,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6511.81,92,,Percent of Total Billed Charges,5740.3,,6511.81,92,,Percent of Total Billed Charges,5266.07,,6511.81,92,,Percent of Total Billed Charges,5542.11,,6511.81,92,,Percent of Total Billed Charges,5740.3,,5520.88,78,,Percent of Total Billed Charges,5520.88,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3810.11,53.83,,Percent of Total Billed Charges,3574.42,,2451.84,34.64,,Percent of Total Billed Charges,2441.93,,3537.61,49.98,,Percent of Total Billed Charges,2675.5,,2451.84,6511.81,,																																							
HC SGMDSC FLX WITH ENDOSCOPIC MUCOSAL RESECTION,45349,CPT,,,,BOTH, , ,10443.3,8772.37,9607.84,92,,Percent of Total Billed Charges,8730.6,,9607.84,92,,Percent of Total Billed Charges,8573.95,,9607.84,92,,Percent of Total Billed Charges,8406.86,,9607.84,92,,Percent of Total Billed Charges,8720.16,,9607.84,92,,Percent of Total Billed Charges,7863.8,,9607.84,92,,Percent of Total Billed Charges,6527.06,,9398.97,90,,Percent of Total Billed Charges,5211.21,,9294.54,89,,Percent of Total Billed Charges,5012.78,,8605.28,82.4,,Percent of Total Billed Charges,8584.39,,8709.71,83.4,,Percent of Total Billed Charges,8124.89,,8709.71,83.4,,Percent of Total Billed Charges,7320.75,,8709.71,83.4,,Percent of Total Billed Charges,8500.85,,9398.97,90,,Percent of Total Billed Charges,8845.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,9607.84,92,,Percent of Total Billed Charges,8469.52,,9607.84,92,,Percent of Total Billed Charges,7769.82,,9607.84,92,,Percent of Total Billed Charges,8177.1,,9607.84,92,,Percent of Total Billed Charges,8469.52,,8145.77,78,,Percent of Total Billed Charges,8145.77,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5621.63,53.83,,Percent of Total Billed Charges,5273.87,,3617.56,34.64,,Percent of Total Billed Charges,3602.94,,5219.56,49.98,,Percent of Total Billed Charges,3947.57,,3617.56,9607.84,,																																							
HC DILATION ESOPH UNGUIDED SOUND/BOUGIE 1/MULT PASS,43450,CPT,,,,BOTH, , ,3354.75,2817.99,3086.37,92,,Percent of Total Billed Charges,2804.57,,3086.37,92,,Percent of Total Billed Charges,2754.25,,3086.37,92,,Percent of Total Billed Charges,2700.57,,3086.37,92,,Percent of Total Billed Charges,2801.22,,3086.37,92,,Percent of Total Billed Charges,2526.13,,3086.37,92,,Percent of Total Billed Charges,2096.72,,3019.28,90,,Percent of Total Billed Charges,1674.02,,2985.73,89,,Percent of Total Billed Charges,1610.28,,2764.31,82.4,,Percent of Total Billed Charges,2757.6,,2797.86,83.4,,Percent of Total Billed Charges,2610,,2797.86,83.4,,Percent of Total Billed Charges,2351.68,,2797.86,83.4,,Percent of Total Billed Charges,2730.77,,3019.28,90,,Percent of Total Billed Charges,2841.47,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3086.37,92,,Percent of Total Billed Charges,2720.7,,3086.37,92,,Percent of Total Billed Charges,2495.93,,3086.37,92,,Percent of Total Billed Charges,2626.77,,3086.37,92,,Percent of Total Billed Charges,2720.7,,2616.71,78,,Percent of Total Billed Charges,2616.71,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1805.86,53.83,,Percent of Total Billed Charges,1694.15,,1162.09,34.64,,Percent of Total Billed Charges,1157.39,,1676.7,49.98,,Percent of Total Billed Charges,1268.1,,1162.09,3086.37,,																																							
HC ESOPHGL BALO DISTENSION DX STD W/PROVOCATION,91040,CPT,,,,BOTH, , ,1964.55,1650.22,1807.39,92,,Percent of Total Billed Charges,1642.36,,1807.39,92,,Percent of Total Billed Charges,1612.9,,1807.39,92,,Percent of Total Billed Charges,1581.46,,1807.39,92,,Percent of Total Billed Charges,1640.4,,1807.39,92,,Percent of Total Billed Charges,1479.31,,1807.39,92,,Percent of Total Billed Charges,1227.84,,1768.1,90,,Percent of Total Billed Charges,980.31,,1748.45,89,,Percent of Total Billed Charges,942.98,,1618.79,82.4,,Percent of Total Billed Charges,1614.86,,1638.43,83.4,,Percent of Total Billed Charges,1528.42,,1638.43,83.4,,Percent of Total Billed Charges,1377.15,,1638.43,83.4,,Percent of Total Billed Charges,1599.14,,1768.1,90,,Percent of Total Billed Charges,1663.97,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1807.39,92,,Percent of Total Billed Charges,1593.25,,1807.39,92,,Percent of Total Billed Charges,1461.63,,1807.39,92,,Percent of Total Billed Charges,1538.24,,1807.39,92,,Percent of Total Billed Charges,1593.25,,1532.35,78,,Percent of Total Billed Charges,1532.35,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1057.52,53.83,,Percent of Total Billed Charges,992.1,,680.52,34.64,,Percent of Total Billed Charges,677.77,,981.88,49.98,,Percent of Total Billed Charges,742.6,,680.52,1807.39,,																																							
HC SIGMOIDOSCOPY FLX PLACEMENT OF ENDOSCOPIC STENT, 45347,CPT,,,,BOTH, , ,21299.25,17891.37,19595.31,92,,Percent of Total Billed Charges,17806.17,,19595.31,92,,Percent of Total Billed Charges,17486.68,,19595.31,92,,Percent of Total Billed Charges,17145.9,,19595.31,92,,Percent of Total Billed Charges,17784.87,,19595.31,92,,Percent of Total Billed Charges,16038.34,,19595.31,92,,Percent of Total Billed Charges,13312.03,,19169.33,90,,Percent of Total Billed Charges,10628.33,,18956.33,89,,Percent of Total Billed Charges,10223.64,,17550.58,82.4,,Percent of Total Billed Charges,17507.98,,17763.57,83.4,,Percent of Total Billed Charges,16570.82,,17763.57,83.4,,Percent of Total Billed Charges,14930.77,,17763.57,83.4,,Percent of Total Billed Charges,17337.59,,19169.33,90,,Percent of Total Billed Charges,18040.46,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,19595.31,92,,Percent of Total Billed Charges,17273.69,,19595.31,92,,Percent of Total Billed Charges,15846.64,,19595.31,92,,Percent of Total Billed Charges,16677.31,,19595.31,92,,Percent of Total Billed Charges,17273.69,,16613.42,78,,Percent of Total Billed Charges,16613.42,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,11465.39,53.83,,Percent of Total Billed Charges,10756.12,,7378.06,34.64,,Percent of Total Billed Charges,7348.24,,10645.37,49.98,,Percent of Total Billed Charges,8051.12,,7378.06,19595.31,,																																							
HC UNLISTED PROCEDURE COLON, 45399,CPT,,,,BOTH, , ,3376.8,2836.51,3106.66,92,,Percent of Total Billed Charges,2823,,3106.66,92,,Percent of Total Billed Charges,2772.35,,3106.66,92,,Percent of Total Billed Charges,2718.32,,3106.66,92,,Percent of Total Billed Charges,2819.63,,3106.66,92,,Percent of Total Billed Charges,2542.73,,3106.66,92,,Percent of Total Billed Charges,2110.5,,3039.12,90,,Percent of Total Billed Charges,1685.02,,3005.35,89,,Percent of Total Billed Charges,1620.86,,2782.48,82.4,,Percent of Total Billed Charges,2775.73,,2816.25,83.4,,Percent of Total Billed Charges,2627.15,,2816.25,83.4,,Percent of Total Billed Charges,2367.14,,2816.25,83.4,,Percent of Total Billed Charges,2748.72,,3039.12,90,,Percent of Total Billed Charges,2860.15,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3106.66,92,,Percent of Total Billed Charges,2738.58,,3106.66,92,,Percent of Total Billed Charges,2512.34,,3106.66,92,,Percent of Total Billed Charges,2644.03,,3106.66,92,,Percent of Total Billed Charges,2738.58,,2633.9,78,,Percent of Total Billed Charges,2633.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1817.73,53.83,,Percent of Total Billed Charges,1705.28,,1169.72,34.64,,Percent of Total Billed Charges,1165,,1687.72,49.98,,Percent of Total Billed Charges,1276.43,,1169.72,3106.66,,																																							
HC MOD SED SAME PHYS/QHP <5 YRS,99151,CPT,,,,BOTH, , ,1063.65,893.47,978.56,92,,Percent of Total Billed Charges,889.21,,978.56,92,,Percent of Total Billed Charges,873.26,,978.56,92,,Percent of Total Billed Charges,856.24,,978.56,92,,Percent of Total Billed Charges,888.15,,978.56,92,,Percent of Total Billed Charges,800.93,,978.56,92,,Percent of Total Billed Charges,664.78,,957.29,90,,Percent of Total Billed Charges,530.76,,946.65,89,,Percent of Total Billed Charges,510.55,,876.45,82.4,,Percent of Total Billed Charges,874.32,,887.08,83.4,,Percent of Total Billed Charges,827.52,,887.08,83.4,,Percent of Total Billed Charges,745.62,,887.08,83.4,,Percent of Total Billed Charges,865.81,,957.29,90,,Percent of Total Billed Charges,900.91,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,978.56,92,,Percent of Total Billed Charges,862.62,,978.56,92,,Percent of Total Billed Charges,791.36,,978.56,92,,Percent of Total Billed Charges,832.84,,978.56,92,,Percent of Total Billed Charges,862.62,,829.65,78,,Percent of Total Billed Charges,829.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,572.56,53.83,,Percent of Total Billed Charges,537.14,,368.45,34.64,,Percent of Total Billed Charges,366.96,,531.61,49.98,,Percent of Total Billed Charges,402.06,,368.45,978.56,,																																							
HC MOD SED OTHER PHYS/QHP INITIAL 15 MINS &LT<5 YRS,99155,CPT,,,,BOTH, , ,1374.45,1154.54,1264.49,92,,Percent of Total Billed Charges,1149.04,,1264.49,92,,Percent of Total Billed Charges,1128.42,,1264.49,92,,Percent of Total Billed Charges,1106.43,,1264.49,92,,Percent of Total Billed Charges,1147.67,,1264.49,92,,Percent of Total Billed Charges,1034.96,,1264.49,92,,Percent of Total Billed Charges,859.03,,1237.01,90,,Percent of Total Billed Charges,685.85,,1223.26,89,,Percent of Total Billed Charges,659.74,,1132.55,82.4,,Percent of Total Billed Charges,1129.8,,1146.29,83.4,,Percent of Total Billed Charges,1069.32,,1146.29,83.4,,Percent of Total Billed Charges,963.49,,1146.29,83.4,,Percent of Total Billed Charges,1118.8,,1237.01,90,,Percent of Total Billed Charges,1164.16,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1264.49,92,,Percent of Total Billed Charges,1114.68,,1264.49,92,,Percent of Total Billed Charges,1022.59,,1264.49,92,,Percent of Total Billed Charges,1076.19,,1264.49,92,,Percent of Total Billed Charges,1114.68,,1072.07,78,,Percent of Total Billed Charges,1072.07,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,739.87,53.83,,Percent of Total Billed Charges,694.1,,476.11,34.64,,Percent of Total Billed Charges,474.19,,686.95,49.98,,Percent of Total Billed Charges,519.54,,476.11,1264.49,,																																							
HC MOD SED OTHER PHYS/QHP INITIAL 15 MINS 5/> YRS,99156,CPT,,,,BOTH, , ,121.8,102.31,112.06,92,,Percent of Total Billed Charges,101.82,,112.06,92,,Percent of Total Billed Charges,100,,112.06,92,,Percent of Total Billed Charges,98.05,,112.06,92,,Percent of Total Billed Charges,101.7,,112.06,92,,Percent of Total Billed Charges,91.72,,112.06,92,,Percent of Total Billed Charges,76.13,,109.62,90,,Percent of Total Billed Charges,60.78,,108.4,89,,Percent of Total Billed Charges,58.46,,100.36,82.4,,Percent of Total Billed Charges,100.12,,101.58,83.4,,Percent of Total Billed Charges,94.76,,101.58,83.4,,Percent of Total Billed Charges,85.38,,101.58,83.4,,Percent of Total Billed Charges,99.15,,109.62,90,,Percent of Total Billed Charges,103.16,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,112.06,92,,Percent of Total Billed Charges,98.78,,112.06,92,,Percent of Total Billed Charges,90.62,,112.06,92,,Percent of Total Billed Charges,95.37,,112.06,92,,Percent of Total Billed Charges,98.78,,95,78,,Percent of Total Billed Charges,95,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,65.56,53.83,,Percent of Total Billed Charges,61.51,,42.19,34.64,,Percent of Total Billed Charges,42.02,,60.88,49.98,,Percent of Total Billed Charges,46.04,,42.19,112.06,,																																							
HC MOD SED OTHER PHYS/QHP EACH ADDL 15 MINS,99157,CPT,,,,BOTH, , ,657.3,552.13,604.72,92,,Percent of Total Billed Charges,549.5,,604.72,92,,Percent of Total Billed Charges,539.64,,604.72,92,,Percent of Total Billed Charges,529.13,,604.72,92,,Percent of Total Billed Charges,548.85,,604.72,92,,Percent of Total Billed Charges,494.95,,604.72,92,,Percent of Total Billed Charges,410.81,,591.57,90,,Percent of Total Billed Charges,327.99,,585,89,,Percent of Total Billed Charges,315.5,,541.62,82.4,,Percent of Total Billed Charges,540.3,,548.19,83.4,,Percent of Total Billed Charges,511.38,,548.19,83.4,,Percent of Total Billed Charges,460.77,,548.19,83.4,,Percent of Total Billed Charges,535.04,,591.57,90,,Percent of Total Billed Charges,556.73,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,604.72,92,,Percent of Total Billed Charges,533.07,,604.72,92,,Percent of Total Billed Charges,489.03,,604.72,92,,Percent of Total Billed Charges,514.67,,604.72,92,,Percent of Total Billed Charges,533.07,,512.69,78,,Percent of Total Billed Charges,512.69,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,353.82,53.83,,Percent of Total Billed Charges,331.94,,227.69,34.64,,Percent of Total Billed Charges,226.77,,328.52,49.98,,Percent of Total Billed Charges,248.46,,227.69,604.72,,																																							
HC ERCP TUMOR/POLYP/LESION ABLATION W/DILATION&WIRE,43278,CPT,,,,BOTH, , ,1262.1,1060.16,1161.13,92,,Percent of Total Billed Charges,1055.12,,1161.13,92,,Percent of Total Billed Charges,1036.18,,1161.13,92,,Percent of Total Billed Charges,1015.99,,1161.13,92,,Percent of Total Billed Charges,1053.85,,1161.13,92,,Percent of Total Billed Charges,950.36,,1161.13,92,,Percent of Total Billed Charges,788.81,,1135.89,90,,Percent of Total Billed Charges,629.79,,1123.27,89,,Percent of Total Billed Charges,605.81,,1039.97,82.4,,Percent of Total Billed Charges,1037.45,,1052.59,83.4,,Percent of Total Billed Charges,981.91,,1052.59,83.4,,Percent of Total Billed Charges,884.73,,1052.59,83.4,,Percent of Total Billed Charges,1027.35,,1135.89,90,,Percent of Total Billed Charges,1069,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1161.13,92,,Percent of Total Billed Charges,1023.56,,1161.13,92,,Percent of Total Billed Charges,939,,1161.13,92,,Percent of Total Billed Charges,988.22,,1161.13,92,,Percent of Total Billed Charges,1023.56,,984.44,78,,Percent of Total Billed Charges,984.44,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,679.39,53.83,,Percent of Total Billed Charges,637.36,,437.19,34.64,,Percent of Total Billed Charges,435.42,,630.8,49.98,,Percent of Total Billed Charges,477.07,,437.19,1161.13,,																																							
HC INTRAOPERATIVE NEURO MONITORING,95941,CPT,,,,BOTH, , ,1597.05,1341.52,1469.29,92,,Percent of Total Billed Charges,1335.13,,1469.29,92,,Percent of Total Billed Charges,1311.18,,1469.29,92,,Percent of Total Billed Charges,1285.63,,1469.29,92,,Percent of Total Billed Charges,1333.54,,1469.29,92,,Percent of Total Billed Charges,1202.58,,1469.29,92,,Percent of Total Billed Charges,998.16,,1437.35,90,,Percent of Total Billed Charges,796.93,,1421.37,89,,Percent of Total Billed Charges,766.58,,1315.97,82.4,,Percent of Total Billed Charges,1312.78,,1331.94,83.4,,Percent of Total Billed Charges,1242.5,,1331.94,83.4,,Percent of Total Billed Charges,1119.53,,1331.94,83.4,,Percent of Total Billed Charges,1300,,1437.35,90,,Percent of Total Billed Charges,1352.7,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1469.29,92,,Percent of Total Billed Charges,1295.21,,1469.29,92,,Percent of Total Billed Charges,1188.21,,1469.29,92,,Percent of Total Billed Charges,1250.49,,1469.29,92,,Percent of Total Billed Charges,1295.21,,1245.7,78,,Percent of Total Billed Charges,1245.7,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,859.69,53.83,,Percent of Total Billed Charges,806.51,,553.22,34.64,,Percent of Total Billed Charges,550.98,,798.21,49.98,,Percent of Total Billed Charges,603.68,,553.22,1469.29,,																																							
HC IONM EMGANAL SPHINCTER,51785,CPT,,,,BOTH, , ,1067.85,896.99,982.42,92,,Percent of Total Billed Charges,892.72,,982.42,92,,Percent of Total Billed Charges,876.7,,982.42,92,,Percent of Total Billed Charges,859.62,,982.42,92,,Percent of Total Billed Charges,891.65,,982.42,92,,Percent of Total Billed Charges,804.09,,982.42,92,,Percent of Total Billed Charges,667.41,,961.07,90,,Percent of Total Billed Charges,532.86,,950.39,89,,Percent of Total Billed Charges,512.57,,879.91,82.4,,Percent of Total Billed Charges,877.77,,890.59,83.4,,Percent of Total Billed Charges,830.79,,890.59,83.4,,Percent of Total Billed Charges,748.56,,890.59,83.4,,Percent of Total Billed Charges,869.23,,961.07,90,,Percent of Total Billed Charges,904.47,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,982.42,92,,Percent of Total Billed Charges,866.03,,982.42,92,,Percent of Total Billed Charges,794.48,,982.42,92,,Percent of Total Billed Charges,836.13,,982.42,92,,Percent of Total Billed Charges,866.03,,832.92,78,,Percent of Total Billed Charges,832.92,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,574.82,53.83,,Percent of Total Billed Charges,539.26,,369.9,34.64,,Percent of Total Billed Charges,368.41,,533.71,49.98,,Percent of Total Billed Charges,403.65,,369.90,982.42,,																																							
HC IONM EMGCN III,IV,V /EYE,92265,CPT,,,,BOTH, , ,240.45,201.98,221.21,92,,Percent of Total Billed Charges,201.02,,221.21,92,,Percent of Total Billed Charges,197.41,,221.21,92,,Percent of Total Billed Charges,193.56,,221.21,92,,Percent of Total Billed Charges,200.78,,221.21,92,,Percent of Total Billed Charges,181.06,,221.21,92,,Percent of Total Billed Charges,150.28,,216.41,90,,Percent of Total Billed Charges,119.98,,214,89,,Percent of Total Billed Charges,115.42,,198.13,82.4,,Percent of Total Billed Charges,197.65,,200.54,83.4,,Percent of Total Billed Charges,187.07,,200.54,83.4,,Percent of Total Billed Charges,168.56,,200.54,83.4,,Percent of Total Billed Charges,195.73,,216.41,90,,Percent of Total Billed Charges,203.66,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,221.21,92,,Percent of Total Billed Charges,195,,221.21,92,,Percent of Total Billed Charges,178.89,,221.21,92,,Percent of Total Billed Charges,188.27,,221.21,92,,Percent of Total Billed Charges,195,,187.55,78,,Percent of Total Billed Charges,187.55,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,129.43,53.83,,Percent of Total Billed Charges,121.43,,83.29,34.64,,Percent of Total Billed Charges,82.96,,120.18,49.98,,Percent of Total Billed Charges,90.89,,83.29,221.21,,																																							
HC IONM FACIAL NERVE,92516,CPT,,,,BOTH, , ,996.45,837.02,916.73,92,,Percent of Total Billed Charges,833.03,,916.73,92,,Percent of Total Billed Charges,818.09,,916.73,92,,Percent of Total Billed Charges,802.14,,916.73,92,,Percent of Total Billed Charges,832.04,,916.73,92,,Percent of Total Billed Charges,750.33,,916.73,92,,Percent of Total Billed Charges,622.78,,896.81,90,,Percent of Total Billed Charges,497.23,,886.84,89,,Percent of Total Billed Charges,478.3,,821.07,82.4,,Percent of Total Billed Charges,819.08,,831.04,83.4,,Percent of Total Billed Charges,775.24,,831.04,83.4,,Percent of Total Billed Charges,698.51,,831.04,83.4,,Percent of Total Billed Charges,811.11,,896.81,90,,Percent of Total Billed Charges,843.99,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,916.73,92,,Percent of Total Billed Charges,808.12,,916.73,92,,Percent of Total Billed Charges,741.36,,916.73,92,,Percent of Total Billed Charges,780.22,,916.73,92,,Percent of Total Billed Charges,808.12,,777.23,78,,Percent of Total Billed Charges,777.23,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,536.39,53.83,,Percent of Total Billed Charges,503.21,,345.17,34.64,,Percent of Total Billed Charges,343.78,,498.03,49.98,,Percent of Total Billed Charges,376.66,,345.17,916.73,,																																							
HC IONM EEG DIRECT 8TH,92584,CPT,,,,BOTH, , ,586.95,493.04,539.99,92,,Percent of Total Billed Charges,490.69,,539.99,92,,Percent of Total Billed Charges,481.89,,539.99,92,,Percent of Total Billed Charges,472.49,,539.99,92,,Percent of Total Billed Charges,490.1,,539.99,92,,Percent of Total Billed Charges,441.97,,539.99,92,,Percent of Total Billed Charges,366.84,,528.26,90,,Percent of Total Billed Charges,292.89,,522.39,89,,Percent of Total Billed Charges,281.74,,483.65,82.4,,Percent of Total Billed Charges,482.47,,489.52,83.4,,Percent of Total Billed Charges,456.65,,489.52,83.4,,Percent of Total Billed Charges,411.45,,489.52,83.4,,Percent of Total Billed Charges,477.78,,528.26,90,,Percent of Total Billed Charges,497.15,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,539.99,92,,Percent of Total Billed Charges,476.02,,539.99,92,,Percent of Total Billed Charges,436.69,,539.99,92,,Percent of Total Billed Charges,459.58,,539.99,92,,Percent of Total Billed Charges,476.02,,457.82,78,,Percent of Total Billed Charges,457.82,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,315.96,53.83,,Percent of Total Billed Charges,296.41,,203.32,34.64,,Percent of Total Billed Charges,202.5,,293.36,49.98,,Percent of Total Billed Charges,221.87,,203.32,539.99,,																																							
HC IONM EEG LESS THAN 1HR,95812,CPT,,,,BOTH, , ,1107.75,930.51,1019.13,92,,Percent of Total Billed Charges,926.08,,1019.13,92,,Percent of Total Billed Charges,909.46,,1019.13,92,,Percent of Total Billed Charges,891.74,,1019.13,92,,Percent of Total Billed Charges,924.97,,1019.13,92,,Percent of Total Billed Charges,834.14,,1019.13,92,,Percent of Total Billed Charges,692.34,,996.98,90,,Percent of Total Billed Charges,552.77,,985.9,89,,Percent of Total Billed Charges,531.72,,912.79,82.4,,Percent of Total Billed Charges,910.57,,923.86,83.4,,Percent of Total Billed Charges,861.83,,923.86,83.4,,Percent of Total Billed Charges,776.53,,923.86,83.4,,Percent of Total Billed Charges,901.71,,996.98,90,,Percent of Total Billed Charges,938.26,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1019.13,92,,Percent of Total Billed Charges,898.39,,1019.13,92,,Percent of Total Billed Charges,824.17,,1019.13,92,,Percent of Total Billed Charges,867.37,,1019.13,92,,Percent of Total Billed Charges,898.39,,864.05,78,,Percent of Total Billed Charges,864.05,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,596.3,53.83,,Percent of Total Billed Charges,559.41,,383.72,34.64,,Percent of Total Billed Charges,382.17,,553.65,49.98,,Percent of Total Billed Charges,418.73,,383.72,1019.13,,																																							
HC IONM SP EMGCN UNILATERAL,95867,CPT,,,,BOTH, , ,668.85,561.83,615.34,92,,Percent of Total Billed Charges,559.16,,615.34,92,,Percent of Total Billed Charges,549.13,,615.34,92,,Percent of Total Billed Charges,538.42,,615.34,92,,Percent of Total Billed Charges,558.49,,615.34,92,,Percent of Total Billed Charges,503.64,,615.34,92,,Percent of Total Billed Charges,418.03,,601.97,90,,Percent of Total Billed Charges,333.76,,595.28,89,,Percent of Total Billed Charges,321.05,,551.13,82.4,,Percent of Total Billed Charges,549.79,,557.82,83.4,,Percent of Total Billed Charges,520.37,,557.82,83.4,,Percent of Total Billed Charges,468.86,,557.82,83.4,,Percent of Total Billed Charges,544.44,,601.97,90,,Percent of Total Billed Charges,566.52,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,615.34,92,,Percent of Total Billed Charges,542.44,,615.34,92,,Percent of Total Billed Charges,497.62,,615.34,92,,Percent of Total Billed Charges,523.71,,615.34,92,,Percent of Total Billed Charges,542.44,,521.7,78,,Percent of Total Billed Charges,521.7,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,360.04,53.83,,Percent of Total Billed Charges,337.77,,231.69,34.64,,Percent of Total Billed Charges,230.75,,334.29,49.98,,Percent of Total Billed Charges,252.83,,231.69,615.34,,																																							
HC IONM SP EMGCN BILATERAL,95868,CPT,,,,BOTH, , ,668.85,561.83,615.34,92,,Percent of Total Billed Charges,559.16,,615.34,92,,Percent of Total Billed Charges,549.13,,615.34,92,,Percent of Total Billed Charges,538.42,,615.34,92,,Percent of Total Billed Charges,558.49,,615.34,92,,Percent of Total Billed Charges,503.64,,615.34,92,,Percent of Total Billed Charges,418.03,,601.97,90,,Percent of Total Billed Charges,333.76,,595.28,89,,Percent of Total Billed Charges,321.05,,551.13,82.4,,Percent of Total Billed Charges,549.79,,557.82,83.4,,Percent of Total Billed Charges,520.37,,557.82,83.4,,Percent of Total Billed Charges,468.86,,557.82,83.4,,Percent of Total Billed Charges,544.44,,601.97,90,,Percent of Total Billed Charges,566.52,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,615.34,92,,Percent of Total Billed Charges,542.44,,615.34,92,,Percent of Total Billed Charges,497.62,,615.34,92,,Percent of Total Billed Charges,523.71,,615.34,92,,Percent of Total Billed Charges,542.44,,521.7,78,,Percent of Total Billed Charges,521.7,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,360.04,53.83,,Percent of Total Billed Charges,337.77,,231.69,34.64,,Percent of Total Billed Charges,230.75,,334.29,49.98,,Percent of Total Billed Charges,252.83,,231.69,615.34,,																																							
HC IONM MEP NONLIMB,95870,CPT,,,,BOTH, , ,469.35,394.25,431.8,92,,Percent of Total Billed Charges,392.38,,431.8,92,,Percent of Total Billed Charges,385.34,,431.8,92,,Percent of Total Billed Charges,377.83,,431.8,92,,Percent of Total Billed Charges,391.91,,431.8,92,,Percent of Total Billed Charges,353.42,,431.8,92,,Percent of Total Billed Charges,293.34,,422.42,90,,Percent of Total Billed Charges,234.21,,417.72,89,,Percent of Total Billed Charges,225.29,,386.74,82.4,,Percent of Total Billed Charges,385.81,,391.44,83.4,,Percent of Total Billed Charges,365.15,,391.44,83.4,,Percent of Total Billed Charges,329.01,,391.44,83.4,,Percent of Total Billed Charges,382.05,,422.42,90,,Percent of Total Billed Charges,397.54,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,431.8,92,,Percent of Total Billed Charges,380.64,,431.8,92,,Percent of Total Billed Charges,349.2,,431.8,92,,Percent of Total Billed Charges,367.5,,431.8,92,,Percent of Total Billed Charges,380.64,,366.09,78,,Percent of Total Billed Charges,366.09,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,252.65,53.83,,Percent of Total Billed Charges,237.02,,162.58,34.64,,Percent of Total Billed Charges,161.93,,234.58,49.98,,Percent of Total Billed Charges,177.41,,162.58,431.8,,																																							
HC IONM SSEP UPPER LIMBS,95925,CPT,,,,BOTH, , ,996.45,837.02,916.73,92,,Percent of Total Billed Charges,833.03,,916.73,92,,Percent of Total Billed Charges,818.09,,916.73,92,,Percent of Total Billed Charges,802.14,,916.73,92,,Percent of Total Billed Charges,832.04,,916.73,92,,Percent of Total Billed Charges,750.33,,916.73,92,,Percent of Total Billed Charges,622.78,,896.81,90,,Percent of Total Billed Charges,497.23,,886.84,89,,Percent of Total Billed Charges,478.3,,821.07,82.4,,Percent of Total Billed Charges,819.08,,831.04,83.4,,Percent of Total Billed Charges,775.24,,831.04,83.4,,Percent of Total Billed Charges,698.51,,831.04,83.4,,Percent of Total Billed Charges,811.11,,896.81,90,,Percent of Total Billed Charges,843.99,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,916.73,92,,Percent of Total Billed Charges,808.12,,916.73,92,,Percent of Total Billed Charges,741.36,,916.73,92,,Percent of Total Billed Charges,780.22,,916.73,92,,Percent of Total Billed Charges,808.12,,777.23,78,,Percent of Total Billed Charges,777.23,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,536.39,53.83,,Percent of Total Billed Charges,503.21,,345.17,34.64,,Percent of Total Billed Charges,343.78,,498.03,49.98,,Percent of Total Billed Charges,376.66,,345.17,916.73,,																																							
HC IONM SSEP LOWER LIMBS,95926,CPT,,,,BOTH, , ,996.45,837.02,916.73,92,,Percent of Total Billed Charges,833.03,,916.73,92,,Percent of Total Billed Charges,818.09,,916.73,92,,Percent of Total Billed Charges,802.14,,916.73,92,,Percent of Total Billed Charges,832.04,,916.73,92,,Percent of Total Billed Charges,750.33,,916.73,92,,Percent of Total Billed Charges,622.78,,896.81,90,,Percent of Total Billed Charges,497.23,,886.84,89,,Percent of Total Billed Charges,478.3,,821.07,82.4,,Percent of Total Billed Charges,819.08,,831.04,83.4,,Percent of Total Billed Charges,775.24,,831.04,83.4,,Percent of Total Billed Charges,698.51,,831.04,83.4,,Percent of Total Billed Charges,811.11,,896.81,90,,Percent of Total Billed Charges,843.99,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,916.73,92,,Percent of Total Billed Charges,808.12,,916.73,92,,Percent of Total Billed Charges,741.36,,916.73,92,,Percent of Total Billed Charges,780.22,,916.73,92,,Percent of Total Billed Charges,808.12,,777.23,78,,Percent of Total Billed Charges,777.23,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,536.39,53.83,,Percent of Total Billed Charges,503.21,,345.17,34.64,,Percent of Total Billed Charges,343.78,,498.03,49.98,,Percent of Total Billed Charges,376.66,,345.17,916.73,,																																							
HC IONM SSEP  DORSAL INTRASPINAL / DORSAL MAPPING,95927,CPT,,,,BOTH, , ,996.45,837.02,916.73,92,,Percent of Total Billed Charges,833.03,,916.73,92,,Percent of Total Billed Charges,818.09,,916.73,92,,Percent of Total Billed Charges,802.14,,916.73,92,,Percent of Total Billed Charges,832.04,,916.73,92,,Percent of Total Billed Charges,750.33,,916.73,92,,Percent of Total Billed Charges,622.78,,896.81,90,,Percent of Total Billed Charges,497.23,,886.84,89,,Percent of Total Billed Charges,478.3,,821.07,82.4,,Percent of Total Billed Charges,819.08,,831.04,83.4,,Percent of Total Billed Charges,775.24,,831.04,83.4,,Percent of Total Billed Charges,698.51,,831.04,83.4,,Percent of Total Billed Charges,811.11,,896.81,90,,Percent of Total Billed Charges,843.99,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,916.73,92,,Percent of Total Billed Charges,808.12,,916.73,92,,Percent of Total Billed Charges,741.36,,916.73,92,,Percent of Total Billed Charges,780.22,,916.73,92,,Percent of Total Billed Charges,808.12,,777.23,78,,Percent of Total Billed Charges,777.23,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,536.39,53.83,,Percent of Total Billed Charges,503.21,,345.17,34.64,,Percent of Total Billed Charges,343.78,,498.03,49.98,,Percent of Total Billed Charges,376.66,,345.17,916.73,,																																							
HC IONM TC MEP UPPER LIMBS,95928,CPT,,,,BOTH, , ,3875.55,3255.46,3565.51,92,,Percent of Total Billed Charges,3239.96,,3565.51,92,,Percent of Total Billed Charges,3181.83,,3565.51,92,,Percent of Total Billed Charges,3119.82,,3565.51,92,,Percent of Total Billed Charges,3236.08,,3565.51,92,,Percent of Total Billed Charges,2918.29,,3565.51,92,,Percent of Total Billed Charges,2422.22,,3488,90,,Percent of Total Billed Charges,1933.9,,3449.24,89,,Percent of Total Billed Charges,1860.26,,3193.45,82.4,,Percent of Total Billed Charges,3185.7,,3232.21,83.4,,Percent of Total Billed Charges,3015.18,,3232.21,83.4,,Percent of Total Billed Charges,2716.76,,3232.21,83.4,,Percent of Total Billed Charges,3154.7,,3488,90,,Percent of Total Billed Charges,3282.59,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3565.51,92,,Percent of Total Billed Charges,3143.07,,3565.51,92,,Percent of Total Billed Charges,2883.41,,3565.51,92,,Percent of Total Billed Charges,3034.56,,3565.51,92,,Percent of Total Billed Charges,3143.07,,3022.93,78,,Percent of Total Billed Charges,3022.93,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2086.21,53.83,,Percent of Total Billed Charges,1957.15,,1342.49,34.64,,Percent of Total Billed Charges,1337.06,,1937,49.98,,Percent of Total Billed Charges,1464.96,,1342.49,3565.51,,																																							
HC IONM TC MEP LOWER LIMBS / CERVICAL D WAVES,95929,CPT,,,,BOTH, , ,3875.55,3255.46,3565.51,92,,Percent of Total Billed Charges,3239.96,,3565.51,92,,Percent of Total Billed Charges,3181.83,,3565.51,92,,Percent of Total Billed Charges,3119.82,,3565.51,92,,Percent of Total Billed Charges,3236.08,,3565.51,92,,Percent of Total Billed Charges,2918.29,,3565.51,92,,Percent of Total Billed Charges,2422.22,,3488,90,,Percent of Total Billed Charges,1933.9,,3449.24,89,,Percent of Total Billed Charges,1860.26,,3193.45,82.4,,Percent of Total Billed Charges,3185.7,,3232.21,83.4,,Percent of Total Billed Charges,3015.18,,3232.21,83.4,,Percent of Total Billed Charges,2716.76,,3232.21,83.4,,Percent of Total Billed Charges,3154.7,,3488,90,,Percent of Total Billed Charges,3282.59,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3565.51,92,,Percent of Total Billed Charges,3143.07,,3565.51,92,,Percent of Total Billed Charges,2883.41,,3565.51,92,,Percent of Total Billed Charges,3034.56,,3565.51,92,,Percent of Total Billed Charges,3143.07,,3022.93,78,,Percent of Total Billed Charges,3022.93,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2086.21,53.83,,Percent of Total Billed Charges,1957.15,,1342.49,34.64,,Percent of Total Billed Charges,1337.06,,1937,49.98,,Percent of Total Billed Charges,1464.96,,1342.49,3565.51,,																																							
HC IONM TOF,95937,CPT,,,,BOTH, , ,586.95,493.04,539.99,92,,Percent of Total Billed Charges,490.69,,539.99,92,,Percent of Total Billed Charges,481.89,,539.99,92,,Percent of Total Billed Charges,472.49,,539.99,92,,Percent of Total Billed Charges,490.1,,539.99,92,,Percent of Total Billed Charges,441.97,,539.99,92,,Percent of Total Billed Charges,366.84,,528.26,90,,Percent of Total Billed Charges,292.89,,522.39,89,,Percent of Total Billed Charges,281.74,,483.65,82.4,,Percent of Total Billed Charges,482.47,,489.52,83.4,,Percent of Total Billed Charges,456.65,,489.52,83.4,,Percent of Total Billed Charges,411.45,,489.52,83.4,,Percent of Total Billed Charges,477.78,,528.26,90,,Percent of Total Billed Charges,497.15,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,539.99,92,,Percent of Total Billed Charges,476.02,,539.99,92,,Percent of Total Billed Charges,436.69,,539.99,92,,Percent of Total Billed Charges,459.58,,539.99,92,,Percent of Total Billed Charges,476.02,,457.82,78,,Percent of Total Billed Charges,457.82,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,315.96,53.83,,Percent of Total Billed Charges,296.41,,203.32,34.64,,Percent of Total Billed Charges,202.5,,293.36,49.98,,Percent of Total Billed Charges,221.87,,203.32,539.99,,																																							
HC IONM SSEP  4 LIMBS UPPER/LOWER,95938,CPT,,,,BOTH, , ,1792.35,1505.57,1648.96,92,,Percent of Total Billed Charges,1498.4,,1648.96,92,,Percent of Total Billed Charges,1471.52,,1648.96,92,,Percent of Total Billed Charges,1442.84,,1648.96,92,,Percent of Total Billed Charges,1496.61,,1648.96,92,,Percent of Total Billed Charges,1349.64,,1648.96,92,,Percent of Total Billed Charges,1120.22,,1613.12,90,,Percent of Total Billed Charges,894.38,,1595.19,89,,Percent of Total Billed Charges,860.33,,1476.9,82.4,,Percent of Total Billed Charges,1473.31,,1494.82,83.4,,Percent of Total Billed Charges,1394.45,,1494.82,83.4,,Percent of Total Billed Charges,1256.44,,1494.82,83.4,,Percent of Total Billed Charges,1458.97,,1613.12,90,,Percent of Total Billed Charges,1518.12,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1648.96,92,,Percent of Total Billed Charges,1453.6,,1648.96,92,,Percent of Total Billed Charges,1333.51,,1648.96,92,,Percent of Total Billed Charges,1403.41,,1648.96,92,,Percent of Total Billed Charges,1453.6,,1398.03,78,,Percent of Total Billed Charges,1398.03,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,964.82,53.83,,Percent of Total Billed Charges,905.14,,620.87,34.64,,Percent of Total Billed Charges,618.36,,895.82,49.98,,Percent of Total Billed Charges,677.51,,620.87,1648.96,,																																							
HC IONM TC MEP  4 LIMBS UPPER/LOWER / THORACIC D WAVES,95939,CPT,,,,BOTH, , ,3875.55,3255.46,3565.51,92,,Percent of Total Billed Charges,3239.96,,3565.51,92,,Percent of Total Billed Charges,3181.83,,3565.51,92,,Percent of Total Billed Charges,3119.82,,3565.51,92,,Percent of Total Billed Charges,3236.08,,3565.51,92,,Percent of Total Billed Charges,2918.29,,3565.51,92,,Percent of Total Billed Charges,2422.22,,3488,90,,Percent of Total Billed Charges,1933.9,,3449.24,89,,Percent of Total Billed Charges,1860.26,,3193.45,82.4,,Percent of Total Billed Charges,3185.7,,3232.21,83.4,,Percent of Total Billed Charges,3015.18,,3232.21,83.4,,Percent of Total Billed Charges,2716.76,,3232.21,83.4,,Percent of Total Billed Charges,3154.7,,3488,90,,Percent of Total Billed Charges,3282.59,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3565.51,92,,Percent of Total Billed Charges,3143.07,,3565.51,92,,Percent of Total Billed Charges,2883.41,,3565.51,92,,Percent of Total Billed Charges,3034.56,,3565.51,92,,Percent of Total Billed Charges,3143.07,,3022.93,78,,Percent of Total Billed Charges,3022.93,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2086.21,53.83,,Percent of Total Billed Charges,1957.15,,1342.49,34.64,,Percent of Total Billed Charges,1337.06,,1937,49.98,,Percent of Total Billed Charges,1464.96,,1342.49,3565.51,,																																							
HC IONM EEG  NON INTRACRANIAL,95955,CPT,,,,BOTH, , ,947.1,795.56,871.33,92,,Percent of Total Billed Charges,791.78,,871.33,92,,Percent of Total Billed Charges,777.57,,871.33,92,,Percent of Total Billed Charges,762.42,,871.33,92,,Percent of Total Billed Charges,790.83,,871.33,92,,Percent of Total Billed Charges,713.17,,871.33,92,,Percent of Total Billed Charges,591.94,,852.39,90,,Percent of Total Billed Charges,472.6,,842.92,89,,Percent of Total Billed Charges,454.61,,780.41,82.4,,Percent of Total Billed Charges,778.52,,789.88,83.4,,Percent of Total Billed Charges,736.84,,789.88,83.4,,Percent of Total Billed Charges,663.92,,789.88,83.4,,Percent of Total Billed Charges,770.94,,852.39,90,,Percent of Total Billed Charges,802.19,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,871.33,92,,Percent of Total Billed Charges,768.1,,871.33,92,,Percent of Total Billed Charges,704.64,,871.33,92,,Percent of Total Billed Charges,741.58,,871.33,92,,Percent of Total Billed Charges,768.1,,738.74,78,,Percent of Total Billed Charges,738.74,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,509.82,53.83,,Percent of Total Billed Charges,478.29,,328.08,34.64,,Percent of Total Billed Charges,326.75,,473.36,49.98,,Percent of Total Billed Charges,358,,328.08,871.33,,																																							
HC IONM MAPPING 1ST HR/ CORTEX, SENSRY & PHASE REVERSAL,95961,CPT,,,,BOTH, , ,3683.4,3094.06,3388.73,92,,Percent of Total Billed Charges,3079.32,,3388.73,92,,Percent of Total Billed Charges,3024.07,,3388.73,92,,Percent of Total Billed Charges,2965.14,,3388.73,92,,Percent of Total Billed Charges,3075.64,,3388.73,92,,Percent of Total Billed Charges,2773.6,,3388.73,92,,Percent of Total Billed Charges,2302.13,,3315.06,90,,Percent of Total Billed Charges,1838.02,,3278.23,89,,Percent of Total Billed Charges,1768.03,,3035.12,82.4,,Percent of Total Billed Charges,3027.75,,3071.96,83.4,,Percent of Total Billed Charges,2865.69,,3071.96,83.4,,Percent of Total Billed Charges,2582.06,,3071.96,83.4,,Percent of Total Billed Charges,2998.29,,3315.06,90,,Percent of Total Billed Charges,3119.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3388.73,92,,Percent of Total Billed Charges,2987.24,,3388.73,92,,Percent of Total Billed Charges,2740.45,,3388.73,92,,Percent of Total Billed Charges,2884.1,,3388.73,92,,Percent of Total Billed Charges,2987.24,,2873.05,78,,Percent of Total Billed Charges,2873.05,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1982.77,53.83,,Percent of Total Billed Charges,1860.12,,1275.93,34.64,,Percent of Total Billed Charges,1270.77,,1840.96,49.98,,Percent of Total Billed Charges,1392.33,,1275.93,3388.73,,																																							
HC IONM SP.EMG  EXTREMITY,95885,CPT,,,,BOTH, , ,979.65,822.91,901.28,92,,Percent of Total Billed Charges,818.99,,901.28,92,,Percent of Total Billed Charges,804.29,,901.28,92,,Percent of Total Billed Charges,788.62,,901.28,92,,Percent of Total Billed Charges,818.01,,901.28,92,,Percent of Total Billed Charges,737.68,,901.28,92,,Percent of Total Billed Charges,612.28,,881.69,90,,Percent of Total Billed Charges,488.85,,871.89,89,,Percent of Total Billed Charges,470.23,,807.23,82.4,,Percent of Total Billed Charges,805.27,,817.03,83.4,,Percent of Total Billed Charges,762.17,,817.03,83.4,,Percent of Total Billed Charges,686.73,,817.03,83.4,,Percent of Total Billed Charges,797.44,,881.69,90,,Percent of Total Billed Charges,829.76,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,901.28,92,,Percent of Total Billed Charges,794.5,,901.28,92,,Percent of Total Billed Charges,728.86,,901.28,92,,Percent of Total Billed Charges,767.07,,901.28,92,,Percent of Total Billed Charges,794.5,,764.13,78,,Percent of Total Billed Charges,764.13,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,527.35,53.83,,Percent of Total Billed Charges,494.72,,339.35,34.64,,Percent of Total Billed Charges,337.98,,489.63,49.98,,Percent of Total Billed Charges,370.31,,339.35,901.28,,																																							
HC IONM SP.EMG NON EXTREMITY MUSCLE,95887,CPT,,,,BOTH, , ,785.4,659.74,722.57,92,,Percent of Total Billed Charges,656.59,,722.57,92,,Percent of Total Billed Charges,644.81,,722.57,92,,Percent of Total Billed Charges,632.25,,722.57,92,,Percent of Total Billed Charges,655.81,,722.57,92,,Percent of Total Billed Charges,591.41,,722.57,92,,Percent of Total Billed Charges,490.88,,706.86,90,,Percent of Total Billed Charges,391.91,,699.01,89,,Percent of Total Billed Charges,376.99,,647.17,82.4,,Percent of Total Billed Charges,645.6,,655.02,83.4,,Percent of Total Billed Charges,611.04,,655.02,83.4,,Percent of Total Billed Charges,550.57,,655.02,83.4,,Percent of Total Billed Charges,639.32,,706.86,90,,Percent of Total Billed Charges,665.23,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,722.57,92,,Percent of Total Billed Charges,636.96,,722.57,92,,Percent of Total Billed Charges,584.34,,722.57,92,,Percent of Total Billed Charges,614.97,,722.57,92,,Percent of Total Billed Charges,636.96,,612.61,78,,Percent of Total Billed Charges,612.61,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,422.78,53.83,,Percent of Total Billed Charges,396.63,,272.06,34.64,,Percent of Total Billed Charges,270.96,,392.54,49.98,,Percent of Total Billed Charges,296.88,,272.06,722.57,,																																							
HC IONM HREFLEX OR F WAVE PER EXT,95905,CPT,,,,BOTH, , ,44.1,37.04,40.57,92,,Percent of Total Billed Charges,36.87,,40.57,92,,Percent of Total Billed Charges,36.21,,40.57,92,,Percent of Total Billed Charges,35.5,,40.57,92,,Percent of Total Billed Charges,36.82,,40.57,92,,Percent of Total Billed Charges,33.21,,40.57,92,,Percent of Total Billed Charges,27.56,,39.69,90,,Percent of Total Billed Charges,22.01,,39.25,89,,Percent of Total Billed Charges,21.17,,36.34,82.4,,Percent of Total Billed Charges,36.25,,36.78,83.4,,Percent of Total Billed Charges,34.31,,36.78,83.4,,Percent of Total Billed Charges,30.91,,36.78,83.4,,Percent of Total Billed Charges,35.9,,39.69,90,,Percent of Total Billed Charges,37.35,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,40.57,92,,Percent of Total Billed Charges,35.77,,40.57,92,,Percent of Total Billed Charges,32.81,,40.57,92,,Percent of Total Billed Charges,34.53,,40.57,92,,Percent of Total Billed Charges,35.77,,34.4,78,,Percent of Total Billed Charges,34.4,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,23.74,53.83,,Percent of Total Billed Charges,22.27,,15.28,34.64,,Percent of Total Billed Charges,15.21,,22.04,49.98,,Percent of Total Billed Charges,16.67,,15.28,40.57,,																																							
HC EEG EXTENDED MONITORING 61119 MINS,95813,CPT,,,,BOTH, , ,1107.75,930.51,1019.13,92,,Percent of Total Billed Charges,926.08,,1019.13,92,,Percent of Total Billed Charges,909.46,,1019.13,92,,Percent of Total Billed Charges,891.74,,1019.13,92,,Percent of Total Billed Charges,924.97,,1019.13,92,,Percent of Total Billed Charges,834.14,,1019.13,92,,Percent of Total Billed Charges,692.34,,996.98,90,,Percent of Total Billed Charges,552.77,,985.9,89,,Percent of Total Billed Charges,531.72,,912.79,82.4,,Percent of Total Billed Charges,910.57,,923.86,83.4,,Percent of Total Billed Charges,861.83,,923.86,83.4,,Percent of Total Billed Charges,776.53,,923.86,83.4,,Percent of Total Billed Charges,901.71,,996.98,90,,Percent of Total Billed Charges,938.26,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1019.13,92,,Percent of Total Billed Charges,898.39,,1019.13,92,,Percent of Total Billed Charges,824.17,,1019.13,92,,Percent of Total Billed Charges,867.37,,1019.13,92,,Percent of Total Billed Charges,898.39,,864.05,78,,Percent of Total Billed Charges,864.05,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,596.3,53.83,,Percent of Total Billed Charges,559.41,,383.72,34.64,,Percent of Total Billed Charges,382.17,,553.65,49.98,,Percent of Total Billed Charges,418.73,,383.72,1019.13,,																																							
HC IONM MAPPING ADDITIONAL HRS / PR,CRTX & SENSRY,95962,CPT,,,,BOTH, , ,947.1,795.56,871.33,92,,Percent of Total Billed Charges,791.78,,871.33,92,,Percent of Total Billed Charges,777.57,,871.33,92,,Percent of Total Billed Charges,762.42,,871.33,92,,Percent of Total Billed Charges,790.83,,871.33,92,,Percent of Total Billed Charges,713.17,,871.33,92,,Percent of Total Billed Charges,591.94,,852.39,90,,Percent of Total Billed Charges,472.6,,842.92,89,,Percent of Total Billed Charges,454.61,,780.41,82.4,,Percent of Total Billed Charges,778.52,,789.88,83.4,,Percent of Total Billed Charges,736.84,,789.88,83.4,,Percent of Total Billed Charges,663.92,,789.88,83.4,,Percent of Total Billed Charges,770.94,,852.39,90,,Percent of Total Billed Charges,802.19,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,871.33,92,,Percent of Total Billed Charges,768.1,,871.33,92,,Percent of Total Billed Charges,704.64,,871.33,92,,Percent of Total Billed Charges,741.58,,871.33,92,,Percent of Total Billed Charges,768.1,,738.74,78,,Percent of Total Billed Charges,738.74,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,509.82,53.83,,Percent of Total Billed Charges,478.29,,328.08,34.64,,Percent of Total Billed Charges,326.75,,473.36,49.98,,Percent of Total Billed Charges,358,,328.08,871.33,,																																							
HC IONM SPEMG MUSCLE TEST 1 LIMB,95860,CPT,,,,BOTH, , ,469.35,394.25,431.8,92,,Percent of Total Billed Charges,392.38,,431.8,92,,Percent of Total Billed Charges,385.34,,431.8,92,,Percent of Total Billed Charges,377.83,,431.8,92,,Percent of Total Billed Charges,391.91,,431.8,92,,Percent of Total Billed Charges,353.42,,431.8,92,,Percent of Total Billed Charges,293.34,,422.42,90,,Percent of Total Billed Charges,234.21,,417.72,89,,Percent of Total Billed Charges,225.29,,386.74,82.4,,Percent of Total Billed Charges,385.81,,391.44,83.4,,Percent of Total Billed Charges,365.15,,391.44,83.4,,Percent of Total Billed Charges,329.01,,391.44,83.4,,Percent of Total Billed Charges,382.05,,422.42,90,,Percent of Total Billed Charges,397.54,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,431.8,92,,Percent of Total Billed Charges,380.64,,431.8,92,,Percent of Total Billed Charges,349.2,,431.8,92,,Percent of Total Billed Charges,367.5,,431.8,92,,Percent of Total Billed Charges,380.64,,366.09,78,,Percent of Total Billed Charges,366.09,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,252.65,53.83,,Percent of Total Billed Charges,237.02,,162.58,34.64,,Percent of Total Billed Charges,161.93,,234.58,49.98,,Percent of Total Billed Charges,177.41,,162.58,431.8,,																																							
HC IONM SPEMG MUSCLE TEST 2 LIMBS,95861,CPT,,,,BOTH, , ,469.35,394.25,431.8,92,,Percent of Total Billed Charges,392.38,,431.8,92,,Percent of Total Billed Charges,385.34,,431.8,92,,Percent of Total Billed Charges,377.83,,431.8,92,,Percent of Total Billed Charges,391.91,,431.8,92,,Percent of Total Billed Charges,353.42,,431.8,92,,Percent of Total Billed Charges,293.34,,422.42,90,,Percent of Total Billed Charges,234.21,,417.72,89,,Percent of Total Billed Charges,225.29,,386.74,82.4,,Percent of Total Billed Charges,385.81,,391.44,83.4,,Percent of Total Billed Charges,365.15,,391.44,83.4,,Percent of Total Billed Charges,329.01,,391.44,83.4,,Percent of Total Billed Charges,382.05,,422.42,90,,Percent of Total Billed Charges,397.54,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,431.8,92,,Percent of Total Billed Charges,380.64,,431.8,92,,Percent of Total Billed Charges,349.2,,431.8,92,,Percent of Total Billed Charges,367.5,,431.8,92,,Percent of Total Billed Charges,380.64,,366.09,78,,Percent of Total Billed Charges,366.09,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,252.65,53.83,,Percent of Total Billed Charges,237.02,,162.58,34.64,,Percent of Total Billed Charges,161.93,,234.58,49.98,,Percent of Total Billed Charges,177.41,,162.58,431.8,,																																							
HC IONM SPEMG MUSCLE TEST 3 LIMBS,95863,CPT,,,,BOTH, , ,668.85,561.83,615.34,92,,Percent of Total Billed Charges,559.16,,615.34,92,,Percent of Total Billed Charges,549.13,,615.34,92,,Percent of Total Billed Charges,538.42,,615.34,92,,Percent of Total Billed Charges,558.49,,615.34,92,,Percent of Total Billed Charges,503.64,,615.34,92,,Percent of Total Billed Charges,418.03,,601.97,90,,Percent of Total Billed Charges,333.76,,595.28,89,,Percent of Total Billed Charges,321.05,,551.13,82.4,,Percent of Total Billed Charges,549.79,,557.82,83.4,,Percent of Total Billed Charges,520.37,,557.82,83.4,,Percent of Total Billed Charges,468.86,,557.82,83.4,,Percent of Total Billed Charges,544.44,,601.97,90,,Percent of Total Billed Charges,566.52,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,615.34,92,,Percent of Total Billed Charges,542.44,,615.34,92,,Percent of Total Billed Charges,497.62,,615.34,92,,Percent of Total Billed Charges,523.71,,615.34,92,,Percent of Total Billed Charges,542.44,,521.7,78,,Percent of Total Billed Charges,521.7,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,360.04,53.83,,Percent of Total Billed Charges,337.77,,231.69,34.64,,Percent of Total Billed Charges,230.75,,334.29,49.98,,Percent of Total Billed Charges,252.83,,231.69,615.34,,																																							
HC IONM SPEMG MUSCLE TEST 4 LIMBS,95864,CPT,,,,BOTH, , ,668.85,561.83,615.34,92,,Percent of Total Billed Charges,559.16,,615.34,92,,Percent of Total Billed Charges,549.13,,615.34,92,,Percent of Total Billed Charges,538.42,,615.34,92,,Percent of Total Billed Charges,558.49,,615.34,92,,Percent of Total Billed Charges,503.64,,615.34,92,,Percent of Total Billed Charges,418.03,,601.97,90,,Percent of Total Billed Charges,333.76,,595.28,89,,Percent of Total Billed Charges,321.05,,551.13,82.4,,Percent of Total Billed Charges,549.79,,557.82,83.4,,Percent of Total Billed Charges,520.37,,557.82,83.4,,Percent of Total Billed Charges,468.86,,557.82,83.4,,Percent of Total Billed Charges,544.44,,601.97,90,,Percent of Total Billed Charges,566.52,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,615.34,92,,Percent of Total Billed Charges,542.44,,615.34,92,,Percent of Total Billed Charges,497.62,,615.34,92,,Percent of Total Billed Charges,523.71,,615.34,92,,Percent of Total Billed Charges,542.44,,521.7,78,,Percent of Total Billed Charges,521.7,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,360.04,53.83,,Percent of Total Billed Charges,337.77,,231.69,34.64,,Percent of Total Billed Charges,230.75,,334.29,49.98,,Percent of Total Billed Charges,252.83,,231.69,615.34,,																																							
HC IONM NVR CNDJ TST 12 STUDIES,95907,CPT,,,,BOTH, , ,586.95,493.04,539.99,92,,Percent of Total Billed Charges,490.69,,539.99,92,,Percent of Total Billed Charges,481.89,,539.99,92,,Percent of Total Billed Charges,472.49,,539.99,92,,Percent of Total Billed Charges,490.1,,539.99,92,,Percent of Total Billed Charges,441.97,,539.99,92,,Percent of Total Billed Charges,366.84,,528.26,90,,Percent of Total Billed Charges,292.89,,522.39,89,,Percent of Total Billed Charges,281.74,,483.65,82.4,,Percent of Total Billed Charges,482.47,,489.52,83.4,,Percent of Total Billed Charges,456.65,,489.52,83.4,,Percent of Total Billed Charges,411.45,,489.52,83.4,,Percent of Total Billed Charges,477.78,,528.26,90,,Percent of Total Billed Charges,497.15,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,539.99,92,,Percent of Total Billed Charges,476.02,,539.99,92,,Percent of Total Billed Charges,436.69,,539.99,92,,Percent of Total Billed Charges,459.58,,539.99,92,,Percent of Total Billed Charges,476.02,,457.82,78,,Percent of Total Billed Charges,457.82,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,315.96,53.83,,Percent of Total Billed Charges,296.41,,203.32,34.64,,Percent of Total Billed Charges,202.5,,293.36,49.98,,Percent of Total Billed Charges,221.87,,203.32,539.99,,																																							
HC IONM NVR CNDJ TST 34 STUDIES,95908,CPT,,,,BOTH, , ,996.45,837.02,916.73,92,,Percent of Total Billed Charges,833.03,,916.73,92,,Percent of Total Billed Charges,818.09,,916.73,92,,Percent of Total Billed Charges,802.14,,916.73,92,,Percent of Total Billed Charges,832.04,,916.73,92,,Percent of Total Billed Charges,750.33,,916.73,92,,Percent of Total Billed Charges,622.78,,896.81,90,,Percent of Total Billed Charges,497.23,,886.84,89,,Percent of Total Billed Charges,478.3,,821.07,82.4,,Percent of Total Billed Charges,819.08,,831.04,83.4,,Percent of Total Billed Charges,775.24,,831.04,83.4,,Percent of Total Billed Charges,698.51,,831.04,83.4,,Percent of Total Billed Charges,811.11,,896.81,90,,Percent of Total Billed Charges,843.99,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,916.73,92,,Percent of Total Billed Charges,808.12,,916.73,92,,Percent of Total Billed Charges,741.36,,916.73,92,,Percent of Total Billed Charges,780.22,,916.73,92,,Percent of Total Billed Charges,808.12,,777.23,78,,Percent of Total Billed Charges,777.23,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,536.39,53.83,,Percent of Total Billed Charges,503.21,,345.17,34.64,,Percent of Total Billed Charges,343.78,,498.03,49.98,,Percent of Total Billed Charges,376.66,,345.17,916.73,,																																							
HC IONM NVR CNDJ TST 56 STUDIES,95909,CPT,,,,BOTH, , ,996.45,837.02,916.73,92,,Percent of Total Billed Charges,833.03,,916.73,92,,Percent of Total Billed Charges,818.09,,916.73,92,,Percent of Total Billed Charges,802.14,,916.73,92,,Percent of Total Billed Charges,832.04,,916.73,92,,Percent of Total Billed Charges,750.33,,916.73,92,,Percent of Total Billed Charges,622.78,,896.81,90,,Percent of Total Billed Charges,497.23,,886.84,89,,Percent of Total Billed Charges,478.3,,821.07,82.4,,Percent of Total Billed Charges,819.08,,831.04,83.4,,Percent of Total Billed Charges,775.24,,831.04,83.4,,Percent of Total Billed Charges,698.51,,831.04,83.4,,Percent of Total Billed Charges,811.11,,896.81,90,,Percent of Total Billed Charges,843.99,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,916.73,92,,Percent of Total Billed Charges,808.12,,916.73,92,,Percent of Total Billed Charges,741.36,,916.73,92,,Percent of Total Billed Charges,780.22,,916.73,92,,Percent of Total Billed Charges,808.12,,777.23,78,,Percent of Total Billed Charges,777.23,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,536.39,53.83,,Percent of Total Billed Charges,503.21,,345.17,34.64,,Percent of Total Billed Charges,343.78,,498.03,49.98,,Percent of Total Billed Charges,376.66,,345.17,916.73,,																																							
HC IONM NVR CNDJ TST 78 STUDIES,95910,CPT,,,,BOTH, , ,996.45,837.02,916.73,92,,Percent of Total Billed Charges,833.03,,916.73,92,,Percent of Total Billed Charges,818.09,,916.73,92,,Percent of Total Billed Charges,802.14,,916.73,92,,Percent of Total Billed Charges,832.04,,916.73,92,,Percent of Total Billed Charges,750.33,,916.73,92,,Percent of Total Billed Charges,622.78,,896.81,90,,Percent of Total Billed Charges,497.23,,886.84,89,,Percent of Total Billed Charges,478.3,,821.07,82.4,,Percent of Total Billed Charges,819.08,,831.04,83.4,,Percent of Total Billed Charges,775.24,,831.04,83.4,,Percent of Total Billed Charges,698.51,,831.04,83.4,,Percent of Total Billed Charges,811.11,,896.81,90,,Percent of Total Billed Charges,843.99,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,916.73,92,,Percent of Total Billed Charges,808.12,,916.73,92,,Percent of Total Billed Charges,741.36,,916.73,92,,Percent of Total Billed Charges,780.22,,916.73,92,,Percent of Total Billed Charges,808.12,,777.23,78,,Percent of Total Billed Charges,777.23,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,536.39,53.83,,Percent of Total Billed Charges,503.21,,345.17,34.64,,Percent of Total Billed Charges,343.78,,498.03,49.98,,Percent of Total Billed Charges,376.66,,345.17,916.73,,																																							
HC IONM NVR CNDJ TST 910 STUDIES,95911,CPT,,,,BOTH, , ,1792.35,1505.57,1648.96,92,,Percent of Total Billed Charges,1498.4,,1648.96,92,,Percent of Total Billed Charges,1471.52,,1648.96,92,,Percent of Total Billed Charges,1442.84,,1648.96,92,,Percent of Total Billed Charges,1496.61,,1648.96,92,,Percent of Total Billed Charges,1349.64,,1648.96,92,,Percent of Total Billed Charges,1120.22,,1613.12,90,,Percent of Total Billed Charges,894.38,,1595.19,89,,Percent of Total Billed Charges,860.33,,1476.9,82.4,,Percent of Total Billed Charges,1473.31,,1494.82,83.4,,Percent of Total Billed Charges,1394.45,,1494.82,83.4,,Percent of Total Billed Charges,1256.44,,1494.82,83.4,,Percent of Total Billed Charges,1458.97,,1613.12,90,,Percent of Total Billed Charges,1518.12,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1648.96,92,,Percent of Total Billed Charges,1453.6,,1648.96,92,,Percent of Total Billed Charges,1333.51,,1648.96,92,,Percent of Total Billed Charges,1403.41,,1648.96,92,,Percent of Total Billed Charges,1453.6,,1398.03,78,,Percent of Total Billed Charges,1398.03,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,964.82,53.83,,Percent of Total Billed Charges,905.14,,620.87,34.64,,Percent of Total Billed Charges,618.36,,895.82,49.98,,Percent of Total Billed Charges,677.51,,620.87,1648.96,,																																							
HC IONM NVR CNDJ TST 1112 STUDIES,95912,CPT,,,,BOTH, , ,1792.35,1505.57,1648.96,92,,Percent of Total Billed Charges,1498.4,,1648.96,92,,Percent of Total Billed Charges,1471.52,,1648.96,92,,Percent of Total Billed Charges,1442.84,,1648.96,92,,Percent of Total Billed Charges,1496.61,,1648.96,92,,Percent of Total Billed Charges,1349.64,,1648.96,92,,Percent of Total Billed Charges,1120.22,,1613.12,90,,Percent of Total Billed Charges,894.38,,1595.19,89,,Percent of Total Billed Charges,860.33,,1476.9,82.4,,Percent of Total Billed Charges,1473.31,,1494.82,83.4,,Percent of Total Billed Charges,1394.45,,1494.82,83.4,,Percent of Total Billed Charges,1256.44,,1494.82,83.4,,Percent of Total Billed Charges,1458.97,,1613.12,90,,Percent of Total Billed Charges,1518.12,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1648.96,92,,Percent of Total Billed Charges,1453.6,,1648.96,92,,Percent of Total Billed Charges,1333.51,,1648.96,92,,Percent of Total Billed Charges,1403.41,,1648.96,92,,Percent of Total Billed Charges,1453.6,,1398.03,78,,Percent of Total Billed Charges,1398.03,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,964.82,53.83,,Percent of Total Billed Charges,905.14,,620.87,34.64,,Percent of Total Billed Charges,618.36,,895.82,49.98,,Percent of Total Billed Charges,677.51,,620.87,1648.96,,																																							
HC IONM NRV CNDJ TEST 13/> STUDIES,95913,CPT,,,,BOTH, , ,1792.35,1505.57,1648.96,92,,Percent of Total Billed Charges,1498.4,,1648.96,92,,Percent of Total Billed Charges,1471.52,,1648.96,92,,Percent of Total Billed Charges,1442.84,,1648.96,92,,Percent of Total Billed Charges,1496.61,,1648.96,92,,Percent of Total Billed Charges,1349.64,,1648.96,92,,Percent of Total Billed Charges,1120.22,,1613.12,90,,Percent of Total Billed Charges,894.38,,1595.19,89,,Percent of Total Billed Charges,860.33,,1476.9,82.4,,Percent of Total Billed Charges,1473.31,,1494.82,83.4,,Percent of Total Billed Charges,1394.45,,1494.82,83.4,,Percent of Total Billed Charges,1256.44,,1494.82,83.4,,Percent of Total Billed Charges,1458.97,,1613.12,90,,Percent of Total Billed Charges,1518.12,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1648.96,92,,Percent of Total Billed Charges,1453.6,,1648.96,92,,Percent of Total Billed Charges,1333.51,,1648.96,92,,Percent of Total Billed Charges,1403.41,,1648.96,92,,Percent of Total Billed Charges,1453.6,,1398.03,78,,Percent of Total Billed Charges,1398.03,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,964.82,53.83,,Percent of Total Billed Charges,905.14,,620.87,34.64,,Percent of Total Billed Charges,618.36,,895.82,49.98,,Percent of Total Billed Charges,677.51,,620.87,1648.96,,																																							
HC IONM SP.EMG RLN (LARNYX),95865,CPT,,,,BOTH, , ,351.75,295.47,323.61,92,,Percent of Total Billed Charges,294.06,,323.61,92,,Percent of Total Billed Charges,288.79,,323.61,92,,Percent of Total Billed Charges,283.16,,323.61,92,,Percent of Total Billed Charges,293.71,,323.61,92,,Percent of Total Billed Charges,264.87,,323.61,92,,Percent of Total Billed Charges,219.84,,316.58,90,,Percent of Total Billed Charges,175.52,,313.06,89,,Percent of Total Billed Charges,168.84,,289.84,82.4,,Percent of Total Billed Charges,289.14,,293.36,83.4,,Percent of Total Billed Charges,273.66,,293.36,83.4,,Percent of Total Billed Charges,246.58,,293.36,83.4,,Percent of Total Billed Charges,286.32,,316.58,90,,Percent of Total Billed Charges,297.93,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,323.61,92,,Percent of Total Billed Charges,285.27,,323.61,92,,Percent of Total Billed Charges,261.7,,323.61,92,,Percent of Total Billed Charges,275.42,,323.61,92,,Percent of Total Billed Charges,285.27,,274.37,78,,Percent of Total Billed Charges,274.37,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,189.35,53.83,,Percent of Total Billed Charges,177.63,,121.85,34.64,,Percent of Total Billed Charges,121.35,,175.8,49.98,,Percent of Total Billed Charges,132.96,,121.85,323.61,,																																							
HC  AEP NEURODIAGNOSTIC INTERPRETATION AND REPORT,92653,CPT,,,,BOTH, , ,99.75,83.79,91.77,92,,Percent of Total Billed Charges,83.39,,91.77,92,,Percent of Total Billed Charges,81.89,,91.77,92,,Percent of Total Billed Charges,80.3,,91.77,92,,Percent of Total Billed Charges,83.29,,91.77,92,,Percent of Total Billed Charges,75.11,,91.77,92,,Percent of Total Billed Charges,62.34,,89.78,90,,Percent of Total Billed Charges,49.78,,88.78,89,,Percent of Total Billed Charges,47.88,,82.19,82.4,,Percent of Total Billed Charges,81.99,,83.19,83.4,,Percent of Total Billed Charges,77.61,,83.19,83.4,,Percent of Total Billed Charges,69.92,,83.19,83.4,,Percent of Total Billed Charges,81.2,,89.78,90,,Percent of Total Billed Charges,84.49,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,91.77,92,,Percent of Total Billed Charges,80.9,,91.77,92,,Percent of Total Billed Charges,74.21,,91.77,92,,Percent of Total Billed Charges,78.1,,91.77,92,,Percent of Total Billed Charges,80.9,,77.81,78,,Percent of Total Billed Charges,77.81,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,53.7,53.83,,Percent of Total Billed Charges,50.37,,34.55,34.64,,Percent of Total Billed Charges,34.41,,49.86,49.98,,Percent of Total Billed Charges,37.71,,34.55,91.77,,																																							
HC HOURLY OBSERVATION CHARGE,G0378,CPT,,,,BOTH, , ,79.8,67.03,73.42,92,,Percent of Total Billed Charges,66.71,,73.42,92,,Percent of Total Billed Charges,65.52,,73.42,92,,Percent of Total Billed Charges,64.24,,73.42,92,,Percent of Total Billed Charges,66.63,,73.42,92,,Percent of Total Billed Charges,60.09,,73.42,92,,Percent of Total Billed Charges,49.88,,71.82,90,,Percent of Total Billed Charges,39.82,,71.02,89,,Percent of Total Billed Charges,38.3,,65.76,82.4,,Percent of Total Billed Charges,65.6,,66.55,83.4,,Percent of Total Billed Charges,62.08,,66.55,83.4,,Percent of Total Billed Charges,55.94,,66.55,83.4,,Percent of Total Billed Charges,64.96,,71.82,90,,Percent of Total Billed Charges,67.59,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,73.42,92,,Percent of Total Billed Charges,64.72,,73.42,92,,Percent of Total Billed Charges,59.37,,73.42,92,,Percent of Total Billed Charges,62.48,,73.42,92,,Percent of Total Billed Charges,64.72,,62.24,78,,Percent of Total Billed Charges,62.24,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,42.96,53.83,,Percent of Total Billed Charges,40.3,,27.64,34.64,,Percent of Total Billed Charges,27.53,,39.88,49.98,,Percent of Total Billed Charges,30.16,,27.64,73.42,,																																							
HC OBSERVATION CARVEOUT THERAPY,G0378,CPT,,,,BOTH, , ,79.8,67.03,73.42,92,,Percent of Total Billed Charges,66.71,,73.42,92,,Percent of Total Billed Charges,65.52,,73.42,92,,Percent of Total Billed Charges,64.24,,73.42,92,,Percent of Total Billed Charges,66.63,,73.42,92,,Percent of Total Billed Charges,60.09,,73.42,92,,Percent of Total Billed Charges,49.88,,71.82,90,,Percent of Total Billed Charges,39.82,,71.02,89,,Percent of Total Billed Charges,38.3,,65.76,82.4,,Percent of Total Billed Charges,65.6,,66.55,83.4,,Percent of Total Billed Charges,62.08,,66.55,83.4,,Percent of Total Billed Charges,55.94,,66.55,83.4,,Percent of Total Billed Charges,64.96,,71.82,90,,Percent of Total Billed Charges,67.59,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,73.42,92,,Percent of Total Billed Charges,64.72,,73.42,92,,Percent of Total Billed Charges,59.37,,73.42,92,,Percent of Total Billed Charges,62.48,,73.42,92,,Percent of Total Billed Charges,64.72,,62.24,78,,Percent of Total Billed Charges,62.24,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,42.96,53.83,,Percent of Total Billed Charges,40.3,,27.64,34.64,,Percent of Total Billed Charges,27.53,,39.88,49.98,,Percent of Total Billed Charges,30.16,,27.64,73.42,,																																							
HC OBSERVATION CARVEOUT RADIOLOGY,G0378,CPT,,,,BOTH, , ,79.8,67.03,73.42,92,,Percent of Total Billed Charges,66.71,,73.42,92,,Percent of Total Billed Charges,65.52,,73.42,92,,Percent of Total Billed Charges,64.24,,73.42,92,,Percent of Total Billed Charges,66.63,,73.42,92,,Percent of Total Billed Charges,60.09,,73.42,92,,Percent of Total Billed Charges,49.88,,71.82,90,,Percent of Total Billed Charges,39.82,,71.02,89,,Percent of Total Billed Charges,38.3,,65.76,82.4,,Percent of Total Billed Charges,65.6,,66.55,83.4,,Percent of Total Billed Charges,62.08,,66.55,83.4,,Percent of Total Billed Charges,55.94,,66.55,83.4,,Percent of Total Billed Charges,64.96,,71.82,90,,Percent of Total Billed Charges,67.59,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,73.42,92,,Percent of Total Billed Charges,64.72,,73.42,92,,Percent of Total Billed Charges,59.37,,73.42,92,,Percent of Total Billed Charges,62.48,,73.42,92,,Percent of Total Billed Charges,64.72,,62.24,78,,Percent of Total Billed Charges,62.24,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,42.96,53.83,,Percent of Total Billed Charges,40.3,,27.64,34.64,,Percent of Total Billed Charges,27.53,,39.88,49.98,,Percent of Total Billed Charges,30.16,,27.64,73.42,,																																							
HC OBSERVATION CARVEOUT DIALYSIS,G0378,CPT,,,,BOTH, , ,79.8,67.03,73.42,92,,Percent of Total Billed Charges,66.71,,73.42,92,,Percent of Total Billed Charges,65.52,,73.42,92,,Percent of Total Billed Charges,64.24,,73.42,92,,Percent of Total Billed Charges,66.63,,73.42,92,,Percent of Total Billed Charges,60.09,,73.42,92,,Percent of Total Billed Charges,49.88,,71.82,90,,Percent of Total Billed Charges,39.82,,71.02,89,,Percent of Total Billed Charges,38.3,,65.76,82.4,,Percent of Total Billed Charges,65.6,,66.55,83.4,,Percent of Total Billed Charges,62.08,,66.55,83.4,,Percent of Total Billed Charges,55.94,,66.55,83.4,,Percent of Total Billed Charges,64.96,,71.82,90,,Percent of Total Billed Charges,67.59,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,73.42,92,,Percent of Total Billed Charges,64.72,,73.42,92,,Percent of Total Billed Charges,59.37,,73.42,92,,Percent of Total Billed Charges,62.48,,73.42,92,,Percent of Total Billed Charges,64.72,,62.24,78,,Percent of Total Billed Charges,62.24,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,42.96,53.83,,Percent of Total Billed Charges,40.3,,27.64,34.64,,Percent of Total Billed Charges,27.53,,39.88,49.98,,Percent of Total Billed Charges,30.16,,27.64,73.42,,																																							
HC OBSERVATION CARVEOUT RADIATION THERAPY,G0378,CPT,,,,BOTH, , ,79.8,67.03,73.42,92,,Percent of Total Billed Charges,66.71,,73.42,92,,Percent of Total Billed Charges,65.52,,73.42,92,,Percent of Total Billed Charges,64.24,,73.42,92,,Percent of Total Billed Charges,66.63,,73.42,92,,Percent of Total Billed Charges,60.09,,73.42,92,,Percent of Total Billed Charges,49.88,,71.82,90,,Percent of Total Billed Charges,39.82,,71.02,89,,Percent of Total Billed Charges,38.3,,65.76,82.4,,Percent of Total Billed Charges,65.6,,66.55,83.4,,Percent of Total Billed Charges,62.08,,66.55,83.4,,Percent of Total Billed Charges,55.94,,66.55,83.4,,Percent of Total Billed Charges,64.96,,71.82,90,,Percent of Total Billed Charges,67.59,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,73.42,92,,Percent of Total Billed Charges,64.72,,73.42,92,,Percent of Total Billed Charges,59.37,,73.42,92,,Percent of Total Billed Charges,62.48,,73.42,92,,Percent of Total Billed Charges,64.72,,62.24,78,,Percent of Total Billed Charges,62.24,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,42.96,53.83,,Percent of Total Billed Charges,40.3,,27.64,34.64,,Percent of Total Billed Charges,27.53,,39.88,49.98,,Percent of Total Billed Charges,30.16,,27.64,73.42,,																																							
HC OBSERVATION CARVEOUT CHEMOTHERAPY,G0378,CPT,,,,BOTH, , ,79.8,67.03,73.42,92,,Percent of Total Billed Charges,66.71,,73.42,92,,Percent of Total Billed Charges,65.52,,73.42,92,,Percent of Total Billed Charges,64.24,,73.42,92,,Percent of Total Billed Charges,66.63,,73.42,92,,Percent of Total Billed Charges,60.09,,73.42,92,,Percent of Total Billed Charges,49.88,,71.82,90,,Percent of Total Billed Charges,39.82,,71.02,89,,Percent of Total Billed Charges,38.3,,65.76,82.4,,Percent of Total Billed Charges,65.6,,66.55,83.4,,Percent of Total Billed Charges,62.08,,66.55,83.4,,Percent of Total Billed Charges,55.94,,66.55,83.4,,Percent of Total Billed Charges,64.96,,71.82,90,,Percent of Total Billed Charges,67.59,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,73.42,92,,Percent of Total Billed Charges,64.72,,73.42,92,,Percent of Total Billed Charges,59.37,,73.42,92,,Percent of Total Billed Charges,62.48,,73.42,92,,Percent of Total Billed Charges,64.72,,62.24,78,,Percent of Total Billed Charges,62.24,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,42.96,53.83,,Percent of Total Billed Charges,40.3,,27.64,34.64,,Percent of Total Billed Charges,27.53,,39.88,49.98,,Percent of Total Billed Charges,30.16,,27.64,73.42,,																																							
HC OBSERVATION CARVEOUT WOUND CARE,G0378,CPT,,,,BOTH, , ,79.8,67.03,73.42,92,,Percent of Total Billed Charges,66.71,,73.42,92,,Percent of Total Billed Charges,65.52,,73.42,92,,Percent of Total Billed Charges,64.24,,73.42,92,,Percent of Total Billed Charges,66.63,,73.42,92,,Percent of Total Billed Charges,60.09,,73.42,92,,Percent of Total Billed Charges,49.88,,71.82,90,,Percent of Total Billed Charges,39.82,,71.02,89,,Percent of Total Billed Charges,38.3,,65.76,82.4,,Percent of Total Billed Charges,65.6,,66.55,83.4,,Percent of Total Billed Charges,62.08,,66.55,83.4,,Percent of Total Billed Charges,55.94,,66.55,83.4,,Percent of Total Billed Charges,64.96,,71.82,90,,Percent of Total Billed Charges,67.59,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,73.42,92,,Percent of Total Billed Charges,64.72,,73.42,92,,Percent of Total Billed Charges,59.37,,73.42,92,,Percent of Total Billed Charges,62.48,,73.42,92,,Percent of Total Billed Charges,64.72,,62.24,78,,Percent of Total Billed Charges,62.24,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,42.96,53.83,,Percent of Total Billed Charges,40.3,,27.64,34.64,,Percent of Total Billed Charges,27.53,,39.88,49.98,,Percent of Total Billed Charges,30.16,,27.64,73.42,,																																							
HC OBSERVATION CARVEOUT STRESS TEST,G0378,CPT,,,,BOTH, , ,79.8,67.03,73.42,92,,Percent of Total Billed Charges,66.71,,73.42,92,,Percent of Total Billed Charges,65.52,,73.42,92,,Percent of Total Billed Charges,64.24,,73.42,92,,Percent of Total Billed Charges,66.63,,73.42,92,,Percent of Total Billed Charges,60.09,,73.42,92,,Percent of Total Billed Charges,49.88,,71.82,90,,Percent of Total Billed Charges,39.82,,71.02,89,,Percent of Total Billed Charges,38.3,,65.76,82.4,,Percent of Total Billed Charges,65.6,,66.55,83.4,,Percent of Total Billed Charges,62.08,,66.55,83.4,,Percent of Total Billed Charges,55.94,,66.55,83.4,,Percent of Total Billed Charges,64.96,,71.82,90,,Percent of Total Billed Charges,67.59,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,73.42,92,,Percent of Total Billed Charges,64.72,,73.42,92,,Percent of Total Billed Charges,59.37,,73.42,92,,Percent of Total Billed Charges,62.48,,73.42,92,,Percent of Total Billed Charges,64.72,,62.24,78,,Percent of Total Billed Charges,62.24,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,42.96,53.83,,Percent of Total Billed Charges,40.3,,27.64,34.64,,Percent of Total Billed Charges,27.53,,39.88,49.98,,Percent of Total Billed Charges,30.16,,27.64,73.42,,																																							
HC OBSERVATION CARVEOUT MEDICAL INFUSION,G0378,CPT,,,,BOTH, , ,79.8,67.03,73.42,92,,Percent of Total Billed Charges,66.71,,73.42,92,,Percent of Total Billed Charges,65.52,,73.42,92,,Percent of Total Billed Charges,64.24,,73.42,92,,Percent of Total Billed Charges,66.63,,73.42,92,,Percent of Total Billed Charges,60.09,,73.42,92,,Percent of Total Billed Charges,49.88,,71.82,90,,Percent of Total Billed Charges,39.82,,71.02,89,,Percent of Total Billed Charges,38.3,,65.76,82.4,,Percent of Total Billed Charges,65.6,,66.55,83.4,,Percent of Total Billed Charges,62.08,,66.55,83.4,,Percent of Total Billed Charges,55.94,,66.55,83.4,,Percent of Total Billed Charges,64.96,,71.82,90,,Percent of Total Billed Charges,67.59,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,73.42,92,,Percent of Total Billed Charges,64.72,,73.42,92,,Percent of Total Billed Charges,59.37,,73.42,92,,Percent of Total Billed Charges,62.48,,73.42,92,,Percent of Total Billed Charges,64.72,,62.24,78,,Percent of Total Billed Charges,62.24,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,42.96,53.83,,Percent of Total Billed Charges,40.3,,27.64,34.64,,Percent of Total Billed Charges,27.53,,39.88,49.98,,Percent of Total Billed Charges,30.16,,27.64,73.42,,																																							
HC ADM INFLUENZA VACCINE,G0008,CPT,,,,BOTH, , ,118.65,99.67,109.16,92,,Percent of Total Billed Charges,99.19,,109.16,92,,Percent of Total Billed Charges,97.41,,109.16,92,,Percent of Total Billed Charges,95.51,,109.16,92,,Percent of Total Billed Charges,99.07,,109.16,92,,Percent of Total Billed Charges,89.34,,109.16,92,,Percent of Total Billed Charges,74.16,,106.79,90,,Percent of Total Billed Charges,59.21,,105.6,89,,Percent of Total Billed Charges,56.95,,97.77,82.4,,Percent of Total Billed Charges,97.53,,98.95,83.4,,Percent of Total Billed Charges,92.31,,98.95,83.4,,Percent of Total Billed Charges,83.17,,98.95,83.4,,Percent of Total Billed Charges,96.58,,106.79,90,,Percent of Total Billed Charges,100.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,109.16,92,,Percent of Total Billed Charges,96.23,,109.16,92,,Percent of Total Billed Charges,88.28,,109.16,92,,Percent of Total Billed Charges,92.9,,109.16,92,,Percent of Total Billed Charges,96.23,,92.55,78,,Percent of Total Billed Charges,92.55,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,63.87,53.83,,Percent of Total Billed Charges,59.92,,41.1,34.64,,Percent of Total Billed Charges,40.93,,59.3,49.98,,Percent of Total Billed Charges,44.85,,41.10,109.16,,																																							
HC ADM PNEUMOCOCCAL VACCINE,G0009,CPT,,,,BOTH, , ,118.65,99.67,109.16,92,,Percent of Total Billed Charges,99.19,,109.16,92,,Percent of Total Billed Charges,97.41,,109.16,92,,Percent of Total Billed Charges,95.51,,109.16,92,,Percent of Total Billed Charges,99.07,,109.16,92,,Percent of Total Billed Charges,89.34,,109.16,92,,Percent of Total Billed Charges,74.16,,106.79,90,,Percent of Total Billed Charges,59.21,,105.6,89,,Percent of Total Billed Charges,56.95,,97.77,82.4,,Percent of Total Billed Charges,97.53,,98.95,83.4,,Percent of Total Billed Charges,92.31,,98.95,83.4,,Percent of Total Billed Charges,83.17,,98.95,83.4,,Percent of Total Billed Charges,96.58,,106.79,90,,Percent of Total Billed Charges,100.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,109.16,92,,Percent of Total Billed Charges,96.23,,109.16,92,,Percent of Total Billed Charges,88.28,,109.16,92,,Percent of Total Billed Charges,92.9,,109.16,92,,Percent of Total Billed Charges,96.23,,92.55,78,,Percent of Total Billed Charges,92.55,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,63.87,53.83,,Percent of Total Billed Charges,59.92,,41.1,34.64,,Percent of Total Billed Charges,40.93,,59.3,49.98,,Percent of Total Billed Charges,44.85,,41.10,109.16,,																																							
HC ADMINISTRATION OF HEPATITIS B VACCINE,G0010,CPT,,,,BOTH, , ,118.65,99.67,109.16,92,,Percent of Total Billed Charges,99.19,,109.16,92,,Percent of Total Billed Charges,97.41,,109.16,92,,Percent of Total Billed Charges,95.51,,109.16,92,,Percent of Total Billed Charges,99.07,,109.16,92,,Percent of Total Billed Charges,89.34,,109.16,92,,Percent of Total Billed Charges,74.16,,106.79,90,,Percent of Total Billed Charges,59.21,,105.6,89,,Percent of Total Billed Charges,56.95,,97.77,82.4,,Percent of Total Billed Charges,97.53,,98.95,83.4,,Percent of Total Billed Charges,92.31,,98.95,83.4,,Percent of Total Billed Charges,83.17,,98.95,83.4,,Percent of Total Billed Charges,96.58,,106.79,90,,Percent of Total Billed Charges,100.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,109.16,92,,Percent of Total Billed Charges,96.23,,109.16,92,,Percent of Total Billed Charges,88.28,,109.16,92,,Percent of Total Billed Charges,92.9,,109.16,92,,Percent of Total Billed Charges,96.23,,92.55,78,,Percent of Total Billed Charges,92.55,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,63.87,53.83,,Percent of Total Billed Charges,59.92,,41.1,34.64,,Percent of Total Billed Charges,40.93,,59.3,49.98,,Percent of Total Billed Charges,44.85,,41.10,109.16,,																																							
HC DIALYSIS ACUTE I/P,90999,CPT,,,,BOTH, , ,1776.6,1492.34,1634.47,92,,Percent of Total Billed Charges,1485.24,,1634.47,92,,Percent of Total Billed Charges,1458.59,,1634.47,92,,Percent of Total Billed Charges,1430.16,,1634.47,92,,Percent of Total Billed Charges,1483.46,,1634.47,92,,Percent of Total Billed Charges,1337.78,,1634.47,92,,Percent of Total Billed Charges,1110.38,,1598.94,90,,Percent of Total Billed Charges,886.52,,1581.17,89,,Percent of Total Billed Charges,852.77,,1463.92,82.4,,Percent of Total Billed Charges,1460.37,,1481.68,83.4,,Percent of Total Billed Charges,1382.19,,1481.68,83.4,,Percent of Total Billed Charges,1245.4,,1481.68,83.4,,Percent of Total Billed Charges,1446.15,,1598.94,90,,Percent of Total Billed Charges,1504.78,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1634.47,92,,Percent of Total Billed Charges,1440.82,,1634.47,92,,Percent of Total Billed Charges,1321.79,,1634.47,92,,Percent of Total Billed Charges,1391.08,,1634.47,92,,Percent of Total Billed Charges,1440.82,,1385.75,78,,Percent of Total Billed Charges,1385.75,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,956.34,53.83,,Percent of Total Billed Charges,897.18,,615.41,34.64,,Percent of Total Billed Charges,612.93,,887.94,49.98,,Percent of Total Billed Charges,671.55,,615.41,1634.47,,																																							
HC DIALYSIS MAINT I/P,90999,CPT,,,,BOTH, , ,1776.6,1492.34,1634.47,92,,Percent of Total Billed Charges,1485.24,,1634.47,92,,Percent of Total Billed Charges,1458.59,,1634.47,92,,Percent of Total Billed Charges,1430.16,,1634.47,92,,Percent of Total Billed Charges,1483.46,,1634.47,92,,Percent of Total Billed Charges,1337.78,,1634.47,92,,Percent of Total Billed Charges,1110.38,,1598.94,90,,Percent of Total Billed Charges,886.52,,1581.17,89,,Percent of Total Billed Charges,852.77,,1463.92,82.4,,Percent of Total Billed Charges,1460.37,,1481.68,83.4,,Percent of Total Billed Charges,1382.19,,1481.68,83.4,,Percent of Total Billed Charges,1245.4,,1481.68,83.4,,Percent of Total Billed Charges,1446.15,,1598.94,90,,Percent of Total Billed Charges,1504.78,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1634.47,92,,Percent of Total Billed Charges,1440.82,,1634.47,92,,Percent of Total Billed Charges,1321.79,,1634.47,92,,Percent of Total Billed Charges,1391.08,,1634.47,92,,Percent of Total Billed Charges,1440.82,,1385.75,78,,Percent of Total Billed Charges,1385.75,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,956.34,53.83,,Percent of Total Billed Charges,897.18,,615.41,34.64,,Percent of Total Billed Charges,612.93,,887.94,49.98,,Percent of Total Billed Charges,671.55,,615.41,1634.47,,																																							
HC DIALYSIS MAINTI/P,90935,CPT,,,,BOTH, , ,1776.6,1492.34,1634.47,92,,Percent of Total Billed Charges,1485.24,,1634.47,92,,Percent of Total Billed Charges,1458.59,,1634.47,92,,Percent of Total Billed Charges,1430.16,,1634.47,92,,Percent of Total Billed Charges,1483.46,,1634.47,92,,Percent of Total Billed Charges,1337.78,,1634.47,92,,Percent of Total Billed Charges,1110.38,,1598.94,90,,Percent of Total Billed Charges,886.52,,1581.17,89,,Percent of Total Billed Charges,852.77,,1463.92,82.4,,Percent of Total Billed Charges,1460.37,,1481.68,83.4,,Percent of Total Billed Charges,1382.19,,1481.68,83.4,,Percent of Total Billed Charges,1245.4,,1481.68,83.4,,Percent of Total Billed Charges,1446.15,,1598.94,90,,Percent of Total Billed Charges,1504.78,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1634.47,92,,Percent of Total Billed Charges,1440.82,,1634.47,92,,Percent of Total Billed Charges,1321.79,,1634.47,92,,Percent of Total Billed Charges,1391.08,,1634.47,92,,Percent of Total Billed Charges,1440.82,,1385.75,78,,Percent of Total Billed Charges,1385.75,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,956.34,53.83,,Percent of Total Billed Charges,897.18,,615.41,34.64,,Percent of Total Billed Charges,612.93,,887.94,49.98,,Percent of Total Billed Charges,671.55,,615.41,1634.47,,																																							
HC DIALYSIS ONE EVALUATION,90945,CPT,,,,BOTH, , ,87.15,73.21,80.18,92,,Percent of Total Billed Charges,72.86,,80.18,92,,Percent of Total Billed Charges,71.55,,80.18,92,,Percent of Total Billed Charges,70.16,,80.18,92,,Percent of Total Billed Charges,72.77,,80.18,92,,Percent of Total Billed Charges,65.62,,80.18,92,,Percent of Total Billed Charges,54.47,,78.44,90,,Percent of Total Billed Charges,43.49,,77.56,89,,Percent of Total Billed Charges,41.83,,71.81,82.4,,Percent of Total Billed Charges,71.64,,72.68,83.4,,Percent of Total Billed Charges,67.8,,72.68,83.4,,Percent of Total Billed Charges,61.09,,72.68,83.4,,Percent of Total Billed Charges,70.94,,78.44,90,,Percent of Total Billed Charges,73.82,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,80.18,92,,Percent of Total Billed Charges,70.68,,80.18,92,,Percent of Total Billed Charges,64.84,,80.18,92,,Percent of Total Billed Charges,68.24,,80.18,92,,Percent of Total Billed Charges,70.68,,67.98,78,,Percent of Total Billed Charges,67.98,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,46.91,53.83,,Percent of Total Billed Charges,44.01,,30.19,34.64,,Percent of Total Billed Charges,30.07,,43.56,49.98,,Percent of Total Billed Charges,32.94,,30.19,80.18,,																																							
HC DIALYSIS REPEATED EVALUATION,90947,CPT,,,,BOTH, , ,351.75,295.47,323.61,92,,Percent of Total Billed Charges,294.06,,323.61,92,,Percent of Total Billed Charges,288.79,,323.61,92,,Percent of Total Billed Charges,283.16,,323.61,92,,Percent of Total Billed Charges,293.71,,323.61,92,,Percent of Total Billed Charges,264.87,,323.61,92,,Percent of Total Billed Charges,219.84,,316.58,90,,Percent of Total Billed Charges,175.52,,313.06,89,,Percent of Total Billed Charges,168.84,,289.84,82.4,,Percent of Total Billed Charges,289.14,,293.36,83.4,,Percent of Total Billed Charges,273.66,,293.36,83.4,,Percent of Total Billed Charges,246.58,,293.36,83.4,,Percent of Total Billed Charges,286.32,,316.58,90,,Percent of Total Billed Charges,297.93,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,323.61,92,,Percent of Total Billed Charges,285.27,,323.61,92,,Percent of Total Billed Charges,261.7,,323.61,92,,Percent of Total Billed Charges,275.42,,323.61,92,,Percent of Total Billed Charges,285.27,,274.37,78,,Percent of Total Billed Charges,274.37,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,189.35,53.83,,Percent of Total Billed Charges,177.63,,121.85,34.64,,Percent of Total Billed Charges,121.35,,175.8,49.98,,Percent of Total Billed Charges,132.96,,121.85,323.61,,																																							
HC DIALYSIS ACUTE O/P,90999,CPT,,,,BOTH, , ,1776.6,1492.34,1634.47,92,,Percent of Total Billed Charges,1485.24,,1634.47,92,,Percent of Total Billed Charges,1458.59,,1634.47,92,,Percent of Total Billed Charges,1430.16,,1634.47,92,,Percent of Total Billed Charges,1483.46,,1634.47,92,,Percent of Total Billed Charges,1337.78,,1634.47,92,,Percent of Total Billed Charges,1110.38,,1598.94,90,,Percent of Total Billed Charges,886.52,,1581.17,89,,Percent of Total Billed Charges,852.77,,1463.92,82.4,,Percent of Total Billed Charges,1460.37,,1481.68,83.4,,Percent of Total Billed Charges,1382.19,,1481.68,83.4,,Percent of Total Billed Charges,1245.4,,1481.68,83.4,,Percent of Total Billed Charges,1446.15,,1598.94,90,,Percent of Total Billed Charges,1504.78,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1634.47,92,,Percent of Total Billed Charges,1440.82,,1634.47,92,,Percent of Total Billed Charges,1321.79,,1634.47,92,,Percent of Total Billed Charges,1391.08,,1634.47,92,,Percent of Total Billed Charges,1440.82,,1385.75,78,,Percent of Total Billed Charges,1385.75,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,956.34,53.83,,Percent of Total Billed Charges,897.18,,615.41,34.64,,Percent of Total Billed Charges,612.93,,887.94,49.98,,Percent of Total Billed Charges,671.55,,615.41,1634.47,,																																							
HC DIALYSIS MAINT O/P,90999,CPT,,,,BOTH, , ,1776.6,1492.34,1634.47,92,,Percent of Total Billed Charges,1485.24,,1634.47,92,,Percent of Total Billed Charges,1458.59,,1634.47,92,,Percent of Total Billed Charges,1430.16,,1634.47,92,,Percent of Total Billed Charges,1483.46,,1634.47,92,,Percent of Total Billed Charges,1337.78,,1634.47,92,,Percent of Total Billed Charges,1110.38,,1598.94,90,,Percent of Total Billed Charges,886.52,,1581.17,89,,Percent of Total Billed Charges,852.77,,1463.92,82.4,,Percent of Total Billed Charges,1460.37,,1481.68,83.4,,Percent of Total Billed Charges,1382.19,,1481.68,83.4,,Percent of Total Billed Charges,1245.4,,1481.68,83.4,,Percent of Total Billed Charges,1446.15,,1598.94,90,,Percent of Total Billed Charges,1504.78,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1634.47,92,,Percent of Total Billed Charges,1440.82,,1634.47,92,,Percent of Total Billed Charges,1321.79,,1634.47,92,,Percent of Total Billed Charges,1391.08,,1634.47,92,,Percent of Total Billed Charges,1440.82,,1385.75,78,,Percent of Total Billed Charges,1385.75,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,956.34,53.83,,Percent of Total Billed Charges,897.18,,615.41,34.64,,Percent of Total Billed Charges,612.93,,887.94,49.98,,Percent of Total Billed Charges,671.55,,615.41,1634.47,,																																							
HC FETAL NONSTRESS TEST,59025,CPT,,,,BOTH, , ,891.45,748.82,820.13,92,,Percent of Total Billed Charges,745.25,,820.13,92,,Percent of Total Billed Charges,731.88,,820.13,92,,Percent of Total Billed Charges,717.62,,820.13,92,,Percent of Total Billed Charges,744.36,,820.13,92,,Percent of Total Billed Charges,671.26,,820.13,92,,Percent of Total Billed Charges,557.16,,802.31,90,,Percent of Total Billed Charges,444.83,,793.39,89,,Percent of Total Billed Charges,427.9,,734.55,82.4,,Percent of Total Billed Charges,732.77,,743.47,83.4,,Percent of Total Billed Charges,693.55,,743.47,83.4,,Percent of Total Billed Charges,624.91,,743.47,83.4,,Percent of Total Billed Charges,725.64,,802.31,90,,Percent of Total Billed Charges,755.06,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,820.13,92,,Percent of Total Billed Charges,722.97,,820.13,92,,Percent of Total Billed Charges,663.24,,820.13,92,,Percent of Total Billed Charges,698.01,,820.13,92,,Percent of Total Billed Charges,722.97,,695.33,78,,Percent of Total Billed Charges,695.33,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,479.87,53.83,,Percent of Total Billed Charges,450.18,,308.8,34.64,,Percent of Total Billed Charges,307.55,,445.55,49.98,,Percent of Total Billed Charges,336.97,,308.80,820.13,,																																							
HC EXTRACRANIAL BILAT STUDY,93880,CPT,,,,BOTH, , ,1171.8,984.31,1078.06,92,,Percent of Total Billed Charges,979.62,,1078.06,92,,Percent of Total Billed Charges,962.05,,1078.06,92,,Percent of Total Billed Charges,943.3,,1078.06,92,,Percent of Total Billed Charges,978.45,,1078.06,92,,Percent of Total Billed Charges,882.37,,1078.06,92,,Percent of Total Billed Charges,732.38,,1054.62,90,,Percent of Total Billed Charges,584.73,,1042.9,89,,Percent of Total Billed Charges,562.46,,965.56,82.4,,Percent of Total Billed Charges,963.22,,977.28,83.4,,Percent of Total Billed Charges,911.66,,977.28,83.4,,Percent of Total Billed Charges,821.43,,977.28,83.4,,Percent of Total Billed Charges,953.85,,1054.62,90,,Percent of Total Billed Charges,992.51,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1078.06,92,,Percent of Total Billed Charges,950.33,,1078.06,92,,Percent of Total Billed Charges,871.82,,1078.06,92,,Percent of Total Billed Charges,917.52,,1078.06,92,,Percent of Total Billed Charges,950.33,,914,78,,Percent of Total Billed Charges,914,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,630.78,53.83,,Percent of Total Billed Charges,591.76,,405.91,34.64,,Percent of Total Billed Charges,404.27,,585.67,49.98,,Percent of Total Billed Charges,442.94,,405.91,1078.06,,																																							
HC EXTRACRANIAL UNI/LTD STUDY,93882,CPT,,,,BOTH, , ,384.3,322.81,353.56,92,,Percent of Total Billed Charges,321.27,,353.56,92,,Percent of Total Billed Charges,315.51,,353.56,92,,Percent of Total Billed Charges,309.36,,353.56,92,,Percent of Total Billed Charges,320.89,,353.56,92,,Percent of Total Billed Charges,289.38,,353.56,92,,Percent of Total Billed Charges,240.19,,345.87,90,,Percent of Total Billed Charges,191.77,,342.03,89,,Percent of Total Billed Charges,184.46,,316.66,82.4,,Percent of Total Billed Charges,315.89,,320.51,83.4,,Percent of Total Billed Charges,298.99,,320.51,83.4,,Percent of Total Billed Charges,269.39,,320.51,83.4,,Percent of Total Billed Charges,312.82,,345.87,90,,Percent of Total Billed Charges,325.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,353.56,92,,Percent of Total Billed Charges,311.67,,353.56,92,,Percent of Total Billed Charges,285.92,,353.56,92,,Percent of Total Billed Charges,300.91,,353.56,92,,Percent of Total Billed Charges,311.67,,299.75,78,,Percent of Total Billed Charges,299.75,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,206.87,53.83,,Percent of Total Billed Charges,194.07,,133.12,34.64,,Percent of Total Billed Charges,132.58,,192.07,49.98,,Percent of Total Billed Charges,145.27,,133.12,353.56,,																																							
HC INTRACRANIAL COMPLETE STUDY,93886,CPT,,,,BOTH, , ,657.3,552.13,604.72,92,,Percent of Total Billed Charges,549.5,,604.72,92,,Percent of Total Billed Charges,539.64,,604.72,92,,Percent of Total Billed Charges,529.13,,604.72,92,,Percent of Total Billed Charges,548.85,,604.72,92,,Percent of Total Billed Charges,494.95,,604.72,92,,Percent of Total Billed Charges,410.81,,591.57,90,,Percent of Total Billed Charges,327.99,,585,89,,Percent of Total Billed Charges,315.5,,541.62,82.4,,Percent of Total Billed Charges,540.3,,548.19,83.4,,Percent of Total Billed Charges,511.38,,548.19,83.4,,Percent of Total Billed Charges,460.77,,548.19,83.4,,Percent of Total Billed Charges,535.04,,591.57,90,,Percent of Total Billed Charges,556.73,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,604.72,92,,Percent of Total Billed Charges,533.07,,604.72,92,,Percent of Total Billed Charges,489.03,,604.72,92,,Percent of Total Billed Charges,514.67,,604.72,92,,Percent of Total Billed Charges,533.07,,512.69,78,,Percent of Total Billed Charges,512.69,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,353.82,53.83,,Percent of Total Billed Charges,331.94,,227.69,34.64,,Percent of Total Billed Charges,226.77,,328.52,49.98,,Percent of Total Billed Charges,248.46,,227.69,604.72,,																																							
HC UPR/L XTREMITY ART 2 LEVELS,93922,CPT,,,,BOTH, , ,690.9,580.36,635.63,92,,Percent of Total Billed Charges,577.59,,635.63,92,,Percent of Total Billed Charges,567.23,,635.63,92,,Percent of Total Billed Charges,556.17,,635.63,92,,Percent of Total Billed Charges,576.9,,635.63,92,,Percent of Total Billed Charges,520.25,,635.63,92,,Percent of Total Billed Charges,431.81,,621.81,90,,Percent of Total Billed Charges,344.76,,614.9,89,,Percent of Total Billed Charges,331.63,,569.3,82.4,,Percent of Total Billed Charges,567.92,,576.21,83.4,,Percent of Total Billed Charges,537.52,,576.21,83.4,,Percent of Total Billed Charges,484.32,,576.21,83.4,,Percent of Total Billed Charges,562.39,,621.81,90,,Percent of Total Billed Charges,585.19,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,635.63,92,,Percent of Total Billed Charges,560.32,,635.63,92,,Percent of Total Billed Charges,514.03,,635.63,92,,Percent of Total Billed Charges,540.97,,635.63,92,,Percent of Total Billed Charges,560.32,,538.9,78,,Percent of Total Billed Charges,538.9,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,371.91,53.83,,Percent of Total Billed Charges,348.9,,239.33,34.64,,Percent of Total Billed Charges,238.36,,345.31,49.98,,Percent of Total Billed Charges,261.16,,239.33,635.63,,																																							
HC UPR/LXTR ART STDY 3+ LVLS,93923,CPT,,,,BOTH, , ,1045.8,878.47,962.14,92,,Percent of Total Billed Charges,874.29,,962.14,92,,Percent of Total Billed Charges,858.6,,962.14,92,,Percent of Total Billed Charges,841.87,,962.14,92,,Percent of Total Billed Charges,873.24,,962.14,92,,Percent of Total Billed Charges,787.49,,962.14,92,,Percent of Total Billed Charges,653.63,,941.22,90,,Percent of Total Billed Charges,521.85,,930.76,89,,Percent of Total Billed Charges,501.98,,861.74,82.4,,Percent of Total Billed Charges,859.65,,872.2,83.4,,Percent of Total Billed Charges,813.63,,872.2,83.4,,Percent of Total Billed Charges,733.11,,872.2,83.4,,Percent of Total Billed Charges,851.28,,941.22,90,,Percent of Total Billed Charges,885.79,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,962.14,92,,Percent of Total Billed Charges,848.14,,962.14,92,,Percent of Total Billed Charges,778.08,,962.14,92,,Percent of Total Billed Charges,818.86,,962.14,92,,Percent of Total Billed Charges,848.14,,815.72,78,,Percent of Total Billed Charges,815.72,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,562.95,53.83,,Percent of Total Billed Charges,528.13,,362.27,34.64,,Percent of Total Billed Charges,360.8,,522.69,49.98,,Percent of Total Billed Charges,395.31,,362.27,962.14,,																																							
HC LWR XTR VASC STDY BILAT,93924,CPT,,,,BOTH, , ,926.1,777.92,852.01,92,,Percent of Total Billed Charges,774.22,,852.01,92,,Percent of Total Billed Charges,760.33,,852.01,92,,Percent of Total Billed Charges,745.51,,852.01,92,,Percent of Total Billed Charges,773.29,,852.01,92,,Percent of Total Billed Charges,697.35,,852.01,92,,Percent of Total Billed Charges,578.81,,833.49,90,,Percent of Total Billed Charges,462.12,,824.23,89,,Percent of Total Billed Charges,444.53,,763.11,82.4,,Percent of Total Billed Charges,761.25,,772.37,83.4,,Percent of Total Billed Charges,720.51,,772.37,83.4,,Percent of Total Billed Charges,649.2,,772.37,83.4,,Percent of Total Billed Charges,753.85,,833.49,90,,Percent of Total Billed Charges,784.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,852.01,92,,Percent of Total Billed Charges,751.07,,852.01,92,,Percent of Total Billed Charges,689.02,,852.01,92,,Percent of Total Billed Charges,725.14,,852.01,92,,Percent of Total Billed Charges,751.07,,722.36,78,,Percent of Total Billed Charges,722.36,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,498.52,53.83,,Percent of Total Billed Charges,467.68,,320.8,34.64,,Percent of Total Billed Charges,319.5,,462.86,49.98,,Percent of Total Billed Charges,350.07,,320.80,852.01,,																																							
HC LOWER EXTREMITY STUDY; BILATERAL,93925,CPT,,,,BOTH, , ,2001.3,1681.09,1841.2,92,,Percent of Total Billed Charges,1673.09,,1841.2,92,,Percent of Total Billed Charges,1643.07,,1841.2,92,,Percent of Total Billed Charges,1611.05,,1841.2,92,,Percent of Total Billed Charges,1671.09,,1841.2,92,,Percent of Total Billed Charges,1506.98,,1841.2,92,,Percent of Total Billed Charges,1250.81,,1801.17,90,,Percent of Total Billed Charges,998.65,,1781.16,89,,Percent of Total Billed Charges,960.62,,1649.07,82.4,,Percent of Total Billed Charges,1645.07,,1669.08,83.4,,Percent of Total Billed Charges,1557.01,,1669.08,83.4,,Percent of Total Billed Charges,1402.91,,1669.08,83.4,,Percent of Total Billed Charges,1629.06,,1801.17,90,,Percent of Total Billed Charges,1695.1,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1841.2,92,,Percent of Total Billed Charges,1623.05,,1841.2,92,,Percent of Total Billed Charges,1488.97,,1841.2,92,,Percent of Total Billed Charges,1567.02,,1841.2,92,,Percent of Total Billed Charges,1623.05,,1561.01,78,,Percent of Total Billed Charges,1561.01,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1077.3,53.83,,Percent of Total Billed Charges,1010.66,,693.25,34.64,,Percent of Total Billed Charges,690.45,,1000.25,49.98,,Percent of Total Billed Charges,756.49,,693.25,1841.2,,																																							
HC LOWER EXTREMITY STUDY; UNILATERAL,93926,CPT,,,,BOTH, , ,1230.6,1033.7,1132.15,92,,Percent of Total Billed Charges,1028.78,,1132.15,92,,Percent of Total Billed Charges,1010.32,,1132.15,92,,Percent of Total Billed Charges,990.63,,1132.15,92,,Percent of Total Billed Charges,1027.55,,1132.15,92,,Percent of Total Billed Charges,926.64,,1132.15,92,,Percent of Total Billed Charges,769.13,,1107.54,90,,Percent of Total Billed Charges,614.07,,1095.23,89,,Percent of Total Billed Charges,590.69,,1014.01,82.4,,Percent of Total Billed Charges,1011.55,,1026.32,83.4,,Percent of Total Billed Charges,957.41,,1026.32,83.4,,Percent of Total Billed Charges,862.65,,1026.32,83.4,,Percent of Total Billed Charges,1001.71,,1107.54,90,,Percent of Total Billed Charges,1042.32,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1132.15,92,,Percent of Total Billed Charges,998.02,,1132.15,92,,Percent of Total Billed Charges,915.57,,1132.15,92,,Percent of Total Billed Charges,963.56,,1132.15,92,,Percent of Total Billed Charges,998.02,,959.87,78,,Percent of Total Billed Charges,959.87,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,662.43,53.83,,Percent of Total Billed Charges,621.45,,426.28,34.64,,Percent of Total Billed Charges,424.56,,615.05,49.98,,Percent of Total Billed Charges,465.17,,426.28,1132.15,,																																							
HC UPPER EXTREMITY STUDY; BILATERAL,93930,CPT,,,,BOTH, , ,2001.3,1681.09,1841.2,92,,Percent of Total Billed Charges,1673.09,,1841.2,92,,Percent of Total Billed Charges,1643.07,,1841.2,92,,Percent of Total Billed Charges,1611.05,,1841.2,92,,Percent of Total Billed Charges,1671.09,,1841.2,92,,Percent of Total Billed Charges,1506.98,,1841.2,92,,Percent of Total Billed Charges,1250.81,,1801.17,90,,Percent of Total Billed Charges,998.65,,1781.16,89,,Percent of Total Billed Charges,960.62,,1649.07,82.4,,Percent of Total Billed Charges,1645.07,,1669.08,83.4,,Percent of Total Billed Charges,1557.01,,1669.08,83.4,,Percent of Total Billed Charges,1402.91,,1669.08,83.4,,Percent of Total Billed Charges,1629.06,,1801.17,90,,Percent of Total Billed Charges,1695.1,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1841.2,92,,Percent of Total Billed Charges,1623.05,,1841.2,92,,Percent of Total Billed Charges,1488.97,,1841.2,92,,Percent of Total Billed Charges,1567.02,,1841.2,92,,Percent of Total Billed Charges,1623.05,,1561.01,78,,Percent of Total Billed Charges,1561.01,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1077.3,53.83,,Percent of Total Billed Charges,1010.66,,693.25,34.64,,Percent of Total Billed Charges,690.45,,1000.25,49.98,,Percent of Total Billed Charges,756.49,,693.25,1841.2,,																																							
HC UPPER EXTREMITY STUDY; UNILATERAL,93931,CPT,,,,BOTH, , ,1230.6,1033.7,1132.15,92,,Percent of Total Billed Charges,1028.78,,1132.15,92,,Percent of Total Billed Charges,1010.32,,1132.15,92,,Percent of Total Billed Charges,990.63,,1132.15,92,,Percent of Total Billed Charges,1027.55,,1132.15,92,,Percent of Total Billed Charges,926.64,,1132.15,92,,Percent of Total Billed Charges,769.13,,1107.54,90,,Percent of Total Billed Charges,614.07,,1095.23,89,,Percent of Total Billed Charges,590.69,,1014.01,82.4,,Percent of Total Billed Charges,1011.55,,1026.32,83.4,,Percent of Total Billed Charges,957.41,,1026.32,83.4,,Percent of Total Billed Charges,862.65,,1026.32,83.4,,Percent of Total Billed Charges,1001.71,,1107.54,90,,Percent of Total Billed Charges,1042.32,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1132.15,92,,Percent of Total Billed Charges,998.02,,1132.15,92,,Percent of Total Billed Charges,915.57,,1132.15,92,,Percent of Total Billed Charges,963.56,,1132.15,92,,Percent of Total Billed Charges,998.02,,959.87,78,,Percent of Total Billed Charges,959.87,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,662.43,53.83,,Percent of Total Billed Charges,621.45,,426.28,34.64,,Percent of Total Billed Charges,424.56,,615.05,49.98,,Percent of Total Billed Charges,465.17,,426.28,1132.15,,																																							
HC EXTREMITY STUDY; BILATERAL,93970,CPT,,,,BOTH, , ,2111.55,1773.7,1942.63,92,,Percent of Total Billed Charges,1765.26,,1942.63,92,,Percent of Total Billed Charges,1733.58,,1942.63,92,,Percent of Total Billed Charges,1699.8,,1942.63,92,,Percent of Total Billed Charges,1763.14,,1942.63,92,,Percent of Total Billed Charges,1590,,1942.63,92,,Percent of Total Billed Charges,1319.72,,1900.4,90,,Percent of Total Billed Charges,1053.66,,1879.28,89,,Percent of Total Billed Charges,1013.54,,1739.92,82.4,,Percent of Total Billed Charges,1735.69,,1761.03,83.4,,Percent of Total Billed Charges,1642.79,,1761.03,83.4,,Percent of Total Billed Charges,1480.2,,1761.03,83.4,,Percent of Total Billed Charges,1718.8,,1900.4,90,,Percent of Total Billed Charges,1788.48,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1942.63,92,,Percent of Total Billed Charges,1712.47,,1942.63,92,,Percent of Total Billed Charges,1570.99,,1942.63,92,,Percent of Total Billed Charges,1653.34,,1942.63,92,,Percent of Total Billed Charges,1712.47,,1647.01,78,,Percent of Total Billed Charges,1647.01,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1136.65,53.83,,Percent of Total Billed Charges,1066.33,,731.44,34.64,,Percent of Total Billed Charges,728.48,,1055.35,49.98,,Percent of Total Billed Charges,798.17,,731.44,1942.63,,																																							
HC EXTREMITY STUDY; UNILATERAL,93971,CPT,,,,BOTH, , ,1299.9,1091.92,1195.91,92,,Percent of Total Billed Charges,1086.72,,1195.91,92,,Percent of Total Billed Charges,1067.22,,1195.91,92,,Percent of Total Billed Charges,1046.42,,1195.91,92,,Percent of Total Billed Charges,1085.42,,1195.91,92,,Percent of Total Billed Charges,978.82,,1195.91,92,,Percent of Total Billed Charges,812.44,,1169.91,90,,Percent of Total Billed Charges,648.65,,1156.91,89,,Percent of Total Billed Charges,623.95,,1071.12,82.4,,Percent of Total Billed Charges,1068.52,,1084.12,83.4,,Percent of Total Billed Charges,1011.32,,1084.12,83.4,,Percent of Total Billed Charges,911.23,,1084.12,83.4,,Percent of Total Billed Charges,1058.12,,1169.91,90,,Percent of Total Billed Charges,1101.02,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1195.91,92,,Percent of Total Billed Charges,1054.22,,1195.91,92,,Percent of Total Billed Charges,967.13,,1195.91,92,,Percent of Total Billed Charges,1017.82,,1195.91,92,,Percent of Total Billed Charges,1054.22,,1013.92,78,,Percent of Total Billed Charges,1013.92,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,699.74,53.83,,Percent of Total Billed Charges,656.45,,450.29,34.64,,Percent of Total Billed Charges,448.47,,649.69,49.98,,Percent of Total Billed Charges,491.36,,450.29,1195.91,,																																							
HC VASCULAR STUDY; COMPLETE,93975,CPT,,,,BOTH, , ,2051.7,1723.43,1887.56,92,,Percent of Total Billed Charges,1715.22,,1887.56,92,,Percent of Total Billed Charges,1684.45,,1887.56,92,,Percent of Total Billed Charges,1651.62,,1887.56,92,,Percent of Total Billed Charges,1713.17,,1887.56,92,,Percent of Total Billed Charges,1544.93,,1887.56,92,,Percent of Total Billed Charges,1282.31,,1846.53,90,,Percent of Total Billed Charges,1023.8,,1826.01,89,,Percent of Total Billed Charges,984.82,,1690.6,82.4,,Percent of Total Billed Charges,1686.5,,1711.12,83.4,,Percent of Total Billed Charges,1596.22,,1711.12,83.4,,Percent of Total Billed Charges,1438.24,,1711.12,83.4,,Percent of Total Billed Charges,1670.08,,1846.53,90,,Percent of Total Billed Charges,1737.79,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1887.56,92,,Percent of Total Billed Charges,1663.93,,1887.56,92,,Percent of Total Billed Charges,1526.46,,1887.56,92,,Percent of Total Billed Charges,1606.48,,1887.56,92,,Percent of Total Billed Charges,1663.93,,1600.33,78,,Percent of Total Billed Charges,1600.33,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1104.43,53.83,,Percent of Total Billed Charges,1036.11,,710.71,34.64,,Percent of Total Billed Charges,707.84,,1025.44,49.98,,Percent of Total Billed Charges,775.54,,710.71,1887.56,,																																							
HC VASCULAR STUDY; LIMITED,93976,CPT,,,,BOTH, , ,2051.7,1723.43,1887.56,92,,Percent of Total Billed Charges,1715.22,,1887.56,92,,Percent of Total Billed Charges,1684.45,,1887.56,92,,Percent of Total Billed Charges,1651.62,,1887.56,92,,Percent of Total Billed Charges,1713.17,,1887.56,92,,Percent of Total Billed Charges,1544.93,,1887.56,92,,Percent of Total Billed Charges,1282.31,,1846.53,90,,Percent of Total Billed Charges,1023.8,,1826.01,89,,Percent of Total Billed Charges,984.82,,1690.6,82.4,,Percent of Total Billed Charges,1686.5,,1711.12,83.4,,Percent of Total Billed Charges,1596.22,,1711.12,83.4,,Percent of Total Billed Charges,1438.24,,1711.12,83.4,,Percent of Total Billed Charges,1670.08,,1846.53,90,,Percent of Total Billed Charges,1737.79,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1887.56,92,,Percent of Total Billed Charges,1663.93,,1887.56,92,,Percent of Total Billed Charges,1526.46,,1887.56,92,,Percent of Total Billed Charges,1606.48,,1887.56,92,,Percent of Total Billed Charges,1663.93,,1600.33,78,,Percent of Total Billed Charges,1600.33,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1104.43,53.83,,Percent of Total Billed Charges,1036.11,,710.71,34.64,,Percent of Total Billed Charges,707.84,,1025.44,49.98,,Percent of Total Billed Charges,775.54,,710.71,1887.56,,																																							
HC VASCULAR STUDY AORTA; COMPLETE,93978,CPT,,,,BOTH, , ,2092.65,1757.83,1925.24,92,,Percent of Total Billed Charges,1749.46,,1925.24,92,,Percent of Total Billed Charges,1718.07,,1925.24,92,,Percent of Total Billed Charges,1684.58,,1925.24,92,,Percent of Total Billed Charges,1747.36,,1925.24,92,,Percent of Total Billed Charges,1575.77,,1925.24,92,,Percent of Total Billed Charges,1307.91,,1883.39,90,,Percent of Total Billed Charges,1044.23,,1862.46,89,,Percent of Total Billed Charges,1004.47,,1724.34,82.4,,Percent of Total Billed Charges,1720.16,,1745.27,83.4,,Percent of Total Billed Charges,1628.08,,1745.27,83.4,,Percent of Total Billed Charges,1466.95,,1745.27,83.4,,Percent of Total Billed Charges,1703.42,,1883.39,90,,Percent of Total Billed Charges,1772.47,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1925.24,92,,Percent of Total Billed Charges,1697.14,,1925.24,92,,Percent of Total Billed Charges,1556.93,,1925.24,92,,Percent of Total Billed Charges,1638.54,,1925.24,92,,Percent of Total Billed Charges,1697.14,,1632.27,78,,Percent of Total Billed Charges,1632.27,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1126.47,53.83,,Percent of Total Billed Charges,1056.79,,724.89,34.64,,Percent of Total Billed Charges,721.96,,1045.91,49.98,,Percent of Total Billed Charges,791.02,,724.89,1925.24,,																																							
HC VASCULAR STUDY AORTA; LIMITED,93979,CPT,,,,BOTH, , ,1185.45,995.78,1090.61,92,,Percent of Total Billed Charges,991.04,,1090.61,92,,Percent of Total Billed Charges,973.25,,1090.61,92,,Percent of Total Billed Charges,954.29,,1090.61,92,,Percent of Total Billed Charges,989.85,,1090.61,92,,Percent of Total Billed Charges,892.64,,1090.61,92,,Percent of Total Billed Charges,740.91,,1066.91,90,,Percent of Total Billed Charges,591.54,,1055.05,89,,Percent of Total Billed Charges,569.02,,976.81,82.4,,Percent of Total Billed Charges,974.44,,988.67,83.4,,Percent of Total Billed Charges,922.28,,988.67,83.4,,Percent of Total Billed Charges,831,,988.67,83.4,,Percent of Total Billed Charges,964.96,,1066.91,90,,Percent of Total Billed Charges,1004.08,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1090.61,92,,Percent of Total Billed Charges,961.4,,1090.61,92,,Percent of Total Billed Charges,881.97,,1090.61,92,,Percent of Total Billed Charges,928.21,,1090.61,92,,Percent of Total Billed Charges,961.4,,924.65,78,,Percent of Total Billed Charges,924.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,638.13,53.83,,Percent of Total Billed Charges,598.65,,410.64,34.64,,Percent of Total Billed Charges,408.98,,592.49,49.98,,Percent of Total Billed Charges,448.1,,410.64,1090.61,,																																							
HC DOPPLER FLOW TESTING,93990,CPT,,,,BOTH, , ,529.2,444.53,486.86,92,,Percent of Total Billed Charges,442.41,,486.86,92,,Percent of Total Billed Charges,434.47,,486.86,92,,Percent of Total Billed Charges,426.01,,486.86,92,,Percent of Total Billed Charges,441.88,,486.86,92,,Percent of Total Billed Charges,398.49,,486.86,92,,Percent of Total Billed Charges,330.75,,476.28,90,,Percent of Total Billed Charges,264.07,,470.99,89,,Percent of Total Billed Charges,254.02,,436.06,82.4,,Percent of Total Billed Charges,435,,441.35,83.4,,Percent of Total Billed Charges,411.72,,441.35,83.4,,Percent of Total Billed Charges,370.97,,441.35,83.4,,Percent of Total Billed Charges,430.77,,476.28,90,,Percent of Total Billed Charges,448.23,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,486.86,92,,Percent of Total Billed Charges,429.18,,486.86,92,,Percent of Total Billed Charges,393.72,,486.86,92,,Percent of Total Billed Charges,414.36,,486.86,92,,Percent of Total Billed Charges,429.18,,412.78,78,,Percent of Total Billed Charges,412.78,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,284.87,53.83,,Percent of Total Billed Charges,267.25,,183.31,34.64,,Percent of Total Billed Charges,182.57,,264.49,49.98,,Percent of Total Billed Charges,200.04,,183.31,486.86,,																																							
HC CAR SEAT/BED TESTING W/INTERP & REPORT 60 MIN,94780,CPT,,,,BOTH, , ,11.55,9.7,10.63,92,,Percent of Total Billed Charges,9.66,,10.63,92,,Percent of Total Billed Charges,9.48,,10.63,92,,Percent of Total Billed Charges,9.3,,10.63,92,,Percent of Total Billed Charges,9.64,,10.63,92,,Percent of Total Billed Charges,8.7,,10.63,92,,Percent of Total Billed Charges,7.22,,10.4,90,,Percent of Total Billed Charges,5.76,,10.28,89,,Percent of Total Billed Charges,5.54,,9.52,82.4,,Percent of Total Billed Charges,9.49,,9.63,83.4,,Percent of Total Billed Charges,8.99,,9.63,83.4,,Percent of Total Billed Charges,8.1,,9.63,83.4,,Percent of Total Billed Charges,9.4,,10.4,90,,Percent of Total Billed Charges,9.78,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,10.63,92,,Percent of Total Billed Charges,9.37,,10.63,92,,Percent of Total Billed Charges,8.59,,10.63,92,,Percent of Total Billed Charges,9.04,,10.63,92,,Percent of Total Billed Charges,9.37,,9.01,78,,Percent of Total Billed Charges,9.01,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6.22,53.83,,Percent of Total Billed Charges,5.83,,4,34.64,,Percent of Total Billed Charges,3.98,,5.77,49.98,,Percent of Total Billed Charges,4.37,,4.00,10.63,,																																							
HC CAR SEAT/BED TESTNG W/INTERP & REPORT ADDL 30MIN,94781,CPT,,,,BOTH, , ,56.7,47.63,52.16,92,,Percent of Total Billed Charges,47.4,,52.16,92,,Percent of Total Billed Charges,46.55,,52.16,92,,Percent of Total Billed Charges,45.64,,52.16,92,,Percent of Total Billed Charges,47.34,,52.16,92,,Percent of Total Billed Charges,42.7,,52.16,92,,Percent of Total Billed Charges,35.44,,51.03,90,,Percent of Total Billed Charges,28.29,,50.46,89,,Percent of Total Billed Charges,27.22,,46.72,82.4,,Percent of Total Billed Charges,46.61,,47.29,83.4,,Percent of Total Billed Charges,44.11,,47.29,83.4,,Percent of Total Billed Charges,39.75,,47.29,83.4,,Percent of Total Billed Charges,46.15,,51.03,90,,Percent of Total Billed Charges,48.02,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,52.16,92,,Percent of Total Billed Charges,45.98,,52.16,92,,Percent of Total Billed Charges,42.18,,52.16,92,,Percent of Total Billed Charges,44.4,,52.16,92,,Percent of Total Billed Charges,45.98,,44.23,78,,Percent of Total Billed Charges,44.23,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,30.52,53.83,,Percent of Total Billed Charges,28.63,,19.64,34.64,,Percent of Total Billed Charges,19.56,,28.34,49.98,,Percent of Total Billed Charges,21.43,,19.64,52.16,,																																							
HC BREATH HYDROGEN/ METHANE TEST,91065,CPT,,,,BOTH, , ,555.45,466.58,511.01,92,,Percent of Total Billed Charges,464.36,,511.01,92,,Percent of Total Billed Charges,456.02,,511.01,92,,Percent of Total Billed Charges,447.14,,511.01,92,,Percent of Total Billed Charges,463.8,,511.01,92,,Percent of Total Billed Charges,418.25,,511.01,92,,Percent of Total Billed Charges,347.16,,499.91,90,,Percent of Total Billed Charges,277.17,,494.35,89,,Percent of Total Billed Charges,266.62,,457.69,82.4,,Percent of Total Billed Charges,456.58,,463.25,83.4,,Percent of Total Billed Charges,432.14,,463.25,83.4,,Percent of Total Billed Charges,389.37,,463.25,83.4,,Percent of Total Billed Charges,452.14,,499.91,90,,Percent of Total Billed Charges,470.47,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,511.01,92,,Percent of Total Billed Charges,450.47,,511.01,92,,Percent of Total Billed Charges,413.25,,511.01,92,,Percent of Total Billed Charges,434.92,,511.01,92,,Percent of Total Billed Charges,450.47,,433.25,78,,Percent of Total Billed Charges,433.25,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,299,53.83,,Percent of Total Billed Charges,280.5,,192.41,34.64,,Percent of Total Billed Charges,191.63,,277.61,49.98,,Percent of Total Billed Charges,209.96,,192.41,511.01,,																																							
HC DUPSCAN HEMO COMPL BI STD,93985,CPT,,,,BOTH, , ,911.4,765.58,838.49,92,,Percent of Total Billed Charges,761.93,,838.49,92,,Percent of Total Billed Charges,748.26,,838.49,92,,Percent of Total Billed Charges,733.68,,838.49,92,,Percent of Total Billed Charges,761.02,,838.49,92,,Percent of Total Billed Charges,686.28,,838.49,92,,Percent of Total Billed Charges,569.63,,820.26,90,,Percent of Total Billed Charges,454.79,,811.15,89,,Percent of Total Billed Charges,437.47,,750.99,82.4,,Percent of Total Billed Charges,749.17,,760.11,83.4,,Percent of Total Billed Charges,709.07,,760.11,83.4,,Percent of Total Billed Charges,638.89,,760.11,83.4,,Percent of Total Billed Charges,741.88,,820.26,90,,Percent of Total Billed Charges,771.96,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,838.49,92,,Percent of Total Billed Charges,739.15,,838.49,92,,Percent of Total Billed Charges,678.08,,838.49,92,,Percent of Total Billed Charges,713.63,,838.49,92,,Percent of Total Billed Charges,739.15,,710.89,78,,Percent of Total Billed Charges,710.89,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,490.61,53.83,,Percent of Total Billed Charges,460.26,,315.71,34.64,,Percent of Total Billed Charges,314.43,,455.52,49.98,,Percent of Total Billed Charges,344.51,,315.71,838.49,,																																							
HC DUPSCAN HEMO COMPL UNI STD,93986,CPT,,,,BOTH, , ,438.9,368.68,403.79,92,,Percent of Total Billed Charges,366.92,,403.79,92,,Percent of Total Billed Charges,360.34,,403.79,92,,Percent of Total Billed Charges,353.31,,403.79,92,,Percent of Total Billed Charges,366.48,,403.79,92,,Percent of Total Billed Charges,330.49,,403.79,92,,Percent of Total Billed Charges,274.31,,395.01,90,,Percent of Total Billed Charges,219.01,,390.62,89,,Percent of Total Billed Charges,210.67,,361.65,82.4,,Percent of Total Billed Charges,360.78,,366.04,83.4,,Percent of Total Billed Charges,341.46,,366.04,83.4,,Percent of Total Billed Charges,307.67,,366.04,83.4,,Percent of Total Billed Charges,357.26,,395.01,90,,Percent of Total Billed Charges,371.75,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,403.79,92,,Percent of Total Billed Charges,355.95,,403.79,92,,Percent of Total Billed Charges,326.54,,403.79,92,,Percent of Total Billed Charges,343.66,,403.79,92,,Percent of Total Billed Charges,355.95,,342.34,78,,Percent of Total Billed Charges,342.34,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,236.26,53.83,,Percent of Total Billed Charges,221.64,,152.03,34.64,,Percent of Total Billed Charges,151.42,,219.36,49.98,,Percent of Total Billed Charges,165.9,,152.03,403.79,,																																							
HC CAR BED TEST INFT THRU 12 MO 60 MIN,94780,CPT,,,,BOTH, , ,452.55,380.14,416.35,92,,Percent of Total Billed Charges,378.33,,416.35,92,,Percent of Total Billed Charges,371.54,,416.35,92,,Percent of Total Billed Charges,364.3,,416.35,92,,Percent of Total Billed Charges,377.88,,416.35,92,,Percent of Total Billed Charges,340.77,,416.35,92,,Percent of Total Billed Charges,282.84,,407.3,90,,Percent of Total Billed Charges,225.82,,402.77,89,,Percent of Total Billed Charges,217.22,,372.9,82.4,,Percent of Total Billed Charges,372,,377.43,83.4,,Percent of Total Billed Charges,352.08,,377.43,83.4,,Percent of Total Billed Charges,317.24,,377.43,83.4,,Percent of Total Billed Charges,368.38,,407.3,90,,Percent of Total Billed Charges,383.31,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,416.35,92,,Percent of Total Billed Charges,367.02,,416.35,92,,Percent of Total Billed Charges,336.7,,416.35,92,,Percent of Total Billed Charges,354.35,,416.35,92,,Percent of Total Billed Charges,367.02,,352.99,78,,Percent of Total Billed Charges,352.99,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,243.61,53.83,,Percent of Total Billed Charges,228.54,,156.76,34.64,,Percent of Total Billed Charges,156.13,,226.18,49.98,,Percent of Total Billed Charges,171.06,,156.76,416.35,,																																							
HC DUPLEX PENILE SCAN,93981,CPT,,,,BOTH, , ,1661.1,1395.32,1528.21,92,,Percent of Total Billed Charges,1388.68,,1528.21,92,,Percent of Total Billed Charges,1363.76,,1528.21,92,,Percent of Total Billed Charges,1337.19,,1528.21,92,,Percent of Total Billed Charges,1387.02,,1528.21,92,,Percent of Total Billed Charges,1250.81,,1528.21,92,,Percent of Total Billed Charges,1038.19,,1494.99,90,,Percent of Total Billed Charges,828.89,,1478.38,89,,Percent of Total Billed Charges,797.33,,1368.75,82.4,,Percent of Total Billed Charges,1365.42,,1385.36,83.4,,Percent of Total Billed Charges,1292.34,,1385.36,83.4,,Percent of Total Billed Charges,1164.43,,1385.36,83.4,,Percent of Total Billed Charges,1352.14,,1494.99,90,,Percent of Total Billed Charges,1406.95,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1528.21,92,,Percent of Total Billed Charges,1347.15,,1528.21,92,,Percent of Total Billed Charges,1235.86,,1528.21,92,,Percent of Total Billed Charges,1300.64,,1528.21,92,,Percent of Total Billed Charges,1347.15,,1295.66,78,,Percent of Total Billed Charges,1295.66,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,894.17,53.83,,Percent of Total Billed Charges,838.86,,575.41,34.64,,Percent of Total Billed Charges,573.08,,830.22,49.98,,Percent of Total Billed Charges,627.9,,575.41,1528.21,,																																							
HC SPEECH/LANG THERAPY GROUP,92508,CPT,,,,BOTH, , ,109.2,91.73,100.46,92,,Percent of Total Billed Charges,91.29,,100.46,92,,Percent of Total Billed Charges,89.65,,100.46,92,,Percent of Total Billed Charges,87.91,,100.46,92,,Percent of Total Billed Charges,91.18,,100.46,92,,Percent of Total Billed Charges,82.23,,100.46,92,,Percent of Total Billed Charges,68.25,,98.28,90,,Percent of Total Billed Charges,54.49,,97.19,89,,Percent of Total Billed Charges,52.42,,89.98,82.4,,Percent of Total Billed Charges,89.76,,91.07,83.4,,Percent of Total Billed Charges,84.96,,91.07,83.4,,Percent of Total Billed Charges,76.55,,91.07,83.4,,Percent of Total Billed Charges,88.89,,98.28,90,,Percent of Total Billed Charges,92.49,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,100.46,92,,Percent of Total Billed Charges,88.56,,100.46,92,,Percent of Total Billed Charges,81.24,,100.46,92,,Percent of Total Billed Charges,85.5,,100.46,92,,Percent of Total Billed Charges,88.56,,85.18,78,,Percent of Total Billed Charges,85.18,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,58.78,53.83,,Percent of Total Billed Charges,55.15,,37.83,34.64,,Percent of Total Billed Charges,37.67,,54.58,49.98,,Percent of Total Billed Charges,41.28,,37.83,100.46,,																																							
HC IV INFUSION HYDRA INITIAL =< 1HR,96360,CPT,,,,BOTH, , ,833.7,700.31,767,92,,Percent of Total Billed Charges,696.97,,767,92,,Percent of Total Billed Charges,684.47,,767,92,,Percent of Total Billed Charges,671.13,,767,92,,Percent of Total Billed Charges,696.14,,767,92,,Percent of Total Billed Charges,627.78,,767,92,,Percent of Total Billed Charges,521.06,,750.33,90,,Percent of Total Billed Charges,416.02,,741.99,89,,Percent of Total Billed Charges,400.18,,686.97,82.4,,Percent of Total Billed Charges,685.3,,695.31,83.4,,Percent of Total Billed Charges,648.62,,695.31,83.4,,Percent of Total Billed Charges,584.42,,695.31,83.4,,Percent of Total Billed Charges,678.63,,750.33,90,,Percent of Total Billed Charges,706.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,767,92,,Percent of Total Billed Charges,676.13,,767,92,,Percent of Total Billed Charges,620.27,,767,92,,Percent of Total Billed Charges,652.79,,767,92,,Percent of Total Billed Charges,676.13,,650.29,78,,Percent of Total Billed Charges,650.29,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,448.78,53.83,,Percent of Total Billed Charges,421.02,,288.79,34.64,,Percent of Total Billed Charges,287.63,,416.68,49.98,,Percent of Total Billed Charges,315.14,,288.79,767,,																																							
HC IV INFUSION HYDRATION EA ADD'L HR,96361,CPT,,,,BOTH, , ,366.45,307.82,337.13,92,,Percent of Total Billed Charges,306.35,,337.13,92,,Percent of Total Billed Charges,300.86,,337.13,92,,Percent of Total Billed Charges,294.99,,337.13,92,,Percent of Total Billed Charges,305.99,,337.13,92,,Percent of Total Billed Charges,275.94,,337.13,92,,Percent of Total Billed Charges,229.03,,329.81,90,,Percent of Total Billed Charges,182.86,,326.14,89,,Percent of Total Billed Charges,175.9,,301.95,82.4,,Percent of Total Billed Charges,301.22,,305.62,83.4,,Percent of Total Billed Charges,285.1,,305.62,83.4,,Percent of Total Billed Charges,256.88,,305.62,83.4,,Percent of Total Billed Charges,298.29,,329.81,90,,Percent of Total Billed Charges,310.38,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,337.13,92,,Percent of Total Billed Charges,297.19,,337.13,92,,Percent of Total Billed Charges,272.64,,337.13,92,,Percent of Total Billed Charges,286.93,,337.13,92,,Percent of Total Billed Charges,297.19,,285.83,78,,Percent of Total Billed Charges,285.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,197.26,53.83,,Percent of Total Billed Charges,185.06,,126.94,34.64,,Percent of Total Billed Charges,126.43,,183.15,49.98,,Percent of Total Billed Charges,138.52,,126.94,337.13,,																																							
HC IV INFUSION THERA/PROPH/DIAG INITIAL,96365,CPT,,,,BOTH, , ,771.75,648.27,710.01,92,,Percent of Total Billed Charges,645.18,,710.01,92,,Percent of Total Billed Charges,633.61,,710.01,92,,Percent of Total Billed Charges,621.26,,710.01,92,,Percent of Total Billed Charges,644.41,,710.01,92,,Percent of Total Billed Charges,581.13,,710.01,92,,Percent of Total Billed Charges,482.34,,694.58,90,,Percent of Total Billed Charges,385.1,,686.86,89,,Percent of Total Billed Charges,370.44,,635.92,82.4,,Percent of Total Billed Charges,634.38,,643.64,83.4,,Percent of Total Billed Charges,600.42,,643.64,83.4,,Percent of Total Billed Charges,541,,643.64,83.4,,Percent of Total Billed Charges,628.2,,694.58,90,,Percent of Total Billed Charges,653.67,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,710.01,92,,Percent of Total Billed Charges,625.89,,710.01,92,,Percent of Total Billed Charges,574.18,,710.01,92,,Percent of Total Billed Charges,604.28,,710.01,92,,Percent of Total Billed Charges,625.89,,601.97,78,,Percent of Total Billed Charges,601.97,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,415.43,53.83,,Percent of Total Billed Charges,389.73,,267.33,34.64,,Percent of Total Billed Charges,266.25,,385.72,49.98,,Percent of Total Billed Charges,291.72,,267.33,710.01,,																																							
HC IV INFUSION THERA/PROPH/DIAG ADDON,96366,CPT,,,,BOTH, , ,339.15,284.89,312.02,92,,Percent of Total Billed Charges,283.53,,312.02,92,,Percent of Total Billed Charges,278.44,,312.02,92,,Percent of Total Billed Charges,273.02,,312.02,92,,Percent of Total Billed Charges,283.19,,312.02,92,,Percent of Total Billed Charges,255.38,,312.02,92,,Percent of Total Billed Charges,211.97,,305.24,90,,Percent of Total Billed Charges,169.24,,301.84,89,,Percent of Total Billed Charges,162.79,,279.46,82.4,,Percent of Total Billed Charges,278.78,,282.85,83.4,,Percent of Total Billed Charges,263.86,,282.85,83.4,,Percent of Total Billed Charges,237.74,,282.85,83.4,,Percent of Total Billed Charges,276.07,,305.24,90,,Percent of Total Billed Charges,287.26,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,312.02,92,,Percent of Total Billed Charges,275.05,,312.02,92,,Percent of Total Billed Charges,252.33,,312.02,92,,Percent of Total Billed Charges,265.55,,312.02,92,,Percent of Total Billed Charges,275.05,,264.54,78,,Percent of Total Billed Charges,264.54,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,182.56,53.83,,Percent of Total Billed Charges,171.27,,117.48,34.64,,Percent of Total Billed Charges,117.01,,169.51,49.98,,Percent of Total Billed Charges,128.2,,117.48,312.02,,																																							
HC TX/PROPH/DG ADDL SEQ IV INF,96367,CPT,,,,BOTH, , ,351.75,295.47,323.61,92,,Percent of Total Billed Charges,294.06,,323.61,92,,Percent of Total Billed Charges,288.79,,323.61,92,,Percent of Total Billed Charges,283.16,,323.61,92,,Percent of Total Billed Charges,293.71,,323.61,92,,Percent of Total Billed Charges,264.87,,323.61,92,,Percent of Total Billed Charges,219.84,,316.58,90,,Percent of Total Billed Charges,175.52,,313.06,89,,Percent of Total Billed Charges,168.84,,289.84,82.4,,Percent of Total Billed Charges,289.14,,293.36,83.4,,Percent of Total Billed Charges,273.66,,293.36,83.4,,Percent of Total Billed Charges,246.58,,293.36,83.4,,Percent of Total Billed Charges,286.32,,316.58,90,,Percent of Total Billed Charges,297.93,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,323.61,92,,Percent of Total Billed Charges,285.27,,323.61,92,,Percent of Total Billed Charges,261.7,,323.61,92,,Percent of Total Billed Charges,275.42,,323.61,92,,Percent of Total Billed Charges,285.27,,274.37,78,,Percent of Total Billed Charges,274.37,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,189.35,53.83,,Percent of Total Billed Charges,177.63,,121.85,34.64,,Percent of Total Billed Charges,121.35,,175.8,49.98,,Percent of Total Billed Charges,132.96,,121.85,323.61,,																																							
HC THER/DIAG CONCURRENT INF,96368,CPT,,,,BOTH, , ,344.4,289.3,316.85,92,,Percent of Total Billed Charges,287.92,,316.85,92,,Percent of Total Billed Charges,282.75,,316.85,92,,Percent of Total Billed Charges,277.24,,316.85,92,,Percent of Total Billed Charges,287.57,,316.85,92,,Percent of Total Billed Charges,259.33,,316.85,92,,Percent of Total Billed Charges,215.25,,309.96,90,,Percent of Total Billed Charges,171.86,,306.52,89,,Percent of Total Billed Charges,165.31,,283.79,82.4,,Percent of Total Billed Charges,283.1,,287.23,83.4,,Percent of Total Billed Charges,267.94,,287.23,83.4,,Percent of Total Billed Charges,241.42,,287.23,83.4,,Percent of Total Billed Charges,280.34,,309.96,90,,Percent of Total Billed Charges,291.71,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,316.85,92,,Percent of Total Billed Charges,279.31,,316.85,92,,Percent of Total Billed Charges,256.23,,316.85,92,,Percent of Total Billed Charges,269.67,,316.85,92,,Percent of Total Billed Charges,279.31,,268.63,78,,Percent of Total Billed Charges,268.63,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,185.39,53.83,,Percent of Total Billed Charges,173.92,,119.3,34.64,,Percent of Total Billed Charges,118.82,,172.13,49.98,,Percent of Total Billed Charges,130.18,,119.30,316.85,,																																							
HC THER/PROPH/DIAG INJ SC/IM,96372,CPT,,,,BOTH, , ,154.35,129.65,142,92,,Percent of Total Billed Charges,129.04,,142,92,,Percent of Total Billed Charges,126.72,,142,92,,Percent of Total Billed Charges,124.25,,142,92,,Percent of Total Billed Charges,128.88,,142,92,,Percent of Total Billed Charges,116.23,,142,92,,Percent of Total Billed Charges,96.47,,138.92,90,,Percent of Total Billed Charges,77.02,,137.37,89,,Percent of Total Billed Charges,74.09,,127.18,82.4,,Percent of Total Billed Charges,126.88,,128.73,83.4,,Percent of Total Billed Charges,120.08,,128.73,83.4,,Percent of Total Billed Charges,108.2,,128.73,83.4,,Percent of Total Billed Charges,125.64,,138.92,90,,Percent of Total Billed Charges,130.73,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,142,92,,Percent of Total Billed Charges,125.18,,142,92,,Percent of Total Billed Charges,114.84,,142,92,,Percent of Total Billed Charges,120.86,,142,92,,Percent of Total Billed Charges,125.18,,120.39,78,,Percent of Total Billed Charges,120.39,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,83.09,53.83,,Percent of Total Billed Charges,77.95,,53.47,34.64,,Percent of Total Billed Charges,53.25,,77.14,49.98,,Percent of Total Billed Charges,58.34,,53.47,142,,																																							
HC THERA/DIAG INJIV PUSH SING/INITL,96374,CPT,,,,BOTH, , ,32.55,27.34,29.95,92,,Percent of Total Billed Charges,27.21,,29.95,92,,Percent of Total Billed Charges,26.72,,29.95,92,,Percent of Total Billed Charges,26.2,,29.95,92,,Percent of Total Billed Charges,27.18,,29.95,92,,Percent of Total Billed Charges,24.51,,29.95,92,,Percent of Total Billed Charges,20.34,,29.3,90,,Percent of Total Billed Charges,16.24,,28.97,89,,Percent of Total Billed Charges,15.62,,26.82,82.4,,Percent of Total Billed Charges,26.76,,27.15,83.4,,Percent of Total Billed Charges,25.32,,27.15,83.4,,Percent of Total Billed Charges,22.82,,27.15,83.4,,Percent of Total Billed Charges,26.5,,29.3,90,,Percent of Total Billed Charges,27.57,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,29.95,92,,Percent of Total Billed Charges,26.4,,29.95,92,,Percent of Total Billed Charges,24.22,,29.95,92,,Percent of Total Billed Charges,25.49,,29.95,92,,Percent of Total Billed Charges,26.4,,25.39,78,,Percent of Total Billed Charges,25.39,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,17.52,53.83,,Percent of Total Billed Charges,16.44,,11.28,34.64,,Percent of Total Billed Charges,11.23,,16.27,49.98,,Percent of Total Billed Charges,12.3,,11.28,29.95,,																																							
HC TX/PRO/DX INJ NEW DRUG ADDON,96375,CPT,,,,BOTH, , ,32.55,27.34,29.95,92,,Percent of Total Billed Charges,27.21,,29.95,92,,Percent of Total Billed Charges,26.72,,29.95,92,,Percent of Total Billed Charges,26.2,,29.95,92,,Percent of Total Billed Charges,27.18,,29.95,92,,Percent of Total Billed Charges,24.51,,29.95,92,,Percent of Total Billed Charges,20.34,,29.3,90,,Percent of Total Billed Charges,16.24,,28.97,89,,Percent of Total Billed Charges,15.62,,26.82,82.4,,Percent of Total Billed Charges,26.76,,27.15,83.4,,Percent of Total Billed Charges,25.32,,27.15,83.4,,Percent of Total Billed Charges,22.82,,27.15,83.4,,Percent of Total Billed Charges,26.5,,29.3,90,,Percent of Total Billed Charges,27.57,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,29.95,92,,Percent of Total Billed Charges,26.4,,29.95,92,,Percent of Total Billed Charges,24.22,,29.95,92,,Percent of Total Billed Charges,25.49,,29.95,92,,Percent of Total Billed Charges,26.4,,25.39,78,,Percent of Total Billed Charges,25.39,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,17.52,53.83,,Percent of Total Billed Charges,16.44,,11.28,34.64,,Percent of Total Billed Charges,11.23,,16.27,49.98,,Percent of Total Billed Charges,12.3,,11.28,29.95,,																																							
HC TX/PRO/DX INJ SAME DRUG ADON,96376,CPT,,,,BOTH, , ,32.55,27.34,29.95,92,,Percent of Total Billed Charges,27.21,,29.95,92,,Percent of Total Billed Charges,26.72,,29.95,92,,Percent of Total Billed Charges,26.2,,29.95,92,,Percent of Total Billed Charges,27.18,,29.95,92,,Percent of Total Billed Charges,24.51,,29.95,92,,Percent of Total Billed Charges,20.34,,29.3,90,,Percent of Total Billed Charges,16.24,,28.97,89,,Percent of Total Billed Charges,15.62,,26.82,82.4,,Percent of Total Billed Charges,26.76,,27.15,83.4,,Percent of Total Billed Charges,25.32,,27.15,83.4,,Percent of Total Billed Charges,22.82,,27.15,83.4,,Percent of Total Billed Charges,26.5,,29.3,90,,Percent of Total Billed Charges,27.57,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,29.95,92,,Percent of Total Billed Charges,26.4,,29.95,92,,Percent of Total Billed Charges,24.22,,29.95,92,,Percent of Total Billed Charges,25.49,,29.95,92,,Percent of Total Billed Charges,26.4,,25.39,78,,Percent of Total Billed Charges,25.39,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,17.52,53.83,,Percent of Total Billed Charges,16.44,,11.28,34.64,,Percent of Total Billed Charges,11.23,,16.27,49.98,,Percent of Total Billed Charges,12.3,,11.28,29.95,,																																							
HC CHEMO HORMON ANTINEOPLASTIC SQ/IM,96402,CPT,,,,BOTH, , ,455.7,382.79,419.24,92,,Percent of Total Billed Charges,380.97,,419.24,92,,Percent of Total Billed Charges,374.13,,419.24,92,,Percent of Total Billed Charges,366.84,,419.24,92,,Percent of Total Billed Charges,380.51,,419.24,92,,Percent of Total Billed Charges,343.14,,419.24,92,,Percent of Total Billed Charges,284.81,,410.13,90,,Percent of Total Billed Charges,227.39,,405.57,89,,Percent of Total Billed Charges,218.74,,375.5,82.4,,Percent of Total Billed Charges,374.59,,380.05,83.4,,Percent of Total Billed Charges,354.53,,380.05,83.4,,Percent of Total Billed Charges,319.45,,380.05,83.4,,Percent of Total Billed Charges,370.94,,410.13,90,,Percent of Total Billed Charges,385.98,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,419.24,92,,Percent of Total Billed Charges,369.57,,419.24,92,,Percent of Total Billed Charges,339.04,,419.24,92,,Percent of Total Billed Charges,356.81,,419.24,92,,Percent of Total Billed Charges,369.57,,355.45,78,,Percent of Total Billed Charges,355.45,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,245.3,53.83,,Percent of Total Billed Charges,230.13,,157.85,34.64,,Percent of Total Billed Charges,157.22,,227.76,49.98,,Percent of Total Billed Charges,172.25,,157.85,419.24,,																																							
HC CHEMO PROLONG INFUSE W/PUMP,96416,CPT,,,,BOTH, , ,825.3,693.25,759.28,92,,Percent of Total Billed Charges,689.95,,759.28,92,,Percent of Total Billed Charges,677.57,,759.28,92,,Percent of Total Billed Charges,664.37,,759.28,92,,Percent of Total Billed Charges,689.13,,759.28,92,,Percent of Total Billed Charges,621.45,,759.28,92,,Percent of Total Billed Charges,515.81,,742.77,90,,Percent of Total Billed Charges,411.82,,734.52,89,,Percent of Total Billed Charges,396.14,,680.05,82.4,,Percent of Total Billed Charges,678.4,,688.3,83.4,,Percent of Total Billed Charges,642.08,,688.3,83.4,,Percent of Total Billed Charges,578.54,,688.3,83.4,,Percent of Total Billed Charges,671.79,,742.77,90,,Percent of Total Billed Charges,699.03,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,759.28,92,,Percent of Total Billed Charges,669.32,,759.28,92,,Percent of Total Billed Charges,614.02,,759.28,92,,Percent of Total Billed Charges,646.21,,759.28,92,,Percent of Total Billed Charges,669.32,,643.73,78,,Percent of Total Billed Charges,643.73,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,444.26,53.83,,Percent of Total Billed Charges,416.78,,285.88,34.64,,Percent of Total Billed Charges,284.73,,412.48,49.98,,Percent of Total Billed Charges,311.96,,285.88,759.28,,																																							
HC PORTABLE PUMP FILLING AND MAINT,96521,CPT,,,,BOTH, , ,748.65,628.87,688.76,92,,Percent of Total Billed Charges,625.87,,688.76,92,,Percent of Total Billed Charges,614.64,,688.76,92,,Percent of Total Billed Charges,602.66,,688.76,92,,Percent of Total Billed Charges,625.12,,688.76,92,,Percent of Total Billed Charges,563.73,,688.76,92,,Percent of Total Billed Charges,467.91,,673.79,90,,Percent of Total Billed Charges,373.58,,666.3,89,,Percent of Total Billed Charges,359.35,,616.89,82.4,,Percent of Total Billed Charges,615.39,,624.37,83.4,,Percent of Total Billed Charges,582.45,,624.37,83.4,,Percent of Total Billed Charges,524.8,,624.37,83.4,,Percent of Total Billed Charges,609.4,,673.79,90,,Percent of Total Billed Charges,634.11,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,688.76,92,,Percent of Total Billed Charges,607.16,,688.76,92,,Percent of Total Billed Charges,557,,688.76,92,,Percent of Total Billed Charges,586.19,,688.76,92,,Percent of Total Billed Charges,607.16,,583.95,78,,Percent of Total Billed Charges,583.95,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,403,53.83,,Percent of Total Billed Charges,378.07,,259.33,34.64,,Percent of Total Billed Charges,258.28,,374.18,49.98,,Percent of Total Billed Charges,282.99,,259.33,688.76,,																																							
HC IRRIGATE IMPLANTED VENOUS DEVICE,96523,CPT,,,,BOTH, , ,14.7,12.35,13.52,92,,Percent of Total Billed Charges,12.29,,13.52,92,,Percent of Total Billed Charges,12.07,,13.52,92,,Percent of Total Billed Charges,11.83,,13.52,92,,Percent of Total Billed Charges,12.27,,13.52,92,,Percent of Total Billed Charges,11.07,,13.52,92,,Percent of Total Billed Charges,9.19,,13.23,90,,Percent of Total Billed Charges,7.34,,13.08,89,,Percent of Total Billed Charges,7.06,,12.11,82.4,,Percent of Total Billed Charges,12.08,,12.26,83.4,,Percent of Total Billed Charges,11.44,,12.26,83.4,,Percent of Total Billed Charges,10.3,,12.26,83.4,,Percent of Total Billed Charges,11.97,,13.23,90,,Percent of Total Billed Charges,12.45,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,13.52,92,,Percent of Total Billed Charges,11.92,,13.52,92,,Percent of Total Billed Charges,10.94,,13.52,92,,Percent of Total Billed Charges,11.51,,13.52,92,,Percent of Total Billed Charges,11.92,,11.47,78,,Percent of Total Billed Charges,11.47,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,7.91,53.83,,Percent of Total Billed Charges,7.42,,5.09,34.64,,Percent of Total Billed Charges,5.07,,7.35,49.98,,Percent of Total Billed Charges,5.56,,5.09,13.52,,																																							
HC THERAPEUTIC PHLEBOTOMY,99195,CPT,,,,BOTH, , ,360.15,302.53,331.34,92,,Percent of Total Billed Charges,301.09,,331.34,92,,Percent of Total Billed Charges,295.68,,331.34,92,,Percent of Total Billed Charges,289.92,,331.34,92,,Percent of Total Billed Charges,300.73,,331.34,92,,Percent of Total Billed Charges,271.19,,331.34,92,,Percent of Total Billed Charges,225.09,,324.14,90,,Percent of Total Billed Charges,179.71,,320.53,89,,Percent of Total Billed Charges,172.87,,296.76,82.4,,Percent of Total Billed Charges,296.04,,300.37,83.4,,Percent of Total Billed Charges,280.2,,300.37,83.4,,Percent of Total Billed Charges,252.47,,300.37,83.4,,Percent of Total Billed Charges,293.16,,324.14,90,,Percent of Total Billed Charges,305.05,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,331.34,92,,Percent of Total Billed Charges,292.08,,331.34,92,,Percent of Total Billed Charges,267.95,,331.34,92,,Percent of Total Billed Charges,282,,331.34,92,,Percent of Total Billed Charges,292.08,,280.92,78,,Percent of Total Billed Charges,280.92,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,193.87,53.83,,Percent of Total Billed Charges,181.88,,124.76,34.64,,Percent of Total Billed Charges,124.25,,180,49.98,,Percent of Total Billed Charges,136.14,,124.76,331.34,,																																							
HC TAVR/TAVI OPEN FEM ARTERY APPR,33362,CPT,,,,BOTH, , ,9820.65,8249.35,9035,92,,Percent of Total Billed Charges,8210.06,,9035,92,,Percent of Total Billed Charges,8062.75,,9035,92,,Percent of Total Billed Charges,7905.62,,9035,92,,Percent of Total Billed Charges,8200.24,,9035,92,,Percent of Total Billed Charges,7394.95,,9035,92,,Percent of Total Billed Charges,6137.91,,8838.59,90,,Percent of Total Billed Charges,4900.5,,8740.38,89,,Percent of Total Billed Charges,4713.91,,8092.22,82.4,,Percent of Total Billed Charges,8072.57,,8190.42,83.4,,Percent of Total Billed Charges,7640.47,,8190.42,83.4,,Percent of Total Billed Charges,6884.28,,8190.42,83.4,,Percent of Total Billed Charges,7994.01,,8838.59,90,,Percent of Total Billed Charges,8318.09,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,9035,92,,Percent of Total Billed Charges,7964.55,,9035,92,,Percent of Total Billed Charges,7306.56,,9035,92,,Percent of Total Billed Charges,7689.57,,9035,92,,Percent of Total Billed Charges,7964.55,,7660.11,78,,Percent of Total Billed Charges,7660.11,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5286.46,53.83,,Percent of Total Billed Charges,4959.43,,3401.87,34.64,,Percent of Total Billed Charges,3388.12,,4908.36,49.98,,Percent of Total Billed Charges,3712.21,,3401.87,9035,,																																							
HC TAVR/TAVI OPEN AXILLARY ARTERY,33363,CPT,,,,BOTH, , ,10201.8,8569.51,9385.66,92,,Percent of Total Billed Charges,8528.7,,9385.66,92,,Percent of Total Billed Charges,8375.68,,9385.66,92,,Percent of Total Billed Charges,8212.45,,9385.66,92,,Percent of Total Billed Charges,8518.5,,9385.66,92,,Percent of Total Billed Charges,7681.96,,9385.66,92,,Percent of Total Billed Charges,6376.13,,9181.62,90,,Percent of Total Billed Charges,5090.7,,9079.6,89,,Percent of Total Billed Charges,4896.86,,8406.28,82.4,,Percent of Total Billed Charges,8385.88,,8508.3,83.4,,Percent of Total Billed Charges,7937,,8508.3,83.4,,Percent of Total Billed Charges,7151.46,,8508.3,83.4,,Percent of Total Billed Charges,8304.27,,9181.62,90,,Percent of Total Billed Charges,8640.92,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,9385.66,92,,Percent of Total Billed Charges,8273.66,,9385.66,92,,Percent of Total Billed Charges,7590.14,,9385.66,92,,Percent of Total Billed Charges,7988.01,,9385.66,92,,Percent of Total Billed Charges,8273.66,,7957.4,78,,Percent of Total Billed Charges,7957.4,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5491.63,53.83,,Percent of Total Billed Charges,5151.91,,3533.9,34.64,,Percent of Total Billed Charges,3519.62,,5098.86,49.98,,Percent of Total Billed Charges,3856.28,,3533.90,9385.66,,																																							
HC TAVR/TAVI OPEN ILIAC ARTERY APPR,33364,CPT,,,,BOTH, , ,10696.35,8984.93,9840.64,92,,Percent of Total Billed Charges,8942.15,,9840.64,92,,Percent of Total Billed Charges,8781.7,,9840.64,92,,Percent of Total Billed Charges,8610.56,,9840.64,92,,Percent of Total Billed Charges,8931.45,,9840.64,92,,Percent of Total Billed Charges,8054.35,,9840.64,92,,Percent of Total Billed Charges,6685.22,,9626.72,90,,Percent of Total Billed Charges,5337.48,,9519.75,89,,Percent of Total Billed Charges,5134.25,,8813.79,82.4,,Percent of Total Billed Charges,8792.4,,8920.76,83.4,,Percent of Total Billed Charges,8321.76,,8920.76,83.4,,Percent of Total Billed Charges,7498.14,,8920.76,83.4,,Percent of Total Billed Charges,8706.83,,9626.72,90,,Percent of Total Billed Charges,9059.81,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,9840.64,92,,Percent of Total Billed Charges,8674.74,,9840.64,92,,Percent of Total Billed Charges,7958.08,,9840.64,92,,Percent of Total Billed Charges,8375.24,,9840.64,92,,Percent of Total Billed Charges,8674.74,,8343.15,78,,Percent of Total Billed Charges,8343.15,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5757.85,53.83,,Percent of Total Billed Charges,5401.66,,3705.22,34.64,,Percent of Total Billed Charges,3690.24,,5346.04,49.98,,Percent of Total Billed Charges,4043.22,,3705.22,9840.64,,																																							
HC TAVR/TAVI TRANSAORTIC APPROACH,33365,CPT,,,,BOTH, , ,11773.65,9889.87,10831.76,92,,Percent of Total Billed Charges,9842.77,,10831.76,92,,Percent of Total Billed Charges,9666.17,,10831.76,92,,Percent of Total Billed Charges,9477.79,,10831.76,92,,Percent of Total Billed Charges,9831,,10831.76,92,,Percent of Total Billed Charges,8865.56,,10831.76,92,,Percent of Total Billed Charges,7358.53,,10596.29,90,,Percent of Total Billed Charges,5875.05,,10478.55,89,,Percent of Total Billed Charges,5651.35,,9701.49,82.4,,Percent of Total Billed Charges,9677.94,,9819.22,83.4,,Percent of Total Billed Charges,9159.9,,9819.22,83.4,,Percent of Total Billed Charges,8253.33,,9819.22,83.4,,Percent of Total Billed Charges,9583.75,,10596.29,90,,Percent of Total Billed Charges,9972.28,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,10831.76,92,,Percent of Total Billed Charges,9548.43,,10831.76,92,,Percent of Total Billed Charges,8759.6,,10831.76,92,,Percent of Total Billed Charges,9218.77,,10831.76,92,,Percent of Total Billed Charges,9548.43,,9183.45,78,,Percent of Total Billed Charges,9183.45,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6337.76,53.83,,Percent of Total Billed Charges,5945.69,,4078.39,34.64,,Percent of Total Billed Charges,4061.91,,5884.47,49.98,,Percent of Total Billed Charges,4450.44,,4078.39,10831.76,,																																							
HC TAVR/TAVI W/PERC PERIPH ART/VEN,33367,CPT,,,,BOTH, , ,413.7,347.51,380.6,92,,Percent of Total Billed Charges,345.85,,380.6,92,,Percent of Total Billed Charges,339.65,,380.6,92,,Percent of Total Billed Charges,333.03,,380.6,92,,Percent of Total Billed Charges,345.44,,380.6,92,,Percent of Total Billed Charges,311.52,,380.6,92,,Percent of Total Billed Charges,258.56,,372.33,90,,Percent of Total Billed Charges,206.44,,368.19,89,,Percent of Total Billed Charges,198.58,,340.89,82.4,,Percent of Total Billed Charges,340.06,,345.03,83.4,,Percent of Total Billed Charges,321.86,,345.03,83.4,,Percent of Total Billed Charges,290,,345.03,83.4,,Percent of Total Billed Charges,336.75,,372.33,90,,Percent of Total Billed Charges,350.4,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,380.6,92,,Percent of Total Billed Charges,335.51,,380.6,92,,Percent of Total Billed Charges,307.79,,380.6,92,,Percent of Total Billed Charges,323.93,,380.6,92,,Percent of Total Billed Charges,335.51,,322.69,78,,Percent of Total Billed Charges,322.69,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,222.69,53.83,,Percent of Total Billed Charges,208.92,,143.31,34.64,,Percent of Total Billed Charges,142.73,,206.77,49.98,,Percent of Total Billed Charges,156.38,,143.31,380.6,,																																							
HC TAVR/TAVI W/OPEN PERIPH ART/VEN,33368,CPT,,,,BOTH, , ,4961.25,4167.45,4564.35,92,,Percent of Total Billed Charges,4147.61,,4564.35,92,,Percent of Total Billed Charges,4073.19,,4564.35,92,,Percent of Total Billed Charges,3993.81,,4564.35,92,,Percent of Total Billed Charges,4142.64,,4564.35,92,,Percent of Total Billed Charges,3735.82,,4564.35,92,,Percent of Total Billed Charges,3100.78,,4465.13,90,,Percent of Total Billed Charges,2475.66,,4415.51,89,,Percent of Total Billed Charges,2381.4,,4088.07,82.4,,Percent of Total Billed Charges,4078.15,,4137.68,83.4,,Percent of Total Billed Charges,3859.85,,4137.68,83.4,,Percent of Total Billed Charges,3477.84,,4137.68,83.4,,Percent of Total Billed Charges,4038.46,,4465.13,90,,Percent of Total Billed Charges,4202.18,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4564.35,92,,Percent of Total Billed Charges,4023.57,,4564.35,92,,Percent of Total Billed Charges,3691.17,,4564.35,92,,Percent of Total Billed Charges,3884.66,,4564.35,92,,Percent of Total Billed Charges,4023.57,,3869.78,78,,Percent of Total Billed Charges,3869.78,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2670.64,53.83,,Percent of Total Billed Charges,2505.43,,1718.58,34.64,,Percent of Total Billed Charges,1711.63,,2479.63,49.98,,Percent of Total Billed Charges,1875.35,,1718.58,4564.35,,																																							
HC TAVR/TAVI W/CENTRAL ART/VEN CANNU,33369,CPT,,,,BOTH, , ,6557.25,5508.09,6032.67,92,,Percent of Total Billed Charges,5481.86,,6032.67,92,,Percent of Total Billed Charges,5383.5,,6032.67,92,,Percent of Total Billed Charges,5278.59,,6032.67,92,,Percent of Total Billed Charges,5475.3,,6032.67,92,,Percent of Total Billed Charges,4937.61,,6032.67,92,,Percent of Total Billed Charges,4098.28,,5901.53,90,,Percent of Total Billed Charges,3272.07,,5835.95,89,,Percent of Total Billed Charges,3147.48,,5403.17,82.4,,Percent of Total Billed Charges,5390.06,,5468.75,83.4,,Percent of Total Billed Charges,5101.54,,5468.75,83.4,,Percent of Total Billed Charges,4596.63,,5468.75,83.4,,Percent of Total Billed Charges,5337.6,,5901.53,90,,Percent of Total Billed Charges,5553.99,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6032.67,92,,Percent of Total Billed Charges,5317.93,,6032.67,92,,Percent of Total Billed Charges,4878.59,,6032.67,92,,Percent of Total Billed Charges,5134.33,,6032.67,92,,Percent of Total Billed Charges,5317.93,,5114.66,78,,Percent of Total Billed Charges,5114.66,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3529.77,53.83,,Percent of Total Billed Charges,3311.41,,2271.43,34.64,,Percent of Total Billed Charges,2262.25,,3277.31,49.98,,Percent of Total Billed Charges,2478.64,,2271.43,6032.67,,																																							
HC ACTINOTHERAPY ULTRAVIOLET LIGHT,96900,CPT,,,,BOTH, , ,124.95,104.96,114.95,92,,Percent of Total Billed Charges,104.46,,114.95,92,,Percent of Total Billed Charges,102.58,,114.95,92,,Percent of Total Billed Charges,100.58,,114.95,92,,Percent of Total Billed Charges,104.33,,114.95,92,,Percent of Total Billed Charges,94.09,,114.95,92,,Percent of Total Billed Charges,78.09,,112.46,90,,Percent of Total Billed Charges,62.35,,111.21,89,,Percent of Total Billed Charges,59.98,,102.96,82.4,,Percent of Total Billed Charges,102.71,,104.21,83.4,,Percent of Total Billed Charges,97.21,,104.21,83.4,,Percent of Total Billed Charges,87.59,,104.21,83.4,,Percent of Total Billed Charges,101.71,,112.46,90,,Percent of Total Billed Charges,105.83,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,114.95,92,,Percent of Total Billed Charges,101.33,,114.95,92,,Percent of Total Billed Charges,92.96,,114.95,92,,Percent of Total Billed Charges,97.84,,114.95,92,,Percent of Total Billed Charges,101.33,,97.46,78,,Percent of Total Billed Charges,97.46,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,67.26,53.83,,Percent of Total Billed Charges,63.1,,43.28,34.64,,Percent of Total Billed Charges,43.11,,62.45,49.98,,Percent of Total Billed Charges,47.23,,43.28,114.95,,																																							
HC  CASIRIVI AND IMDEVI INFUSION,M0243,CPT,,,,BOTH, , ,1505.7,1264.79,1385.24,92,,Percent of Total Billed Charges,1258.77,,1385.24,92,,Percent of Total Billed Charges,1236.18,,1385.24,92,,Percent of Total Billed Charges,1212.09,,1385.24,92,,Percent of Total Billed Charges,1257.26,,1385.24,92,,Percent of Total Billed Charges,1133.79,,1385.24,92,,Percent of Total Billed Charges,941.06,,1355.13,90,,Percent of Total Billed Charges,751.34,,1340.07,89,,Percent of Total Billed Charges,722.74,,1240.7,82.4,,Percent of Total Billed Charges,1237.69,,1255.75,83.4,,Percent of Total Billed Charges,1171.43,,1255.75,83.4,,Percent of Total Billed Charges,1055.5,,1255.75,83.4,,Percent of Total Billed Charges,1225.64,,1355.13,90,,Percent of Total Billed Charges,1275.33,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1385.24,92,,Percent of Total Billed Charges,1221.12,,1385.24,92,,Percent of Total Billed Charges,1120.24,,1385.24,92,,Percent of Total Billed Charges,1178.96,,1385.24,92,,Percent of Total Billed Charges,1221.12,,1174.45,78,,Percent of Total Billed Charges,1174.45,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,810.52,53.83,,Percent of Total Billed Charges,760.38,,521.57,34.64,,Percent of Total Billed Charges,519.47,,752.55,49.98,,Percent of Total Billed Charges,569.15,,521.57,1385.24,,																																							
HC ADM SARSCOV2 30MCG/0.3ML 1ST,0001A,CPT,,,,BOTH, , ,55.65,46.75,51.2,92,,Percent of Total Billed Charges,46.52,,51.2,92,,Percent of Total Billed Charges,45.69,,51.2,92,,Percent of Total Billed Charges,44.8,,51.2,92,,Percent of Total Billed Charges,46.47,,51.2,92,,Percent of Total Billed Charges,41.9,,51.2,92,,Percent of Total Billed Charges,34.78,,50.09,90,,Percent of Total Billed Charges,27.77,,49.53,89,,Percent of Total Billed Charges,26.71,,45.86,82.4,,Percent of Total Billed Charges,45.74,,46.41,83.4,,Percent of Total Billed Charges,43.3,,46.41,83.4,,Percent of Total Billed Charges,39.01,,46.41,83.4,,Percent of Total Billed Charges,45.3,,50.09,90,,Percent of Total Billed Charges,47.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,51.2,92,,Percent of Total Billed Charges,45.13,,51.2,92,,Percent of Total Billed Charges,41.4,,51.2,92,,Percent of Total Billed Charges,43.57,,51.2,92,,Percent of Total Billed Charges,45.13,,43.41,78,,Percent of Total Billed Charges,43.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,29.96,53.83,,Percent of Total Billed Charges,28.1,,19.28,34.64,,Percent of Total Billed Charges,19.2,,27.81,49.98,,Percent of Total Billed Charges,21.04,,19.28,51.2,,																																							
HC ADM SARSCOV2 30MCG/0.3ML 2ND,0002A,CPT,,,,BOTH, , ,55.65,46.75,51.2,92,,Percent of Total Billed Charges,46.52,,51.2,92,,Percent of Total Billed Charges,45.69,,51.2,92,,Percent of Total Billed Charges,44.8,,51.2,92,,Percent of Total Billed Charges,46.47,,51.2,92,,Percent of Total Billed Charges,41.9,,51.2,92,,Percent of Total Billed Charges,34.78,,50.09,90,,Percent of Total Billed Charges,27.77,,49.53,89,,Percent of Total Billed Charges,26.71,,45.86,82.4,,Percent of Total Billed Charges,45.74,,46.41,83.4,,Percent of Total Billed Charges,43.3,,46.41,83.4,,Percent of Total Billed Charges,39.01,,46.41,83.4,,Percent of Total Billed Charges,45.3,,50.09,90,,Percent of Total Billed Charges,47.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,51.2,92,,Percent of Total Billed Charges,45.13,,51.2,92,,Percent of Total Billed Charges,41.4,,51.2,92,,Percent of Total Billed Charges,43.57,,51.2,92,,Percent of Total Billed Charges,45.13,,43.41,78,,Percent of Total Billed Charges,43.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,29.96,53.83,,Percent of Total Billed Charges,28.1,,19.28,34.64,,Percent of Total Billed Charges,19.2,,27.81,49.98,,Percent of Total Billed Charges,21.04,,19.28,51.2,,																																							
HC ADM SARSCOV2 100MCG/0.5ML1ST,0011A,CPT,,,,BOTH, , ,55.65,46.75,51.2,92,,Percent of Total Billed Charges,46.52,,51.2,92,,Percent of Total Billed Charges,45.69,,51.2,92,,Percent of Total Billed Charges,44.8,,51.2,92,,Percent of Total Billed Charges,46.47,,51.2,92,,Percent of Total Billed Charges,41.9,,51.2,92,,Percent of Total Billed Charges,34.78,,50.09,90,,Percent of Total Billed Charges,27.77,,49.53,89,,Percent of Total Billed Charges,26.71,,45.86,82.4,,Percent of Total Billed Charges,45.74,,46.41,83.4,,Percent of Total Billed Charges,43.3,,46.41,83.4,,Percent of Total Billed Charges,39.01,,46.41,83.4,,Percent of Total Billed Charges,45.3,,50.09,90,,Percent of Total Billed Charges,47.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,51.2,92,,Percent of Total Billed Charges,45.13,,51.2,92,,Percent of Total Billed Charges,41.4,,51.2,92,,Percent of Total Billed Charges,43.57,,51.2,92,,Percent of Total Billed Charges,45.13,,43.41,78,,Percent of Total Billed Charges,43.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,29.96,53.83,,Percent of Total Billed Charges,28.1,,19.28,34.64,,Percent of Total Billed Charges,19.2,,27.81,49.98,,Percent of Total Billed Charges,21.04,,19.28,51.2,,																																							
HC ADM SARSCOV2 100MCG/0.5ML2ND,0012A,CPT,,,,BOTH, , ,55.65,46.75,51.2,92,,Percent of Total Billed Charges,46.52,,51.2,92,,Percent of Total Billed Charges,45.69,,51.2,92,,Percent of Total Billed Charges,44.8,,51.2,92,,Percent of Total Billed Charges,46.47,,51.2,92,,Percent of Total Billed Charges,41.9,,51.2,92,,Percent of Total Billed Charges,34.78,,50.09,90,,Percent of Total Billed Charges,27.77,,49.53,89,,Percent of Total Billed Charges,26.71,,45.86,82.4,,Percent of Total Billed Charges,45.74,,46.41,83.4,,Percent of Total Billed Charges,43.3,,46.41,83.4,,Percent of Total Billed Charges,39.01,,46.41,83.4,,Percent of Total Billed Charges,45.3,,50.09,90,,Percent of Total Billed Charges,47.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,51.2,92,,Percent of Total Billed Charges,45.13,,51.2,92,,Percent of Total Billed Charges,41.4,,51.2,92,,Percent of Total Billed Charges,43.57,,51.2,92,,Percent of Total Billed Charges,45.13,,43.41,78,,Percent of Total Billed Charges,43.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,29.96,53.83,,Percent of Total Billed Charges,28.1,,19.28,34.64,,Percent of Total Billed Charges,19.2,,27.81,49.98,,Percent of Total Billed Charges,21.04,,19.28,51.2,,																																							
HC ADM SARSCOV2 5X1010VP/.5ML 1ST,0021A,CPT,,,,BOTH, , ,55.65,46.75,51.2,92,,Percent of Total Billed Charges,46.52,,51.2,92,,Percent of Total Billed Charges,45.69,,51.2,92,,Percent of Total Billed Charges,44.8,,51.2,92,,Percent of Total Billed Charges,46.47,,51.2,92,,Percent of Total Billed Charges,41.9,,51.2,92,,Percent of Total Billed Charges,34.78,,50.09,90,,Percent of Total Billed Charges,27.77,,49.53,89,,Percent of Total Billed Charges,26.71,,45.86,82.4,,Percent of Total Billed Charges,45.74,,46.41,83.4,,Percent of Total Billed Charges,43.3,,46.41,83.4,,Percent of Total Billed Charges,39.01,,46.41,83.4,,Percent of Total Billed Charges,45.3,,50.09,90,,Percent of Total Billed Charges,47.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,51.2,92,,Percent of Total Billed Charges,45.13,,51.2,92,,Percent of Total Billed Charges,41.4,,51.2,92,,Percent of Total Billed Charges,43.57,,51.2,92,,Percent of Total Billed Charges,45.13,,43.41,78,,Percent of Total Billed Charges,43.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,29.96,53.83,,Percent of Total Billed Charges,28.1,,19.28,34.64,,Percent of Total Billed Charges,19.2,,27.81,49.98,,Percent of Total Billed Charges,21.04,,19.28,51.2,,																																							
HC ADM SARSCOV2 5X1010VP/.5ML 2ND,0022A,CPT,,,,BOTH, , ,55.65,46.75,51.2,92,,Percent of Total Billed Charges,46.52,,51.2,92,,Percent of Total Billed Charges,45.69,,51.2,92,,Percent of Total Billed Charges,44.8,,51.2,92,,Percent of Total Billed Charges,46.47,,51.2,92,,Percent of Total Billed Charges,41.9,,51.2,92,,Percent of Total Billed Charges,34.78,,50.09,90,,Percent of Total Billed Charges,27.77,,49.53,89,,Percent of Total Billed Charges,26.71,,45.86,82.4,,Percent of Total Billed Charges,45.74,,46.41,83.4,,Percent of Total Billed Charges,43.3,,46.41,83.4,,Percent of Total Billed Charges,39.01,,46.41,83.4,,Percent of Total Billed Charges,45.3,,50.09,90,,Percent of Total Billed Charges,47.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,51.2,92,,Percent of Total Billed Charges,45.13,,51.2,92,,Percent of Total Billed Charges,41.4,,51.2,92,,Percent of Total Billed Charges,43.57,,51.2,92,,Percent of Total Billed Charges,45.13,,43.41,78,,Percent of Total Billed Charges,43.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,29.96,53.83,,Percent of Total Billed Charges,28.1,,19.28,34.64,,Percent of Total Billed Charges,19.2,,27.81,49.98,,Percent of Total Billed Charges,21.04,,19.28,51.2,,																																							
HC ADM SARSCOV2 VAC AD26 .5ML,0031A,CPT,,,,BOTH, , ,55.65,46.75,51.2,92,,Percent of Total Billed Charges,46.52,,51.2,92,,Percent of Total Billed Charges,45.69,,51.2,92,,Percent of Total Billed Charges,44.8,,51.2,92,,Percent of Total Billed Charges,46.47,,51.2,92,,Percent of Total Billed Charges,41.9,,51.2,92,,Percent of Total Billed Charges,34.78,,50.09,90,,Percent of Total Billed Charges,27.77,,49.53,89,,Percent of Total Billed Charges,26.71,,45.86,82.4,,Percent of Total Billed Charges,45.74,,46.41,83.4,,Percent of Total Billed Charges,43.3,,46.41,83.4,,Percent of Total Billed Charges,39.01,,46.41,83.4,,Percent of Total Billed Charges,45.3,,50.09,90,,Percent of Total Billed Charges,47.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,51.2,92,,Percent of Total Billed Charges,45.13,,51.2,92,,Percent of Total Billed Charges,41.4,,51.2,92,,Percent of Total Billed Charges,43.57,,51.2,92,,Percent of Total Billed Charges,45.13,,43.41,78,,Percent of Total Billed Charges,43.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,29.96,53.83,,Percent of Total Billed Charges,28.1,,19.28,34.64,,Percent of Total Billed Charges,19.2,,27.81,49.98,,Percent of Total Billed Charges,21.04,,19.28,51.2,,																																							
HC  BAMLAN AND ETESEV INFUSION,M0245,CPT,,,,BOTH, , ,1254.75,1053.99,1154.37,92,,Percent of Total Billed Charges,1048.97,,1154.37,92,,Percent of Total Billed Charges,1030.15,,1154.37,92,,Percent of Total Billed Charges,1010.07,,1154.37,92,,Percent of Total Billed Charges,1047.72,,1154.37,92,,Percent of Total Billed Charges,944.83,,1154.37,92,,Percent of Total Billed Charges,784.22,,1129.28,90,,Percent of Total Billed Charges,626.12,,1116.73,89,,Percent of Total Billed Charges,602.28,,1033.91,82.4,,Percent of Total Billed Charges,1031.4,,1046.46,83.4,,Percent of Total Billed Charges,976.2,,1046.46,83.4,,Percent of Total Billed Charges,879.58,,1046.46,83.4,,Percent of Total Billed Charges,1021.37,,1129.28,90,,Percent of Total Billed Charges,1062.77,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1154.37,92,,Percent of Total Billed Charges,1017.6,,1154.37,92,,Percent of Total Billed Charges,933.53,,1154.37,92,,Percent of Total Billed Charges,982.47,,1154.37,92,,Percent of Total Billed Charges,1017.6,,978.71,78,,Percent of Total Billed Charges,978.71,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,675.43,53.83,,Percent of Total Billed Charges,633.65,,434.65,34.64,,Percent of Total Billed Charges,432.89,,627.12,49.98,,Percent of Total Billed Charges,474.3,,434.65,1154.37,,																																							
HC IMM ADMN SARSCOV2 30MCG/0.3ML DIL RECON 3RD DOSE,0003A,CPT,,,,BOTH, , ,55.65,46.75,51.2,92,,Percent of Total Billed Charges,46.52,,51.2,92,,Percent of Total Billed Charges,45.69,,51.2,92,,Percent of Total Billed Charges,44.8,,51.2,92,,Percent of Total Billed Charges,46.47,,51.2,92,,Percent of Total Billed Charges,41.9,,51.2,92,,Percent of Total Billed Charges,34.78,,50.09,90,,Percent of Total Billed Charges,27.77,,49.53,89,,Percent of Total Billed Charges,26.71,,45.86,82.4,,Percent of Total Billed Charges,45.74,,46.41,83.4,,Percent of Total Billed Charges,43.3,,46.41,83.4,,Percent of Total Billed Charges,39.01,,46.41,83.4,,Percent of Total Billed Charges,45.3,,50.09,90,,Percent of Total Billed Charges,47.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,51.2,92,,Percent of Total Billed Charges,45.13,,51.2,92,,Percent of Total Billed Charges,41.4,,51.2,92,,Percent of Total Billed Charges,43.57,,51.2,92,,Percent of Total Billed Charges,45.13,,43.41,78,,Percent of Total Billed Charges,43.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,29.96,53.83,,Percent of Total Billed Charges,28.1,,19.28,34.64,,Percent of Total Billed Charges,19.2,,27.81,49.98,,Percent of Total Billed Charges,21.04,,19.28,51.2,,																																							
HC ADM SARSCOV2 100MCG/0.5ML3RD,0013A,CPT,,,,BOTH, , ,55.65,46.75,51.2,92,,Percent of Total Billed Charges,46.52,,51.2,92,,Percent of Total Billed Charges,45.69,,51.2,92,,Percent of Total Billed Charges,44.8,,51.2,92,,Percent of Total Billed Charges,46.47,,51.2,92,,Percent of Total Billed Charges,41.9,,51.2,92,,Percent of Total Billed Charges,34.78,,50.09,90,,Percent of Total Billed Charges,27.77,,49.53,89,,Percent of Total Billed Charges,26.71,,45.86,82.4,,Percent of Total Billed Charges,45.74,,46.41,83.4,,Percent of Total Billed Charges,43.3,,46.41,83.4,,Percent of Total Billed Charges,39.01,,46.41,83.4,,Percent of Total Billed Charges,45.3,,50.09,90,,Percent of Total Billed Charges,47.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,51.2,92,,Percent of Total Billed Charges,45.13,,51.2,92,,Percent of Total Billed Charges,41.4,,51.2,92,,Percent of Total Billed Charges,43.57,,51.2,92,,Percent of Total Billed Charges,45.13,,43.41,78,,Percent of Total Billed Charges,43.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,29.96,53.83,,Percent of Total Billed Charges,28.1,,19.28,34.64,,Percent of Total Billed Charges,19.2,,27.81,49.98,,Percent of Total Billed Charges,21.04,,19.28,51.2,,																																							
HC SARSCOV2 VAC 30MCG/0.3ML IM BOOSTER DOSE,0004A,CPT,,,,BOTH, , ,55.65,46.75,51.2,92,,Percent of Total Billed Charges,46.52,,51.2,92,,Percent of Total Billed Charges,45.69,,51.2,92,,Percent of Total Billed Charges,44.8,,51.2,92,,Percent of Total Billed Charges,46.47,,51.2,92,,Percent of Total Billed Charges,41.9,,51.2,92,,Percent of Total Billed Charges,34.78,,50.09,90,,Percent of Total Billed Charges,27.77,,49.53,89,,Percent of Total Billed Charges,26.71,,45.86,82.4,,Percent of Total Billed Charges,45.74,,46.41,83.4,,Percent of Total Billed Charges,43.3,,46.41,83.4,,Percent of Total Billed Charges,39.01,,46.41,83.4,,Percent of Total Billed Charges,45.3,,50.09,90,,Percent of Total Billed Charges,47.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,51.2,92,,Percent of Total Billed Charges,45.13,,51.2,92,,Percent of Total Billed Charges,41.4,,51.2,92,,Percent of Total Billed Charges,43.57,,51.2,92,,Percent of Total Billed Charges,45.13,,43.41,78,,Percent of Total Billed Charges,43.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,29.96,53.83,,Percent of Total Billed Charges,28.1,,19.28,34.64,,Percent of Total Billed Charges,19.2,,27.81,49.98,,Percent of Total Billed Charges,21.04,,19.28,51.2,,																																							
HC SARSCOV2 VAC 30 MCG TRSSUCR 1ST DOSE,0051A,CPT,,,,BOTH, , ,55.65,46.75,51.2,92,,Percent of Total Billed Charges,46.52,,51.2,92,,Percent of Total Billed Charges,45.69,,51.2,92,,Percent of Total Billed Charges,44.8,,51.2,92,,Percent of Total Billed Charges,46.47,,51.2,92,,Percent of Total Billed Charges,41.9,,51.2,92,,Percent of Total Billed Charges,34.78,,50.09,90,,Percent of Total Billed Charges,27.77,,49.53,89,,Percent of Total Billed Charges,26.71,,45.86,82.4,,Percent of Total Billed Charges,45.74,,46.41,83.4,,Percent of Total Billed Charges,43.3,,46.41,83.4,,Percent of Total Billed Charges,39.01,,46.41,83.4,,Percent of Total Billed Charges,45.3,,50.09,90,,Percent of Total Billed Charges,47.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,51.2,92,,Percent of Total Billed Charges,45.13,,51.2,92,,Percent of Total Billed Charges,41.4,,51.2,92,,Percent of Total Billed Charges,43.57,,51.2,92,,Percent of Total Billed Charges,45.13,,43.41,78,,Percent of Total Billed Charges,43.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,29.96,53.83,,Percent of Total Billed Charges,28.1,,19.28,34.64,,Percent of Total Billed Charges,19.2,,27.81,49.98,,Percent of Total Billed Charges,21.04,,19.28,51.2,,																																							
HC SARSCOV2 VAC 30 MCG TRSSUCR 2ND DOSE,0052A,CPT,,,,BOTH, , ,55.65,46.75,51.2,92,,Percent of Total Billed Charges,46.52,,51.2,92,,Percent of Total Billed Charges,45.69,,51.2,92,,Percent of Total Billed Charges,44.8,,51.2,92,,Percent of Total Billed Charges,46.47,,51.2,92,,Percent of Total Billed Charges,41.9,,51.2,92,,Percent of Total Billed Charges,34.78,,50.09,90,,Percent of Total Billed Charges,27.77,,49.53,89,,Percent of Total Billed Charges,26.71,,45.86,82.4,,Percent of Total Billed Charges,45.74,,46.41,83.4,,Percent of Total Billed Charges,43.3,,46.41,83.4,,Percent of Total Billed Charges,39.01,,46.41,83.4,,Percent of Total Billed Charges,45.3,,50.09,90,,Percent of Total Billed Charges,47.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,51.2,92,,Percent of Total Billed Charges,45.13,,51.2,92,,Percent of Total Billed Charges,41.4,,51.2,92,,Percent of Total Billed Charges,43.57,,51.2,92,,Percent of Total Billed Charges,45.13,,43.41,78,,Percent of Total Billed Charges,43.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,29.96,53.83,,Percent of Total Billed Charges,28.1,,19.28,34.64,,Percent of Total Billed Charges,19.2,,27.81,49.98,,Percent of Total Billed Charges,21.04,,19.28,51.2,,																																							
HC SARSCOV2 VAC 30 MCG TRSSUCR 3RD DOSE,0053A,CPT,,,,BOTH, , ,55.65,46.75,51.2,92,,Percent of Total Billed Charges,46.52,,51.2,92,,Percent of Total Billed Charges,45.69,,51.2,92,,Percent of Total Billed Charges,44.8,,51.2,92,,Percent of Total Billed Charges,46.47,,51.2,92,,Percent of Total Billed Charges,41.9,,51.2,92,,Percent of Total Billed Charges,34.78,,50.09,90,,Percent of Total Billed Charges,27.77,,49.53,89,,Percent of Total Billed Charges,26.71,,45.86,82.4,,Percent of Total Billed Charges,45.74,,46.41,83.4,,Percent of Total Billed Charges,43.3,,46.41,83.4,,Percent of Total Billed Charges,39.01,,46.41,83.4,,Percent of Total Billed Charges,45.3,,50.09,90,,Percent of Total Billed Charges,47.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,51.2,92,,Percent of Total Billed Charges,45.13,,51.2,92,,Percent of Total Billed Charges,41.4,,51.2,92,,Percent of Total Billed Charges,43.57,,51.2,92,,Percent of Total Billed Charges,45.13,,43.41,78,,Percent of Total Billed Charges,43.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,29.96,53.83,,Percent of Total Billed Charges,28.1,,19.28,34.64,,Percent of Total Billed Charges,19.2,,27.81,49.98,,Percent of Total Billed Charges,21.04,,19.28,51.2,,																																							
HC SARSCOV2 VAC 30 MCG TRSSUCR BOOSTER DOSE,0054A,CPT,,,,BOTH, , ,55.65,46.75,51.2,92,,Percent of Total Billed Charges,46.52,,51.2,92,,Percent of Total Billed Charges,45.69,,51.2,92,,Percent of Total Billed Charges,44.8,,51.2,92,,Percent of Total Billed Charges,46.47,,51.2,92,,Percent of Total Billed Charges,41.9,,51.2,92,,Percent of Total Billed Charges,34.78,,50.09,90,,Percent of Total Billed Charges,27.77,,49.53,89,,Percent of Total Billed Charges,26.71,,45.86,82.4,,Percent of Total Billed Charges,45.74,,46.41,83.4,,Percent of Total Billed Charges,43.3,,46.41,83.4,,Percent of Total Billed Charges,39.01,,46.41,83.4,,Percent of Total Billed Charges,45.3,,50.09,90,,Percent of Total Billed Charges,47.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,51.2,92,,Percent of Total Billed Charges,45.13,,51.2,92,,Percent of Total Billed Charges,41.4,,51.2,92,,Percent of Total Billed Charges,43.57,,51.2,92,,Percent of Total Billed Charges,45.13,,43.41,78,,Percent of Total Billed Charges,43.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,29.96,53.83,,Percent of Total Billed Charges,28.1,,19.28,34.64,,Percent of Total Billed Charges,19.2,,27.81,49.98,,Percent of Total Billed Charges,21.04,,19.28,51.2,,																																							
HC SARSCOV2 VAC 50MCG/0.25ML IM BOOSTER DOSE,0064A,CPT,,,,BOTH, , ,55.65,46.75,51.2,92,,Percent of Total Billed Charges,46.52,,51.2,92,,Percent of Total Billed Charges,45.69,,51.2,92,,Percent of Total Billed Charges,44.8,,51.2,92,,Percent of Total Billed Charges,46.47,,51.2,92,,Percent of Total Billed Charges,41.9,,51.2,92,,Percent of Total Billed Charges,34.78,,50.09,90,,Percent of Total Billed Charges,27.77,,49.53,89,,Percent of Total Billed Charges,26.71,,45.86,82.4,,Percent of Total Billed Charges,45.74,,46.41,83.4,,Percent of Total Billed Charges,43.3,,46.41,83.4,,Percent of Total Billed Charges,39.01,,46.41,83.4,,Percent of Total Billed Charges,45.3,,50.09,90,,Percent of Total Billed Charges,47.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,51.2,92,,Percent of Total Billed Charges,45.13,,51.2,92,,Percent of Total Billed Charges,41.4,,51.2,92,,Percent of Total Billed Charges,43.57,,51.2,92,,Percent of Total Billed Charges,45.13,,43.41,78,,Percent of Total Billed Charges,43.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,29.96,53.83,,Percent of Total Billed Charges,28.1,,19.28,34.64,,Percent of Total Billed Charges,19.2,,27.81,49.98,,Percent of Total Billed Charges,21.04,,19.28,51.2,,																																							
HC ADM SARSCV2 10MCG TRSSUCR 1,0071A,CPT,,,,BOTH, , ,55.65,46.75,51.2,92,,Percent of Total Billed Charges,46.52,,51.2,92,,Percent of Total Billed Charges,45.69,,51.2,92,,Percent of Total Billed Charges,44.8,,51.2,92,,Percent of Total Billed Charges,46.47,,51.2,92,,Percent of Total Billed Charges,41.9,,51.2,92,,Percent of Total Billed Charges,34.78,,50.09,90,,Percent of Total Billed Charges,27.77,,49.53,89,,Percent of Total Billed Charges,26.71,,45.86,82.4,,Percent of Total Billed Charges,45.74,,46.41,83.4,,Percent of Total Billed Charges,43.3,,46.41,83.4,,Percent of Total Billed Charges,39.01,,46.41,83.4,,Percent of Total Billed Charges,45.3,,50.09,90,,Percent of Total Billed Charges,47.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,51.2,92,,Percent of Total Billed Charges,45.13,,51.2,92,,Percent of Total Billed Charges,41.4,,51.2,92,,Percent of Total Billed Charges,43.57,,51.2,92,,Percent of Total Billed Charges,45.13,,43.41,78,,Percent of Total Billed Charges,43.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,29.96,53.83,,Percent of Total Billed Charges,28.1,,19.28,34.64,,Percent of Total Billed Charges,19.2,,27.81,49.98,,Percent of Total Billed Charges,21.04,,19.28,51.2,,																																							
HC ADM SARSCV2 10MCG TRSSUCR 2,0072A,CPT,,,,BOTH, , ,55.65,46.75,51.2,92,,Percent of Total Billed Charges,46.52,,51.2,92,,Percent of Total Billed Charges,45.69,,51.2,92,,Percent of Total Billed Charges,44.8,,51.2,92,,Percent of Total Billed Charges,46.47,,51.2,92,,Percent of Total Billed Charges,41.9,,51.2,92,,Percent of Total Billed Charges,34.78,,50.09,90,,Percent of Total Billed Charges,27.77,,49.53,89,,Percent of Total Billed Charges,26.71,,45.86,82.4,,Percent of Total Billed Charges,45.74,,46.41,83.4,,Percent of Total Billed Charges,43.3,,46.41,83.4,,Percent of Total Billed Charges,39.01,,46.41,83.4,,Percent of Total Billed Charges,45.3,,50.09,90,,Percent of Total Billed Charges,47.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,51.2,92,,Percent of Total Billed Charges,45.13,,51.2,92,,Percent of Total Billed Charges,41.4,,51.2,92,,Percent of Total Billed Charges,43.57,,51.2,92,,Percent of Total Billed Charges,45.13,,43.41,78,,Percent of Total Billed Charges,43.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,29.96,53.83,,Percent of Total Billed Charges,28.1,,19.28,34.64,,Percent of Total Billed Charges,19.2,,27.81,49.98,,Percent of Total Billed Charges,21.04,,19.28,51.2,,																																							
HC PERIPHERAL ARTERIAL DISEASE REHAB PER SESSION,93668,CPT,,,,BOTH, , ,240.45,201.98,221.21,92,,Percent of Total Billed Charges,201.02,,221.21,92,,Percent of Total Billed Charges,197.41,,221.21,92,,Percent of Total Billed Charges,193.56,,221.21,92,,Percent of Total Billed Charges,200.78,,221.21,92,,Percent of Total Billed Charges,181.06,,221.21,92,,Percent of Total Billed Charges,150.28,,216.41,90,,Percent of Total Billed Charges,119.98,,214,89,,Percent of Total Billed Charges,115.42,,198.13,82.4,,Percent of Total Billed Charges,197.65,,200.54,83.4,,Percent of Total Billed Charges,187.07,,200.54,83.4,,Percent of Total Billed Charges,168.56,,200.54,83.4,,Percent of Total Billed Charges,195.73,,216.41,90,,Percent of Total Billed Charges,203.66,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,221.21,92,,Percent of Total Billed Charges,195,,221.21,92,,Percent of Total Billed Charges,178.89,,221.21,92,,Percent of Total Billed Charges,188.27,,221.21,92,,Percent of Total Billed Charges,195,,187.55,78,,Percent of Total Billed Charges,187.55,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,129.43,53.83,,Percent of Total Billed Charges,121.43,,83.29,34.64,,Percent of Total Billed Charges,82.96,,120.18,49.98,,Percent of Total Billed Charges,90.89,,83.29,221.21,,																																							
HC SOTROVIMAB INFUSION,M0247,CPT,,,,BOTH, , ,1902.6,1598.18,1750.39,92,,Percent of Total Billed Charges,1590.57,,1750.39,92,,Percent of Total Billed Charges,1562.03,,1750.39,92,,Percent of Total Billed Charges,1531.59,,1750.39,92,,Percent of Total Billed Charges,1588.67,,1750.39,92,,Percent of Total Billed Charges,1432.66,,1750.39,92,,Percent of Total Billed Charges,1189.13,,1712.34,90,,Percent of Total Billed Charges,949.4,,1693.31,89,,Percent of Total Billed Charges,913.25,,1567.74,82.4,,Percent of Total Billed Charges,1563.94,,1586.77,83.4,,Percent of Total Billed Charges,1480.22,,1586.77,83.4,,Percent of Total Billed Charges,1333.72,,1586.77,83.4,,Percent of Total Billed Charges,1548.72,,1712.34,90,,Percent of Total Billed Charges,1611.5,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1750.39,92,,Percent of Total Billed Charges,1543.01,,1750.39,92,,Percent of Total Billed Charges,1415.53,,1750.39,92,,Percent of Total Billed Charges,1489.74,,1750.39,92,,Percent of Total Billed Charges,1543.01,,1484.03,78,,Percent of Total Billed Charges,1484.03,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1024.17,53.83,,Percent of Total Billed Charges,960.81,,659.06,34.64,,Percent of Total Billed Charges,656.4,,950.92,49.98,,Percent of Total Billed Charges,719.18,,659.06,1750.39,,																																							
HC SOTROVIMAB INF, HOME ADMIN,M0248,CPT,,,,BOTH, , ,317.1,266.36,291.73,92,,Percent of Total Billed Charges,265.1,,291.73,92,,Percent of Total Billed Charges,260.34,,291.73,92,,Percent of Total Billed Charges,255.27,,291.73,92,,Percent of Total Billed Charges,264.78,,291.73,92,,Percent of Total Billed Charges,238.78,,291.73,92,,Percent of Total Billed Charges,198.19,,285.39,90,,Percent of Total Billed Charges,158.23,,282.22,89,,Percent of Total Billed Charges,152.21,,261.29,82.4,,Percent of Total Billed Charges,260.66,,264.46,83.4,,Percent of Total Billed Charges,246.7,,264.46,83.4,,Percent of Total Billed Charges,222.29,,264.46,83.4,,Percent of Total Billed Charges,258.12,,285.39,90,,Percent of Total Billed Charges,268.58,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,291.73,92,,Percent of Total Billed Charges,257.17,,291.73,92,,Percent of Total Billed Charges,235.92,,291.73,92,,Percent of Total Billed Charges,248.29,,291.73,92,,Percent of Total Billed Charges,257.17,,247.34,78,,Percent of Total Billed Charges,247.34,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,170.69,53.83,,Percent of Total Billed Charges,160.14,,109.84,34.64,,Percent of Total Billed Charges,109.4,,158.49,49.98,,Percent of Total Billed Charges,119.86,,109.84,291.73,,																																							
HC TIXAGEV AND CILGAV, INJ,M0220,CPT,,,,BOTH, , ,197.4,165.82,181.61,92,,Percent of Total Billed Charges,165.03,,181.61,92,,Percent of Total Billed Charges,162.07,,181.61,92,,Percent of Total Billed Charges,158.91,,181.61,92,,Percent of Total Billed Charges,164.83,,181.61,92,,Percent of Total Billed Charges,148.64,,181.61,92,,Percent of Total Billed Charges,123.38,,177.66,90,,Percent of Total Billed Charges,98.5,,175.69,89,,Percent of Total Billed Charges,94.75,,162.66,82.4,,Percent of Total Billed Charges,162.26,,164.63,83.4,,Percent of Total Billed Charges,153.58,,164.63,83.4,,Percent of Total Billed Charges,138.38,,164.63,83.4,,Percent of Total Billed Charges,160.68,,177.66,90,,Percent of Total Billed Charges,167.2,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,181.61,92,,Percent of Total Billed Charges,160.09,,181.61,92,,Percent of Total Billed Charges,146.87,,181.61,92,,Percent of Total Billed Charges,154.56,,181.61,92,,Percent of Total Billed Charges,160.09,,153.97,78,,Percent of Total Billed Charges,153.97,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,106.26,53.83,,Percent of Total Billed Charges,99.69,,68.38,34.64,,Percent of Total Billed Charges,68.1,,98.66,49.98,,Percent of Total Billed Charges,74.62,,68.38,181.61,,																																							
HC TIXAGEV AND CILGAV, INJ HM,M0221,CPT,,,,BOTH, , ,312.9,262.84,287.87,92,,Percent of Total Billed Charges,261.58,,287.87,92,,Percent of Total Billed Charges,256.89,,287.87,92,,Percent of Total Billed Charges,251.88,,287.87,92,,Percent of Total Billed Charges,261.27,,287.87,92,,Percent of Total Billed Charges,235.61,,287.87,92,,Percent of Total Billed Charges,195.56,,281.61,90,,Percent of Total Billed Charges,156.14,,278.48,89,,Percent of Total Billed Charges,150.19,,257.83,82.4,,Percent of Total Billed Charges,257.2,,260.96,83.4,,Percent of Total Billed Charges,243.44,,260.96,83.4,,Percent of Total Billed Charges,219.34,,260.96,83.4,,Percent of Total Billed Charges,254.7,,281.61,90,,Percent of Total Billed Charges,265.03,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,287.87,92,,Percent of Total Billed Charges,253.76,,287.87,92,,Percent of Total Billed Charges,232.8,,287.87,92,,Percent of Total Billed Charges,245,,287.87,92,,Percent of Total Billed Charges,253.76,,244.06,78,,Percent of Total Billed Charges,244.06,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,168.43,53.83,,Percent of Total Billed Charges,158.01,,108.39,34.64,,Percent of Total Billed Charges,107.95,,156.39,49.98,,Percent of Total Billed Charges,118.28,,108.39,287.87,,																																							
HC  ADM SARSCV2 10MCG TRSSUCR 3,0073A,CPT,,,,BOTH, , ,55.65,46.75,51.2,92,,Percent of Total Billed Charges,46.52,,51.2,92,,Percent of Total Billed Charges,45.69,,51.2,92,,Percent of Total Billed Charges,44.8,,51.2,92,,Percent of Total Billed Charges,46.47,,51.2,92,,Percent of Total Billed Charges,41.9,,51.2,92,,Percent of Total Billed Charges,34.78,,50.09,90,,Percent of Total Billed Charges,27.77,,49.53,89,,Percent of Total Billed Charges,26.71,,45.86,82.4,,Percent of Total Billed Charges,45.74,,46.41,83.4,,Percent of Total Billed Charges,43.3,,46.41,83.4,,Percent of Total Billed Charges,39.01,,46.41,83.4,,Percent of Total Billed Charges,45.3,,50.09,90,,Percent of Total Billed Charges,47.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,51.2,92,,Percent of Total Billed Charges,45.13,,51.2,92,,Percent of Total Billed Charges,41.4,,51.2,92,,Percent of Total Billed Charges,43.57,,51.2,92,,Percent of Total Billed Charges,45.13,,43.41,78,,Percent of Total Billed Charges,43.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,29.96,53.83,,Percent of Total Billed Charges,28.1,,19.28,34.64,,Percent of Total Billed Charges,19.2,,27.81,49.98,,Percent of Total Billed Charges,21.04,,19.28,51.2,,																																							
HC  BEBTELOVIMAB INJECTION,M0222,CPT,,,,BOTH, , ,416.85,350.15,383.5,92,,Percent of Total Billed Charges,348.49,,383.5,92,,Percent of Total Billed Charges,342.23,,383.5,92,,Percent of Total Billed Charges,335.56,,383.5,92,,Percent of Total Billed Charges,348.07,,383.5,92,,Percent of Total Billed Charges,313.89,,383.5,92,,Percent of Total Billed Charges,260.53,,375.17,90,,Percent of Total Billed Charges,208.01,,371,89,,Percent of Total Billed Charges,200.09,,343.48,82.4,,Percent of Total Billed Charges,342.65,,347.65,83.4,,Percent of Total Billed Charges,324.31,,347.65,83.4,,Percent of Total Billed Charges,292.21,,347.65,83.4,,Percent of Total Billed Charges,339.32,,375.17,90,,Percent of Total Billed Charges,353.07,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,383.5,92,,Percent of Total Billed Charges,338.07,,383.5,92,,Percent of Total Billed Charges,310.14,,383.5,92,,Percent of Total Billed Charges,326.39,,383.5,92,,Percent of Total Billed Charges,338.07,,325.14,78,,Percent of Total Billed Charges,325.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,224.39,53.83,,Percent of Total Billed Charges,210.51,,144.4,34.64,,Percent of Total Billed Charges,143.81,,208.34,49.98,,Percent of Total Billed Charges,157.57,,144.40,383.5,,																																							
HC BEBTELOVIMAB INJECTION HOME,M0223,CPT,,,,BOTH, , ,647.85,544.19,596.02,92,,Percent of Total Billed Charges,541.6,,596.02,92,,Percent of Total Billed Charges,531.88,,596.02,92,,Percent of Total Billed Charges,521.52,,596.02,92,,Percent of Total Billed Charges,540.95,,596.02,92,,Percent of Total Billed Charges,487.83,,596.02,92,,Percent of Total Billed Charges,404.91,,583.07,90,,Percent of Total Billed Charges,323.28,,576.59,89,,Percent of Total Billed Charges,310.97,,533.83,82.4,,Percent of Total Billed Charges,532.53,,540.31,83.4,,Percent of Total Billed Charges,504.03,,540.31,83.4,,Percent of Total Billed Charges,454.14,,540.31,83.4,,Percent of Total Billed Charges,527.35,,583.07,90,,Percent of Total Billed Charges,548.73,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,596.02,92,,Percent of Total Billed Charges,525.41,,596.02,92,,Percent of Total Billed Charges,482,,596.02,92,,Percent of Total Billed Charges,507.27,,596.02,92,,Percent of Total Billed Charges,525.41,,505.32,78,,Percent of Total Billed Charges,505.32,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,348.74,53.83,,Percent of Total Billed Charges,327.16,,224.42,34.64,,Percent of Total Billed Charges,223.51,,323.8,49.98,,Percent of Total Billed Charges,244.89,,224.42,596.02,,																																							
HC IMMUNIZATION ADMINISTRATION BY INTRAMUSCULAR INJECTION OF SARSCOV2 [COVID19] VACCINE, MRNALNP, SPIKE PROTEIN, PRESERVATIVE FREE, 50 MCG/0.5 ML DOSAGE, BOOSTER DOSE,0094A,CPT,,,,BOTH, , ,55.65,46.75,51.2,92,,Percent of Total Billed Charges,46.52,,51.2,92,,Percent of Total Billed Charges,45.69,,51.2,92,,Percent of Total Billed Charges,44.8,,51.2,92,,Percent of Total Billed Charges,46.47,,51.2,92,,Percent of Total Billed Charges,41.9,,51.2,92,,Percent of Total Billed Charges,34.78,,50.09,90,,Percent of Total Billed Charges,27.77,,49.53,89,,Percent of Total Billed Charges,26.71,,45.86,82.4,,Percent of Total Billed Charges,45.74,,46.41,83.4,,Percent of Total Billed Charges,43.3,,46.41,83.4,,Percent of Total Billed Charges,39.01,,46.41,83.4,,Percent of Total Billed Charges,45.3,,50.09,90,,Percent of Total Billed Charges,47.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,51.2,92,,Percent of Total Billed Charges,45.13,,51.2,92,,Percent of Total Billed Charges,41.4,,51.2,92,,Percent of Total Billed Charges,43.57,,51.2,92,,Percent of Total Billed Charges,45.13,,43.41,78,,Percent of Total Billed Charges,43.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,29.96,53.83,,Percent of Total Billed Charges,28.1,,19.28,34.64,,Percent of Total Billed Charges,19.2,,27.81,49.98,,Percent of Total Billed Charges,21.04,,19.28,51.2,,																																							
HC IMM ADMN SARSCOV2 10MCG/0.2ML TRISSUCROSE BST,0074A,CPT,,,,BOTH, , ,55.65,46.75,51.2,92,,Percent of Total Billed Charges,46.52,,51.2,92,,Percent of Total Billed Charges,45.69,,51.2,92,,Percent of Total Billed Charges,44.8,,51.2,92,,Percent of Total Billed Charges,46.47,,51.2,92,,Percent of Total Billed Charges,41.9,,51.2,92,,Percent of Total Billed Charges,34.78,,50.09,90,,Percent of Total Billed Charges,27.77,,49.53,89,,Percent of Total Billed Charges,26.71,,45.86,82.4,,Percent of Total Billed Charges,45.74,,46.41,83.4,,Percent of Total Billed Charges,43.3,,46.41,83.4,,Percent of Total Billed Charges,39.01,,46.41,83.4,,Percent of Total Billed Charges,45.3,,50.09,90,,Percent of Total Billed Charges,47.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,51.2,92,,Percent of Total Billed Charges,45.13,,51.2,92,,Percent of Total Billed Charges,41.4,,51.2,92,,Percent of Total Billed Charges,43.57,,51.2,92,,Percent of Total Billed Charges,45.13,,43.41,78,,Percent of Total Billed Charges,43.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,29.96,53.83,,Percent of Total Billed Charges,28.1,,19.28,34.64,,Percent of Total Billed Charges,19.2,,27.81,49.98,,Percent of Total Billed Charges,21.04,,19.28,51.2,,																																							
HC IMM ADMN SARSCOV2 25 MCG/0.25 ML 1ST DOSE,0111A,CPT,,,,BOTH, , ,55.65,46.75,51.2,92,,Percent of Total Billed Charges,46.52,,51.2,92,,Percent of Total Billed Charges,45.69,,51.2,92,,Percent of Total Billed Charges,44.8,,51.2,92,,Percent of Total Billed Charges,46.47,,51.2,92,,Percent of Total Billed Charges,41.9,,51.2,92,,Percent of Total Billed Charges,34.78,,50.09,90,,Percent of Total Billed Charges,27.77,,49.53,89,,Percent of Total Billed Charges,26.71,,45.86,82.4,,Percent of Total Billed Charges,45.74,,46.41,83.4,,Percent of Total Billed Charges,43.3,,46.41,83.4,,Percent of Total Billed Charges,39.01,,46.41,83.4,,Percent of Total Billed Charges,45.3,,50.09,90,,Percent of Total Billed Charges,47.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,51.2,92,,Percent of Total Billed Charges,45.13,,51.2,92,,Percent of Total Billed Charges,41.4,,51.2,92,,Percent of Total Billed Charges,43.57,,51.2,92,,Percent of Total Billed Charges,45.13,,43.41,78,,Percent of Total Billed Charges,43.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,29.96,53.83,,Percent of Total Billed Charges,28.1,,19.28,34.64,,Percent of Total Billed Charges,19.2,,27.81,49.98,,Percent of Total Billed Charges,21.04,,19.28,51.2,,																																							
HC IMM ADMN SARSCOV2 25 MCG/0.25 ML 2ND DOSE,0112A,CPT,,,,BOTH, , ,55.65,46.75,51.2,92,,Percent of Total Billed Charges,46.52,,51.2,92,,Percent of Total Billed Charges,45.69,,51.2,92,,Percent of Total Billed Charges,44.8,,51.2,92,,Percent of Total Billed Charges,46.47,,51.2,92,,Percent of Total Billed Charges,41.9,,51.2,92,,Percent of Total Billed Charges,34.78,,50.09,90,,Percent of Total Billed Charges,27.77,,49.53,89,,Percent of Total Billed Charges,26.71,,45.86,82.4,,Percent of Total Billed Charges,45.74,,46.41,83.4,,Percent of Total Billed Charges,43.3,,46.41,83.4,,Percent of Total Billed Charges,39.01,,46.41,83.4,,Percent of Total Billed Charges,45.3,,50.09,90,,Percent of Total Billed Charges,47.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,51.2,92,,Percent of Total Billed Charges,45.13,,51.2,92,,Percent of Total Billed Charges,41.4,,51.2,92,,Percent of Total Billed Charges,43.57,,51.2,92,,Percent of Total Billed Charges,45.13,,43.41,78,,Percent of Total Billed Charges,43.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,29.96,53.83,,Percent of Total Billed Charges,28.1,,19.28,34.64,,Percent of Total Billed Charges,19.2,,27.81,49.98,,Percent of Total Billed Charges,21.04,,19.28,51.2,,																																							
HC IMM ADMN SARSCOV2 3MCG/0.2ML TRISSUCROSE 1ST,0081A,CPT,,,,BOTH, , ,55.65,46.75,51.2,92,,Percent of Total Billed Charges,46.52,,51.2,92,,Percent of Total Billed Charges,45.69,,51.2,92,,Percent of Total Billed Charges,44.8,,51.2,92,,Percent of Total Billed Charges,46.47,,51.2,92,,Percent of Total Billed Charges,41.9,,51.2,92,,Percent of Total Billed Charges,34.78,,50.09,90,,Percent of Total Billed Charges,27.77,,49.53,89,,Percent of Total Billed Charges,26.71,,45.86,82.4,,Percent of Total Billed Charges,45.74,,46.41,83.4,,Percent of Total Billed Charges,43.3,,46.41,83.4,,Percent of Total Billed Charges,39.01,,46.41,83.4,,Percent of Total Billed Charges,45.3,,50.09,90,,Percent of Total Billed Charges,47.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,51.2,92,,Percent of Total Billed Charges,45.13,,51.2,92,,Percent of Total Billed Charges,41.4,,51.2,92,,Percent of Total Billed Charges,43.57,,51.2,92,,Percent of Total Billed Charges,45.13,,43.41,78,,Percent of Total Billed Charges,43.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,29.96,53.83,,Percent of Total Billed Charges,28.1,,19.28,34.64,,Percent of Total Billed Charges,19.2,,27.81,49.98,,Percent of Total Billed Charges,21.04,,19.28,51.2,,																																							
HC IMM ADMN SARSCOV2 3MCG/0.2ML TRISSUCROSE 2ND,0082A,CPT,,,,BOTH, , ,55.65,46.75,51.2,92,,Percent of Total Billed Charges,46.52,,51.2,92,,Percent of Total Billed Charges,45.69,,51.2,92,,Percent of Total Billed Charges,44.8,,51.2,92,,Percent of Total Billed Charges,46.47,,51.2,92,,Percent of Total Billed Charges,41.9,,51.2,92,,Percent of Total Billed Charges,34.78,,50.09,90,,Percent of Total Billed Charges,27.77,,49.53,89,,Percent of Total Billed Charges,26.71,,45.86,82.4,,Percent of Total Billed Charges,45.74,,46.41,83.4,,Percent of Total Billed Charges,43.3,,46.41,83.4,,Percent of Total Billed Charges,39.01,,46.41,83.4,,Percent of Total Billed Charges,45.3,,50.09,90,,Percent of Total Billed Charges,47.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,51.2,92,,Percent of Total Billed Charges,45.13,,51.2,92,,Percent of Total Billed Charges,41.4,,51.2,92,,Percent of Total Billed Charges,43.57,,51.2,92,,Percent of Total Billed Charges,45.13,,43.41,78,,Percent of Total Billed Charges,43.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,29.96,53.83,,Percent of Total Billed Charges,28.1,,19.28,34.64,,Percent of Total Billed Charges,19.2,,27.81,49.98,,Percent of Total Billed Charges,21.04,,19.28,51.2,,																																							
HC IMM ADMN SARSCOV2 3MCG/0.2ML TRISSUCROSE 3RD,0083A,CPT,,,,BOTH, , ,55.65,46.75,51.2,92,,Percent of Total Billed Charges,46.52,,51.2,92,,Percent of Total Billed Charges,45.69,,51.2,92,,Percent of Total Billed Charges,44.8,,51.2,92,,Percent of Total Billed Charges,46.47,,51.2,92,,Percent of Total Billed Charges,41.9,,51.2,92,,Percent of Total Billed Charges,34.78,,50.09,90,,Percent of Total Billed Charges,27.77,,49.53,89,,Percent of Total Billed Charges,26.71,,45.86,82.4,,Percent of Total Billed Charges,45.74,,46.41,83.4,,Percent of Total Billed Charges,43.3,,46.41,83.4,,Percent of Total Billed Charges,39.01,,46.41,83.4,,Percent of Total Billed Charges,45.3,,50.09,90,,Percent of Total Billed Charges,47.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,51.2,92,,Percent of Total Billed Charges,45.13,,51.2,92,,Percent of Total Billed Charges,41.4,,51.2,92,,Percent of Total Billed Charges,43.57,,51.2,92,,Percent of Total Billed Charges,45.13,,43.41,78,,Percent of Total Billed Charges,43.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,29.96,53.83,,Percent of Total Billed Charges,28.1,,19.28,34.64,,Percent of Total Billed Charges,19.2,,27.81,49.98,,Percent of Total Billed Charges,21.04,,19.28,51.2,,																																							
HC IMM ADMN SARSCOV2 BIVALENT 30 MCG/0.3 ML BST,0124A,CPT,,,,BOTH, , ,55.65,46.75,51.2,92,,Percent of Total Billed Charges,46.52,,51.2,92,,Percent of Total Billed Charges,45.69,,51.2,92,,Percent of Total Billed Charges,44.8,,51.2,92,,Percent of Total Billed Charges,46.47,,51.2,92,,Percent of Total Billed Charges,41.9,,51.2,92,,Percent of Total Billed Charges,34.78,,50.09,90,,Percent of Total Billed Charges,27.77,,49.53,89,,Percent of Total Billed Charges,26.71,,45.86,82.4,,Percent of Total Billed Charges,45.74,,46.41,83.4,,Percent of Total Billed Charges,43.3,,46.41,83.4,,Percent of Total Billed Charges,39.01,,46.41,83.4,,Percent of Total Billed Charges,45.3,,50.09,90,,Percent of Total Billed Charges,47.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,51.2,92,,Percent of Total Billed Charges,45.13,,51.2,92,,Percent of Total Billed Charges,41.4,,51.2,92,,Percent of Total Billed Charges,43.57,,51.2,92,,Percent of Total Billed Charges,45.13,,43.41,78,,Percent of Total Billed Charges,43.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,29.96,53.83,,Percent of Total Billed Charges,28.1,,19.28,34.64,,Percent of Total Billed Charges,19.2,,27.81,49.98,,Percent of Total Billed Charges,21.04,,19.28,51.2,,																																							
HC IMM ADMN SARSCOV2 BIVALENT 50 MCG/0.5 ML BST,0134A,CPT,,,,BOTH, , ,55.65,46.75,51.2,92,,Percent of Total Billed Charges,46.52,,51.2,92,,Percent of Total Billed Charges,45.69,,51.2,92,,Percent of Total Billed Charges,44.8,,51.2,92,,Percent of Total Billed Charges,46.47,,51.2,92,,Percent of Total Billed Charges,41.9,,51.2,92,,Percent of Total Billed Charges,34.78,,50.09,90,,Percent of Total Billed Charges,27.77,,49.53,89,,Percent of Total Billed Charges,26.71,,45.86,82.4,,Percent of Total Billed Charges,45.74,,46.41,83.4,,Percent of Total Billed Charges,43.3,,46.41,83.4,,Percent of Total Billed Charges,39.01,,46.41,83.4,,Percent of Total Billed Charges,45.3,,50.09,90,,Percent of Total Billed Charges,47.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,51.2,92,,Percent of Total Billed Charges,45.13,,51.2,92,,Percent of Total Billed Charges,41.4,,51.2,92,,Percent of Total Billed Charges,43.57,,51.2,92,,Percent of Total Billed Charges,45.13,,43.41,78,,Percent of Total Billed Charges,43.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,29.96,53.83,,Percent of Total Billed Charges,28.1,,19.28,34.64,,Percent of Total Billed Charges,19.2,,27.81,49.98,,Percent of Total Billed Charges,21.04,,19.28,51.2,,																																							
HC IMM ADMN SARSCOV2 BIVALENT 25 MCG/0.25 ML BST,0144A,CPT,,,,BOTH, , ,55.65,46.75,51.2,92,,Percent of Total Billed Charges,46.52,,51.2,92,,Percent of Total Billed Charges,45.69,,51.2,92,,Percent of Total Billed Charges,44.8,,51.2,92,,Percent of Total Billed Charges,46.47,,51.2,92,,Percent of Total Billed Charges,41.9,,51.2,92,,Percent of Total Billed Charges,34.78,,50.09,90,,Percent of Total Billed Charges,27.77,,49.53,89,,Percent of Total Billed Charges,26.71,,45.86,82.4,,Percent of Total Billed Charges,45.74,,46.41,83.4,,Percent of Total Billed Charges,43.3,,46.41,83.4,,Percent of Total Billed Charges,39.01,,46.41,83.4,,Percent of Total Billed Charges,45.3,,50.09,90,,Percent of Total Billed Charges,47.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,51.2,92,,Percent of Total Billed Charges,45.13,,51.2,92,,Percent of Total Billed Charges,41.4,,51.2,92,,Percent of Total Billed Charges,43.57,,51.2,92,,Percent of Total Billed Charges,45.13,,43.41,78,,Percent of Total Billed Charges,43.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,29.96,53.83,,Percent of Total Billed Charges,28.1,,19.28,34.64,,Percent of Total Billed Charges,19.2,,27.81,49.98,,Percent of Total Billed Charges,21.04,,19.28,51.2,,																																							
HC IMM ADMN SARSCOV2 BIVALENT 10 MCG/0.2 ML BST,0154A,CPT,,,,BOTH, , ,55.65,46.75,51.2,92,,Percent of Total Billed Charges,46.52,,51.2,92,,Percent of Total Billed Charges,45.69,,51.2,92,,Percent of Total Billed Charges,44.8,,51.2,92,,Percent of Total Billed Charges,46.47,,51.2,92,,Percent of Total Billed Charges,41.9,,51.2,92,,Percent of Total Billed Charges,34.78,,50.09,90,,Percent of Total Billed Charges,27.77,,49.53,89,,Percent of Total Billed Charges,26.71,,45.86,82.4,,Percent of Total Billed Charges,45.74,,46.41,83.4,,Percent of Total Billed Charges,43.3,,46.41,83.4,,Percent of Total Billed Charges,39.01,,46.41,83.4,,Percent of Total Billed Charges,45.3,,50.09,90,,Percent of Total Billed Charges,47.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,51.2,92,,Percent of Total Billed Charges,45.13,,51.2,92,,Percent of Total Billed Charges,41.4,,51.2,92,,Percent of Total Billed Charges,43.57,,51.2,92,,Percent of Total Billed Charges,45.13,,43.41,78,,Percent of Total Billed Charges,43.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,29.96,53.83,,Percent of Total Billed Charges,28.1,,19.28,34.64,,Percent of Total Billed Charges,19.2,,27.81,49.98,,Percent of Total Billed Charges,21.04,,19.28,51.2,,																																							
HC IMM ADMN SARSCOV2 5 MCG/0.5 ML BOOSTER DOSE,0044A,CPT,,,,BOTH, , ,55.65,46.75,51.2,92,,Percent of Total Billed Charges,46.52,,51.2,92,,Percent of Total Billed Charges,45.69,,51.2,92,,Percent of Total Billed Charges,44.8,,51.2,92,,Percent of Total Billed Charges,46.47,,51.2,92,,Percent of Total Billed Charges,41.9,,51.2,92,,Percent of Total Billed Charges,34.78,,50.09,90,,Percent of Total Billed Charges,27.77,,49.53,89,,Percent of Total Billed Charges,26.71,,45.86,82.4,,Percent of Total Billed Charges,45.74,,46.41,83.4,,Percent of Total Billed Charges,43.3,,46.41,83.4,,Percent of Total Billed Charges,39.01,,46.41,83.4,,Percent of Total Billed Charges,45.3,,50.09,90,,Percent of Total Billed Charges,47.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,51.2,92,,Percent of Total Billed Charges,45.13,,51.2,92,,Percent of Total Billed Charges,41.4,,51.2,92,,Percent of Total Billed Charges,43.57,,51.2,92,,Percent of Total Billed Charges,45.13,,43.41,78,,Percent of Total Billed Charges,43.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,29.96,53.83,,Percent of Total Billed Charges,28.1,,19.28,34.64,,Percent of Total Billed Charges,19.2,,27.81,49.98,,Percent of Total Billed Charges,21.04,,19.28,51.2,,																																							
HC IMM ADMN SARSCOV2 BIVALENT 3 MCG/0.2 ML 3RD,0173A,CPT,,,,BOTH, , ,55.65,46.75,51.2,92,,Percent of Total Billed Charges,46.52,,51.2,92,,Percent of Total Billed Charges,45.69,,51.2,92,,Percent of Total Billed Charges,44.8,,51.2,92,,Percent of Total Billed Charges,46.47,,51.2,92,,Percent of Total Billed Charges,41.9,,51.2,92,,Percent of Total Billed Charges,34.78,,50.09,90,,Percent of Total Billed Charges,27.77,,49.53,89,,Percent of Total Billed Charges,26.71,,45.86,82.4,,Percent of Total Billed Charges,45.74,,46.41,83.4,,Percent of Total Billed Charges,43.3,,46.41,83.4,,Percent of Total Billed Charges,39.01,,46.41,83.4,,Percent of Total Billed Charges,45.3,,50.09,90,,Percent of Total Billed Charges,47.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,51.2,92,,Percent of Total Billed Charges,45.13,,51.2,92,,Percent of Total Billed Charges,41.4,,51.2,92,,Percent of Total Billed Charges,43.57,,51.2,92,,Percent of Total Billed Charges,45.13,,43.41,78,,Percent of Total Billed Charges,43.41,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,29.96,53.83,,Percent of Total Billed Charges,28.1,,19.28,34.64,,Percent of Total Billed Charges,19.2,,27.81,49.98,,Percent of Total Billed Charges,21.04,,19.28,51.2,,																																							
HC ADMN SARSCOV2 VACC 1 DOSE,90480,CPT,,,,BOTH, , ,15.75,13.23,14.49,92,,Percent of Total Billed Charges,13.17,,14.49,92,,Percent of Total Billed Charges,12.93,,14.49,92,,Percent of Total Billed Charges,12.68,,14.49,92,,Percent of Total Billed Charges,13.15,,14.49,92,,Percent of Total Billed Charges,11.86,,14.49,92,,Percent of Total Billed Charges,9.84,,14.18,90,,Percent of Total Billed Charges,7.86,,14.02,89,,Percent of Total Billed Charges,7.56,,12.98,82.4,,Percent of Total Billed Charges,12.95,,13.14,83.4,,Percent of Total Billed Charges,12.25,,13.14,83.4,,Percent of Total Billed Charges,11.04,,13.14,83.4,,Percent of Total Billed Charges,12.82,,14.18,90,,Percent of Total Billed Charges,13.34,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,14.49,92,,Percent of Total Billed Charges,12.77,,14.49,92,,Percent of Total Billed Charges,11.72,,14.49,92,,Percent of Total Billed Charges,12.33,,14.49,92,,Percent of Total Billed Charges,12.77,,12.29,78,,Percent of Total Billed Charges,12.29,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,8.48,53.83,,Percent of Total Billed Charges,7.95,,5.46,34.64,,Percent of Total Billed Charges,5.43,,7.87,49.98,,Percent of Total Billed Charges,5.95,,5.46,14.49,,																																							
HC NUTRITION THERAPY INITIAL IND 15M,97802,CPT,,,,BOTH, , ,65.1,54.68,59.89,92,,Percent of Total Billed Charges,54.42,,59.89,92,,Percent of Total Billed Charges,53.45,,59.89,92,,Percent of Total Billed Charges,52.41,,59.89,92,,Percent of Total Billed Charges,54.36,,59.89,92,,Percent of Total Billed Charges,49.02,,59.89,92,,Percent of Total Billed Charges,40.69,,58.59,90,,Percent of Total Billed Charges,32.48,,57.94,89,,Percent of Total Billed Charges,31.25,,53.64,82.4,,Percent of Total Billed Charges,53.51,,54.29,83.4,,Percent of Total Billed Charges,50.65,,54.29,83.4,,Percent of Total Billed Charges,45.64,,54.29,83.4,,Percent of Total Billed Charges,52.99,,58.59,90,,Percent of Total Billed Charges,55.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,59.89,92,,Percent of Total Billed Charges,52.8,,59.89,92,,Percent of Total Billed Charges,48.43,,59.89,92,,Percent of Total Billed Charges,50.97,,59.89,92,,Percent of Total Billed Charges,52.8,,50.78,78,,Percent of Total Billed Charges,50.78,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,35.04,53.83,,Percent of Total Billed Charges,32.88,,22.55,34.64,,Percent of Total Billed Charges,22.46,,32.54,49.98,,Percent of Total Billed Charges,24.61,,22.55,59.89,,																																							
HC NUTRITION THERP FOLLOW UP IND 15M,97803,CPT,,,,BOTH, , ,58.8,49.39,54.1,92,,Percent of Total Billed Charges,49.16,,54.1,92,,Percent of Total Billed Charges,48.27,,54.1,92,,Percent of Total Billed Charges,47.33,,54.1,92,,Percent of Total Billed Charges,49.1,,54.1,92,,Percent of Total Billed Charges,44.28,,54.1,92,,Percent of Total Billed Charges,36.75,,52.92,90,,Percent of Total Billed Charges,29.34,,52.33,89,,Percent of Total Billed Charges,28.22,,48.45,82.4,,Percent of Total Billed Charges,48.33,,49.04,83.4,,Percent of Total Billed Charges,45.75,,49.04,83.4,,Percent of Total Billed Charges,41.22,,49.04,83.4,,Percent of Total Billed Charges,47.86,,52.92,90,,Percent of Total Billed Charges,49.8,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,54.1,92,,Percent of Total Billed Charges,47.69,,54.1,92,,Percent of Total Billed Charges,43.75,,54.1,92,,Percent of Total Billed Charges,46.04,,54.1,92,,Percent of Total Billed Charges,47.69,,45.86,78,,Percent of Total Billed Charges,45.86,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,31.65,53.83,,Percent of Total Billed Charges,29.69,,20.37,34.64,,Percent of Total Billed Charges,20.29,,29.39,49.98,,Percent of Total Billed Charges,22.23,,20.37,54.1,,																																							
HC NUTRITION THERAPY GROUP EACH 30 MIN,97804,CPT,,,,BOTH, , ,75.6,63.5,69.55,92,,Percent of Total Billed Charges,63.2,,69.55,92,,Percent of Total Billed Charges,62.07,,69.55,92,,Percent of Total Billed Charges,60.86,,69.55,92,,Percent of Total Billed Charges,63.13,,69.55,92,,Percent of Total Billed Charges,56.93,,69.55,92,,Percent of Total Billed Charges,47.25,,68.04,90,,Percent of Total Billed Charges,37.72,,67.28,89,,Percent of Total Billed Charges,36.29,,62.29,82.4,,Percent of Total Billed Charges,62.14,,63.05,83.4,,Percent of Total Billed Charges,58.82,,63.05,83.4,,Percent of Total Billed Charges,53,,63.05,83.4,,Percent of Total Billed Charges,61.54,,68.04,90,,Percent of Total Billed Charges,64.03,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,69.55,92,,Percent of Total Billed Charges,61.31,,69.55,92,,Percent of Total Billed Charges,56.25,,69.55,92,,Percent of Total Billed Charges,59.19,,69.55,92,,Percent of Total Billed Charges,61.31,,58.97,78,,Percent of Total Billed Charges,58.97,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,40.7,53.83,,Percent of Total Billed Charges,38.18,,26.19,34.64,,Percent of Total Billed Charges,26.08,,37.78,49.98,,Percent of Total Billed Charges,28.58,,26.19,69.55,,																																							
HC DIABETES MANAGEMENT TRAINING INDIV PER 30 MIN,G0108,CPT,,,,BOTH, , ,109.2,91.73,100.46,92,,Percent of Total Billed Charges,91.29,,100.46,92,,Percent of Total Billed Charges,89.65,,100.46,92,,Percent of Total Billed Charges,87.91,,100.46,92,,Percent of Total Billed Charges,91.18,,100.46,92,,Percent of Total Billed Charges,82.23,,100.46,92,,Percent of Total Billed Charges,68.25,,98.28,90,,Percent of Total Billed Charges,54.49,,97.19,89,,Percent of Total Billed Charges,52.42,,89.98,82.4,,Percent of Total Billed Charges,89.76,,91.07,83.4,,Percent of Total Billed Charges,84.96,,91.07,83.4,,Percent of Total Billed Charges,76.55,,91.07,83.4,,Percent of Total Billed Charges,88.89,,98.28,90,,Percent of Total Billed Charges,92.49,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,100.46,92,,Percent of Total Billed Charges,88.56,,100.46,92,,Percent of Total Billed Charges,81.24,,100.46,92,,Percent of Total Billed Charges,85.5,,100.46,92,,Percent of Total Billed Charges,88.56,,85.18,78,,Percent of Total Billed Charges,85.18,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,58.78,53.83,,Percent of Total Billed Charges,55.15,,37.83,34.64,,Percent of Total Billed Charges,37.67,,54.58,49.98,,Percent of Total Billed Charges,41.28,,37.83,100.46,,																																							
HC DIAB MANAGE TRN IND/GROUP,G0109,CPT,,,,BOTH, , ,13.65,11.47,12.56,92,,Percent of Total Billed Charges,11.41,,12.56,92,,Percent of Total Billed Charges,11.21,,12.56,92,,Percent of Total Billed Charges,10.99,,12.56,92,,Percent of Total Billed Charges,11.4,,12.56,92,,Percent of Total Billed Charges,10.28,,12.56,92,,Percent of Total Billed Charges,8.53,,12.29,90,,Percent of Total Billed Charges,6.81,,12.15,89,,Percent of Total Billed Charges,6.55,,11.25,82.4,,Percent of Total Billed Charges,11.22,,11.38,83.4,,Percent of Total Billed Charges,10.62,,11.38,83.4,,Percent of Total Billed Charges,9.57,,11.38,83.4,,Percent of Total Billed Charges,11.11,,12.29,90,,Percent of Total Billed Charges,11.56,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,12.56,92,,Percent of Total Billed Charges,11.07,,12.56,92,,Percent of Total Billed Charges,10.16,,12.56,92,,Percent of Total Billed Charges,10.69,,12.56,92,,Percent of Total Billed Charges,11.07,,10.65,78,,Percent of Total Billed Charges,10.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,7.35,53.83,,Percent of Total Billed Charges,6.89,,4.73,34.64,,Percent of Total Billed Charges,4.71,,6.82,49.98,,Percent of Total Billed Charges,5.16,,4.73,12.56,,																																							
HC SELFMGMT EDUC & TRAIN 1 PT 30MIN,98960,CPT,,,,BOTH, , ,108.15,90.85,99.5,92,,Percent of Total Billed Charges,90.41,,99.5,92,,Percent of Total Billed Charges,88.79,,99.5,92,,Percent of Total Billed Charges,87.06,,99.5,92,,Percent of Total Billed Charges,90.31,,99.5,92,,Percent of Total Billed Charges,81.44,,99.5,92,,Percent of Total Billed Charges,67.59,,97.34,90,,Percent of Total Billed Charges,53.97,,96.25,89,,Percent of Total Billed Charges,51.91,,89.12,82.4,,Percent of Total Billed Charges,88.9,,90.2,83.4,,Percent of Total Billed Charges,84.14,,90.2,83.4,,Percent of Total Billed Charges,75.81,,90.2,83.4,,Percent of Total Billed Charges,88.03,,97.34,90,,Percent of Total Billed Charges,91.6,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,99.5,92,,Percent of Total Billed Charges,87.71,,99.5,92,,Percent of Total Billed Charges,80.46,,99.5,92,,Percent of Total Billed Charges,84.68,,99.5,92,,Percent of Total Billed Charges,87.71,,84.36,78,,Percent of Total Billed Charges,84.36,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,58.22,53.83,,Percent of Total Billed Charges,54.62,,37.46,34.64,,Percent of Total Billed Charges,37.31,,54.05,49.98,,Percent of Total Billed Charges,40.88,,37.46,99.5,,																																							
HC PRO PHONE CALL 510 MIN,98966,CPT,,,,BOTH, , ,56.7,47.63,52.16,92,,Percent of Total Billed Charges,47.4,,52.16,92,,Percent of Total Billed Charges,46.55,,52.16,92,,Percent of Total Billed Charges,45.64,,52.16,92,,Percent of Total Billed Charges,47.34,,52.16,92,,Percent of Total Billed Charges,42.7,,52.16,92,,Percent of Total Billed Charges,35.44,,51.03,90,,Percent of Total Billed Charges,28.29,,50.46,89,,Percent of Total Billed Charges,27.22,,46.72,82.4,,Percent of Total Billed Charges,46.61,,47.29,83.4,,Percent of Total Billed Charges,44.11,,47.29,83.4,,Percent of Total Billed Charges,39.75,,47.29,83.4,,Percent of Total Billed Charges,46.15,,51.03,90,,Percent of Total Billed Charges,48.02,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,52.16,92,,Percent of Total Billed Charges,45.98,,52.16,92,,Percent of Total Billed Charges,42.18,,52.16,92,,Percent of Total Billed Charges,44.4,,52.16,92,,Percent of Total Billed Charges,45.98,,44.23,78,,Percent of Total Billed Charges,44.23,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,30.52,53.83,,Percent of Total Billed Charges,28.63,,19.64,34.64,,Percent of Total Billed Charges,19.56,,28.34,49.98,,Percent of Total Billed Charges,21.43,,19.64,52.16,,																																							
HC PRO PHONE CALL 1120 MIN,98967,CPT,,,,BOTH, , ,11.55,9.7,10.63,92,,Percent of Total Billed Charges,9.66,,10.63,92,,Percent of Total Billed Charges,9.48,,10.63,92,,Percent of Total Billed Charges,9.3,,10.63,92,,Percent of Total Billed Charges,9.64,,10.63,92,,Percent of Total Billed Charges,8.7,,10.63,92,,Percent of Total Billed Charges,7.22,,10.4,90,,Percent of Total Billed Charges,5.76,,10.28,89,,Percent of Total Billed Charges,5.54,,9.52,82.4,,Percent of Total Billed Charges,9.49,,9.63,83.4,,Percent of Total Billed Charges,8.99,,9.63,83.4,,Percent of Total Billed Charges,8.1,,9.63,83.4,,Percent of Total Billed Charges,9.4,,10.4,90,,Percent of Total Billed Charges,9.78,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,10.63,92,,Percent of Total Billed Charges,9.37,,10.63,92,,Percent of Total Billed Charges,8.59,,10.63,92,,Percent of Total Billed Charges,9.04,,10.63,92,,Percent of Total Billed Charges,9.37,,9.01,78,,Percent of Total Billed Charges,9.01,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6.22,53.83,,Percent of Total Billed Charges,5.83,,4,34.64,,Percent of Total Billed Charges,3.98,,5.77,49.98,,Percent of Total Billed Charges,4.37,,4.00,10.63,,																																							
HC PRO PHONE CALL 2130 MIN,98968,CPT,,,,BOTH, , ,170.1,142.88,156.49,92,,Percent of Total Billed Charges,142.2,,156.49,92,,Percent of Total Billed Charges,139.65,,156.49,92,,Percent of Total Billed Charges,136.93,,156.49,92,,Percent of Total Billed Charges,142.03,,156.49,92,,Percent of Total Billed Charges,128.09,,156.49,92,,Percent of Total Billed Charges,106.31,,153.09,90,,Percent of Total Billed Charges,84.88,,151.39,89,,Percent of Total Billed Charges,81.65,,140.16,82.4,,Percent of Total Billed Charges,139.82,,141.86,83.4,,Percent of Total Billed Charges,132.34,,141.86,83.4,,Percent of Total Billed Charges,119.24,,141.86,83.4,,Percent of Total Billed Charges,138.46,,153.09,90,,Percent of Total Billed Charges,144.07,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,156.49,92,,Percent of Total Billed Charges,137.95,,156.49,92,,Percent of Total Billed Charges,126.55,,156.49,92,,Percent of Total Billed Charges,133.19,,156.49,92,,Percent of Total Billed Charges,137.95,,132.68,78,,Percent of Total Billed Charges,132.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,91.56,53.83,,Percent of Total Billed Charges,85.9,,58.92,34.64,,Percent of Total Billed Charges,58.68,,85.02,49.98,,Percent of Total Billed Charges,64.3,,58.92,156.49,,																																							
HC PREVENTIVE COUNSELING INDIV 15MIN,99401,CPT,,,,BOTH, , ,17.85,14.99,16.42,92,,Percent of Total Billed Charges,14.92,,16.42,92,,Percent of Total Billed Charges,14.65,,16.42,92,,Percent of Total Billed Charges,14.37,,16.42,92,,Percent of Total Billed Charges,14.9,,16.42,92,,Percent of Total Billed Charges,13.44,,16.42,92,,Percent of Total Billed Charges,11.16,,16.07,90,,Percent of Total Billed Charges,8.91,,15.89,89,,Percent of Total Billed Charges,8.57,,14.71,82.4,,Percent of Total Billed Charges,14.67,,14.89,83.4,,Percent of Total Billed Charges,13.89,,14.89,83.4,,Percent of Total Billed Charges,12.51,,14.89,83.4,,Percent of Total Billed Charges,14.53,,16.07,90,,Percent of Total Billed Charges,15.12,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,16.42,92,,Percent of Total Billed Charges,14.48,,16.42,92,,Percent of Total Billed Charges,13.28,,16.42,92,,Percent of Total Billed Charges,13.98,,16.42,92,,Percent of Total Billed Charges,14.48,,13.92,78,,Percent of Total Billed Charges,13.92,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,9.61,53.83,,Percent of Total Billed Charges,9.01,,6.18,34.64,,Percent of Total Billed Charges,6.16,,8.92,49.98,,Percent of Total Billed Charges,6.75,,6.18,16.42,,																																							
HC TOBACCO USE CESSATION INTERMEDIATE 310 MINUTES,99406,CPT,,,,BOTH, , ,10.5,8.82,9.66,92,,Percent of Total Billed Charges,8.78,,9.66,92,,Percent of Total Billed Charges,8.62,,9.66,92,,Percent of Total Billed Charges,8.45,,9.66,92,,Percent of Total Billed Charges,8.77,,9.66,92,,Percent of Total Billed Charges,7.91,,9.66,92,,Percent of Total Billed Charges,6.56,,9.45,90,,Percent of Total Billed Charges,5.24,,9.35,89,,Percent of Total Billed Charges,5.04,,8.65,82.4,,Percent of Total Billed Charges,8.63,,8.76,83.4,,Percent of Total Billed Charges,8.17,,8.76,83.4,,Percent of Total Billed Charges,7.36,,8.76,83.4,,Percent of Total Billed Charges,8.55,,9.45,90,,Percent of Total Billed Charges,8.89,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,9.66,92,,Percent of Total Billed Charges,8.52,,9.66,92,,Percent of Total Billed Charges,7.81,,9.66,92,,Percent of Total Billed Charges,8.22,,9.66,92,,Percent of Total Billed Charges,8.52,,8.19,78,,Percent of Total Billed Charges,8.19,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,5.65,53.83,,Percent of Total Billed Charges,5.3,,3.64,34.64,,Percent of Total Billed Charges,3.62,,5.25,49.98,,Percent of Total Billed Charges,3.97,,3.64,9.66,,																																							
HC TOBACCO USE CESSATION INTENSIVE >10 MINUTES,99407,CPT,,,,BOTH, , ,121.8,102.31,112.06,92,,Percent of Total Billed Charges,101.82,,112.06,92,,Percent of Total Billed Charges,100,,112.06,92,,Percent of Total Billed Charges,98.05,,112.06,92,,Percent of Total Billed Charges,101.7,,112.06,92,,Percent of Total Billed Charges,91.72,,112.06,92,,Percent of Total Billed Charges,76.13,,109.62,90,,Percent of Total Billed Charges,60.78,,108.4,89,,Percent of Total Billed Charges,58.46,,100.36,82.4,,Percent of Total Billed Charges,100.12,,101.58,83.4,,Percent of Total Billed Charges,94.76,,101.58,83.4,,Percent of Total Billed Charges,85.38,,101.58,83.4,,Percent of Total Billed Charges,99.15,,109.62,90,,Percent of Total Billed Charges,103.16,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,112.06,92,,Percent of Total Billed Charges,98.78,,112.06,92,,Percent of Total Billed Charges,90.62,,112.06,92,,Percent of Total Billed Charges,95.37,,112.06,92,,Percent of Total Billed Charges,98.78,,95,78,,Percent of Total Billed Charges,95,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,65.56,53.83,,Percent of Total Billed Charges,61.51,,42.19,34.64,,Percent of Total Billed Charges,42.02,,60.88,49.98,,Percent of Total Billed Charges,46.04,,42.19,112.06,,																																							
HC PREVENT MED COUNSEL&/RISK FACTOR REDJ SPX 30 MIN,99402,CPT,,,,BOTH, , ,274.05,230.2,252.13,92,,Percent of Total Billed Charges,229.11,,252.13,92,,Percent of Total Billed Charges,225,,252.13,92,,Percent of Total Billed Charges,220.61,,252.13,92,,Percent of Total Billed Charges,228.83,,252.13,92,,Percent of Total Billed Charges,206.36,,252.13,92,,Percent of Total Billed Charges,171.28,,246.65,90,,Percent of Total Billed Charges,136.75,,243.9,89,,Percent of Total Billed Charges,131.54,,225.82,82.4,,Percent of Total Billed Charges,225.27,,228.56,83.4,,Percent of Total Billed Charges,213.21,,228.56,83.4,,Percent of Total Billed Charges,192.11,,228.56,83.4,,Percent of Total Billed Charges,223.08,,246.65,90,,Percent of Total Billed Charges,232.12,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,252.13,92,,Percent of Total Billed Charges,222.25,,252.13,92,,Percent of Total Billed Charges,203.89,,252.13,92,,Percent of Total Billed Charges,214.58,,252.13,92,,Percent of Total Billed Charges,222.25,,213.76,78,,Percent of Total Billed Charges,213.76,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,147.52,53.83,,Percent of Total Billed Charges,138.4,,94.93,34.64,,Percent of Total Billed Charges,94.55,,136.97,49.98,,Percent of Total Billed Charges,103.59,,94.93,252.13,,																																							
HC PREVENT MED COUNSEL&/RISK FACTOR REDJ SPX 45 MIN,99403,CPT,,,,BOTH, , ,344.4,289.3,316.85,92,,Percent of Total Billed Charges,287.92,,316.85,92,,Percent of Total Billed Charges,282.75,,316.85,92,,Percent of Total Billed Charges,277.24,,316.85,92,,Percent of Total Billed Charges,287.57,,316.85,92,,Percent of Total Billed Charges,259.33,,316.85,92,,Percent of Total Billed Charges,215.25,,309.96,90,,Percent of Total Billed Charges,171.86,,306.52,89,,Percent of Total Billed Charges,165.31,,283.79,82.4,,Percent of Total Billed Charges,283.1,,287.23,83.4,,Percent of Total Billed Charges,267.94,,287.23,83.4,,Percent of Total Billed Charges,241.42,,287.23,83.4,,Percent of Total Billed Charges,280.34,,309.96,90,,Percent of Total Billed Charges,291.71,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,316.85,92,,Percent of Total Billed Charges,279.31,,316.85,92,,Percent of Total Billed Charges,256.23,,316.85,92,,Percent of Total Billed Charges,269.67,,316.85,92,,Percent of Total Billed Charges,279.31,,268.63,78,,Percent of Total Billed Charges,268.63,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,185.39,53.83,,Percent of Total Billed Charges,173.92,,119.3,34.64,,Percent of Total Billed Charges,118.82,,172.13,49.98,,Percent of Total Billed Charges,130.18,,119.30,316.85,,																																							
HC PREVENT MED COUNSEL&/RISK FACTOR REDJ SPX 60 MIN,99404,CPT,,,,BOTH, , ,43.05,36.16,39.61,92,,Percent of Total Billed Charges,35.99,,39.61,92,,Percent of Total Billed Charges,35.34,,39.61,92,,Percent of Total Billed Charges,34.66,,39.61,92,,Percent of Total Billed Charges,35.95,,39.61,92,,Percent of Total Billed Charges,32.42,,39.61,92,,Percent of Total Billed Charges,26.91,,38.75,90,,Percent of Total Billed Charges,21.48,,38.31,89,,Percent of Total Billed Charges,20.66,,35.47,82.4,,Percent of Total Billed Charges,35.39,,35.9,83.4,,Percent of Total Billed Charges,33.49,,35.9,83.4,,Percent of Total Billed Charges,30.18,,35.9,83.4,,Percent of Total Billed Charges,35.04,,38.75,90,,Percent of Total Billed Charges,36.46,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,39.61,92,,Percent of Total Billed Charges,34.91,,39.61,92,,Percent of Total Billed Charges,32.03,,39.61,92,,Percent of Total Billed Charges,33.71,,39.61,92,,Percent of Total Billed Charges,34.91,,33.58,78,,Percent of Total Billed Charges,33.58,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,23.17,53.83,,Percent of Total Billed Charges,21.74,,14.91,34.64,,Percent of Total Billed Charges,14.85,,21.52,49.98,,Percent of Total Billed Charges,16.27,,14.91,39.61,,																																							
HC TELEMEDICINE MEDICAL NUTRITION INDIV IN,97802,CPT,,,,BOTH, , ,65.1,54.68,59.89,92,,Percent of Total Billed Charges,54.42,,59.89,92,,Percent of Total Billed Charges,53.45,,59.89,92,,Percent of Total Billed Charges,52.41,,59.89,92,,Percent of Total Billed Charges,54.36,,59.89,92,,Percent of Total Billed Charges,49.02,,59.89,92,,Percent of Total Billed Charges,40.69,,58.59,90,,Percent of Total Billed Charges,32.48,,57.94,89,,Percent of Total Billed Charges,31.25,,53.64,82.4,,Percent of Total Billed Charges,53.51,,54.29,83.4,,Percent of Total Billed Charges,50.65,,54.29,83.4,,Percent of Total Billed Charges,45.64,,54.29,83.4,,Percent of Total Billed Charges,52.99,,58.59,90,,Percent of Total Billed Charges,55.14,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,59.89,92,,Percent of Total Billed Charges,52.8,,59.89,92,,Percent of Total Billed Charges,48.43,,59.89,92,,Percent of Total Billed Charges,50.97,,59.89,92,,Percent of Total Billed Charges,52.8,,50.78,78,,Percent of Total Billed Charges,50.78,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,35.04,53.83,,Percent of Total Billed Charges,32.88,,22.55,34.64,,Percent of Total Billed Charges,22.46,,32.54,49.98,,Percent of Total Billed Charges,24.61,,22.55,59.89,,																																							
HC TELEMEDICINE MED NUTRITION INDIV SUBSEQ,97803,CPT,,,,BOTH, , ,58.8,49.39,54.1,92,,Percent of Total Billed Charges,49.16,,54.1,92,,Percent of Total Billed Charges,48.27,,54.1,92,,Percent of Total Billed Charges,47.33,,54.1,92,,Percent of Total Billed Charges,49.1,,54.1,92,,Percent of Total Billed Charges,44.28,,54.1,92,,Percent of Total Billed Charges,36.75,,52.92,90,,Percent of Total Billed Charges,29.34,,52.33,89,,Percent of Total Billed Charges,28.22,,48.45,82.4,,Percent of Total Billed Charges,48.33,,49.04,83.4,,Percent of Total Billed Charges,45.75,,49.04,83.4,,Percent of Total Billed Charges,41.22,,49.04,83.4,,Percent of Total Billed Charges,47.86,,52.92,90,,Percent of Total Billed Charges,49.8,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,54.1,92,,Percent of Total Billed Charges,47.69,,54.1,92,,Percent of Total Billed Charges,43.75,,54.1,92,,Percent of Total Billed Charges,46.04,,54.1,92,,Percent of Total Billed Charges,47.69,,45.86,78,,Percent of Total Billed Charges,45.86,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,31.65,53.83,,Percent of Total Billed Charges,29.69,,20.37,34.64,,Percent of Total Billed Charges,20.29,,29.39,49.98,,Percent of Total Billed Charges,22.23,,20.37,54.1,,																																							
HC TELEMEDICINE MEDICAL NUTRITION GROUP,97804,CPT,,,,BOTH, , ,75.6,63.5,69.55,92,,Percent of Total Billed Charges,63.2,,69.55,92,,Percent of Total Billed Charges,62.07,,69.55,92,,Percent of Total Billed Charges,60.86,,69.55,92,,Percent of Total Billed Charges,63.13,,69.55,92,,Percent of Total Billed Charges,56.93,,69.55,92,,Percent of Total Billed Charges,47.25,,68.04,90,,Percent of Total Billed Charges,37.72,,67.28,89,,Percent of Total Billed Charges,36.29,,62.29,82.4,,Percent of Total Billed Charges,62.14,,63.05,83.4,,Percent of Total Billed Charges,58.82,,63.05,83.4,,Percent of Total Billed Charges,53,,63.05,83.4,,Percent of Total Billed Charges,61.54,,68.04,90,,Percent of Total Billed Charges,64.03,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,69.55,92,,Percent of Total Billed Charges,61.31,,69.55,92,,Percent of Total Billed Charges,56.25,,69.55,92,,Percent of Total Billed Charges,59.19,,69.55,92,,Percent of Total Billed Charges,61.31,,58.97,78,,Percent of Total Billed Charges,58.97,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,40.7,53.83,,Percent of Total Billed Charges,38.18,,26.19,34.64,,Percent of Total Billed Charges,26.08,,37.78,49.98,,Percent of Total Billed Charges,28.58,,26.19,69.55,,																																							
HC TELEMEDICINE DIAB MANAGE TRN PER INDIV,G0108,CPT,,,,BOTH, , ,109.2,91.73,100.46,92,,Percent of Total Billed Charges,91.29,,100.46,92,,Percent of Total Billed Charges,89.65,,100.46,92,,Percent of Total Billed Charges,87.91,,100.46,92,,Percent of Total Billed Charges,91.18,,100.46,92,,Percent of Total Billed Charges,82.23,,100.46,92,,Percent of Total Billed Charges,68.25,,98.28,90,,Percent of Total Billed Charges,54.49,,97.19,89,,Percent of Total Billed Charges,52.42,,89.98,82.4,,Percent of Total Billed Charges,89.76,,91.07,83.4,,Percent of Total Billed Charges,84.96,,91.07,83.4,,Percent of Total Billed Charges,76.55,,91.07,83.4,,Percent of Total Billed Charges,88.89,,98.28,90,,Percent of Total Billed Charges,92.49,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,100.46,92,,Percent of Total Billed Charges,88.56,,100.46,92,,Percent of Total Billed Charges,81.24,,100.46,92,,Percent of Total Billed Charges,85.5,,100.46,92,,Percent of Total Billed Charges,88.56,,85.18,78,,Percent of Total Billed Charges,85.18,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,58.78,53.83,,Percent of Total Billed Charges,55.15,,37.83,34.64,,Percent of Total Billed Charges,37.67,,54.58,49.98,,Percent of Total Billed Charges,41.28,,37.83,100.46,,																																							
HC TELEMEDICINE DIAB MANAGE TRN IND/GROUP,G0109,CPT,,,,BOTH, , ,13.65,11.47,12.56,92,,Percent of Total Billed Charges,11.41,,12.56,92,,Percent of Total Billed Charges,11.21,,12.56,92,,Percent of Total Billed Charges,10.99,,12.56,92,,Percent of Total Billed Charges,11.4,,12.56,92,,Percent of Total Billed Charges,10.28,,12.56,92,,Percent of Total Billed Charges,8.53,,12.29,90,,Percent of Total Billed Charges,6.81,,12.15,89,,Percent of Total Billed Charges,6.55,,11.25,82.4,,Percent of Total Billed Charges,11.22,,11.38,83.4,,Percent of Total Billed Charges,10.62,,11.38,83.4,,Percent of Total Billed Charges,9.57,,11.38,83.4,,Percent of Total Billed Charges,11.11,,12.29,90,,Percent of Total Billed Charges,11.56,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,12.56,92,,Percent of Total Billed Charges,11.07,,12.56,92,,Percent of Total Billed Charges,10.16,,12.56,92,,Percent of Total Billed Charges,10.69,,12.56,92,,Percent of Total Billed Charges,11.07,,10.65,78,,Percent of Total Billed Charges,10.65,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,7.35,53.83,,Percent of Total Billed Charges,6.89,,4.73,34.64,,Percent of Total Billed Charges,4.71,,6.82,49.98,,Percent of Total Billed Charges,5.16,,4.73,12.56,,																																							
HC NONPHYSICIAN TELEPHONE ASSESSMENT 510 MIN,98966,CPT,,,,BOTH, , ,56.7,47.63,52.16,92,,Percent of Total Billed Charges,47.4,,52.16,92,,Percent of Total Billed Charges,46.55,,52.16,92,,Percent of Total Billed Charges,45.64,,52.16,92,,Percent of Total Billed Charges,47.34,,52.16,92,,Percent of Total Billed Charges,42.7,,52.16,92,,Percent of Total Billed Charges,35.44,,51.03,90,,Percent of Total Billed Charges,28.29,,50.46,89,,Percent of Total Billed Charges,27.22,,46.72,82.4,,Percent of Total Billed Charges,46.61,,47.29,83.4,,Percent of Total Billed Charges,44.11,,47.29,83.4,,Percent of Total Billed Charges,39.75,,47.29,83.4,,Percent of Total Billed Charges,46.15,,51.03,90,,Percent of Total Billed Charges,48.02,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,52.16,92,,Percent of Total Billed Charges,45.98,,52.16,92,,Percent of Total Billed Charges,42.18,,52.16,92,,Percent of Total Billed Charges,44.4,,52.16,92,,Percent of Total Billed Charges,45.98,,44.23,78,,Percent of Total Billed Charges,44.23,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,30.52,53.83,,Percent of Total Billed Charges,28.63,,19.64,34.64,,Percent of Total Billed Charges,19.56,,28.34,49.98,,Percent of Total Billed Charges,21.43,,19.64,52.16,,																																							
HC NONPHYSICIAN TELEPHONE ASSESSMENT 1120 MIN,98967,CPT,,,,BOTH, , ,11.55,9.7,10.63,92,,Percent of Total Billed Charges,9.66,,10.63,92,,Percent of Total Billed Charges,9.48,,10.63,92,,Percent of Total Billed Charges,9.3,,10.63,92,,Percent of Total Billed Charges,9.64,,10.63,92,,Percent of Total Billed Charges,8.7,,10.63,92,,Percent of Total Billed Charges,7.22,,10.4,90,,Percent of Total Billed Charges,5.76,,10.28,89,,Percent of Total Billed Charges,5.54,,9.52,82.4,,Percent of Total Billed Charges,9.49,,9.63,83.4,,Percent of Total Billed Charges,8.99,,9.63,83.4,,Percent of Total Billed Charges,8.1,,9.63,83.4,,Percent of Total Billed Charges,9.4,,10.4,90,,Percent of Total Billed Charges,9.78,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,10.63,92,,Percent of Total Billed Charges,9.37,,10.63,92,,Percent of Total Billed Charges,8.59,,10.63,92,,Percent of Total Billed Charges,9.04,,10.63,92,,Percent of Total Billed Charges,9.37,,9.01,78,,Percent of Total Billed Charges,9.01,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6.22,53.83,,Percent of Total Billed Charges,5.83,,4,34.64,,Percent of Total Billed Charges,3.98,,5.77,49.98,,Percent of Total Billed Charges,4.37,,4.00,10.63,,																																							
HC NONPHYSICIAN TELEPHONE ASSESSMENT 2130 MIN,98968,CPT,,,,BOTH, , ,170.1,142.88,156.49,92,,Percent of Total Billed Charges,142.2,,156.49,92,,Percent of Total Billed Charges,139.65,,156.49,92,,Percent of Total Billed Charges,136.93,,156.49,92,,Percent of Total Billed Charges,142.03,,156.49,92,,Percent of Total Billed Charges,128.09,,156.49,92,,Percent of Total Billed Charges,106.31,,153.09,90,,Percent of Total Billed Charges,84.88,,151.39,89,,Percent of Total Billed Charges,81.65,,140.16,82.4,,Percent of Total Billed Charges,139.82,,141.86,83.4,,Percent of Total Billed Charges,132.34,,141.86,83.4,,Percent of Total Billed Charges,119.24,,141.86,83.4,,Percent of Total Billed Charges,138.46,,153.09,90,,Percent of Total Billed Charges,144.07,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,156.49,92,,Percent of Total Billed Charges,137.95,,156.49,92,,Percent of Total Billed Charges,126.55,,156.49,92,,Percent of Total Billed Charges,133.19,,156.49,92,,Percent of Total Billed Charges,137.95,,132.68,78,,Percent of Total Billed Charges,132.68,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,91.56,53.83,,Percent of Total Billed Charges,85.9,,58.92,34.64,,Percent of Total Billed Charges,58.68,,85.02,49.98,,Percent of Total Billed Charges,64.3,,58.92,156.49,,																																							
HC CARDIAC REHAB/MONITOR OUTPATIENT,93798,CPT,,,,BOTH, , ,240.45,201.98,221.21,92,,Percent of Total Billed Charges,201.02,,221.21,92,,Percent of Total Billed Charges,197.41,,221.21,92,,Percent of Total Billed Charges,193.56,,221.21,92,,Percent of Total Billed Charges,200.78,,221.21,92,,Percent of Total Billed Charges,181.06,,221.21,92,,Percent of Total Billed Charges,150.28,,216.41,90,,Percent of Total Billed Charges,119.98,,214,89,,Percent of Total Billed Charges,115.42,,198.13,82.4,,Percent of Total Billed Charges,197.65,,200.54,83.4,,Percent of Total Billed Charges,187.07,,200.54,83.4,,Percent of Total Billed Charges,168.56,,200.54,83.4,,Percent of Total Billed Charges,195.73,,216.41,90,,Percent of Total Billed Charges,203.66,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,221.21,92,,Percent of Total Billed Charges,195,,221.21,92,,Percent of Total Billed Charges,178.89,,221.21,92,,Percent of Total Billed Charges,188.27,,221.21,92,,Percent of Total Billed Charges,195,,187.55,78,,Percent of Total Billed Charges,187.55,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,129.43,53.83,,Percent of Total Billed Charges,121.43,,83.29,34.64,,Percent of Total Billed Charges,82.96,,120.18,49.98,,Percent of Total Billed Charges,90.89,,83.29,221.21,,																																							
HC PHYS/QHP SVCS OP PULM REHAB WO CONT OXIMTRY MNTR,94625,CPT,,,,BOTH, , ,240.45,201.98,221.21,92,,Percent of Total Billed Charges,201.02,,221.21,92,,Percent of Total Billed Charges,197.41,,221.21,92,,Percent of Total Billed Charges,193.56,,221.21,92,,Percent of Total Billed Charges,200.78,,221.21,92,,Percent of Total Billed Charges,181.06,,221.21,92,,Percent of Total Billed Charges,150.28,,216.41,90,,Percent of Total Billed Charges,119.98,,214,89,,Percent of Total Billed Charges,115.42,,198.13,82.4,,Percent of Total Billed Charges,197.65,,200.54,83.4,,Percent of Total Billed Charges,187.07,,200.54,83.4,,Percent of Total Billed Charges,168.56,,200.54,83.4,,Percent of Total Billed Charges,195.73,,216.41,90,,Percent of Total Billed Charges,203.66,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,221.21,92,,Percent of Total Billed Charges,195,,221.21,92,,Percent of Total Billed Charges,178.89,,221.21,92,,Percent of Total Billed Charges,188.27,,221.21,92,,Percent of Total Billed Charges,195,,187.55,78,,Percent of Total Billed Charges,187.55,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,129.43,53.83,,Percent of Total Billed Charges,121.43,,83.29,34.64,,Percent of Total Billed Charges,82.96,,120.18,49.98,,Percent of Total Billed Charges,90.89,,83.29,221.21,,																																							
HC  PHYS/QHP SVCS OP PULM REHAB W/CONT OXIMTRY MNTR,94626,CPT,,,,BOTH, , ,240.45,201.98,221.21,92,,Percent of Total Billed Charges,201.02,,221.21,92,,Percent of Total Billed Charges,197.41,,221.21,92,,Percent of Total Billed Charges,193.56,,221.21,92,,Percent of Total Billed Charges,200.78,,221.21,92,,Percent of Total Billed Charges,181.06,,221.21,92,,Percent of Total Billed Charges,150.28,,216.41,90,,Percent of Total Billed Charges,119.98,,214,89,,Percent of Total Billed Charges,115.42,,198.13,82.4,,Percent of Total Billed Charges,197.65,,200.54,83.4,,Percent of Total Billed Charges,187.07,,200.54,83.4,,Percent of Total Billed Charges,168.56,,200.54,83.4,,Percent of Total Billed Charges,195.73,,216.41,90,,Percent of Total Billed Charges,203.66,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,221.21,92,,Percent of Total Billed Charges,195,,221.21,92,,Percent of Total Billed Charges,178.89,,221.21,92,,Percent of Total Billed Charges,188.27,,221.21,92,,Percent of Total Billed Charges,195,,187.55,78,,Percent of Total Billed Charges,187.55,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,129.43,53.83,,Percent of Total Billed Charges,121.43,,83.29,34.64,,Percent of Total Billed Charges,82.96,,120.18,49.98,,Percent of Total Billed Charges,90.89,,83.29,221.21,,																																							
HC MULTIPLE SLEEP LATENCY TEST,95805,CPT,,,,BOTH, , ,3525.9,2961.76,3243.83,92,,Percent of Total Billed Charges,2947.65,,3243.83,92,,Percent of Total Billed Charges,2894.76,,3243.83,92,,Percent of Total Billed Charges,2838.35,,3243.83,92,,Percent of Total Billed Charges,2944.13,,3243.83,92,,Percent of Total Billed Charges,2655,,3243.83,92,,Percent of Total Billed Charges,2203.69,,3173.31,90,,Percent of Total Billed Charges,1759.42,,3138.05,89,,Percent of Total Billed Charges,1692.43,,2905.34,82.4,,Percent of Total Billed Charges,2898.29,,2940.6,83.4,,Percent of Total Billed Charges,2743.15,,2940.6,83.4,,Percent of Total Billed Charges,2471.66,,2940.6,83.4,,Percent of Total Billed Charges,2870.08,,3173.31,90,,Percent of Total Billed Charges,2986.44,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3243.83,92,,Percent of Total Billed Charges,2859.5,,3243.83,92,,Percent of Total Billed Charges,2623.27,,3243.83,92,,Percent of Total Billed Charges,2760.78,,3243.83,92,,Percent of Total Billed Charges,2859.5,,2750.2,78,,Percent of Total Billed Charges,2750.2,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,1897.99,53.83,,Percent of Total Billed Charges,1780.58,,1221.37,34.64,,Percent of Total Billed Charges,1216.44,,1762.24,49.98,,Percent of Total Billed Charges,1332.79,,1221.37,3243.83,,																																							
HC SLEEP APNEA OVER NIGHT,95810,CPT,,,,BOTH, , ,6976.2,5860.01,6418.1,92,,Percent of Total Billed Charges,5832.1,,6418.1,92,,Percent of Total Billed Charges,5727.46,,6418.1,92,,Percent of Total Billed Charges,5615.84,,6418.1,92,,Percent of Total Billed Charges,5825.13,,6418.1,92,,Percent of Total Billed Charges,5253.08,,6418.1,92,,Percent of Total Billed Charges,4360.13,,6278.58,90,,Percent of Total Billed Charges,3481.12,,6208.82,89,,Percent of Total Billed Charges,3348.58,,5748.39,82.4,,Percent of Total Billed Charges,5734.44,,5818.15,83.4,,Percent of Total Billed Charges,5427.48,,5818.15,83.4,,Percent of Total Billed Charges,4890.32,,5818.15,83.4,,Percent of Total Billed Charges,5678.63,,6278.58,90,,Percent of Total Billed Charges,5908.84,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,6418.1,92,,Percent of Total Billed Charges,5657.7,,6418.1,92,,Percent of Total Billed Charges,5190.29,,6418.1,92,,Percent of Total Billed Charges,5462.36,,6418.1,92,,Percent of Total Billed Charges,5657.7,,5441.44,78,,Percent of Total Billed Charges,5441.44,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,3755.29,53.83,,Percent of Total Billed Charges,3522.98,,2416.56,34.64,,Percent of Total Billed Charges,2406.79,,3486.7,49.98,,Percent of Total Billed Charges,2637,,2416.56,6418.1,,																																							
HC CPAP FOLLOWUP,95811,CPT,,,,BOTH, , ,7945.35,6674.09,7309.72,92,,Percent of Total Billed Charges,6642.31,,7309.72,92,,Percent of Total Billed Charges,6523.13,,7309.72,92,,Percent of Total Billed Charges,6396.01,,7309.72,92,,Percent of Total Billed Charges,6634.37,,7309.72,92,,Percent of Total Billed Charges,5982.85,,7309.72,92,,Percent of Total Billed Charges,4965.84,,7150.82,90,,Percent of Total Billed Charges,3964.73,,7071.36,89,,Percent of Total Billed Charges,3813.77,,6546.97,82.4,,Percent of Total Billed Charges,6531.08,,6626.42,83.4,,Percent of Total Billed Charges,6181.48,,6626.42,83.4,,Percent of Total Billed Charges,5569.69,,6626.42,83.4,,Percent of Total Billed Charges,6467.51,,7150.82,90,,Percent of Total Billed Charges,6729.71,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,7309.72,92,,Percent of Total Billed Charges,6443.68,,7309.72,92,,Percent of Total Billed Charges,5911.34,,7309.72,92,,Percent of Total Billed Charges,6221.21,,7309.72,92,,Percent of Total Billed Charges,6443.68,,6197.37,78,,Percent of Total Billed Charges,6197.37,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4276.98,53.83,,Percent of Total Billed Charges,4012.4,,2752.27,34.64,,Percent of Total Billed Charges,2741.15,,3971.09,49.98,,Percent of Total Billed Charges,3003.34,,2752.27,7309.72,,																																							
HC PR ANESTHETIST (CRNA),960,RC,,,,BOTH, , ,117.6,98.78,108.19,92,,Percent of Total Billed Charges,98.31,,108.19,92,,Percent of Total Billed Charges,96.55,,108.19,92,,Percent of Total Billed Charges,94.67,,108.19,92,,Percent of Total Billed Charges,98.2,,108.19,92,,Percent of Total Billed Charges,88.55,,108.19,92,,Percent of Total Billed Charges,73.5,,105.84,90,,Percent of Total Billed Charges,58.68,,104.66,89,,Percent of Total Billed Charges,56.45,,96.9,82.4,,Percent of Total Billed Charges,96.67,,98.08,83.4,,Percent of Total Billed Charges,91.49,,98.08,83.4,,Percent of Total Billed Charges,82.44,,98.08,83.4,,Percent of Total Billed Charges,95.73,,105.84,90,,Percent of Total Billed Charges,99.61,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,108.19,92,,Percent of Total Billed Charges,95.37,,108.19,92,,Percent of Total Billed Charges,87.49,,108.19,92,,Percent of Total Billed Charges,92.08,,108.19,92,,Percent of Total Billed Charges,95.37,,91.73,78,,Percent of Total Billed Charges,91.73,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,63.3,53.83,,Percent of Total Billed Charges,59.39,,40.74,34.64,,Percent of Total Billed Charges,40.57,,58.78,49.98,,Percent of Total Billed Charges,44.45,,40.74,108.19,,																																							
HC MAINT. CARDIOPULMONARY REHAB X3,990,RC,,,,BOTH, , ,50.4,42.34,46.37,92,,Percent of Total Billed Charges,42.13,,46.37,92,,Percent of Total Billed Charges,41.38,,46.37,92,,Percent of Total Billed Charges,40.57,,46.37,92,,Percent of Total Billed Charges,42.08,,46.37,92,,Percent of Total Billed Charges,37.95,,46.37,92,,Percent of Total Billed Charges,31.5,,45.36,90,,Percent of Total Billed Charges,25.15,,44.86,89,,Percent of Total Billed Charges,24.19,,41.53,82.4,,Percent of Total Billed Charges,41.43,,42.03,83.4,,Percent of Total Billed Charges,39.21,,42.03,83.4,,Percent of Total Billed Charges,35.33,,42.03,83.4,,Percent of Total Billed Charges,41.03,,45.36,90,,Percent of Total Billed Charges,42.69,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,46.37,92,,Percent of Total Billed Charges,40.87,,46.37,92,,Percent of Total Billed Charges,37.5,,46.37,92,,Percent of Total Billed Charges,39.46,,46.37,92,,Percent of Total Billed Charges,40.87,,39.31,78,,Percent of Total Billed Charges,39.31,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,27.13,53.83,,Percent of Total Billed Charges,25.45,,17.46,34.64,,Percent of Total Billed Charges,17.39,,25.19,49.98,,Percent of Total Billed Charges,19.05,,17.46,46.37,,																																							
HC MAINTENANCE CARDIOPULMONARY REHAB,990,RC,,,,BOTH, , ,44.1,37.04,40.57,92,,Percent of Total Billed Charges,36.87,,40.57,92,,Percent of Total Billed Charges,36.21,,40.57,92,,Percent of Total Billed Charges,35.5,,40.57,92,,Percent of Total Billed Charges,36.82,,40.57,92,,Percent of Total Billed Charges,33.21,,40.57,92,,Percent of Total Billed Charges,27.56,,39.69,90,,Percent of Total Billed Charges,22.01,,39.25,89,,Percent of Total Billed Charges,21.17,,36.34,82.4,,Percent of Total Billed Charges,36.25,,36.78,83.4,,Percent of Total Billed Charges,34.31,,36.78,83.4,,Percent of Total Billed Charges,30.91,,36.78,83.4,,Percent of Total Billed Charges,35.9,,39.69,90,,Percent of Total Billed Charges,37.35,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,40.57,92,,Percent of Total Billed Charges,35.77,,40.57,92,,Percent of Total Billed Charges,32.81,,40.57,92,,Percent of Total Billed Charges,34.53,,40.57,92,,Percent of Total Billed Charges,35.77,,34.4,78,,Percent of Total Billed Charges,34.4,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,23.74,53.83,,Percent of Total Billed Charges,22.27,,15.28,34.64,,Percent of Total Billed Charges,15.21,,22.04,49.98,,Percent of Total Billed Charges,16.67,,15.28,40.57,,																																							
HC  SCA TEST ECHO PEDS FU/LIMITED,93304,CPT,,,,BOTH, , ,5.25,4.41,4.83,92,,Percent of Total Billed Charges,4.39,,4.83,92,,Percent of Total Billed Charges,4.31,,4.83,92,,Percent of Total Billed Charges,4.23,,4.83,92,,Percent of Total Billed Charges,4.38,,4.83,92,,Percent of Total Billed Charges,3.95,,4.83,92,,Percent of Total Billed Charges,3.28,,4.73,90,,Percent of Total Billed Charges,2.62,,4.67,89,,Percent of Total Billed Charges,2.52,,4.33,82.4,,Percent of Total Billed Charges,4.32,,4.38,83.4,,Percent of Total Billed Charges,4.08,,4.38,83.4,,Percent of Total Billed Charges,3.68,,4.38,83.4,,Percent of Total Billed Charges,4.27,,4.73,90,,Percent of Total Billed Charges,4.45,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,4.83,92,,Percent of Total Billed Charges,4.26,,4.83,92,,Percent of Total Billed Charges,3.91,,4.83,92,,Percent of Total Billed Charges,4.11,,4.83,92,,Percent of Total Billed Charges,4.26,,4.1,78,,Percent of Total Billed Charges,4.1,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,, , , ,, ,,2.83,53.83,,Percent of Total Billed Charges,2.65,,1.82,34.64,,Percent of Total Billed Charges,1.81,,2.62,49.98,,Percent of Total Billed Charges,1.98,,1.82,4.83,,																																							
,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, , ,,																																							
Sr89 strontium,701,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,19582.59,467.75,,Fee Schedule,10692.09,,19582.59,467.75,,Fee Schedule,11416.65,,19582.59,467.75,,Fee Schedule,9145.07,,19582.59,467.75,,Fee Schedule,9693.38,,19582.59,467.75,,Fee Schedule,10907.5,,19582.59,467.75,,Fee Schedule,11436.23,,17433.21,416.41,,Fee Schedule,9152.44,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,4186.55,100,,Fee Schedule,720.09,,4270.28,102, ,Fee Schedule,495.35,,4291.21,102.5,,Fee Schedule,652.26,,4186.55,100,,Fee Schedule,724.27,,4186.55,100,,Fee Schedule,498.2,,4228.42,101, ,Fee Schedule,655.4,,4228.42,101, ,Fee Schedule,655.4,,4270.28,101, ,Fee Schedule,811.35,,4270.28,101, ,Fee Schedule,653.35,,4270.28,101, ,Fee Schedule,777.19,,4270.28,101, ,Fee Schedule,691.79,,4395.88,104, ,Fee Schedule,470.36,, ,,,,,,,,,, ,, ,,,, ,,4186.55,19582.59,,																																							
Dexrazoxane hcl injection,726,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,610.27,467.75,,Fee Schedule,333.21,,610.27,467.75,,Fee Schedule,355.79,,610.27,467.75,,Fee Schedule,285,,610.27,467.75,,Fee Schedule,302.09,,610.27,467.75,,Fee Schedule,339.92,,610.27,467.75,,Fee Schedule,356.4,,543.29,416.41,,Fee Schedule,285.23,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,130.47,100,,Fee Schedule,22.44,,133.08,102,,Fee Schedule,15.44,,133.73,102.5,,Fee Schedule,20.33,,130.47,100,,Fee Schedule,22.57,,130.47,100,,Fee Schedule,15.53,,131.77,101,,Fee Schedule,20.43,,131.77,101,,Fee Schedule,20.43,,133.08,101,,Fee Schedule,25.29,,133.08,101,,Fee Schedule,20.36,,133.08,101,,Fee Schedule,24.22,,133.08,101,,Fee Schedule,21.56,,136.99,104,,Fee Schedule,14.66,, ,,,,,,,,,, ,, ,,,, ,,130.47,610.27,,																																							
Sargramostim injection,731,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,287.01,467.75,,Fee Schedule,156.71,,287.01,467.75,,Fee Schedule,167.33,,287.01,467.75,,Fee Schedule,134.03,,287.01,467.75,,Fee Schedule,142.07,,287.01,467.75,,Fee Schedule,159.87,,287.01,467.75,,Fee Schedule,167.61,,255.51,416.41,,Fee Schedule,134.14,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,61.36,100,,Fee Schedule,10.55,,62.59,102,,Fee Schedule,7.26,,62.89,102.5,,Fee Schedule,9.56,,61.36,100,,Fee Schedule,10.62,,61.36,100,,Fee Schedule,7.3,,61.97,101,,Fee Schedule,9.61,,61.97,101,,Fee Schedule,9.61,,62.59,101,,Fee Schedule,11.89,,62.59,101,,Fee Schedule,9.58,,62.59,101,,Fee Schedule,11.39,,62.59,101,,Fee Schedule,10.14,,64.43,104,,Fee Schedule,6.89,, ,,,,,,,,,, ,, ,,,, ,,61.36,287.01,,																																							
Amphotericin b liposome inj,736,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,137.57,467.75,,Fee Schedule,75.11,,137.57,467.75,,Fee Schedule,80.2,,137.57,467.75,,Fee Schedule,64.24,,137.57,467.75,,Fee Schedule,68.09,,137.57,467.75,,Fee Schedule,76.62,,137.57,467.75,,Fee Schedule,80.34,,122.47,416.41,,Fee Schedule,64.29,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,29.41,100,,Fee Schedule,5.06,,30,102,,Fee Schedule,3.48,,30.15,102.5,,Fee Schedule,4.58,,29.41,100,,Fee Schedule,5.09,,29.41,100,,Fee Schedule,3.5,,29.7,101,,Fee Schedule,4.6,,29.7,101,,Fee Schedule,4.6,,30,101,,Fee Schedule,5.7,,30,101,,Fee Schedule,4.59,,30,101,,Fee Schedule,5.46,,30,101,,Fee Schedule,4.86,,30.88,104,,Fee Schedule,3.3,, ,,,,,,,,,, ,, ,,,, ,,29.41,137.57,,																																							
Rasburicase,738,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,1765.76,467.75,,Fee Schedule,964.1,,1765.76,467.75,,Fee Schedule,1029.44,,1765.76,467.75,,Fee Schedule,824.61,,1765.76,467.75,,Fee Schedule,874.05,,1765.76,467.75,,Fee Schedule,983.53,,1765.76,467.75,,Fee Schedule,1031.2,,1571.95,416.41,,Fee Schedule,825.27,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,377.5,100,,Fee Schedule,64.93,,385.05,102,,Fee Schedule,44.67,,386.94,102.5,,Fee Schedule,58.81,,377.5,100,,Fee Schedule,65.31,,377.5,100,,Fee Schedule,44.92,,381.28,101,,Fee Schedule,59.1,,381.28,101,,Fee Schedule,59.1,,385.05,101,,Fee Schedule,73.16,,385.05,101,,Fee Schedule,58.91,,385.05,101,,Fee Schedule,70.08,,385.05,101,,Fee Schedule,62.38,,396.38,104,,Fee Schedule,42.41,, ,,,,,,,,,, ,, ,,,, ,,377.50,1765.76,,																																							
Dactinomycin injection,752,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,4130.65,467.75,,Fee Schedule,2255.34,,4130.65,467.75,,Fee Schedule,2408.17,,4130.65,467.75,,Fee Schedule,1929.02,,4130.65,467.75,,Fee Schedule,2044.67,,4130.65,467.75,,Fee Schedule,2300.77,,4130.65,467.75,,Fee Schedule,2412.3,,3677.28,416.41,,Fee Schedule,1930.57,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,883.09,100,,Fee Schedule,151.89,,900.75,102,,Fee Schedule,104.49,,905.17,102.5,,Fee Schedule,137.59,,883.09,100,,Fee Schedule,152.77,,883.09,100,,Fee Schedule,105.09,,891.92,101,,Fee Schedule,138.25,,891.92,101,,Fee Schedule,138.25,,900.75,101,,Fee Schedule,171.14,,900.75,101,,Fee Schedule,137.82,,900.75,101,,Fee Schedule,163.94,,900.75,101,,Fee Schedule,145.92,,927.24,104,,Fee Schedule,99.22,, ,,,,,,,,,, ,, ,,,, ,,883.09,4130.65,,																																							
Naltrexone, depot form,759,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,19.51,467.75,,Fee Schedule,10.65,,19.51,467.75,,Fee Schedule,11.37,,19.51,467.75,,Fee Schedule,9.11,,19.51,467.75,,Fee Schedule,9.66,,19.51,467.75,,Fee Schedule,10.86,,19.51,467.75,,Fee Schedule,11.39,,17.36,416.41,,Fee Schedule,9.12,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,4.17,100,,Fee Schedule,0.72,,4.25,102,,Fee Schedule,0.49,,4.27,102.5,,Fee Schedule,0.65,,4.17,100,,Fee Schedule,0.72,,4.17,100,,Fee Schedule,0.5,,4.21,101,,Fee Schedule,0.65,,4.21,101,,Fee Schedule,0.65,,4.25,101,,Fee Schedule,0.81,,4.25,101,,Fee Schedule,0.65,,4.25,101,,Fee Schedule,0.77,,4.25,101,,Fee Schedule,0.69,,4.38,104,,Fee Schedule,0.47,, ,,,,,,,,,, ,, ,,,, ,,4.17,104.00,,																																							
Leuprolide acetate /3.75 mg,800,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,7509.54,467.75,,Fee Schedule,4100.21,,7509.54,467.75,,Fee Schedule,4378.06,,7509.54,467.75,,Fee Schedule,3506.95,,7509.54,467.75,,Fee Schedule,3717.22,,7509.54,467.75,,Fee Schedule,4182.81,,7509.54,467.75,,Fee Schedule,4385.57,,6685.3,416.41,,Fee Schedule,3509.78,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,1605.46,100,,Fee Schedule,276.14,,1637.57,102,,Fee Schedule,189.96,,1645.6,102.5,,Fee Schedule,250.13,,1605.46,100,,Fee Schedule,277.74,,1605.46,100,,Fee Schedule,191.05,,1621.51,101,,Fee Schedule,251.33,,1621.51,101,,Fee Schedule,251.33,,1637.57,101,,Fee Schedule,311.14,,1637.57,101,,Fee Schedule,250.55,,1637.57,101,,Fee Schedule,298.04,,1637.57,101,,Fee Schedule,265.29,,1685.73,104,,Fee Schedule,180.37,, ,,,,,,,,,, ,, ,,,, ,,1605.46,7509.54,,																																							
Etoposide oral 50 mg,802,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,377.05,467.75,,Fee Schedule,205.87,,377.05,467.75,,Fee Schedule,219.82,,377.05,467.75,,Fee Schedule,176.08,,377.05,467.75,,Fee Schedule,186.64,,377.05,467.75,,Fee Schedule,210.02,,377.05,467.75,,Fee Schedule,220.2,,335.67,416.41,,Fee Schedule,176.23,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,80.61,100,,Fee Schedule,13.86,,82.22,102,,Fee Schedule,9.54,,82.63,102.5,,Fee Schedule,12.56,,80.61,100,,Fee Schedule,13.95,,80.61,100,,Fee Schedule,9.59,,81.42,101,,Fee Schedule,12.62,,81.42,101,,Fee Schedule,12.62,,82.22,101,,Fee Schedule,15.62,,82.22,101,,Fee Schedule,12.58,,82.22,101,,Fee Schedule,14.96,,82.22,101,,Fee Schedule,13.32,,84.64,104,,Fee Schedule,9.06,, ,,,,,,,,,, ,, ,,,, ,,80.61,377.05,,																																							
Aldesleukin injection,807,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,17874.41,467.75,,Fee Schedule,9759.43,,17874.41,467.75,,Fee Schedule,10420.78,,17874.41,467.75,,Fee Schedule,8347.35,,17874.41,467.75,,Fee Schedule,8847.83,,17874.41,467.75,,Fee Schedule,9956.05,,17874.41,467.75,,Fee Schedule,10438.66,,15912.53,416.41,,Fee Schedule,8354.08,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,3821.36,100,,Fee Schedule,657.27,,3897.79,102,,Fee Schedule,452.14,,3916.89,102.5,,Fee Schedule,595.37,,3821.36,100,,Fee Schedule,661.1,,3821.36,100,,Fee Schedule,454.74,,3859.57,101,,Fee Schedule,598.23,,3859.57,101,,Fee Schedule,598.23,,3897.79,101,,Fee Schedule,740.58,,3897.79,101,,Fee Schedule,596.36,,3897.79,101,,Fee Schedule,709.4,,3897.79,101,,Fee Schedule,631.44,,4012.43,104,,Fee Schedule,429.33,, ,,,,,,,,,, ,, ,,,, ,,3821.36,17874.41,,																																							
Goserelin acetate implant,810,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,3011.75,467.75,,Fee Schedule,1644.41,,3011.75,467.75,,Fee Schedule,1755.85,,3011.75,467.75,,Fee Schedule,1406.49,,3011.75,467.75,,Fee Schedule,1490.82,,3011.75,467.75,,Fee Schedule,1677.54,,3011.75,467.75,,Fee Schedule,1758.86,,2681.18,416.41,,Fee Schedule,1407.62,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,643.88,100,,Fee Schedule,110.75,,656.76,102,,Fee Schedule,76.18,,659.98,102.5,,Fee Schedule,100.32,,643.88,100,,Fee Schedule,111.39,,643.88,100,,Fee Schedule,76.62,,650.32,101,,Fee Schedule,100.8,,650.32,101,,Fee Schedule,100.8,,656.76,101,,Fee Schedule,124.78,,656.76,101,,Fee Schedule,100.48,,656.76,101,,Fee Schedule,119.53,,656.76,101,,Fee Schedule,106.39,,676.07,104,,Fee Schedule,72.34,, ,,,,,,,,,, ,, ,,,, ,,643.88,3011.75,,																																							
Carmustine injection,812,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,2018.39,467.75,,Fee Schedule,1102.04,,2018.39,467.75,,Fee Schedule,1176.72,,2018.39,467.75,,Fee Schedule,942.59,,2018.39,467.75,,Fee Schedule,999.1,,2018.39,467.75,,Fee Schedule,1124.24,,2018.39,467.75,,Fee Schedule,1178.74,,1796.85,416.41,,Fee Schedule,943.35,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,431.51,100,,Fee Schedule,74.22,,440.14,102,,Fee Schedule,51.06,,442.3,102.5,,Fee Schedule,67.23,,431.51,100,,Fee Schedule,74.65,,431.51,100,,Fee Schedule,51.35,,435.83,101,,Fee Schedule,67.55,,435.83,101,,Fee Schedule,67.55,,440.14,101,,Fee Schedule,83.63,,440.14,101,,Fee Schedule,67.34,,440.14,101,,Fee Schedule,80.11,,440.14,101,,Fee Schedule,71.3,,453.09,104,,Fee Schedule,48.48,, ,,,,,,,,,, ,, ,,,, ,,431.51,2018.39,,																																							
Daunorubicin injection,820,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,155.85,467.75,,Fee Schedule,85.1,,155.85,467.75,,Fee Schedule,90.86,,155.85,467.75,,Fee Schedule,72.78,,155.85,467.75,,Fee Schedule,77.15,,155.85,467.75,,Fee Schedule,86.81,,155.85,467.75,,Fee Schedule,91.02,,138.75,416.41,,Fee Schedule,72.84,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,33.32,100,,Fee Schedule,5.73,,33.99,102,,Fee Schedule,3.94,,34.15,102.5,,Fee Schedule,5.19,,33.32,100,,Fee Schedule,5.76,,33.32,100,,Fee Schedule,3.97,,33.65,101,,Fee Schedule,5.22,,33.65,101,,Fee Schedule,5.22,,33.99,101,,Fee Schedule,6.46,,33.99,101,,Fee Schedule,5.2,,33.99,101,,Fee Schedule,6.19,,33.99,101,,Fee Schedule,5.51,,34.99,104,,Fee Schedule,3.74,, ,,,,,,,,,, ,, ,,,, ,,33.32,155.85,,																																							
Nelarabine injection,825,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,574.63,467.75,,Fee Schedule,313.75,,574.63,467.75,,Fee Schedule,335.01,,574.63,467.75,,Fee Schedule,268.35,,574.63,467.75,,Fee Schedule,284.44,,574.63,467.75,,Fee Schedule,320.07,,574.63,467.75,,Fee Schedule,335.58,,511.56,416.41,,Fee Schedule,268.57,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,122.85,100,,Fee Schedule,21.13,,125.31,102,,Fee Schedule,14.54,,125.92,102.5,,Fee Schedule,19.14,,122.85,100,,Fee Schedule,21.25,,122.85,100,,Fee Schedule,14.62,,124.08,101,,Fee Schedule,19.23,,124.08,101,,Fee Schedule,19.23,,125.31,101,,Fee Schedule,23.81,,125.31,101,,Fee Schedule,19.17,,125.31,101,,Fee Schedule,22.81,,125.31,101,,Fee Schedule,20.3,,128.99,104,,Fee Schedule,13.8,, ,,,,,,,,,, ,, ,,,, ,,122.85,574.63,,																																							
Interferon alfa2b inj,836,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,160.49,467.75,,Fee Schedule,87.62,,160.49,467.75,,Fee Schedule,93.56,,160.49,467.75,,Fee Schedule,74.95,,160.49,467.75,,Fee Schedule,79.44,,160.49,467.75,,Fee Schedule,89.39,,160.49,467.75,,Fee Schedule,93.72,,142.87,416.41,,Fee Schedule,75.01,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,34.31,100,,Fee Schedule,5.9,,35,102,,Fee Schedule,4.06,,35.17,102.5,,Fee Schedule,5.35,,34.31,100,,Fee Schedule,5.94,,34.31,100,,Fee Schedule,4.08,,34.65,101,,Fee Schedule,5.37,,34.65,101,,Fee Schedule,5.37,,35,101,,Fee Schedule,6.65,,35,101,,Fee Schedule,5.35,,35,101,,Fee Schedule,6.37,,35,101,,Fee Schedule,5.67,,36.03,104,,Fee Schedule,3.85,, ,,,,,,,,,, ,, ,,,, ,,34.31,160.49,,																																							
Inj melpha hydroch nos 50 mg,840,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,868.28,467.75,,Fee Schedule,474.08,,868.28,467.75,,Fee Schedule,506.21,,868.28,467.75,,Fee Schedule,405.49,,868.28,467.75,,Fee Schedule,429.8,,868.28,467.75,,Fee Schedule,483.63,,868.28,467.75,,Fee Schedule,507.08,,772.98,416.41,,Fee Schedule,405.82,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,185.63,100,,Fee Schedule,31.93,,189.34,102,,Fee Schedule,21.96,,190.27,102.5,,Fee Schedule,28.92,,185.63,100,,Fee Schedule,32.11,,185.63,100,,Fee Schedule,22.09,,187.49,101,,Fee Schedule,29.06,,187.49,101,,Fee Schedule,29.06,,189.34,101,,Fee Schedule,35.98,,189.34,101,,Fee Schedule,28.97,,189.34,101,,Fee Schedule,34.46,,189.34,101,,Fee Schedule,30.67,,194.91,104,,Fee Schedule,20.86,, ,,,,,,,,,, ,, ,,,, ,,185.63,868.28,,																																							
Pegaspargase injection,843,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,127010.73,467.75,,Fee Schedule,69347.86,,127010.73,467.75,,Fee Schedule,74047.26,,127010.73,467.75,,Fee Schedule,59314.01,,127010.73,467.75,,Fee Schedule,62870.31,,127010.73,467.75,,Fee Schedule,70744.98,,127010.73,467.75,,Fee Schedule,74174.27,,113070.1,416.41,,Fee Schedule,59361.8,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,27153.55,100,,Fee Schedule,4670.41,,27696.62,102,,Fee Schedule,3212.81,,27832.39,102.5,,Fee Schedule,4230.52,,27153.55,100,,Fee Schedule,4697.56,,27153.55,100,,Fee Schedule,3231.27,,27425.09,101,,Fee Schedule,4250.89,,27425.09,101,,Fee Schedule,4250.89,,27696.62,101,,Fee Schedule,5262.36,,27696.62,101,,Fee Schedule,4237.58,,27696.62,101,,Fee Schedule,5040.79,,27696.62,101,,Fee Schedule,4486.85,,28511.23,104,,Fee Schedule,3050.7,, ,,,,,,,,,, ,, ,,,, ,,27153.55,127010.73,,																																							
Pentostatin injection,844,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,11512.96,467.75,,Fee Schedule,6286.08,,11512.96,467.75,,Fee Schedule,6712.06,,11512.96,467.75,,Fee Schedule,5376.55,,11512.96,467.75,,Fee Schedule,5698.92,,11512.96,467.75,,Fee Schedule,6412.72,,11512.96,467.75,,Fee Schedule,6723.57,,10249.31,416.41,,Fee Schedule,5380.89,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,2461.35,100,,Fee Schedule,423.35,,2510.58,102,,Fee Schedule,291.23,,2522.88,102.5,,Fee Schedule,383.48,,2461.35,100,,Fee Schedule,425.81,,2461.35,100,,Fee Schedule,292.9,,2485.96,101,,Fee Schedule,385.32,,2485.96,101,,Fee Schedule,385.32,,2510.58,101,,Fee Schedule,477.01,,2510.58,101,,Fee Schedule,384.12,,2510.58,101,,Fee Schedule,456.93,,2510.58,101,,Fee Schedule,406.71,,2584.42,104,,Fee Schedule,276.53,, ,,,,,,,,,, ,, ,,,, ,,2461.35,11512.96,,																																							
Streptozocin injection,850,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,1823.71,467.75,,Fee Schedule,995.75,,1823.71,467.75,,Fee Schedule,1063.22,,1823.71,467.75,,Fee Schedule,851.67,,1823.71,467.75,,Fee Schedule,902.74,,1823.71,467.75,,Fee Schedule,1015.81,,1823.71,467.75,,Fee Schedule,1065.05,,1623.54,416.41,,Fee Schedule,852.36,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,389.89,100,,Fee Schedule,67.06,,397.69,102,,Fee Schedule,46.13,,399.64,102.5,,Fee Schedule,60.74,,389.89,100,,Fee Schedule,67.45,,389.89,100,,Fee Schedule,46.4,,393.79,101,,Fee Schedule,61.04,,393.79,101,,Fee Schedule,61.04,,397.69,101,,Fee Schedule,75.56,,397.69,101,,Fee Schedule,60.85,,397.69,101,,Fee Schedule,72.38,,397.69,101,,Fee Schedule,64.43,,409.38,104,,Fee Schedule,43.8,, ,,,,,,,,,, ,, ,,,, ,,389.89,1823.71,,																																							
Thiotepa injection,851,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,1282.1,467.75,,Fee Schedule,700.03,,1282.1,467.75,,Fee Schedule,747.47,,1282.1,467.75,,Fee Schedule,598.74,,1282.1,467.75,,Fee Schedule,634.64,,1282.1,467.75,,Fee Schedule,714.13,,1282.1,467.75,,Fee Schedule,748.75,,1141.38,416.41,,Fee Schedule,599.22,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,274.1,100,,Fee Schedule,47.15,,279.58,102,,Fee Schedule,32.43,,280.95,102.5,,Fee Schedule,42.7,,274.1,100,,Fee Schedule,47.42,,274.1,100,,Fee Schedule,32.62,,276.84,101,,Fee Schedule,42.91,,276.84,101,,Fee Schedule,42.91,,279.58,101,,Fee Schedule,53.12,,279.58,101,,Fee Schedule,42.78,,279.58,101,,Fee Schedule,50.88,,279.58,101,,Fee Schedule,45.29,,287.81,104,,Fee Schedule,30.8,, ,,,,,,,,,, ,, ,,,, ,,274.10,1282.10,,																																							
Porfimer sodium injection,856,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,110795.66,467.75,,Fee Schedule,60494.43,,110795.66,467.75,,Fee Schedule,64593.87,,110795.66,467.75,,Fee Schedule,51741.57,,110795.66,467.75,,Fee Schedule,54843.85,,110795.66,467.75,,Fee Schedule,61713.18,,110795.66,467.75,,Fee Schedule,64704.67,,98634.79,416.41,,Fee Schedule,51783.26,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,23686.94,100,,Fee Schedule,4074.15,,24160.68,102,,Fee Schedule,2802.64,,24279.11,102.5,,Fee Schedule,3690.43,,23686.94,100,,Fee Schedule,4097.84,,23686.94,100,,Fee Schedule,2818.75,,23923.81,101,,Fee Schedule,3708.19,,23923.81,101,,Fee Schedule,3708.19,,24160.68,101,,Fee Schedule,4590.53,,24160.68,101,,Fee Schedule,3696.58,,24160.68,101,,Fee Schedule,4397.24,,24160.68,101,,Fee Schedule,3914.03,,24871.29,104,,Fee Schedule,2661.23,, ,,,,,,,,,, ,, ,,,, ,,23686.94,110795.66,,																																							
Inj cladribine per 1 mg,858,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,82.56,467.75,,Fee Schedule,45.08,,82.56,467.75,,Fee Schedule,48.13,,82.56,467.75,,Fee Schedule,38.55,,82.56,467.75,,Fee Schedule,40.87,,82.56,467.75,,Fee Schedule,45.98,,82.56,467.75,,Fee Schedule,48.21,,73.5,416.41,,Fee Schedule,38.59,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,17.65,100,,Fee Schedule,3.04,,18,102,,Fee Schedule,2.09,,18.09,102.5,,Fee Schedule,2.75,,17.65,100,,Fee Schedule,3.05,,17.65,100,,Fee Schedule,2.1,,17.83,101,,Fee Schedule,2.76,,17.83,101,,Fee Schedule,2.76,,18,101,,Fee Schedule,3.42,,18,101,,Fee Schedule,2.75,,18,101,,Fee Schedule,3.28,,18,101,,Fee Schedule,2.92,,18.53,104,,Fee Schedule,1.98,, ,,,,,,,,,, ,, ,,,, ,,17.65,104.00,,																																							
Mitoxantrone hydrochl / 5 mg,864,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,203.94,467.75,,Fee Schedule,111.35,,203.94,467.75,,Fee Schedule,118.9,,203.94,467.75,,Fee Schedule,95.24,,203.94,467.75,,Fee Schedule,100.95,,203.94,467.75,,Fee Schedule,113.59,,203.94,467.75,,Fee Schedule,119.1,,181.55,416.41,,Fee Schedule,95.32,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,43.6,100,,Fee Schedule,7.5,,44.47,102,,Fee Schedule,5.16,,44.69,102.5,,Fee Schedule,6.79,,43.6,100,,Fee Schedule,7.54,,43.6,100,,Fee Schedule,5.19,,44.04,101,,Fee Schedule,6.83,,44.04,101,,Fee Schedule,6.83,,44.47,101,,Fee Schedule,8.45,,44.47,101,,Fee Schedule,6.8,,44.47,101,,Fee Schedule,8.09,,44.47,101,,Fee Schedule,7.2,,45.78,104,,Fee Schedule,4.9,, ,,,,,,,,,, ,, ,,,, ,,43.60,203.94,,																																							
Synvisc or synviscone,874,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,43.22,467.75,,Fee Schedule,23.6,,43.22,467.75,,Fee Schedule,25.2,,43.22,467.75,,Fee Schedule,20.18,,43.22,467.75,,Fee Schedule,21.39,,43.22,467.75,,Fee Schedule,24.07,,43.22,467.75,,Fee Schedule,25.24,,38.48,416.41,,Fee Schedule,20.2,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,9.24,100,,Fee Schedule,1.59,,9.42,102,,Fee Schedule,1.09,,9.47,102.5,,Fee Schedule,1.44,,9.24,100,,Fee Schedule,1.6,,9.24,100,,Fee Schedule,1.1,,9.33,101,,Fee Schedule,1.45,,9.33,101,,Fee Schedule,1.45,,9.42,101,,Fee Schedule,1.79,,9.42,101,,Fee Schedule,1.44,,9.42,101,,Fee Schedule,1.72,,9.42,101,,Fee Schedule,1.53,,9.7,104,,Fee Schedule,1.04,, ,,,,,,,,,, ,, ,,,, ,,9.24,104.00,,																																							
Euflexxa inj per dose,875,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,606.67,467.75,,Fee Schedule,331.24,,606.67,467.75,,Fee Schedule,353.69,,606.67,467.75,,Fee Schedule,283.32,,606.67,467.75,,Fee Schedule,300.3,,606.67,467.75,,Fee Schedule,337.92,,606.67,467.75,,Fee Schedule,354.3,,540.08,416.41,,Fee Schedule,283.54,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,129.7,100,,Fee Schedule,22.31,,132.29,102,,Fee Schedule,15.35,,132.94,102.5,,Fee Schedule,20.21,,129.7,100,,Fee Schedule,22.44,,129.7,100,,Fee Schedule,15.43,,131,101,,Fee Schedule,20.3,,131,101,,Fee Schedule,20.3,,132.29,101,,Fee Schedule,25.14,,132.29,101,,Fee Schedule,20.24,,132.29,101,,Fee Schedule,24.08,,132.29,101,,Fee Schedule,21.43,,136.19,104,,Fee Schedule,14.57,, ,,,,,,,,,, ,, ,,,, ,,129.70,606.67,,																																							
Orthovisc inj per dose,877,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,671.27,467.75,,Fee Schedule,366.51,,671.27,467.75,,Fee Schedule,391.35,,671.27,467.75,,Fee Schedule,313.48,,671.27,467.75,,Fee Schedule,332.28,,671.27,467.75,,Fee Schedule,373.9,,671.27,467.75,,Fee Schedule,392.02,,597.59,416.41,,Fee Schedule,313.73,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,143.51,100,,Fee Schedule,24.68,,146.38,102,,Fee Schedule,16.98,,147.1,102.5,,Fee Schedule,22.36,,143.51,100,,Fee Schedule,24.83,,143.51,100,,Fee Schedule,17.08,,144.95,101,,Fee Schedule,22.47,,144.95,101,,Fee Schedule,22.47,,146.38,101,,Fee Schedule,27.81,,146.38,101,,Fee Schedule,22.4,,146.38,101,,Fee Schedule,26.64,,146.38,101,,Fee Schedule,23.71,,150.69,104,,Fee Schedule,16.12,, ,,,,,,,,,, ,, ,,,, ,,143.51,671.27,,																																							
Azathioprine parenteral,887,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,1171.67,467.75,,Fee Schedule,639.73,,1171.67,467.75,,Fee Schedule,683.08,,1171.67,467.75,,Fee Schedule,547.17,,1171.67,467.75,,Fee Schedule,579.98,,1171.67,467.75,,Fee Schedule,652.62,,1171.67,467.75,,Fee Schedule,684.25,,1043.07,416.41,,Fee Schedule,547.61,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,250.49,100,,Fee Schedule,43.08,,255.5,102,,Fee Schedule,29.64,,256.75,102.5,,Fee Schedule,39.03,,250.49,100,,Fee Schedule,43.33,,250.49,100,,Fee Schedule,29.81,,252.99,101,,Fee Schedule,39.21,,252.99,101,,Fee Schedule,39.21,,255.5,101,,Fee Schedule,48.54,,255.5,101,,Fee Schedule,39.09,,255.5,101,,Fee Schedule,46.5,,255.5,101,,Fee Schedule,41.39,,263.01,104,,Fee Schedule,28.14,, ,,,,,,,,,, ,, ,,,, ,,250.49,1171.67,,																																							
Lymphocyte immune globulin,890,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,16034.94,467.75,,Fee Schedule,8755.08,,16034.94,467.75,,Fee Schedule,9348.37,,16034.94,467.75,,Fee Schedule,7488.32,,16034.94,467.75,,Fee Schedule,7937.29,,16034.94,467.75,,Fee Schedule,8931.46,,16034.94,467.75,,Fee Schedule,9364.4,,14274.95,416.41,,Fee Schedule,7494.35,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,3428.1,100,,Fee Schedule,589.63,,3496.66,102,,Fee Schedule,405.61,,3513.8,102.5,,Fee Schedule,534.1,,3428.1,100,,Fee Schedule,593.06,,3428.1,100,,Fee Schedule,407.94,,3462.38,101,,Fee Schedule,536.67,,3462.38,101,,Fee Schedule,536.67,,3496.66,101,,Fee Schedule,664.37,,3496.66,101,,Fee Schedule,534.99,,3496.66,101,,Fee Schedule,636.39,,3496.66,101,,Fee Schedule,566.46,,3599.51,104,,Fee Schedule,385.15,, ,,,,,,,,,, ,, ,,,, ,,3428.10,16034.94,,																																							
Alpha 1 proteinase inhibitor,901,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,23.67,467.75,,Fee Schedule,12.92,,23.67,467.75,,Fee Schedule,13.8,,23.67,467.75,,Fee Schedule,11.05,,23.67,467.75,,Fee Schedule,11.72,,23.67,467.75,,Fee Schedule,13.18,,23.67,467.75,,Fee Schedule,13.82,,21.07,416.41,,Fee Schedule,11.06,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,5.06,100,,Fee Schedule,0.87,,5.16,102,,Fee Schedule,0.6,,5.19,102.5,,Fee Schedule,0.79,,5.06,100,,Fee Schedule,0.88,,5.06,100,,Fee Schedule,0.6,,5.11,101,,Fee Schedule,0.79,,5.11,101,,Fee Schedule,0.79,,5.16,101,,Fee Schedule,0.98,,5.16,101,,Fee Schedule,0.79,,5.16,101,,Fee Schedule,0.94,,5.16,101,,Fee Schedule,0.84,,5.31,104,,Fee Schedule,0.57,, ,,,,,,,,,, ,, ,,,, ,,5.06,104.00,,																																							
Injection,onabotulinumtoxina,902,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,31.15,467.75,,Fee Schedule,17.01,,31.15,467.75,,Fee Schedule,18.16,,31.15,467.75,,Fee Schedule,14.55,,31.15,467.75,,Fee Schedule,15.42,,31.15,467.75,,Fee Schedule,17.35,,31.15,467.75,,Fee Schedule,18.19,,27.73,416.41,,Fee Schedule,14.56,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,6.66,100,,Fee Schedule,1.15,,6.79,102,,Fee Schedule,0.79,,6.83,102.5,,Fee Schedule,1.04,,6.66,100,,Fee Schedule,1.15,,6.66,100,,Fee Schedule,0.79,,6.73,101,,Fee Schedule,1.04,,6.73,101,,Fee Schedule,1.04,,6.79,101,,Fee Schedule,1.29,,6.79,101,,Fee Schedule,1.04,,6.79,101,,Fee Schedule,1.24,,6.79,101,,Fee Schedule,1.1,,6.99,104,,Fee Schedule,0.75,, ,,,,,,,,,, ,, ,,,, ,,6.66,104.00,,																																							
Cytomegalovirus imm iv /vial,903,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,8215.23,467.75,,Fee Schedule,4485.52,,8215.23,467.75,,Fee Schedule,4789.48,,8215.23,467.75,,Fee Schedule,3836.51,,8215.23,467.75,,Fee Schedule,4066.54,,8215.23,467.75,,Fee Schedule,4575.89,,8215.23,467.75,,Fee Schedule,4797.7,,7313.53,416.41,,Fee Schedule,3839.61,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,1756.33,100,,Fee Schedule,302.09,,1791.46,102,,Fee Schedule,207.81,,1800.24,102.5,,Fee Schedule,273.64,,1756.33,100,,Fee Schedule,303.85,,1756.33,100,,Fee Schedule,209,,1773.89,101,,Fee Schedule,274.95,,1773.89,101,,Fee Schedule,274.95,,1791.46,101,,Fee Schedule,340.38,,1791.46,101,,Fee Schedule,274.09,,1791.46,101,,Fee Schedule,326.05,,1791.46,101,,Fee Schedule,290.22,,1844.15,104,,Fee Schedule,197.32,, ,,,,,,,,,, ,, ,,,, ,,1756.33,8215.23,,																																							
Factor viii,925,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,5.85,467.75,,Fee Schedule,3.19,,5.85,467.75,,Fee Schedule,3.41,,5.85,467.75,,Fee Schedule,2.73,,5.85,467.75,,Fee Schedule,2.89,,5.85,467.75,,Fee Schedule,3.26,,5.85,467.75,,Fee Schedule,3.41,,5.21,416.41,,Fee Schedule,2.73,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,1.25,100,,Fee Schedule,0.22,,1.28,102,,Fee Schedule,0.15,,1.28,102.5,,Fee Schedule,0.19,,1.25,100,,Fee Schedule,0.22,,1.25,100,,Fee Schedule,0.15,,1.26,101,,Fee Schedule,0.2,,1.26,101,,Fee Schedule,0.2,,1.28,101,,Fee Schedule,0.24,,1.28,101,,Fee Schedule,0.2,,1.28,101,,Fee Schedule,0.23,,1.28,101,,Fee Schedule,0.21,,1.31,104,,Fee Schedule,0.14,, ,,,,,,,,,, ,, ,,,, ,,1.25,104.00,,																																							
Factor viii recombinant nos,927,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,7.39,467.75,,Fee Schedule,4.04,,7.39,467.75,,Fee Schedule,4.31,,7.39,467.75,,Fee Schedule,3.45,,7.39,467.75,,Fee Schedule,3.66,,7.39,467.75,,Fee Schedule,4.12,,7.39,467.75,,Fee Schedule,4.32,,6.58,416.41,,Fee Schedule,3.45,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,1.58,100,,Fee Schedule,0.27,,1.61,102,,Fee Schedule,0.19,,1.62,102.5,,Fee Schedule,0.25,,1.58,100,,Fee Schedule,0.27,,1.58,100,,Fee Schedule,0.19,,1.6,101,,Fee Schedule,0.25,,1.6,101,,Fee Schedule,0.25,,1.61,101,,Fee Schedule,0.31,,1.61,101,,Fee Schedule,0.25,,1.61,101,,Fee Schedule,0.29,,1.61,101,,Fee Schedule,0.26,,1.66,104,,Fee Schedule,0.18,, ,,,,,,,,,, ,, ,,,, ,,1.58,104.00,,																																							
Factor ix complex,928,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,7.95,467.75,,Fee Schedule,4.34,,7.95,467.75,,Fee Schedule,4.64,,7.95,467.75,,Fee Schedule,3.71,,7.95,467.75,,Fee Schedule,3.94,,7.95,467.75,,Fee Schedule,4.43,,7.95,467.75,,Fee Schedule,4.64,,7.08,416.41,,Fee Schedule,3.72,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,1.7,100,,Fee Schedule,0.29,,1.73,102,,Fee Schedule,0.2,,1.74,102.5,,Fee Schedule,0.26,,1.7,100,,Fee Schedule,0.29,,1.7,100,,Fee Schedule,0.2,,1.72,101,,Fee Schedule,0.27,,1.72,101,,Fee Schedule,0.27,,1.73,101,,Fee Schedule,0.33,,1.73,101,,Fee Schedule,0.27,,1.73,101,,Fee Schedule,0.32,,1.73,101,,Fee Schedule,0.28,,1.79,104,,Fee Schedule,0.19,, ,,,,,,,,,, ,, ,,,, ,,1.70,104.00,,																																							
Antiinhibitor,929,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,11.32,467.75,,Fee Schedule,6.18,,11.32,467.75,,Fee Schedule,6.6,,11.32,467.75,,Fee Schedule,5.29,,11.32,467.75,,Fee Schedule,5.6,,11.32,467.75,,Fee Schedule,6.3,,11.32,467.75,,Fee Schedule,6.61,,10.08,416.41,,Fee Schedule,5.29,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,2.42,100,,Fee Schedule,0.42,,2.47,102,,Fee Schedule,0.29,,2.48,102.5,,Fee Schedule,0.38,,2.42,100,,Fee Schedule,0.42,,2.42,100,,Fee Schedule,0.29,,2.44,101,,Fee Schedule,0.38,,2.44,101,,Fee Schedule,0.38,,2.47,101,,Fee Schedule,0.47,,2.47,101,,Fee Schedule,0.38,,2.47,101,,Fee Schedule,0.45,,2.47,101,,Fee Schedule,0.4,,2.54,104,,Fee Schedule,0.27,, ,,,,,,,,,, ,, ,,,, ,,2.42,104.00,,																																							
Factor ix nonrecombinant,931,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,6.5,467.75,,Fee Schedule,3.55,,6.5,467.75,,Fee Schedule,3.79,,6.5,467.75,,Fee Schedule,3.04,,6.5,467.75,,Fee Schedule,3.22,,6.5,467.75,,Fee Schedule,3.62,,6.5,467.75,,Fee Schedule,3.8,,5.79,416.41,,Fee Schedule,3.04,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,1.39,100,,Fee Schedule,0.24,,1.42,102,,Fee Schedule,0.16,,1.42,102.5,,Fee Schedule,0.22,,1.39,100,,Fee Schedule,0.24,,1.39,100,,Fee Schedule,0.17,,1.4,101,,Fee Schedule,0.22,,1.4,101,,Fee Schedule,0.22,,1.42,101,,Fee Schedule,0.27,,1.42,101,,Fee Schedule,0.22,,1.42,101,,Fee Schedule,0.26,,1.42,101,,Fee Schedule,0.23,,1.46,104,,Fee Schedule,0.16,, ,,,,,,,,,, ,, ,,,, ,,1.39,104.00,,																																							
Factor ix recombinant nos,932,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,8.61,467.75,,Fee Schedule,4.7,,8.61,467.75,,Fee Schedule,5.02,,8.61,467.75,,Fee Schedule,4.02,,8.61,467.75,,Fee Schedule,4.26,,8.61,467.75,,Fee Schedule,4.79,,8.61,467.75,,Fee Schedule,5.03,,7.66,416.41,,Fee Schedule,4.02,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,1.84,100,,Fee Schedule,0.32,,1.88,102,,Fee Schedule,0.22,,1.89,102.5,,Fee Schedule,0.29,,1.84,100,,Fee Schedule,0.32,,1.84,100,,Fee Schedule,0.22,,1.86,101,,Fee Schedule,0.29,,1.86,101,,Fee Schedule,0.29,,1.88,101,,Fee Schedule,0.36,,1.88,101,,Fee Schedule,0.29,,1.88,101,,Fee Schedule,0.34,,1.88,101,,Fee Schedule,0.3,,1.93,104,,Fee Schedule,0.21,, ,,,,,,,,,, ,, ,,,, ,,1.84,104.00,,																																							
Octagam injection,943,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,220.64,467.75,,Fee Schedule,120.47,,220.64,467.75,,Fee Schedule,128.63,,220.64,467.75,,Fee Schedule,103.04,,220.64,467.75,,Fee Schedule,109.22,,220.64,467.75,,Fee Schedule,122.9,,220.64,467.75,,Fee Schedule,128.85,,196.42,416.41,,Fee Schedule,103.12,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,47.17,100,,Fee Schedule,8.11,,48.11,102,,Fee Schedule,5.58,,48.35,102.5,,Fee Schedule,7.35,,47.17,100,,Fee Schedule,8.16,,47.17,100,,Fee Schedule,5.61,,47.64,101,,Fee Schedule,7.38,,47.64,101,,Fee Schedule,7.38,,48.11,101,,Fee Schedule,9.14,,48.11,101,,Fee Schedule,7.36,,48.11,101,,Fee Schedule,8.76,,48.11,101,,Fee Schedule,7.79,,49.53,104,,Fee Schedule,5.3,, ,,,,,,,,,, ,, ,,,, ,,47.17,220.64,,																																							
Gammagard liquid injection,944,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,219.05,467.75,,Fee Schedule,119.6,,219.05,467.75,,Fee Schedule,127.7,,219.05,467.75,,Fee Schedule,102.3,,219.05,467.75,,Fee Schedule,108.43,,219.05,467.75,,Fee Schedule,122.01,,219.05,467.75,,Fee Schedule,127.92,,195,416.41,,Fee Schedule,102.38,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,46.83,100,,Fee Schedule,8.05,,47.77,102,,Fee Schedule,5.54,,48,102.5,,Fee Schedule,7.3,,46.83,100,,Fee Schedule,8.1,,46.83,100,,Fee Schedule,5.57,,47.3,101,,Fee Schedule,7.33,,47.3,101,,Fee Schedule,7.33,,47.77,101,,Fee Schedule,9.08,,47.77,101,,Fee Schedule,7.31,,47.77,101,,Fee Schedule,8.69,,47.77,101,,Fee Schedule,7.74,,49.17,104,,Fee Schedule,5.26,, ,,,,,,,,,, ,, ,,,, ,,46.83,219.05,,																																							
Hepagam b im injection,946,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,306.24,467.75,,Fee Schedule,167.2,,306.24,467.75,,Fee Schedule,178.54,,306.24,467.75,,Fee Schedule,143.01,,306.24,467.75,,Fee Schedule,151.59,,306.24,467.75,,Fee Schedule,170.57,,306.24,467.75,,Fee Schedule,178.84,,272.62,416.41,,Fee Schedule,143.13,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,65.47,100,,Fee Schedule,11.26,,66.78,102,,Fee Schedule,7.75,,67.11,102.5,,Fee Schedule,10.2,,65.47,100,,Fee Schedule,11.33,,65.47,100,,Fee Schedule,7.79,,66.12,101,,Fee Schedule,10.25,,66.12,101,,Fee Schedule,10.25,,66.78,101,,Fee Schedule,12.69,,66.78,101,,Fee Schedule,10.22,,66.78,101,,Fee Schedule,12.15,,66.78,101,,Fee Schedule,10.82,,68.74,104,,Fee Schedule,7.36,, ,,,,,,,,,, ,, ,,,, ,,65.47,306.24,,																																							
Flebogamma injection,947,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,276.44,467.75,,Fee Schedule,150.94,,276.44,467.75,,Fee Schedule,161.16,,276.44,467.75,,Fee Schedule,129.1,,276.44,467.75,,Fee Schedule,136.84,,276.44,467.75,,Fee Schedule,153.98,,276.44,467.75,,Fee Schedule,161.44,,246.1,416.41,,Fee Schedule,129.2,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,59.1,100,,Fee Schedule,10.17,,60.28,102,,Fee Schedule,6.99,,60.58,102.5,,Fee Schedule,9.21,,59.1,100,,Fee Schedule,10.22,,59.1,100,,Fee Schedule,7.03,,59.69,101,,Fee Schedule,9.25,,59.69,101,,Fee Schedule,9.25,,60.28,101,,Fee Schedule,11.45,,60.28,101,,Fee Schedule,9.22,,60.28,101,,Fee Schedule,10.97,,60.28,101,,Fee Schedule,9.77,,62.06,104,,Fee Schedule,6.64,, ,,,,,,,,,, ,, ,,,, ,,59.10,276.44,,																																							
Gamunexc/gammaked,948,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,242.67,467.75,,Fee Schedule,132.5,,242.67,467.75,,Fee Schedule,141.48,,242.67,467.75,,Fee Schedule,113.33,,242.67,467.75,,Fee Schedule,120.12,,242.67,467.75,,Fee Schedule,135.17,,242.67,467.75,,Fee Schedule,141.72,,216.03,416.41,,Fee Schedule,113.42,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,51.88,100,,Fee Schedule,8.92,,52.92,102,,Fee Schedule,6.14,,53.18,102.5,,Fee Schedule,8.08,,51.88,100,,Fee Schedule,8.98,,51.88,100,,Fee Schedule,6.17,,52.4,101,,Fee Schedule,8.12,,52.4,101,,Fee Schedule,8.12,,52.92,101,,Fee Schedule,10.05,,52.92,101,,Fee Schedule,8.1,,52.92,101,,Fee Schedule,9.63,,52.92,101,,Fee Schedule,8.57,,54.47,104,,Fee Schedule,5.83,, ,,,,,,,,,, ,, ,,,, ,,51.88,242.67,,																																							
Albumin (human),5%, 50ml,961,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,52.29,467.75,,Fee Schedule,28.55,,52.29,467.75,,Fee Schedule,30.49,,52.29,467.75,,Fee Schedule,24.42,,52.29,467.75,,Fee Schedule,25.89,,52.29,467.75,,Fee Schedule,29.13,,52.29,467.75,,Fee Schedule,30.54,,46.55,416.41,,Fee Schedule,24.44,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,11.18,100,,Fee Schedule,1.92,,11.4,102,,Fee Schedule,1.32,,11.46,102.5,,Fee Schedule,1.74,,11.18,100,,Fee Schedule,1.93,,11.18,100,,Fee Schedule,1.33,,11.29,101,,Fee Schedule,1.75,,11.29,101,,Fee Schedule,1.75,,11.4,101,,Fee Schedule,2.17,,11.4,101,,Fee Schedule,1.74,,11.4,101,,Fee Schedule,2.08,,11.4,101,,Fee Schedule,1.85,,11.74,104,,Fee Schedule,1.26,, ,,,,,,,,,, ,, ,,,, ,,11.18,104.00,,																																							
Albumin (human), 5%, 250 ml,963,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,261.47,467.75,,Fee Schedule,142.76,,261.47,467.75,,Fee Schedule,152.44,,261.47,467.75,,Fee Schedule,122.11,,261.47,467.75,,Fee Schedule,129.43,,261.47,467.75,,Fee Schedule,145.64,,261.47,467.75,,Fee Schedule,152.7,,232.77,416.41,,Fee Schedule,122.21,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,55.9,100,,Fee Schedule,9.61,,57.02,102,,Fee Schedule,6.61,,57.3,102.5,,Fee Schedule,8.71,,55.9,100,,Fee Schedule,9.67,,55.9,100,,Fee Schedule,6.65,,56.46,101,,Fee Schedule,8.75,,56.46,101,,Fee Schedule,8.75,,57.02,101,,Fee Schedule,10.83,,57.02,101,,Fee Schedule,8.72,,57.02,101,,Fee Schedule,10.38,,57.02,101,,Fee Schedule,9.24,,58.7,104,,Fee Schedule,6.28,, ,,,,,,,,,, ,, ,,,, ,,55.90,261.47,,																																							
Albumin (human), 25%, 20 ml,964,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,104.59,467.75,,Fee Schedule,57.11,,104.59,467.75,,Fee Schedule,60.98,,104.59,467.75,,Fee Schedule,48.84,,104.59,467.75,,Fee Schedule,51.77,,104.59,467.75,,Fee Schedule,58.26,,104.59,467.75,,Fee Schedule,61.08,,93.11,416.41,,Fee Schedule,48.88,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,22.36,100,,Fee Schedule,3.85,,22.81,102,,Fee Schedule,2.65,,22.92,102.5,,Fee Schedule,3.48,,22.36,100,,Fee Schedule,3.87,,22.36,100,,Fee Schedule,2.66,,22.58,101,,Fee Schedule,3.5,,22.58,101,,Fee Schedule,3.5,,22.81,101,,Fee Schedule,4.33,,22.81,101,,Fee Schedule,3.49,,22.81,101,,Fee Schedule,4.15,,22.81,101,,Fee Schedule,3.69,,23.48,104,,Fee Schedule,2.51,, ,,,,,,,,,, ,, ,,,, ,,22.36,104.59,,																																							
Albumin (human), 25%, 50ml,965,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,261.47,467.75,,Fee Schedule,142.76,,261.47,467.75,,Fee Schedule,152.44,,261.47,467.75,,Fee Schedule,122.11,,261.47,467.75,,Fee Schedule,129.43,,261.47,467.75,,Fee Schedule,145.64,,261.47,467.75,,Fee Schedule,152.7,,232.77,416.41,,Fee Schedule,122.21,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,55.9,100,,Fee Schedule,9.61,,57.02,102,,Fee Schedule,6.61,,57.3,102.5,,Fee Schedule,8.71,,55.9,100,,Fee Schedule,9.67,,55.9,100,,Fee Schedule,6.65,,56.46,101,,Fee Schedule,8.75,,56.46,101,,Fee Schedule,8.75,,57.02,101,,Fee Schedule,10.83,,57.02,101,,Fee Schedule,8.72,,57.02,101,,Fee Schedule,10.38,,57.02,101,,Fee Schedule,9.24,,58.7,104,,Fee Schedule,6.28,, ,,,,,,,,,, ,, ,,,, ,,55.90,261.47,,																																							
Injection glatiramer acetate,1015,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,753.78,467.75,,Fee Schedule,411.56,,753.78,467.75,,Fee Schedule,439.45,,753.78,467.75,,Fee Schedule,352.01,,753.78,467.75,,Fee Schedule,373.12,,753.78,467.75,,Fee Schedule,419.85,,753.78,467.75,,Fee Schedule,440.21,,671.04,416.41,,Fee Schedule,352.3,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,161.15,100,,Fee Schedule,27.72,,164.37,102,,Fee Schedule,19.07,,165.18,102.5,,Fee Schedule,25.11,,161.15,100,,Fee Schedule,27.88,,161.15,100,,Fee Schedule,19.18,,162.76,101,,Fee Schedule,25.23,,162.76,101,,Fee Schedule,25.23,,164.37,101,,Fee Schedule,31.23,,164.37,101,,Fee Schedule,25.15,,164.37,101,,Fee Schedule,29.92,,164.37,101,,Fee Schedule,26.63,,169.21,104,,Fee Schedule,18.11,, ,,,,,,,,,, ,, ,,,, ,,161.15,753.78,,																																							
I131 iodide cap, rx,1064,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,116.89,467.75,,Fee Schedule,63.82,,116.89,467.75,,Fee Schedule,68.15,,116.89,467.75,,Fee Schedule,54.59,,116.89,467.75,,Fee Schedule,57.86,,116.89,467.75,,Fee Schedule,65.11,,116.89,467.75,,Fee Schedule,68.26,,104.06,416.41,,Fee Schedule,54.63,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,24.99,100,,Fee Schedule,4.3,,25.49,102,,Fee Schedule,2.96,,25.61,102.5,,Fee Schedule,3.89,,24.99,100,,Fee Schedule,4.32,,24.99,100,,Fee Schedule,2.97,,25.24,101,,Fee Schedule,3.91,,25.24,101,,Fee Schedule,3.91,,25.49,101,,Fee Schedule,4.84,,25.49,101,,Fee Schedule,3.9,,25.49,101,,Fee Schedule,4.64,,25.49,101,,Fee Schedule,4.13,,26.24,104,,Fee Schedule,2.81,, ,,,,,,,,,, ,, ,,,, ,,24.99,116.89,,																																							
Adalimumab injection,1083,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,9037.54,467.75,,Fee Schedule,4934.5,,9037.54,467.75,,Fee Schedule,5268.88,,9037.54,467.75,,Fee Schedule,4220.53,,9037.54,467.75,,Fee Schedule,4473.58,,9037.54,467.75,,Fee Schedule,5033.91,,9037.54,467.75,,Fee Schedule,5277.92,,8045.58,416.41,,Fee Schedule,4223.93,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,1932.13,100,,Fee Schedule,332.33,,1970.77,102,,Fee Schedule,228.61,,1980.43,102.5,,Fee Schedule,301.03,,1932.13,100,,Fee Schedule,334.26,,1932.13,100,,Fee Schedule,229.92,,1951.45,101,,Fee Schedule,302.47,,1951.45,101,,Fee Schedule,302.47,,1970.77,101,,Fee Schedule,374.45,,1970.77,101,,Fee Schedule,301.53,,1970.77,101,,Fee Schedule,358.68,,1970.77,101,,Fee Schedule,319.27,,2028.74,104,,Fee Schedule,217.07,, ,,,,,,,,,, ,, ,,,, ,,1932.13,9037.54,,																																							
Hepagam b intravenous, inj,1138,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,306.24,467.75,,Fee Schedule,167.2,,306.24,467.75,,Fee Schedule,178.54,,306.24,467.75,,Fee Schedule,143.01,,306.24,467.75,,Fee Schedule,151.59,,306.24,467.75,,Fee Schedule,170.57,,306.24,467.75,,Fee Schedule,178.84,,272.62,416.41,,Fee Schedule,143.13,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,65.47,100,,Fee Schedule,11.26,,66.78,102,,Fee Schedule,7.75,,67.11,102.5,,Fee Schedule,10.2,,65.47,100,,Fee Schedule,11.33,,65.47,100,,Fee Schedule,7.79,,66.12,101,,Fee Schedule,10.25,,66.12,101,,Fee Schedule,10.25,,66.78,101,,Fee Schedule,12.69,,66.78,101,,Fee Schedule,10.22,,66.78,101,,Fee Schedule,12.15,,66.78,101,,Fee Schedule,10.82,,68.74,104,,Fee Schedule,7.36,, ,,,,,,,,,, ,, ,,,, ,,65.47,306.24,,																																							
Protein c concentrate,1139,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,74.56,467.75,,Fee Schedule,40.71,,74.56,467.75,,Fee Schedule,43.47,,74.56,467.75,,Fee Schedule,34.82,,74.56,467.75,,Fee Schedule,36.91,,74.56,467.75,,Fee Schedule,41.53,,74.56,467.75,,Fee Schedule,43.54,,66.38,416.41,,Fee Schedule,34.85,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,15.94,100,,Fee Schedule,2.74,,16.26,102,,Fee Schedule,1.89,,16.34,102.5,,Fee Schedule,2.48,,15.94,100,,Fee Schedule,2.76,,15.94,100,,Fee Schedule,1.9,,16.1,101,,Fee Schedule,2.5,,16.1,101,,Fee Schedule,2.5,,16.26,101,,Fee Schedule,3.09,,16.26,101,,Fee Schedule,2.49,,16.26,101,,Fee Schedule,2.96,,16.26,101,,Fee Schedule,2.63,,16.74,104,,Fee Schedule,1.79,, ,,,,,,,,,, ,, ,,,, ,,15.94,104.00,,																																							
I131 iodide sol, rx,1150,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,111.89,467.75,,Fee Schedule,61.09,,111.89,467.75,,Fee Schedule,65.23,,111.89,467.75,,Fee Schedule,52.25,,111.89,467.75,,Fee Schedule,55.38,,111.89,467.75,,Fee Schedule,62.32,,111.89,467.75,,Fee Schedule,65.34,,99.61,416.41,,Fee Schedule,52.29,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,23.92,100,,Fee Schedule,4.11,,24.4,102,,Fee Schedule,2.83,,24.52,102.5,,Fee Schedule,3.73,,23.92,100,,Fee Schedule,4.14,,23.92,100,,Fee Schedule,2.85,,24.16,101,,Fee Schedule,3.74,,24.16,101,,Fee Schedule,3.74,,24.4,101,,Fee Schedule,4.64,,24.4,101,,Fee Schedule,3.73,,24.4,101,,Fee Schedule,4.44,,24.4,101,,Fee Schedule,3.95,,25.12,104,,Fee Schedule,2.69,, ,,,,,,,,,, ,, ,,,, ,,23.92,111.89,,																																							
Temsirolimus injection,1168,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,146.22,467.75,,Fee Schedule,79.84,,146.22,467.75,,Fee Schedule,85.25,,146.22,467.75,,Fee Schedule,68.28,,146.22,467.75,,Fee Schedule,72.38,,146.22,467.75,,Fee Schedule,81.44,,146.22,467.75,,Fee Schedule,85.39,,130.17,416.41,,Fee Schedule,68.34,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,31.26,100,,Fee Schedule,5.38,,31.89,102,,Fee Schedule,3.7,,32.04,102.5,,Fee Schedule,4.87,,31.26,100,,Fee Schedule,5.41,,31.26,100,,Fee Schedule,3.72,,31.57,101,,Fee Schedule,4.89,,31.57,101,,Fee Schedule,4.89,,31.89,101,,Fee Schedule,6.06,,31.89,101,,Fee Schedule,4.88,,31.89,101,,Fee Schedule,5.8,,31.89,101,,Fee Schedule,5.17,,32.82,104,,Fee Schedule,3.51,, ,,,,,,,,,, ,, ,,,, ,,31.26,146.22,,																																							
Busulfan injection,1178,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,5.15,467.75,,Fee Schedule,2.81,,5.15,467.75,,Fee Schedule,3,,5.15,467.75,,Fee Schedule,2.4,,5.15,467.75,,Fee Schedule,2.55,,5.15,467.75,,Fee Schedule,2.87,,5.15,467.75,,Fee Schedule,3,,4.58,416.41,,Fee Schedule,2.4,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,1.1,100,,Fee Schedule,0.19,,1.12,102,,Fee Schedule,0.13,,1.13,102.5,,Fee Schedule,0.17,,1.1,100,,Fee Schedule,0.19,,1.1,100,,Fee Schedule,0.13,,1.11,101,,Fee Schedule,0.17,,1.11,101,,Fee Schedule,0.17,,1.12,101,,Fee Schedule,0.21,,1.12,101,,Fee Schedule,0.17,,1.12,101,,Fee Schedule,0.2,,1.12,101,,Fee Schedule,0.18,,1.16,104,,Fee Schedule,0.12,, ,,,,,,,,,, ,, ,,,, ,,1.10,104.00,,																																							
Verteporfin injection,1203,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,55.38,467.75,,Fee Schedule,30.24,,55.38,467.75,,Fee Schedule,32.29,,55.38,467.75,,Fee Schedule,25.86,,55.38,467.75,,Fee Schedule,27.41,,55.38,467.75,,Fee Schedule,30.85,,55.38,467.75,,Fee Schedule,32.34,,49.3,416.41,,Fee Schedule,25.88,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,11.84,100,,Fee Schedule,2.04,,12.08,102,,Fee Schedule,1.4,,12.14,102.5,,Fee Schedule,1.84,,11.84,100,,Fee Schedule,2.05,,11.84,100,,Fee Schedule,1.41,,11.96,101,,Fee Schedule,1.85,,11.96,101,,Fee Schedule,1.85,,12.08,101,,Fee Schedule,2.29,,12.08,101,,Fee Schedule,1.85,,12.08,101,,Fee Schedule,2.2,,12.08,101,,Fee Schedule,1.96,,12.43,104,,Fee Schedule,1.33,, ,,,,,,,,,, ,, ,,,, ,,11.84,104.00,,																																							
Octreotide injection, depot,1207,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,1020.54,467.75,,Fee Schedule,557.21,,1020.54,467.75,,Fee Schedule,594.97,,1020.54,467.75,,Fee Schedule,476.59,,1020.54,467.75,,Fee Schedule,505.17,,1020.54,467.75,,Fee Schedule,568.44,,1020.54,467.75,,Fee Schedule,595.99,,908.52,416.41,,Fee Schedule,476.97,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,218.18,100,,Fee Schedule,37.53,,222.54,102,,Fee Schedule,25.82,,223.63,102.5,,Fee Schedule,33.99,,218.18,100,,Fee Schedule,37.75,,218.18,100,,Fee Schedule,25.96,,220.36,101,,Fee Schedule,34.16,,220.36,101,,Fee Schedule,34.16,,222.54,101,,Fee Schedule,42.28,,222.54,101,,Fee Schedule,34.05,,222.54,101,,Fee Schedule,40.5,,222.54,101,,Fee Schedule,36.05,,229.09,104,,Fee Schedule,24.51,, ,,,,,,,,,, ,, ,,,, ,,218.18,1020.54,,																																							
Antihemophilic viii/vwf comp,1213,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,5.99,467.75,,Fee Schedule,3.27,,5.99,467.75,,Fee Schedule,3.49,,5.99,467.75,,Fee Schedule,2.8,,5.99,467.75,,Fee Schedule,2.96,,5.99,467.75,,Fee Schedule,3.33,,5.99,467.75,,Fee Schedule,3.5,,5.33,416.41,,Fee Schedule,2.8,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,1.28,100,,Fee Schedule,0.22,,1.31,102,,Fee Schedule,0.15,,1.31,102.5,,Fee Schedule,0.2,,1.28,100,,Fee Schedule,0.22,,1.28,100,,Fee Schedule,0.15,,1.29,101,,Fee Schedule,0.2,,1.29,101,,Fee Schedule,0.2,,1.31,101,,Fee Schedule,0.25,,1.31,101,,Fee Schedule,0.2,,1.31,101,,Fee Schedule,0.24,,1.31,101,,Fee Schedule,0.21,,1.34,104,,Fee Schedule,0.14,, ,,,,,,,,,, ,, ,,,, ,,1.28,104.00,,																																							
Inj ivig privigen 500 mg,1214,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,234.44,467.75,,Fee Schedule,128,,234.44,467.75,,Fee Schedule,136.68,,234.44,467.75,,Fee Schedule,109.48,,234.44,467.75,,Fee Schedule,116.05,,234.44,467.75,,Fee Schedule,130.58,,234.44,467.75,,Fee Schedule,136.91,,208.7,416.41,,Fee Schedule,109.57,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,50.12,100,,Fee Schedule,8.62,,51.12,102,,Fee Schedule,5.93,,51.37,102.5,,Fee Schedule,7.81,,50.12,100,,Fee Schedule,8.67,,50.12,100,,Fee Schedule,5.96,,50.62,101,,Fee Schedule,7.85,,50.62,101,,Fee Schedule,7.85,,51.12,101,,Fee Schedule,9.71,,51.12,101,,Fee Schedule,7.82,,51.12,101,,Fee Schedule,9.3,,51.12,101,,Fee Schedule,8.28,,52.63,104,,Fee Schedule,5.63,, ,,,,,,,,,, ,, ,,,, ,,50.12,234.44,,																																							
Mitomycin injection,1232,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,471.02,467.75,,Fee Schedule,257.18,,471.02,467.75,,Fee Schedule,274.61,,471.02,467.75,,Fee Schedule,219.97,,471.02,467.75,,Fee Schedule,233.16,,471.02,467.75,,Fee Schedule,262.36,,471.02,467.75,,Fee Schedule,275.08,,419.32,416.41,,Fee Schedule,220.15,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,100.7,100,,Fee Schedule,17.32,,102.71,102,,Fee Schedule,11.91,,103.22,102.5,,Fee Schedule,15.69,,100.7,100,,Fee Schedule,17.42,,100.7,100,,Fee Schedule,11.98,,101.71,101,,Fee Schedule,15.76,,101.71,101,,Fee Schedule,15.76,,102.71,101,,Fee Schedule,19.52,,102.71,101,,Fee Schedule,15.72,,102.71,101,,Fee Schedule,18.69,,102.71,101,,Fee Schedule,16.64,,105.74,104,,Fee Schedule,11.31,, ,,,,,,,,,, ,, ,,,, ,,100.70,471.02,,																																							
Valrubicin injection,1235,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,7028.32,467.75,,Fee Schedule,3837.46,,7028.32,467.75,,Fee Schedule,4097.51,,7028.32,467.75,,Fee Schedule,3282.22,,7028.32,467.75,,Fee Schedule,3479.02,,7028.32,467.75,,Fee Schedule,3914.77,,7028.32,467.75,,Fee Schedule,4104.54,,6256.89,416.41,,Fee Schedule,3284.87,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,1502.58,100,,Fee Schedule,258.44,,1532.63,102,,Fee Schedule,177.79,,1540.14,102.5,,Fee Schedule,234.1,,1502.58,100,,Fee Schedule,259.95,,1502.58,100,,Fee Schedule,178.81,,1517.61,101,,Fee Schedule,235.23,,1517.61,101,,Fee Schedule,235.23,,1532.63,101,,Fee Schedule,291.2,,1532.63,101,,Fee Schedule,234.49,,1532.63,101,,Fee Schedule,278.94,,1532.63,101,,Fee Schedule,248.29,,1577.71,104,,Fee Schedule,168.81,, ,,,,,,,,,, ,, ,,,, ,,1502.58,7028.32,,																																							
Inj levoleucovorin nos 0.5mg,1236,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,0.28,467.75,,Fee Schedule,0.15,,0.28,467.75,,Fee Schedule,0.16,,0.28,467.75,,Fee Schedule,0.13,,0.28,467.75,,Fee Schedule,0.14,,0.28,467.75,,Fee Schedule,0.16,,0.28,467.75,,Fee Schedule,0.16,,0.25,416.41,,Fee Schedule,0.13,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,0.06,100,,Fee Schedule,0.01,,0.06,102,,Fee Schedule,0.01,,0.06,102.5,,Fee Schedule,0.01,,0.06,100,,Fee Schedule,0.01,,0.06,100,,Fee Schedule,0.01,,0.06,101,,Fee Schedule,0.01,,0.06,101,,Fee Schedule,0.01,,0.06,101,,Fee Schedule,0.01,,0.06,101,,Fee Schedule,0.01,,0.06,101,,Fee Schedule,0.01,,0.06,101,,Fee Schedule,0.01,,0.06,104,,Fee Schedule,0.01,, ,,,,,,,,,, ,, ,,,, ,,0.06,104.00,,																																							
Inj iron dextran,1237,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,85.74,467.75,,Fee Schedule,46.81,,85.74,467.75,,Fee Schedule,49.99,,85.74,467.75,,Fee Schedule,40.04,,85.74,467.75,,Fee Schedule,42.44,,85.74,467.75,,Fee Schedule,47.76,,85.74,467.75,,Fee Schedule,50.07,,76.33,416.41,,Fee Schedule,40.07,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,18.33,100,,Fee Schedule,3.15,,18.7,102,,Fee Schedule,2.17,,18.79,102.5,,Fee Schedule,2.86,,18.33,100,,Fee Schedule,3.17,,18.33,100,,Fee Schedule,2.18,,18.51,101,,Fee Schedule,2.87,,18.51,101,,Fee Schedule,2.87,,18.7,101,,Fee Schedule,3.55,,18.7,101,,Fee Schedule,2.86,,18.7,101,,Fee Schedule,3.4,,18.7,101,,Fee Schedule,3.03,,19.25,104,,Fee Schedule,2.06,, ,,,,,,,,,, ,, ,,,, ,,18.33,104.00,,																																							
Antithrombin iii injection,1263,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,18.29,467.75,,Fee Schedule,9.99,,18.29,467.75,,Fee Schedule,10.66,,18.29,467.75,,Fee Schedule,8.54,,18.29,467.75,,Fee Schedule,9.05,,18.29,467.75,,Fee Schedule,10.19,,18.29,467.75,,Fee Schedule,10.68,,16.28,416.41,,Fee Schedule,8.55,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,3.91,100,,Fee Schedule,0.67,,3.99,102,,Fee Schedule,0.46,,4.01,102.5,,Fee Schedule,0.61,,3.91,100,,Fee Schedule,0.68,,3.91,100,,Fee Schedule,0.47,,3.95,101,,Fee Schedule,0.61,,3.95,101,,Fee Schedule,0.61,,3.99,101,,Fee Schedule,0.76,,3.99,101,,Fee Schedule,0.61,,3.99,101,,Fee Schedule,0.73,,3.99,101,,Fee Schedule,0.65,,4.11,104,,Fee Schedule,0.44,, ,,,,,,,,,, ,, ,,,, ,,3.91,104.00,,																																							
Xyntha inj,1268,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,6.45,467.75,,Fee Schedule,3.52,,6.45,467.75,,Fee Schedule,3.76,,6.45,467.75,,Fee Schedule,3.01,,6.45,467.75,,Fee Schedule,3.2,,6.45,467.75,,Fee Schedule,3.6,,6.45,467.75,,Fee Schedule,3.77,,5.75,416.41,,Fee Schedule,3.02,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,1.38,100,,Fee Schedule,0.24,,1.41,102,,Fee Schedule,0.16,,1.41,102.5,,Fee Schedule,0.22,,1.38,100,,Fee Schedule,0.24,,1.38,100,,Fee Schedule,0.16,,1.39,101,,Fee Schedule,0.22,,1.39,101,,Fee Schedule,0.22,,1.41,101,,Fee Schedule,0.27,,1.41,101,,Fee Schedule,0.22,,1.41,101,,Fee Schedule,0.26,,1.41,101,,Fee Schedule,0.23,,1.45,104,,Fee Schedule,0.16,, ,,,,,,,,,, ,, ,,,, ,,1.38,104.00,,																																							
Edetate calcium disodium inj,1274,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,28123.05,467.75,,Fee Schedule,15355.18,,28123.05,467.75,,Fee Schedule,16395.74,,28123.05,467.75,,Fee Schedule,13133.46,,28123.05,467.75,,Fee Schedule,13920.91,,28123.05,467.75,,Fee Schedule,15664.54,,28123.05,467.75,,Fee Schedule,16423.86,,25036.28,416.41,,Fee Schedule,13144.05,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,6012.41,100,,Fee Schedule,1034.13,,6132.66,102,,Fee Schedule,711.39,,6162.72,102.5,,Fee Schedule,936.73,,6012.41,100,,Fee Schedule,1040.15,,6012.41,100,,Fee Schedule,715.48,,6072.53,101,,Fee Schedule,941.24,,6072.53,101,,Fee Schedule,941.24,,6132.66,101,,Fee Schedule,1165.21,,6132.66,101,,Fee Schedule,938.3,,6132.66,101,,Fee Schedule,1116.14,,6132.66,101,,Fee Schedule,993.49,,6313.03,104,,Fee Schedule,675.49,, ,,,,,,,,,, ,, ,,,, ,,6012.41,28123.05,,																																							
Bevacizumab injection,1281,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,9.07,467.75,,Fee Schedule,4.95,,9.07,467.75,,Fee Schedule,5.29,,9.07,467.75,,Fee Schedule,4.24,,9.07,467.75,,Fee Schedule,4.49,,9.07,467.75,,Fee Schedule,5.05,,9.07,467.75,,Fee Schedule,5.3,,8.08,416.41,,Fee Schedule,4.24,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,1.94,100,,Fee Schedule,0.33,,1.98,102,,Fee Schedule,0.23,,1.99,102.5,,Fee Schedule,0.3,,1.94,100,,Fee Schedule,0.34,,1.94,100,,Fee Schedule,0.23,,1.96,101,,Fee Schedule,0.3,,1.96,101,,Fee Schedule,0.3,,1.98,101,,Fee Schedule,0.38,,1.98,101,,Fee Schedule,0.3,,1.98,101,,Fee Schedule,0.36,,1.98,101,,Fee Schedule,0.32,,2.04,104,,Fee Schedule,0.22,, ,,,,,,,,,, ,, ,,,, ,,1.94,104.00,,																																							
Abobotulinumtoxina,1289,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,40.51,467.75,,Fee Schedule,22.12,,40.51,467.75,,Fee Schedule,23.62,,40.51,467.75,,Fee Schedule,18.92,,40.51,467.75,,Fee Schedule,20.05,,40.51,467.75,,Fee Schedule,22.56,,40.51,467.75,,Fee Schedule,23.66,,36.06,416.41,,Fee Schedule,18.93,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,8.66,100,,Fee Schedule,1.49,,8.83,102,,Fee Schedule,1.02,,8.88,102.5,,Fee Schedule,1.35,,8.66,100,,Fee Schedule,1.5,,8.66,100,,Fee Schedule,1.03,,8.75,101,,Fee Schedule,1.36,,8.75,101,,Fee Schedule,1.36,,8.83,101,,Fee Schedule,1.68,,8.83,101,,Fee Schedule,1.35,,8.83,101,,Fee Schedule,1.61,,8.83,101,,Fee Schedule,1.43,,9.09,104,,Fee Schedule,0.97,, ,,,,,,,,,, ,, ,,,, ,,8.66,104.00,,																																							
Sm 153 lexidronam,1295,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,85029.56,467.75,,Fee Schedule,46426.14,,85029.56,467.75,,Fee Schedule,49572.23,,85029.56,467.75,,Fee Schedule,39708.8,,85029.56,467.75,,Fee Schedule,42089.63,,85029.56,467.75,,Fee Schedule,47361.46,,85029.56,467.75,,Fee Schedule,49657.26,,75696.76,416.41,,Fee Schedule,39740.8,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,18178.42,100,,Fee Schedule,3126.69,,18541.99,102,,Fee Schedule,2150.87,,18632.88,102.5,,Fee Schedule,2832.2,,18178.42,100,,Fee Schedule,3144.87,,18178.42,100,,Fee Schedule,2163.23,,18360.2,101,,Fee Schedule,2845.83,,18360.2,101,,Fee Schedule,2845.83,,18541.99,101,,Fee Schedule,3522.98,,18541.99,101,,Fee Schedule,2836.92,,18541.99,101,,Fee Schedule,3374.64,,18541.99,101,,Fee Schedule,3003.8,,19087.34,104,,Fee Schedule,2042.35,, ,,,,,,,,,, ,, ,,,, ,,18178.42,85029.56,,																																							
Degarelix injection,1296,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,20.35,467.75,,Fee Schedule,11.11,,20.35,467.75,,Fee Schedule,11.86,,20.35,467.75,,Fee Schedule,9.5,,20.35,467.75,,Fee Schedule,10.07,,20.35,467.75,,Fee Schedule,11.33,,20.35,467.75,,Fee Schedule,11.88,,18.11,416.41,,Fee Schedule,9.51,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,4.35,100,,Fee Schedule,0.75,,4.44,102,,Fee Schedule,0.51,,4.46,102.5,,Fee Schedule,0.68,,4.35,100,,Fee Schedule,0.75,,4.35,100,,Fee Schedule,0.52,,4.39,101,,Fee Schedule,0.68,,4.39,101,,Fee Schedule,0.68,,4.44,101,,Fee Schedule,0.84,,4.44,101,,Fee Schedule,0.68,,4.44,101,,Fee Schedule,0.81,,4.44,101,,Fee Schedule,0.72,,4.57,104,,Fee Schedule,0.49,, ,,,,,,,,,, ,, ,,,, ,,4.35,104.00,,																																							
Ferumoxytol, nonesrd,1297,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,2.48,467.75,,Fee Schedule,1.35,,2.48,467.75,,Fee Schedule,1.45,,2.48,467.75,,Fee Schedule,1.16,,2.48,467.75,,Fee Schedule,1.23,,2.48,467.75,,Fee Schedule,1.38,,2.48,467.75,,Fee Schedule,1.45,,2.21,416.41,,Fee Schedule,1.16,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,0.53,100,,Fee Schedule,0.09,,0.54,102,,Fee Schedule,0.06,,0.54,102.5,,Fee Schedule,0.08,,0.53,100,,Fee Schedule,0.09,,0.53,100,,Fee Schedule,0.06,,0.54,101,,Fee Schedule,0.08,,0.54,101,,Fee Schedule,0.08,,0.54,101,,Fee Schedule,0.1,,0.54,101,,Fee Schedule,0.08,,0.54,101,,Fee Schedule,0.1,,0.54,101,,Fee Schedule,0.09,,0.56,104,,Fee Schedule,0.06,, ,,,,,,,,,, ,, ,,,, ,,0.53,104.00,,																																							
Canakinumab injection,1311,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,601.29,467.75,,Fee Schedule,328.31,,601.29,467.75,,Fee Schedule,350.55,,601.29,467.75,,Fee Schedule,280.8,,601.29,467.75,,Fee Schedule,297.64,,601.29,467.75,,Fee Schedule,334.92,,601.29,467.75,,Fee Schedule,351.15,,535.3,416.41,,Fee Schedule,281.03,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,128.55,100,,Fee Schedule,22.11,,131.12,102,,Fee Schedule,15.21,,131.76,102.5,,Fee Schedule,20.03,,128.55,100,,Fee Schedule,22.24,,128.55,100,,Fee Schedule,15.3,,129.84,101,,Fee Schedule,20.12,,129.84,101,,Fee Schedule,20.12,,131.12,101,,Fee Schedule,24.91,,131.12,101,,Fee Schedule,20.06,,131.12,101,,Fee Schedule,23.86,,131.12,101,,Fee Schedule,21.24,,134.98,104,,Fee Schedule,14.44,, ,,,,,,,,,, ,, ,,,, ,,128.55,601.29,,																																							
Hizentra injection,1312,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,62.73,467.75,,Fee Schedule,34.25,,62.73,467.75,,Fee Schedule,36.57,,62.73,467.75,,Fee Schedule,29.29,,62.73,467.75,,Fee Schedule,31.05,,62.73,467.75,,Fee Schedule,34.94,,62.73,467.75,,Fee Schedule,36.63,,55.84,416.41,,Fee Schedule,29.32,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,13.41,100,,Fee Schedule,2.31,,13.68,102,,Fee Schedule,1.59,,13.75,102.5,,Fee Schedule,2.09,,13.41,100,,Fee Schedule,2.32,,13.41,100,,Fee Schedule,1.6,,13.54,101,,Fee Schedule,2.1,,13.54,101,,Fee Schedule,2.1,,13.68,101,,Fee Schedule,2.6,,13.68,101,,Fee Schedule,2.09,,13.68,101,,Fee Schedule,2.49,,13.68,101,,Fee Schedule,2.22,,14.08,104,,Fee Schedule,1.51,, ,,,,,,,,,, ,, ,,,, ,,13.41,104.00,,																																							
Imuglucerase injection,1327,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,217.46,467.75,,Fee Schedule,118.73,,217.46,467.75,,Fee Schedule,126.78,,217.46,467.75,,Fee Schedule,101.55,,217.46,467.75,,Fee Schedule,107.64,,217.46,467.75,,Fee Schedule,121.12,,217.46,467.75,,Fee Schedule,126.99,,193.59,416.41,,Fee Schedule,101.63,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,46.49,100,,Fee Schedule,8,,47.42,102,,Fee Schedule,5.5,,47.65,102.5,,Fee Schedule,7.24,,46.49,100,,Fee Schedule,8.04,,46.49,100,,Fee Schedule,5.53,,46.95,101,,Fee Schedule,7.28,,46.95,101,,Fee Schedule,7.28,,47.42,101,,Fee Schedule,9.01,,47.42,101,,Fee Schedule,7.26,,47.42,101,,Fee Schedule,8.63,,47.42,101,,Fee Schedule,7.68,,48.81,104,,Fee Schedule,5.22,, ,,,,,,,,,, ,, ,,,, ,,46.49,217.46,,																																							
Collagenase, clost hist inj,1340,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,333.74,467.75,,Fee Schedule,182.22,,333.74,467.75,,Fee Schedule,194.57,,333.74,467.75,,Fee Schedule,155.86,,333.74,467.75,,Fee Schedule,165.2,,333.74,467.75,,Fee Schedule,185.89,,333.74,467.75,,Fee Schedule,194.9,,297.11,416.41,,Fee Schedule,155.98,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,71.35,100,,Fee Schedule,12.27,,72.78,102,,Fee Schedule,8.44,,73.13,102.5,,Fee Schedule,11.12,,71.35,100,,Fee Schedule,12.34,,71.35,100,,Fee Schedule,8.49,,72.06,101,,Fee Schedule,11.17,,72.06,101,,Fee Schedule,11.17,,72.78,101,,Fee Schedule,13.83,,72.78,101,,Fee Schedule,11.13,,72.78,101,,Fee Schedule,13.25,,72.78,101,,Fee Schedule,11.79,,74.92,104,,Fee Schedule,8.02,, ,,,,,,,,,, ,, ,,,, ,,71.35,333.74,,																																							
Amobarbital 125 mg inj,1341,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,843.26,467.75,,Fee Schedule,460.42,,843.26,467.75,,Fee Schedule,491.62,,843.26,467.75,,Fee Schedule,393.8,,843.26,467.75,,Fee Schedule,417.41,,843.26,467.75,,Fee Schedule,469.7,,843.26,467.75,,Fee Schedule,492.46,,750.7,416.41,,Fee Schedule,394.12,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,180.28,100,,Fee Schedule,31.01,,183.89,102,,Fee Schedule,21.33,,184.79,102.5,,Fee Schedule,28.09,,180.28,100,,Fee Schedule,31.19,,180.28,100,,Fee Schedule,21.45,,182.08,101,,Fee Schedule,28.22,,182.08,101,,Fee Schedule,28.22,,183.89,101,,Fee Schedule,34.94,,183.89,101,,Fee Schedule,28.13,,183.89,101,,Fee Schedule,33.47,,183.89,101,,Fee Schedule,29.79,,189.29,104,,Fee Schedule,20.25,, ,,,,,,,,,, ,, ,,,, ,,180.28,843.26,,																																							
Wilate injection,1352,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,6.41,467.75,,Fee Schedule,3.5,,6.41,467.75,,Fee Schedule,3.74,,6.41,467.75,,Fee Schedule,2.99,,6.41,467.75,,Fee Schedule,3.17,,6.41,467.75,,Fee Schedule,3.57,,6.41,467.75,,Fee Schedule,3.74,,5.7,416.41,,Fee Schedule,3,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,1.37,100,,Fee Schedule,0.24,,1.4,102,,Fee Schedule,0.16,,1.4,102.5,,Fee Schedule,0.21,,1.37,100,,Fee Schedule,0.24,,1.37,100,,Fee Schedule,0.16,,1.38,101,,Fee Schedule,0.21,,1.38,101,,Fee Schedule,0.21,,1.4,101,,Fee Schedule,0.27,,1.4,101,,Fee Schedule,0.21,,1.4,101,,Fee Schedule,0.25,,1.4,101,,Fee Schedule,0.23,,1.44,104,,Fee Schedule,0.15,, ,,,,,,,,,, ,, ,,,, ,,1.37,104.00,,																																							
Belimumab injection,1353,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,256.05,467.75,,Fee Schedule,139.8,,256.05,467.75,,Fee Schedule,149.28,,256.05,467.75,,Fee Schedule,119.57,,256.05,467.75,,Fee Schedule,126.74,,256.05,467.75,,Fee Schedule,142.62,,256.05,467.75,,Fee Schedule,149.53,,227.94,416.41,,Fee Schedule,119.67,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,54.74,100,,Fee Schedule,9.42,,55.83,102,,Fee Schedule,6.48,,56.11,102.5,,Fee Schedule,8.53,,54.74,100,,Fee Schedule,9.47,,54.74,100,,Fee Schedule,6.51,,55.29,101,,Fee Schedule,8.57,,55.29,101,,Fee Schedule,8.57,,55.83,101,,Fee Schedule,10.61,,55.83,101,,Fee Schedule,8.54,,55.83,101,,Fee Schedule,10.16,,55.83,101,,Fee Schedule,9.05,,57.48,104,,Fee Schedule,6.15,, ,,,,,,,,,, ,, ,,,, ,,54.74,256.05,,																																							
Cyclophosphamide 100 mg inj,1408,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,88.4,467.75,,Fee Schedule,48.27,,88.4,467.75,,Fee Schedule,51.54,,88.4,467.75,,Fee Schedule,41.29,,88.4,467.75,,Fee Schedule,43.76,,88.4,467.75,,Fee Schedule,49.24,,88.4,467.75,,Fee Schedule,51.63,,78.7,416.41,,Fee Schedule,41.32,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,18.9,100,,Fee Schedule,3.25,,19.28,102,,Fee Schedule,2.24,,19.37,102.5,,Fee Schedule,2.94,,18.9,100,,Fee Schedule,3.27,,18.9,100,,Fee Schedule,2.25,,19.09,101,,Fee Schedule,2.96,,19.09,101,,Fee Schedule,2.96,,19.28,101,,Fee Schedule,3.66,,19.28,101,,Fee Schedule,2.95,,19.28,101,,Fee Schedule,3.51,,19.28,101,,Fee Schedule,3.12,,19.85,104,,Fee Schedule,2.12,, ,,,,,,,,,, ,, ,,,, ,,18.90,104.00,,																																							
Lumizyme injection,1413,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,970.86,467.75,,Fee Schedule,530.09,,970.86,467.75,,Fee Schedule,566.01,,970.86,467.75,,Fee Schedule,453.39,,970.86,467.75,,Fee Schedule,480.58,,970.86,467.75,,Fee Schedule,540.77,,970.86,467.75,,Fee Schedule,566.98,,864.3,416.41,,Fee Schedule,453.76,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,207.56,100,,Fee Schedule,35.7,,211.71,102,,Fee Schedule,24.56,,212.75,102.5,,Fee Schedule,32.34,,207.56,100,,Fee Schedule,35.91,,207.56,100,,Fee Schedule,24.7,,209.64,101,,Fee Schedule,32.49,,209.64,101,,Fee Schedule,32.49,,211.71,101,,Fee Schedule,40.23,,211.71,101,,Fee Schedule,32.39,,211.71,101,,Fee Schedule,38.53,,211.71,101,,Fee Schedule,34.3,,217.94,104,,Fee Schedule,23.32,, ,,,,,,,,,, ,, ,,,, ,,207.56,970.86,,																																							
Glassia injection,1415,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,26.71,467.75,,Fee Schedule,14.58,,26.71,467.75,,Fee Schedule,15.57,,26.71,467.75,,Fee Schedule,12.47,,26.71,467.75,,Fee Schedule,13.22,,26.71,467.75,,Fee Schedule,14.88,,26.71,467.75,,Fee Schedule,15.6,,23.78,416.41,,Fee Schedule,12.48,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,5.71,100,,Fee Schedule,0.98,,5.82,102,,Fee Schedule,0.68,,5.85,102.5,,Fee Schedule,0.89,,5.71,100,,Fee Schedule,0.99,,5.71,100,,Fee Schedule,0.68,,5.77,101,,Fee Schedule,0.89,,5.77,101,,Fee Schedule,0.89,,5.82,101,,Fee Schedule,1.11,,5.82,101,,Fee Schedule,0.89,,5.82,101,,Fee Schedule,1.06,,5.82,101,,Fee Schedule,0.94,,6,104,,Fee Schedule,0.64,, ,,,,,,,,,, ,, ,,,, ,,5.71,104.00,,																																							
Gelone,1417,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,2538.62,467.75,,Fee Schedule,1386.09,,2538.62,467.75,,Fee Schedule,1480.02,,2538.62,467.75,,Fee Schedule,1185.54,,2538.62,467.75,,Fee Schedule,1256.62,,2538.62,467.75,,Fee Schedule,1414.01,,2538.62,467.75,,Fee Schedule,1482.55,,2259.98,416.41,,Fee Schedule,1186.49,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,542.73,100,,Fee Schedule,93.35,,553.58,102,,Fee Schedule,64.22,,556.3,102.5,,Fee Schedule,84.56,,542.73,100,,Fee Schedule,93.89,,542.73,100,,Fee Schedule,64.58,,548.16,101,,Fee Schedule,84.96,,548.16,101,,Fee Schedule,84.96,,553.58,101,,Fee Schedule,105.18,,553.58,101,,Fee Schedule,84.7,,553.58,101,,Fee Schedule,100.75,,553.58,101,,Fee Schedule,89.68,,569.87,104,,Fee Schedule,60.98,, ,,,,,,,,,, ,, ,,,, ,,542.73,2538.62,,																																							
Aflibercept injection,1420,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,4277.34,467.75,,Fee Schedule,2335.43,,4277.34,467.75,,Fee Schedule,2493.69,,4277.34,467.75,,Fee Schedule,1997.52,,4277.34,467.75,,Fee Schedule,2117.28,,4277.34,467.75,,Fee Schedule,2382.48,,4277.34,467.75,,Fee Schedule,2497.97,,3807.86,416.41,,Fee Schedule,1999.13,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,914.45,100,,Fee Schedule,157.29,,932.74,102,,Fee Schedule,108.2,,937.31,102.5,,Fee Schedule,142.47,,914.45,100,,Fee Schedule,158.2,,914.45,100,,Fee Schedule,108.82,,923.59,101,,Fee Schedule,143.16,,923.59,101,,Fee Schedule,143.16,,932.74,101,,Fee Schedule,177.22,,932.74,101,,Fee Schedule,142.71,,932.74,101,,Fee Schedule,169.76,,932.74,101,,Fee Schedule,151.1,,960.17,104,,Fee Schedule,102.74,, ,,,,,,,,,, ,, ,,,, ,,914.45,4277.34,,																																							
Imported lipodox inj,1421,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,2089.3,467.75,,Fee Schedule,1140.76,,2089.3,467.75,,Fee Schedule,1218.06,,2089.3,467.75,,Fee Schedule,975.7,,2089.3,467.75,,Fee Schedule,1034.2,,2089.3,467.75,,Fee Schedule,1163.74,,2089.3,467.75,,Fee Schedule,1220.15,,1859.98,416.41,,Fee Schedule,976.49,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,446.67,100,,Fee Schedule,76.83,,455.6,102,,Fee Schedule,52.85,,457.84,102.5,,Fee Schedule,69.59,,446.67,100,,Fee Schedule,77.27,,446.67,100,,Fee Schedule,53.15,,451.14,101,,Fee Schedule,69.93,,451.14,101,,Fee Schedule,69.93,,455.6,101,,Fee Schedule,86.56,,455.6,101,,Fee Schedule,69.71,,455.6,101,,Fee Schedule,82.92,,455.6,101,,Fee Schedule,73.81,,469,104,,Fee Schedule,50.18,, ,,,,,,,,,, ,, ,,,, ,,446.67,2089.30,,																																							
Eribulin mesylate injection,1426,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,644.75,467.75,,Fee Schedule,352.03,,644.75,467.75,,Fee Schedule,375.89,,644.75,467.75,,Fee Schedule,301.1,,644.75,467.75,,Fee Schedule,319.15,,644.75,467.75,,Fee Schedule,359.12,,644.75,467.75,,Fee Schedule,376.53,,573.98,416.41,,Fee Schedule,301.34,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,137.84,100,,Fee Schedule,23.71,,140.6,102,,Fee Schedule,16.31,,141.29,102.5,,Fee Schedule,21.48,,137.84,100,,Fee Schedule,23.85,,137.84,100,,Fee Schedule,16.4,,139.22,101,,Fee Schedule,21.58,,139.22,101,,Fee Schedule,21.58,,140.6,101,,Fee Schedule,26.71,,140.6,101,,Fee Schedule,21.51,,140.6,101,,Fee Schedule,25.59,,140.6,101,,Fee Schedule,22.78,,144.73,104,,Fee Schedule,15.49,, ,,,,,,,,,, ,, ,,,, ,,137.84,644.75,,																																							
Centruroides immune f(ab),1431,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,23207.93,467.75,,Fee Schedule,12671.53,,23207.93,467.75,,Fee Schedule,13530.22,,23207.93,467.75,,Fee Schedule,10838.1,,23207.93,467.75,,Fee Schedule,11487.93,,23207.93,467.75,,Fee Schedule,12926.82,,23207.93,467.75,,Fee Schedule,13553.43,,20660.64,416.41,,Fee Schedule,10846.84,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,4961.61,100,,Fee Schedule,853.4,,5060.84,102,,Fee Schedule,587.06,,5085.65,102.5,,Fee Schedule,773.02,,4961.61,100,,Fee Schedule,858.36,,4961.61,100,,Fee Schedule,590.43,,5011.23,101,,Fee Schedule,776.74,,5011.23,101,,Fee Schedule,776.74,,5060.84,101,,Fee Schedule,961.56,,5060.84,101,,Fee Schedule,774.31,,5060.84,101,,Fee Schedule,921.07,,5060.84,101,,Fee Schedule,819.86,,5209.69,104,,Fee Schedule,557.44,, ,,,,,,,,,, ,, ,,,, ,,4961.61,23207.93,,																																							
Calcitonin salmon injection,1433,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,6386.47,467.75,,Fee Schedule,3487.01,,6386.47,467.75,,Fee Schedule,3723.31,,6386.47,467.75,,Fee Schedule,2982.48,,6386.47,467.75,,Fee Schedule,3161.3,,6386.47,467.75,,Fee Schedule,3557.26,,6386.47,467.75,,Fee Schedule,3729.7,,5685.5,416.41,,Fee Schedule,2984.89,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,1365.36,100,,Fee Schedule,234.84,,1392.67,102,,Fee Schedule,161.55,,1399.49,102.5,,Fee Schedule,212.72,,1365.36,100,,Fee Schedule,236.21,,1365.36,100,,Fee Schedule,162.48,,1379.01,101,,Fee Schedule,213.75,,1379.01,101,,Fee Schedule,213.75,,1392.67,101,,Fee Schedule,264.61,,1392.67,101,,Fee Schedule,213.08,,1392.67,101,,Fee Schedule,253.47,,1392.67,101,,Fee Schedule,225.61,,1433.63,104,,Fee Schedule,153.4,, ,,,,,,,,,, ,, ,,,, ,,1365.36,6386.47,,																																							
Inj desmopressin acetate,1440,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,30.26,467.75,,Fee Schedule,16.52,,30.26,467.75,,Fee Schedule,17.64,,30.26,467.75,,Fee Schedule,14.13,,30.26,467.75,,Fee Schedule,14.98,,30.26,467.75,,Fee Schedule,16.86,,30.26,467.75,,Fee Schedule,17.67,,26.94,416.41,,Fee Schedule,14.14,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,6.47,100,,Fee Schedule,1.11,,6.6,102,,Fee Schedule,0.77,,6.63,102.5,,Fee Schedule,1.01,,6.47,100,,Fee Schedule,1.12,,6.47,100,,Fee Schedule,0.77,,6.53,101,,Fee Schedule,1.01,,6.53,101,,Fee Schedule,1.01,,6.6,101,,Fee Schedule,1.25,,6.6,101,,Fee Schedule,1.01,,6.6,101,,Fee Schedule,1.2,,6.6,101,,Fee Schedule,1.07,,6.79,104,,Fee Schedule,0.73,, ,,,,,,,,,, ,, ,,,, ,,6.47,104.00,,																																							
Nonheu tc99m addon/dose,1442,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,49.25,467.75,,Fee Schedule,26.89,,49.25,467.75,,Fee Schedule,28.72,,49.25,467.75,,Fee Schedule,23,,49.25,467.75,,Fee Schedule,24.38,,49.25,467.75,,Fee Schedule,27.43,,49.25,467.75,,Fee Schedule,28.76,,43.85,416.41,,Fee Schedule,23.02,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,10.53,100,,Fee Schedule,1.81,,10.74,102,,Fee Schedule,1.25,,10.79,102.5,,Fee Schedule,1.64,,10.53,100,,Fee Schedule,1.82,,10.53,100,,Fee Schedule,1.25,,10.64,101,,Fee Schedule,1.65,,10.64,101,,Fee Schedule,1.65,,10.74,101,,Fee Schedule,2.04,,10.74,101,,Fee Schedule,1.64,,10.74,101,,Fee Schedule,1.95,,10.74,101,,Fee Schedule,1.74,,11.06,104,,Fee Schedule,1.18,, ,,,,,,,,,, ,, ,,,, ,,10.53,104.00,,																																							
Icatibant injection,1443,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,723.28,467.75,,Fee Schedule,394.91,,723.28,467.75,,Fee Schedule,421.67,,723.28,467.75,,Fee Schedule,337.77,,723.28,467.75,,Fee Schedule,358.02,,723.28,467.75,,Fee Schedule,402.87,,723.28,467.75,,Fee Schedule,422.4,,643.89,416.41,,Fee Schedule,338.04,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,154.63,100,,Fee Schedule,26.6,,157.72,102,,Fee Schedule,18.3,,158.5,102.5,,Fee Schedule,24.09,,154.63,100,,Fee Schedule,26.75,,154.63,100,,Fee Schedule,18.4,,156.18,101,,Fee Schedule,24.21,,156.18,101,,Fee Schedule,24.21,,157.72,101,,Fee Schedule,29.97,,157.72,101,,Fee Schedule,24.13,,157.72,101,,Fee Schedule,28.71,,157.72,101,,Fee Schedule,25.55,,162.36,104,,Fee Schedule,17.37,, ,,,,,,,,,, ,, ,,,, ,,154.63,723.28,,																																							
Visualization adjunct,1446,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,36.86,467.75,,Fee Schedule,20.12,,36.86,467.75,,Fee Schedule,21.49,,36.86,467.75,,Fee Schedule,17.21,,36.86,467.75,,Fee Schedule,18.25,,36.86,467.75,,Fee Schedule,20.53,,36.86,467.75,,Fee Schedule,21.53,,32.81,416.41,,Fee Schedule,17.23,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,7.88,100,,Fee Schedule,1.36,,8.04,102,,Fee Schedule,0.93,,8.08,102.5,,Fee Schedule,1.23,,7.88,100,,Fee Schedule,1.36,,7.88,100,,Fee Schedule,0.94,,7.96,101,,Fee Schedule,1.23,,7.96,101,,Fee Schedule,1.23,,8.04,101,,Fee Schedule,1.53,,8.04,101,,Fee Schedule,1.23,,8.04,101,,Fee Schedule,1.46,,8.04,101,,Fee Schedule,1.3,,8.27,104,,Fee Schedule,0.89,, ,,,,,,,,,, ,, ,,,, ,,7.88,104.00,,																																							
Phentolaine mesylate inj,1458,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,2234.91,467.75,,Fee Schedule,1220.26,,2234.91,467.75,,Fee Schedule,1302.95,,2234.91,467.75,,Fee Schedule,1043.7,,2234.91,467.75,,Fee Schedule,1106.28,,2234.91,467.75,,Fee Schedule,1244.84,,2234.91,467.75,,Fee Schedule,1305.19,,1989.61,416.41,,Fee Schedule,1044.54,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,477.8,100,,Fee Schedule,82.18,,487.36,102,,Fee Schedule,56.53,,489.75,102.5,,Fee Schedule,74.44,,477.8,100,,Fee Schedule,82.66,,477.8,100,,Fee Schedule,56.86,,482.58,101,,Fee Schedule,74.8,,482.58,101,,Fee Schedule,74.8,,487.36,101,,Fee Schedule,92.6,,487.36,101,,Fee Schedule,74.57,,487.36,101,,Fee Schedule,88.7,,487.36,101,,Fee Schedule,78.95,,501.69,104,,Fee Schedule,53.68,, ,,,,,,,,,, ,, ,,,, ,,477.80,2234.91,,																																							
Inj, vincristine sul lip 1mg,1466,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,16852.24,467.75,,Fee Schedule,9201.32,,16852.24,467.75,,Fee Schedule,9824.85,,16852.24,467.75,,Fee Schedule,7869.99,,16852.24,467.75,,Fee Schedule,8341.86,,16852.24,467.75,,Fee Schedule,9386.7,,16852.24,467.75,,Fee Schedule,9841.71,,15002.54,416.41,,Fee Schedule,7876.34,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,3602.83,100,,Fee Schedule,619.69,,3674.89,102,,Fee Schedule,426.29,,3692.9,102.5,,Fee Schedule,561.32,,3602.83,100,,Fee Schedule,623.29,,3602.83,100,,Fee Schedule,428.74,,3638.86,101,,Fee Schedule,564.02,,3638.86,101,,Fee Schedule,564.02,,3674.89,101,,Fee Schedule,698.23,,3674.89,101,,Fee Schedule,562.26,,3674.89,101,,Fee Schedule,668.83,,3674.89,101,,Fee Schedule,595.33,,3782.97,104,,Fee Schedule,404.78,, ,,,,,,,,,, ,, ,,,, ,,3602.83,16852.24,,																																							
Factor ix recombinan rixubis,1467,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,7.9,467.75,,Fee Schedule,4.32,,7.9,467.75,,Fee Schedule,4.61,,7.9,467.75,,Fee Schedule,3.69,,7.9,467.75,,Fee Schedule,3.91,,7.9,467.75,,Fee Schedule,4.4,,7.9,467.75,,Fee Schedule,4.62,,7.04,416.41,,Fee Schedule,3.69,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,1.69,100,,Fee Schedule,0.29,,1.72,102,,Fee Schedule,0.2,,1.73,102.5,,Fee Schedule,0.26,,1.69,100,,Fee Schedule,0.29,,1.69,100,,Fee Schedule,0.2,,1.71,101,,Fee Schedule,0.26,,1.71,101,,Fee Schedule,0.26,,1.72,101,,Fee Schedule,0.33,,1.72,101,,Fee Schedule,0.26,,1.72,101,,Fee Schedule,0.31,,1.72,101,,Fee Schedule,0.28,,1.77,104,,Fee Schedule,0.19,, ,,,,,,,,,, ,, ,,,, ,,1.69,104.00,,																																							
Inj aripiprazole ext rel 1mg,1468,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,33.58,467.75,,Fee Schedule,18.34,,33.58,467.75,,Fee Schedule,19.58,,33.58,467.75,,Fee Schedule,15.68,,33.58,467.75,,Fee Schedule,16.62,,33.58,467.75,,Fee Schedule,18.71,,33.58,467.75,,Fee Schedule,19.61,,29.9,416.41,,Fee Schedule,15.7,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,7.18,100,,Fee Schedule,1.23,,7.32,102,,Fee Schedule,0.85,,7.36,102.5,,Fee Schedule,1.12,,7.18,100,,Fee Schedule,1.24,,7.18,100,,Fee Schedule,0.85,,7.25,101,,Fee Schedule,1.12,,7.25,101,,Fee Schedule,1.12,,7.32,101,,Fee Schedule,1.39,,7.32,101,,Fee Schedule,1.12,,7.32,101,,Fee Schedule,1.33,,7.32,101,,Fee Schedule,1.19,,7.54,104,,Fee Schedule,0.81,, ,,,,,,,,,, ,, ,,,, ,,7.18,104.00,,																																							
Inj filgrastim excl biosimil,1469,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,4.86,467.75,,Fee Schedule,2.66,,4.86,467.75,,Fee Schedule,2.84,,4.86,467.75,,Fee Schedule,2.27,,4.86,467.75,,Fee Schedule,2.41,,4.86,467.75,,Fee Schedule,2.71,,4.86,467.75,,Fee Schedule,2.84,,4.33,416.41,,Fee Schedule,2.27,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,1.04,100,,Fee Schedule,0.18,,1.06,102,,Fee Schedule,0.12,,1.07,102.5,,Fee Schedule,0.16,,1.04,100,,Fee Schedule,0.18,,1.04,100,,Fee Schedule,0.12,,1.05,101,,Fee Schedule,0.16,,1.05,101,,Fee Schedule,0.16,,1.06,101,,Fee Schedule,0.2,,1.06,101,,Fee Schedule,0.16,,1.06,101,,Fee Schedule,0.19,,1.06,101,,Fee Schedule,0.17,,1.09,104,,Fee Schedule,0.12,, ,,,,,,,,,, ,, ,,,, ,,1.04,104.00,,																																							
Injection, pertuzumab, 1 mg,1471,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,75.96,467.75,,Fee Schedule,41.48,,75.96,467.75,,Fee Schedule,44.29,,75.96,467.75,,Fee Schedule,35.47,,75.96,467.75,,Fee Schedule,37.6,,75.96,467.75,,Fee Schedule,42.31,,75.96,467.75,,Fee Schedule,44.36,,67.62,416.41,,Fee Schedule,35.5,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,16.24,100,,Fee Schedule,2.79,,16.56,102,,Fee Schedule,1.92,,16.65,102.5,,Fee Schedule,2.53,,16.24,100,,Fee Schedule,2.81,,16.24,100,,Fee Schedule,1.93,,16.4,101,,Fee Schedule,2.54,,16.4,101,,Fee Schedule,2.54,,16.56,101,,Fee Schedule,3.15,,16.56,101,,Fee Schedule,2.53,,16.56,101,,Fee Schedule,3.01,,16.56,101,,Fee Schedule,2.68,,17.05,104,,Fee Schedule,1.82,, ,,,,,,,,,, ,, ,,,, ,,16.24,104.00,,																																							
Inj beta interferon im 1 mcg,1472,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,265.4,467.75,,Fee Schedule,144.91,,265.4,467.75,,Fee Schedule,154.73,,265.4,467.75,,Fee Schedule,123.94,,265.4,467.75,,Fee Schedule,131.37,,265.4,467.75,,Fee Schedule,147.83,,265.4,467.75,,Fee Schedule,154.99,,236.27,416.41,,Fee Schedule,124.04,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,56.74,100,,Fee Schedule,9.76,,57.87,102,,Fee Schedule,6.71,,58.16,102.5,,Fee Schedule,8.84,,56.74,100,,Fee Schedule,9.82,,56.74,100,,Fee Schedule,6.75,,57.31,101,,Fee Schedule,8.88,,57.31,101,,Fee Schedule,8.88,,57.87,101,,Fee Schedule,11,,57.87,101,,Fee Schedule,8.85,,57.87,101,,Fee Schedule,10.53,,57.87,101,,Fee Schedule,9.38,,59.58,104,,Fee Schedule,6.37,, ,,,,,,,,,, ,, ,,,, ,,56.74,265.40,,																																							
Certolizumab pegol inj 1mg,1474,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,24.14,467.75,,Fee Schedule,13.18,,24.14,467.75,,Fee Schedule,14.07,,24.14,467.75,,Fee Schedule,11.27,,24.14,467.75,,Fee Schedule,11.95,,24.14,467.75,,Fee Schedule,13.44,,24.14,467.75,,Fee Schedule,14.1,,21.49,416.41,,Fee Schedule,11.28,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,5.16,100,,Fee Schedule,0.89,,5.26,102,,Fee Schedule,0.61,,5.29,102.5,,Fee Schedule,0.8,,5.16,100,,Fee Schedule,0.89,,5.16,100,,Fee Schedule,0.61,,5.21,101,,Fee Schedule,0.81,,5.21,101,,Fee Schedule,0.81,,5.26,101,,Fee Schedule,1,,5.26,101,,Fee Schedule,0.81,,5.26,101,,Fee Schedule,0.96,,5.26,101,,Fee Schedule,0.85,,5.42,104,,Fee Schedule,0.58,, ,,,,,,,,,, ,, ,,,, ,,5.16,104.00,,																																							
Golimumab for iv use 1mg,1475,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,63.71,467.75,,Fee Schedule,34.78,,63.71,467.75,,Fee Schedule,37.14,,63.71,467.75,,Fee Schedule,29.75,,63.71,467.75,,Fee Schedule,31.54,,63.71,467.75,,Fee Schedule,35.49,,63.71,467.75,,Fee Schedule,37.21,,56.72,416.41,,Fee Schedule,29.78,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,13.62,100,,Fee Schedule,2.34,,13.89,102,,Fee Schedule,1.61,,13.96,102.5,,Fee Schedule,2.12,,13.62,100,,Fee Schedule,2.36,,13.62,100,,Fee Schedule,1.62,,13.76,101,,Fee Schedule,2.13,,13.76,101,,Fee Schedule,2.13,,13.89,101,,Fee Schedule,2.64,,13.89,101,,Fee Schedule,2.13,,13.89,101,,Fee Schedule,2.53,,13.89,101,,Fee Schedule,2.25,,14.3,104,,Fee Schedule,1.53,, ,,,,,,,,,, ,, ,,,, ,,13.62,104.00,,																																							
Obinutuzumab inj,1476,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,346.28,467.75,,Fee Schedule,189.07,,346.28,467.75,,Fee Schedule,201.88,,346.28,467.75,,Fee Schedule,161.71,,346.28,467.75,,Fee Schedule,171.41,,346.28,467.75,,Fee Schedule,192.88,,346.28,467.75,,Fee Schedule,202.22,,308.27,416.41,,Fee Schedule,161.84,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,74.03,100,,Fee Schedule,12.73,,75.51,102,,Fee Schedule,8.76,,75.88,102.5,,Fee Schedule,11.53,,74.03,100,,Fee Schedule,12.81,,74.03,100,,Fee Schedule,8.81,,74.77,101,,Fee Schedule,11.59,,74.77,101,,Fee Schedule,11.59,,75.51,101,,Fee Schedule,14.35,,75.51,101,,Fee Schedule,11.55,,75.51,101,,Fee Schedule,13.74,,75.51,101,,Fee Schedule,12.23,,77.73,104,,Fee Schedule,8.32,, ,,,,,,,,,, ,, ,,,, ,,74.03,346.28,,																																							
Inj human fibrinogen con nos,1478,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,6.78,467.75,,Fee Schedule,3.7,,6.78,467.75,,Fee Schedule,3.95,,6.78,467.75,,Fee Schedule,3.17,,6.78,467.75,,Fee Schedule,3.36,,6.78,467.75,,Fee Schedule,3.78,,6.78,467.75,,Fee Schedule,3.96,,6.04,416.41,,Fee Schedule,3.17,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,1.45,100,,Fee Schedule,0.25,,1.48,102,,Fee Schedule,0.17,,1.49,102.5,,Fee Schedule,0.23,,1.45,100,,Fee Schedule,0.25,,1.45,100,,Fee Schedule,0.17,,1.46,101,,Fee Schedule,0.23,,1.46,101,,Fee Schedule,0.23,,1.48,101,,Fee Schedule,0.28,,1.48,101,,Fee Schedule,0.23,,1.48,101,,Fee Schedule,0.27,,1.48,101,,Fee Schedule,0.24,,1.52,104,,Fee Schedule,0.16,, ,,,,,,,,,, ,, ,,,, ,,1.45,104.00,,																																							
Elosulfase alfa, injection,1480,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,1383.93,467.75,,Fee Schedule,755.63,,1383.93,467.75,,Fee Schedule,806.83,,1383.93,467.75,,Fee Schedule,646.3,,1383.93,467.75,,Fee Schedule,685.05,,1383.93,467.75,,Fee Schedule,770.85,,1383.93,467.75,,Fee Schedule,808.22,,1232.03,416.41,,Fee Schedule,646.82,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,295.87,100,,Fee Schedule,50.89,,301.79,102,,Fee Schedule,35.01,,303.27,102.5,,Fee Schedule,46.1,,295.87,100,,Fee Schedule,51.19,,295.87,100,,Fee Schedule,35.21,,298.83,101,,Fee Schedule,46.32,,298.83,101,,Fee Schedule,46.32,,301.79,101,,Fee Schedule,57.34,,301.79,101,,Fee Schedule,46.17,,301.79,101,,Fee Schedule,54.93,,301.79,101,,Fee Schedule,48.89,,310.66,104,,Fee Schedule,33.24,, ,,,,,,,,,, ,, ,,,, ,,295.87,1383.93,,																																							
Darbepoetin alfa, esrd use,1482,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,14.5,467.75,,Fee Schedule,7.92,,14.5,467.75,,Fee Schedule,8.45,,14.5,467.75,,Fee Schedule,6.77,,14.5,467.75,,Fee Schedule,7.18,,14.5,467.75,,Fee Schedule,8.08,,14.5,467.75,,Fee Schedule,8.47,,12.91,416.41,,Fee Schedule,6.78,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,3.1,100,,Fee Schedule,0.53,,3.16,102,,Fee Schedule,0.37,,3.18,102.5,,Fee Schedule,0.48,,3.1,100,,Fee Schedule,0.54,,3.1,100,,Fee Schedule,0.37,,3.13,101,,Fee Schedule,0.49,,3.13,101,,Fee Schedule,0.49,,3.16,101,,Fee Schedule,0.6,,3.16,101,,Fee Schedule,0.48,,3.16,101,,Fee Schedule,0.58,,3.16,101,,Fee Schedule,0.51,,3.26,104,,Fee Schedule,0.35,, ,,,,,,,,,, ,, ,,,, ,,3.10,104.00,,																																							
Ferumoxytol, esrd use,1485,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,2.48,467.75,,Fee Schedule,1.35,,2.48,467.75,,Fee Schedule,1.45,,2.48,467.75,,Fee Schedule,1.16,,2.48,467.75,,Fee Schedule,1.23,,2.48,467.75,,Fee Schedule,1.38,,2.48,467.75,,Fee Schedule,1.45,,2.21,416.41,,Fee Schedule,1.16,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,0.53,100,,Fee Schedule,0.09,,0.54,102,,Fee Schedule,0.06,,0.54,102.5,,Fee Schedule,0.08,,0.53,100,,Fee Schedule,0.09,,0.53,100,,Fee Schedule,0.06,,0.54,101,,Fee Schedule,0.08,,0.54,101,,Fee Schedule,0.08,,0.54,101,,Fee Schedule,0.1,,0.54,101,,Fee Schedule,0.08,,0.54,101,,Fee Schedule,0.1,,0.54,101,,Fee Schedule,0.09,,0.56,104,,Fee Schedule,0.06,, ,,,,,,,,,, ,, ,,,, ,,0.53,104.00,,																																							
Factor ix alprolix recomb,1486,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,17.07,467.75,,Fee Schedule,9.32,,17.07,467.75,,Fee Schedule,9.95,,17.07,467.75,,Fee Schedule,7.97,,17.07,467.75,,Fee Schedule,8.45,,17.07,467.75,,Fee Schedule,9.51,,17.07,467.75,,Fee Schedule,9.97,,15.2,416.41,,Fee Schedule,7.98,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,3.65,100,,Fee Schedule,0.63,,3.72,102,,Fee Schedule,0.43,,3.74,102.5,,Fee Schedule,0.57,,3.65,100,,Fee Schedule,0.63,,3.65,100,,Fee Schedule,0.43,,3.69,101,,Fee Schedule,0.57,,3.69,101,,Fee Schedule,0.57,,3.72,101,,Fee Schedule,0.71,,3.72,101,,Fee Schedule,0.57,,3.72,101,,Fee Schedule,0.68,,3.72,101,,Fee Schedule,0.6,,3.83,104,,Fee Schedule,0.41,, ,,,,,,,,,, ,, ,,,, ,,3.65,104.00,,																																							
Injection, ramucirumab,1488,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,339.96,467.75,,Fee Schedule,185.62,,339.96,467.75,,Fee Schedule,198.2,,339.96,467.75,,Fee Schedule,158.76,,339.96,467.75,,Fee Schedule,168.28,,339.96,467.75,,Fee Schedule,189.36,,339.96,467.75,,Fee Schedule,198.54,,302.65,416.41,,Fee Schedule,158.89,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,72.68,100,,Fee Schedule,12.5,,74.13,102,,Fee Schedule,8.6,,74.5,102.5,,Fee Schedule,11.32,,72.68,100,,Fee Schedule,12.57,,72.68,100,,Fee Schedule,8.65,,73.41,101,,Fee Schedule,11.38,,73.41,101,,Fee Schedule,11.38,,74.13,101,,Fee Schedule,14.09,,74.13,101,,Fee Schedule,11.34,,74.13,101,,Fee Schedule,13.49,,74.13,101,,Fee Schedule,12.01,,76.31,104,,Fee Schedule,8.17,, ,,,,,,,,,, ,, ,,,, ,,72.68,339.96,,																																							
Injection, vedolizumab,1489,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,109.83,467.75,,Fee Schedule,59.97,,109.83,467.75,,Fee Schedule,64.03,,109.83,467.75,,Fee Schedule,51.29,,109.83,467.75,,Fee Schedule,54.36,,109.83,467.75,,Fee Schedule,61.17,,109.83,467.75,,Fee Schedule,64.14,,97.77,416.41,,Fee Schedule,51.33,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,23.48,100,,Fee Schedule,4.04,,23.95,102,,Fee Schedule,2.78,,24.07,102.5,,Fee Schedule,3.66,,23.48,100,,Fee Schedule,4.06,,23.48,100,,Fee Schedule,2.79,,23.71,101,,Fee Schedule,3.68,,23.71,101,,Fee Schedule,3.68,,23.95,101,,Fee Schedule,4.55,,23.95,101,,Fee Schedule,3.66,,23.95,101,,Fee Schedule,4.36,,23.95,101,,Fee Schedule,3.88,,24.65,104,,Fee Schedule,2.64,, ,,,,,,,,,, ,, ,,,, ,,23.48,109.83,,																																							
Inj pembrolizumab,1490,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,277.89,467.75,,Fee Schedule,151.73,,277.89,467.75,,Fee Schedule,162.01,,277.89,467.75,,Fee Schedule,129.77,,277.89,467.75,,Fee Schedule,137.56,,277.89,467.75,,Fee Schedule,154.78,,277.89,467.75,,Fee Schedule,162.29,,247.39,416.41,,Fee Schedule,129.88,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,59.41,100,,Fee Schedule,10.22,,60.6,102,,Fee Schedule,7.03,,60.9,102.5,,Fee Schedule,9.26,,59.41,100,,Fee Schedule,10.28,,59.41,100,,Fee Schedule,7.07,,60,101,,Fee Schedule,9.3,,60,101,,Fee Schedule,9.3,,60.6,101,,Fee Schedule,11.51,,60.6,101,,Fee Schedule,9.27,,60.6,101,,Fee Schedule,11.03,,60.6,101,,Fee Schedule,9.82,,62.38,104,,Fee Schedule,6.67,, ,,,,,,,,,, ,, ,,,, ,,59.41,277.89,,																																							
Tixagev and cilgav inj,1503,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,741.43,467.75,,Fee Schedule,404.82,,741.43,467.75,,Fee Schedule,432.25,,741.43,467.75,,Fee Schedule,346.25,,741.43,467.75,,Fee Schedule,367.01,,741.43,467.75,,Fee Schedule,412.98,,741.43,467.75,,Fee Schedule,433,,660.05,416.41,,Fee Schedule,346.53,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,158.51,100,,Fee Schedule,27.26,,161.68,102,,Fee Schedule,18.75,,162.47,102.5,,Fee Schedule,24.7,,158.51,100,,Fee Schedule,27.42,,158.51,100,,Fee Schedule,18.86,,160.1,101,,Fee Schedule,24.81,,160.1,101,,Fee Schedule,24.81,,161.68,101,,Fee Schedule,30.72,,161.68,101,,Fee Schedule,24.74,,161.68,101,,Fee Schedule,29.43,,161.68,101,,Fee Schedule,26.19,,166.44,104,,Fee Schedule,17.81,, ,,,,,,,,,, ,, ,,,, ,,158.51,741.43,,																																							
Tixagev and cilgav inj hm,1504,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,1234.06,467.75,,Fee Schedule,673.8,,1234.06,467.75,,Fee Schedule,719.46,,1234.06,467.75,,Fee Schedule,576.31,,1234.06,467.75,,Fee Schedule,610.86,,1234.06,467.75,,Fee Schedule,687.37,,1234.06,467.75,,Fee Schedule,720.69,,1098.61,416.41,,Fee Schedule,576.77,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,263.83,100,,Fee Schedule,45.38,,269.11,102,,Fee Schedule,31.22,,270.43,102.5,,Fee Schedule,41.1,,263.83,100,,Fee Schedule,45.64,,263.83,100,,Fee Schedule,31.4,,266.47,101,,Fee Schedule,41.3,,266.47,101,,Fee Schedule,41.3,,269.11,101,,Fee Schedule,51.13,,269.11,101,,Fee Schedule,41.17,,269.11,101,,Fee Schedule,48.98,,269.11,101,,Fee Schedule,43.6,,277.02,104,,Fee Schedule,29.64,, ,,,,,,,,,, ,, ,,,, ,,263.83,1234.06,,																																							
Compre ful bdy 3d mtn alys,1505,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,1726.7,467.75,,Fee Schedule,942.78,,1726.7,467.75,,Fee Schedule,1006.67,,1726.7,467.75,,Fee Schedule,806.37,,1726.7,467.75,,Fee Schedule,854.72,,1726.7,467.75,,Fee Schedule,961.77,,1726.7,467.75,,Fee Schedule,1008.39,,1537.18,416.41,,Fee Schedule,807.02,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,369.15,100,,Fee Schedule,63.49,,376.53,102,,Fee Schedule,43.68,,378.38,102.5,,Fee Schedule,57.51,,369.15,100,,Fee Schedule,63.86,,369.15,100,,Fee Schedule,43.93,,372.84,101,,Fee Schedule,57.79,,372.84,101,,Fee Schedule,57.79,,376.53,101,,Fee Schedule,71.54,,376.53,101,,Fee Schedule,57.61,,376.53,101,,Fee Schedule,68.53,,376.53,101,,Fee Schedule,61,,387.61,104,,Fee Schedule,41.47,, ,,,,,,,,,, ,, ,,,, ,,369.15,1726.70,,																																							
Casiri and imdev repeat,1506,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,2219.38,467.75,,Fee Schedule,1211.78,,2219.38,467.75,,Fee Schedule,1293.9,,2219.38,467.75,,Fee Schedule,1036.45,,2219.38,467.75,,Fee Schedule,1098.59,,2219.38,467.75,,Fee Schedule,1236.19,,2219.38,467.75,,Fee Schedule,1296.12,,1975.78,416.41,,Fee Schedule,1037.29,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,474.48,100,,Fee Schedule,81.61,,483.97,102,,Fee Schedule,56.14,,486.34,102.5,,Fee Schedule,73.92,,474.48,100,,Fee Schedule,82.09,,474.48,100,,Fee Schedule,56.46,,479.22,101,,Fee Schedule,74.28,,479.22,101,,Fee Schedule,74.28,,483.97,101,,Fee Schedule,91.95,,483.97,101,,Fee Schedule,74.05,,483.97,101,,Fee Schedule,88.08,,483.97,101,,Fee Schedule,78.4,,498.2,104,,Fee Schedule,53.31,, ,,,,,,,,,, ,, ,,,, ,,474.48,2219.38,,																																							
Bebtelovimab injection home,1507,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,2712.01,467.75,,Fee Schedule,1480.76,,2712.01,467.75,,Fee Schedule,1581.1,,2712.01,467.75,,Fee Schedule,1266.51,,2712.01,467.75,,Fee Schedule,1342.45,,2712.01,467.75,,Fee Schedule,1510.59,,2712.01,467.75,,Fee Schedule,1583.82,,2414.35,416.41,,Fee Schedule,1267.53,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,579.8,100,,Fee Schedule,99.73,,591.4,102,,Fee Schedule,68.6,,594.3,102.5,,Fee Schedule,90.33,,579.8,100,,Fee Schedule,100.31,,579.8,100,,Fee Schedule,69,,585.6,101,,Fee Schedule,90.77,,585.6,101,,Fee Schedule,90.77,,591.4,101,,Fee Schedule,112.37,,591.4,101,,Fee Schedule,90.48,,591.4,101,,Fee Schedule,107.63,,591.4,101,,Fee Schedule,95.81,,608.79,104,,Fee Schedule,65.14,, ,,,,,,,,,, ,, ,,,, ,,579.80,2712.01,,																																							
Quan ct tiss charac w/o ct,1508,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,3204.65,467.75,,Fee Schedule,1749.74,,3204.65,467.75,,Fee Schedule,1868.31,,3204.65,467.75,,Fee Schedule,1496.57,,3204.65,467.75,,Fee Schedule,1586.3,,3204.65,467.75,,Fee Schedule,1784.99,,3204.65,467.75,,Fee Schedule,1871.51,,2852.91,416.41,,Fee Schedule,1497.78,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,685.12,100,,Fee Schedule,117.84,,698.82,102,,Fee Schedule,81.06,,702.25,102.5,,Fee Schedule,106.74,,685.12,100,,Fee Schedule,118.53,,685.12,100,,Fee Schedule,81.53,,691.97,101,,Fee Schedule,107.26,,691.97,101,,Fee Schedule,107.26,,698.82,101,,Fee Schedule,132.78,,698.82,101,,Fee Schedule,106.92,,698.82,101,,Fee Schedule,127.19,,698.82,101,,Fee Schedule,113.21,,719.38,104,,Fee Schedule,76.97,, ,,,,,,,,,, ,, ,,,, ,,685.12,3204.65,,																																							
Sotrovimab inf, home admin,1509,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,3697.28,467.75,,Fee Schedule,2018.72,,3697.28,467.75,,Fee Schedule,2155.52,,3697.28,467.75,,Fee Schedule,1726.63,,3697.28,467.75,,Fee Schedule,1830.16,,3697.28,467.75,,Fee Schedule,2059.39,,3697.28,467.75,,Fee Schedule,2159.21,,3291.47,416.41,,Fee Schedule,1728.02,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,790.44,100,,Fee Schedule,135.96,,806.25,102,,Fee Schedule,93.52,,810.2,102.5,,Fee Schedule,123.15,,790.44,100,,Fee Schedule,136.75,,790.44,100,,Fee Schedule,94.06,,798.34,101,,Fee Schedule,123.74,,798.34,101,,Fee Schedule,123.74,,806.25,101,,Fee Schedule,153.19,,806.25,101,,Fee Schedule,123.36,,806.25,101,,Fee Schedule,146.74,,806.25,101,,Fee Schedule,130.61,,829.96,104,,Fee Schedule,88.81,, ,,,,,,,,,, ,, ,,,, ,,790.44,3697.28,,																																							
Auto quan c plaq cptr alys,1511,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,4682.6,467.75,,Fee Schedule,2556.7,,4682.6,467.75,,Fee Schedule,2729.95,,4682.6,467.75,,Fee Schedule,2186.77,,4682.6,467.75,,Fee Schedule,2317.89,,4682.6,467.75,,Fee Schedule,2608.21,,4682.6,467.75,,Fee Schedule,2734.64,,4168.64,416.41,,Fee Schedule,2188.54,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,1001.09,100,,Fee Schedule,172.19,,1021.11,102,,Fee Schedule,118.45,,1026.12,102.5,,Fee Schedule,155.97,,1001.09,100,,Fee Schedule,173.19,,1001.09,100,,Fee Schedule,119.13,,1011.1,101,,Fee Schedule,156.72,,1011.1,101,,Fee Schedule,156.72,,1021.11,101,,Fee Schedule,194.01,,1021.11,101,,Fee Schedule,156.23,,1021.11,101,,Fee Schedule,185.84,,1021.11,101,,Fee Schedule,165.42,,1051.14,104,,Fee Schedule,112.47,, ,,,,,,,,,, ,, ,,,, ,,1001.09,4682.60,,																																							
Visit esketamine 56m or less,1512,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,5175.23,467.75,,Fee Schedule,2825.68,,5175.23,467.75,,Fee Schedule,3017.16,,5175.23,467.75,,Fee Schedule,2416.83,,5175.23,467.75,,Fee Schedule,2561.74,,5175.23,467.75,,Fee Schedule,2882.6,,5175.23,467.75,,Fee Schedule,3022.34,,4607.2,416.41,,Fee Schedule,2418.78,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,1106.41,100,,Fee Schedule,190.3,,1128.54,102,,Fee Schedule,130.91,,1134.07,102.5,,Fee Schedule,172.38,,1106.41,100,,Fee Schedule,191.41,,1106.41,100,,Fee Schedule,131.66,,1117.47,101,,Fee Schedule,173.21,,1117.47,101,,Fee Schedule,173.21,,1128.54,101,,Fee Schedule,214.42,,1128.54,101,,Fee Schedule,172.67,,1128.54,101,,Fee Schedule,205.39,,1128.54,101,,Fee Schedule,182.82,,1161.73,104,,Fee Schedule,124.31,, ,,,,,,,,,, ,, ,,,, ,,1106.41,5175.23,,																																							
Visit esketamine, > 56m,1516,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,7145.82,467.75,,Fee Schedule,3901.62,,7145.82,467.75,,Fee Schedule,4166.01,,7145.82,467.75,,Fee Schedule,3337.1,,7145.82,467.75,,Fee Schedule,3537.18,,7145.82,467.75,,Fee Schedule,3980.22,,7145.82,467.75,,Fee Schedule,4173.16,,6361.5,416.41,,Fee Schedule,3339.79,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,1527.7,100,,Fee Schedule,262.76,,1558.25,102,,Fee Schedule,180.76,,1565.89,102.5,,Fee Schedule,238.02,,1527.7,100,,Fee Schedule,264.29,,1527.7,100,,Fee Schedule,181.8,,1542.98,101,,Fee Schedule,239.16,,1542.98,101,,Fee Schedule,239.16,,1558.25,101,,Fee Schedule,296.07,,1558.25,101,,Fee Schedule,238.41,,1558.25,101,,Fee Schedule,283.6,,1558.25,101,,Fee Schedule,252.44,,1604.09,104,,Fee Schedule,171.64,, ,,,,,,,,,, ,, ,,,, ,,1527.70,7145.82,,																																							
Scalp cool 1st meas&calbrj,1520,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,9116.35,467.75,,Fee Schedule,4977.53,,9116.35,467.75,,Fee Schedule,5314.83,,9116.35,467.75,,Fee Schedule,4257.34,,9116.35,467.75,,Fee Schedule,4512.6,,9116.35,467.75,,Fee Schedule,5077.81,,9116.35,467.75,,Fee Schedule,5323.95,,8115.75,416.41,,Fee Schedule,4260.77,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,1948.98,100,,Fee Schedule,335.22,,1987.96,102,,Fee Schedule,230.6,,1997.7,102.5,,Fee Schedule,303.65,,1948.98,100,,Fee Schedule,337.17,,1948.98,100,,Fee Schedule,231.93,,1968.47,101,,Fee Schedule,305.11,,1968.47,101,,Fee Schedule,305.11,,1987.96,101,,Fee Schedule,377.71,,1987.96,101,,Fee Schedule,304.16,,1987.96,101,,Fee Schedule,361.81,,1987.96,101,,Fee Schedule,322.05,,2046.43,104,,Fee Schedule,218.97,, ,,,,,,,,,, ,, ,,,, ,,1948.98,9116.35,,																																							
Myocrd img pet 2rtracer ct,1521,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,9609.04,467.75,,Fee Schedule,5246.53,,9609.04,467.75,,Fee Schedule,5602.07,,9609.04,467.75,,Fee Schedule,4487.42,,9609.04,467.75,,Fee Schedule,4756.47,,9609.04,467.75,,Fee Schedule,5352.23,,9609.04,467.75,,Fee Schedule,5611.68,,8554.35,416.41,,Fee Schedule,4491.03,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,2054.31,100,,Fee Schedule,353.34,,2095.4,102,,Fee Schedule,243.07,,2105.67,102.5,,Fee Schedule,320.06,,2054.31,100,,Fee Schedule,355.4,,2054.31,100,,Fee Schedule,244.46,,2074.85,101,,Fee Schedule,321.6,,2074.85,101,,Fee Schedule,321.6,,2095.4,101,,Fee Schedule,398.13,,2095.4,101,,Fee Schedule,320.6,,2095.4,101,,Fee Schedule,381.36,,2095.4,101,,Fee Schedule,339.45,,2157.03,104,,Fee Schedule,230.8,, ,,,,,,,,,, ,, ,,,, ,,2054.31,9609.04,,																																							
Myocrd img pet rst&strs ct,1523,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,13550.16,467.75,,Fee Schedule,7398.39,,13550.16,467.75,,Fee Schedule,7899.74,,13550.16,467.75,,Fee Schedule,6327.92,,13550.16,467.75,,Fee Schedule,6707.33,,13550.16,467.75,,Fee Schedule,7547.44,,13550.16,467.75,,Fee Schedule,7913.29,,12062.9,416.41,,Fee Schedule,6333.02,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,2896.88,100,,Fee Schedule,498.26,,2954.82,102,,Fee Schedule,342.76,,2969.3,102.5,,Fee Schedule,451.33,,2896.88,100,,Fee Schedule,501.16,,2896.88,100,,Fee Schedule,344.73,,2925.85,101,,Fee Schedule,453.51,,2925.85,101,,Fee Schedule,453.51,,2954.82,101,,Fee Schedule,561.42,,2954.82,101,,Fee Schedule,452.09,,2954.82,101,,Fee Schedule,537.78,,2954.82,101,,Fee Schedule,478.68,,3041.72,104,,Fee Schedule,325.46,, ,,,,,,,,,, ,, ,,,, ,,2896.88,13550.16,,																																							
Insert cv cath inf & sup app,1534,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,40645.56,467.75,,Fee Schedule,22192.47,,40645.56,467.75,,Fee Schedule,23696.36,,40645.56,467.75,,Fee Schedule,18981.48,,40645.56,467.75,,Fee Schedule,20119.55,,40645.56,467.75,,Fee Schedule,22639.58,,40645.56,467.75,,Fee Schedule,23737.01,,36184.32,416.41,,Fee Schedule,18996.77,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,8689.59,100,,Fee Schedule,1494.61,,8863.38,102,,Fee Schedule,1028.15,,8906.83,102.5,,Fee Schedule,1353.84,,8689.59,100,,Fee Schedule,1503.3,,8689.59,100,,Fee Schedule,1034.06,,8776.49,101,,Fee Schedule,1360.36,,8776.49,101,,Fee Schedule,1360.36,,8863.38,101,,Fee Schedule,1684.04,,8863.38,101,,Fee Schedule,1356.1,,8863.38,101,,Fee Schedule,1613.14,,8863.38,101,,Fee Schedule,1435.87,,9124.07,104,,Fee Schedule,976.28,, ,,,,,,,,,, ,, ,,,, ,,8689.59,40645.56,,																																							
Blind/nonblind trans atrial,1537,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,48035.21,467.75,,Fee Schedule,26227.23,,48035.21,467.75,,Fee Schedule,28004.53,,48035.21,467.75,,Fee Schedule,22432.44,,48035.21,467.75,,Fee Schedule,23777.43,,48035.21,467.75,,Fee Schedule,26755.61,,48035.21,467.75,,Fee Schedule,28052.56,,42762.89,416.41,,Fee Schedule,22450.52,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,10269.42,100,,Fee Schedule,1766.34,,10474.81,102,,Fee Schedule,1215.08,,10526.16,102.5,,Fee Schedule,1599.98,,10269.42,100,,Fee Schedule,1776.61,,10269.42,100,,Fee Schedule,1222.06,,10372.11,101,,Fee Schedule,1607.68,,10372.11,101,,Fee Schedule,1607.68,,10474.81,101,,Fee Schedule,1990.21,,10474.81,101,,Fee Schedule,1602.65,,10474.81,101,,Fee Schedule,1906.42,,10474.81,101,,Fee Schedule,1696.92,,10782.89,104,,Fee Schedule,1153.77,, ,,,,,,,,,, ,, ,,,, ,,10269.42,48035.21,,																																							
Mri hyperpolarized xenon129 ,1551,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,6160.5,467.75,,Fee Schedule,3363.63,,6160.5,467.75,,Fee Schedule,3591.57,,6160.5,467.75,,Fee Schedule,2876.95,,6160.5,467.75,,Fee Schedule,3049.45,,6160.5,467.75,,Fee Schedule,3431.4,,6160.5,467.75,,Fee Schedule,3597.73,,5484.33,416.41,,Fee Schedule,2879.27,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,1317.05,100,,Fee Schedule,226.53,,1343.39,102,,Fee Schedule,155.83,,1349.98,102.5,,Fee Schedule,205.2,,1317.05,100,,Fee Schedule,227.85,,1317.05,100,,Fee Schedule,156.73,,1330.22,101,,Fee Schedule,206.18,,1330.22,101,,Fee Schedule,206.18,,1343.39,101,,Fee Schedule,255.24,,1343.39,101,,Fee Schedule,205.54,,1343.39,101,,Fee Schedule,244.5,,1343.39,101,,Fee Schedule,217.63,,1382.9,104,,Fee Schedule,147.97,, ,,,,,,,,,, ,, ,,,, ,,1317.05,6160.50,,																																							
Instill pharm renal pelvis,1559,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,11086.94,467.75,,Fee Schedule,6053.47,,11086.94,467.75,,Fee Schedule,6463.68,,11086.94,467.75,,Fee Schedule,5177.6,,11086.94,467.75,,Fee Schedule,5488.03,,11086.94,467.75,,Fee Schedule,6175.42,,11086.94,467.75,,Fee Schedule,6474.77,,9870.04,416.41,,Fee Schedule,5181.77,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,2370.27,100,,Fee Schedule,407.69,,2417.68,102,,Fee Schedule,280.45,,2429.53,102.5,,Fee Schedule,369.29,,2370.27,100,,Fee Schedule,410.06,,2370.27,100,,Fee Schedule,282.06,,2393.97,101,,Fee Schedule,371.07,,2393.97,101,,Fee Schedule,371.07,,2417.68,101,,Fee Schedule,459.36,,2417.68,101,,Fee Schedule,369.9,,2417.68,101,,Fee Schedule,440.02,,2417.68,101,,Fee Schedule,391.66,,2488.78,104,,Fee Schedule,266.3,, ,,,,,,,,,, ,, ,,,, ,,2370.27,11086.94,,																																							
Microwave bronch, 3d, ebus,1562,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,18476.59,467.75,,Fee Schedule,10088.22,,18476.59,467.75,,Fee Schedule,10771.85,,18476.59,467.75,,Fee Schedule,8628.57,,18476.59,467.75,,Fee Schedule,9145.91,,18476.59,467.75,,Fee Schedule,10291.46,,18476.59,467.75,,Fee Schedule,10790.33,,16448.61,416.41,,Fee Schedule,8635.52,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,3950.1,100,,Fee Schedule,679.42,,4029.1,102,,Fee Schedule,467.38,,4048.85,102.5,,Fee Schedule,615.43,,3950.1,100,,Fee Schedule,683.37,,3950.1,100,,Fee Schedule,470.06,,3989.6,101,,Fee Schedule,618.39,,3989.6,101,,Fee Schedule,618.39,,4029.1,101,,Fee Schedule,765.53,,4029.1,101,,Fee Schedule,616.45,,4029.1,101,,Fee Schedule,733.3,,4029.1,101,,Fee Schedule,652.71,,4147.61,104,,Fee Schedule,443.79,, ,,,,,,,,,, ,, ,,,, ,,3950.10,18476.59,,																																							
Xcpsl ctrc rmvl cplx insj 1+,1563,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,20939.81,467.75,,Fee Schedule,11433.14,,20939.81,467.75,,Fee Schedule,12207.91,,20939.81,467.75,,Fee Schedule,9778.89,,20939.81,467.75,,Fee Schedule,10365.21,,20939.81,467.75,,Fee Schedule,11663.47,,20939.81,467.75,,Fee Schedule,12228.85,,18641.47,416.41,,Fee Schedule,9786.77,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,4476.71,100,,Fee Schedule,769.99,,4566.24,102,,Fee Schedule,529.68,,4588.63,102.5,,Fee Schedule,697.47,,4476.71,100,,Fee Schedule,774.47,,4476.71,100,,Fee Schedule,532.73,,4521.48,101,,Fee Schedule,700.83,,4521.48,101,,Fee Schedule,700.83,,4566.24,101,,Fee Schedule,867.59,,4566.24,101,,Fee Schedule,698.64,,4566.24,101,,Fee Schedule,831.06,,4566.24,101,,Fee Schedule,739.73,,4700.55,104,,Fee Schedule,502.96,, ,,,,,,,,,, ,, ,,,, ,,4476.71,20939.81,,																																							
Histotripsy mal hepatcel tis,1575,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,61582.94,467.75,,Fee Schedule,33624.28,,61582.94,467.75,,Fee Schedule,35902.85,,61582.94,467.75,,Fee Schedule,28759.23,,61582.94,467.75,,Fee Schedule,30483.55,,61582.94,467.75,,Fee Schedule,34301.7,,61582.94,467.75,,Fee Schedule,35964.43,,54823.62,416.41,,Fee Schedule,28782.4,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,13165.78,100,,Fee Schedule,2264.51,,13429.1,102,,Fee Schedule,1557.78,,13494.92,102.5,,Fee Schedule,2051.23,,13165.78,100,,Fee Schedule,2277.68,,13165.78,100,,Fee Schedule,1566.73,,13297.44,101,,Fee Schedule,2061.1,,13297.44,101,,Fee Schedule,2061.1,,13429.1,101,,Fee Schedule,2551.53,,13429.1,101,,Fee Schedule,2054.65,,13429.1,101,,Fee Schedule,2444.1,,13429.1,101,,Fee Schedule,2175.51,,13824.07,104,,Fee Schedule,1479.18,, ,,,,,,,,,, ,, ,,,, ,,13165.78,61582.94,,																																							
Insj/rplc nstim apnea compl,1581,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,270956.49,467.75,,Fee Schedule,147942.24,,270956.49,467.75,,Fee Schedule,157967.63,,270956.49,467.75,,Fee Schedule,126536.68,,270956.49,467.75,,Fee Schedule,134123.46,,270956.49,467.75,,Fee Schedule,150922.76,,270956.49,467.75,,Fee Schedule,158238.59,,241216.44,416.41,,Fee Schedule,126638.63,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,57927.63,100,,Fee Schedule,9963.55,,59086.18,102,,Fee Schedule,6854,,59375.82,102.5,,Fee Schedule,9025.12,,57927.63,100,,Fee Schedule,10021.48,,57927.63,100,,Fee Schedule,6893.39,,58506.91,101,,Fee Schedule,9068.57,,58506.91,101,,Fee Schedule,9068.57,,59086.18,101,,Fee Schedule,11226.37,,59086.18,101,,Fee Schedule,9040.19,,59086.18,101,,Fee Schedule,10753.69,,59086.18,101,,Fee Schedule,9571.96,,60824.01,104,,Fee Schedule,6508.17,, ,,,,,,,,,, ,, ,,,, ,,57927.63,270956.49,,																																							
Blind interatrial shunt ide,1590,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,86215.12,467.75,,Fee Schedule,47073.45,,86215.12,467.75,,Fee Schedule,50263.41,,86215.12,467.75,,Fee Schedule,40262.46,,86215.12,467.75,,Fee Schedule,42676.48,,86215.12,467.75,,Fee Schedule,48021.82,,86215.12,467.75,,Fee Schedule,50349.63,,76752.19,416.41,,Fee Schedule,40294.9,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,18431.88,100,,Fee Schedule,3170.28,,18800.52,102,,Fee Schedule,2180.86,,18892.68,102.5,,Fee Schedule,2871.69,,18431.88,100,,Fee Schedule,3188.72,,18431.88,100,,Fee Schedule,2193.39,,18616.2,101,,Fee Schedule,2885.51,,18616.2,101,,Fee Schedule,2885.51,,18800.52,101,,Fee Schedule,3572.1,,18800.52,101,,Fee Schedule,2876.48,,18800.52,101,,Fee Schedule,3421.69,,18800.52,101,,Fee Schedule,3045.68,,19353.47,104,,Fee Schedule,2070.82,, ,,,,,,,,,, ,, ,,,, ,,18431.88,86215.12,,																																							
Nonblind interatrial shunt,1592,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,135479.48,467.75,,Fee Schedule,73971.8,,135479.48,467.75,,Fee Schedule,78984.54,,135479.48,467.75,,Fee Schedule,63268.92,,135479.48,467.75,,Fee Schedule,67062.34,,135479.48,467.75,,Fee Schedule,75462.07,,135479.48,467.75,,Fee Schedule,79120.02,,120609.33,416.41,,Fee Schedule,63319.9,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,28964.08,100,,Fee Schedule,4981.82,,29543.36,102,,Fee Schedule,3427.03,,29688.18,102.5,,Fee Schedule,4512.6,,28964.08,100,,Fee Schedule,5010.79,,28964.08,100,,Fee Schedule,3446.73,,29253.72,101,,Fee Schedule,4534.33,,29253.72,101,,Fee Schedule,4534.33,,29543.36,101,,Fee Schedule,5613.24,,29543.36,101,,Fee Schedule,4520.13,,29543.36,101,,Fee Schedule,5376.89,,29543.36,101,,Fee Schedule,4786.02,,30412.28,104,,Fee Schedule,3254.11,, ,,,,,,,,,, ,, ,,,, ,,28964.08,135479.48,,																																							
Etanercept injection,1608,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,3895.75,467.75,,Fee Schedule,2127.08,,3895.75,467.75,,Fee Schedule,2271.22,,3895.75,467.75,,Fee Schedule,1819.31,,3895.75,467.75,,Fee Schedule,1928.4,,3895.75,467.75,,Fee Schedule,2169.93,,3895.75,467.75,,Fee Schedule,2275.12,,3468.15,416.41,,Fee Schedule,1820.78,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,832.87,100,,Fee Schedule,143.25,,849.53,102,,Fee Schedule,98.55,,853.69,102.5,,Fee Schedule,129.76,,832.87,100,,Fee Schedule,144.09,,832.87,100,,Fee Schedule,99.11,,841.2,101,,Fee Schedule,130.39,,841.2,101,,Fee Schedule,130.39,,849.53,101,,Fee Schedule,161.41,,849.53,101,,Fee Schedule,129.98,,849.53,101,,Fee Schedule,154.61,,849.53,101,,Fee Schedule,137.62,,874.51,104,,Fee Schedule,93.57,, ,,,,,,,,,, ,, ,,,, ,,832.87,3895.75,,																																							
Rho(d) immune globulin h, sd,1609,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,164.84,467.75,,Fee Schedule,90,,164.84,467.75,,Fee Schedule,96.1,,164.84,467.75,,Fee Schedule,76.98,,164.84,467.75,,Fee Schedule,81.59,,164.84,467.75,,Fee Schedule,91.81,,164.84,467.75,,Fee Schedule,96.26,,146.74,416.41,,Fee Schedule,77.04,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,35.24,100,,Fee Schedule,6.06,,35.94,102,,Fee Schedule,4.17,,36.12,102.5,,Fee Schedule,5.49,,35.24,100,,Fee Schedule,6.1,,35.24,100,,Fee Schedule,4.19,,35.59,101,,Fee Schedule,5.52,,35.59,101,,Fee Schedule,5.52,,35.94,101,,Fee Schedule,6.83,,35.94,101,,Fee Schedule,5.5,,35.94,101,,Fee Schedule,6.54,,35.94,101,,Fee Schedule,5.82,,37,104,,Fee Schedule,3.96,, ,,,,,,,,,, ,, ,,,, ,,35.24,164.84,,																																							
Inj trastuzumab excl biosimi,1613,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,397.96,467.75,,Fee Schedule,217.29,,397.96,467.75,,Fee Schedule,232.01,,397.96,467.75,,Fee Schedule,185.85,,397.96,467.75,,Fee Schedule,196.99,,397.96,467.75,,Fee Schedule,221.66,,397.96,467.75,,Fee Schedule,232.41,,354.28,416.41,,Fee Schedule,186,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,85.08,100,,Fee Schedule,14.63,,86.78,102,,Fee Schedule,10.07,,87.21,102.5,,Fee Schedule,13.26,,85.08,100,,Fee Schedule,14.72,,85.08,100,,Fee Schedule,10.12,,85.93,101,,Fee Schedule,13.32,,85.93,101,,Fee Schedule,13.32,,86.78,101,,Fee Schedule,16.49,,86.78,101,,Fee Schedule,13.28,,86.78,101,,Fee Schedule,15.79,,86.78,101,,Fee Schedule,14.06,,89.33,104,,Fee Schedule,9.56,, ,,,,,,,,,, ,, ,,,, ,,85.08,397.96,,																																							
Hep b ig im,1630,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,677.77,467.75,,Fee Schedule,370.06,,677.77,467.75,,Fee Schedule,395.14,,677.77,467.75,,Fee Schedule,316.52,,677.77,467.75,,Fee Schedule,335.5,,677.77,467.75,,Fee Schedule,377.52,,677.77,467.75,,Fee Schedule,395.82,,603.38,416.41,,Fee Schedule,316.77,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,144.9,100,,Fee Schedule,24.92,,147.8,102,,Fee Schedule,17.14,,148.52,102.5,,Fee Schedule,22.58,,144.9,100,,Fee Schedule,25.07,,144.9,100,,Fee Schedule,17.24,,146.35,101,,Fee Schedule,22.68,,146.35,101,,Fee Schedule,22.68,,147.8,101,,Fee Schedule,28.08,,147.8,101,,Fee Schedule,22.61,,147.8,101,,Fee Schedule,26.9,,147.8,101,,Fee Schedule,23.94,,152.15,104,,Fee Schedule,16.28,, ,,,,,,,,,, ,, ,,,, ,,144.90,677.77,,																																							
Y90 ibritumomab, rx,1643,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,322566.25,467.75,,Fee Schedule,176121.17,,322566.25,467.75,,Fee Schedule,188056.12,,322566.25,467.75,,Fee Schedule,150638.44,,322566.25,467.75,,Fee Schedule,159670.29,,322566.25,467.75,,Fee Schedule,179669.4,,322566.25,467.75,,Fee Schedule,188378.69,,287161.54,416.41,,Fee Schedule,150759.81,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,68961.25,100,,Fee Schedule,11861.34,,70340.48,102,,Fee Schedule,8159.5,,70685.28,102.5,,Fee Schedule,10744.16,,68961.25,100,,Fee Schedule,11930.3,,68961.25,100,,Fee Schedule,8206.39,,69650.86,101,,Fee Schedule,10795.88,,69650.86,101,,Fee Schedule,10795.88,,70340.48,101,,Fee Schedule,13364.69,,70340.48,101,,Fee Schedule,10762.09,,70340.48,101,,Fee Schedule,12801.97,,70340.48,101,,Fee Schedule,11395.16,,72409.31,104,,Fee Schedule,7747.8,, ,,,,,,,,,, ,, ,,,, ,,68961.25,322566.25,,																																							
Factor viii fc fusion recomb,1656,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,10.76,467.75,,Fee Schedule,5.87,,10.76,467.75,,Fee Schedule,6.27,,10.76,467.75,,Fee Schedule,5.02,,10.76,467.75,,Fee Schedule,5.33,,10.76,467.75,,Fee Schedule,5.99,,10.76,467.75,,Fee Schedule,6.28,,9.58,416.41,,Fee Schedule,5.03,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,2.3,100,,Fee Schedule,0.4,,2.35,102,,Fee Schedule,0.27,,2.36,102.5,,Fee Schedule,0.36,,2.3,100,,Fee Schedule,0.4,,2.3,100,,Fee Schedule,0.27,,2.32,101,,Fee Schedule,0.36,,2.32,101,,Fee Schedule,0.36,,2.35,101,,Fee Schedule,0.45,,2.35,101,,Fee Schedule,0.36,,2.35,101,,Fee Schedule,0.43,,2.35,101,,Fee Schedule,0.38,,2.42,104,,Fee Schedule,0.26,, ,,,,,,,,,, ,, ,,,, ,,2.30,104.00,,																																							
Injection, belinostat, 10mg,1658,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,238.41,467.75,,Fee Schedule,130.17,,238.41,467.75,,Fee Schedule,138.99,,238.41,467.75,,Fee Schedule,111.34,,238.41,467.75,,Fee Schedule,118.01,,238.41,467.75,,Fee Schedule,132.8,,238.41,467.75,,Fee Schedule,139.23,,212.24,416.41,,Fee Schedule,111.43,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,50.97,100,,Fee Schedule,8.77,,51.99,102,,Fee Schedule,6.03,,52.24,102.5,,Fee Schedule,7.94,,50.97,100,,Fee Schedule,8.82,,50.97,100,,Fee Schedule,6.07,,51.48,101,,Fee Schedule,7.98,,51.48,101,,Fee Schedule,7.98,,51.99,101,,Fee Schedule,9.88,,51.99,101,,Fee Schedule,7.95,,51.99,101,,Fee Schedule,9.46,,51.99,101,,Fee Schedule,8.42,,53.52,104,,Fee Schedule,5.73,, ,,,,,,,,,, ,, ,,,, ,,50.97,238.41,,																																							
Injection, oritavancin,1660,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,135.65,467.75,,Fee Schedule,74.06,,135.65,467.75,,Fee Schedule,79.08,,135.65,467.75,,Fee Schedule,63.35,,135.65,467.75,,Fee Schedule,67.15,,135.65,467.75,,Fee Schedule,75.56,,135.65,467.75,,Fee Schedule,79.22,,120.76,416.41,,Fee Schedule,63.4,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,29,100,,Fee Schedule,4.99,,29.58,102,,Fee Schedule,3.43,,29.73,102.5,,Fee Schedule,4.52,,29,100,,Fee Schedule,5.02,,29,100,,Fee Schedule,3.45,,29.29,101,,Fee Schedule,4.54,,29.29,101,,Fee Schedule,4.54,,29.58,101,,Fee Schedule,5.62,,29.58,101,,Fee Schedule,4.53,,29.58,101,,Fee Schedule,5.38,,29.58,101,,Fee Schedule,4.79,,30.45,104,,Fee Schedule,3.26,, ,,,,,,,,,, ,, ,,,, ,,29.00,135.65,,																																							
Inj tedizolid phosphate,1662,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,8.56,467.75,,Fee Schedule,4.67,,8.56,467.75,,Fee Schedule,4.99,,8.56,467.75,,Fee Schedule,4,,8.56,467.75,,Fee Schedule,4.24,,8.56,467.75,,Fee Schedule,4.77,,8.56,467.75,,Fee Schedule,5,,7.62,416.41,,Fee Schedule,4,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,1.83,100,,Fee Schedule,0.31,,1.87,102,,Fee Schedule,0.22,,1.88,102.5,,Fee Schedule,0.29,,1.83,100,,Fee Schedule,0.32,,1.83,100,,Fee Schedule,0.22,,1.85,101,,Fee Schedule,0.29,,1.85,101,,Fee Schedule,0.29,,1.87,101,,Fee Schedule,0.35,,1.87,101,,Fee Schedule,0.29,,1.87,101,,Fee Schedule,0.34,,1.87,101,,Fee Schedule,0.3,,1.92,104,,Fee Schedule,0.21,, ,,,,,,,,,, ,, ,,,, ,,1.83,104.00,,																																							
Erythro lactobionate /500 mg,1669,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,412.04,467.75,,Fee Schedule,224.97,,412.04,467.75,,Fee Schedule,240.22,,412.04,467.75,,Fee Schedule,192.42,,412.04,467.75,,Fee Schedule,203.96,,412.04,467.75,,Fee Schedule,229.51,,412.04,467.75,,Fee Schedule,240.63,,366.82,416.41,,Fee Schedule,192.58,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,88.09,100,,Fee Schedule,15.15,,89.85,102,,Fee Schedule,10.42,,90.29,102.5,,Fee Schedule,13.72,,88.09,100,,Fee Schedule,15.24,,88.09,100,,Fee Schedule,10.48,,88.97,101,,Fee Schedule,13.79,,88.97,101,,Fee Schedule,13.79,,89.85,101,,Fee Schedule,17.07,,89.85,101,,Fee Schedule,13.75,,89.85,101,,Fee Schedule,16.35,,89.85,101,,Fee Schedule,14.56,,92.49,104,,Fee Schedule,9.9,, ,,,,,,,,,, ,, ,,,, ,,88.09,412.04,,																																							
Tetanus immune globulin inj,1670,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,2878.95,467.75,,Fee Schedule,1571.91,,2878.95,467.75,,Fee Schedule,1678.43,,2878.95,467.75,,Fee Schedule,1344.47,,2878.95,467.75,,Fee Schedule,1425.08,,2878.95,467.75,,Fee Schedule,1603.58,,2878.95,467.75,,Fee Schedule,1681.31,,2562.96,416.41,,Fee Schedule,1345.56,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,615.49,100,,Fee Schedule,105.86,,627.8,102,,Fee Schedule,72.82,,630.88,102.5,,Fee Schedule,95.89,,615.49,100,,Fee Schedule,106.48,,615.49,100,,Fee Schedule,73.24,,621.64,101,,Fee Schedule,96.35,,621.64,101,,Fee Schedule,96.35,,627.8,101,,Fee Schedule,119.28,,627.8,101,,Fee Schedule,96.05,,627.8,101,,Fee Schedule,114.26,,627.8,101,,Fee Schedule,101.7,,646.26,104,,Fee Schedule,69.15,, ,,,,,,,,,, ,, ,,,, ,,615.49,2878.95,,																																							
P32 na phosphate,1675,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,182,467.75,,Fee Schedule,99.37,,182,467.75,,Fee Schedule,106.11,,182,467.75,,Fee Schedule,84.99,,182,467.75,,Fee Schedule,90.09,,182,467.75,,Fee Schedule,101.37,,182,467.75,,Fee Schedule,106.29,,162.03,416.41,,Fee Schedule,85.06,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,38.91,100,,Fee Schedule,6.69,,39.69,102,,Fee Schedule,4.6,,39.88,102.5,,Fee Schedule,6.06,,38.91,100,,Fee Schedule,6.73,,38.91,100,,Fee Schedule,4.63,,39.3,101,,Fee Schedule,6.09,,39.3,101,,Fee Schedule,6.09,,39.69,101,,Fee Schedule,7.54,,39.69,101,,Fee Schedule,6.07,,39.69,101,,Fee Schedule,7.22,,39.69,101,,Fee Schedule,6.43,,40.86,104,,Fee Schedule,4.37,, ,,,,,,,,,, ,, ,,,, ,,38.91,182.00,,																																							
Basiliximab,1683,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,21644.52,467.75,,Fee Schedule,11817.91,,21644.52,467.75,,Fee Schedule,12618.76,,21644.52,467.75,,Fee Schedule,10107.99,,21644.52,467.75,,Fee Schedule,10714.04,,21644.52,467.75,,Fee Schedule,12056,,21644.52,467.75,,Fee Schedule,12640.4,,19268.83,416.41,,Fee Schedule,10116.14,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,4627.37,100,,Fee Schedule,795.91,,4719.92,102,,Fee Schedule,547.51,,4743.05,102.5,,Fee Schedule,720.94,,4627.37,100,,Fee Schedule,800.54,,4627.37,100,,Fee Schedule,550.66,,4673.64,101,,Fee Schedule,724.41,,4673.64,101,,Fee Schedule,724.41,,4719.92,101,,Fee Schedule,896.78,,4719.92,101,,Fee Schedule,722.15,,4719.92,101,,Fee Schedule,859.02,,4719.92,101,,Fee Schedule,764.63,,4858.74,104,,Fee Schedule,519.89,, ,,,,,,,,,, ,, ,,,, ,,4627.37,21644.52,,																																							
Darbepoetin alfa, nonesrd,1685,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,14.5,467.75,,Fee Schedule,7.92,,14.5,467.75,,Fee Schedule,8.45,,14.5,467.75,,Fee Schedule,6.77,,14.5,467.75,,Fee Schedule,7.18,,14.5,467.75,,Fee Schedule,8.08,,14.5,467.75,,Fee Schedule,8.47,,12.91,416.41,,Fee Schedule,6.78,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,3.1,100,,Fee Schedule,0.53,,3.16,102,,Fee Schedule,0.37,,3.18,102.5,,Fee Schedule,0.48,,3.1,100,,Fee Schedule,0.54,,3.1,100,,Fee Schedule,0.37,,3.13,101,,Fee Schedule,0.49,,3.13,101,,Fee Schedule,0.49,,3.16,101,,Fee Schedule,0.6,,3.16,101,,Fee Schedule,0.48,,3.16,101,,Fee Schedule,0.58,,3.16,101,,Fee Schedule,0.51,,3.26,104,,Fee Schedule,0.35,, ,,,,,,,,,, ,, ,,,, ,,3.10,104.00,,																																							
Epoetin alfa, nonesrd,1686,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,34.94,467.75,,Fee Schedule,19.08,,34.94,467.75,,Fee Schedule,20.37,,34.94,467.75,,Fee Schedule,16.32,,34.94,467.75,,Fee Schedule,17.3,,34.94,467.75,,Fee Schedule,19.46,,34.94,467.75,,Fee Schedule,20.41,,31.11,416.41,,Fee Schedule,16.33,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,7.47,100,,Fee Schedule,1.28,,7.62,102,,Fee Schedule,0.88,,7.66,102.5,,Fee Schedule,1.16,,7.47,100,,Fee Schedule,1.29,,7.47,100,,Fee Schedule,0.89,,7.54,101,,Fee Schedule,1.17,,7.54,101,,Fee Schedule,1.17,,7.62,101,,Fee Schedule,1.45,,7.62,101,,Fee Schedule,1.17,,7.62,101,,Fee Schedule,1.39,,7.62,101,,Fee Schedule,1.23,,7.84,104,,Fee Schedule,0.84,, ,,,,,,,,,, ,, ,,,, ,,7.47,104.00,,																																							
Digoxin immune fab (ovine),1687,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,22629.93,467.75,,Fee Schedule,12355.94,,22629.93,467.75,,Fee Schedule,13193.25,,22629.93,467.75,,Fee Schedule,10568.18,,22629.93,467.75,,Fee Schedule,11201.82,,22629.93,467.75,,Fee Schedule,12604.87,,22629.93,467.75,,Fee Schedule,13215.88,,20146.08,416.41,,Fee Schedule,10576.69,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,4838.04,100,,Fee Schedule,832.14,,4934.8,102,,Fee Schedule,572.44,,4958.99,102.5,,Fee Schedule,753.77,,4838.04,100,,Fee Schedule,836.98,,4838.04,100,,Fee Schedule,575.73,,4886.42,101,,Fee Schedule,757.4,,4886.42,101,,Fee Schedule,757.4,,4934.8,101,,Fee Schedule,937.61,,4934.8,101,,Fee Schedule,755.02,,4934.8,101,,Fee Schedule,898.13,,4934.8,101,,Fee Schedule,799.44,,5079.94,104,,Fee Schedule,543.55,, ,,,,,,,,,, ,, ,,,, ,,4838.04,22629.93,,																																							
Ethanolamine oleate 100 mg,1688,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,2311.76,467.75,,Fee Schedule,1262.22,,2311.76,467.75,,Fee Schedule,1347.76,,2311.76,467.75,,Fee Schedule,1079.59,,2311.76,467.75,,Fee Schedule,1144.32,,2311.76,467.75,,Fee Schedule,1287.65,,2311.76,467.75,,Fee Schedule,1350.07,,2058.02,416.41,,Fee Schedule,1080.46,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,494.23,100,,Fee Schedule,85.01,,504.11,102,,Fee Schedule,58.48,,506.59,102.5,,Fee Schedule,77,,494.23,100,,Fee Schedule,85.5,,494.23,100,,Fee Schedule,58.81,,499.17,101,,Fee Schedule,77.37,,499.17,101,,Fee Schedule,77.37,,504.11,101,,Fee Schedule,95.78,,504.11,101,,Fee Schedule,77.13,,504.11,101,,Fee Schedule,91.75,,504.11,101,,Fee Schedule,81.67,,518.94,104,,Fee Schedule,55.53,, ,,,,,,,,,, ,, ,,,, ,,494.23,2311.76,,																																							
Fomepizole, 15 mg,1689,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,32.56,467.75,,Fee Schedule,17.78,,32.56,467.75,,Fee Schedule,18.98,,32.56,467.75,,Fee Schedule,15.2,,32.56,467.75,,Fee Schedule,16.11,,32.56,467.75,,Fee Schedule,18.13,,32.56,467.75,,Fee Schedule,19.01,,28.98,416.41,,Fee Schedule,15.22,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,6.96,100,,Fee Schedule,1.2,,7.1,102,,Fee Schedule,0.82,,7.13,102.5,,Fee Schedule,1.08,,6.96,100,,Fee Schedule,1.2,,6.96,100,,Fee Schedule,0.83,,7.03,101,,Fee Schedule,1.09,,7.03,101,,Fee Schedule,1.09,,7.1,101,,Fee Schedule,1.35,,7.1,101,,Fee Schedule,1.09,,7.1,101,,Fee Schedule,1.29,,7.1,101,,Fee Schedule,1.15,,7.31,104,,Fee Schedule,0.78,, ,,,,,,,,,, ,, ,,,, ,,6.96,104.00,,																																							
Hemin, 1 mg,1690,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,154.68,467.75,,Fee Schedule,84.46,,154.68,467.75,,Fee Schedule,90.18,,154.68,467.75,,Fee Schedule,72.24,,154.68,467.75,,Fee Schedule,76.57,,154.68,467.75,,Fee Schedule,86.16,,154.68,467.75,,Fee Schedule,90.34,,137.71,416.41,,Fee Schedule,72.3,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,33.07,100,,Fee Schedule,5.69,,33.73,102,,Fee Schedule,3.91,,33.9,102.5,,Fee Schedule,5.15,,33.07,100,,Fee Schedule,5.72,,33.07,100,,Fee Schedule,3.94,,33.4,101,,Fee Schedule,5.18,,33.4,101,,Fee Schedule,5.18,,33.73,101,,Fee Schedule,6.41,,33.73,101,,Fee Schedule,5.16,,33.73,101,,Fee Schedule,6.14,,33.73,101,,Fee Schedule,5.46,,34.72,104,,Fee Schedule,3.72,, ,,,,,,,,,, ,, ,,,, ,,33.07,154.68,,																																							
Ziconotide injection,1694,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,44.53,467.75,,Fee Schedule,24.31,,44.53,467.75,,Fee Schedule,25.96,,44.53,467.75,,Fee Schedule,20.8,,44.53,467.75,,Fee Schedule,22.04,,44.53,467.75,,Fee Schedule,24.8,,44.53,467.75,,Fee Schedule,26.01,,39.64,416.41,,Fee Schedule,20.81,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,9.52,100,,Fee Schedule,1.64,,9.71,102,,Fee Schedule,1.13,,9.76,102.5,,Fee Schedule,1.48,,9.52,100,,Fee Schedule,1.65,,9.52,100,,Fee Schedule,1.13,,9.62,101,,Fee Schedule,1.49,,9.62,101,,Fee Schedule,1.49,,9.71,101,,Fee Schedule,1.84,,9.71,101,,Fee Schedule,1.49,,9.71,101,,Fee Schedule,1.77,,9.71,101,,Fee Schedule,1.57,,10,104,,Fee Schedule,1.07,, ,,,,,,,,,, ,, ,,,, ,,9.52,104.00,,																																							
Palifermin injection,1696,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,130.6,467.75,,Fee Schedule,71.31,,130.6,467.75,,Fee Schedule,76.14,,130.6,467.75,,Fee Schedule,60.99,,130.6,467.75,,Fee Schedule,64.64,,130.6,467.75,,Fee Schedule,72.74,,130.6,467.75,,Fee Schedule,76.27,,116.26,416.41,,Fee Schedule,61.04,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,27.92,100,,Fee Schedule,4.8,,28.48,102,,Fee Schedule,3.3,,28.62,102.5,,Fee Schedule,4.35,,27.92,100,,Fee Schedule,4.83,,27.92,100,,Fee Schedule,3.32,,28.2,101,,Fee Schedule,4.37,,28.2,101,,Fee Schedule,4.37,,28.48,101,,Fee Schedule,5.41,,28.48,101,,Fee Schedule,4.36,,28.48,101,,Fee Schedule,5.18,,28.48,101,,Fee Schedule,4.61,,29.32,104,,Fee Schedule,3.14,, ,,,,,,,,,, ,, ,,,, ,,27.92,130.60,,																																							
Inj secretin synthetic human,1700,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,205.62,467.75,,Fee Schedule,112.27,,205.62,467.75,,Fee Schedule,119.88,,205.62,467.75,,Fee Schedule,96.03,,205.62,467.75,,Fee Schedule,101.78,,205.62,467.75,,Fee Schedule,114.53,,205.62,467.75,,Fee Schedule,120.08,,183.05,416.41,,Fee Schedule,96.1,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,43.96,100,,Fee Schedule,7.56,,44.84,102,,Fee Schedule,5.2,,45.06,102.5,,Fee Schedule,6.85,,43.96,100,,Fee Schedule,7.61,,43.96,100,,Fee Schedule,5.23,,44.4,101,,Fee Schedule,6.88,,44.4,101,,Fee Schedule,6.88,,44.84,101,,Fee Schedule,8.52,,44.84,101,,Fee Schedule,6.86,,44.84,101,,Fee Schedule,8.16,,44.84,101,,Fee Schedule,7.26,,46.16,104,,Fee Schedule,4.94,, ,,,,,,,,,, ,, ,,,, ,,43.96,205.62,,																																							
Treprostinil injection,1701,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,275.93,467.75,,Fee Schedule,150.66,,275.93,467.75,,Fee Schedule,160.86,,275.93,467.75,,Fee Schedule,128.86,,275.93,467.75,,Fee Schedule,136.58,,275.93,467.75,,Fee Schedule,153.69,,275.93,467.75,,Fee Schedule,161.14,,245.64,416.41,,Fee Schedule,128.96,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,58.99,100,,Fee Schedule,10.15,,60.17,102,,Fee Schedule,6.98,,60.46,102.5,,Fee Schedule,9.19,,58.99,100,,Fee Schedule,10.21,,58.99,100,,Fee Schedule,7.02,,59.58,101,,Fee Schedule,9.23,,59.58,101,,Fee Schedule,9.23,,60.17,101,,Fee Schedule,11.43,,60.17,101,,Fee Schedule,9.21,,60.17,101,,Fee Schedule,10.95,,60.17,101,,Fee Schedule,9.75,,61.94,104,,Fee Schedule,6.63,, ,,,,,,,,,, ,, ,,,, ,,58.99,275.93,,																																							
Humatep, inj,1704,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,6.64,467.75,,Fee Schedule,3.63,,6.64,467.75,,Fee Schedule,3.87,,6.64,467.75,,Fee Schedule,3.1,,6.64,467.75,,Fee Schedule,3.29,,6.64,467.75,,Fee Schedule,3.7,,6.64,467.75,,Fee Schedule,3.88,,5.91,416.41,,Fee Schedule,3.1,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,1.42,100,,Fee Schedule,0.24,,1.45,102,,Fee Schedule,0.17,,1.46,102.5,,Fee Schedule,0.22,,1.42,100,,Fee Schedule,0.25,,1.42,100,,Fee Schedule,0.17,,1.43,101,,Fee Schedule,0.22,,1.43,101,,Fee Schedule,0.22,,1.45,101,,Fee Schedule,0.28,,1.45,101,,Fee Schedule,0.22,,1.45,101,,Fee Schedule,0.26,,1.45,101,,Fee Schedule,0.23,,1.49,104,,Fee Schedule,0.16,, ,,,,,,,,,, ,, ,,,, ,,1.42,104.00,,																																							
Factor viia recomb novoseven,1705,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,11.88,467.75,,Fee Schedule,6.49,,11.88,467.75,,Fee Schedule,6.93,,11.88,467.75,,Fee Schedule,5.55,,11.88,467.75,,Fee Schedule,5.88,,11.88,467.75,,Fee Schedule,6.62,,11.88,467.75,,Fee Schedule,6.94,,10.58,416.41,,Fee Schedule,5.55,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,2.54,100,,Fee Schedule,0.44,,2.59,102,,Fee Schedule,0.3,,2.6,102.5,,Fee Schedule,0.4,,2.54,100,,Fee Schedule,0.44,,2.54,100,,Fee Schedule,0.3,,2.57,101,,Fee Schedule,0.4,,2.57,101,,Fee Schedule,0.4,,2.59,101,,Fee Schedule,0.49,,2.59,101,,Fee Schedule,0.4,,2.59,101,,Fee Schedule,0.47,,2.59,101,,Fee Schedule,0.42,,2.67,104,,Fee Schedule,0.29,, ,,,,,,,,,, ,, ,,,, ,,2.54,104.00,,																																							
Clofarabine injection,1710,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,114.74,467.75,,Fee Schedule,62.65,,114.74,467.75,,Fee Schedule,66.89,,114.74,467.75,,Fee Schedule,53.58,,114.74,467.75,,Fee Schedule,56.8,,114.74,467.75,,Fee Schedule,63.91,,114.74,467.75,,Fee Schedule,67.01,,102.15,416.41,,Fee Schedule,53.63,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,24.53,100,,Fee Schedule,4.22,,25.02,102,,Fee Schedule,2.9,,25.14,102.5,,Fee Schedule,3.82,,24.53,100,,Fee Schedule,4.24,,24.53,100,,Fee Schedule,2.92,,24.78,101,,Fee Schedule,3.84,,24.78,101,,Fee Schedule,3.84,,25.02,101,,Fee Schedule,4.75,,25.02,101,,Fee Schedule,3.83,,25.02,101,,Fee Schedule,4.55,,25.02,101,,Fee Schedule,4.05,,25.76,104,,Fee Schedule,2.76,, ,,,,,,,,,, ,, ,,,, ,,24.53,114.74,,																																							
Vantas implant,1711,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,25451.4,467.75,,Fee Schedule,13896.46,,25451.4,467.75,,Fee Schedule,14838.17,,25451.4,467.75,,Fee Schedule,11885.8,,25451.4,467.75,,Fee Schedule,12598.44,,25451.4,467.75,,Fee Schedule,14176.43,,25451.4,467.75,,Fee Schedule,14863.62,,22657.87,416.41,,Fee Schedule,11895.38,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,5441.24,100,,Fee Schedule,935.89,,5550.06,102,,Fee Schedule,643.81,,5577.27,102.5,,Fee Schedule,847.75,,5441.24,100,,Fee Schedule,941.33,,5441.24,100,,Fee Schedule,647.51,,5495.65,101,,Fee Schedule,851.83,,5495.65,101,,Fee Schedule,851.83,,5550.06,101,,Fee Schedule,1054.51,,5550.06,101,,Fee Schedule,849.16,,5550.06,101,,Fee Schedule,1010.11,,5550.06,101,,Fee Schedule,899.11,,5713.3,104,,Fee Schedule,611.32,, ,,,,,,,,,, ,, ,,,, ,,5441.24,25451.40,,																																							
Paclitaxel protein bound,1712,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,72.83,467.75,,Fee Schedule,39.76,,72.83,467.75,,Fee Schedule,42.46,,72.83,467.75,,Fee Schedule,34.01,,72.83,467.75,,Fee Schedule,36.05,,72.83,467.75,,Fee Schedule,40.57,,72.83,467.75,,Fee Schedule,42.53,,64.84,416.41,,Fee Schedule,34.04,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,15.57,100,,Fee Schedule,2.68,,15.88,102,,Fee Schedule,1.84,,15.96,102.5,,Fee Schedule,2.43,,15.57,100,,Fee Schedule,2.69,,15.57,100,,Fee Schedule,1.85,,15.73,101,,Fee Schedule,2.44,,15.73,101,,Fee Schedule,2.44,,15.88,101,,Fee Schedule,3.02,,15.88,101,,Fee Schedule,2.43,,15.88,101,,Fee Schedule,2.89,,15.88,101,,Fee Schedule,2.57,,16.35,104,,Fee Schedule,1.75,, ,,,,,,,,,, ,, ,,,, ,,15.57,104.00,,																																							
Radium ra223 dichloride ther,1745,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,777.92,467.75,,Fee Schedule,424.74,,777.92,467.75,,Fee Schedule,453.52,,777.92,467.75,,Fee Schedule,363.29,,777.92,467.75,,Fee Schedule,385.07,,777.92,467.75,,Fee Schedule,433.3,,777.92,467.75,,Fee Schedule,454.3,,692.53,416.41,,Fee Schedule,363.58,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,166.31,100,,Fee Schedule,28.61,,169.64,102,,Fee Schedule,19.68,,170.47,102.5,,Fee Schedule,25.91,,166.31,100,,Fee Schedule,28.77,,166.31,100,,Fee Schedule,19.79,,167.97,101,,Fee Schedule,26.04,,167.97,101,,Fee Schedule,26.04,,169.64,101,,Fee Schedule,32.23,,169.64,101,,Fee Schedule,25.95,,169.64,101,,Fee Schedule,30.87,,169.64,101,,Fee Schedule,27.48,,174.63,104,,Fee Schedule,18.68,, ,,,,,,,,,, ,, ,,,, ,,166.31,777.92,,																																							
Monovisc inj per dose,1747,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,3587.88,467.75,,Fee Schedule,1958.98,,3587.88,467.75,,Fee Schedule,2091.73,,3587.88,467.75,,Fee Schedule,1675.54,,3587.88,467.75,,Fee Schedule,1776,,3587.88,467.75,,Fee Schedule,1998.45,,3587.88,467.75,,Fee Schedule,2095.32,,3194.07,416.41,,Fee Schedule,1676.89,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,767.05,100,,Fee Schedule,131.93,,782.39,102,,Fee Schedule,90.76,,786.23,102.5,,Fee Schedule,119.51,,767.05,100,,Fee Schedule,132.7,,767.05,100,,Fee Schedule,91.28,,774.72,101,,Fee Schedule,120.08,,774.72,101,,Fee Schedule,120.08,,782.39,101,,Fee Schedule,148.65,,782.39,101,,Fee Schedule,119.71,,782.39,101,,Fee Schedule,142.4,,782.39,101,,Fee Schedule,126.75,,805.4,104,,Fee Schedule,86.18,, ,,,,,,,,,, ,, ,,,, ,,767.05,3587.88,,																																							
Inj tbo filgrastim 1 microg,1748,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,2.06,467.75,,Fee Schedule,1.12,,2.06,467.75,,Fee Schedule,1.2,,2.06,467.75,,Fee Schedule,0.96,,2.06,467.75,,Fee Schedule,1.02,,2.06,467.75,,Fee Schedule,1.15,,2.06,467.75,,Fee Schedule,1.2,,1.83,416.41,,Fee Schedule,0.96,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,0.44,100,,Fee Schedule,0.08,,0.45,102,,Fee Schedule,0.05,,0.45,102.5,,Fee Schedule,0.07,,0.44,100,,Fee Schedule,0.08,,0.44,100,,Fee Schedule,0.05,,0.44,101,,Fee Schedule,0.07,,0.44,101,,Fee Schedule,0.07,,0.45,101,,Fee Schedule,0.09,,0.45,101,,Fee Schedule,0.07,,0.45,101,,Fee Schedule,0.08,,0.45,101,,Fee Schedule,0.07,,0.46,104,,Fee Schedule,0.05,, ,,,,,,,,,, ,, ,,,, ,,0.44,104.00,,																																							
Rolapitant, oral, 1mg,1761,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,8.51,467.75,,Fee Schedule,4.65,,8.51,467.75,,Fee Schedule,4.96,,8.51,467.75,,Fee Schedule,3.98,,8.51,467.75,,Fee Schedule,4.21,,8.51,467.75,,Fee Schedule,4.74,,8.51,467.75,,Fee Schedule,4.97,,7.58,416.41,,Fee Schedule,3.98,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,1.82,100,,Fee Schedule,0.31,,1.86,102,,Fee Schedule,0.22,,1.87,102.5,,Fee Schedule,0.28,,1.82,100,,Fee Schedule,0.31,,1.82,100,,Fee Schedule,0.22,,1.84,101,,Fee Schedule,0.28,,1.84,101,,Fee Schedule,0.28,,1.86,101,,Fee Schedule,0.35,,1.86,101,,Fee Schedule,0.28,,1.86,101,,Fee Schedule,0.34,,1.86,101,,Fee Schedule,0.3,,1.91,104,,Fee Schedule,0.2,, ,,,,,,,,,, ,, ,,,, ,,1.82,104.00,,																																							
Injection, alemtuzumab,1809,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,11295.18,467.75,,Fee Schedule,6167.17,,11295.18,467.75,,Fee Schedule,6585.09,,11295.18,467.75,,Fee Schedule,5274.85,,11295.18,467.75,,Fee Schedule,5591.11,,11295.18,467.75,,Fee Schedule,6291.42,,11295.18,467.75,,Fee Schedule,6596.39,,10055.43,416.41,,Fee Schedule,5279.1,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,2414.79,100,,Fee Schedule,415.34,,2463.09,102,,Fee Schedule,285.72,,2475.16,102.5,,Fee Schedule,376.22,,2414.79,100,,Fee Schedule,417.76,,2414.79,100,,Fee Schedule,287.36,,2438.94,101,,Fee Schedule,378.04,,2438.94,101,,Fee Schedule,378.04,,2463.09,101,,Fee Schedule,467.99,,2463.09,101,,Fee Schedule,376.85,,2463.09,101,,Fee Schedule,448.28,,2463.09,101,,Fee Schedule,399.02,,2535.53,104,,Fee Schedule,271.3,, ,,,,,,,,,, ,, ,,,, ,,2414.79,11295.18,,																																							
Injection, dalbavancin,1823,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,74.93,467.75,,Fee Schedule,40.91,,74.93,467.75,,Fee Schedule,43.69,,74.93,467.75,,Fee Schedule,34.99,,74.93,467.75,,Fee Schedule,37.09,,74.93,467.75,,Fee Schedule,41.74,,74.93,467.75,,Fee Schedule,43.76,,66.71,416.41,,Fee Schedule,35.02,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,16.02,100,,Fee Schedule,2.76,,16.34,102,,Fee Schedule,1.9,,16.42,102.5,,Fee Schedule,2.5,,16.02,100,,Fee Schedule,2.77,,16.02,100,,Fee Schedule,1.91,,16.18,101,,Fee Schedule,2.51,,16.18,101,,Fee Schedule,2.51,,16.34,101,,Fee Schedule,3.1,,16.34,101,,Fee Schedule,2.5,,16.34,101,,Fee Schedule,2.97,,16.34,101,,Fee Schedule,2.65,,16.82,104,,Fee Schedule,1.8,, ,,,,,,,,,, ,, ,,,, ,,16.02,104.00,,																																							
Ceftaroline fosamil inj,1824,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,18.99,467.75,,Fee Schedule,10.37,,18.99,467.75,,Fee Schedule,11.07,,18.99,467.75,,Fee Schedule,8.87,,18.99,467.75,,Fee Schedule,9.4,,18.99,467.75,,Fee Schedule,10.58,,18.99,467.75,,Fee Schedule,11.09,,16.91,416.41,,Fee Schedule,8.88,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,4.06,100,,Fee Schedule,0.7,,4.14,102,,Fee Schedule,0.48,,4.16,102.5,,Fee Schedule,0.63,,4.06,100,,Fee Schedule,0.7,,4.06,100,,Fee Schedule,0.48,,4.1,101,,Fee Schedule,0.64,,4.1,101,,Fee Schedule,0.64,,4.14,101,,Fee Schedule,0.79,,4.14,101,,Fee Schedule,0.63,,4.14,101,,Fee Schedule,0.75,,4.14,101,,Fee Schedule,0.67,,4.26,104,,Fee Schedule,0.46,, ,,,,,,,,,, ,, ,,,, ,,4.06,104.00,,																																							
Ceftazidime and avibactam,1825,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,470.18,467.75,,Fee Schedule,256.72,,470.18,467.75,,Fee Schedule,274.12,,470.18,467.75,,Fee Schedule,219.58,,470.18,467.75,,Fee Schedule,232.74,,470.18,467.75,,Fee Schedule,261.89,,470.18,467.75,,Fee Schedule,274.59,,418.58,416.41,,Fee Schedule,219.75,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,100.52,100,,Fee Schedule,17.29,,102.53,102,,Fee Schedule,11.89,,103.03,102.5,,Fee Schedule,15.66,,100.52,100,,Fee Schedule,17.39,,100.52,100,,Fee Schedule,11.96,,101.53,101,,Fee Schedule,15.74,,101.53,101,,Fee Schedule,15.74,,102.53,101,,Fee Schedule,19.48,,102.53,101,,Fee Schedule,15.69,,102.53,101,,Fee Schedule,18.66,,102.53,101,,Fee Schedule,16.61,,105.55,104,,Fee Schedule,11.29,, ,,,,,,,,,, ,, ,,,, ,,100.52,470.18,,																																							
Hyqvia 100mg immuneglobulin,1826,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,83.21,467.75,,Fee Schedule,45.43,,83.21,467.75,,Fee Schedule,48.51,,83.21,467.75,,Fee Schedule,38.86,,83.21,467.75,,Fee Schedule,41.19,,83.21,467.75,,Fee Schedule,46.35,,83.21,467.75,,Fee Schedule,48.6,,74.08,416.41,,Fee Schedule,38.89,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,17.79,100,,Fee Schedule,3.06,,18.15,102,,Fee Schedule,2.1,,18.23,102.5,,Fee Schedule,2.77,,17.79,100,,Fee Schedule,3.08,,17.79,100,,Fee Schedule,2.12,,17.97,101,,Fee Schedule,2.79,,17.97,101,,Fee Schedule,2.79,,18.15,101,,Fee Schedule,3.45,,18.15,101,,Fee Schedule,2.78,,18.15,101,,Fee Schedule,3.3,,18.15,101,,Fee Schedule,2.94,,18.68,104,,Fee Schedule,2,, ,,,,,,,,,, ,, ,,,, ,,17.79,104.00,,																																							
Factor viii recomb obizur,1827,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,15.86,467.75,,Fee Schedule,8.66,,15.86,467.75,,Fee Schedule,9.24,,15.86,467.75,,Fee Schedule,7.41,,15.86,467.75,,Fee Schedule,7.85,,15.86,467.75,,Fee Schedule,8.83,,15.86,467.75,,Fee Schedule,9.26,,14.12,416.41,,Fee Schedule,7.41,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,3.39,100,,Fee Schedule,0.58,,3.46,102,,Fee Schedule,0.4,,3.47,102.5,,Fee Schedule,0.53,,3.39,100,,Fee Schedule,0.59,,3.39,100,,Fee Schedule,0.4,,3.42,101,,Fee Schedule,0.53,,3.42,101,,Fee Schedule,0.53,,3.46,101,,Fee Schedule,0.66,,3.46,101,,Fee Schedule,0.53,,3.46,101,,Fee Schedule,0.63,,3.46,101,,Fee Schedule,0.56,,3.56,104,,Fee Schedule,0.38,, ,,,,,,,,,, ,, ,,,, ,,3.39,104.00,,																																							
Penicillin g benzathine inj,1829,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,99.3,467.75,,Fee Schedule,54.22,,99.3,467.75,,Fee Schedule,57.89,,99.3,467.75,,Fee Schedule,46.37,,99.3,467.75,,Fee Schedule,49.16,,99.3,467.75,,Fee Schedule,55.31,,99.3,467.75,,Fee Schedule,57.99,,88.4,416.41,,Fee Schedule,46.41,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,21.23,100,,Fee Schedule,3.65,,21.65,102,,Fee Schedule,2.51,,21.76,102.5,,Fee Schedule,3.31,,21.23,100,,Fee Schedule,3.67,,21.23,100,,Fee Schedule,2.53,,21.44,101,,Fee Schedule,3.32,,21.44,101,,Fee Schedule,3.32,,21.65,101,,Fee Schedule,4.11,,21.65,101,,Fee Schedule,3.31,,21.65,101,,Fee Schedule,3.94,,21.65,101,,Fee Schedule,3.51,,22.29,104,,Fee Schedule,2.39,, ,,,,,,,,,, ,, ,,,, ,,21.23,104.00,,																																							
Dimethyl sulfoxide 50% 50 ml,1832,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,3358.59,467.75,,Fee Schedule,1833.79,,3358.59,467.75,,Fee Schedule,1958.06,,3358.59,467.75,,Fee Schedule,1568.46,,3358.59,467.75,,Fee Schedule,1662.5,,3358.59,467.75,,Fee Schedule,1870.73,,3358.59,467.75,,Fee Schedule,1961.41,,2989.95,416.41,,Fee Schedule,1569.72,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,718.03,100,,Fee Schedule,123.5,,732.39,102,,Fee Schedule,84.96,,735.98,102.5,,Fee Schedule,111.87,,718.03,100,,Fee Schedule,124.22,,718.03,100,,Fee Schedule,85.45,,725.21,101,,Fee Schedule,112.41,,725.21,101,,Fee Schedule,112.41,,732.39,101,,Fee Schedule,139.15,,732.39,101,,Fee Schedule,112.06,,732.39,101,,Fee Schedule,133.3,,732.39,101,,Fee Schedule,118.65,,753.93,104,,Fee Schedule,80.67,, ,,,,,,,,,, ,, ,,,, ,,718.03,3358.59,,																																							
Penicillin g procaine inj,1836,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,201.69,467.75,,Fee Schedule,110.12,,201.69,467.75,,Fee Schedule,117.59,,201.69,467.75,,Fee Schedule,94.19,,201.69,467.75,,Fee Schedule,99.84,,201.69,467.75,,Fee Schedule,112.34,,201.69,467.75,,Fee Schedule,117.79,,179.56,416.41,,Fee Schedule,94.27,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,43.12,100,,Fee Schedule,7.42,,43.98,102,,Fee Schedule,5.1,,44.2,102.5,,Fee Schedule,6.72,,43.12,100,,Fee Schedule,7.46,,43.12,100,,Fee Schedule,5.13,,43.55,101,,Fee Schedule,6.75,,43.55,101,,Fee Schedule,6.75,,43.98,101,,Fee Schedule,8.36,,43.98,101,,Fee Schedule,6.73,,43.98,101,,Fee Schedule,8,,43.98,101,,Fee Schedule,7.13,,45.28,104,,Fee Schedule,4.84,, ,,,,,,,,,, ,, ,,,, ,,43.12,201.69,,																																							
Factor viii pegylated recomb,1844,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,10.01,467.75,,Fee Schedule,5.47,,10.01,467.75,,Fee Schedule,5.84,,10.01,467.75,,Fee Schedule,4.67,,10.01,467.75,,Fee Schedule,4.95,,10.01,467.75,,Fee Schedule,5.58,,10.01,467.75,,Fee Schedule,5.85,,8.91,416.41,,Fee Schedule,4.68,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,2.14,100,,Fee Schedule,0.37,,2.18,102,,Fee Schedule,0.25,,2.19,102.5,,Fee Schedule,0.33,,2.14,100,,Fee Schedule,0.37,,2.14,100,,Fee Schedule,0.25,,2.16,101,,Fee Schedule,0.34,,2.16,101,,Fee Schedule,0.34,,2.18,101,,Fee Schedule,0.41,,2.18,101,,Fee Schedule,0.33,,2.18,101,,Fee Schedule,0.4,,2.18,101,,Fee Schedule,0.35,,2.25,104,,Fee Schedule,0.24,, ,,,,,,,,,, ,, ,,,, ,,2.14,104.00,,																																							
Factor viii nuwiq recomb 1iu,1846,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,6.41,467.75,,Fee Schedule,3.5,,6.41,467.75,,Fee Schedule,3.74,,6.41,467.75,,Fee Schedule,2.99,,6.41,467.75,,Fee Schedule,3.17,,6.41,467.75,,Fee Schedule,3.57,,6.41,467.75,,Fee Schedule,3.74,,5.7,416.41,,Fee Schedule,3,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,1.37,100,,Fee Schedule,0.24,,1.4,102,,Fee Schedule,0.16,,1.4,102.5,,Fee Schedule,0.21,,1.37,100,,Fee Schedule,0.24,,1.37,100,,Fee Schedule,0.16,,1.38,101,,Fee Schedule,0.21,,1.38,101,,Fee Schedule,0.21,,1.4,101,,Fee Schedule,0.27,,1.4,101,,Fee Schedule,0.21,,1.4,101,,Fee Schedule,0.25,,1.4,101,,Fee Schedule,0.23,,1.44,104,,Fee Schedule,0.15,, ,,,,,,,,,, ,, ,,,, ,,1.37,104.00,,																																							
Injection, inflectra,1847,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,68.62,467.75,,Fee Schedule,37.47,,68.62,467.75,,Fee Schedule,40,,68.62,467.75,,Fee Schedule,32.05,,68.62,467.75,,Fee Schedule,33.97,,68.62,467.75,,Fee Schedule,38.22,,68.62,467.75,,Fee Schedule,40.07,,61.09,416.41,,Fee Schedule,32.07,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,14.67,100,,Fee Schedule,2.52,,14.96,102,,Fee Schedule,1.74,,15.04,102.5,,Fee Schedule,2.29,,14.67,100,,Fee Schedule,2.54,,14.67,100,,Fee Schedule,1.75,,14.82,101,,Fee Schedule,2.3,,14.82,101,,Fee Schedule,2.3,,14.96,101,,Fee Schedule,2.84,,14.96,101,,Fee Schedule,2.29,,14.96,101,,Fee Schedule,2.72,,14.96,101,,Fee Schedule,2.42,,15.4,104,,Fee Schedule,1.65,, ,,,,,,,,,, ,, ,,,, ,,14.67,104.00,,																																							
Artiss fibrin sealant,1848,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,889.43,467.75,,Fee Schedule,485.63,,889.43,467.75,,Fee Schedule,518.54,,889.43,467.75,,Fee Schedule,415.36,,889.43,467.75,,Fee Schedule,440.27,,889.43,467.75,,Fee Schedule,495.41,,889.43,467.75,,Fee Schedule,519.43,,791.8,416.41,,Fee Schedule,415.7,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,190.15,100,,Fee Schedule,32.71,,193.95,102,,Fee Schedule,22.5,,194.9,102.5,,Fee Schedule,29.63,,190.15,100,,Fee Schedule,32.9,,190.15,100,,Fee Schedule,22.63,,192.05,101,,Fee Schedule,29.77,,192.05,101,,Fee Schedule,29.77,,193.95,101,,Fee Schedule,36.85,,193.95,101,,Fee Schedule,29.67,,193.95,101,,Fee Schedule,35.3,,193.95,101,,Fee Schedule,31.42,,199.66,104,,Fee Schedule,21.36,, ,,,,,,,,,, ,, ,,,, ,,190.15,889.43,,																																							
Foscarnet sodium injection,1849,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,290.99,467.75,,Fee Schedule,158.88,,290.99,467.75,,Fee Schedule,169.65,,290.99,467.75,,Fee Schedule,135.89,,290.99,467.75,,Fee Schedule,144.04,,290.99,467.75,,Fee Schedule,162.08,,290.99,467.75,,Fee Schedule,169.94,,259.05,416.41,,Fee Schedule,136,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,62.21,100,,Fee Schedule,10.7,,63.45,102,,Fee Schedule,7.36,,63.77,102.5,,Fee Schedule,9.69,,62.21,100,,Fee Schedule,10.76,,62.21,100,,Fee Schedule,7.4,,62.83,101,,Fee Schedule,9.74,,62.83,101,,Fee Schedule,9.74,,63.45,101,,Fee Schedule,12.06,,63.45,101,,Fee Schedule,9.71,,63.45,101,,Fee Schedule,11.55,,63.45,101,,Fee Schedule,10.28,,65.32,104,,Fee Schedule,6.99,, ,,,,,,,,,, ,, ,,,, ,,62.21,290.99,,																																							
Gamma globulin 1 cc inj,1850,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,240.24,467.75,,Fee Schedule,131.17,,240.24,467.75,,Fee Schedule,140.06,,240.24,467.75,,Fee Schedule,112.19,,240.24,467.75,,Fee Schedule,118.92,,240.24,467.75,,Fee Schedule,133.81,,240.24,467.75,,Fee Schedule,140.3,,213.87,416.41,,Fee Schedule,112.28,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,51.36,100,,Fee Schedule,8.83,,52.39,102,,Fee Schedule,6.08,,52.64,102.5,,Fee Schedule,8,,51.36,100,,Fee Schedule,8.89,,51.36,100,,Fee Schedule,6.11,,51.87,101,,Fee Schedule,8.04,,51.87,101,,Fee Schedule,8.04,,52.39,101,,Fee Schedule,9.95,,52.39,101,,Fee Schedule,8.02,,52.39,101,,Fee Schedule,9.53,,52.39,101,,Fee Schedule,8.49,,53.93,104,,Fee Schedule,5.77,, ,,,,,,,,,, ,, ,,,, ,,51.36,240.24,,																																							
Gamma globulin > 10 cc inj,1851,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,2402.41,467.75,,Fee Schedule,1311.72,,2402.41,467.75,,Fee Schedule,1400.61,,2402.41,467.75,,Fee Schedule,1121.93,,2402.41,467.75,,Fee Schedule,1189.19,,2402.41,467.75,,Fee Schedule,1338.14,,2402.41,467.75,,Fee Schedule,1403.01,,2138.72,416.41,,Fee Schedule,1122.83,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,513.61,100,,Fee Schedule,88.34,,523.88,102,,Fee Schedule,60.77,,526.45,102.5,,Fee Schedule,80.02,,513.61,100,,Fee Schedule,88.85,,513.61,100,,Fee Schedule,61.12,,518.75,101,,Fee Schedule,80.41,,518.75,101,,Fee Schedule,80.41,,523.88,101,,Fee Schedule,99.54,,523.88,101,,Fee Schedule,80.15,,523.88,101,,Fee Schedule,95.35,,523.88,101,,Fee Schedule,84.87,,539.29,104,,Fee Schedule,57.7,, ,,,,,,,,,, ,, ,,,, ,,513.61,2402.41,,																																							
Interferon beta1a inj,1852,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,8964.66,467.75,,Fee Schedule,4894.71,,8964.66,467.75,,Fee Schedule,5226.4,,8964.66,467.75,,Fee Schedule,4186.5,,8964.66,467.75,,Fee Schedule,4437.51,,8964.66,467.75,,Fee Schedule,4993.32,,8964.66,467.75,,Fee Schedule,5235.36,,7980.71,416.41,,Fee Schedule,4189.87,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,1916.55,100,,Fee Schedule,329.65,,1954.88,102,,Fee Schedule,226.77,,1964.46,102.5,,Fee Schedule,298.6,,1916.55,100,,Fee Schedule,331.56,,1916.55,100,,Fee Schedule,228.07,,1935.72,101,,Fee Schedule,300.04,,1935.72,101,,Fee Schedule,300.04,,1954.88,101,,Fee Schedule,371.43,,1954.88,101,,Fee Schedule,299.1,,1954.88,101,,Fee Schedule,355.79,,1954.88,101,,Fee Schedule,316.69,,2012.38,104,,Fee Schedule,215.32,, ,,,,,,,,,, ,, ,,,, ,,1916.55,8964.66,,																																							
Minocycline hydrochloride,1853,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,12.16,467.75,,Fee Schedule,6.64,,12.16,467.75,,Fee Schedule,7.09,,12.16,467.75,,Fee Schedule,5.68,,12.16,467.75,,Fee Schedule,6.02,,12.16,467.75,,Fee Schedule,6.77,,12.16,467.75,,Fee Schedule,7.1,,10.83,416.41,,Fee Schedule,5.68,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,2.6,100,,Fee Schedule,0.45,,2.65,102,,Fee Schedule,0.31,,2.67,102.5,,Fee Schedule,0.41,,2.6,100,,Fee Schedule,0.45,,2.6,100,,Fee Schedule,0.31,,2.63,101,,Fee Schedule,0.41,,2.63,101,,Fee Schedule,0.41,,2.65,101,,Fee Schedule,0.5,,2.65,101,,Fee Schedule,0.41,,2.65,101,,Fee Schedule,0.48,,2.65,101,,Fee Schedule,0.43,,2.73,104,,Fee Schedule,0.29,, ,,,,,,,,,, ,, ,,,, ,,2.60,104.00,,																																							
Pentobarbital sodium inj,1854,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,168.02,467.75,,Fee Schedule,91.74,,168.02,467.75,,Fee Schedule,97.95,,168.02,467.75,,Fee Schedule,78.46,,168.02,467.75,,Fee Schedule,83.17,,168.02,467.75,,Fee Schedule,93.58,,168.02,467.75,,Fee Schedule,98.12,,149.57,416.41,,Fee Schedule,78.53,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,35.92,100,,Fee Schedule,6.18,,36.64,102,,Fee Schedule,4.25,,36.82,102.5,,Fee Schedule,5.6,,35.92,100,,Fee Schedule,6.21,,35.92,100,,Fee Schedule,4.27,,36.28,101,,Fee Schedule,5.62,,36.28,101,,Fee Schedule,5.62,,36.64,101,,Fee Schedule,6.96,,36.64,101,,Fee Schedule,5.61,,36.64,101,,Fee Schedule,6.67,,36.64,101,,Fee Schedule,5.94,,37.72,104,,Fee Schedule,4.04,, ,,,,,,,,,, ,, ,,,, ,,35.92,168.02,,																																							
Factor viii recomb novoeight,1856,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,6.45,467.75,,Fee Schedule,3.52,,6.45,467.75,,Fee Schedule,3.76,,6.45,467.75,,Fee Schedule,3.01,,6.45,467.75,,Fee Schedule,3.2,,6.45,467.75,,Fee Schedule,3.6,,6.45,467.75,,Fee Schedule,3.77,,5.75,416.41,,Fee Schedule,3.02,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,1.38,100,,Fee Schedule,0.24,,1.41,102,,Fee Schedule,0.16,,1.41,102.5,,Fee Schedule,0.22,,1.38,100,,Fee Schedule,0.24,,1.38,100,,Fee Schedule,0.16,,1.39,101,,Fee Schedule,0.22,,1.39,101,,Fee Schedule,0.22,,1.41,101,,Fee Schedule,0.27,,1.41,101,,Fee Schedule,0.22,,1.41,101,,Fee Schedule,0.26,,1.41,101,,Fee Schedule,0.23,,1.45,104,,Fee Schedule,0.16,, ,,,,,,,,,, ,, ,,,, ,,1.38,104.00,,																																							
Inj, factor x, (human), 1iu,1857,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,44.9,467.75,,Fee Schedule,24.52,,44.9,467.75,,Fee Schedule,26.18,,44.9,467.75,,Fee Schedule,20.97,,44.9,467.75,,Fee Schedule,22.23,,44.9,467.75,,Fee Schedule,25.01,,44.9,467.75,,Fee Schedule,26.22,,39.98,416.41,,Fee Schedule,20.99,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,9.6,100,,Fee Schedule,1.65,,9.79,102,,Fee Schedule,1.14,,9.84,102.5,,Fee Schedule,1.5,,9.6,100,,Fee Schedule,1.66,,9.6,100,,Fee Schedule,1.14,,9.7,101,,Fee Schedule,1.5,,9.7,101,,Fee Schedule,1.5,,9.79,101,,Fee Schedule,1.86,,9.79,101,,Fee Schedule,1.5,,9.79,101,,Fee Schedule,1.78,,9.79,101,,Fee Schedule,1.59,,10.08,104,,Fee Schedule,1.08,, ,,,,,,,,,, ,, ,,,, ,,9.60,104.00,,																																							
Argatroban nonesrd use 1mg,1859,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,5.94,467.75,,Fee Schedule,3.24,,5.94,467.75,,Fee Schedule,3.46,,5.94,467.75,,Fee Schedule,2.77,,5.94,467.75,,Fee Schedule,2.94,,5.94,467.75,,Fee Schedule,3.31,,5.94,467.75,,Fee Schedule,3.47,,5.29,416.41,,Fee Schedule,2.78,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,1.27,100,,Fee Schedule,0.22,,1.3,102,,Fee Schedule,0.15,,1.3,102.5,,Fee Schedule,0.2,,1.27,100,,Fee Schedule,0.22,,1.27,100,,Fee Schedule,0.15,,1.28,101,,Fee Schedule,0.2,,1.28,101,,Fee Schedule,0.2,,1.3,101,,Fee Schedule,0.25,,1.3,101,,Fee Schedule,0.2,,1.3,101,,Fee Schedule,0.24,,1.3,101,,Fee Schedule,0.21,,1.33,104,,Fee Schedule,0.14,, ,,,,,,,,,, ,, ,,,, ,,1.27,104.00,,																																							
Inj., bendeka 1 mg,1861,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,78.16,467.75,,Fee Schedule,42.68,,78.16,467.75,,Fee Schedule,45.57,,78.16,467.75,,Fee Schedule,36.5,,78.16,467.75,,Fee Schedule,38.69,,78.16,467.75,,Fee Schedule,43.54,,78.16,467.75,,Fee Schedule,45.65,,69.58,416.41,,Fee Schedule,36.53,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,16.71,100,,Fee Schedule,2.87,,17.04,102,,Fee Schedule,1.98,,17.13,102.5,,Fee Schedule,2.6,,16.71,100,,Fee Schedule,2.89,,16.71,100,,Fee Schedule,1.99,,16.88,101,,Fee Schedule,2.62,,16.88,101,,Fee Schedule,2.62,,17.04,101,,Fee Schedule,3.24,,17.04,101,,Fee Schedule,2.61,,17.04,101,,Fee Schedule,3.1,,17.04,101,,Fee Schedule,2.76,,17.55,104,,Fee Schedule,1.88,, ,,,,,,,,,, ,, ,,,, ,,16.71,104.00,,																																							
Gelsyn3 injection 0.1 mg,1862,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,2.67,467.75,,Fee Schedule,1.46,,2.67,467.75,,Fee Schedule,1.55,,2.67,467.75,,Fee Schedule,1.25,,2.67,467.75,,Fee Schedule,1.32,,2.67,467.75,,Fee Schedule,1.49,,2.67,467.75,,Fee Schedule,1.56,,2.37,416.41,,Fee Schedule,1.25,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,0.57,100,,Fee Schedule,0.1,,0.58,102,,Fee Schedule,0.07,,0.58,102.5,,Fee Schedule,0.09,,0.57,100,,Fee Schedule,0.1,,0.57,100,,Fee Schedule,0.07,,0.58,101,,Fee Schedule,0.09,,0.58,101,,Fee Schedule,0.09,,0.58,101,,Fee Schedule,0.11,,0.58,101,,Fee Schedule,0.09,,0.58,101,,Fee Schedule,0.11,,0.58,101,,Fee Schedule,0.09,,0.6,104,,Fee Schedule,0.06,, ,,,,,,,,,, ,, ,,,, ,,0.57,104.00,,																																							
Brachytx, nonstr,yttrium90,2616,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,86753.36,467.75,,Fee Schedule,47367.33,,86753.36,467.75,,Fee Schedule,50577.21,,86753.36,467.75,,Fee Schedule,40513.82,,86753.36,467.75,,Fee Schedule,42942.91,,86753.36,467.75,,Fee Schedule,48321.62,,86753.36,467.75,,Fee Schedule,50663.96,,77231.35,416.41,,Fee Schedule,40546.46,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,18546.95,100,,Fee Schedule,3190.08,,18917.89,102,,Fee Schedule,2194.48,,19010.62,102.5,,Fee Schedule,2889.61,,18546.95,100,,Fee Schedule,3208.62,,18546.95,100,,Fee Schedule,2207.09,,18732.42,101,,Fee Schedule,2903.53,,18732.42,101,,Fee Schedule,2903.53,,18917.89,101,,Fee Schedule,3594.4,,18917.89,101,,Fee Schedule,2894.44,,18917.89,101,,Fee Schedule,3443.06,,18917.89,101,,Fee Schedule,3064.7,,19474.3,104,,Fee Schedule,2083.75,, ,,,,,,,,,, ,, ,,,, ,,18546.95,86753.36,,																																							
Iodine i125 sodium iodide,2632,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,212.5,467.75,,Fee Schedule,116.02,,212.5,467.75,,Fee Schedule,123.89,,212.5,467.75,,Fee Schedule,99.24,,212.5,467.75,,Fee Schedule,105.19,,212.5,467.75,,Fee Schedule,118.36,,212.5,467.75,,Fee Schedule,124.1,,189.18,416.41,,Fee Schedule,99.32,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,45.43,100,,Fee Schedule,7.81,,46.34,102,,Fee Schedule,5.38,,46.57,102.5,,Fee Schedule,7.08,,45.43,100,,Fee Schedule,7.86,,45.43,100,,Fee Schedule,5.41,,45.88,101,,Fee Schedule,7.11,,45.88,101,,Fee Schedule,7.11,,46.34,101,,Fee Schedule,8.8,,46.34,101,,Fee Schedule,7.09,,46.34,101,,Fee Schedule,8.43,,46.34,101,,Fee Schedule,7.51,,47.7,104,,Fee Schedule,5.1,, ,,,,,,,,,, ,, ,,,, ,,45.43,212.50,,																																							
Brachytx, nonstr, ha, i125,2634,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,896.63,467.75,,Fee Schedule,489.56,,896.63,467.75,,Fee Schedule,522.74,,896.63,467.75,,Fee Schedule,418.73,,896.63,467.75,,Fee Schedule,443.83,,896.63,467.75,,Fee Schedule,499.42,,896.63,467.75,,Fee Schedule,523.63,,798.22,416.41,,Fee Schedule,419.06,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,191.69,100,,Fee Schedule,32.97,,195.52,102,,Fee Schedule,22.68,,196.48,102.5,,Fee Schedule,29.87,,191.69,100,,Fee Schedule,33.16,,191.69,100,,Fee Schedule,22.81,,193.61,101,,Fee Schedule,30.01,,193.61,101,,Fee Schedule,30.01,,195.52,101,,Fee Schedule,37.15,,195.52,101,,Fee Schedule,29.92,,195.52,101,,Fee Schedule,35.59,,195.52,101,,Fee Schedule,31.67,,201.27,104,,Fee Schedule,21.54,, ,,,,,,,,,, ,, ,,,, ,,191.69,896.63,,																																							
Brachytx, nonstr, ha, p103,2635,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,249.59,467.75,,Fee Schedule,136.28,,249.59,467.75,,Fee Schedule,145.51,,249.59,467.75,,Fee Schedule,116.56,,249.59,467.75,,Fee Schedule,123.55,,249.59,467.75,,Fee Schedule,139.02,,249.59,467.75,,Fee Schedule,145.76,,222.2,416.41,,Fee Schedule,116.65,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,53.36,100,,Fee Schedule,9.18,,54.43,102,,Fee Schedule,6.31,,54.69,102.5,,Fee Schedule,8.31,,53.36,100,,Fee Schedule,9.23,,53.36,100,,Fee Schedule,6.35,,53.89,101,,Fee Schedule,8.35,,53.89,101,,Fee Schedule,8.35,,54.43,101,,Fee Schedule,10.34,,54.43,101,,Fee Schedule,8.33,,54.43,101,,Fee Schedule,9.91,,54.43,101,,Fee Schedule,8.82,,56.03,104,,Fee Schedule,5.99,, ,,,,,,,,,, ,, ,,,, ,,53.36,249.59,,																																							
Brachy linear, nonstr,p103,2636,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,255.72,467.75,,Fee Schedule,139.62,,255.72,467.75,,Fee Schedule,149.08,,255.72,467.75,,Fee Schedule,119.42,,255.72,467.75,,Fee Schedule,126.58,,255.72,467.75,,Fee Schedule,142.44,,255.72,467.75,,Fee Schedule,149.34,,227.65,416.41,,Fee Schedule,119.52,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,54.67,100,,Fee Schedule,9.4,,55.76,102,,Fee Schedule,6.47,,56.04,102.5,,Fee Schedule,8.52,,54.67,100,,Fee Schedule,9.46,,54.67,100,,Fee Schedule,6.51,,55.22,101,,Fee Schedule,8.56,,55.22,101,,Fee Schedule,8.56,,55.76,101,,Fee Schedule,10.6,,55.76,101,,Fee Schedule,8.53,,55.76,101,,Fee Schedule,10.15,,55.76,101,,Fee Schedule,9.03,,57.4,104,,Fee Schedule,6.14,, ,,,,,,,,,, ,, ,,,, ,,54.67,255.72,,																																							
Brachytx, stranded, i125,2638,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,187.94,467.75,,Fee Schedule,102.62,,187.94,467.75,,Fee Schedule,109.57,,187.94,467.75,,Fee Schedule,87.77,,187.94,467.75,,Fee Schedule,93.03,,187.94,467.75,,Fee Schedule,104.68,,187.94,467.75,,Fee Schedule,109.76,,167.31,416.41,,Fee Schedule,87.84,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,40.18,100,,Fee Schedule,6.91,,40.98,102,,Fee Schedule,4.75,,41.18,102.5,,Fee Schedule,6.26,,40.18,100,,Fee Schedule,6.95,,40.18,100,,Fee Schedule,4.78,,40.58,101,,Fee Schedule,6.29,,40.58,101,,Fee Schedule,6.29,,40.98,101,,Fee Schedule,7.79,,40.98,101,,Fee Schedule,6.27,,40.98,101,,Fee Schedule,7.46,,40.98,101,,Fee Schedule,6.64,,42.19,104,,Fee Schedule,4.51,, ,,,,,,,,,, ,, ,,,, ,,40.18,187.94,,																																							
Brachytx, nonstranded,i125,2639,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,173.96,467.75,,Fee Schedule,94.98,,173.96,467.75,,Fee Schedule,101.42,,173.96,467.75,,Fee Schedule,81.24,,173.96,467.75,,Fee Schedule,86.11,,173.96,467.75,,Fee Schedule,96.89,,173.96,467.75,,Fee Schedule,101.59,,154.86,416.41,,Fee Schedule,81.3,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,37.19,100,,Fee Schedule,6.4,,37.93,102,,Fee Schedule,4.4,,38.12,102.5,,Fee Schedule,5.79,,37.19,100,,Fee Schedule,6.43,,37.19,100,,Fee Schedule,4.43,,37.56,101,,Fee Schedule,5.82,,37.56,101,,Fee Schedule,5.82,,37.93,101,,Fee Schedule,7.21,,37.93,101,,Fee Schedule,5.8,,37.93,101,,Fee Schedule,6.9,,37.93,101,,Fee Schedule,6.15,,39.05,104,,Fee Schedule,4.18,, ,,,,,,,,,, ,, ,,,, ,,37.19,173.96,,																																							
Brachytx, stranded, p103,2640,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,436.64,467.75,,Fee Schedule,238.41,,436.64,467.75,,Fee Schedule,254.56,,436.64,467.75,,Fee Schedule,203.91,,436.64,467.75,,Fee Schedule,216.14,,436.64,467.75,,Fee Schedule,243.21,,436.64,467.75,,Fee Schedule,255,,388.72,416.41,,Fee Schedule,204.08,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,93.35,100,,Fee Schedule,16.06,,95.22,102,,Fee Schedule,11.05,,95.68,102.5,,Fee Schedule,14.54,,93.35,100,,Fee Schedule,16.15,,93.35,100,,Fee Schedule,11.11,,94.28,101,,Fee Schedule,14.61,,94.28,101,,Fee Schedule,14.61,,95.22,101,,Fee Schedule,18.09,,95.22,101,,Fee Schedule,14.57,,95.22,101,,Fee Schedule,17.33,,95.22,101,,Fee Schedule,15.43,,98.02,104,,Fee Schedule,10.49,, ,,,,,,,,,, ,, ,,,, ,,93.35,436.64,,																																							
Brachytx, nonstranded,p103,2641,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,398.99,467.75,,Fee Schedule,217.85,,398.99,467.75,,Fee Schedule,232.61,,398.99,467.75,,Fee Schedule,186.33,,398.99,467.75,,Fee Schedule,197.5,,398.99,467.75,,Fee Schedule,222.24,,398.99,467.75,,Fee Schedule,233.01,,355.2,416.41,,Fee Schedule,186.48,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,85.3,100,,Fee Schedule,14.67,,87.01,102,,Fee Schedule,10.09,,87.43,102.5,,Fee Schedule,13.29,,85.3,100,,Fee Schedule,14.76,,85.3,100,,Fee Schedule,10.15,,86.15,101,,Fee Schedule,13.35,,86.15,101,,Fee Schedule,13.35,,87.01,101,,Fee Schedule,16.53,,87.01,101,,Fee Schedule,13.31,,87.01,101,,Fee Schedule,15.84,,87.01,101,,Fee Schedule,14.09,,89.57,104,,Fee Schedule,9.58,, ,,,,,,,,,, ,, ,,,, ,,85.30,398.99,,																																							
Brachytx, stranded, c131,2642,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,446.98,467.75,,Fee Schedule,244.05,,446.98,467.75,,Fee Schedule,260.59,,446.98,467.75,,Fee Schedule,208.74,,446.98,467.75,,Fee Schedule,221.26,,446.98,467.75,,Fee Schedule,248.97,,446.98,467.75,,Fee Schedule,261.04,,397.92,416.41,,Fee Schedule,208.91,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,95.56,100,,Fee Schedule,16.44,,97.47,102,,Fee Schedule,11.31,,97.95,102.5,,Fee Schedule,14.89,,95.56,100,,Fee Schedule,16.53,,95.56,100,,Fee Schedule,11.37,,96.52,101,,Fee Schedule,14.96,,96.52,101,,Fee Schedule,14.96,,97.47,101,,Fee Schedule,18.52,,97.47,101,,Fee Schedule,14.91,,97.47,101,,Fee Schedule,17.74,,97.47,101,,Fee Schedule,15.79,,100.34,104,,Fee Schedule,10.74,, ,,,,,,,,,, ,, ,,,, ,,95.56,446.98,,																																							
Brachytx, nonstranded,c131,2643,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,401.61,467.75,,Fee Schedule,219.28,,401.61,467.75,,Fee Schedule,234.14,,401.61,467.75,,Fee Schedule,187.55,,401.61,467.75,,Fee Schedule,198.8,,401.61,467.75,,Fee Schedule,223.7,,401.61,467.75,,Fee Schedule,234.54,,357.53,416.41,,Fee Schedule,187.7,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,85.86,100,,Fee Schedule,14.77,,87.58,102,,Fee Schedule,10.16,,88.01,102.5,,Fee Schedule,13.38,,85.86,100,,Fee Schedule,14.85,,85.86,100,,Fee Schedule,10.22,,86.72,101,,Fee Schedule,13.44,,86.72,101,,Fee Schedule,13.44,,87.58,101,,Fee Schedule,16.64,,87.58,101,,Fee Schedule,13.4,,87.58,101,,Fee Schedule,15.94,,87.58,101,,Fee Schedule,14.19,,90.15,104,,Fee Schedule,9.65,, ,,,,,,,,,, ,, ,,,, ,,85.86,401.61,,																																							
Brachytx, nonstr, gold198,2645,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,1136.77,467.75,,Fee Schedule,620.68,,1136.77,467.75,,Fee Schedule,662.74,,1136.77,467.75,,Fee Schedule,530.87,,1136.77,467.75,,Fee Schedule,562.7,,1136.77,467.75,,Fee Schedule,633.18,,1136.77,467.75,,Fee Schedule,663.88,,1012,416.41,,Fee Schedule,531.3,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,243.03,100,,Fee Schedule,41.8,,247.89,102,,Fee Schedule,28.76,,249.11,102.5,,Fee Schedule,37.86,,243.03,100,,Fee Schedule,42.04,,243.03,100,,Fee Schedule,28.92,,245.46,101,,Fee Schedule,38.05,,245.46,101,,Fee Schedule,38.05,,247.89,101,,Fee Schedule,47.1,,247.89,101,,Fee Schedule,37.93,,247.89,101,,Fee Schedule,45.12,,247.89,101,,Fee Schedule,40.16,,255.18,104,,Fee Schedule,27.3,, ,,,,,,,,,, ,, ,,,, ,,243.03,1136.77,,																																							
Brachytx, nonstr,hdr ir192,2646,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,1653.87,467.75,,Fee Schedule,903.01,,1653.87,467.75,,Fee Schedule,964.21,,1653.87,467.75,,Fee Schedule,772.36,,1653.87,467.75,,Fee Schedule,818.67,,1653.87,467.75,,Fee Schedule,921.21,,1653.87,467.75,,Fee Schedule,965.86,,1472.34,416.41,,Fee Schedule,772.98,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,353.58,100,,Fee Schedule,60.82,,360.65,102,,Fee Schedule,41.84,,362.42,102.5,,Fee Schedule,55.09,,353.58,100,,Fee Schedule,61.17,,353.58,100,,Fee Schedule,42.08,,357.12,101,,Fee Schedule,55.35,,357.12,101,,Fee Schedule,55.35,,360.65,101,,Fee Schedule,68.52,,360.65,101,,Fee Schedule,55.18,,360.65,101,,Fee Schedule,65.64,,360.65,101,,Fee Schedule,58.43,,371.26,104,,Fee Schedule,39.72,, ,,,,,,,,,, ,, ,,,, ,,353.58,1653.87,,																																							
Brachytx, ns, nonhdrir192,2647,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,1703.78,467.75,,Fee Schedule,930.26,,1703.78,467.75,,Fee Schedule,993.3,,1703.78,467.75,,Fee Schedule,795.66,,1703.78,467.75,,Fee Schedule,843.37,,1703.78,467.75,,Fee Schedule,949.01,,1703.78,467.75,,Fee Schedule,995.01,,1516.77,416.41,,Fee Schedule,796.31,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,364.25,100,,Fee Schedule,62.65,,371.54,102,,Fee Schedule,43.1,,373.36,102.5,,Fee Schedule,56.75,,364.25,100,,Fee Schedule,63.02,,364.25,100,,Fee Schedule,43.35,,367.89,101,,Fee Schedule,57.02,,367.89,101,,Fee Schedule,57.02,,371.54,101,,Fee Schedule,70.59,,371.54,101,,Fee Schedule,56.84,,371.54,101,,Fee Schedule,67.62,,371.54,101,,Fee Schedule,60.19,,382.46,104,,Fee Schedule,40.92,, ,,,,,,,,,, ,, ,,,, ,,364.25,1703.78,,																																							
Brachytx planar, p103,2648,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,23.11,467.75,,Fee Schedule,12.62,,23.11,467.75,,Fee Schedule,13.47,,23.11,467.75,,Fee Schedule,10.79,,23.11,467.75,,Fee Schedule,11.44,,23.11,467.75,,Fee Schedule,12.87,,23.11,467.75,,Fee Schedule,13.49,,20.57,416.41,,Fee Schedule,10.8,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,4.94,100,,Fee Schedule,0.85,,5.04,102,,Fee Schedule,0.58,,5.06,102.5,,Fee Schedule,0.77,,4.94,100,,Fee Schedule,0.85,,4.94,100,,Fee Schedule,0.59,,4.99,101,,Fee Schedule,0.77,,4.99,101,,Fee Schedule,0.77,,5.04,101,,Fee Schedule,0.96,,5.04,101,,Fee Schedule,0.77,,5.04,101,,Fee Schedule,0.92,,5.04,101,,Fee Schedule,0.82,,5.19,104,,Fee Schedule,0.56,, ,,,,,,,,,, ,, ,,,, ,,4.94,104.00,,																																							
Brachytx, stranded, nos,2698,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,187.94,467.75,,Fee Schedule,102.62,,187.94,467.75,,Fee Schedule,109.57,,187.94,467.75,,Fee Schedule,87.77,,187.94,467.75,,Fee Schedule,93.03,,187.94,467.75,,Fee Schedule,104.68,,187.94,467.75,,Fee Schedule,109.76,,167.31,416.41,,Fee Schedule,87.84,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,40.18,100,,Fee Schedule,6.91,,40.98,102,,Fee Schedule,4.75,,41.18,102.5,,Fee Schedule,6.26,,40.18,100,,Fee Schedule,6.95,,40.18,100,,Fee Schedule,4.78,,40.58,101,,Fee Schedule,6.29,,40.58,101,,Fee Schedule,6.29,,40.98,101,,Fee Schedule,7.79,,40.98,101,,Fee Schedule,6.27,,40.98,101,,Fee Schedule,7.46,,40.98,101,,Fee Schedule,6.64,,42.19,104,,Fee Schedule,4.51,, ,,,,,,,,,, ,, ,,,, ,,40.18,187.94,,																																							
Brachytx, nonstranded, nos,2699,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,173.96,467.75,,Fee Schedule,94.98,,173.96,467.75,,Fee Schedule,101.42,,173.96,467.75,,Fee Schedule,81.24,,173.96,467.75,,Fee Schedule,86.11,,173.96,467.75,,Fee Schedule,96.89,,173.96,467.75,,Fee Schedule,101.59,,154.86,416.41,,Fee Schedule,81.3,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,37.19,100,,Fee Schedule,6.4,,37.93,102,,Fee Schedule,4.4,,38.12,102.5,,Fee Schedule,5.79,,37.19,100,,Fee Schedule,6.43,,37.19,100,,Fee Schedule,4.43,,37.56,101,,Fee Schedule,5.82,,37.56,101,,Fee Schedule,5.82,,37.93,101,,Fee Schedule,7.21,,37.93,101,,Fee Schedule,5.8,,37.93,101,,Fee Schedule,6.9,,37.93,101,,Fee Schedule,6.15,,39.05,104,,Fee Schedule,4.18,, ,,,,,,,,,, ,, ,,,, ,,37.19,173.96,,																																							
Immune globulin, powder,2731,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,377.19,467.75,,Fee Schedule,205.95,,377.19,467.75,,Fee Schedule,219.9,,377.19,467.75,,Fee Schedule,176.15,,377.19,467.75,,Fee Schedule,186.71,,377.19,467.75,,Fee Schedule,210.1,,377.19,467.75,,Fee Schedule,220.28,,335.79,416.41,,Fee Schedule,176.29,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,80.64,100,,Fee Schedule,13.87,,82.25,102,,Fee Schedule,9.54,,82.66,102.5,,Fee Schedule,12.56,,80.64,100,,Fee Schedule,13.95,,80.64,100,,Fee Schedule,9.6,,81.45,101,,Fee Schedule,12.62,,81.45,101,,Fee Schedule,12.62,,82.25,101,,Fee Schedule,15.63,,82.25,101,,Fee Schedule,12.58,,82.25,101,,Fee Schedule,14.97,,82.25,101,,Fee Schedule,13.32,,84.67,104,,Fee Schedule,9.06,, ,,,,,,,,,, ,, ,,,, ,,80.64,377.19,,																																							
Quinupristin/dalfopristin,2770,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,2433.52,467.75,,Fee Schedule,1328.7,,2433.52,467.75,,Fee Schedule,1418.74,,2433.52,467.75,,Fee Schedule,1136.45,,2433.52,467.75,,Fee Schedule,1204.59,,2433.52,467.75,,Fee Schedule,1355.47,,2433.52,467.75,,Fee Schedule,1421.17,,2166.41,416.41,,Fee Schedule,1137.37,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,520.26,100,,Fee Schedule,89.48,,530.67,102,,Fee Schedule,61.56,,533.27,102.5,,Fee Schedule,81.06,,520.26,100,,Fee Schedule,90,,520.26,100,,Fee Schedule,61.91,,525.46,101,,Fee Schedule,81.45,,525.46,101,,Fee Schedule,81.45,,530.67,101,,Fee Schedule,100.83,,530.67,101,,Fee Schedule,81.19,,530.67,101,,Fee Schedule,96.58,,530.67,101,,Fee Schedule,85.97,,546.27,104,,Fee Schedule,58.45,, ,,,,,,,,,, ,, ,,,, ,,520.26,2433.52,,																																							
Rem oct rta dev setup&educaj,5012,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,595.4,467.75,,Fee Schedule,325.09,,595.4,467.75,,Fee Schedule,347.12,,595.4,467.75,,Fee Schedule,278.05,,595.4,467.75,,Fee Schedule,294.72,,595.4,467.75,,Fee Schedule,331.64,,595.4,467.75,,Fee Schedule,347.71,,530.05,416.41,,Fee Schedule,278.28,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,127.29,100,,Fee Schedule,21.89,,129.84,102,,Fee Schedule,15.06,,130.47,102.5,,Fee Schedule,19.83,,127.29,100,,Fee Schedule,22.02,,127.29,100,,Fee Schedule,15.15,,128.56,101,,Fee Schedule,19.93,,128.56,101,,Fee Schedule,19.93,,129.84,101,,Fee Schedule,24.67,,129.84,101,,Fee Schedule,19.86,,129.84,101,,Fee Schedule,23.63,,129.84,101,,Fee Schedule,21.03,,133.65,104,,Fee Schedule,14.3,, ,,,,,,,,,, ,, ,,,, ,,127.29,595.40,,																																							
Emr dpt vst mayx req phy/qhp,5021,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,369.94,467.75,,Fee Schedule,201.99,,369.94,467.75,,Fee Schedule,215.68,,369.94,467.75,,Fee Schedule,172.76,,369.94,467.75,,Fee Schedule,183.12,,369.94,467.75,,Fee Schedule,206.06,,369.94,467.75,,Fee Schedule,216.05,,329.34,416.41,,Fee Schedule,172.9,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,79.09,100,,Fee Schedule,13.6,,80.67,102,,Fee Schedule,9.36,,81.07,102.5,,Fee Schedule,12.32,,79.09,100,,Fee Schedule,13.68,,79.09,100,,Fee Schedule,9.41,,79.88,101,,Fee Schedule,12.38,,79.88,101,,Fee Schedule,12.38,,80.67,101,,Fee Schedule,15.33,,80.67,101,,Fee Schedule,12.34,,80.67,101,,Fee Schedule,14.68,,80.67,101,,Fee Schedule,13.07,,83.04,104,,Fee Schedule,8.89,, ,,,,,,,,,, ,, ,,,, ,,79.09,369.94,,																																							
Emergency dept visit sf mdm,5022,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,688.15,467.75,,Fee Schedule,375.73,,688.15,467.75,,Fee Schedule,401.19,,688.15,467.75,,Fee Schedule,321.37,,688.15,467.75,,Fee Schedule,340.64,,688.15,467.75,,Fee Schedule,383.3,,688.15,467.75,,Fee Schedule,401.88,,612.62,416.41,,Fee Schedule,321.63,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,147.12,100,,Fee Schedule,25.3,,150.06,102,,Fee Schedule,17.41,,150.8,102.5,,Fee Schedule,22.92,,147.12,100,,Fee Schedule,25.45,,147.12,100,,Fee Schedule,17.51,,148.59,101,,Fee Schedule,23.03,,148.59,101,,Fee Schedule,23.03,,150.06,101,,Fee Schedule,28.51,,150.06,101,,Fee Schedule,22.96,,150.06,101,,Fee Schedule,27.31,,150.06,101,,Fee Schedule,24.31,,154.48,104,,Fee Schedule,16.53,, ,,,,,,,,,, ,, ,,,, ,,147.12,688.15,,																																							
Emergency dept visit low mdm,5023,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,1207.12,467.75,,Fee Schedule,659.09,,1207.12,467.75,,Fee Schedule,703.75,,1207.12,467.75,,Fee Schedule,563.73,,1207.12,467.75,,Fee Schedule,597.53,,1207.12,467.75,,Fee Schedule,672.37,,1207.12,467.75,,Fee Schedule,704.96,,1074.63,416.41,,Fee Schedule,564.18,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,258.07,100,,Fee Schedule,44.39,,263.23,102,,Fee Schedule,30.53,,264.52,102.5,,Fee Schedule,40.21,,258.07,100,,Fee Schedule,44.65,,258.07,100,,Fee Schedule,30.71,,260.65,101,,Fee Schedule,40.4,,260.65,101,,Fee Schedule,40.4,,263.23,101,,Fee Schedule,50.01,,263.23,101,,Fee Schedule,40.27,,263.23,101,,Fee Schedule,47.91,,263.23,101,,Fee Schedule,42.64,,270.97,104,,Fee Schedule,28.99,, ,,,,,,,,,, ,, ,,,, ,,258.07,1207.12,,																																							
Dialysis one evaluation,5024,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,1879.98,467.75,,Fee Schedule,1026.47,,1879.98,467.75,,Fee Schedule,1096.03,,1879.98,467.75,,Fee Schedule,877.95,,1879.98,467.75,,Fee Schedule,930.59,,1879.98,467.75,,Fee Schedule,1047.15,,1879.98,467.75,,Fee Schedule,1097.91,,1673.64,416.41,,Fee Schedule,878.66,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,401.92,100,,Fee Schedule,69.13,,409.96,102,,Fee Schedule,47.56,,411.97,102.5,,Fee Schedule,62.62,,401.92,100,,Fee Schedule,69.53,,401.92,100,,Fee Schedule,47.83,,405.94,101,,Fee Schedule,62.92,,405.94,101,,Fee Schedule,62.92,,409.96,101,,Fee Schedule,77.89,,409.96,101,,Fee Schedule,62.72,,409.96,101,,Fee Schedule,74.61,,409.96,101,,Fee Schedule,66.41,,422.02,104,,Fee Schedule,45.16,, ,,,,,,,,,, ,, ,,,, ,,401.92,1879.98,,																																							
Emergency dept visit hi mdm,5025,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,2700.23,467.75,,Fee Schedule,1474.32,,2700.23,467.75,,Fee Schedule,1574.23,,2700.23,467.75,,Fee Schedule,1261.01,,2700.23,467.75,,Fee Schedule,1336.61,,2700.23,467.75,,Fee Schedule,1504.03,,2700.23,467.75,,Fee Schedule,1576.93,,2403.85,416.41,,Fee Schedule,1262.02,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,577.28,100,,Fee Schedule,99.29,,588.83,102,,Fee Schedule,68.3,,591.71,102.5,,Fee Schedule,89.94,,577.28,100,,Fee Schedule,99.87,,577.28,100,,Fee Schedule,68.7,,583.05,101,,Fee Schedule,90.37,,583.05,101,,Fee Schedule,90.37,,588.83,101,,Fee Schedule,111.88,,588.83,101,,Fee Schedule,90.09,,588.83,101,,Fee Schedule,107.17,,588.83,101,,Fee Schedule,95.39,,606.14,104,,Fee Schedule,64.86,, ,,,,,,,,,, ,, ,,,, ,,577.28,2700.23,,																																							
Lev 1 hosp type b ed visit,5031,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,301.37,467.75,,Fee Schedule,164.55,,301.37,467.75,,Fee Schedule,175.7,,301.37,467.75,,Fee Schedule,140.74,,301.37,467.75,,Fee Schedule,149.18,,301.37,467.75,,Fee Schedule,167.86,,301.37,467.75,,Fee Schedule,176,,268.29,416.41,,Fee Schedule,140.85,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,64.43,100,,Fee Schedule,11.08,,65.72,102,,Fee Schedule,7.62,,66.04,102.5,,Fee Schedule,10.04,,64.43,100,,Fee Schedule,11.15,,64.43,100,,Fee Schedule,7.67,,65.07,101,,Fee Schedule,10.09,,65.07,101,,Fee Schedule,10.09,,65.72,101,,Fee Schedule,12.49,,65.72,101,,Fee Schedule,10.05,,65.72,101,,Fee Schedule,11.96,,65.72,101,,Fee Schedule,10.65,,67.65,104,,Fee Schedule,7.24,, ,,,,,,,,,, ,, ,,,, ,,64.43,301.37,,																																							
Lev 2 hosp type b ed visit,5032,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,548.95,467.75,,Fee Schedule,299.73,,548.95,467.75,,Fee Schedule,320.04,,548.95,467.75,,Fee Schedule,256.36,,548.95,467.75,,Fee Schedule,271.73,,548.95,467.75,,Fee Schedule,305.77,,548.95,467.75,,Fee Schedule,320.59,,488.7,416.41,,Fee Schedule,256.57,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,117.36,100,,Fee Schedule,20.19,,119.71,102,,Fee Schedule,13.89,,120.29,102.5,,Fee Schedule,18.28,,117.36,100,,Fee Schedule,20.3,,117.36,100,,Fee Schedule,13.97,,118.53,101,,Fee Schedule,18.37,,118.53,101,,Fee Schedule,18.37,,119.71,101,,Fee Schedule,22.74,,119.71,101,,Fee Schedule,18.32,,119.71,101,,Fee Schedule,21.79,,119.71,101,,Fee Schedule,19.39,,123.23,104,,Fee Schedule,13.19,, ,,,,,,,,,, ,, ,,,, ,,117.36,548.95,,																																							
Lev 3 hosp type b ed visit,5033,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,959.21,467.75,,Fee Schedule,523.73,,959.21,467.75,,Fee Schedule,559.22,,959.21,467.75,,Fee Schedule,447.95,,959.21,467.75,,Fee Schedule,474.81,,959.21,467.75,,Fee Schedule,534.28,,959.21,467.75,,Fee Schedule,560.18,,853.93,416.41,,Fee Schedule,448.31,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,205.07,100,,Fee Schedule,35.27,,209.17,102,,Fee Schedule,24.26,,210.2,102.5,,Fee Schedule,31.95,,205.07,100,,Fee Schedule,35.48,,205.07,100,,Fee Schedule,24.4,,207.12,101,,Fee Schedule,32.1,,207.12,101,,Fee Schedule,32.1,,209.17,101,,Fee Schedule,39.74,,209.17,101,,Fee Schedule,32,,209.17,101,,Fee Schedule,38.07,,209.17,101,,Fee Schedule,33.89,,215.32,104,,Fee Schedule,23.04,, ,,,,,,,,,, ,, ,,,, ,,205.07,959.21,,																																							
Lev 4 hosp type b ed visit,5034,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,1378.04,467.75,,Fee Schedule,752.41,,1378.04,467.75,,Fee Schedule,803.4,,1378.04,467.75,,Fee Schedule,643.54,,1378.04,467.75,,Fee Schedule,682.13,,1378.04,467.75,,Fee Schedule,767.57,,1378.04,467.75,,Fee Schedule,804.77,,1226.79,416.41,,Fee Schedule,644.06,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,294.61,100,,Fee Schedule,50.67,,300.5,102,,Fee Schedule,34.86,,301.98,102.5,,Fee Schedule,45.9,,294.61,100,,Fee Schedule,50.97,,294.61,100,,Fee Schedule,35.06,,297.56,101,,Fee Schedule,46.12,,297.56,101,,Fee Schedule,46.12,,300.5,101,,Fee Schedule,57.1,,300.5,101,,Fee Schedule,45.98,,300.5,101,,Fee Schedule,54.69,,300.5,101,,Fee Schedule,48.68,,309.34,104,,Fee Schedule,33.1,, ,,,,,,,,,, ,, ,,,, ,,294.61,1378.04,,																																							
Lev 5 hosp type b ed visit,5035,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,1700.32,467.75,,Fee Schedule,928.37,,1700.32,467.75,,Fee Schedule,991.29,,1700.32,467.75,,Fee Schedule,794.05,,1700.32,467.75,,Fee Schedule,841.66,,1700.32,467.75,,Fee Schedule,947.08,,1700.32,467.75,,Fee Schedule,992.99,,1513.69,416.41,,Fee Schedule,794.69,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,363.51,100,,Fee Schedule,62.52,,370.78,102,,Fee Schedule,43.01,,372.6,102.5,,Fee Schedule,56.63,,363.51,100,,Fee Schedule,62.89,,363.51,100,,Fee Schedule,43.26,,367.15,101,,Fee Schedule,56.91,,367.15,101,,Fee Schedule,56.91,,370.78,101,,Fee Schedule,70.45,,370.78,101,,Fee Schedule,56.73,,370.78,101,,Fee Schedule,67.48,,370.78,101,,Fee Schedule,60.07,,381.69,104,,Fee Schedule,40.84,, ,,,,,,,,,, ,, ,,,, ,,363.51,1700.32,,																																							
Critical care first hour,5041,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,3782.13,467.75,,Fee Schedule,2065.04,,3782.13,467.75,,Fee Schedule,2204.98,,3782.13,467.75,,Fee Schedule,1766.26,,3782.13,467.75,,Fee Schedule,1872.16,,3782.13,467.75,,Fee Schedule,2106.65,,3782.13,467.75,,Fee Schedule,2208.77,,3367.01,416.41,,Fee Schedule,1767.68,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,808.58,100,,Fee Schedule,139.08,,824.75,102,,Fee Schedule,95.67,,828.79,102.5,,Fee Schedule,125.98,,808.58,100,,Fee Schedule,139.88,,808.58,100,,Fee Schedule,96.22,,816.67,101,,Fee Schedule,126.58,,816.67,101,,Fee Schedule,126.58,,824.75,101,,Fee Schedule,156.7,,824.75,101,,Fee Schedule,126.19,,824.75,101,,Fee Schedule,150.1,,824.75,101,,Fee Schedule,133.61,,849.01,104,,Fee Schedule,90.84,, ,,,,,,,,,, ,, ,,,, ,,808.58,3782.13,,																																							
Trauma respons w/hosp criti,5045,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,5672.97,467.75,,Fee Schedule,3097.44,,5672.97,467.75,,Fee Schedule,3307.34,,5672.97,467.75,,Fee Schedule,2649.27,,5672.97,467.75,,Fee Schedule,2808.12,,5672.97,467.75,,Fee Schedule,3159.84,,5672.97,467.75,,Fee Schedule,3313.01,,5050.3,416.41,,Fee Schedule,2651.41,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,1212.82,100,,Fee Schedule,208.61,,1237.08,102,,Fee Schedule,143.5,,1243.14,102.5,,Fee Schedule,188.96,,1212.82,100,,Fee Schedule,209.82,,1212.82,100,,Fee Schedule,144.33,,1224.95,101,,Fee Schedule,189.87,,1224.95,101,,Fee Schedule,189.87,,1237.08,101,,Fee Schedule,235.04,,1237.08,101,,Fee Schedule,189.27,,1237.08,101,,Fee Schedule,225.15,,1237.08,101,,Fee Schedule,200.41,,1273.46,104,,Fee Schedule,136.26,, ,,,,,,,,,, ,, ,,,, ,,1212.82,5672.97,,																																							
Rmvl impltbl glucose sensor,5051,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,889.61,467.75,,Fee Schedule,485.73,,889.61,467.75,,Fee Schedule,518.64,,889.61,467.75,,Fee Schedule,415.45,,889.61,467.75,,Fee Schedule,440.36,,889.61,467.75,,Fee Schedule,495.51,,889.61,467.75,,Fee Schedule,519.53,,791.97,416.41,,Fee Schedule,415.78,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,190.19,100,,Fee Schedule,32.71,,193.99,102,,Fee Schedule,22.5,,194.94,102.5,,Fee Schedule,29.63,,190.19,100,,Fee Schedule,32.9,,190.19,100,,Fee Schedule,22.63,,192.09,101,,Fee Schedule,29.77,,192.09,101,,Fee Schedule,29.77,,193.99,101,,Fee Schedule,36.86,,193.99,101,,Fee Schedule,29.68,,193.99,101,,Fee Schedule,35.31,,193.99,101,,Fee Schedule,31.43,,199.7,104,,Fee Schedule,21.37,, ,,,,,,,,,, ,, ,,,, ,,190.19,889.61,,																																							
Fna bx w/o img gdn 1st les,5052,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,1837.88,467.75,,Fee Schedule,1003.48,,1837.88,467.75,,Fee Schedule,1071.49,,1837.88,467.75,,Fee Schedule,858.29,,1837.88,467.75,,Fee Schedule,909.75,,1837.88,467.75,,Fee Schedule,1023.7,,1837.88,467.75,,Fee Schedule,1073.32,,1636.16,416.41,,Fee Schedule,858.98,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,392.92,100,,Fee Schedule,67.58,,400.78,102,,Fee Schedule,46.49,,402.74,102.5,,Fee Schedule,61.22,,392.92,100,,Fee Schedule,67.98,,392.92,100,,Fee Schedule,46.76,,396.85,101,,Fee Schedule,61.51,,396.85,101,,Fee Schedule,61.51,,400.78,101,,Fee Schedule,76.15,,400.78,101,,Fee Schedule,61.32,,400.78,101,,Fee Schedule,72.94,,400.78,101,,Fee Schedule,64.93,,412.57,104,,Fee Schedule,44.14,, ,,,,,,,,,, ,, ,,,, ,,392.92,1837.88,,																																							
Dstrj neurofibroma xtnsv,5053,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,2862.02,467.75,,Fee Schedule,1562.66,,2862.02,467.75,,Fee Schedule,1668.56,,2862.02,467.75,,Fee Schedule,1336.56,,2862.02,467.75,,Fee Schedule,1416.7,,2862.02,467.75,,Fee Schedule,1594.15,,2862.02,467.75,,Fee Schedule,1671.42,,2547.89,416.41,,Fee Schedule,1337.64,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,611.87,100,,Fee Schedule,105.24,,624.11,102,,Fee Schedule,72.4,,627.17,102.5,,Fee Schedule,95.33,,611.87,100,,Fee Schedule,105.85,,611.87,100,,Fee Schedule,72.81,,617.99,101,,Fee Schedule,95.79,,617.99,101,,Fee Schedule,95.79,,624.11,101,,Fee Schedule,118.58,,624.11,101,,Fee Schedule,95.49,,624.11,101,,Fee Schedule,113.59,,624.11,101,,Fee Schedule,101.11,,642.46,104,,Fee Schedule,68.74,, ,,,,,,,,,, ,, ,,,, ,,611.87,2862.02,,																																							
Reloc skin pocket pls gen,5054,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,8502.34,467.75,,Fee Schedule,4642.28,,8502.34,467.75,,Fee Schedule,4956.86,,8502.34,467.75,,Fee Schedule,3970.59,,8502.34,467.75,,Fee Schedule,4208.66,,8502.34,467.75,,Fee Schedule,4735.8,,8502.34,467.75,,Fee Schedule,4965.37,,7569.13,416.41,,Fee Schedule,3973.79,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,1817.71,100,,Fee Schedule,312.65,,1854.06,102,,Fee Schedule,215.07,,1863.15,102.5,,Fee Schedule,283.2,,1817.71,100,,Fee Schedule,314.46,,1817.71,100,,Fee Schedule,216.31,,1835.89,101,,Fee Schedule,284.56,,1835.89,101,,Fee Schedule,284.56,,1854.06,101,,Fee Schedule,352.27,,1854.06,101,,Fee Schedule,283.67,,1854.06,101,,Fee Schedule,337.44,,1854.06,101,,Fee Schedule,300.36,,1908.6,104,,Fee Schedule,204.22,, ,,,,,,,,,, ,, ,,,, ,,1817.71,8502.34,,																																							
Insert tissue expander(s),5055,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,16025.91,467.75,,Fee Schedule,8750.15,,16025.91,467.75,,Fee Schedule,9343.11,,16025.91,467.75,,Fee Schedule,7484.1,,16025.91,467.75,,Fee Schedule,7932.83,,16025.91,467.75,,Fee Schedule,8926.43,,16025.91,467.75,,Fee Schedule,9359.13,,14266.91,416.41,,Fee Schedule,7490.13,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,3426.17,100,,Fee Schedule,589.3,,3494.69,102,,Fee Schedule,405.38,,3511.82,102.5,,Fee Schedule,533.8,,3426.17,100,,Fee Schedule,592.73,,3426.17,100,,Fee Schedule,407.71,,3460.43,101,,Fee Schedule,536.37,,3460.43,101,,Fee Schedule,536.37,,3494.69,101,,Fee Schedule,663.99,,3494.69,101,,Fee Schedule,534.69,,3494.69,101,,Fee Schedule,636.03,,3494.69,101,,Fee Schedule,566.14,,3597.48,104,,Fee Schedule,384.93,, ,,,,,,,,,, ,, ,,,, ,,3426.17,16025.91,,																																							
Hbot, full body chamber, 30m,5061,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,616.17,467.75,,Fee Schedule,336.43,,616.17,467.75,,Fee Schedule,359.23,,616.17,467.75,,Fee Schedule,287.75,,616.17,467.75,,Fee Schedule,305,,616.17,467.75,,Fee Schedule,343.21,,616.17,467.75,,Fee Schedule,359.84,,548.54,416.41,,Fee Schedule,287.98,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,131.73,100,,Fee Schedule,22.66,,134.36,102,,Fee Schedule,15.59,,135.02,102.5,,Fee Schedule,20.52,,131.73,100,,Fee Schedule,22.79,,131.73,100,,Fee Schedule,15.68,,133.05,101,,Fee Schedule,20.62,,133.05,101,,Fee Schedule,20.62,,134.36,101,,Fee Schedule,25.53,,134.36,101,,Fee Schedule,20.56,,134.36,101,,Fee Schedule,24.45,,134.36,101,,Fee Schedule,21.77,,138.32,104,,Fee Schedule,14.8,, ,,,,,,,,,, ,, ,,,, ,,131.73,616.17,,																																							
Fna bx w/us gdn 1st les,5071,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,3197.12,467.75,,Fee Schedule,1745.63,,3197.12,467.75,,Fee Schedule,1863.92,,3197.12,467.75,,Fee Schedule,1493.05,,3197.12,467.75,,Fee Schedule,1582.57,,3197.12,467.75,,Fee Schedule,1780.79,,3197.12,467.75,,Fee Schedule,1867.12,,2846.2,416.41,,Fee Schedule,1494.26,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,683.51,100,,Fee Schedule,117.56,,697.18,102,,Fee Schedule,80.87,,700.6,102.5,,Fee Schedule,106.49,,683.51,100,,Fee Schedule,118.25,,683.51,100,,Fee Schedule,81.34,,690.35,101,,Fee Schedule,107,,690.35,101,,Fee Schedule,107,,697.18,101,,Fee Schedule,132.46,,697.18,101,,Fee Schedule,106.67,,697.18,101,,Fee Schedule,126.89,,697.18,101,,Fee Schedule,112.94,,717.69,104,,Fee Schedule,76.79,, ,,,,,,,,,, ,, ,,,, ,,683.51,3197.12,,																																							
Abltj b9 thyr ndul perq lasr,5072,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,7387.46,467.75,,Fee Schedule,4033.55,,7387.46,467.75,,Fee Schedule,4306.89,,7387.46,467.75,,Fee Schedule,3449.94,,7387.46,467.75,,Fee Schedule,3656.79,,7387.46,467.75,,Fee Schedule,4114.81,,7387.46,467.75,,Fee Schedule,4314.27,,6576.61,416.41,,Fee Schedule,3452.72,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,1579.36,100,,Fee Schedule,271.65,,1610.95,102,,Fee Schedule,186.87,,1618.84,102.5,,Fee Schedule,246.06,,1579.36,100,,Fee Schedule,273.23,,1579.36,100,,Fee Schedule,187.94,,1595.15,101,,Fee Schedule,247.25,,1595.15,101,,Fee Schedule,247.25,,1610.95,101,,Fee Schedule,306.08,,1610.95,101,,Fee Schedule,246.47,,1610.95,101,,Fee Schedule,293.19,,1610.95,101,,Fee Schedule,260.97,,1658.33,104,,Fee Schedule,177.44,, ,,,,,,,,,, ,, ,,,, ,,1579.36,7387.46,,																																							
Complex drainage wound,5073,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,12726.21,467.75,,Fee Schedule,6948.51,,12726.21,467.75,,Fee Schedule,7419.38,,12726.21,467.75,,Fee Schedule,5943.14,,12726.21,467.75,,Fee Schedule,6299.48,,12726.21,467.75,,Fee Schedule,7088.5,,12726.21,467.75,,Fee Schedule,7432.11,,11329.39,416.41,,Fee Schedule,5947.93,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,2720.73,100,,Fee Schedule,467.97,,2775.14,102,,Fee Schedule,321.92,,2788.75,102.5,,Fee Schedule,423.89,,2720.73,100,,Fee Schedule,470.69,,2720.73,100,,Fee Schedule,323.77,,2747.94,101,,Fee Schedule,425.93,,2747.94,101,,Fee Schedule,425.93,,2775.14,101,,Fee Schedule,527.28,,2775.14,101,,Fee Schedule,424.6,,2775.14,101,,Fee Schedule,505.08,,2775.14,101,,Fee Schedule,449.57,,2856.77,104,,Fee Schedule,305.67,, ,,,,,,,,,, ,, ,,,, ,,2720.73,12726.21,,																																							
Abltj mal brst tum perq crtx,5091,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,16936.1,467.75,,Fee Schedule,9247.11,,16936.1,467.75,,Fee Schedule,9873.75,,16936.1,467.75,,Fee Schedule,7909.16,,16936.1,467.75,,Fee Schedule,8383.37,,16936.1,467.75,,Fee Schedule,9433.41,,16936.1,467.75,,Fee Schedule,9890.69,,15077.21,416.41,,Fee Schedule,7915.53,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,3620.76,100,,Fee Schedule,622.77,,3693.18,102,,Fee Schedule,428.41,,3711.28,102.5,,Fee Schedule,564.11,,3620.76,100,,Fee Schedule,626.39,,3620.76,100,,Fee Schedule,430.87,,3656.97,101,,Fee Schedule,566.83,,3656.97,101,,Fee Schedule,566.83,,3693.18,101,,Fee Schedule,701.7,,3693.18,101,,Fee Schedule,565.06,,3693.18,101,,Fee Schedule,672.16,,3693.18,101,,Fee Schedule,598.29,,3801.8,104,,Fee Schedule,406.79,, ,,,,,,,,,, ,, ,,,, ,,3620.76,16936.10,,																																							
Exc skin abd,5092,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,29278.53,467.75,,Fee Schedule,15986.08,,29278.53,467.75,,Fee Schedule,17069.38,,29278.53,467.75,,Fee Schedule,13673.07,,29278.53,467.75,,Fee Schedule,14492.87,,29278.53,467.75,,Fee Schedule,16308.14,,29278.53,467.75,,Fee Schedule,17098.66,,26064.93,416.41,,Fee Schedule,13684.09,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,6259.44,100,,Fee Schedule,1076.62,,6384.63,102,,Fee Schedule,740.62,,6415.93,102.5,,Fee Schedule,975.22,,6259.44,100,,Fee Schedule,1082.88,,6259.44,100,,Fee Schedule,744.87,,6322.03,101,,Fee Schedule,979.92,,6322.03,101,,Fee Schedule,979.92,,6384.63,101,,Fee Schedule,1213.08,,6384.63,101,,Fee Schedule,976.85,,6384.63,101,,Fee Schedule,1162,,6384.63,101,,Fee Schedule,1034.31,,6572.41,104,,Fee Schedule,703.25,, ,,,,,,,,,, ,, ,,,, ,,6259.44,29278.53,,																																							
Place po breast cath for rad,5093,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,43380.91,467.75,,Fee Schedule,23685.98,,43380.91,467.75,,Fee Schedule,25291.07,,43380.91,467.75,,Fee Schedule,20258.89,,43380.91,467.75,,Fee Schedule,21473.55,,43380.91,467.75,,Fee Schedule,24163.17,,43380.91,467.75,,Fee Schedule,25334.45,,38619.45,416.41,,Fee Schedule,20275.21,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,9274.38,100,,Fee Schedule,1595.19,,9459.87,102,,Fee Schedule,1097.34,,9506.24,102.5,,Fee Schedule,1444.95,,9274.38,100,,Fee Schedule,1604.47,,9274.38,100,,Fee Schedule,1103.65,,9367.12,101,,Fee Schedule,1451.9,,9367.12,101,,Fee Schedule,1451.9,,9459.87,101,,Fee Schedule,1797.37,,9459.87,101,,Fee Schedule,1447.36,,9459.87,101,,Fee Schedule,1721.7,,9459.87,101,,Fee Schedule,1532.5,,9738.1,104,,Fee Schedule,1041.98,, ,,,,,,,,,, ,, ,,,, ,,9274.38,43380.91,,																																							
Tiss xpndr plmt brst rcnstj,5094,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,82191.53,467.75,,Fee Schedule,44876.58,,82191.53,467.75,,Fee Schedule,47917.66,,82191.53,467.75,,Fee Schedule,38383.45,,82191.53,467.75,,Fee Schedule,40684.81,,82191.53,467.75,,Fee Schedule,45780.68,,82191.53,467.75,,Fee Schedule,47999.86,,73170.23,416.41,,Fee Schedule,38414.37,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,17571.68,100,,Fee Schedule,3022.33,,17923.11,102,,Fee Schedule,2079.08,,18010.97,102.5,,Fee Schedule,2737.67,,17571.68,100,,Fee Schedule,3039.9,,17571.68,100,,Fee Schedule,2091.03,,17747.4,101,,Fee Schedule,2750.85,,17747.4,101,,Fee Schedule,2750.85,,17923.11,101,,Fee Schedule,3405.39,,17923.11,101,,Fee Schedule,2742.24,,17923.11,101,,Fee Schedule,3262.01,,17923.11,101,,Fee Schedule,2903.54,,18450.26,104,,Fee Schedule,1974.18,, ,,,,,,,,,, ,, ,,,, ,,17571.68,82191.53,,																																							
Application of body cast,5101,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,718.09,467.75,,Fee Schedule,392.08,,718.09,467.75,,Fee Schedule,418.65,,718.09,467.75,,Fee Schedule,335.35,,718.09,467.75,,Fee Schedule,355.45,,718.09,467.75,,Fee Schedule,399.98,,718.09,467.75,,Fee Schedule,419.36,,639.27,416.41,,Fee Schedule,335.62,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,153.52,100,,Fee Schedule,26.41,,156.59,102,,Fee Schedule,18.16,,157.36,102.5,,Fee Schedule,23.92,,153.52,100,,Fee Schedule,26.56,,153.52,100,,Fee Schedule,18.27,,155.06,101,,Fee Schedule,24.03,,155.06,101,,Fee Schedule,24.03,,156.59,101,,Fee Schedule,29.75,,156.59,101,,Fee Schedule,23.96,,156.59,101,,Fee Schedule,28.5,,156.59,101,,Fee Schedule,25.37,,161.2,104,,Fee Schedule,17.25,, ,,,,,,,,,, ,, ,,,, ,,153.52,718.09,,																																							
Treat finger dislocation,5102,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,1181.91,467.75,,Fee Schedule,645.32,,1181.91,467.75,,Fee Schedule,689.05,,1181.91,467.75,,Fee Schedule,551.95,,1181.91,467.75,,Fee Schedule,585.05,,1181.91,467.75,,Fee Schedule,658.32,,1181.91,467.75,,Fee Schedule,690.24,,1052.18,416.41,,Fee Schedule,552.4,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,252.68,100,,Fee Schedule,43.46,,257.73,102,,Fee Schedule,29.9,,259,102.5,,Fee Schedule,39.37,,252.68,100,,Fee Schedule,43.71,,252.68,100,,Fee Schedule,30.07,,255.21,101,,Fee Schedule,39.56,,255.21,101,,Fee Schedule,39.56,,257.73,101,,Fee Schedule,48.97,,257.73,101,,Fee Schedule,39.43,,257.73,101,,Fee Schedule,46.91,,257.73,101,,Fee Schedule,41.75,,265.31,104,,Fee Schedule,28.39,, ,,,,,,,,,, ,, ,,,, ,,252.68,1181.91,,																																							
Unlisted px muscskel general,5111,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,1019.84,467.75,,Fee Schedule,556.83,,1019.84,467.75,,Fee Schedule,594.56,,1019.84,467.75,,Fee Schedule,476.26,,1019.84,467.75,,Fee Schedule,504.82,,1019.84,467.75,,Fee Schedule,568.05,,1019.84,467.75,,Fee Schedule,595.58,,907.9,416.41,,Fee Schedule,476.65,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,218.03,100,,Fee Schedule,37.5,,222.39,102,,Fee Schedule,25.8,,223.48,102.5,,Fee Schedule,33.97,,218.03,100,,Fee Schedule,37.72,,218.03,100,,Fee Schedule,25.95,,220.21,101,,Fee Schedule,34.13,,220.21,101,,Fee Schedule,34.13,,222.39,101,,Fee Schedule,42.25,,222.39,101,,Fee Schedule,34.03,,222.39,101,,Fee Schedule,40.48,,222.39,101,,Fee Schedule,36.03,,228.93,104,,Fee Schedule,24.5,, ,,,,,,,,,, ,, ,,,, ,,218.03,1019.84,,																																							
Apply rem fixation device,5112,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,7067.09,467.75,,Fee Schedule,3858.63,,7067.09,467.75,,Fee Schedule,4120.12,,7067.09,467.75,,Fee Schedule,3300.33,,7067.09,467.75,,Fee Schedule,3498.21,,7067.09,467.75,,Fee Schedule,3936.37,,7067.09,467.75,,Fee Schedule,4127.18,,6291.41,416.41,,Fee Schedule,3302.99,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,1510.87,100,,Fee Schedule,259.87,,1541.09,102,,Fee Schedule,178.77,,1548.64,102.5,,Fee Schedule,235.39,,1510.87,100,,Fee Schedule,261.38,,1510.87,100,,Fee Schedule,179.79,,1525.98,101,,Fee Schedule,236.53,,1525.98,101,,Fee Schedule,236.53,,1541.09,101,,Fee Schedule,292.81,,1541.09,101,,Fee Schedule,235.79,,1541.09,101,,Fee Schedule,280.48,,1541.09,101,,Fee Schedule,249.66,,1586.41,104,,Fee Schedule,169.75,, ,,,,,,,,,, ,, ,,,, ,,1510.87,7067.09,,																																							
Esw muscskel sys nos,5113,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,14664.34,467.75,,Fee Schedule,8006.73,,14664.34,467.75,,Fee Schedule,8549.31,,14664.34,467.75,,Fee Schedule,6848.25,,14664.34,467.75,,Fee Schedule,7258.85,,14664.34,467.75,,Fee Schedule,8168.04,,14664.34,467.75,,Fee Schedule,8563.97,,13054.79,416.41,,Fee Schedule,6853.76,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,3135.08,100,,Fee Schedule,539.23,,3197.78,102,,Fee Schedule,370.94,,3213.46,102.5,,Fee Schedule,488.45,,3135.08,100,,Fee Schedule,542.37,,3135.08,100,,Fee Schedule,373.07,,3166.43,101,,Fee Schedule,490.8,,3166.43,101,,Fee Schedule,490.8,,3197.78,101,,Fee Schedule,607.58,,3197.78,101,,Fee Schedule,489.26,,3197.78,101,,Fee Schedule,582,,3197.78,101,,Fee Schedule,518.04,,3291.83,104,,Fee Schedule,352.23,, ,,,,,,,,,, ,, ,,,, ,,3135.08,14664.34,,																																							
Perq sacral augmt unilat inj,5114,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,32586.55,467.75,,Fee Schedule,17792.26,,32586.55,467.75,,Fee Schedule,18997.96,,32586.55,467.75,,Fee Schedule,15217.92,,32586.55,467.75,,Fee Schedule,16130.34,,32586.55,467.75,,Fee Schedule,18150.71,,32586.55,467.75,,Fee Schedule,19030.55,,29009.87,416.41,,Fee Schedule,15230.18,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,6966.66,100,,Fee Schedule,1198.27,,7105.99,102,,Fee Schedule,824.3,,7140.83,102.5,,Fee Schedule,1085.41,,6966.66,100,,Fee Schedule,1205.23,,6966.66,100,,Fee Schedule,829.03,,7036.33,101,,Fee Schedule,1090.63,,7036.33,101,,Fee Schedule,1090.63,,7105.99,101,,Fee Schedule,1350.14,,7105.99,101,,Fee Schedule,1087.22,,7105.99,101,,Fee Schedule,1293.29,,7105.99,101,,Fee Schedule,1151.17,,7314.99,104,,Fee Schedule,782.7,, ,,,,,,,,,, ,, ,,,, ,,6966.66,32586.55,,																																							
Perq njx algc fluor lmbr 1st,5115,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,64280.54,467.75,,Fee Schedule,35097.18,,64280.54,467.75,,Fee Schedule,37475.56,,64280.54,467.75,,Fee Schedule,30019.01,,64280.54,467.75,,Fee Schedule,31818.87,,64280.54,467.75,,Fee Schedule,35804.26,,64280.54,467.75,,Fee Schedule,37539.84,,57225.14,416.41,,Fee Schedule,30043.2,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,13742.5,100,,Fee Schedule,2363.71,,14017.35,102,,Fee Schedule,1626.01,,14086.06,102.5,,Fee Schedule,2141.08,,13742.5,100,,Fee Schedule,2377.45,,13742.5,100,,Fee Schedule,1635.36,,13879.93,101,,Fee Schedule,2151.39,,13879.93,101,,Fee Schedule,2151.39,,14017.35,101,,Fee Schedule,2663.3,,14017.35,101,,Fee Schedule,2144.65,,14017.35,101,,Fee Schedule,2551.16,,14017.35,101,,Fee Schedule,2270.81,,14429.63,104,,Fee Schedule,1543.97,, ,,,,,,,,,, ,, ,,,, ,,13742.50,64280.54,,																																							
Arthrd si jt prq iartic impl,5116,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,107877.28,467.75,,Fee Schedule,58900.99,,107877.28,467.75,,Fee Schedule,62892.45,,107877.28,467.75,,Fee Schedule,50378.69,,107877.28,467.75,,Fee Schedule,53399.25,,107877.28,467.75,,Fee Schedule,60087.64,,107877.28,467.75,,Fee Schedule,63000.33,,96036.72,416.41,,Fee Schedule,50419.28,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,23063.02,100,,Fee Schedule,3966.84,,23524.28,102,,Fee Schedule,2728.82,,23639.6,102.5,,Fee Schedule,3593.22,,23063.02,100,,Fee Schedule,3989.9,,23063.02,100,,Fee Schedule,2744.5,,23293.65,101,,Fee Schedule,3610.52,,23293.65,101,,Fee Schedule,3610.52,,23524.28,101,,Fee Schedule,4469.61,,23524.28,101,,Fee Schedule,3599.21,,23524.28,101,,Fee Schedule,4281.42,,23524.28,101,,Fee Schedule,3810.93,,24216.17,104,,Fee Schedule,2591.13,, ,,,,,,,,,, ,, ,,,, ,,23063.02,107877.28,,																																							
Nasal endoscopy dx,5151,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,880.59,467.75,,Fee Schedule,480.8,,880.59,467.75,,Fee Schedule,513.38,,880.59,467.75,,Fee Schedule,411.23,,880.59,467.75,,Fee Schedule,435.89,,880.59,467.75,,Fee Schedule,490.49,,880.59,467.75,,Fee Schedule,514.26,,783.93,416.41,,Fee Schedule,411.57,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,188.26,100,,Fee Schedule,32.38,,192.03,102,,Fee Schedule,22.27,,192.97,102.5,,Fee Schedule,29.33,,188.26,100,,Fee Schedule,32.57,,188.26,100,,Fee Schedule,22.4,,190.14,101,,Fee Schedule,29.47,,190.14,101,,Fee Schedule,29.47,,192.03,101,,Fee Schedule,36.48,,192.03,101,,Fee Schedule,29.38,,192.03,101,,Fee Schedule,34.95,,192.03,101,,Fee Schedule,31.11,,197.67,104,,Fee Schedule,21.15,, ,,,,,,,,,, ,, ,,,, ,,188.26,880.59,,																																							
Nsl/sins ndsc dx max sinusc,5152,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,1857.95,467.75,,Fee Schedule,1014.44,,1857.95,467.75,,Fee Schedule,1083.18,,1857.95,467.75,,Fee Schedule,867.66,,1857.95,467.75,,Fee Schedule,919.69,,1857.95,467.75,,Fee Schedule,1034.88,,1857.95,467.75,,Fee Schedule,1085.04,,1654.02,416.41,,Fee Schedule,868.36,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,397.21,100,,Fee Schedule,68.32,,405.15,102,,Fee Schedule,47,,407.14,102.5,,Fee Schedule,61.89,,397.21,100,,Fee Schedule,68.72,,397.21,100,,Fee Schedule,47.27,,401.18,101,,Fee Schedule,62.18,,401.18,101,,Fee Schedule,62.18,,405.15,101,,Fee Schedule,76.98,,405.15,101,,Fee Schedule,61.99,,405.15,101,,Fee Schedule,73.74,,405.15,101,,Fee Schedule,65.63,,417.07,104,,Fee Schedule,44.63,, ,,,,,,,,,, ,, ,,,, ,,397.21,1857.95,,																																							
Nsl/sins ndsc dx sphn sinusc,5153,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,7875.23,467.75,,Fee Schedule,4299.87,,7875.23,467.75,,Fee Schedule,4591.26,,7875.23,467.75,,Fee Schedule,3677.73,,7875.23,467.75,,Fee Schedule,3898.24,,7875.23,467.75,,Fee Schedule,4386.5,,7875.23,467.75,,Fee Schedule,4599.13,,7010.85,416.41,,Fee Schedule,3680.69,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,1683.64,100,,Fee Schedule,289.59,,1717.31,102,,Fee Schedule,199.21,,1725.73,102.5,,Fee Schedule,262.31,,1683.64,100,,Fee Schedule,291.27,,1683.64,100,,Fee Schedule,200.35,,1700.48,101,,Fee Schedule,263.57,,1700.48,101,,Fee Schedule,263.57,,1717.31,101,,Fee Schedule,326.29,,1717.31,101,,Fee Schedule,262.75,,1717.31,101,,Fee Schedule,312.55,,1717.31,101,,Fee Schedule,278.2,,1767.82,104,,Fee Schedule,189.16,, ,,,,,,,,,, ,, ,,,, ,,1683.64,7875.23,,																																							
Nasal/sinus endoscopy surg,5154,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,16423.03,467.75,,Fee Schedule,8966.97,,16423.03,467.75,,Fee Schedule,9574.63,,16423.03,467.75,,Fee Schedule,7669.55,,16423.03,467.75,,Fee Schedule,8129.4,,16423.03,467.75,,Fee Schedule,9147.63,,16423.03,467.75,,Fee Schedule,9591.05,,14620.45,416.41,,Fee Schedule,7675.73,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,3511.07,100,,Fee Schedule,603.9,,3581.29,102,,Fee Schedule,415.43,,3598.85,102.5,,Fee Schedule,547.02,,3511.07,100,,Fee Schedule,607.42,,3511.07,100,,Fee Schedule,417.82,,3546.18,101,,Fee Schedule,549.66,,3546.18,101,,Fee Schedule,549.66,,3581.29,101,,Fee Schedule,680.45,,3581.29,101,,Fee Schedule,547.94,,3581.29,101,,Fee Schedule,651.8,,3581.29,101,,Fee Schedule,580.17,,3686.62,104,,Fee Schedule,394.47,, ,,,,,,,,,, ,, ,,,, ,,3511.07,16423.03,,																																							
Nsl/sins ndsc total,5155,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,30480.27,467.75,,Fee Schedule,16642.23,,30480.27,467.75,,Fee Schedule,17770,,30480.27,467.75,,Fee Schedule,14234.29,,30480.27,467.75,,Fee Schedule,15087.74,,30480.27,467.75,,Fee Schedule,16977.51,,30480.27,467.75,,Fee Schedule,17800.48,,27134.77,416.41,,Fee Schedule,14245.76,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,6516.36,100,,Fee Schedule,1120.81,,6646.69,102,,Fee Schedule,771.02,,6679.27,102.5,,Fee Schedule,1015.25,,6516.36,100,,Fee Schedule,1127.33,,6516.36,100,,Fee Schedule,775.45,,6581.52,101,,Fee Schedule,1020.14,,6581.52,101,,Fee Schedule,1020.14,,6646.69,101,,Fee Schedule,1262.87,,6646.69,101,,Fee Schedule,1016.94,,6646.69,101,,Fee Schedule,1209.7,,6646.69,101,,Fee Schedule,1076.76,,6842.18,104,,Fee Schedule,732.11,, ,,,,,,,,,, ,, ,,,, ,,6516.36,30480.27,,																																							
Prepare face/oral prosthesis,5161,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,1023.86,467.75,,Fee Schedule,559.03,,1023.86,467.75,,Fee Schedule,596.91,,1023.86,467.75,,Fee Schedule,478.14,,1023.86,467.75,,Fee Schedule,506.81,,1023.86,467.75,,Fee Schedule,570.29,,1023.86,467.75,,Fee Schedule,597.93,,911.48,416.41,,Fee Schedule,478.53,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,218.89,100,,Fee Schedule,37.65,,223.27,102,,Fee Schedule,25.9,,224.36,102.5,,Fee Schedule,34.1,,218.89,100,,Fee Schedule,37.87,,218.89,100,,Fee Schedule,26.05,,221.08,101,,Fee Schedule,34.27,,221.08,101,,Fee Schedule,34.27,,223.27,101,,Fee Schedule,42.42,,223.27,101,,Fee Schedule,34.16,,223.27,101,,Fee Schedule,40.63,,223.27,101,,Fee Schedule,36.17,,229.83,104,,Fee Schedule,24.59,, ,,,,,,,,,, ,, ,,,, ,,218.89,1023.86,,																																							
Explore wound neck,5162,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,2250.49,467.75,,Fee Schedule,1228.77,,2250.49,467.75,,Fee Schedule,1312.03,,2250.49,467.75,,Fee Schedule,1050.98,,2250.49,467.75,,Fee Schedule,1113.99,,2250.49,467.75,,Fee Schedule,1253.52,,2250.49,467.75,,Fee Schedule,1314.28,,2003.47,416.41,,Fee Schedule,1051.82,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,481.13,100,,Fee Schedule,82.75,,490.75,102,,Fee Schedule,56.93,,493.16,102.5,,Fee Schedule,74.96,,481.13,100,,Fee Schedule,83.24,,481.13,100,,Fee Schedule,57.25,,485.94,101,,Fee Schedule,75.32,,485.94,101,,Fee Schedule,75.32,,490.75,101,,Fee Schedule,93.24,,490.75,101,,Fee Schedule,75.09,,490.75,101,,Fee Schedule,89.32,,490.75,101,,Fee Schedule,79.5,,505.19,104,,Fee Schedule,54.05,, ,,,,,,,,,, ,, ,,,, ,,481.13,2250.49,,																																							
Tmpst auto tube dlvr sys,5163,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,6838.6,467.75,,Fee Schedule,3733.87,,6838.6,467.75,,Fee Schedule,3986.9,,6838.6,467.75,,Fee Schedule,3193.63,,6838.6,467.75,,Fee Schedule,3385.11,,6838.6,467.75,,Fee Schedule,3809.1,,6838.6,467.75,,Fee Schedule,3993.74,,6088,416.41,,Fee Schedule,3196.2,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,1462.02,100,,Fee Schedule,251.47,,1491.26,102,,Fee Schedule,172.99,,1498.57,102.5,,Fee Schedule,227.78,,1462.02,100,,Fee Schedule,252.93,,1462.02,100,,Fee Schedule,173.98,,1476.64,101,,Fee Schedule,228.88,,1476.64,101,,Fee Schedule,228.88,,1491.26,101,,Fee Schedule,283.34,,1491.26,101,,Fee Schedule,228.16,,1491.26,101,,Fee Schedule,271.41,,1491.26,101,,Fee Schedule,241.58,,1535.12,104,,Fee Schedule,164.26,, ,,,,,,,,,, ,, ,,,, ,,1462.02,6838.60,,																																							
Incision of jaw joint,5164,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,14015.85,467.75,,Fee Schedule,7652.65,,14015.85,467.75,,Fee Schedule,8171.24,,14015.85,467.75,,Fee Schedule,6545.4,,14015.85,467.75,,Fee Schedule,6937.84,,14015.85,467.75,,Fee Schedule,7806.83,,14015.85,467.75,,Fee Schedule,8185.26,,12477.48,416.41,,Fee Schedule,6550.67,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,2996.44,100,,Fee Schedule,515.39,,3056.37,102,,Fee Schedule,354.54,,3071.35,102.5,,Fee Schedule,466.85,,2996.44,100,,Fee Schedule,518.38,,2996.44,100,,Fee Schedule,356.58,,3026.4,101,,Fee Schedule,469.09,,3026.4,101,,Fee Schedule,469.09,,3056.37,101,,Fee Schedule,580.71,,3056.37,101,,Fee Schedule,467.62,,3056.37,101,,Fee Schedule,556.26,,3056.37,101,,Fee Schedule,495.13,,3146.26,104,,Fee Schedule,336.65,, ,,,,,,,,,, ,, ,,,, ,,2996.44,14015.85,,																																							
Excision of bone lower jaw,5165,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,26305.56,467.75,,Fee Schedule,14362.83,,26305.56,467.75,,Fee Schedule,15336.14,,26305.56,467.75,,Fee Schedule,12284.7,,26305.56,467.75,,Fee Schedule,13021.25,,26305.56,467.75,,Fee Schedule,14652.2,,26305.56,467.75,,Fee Schedule,15362.45,,23418.27,416.41,,Fee Schedule,12294.59,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,5623.85,100,,Fee Schedule,967.3,,5736.33,102,,Fee Schedule,665.41,,5764.45,102.5,,Fee Schedule,876.2,,5623.85,100,,Fee Schedule,972.93,,5623.85,100,,Fee Schedule,669.24,,5680.09,101,,Fee Schedule,880.41,,5680.09,101,,Fee Schedule,880.41,,5736.33,101,,Fee Schedule,1089.9,,5736.33,101,,Fee Schedule,877.66,,5736.33,101,,Fee Schedule,1044.01,,5736.33,101,,Fee Schedule,929.28,,5905.04,104,,Fee Schedule,631.84,, ,,,,,,,,,, ,, ,,,, ,,5623.85,26305.56,,																																							
Implant cochlear device,5166,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,164232.78,467.75,,Fee Schedule,89671.1,,164232.78,467.75,,Fee Schedule,95747.71,,164232.78,467.75,,Fee Schedule,76696.71,,164232.78,467.75,,Fee Schedule,81295.23,,164232.78,467.75,,Fee Schedule,91477.66,,164232.78,467.75,,Fee Schedule,95911.94,,146206.67,416.41,,Fee Schedule,76758.5,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,35111.23,100,,Fee Schedule,6039.13,,35813.45,102,,Fee Schedule,4154.36,,35989.01,102.5,,Fee Schedule,5470.33,,35111.23,100,,Fee Schedule,6074.24,,35111.23,100,,Fee Schedule,4178.24,,35462.34,101,,Fee Schedule,5496.66,,35462.34,101,,Fee Schedule,5496.66,,35813.45,101,,Fee Schedule,6804.56,,35813.45,101,,Fee Schedule,5479.46,,35813.45,101,,Fee Schedule,6518.05,,35813.45,101,,Fee Schedule,5801.78,,36866.79,104,,Fee Schedule,3944.75,, ,,,,,,,,,, ,, ,,,, ,,35111.23,164232.78,,																																							
Repos car modulj tranvns elt,5181,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,2849.95,467.75,,Fee Schedule,1556.07,,2849.95,467.75,,Fee Schedule,1661.52,,2849.95,467.75,,Fee Schedule,1330.93,,2849.95,467.75,,Fee Schedule,1410.73,,2849.95,467.75,,Fee Schedule,1587.42,,2849.95,467.75,,Fee Schedule,1664.37,,2537.14,416.41,,Fee Schedule,1332,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,609.29,100,,Fee Schedule,104.8,,621.48,102,,Fee Schedule,72.09,,624.52,102.5,,Fee Schedule,94.93,,609.29,100,,Fee Schedule,105.41,,609.29,100,,Fee Schedule,72.51,,615.38,101,,Fee Schedule,95.38,,615.38,101,,Fee Schedule,95.38,,621.48,101,,Fee Schedule,118.08,,621.48,101,,Fee Schedule,95.09,,621.48,101,,Fee Schedule,113.11,,621.48,101,,Fee Schedule,100.68,,639.75,104,,Fee Schedule,68.45,, ,,,,,,,,,, ,, ,,,, ,,609.29,2849.95,,																																							
Insertion of chest tube,5182,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,7329.78,467.75,,Fee Schedule,4002.06,,7329.78,467.75,,Fee Schedule,4273.26,,7329.78,467.75,,Fee Schedule,3423.01,,7329.78,467.75,,Fee Schedule,3628.24,,7329.78,467.75,,Fee Schedule,4082.69,,7329.78,467.75,,Fee Schedule,4280.59,,6525.27,416.41,,Fee Schedule,3425.77,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,1567.03,100,,Fee Schedule,269.53,,1598.37,102,,Fee Schedule,185.41,,1606.21,102.5,,Fee Schedule,244.14,,1567.03,100,,Fee Schedule,271.1,,1567.03,100,,Fee Schedule,186.48,,1582.7,101,,Fee Schedule,245.32,,1582.7,101,,Fee Schedule,245.32,,1598.37,101,,Fee Schedule,303.69,,1598.37,101,,Fee Schedule,244.55,,1598.37,101,,Fee Schedule,290.9,,1598.37,101,,Fee Schedule,258.94,,1645.38,104,,Fee Schedule,176.06,, ,,,,,,,,,, ,, ,,,, ,,1567.03,7329.78,,																																							
Ev cath dir chem abltj w/img,5183,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,14675.7,467.75,,Fee Schedule,8012.93,,14675.7,467.75,,Fee Schedule,8555.93,,14675.7,467.75,,Fee Schedule,6853.55,,14675.7,467.75,,Fee Schedule,7264.47,,14675.7,467.75,,Fee Schedule,8174.37,,14675.7,467.75,,Fee Schedule,8570.61,,13064.91,416.41,,Fee Schedule,6859.08,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,3137.51,100,,Fee Schedule,539.65,,3200.26,102,,Fee Schedule,371.23,,3215.95,102.5,,Fee Schedule,488.82,,3137.51,100,,Fee Schedule,542.79,,3137.51,100,,Fee Schedule,373.36,,3168.89,101,,Fee Schedule,491.18,,3168.89,101,,Fee Schedule,491.18,,3200.26,101,,Fee Schedule,608.05,,3200.26,101,,Fee Schedule,489.64,,3200.26,101,,Fee Schedule,582.45,,3200.26,101,,Fee Schedule,518.44,,3294.39,104,,Fee Schedule,352.5,, ,,,,,,,,,, ,, ,,,, ,,3137.51,14675.70,,																																							
Insj bioprostc vlv fem vn,5184,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,25320.71,467.75,,Fee Schedule,13825.11,,25320.71,467.75,,Fee Schedule,14761.97,,25320.71,467.75,,Fee Schedule,11824.77,,25320.71,467.75,,Fee Schedule,12533.75,,25320.71,467.75,,Fee Schedule,14103.64,,25320.71,467.75,,Fee Schedule,14787.3,,22541.52,416.41,,Fee Schedule,11834.3,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,5413.3,100,,Fee Schedule,931.09,,5521.57,102,,Fee Schedule,640.5,,5548.63,102.5,,Fee Schedule,843.39,,5413.3,100,,Fee Schedule,936.5,,5413.3,100,,Fee Schedule,644.18,,5467.43,101,,Fee Schedule,847.45,,5467.43,101,,Fee Schedule,847.45,,5521.57,101,,Fee Schedule,1049.1,,5521.57,101,,Fee Schedule,844.8,,5521.57,101,,Fee Schedule,1004.93,,5521.57,101,,Fee Schedule,894.49,,5683.97,104,,Fee Schedule,608.18,, ,,,,,,,,,, ,, ,,,, ,,5413.30,25320.71,,																																							
Right heart cath,5191,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,14574.67,467.75,,Fee Schedule,7957.77,,14574.67,467.75,,Fee Schedule,8497.03,,14574.67,467.75,,Fee Schedule,6806.37,,14574.67,467.75,,Fee Schedule,7214.46,,14574.67,467.75,,Fee Schedule,8118.09,,14574.67,467.75,,Fee Schedule,8511.61,,12974.96,416.41,,Fee Schedule,6811.85,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,3115.91,100,,Fee Schedule,535.94,,3178.23,102,,Fee Schedule,368.67,,3193.81,102.5,,Fee Schedule,485.46,,3115.91,100,,Fee Schedule,539.05,,3115.91,100,,Fee Schedule,370.79,,3147.07,101,,Fee Schedule,487.8,,3147.07,101,,Fee Schedule,487.8,,3178.23,101,,Fee Schedule,603.86,,3178.23,101,,Fee Schedule,486.27,,3178.23,101,,Fee Schedule,578.44,,3178.23,101,,Fee Schedule,514.87,,3271.71,104,,Fee Schedule,350.07,, ,,,,,,,,,, ,, ,,,, ,,3115.91,14574.67,,																																							
Trnscth renal symp denrv unl,5192,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,25693.32,467.75,,Fee Schedule,14028.55,,25693.32,467.75,,Fee Schedule,14979.21,,25693.32,467.75,,Fee Schedule,11998.78,,25693.32,467.75,,Fee Schedule,12718.19,,25693.32,467.75,,Fee Schedule,14311.18,,25693.32,467.75,,Fee Schedule,15004.9,,22873.23,416.41,,Fee Schedule,12008.45,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,5492.96,100,,Fee Schedule,944.79,,5602.82,102,,Fee Schedule,649.93,,5630.28,102.5,,Fee Schedule,855.8,,5492.96,100,,Fee Schedule,950.28,,5492.96,100,,Fee Schedule,653.66,,5547.89,101,,Fee Schedule,859.92,,5547.89,101,,Fee Schedule,859.92,,5602.82,101,,Fee Schedule,1064.54,,5602.82,101,,Fee Schedule,857.23,,5602.82,101,,Fee Schedule,1019.71,,5602.82,101,,Fee Schedule,907.66,,5767.61,104,,Fee Schedule,617.13,, ,,,,,,,,,, ,, ,,,, ,,5492.96,25693.32,,																																							
Trluml perip athrc renal art,5193,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,52295.67,467.75,,Fee Schedule,28553.43,,52295.67,467.75,,Fee Schedule,30488.37,,52295.67,467.75,,Fee Schedule,24422.08,,52295.67,467.75,,Fee Schedule,25886.35,,52295.67,467.75,,Fee Schedule,29128.69,,52295.67,467.75,,Fee Schedule,30540.67,,46555.72,416.41,,Fee Schedule,24441.75,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,11180.26,100,,Fee Schedule,1923,,11403.87,102,,Fee Schedule,1322.85,,11459.77,102.5,,Fee Schedule,1741.88,,11180.26,100,,Fee Schedule,1934.18,,11180.26,100,,Fee Schedule,1330.45,,11292.06,101,,Fee Schedule,1750.27,,11292.06,101,,Fee Schedule,1750.27,,11403.87,101,,Fee Schedule,2166.73,,11403.87,101,,Fee Schedule,1744.79,,11403.87,101,,Fee Schedule,2075.5,,11403.87,101,,Fee Schedule,1847.43,,11739.27,104,,Fee Schedule,1256.1,, ,,,,,,,,,, ,, ,,,, ,,11180.26,52295.67,,																																							
Trluml perip athrc iliac art,5194,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,84624.35,467.75,,Fee Schedule,46204.89,,84624.35,467.75,,Fee Schedule,49335.99,,84624.35,467.75,,Fee Schedule,39519.57,,84624.35,467.75,,Fee Schedule,41889.05,,84624.35,467.75,,Fee Schedule,47135.76,,84624.35,467.75,,Fee Schedule,49420.62,,75336.02,416.41,,Fee Schedule,39551.41,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,18091.79,100,,Fee Schedule,3111.79,,18453.63,102,,Fee Schedule,2140.62,,18544.08,102.5,,Fee Schedule,2818.7,,18091.79,100,,Fee Schedule,3129.88,,18091.79,100,,Fee Schedule,2152.92,,18272.71,101,,Fee Schedule,2832.27,,18272.71,101,,Fee Schedule,2832.27,,18453.63,101,,Fee Schedule,3506.19,,18453.63,101,,Fee Schedule,2823.4,,18453.63,101,,Fee Schedule,3358.56,,18453.63,101,,Fee Schedule,2989.49,,18996.38,104,,Fee Schedule,2032.61,, ,,,,,,,,,, ,, ,,,, ,,18091.79,84624.35,,																																							
Tcat impl wrls part prs snr,5200,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,134517.18,467.75,,Fee Schedule,73446.38,,134517.18,467.75,,Fee Schedule,78423.52,,134517.18,467.75,,Fee Schedule,62819.52,,134517.18,467.75,,Fee Schedule,66586.01,,134517.18,467.75,,Fee Schedule,74926.07,,134517.18,467.75,,Fee Schedule,78558.03,,119752.65,416.41,,Fee Schedule,62870.14,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,28758.35,100,,Fee Schedule,4946.44,,29333.52,102,,Fee Schedule,3402.69,,29477.31,102.5,,Fee Schedule,4480.55,,28758.35,100,,Fee Schedule,4975.19,,28758.35,100,,Fee Schedule,3422.24,,29045.93,101,,Fee Schedule,4502.12,,29045.93,101,,Fee Schedule,4502.12,,29333.52,101,,Fee Schedule,5573.37,,29333.52,101,,Fee Schedule,4488.03,,29333.52,101,,Fee Schedule,5338.7,,29333.52,101,,Fee Schedule,4752.03,,30196.27,104,,Fee Schedule,3231,, ,,,,,,,,,, ,, ,,,, ,,28758.35,134517.18,,																																							
Ephys eval icds ss,5211,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,5503.13,467.75,,Fee Schedule,3004.71,,5503.13,467.75,,Fee Schedule,3208.32,,5503.13,467.75,,Fee Schedule,2569.96,,5503.13,467.75,,Fee Schedule,2724.05,,5503.13,467.75,,Fee Schedule,3065.24,,5503.13,467.75,,Fee Schedule,3213.83,,4899.11,416.41,,Fee Schedule,2572.03,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,1176.51,100,,Fee Schedule,202.36,,1200.04,102,,Fee Schedule,139.2,,1205.92,102.5,,Fee Schedule,183.3,,1176.51,100,,Fee Schedule,203.54,,1176.51,100,,Fee Schedule,140,,1188.28,101,,Fee Schedule,184.18,,1188.28,101,,Fee Schedule,184.18,,1200.04,101,,Fee Schedule,228.01,,1200.04,101,,Fee Schedule,183.61,,1200.04,101,,Fee Schedule,218.41,,1200.04,101,,Fee Schedule,194.41,,1235.34,104,,Fee Schedule,132.18,, ,,,,,,,,,, ,, ,,,, ,,1176.51,5503.13,,																																							
Bundle of his recording,5212,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,33168.48,467.75,,Fee Schedule,18109.99,,33168.48,467.75,,Fee Schedule,19337.22,,33168.48,467.75,,Fee Schedule,15489.68,,33168.48,467.75,,Fee Schedule,16418.4,,33168.48,467.75,,Fee Schedule,18474.84,,33168.48,467.75,,Fee Schedule,19370.39,,29527.92,416.41,,Fee Schedule,15502.16,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,7091.07,100,,Fee Schedule,1219.66,,7232.89,102,,Fee Schedule,839.02,,7268.35,102.5,,Fee Schedule,1104.79,,7091.07,100,,Fee Schedule,1226.76,,7091.07,100,,Fee Schedule,843.84,,7161.98,101,,Fee Schedule,1110.11,,7161.98,101,,Fee Schedule,1110.11,,7232.89,101,,Fee Schedule,1374.25,,7232.89,101,,Fee Schedule,1106.63,,7232.89,101,,Fee Schedule,1316.39,,7232.89,101,,Fee Schedule,1171.73,,7445.62,104,,Fee Schedule,796.68,, ,,,,,,,,,, ,, ,,,, ,,7091.07,33168.48,,																																							
Compre ep eval tx svt,5213,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,115679.07,467.75,,Fee Schedule,63160.77,,115679.07,467.75,,Fee Schedule,67440.9,,115679.07,467.75,,Fee Schedule,54022.12,,115679.07,467.75,,Fee Schedule,57261.14,,115679.07,467.75,,Fee Schedule,64433.24,,115679.07,467.75,,Fee Schedule,67556.57,,102982.19,416.41,,Fee Schedule,54065.65,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,24730.96,100,,Fee Schedule,4253.73,,25225.58,102,,Fee Schedule,2926.17,,25349.23,102.5,,Fee Schedule,3853.08,,24730.96,100,,Fee Schedule,4278.46,,24730.96,100,,Fee Schedule,2942.98,,24978.27,101,,Fee Schedule,3871.63,,24978.27,101,,Fee Schedule,3871.63,,25225.58,101,,Fee Schedule,4792.86,,25225.58,101,,Fee Schedule,3859.51,,25225.58,101,,Fee Schedule,4591.06,,25225.58,101,,Fee Schedule,4086.54,,25967.51,104,,Fee Schedule,2778.52,, ,,,,,,,,,, ,, ,,,, ,,24730.96,115679.07,,																																							
Rmvl cardiac modulj pls gen,5221,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,16508.16,467.75,,Fee Schedule,9013.46,,16508.16,467.75,,Fee Schedule,9624.26,,16508.16,467.75,,Fee Schedule,7709.31,,16508.16,467.75,,Fee Schedule,8171.54,,16508.16,467.75,,Fee Schedule,9195.05,,16508.16,467.75,,Fee Schedule,9640.77,,14696.23,416.41,,Fee Schedule,7715.52,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,3529.27,100,,Fee Schedule,607.03,,3599.86,102,,Fee Schedule,417.58,,3617.5,102.5,,Fee Schedule,549.86,,3529.27,100,,Fee Schedule,610.56,,3529.27,100,,Fee Schedule,419.98,,3564.56,101,,Fee Schedule,552.51,,3564.56,101,,Fee Schedule,552.51,,3599.86,101,,Fee Schedule,683.97,,3599.86,101,,Fee Schedule,550.78,,3599.86,101,,Fee Schedule,655.17,,3599.86,101,,Fee Schedule,583.18,,3705.73,104,,Fee Schedule,396.51,, ,,,,,,,,,, ,, ,,,, ,,3529.27,16508.16,,																																							
Insj/rplc car modulj atr elt,5222,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,40213.36,467.75,,Fee Schedule,21956.49,,40213.36,467.75,,Fee Schedule,23444.39,,40213.36,467.75,,Fee Schedule,18779.64,,40213.36,467.75,,Fee Schedule,19905.61,,40213.36,467.75,,Fee Schedule,22398.84,,40213.36,467.75,,Fee Schedule,23484.6,,35799.56,416.41,,Fee Schedule,18794.77,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,8597.19,100,,Fee Schedule,1478.72,,8769.13,102,,Fee Schedule,1017.22,,8812.12,102.5,,Fee Schedule,1339.44,,8597.19,100,,Fee Schedule,1487.31,,8597.19,100,,Fee Schedule,1023.07,,8683.16,101,,Fee Schedule,1345.89,,8683.16,101,,Fee Schedule,1345.89,,8769.13,101,,Fee Schedule,1666.14,,8769.13,101,,Fee Schedule,1341.68,,8769.13,101,,Fee Schedule,1595.98,,8769.13,101,,Fee Schedule,1420.6,,9027.05,104,,Fee Schedule,965.89,, ,,,,,,,,,, ,, ,,,, ,,8597.19,40213.36,,																																							
Insj/rplcmt compl iims,5223,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,50884.04,467.75,,Fee Schedule,27782.69,,50884.04,467.75,,Fee Schedule,29665.4,,50884.04,467.75,,Fee Schedule,23762.85,,50884.04,467.75,,Fee Schedule,25187.6,,50884.04,467.75,,Fee Schedule,28342.41,,50884.04,467.75,,Fee Schedule,29716.28,,45299.04,416.41,,Fee Schedule,23781.99,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,10878.47,100,,Fee Schedule,1871.1,,11096.04,102,,Fee Schedule,1287.14,,11150.43,102.5,,Fee Schedule,1694.87,,10878.47,100,,Fee Schedule,1881.98,,10878.47,100,,Fee Schedule,1294.54,,10987.25,101,,Fee Schedule,1703.02,,10987.25,101,,Fee Schedule,1703.02,,11096.04,101,,Fee Schedule,2108.25,,11096.04,101,,Fee Schedule,1697.69,,11096.04,101,,Fee Schedule,2019.48,,11096.04,101,,Fee Schedule,1797.56,,11422.39,104,,Fee Schedule,1222.2,, ,,,,,,,,,, ,, ,,,, ,,10878.47,50884.04,,																																							
Insert pulse gen mult leads,5224,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,91986.45,467.75,,Fee Schedule,50224.6,,91986.45,467.75,,Fee Schedule,53628.1,,91986.45,467.75,,Fee Schedule,42957.67,,91986.45,467.75,,Fee Schedule,45533.29,,91986.45,467.75,,Fee Schedule,51236.45,,91986.45,467.75,,Fee Schedule,53720.09,,81890.07,416.41,,Fee Schedule,42992.28,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,19665.73,100,,Fee Schedule,3382.51,,20059.04,102,,Fee Schedule,2326.85,,20157.37,102.5,,Fee Schedule,3063.92,,19665.73,100,,Fee Schedule,3402.17,,19665.73,100,,Fee Schedule,2340.22,,19862.39,101,,Fee Schedule,3078.67,,19862.39,101,,Fee Schedule,3078.67,,20059.04,101,,Fee Schedule,3811.22,,20059.04,101,,Fee Schedule,3069.03,,20059.04,101,,Fee Schedule,3650.75,,20059.04,101,,Fee Schedule,3249.57,,20649.02,104,,Fee Schedule,2209.44,, ,,,,,,,,,, ,, ,,,, ,,19665.73,91986.45,,																																							
Insj/rplc car modulj pls gn,5231,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,112413,467.75,,Fee Schedule,61377.5,,112413,467.75,,Fee Schedule,65536.78,,112413,467.75,,Fee Schedule,52496.87,,112413,467.75,,Fee Schedule,55644.44,,112413,467.75,,Fee Schedule,62614.04,,112413,467.75,,Fee Schedule,65649.19,,100074.61,416.41,,Fee Schedule,52539.17,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,24032.71,100,,Fee Schedule,4133.63,,24513.36,102,,Fee Schedule,2843.55,,24633.53,102.5,,Fee Schedule,3744.3,,24032.71,100,,Fee Schedule,4157.66,,24032.71,100,,Fee Schedule,2859.89,,24273.04,101,,Fee Schedule,3762.32,,24273.04,101,,Fee Schedule,3762.32,,24513.36,101,,Fee Schedule,4657.54,,24513.36,101,,Fee Schedule,3750.54,,24513.36,101,,Fee Schedule,4461.43,,24513.36,101,,Fee Schedule,3971.17,,25234.35,104,,Fee Schedule,2700.07,, ,,,,,,,,,, ,, ,,,, ,,24032.71,112413.00,,																																							
Insj/rplc cardiac modulj sys,5232,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,158021.99,467.75,,Fee Schedule,86280.01,,158021.99,467.75,,Fee Schedule,92126.82,,158021.99,467.75,,Fee Schedule,73796.27,,158021.99,467.75,,Fee Schedule,78220.89,,158021.99,467.75,,Fee Schedule,88018.25,,158021.99,467.75,,Fee Schedule,92284.84,,140677.58,416.41,,Fee Schedule,73855.73,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,33783.43,100,,Fee Schedule,5810.75,,34459.1,102,,Fee Schedule,3997.26,,34628.02,102.5,,Fee Schedule,5263.46,,33783.43,100,,Fee Schedule,5844.53,,33783.43,100,,Fee Schedule,4020.23,,34121.26,101,,Fee Schedule,5288.8,,34121.26,101,,Fee Schedule,5288.8,,34459.1,101,,Fee Schedule,6547.23,,34459.1,101,,Fee Schedule,5272.24,,34459.1,101,,Fee Schedule,6271.56,,34459.1,101,,Fee Schedule,5582.37,,35472.6,104,,Fee Schedule,3795.57,, ,,,,,,,,,, ,, ,,,, ,,33783.43,158021.99,,																																							
Therapeutic ultrafiltration,5241,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,2008.75,467.75,,Fee Schedule,1096.78,,2008.75,467.75,,Fee Schedule,1171.1,,2008.75,467.75,,Fee Schedule,938.09,,2008.75,467.75,,Fee Schedule,994.33,,2008.75,467.75,,Fee Schedule,1118.88,,2008.75,467.75,,Fee Schedule,1173.11,,1788.27,416.41,,Fee Schedule,938.84,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,429.45,100,,Fee Schedule,73.87,,438.04,102,,Fee Schedule,50.81,,440.19,102.5,,Fee Schedule,66.91,,429.45,100,,Fee Schedule,74.29,,429.45,100,,Fee Schedule,51.1,,433.74,101,,Fee Schedule,67.23,,433.74,101,,Fee Schedule,67.23,,438.04,101,,Fee Schedule,83.23,,438.04,101,,Fee Schedule,67.02,,438.04,101,,Fee Schedule,79.72,,438.04,101,,Fee Schedule,70.96,,450.92,104,,Fee Schedule,48.25,, ,,,,,,,,,, ,, ,,,, ,,429.45,2008.75,,																																							
Apheresis wbc,5242,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,6699.16,467.75,,Fee Schedule,3657.74,,6699.16,467.75,,Fee Schedule,3905.61,,6699.16,467.75,,Fee Schedule,3128.51,,6699.16,467.75,,Fee Schedule,3316.09,,6699.16,467.75,,Fee Schedule,3731.43,,6699.16,467.75,,Fee Schedule,3912.31,,5963.87,416.41,,Fee Schedule,3131.03,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,1432.21,100,,Fee Schedule,246.34,,1460.85,102,,Fee Schedule,169.46,,1468.02,102.5,,Fee Schedule,223.14,,1432.21,100,,Fee Schedule,247.77,,1432.21,100,,Fee Schedule,170.43,,1446.53,101,,Fee Schedule,224.21,,1446.53,101,,Fee Schedule,224.21,,1460.85,101,,Fee Schedule,277.56,,1460.85,101,,Fee Schedule,223.51,,1460.85,101,,Fee Schedule,265.88,,1460.85,101,,Fee Schedule,236.66,,1503.82,104,,Fee Schedule,160.91,, ,,,,,,,,,, ,, ,,,, ,,1432.21,6699.16,,																																							
Im b1 mrw cel ther cmpl,5243,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,20494,467.75,,Fee Schedule,11189.72,,20494,467.75,,Fee Schedule,11948,,20494,467.75,,Fee Schedule,9570.7,,20494,467.75,,Fee Schedule,10144.53,,20494,467.75,,Fee Schedule,11415.16,,20494,467.75,,Fee Schedule,11968.5,,18244.59,416.41,,Fee Schedule,9578.41,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,4381.4,100,,Fee Schedule,753.6,,4469.03,102,,Fee Schedule,518.41,,4490.94,102.5,,Fee Schedule,682.62,,4381.4,100,,Fee Schedule,757.98,,4381.4,100,,Fee Schedule,521.39,,4425.21,101,,Fee Schedule,685.91,,4425.21,101,,Fee Schedule,685.91,,4469.03,101,,Fee Schedule,849.12,,4469.03,101,,Fee Schedule,683.76,,4469.03,101,,Fee Schedule,813.36,,4469.03,101,,Fee Schedule,723.98,,4600.47,104,,Fee Schedule,492.25,, ,,,,,,,,,, ,, ,,,, ,,4381.40,20494.00,,																																							
Transplt allo hct/donor,5244,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,208060.16,467.75,,Fee Schedule,113600.85,,208060.16,467.75,,Fee Schedule,121299.07,,208060.16,467.75,,Fee Schedule,97164.09,,208060.16,467.75,,Fee Schedule,102989.78,,208060.16,467.75,,Fee Schedule,115889.51,,208060.16,467.75,,Fee Schedule,121507.13,,185223.58,416.41,,Fee Schedule,97242.38,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,44481.06,100,,Fee Schedule,7650.74,,45370.68,102,,Fee Schedule,5263,,45593.09,102.5,,Fee Schedule,6930.15,,44481.06,100,,Fee Schedule,7695.22,,44481.06,100,,Fee Schedule,5293.25,,44925.87,101,,Fee Schedule,6963.51,,44925.87,101,,Fee Schedule,6963.51,,45370.68,101,,Fee Schedule,8620.43,,45370.68,101,,Fee Schedule,6941.71,,45370.68,101,,Fee Schedule,8257.46,,45370.68,101,,Fee Schedule,7350.05,,46705.11,104,,Fee Schedule,4997.45,, ,,,,,,,,,, ,, ,,,, ,,44481.06,208060.16,,																																							
Mag ctrld capsule endoscopy,5301,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,4066.81,467.75,,Fee Schedule,2220.48,,4066.81,467.75,,Fee Schedule,2370.95,,4066.81,467.75,,Fee Schedule,1899.2,,4066.81,467.75,,Fee Schedule,2013.07,,4066.81,467.75,,Fee Schedule,2265.21,,4066.81,467.75,,Fee Schedule,2375.01,,3620.44,416.41,,Fee Schedule,1900.73,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,869.44,100,,Fee Schedule,149.54,,886.83,102,,Fee Schedule,102.87,,891.18,102.5,,Fee Schedule,135.46,,869.44,100,,Fee Schedule,150.41,,869.44,100,,Fee Schedule,103.46,,878.13,101,,Fee Schedule,136.11,,878.13,101,,Fee Schedule,136.11,,886.83,101,,Fee Schedule,168.5,,886.83,101,,Fee Schedule,135.68,,886.83,101,,Fee Schedule,161.4,,886.83,101,,Fee Schedule,143.67,,912.91,104,,Fee Schedule,97.68,, ,,,,,,,,,, ,, ,,,, ,,869.44,4066.81,,																																							
Insj gtube perq mag gastrpxy,5302,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,8579.84,467.75,,Fee Schedule,4684.6,,8579.84,467.75,,Fee Schedule,5002.05,,8579.84,467.75,,Fee Schedule,4006.79,,8579.84,467.75,,Fee Schedule,4247.02,,8579.84,467.75,,Fee Schedule,4778.97,,8579.84,467.75,,Fee Schedule,5010.63,,7638.13,416.41,,Fee Schedule,4010.02,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,1834.28,100,,Fee Schedule,315.5,,1870.97,102,,Fee Schedule,217.03,,1880.14,102.5,,Fee Schedule,285.78,,1834.28,100,,Fee Schedule,317.33,,1834.28,100,,Fee Schedule,218.28,,1852.62,101,,Fee Schedule,287.16,,1852.62,101,,Fee Schedule,287.16,,1870.97,101,,Fee Schedule,355.48,,1870.97,101,,Fee Schedule,286.26,,1870.97,101,,Fee Schedule,340.52,,1870.97,101,,Fee Schedule,303.1,,1925.99,104,,Fee Schedule,206.08,, ,,,,,,,,,, ,, ,,,, ,,1834.28,8579.84,,																																							
Egd flx transnasal tube/cath,5303,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,16063.56,467.75,,Fee Schedule,8770.71,,16063.56,467.75,,Fee Schedule,9365.06,,16063.56,467.75,,Fee Schedule,7501.68,,16063.56,467.75,,Fee Schedule,7951.46,,16063.56,467.75,,Fee Schedule,8947.41,,16063.56,467.75,,Fee Schedule,9381.12,,14300.44,416.41,,Fee Schedule,7507.73,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,3434.22,100,,Fee Schedule,590.69,,3502.9,102,,Fee Schedule,406.34,,3520.08,102.5,,Fee Schedule,535.05,,3434.22,100,,Fee Schedule,594.12,,3434.22,100,,Fee Schedule,408.67,,3468.56,101,,Fee Schedule,537.63,,3468.56,101,,Fee Schedule,537.63,,3502.9,101,,Fee Schedule,665.55,,3502.9,101,,Fee Schedule,535.94,,3502.9,101,,Fee Schedule,637.53,,3502.9,101,,Fee Schedule,567.47,,3605.93,104,,Fee Schedule,385.83,, ,,,,,,,,,, ,, ,,,, ,,3434.22,16063.56,,																																							
Endoscopy of bowel pouch,5311,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,4094.08,467.75,,Fee Schedule,2235.37,,4094.08,467.75,,Fee Schedule,2386.85,,4094.08,467.75,,Fee Schedule,1911.93,,4094.08,467.75,,Fee Schedule,2026.57,,4094.08,467.75,,Fee Schedule,2280.4,,4094.08,467.75,,Fee Schedule,2390.94,,3644.71,416.41,,Fee Schedule,1913.47,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,875.27,100,,Fee Schedule,150.55,,892.78,102,,Fee Schedule,103.56,,897.15,102.5,,Fee Schedule,136.37,,875.27,100,,Fee Schedule,151.42,,875.27,100,,Fee Schedule,104.16,,884.02,101,,Fee Schedule,137.02,,884.02,101,,Fee Schedule,137.02,,892.78,101,,Fee Schedule,169.63,,892.78,101,,Fee Schedule,136.59,,892.78,101,,Fee Schedule,162.49,,892.78,101,,Fee Schedule,144.63,,919.03,104,,Fee Schedule,98.34,, ,,,,,,,,,, ,, ,,,, ,,875.27,4094.08,,																																							
Colonoscopy with biopsy,5312,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,5334.88,467.75,,Fee Schedule,2912.84,,5334.88,467.75,,Fee Schedule,3110.23,,5334.88,467.75,,Fee Schedule,2491.39,,5334.88,467.75,,Fee Schedule,2640.76,,5334.88,467.75,,Fee Schedule,2971.53,,5334.88,467.75,,Fee Schedule,3115.57,,4749.32,416.41,,Fee Schedule,2493.39,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,1140.54,100,,Fee Schedule,196.17,,1163.35,102,,Fee Schedule,134.95,,1169.05,102.5,,Fee Schedule,177.7,,1140.54,100,,Fee Schedule,197.31,,1140.54,100,,Fee Schedule,135.72,,1151.95,101,,Fee Schedule,178.55,,1151.95,101,,Fee Schedule,178.55,,1163.35,101,,Fee Schedule,221.04,,1163.35,101,,Fee Schedule,177.99,,1163.35,101,,Fee Schedule,211.73,,1163.35,101,,Fee Schedule,188.46,,1197.57,104,,Fee Schedule,128.14,, ,,,,,,,,,, ,, ,,,, ,,1140.54,5334.88,,																																							
Drainage of rectal abscess,5313,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,12658.34,467.75,,Fee Schedule,6911.46,,12658.34,467.75,,Fee Schedule,7379.81,,12658.34,467.75,,Fee Schedule,5911.45,,12658.34,467.75,,Fee Schedule,6265.88,,12658.34,467.75,,Fee Schedule,7050.7,,12658.34,467.75,,Fee Schedule,7392.47,,11268.97,416.41,,Fee Schedule,5916.21,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,2706.22,100,,Fee Schedule,465.47,,2760.34,102,,Fee Schedule,320.2,,2773.88,102.5,,Fee Schedule,421.63,,2706.22,100,,Fee Schedule,468.18,,2706.22,100,,Fee Schedule,322.04,,2733.28,101,,Fee Schedule,423.66,,2733.28,101,,Fee Schedule,423.66,,2760.34,101,,Fee Schedule,524.47,,2760.34,101,,Fee Schedule,422.33,,2760.34,101,,Fee Schedule,502.38,,2760.34,101,,Fee Schedule,447.18,,2841.53,104,,Fee Schedule,304.04,, ,,,,,,,,,, ,, ,,,, ,,2706.22,12658.34,,																																							
Exc rectal tumor endoscopic,5331,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,25818.07,467.75,,Fee Schedule,14096.67,,25818.07,467.75,,Fee Schedule,15051.93,,25818.07,467.75,,Fee Schedule,12057.04,,25818.07,467.75,,Fee Schedule,12779.94,,25818.07,467.75,,Fee Schedule,14380.66,,25818.07,467.75,,Fee Schedule,15077.75,,22984.29,416.41,,Fee Schedule,12066.75,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,5519.63,100,,Fee Schedule,949.38,,5630.02,102,,Fee Schedule,653.08,,5657.62,102.5,,Fee Schedule,859.96,,5519.63,100,,Fee Schedule,954.9,,5519.63,100,,Fee Schedule,656.84,,5574.83,101,,Fee Schedule,864.1,,5574.83,101,,Fee Schedule,864.1,,5630.02,101,,Fee Schedule,1069.7,,5630.02,101,,Fee Schedule,861.39,,5630.02,101,,Fee Schedule,1024.66,,5630.02,101,,Fee Schedule,912.06,,5795.61,104,,Fee Schedule,620.13,, ,,,,,,,,,, ,, ,,,, ,,5519.63,25818.07,,																																							
Insert pleural cath,5341,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,17449.09,467.75,,Fee Schedule,9527.2,,17449.09,467.75,,Fee Schedule,10172.82,,17449.09,467.75,,Fee Schedule,8148.72,,17449.09,467.75,,Fee Schedule,8637.3,,17449.09,467.75,,Fee Schedule,9719.14,,17449.09,467.75,,Fee Schedule,10190.27,,15533.88,416.41,,Fee Schedule,8155.29,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,3730.43,100,,Fee Schedule,641.63,,3805.04,102,,Fee Schedule,441.38,,3823.69,102.5,,Fee Schedule,581.2,,3730.43,100,,Fee Schedule,645.36,,3730.43,100,,Fee Schedule,443.92,,3767.73,101,,Fee Schedule,584,,3767.73,101,,Fee Schedule,584,,3805.04,101,,Fee Schedule,722.96,,3805.04,101,,Fee Schedule,582.17,,3805.04,101,,Fee Schedule,692.52,,3805.04,101,,Fee Schedule,616.42,,3916.95,104,,Fee Schedule,419.11,, ,,,,,,,,,, ,, ,,,, ,,3730.43,17449.09,,																																							
Thoracoscopy diagnostic,5361,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,25677.32,467.75,,Fee Schedule,14019.82,,25677.32,467.75,,Fee Schedule,14969.88,,25677.32,467.75,,Fee Schedule,11991.31,,25677.32,467.75,,Fee Schedule,12710.28,,25677.32,467.75,,Fee Schedule,14302.27,,25677.32,467.75,,Fee Schedule,14995.56,,22858.99,416.41,,Fee Schedule,12000.97,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,5489.54,100,,Fee Schedule,944.2,,5599.33,102,,Fee Schedule,649.52,,5626.78,102.5,,Fee Schedule,855.27,,5489.54,100,,Fee Schedule,949.69,,5489.54,100,,Fee Schedule,653.26,,5544.44,101,,Fee Schedule,859.39,,5544.44,101,,Fee Schedule,859.39,,5599.33,101,,Fee Schedule,1063.87,,5599.33,101,,Fee Schedule,856.7,,5599.33,101,,Fee Schedule,1019.08,,5599.33,101,,Fee Schedule,907.09,,5764.02,104,,Fee Schedule,616.75,, ,,,,,,,,,, ,, ,,,, ,,5489.54,25677.32,,																																							
Ire abltj 1+tum organ perq,5362,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,44768.03,467.75,,Fee Schedule,24443.34,,44768.03,467.75,,Fee Schedule,26099.76,,44768.03,467.75,,Fee Schedule,20906.67,,44768.03,467.75,,Fee Schedule,22160.17,,44768.03,467.75,,Fee Schedule,24935.79,,44768.03,467.75,,Fee Schedule,26144.53,,39854.31,416.41,,Fee Schedule,20923.51,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,9570.93,100,,Fee Schedule,1646.2,,9762.35,102,,Fee Schedule,1132.43,,9810.2,102.5,,Fee Schedule,1491.15,,9570.93,100,,Fee Schedule,1655.77,,9570.93,100,,Fee Schedule,1138.94,,9666.64,101,,Fee Schedule,1498.33,,9666.64,101,,Fee Schedule,1498.33,,9762.35,101,,Fee Schedule,1854.85,,9762.35,101,,Fee Schedule,1493.64,,9762.35,101,,Fee Schedule,1776.75,,9762.35,101,,Fee Schedule,1581.5,,10049.48,104,,Fee Schedule,1075.29,, ,,,,,,,,,, ,, ,,,, ,,9570.93,44768.03,,																																							
Reposition gastrostomy tube,5371,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,1058.57,467.75,,Fee Schedule,577.98,,1058.57,467.75,,Fee Schedule,617.14,,1058.57,467.75,,Fee Schedule,494.35,,1058.57,467.75,,Fee Schedule,523.99,,1058.57,467.75,,Fee Schedule,589.62,,1058.57,467.75,,Fee Schedule,618.2,,942.38,416.41,,Fee Schedule,494.75,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,226.31,100,,Fee Schedule,38.93,,230.84,102,,Fee Schedule,26.78,,231.97,102.5,,Fee Schedule,35.26,,226.31,100,,Fee Schedule,39.15,,226.31,100,,Fee Schedule,26.93,,228.57,101,,Fee Schedule,35.43,,228.57,101,,Fee Schedule,35.43,,230.84,101,,Fee Schedule,43.86,,230.84,101,,Fee Schedule,35.32,,230.84,101,,Fee Schedule,42.01,,230.84,101,,Fee Schedule,37.4,,237.63,104,,Fee Schedule,25.43,, ,,,,,,,,,, ,, ,,,, ,,226.31,1058.57,,																																							
Temp fml iu vlvpmp 1st insj,5372,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,3080.7,467.75,,Fee Schedule,1682.06,,3080.7,467.75,,Fee Schedule,1796.05,,3080.7,467.75,,Fee Schedule,1438.68,,3080.7,467.75,,Fee Schedule,1524.94,,3080.7,467.75,,Fee Schedule,1715.95,,3080.7,467.75,,Fee Schedule,1799.13,,2742.56,416.41,,Fee Schedule,1439.84,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,658.62,100,,Fee Schedule,113.28,,671.79,102,,Fee Schedule,77.93,,675.09,102.5,,Fee Schedule,102.61,,658.62,100,,Fee Schedule,113.94,,658.62,100,,Fee Schedule,78.38,,665.21,101,,Fee Schedule,103.11,,665.21,101,,Fee Schedule,103.11,,671.79,101,,Fee Schedule,127.64,,671.79,101,,Fee Schedule,102.78,,671.79,101,,Fee Schedule,122.27,,671.79,101,,Fee Schedule,108.83,,691.55,104,,Fee Schedule,74,, ,,,,,,,,,, ,, ,,,, ,,658.62,3080.70,,																																							
Renal abscess open drain,5373,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,9137.96,467.75,,Fee Schedule,4989.33,,9137.96,467.75,,Fee Schedule,5327.43,,9137.96,467.75,,Fee Schedule,4267.43,,9137.96,467.75,,Fee Schedule,4523.29,,9137.96,467.75,,Fee Schedule,5089.85,,9137.96,467.75,,Fee Schedule,5336.57,,8134.99,416.41,,Fee Schedule,4270.87,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,1953.6,100,,Fee Schedule,336.02,,1992.67,102,,Fee Schedule,231.15,,2002.44,102.5,,Fee Schedule,304.37,,1953.6,100,,Fee Schedule,337.97,,1953.6,100,,Fee Schedule,232.48,,1973.14,101,,Fee Schedule,305.84,,1973.14,101,,Fee Schedule,305.84,,1992.67,101,,Fee Schedule,378.61,,1992.67,101,,Fee Schedule,304.88,,1992.67,101,,Fee Schedule,362.67,,1992.67,101,,Fee Schedule,322.81,,2051.28,104,,Fee Schedule,219.49,, ,,,,,,,,,, ,, ,,,, ,,1953.60,9137.96,,																																							
Cysto f/urtl strix/stenosis,5374,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,15789.84,467.75,,Fee Schedule,8621.25,,15789.84,467.75,,Fee Schedule,9205.47,,15789.84,467.75,,Fee Schedule,7373.85,,15789.84,467.75,,Fee Schedule,7815.97,,15789.84,467.75,,Fee Schedule,8794.94,,15789.84,467.75,,Fee Schedule,9221.26,,14056.75,416.41,,Fee Schedule,7379.79,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,3375.7,100,,Fee Schedule,580.62,,3443.21,102,,Fee Schedule,399.41,,3460.09,102.5,,Fee Schedule,525.93,,3375.7,100,,Fee Schedule,584,,3375.7,100,,Fee Schedule,401.71,,3409.46,101,,Fee Schedule,528.47,,3409.46,101,,Fee Schedule,528.47,,3443.21,101,,Fee Schedule,654.21,,3443.21,101,,Fee Schedule,526.81,,3443.21,101,,Fee Schedule,626.66,,3443.21,101,,Fee Schedule,557.8,,3544.49,104,,Fee Schedule,379.26,, ,,,,,,,,,, ,, ,,,, ,,3375.70,15789.84,,																																							
Cysto w/prst8 commissurotomy,5375,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,23164.99,467.75,,Fee Schedule,12648.09,,23164.99,467.75,,Fee Schedule,13505.19,,23164.99,467.75,,Fee Schedule,10818.05,,23164.99,467.75,,Fee Schedule,11466.67,,23164.99,467.75,,Fee Schedule,12902.9,,23164.99,467.75,,Fee Schedule,13528.35,,20622.41,416.41,,Fee Schedule,10826.77,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,4952.43,100,,Fee Schedule,851.82,,5051.48,102,,Fee Schedule,585.97,,5076.24,102.5,,Fee Schedule,771.59,,4952.43,100,,Fee Schedule,856.77,,4952.43,100,,Fee Schedule,589.34,,5001.95,101,,Fee Schedule,775.3,,5001.95,101,,Fee Schedule,775.3,,5051.48,101,,Fee Schedule,959.78,,5051.48,101,,Fee Schedule,772.88,,5051.48,101,,Fee Schedule,919.37,,5051.48,101,,Fee Schedule,818.34,,5200.05,104,,Fee Schedule,556.41,, ,,,,,,,,,, ,, ,,,, ,,4952.43,23164.99,,																																							
Waterjet prostate abltj cmpl,5376,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,42158.12,467.75,,Fee Schedule,23018.33,,42158.12,467.75,,Fee Schedule,24578.18,,42158.12,467.75,,Fee Schedule,19687.84,,42158.12,467.75,,Fee Schedule,20868.27,,42158.12,467.75,,Fee Schedule,23482.07,,42158.12,467.75,,Fee Schedule,24620.34,,37530.87,416.41,,Fee Schedule,19703.71,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,9012.96,100,,Fee Schedule,1550.23,,9193.22,102,,Fee Schedule,1066.41,,9238.28,102.5,,Fee Schedule,1404.22,,9012.96,100,,Fee Schedule,1559.24,,9012.96,100,,Fee Schedule,1072.54,,9103.09,101,,Fee Schedule,1410.98,,9103.09,101,,Fee Schedule,1410.98,,9193.22,101,,Fee Schedule,1746.71,,9193.22,101,,Fee Schedule,1406.56,,9193.22,101,,Fee Schedule,1673.17,,9193.22,101,,Fee Schedule,1489.3,,9463.61,104,,Fee Schedule,1012.61,, ,,,,,,,,,, ,, ,,,, ,,9012.96,42158.12,,																																							
Male sling procedure,5377,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,59255.51,467.75,,Fee Schedule,32353.51,,59255.51,467.75,,Fee Schedule,34545.96,,59255.51,467.75,,Fee Schedule,27672.32,,59255.51,467.75,,Fee Schedule,29331.48,,59255.51,467.75,,Fee Schedule,33005.32,,59255.51,467.75,,Fee Schedule,34605.22,,52751.65,416.41,,Fee Schedule,27694.62,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,12668.2,100,,Fee Schedule,2178.93,,12921.56,102,,Fee Schedule,1498.9,,12984.91,102.5,,Fee Schedule,1973.71,,12668.2,100,,Fee Schedule,2191.6,,12668.2,100,,Fee Schedule,1507.52,,12794.88,101,,Fee Schedule,1983.21,,12794.88,101,,Fee Schedule,1983.21,,12921.56,101,,Fee Schedule,2455.1,,12921.56,101,,Fee Schedule,1977,,12921.56,101,,Fee Schedule,2351.72,,12921.56,101,,Fee Schedule,2093.29,,13301.61,104,,Fee Schedule,1423.27,, ,,,,,,,,,, ,, ,,,, ,,12668.20,59255.51,,																																							
Insert tandem cuff,5378,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,94990.11,467.75,,Fee Schedule,51864.6,,94990.11,467.75,,Fee Schedule,55379.23,,94990.11,467.75,,Fee Schedule,44360.38,,94990.11,467.75,,Fee Schedule,47020.1,,94990.11,467.75,,Fee Schedule,52909.49,,94990.11,467.75,,Fee Schedule,55474.22,,84564.04,416.41,,Fee Schedule,44396.12,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,20307.88,100,,Fee Schedule,3492.96,,20714.04,102,,Fee Schedule,2402.83,,20815.58,102.5,,Fee Schedule,3163.97,,20307.88,100,,Fee Schedule,3513.26,,20307.88,100,,Fee Schedule,2416.64,,20510.96,101,,Fee Schedule,3179.2,,20510.96,101,,Fee Schedule,3179.2,,20714.04,101,,Fee Schedule,3935.67,,20714.04,101,,Fee Schedule,3169.25,,20714.04,101,,Fee Schedule,3769.95,,20714.04,101,,Fee Schedule,3355.67,,21323.27,104,,Fee Schedule,2281.59,, ,,,,,,,,,, ,, ,,,, ,,20307.88,94990.11,,																																							
Hemodialysis one evaluation,5401,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,3106.23,467.75,,Fee Schedule,1696,,3106.23,467.75,,Fee Schedule,1810.93,,3106.23,467.75,,Fee Schedule,1450.61,,3106.23,467.75,,Fee Schedule,1537.59,,3106.23,467.75,,Fee Schedule,1730.17,,3106.23,467.75,,Fee Schedule,1814.04,,2765.3,416.41,,Fee Schedule,1451.78,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,664.08,100,,Fee Schedule,114.22,,677.36,102,,Fee Schedule,78.57,,680.68,102.5,,Fee Schedule,103.46,,664.08,100,,Fee Schedule,114.89,,664.08,100,,Fee Schedule,79.03,,670.72,101,,Fee Schedule,103.96,,670.72,101,,Fee Schedule,103.96,,677.36,101,,Fee Schedule,128.7,,677.36,101,,Fee Schedule,103.64,,677.36,101,,Fee Schedule,123.28,,677.36,101,,Fee Schedule,109.73,,697.28,104,,Fee Schedule,74.61,, ,,,,,,,,,, ,, ,,,, ,,664.08,3106.23,,																																							
Drainage of gland abscess,5411,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,877.55,467.75,,Fee Schedule,479.14,,877.55,467.75,,Fee Schedule,511.61,,877.55,467.75,,Fee Schedule,409.81,,877.55,467.75,,Fee Schedule,434.39,,877.55,467.75,,Fee Schedule,488.79,,877.55,467.75,,Fee Schedule,512.49,,781.23,416.41,,Fee Schedule,410.14,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,187.61,100,,Fee Schedule,32.27,,191.36,102,,Fee Schedule,22.2,,192.3,102.5,,Fee Schedule,29.23,,187.61,100,,Fee Schedule,32.46,,187.61,100,,Fee Schedule,22.33,,189.49,101,,Fee Schedule,29.37,,189.49,101,,Fee Schedule,29.37,,191.36,101,,Fee Schedule,36.36,,191.36,101,,Fee Schedule,29.28,,191.36,101,,Fee Schedule,34.83,,191.36,101,,Fee Schedule,31,,196.99,104,,Fee Schedule,21.08,, ,,,,,,,,,, ,, ,,,, ,,187.61,877.55,,																																							
I & d of vulva/perineum,5412,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,1438.33,467.75,,Fee Schedule,785.33,,1438.33,467.75,,Fee Schedule,838.55,,1438.33,467.75,,Fee Schedule,671.7,,1438.33,467.75,,Fee Schedule,711.97,,1438.33,467.75,,Fee Schedule,801.15,,1438.33,467.75,,Fee Schedule,839.99,,1280.46,416.41,,Fee Schedule,672.24,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,307.5,100,,Fee Schedule,52.89,,313.65,102,,Fee Schedule,36.38,,315.19,102.5,,Fee Schedule,47.91,,307.5,100,,Fee Schedule,53.2,,307.5,100,,Fee Schedule,36.59,,310.58,101,,Fee Schedule,48.14,,310.58,101,,Fee Schedule,48.14,,313.65,101,,Fee Schedule,59.59,,313.65,101,,Fee Schedule,47.99,,313.65,101,,Fee Schedule,57.08,,313.65,101,,Fee Schedule,50.81,,322.88,104,,Fee Schedule,34.55,, ,,,,,,,,,, ,, ,,,, ,,307.50,1438.33,,																																							
Electroejaculation,5413,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,3465.61,467.75,,Fee Schedule,1892.22,,3465.61,467.75,,Fee Schedule,2020.45,,3465.61,467.75,,Fee Schedule,1618.44,,3465.61,467.75,,Fee Schedule,1715.48,,3465.61,467.75,,Fee Schedule,1930.34,,3465.61,467.75,,Fee Schedule,2023.91,,3085.22,416.41,,Fee Schedule,1619.74,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,740.91,100,,Fee Schedule,127.44,,755.73,102,,Fee Schedule,87.66,,759.43,102.5,,Fee Schedule,115.43,,740.91,100,,Fee Schedule,128.18,,740.91,100,,Fee Schedule,88.17,,748.32,101,,Fee Schedule,115.99,,748.32,101,,Fee Schedule,115.99,,755.73,101,,Fee Schedule,143.59,,755.73,101,,Fee Schedule,115.63,,755.73,101,,Fee Schedule,137.54,,755.73,101,,Fee Schedule,122.43,,777.96,104,,Fee Schedule,83.24,, ,,,,,,,,,, ,, ,,,, ,,740.91,3465.61,,																																							
Us leiomyomata ablate <200,5414,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,13929.22,467.75,,Fee Schedule,7605.35,,13929.22,467.75,,Fee Schedule,8120.74,,13929.22,467.75,,Fee Schedule,6504.95,,13929.22,467.75,,Fee Schedule,6894.96,,13929.22,467.75,,Fee Schedule,7758.58,,13929.22,467.75,,Fee Schedule,8134.66,,12400.36,416.41,,Fee Schedule,6510.19,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,2977.92,100,,Fee Schedule,512.2,,3037.48,102,,Fee Schedule,352.35,,3052.37,102.5,,Fee Schedule,463.96,,2977.92,100,,Fee Schedule,515.18,,2977.92,100,,Fee Schedule,354.37,,3007.7,101,,Fee Schedule,466.19,,3007.7,101,,Fee Schedule,466.19,,3037.48,101,,Fee Schedule,577.12,,3037.48,101,,Fee Schedule,464.73,,3037.48,101,,Fee Schedule,552.82,,3037.48,101,,Fee Schedule,492.07,,3126.82,104,,Fee Schedule,334.57,, ,,,,,,,,,, ,, ,,,, ,,2977.92,13929.22,,																																							
Repair bladder neck,5415,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,22834.57,467.75,,Fee Schedule,12467.68,,22834.57,467.75,,Fee Schedule,13312.56,,22834.57,467.75,,Fee Schedule,10663.75,,22834.57,467.75,,Fee Schedule,11303.11,,22834.57,467.75,,Fee Schedule,12718.86,,22834.57,467.75,,Fee Schedule,13335.39,,20328.26,416.41,,Fee Schedule,10672.34,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,4881.79,100,,Fee Schedule,839.67,,4979.43,102,,Fee Schedule,577.61,,5003.83,102.5,,Fee Schedule,760.58,,4881.79,100,,Fee Schedule,844.55,,4881.79,100,,Fee Schedule,580.93,,4930.61,101,,Fee Schedule,764.24,,4930.61,101,,Fee Schedule,764.24,,4979.43,101,,Fee Schedule,946.09,,4979.43,101,,Fee Schedule,761.85,,4979.43,101,,Fee Schedule,906.26,,4979.43,101,,Fee Schedule,806.67,,5125.88,104,,Fee Schedule,548.47,, ,,,,,,,,,, ,, ,,,, ,,4881.79,22834.57,,																																							
Trnscrv uterin fibroid abltj,5416,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,34118.34,467.75,,Fee Schedule,18628.61,,34118.34,467.75,,Fee Schedule,19890.99,,34118.34,467.75,,Fee Schedule,15933.26,,34118.34,467.75,,Fee Schedule,16888.58,,34118.34,467.75,,Fee Schedule,19003.92,,34118.34,467.75,,Fee Schedule,19925.11,,30373.53,416.41,,Fee Schedule,15946.1,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,7294.14,100,,Fee Schedule,1254.59,,7440.02,102,,Fee Schedule,863.04,,7476.49,102.5,,Fee Schedule,1136.43,,7294.14,100,,Fee Schedule,1261.89,,7294.14,100,,Fee Schedule,868,,7367.08,101,,Fee Schedule,1141.9,,7367.08,101,,Fee Schedule,1141.9,,7440.02,101,,Fee Schedule,1413.6,,7440.02,101,,Fee Schedule,1138.32,,7440.02,101,,Fee Schedule,1354.08,,7440.02,101,,Fee Schedule,1205.28,,7658.85,104,,Fee Schedule,819.5,, ,,,,,,,,,, ,, ,,,, ,,7294.14,34118.34,,																																							
Abltj perc uxtr/perph nrv,5431,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,8855.35,467.75,,Fee Schedule,4835.02,,8855.35,467.75,,Fee Schedule,5162.67,,8855.35,467.75,,Fee Schedule,4135.45,,8855.35,467.75,,Fee Schedule,4383.4,,8855.35,467.75,,Fee Schedule,4932.43,,8855.35,467.75,,Fee Schedule,5171.52,,7883.39,416.41,,Fee Schedule,4138.78,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,1893.18,100,,Fee Schedule,325.63,,1931.04,102,,Fee Schedule,224,,1940.51,102.5,,Fee Schedule,294.96,,1893.18,100,,Fee Schedule,327.52,,1893.18,100,,Fee Schedule,225.29,,1912.11,101,,Fee Schedule,296.38,,1912.11,101,,Fee Schedule,296.38,,1931.04,101,,Fee Schedule,366.9,,1931.04,101,,Fee Schedule,295.45,,1931.04,101,,Fee Schedule,351.45,,1931.04,101,,Fee Schedule,312.83,,1987.84,104,,Fee Schedule,212.7,, ,,,,,,,,,, ,, ,,,, ,,1893.18,8855.35,,																																							
Rev/remvl crtd sns dev total,5432,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,30438.74,467.75,,Fee Schedule,16619.55,,30438.74,467.75,,Fee Schedule,17745.78,,30438.74,467.75,,Fee Schedule,14214.89,,30438.74,467.75,,Fee Schedule,15067.18,,30438.74,467.75,,Fee Schedule,16954.38,,30438.74,467.75,,Fee Schedule,17776.22,,27097.8,416.41,,Fee Schedule,14226.34,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,6507.48,100,,Fee Schedule,1119.29,,6637.63,102,,Fee Schedule,769.97,,6670.17,102.5,,Fee Schedule,1013.87,,6507.48,100,,Fee Schedule,1125.79,,6507.48,100,,Fee Schedule,774.39,,6572.55,101,,Fee Schedule,1018.75,,6572.55,101,,Fee Schedule,1018.75,,6637.63,101,,Fee Schedule,1261.15,,6637.63,101,,Fee Schedule,1015.56,,6637.63,101,,Fee Schedule,1208.05,,6637.63,101,,Fee Schedule,1075.3,,6832.85,104,,Fee Schedule,731.12,, ,,,,,,,,,, ,, ,,,, ,,6507.48,30438.74,,																																							
Ther injection carp tunnel,5441,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,1339.45,467.75,,Fee Schedule,731.34,,1339.45,467.75,,Fee Schedule,780.9,,1339.45,467.75,,Fee Schedule,625.52,,1339.45,467.75,,Fee Schedule,663.03,,1339.45,467.75,,Fee Schedule,746.07,,1339.45,467.75,,Fee Schedule,782.24,,1192.43,416.41,,Fee Schedule,626.03,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,286.36,100,,Fee Schedule,49.25,,292.09,102,,Fee Schedule,33.88,,293.52,102.5,,Fee Schedule,44.61,,286.36,100,,Fee Schedule,49.54,,286.36,100,,Fee Schedule,34.08,,289.22,101,,Fee Schedule,44.83,,289.22,101,,Fee Schedule,44.83,,292.09,101,,Fee Schedule,55.5,,292.09,101,,Fee Schedule,44.69,,292.09,101,,Fee Schedule,53.16,,292.09,101,,Fee Schedule,47.32,,300.68,104,,Fee Schedule,32.17,, ,,,,,,,,,, ,, ,,,, ,,286.36,1339.45,,																																							
Drain/inj joint/bursa w/us,5442,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,3174.29,467.75,,Fee Schedule,1733.16,,3174.29,467.75,,Fee Schedule,1850.61,,3174.29,467.75,,Fee Schedule,1482.39,,3174.29,467.75,,Fee Schedule,1571.27,,3174.29,467.75,,Fee Schedule,1768.08,,3174.29,467.75,,Fee Schedule,1853.79,,2825.88,416.41,,Fee Schedule,1483.59,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,678.63,100,,Fee Schedule,116.72,,692.2,102,,Fee Schedule,80.3,,695.6,102.5,,Fee Schedule,105.73,,678.63,100,,Fee Schedule,117.4,,678.63,100,,Fee Schedule,80.76,,685.42,101,,Fee Schedule,106.24,,685.42,101,,Fee Schedule,106.24,,692.2,101,,Fee Schedule,131.52,,692.2,101,,Fee Schedule,105.91,,692.2,101,,Fee Schedule,125.98,,692.2,101,,Fee Schedule,112.14,,712.56,104,,Fee Schedule,76.24,, ,,,,,,,,,, ,, ,,,, ,,678.63,3174.29,,																																							
Njx paravert w/us cer/thor,5443,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,4198.2,467.75,,Fee Schedule,2292.22,,4198.2,467.75,,Fee Schedule,2447.55,,4198.2,467.75,,Fee Schedule,1960.56,,4198.2,467.75,,Fee Schedule,2078.11,,4198.2,467.75,,Fee Schedule,2338.4,,4198.2,467.75,,Fee Schedule,2451.75,,3737.4,416.41,,Fee Schedule,1962.14,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,897.53,100,,Fee Schedule,154.38,,915.48,102,,Fee Schedule,106.2,,919.97,102.5,,Fee Schedule,139.84,,897.53,100,,Fee Schedule,155.27,,897.53,100,,Fee Schedule,106.81,,906.51,101,,Fee Schedule,140.51,,906.51,101,,Fee Schedule,140.51,,915.48,101,,Fee Schedule,173.94,,915.48,101,,Fee Schedule,140.07,,915.48,101,,Fee Schedule,166.62,,915.48,101,,Fee Schedule,148.31,,942.41,104,,Fee Schedule,100.84,, ,,,,,,,,,, ,, ,,,, ,,897.53,4198.20,,																																							
Implt/rpl crtd sns dev lead,5461,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,15999.48,467.75,,Fee Schedule,8735.72,,15999.48,467.75,,Fee Schedule,9327.7,,15999.48,467.75,,Fee Schedule,7471.76,,15999.48,467.75,,Fee Schedule,7919.74,,15999.48,467.75,,Fee Schedule,8911.71,,15999.48,467.75,,Fee Schedule,9343.7,,14243.39,416.41,,Fee Schedule,7477.78,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,3420.52,100,,Fee Schedule,588.33,,3488.93,102,,Fee Schedule,404.72,,3506.03,102.5,,Fee Schedule,532.92,,3420.52,100,,Fee Schedule,591.75,,3420.52,100,,Fee Schedule,407.04,,3454.73,101,,Fee Schedule,535.48,,3454.73,101,,Fee Schedule,535.48,,3488.93,101,,Fee Schedule,662.9,,3488.93,101,,Fee Schedule,533.81,,3488.93,101,,Fee Schedule,634.99,,3488.93,101,,Fee Schedule,565.21,,3591.55,104,,Fee Schedule,384.3,, ,,,,,,,,,, ,, ,,,, ,,3420.52,15999.48,,																																							
Perq impltj/rplcmt isdns ptn,5462,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,32533.46,467.75,,Fee Schedule,17763.27,,32533.46,467.75,,Fee Schedule,18967.01,,32533.46,467.75,,Fee Schedule,15193.13,,32533.46,467.75,,Fee Schedule,16104.06,,32533.46,467.75,,Fee Schedule,18121.14,,32533.46,467.75,,Fee Schedule,18999.54,,28962.61,416.41,,Fee Schedule,15205.37,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,6955.31,100,,Fee Schedule,1196.31,,7094.42,102,,Fee Schedule,822.95,,7129.19,102.5,,Fee Schedule,1083.64,,6955.31,100,,Fee Schedule,1203.27,,6955.31,100,,Fee Schedule,827.68,,7024.86,101,,Fee Schedule,1088.85,,7024.86,101,,Fee Schedule,1088.85,,7094.42,101,,Fee Schedule,1347.94,,7094.42,101,,Fee Schedule,1085.45,,7094.42,101,,Fee Schedule,1291.18,,7094.42,101,,Fee Schedule,1149.3,,7303.08,104,,Fee Schedule,781.43,, ,,,,,,,,,, ,, ,,,, ,,6955.31,32533.46,,																																							
Mrgfus strtctc les abltj,5463,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,58883.69,467.75,,Fee Schedule,32150.5,,58883.69,467.75,,Fee Schedule,34329.19,,58883.69,467.75,,Fee Schedule,27498.68,,58883.69,467.75,,Fee Schedule,29147.43,,58883.69,467.75,,Fee Schedule,32798.22,,58883.69,467.75,,Fee Schedule,34388.08,,52420.65,416.41,,Fee Schedule,27520.84,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,12588.71,100,,Fee Schedule,2165.26,,12840.48,102,,Fee Schedule,1489.5,,12903.43,102.5,,Fee Schedule,1961.32,,12588.71,100,,Fee Schedule,2177.85,,12588.71,100,,Fee Schedule,1498.06,,12714.6,101,,Fee Schedule,1970.76,,12714.6,101,,Fee Schedule,1970.76,,12840.48,101,,Fee Schedule,2439.69,,12840.48,101,,Fee Schedule,1964.59,,12840.48,101,,Fee Schedule,2336.97,,12840.48,101,,Fee Schedule,2080.16,,13218.15,104,,Fee Schedule,1414.34,, ,,,,,,,,,, ,, ,,,, ,,12588.71,58883.69,,																																							
Insrt/redo neurostim 1 array,5464,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,105994.07,467.75,,Fee Schedule,57872.76,,105994.07,467.75,,Fee Schedule,61794.54,,105994.07,467.75,,Fee Schedule,49499.23,,105994.07,467.75,,Fee Schedule,52467.06,,105994.07,467.75,,Fee Schedule,59038.7,,105994.07,467.75,,Fee Schedule,61900.54,,94360.21,416.41,,Fee Schedule,49539.11,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,22660.41,100,,Fee Schedule,3897.59,,23113.62,102,,Fee Schedule,2681.18,,23226.92,102.5,,Fee Schedule,3530.49,,22660.41,100,,Fee Schedule,3920.25,,22660.41,100,,Fee Schedule,2696.59,,22887.01,101,,Fee Schedule,3547.49,,22887.01,101,,Fee Schedule,3547.49,,23113.62,101,,Fee Schedule,4391.59,,23113.62,101,,Fee Schedule,3536.38,,23113.62,101,,Fee Schedule,4206.68,,23113.62,101,,Fee Schedule,3744.41,,23793.43,104,,Fee Schedule,2545.9,, ,,,,,,,,,, ,, ,,,, ,,22660.41,105994.07,,																																							
Implt/rpl crtd sns dev total,5465,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,144632.7,467.75,,Fee Schedule,78969.45,,144632.7,467.75,,Fee Schedule,84320.86,,144632.7,467.75,,Fee Schedule,67543.47,,144632.7,467.75,,Fee Schedule,71593.18,,144632.7,467.75,,Fee Schedule,80560.41,,144632.7,467.75,,Fee Schedule,84465.49,,128757.89,416.41,,Fee Schedule,67597.89,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,30920.94,100,,Fee Schedule,5318.4,,31539.36,102,,Fee Schedule,3658.57,,31693.96,102.5,,Fee Schedule,4817.48,,30920.94,100,,Fee Schedule,5349.32,,30920.94,100,,Fee Schedule,3679.59,,31230.15,101,,Fee Schedule,4840.67,,31230.15,101,,Fee Schedule,4840.67,,31539.36,101,,Fee Schedule,5992.48,,31539.36,101,,Fee Schedule,4825.52,,31539.36,101,,Fee Schedule,5740.16,,31539.36,101,,Fee Schedule,5109.38,,32466.99,104,,Fee Schedule,3473.97,, ,,,,,,,,,, ,, ,,,, ,,30920.94,144632.70,,																																							
Insert spine infusion device,5471,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,83446.23,467.75,,Fee Schedule,45561.64,,83446.23,467.75,,Fee Schedule,48649.15,,83446.23,467.75,,Fee Schedule,38969.39,,83446.23,467.75,,Fee Schedule,41305.88,,83446.23,467.75,,Fee Schedule,46479.55,,83446.23,467.75,,Fee Schedule,48732.6,,74287.21,416.41,,Fee Schedule,39000.79,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,17839.92,100,,Fee Schedule,3068.47,,18196.72,102,,Fee Schedule,2110.82,,18285.92,102.5,,Fee Schedule,2779.46,,17839.92,100,,Fee Schedule,3086.31,,17839.92,100,,Fee Schedule,2122.95,,18018.32,101,,Fee Schedule,2792.84,,18018.32,101,,Fee Schedule,2792.84,,18196.72,101,,Fee Schedule,3457.38,,18196.72,101,,Fee Schedule,2784.1,,18196.72,101,,Fee Schedule,3311.8,,18196.72,101,,Fee Schedule,2947.87,,18731.92,104,,Fee Schedule,2004.32,, ,,,,,,,,,, ,, ,,,, ,,17839.92,83446.23,,																																							
Trabeculoplasty laser surg,5481,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,2614.82,467.75,,Fee Schedule,1427.69,,2614.82,467.75,,Fee Schedule,1524.44,,2614.82,467.75,,Fee Schedule,1221.12,,2614.82,467.75,,Fee Schedule,1294.33,,2614.82,467.75,,Fee Schedule,1456.45,,2614.82,467.75,,Fee Schedule,1527.05,,2327.82,416.41,,Fee Schedule,1222.1,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,559.02,100,,Fee Schedule,96.15,,570.2,102,,Fee Schedule,66.14,,573,102.5,,Fee Schedule,87.1,,559.02,100,,Fee Schedule,96.71,,559.02,100,,Fee Schedule,66.52,,564.61,101,,Fee Schedule,87.51,,564.61,101,,Fee Schedule,87.51,,570.2,101,,Fee Schedule,108.34,,570.2,101,,Fee Schedule,87.24,,570.2,101,,Fee Schedule,103.78,,570.2,101,,Fee Schedule,92.37,,586.97,104,,Fee Schedule,62.81,, ,,,,,,,,,, ,, ,,,, ,,559.02,2614.82,,																																							
Insj ant sgm aq drg dev 1+,5491,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,10638.37,467.75,,Fee Schedule,5808.55,,10638.37,467.75,,Fee Schedule,6202.17,,10638.37,467.75,,Fee Schedule,4968.12,,10638.37,467.75,,Fee Schedule,5265.99,,10638.37,467.75,,Fee Schedule,5925.57,,10638.37,467.75,,Fee Schedule,6212.81,,9470.7,416.41,,Fee Schedule,4972.12,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,2274.37,100,,Fee Schedule,391.19,,2319.86,102,,Fee Schedule,269.1,,2331.23,102.5,,Fee Schedule,354.35,,2274.37,100,,Fee Schedule,393.47,,2274.37,100,,Fee Schedule,270.65,,2297.11,101,,Fee Schedule,356.05,,2297.11,101,,Fee Schedule,356.05,,2319.86,101,,Fee Schedule,440.77,,2319.86,101,,Fee Schedule,354.94,,2319.86,101,,Fee Schedule,422.21,,2319.86,101,,Fee Schedule,375.82,,2388.09,104,,Fee Schedule,255.53,, ,,,,,,,,,, ,, ,,,, ,,2274.37,10638.37,,																																							
Insert aqueous drain device,5492,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,19683.95,467.75,,Fee Schedule,10747.44,,19683.95,467.75,,Fee Schedule,11475.74,,19683.95,467.75,,Fee Schedule,9192.4,,19683.95,467.75,,Fee Schedule,9743.55,,19683.95,467.75,,Fee Schedule,10963.96,,19683.95,467.75,,Fee Schedule,11495.43,,17523.45,416.41,,Fee Schedule,9199.81,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,4208.22,100,,Fee Schedule,723.81,,4292.38,102,,Fee Schedule,497.92,,4313.43,102.5,,Fee Schedule,655.64,,4208.22,100,,Fee Schedule,728.02,,4208.22,100,,Fee Schedule,500.78,,4250.3,101,,Fee Schedule,658.8,,4250.3,101,,Fee Schedule,658.8,,4292.38,101,,Fee Schedule,815.55,,4292.38,101,,Fee Schedule,656.73,,4292.38,101,,Fee Schedule,781.21,,4292.38,101,,Fee Schedule,695.37,,4418.63,104,,Fee Schedule,472.79,, ,,,,,,,,,, ,, ,,,, ,,4208.22,19683.95,,																																							
Revise cornea with implant,5493,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,35556.76,467.75,,Fee Schedule,19413.99,,35556.76,467.75,,Fee Schedule,20729.59,,35556.76,467.75,,Fee Schedule,16605.01,,35556.76,467.75,,Fee Schedule,17600.6,,35556.76,467.75,,Fee Schedule,19805.12,,35556.76,467.75,,Fee Schedule,20765.15,,31654.07,416.41,,Fee Schedule,16618.39,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,7601.66,100,,Fee Schedule,1307.49,,7753.69,102,,Fee Schedule,899.43,,7791.7,102.5,,Fee Schedule,1184.34,,7601.66,100,,Fee Schedule,1315.09,,7601.66,100,,Fee Schedule,904.6,,7677.68,101,,Fee Schedule,1190.04,,7677.68,101,,Fee Schedule,1190.04,,7753.69,101,,Fee Schedule,1473.2,,7753.69,101,,Fee Schedule,1186.32,,7753.69,101,,Fee Schedule,1411.17,,7753.69,101,,Fee Schedule,1256.1,,7981.74,104,,Fee Schedule,854.05,, ,,,,,,,,,, ,, ,,,, ,,7601.66,35556.76,,																																							
Implant eye drug system,5494,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,78922.52,467.75,,Fee Schedule,43091.7,,78922.52,467.75,,Fee Schedule,46011.83,,78922.52,467.75,,Fee Schedule,36856.82,,78922.52,467.75,,Fee Schedule,39066.65,,78922.52,467.75,,Fee Schedule,43959.84,,78922.52,467.75,,Fee Schedule,46090.75,,70260.03,416.41,,Fee Schedule,36886.51,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,16872.8,100,,Fee Schedule,2902.12,,17210.26,102,,Fee Schedule,1996.39,,17294.62,102.5,,Fee Schedule,2628.78,,16872.8,100,,Fee Schedule,2918.99,,16872.8,100,,Fee Schedule,2007.86,,17041.53,101,,Fee Schedule,2641.44,,17041.53,101,,Fee Schedule,2641.44,,17210.26,101,,Fee Schedule,3269.95,,17210.26,101,,Fee Schedule,2633.17,,17210.26,101,,Fee Schedule,3132.27,,17210.26,101,,Fee Schedule,2788.06,,17716.44,104,,Fee Schedule,1895.66,, ,,,,,,,,,, ,, ,,,, ,,16872.80,78922.52,,																																							
Insj ocular telescope prosth,5495,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,89119.14,467.75,,Fee Schedule,48659.05,,89119.14,467.75,,Fee Schedule,51956.46,,89119.14,467.75,,Fee Schedule,41618.64,,89119.14,467.75,,Fee Schedule,44113.98,,89119.14,467.75,,Fee Schedule,49639.36,,89119.14,467.75,,Fee Schedule,52045.58,,79337.47,416.41,,Fee Schedule,41652.17,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,19052.73,100,,Fee Schedule,3277.07,,19433.78,102,,Fee Schedule,2254.32,,19529.05,102.5,,Fee Schedule,2968.42,,19052.73,100,,Fee Schedule,3296.12,,19052.73,100,,Fee Schedule,2267.27,,19243.26,101,,Fee Schedule,2982.7,,19243.26,101,,Fee Schedule,2982.7,,19433.78,101,,Fee Schedule,3692.42,,19433.78,101,,Fee Schedule,2973.37,,19433.78,101,,Fee Schedule,3536.95,,19433.78,101,,Fee Schedule,3148.27,,20005.37,104,,Fee Schedule,2140.57,, ,,,,,,,,,, ,, ,,,, ,,19052.73,89119.14,,																																							
Treatment of corneal lesion,5501,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,1304.09,467.75,,Fee Schedule,712.03,,1304.09,467.75,,Fee Schedule,760.28,,1304.09,467.75,,Fee Schedule,609.01,,1304.09,467.75,,Fee Schedule,645.52,,1304.09,467.75,,Fee Schedule,726.38,,1304.09,467.75,,Fee Schedule,761.59,,1160.95,416.41,,Fee Schedule,609.5,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,278.8,100,,Fee Schedule,47.95,,284.38,102,,Fee Schedule,32.99,,285.77,102.5,,Fee Schedule,43.44,,278.8,100,,Fee Schedule,48.23,,278.8,100,,Fee Schedule,33.18,,281.59,101,,Fee Schedule,43.65,,281.59,101,,Fee Schedule,43.65,,284.38,101,,Fee Schedule,54.03,,284.38,101,,Fee Schedule,43.51,,284.38,101,,Fee Schedule,51.76,,284.38,101,,Fee Schedule,46.07,,292.74,104,,Fee Schedule,31.32,, ,,,,,,,,,, ,, ,,,, ,,278.80,1304.09,,																																							
Removal of eye lesion,5502,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,4299,467.75,,Fee Schedule,2347.25,,4299,467.75,,Fee Schedule,2506.32,,4299,467.75,,Fee Schedule,2007.63,,4299,467.75,,Fee Schedule,2128,,4299,467.75,,Fee Schedule,2394.54,,4299,467.75,,Fee Schedule,2510.61,,3827.14,416.41,,Fee Schedule,2009.25,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,919.08,100,,Fee Schedule,158.08,,937.46,102,,Fee Schedule,108.75,,942.06,102.5,,Fee Schedule,143.19,,919.08,100,,Fee Schedule,159,,919.08,100,,Fee Schedule,109.37,,928.27,101,,Fee Schedule,143.88,,928.27,101,,Fee Schedule,143.88,,937.46,101,,Fee Schedule,178.12,,937.46,101,,Fee Schedule,143.43,,937.46,101,,Fee Schedule,170.62,,937.46,101,,Fee Schedule,151.87,,965.03,104,,Fee Schedule,103.26,, ,,,,,,,,,, ,, ,,,, ,,919.08,4299.00,,																																							
Colgn crslink crn&pachymtry,5503,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,10415.58,467.75,,Fee Schedule,5686.9,,10415.58,467.75,,Fee Schedule,6072.28,,10415.58,467.75,,Fee Schedule,4864.07,,10415.58,467.75,,Fee Schedule,5155.71,,10415.58,467.75,,Fee Schedule,5801.48,,10415.58,467.75,,Fee Schedule,6082.7,,9272.37,416.41,,Fee Schedule,4867.99,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,2226.74,100,,Fee Schedule,383,,2271.27,102,,Fee Schedule,263.47,,2282.41,102.5,,Fee Schedule,346.93,,2226.74,100,,Fee Schedule,385.23,,2226.74,100,,Fee Schedule,264.98,,2249.01,101,,Fee Schedule,348.6,,2249.01,101,,Fee Schedule,348.6,,2271.27,101,,Fee Schedule,431.54,,2271.27,101,,Fee Schedule,347.51,,2271.27,101,,Fee Schedule,413.37,,2271.27,101,,Fee Schedule,367.95,,2338.08,104,,Fee Schedule,250.17,, ,,,,,,,,,, ,, ,,,, ,,2226.74,10415.58,,																																							
Revise eye,5504,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,17220.36,467.75,,Fee Schedule,9402.31,,17220.36,467.75,,Fee Schedule,10039.47,,17220.36,467.75,,Fee Schedule,8041.91,,17220.36,467.75,,Fee Schedule,8524.08,,17220.36,467.75,,Fee Schedule,9591.74,,17220.36,467.75,,Fee Schedule,10056.69,,15330.26,416.41,,Fee Schedule,8048.39,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,3681.53,100,,Fee Schedule,633.22,,3755.16,102,,Fee Schedule,435.6,,3773.57,102.5,,Fee Schedule,573.58,,3681.53,100,,Fee Schedule,636.9,,3681.53,100,,Fee Schedule,438.1,,3718.35,101,,Fee Schedule,576.34,,3718.35,101,,Fee Schedule,576.34,,3755.16,101,,Fee Schedule,713.48,,3755.16,101,,Fee Schedule,574.54,,3755.16,101,,Fee Schedule,683.44,,3755.16,101,,Fee Schedule,608.34,,3865.61,104,,Fee Schedule,413.62,, ,,,,,,,,,, ,, ,,,, ,,3681.53,17220.36,,																																							
Rsa lower extr exam,5521,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,427.99,467.75,,Fee Schedule,233.68,,427.99,467.75,,Fee Schedule,249.52,,427.99,467.75,,Fee Schedule,199.87,,427.99,467.75,,Fee Schedule,211.86,,427.99,467.75,,Fee Schedule,238.39,,427.99,467.75,,Fee Schedule,249.95,,381.02,416.41,,Fee Schedule,200.03,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,91.5,100,,Fee Schedule,15.74,,93.33,102,,Fee Schedule,10.83,,93.79,102.5,,Fee Schedule,14.26,,91.5,100,,Fee Schedule,15.83,,91.5,100,,Fee Schedule,10.89,,92.42,101,,Fee Schedule,14.32,,92.42,101,,Fee Schedule,14.32,,93.33,101,,Fee Schedule,17.73,,93.33,101,,Fee Schedule,14.28,,93.33,101,,Fee Schedule,16.99,,93.33,101,,Fee Schedule,15.12,,96.08,104,,Fee Schedule,10.28,, ,,,,,,,,,, ,, ,,,, ,,91.50,427.99,,																																							
Rsa spine exam,5522,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,526.55,467.75,,Fee Schedule,287.49,,526.55,467.75,,Fee Schedule,306.98,,526.55,467.75,,Fee Schedule,245.9,,526.55,467.75,,Fee Schedule,260.64,,526.55,467.75,,Fee Schedule,293.29,,526.55,467.75,,Fee Schedule,307.5,,468.75,416.41,,Fee Schedule,246.1,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,112.57,100,,Fee Schedule,19.36,,114.82,102,,Fee Schedule,13.32,,115.38,102.5,,Fee Schedule,17.54,,112.57,100,,Fee Schedule,19.47,,112.57,100,,Fee Schedule,13.4,,113.7,101,,Fee Schedule,17.62,,113.7,101,,Fee Schedule,17.62,,114.82,101,,Fee Schedule,21.82,,114.82,101,,Fee Schedule,17.57,,114.82,101,,Fee Schedule,20.9,,114.82,101,,Fee Schedule,18.6,,118.2,104,,Fee Schedule,12.65,, ,,,,,,,,,, ,, ,,,, ,,112.57,526.55,,																																							
Mrs disc pain acquisj data,5523,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,1150.43,467.75,,Fee Schedule,628.14,,1150.43,467.75,,Fee Schedule,670.7,,1150.43,467.75,,Fee Schedule,537.25,,1150.43,467.75,,Fee Schedule,569.46,,1150.43,467.75,,Fee Schedule,640.79,,1150.43,467.75,,Fee Schedule,671.85,,1024.16,416.41,,Fee Schedule,537.68,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,245.95,100,,Fee Schedule,42.3,,250.87,102,,Fee Schedule,29.1,,252.1,102.5,,Fee Schedule,38.32,,245.95,100,,Fee Schedule,42.55,,245.95,100,,Fee Schedule,29.27,,248.41,101,,Fee Schedule,38.5,,248.41,101,,Fee Schedule,38.5,,250.87,101,,Fee Schedule,47.67,,250.87,101,,Fee Schedule,38.38,,250.87,101,,Fee Schedule,45.66,,250.87,101,,Fee Schedule,40.64,,258.25,104,,Fee Schedule,27.63,, ,,,,,,,,,, ,, ,,,, ,,245.95,1150.43,,																																							
Xray exam of middle ear,5524,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,2478.65,467.75,,Fee Schedule,1353.35,,2478.65,467.75,,Fee Schedule,1445.06,,2478.65,467.75,,Fee Schedule,1157.53,,2478.65,467.75,,Fee Schedule,1226.93,,2478.65,467.75,,Fee Schedule,1380.61,,2478.65,467.75,,Fee Schedule,1447.53,,2206.6,416.41,,Fee Schedule,1158.46,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,529.91,100,,Fee Schedule,91.14,,540.51,102,,Fee Schedule,62.7,,543.16,102.5,,Fee Schedule,82.56,,529.91,100,,Fee Schedule,91.67,,529.91,100,,Fee Schedule,63.06,,535.21,101,,Fee Schedule,82.96,,535.21,101,,Fee Schedule,82.96,,540.51,101,,Fee Schedule,102.7,,540.51,101,,Fee Schedule,82.7,,540.51,101,,Fee Schedule,98.37,,540.51,101,,Fee Schedule,87.56,,556.41,104,,Fee Schedule,59.54,, ,,,,,,,,,, ,, ,,,, ,,529.91,2478.65,,																																							
Ct breast w/3d uni c+,5571,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,888.44,467.75,,Fee Schedule,485.09,,888.44,467.75,,Fee Schedule,517.96,,888.44,467.75,,Fee Schedule,414.9,,888.44,467.75,,Fee Schedule,439.78,,888.44,467.75,,Fee Schedule,494.86,,888.44,467.75,,Fee Schedule,518.85,,790.93,416.41,,Fee Schedule,415.24,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,189.94,100,,Fee Schedule,32.67,,193.74,102,,Fee Schedule,22.47,,194.69,102.5,,Fee Schedule,29.59,,189.94,100,,Fee Schedule,32.86,,189.94,100,,Fee Schedule,22.6,,191.84,101,,Fee Schedule,29.74,,191.84,101,,Fee Schedule,29.74,,193.74,101,,Fee Schedule,36.81,,193.74,101,,Fee Schedule,29.64,,193.74,101,,Fee Schedule,35.26,,193.74,101,,Fee Schedule,31.39,,199.44,104,,Fee Schedule,21.34,, ,,,,,,,,,, ,, ,,,, ,,189.94,888.44,,																																							
Ct breast w/3d bi c+,5572,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,1815.06,467.75,,Fee Schedule,991.02,,1815.06,467.75,,Fee Schedule,1058.18,,1815.06,467.75,,Fee Schedule,847.63,,1815.06,467.75,,Fee Schedule,898.45,,1815.06,467.75,,Fee Schedule,1010.99,,1815.06,467.75,,Fee Schedule,1059.99,,1615.84,416.41,,Fee Schedule,848.31,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,388.04,100,,Fee Schedule,66.74,,395.8,102,,Fee Schedule,45.91,,397.74,102.5,,Fee Schedule,60.46,,388.04,100,,Fee Schedule,67.13,,388.04,100,,Fee Schedule,46.18,,391.92,101,,Fee Schedule,60.75,,391.92,101,,Fee Schedule,60.75,,395.8,101,,Fee Schedule,75.2,,395.8,101,,Fee Schedule,60.56,,395.8,101,,Fee Schedule,72.04,,395.8,101,,Fee Schedule,64.12,,407.44,104,,Fee Schedule,43.6,, ,,,,,,,,,, ,, ,,,, ,,388.04,1815.06,,																																							
Myelography lumbar injection,5573,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,3649.25,467.75,,Fee Schedule,1992.49,,3649.25,467.75,,Fee Schedule,2127.51,,3649.25,467.75,,Fee Schedule,1704.2,,3649.25,467.75,,Fee Schedule,1806.38,,3649.25,467.75,,Fee Schedule,2032.63,,3649.25,467.75,,Fee Schedule,2131.16,,3248.71,416.41,,Fee Schedule,1705.57,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,780.17,100,,Fee Schedule,134.19,,795.77,102,,Fee Schedule,92.31,,799.67,102.5,,Fee Schedule,121.55,,780.17,100,,Fee Schedule,134.97,,780.17,100,,Fee Schedule,92.84,,787.97,101,,Fee Schedule,122.14,,787.97,101,,Fee Schedule,122.14,,795.77,101,,Fee Schedule,151.2,,795.77,101,,Fee Schedule,121.75,,795.77,101,,Fee Schedule,144.83,,795.77,101,,Fee Schedule,128.92,,819.18,104,,Fee Schedule,87.65,, ,,,,,,,,,, ,, ,,,, ,,780.17,3649.25,,																																							
Ra tracer id of sentinl node,5591,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,1914.83,467.75,,Fee Schedule,1045.5,,1914.83,467.75,,Fee Schedule,1116.34,,1914.83,467.75,,Fee Schedule,894.22,,1914.83,467.75,,Fee Schedule,947.84,,1914.83,467.75,,Fee Schedule,1066.56,,1914.83,467.75,,Fee Schedule,1118.26,,1704.66,416.41,,Fee Schedule,894.95,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,409.37,100,,Fee Schedule,70.41,,417.56,102,,Fee Schedule,48.44,,419.6,102.5,,Fee Schedule,63.78,,409.37,100,,Fee Schedule,70.82,,409.37,100,,Fee Schedule,48.72,,413.46,101,,Fee Schedule,64.09,,413.46,101,,Fee Schedule,64.09,,417.56,101,,Fee Schedule,79.34,,417.56,101,,Fee Schedule,63.89,,417.56,101,,Fee Schedule,76,,417.56,101,,Fee Schedule,67.64,,429.84,104,,Fee Schedule,45.99,, ,,,,,,,,,, ,, ,,,, ,,409.37,1914.83,,																																							
Thyroid met imaging body,5592,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,2485.39,467.75,,Fee Schedule,1357.02,,2485.39,467.75,,Fee Schedule,1448.98,,2485.39,467.75,,Fee Schedule,1160.68,,2485.39,467.75,,Fee Schedule,1230.27,,2485.39,467.75,,Fee Schedule,1384.36,,2485.39,467.75,,Fee Schedule,1451.47,,2212.59,416.41,,Fee Schedule,1161.61,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,531.35,100,,Fee Schedule,91.39,,541.98,102,,Fee Schedule,62.87,,544.63,102.5,,Fee Schedule,82.78,,531.35,100,,Fee Schedule,91.92,,531.35,100,,Fee Schedule,63.23,,536.66,101,,Fee Schedule,83.18,,536.66,101,,Fee Schedule,83.18,,541.98,101,,Fee Schedule,102.98,,541.98,101,,Fee Schedule,82.92,,541.98,101,,Fee Schedule,98.64,,541.98,101,,Fee Schedule,87.8,,557.92,104,,Fee Schedule,59.7,, ,,,,,,,,,, ,, ,,,, ,,531.35,2485.39,,																																							
Heart symp image plnr,5593,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,6538.72,467.75,,Fee Schedule,3570.14,,6538.72,467.75,,Fee Schedule,3812.08,,6538.72,467.75,,Fee Schedule,3053.58,,6538.72,467.75,,Fee Schedule,3236.67,,6538.72,467.75,,Fee Schedule,3642.07,,6538.72,467.75,,Fee Schedule,3818.61,,5821.04,416.41,,Fee Schedule,3056.04,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,1397.91,100,,Fee Schedule,240.44,,1425.87,102,,Fee Schedule,165.4,,1432.86,102.5,,Fee Schedule,217.79,,1397.91,100,,Fee Schedule,241.84,,1397.91,100,,Fee Schedule,166.35,,1411.89,101,,Fee Schedule,218.84,,1411.89,101,,Fee Schedule,218.84,,1425.87,101,,Fee Schedule,270.91,,1425.87,101,,Fee Schedule,218.16,,1425.87,101,,Fee Schedule,259.51,,1425.87,101,,Fee Schedule,230.99,,1467.81,104,,Fee Schedule,157.06,, ,,,,,,,,,, ,, ,,,, ,,1397.91,6538.72,,																																							
Myocrd img pet 1 std w/ct,5594,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,7337.17,467.75,,Fee Schedule,4006.1,,7337.17,467.75,,Fee Schedule,4277.57,,7337.17,467.75,,Fee Schedule,3426.46,,7337.17,467.75,,Fee Schedule,3631.9,,7337.17,467.75,,Fee Schedule,4086.81,,7337.17,467.75,,Fee Schedule,4284.91,,6531.85,416.41,,Fee Schedule,3429.22,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,1568.61,100,,Fee Schedule,269.8,,1599.98,102,,Fee Schedule,185.6,,1607.83,102.5,,Fee Schedule,244.39,,1568.61,100,,Fee Schedule,271.37,,1568.61,100,,Fee Schedule,186.66,,1584.3,101,,Fee Schedule,245.57,,1584.3,101,,Fee Schedule,245.57,,1599.98,101,,Fee Schedule,304,,1599.98,101,,Fee Schedule,244.8,,1599.98,101,,Fee Schedule,291.2,,1599.98,101,,Fee Schedule,259.2,,1647.04,104,,Fee Schedule,176.23,, ,,,,,,,,,, ,, ,,,, ,,1568.61,7337.17,,																																							
Set radiation therapy field,5611,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,657.1,467.75,,Fee Schedule,358.77,,657.1,467.75,,Fee Schedule,383.09,,657.1,467.75,,Fee Schedule,306.86,,657.1,467.75,,Fee Schedule,325.26,,657.1,467.75,,Fee Schedule,366,,657.1,467.75,,Fee Schedule,383.74,,584.97,416.41,,Fee Schedule,307.11,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,140.48,100,,Fee Schedule,24.16,,143.29,102,,Fee Schedule,16.62,,143.99,102.5,,Fee Schedule,21.89,,140.48,100,,Fee Schedule,24.3,,140.48,100,,Fee Schedule,16.72,,141.88,101,,Fee Schedule,21.99,,141.88,101,,Fee Schedule,21.99,,143.29,101,,Fee Schedule,27.23,,143.29,101,,Fee Schedule,21.92,,143.29,101,,Fee Schedule,26.08,,143.29,101,,Fee Schedule,23.21,,147.5,104,,Fee Schedule,15.78,, ,,,,,,,,,, ,, ,,,, ,,140.48,657.10,,																																							
Set radiation therapy field,5612,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,1767.21,467.75,,Fee Schedule,964.89,,1767.21,467.75,,Fee Schedule,1030.28,,1767.21,467.75,,Fee Schedule,825.29,,1767.21,467.75,,Fee Schedule,874.77,,1767.21,467.75,,Fee Schedule,984.33,,1767.21,467.75,,Fee Schedule,1032.05,,1573.24,416.41,,Fee Schedule,825.95,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,377.81,100,,Fee Schedule,64.98,,385.37,102,,Fee Schedule,44.7,,387.26,102.5,,Fee Schedule,58.86,,377.81,100,,Fee Schedule,65.36,,377.81,100,,Fee Schedule,44.96,,381.59,101,,Fee Schedule,59.15,,381.59,101,,Fee Schedule,59.15,,385.37,101,,Fee Schedule,73.22,,385.37,101,,Fee Schedule,58.96,,385.37,101,,Fee Schedule,70.14,,385.37,101,,Fee Schedule,62.43,,396.7,104,,Fee Schedule,42.45,, ,,,,,,,,,, ,, ,,,, ,,377.81,1767.21,,																																							
Ins mark thor for rt perq,5613,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,6604.72,467.75,,Fee Schedule,3606.18,,6604.72,467.75,,Fee Schedule,3850.55,,6604.72,467.75,,Fee Schedule,3084.41,,6604.72,467.75,,Fee Schedule,3269.34,,6604.72,467.75,,Fee Schedule,3678.83,,6604.72,467.75,,Fee Schedule,3857.16,,5879.79,416.41,,Fee Schedule,3086.89,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,1412.02,100,,Fee Schedule,242.87,,1440.26,102,,Fee Schedule,167.07,,1447.32,102.5,,Fee Schedule,219.99,,1412.02,100,,Fee Schedule,244.28,,1412.02,100,,Fee Schedule,168.03,,1426.14,101,,Fee Schedule,221.05,,1426.14,101,,Fee Schedule,221.05,,1440.26,101,,Fee Schedule,273.65,,1440.26,101,,Fee Schedule,220.36,,1440.26,101,,Fee Schedule,262.13,,1440.26,101,,Fee Schedule,233.32,,1482.62,104,,Fee Schedule,158.64,, ,,,,,,,,,, ,, ,,,, ,,1412.02,6604.72,,																																							
Radiation treatment delivery,5621,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,602.93,467.75,,Fee Schedule,329.2,,602.93,467.75,,Fee Schedule,351.51,,602.93,467.75,,Fee Schedule,281.57,,602.93,467.75,,Fee Schedule,298.45,,602.93,467.75,,Fee Schedule,335.83,,602.93,467.75,,Fee Schedule,352.11,,536.75,416.41,,Fee Schedule,281.8,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,128.9,100,,Fee Schedule,22.17,,131.48,102,,Fee Schedule,15.25,,132.12,102.5,,Fee Schedule,20.08,,128.9,100,,Fee Schedule,22.3,,128.9,100,,Fee Schedule,15.34,,130.19,101,,Fee Schedule,20.18,,130.19,101,,Fee Schedule,20.18,,131.48,101,,Fee Schedule,24.98,,131.48,101,,Fee Schedule,20.12,,131.48,101,,Fee Schedule,23.93,,131.48,101,,Fee Schedule,21.3,,135.35,104,,Fee Schedule,14.48,, ,,,,,,,,,, ,, ,,,, ,,128.90,602.93,,																																							
Hdr elctrnc skn surf brchytx,5622,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,1295.29,467.75,,Fee Schedule,707.23,,1295.29,467.75,,Fee Schedule,755.16,,1295.29,467.75,,Fee Schedule,604.9,,1295.29,467.75,,Fee Schedule,641.17,,1295.29,467.75,,Fee Schedule,721.48,,1295.29,467.75,,Fee Schedule,756.45,,1153.12,416.41,,Fee Schedule,605.39,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,276.92,100,,Fee Schedule,47.63,,282.46,102,,Fee Schedule,32.77,,283.84,102.5,,Fee Schedule,43.14,,276.92,100,,Fee Schedule,47.91,,276.92,100,,Fee Schedule,32.95,,279.69,101,,Fee Schedule,43.35,,279.69,101,,Fee Schedule,43.35,,282.46,101,,Fee Schedule,53.67,,282.46,101,,Fee Schedule,43.22,,282.46,101,,Fee Schedule,51.41,,282.46,101,,Fee Schedule,45.76,,290.77,104,,Fee Schedule,31.11,, ,,,,,,,,,, ,, ,,,, ,,276.92,1295.29,,																																							
Ntsty modul rad tx dlvr smpl,5623,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,2820.25,467.75,,Fee Schedule,1539.86,,2820.25,467.75,,Fee Schedule,1644.21,,2820.25,467.75,,Fee Schedule,1317.06,,2820.25,467.75,,Fee Schedule,1396.02,,2820.25,467.75,,Fee Schedule,1570.88,,2820.25,467.75,,Fee Schedule,1647.03,,2510.7,416.41,,Fee Schedule,1318.12,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,602.94,100,,Fee Schedule,103.71,,615,102,,Fee Schedule,71.34,,618.01,102.5,,Fee Schedule,93.94,,602.94,100,,Fee Schedule,104.31,,602.94,100,,Fee Schedule,71.75,,608.97,101,,Fee Schedule,94.39,,608.97,101,,Fee Schedule,94.39,,615,101,,Fee Schedule,116.85,,615,101,,Fee Schedule,94.09,,615,101,,Fee Schedule,111.93,,615,101,,Fee Schedule,99.63,,633.09,104,,Fee Schedule,67.74,, ,,,,,,,,,, ,, ,,,, ,,602.94,2820.25,,																																							
Hdr elctr ntrst/ntrcv brchtx,5624,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,3555.51,467.75,,Fee Schedule,1941.31,,3555.51,467.75,,Fee Schedule,2072.86,,3555.51,467.75,,Fee Schedule,1660.42,,3555.51,467.75,,Fee Schedule,1759.98,,3555.51,467.75,,Fee Schedule,1980.42,,3555.51,467.75,,Fee Schedule,2076.42,,3165.26,416.41,,Fee Schedule,1661.76,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,760.13,100,,Fee Schedule,130.74,,775.33,102,,Fee Schedule,89.94,,779.13,102.5,,Fee Schedule,118.43,,760.13,100,,Fee Schedule,131.5,,760.13,100,,Fee Schedule,90.46,,767.73,101,,Fee Schedule,119,,767.73,101,,Fee Schedule,119,,775.33,101,,Fee Schedule,147.31,,775.33,101,,Fee Schedule,118.63,,775.33,101,,Fee Schedule,141.11,,775.33,101,,Fee Schedule,125.6,,798.14,104,,Fee Schedule,85.4,, ,,,,,,,,,, ,, ,,,, ,,760.13,3555.51,,																																							
Proton trmt simple w/comp,5625,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,6518.75,467.75,,Fee Schedule,3559.24,,6518.75,467.75,,Fee Schedule,3800.43,,6518.75,467.75,,Fee Schedule,3044.26,,6518.75,467.75,,Fee Schedule,3226.78,,6518.75,467.75,,Fee Schedule,3630.94,,6518.75,467.75,,Fee Schedule,3806.95,,5803.26,416.41,,Fee Schedule,3046.71,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,1393.64,100,,Fee Schedule,239.71,,1421.51,102,,Fee Schedule,164.9,,1428.48,102.5,,Fee Schedule,217.13,,1393.64,100,,Fee Schedule,241.1,,1393.64,100,,Fee Schedule,165.84,,1407.58,101,,Fee Schedule,218.17,,1407.58,101,,Fee Schedule,218.17,,1421.51,101,,Fee Schedule,270.09,,1421.51,101,,Fee Schedule,217.49,,1421.51,101,,Fee Schedule,258.72,,1421.51,101,,Fee Schedule,230.29,,1463.32,104,,Fee Schedule,156.58,, ,,,,,,,,,, ,, ,,,, ,,1393.64,6518.75,,																																							
Sbrt delivery,5626,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,8707.21,467.75,,Fee Schedule,4754.14,,8707.21,467.75,,Fee Schedule,5076.31,,8707.21,467.75,,Fee Schedule,4066.27,,8707.21,467.75,,Fee Schedule,4310.07,,8707.21,467.75,,Fee Schedule,4849.92,,8707.21,467.75,,Fee Schedule,5085.01,,7751.51,416.41,,Fee Schedule,4069.54,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,1861.51,100,,Fee Schedule,320.18,,1898.74,102,,Fee Schedule,220.25,,1908.05,102.5,,Fee Schedule,290.02,,1861.51,100,,Fee Schedule,322.04,,1861.51,100,,Fee Schedule,221.52,,1880.13,101,,Fee Schedule,291.42,,1880.13,101,,Fee Schedule,291.42,,1898.74,101,,Fee Schedule,360.76,,1898.74,101,,Fee Schedule,290.51,,1898.74,101,,Fee Schedule,345.57,,1898.74,101,,Fee Schedule,307.6,,1954.59,104,,Fee Schedule,209.14,, ,,,,,,,,,, ,, ,,,, ,,1861.51,8707.21,,																																							
Srs multisource,5627,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,37887.1,467.75,,Fee Schedule,20686.35,,37887.1,467.75,,Fee Schedule,22088.18,,37887.1,467.75,,Fee Schedule,17693.27,,37887.1,467.75,,Fee Schedule,18754.11,,37887.1,467.75,,Fee Schedule,21103.11,,37887.1,467.75,,Fee Schedule,22126.06,,33728.63,416.41,,Fee Schedule,17707.53,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,8099.86,100,,Fee Schedule,1393.18,,8261.86,102,,Fee Schedule,958.38,,8302.36,102.5,,Fee Schedule,1261.96,,8099.86,100,,Fee Schedule,1401.28,,8099.86,100,,Fee Schedule,963.88,,8180.86,101,,Fee Schedule,1268.03,,8180.86,101,,Fee Schedule,1268.03,,8261.86,101,,Fee Schedule,1569.75,,8261.86,101,,Fee Schedule,1264.06,,8261.86,101,,Fee Schedule,1503.66,,8261.86,101,,Fee Schedule,1338.42,,8504.85,104,,Fee Schedule,910.02,, ,,,,,,,,,, ,, ,,,, ,,8099.86,37887.10,,																																							
Nuclear rx oral admin,5661,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,1230.28,467.75,,Fee Schedule,671.73,,1230.28,467.75,,Fee Schedule,717.25,,1230.28,467.75,,Fee Schedule,574.54,,1230.28,467.75,,Fee Schedule,608.99,,1230.28,467.75,,Fee Schedule,685.26,,1230.28,467.75,,Fee Schedule,718.48,,1095.24,416.41,,Fee Schedule,575,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,263.02,100,,Fee Schedule,45.24,,268.28,102,,Fee Schedule,31.12,,269.6,102.5,,Fee Schedule,40.98,,263.02,100,,Fee Schedule,45.5,,263.02,100,,Fee Schedule,31.3,,265.65,101,,Fee Schedule,41.18,,265.65,101,,Fee Schedule,41.18,,268.28,101,,Fee Schedule,50.97,,268.28,101,,Fee Schedule,41.05,,268.28,101,,Fee Schedule,48.83,,268.28,101,,Fee Schedule,43.46,,276.17,104,,Fee Schedule,29.55,, ,,,,,,,,,, ,, ,,,, ,,263.02,1230.28,,																																							
Onc chemo rx cytotox csc 14,5671,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,247.02,467.75,,Fee Schedule,134.87,,247.02,467.75,,Fee Schedule,144.01,,247.02,467.75,,Fee Schedule,115.36,,247.02,467.75,,Fee Schedule,122.27,,247.02,467.75,,Fee Schedule,137.59,,247.02,467.75,,Fee Schedule,144.26,,219.91,416.41,,Fee Schedule,115.45,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,52.81,100,,Fee Schedule,9.08,,53.87,102,,Fee Schedule,6.25,,54.13,102.5,,Fee Schedule,8.23,,52.81,100,,Fee Schedule,9.14,,52.81,100,,Fee Schedule,6.28,,53.34,101,,Fee Schedule,8.27,,53.34,101,,Fee Schedule,8.27,,53.87,101,,Fee Schedule,10.23,,53.87,101,,Fee Schedule,8.24,,53.87,101,,Fee Schedule,9.8,,53.87,101,,Fee Schedule,8.73,,55.45,104,,Fee Schedule,5.93,, ,,,,,,,,,, ,, ,,,, ,,52.81,247.02,,																																							
Path clin consltj mod 2140,5672,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,774.69,467.75,,Fee Schedule,422.98,,774.69,467.75,,Fee Schedule,451.64,,774.69,467.75,,Fee Schedule,361.78,,774.69,467.75,,Fee Schedule,383.47,,774.69,467.75,,Fee Schedule,431.5,,774.69,467.75,,Fee Schedule,452.42,,689.66,416.41,,Fee Schedule,362.07,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,165.62,100,,Fee Schedule,28.49,,168.93,102,,Fee Schedule,19.6,,169.76,102.5,,Fee Schedule,25.8,,165.62,100,,Fee Schedule,28.65,,165.62,100,,Fee Schedule,19.71,,167.28,101,,Fee Schedule,25.93,,167.28,101,,Fee Schedule,25.93,,168.93,101,,Fee Schedule,32.1,,168.93,101,,Fee Schedule,25.85,,168.93,101,,Fee Schedule,30.75,,168.93,101,,Fee Schedule,27.37,,173.9,104,,Fee Schedule,18.61,, ,,,,,,,,,, ,, ,,,, ,,165.62,774.69,,																																							
Rbc antibody identification,5673,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,1596.71,467.75,,Fee Schedule,871.8,,1596.71,467.75,,Fee Schedule,930.88,,1596.71,467.75,,Fee Schedule,745.66,,1596.71,467.75,,Fee Schedule,790.37,,1596.71,467.75,,Fee Schedule,889.37,,1596.71,467.75,,Fee Schedule,932.48,,1421.46,416.41,,Fee Schedule,746.27,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,341.36,100,,Fee Schedule,58.71,,348.19,102,,Fee Schedule,40.39,,349.89,102.5,,Fee Schedule,53.18,,341.36,100,,Fee Schedule,59.06,,341.36,100,,Fee Schedule,40.62,,344.77,101,,Fee Schedule,53.44,,344.77,101,,Fee Schedule,53.44,,348.19,101,,Fee Schedule,66.16,,348.19,101,,Fee Schedule,53.27,,348.19,101,,Fee Schedule,63.37,,348.19,101,,Fee Schedule,56.41,,358.43,104,,Fee Schedule,38.35,, ,,,,,,,,,, ,, ,,,, ,,341.36,1596.71,,																																							
Bone marrow interpretation,5674,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,3825.45,467.75,,Fee Schedule,2088.69,,3825.45,467.75,,Fee Schedule,2230.24,,3825.45,467.75,,Fee Schedule,1786.48,,3825.45,467.75,,Fee Schedule,1893.6,,3825.45,467.75,,Fee Schedule,2130.77,,3825.45,467.75,,Fee Schedule,2234.06,,3405.57,416.41,,Fee Schedule,1787.92,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,817.84,100,,Fee Schedule,140.67,,834.2,102,,Fee Schedule,96.77,,838.29,102.5,,Fee Schedule,127.42,,817.84,100,,Fee Schedule,141.49,,817.84,100,,Fee Schedule,97.32,,826.02,101,,Fee Schedule,128.03,,826.02,101,,Fee Schedule,128.03,,834.2,101,,Fee Schedule,158.5,,834.2,101,,Fee Schedule,127.63,,834.2,101,,Fee Schedule,151.82,,834.2,101,,Fee Schedule,135.14,,858.73,104,,Fee Schedule,91.88,, ,,,,,,,,,, ,, ,,,, ,,817.84,3825.45,,																																							
Immunotherapy one injection,5691,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,208.71,467.75,,Fee Schedule,113.96,,208.71,467.75,,Fee Schedule,121.68,,208.71,467.75,,Fee Schedule,97.47,,208.71,467.75,,Fee Schedule,103.31,,208.71,467.75,,Fee Schedule,116.25,,208.71,467.75,,Fee Schedule,121.89,,185.8,416.41,,Fee Schedule,97.55,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,44.62,100,,Fee Schedule,7.67,,45.51,102,,Fee Schedule,5.28,,45.74,102.5,,Fee Schedule,6.95,,44.62,100,,Fee Schedule,7.72,,44.62,100,,Fee Schedule,5.31,,45.07,101,,Fee Schedule,6.99,,45.07,101,,Fee Schedule,6.99,,45.51,101,,Fee Schedule,8.65,,45.51,101,,Fee Schedule,6.96,,45.51,101,,Fee Schedule,8.28,,45.51,101,,Fee Schedule,7.37,,46.85,104,,Fee Schedule,5.01,, ,,,,,,,,,, ,, ,,,, ,,44.62,208.71,,																																							
Immunization admin,5692,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,332.38,467.75,,Fee Schedule,181.48,,332.38,467.75,,Fee Schedule,193.78,,332.38,467.75,,Fee Schedule,155.22,,332.38,467.75,,Fee Schedule,164.53,,332.38,467.75,,Fee Schedule,185.14,,332.38,467.75,,Fee Schedule,194.11,,295.9,416.41,,Fee Schedule,155.35,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,71.06,100,,Fee Schedule,12.22,,72.48,102,,Fee Schedule,8.41,,72.84,102.5,,Fee Schedule,11.07,,71.06,100,,Fee Schedule,12.29,,71.06,100,,Fee Schedule,8.46,,71.77,101,,Fee Schedule,11.12,,71.77,101,,Fee Schedule,11.12,,72.48,101,,Fee Schedule,13.77,,72.48,101,,Fee Schedule,11.09,,72.48,101,,Fee Schedule,13.19,,72.48,101,,Fee Schedule,11.74,,74.61,104,,Fee Schedule,7.98,, ,,,,,,,,,, ,, ,,,, ,,71.06,332.38,,																																							
Inj w/fluor eval cv device,5693,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,1017.64,467.75,,Fee Schedule,555.63,,1017.64,467.75,,Fee Schedule,593.28,,1017.64,467.75,,Fee Schedule,475.24,,1017.64,467.75,,Fee Schedule,503.73,,1017.64,467.75,,Fee Schedule,566.82,,1017.64,467.75,,Fee Schedule,594.3,,905.94,416.41,,Fee Schedule,475.62,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,217.56,100,,Fee Schedule,37.42,,221.91,102,,Fee Schedule,25.74,,223,102.5,,Fee Schedule,33.9,,217.56,100,,Fee Schedule,37.64,,217.56,100,,Fee Schedule,25.89,,219.74,101,,Fee Schedule,34.06,,219.74,101,,Fee Schedule,34.06,,221.91,101,,Fee Schedule,42.16,,221.91,101,,Fee Schedule,33.95,,221.91,101,,Fee Schedule,40.39,,221.91,101,,Fee Schedule,35.95,,228.44,104,,Fee Schedule,24.44,, ,,,,,,,,,, ,, ,,,, ,,217.56,1017.64,,																																							
Supchrdl njx rx w/o supply,5694,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,1638.62,467.75,,Fee Schedule,894.69,,1638.62,467.75,,Fee Schedule,955.32,,1638.62,467.75,,Fee Schedule,765.24,,1638.62,467.75,,Fee Schedule,811.12,,1638.62,467.75,,Fee Schedule,912.71,,1638.62,467.75,,Fee Schedule,956.96,,1458.77,416.41,,Fee Schedule,765.85,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,350.32,100,,Fee Schedule,60.26,,357.33,102,,Fee Schedule,41.45,,359.08,102.5,,Fee Schedule,54.58,,350.32,100,,Fee Schedule,60.61,,350.32,100,,Fee Schedule,41.69,,353.82,101,,Fee Schedule,54.84,,353.82,101,,Fee Schedule,54.84,,357.33,101,,Fee Schedule,67.89,,357.33,101,,Fee Schedule,54.67,,357.33,101,,Fee Schedule,65.03,,357.33,101,,Fee Schedule,57.89,,367.84,104,,Fee Schedule,39.36,, ,,,,,,,,,, ,, ,,,, ,,350.32,1638.62,,																																							
Compre audiometry evaluation,5721,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,716.45,467.75,,Fee Schedule,391.18,,716.45,467.75,,Fee Schedule,417.69,,716.45,467.75,,Fee Schedule,334.58,,716.45,467.75,,Fee Schedule,354.64,,716.45,467.75,,Fee Schedule,399.06,,716.45,467.75,,Fee Schedule,418.41,,637.82,416.41,,Fee Schedule,334.85,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,153.17,100,,Fee Schedule,26.35,,156.23,102,,Fee Schedule,18.12,,157,102.5,,Fee Schedule,23.86,,153.17,100,,Fee Schedule,26.5,,153.17,100,,Fee Schedule,18.23,,154.7,101,,Fee Schedule,23.98,,154.7,101,,Fee Schedule,23.98,,156.23,101,,Fee Schedule,29.68,,156.23,101,,Fee Schedule,23.9,,156.23,101,,Fee Schedule,28.43,,156.23,101,,Fee Schedule,25.31,,160.83,104,,Fee Schedule,17.21,, ,,,,,,,,,, ,, ,,,, ,,153.17,716.45,,																																							
Pattern erg w/i&r,5722,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,1379.68,467.75,,Fee Schedule,753.3,,1379.68,467.75,,Fee Schedule,804.35,,1379.68,467.75,,Fee Schedule,644.31,,1379.68,467.75,,Fee Schedule,682.94,,1379.68,467.75,,Fee Schedule,768.48,,1379.68,467.75,,Fee Schedule,805.73,,1228.24,416.41,,Fee Schedule,644.83,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,294.96,100,,Fee Schedule,50.73,,300.86,102,,Fee Schedule,34.9,,302.33,102.5,,Fee Schedule,45.95,,294.96,100,,Fee Schedule,51.03,,294.96,100,,Fee Schedule,35.1,,297.91,101,,Fee Schedule,46.18,,297.91,101,,Fee Schedule,46.18,,300.86,101,,Fee Schedule,57.16,,300.86,101,,Fee Schedule,46.03,,300.86,101,,Fee Schedule,54.76,,300.86,101,,Fee Schedule,48.74,,309.71,104,,Fee Schedule,33.14,, ,,,,,,,,,, ,, ,,,, ,,294.96,1379.68,,																																							
Myocardial imaging mcg,5723,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,2381.6,467.75,,Fee Schedule,1300.35,,2381.6,467.75,,Fee Schedule,1388.47,,2381.6,467.75,,Fee Schedule,1112.21,,2381.6,467.75,,Fee Schedule,1178.89,,2381.6,467.75,,Fee Schedule,1326.55,,2381.6,467.75,,Fee Schedule,1390.85,,2120.19,416.41,,Fee Schedule,1113.1,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,509.16,100,,Fee Schedule,87.58,,519.34,102,,Fee Schedule,60.24,,521.89,102.5,,Fee Schedule,79.33,,509.16,100,,Fee Schedule,88.08,,509.16,100,,Fee Schedule,60.59,,514.25,101,,Fee Schedule,79.71,,514.25,101,,Fee Schedule,79.71,,519.34,101,,Fee Schedule,98.68,,519.34,101,,Fee Schedule,79.46,,519.34,101,,Fee Schedule,94.52,,519.34,101,,Fee Schedule,84.13,,534.62,104,,Fee Schedule,57.2,, ,,,,,,,,,, ,, ,,,, ,,509.16,2381.60,,																																							
Prgrmg eval npgs apnea study,5724,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,4603.17,467.75,,Fee Schedule,2513.33,,4603.17,467.75,,Fee Schedule,2683.65,,4603.17,467.75,,Fee Schedule,2149.68,,4603.17,467.75,,Fee Schedule,2278.57,,4603.17,467.75,,Fee Schedule,2563.97,,4603.17,467.75,,Fee Schedule,2688.25,,4097.93,416.41,,Fee Schedule,2151.41,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,984.11,100,,Fee Schedule,169.27,,1003.79,102,,Fee Schedule,116.44,,1008.71,102.5,,Fee Schedule,153.32,,984.11,100,,Fee Schedule,170.25,,984.11,100,,Fee Schedule,117.11,,993.95,101,,Fee Schedule,154.06,,993.95,101,,Fee Schedule,154.06,,1003.79,101,,Fee Schedule,190.72,,1003.79,101,,Fee Schedule,153.58,,1003.79,101,,Fee Schedule,182.69,,1003.79,101,,Fee Schedule,162.61,,1033.32,104,,Fee Schedule,110.56,, ,,,,,,,,,, ,, ,,,, ,,984.11,4603.17,,																																							
Bia whole body,5731,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,122.97,467.75,,Fee Schedule,67.14,,122.97,467.75,,Fee Schedule,71.69,,122.97,467.75,,Fee Schedule,57.43,,122.97,467.75,,Fee Schedule,60.87,,122.97,467.75,,Fee Schedule,68.5,,122.97,467.75,,Fee Schedule,71.82,,109.47,416.41,,Fee Schedule,57.47,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,26.29,100,,Fee Schedule,4.52,,26.82,102,,Fee Schedule,3.11,,26.95,102.5,,Fee Schedule,4.1,,26.29,100,,Fee Schedule,4.55,,26.29,100,,Fee Schedule,3.13,,26.55,101,,Fee Schedule,4.12,,26.55,101,,Fee Schedule,4.12,,26.82,101,,Fee Schedule,5.1,,26.82,101,,Fee Schedule,4.1,,26.82,101,,Fee Schedule,4.88,,26.82,101,,Fee Schedule,4.34,,27.6,104,,Fee Schedule,2.95,, ,,,,,,,,,, ,, ,,,, ,,26.29,122.97,,																																							
Touch quant sensory test,5732,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,167.31,467.75,,Fee Schedule,91.35,,167.31,467.75,,Fee Schedule,97.54,,167.31,467.75,,Fee Schedule,78.14,,167.31,467.75,,Fee Schedule,82.82,,167.31,467.75,,Fee Schedule,93.19,,167.31,467.75,,Fee Schedule,97.71,,148.95,416.41,,Fee Schedule,78.2,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,35.77,100,,Fee Schedule,6.15,,36.49,102,,Fee Schedule,4.23,,36.66,102.5,,Fee Schedule,5.57,,35.77,100,,Fee Schedule,6.19,,35.77,100,,Fee Schedule,4.26,,36.13,101,,Fee Schedule,5.6,,36.13,101,,Fee Schedule,5.6,,36.49,101,,Fee Schedule,6.93,,36.49,101,,Fee Schedule,5.58,,36.49,101,,Fee Schedule,6.64,,36.49,101,,Fee Schedule,5.91,,37.56,104,,Fee Schedule,4.02,, ,,,,,,,,,, ,, ,,,, ,,35.77,167.31,,																																							
Cool quant sensory test,5733,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,283.18,467.75,,Fee Schedule,154.61,,283.18,467.75,,Fee Schedule,165.09,,283.18,467.75,,Fee Schedule,132.24,,283.18,467.75,,Fee Schedule,140.17,,283.18,467.75,,Fee Schedule,157.73,,283.18,467.75,,Fee Schedule,165.37,,252.09,416.41,,Fee Schedule,132.35,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,60.54,100,,Fee Schedule,10.41,,61.75,102,,Fee Schedule,7.16,,62.05,102.5,,Fee Schedule,9.43,,60.54,100,,Fee Schedule,10.47,,60.54,100,,Fee Schedule,7.2,,61.15,101,,Fee Schedule,9.48,,61.15,101,,Fee Schedule,9.48,,61.75,101,,Fee Schedule,11.73,,61.75,101,,Fee Schedule,9.45,,61.75,101,,Fee Schedule,11.24,,61.75,101,,Fee Schedule,10,,63.57,104,,Fee Schedule,6.8,, ,,,,,,,,,, ,, ,,,, ,,60.54,283.18,,																																							
Nos quant sensory test,5734,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,572.01,467.75,,Fee Schedule,312.32,,572.01,467.75,,Fee Schedule,333.48,,572.01,467.75,,Fee Schedule,267.13,,572.01,467.75,,Fee Schedule,283.15,,572.01,467.75,,Fee Schedule,318.61,,572.01,467.75,,Fee Schedule,334.05,,509.23,416.41,,Fee Schedule,267.34,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,122.29,100,,Fee Schedule,21.03,,124.74,102,,Fee Schedule,14.47,,125.35,102.5,,Fee Schedule,19.05,,122.29,100,,Fee Schedule,21.16,,122.29,100,,Fee Schedule,14.55,,123.51,101,,Fee Schedule,19.14,,123.51,101,,Fee Schedule,19.14,,124.74,101,,Fee Schedule,23.7,,124.74,101,,Fee Schedule,19.08,,124.74,101,,Fee Schedule,22.7,,124.74,101,,Fee Schedule,20.21,,128.4,104,,Fee Schedule,13.74,, ,,,,,,,,,, ,, ,,,, ,,122.29,572.01,,																																							
Njx platelet plasma,5735,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,1860.05,467.75,,Fee Schedule,1015.59,,1860.05,467.75,,Fee Schedule,1084.41,,1860.05,467.75,,Fee Schedule,868.65,,1860.05,467.75,,Fee Schedule,920.73,,1860.05,467.75,,Fee Schedule,1036.05,,1860.05,467.75,,Fee Schedule,1086.27,,1655.9,416.41,,Fee Schedule,869.35,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,397.66,100,,Fee Schedule,68.4,,405.61,102,,Fee Schedule,47.05,,407.6,102.5,,Fee Schedule,61.96,,397.66,100,,Fee Schedule,68.8,,397.66,100,,Fee Schedule,47.32,,401.64,101,,Fee Schedule,62.25,,401.64,101,,Fee Schedule,62.25,,405.61,101,,Fee Schedule,77.07,,405.61,101,,Fee Schedule,62.06,,405.61,101,,Fee Schedule,73.82,,405.61,101,,Fee Schedule,65.71,,417.54,104,,Fee Schedule,44.68,, ,,,,,,,,,, ,, ,,,, ,,397.66,1860.05,,																																							
Prgrmg eval cardiac modulj,5741,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,172.41,467.75,,Fee Schedule,94.14,,172.41,467.75,,Fee Schedule,100.52,,172.41,467.75,,Fee Schedule,80.52,,172.41,467.75,,Fee Schedule,85.34,,172.41,467.75,,Fee Schedule,96.03,,172.41,467.75,,Fee Schedule,100.69,,153.49,416.41,,Fee Schedule,80.58,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,36.86,100,,Fee Schedule,6.34,,37.6,102,,Fee Schedule,4.36,,37.78,102.5,,Fee Schedule,5.74,,36.86,100,,Fee Schedule,6.38,,36.86,100,,Fee Schedule,4.39,,37.23,101,,Fee Schedule,5.77,,37.23,101,,Fee Schedule,5.77,,37.6,101,,Fee Schedule,7.14,,37.6,101,,Fee Schedule,5.75,,37.6,101,,Fee Schedule,6.84,,37.6,101,,Fee Schedule,6.09,,38.7,104,,Fee Schedule,4.14,, ,,,,,,,,,, ,, ,,,, ,,36.86,172.41,,																																							
Interro eval npgs apnea,5742,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,491.7,467.75,,Fee Schedule,268.47,,491.7,467.75,,Fee Schedule,286.66,,491.7,467.75,,Fee Schedule,229.62,,491.7,467.75,,Fee Schedule,243.39,,491.7,467.75,,Fee Schedule,273.88,,491.7,467.75,,Fee Schedule,287.15,,437.73,416.41,,Fee Schedule,229.81,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,105.12,100,,Fee Schedule,18.08,,107.22,102,,Fee Schedule,12.44,,107.75,102.5,,Fee Schedule,16.38,,105.12,100,,Fee Schedule,18.19,,105.12,100,,Fee Schedule,12.51,,106.17,101,,Fee Schedule,16.46,,106.17,101,,Fee Schedule,16.46,,107.22,101,,Fee Schedule,20.37,,107.22,101,,Fee Schedule,16.41,,107.22,101,,Fee Schedule,19.51,,107.22,101,,Fee Schedule,17.37,,110.38,104,,Fee Schedule,11.81,, ,,,,,,,,,, ,, ,,,, ,,105.12,491.70,,																																							
Prgrmg io rta eltrd ra,5743,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,1362.88,467.75,,Fee Schedule,744.13,,1362.88,467.75,,Fee Schedule,794.56,,1362.88,467.75,,Fee Schedule,636.47,,1362.88,467.75,,Fee Schedule,674.63,,1362.88,467.75,,Fee Schedule,759.13,,1362.88,467.75,,Fee Schedule,795.92,,1213.29,416.41,,Fee Schedule,636.98,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,291.37,100,,Fee Schedule,50.12,,297.2,102,,Fee Schedule,34.47,,298.65,102.5,,Fee Schedule,45.4,,291.37,100,,Fee Schedule,50.41,,291.37,100,,Fee Schedule,34.67,,294.28,101,,Fee Schedule,45.61,,294.28,101,,Fee Schedule,45.61,,297.2,101,,Fee Schedule,56.47,,297.2,101,,Fee Schedule,45.47,,297.2,101,,Fee Schedule,54.09,,297.2,101,,Fee Schedule,48.15,,305.94,104,,Fee Schedule,32.74,, ,,,,,,,,,, ,, ,,,, ,,291.37,1362.88,,																																							
Cardiac rehab,5771,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,591.52,467.75,,Fee Schedule,322.97,,591.52,467.75,,Fee Schedule,344.85,,591.52,467.75,,Fee Schedule,276.24,,591.52,467.75,,Fee Schedule,292.8,,591.52,467.75,,Fee Schedule,329.47,,591.52,467.75,,Fee Schedule,345.45,,526.59,416.41,,Fee Schedule,276.46,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,126.46,100,,Fee Schedule,21.75,,128.99,102,,Fee Schedule,14.96,,129.62,102.5,,Fee Schedule,19.7,,126.46,100,,Fee Schedule,21.88,,126.46,100,,Fee Schedule,15.05,,127.72,101,,Fee Schedule,19.8,,127.72,101,,Fee Schedule,19.8,,128.99,101,,Fee Schedule,24.51,,128.99,101,,Fee Schedule,19.74,,128.99,101,,Fee Schedule,23.48,,128.99,101,,Fee Schedule,20.9,,132.78,104,,Fee Schedule,14.21,, ,,,,,,,,,, ,, ,,,, ,,126.46,591.52,,																																							
Temporary external pacing,5781,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,2897.43,467.75,,Fee Schedule,1582,,2897.43,467.75,,Fee Schedule,1689.2,,2897.43,467.75,,Fee Schedule,1353.1,,2897.43,467.75,,Fee Schedule,1434.23,,2897.43,467.75,,Fee Schedule,1613.87,,2897.43,467.75,,Fee Schedule,1692.1,,2579.41,416.41,,Fee Schedule,1354.19,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,619.44,100,,Fee Schedule,106.54,,631.83,102,,Fee Schedule,73.29,,634.93,102.5,,Fee Schedule,96.51,,619.44,100,,Fee Schedule,107.16,,619.44,100,,Fee Schedule,73.71,,625.63,101,,Fee Schedule,96.97,,625.63,101,,Fee Schedule,96.97,,631.83,101,,Fee Schedule,120.05,,631.83,101,,Fee Schedule,96.67,,631.83,101,,Fee Schedule,114.99,,631.83,101,,Fee Schedule,102.36,,650.41,104,,Fee Schedule,69.59,, ,,,,,,,,,, ,, ,,,, ,,619.44,2897.43,,																																							
Clearance of airways,5791,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,943.4,467.75,,Fee Schedule,515.1,,943.4,467.75,,Fee Schedule,550.01,,943.4,467.75,,Fee Schedule,440.57,,943.4,467.75,,Fee Schedule,466.99,,943.4,467.75,,Fee Schedule,525.48,,943.4,467.75,,Fee Schedule,550.95,,839.86,416.41,,Fee Schedule,440.93,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,201.69,100,,Fee Schedule,34.69,,205.72,102,,Fee Schedule,23.86,,206.73,102.5,,Fee Schedule,31.42,,201.69,100,,Fee Schedule,34.89,,201.69,100,,Fee Schedule,24,,203.71,101,,Fee Schedule,31.57,,203.71,101,,Fee Schedule,31.57,,205.72,101,,Fee Schedule,39.09,,205.72,101,,Fee Schedule,31.48,,205.72,101,,Fee Schedule,37.44,,205.72,101,,Fee Schedule,33.33,,211.77,104,,Fee Schedule,22.66,, ,,,,,,,,,, ,, ,,,, ,,201.69,943.40,,																																							
Vent mgmt inpat init day,5801,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,2742.65,467.75,,Fee Schedule,1497.49,,2742.65,467.75,,Fee Schedule,1598.97,,2742.65,467.75,,Fee Schedule,1280.82,,2742.65,467.75,,Fee Schedule,1357.61,,2742.65,467.75,,Fee Schedule,1527.66,,2742.65,467.75,,Fee Schedule,1601.71,,2441.62,416.41,,Fee Schedule,1281.85,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,586.35,100,,Fee Schedule,100.85,,598.08,102,,Fee Schedule,69.38,,601.01,102.5,,Fee Schedule,91.35,,586.35,100,,Fee Schedule,101.44,,586.35,100,,Fee Schedule,69.78,,592.21,101,,Fee Schedule,91.79,,592.21,101,,Fee Schedule,91.79,,598.08,101,,Fee Schedule,113.63,,598.08,101,,Fee Schedule,91.51,,598.08,101,,Fee Schedule,108.85,,598.08,101,,Fee Schedule,96.89,,615.67,104,,Fee Schedule,65.88,, ,,,,,,,,,, ,, ,,,, ,,586.35,2742.65,,																																							
Osteopath manj 12 regions,5811,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,123.07,467.75,,Fee Schedule,67.19,,123.07,467.75,,Fee Schedule,71.75,,123.07,467.75,,Fee Schedule,57.47,,123.07,467.75,,Fee Schedule,60.92,,123.07,467.75,,Fee Schedule,68.55,,123.07,467.75,,Fee Schedule,71.87,,109.56,416.41,,Fee Schedule,57.52,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,26.31,100,,Fee Schedule,4.53,,26.84,102,,Fee Schedule,3.11,,26.97,102.5,,Fee Schedule,4.1,,26.31,100,,Fee Schedule,4.55,,26.31,100,,Fee Schedule,3.13,,26.57,101,,Fee Schedule,4.12,,26.57,101,,Fee Schedule,4.12,,26.84,101,,Fee Schedule,5.1,,26.84,101,,Fee Schedule,4.11,,26.84,101,,Fee Schedule,4.88,,26.84,101,,Fee Schedule,4.35,,27.63,104,,Fee Schedule,2.96,, ,,,,,,,,,, ,, ,,,, ,,26.31,123.07,,																																							
Bhv id suprt assmt ea 15 min,5821,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,146.22,467.75,,Fee Schedule,79.84,,146.22,467.75,,Fee Schedule,85.25,,146.22,467.75,,Fee Schedule,68.28,,146.22,467.75,,Fee Schedule,72.38,,146.22,467.75,,Fee Schedule,81.44,,146.22,467.75,,Fee Schedule,85.39,,130.17,416.41,,Fee Schedule,68.34,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,31.26,100,,Fee Schedule,5.38,,31.89,102,,Fee Schedule,3.7,,32.04,102.5,,Fee Schedule,4.87,,31.26,100,,Fee Schedule,5.41,,31.26,100,,Fee Schedule,3.72,,31.57,101,,Fee Schedule,4.89,,31.57,101,,Fee Schedule,4.89,,31.89,101,,Fee Schedule,6.06,,31.89,101,,Fee Schedule,4.88,,31.89,101,,Fee Schedule,5.8,,31.89,101,,Fee Schedule,5.17,,32.82,104,,Fee Schedule,3.51,, ,,,,,,,,,, ,, ,,,, ,,31.26,146.22,,																																							
Group psychotherapy,5822,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,373.69,467.75,,Fee Schedule,204.03,,373.69,467.75,,Fee Schedule,217.86,,373.69,467.75,,Fee Schedule,174.51,,373.69,467.75,,Fee Schedule,184.97,,373.69,467.75,,Fee Schedule,208.14,,373.69,467.75,,Fee Schedule,218.23,,332.67,416.41,,Fee Schedule,174.65,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,79.89,100,,Fee Schedule,13.74,,81.49,102,,Fee Schedule,9.45,,81.89,102.5,,Fee Schedule,12.45,,79.89,100,,Fee Schedule,13.82,,79.89,100,,Fee Schedule,9.51,,80.69,101,,Fee Schedule,12.51,,80.69,101,,Fee Schedule,12.51,,81.49,101,,Fee Schedule,15.48,,81.49,101,,Fee Schedule,12.47,,81.49,101,,Fee Schedule,14.83,,81.49,101,,Fee Schedule,13.2,,83.88,104,,Fee Schedule,8.98,, ,,,,,,,,,, ,, ,,,, ,,79.89,373.69,,																																							
Psych diagnostic evaluation,5823,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,717.76,467.75,,Fee Schedule,391.9,,717.76,467.75,,Fee Schedule,418.46,,717.76,467.75,,Fee Schedule,335.2,,717.76,467.75,,Fee Schedule,355.29,,717.76,467.75,,Fee Schedule,399.79,,717.76,467.75,,Fee Schedule,419.17,,638.98,416.41,,Fee Schedule,335.47,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,153.45,100,,Fee Schedule,26.39,,156.52,102,,Fee Schedule,18.16,,157.29,102.5,,Fee Schedule,23.91,,153.45,100,,Fee Schedule,26.55,,153.45,100,,Fee Schedule,18.26,,154.98,101,,Fee Schedule,24.02,,154.98,101,,Fee Schedule,24.02,,156.52,101,,Fee Schedule,29.74,,156.52,101,,Fee Schedule,23.95,,156.52,101,,Fee Schedule,28.49,,156.52,101,,Fee Schedule,25.36,,161.12,104,,Fee Schedule,17.24,, ,,,,,,,,,, ,, ,,,, ,,153.45,717.76,,																																							
Comprehensve oral evaluation,5871,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,8485.45,467.75,,Fee Schedule,4633.06,,8485.45,467.75,,Fee Schedule,4947.02,,8485.45,467.75,,Fee Schedule,3962.71,,8485.45,467.75,,Fee Schedule,4200.3,,8485.45,467.75,,Fee Schedule,4726.4,,8485.45,467.75,,Fee Schedule,4955.5,,7554.09,416.41,,Fee Schedule,3965.9,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,1814.1,100,,Fee Schedule,312.03,,1850.38,102,,Fee Schedule,214.64,,1859.45,102.5,,Fee Schedule,282.64,,1814.1,100,,Fee Schedule,313.84,,1814.1,100,,Fee Schedule,215.88,,1832.24,101,,Fee Schedule,284,,1832.24,101,,Fee Schedule,284,,1850.38,101,,Fee Schedule,351.57,,1850.38,101,,Fee Schedule,283.11,,1850.38,101,,Fee Schedule,336.77,,1850.38,101,,Fee Schedule,299.76,,1904.81,104,,Fee Schedule,203.81,, ,,,,,,,,,, ,, ,,,, ,,1814.10,8485.45,,																																							
Infliximab not biosimil 10mg,7043,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,160.77,467.75,,Fee Schedule,87.78,,160.77,467.75,,Fee Schedule,93.73,,160.77,467.75,,Fee Schedule,75.08,,160.77,467.75,,Fee Schedule,79.58,,160.77,467.75,,Fee Schedule,89.55,,160.77,467.75,,Fee Schedule,93.89,,143.12,416.41,,Fee Schedule,75.14,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,34.37,100,,Fee Schedule,5.91,,35.06,102,,Fee Schedule,4.07,,35.23,102.5,,Fee Schedule,5.35,,34.37,100,,Fee Schedule,5.95,,34.37,100,,Fee Schedule,4.09,,34.71,101,,Fee Schedule,5.38,,34.71,101,,Fee Schedule,5.38,,35.06,101,,Fee Schedule,6.66,,35.06,101,,Fee Schedule,5.36,,35.06,101,,Fee Schedule,6.38,,35.06,101,,Fee Schedule,5.68,,36.09,104,,Fee Schedule,3.86,, ,,,,,,,,,, ,, ,,,, ,,34.37,160.77,,																																							
Doxorubicin inj 10mg,7046,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,713.55,467.75,,Fee Schedule,389.6,,713.55,467.75,,Fee Schedule,416,,713.55,467.75,,Fee Schedule,333.23,,713.55,467.75,,Fee Schedule,353.21,,713.55,467.75,,Fee Schedule,397.45,,713.55,467.75,,Fee Schedule,416.71,,635.23,416.41,,Fee Schedule,333.5,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,152.55,100,,Fee Schedule,26.24,,155.6,102,,Fee Schedule,18.05,,156.36,102.5,,Fee Schedule,23.77,,152.55,100,,Fee Schedule,26.39,,152.55,100,,Fee Schedule,18.15,,154.08,101,,Fee Schedule,23.88,,154.08,101,,Fee Schedule,23.88,,155.6,101,,Fee Schedule,29.56,,155.6,101,,Fee Schedule,23.81,,155.6,101,,Fee Schedule,28.32,,155.6,101,,Fee Schedule,25.21,,160.18,104,,Fee Schedule,17.14,, ,,,,,,,,,, ,, ,,,, ,,152.55,713.55,,																																							
Alteplase recombinant,7048,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,439.26,467.75,,Fee Schedule,239.84,,439.26,467.75,,Fee Schedule,256.09,,439.26,467.75,,Fee Schedule,205.14,,439.26,467.75,,Fee Schedule,217.44,,439.26,467.75,,Fee Schedule,244.67,,439.26,467.75,,Fee Schedule,256.53,,391.05,416.41,,Fee Schedule,205.3,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,93.91,100,,Fee Schedule,16.15,,95.79,102,,Fee Schedule,11.11,,96.26,102.5,,Fee Schedule,14.63,,93.91,100,,Fee Schedule,16.25,,93.91,100,,Fee Schedule,11.18,,94.85,101,,Fee Schedule,14.7,,94.85,101,,Fee Schedule,14.7,,95.79,101,,Fee Schedule,18.2,,95.79,101,,Fee Schedule,14.66,,95.79,101,,Fee Schedule,17.43,,95.79,101,,Fee Schedule,15.52,,98.61,104,,Fee Schedule,10.55,, ,,,,,,,,,, ,, ,,,, ,,93.91,439.26,,																																							
Aminolevulinic acid hcl top,7308,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,1924.09,467.75,,Fee Schedule,1050.55,,1924.09,467.75,,Fee Schedule,1121.74,,1924.09,467.75,,Fee Schedule,898.55,,1924.09,467.75,,Fee Schedule,952.42,,1924.09,467.75,,Fee Schedule,1071.72,,1924.09,467.75,,Fee Schedule,1123.67,,1712.9,416.41,,Fee Schedule,899.27,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,411.35,100,,Fee Schedule,70.75,,419.58,102,,Fee Schedule,48.67,,421.63,102.5,,Fee Schedule,64.09,,411.35,100,,Fee Schedule,71.16,,411.35,100,,Fee Schedule,48.95,,415.46,101,,Fee Schedule,64.4,,415.46,101,,Fee Schedule,64.4,,419.58,101,,Fee Schedule,79.72,,419.58,101,,Fee Schedule,64.2,,419.58,101,,Fee Schedule,76.36,,419.58,101,,Fee Schedule,67.97,,431.92,104,,Fee Schedule,46.22,, ,,,,,,,,,, ,, ,,,, ,,411.35,1924.09,,																																							
Tenecteplase injection,9002,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,754.2,467.75,,Fee Schedule,411.79,,754.2,467.75,,Fee Schedule,439.7,,754.2,467.75,,Fee Schedule,352.21,,754.2,467.75,,Fee Schedule,373.33,,754.2,467.75,,Fee Schedule,420.09,,754.2,467.75,,Fee Schedule,440.45,,671.42,416.41,,Fee Schedule,352.5,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,161.24,100,,Fee Schedule,27.73,,164.46,102,,Fee Schedule,19.08,,165.27,102.5,,Fee Schedule,25.12,,161.24,100,,Fee Schedule,27.89,,161.24,100,,Fee Schedule,19.19,,162.85,101,,Fee Schedule,25.24,,162.85,101,,Fee Schedule,25.24,,164.46,101,,Fee Schedule,31.25,,164.46,101,,Fee Schedule,25.16,,164.46,101,,Fee Schedule,29.93,,164.46,101,,Fee Schedule,26.64,,169.3,104,,Fee Schedule,18.12,, ,,,,,,,,,, ,, ,,,, ,,161.24,754.20,,																																							
Rsv mab im 50mg,9003,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,1673.42,467.75,,Fee Schedule,913.69,,1673.42,467.75,,Fee Schedule,975.61,,1673.42,467.75,,Fee Schedule,781.49,,1673.42,467.75,,Fee Schedule,828.34,,1673.42,467.75,,Fee Schedule,932.1,,1673.42,467.75,,Fee Schedule,977.28,,1489.75,416.41,,Fee Schedule,782.12,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,357.76,100,,Fee Schedule,61.53,,364.92,102,,Fee Schedule,42.33,,366.7,102.5,,Fee Schedule,55.74,,357.76,100,,Fee Schedule,61.89,,357.76,100,,Fee Schedule,42.57,,361.34,101,,Fee Schedule,56.01,,361.34,101,,Fee Schedule,56.01,,364.92,101,,Fee Schedule,69.33,,364.92,101,,Fee Schedule,55.83,,364.92,101,,Fee Schedule,66.41,,364.92,101,,Fee Schedule,59.12,,375.65,104,,Fee Schedule,40.19,, ,,,,,,,,,, ,, ,,,, ,,357.76,1673.42,,																																							
Injection, inclisiran, 1 mg,9004,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,59.22,467.75,,Fee Schedule,32.33,,59.22,467.75,,Fee Schedule,34.52,,59.22,467.75,,Fee Schedule,27.65,,59.22,467.75,,Fee Schedule,29.31,,59.22,467.75,,Fee Schedule,32.98,,59.22,467.75,,Fee Schedule,34.58,,52.72,416.41,,Fee Schedule,27.68,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,12.66,100,,Fee Schedule,2.18,,12.91,102,,Fee Schedule,1.5,,12.98,102.5,,Fee Schedule,1.97,,12.66,100,,Fee Schedule,2.19,,12.66,100,,Fee Schedule,1.51,,12.79,101,,Fee Schedule,1.98,,12.79,101,,Fee Schedule,1.98,,12.91,101,,Fee Schedule,2.45,,12.91,101,,Fee Schedule,1.98,,12.91,101,,Fee Schedule,2.35,,12.91,101,,Fee Schedule,2.09,,13.29,104,,Fee Schedule,1.42,, ,,,,,,,,,, ,, ,,,, ,,12.66,104.00,,																																							
Reteplase injection,9005,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,13734.87,467.75,,Fee Schedule,7499.24,,13734.87,467.75,,Fee Schedule,8007.43,,13734.87,467.75,,Fee Schedule,6414.18,,13734.87,467.75,,Fee Schedule,6798.76,,13734.87,467.75,,Fee Schedule,7650.32,,13734.87,467.75,,Fee Schedule,8021.16,,12227.34,416.41,,Fee Schedule,6419.35,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,2936.37,100,,Fee Schedule,505.06,,2995.1,102,,Fee Schedule,347.43,,3009.78,102.5,,Fee Schedule,457.49,,2936.37,100,,Fee Schedule,507.99,,2936.37,100,,Fee Schedule,349.43,,2965.73,101,,Fee Schedule,459.69,,2965.73,101,,Fee Schedule,459.69,,2995.1,101,,Fee Schedule,569.07,,2995.1,101,,Fee Schedule,458.25,,2995.1,101,,Fee Schedule,545.11,,2995.1,101,,Fee Schedule,485.21,,3083.19,104,,Fee Schedule,329.9,, ,,,,,,,,,, ,, ,,,, ,,2936.37,13734.87,,																																							
Tacrolimus injection,9006,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,1225.41,467.75,,Fee Schedule,669.07,,1225.41,467.75,,Fee Schedule,714.41,,1225.41,467.75,,Fee Schedule,572.27,,1225.41,467.75,,Fee Schedule,606.58,,1225.41,467.75,,Fee Schedule,682.55,,1225.41,467.75,,Fee Schedule,715.64,,1090.91,416.41,,Fee Schedule,572.73,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,261.98,100,,Fee Schedule,45.06,,267.22,102,,Fee Schedule,31,,268.53,102.5,,Fee Schedule,40.82,,261.98,100,,Fee Schedule,45.32,,261.98,100,,Fee Schedule,31.18,,264.6,101,,Fee Schedule,41.01,,264.6,101,,Fee Schedule,41.01,,267.22,101,,Fee Schedule,50.77,,267.22,101,,Fee Schedule,40.88,,267.22,101,,Fee Schedule,48.63,,267.22,101,,Fee Schedule,43.29,,275.08,104,,Fee Schedule,29.43,, ,,,,,,,,,, ,, ,,,, ,,261.98,1225.41,,																																							
Inj cutaquig 100 mg,9007,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,69.18,467.75,,Fee Schedule,37.77,,69.18,467.75,,Fee Schedule,40.33,,69.18,467.75,,Fee Schedule,32.31,,69.18,467.75,,Fee Schedule,34.24,,69.18,467.75,,Fee Schedule,38.53,,69.18,467.75,,Fee Schedule,40.4,,61.59,416.41,,Fee Schedule,32.33,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,14.79,100,,Fee Schedule,2.54,,15.09,102,,Fee Schedule,1.75,,15.16,102.5,,Fee Schedule,2.3,,14.79,100,,Fee Schedule,2.56,,14.79,100,,Fee Schedule,1.76,,14.94,101,,Fee Schedule,2.32,,14.94,101,,Fee Schedule,2.32,,15.09,101,,Fee Schedule,2.87,,15.09,101,,Fee Schedule,2.31,,15.09,101,,Fee Schedule,2.75,,15.09,101,,Fee Schedule,2.44,,15.53,104,,Fee Schedule,1.66,, ,,,,,,,,,, ,, ,,,, ,,14.79,104.00,,																																							
Inj tezepelumabekko, 1mg,9008,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,91.54,467.75,,Fee Schedule,49.98,,91.54,467.75,,Fee Schedule,53.37,,91.54,467.75,,Fee Schedule,42.75,,91.54,467.75,,Fee Schedule,45.31,,91.54,467.75,,Fee Schedule,50.99,,91.54,467.75,,Fee Schedule,53.46,,81.49,416.41,,Fee Schedule,42.78,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,19.57,100,,Fee Schedule,3.37,,19.96,102,,Fee Schedule,2.32,,20.06,102.5,,Fee Schedule,3.05,,19.57,100,,Fee Schedule,3.39,,19.57,100,,Fee Schedule,2.33,,19.77,101,,Fee Schedule,3.06,,19.77,101,,Fee Schedule,3.06,,19.96,101,,Fee Schedule,3.79,,19.96,101,,Fee Schedule,3.05,,19.96,101,,Fee Schedule,3.63,,19.96,101,,Fee Schedule,3.23,,20.55,104,,Fee Schedule,2.2,, ,,,,,,,,,, ,, ,,,, ,,19.57,104.00,,																																							
Inj, vutrisiran, 1 mg,9009,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,24387.69,467.75,,Fee Schedule,13315.68,,24387.69,467.75,,Fee Schedule,14218.02,,24387.69,467.75,,Fee Schedule,11389.05,,24387.69,467.75,,Fee Schedule,12071.91,,24387.69,467.75,,Fee Schedule,13583.94,,24387.69,467.75,,Fee Schedule,14242.41,,21710.91,416.41,,Fee Schedule,11398.23,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,5213.83,100,,Fee Schedule,896.78,,5318.11,102,,Fee Schedule,616.9,,5344.18,102.5,,Fee Schedule,812.31,,5213.83,100,,Fee Schedule,901.99,,5213.83,100,,Fee Schedule,620.45,,5265.97,101,,Fee Schedule,816.23,,5265.97,101,,Fee Schedule,816.23,,5318.11,101,,Fee Schedule,1010.44,,5318.11,101,,Fee Schedule,813.67,,5318.11,101,,Fee Schedule,967.9,,5318.11,101,,Fee Schedule,861.53,,5474.52,104,,Fee Schedule,585.77,, ,,,,,,,,,, ,, ,,,, ,,5213.83,24387.69,,																																							
Inj efgartigimod 2mg,9010,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,158.19,467.75,,Fee Schedule,86.37,,158.19,467.75,,Fee Schedule,92.23,,158.19,467.75,,Fee Schedule,73.88,,158.19,467.75,,Fee Schedule,78.31,,158.19,467.75,,Fee Schedule,88.11,,158.19,467.75,,Fee Schedule,92.38,,140.83,416.41,,Fee Schedule,73.94,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,33.82,100,,Fee Schedule,5.82,,34.5,102,,Fee Schedule,4,,34.67,102.5,,Fee Schedule,5.27,,33.82,100,,Fee Schedule,5.85,,33.82,100,,Fee Schedule,4.02,,34.16,101,,Fee Schedule,5.29,,34.16,101,,Fee Schedule,5.29,,34.5,101,,Fee Schedule,6.55,,34.5,101,,Fee Schedule,5.28,,34.5,101,,Fee Schedule,6.28,,34.5,101,,Fee Schedule,5.59,,35.51,104,,Fee Schedule,3.8,, ,,,,,,,,,, ,, ,,,, ,,33.82,158.19,,																																							
Mmrv vaccine sc,9011,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,788.25,467.75,,Fee Schedule,430.39,,788.25,467.75,,Fee Schedule,459.55,,788.25,467.75,,Fee Schedule,368.11,,788.25,467.75,,Fee Schedule,390.18,,788.25,467.75,,Fee Schedule,439.06,,788.25,467.75,,Fee Schedule,460.34,,701.73,416.41,,Fee Schedule,368.41,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,168.52,100,,Fee Schedule,28.99,,171.89,102,,Fee Schedule,19.94,,172.73,102.5,,Fee Schedule,26.26,,168.52,100,,Fee Schedule,29.15,,168.52,100,,Fee Schedule,20.05,,170.21,101,,Fee Schedule,26.38,,170.21,101,,Fee Schedule,26.38,,171.89,101,,Fee Schedule,32.66,,171.89,101,,Fee Schedule,26.3,,171.89,101,,Fee Schedule,31.28,,171.89,101,,Fee Schedule,27.85,,176.95,104,,Fee Schedule,18.93,, ,,,,,,,,,, ,, ,,,, ,,168.52,788.25,,																																							
Arsenic trioxide injection,9012,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,91.12,467.75,,Fee Schedule,49.75,,91.12,467.75,,Fee Schedule,53.12,,91.12,467.75,,Fee Schedule,42.55,,91.12,467.75,,Fee Schedule,45.1,,91.12,467.75,,Fee Schedule,50.75,,91.12,467.75,,Fee Schedule,53.21,,81.12,416.41,,Fee Schedule,42.59,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,19.48,100,,Fee Schedule,3.35,,19.87,102,,Fee Schedule,2.3,,19.97,102.5,,Fee Schedule,3.03,,19.48,100,,Fee Schedule,3.37,,19.48,100,,Fee Schedule,2.32,,19.67,101,,Fee Schedule,3.05,,19.67,101,,Fee Schedule,3.05,,19.87,101,,Fee Schedule,3.78,,19.87,101,,Fee Schedule,3.04,,19.87,101,,Fee Schedule,3.62,,19.87,101,,Fee Schedule,3.22,,20.45,104,,Fee Schedule,2.19,, ,,,,,,,,,, ,, ,,,, ,,19.48,104.00,,																																							
Inj risankizumabrzaa 1 mg,9013,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,75.54,467.75,,Fee Schedule,41.25,,75.54,467.75,,Fee Schedule,44.04,,75.54,467.75,,Fee Schedule,35.28,,75.54,467.75,,Fee Schedule,37.39,,75.54,467.75,,Fee Schedule,42.08,,75.54,467.75,,Fee Schedule,44.12,,67.25,416.41,,Fee Schedule,35.31,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,16.15,100,,Fee Schedule,2.78,,16.47,102,,Fee Schedule,1.91,,16.55,102.5,,Fee Schedule,2.52,,16.15,100,,Fee Schedule,2.79,,16.15,100,,Fee Schedule,1.92,,16.31,101,,Fee Schedule,2.53,,16.31,101,,Fee Schedule,2.53,,16.47,101,,Fee Schedule,3.13,,16.47,101,,Fee Schedule,2.52,,16.47,101,,Fee Schedule,3,,16.47,101,,Fee Schedule,2.67,,16.96,104,,Fee Schedule,1.81,, ,,,,,,,,,, ,, ,,,, ,,16.15,104.00,,																																							
Inj., triptorelin xr 3.75 mg,9016,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,15888.16,467.75,,Fee Schedule,8674.93,,15888.16,467.75,,Fee Schedule,9262.8,,15888.16,467.75,,Fee Schedule,7419.77,,15888.16,467.75,,Fee Schedule,7864.64,,15888.16,467.75,,Fee Schedule,8849.7,,15888.16,467.75,,Fee Schedule,9278.68,,14144.28,416.41,,Fee Schedule,7425.75,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,3396.72,100,,Fee Schedule,584.24,,3464.65,102,,Fee Schedule,401.9,,3481.64,102.5,,Fee Schedule,529.21,,3396.72,100,,Fee Schedule,587.63,,3396.72,100,,Fee Schedule,404.21,,3430.69,101,,Fee Schedule,531.76,,3430.69,101,,Fee Schedule,531.76,,3464.65,101,,Fee Schedule,658.28,,3464.65,101,,Fee Schedule,530.09,,3464.65,101,,Fee Schedule,630.57,,3464.65,101,,Fee Schedule,561.27,,3566.56,104,,Fee Schedule,381.62,, ,,,,,,,,,, ,, ,,,, ,,3396.72,15888.16,,																																							
Inj. byooviz, 0.1 mg,9017,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,983.07,467.75,,Fee Schedule,536.76,,983.07,467.75,,Fee Schedule,573.13,,983.07,467.75,,Fee Schedule,459.09,,983.07,467.75,,Fee Schedule,486.62,,983.07,467.75,,Fee Schedule,547.57,,983.07,467.75,,Fee Schedule,574.11,,875.17,416.41,,Fee Schedule,459.46,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,210.17,100,,Fee Schedule,36.15,,214.37,102,,Fee Schedule,24.87,,215.42,102.5,,Fee Schedule,32.74,,210.17,100,,Fee Schedule,36.36,,210.17,100,,Fee Schedule,25.01,,212.27,101,,Fee Schedule,32.9,,212.27,101,,Fee Schedule,32.9,,214.37,101,,Fee Schedule,40.73,,214.37,101,,Fee Schedule,32.8,,214.37,101,,Fee Schedule,39.02,,214.37,101,,Fee Schedule,34.73,,220.68,104,,Fee Schedule,23.61,, ,,,,,,,,,, ,, ,,,, ,,210.17,983.07,,																																							
Inj, rimabotulinumtoxinb,9018,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,64.27,467.75,,Fee Schedule,35.09,,64.27,467.75,,Fee Schedule,37.47,,64.27,467.75,,Fee Schedule,30.01,,64.27,467.75,,Fee Schedule,31.81,,64.27,467.75,,Fee Schedule,35.8,,64.27,467.75,,Fee Schedule,37.53,,57.21,416.41,,Fee Schedule,30.04,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,13.74,100,,Fee Schedule,2.36,,14.01,102,,Fee Schedule,1.63,,14.08,102.5,,Fee Schedule,2.14,,13.74,100,,Fee Schedule,2.38,,13.74,100,,Fee Schedule,1.64,,13.88,101,,Fee Schedule,2.15,,13.88,101,,Fee Schedule,2.15,,14.01,101,,Fee Schedule,2.66,,14.01,101,,Fee Schedule,2.14,,14.01,101,,Fee Schedule,2.55,,14.01,101,,Fee Schedule,2.27,,14.43,104,,Fee Schedule,1.54,, ,,,,,,,,,, ,, ,,,, ,,13.74,104.00,,																																							
Argatroban nonesrd (accord),9020,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,1.82,467.75,,Fee Schedule,1,,1.82,467.75,,Fee Schedule,1.06,,1.82,467.75,,Fee Schedule,0.85,,1.82,467.75,,Fee Schedule,0.9,,1.82,467.75,,Fee Schedule,1.02,,1.82,467.75,,Fee Schedule,1.07,,1.62,416.41,,Fee Schedule,0.85,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,0.39,100,,Fee Schedule,0.07,,0.4,102,,Fee Schedule,0.05,,0.4,102.5,,Fee Schedule,0.06,,0.39,100,,Fee Schedule,0.07,,0.39,100,,Fee Schedule,0.05,,0.39,101,,Fee Schedule,0.06,,0.39,101,,Fee Schedule,0.06,,0.4,101,,Fee Schedule,0.08,,0.4,101,,Fee Schedule,0.06,,0.4,101,,Fee Schedule,0.07,,0.4,101,,Fee Schedule,0.06,,0.41,104,,Fee Schedule,0.04,, ,,,,,,,,,, ,, ,,,, ,,0.39,104.00,,																																							
Argatroban dialysis (accord),9021,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,1.82,467.75,,Fee Schedule,1,,1.82,467.75,,Fee Schedule,1.06,,1.82,467.75,,Fee Schedule,0.85,,1.82,467.75,,Fee Schedule,0.9,,1.82,467.75,,Fee Schedule,1.02,,1.82,467.75,,Fee Schedule,1.07,,1.62,416.41,,Fee Schedule,0.85,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,0.39,100,,Fee Schedule,0.07,,0.4,102,,Fee Schedule,0.05,,0.4,102.5,,Fee Schedule,0.06,,0.39,100,,Fee Schedule,0.07,,0.39,100,,Fee Schedule,0.05,,0.39,101,,Fee Schedule,0.06,,0.39,101,,Fee Schedule,0.06,,0.4,101,,Fee Schedule,0.08,,0.4,101,,Fee Schedule,0.06,,0.4,101,,Fee Schedule,0.07,,0.4,101,,Fee Schedule,0.06,,0.41,104,,Fee Schedule,0.04,, ,,,,,,,,,, ,, ,,,, ,,0.39,104.00,,																																							
Argatroban nonesrd (auromed),9022,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,20.35,467.75,,Fee Schedule,11.11,,20.35,467.75,,Fee Schedule,11.86,,20.35,467.75,,Fee Schedule,9.5,,20.35,467.75,,Fee Schedule,10.07,,20.35,467.75,,Fee Schedule,11.33,,20.35,467.75,,Fee Schedule,11.88,,18.11,416.41,,Fee Schedule,9.51,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,4.35,100,,Fee Schedule,0.75,,4.44,102,,Fee Schedule,0.51,,4.46,102.5,,Fee Schedule,0.68,,4.35,100,,Fee Schedule,0.75,,4.35,100,,Fee Schedule,0.52,,4.39,101,,Fee Schedule,0.68,,4.39,101,,Fee Schedule,0.68,,4.44,101,,Fee Schedule,0.84,,4.44,101,,Fee Schedule,0.68,,4.44,101,,Fee Schedule,0.81,,4.44,101,,Fee Schedule,0.72,,4.57,104,,Fee Schedule,0.49,, ,,,,,,,,,, ,, ,,,, ,,4.35,104.00,,																																							
Argatroban dialysis, auromed,9023,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,20.35,467.75,,Fee Schedule,11.11,,20.35,467.75,,Fee Schedule,11.86,,20.35,467.75,,Fee Schedule,9.5,,20.35,467.75,,Fee Schedule,10.07,,20.35,467.75,,Fee Schedule,11.33,,20.35,467.75,,Fee Schedule,11.88,,18.11,416.41,,Fee Schedule,9.51,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,4.35,100,,Fee Schedule,0.75,,4.44,102,,Fee Schedule,0.51,,4.46,102.5,,Fee Schedule,0.68,,4.35,100,,Fee Schedule,0.75,,4.35,100,,Fee Schedule,0.52,,4.39,101,,Fee Schedule,0.68,,4.39,101,,Fee Schedule,0.68,,4.44,101,,Fee Schedule,0.84,,4.44,101,,Fee Schedule,0.68,,4.44,101,,Fee Schedule,0.81,,4.44,101,,Fee Schedule,0.72,,4.57,104,,Fee Schedule,0.49,, ,,,,,,,,,, ,, ,,,, ,,4.35,104.00,,																																							
Amphotericin b lipid complex,9024,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,54.82,467.75,,Fee Schedule,29.93,,54.82,467.75,,Fee Schedule,31.96,,54.82,467.75,,Fee Schedule,25.6,,54.82,467.75,,Fee Schedule,27.14,,54.82,467.75,,Fee Schedule,30.53,,54.82,467.75,,Fee Schedule,32.02,,48.8,416.41,,Fee Schedule,25.62,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,11.72,100,,Fee Schedule,2.02,,11.95,102,,Fee Schedule,1.39,,12.01,102.5,,Fee Schedule,1.83,,11.72,100,,Fee Schedule,2.03,,11.72,100,,Fee Schedule,1.39,,11.84,101,,Fee Schedule,1.83,,11.84,101,,Fee Schedule,1.83,,11.95,101,,Fee Schedule,2.27,,11.95,101,,Fee Schedule,1.83,,11.95,101,,Fee Schedule,2.18,,11.95,101,,Fee Schedule,1.94,,12.31,104,,Fee Schedule,1.32,, ,,,,,,,,,, ,, ,,,, ,,11.72,104.00,,																																							
Inj glucagon hcl, fresenius,9025,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,545.68,467.75,,Fee Schedule,297.94,,545.68,467.75,,Fee Schedule,318.13,,545.68,467.75,,Fee Schedule,254.83,,545.68,467.75,,Fee Schedule,270.11,,545.68,467.75,,Fee Schedule,303.94,,545.68,467.75,,Fee Schedule,318.68,,485.78,416.41,,Fee Schedule,255.04,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,116.66,100,,Fee Schedule,20.07,,118.99,102,,Fee Schedule,13.8,,119.58,102.5,,Fee Schedule,18.18,,116.66,100,,Fee Schedule,20.18,,116.66,100,,Fee Schedule,13.88,,117.83,101,,Fee Schedule,18.26,,117.83,101,,Fee Schedule,18.26,,118.99,101,,Fee Schedule,22.61,,118.99,101,,Fee Schedule,18.21,,118.99,101,,Fee Schedule,21.66,,118.99,101,,Fee Schedule,19.28,,122.49,104,,Fee Schedule,13.11,, ,,,,,,,,,, ,, ,,,, ,,116.66,545.68,,																																							
Inj, bortezomib, dr. reddy's,9026,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,239.16,467.75,,Fee Schedule,130.58,,239.16,467.75,,Fee Schedule,139.43,,239.16,467.75,,Fee Schedule,111.69,,239.16,467.75,,Fee Schedule,118.38,,239.16,467.75,,Fee Schedule,133.21,,239.16,467.75,,Fee Schedule,139.67,,212.91,416.41,,Fee Schedule,111.78,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,51.13,100,,Fee Schedule,8.79,,52.15,102,,Fee Schedule,6.05,,52.41,102.5,,Fee Schedule,7.97,,51.13,100,,Fee Schedule,8.85,,51.13,100,,Fee Schedule,6.08,,51.64,101,,Fee Schedule,8,,51.64,101,,Fee Schedule,8,,52.15,101,,Fee Schedule,9.91,,52.15,101,,Fee Schedule,7.98,,52.15,101,,Fee Schedule,9.49,,52.15,101,,Fee Schedule,8.45,,53.69,104,,Fee Schedule,5.74,, ,,,,,,,,,, ,, ,,,, ,,51.13,239.16,,																																							
Inj, bortezomib freseniuskab,9027,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,239.16,467.75,,Fee Schedule,130.58,,239.16,467.75,,Fee Schedule,139.43,,239.16,467.75,,Fee Schedule,111.69,,239.16,467.75,,Fee Schedule,118.38,,239.16,467.75,,Fee Schedule,133.21,,239.16,467.75,,Fee Schedule,139.67,,212.91,416.41,,Fee Schedule,111.78,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,51.13,100,,Fee Schedule,8.79,,52.15,102,,Fee Schedule,6.05,,52.41,102.5,,Fee Schedule,7.97,,51.13,100,,Fee Schedule,8.85,,51.13,100,,Fee Schedule,6.08,,51.64,101,,Fee Schedule,8,,51.64,101,,Fee Schedule,8,,52.15,101,,Fee Schedule,9.91,,52.15,101,,Fee Schedule,7.98,,52.15,101,,Fee Schedule,9.49,,52.15,101,,Fee Schedule,8.45,,53.69,104,,Fee Schedule,5.74,, ,,,,,,,,,, ,, ,,,, ,,51.13,239.16,,																																							
Inj inotuzumab ozogam 0.1 mg,9028,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,12461.7,467.75,,Fee Schedule,6804.09,,12461.7,467.75,,Fee Schedule,7265.17,,12461.7,467.75,,Fee Schedule,5819.61,,12461.7,467.75,,Fee Schedule,6168.54,,12461.7,467.75,,Fee Schedule,6941.17,,12461.7,467.75,,Fee Schedule,7277.63,,11093.91,416.41,,Fee Schedule,5824.3,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,2664.18,100,,Fee Schedule,458.24,,2717.46,102,,Fee Schedule,315.23,,2730.78,102.5,,Fee Schedule,415.08,,2664.18,100,,Fee Schedule,460.9,,2664.18,100,,Fee Schedule,317.04,,2690.82,101,,Fee Schedule,417.08,,2690.82,101,,Fee Schedule,417.08,,2717.46,101,,Fee Schedule,516.32,,2717.46,101,,Fee Schedule,415.77,,2717.46,101,,Fee Schedule,494.58,,2717.46,101,,Fee Schedule,440.23,,2797.39,104,,Fee Schedule,299.32,, ,,,,,,,,,, ,, ,,,, ,,2664.18,12461.70,,																																							
Inj., guselkumab, 1 mg,9029,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,367.65,467.75,,Fee Schedule,200.74,,367.65,467.75,,Fee Schedule,214.34,,367.65,467.75,,Fee Schedule,171.69,,367.65,467.75,,Fee Schedule,181.99,,367.65,467.75,,Fee Schedule,204.78,,367.65,467.75,,Fee Schedule,214.71,,327.3,416.41,,Fee Schedule,171.83,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,78.6,100,,Fee Schedule,13.52,,80.17,102,,Fee Schedule,9.3,,80.57,102.5,,Fee Schedule,12.25,,78.6,100,,Fee Schedule,13.6,,78.6,100,,Fee Schedule,9.35,,79.39,101,,Fee Schedule,12.3,,79.39,101,,Fee Schedule,12.3,,80.17,101,,Fee Schedule,15.23,,80.17,101,,Fee Schedule,12.27,,80.17,101,,Fee Schedule,14.59,,80.17,101,,Fee Schedule,12.99,,82.53,104,,Fee Schedule,8.83,, ,,,,,,,,,, ,, ,,,, ,,78.60,367.65,,																																							
Inj., copanlisib, 1 mg,9030,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,422.24,467.75,,Fee Schedule,230.54,,422.24,467.75,,Fee Schedule,246.16,,422.24,467.75,,Fee Schedule,197.19,,422.24,467.75,,Fee Schedule,209.01,,422.24,467.75,,Fee Schedule,235.19,,422.24,467.75,,Fee Schedule,246.59,,375.89,416.41,,Fee Schedule,197.34,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,90.27,100,,Fee Schedule,15.53,,92.08,102,,Fee Schedule,10.68,,92.53,102.5,,Fee Schedule,14.06,,90.27,100,,Fee Schedule,15.62,,90.27,100,,Fee Schedule,10.74,,91.17,101,,Fee Schedule,14.13,,91.17,101,,Fee Schedule,14.13,,92.08,101,,Fee Schedule,17.49,,92.08,101,,Fee Schedule,14.09,,92.08,101,,Fee Schedule,16.76,,92.08,101,,Fee Schedule,14.92,,94.78,104,,Fee Schedule,10.14,, ,,,,,,,,,, ,, ,,,, ,,90.27,422.24,,																																							
Baclofen 10 mg injection,9032,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,897.89,467.75,,Fee Schedule,490.25,,897.89,467.75,,Fee Schedule,523.47,,897.89,467.75,,Fee Schedule,419.32,,897.89,467.75,,Fee Schedule,444.46,,897.89,467.75,,Fee Schedule,500.13,,897.89,467.75,,Fee Schedule,524.37,,799.34,416.41,,Fee Schedule,419.65,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,191.96,100,,Fee Schedule,33.02,,195.8,102,,Fee Schedule,22.71,,196.76,102.5,,Fee Schedule,29.91,,191.96,100,,Fee Schedule,33.21,,191.96,100,,Fee Schedule,22.84,,193.88,101,,Fee Schedule,30.05,,193.88,101,,Fee Schedule,30.05,,195.8,101,,Fee Schedule,37.2,,195.8,101,,Fee Schedule,29.96,,195.8,101,,Fee Schedule,35.64,,195.8,101,,Fee Schedule,31.72,,201.56,104,,Fee Schedule,21.57,, ,,,,,,,,,, ,, ,,,, ,,191.96,897.89,,																																							
Cidofovir injection,9033,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,2711.41,467.75,,Fee Schedule,1480.43,,2711.41,467.75,,Fee Schedule,1580.75,,2711.41,467.75,,Fee Schedule,1266.23,,2711.41,467.75,,Fee Schedule,1342.15,,2711.41,467.75,,Fee Schedule,1510.25,,2711.41,467.75,,Fee Schedule,1583.46,,2413.8,416.41,,Fee Schedule,1267.25,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,579.67,100,,Fee Schedule,99.7,,591.26,102,,Fee Schedule,68.59,,594.16,102.5,,Fee Schedule,90.31,,579.67,100,,Fee Schedule,100.28,,579.67,100,,Fee Schedule,68.98,,585.47,101,,Fee Schedule,90.75,,585.47,101,,Fee Schedule,90.75,,591.26,101,,Fee Schedule,112.34,,591.26,101,,Fee Schedule,90.46,,591.26,101,,Fee Schedule,107.61,,591.26,101,,Fee Schedule,95.78,,608.65,104,,Fee Schedule,65.13,, ,,,,,,,,,, ,, ,,,, ,,579.67,2711.41,,																																							
Inj cuvitru, 100 mg,9034,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,77.46,467.75,,Fee Schedule,42.29,,77.46,467.75,,Fee Schedule,45.16,,77.46,467.75,,Fee Schedule,36.17,,77.46,467.75,,Fee Schedule,38.34,,77.46,467.75,,Fee Schedule,43.14,,77.46,467.75,,Fee Schedule,45.24,,68.96,416.41,,Fee Schedule,36.2,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,16.56,100,,Fee Schedule,2.85,,16.89,102,,Fee Schedule,1.96,,16.97,102.5,,Fee Schedule,2.58,,16.56,100,,Fee Schedule,2.86,,16.56,100,,Fee Schedule,1.97,,16.73,101,,Fee Schedule,2.59,,16.73,101,,Fee Schedule,2.59,,16.89,101,,Fee Schedule,3.21,,16.89,101,,Fee Schedule,2.58,,16.89,101,,Fee Schedule,3.07,,16.89,101,,Fee Schedule,2.74,,17.39,104,,Fee Schedule,1.86,, ,,,,,,,,,, ,, ,,,, ,,16.56,104.00,,																																							
Axicabtagene ciloleucel car+,9035,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,2213654.1,467.75,,Fee Schedule,1208655.14,,2213654.1,467.75,,Fee Schedule,1290560.34,,2213654.1,467.75,,Fee Schedule,1033776.46,,2213654.1,467.75,,Fee Schedule,1095758.78,,2213654.1,467.75,,Fee Schedule,1233005.33,,2213654.1,467.75,,Fee Schedule,1292773.99,,1970684.56,416.41,,Fee Schedule,1034609.39,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,473255.82,100,,Fee Schedule,81400,,482720.94,102,,Fee Schedule,55995.63,,485087.22,102.5,,Fee Schedule,73733.26,,473255.82,100,,Fee Schedule,81873.26,,473255.82,100,,Fee Schedule,56317.44,,477988.38,101,,Fee Schedule,74088.2,,477988.38,101,,Fee Schedule,74088.2,,482720.94,101,,Fee Schedule,91716.98,,482720.94,101,,Fee Schedule,73856.3,,482720.94,101,,Fee Schedule,87855.21,,482720.94,101,,Fee Schedule,78200.79,,496918.61,104,,Fee Schedule,53170.29,, ,,,,,,,,,, ,, ,,,, ,,473255.82,2213654.10,,																																							
Injection, renflexis,9036,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,160.39,467.75,,Fee Schedule,87.57,,160.39,467.75,,Fee Schedule,93.51,,160.39,467.75,,Fee Schedule,74.9,,160.39,467.75,,Fee Schedule,79.39,,160.39,467.75,,Fee Schedule,89.34,,160.39,467.75,,Fee Schedule,93.67,,142.79,416.41,,Fee Schedule,74.96,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,34.29,100,,Fee Schedule,5.9,,34.98,102,,Fee Schedule,4.06,,35.15,102.5,,Fee Schedule,5.34,,34.29,100,,Fee Schedule,5.93,,34.29,100,,Fee Schedule,4.08,,34.63,101,,Fee Schedule,5.37,,34.63,101,,Fee Schedule,5.37,,34.98,101,,Fee Schedule,6.65,,34.98,101,,Fee Schedule,5.35,,34.98,101,,Fee Schedule,6.37,,34.98,101,,Fee Schedule,5.67,,36,104,,Fee Schedule,3.85,, ,,,,,,,,,, ,, ,,,, ,,34.29,160.39,,																																							
Aripiprazole injection,9037,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,25.87,467.75,,Fee Schedule,14.12,,25.87,467.75,,Fee Schedule,15.08,,25.87,467.75,,Fee Schedule,12.08,,25.87,467.75,,Fee Schedule,12.8,,25.87,467.75,,Fee Schedule,14.41,,25.87,467.75,,Fee Schedule,15.11,,23.03,416.41,,Fee Schedule,12.09,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,5.53,100,,Fee Schedule,0.95,,5.64,102,,Fee Schedule,0.65,,5.67,102.5,,Fee Schedule,0.86,,5.53,100,,Fee Schedule,0.96,,5.53,100,,Fee Schedule,0.66,,5.59,101,,Fee Schedule,0.87,,5.59,101,,Fee Schedule,0.87,,5.64,101,,Fee Schedule,1.07,,5.64,101,,Fee Schedule,0.86,,5.64,101,,Fee Schedule,1.03,,5.64,101,,Fee Schedule,0.91,,5.81,104,,Fee Schedule,0.62,, ,,,,,,,,,, ,, ,,,, ,,5.53,104.00,,																																							
Inj estrogen conjugate 25 mg,9038,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,1834.98,467.75,,Fee Schedule,1001.9,,1834.98,467.75,,Fee Schedule,1069.8,,1834.98,467.75,,Fee Schedule,856.94,,1834.98,467.75,,Fee Schedule,908.32,,1834.98,467.75,,Fee Schedule,1022.09,,1834.98,467.75,,Fee Schedule,1071.63,,1633.58,416.41,,Fee Schedule,857.63,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,392.3,100,,Fee Schedule,67.48,,400.15,102,,Fee Schedule,46.42,,402.11,102.5,,Fee Schedule,61.12,,392.3,100,,Fee Schedule,67.87,,392.3,100,,Fee Schedule,46.68,,396.22,101,,Fee Schedule,61.41,,396.22,101,,Fee Schedule,61.41,,400.15,101,,Fee Schedule,76.03,,400.15,101,,Fee Schedule,61.22,,400.15,101,,Fee Schedule,72.83,,400.15,101,,Fee Schedule,64.82,,411.92,104,,Fee Schedule,44.07,, ,,,,,,,,,, ,, ,,,, ,,392.30,1834.98,,																																							
Dimecaprol injection,9039,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,294.64,467.75,,Fee Schedule,160.87,,294.64,467.75,,Fee Schedule,171.77,,294.64,467.75,,Fee Schedule,137.59,,294.64,467.75,,Fee Schedule,145.84,,294.64,467.75,,Fee Schedule,164.11,,294.64,467.75,,Fee Schedule,172.07,,262.3,416.41,,Fee Schedule,137.71,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,62.99,100,,Fee Schedule,10.83,,64.25,102,,Fee Schedule,7.45,,64.56,102.5,,Fee Schedule,9.81,,62.99,100,,Fee Schedule,10.9,,62.99,100,,Fee Schedule,7.5,,63.62,101,,Fee Schedule,9.86,,63.62,101,,Fee Schedule,9.86,,64.25,101,,Fee Schedule,12.21,,64.25,101,,Fee Schedule,9.83,,64.25,101,,Fee Schedule,11.69,,64.25,101,,Fee Schedule,10.41,,66.14,104,,Fee Schedule,7.08,, ,,,,,,,,,, ,, ,,,, ,,62.99,294.64,,																																							
Epoetin beta esrd use,9041,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,8.42,467.75,,Fee Schedule,4.6,,8.42,467.75,,Fee Schedule,4.91,,8.42,467.75,,Fee Schedule,3.93,,8.42,467.75,,Fee Schedule,4.17,,8.42,467.75,,Fee Schedule,4.69,,8.42,467.75,,Fee Schedule,4.92,,7.5,416.41,,Fee Schedule,3.94,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,1.8,100,,Fee Schedule,0.31,,1.84,102,,Fee Schedule,0.21,,1.85,102.5,,Fee Schedule,0.28,,1.8,100,,Fee Schedule,0.31,,1.8,100,,Fee Schedule,0.21,,1.82,101,,Fee Schedule,0.28,,1.82,101,,Fee Schedule,0.28,,1.84,101,,Fee Schedule,0.35,,1.84,101,,Fee Schedule,0.28,,1.84,101,,Fee Schedule,0.33,,1.84,101,,Fee Schedule,0.3,,1.89,104,,Fee Schedule,0.2,, ,,,,,,,,,, ,, ,,,, ,,1.80,104.00,,																																							
Glucagon hydrochloride/1 mg,9042,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,923.71,467.75,,Fee Schedule,504.35,,923.71,467.75,,Fee Schedule,538.52,,923.71,467.75,,Fee Schedule,431.37,,923.71,467.75,,Fee Schedule,457.24,,923.71,467.75,,Fee Schedule,514.51,,923.71,467.75,,Fee Schedule,539.45,,822.33,416.41,,Fee Schedule,431.72,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,197.48,100,,Fee Schedule,33.97,,201.43,102,,Fee Schedule,23.37,,202.42,102.5,,Fee Schedule,30.77,,197.48,100,,Fee Schedule,34.16,,197.48,100,,Fee Schedule,23.5,,199.45,101,,Fee Schedule,30.92,,199.45,101,,Fee Schedule,30.92,,201.43,101,,Fee Schedule,38.27,,201.43,101,,Fee Schedule,30.82,,201.43,101,,Fee Schedule,36.66,,201.43,101,,Fee Schedule,32.63,,207.35,104,,Fee Schedule,22.19,, ,,,,,,,,,, ,, ,,,, ,,197.48,923.71,,																																							
Inj, afstyla, 1 i.u.,9043,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,7.16,467.75,,Fee Schedule,3.91,,7.16,467.75,,Fee Schedule,4.17,,7.16,467.75,,Fee Schedule,3.34,,7.16,467.75,,Fee Schedule,3.54,,7.16,467.75,,Fee Schedule,3.99,,7.16,467.75,,Fee Schedule,4.18,,6.37,416.41,,Fee Schedule,3.34,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,1.53,100,,Fee Schedule,0.26,,1.56,102,,Fee Schedule,0.18,,1.57,102.5,,Fee Schedule,0.24,,1.53,100,,Fee Schedule,0.26,,1.53,100,,Fee Schedule,0.18,,1.55,101,,Fee Schedule,0.24,,1.55,101,,Fee Schedule,0.24,,1.56,101,,Fee Schedule,0.3,,1.56,101,,Fee Schedule,0.24,,1.56,101,,Fee Schedule,0.28,,1.56,101,,Fee Schedule,0.25,,1.61,104,,Fee Schedule,0.17,, ,,,,,,,,,, ,, ,,,, ,,1.53,104.00,,																																							
Ibutilide fumarate injection,9044,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,1103.66,467.75,,Fee Schedule,602.6,,1103.66,467.75,,Fee Schedule,643.43,,1103.66,467.75,,Fee Schedule,515.41,,1103.66,467.75,,Fee Schedule,546.31,,1103.66,467.75,,Fee Schedule,614.74,,1103.66,467.75,,Fee Schedule,644.54,,982.52,416.41,,Fee Schedule,515.82,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,235.95,100,,Fee Schedule,40.58,,240.67,102,,Fee Schedule,27.92,,241.85,102.5,,Fee Schedule,36.76,,235.95,100,,Fee Schedule,40.82,,235.95,100,,Fee Schedule,28.08,,238.31,101,,Fee Schedule,36.94,,238.31,101,,Fee Schedule,36.94,,240.67,101,,Fee Schedule,45.73,,240.67,101,,Fee Schedule,36.82,,240.67,101,,Fee Schedule,43.8,,240.67,101,,Fee Schedule,38.99,,247.75,104,,Fee Schedule,26.51,, ,,,,,,,,,, ,, ,,,, ,,235.95,1103.66,,																																							
Idursulfase injection,9045,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,2674.64,467.75,,Fee Schedule,1460.35,,2674.64,467.75,,Fee Schedule,1559.32,,2674.64,467.75,,Fee Schedule,1249.06,,2674.64,467.75,,Fee Schedule,1323.95,,2674.64,467.75,,Fee Schedule,1489.78,,2674.64,467.75,,Fee Schedule,1561.99,,2381.07,416.41,,Fee Schedule,1250.06,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,571.81,100,,Fee Schedule,98.35,,583.25,102,,Fee Schedule,67.66,,586.11,102.5,,Fee Schedule,89.09,,571.81,100,,Fee Schedule,98.92,,571.81,100,,Fee Schedule,68.05,,577.53,101,,Fee Schedule,89.52,,577.53,101,,Fee Schedule,89.52,,583.25,101,,Fee Schedule,110.82,,583.25,101,,Fee Schedule,89.24,,583.25,101,,Fee Schedule,106.15,,583.25,101,,Fee Schedule,94.49,,600.4,104,,Fee Schedule,64.24,, ,,,,,,,,,, ,, ,,,, ,,571.81,2674.64,,																																							
Inj., fibryga, 1 mg,9046,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,5.43,467.75,,Fee Schedule,2.96,,5.43,467.75,,Fee Schedule,3.16,,5.43,467.75,,Fee Schedule,2.53,,5.43,467.75,,Fee Schedule,2.69,,5.43,467.75,,Fee Schedule,3.02,,5.43,467.75,,Fee Schedule,3.17,,4.83,416.41,,Fee Schedule,2.54,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,1.16,100,,Fee Schedule,0.2,,1.18,102,,Fee Schedule,0.14,,1.19,102.5,,Fee Schedule,0.18,,1.16,100,,Fee Schedule,0.2,,1.16,100,,Fee Schedule,0.14,,1.17,101,,Fee Schedule,0.18,,1.17,101,,Fee Schedule,0.18,,1.18,101,,Fee Schedule,0.22,,1.18,101,,Fee Schedule,0.18,,1.18,101,,Fee Schedule,0.22,,1.18,101,,Fee Schedule,0.19,,1.22,104,,Fee Schedule,0.13,, ,,,,,,,,,, ,, ,,,, ,,1.16,104.00,,																																							
Leuprolide acetate injeciton,9047,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,38.78,467.75,,Fee Schedule,21.17,,38.78,467.75,,Fee Schedule,22.61,,38.78,467.75,,Fee Schedule,18.11,,38.78,467.75,,Fee Schedule,19.19,,38.78,467.75,,Fee Schedule,21.6,,38.78,467.75,,Fee Schedule,22.65,,34.52,416.41,,Fee Schedule,18.12,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,8.29,100,,Fee Schedule,1.43,,8.46,102,,Fee Schedule,0.98,,8.5,102.5,,Fee Schedule,1.29,,8.29,100,,Fee Schedule,1.43,,8.29,100,,Fee Schedule,0.99,,8.37,101,,Fee Schedule,1.3,,8.37,101,,Fee Schedule,1.3,,8.46,101,,Fee Schedule,1.61,,8.46,101,,Fee Schedule,1.29,,8.46,101,,Fee Schedule,1.54,,8.46,101,,Fee Schedule,1.37,,8.7,104,,Fee Schedule,0.93,, ,,,,,,,,,, ,, ,,,, ,,8.29,104.00,,																																							
Inj alymsys 10 mg,9048,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,314.89,467.75,,Fee Schedule,171.93,,314.89,467.75,,Fee Schedule,183.58,,314.89,467.75,,Fee Schedule,147.05,,314.89,467.75,,Fee Schedule,155.87,,314.89,467.75,,Fee Schedule,175.39,,314.89,467.75,,Fee Schedule,183.9,,280.33,416.41,,Fee Schedule,147.17,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,67.32,100,,Fee Schedule,11.58,,68.67,102,,Fee Schedule,7.97,,69,102.5,,Fee Schedule,10.49,,67.32,100,,Fee Schedule,11.65,,67.32,100,,Fee Schedule,8.01,,67.99,101,,Fee Schedule,10.54,,67.99,101,,Fee Schedule,10.54,,68.67,101,,Fee Schedule,13.05,,68.67,101,,Fee Schedule,10.51,,68.67,101,,Fee Schedule,12.5,,68.67,101,,Fee Schedule,11.12,,70.69,104,,Fee Schedule,7.56,, ,,,,,,,,,, ,, ,,,, ,,67.32,314.89,,																																							
Inj, oliceridine 0.1 mg,9049,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,6.17,467.75,,Fee Schedule,3.37,,6.17,467.75,,Fee Schedule,3.6,,6.17,467.75,,Fee Schedule,2.88,,6.17,467.75,,Fee Schedule,3.06,,6.17,467.75,,Fee Schedule,3.44,,6.17,467.75,,Fee Schedule,3.61,,5.5,416.41,,Fee Schedule,2.89,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,1.32,100,,Fee Schedule,0.23,,1.35,102,,Fee Schedule,0.16,,1.35,102.5,,Fee Schedule,0.21,,1.32,100,,Fee Schedule,0.23,,1.32,100,,Fee Schedule,0.16,,1.33,101,,Fee Schedule,0.21,,1.33,101,,Fee Schedule,0.21,,1.35,101,,Fee Schedule,0.26,,1.35,101,,Fee Schedule,0.21,,1.35,101,,Fee Schedule,0.25,,1.35,101,,Fee Schedule,0.22,,1.39,104,,Fee Schedule,0.15,, ,,,,,,,,,, ,, ,,,, ,,1.32,104.00,,																																							
Leuprolide inj, camcevi, 1mg,9050,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,366.3,467.75,,Fee Schedule,200,,366.3,467.75,,Fee Schedule,213.55,,366.3,467.75,,Fee Schedule,171.06,,366.3,467.75,,Fee Schedule,181.32,,366.3,467.75,,Fee Schedule,204.03,,366.3,467.75,,Fee Schedule,213.92,,326.09,416.41,,Fee Schedule,171.2,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,78.31,100,,Fee Schedule,13.47,,79.88,102,,Fee Schedule,9.27,,80.27,102.5,,Fee Schedule,12.2,,78.31,100,,Fee Schedule,13.55,,78.31,100,,Fee Schedule,9.32,,79.09,101,,Fee Schedule,12.26,,79.09,101,,Fee Schedule,12.26,,79.88,101,,Fee Schedule,15.18,,79.88,101,,Fee Schedule,12.22,,79.88,101,,Fee Schedule,14.54,,79.88,101,,Fee Schedule,12.94,,82.23,104,,Fee Schedule,8.8,, ,,,,,,,,,, ,, ,,,, ,,78.31,366.30,,																																							
Inj, lanreotide, (cipla) 1mg,9051,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,246.18,467.75,,Fee Schedule,134.41,,246.18,467.75,,Fee Schedule,143.52,,246.18,467.75,,Fee Schedule,114.96,,246.18,467.75,,Fee Schedule,121.86,,246.18,467.75,,Fee Schedule,137.12,,246.18,467.75,,Fee Schedule,143.77,,219.16,416.41,,Fee Schedule,115.06,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,52.63,100,,Fee Schedule,9.05,,53.68,102,,Fee Schedule,6.23,,53.95,102.5,,Fee Schedule,8.2,,52.63,100,,Fee Schedule,9.1,,52.63,100,,Fee Schedule,6.26,,53.16,101,,Fee Schedule,8.24,,53.16,101,,Fee Schedule,8.24,,53.68,101,,Fee Schedule,10.2,,53.68,101,,Fee Schedule,8.21,,53.68,101,,Fee Schedule,9.77,,53.68,101,,Fee Schedule,8.7,,55.26,104,,Fee Schedule,5.91,, ,,,,,,,,,, ,, ,,,, ,,52.63,246.18,,																																							
Fluorodopa f18 diag per mci,9053,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,2201.51,467.75,,Fee Schedule,1202.03,,2201.51,467.75,,Fee Schedule,1283.48,,2201.51,467.75,,Fee Schedule,1028.11,,2201.51,467.75,,Fee Schedule,1089.75,,2201.51,467.75,,Fee Schedule,1226.24,,2201.51,467.75,,Fee Schedule,1285.68,,1959.88,416.41,,Fee Schedule,1028.93,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,470.66,100,,Fee Schedule,80.95,,480.07,102,,Fee Schedule,55.69,,482.43,102.5,,Fee Schedule,73.33,,470.66,100,,Fee Schedule,81.42,,470.66,100,,Fee Schedule,56.01,,475.37,101,,Fee Schedule,73.68,,475.37,101,,Fee Schedule,73.68,,480.07,101,,Fee Schedule,91.21,,480.07,101,,Fee Schedule,73.45,,480.07,101,,Fee Schedule,87.37,,480.07,101,,Fee Schedule,77.77,,494.19,104,,Fee Schedule,52.88,, ,,,,,,,,,, ,, ,,,, ,,470.66,2201.51,,																																							
Lutetium lu 177 vipivotide,9054,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,1131.86,467.75,,Fee Schedule,618,,1131.86,467.75,,Fee Schedule,659.88,,1131.86,467.75,,Fee Schedule,528.58,,1131.86,467.75,,Fee Schedule,560.27,,1131.86,467.75,,Fee Schedule,630.45,,1131.86,467.75,,Fee Schedule,661.01,,1007.63,416.41,,Fee Schedule,529.01,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,241.98,100,,Fee Schedule,41.62,,246.82,102,,Fee Schedule,28.63,,248.03,102.5,,Fee Schedule,37.7,,241.98,100,,Fee Schedule,41.86,,241.98,100,,Fee Schedule,28.8,,244.4,101,,Fee Schedule,37.88,,244.4,101,,Fee Schedule,37.88,,246.82,101,,Fee Schedule,46.9,,246.82,101,,Fee Schedule,37.76,,246.82,101,,Fee Schedule,44.92,,246.82,101,,Fee Schedule,39.98,,254.08,104,,Fee Schedule,27.19,, ,,,,,,,,,, ,, ,,,, ,,241.98,1131.86,,																																							
Gallium locametz 1 millicuri,9055,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,4302.93,467.75,,Fee Schedule,2349.4,,4302.93,467.75,,Fee Schedule,2508.61,,4302.93,467.75,,Fee Schedule,2009.47,,4302.93,467.75,,Fee Schedule,2129.95,,4302.93,467.75,,Fee Schedule,2396.73,,4302.93,467.75,,Fee Schedule,2512.91,,3830.64,416.41,,Fee Schedule,2011.09,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,919.92,100,,Fee Schedule,158.23,,938.32,102,,Fee Schedule,108.84,,942.92,102.5,,Fee Schedule,143.32,,919.92,100,,Fee Schedule,159.15,,919.92,100,,Fee Schedule,109.47,,929.12,101,,Fee Schedule,144.01,,929.12,101,,Fee Schedule,144.01,,938.32,101,,Fee Schedule,178.28,,938.32,101,,Fee Schedule,143.56,,938.32,101,,Fee Schedule,170.77,,938.32,101,,Fee Schedule,152.01,,965.92,104,,Fee Schedule,103.35,, ,,,,,,,,,, ,, ,,,, ,,919.92,4302.93,,																																							
Inj nivol relatlimab 3mg/1mg,9057,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,904.58,467.75,,Fee Schedule,493.9,,904.58,467.75,,Fee Schedule,527.37,,904.58,467.75,,Fee Schedule,422.44,,904.58,467.75,,Fee Schedule,447.77,,904.58,467.75,,Fee Schedule,503.85,,904.58,467.75,,Fee Schedule,528.28,,805.3,416.41,,Fee Schedule,422.78,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,193.39,100,,Fee Schedule,33.26,,197.26,102,,Fee Schedule,22.88,,198.22,102.5,,Fee Schedule,30.13,,193.39,100,,Fee Schedule,33.46,,193.39,100,,Fee Schedule,23.01,,195.32,101,,Fee Schedule,30.28,,195.32,101,,Fee Schedule,30.28,,197.26,101,,Fee Schedule,37.48,,197.26,101,,Fee Schedule,30.18,,197.26,101,,Fee Schedule,35.9,,197.26,101,,Fee Schedule,31.96,,203.06,104,,Fee Schedule,21.73,, ,,,,,,,,,, ,, ,,,, ,,193.39,904.58,,																																							
Buprenorphine implant 74.2mg,9058,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,6462.25,467.75,,Fee Schedule,3528.39,,6462.25,467.75,,Fee Schedule,3767.49,,6462.25,467.75,,Fee Schedule,3017.87,,6462.25,467.75,,Fee Schedule,3198.81,,6462.25,467.75,,Fee Schedule,3599.47,,6462.25,467.75,,Fee Schedule,3773.95,,5752.95,416.41,,Fee Schedule,3020.3,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,1381.56,100,,Fee Schedule,237.63,,1409.19,102,,Fee Schedule,163.47,,1416.1,102.5,,Fee Schedule,215.25,,1381.56,100,,Fee Schedule,239.01,,1381.56,100,,Fee Schedule,164.41,,1395.38,101,,Fee Schedule,216.28,,1395.38,101,,Fee Schedule,216.28,,1409.19,101,,Fee Schedule,267.75,,1409.19,101,,Fee Schedule,215.61,,1409.19,101,,Fee Schedule,256.47,,1409.19,101,,Fee Schedule,228.29,,1450.64,104,,Fee Schedule,155.22,, ,,,,,,,,,, ,, ,,,, ,,1381.56,6462.25,,																																							
Vonvendi inj 1 iu vwf:rco,9059,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,9.03,467.75,,Fee Schedule,4.93,,9.03,467.75,,Fee Schedule,5.26,,9.03,467.75,,Fee Schedule,4.22,,9.03,467.75,,Fee Schedule,4.47,,9.03,467.75,,Fee Schedule,5.03,,9.03,467.75,,Fee Schedule,5.27,,8.04,416.41,,Fee Schedule,4.22,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,1.93,100,,Fee Schedule,0.33,,1.97,102,,Fee Schedule,0.23,,1.98,102.5,,Fee Schedule,0.3,,1.93,100,,Fee Schedule,0.33,,1.93,100,,Fee Schedule,0.23,,1.95,101,,Fee Schedule,0.3,,1.95,101,,Fee Schedule,0.3,,1.97,101,,Fee Schedule,0.37,,1.97,101,,Fee Schedule,0.3,,1.97,101,,Fee Schedule,0.36,,1.97,101,,Fee Schedule,0.32,,2.03,104,,Fee Schedule,0.22,, ,,,,,,,,,, ,, ,,,, ,,1.93,104.00,,																																							
Argatroban esrd dialysis 1mg,9065,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,5.94,467.75,,Fee Schedule,3.24,,5.94,467.75,,Fee Schedule,3.46,,5.94,467.75,,Fee Schedule,2.77,,5.94,467.75,,Fee Schedule,2.94,,5.94,467.75,,Fee Schedule,3.31,,5.94,467.75,,Fee Schedule,3.47,,5.29,416.41,,Fee Schedule,2.78,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,1.27,100,,Fee Schedule,0.22,,1.3,102,,Fee Schedule,0.15,,1.3,102.5,,Fee Schedule,0.2,,1.27,100,,Fee Schedule,0.22,,1.27,100,,Fee Schedule,0.15,,1.28,101,,Fee Schedule,0.2,,1.28,101,,Fee Schedule,0.2,,1.3,101,,Fee Schedule,0.25,,1.3,101,,Fee Schedule,0.2,,1.3,101,,Fee Schedule,0.24,,1.3,101,,Fee Schedule,0.21,,1.33,104,,Fee Schedule,0.14,, ,,,,,,,,,, ,, ,,,, ,,1.27,104.00,,																																							
Lutetium lu 177 dotatat ther,9067,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,1430.85,467.75,,Fee Schedule,781.24,,1430.85,467.75,,Fee Schedule,834.18,,1430.85,467.75,,Fee Schedule,668.21,,1430.85,467.75,,Fee Schedule,708.27,,1430.85,467.75,,Fee Schedule,796.98,,1430.85,467.75,,Fee Schedule,835.61,,1273.8,416.41,,Fee Schedule,668.74,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,305.9,100,,Fee Schedule,52.61,,312.02,102,,Fee Schedule,36.19,,313.55,102.5,,Fee Schedule,47.66,,305.9,100,,Fee Schedule,52.92,,305.9,100,,Fee Schedule,36.4,,308.96,101,,Fee Schedule,47.89,,308.96,101,,Fee Schedule,47.89,,312.02,101,,Fee Schedule,59.28,,312.02,101,,Fee Schedule,47.74,,312.02,101,,Fee Schedule,56.79,,312.02,101,,Fee Schedule,50.55,,321.2,104,,Fee Schedule,34.37,, ,,,,,,,,,, ,, ,,,, ,,305.90,1430.85,,																																							
Smallpox&monkeypox vac 0.5ml,9068,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,0.05,467.75,,Fee Schedule,0.03,,0.05,467.75,,Fee Schedule,0.03,,0.05,467.75,,Fee Schedule,0.02,,0.05,467.75,,Fee Schedule,0.02,,0.05,467.75,,Fee Schedule,0.03,,0.05,467.75,,Fee Schedule,0.03,,0.04,416.41,,Fee Schedule,0.02,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,0.01,100,,Fee Schedule, ,,0.01,102,,Fee Schedule, ,,0.01,102.5,,Fee Schedule, ,,0.01,100,,Fee Schedule, ,,0.01,100,,Fee Schedule, ,,0.01,101,,Fee Schedule, ,,0.01,101,,Fee Schedule, ,,0.01,101,,Fee Schedule, ,,0.01,101,,Fee Schedule, ,,0.01,101,,Fee Schedule, ,,0.01,101,,Fee Schedule, ,,0.01,104,,Fee Schedule,0,, ,,,,,,,,,, ,, ,,,, ,,0.01,104.00,,																																							
Phenobarbital sodium inj,9069,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,178.59,467.75,,Fee Schedule,97.51,,178.59,467.75,,Fee Schedule,104.12,,178.59,467.75,,Fee Schedule,83.4,,178.59,467.75,,Fee Schedule,88.4,,178.59,467.75,,Fee Schedule,99.47,,178.59,467.75,,Fee Schedule,104.29,,158.99,416.41,,Fee Schedule,83.47,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,38.18,100,,Fee Schedule,6.57,,38.94,102,,Fee Schedule,4.52,,39.13,102.5,,Fee Schedule,5.95,,38.18,100,,Fee Schedule,6.61,,38.18,100,,Fee Schedule,4.54,,38.56,101,,Fee Schedule,5.98,,38.56,101,,Fee Schedule,5.98,,38.94,101,,Fee Schedule,7.4,,38.94,101,,Fee Schedule,5.96,,38.94,101,,Fee Schedule,7.09,,38.94,101,,Fee Schedule,6.31,,40.09,104,,Fee Schedule,4.29,, ,,,,,,,,,, ,, ,,,, ,,38.18,178.59,,																																							
Inj luxturna 1 billion vec g,9070,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,14325.73,467.75,,Fee Schedule,7821.85,,14325.73,467.75,,Fee Schedule,8351.9,,14325.73,467.75,,Fee Schedule,6690.12,,14325.73,467.75,,Fee Schedule,7091.24,,14325.73,467.75,,Fee Schedule,7979.43,,14325.73,467.75,,Fee Schedule,8366.23,,12753.35,416.41,,Fee Schedule,6695.51,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,3062.69,100,,Fee Schedule,526.78,,3123.94,102,,Fee Schedule,362.38,,3139.26,102.5,,Fee Schedule,477.17,,3062.69,100,,Fee Schedule,529.85,,3062.69,100,,Fee Schedule,364.46,,3093.32,101,,Fee Schedule,479.46,,3093.32,101,,Fee Schedule,479.46,,3123.94,101,,Fee Schedule,593.55,,3123.94,101,,Fee Schedule,477.96,,3123.94,101,,Fee Schedule,568.56,,3123.94,101,,Fee Schedule,506.08,,3215.82,104,,Fee Schedule,344.09,, ,,,,,,,,,, ,, ,,,, ,,3062.69,14325.73,,																																							
Capsaicin 8% patch,9071,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,16.14,467.75,,Fee Schedule,8.81,,16.14,467.75,,Fee Schedule,9.41,,16.14,467.75,,Fee Schedule,7.54,,16.14,467.75,,Fee Schedule,7.99,,16.14,467.75,,Fee Schedule,8.99,,16.14,467.75,,Fee Schedule,9.42,,14.37,416.41,,Fee Schedule,7.54,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,3.45,100,,Fee Schedule,0.59,,3.52,102,,Fee Schedule,0.41,,3.54,102.5,,Fee Schedule,0.54,,3.45,100,,Fee Schedule,0.6,,3.45,100,,Fee Schedule,0.41,,3.48,101,,Fee Schedule,0.54,,3.48,101,,Fee Schedule,0.54,,3.52,101,,Fee Schedule,0.67,,3.52,101,,Fee Schedule,0.54,,3.52,101,,Fee Schedule,0.64,,3.52,101,,Fee Schedule,0.57,,3.62,104,,Fee Schedule,0.39,, ,,,,,,,,,, ,, ,,,, ,,3.45,104.00,,																																							
Buprenorph xr 100 mg or less,9073,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,9296.06,467.75,,Fee Schedule,5075.65,,9296.06,467.75,,Fee Schedule,5419.61,,9296.06,467.75,,Fee Schedule,4341.26,,9296.06,467.75,,Fee Schedule,4601.55,,9296.06,467.75,,Fee Schedule,5177.91,,9296.06,467.75,,Fee Schedule,5428.9,,8275.73,416.41,,Fee Schedule,4344.76,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,1987.4,100,,Fee Schedule,341.83,,2027.15,102,,Fee Schedule,235.15,,2037.09,102.5,,Fee Schedule,309.64,,1987.4,100,,Fee Schedule,343.82,,1987.4,100,,Fee Schedule,236.5,,2007.27,101,,Fee Schedule,311.13,,2007.27,101,,Fee Schedule,311.13,,2027.15,101,,Fee Schedule,385.16,,2027.15,101,,Fee Schedule,310.15,,2027.15,101,,Fee Schedule,368.94,,2027.15,101,,Fee Schedule,328.4,,2086.77,104,,Fee Schedule,223.28,, ,,,,,,,,,, ,, ,,,, ,,1987.40,9296.06,,																																							
Makena, 10 mg,9074,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,68.06,467.75,,Fee Schedule,37.16,,68.06,467.75,,Fee Schedule,39.68,,68.06,467.75,,Fee Schedule,31.78,,68.06,467.75,,Fee Schedule,33.69,,68.06,467.75,,Fee Schedule,37.91,,68.06,467.75,,Fee Schedule,39.75,,60.59,416.41,,Fee Schedule,31.81,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,14.55,100,,Fee Schedule,2.5,,14.84,102,,Fee Schedule,1.72,,14.91,102.5,,Fee Schedule,2.27,,14.55,100,,Fee Schedule,2.52,,14.55,100,,Fee Schedule,1.73,,14.7,101,,Fee Schedule,2.28,,14.7,101,,Fee Schedule,2.28,,14.84,101,,Fee Schedule,2.82,,14.84,101,,Fee Schedule,2.27,,14.84,101,,Fee Schedule,2.7,,14.84,101,,Fee Schedule,2.4,,15.28,104,,Fee Schedule,1.63,, ,,,,,,,,,, ,, ,,,, ,,14.55,104.00,,																																							
Inj, kovaltry, 1 i.u.,9075,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,7.02,467.75,,Fee Schedule,3.83,,7.02,467.75,,Fee Schedule,4.09,,7.02,467.75,,Fee Schedule,3.28,,7.02,467.75,,Fee Schedule,3.47,,7.02,467.75,,Fee Schedule,3.91,,7.02,467.75,,Fee Schedule,4.1,,6.25,416.41,,Fee Schedule,3.28,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,1.5,100,,Fee Schedule,0.26,,1.53,102,,Fee Schedule,0.18,,1.54,102.5,,Fee Schedule,0.23,,1.5,100,,Fee Schedule,0.26,,1.5,100,,Fee Schedule,0.18,,1.52,101,,Fee Schedule,0.23,,1.52,101,,Fee Schedule,0.23,,1.53,101,,Fee Schedule,0.29,,1.53,101,,Fee Schedule,0.23,,1.53,101,,Fee Schedule,0.28,,1.53,101,,Fee Schedule,0.25,,1.58,104,,Fee Schedule,0.17,, ,,,,,,,,,, ,, ,,,, ,,1.50,104.00,,																																							
Testosterone undecanoate 1mg,9078,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,8.56,467.75,,Fee Schedule,4.67,,8.56,467.75,,Fee Schedule,4.99,,8.56,467.75,,Fee Schedule,4,,8.56,467.75,,Fee Schedule,4.24,,8.56,467.75,,Fee Schedule,4.77,,8.56,467.75,,Fee Schedule,5,,7.62,416.41,,Fee Schedule,4,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,1.83,100,,Fee Schedule,0.31,,1.87,102,,Fee Schedule,0.22,,1.88,102.5,,Fee Schedule,0.29,,1.83,100,,Fee Schedule,0.32,,1.83,100,,Fee Schedule,0.22,,1.85,101,,Fee Schedule,0.29,,1.85,101,,Fee Schedule,0.29,,1.87,101,,Fee Schedule,0.35,,1.87,101,,Fee Schedule,0.29,,1.87,101,,Fee Schedule,0.34,,1.87,101,,Fee Schedule,0.3,,1.92,104,,Fee Schedule,0.21,, ,,,,,,,,,, ,, ,,,, ,,1.83,104.00,,																																							
Genvisc 850, inj, 1mg,9079,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,28.44,467.75,,Fee Schedule,15.53,,28.44,467.75,,Fee Schedule,16.58,,28.44,467.75,,Fee Schedule,13.28,,28.44,467.75,,Fee Schedule,14.08,,28.44,467.75,,Fee Schedule,15.84,,28.44,467.75,,Fee Schedule,16.61,,25.32,416.41,,Fee Schedule,13.29,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,6.08,100,,Fee Schedule,1.05,,6.2,102,,Fee Schedule,0.72,,6.23,102.5,,Fee Schedule,0.95,,6.08,100,,Fee Schedule,1.05,,6.08,100,,Fee Schedule,0.72,,6.14,101,,Fee Schedule,0.95,,6.14,101,,Fee Schedule,0.95,,6.2,101,,Fee Schedule,1.18,,6.2,101,,Fee Schedule,0.95,,6.2,101,,Fee Schedule,1.13,,6.2,101,,Fee Schedule,1,,6.38,104,,Fee Schedule,0.68,, ,,,,,,,,,, ,, ,,,, ,,6.08,104.00,,																																							
Fludarabine phosphate inj,9080,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,2465.46,467.75,,Fee Schedule,1346.14,,2465.46,467.75,,Fee Schedule,1437.37,,2465.46,467.75,,Fee Schedule,1151.37,,2465.46,467.75,,Fee Schedule,1220.4,,2465.46,467.75,,Fee Schedule,1373.26,,2465.46,467.75,,Fee Schedule,1439.83,,2194.86,416.41,,Fee Schedule,1152.3,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,527.09,100,,Fee Schedule,90.66,,537.63,102,,Fee Schedule,62.37,,540.27,102.5,,Fee Schedule,82.12,,527.09,100,,Fee Schedule,91.19,,527.09,100,,Fee Schedule,62.72,,532.36,101,,Fee Schedule,82.52,,532.36,101,,Fee Schedule,82.52,,537.63,101,,Fee Schedule,102.15,,537.63,101,,Fee Schedule,82.26,,537.63,101,,Fee Schedule,97.85,,537.63,101,,Fee Schedule,87.1,,553.44,104,,Fee Schedule,59.22,, ,,,,,,,,,, ,, ,,,, ,,527.09,2465.46,,																																							
Inj, clevidipine butyrate,9087,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,15.01,467.75,,Fee Schedule,8.2,,15.01,467.75,,Fee Schedule,8.75,,15.01,467.75,,Fee Schedule,7.01,,15.01,467.75,,Fee Schedule,7.43,,15.01,467.75,,Fee Schedule,8.36,,15.01,467.75,,Fee Schedule,8.77,,13.37,416.41,,Fee Schedule,7.02,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,3.21,100,,Fee Schedule,0.55,,3.27,102,,Fee Schedule,0.38,,3.29,102.5,,Fee Schedule,0.5,,3.21,100,,Fee Schedule,0.56,,3.21,100,,Fee Schedule,0.38,,3.24,101,,Fee Schedule,0.5,,3.24,101,,Fee Schedule,0.5,,3.27,101,,Fee Schedule,0.62,,3.27,101,,Fee Schedule,0.5,,3.27,101,,Fee Schedule,0.6,,3.27,101,,Fee Schedule,0.53,,3.37,104,,Fee Schedule,0.36,, ,,,,,,,,,, ,, ,,,, ,,3.21,104.00,,																																							
Peng benzathine/procaine inj,9088,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,77.55,467.75,,Fee Schedule,42.34,,77.55,467.75,,Fee Schedule,45.21,,77.55,467.75,,Fee Schedule,36.22,,77.55,467.75,,Fee Schedule,38.39,,77.55,467.75,,Fee Schedule,43.2,,77.55,467.75,,Fee Schedule,45.29,,69.04,416.41,,Fee Schedule,36.25,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,16.58,100,,Fee Schedule,2.85,,16.91,102,,Fee Schedule,1.96,,16.99,102.5,,Fee Schedule,2.58,,16.58,100,,Fee Schedule,2.87,,16.58,100,,Fee Schedule,1.97,,16.75,101,,Fee Schedule,2.6,,16.75,101,,Fee Schedule,2.6,,16.91,101,,Fee Schedule,3.21,,16.91,101,,Fee Schedule,2.59,,16.91,101,,Fee Schedule,3.08,,16.91,101,,Fee Schedule,2.74,,17.41,104,,Fee Schedule,1.86,, ,,,,,,,,,, ,, ,,,, ,,16.58,104.00,,																																							
Radiesse injection,9094,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,824.5,467.75,,Fee Schedule,450.18,,824.5,467.75,,Fee Schedule,480.69,,824.5,467.75,,Fee Schedule,385.04,,824.5,467.75,,Fee Schedule,408.13,,824.5,467.75,,Fee Schedule,459.25,,824.5,467.75,,Fee Schedule,481.51,,734.01,416.41,,Fee Schedule,385.35,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,176.27,100,,Fee Schedule,30.32,,179.8,102,,Fee Schedule,20.86,,180.68,102.5,,Fee Schedule,27.46,,176.27,100,,Fee Schedule,30.49,,176.27,100,,Fee Schedule,20.98,,178.03,101,,Fee Schedule,27.6,,178.03,101,,Fee Schedule,27.6,,179.8,101,,Fee Schedule,34.16,,179.8,101,,Fee Schedule,27.51,,179.8,101,,Fee Schedule,32.72,,179.8,101,,Fee Schedule,29.13,,185.08,104,,Fee Schedule,19.8,, ,,,,,,,,,, ,, ,,,, ,,176.27,824.50,,																																							
Inj, sculptra, 0.5mg,9095,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,5,467.75,,Fee Schedule,2.73,,5,467.75,,Fee Schedule,2.92,,5,467.75,,Fee Schedule,2.34,,5,467.75,,Fee Schedule,2.48,,5,467.75,,Fee Schedule,2.79,,5,467.75,,Fee Schedule,2.92,,4.46,416.41,,Fee Schedule,2.34,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,1.07,100,,Fee Schedule,0.18,,1.09,102,,Fee Schedule,0.13,,1.1,102.5,,Fee Schedule,0.17,,1.07,100,,Fee Schedule,0.19,,1.07,100,,Fee Schedule,0.13,,1.08,101,,Fee Schedule,0.17,,1.08,101,,Fee Schedule,0.17,,1.09,101,,Fee Schedule,0.21,,1.09,101,,Fee Schedule,0.17,,1.09,101,,Fee Schedule,0.2,,1.09,101,,Fee Schedule,0.18,,1.12,104,,Fee Schedule,0.12,, ,,,,,,,,,, ,, ,,,, ,,1.07,104.00,,																																							
Inj retacrit nonesrd use,9097,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,35.74,467.75,,Fee Schedule,19.51,,35.74,467.75,,Fee Schedule,20.83,,35.74,467.75,,Fee Schedule,16.69,,35.74,467.75,,Fee Schedule,17.69,,35.74,467.75,,Fee Schedule,19.91,,35.74,467.75,,Fee Schedule,20.87,,31.81,416.41,,Fee Schedule,16.7,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,7.64,100,,Fee Schedule,1.31,,7.79,102,,Fee Schedule,0.9,,7.83,102.5,,Fee Schedule,1.19,,7.64,100,,Fee Schedule,1.32,,7.64,100,,Fee Schedule,0.91,,7.72,101,,Fee Schedule,1.2,,7.72,101,,Fee Schedule,1.2,,7.79,101,,Fee Schedule,1.48,,7.79,101,,Fee Schedule,1.19,,7.79,101,,Fee Schedule,1.42,,7.79,101,,Fee Schedule,1.26,,8.02,104,,Fee Schedule,0.86,, ,,,,,,,,,, ,, ,,,, ,,7.64,104.00,,																																							
Inj fosnetupitant, palonoset,9099,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,2603.03,467.75,,Fee Schedule,1421.25,,2603.03,467.75,,Fee Schedule,1517.57,,2603.03,467.75,,Fee Schedule,1215.61,,2603.03,467.75,,Fee Schedule,1288.5,,2603.03,467.75,,Fee Schedule,1449.89,,2603.03,467.75,,Fee Schedule,1520.17,,2317.32,416.41,,Fee Schedule,1216.59,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,556.5,100,,Fee Schedule,95.72,,567.63,102,,Fee Schedule,65.85,,570.41,102.5,,Fee Schedule,86.7,,556.5,100,,Fee Schedule,96.27,,556.5,100,,Fee Schedule,66.22,,562.07,101,,Fee Schedule,87.12,,562.07,101,,Fee Schedule,87.12,,567.63,101,,Fee Schedule,107.85,,567.63,101,,Fee Schedule,86.85,,567.63,101,,Fee Schedule,103.31,,567.63,101,,Fee Schedule,91.96,,584.33,104,,Fee Schedule,62.52,, ,,,,,,,,,, ,, ,,,, ,,556.50,2603.03,,																																							
Inj, bortezomib, hospira,9100,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,15.25,467.75,,Fee Schedule,8.33,,15.25,467.75,,Fee Schedule,8.89,,15.25,467.75,,Fee Schedule,7.12,,15.25,467.75,,Fee Schedule,7.55,,15.25,467.75,,Fee Schedule,8.49,,15.25,467.75,,Fee Schedule,8.91,,13.57,416.41,,Fee Schedule,7.13,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,3.26,100,,Fee Schedule,0.56,,3.33,102,,Fee Schedule,0.39,,3.34,102.5,,Fee Schedule,0.51,,3.26,100,,Fee Schedule,0.56,,3.26,100,,Fee Schedule,0.39,,3.29,101,,Fee Schedule,0.51,,3.29,101,,Fee Schedule,0.51,,3.33,101,,Fee Schedule,0.63,,3.33,101,,Fee Schedule,0.51,,3.33,101,,Fee Schedule,0.61,,3.33,101,,Fee Schedule,0.54,,3.42,104,,Fee Schedule,0.37,, ,,,,,,,,,, ,, ,,,, ,,3.26,104.00,,																																							
Vaccinia vrs vac 0.3 ml perq,9101,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,0.05,467.75,,Fee Schedule,0.03,,0.05,467.75,,Fee Schedule,0.03,,0.05,467.75,,Fee Schedule,0.02,,0.05,467.75,,Fee Schedule,0.02,,0.05,467.75,,Fee Schedule,0.03,,0.05,467.75,,Fee Schedule,0.03,,0.04,416.41,,Fee Schedule,0.02,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,0.01,100,,Fee Schedule, ,,0.01,102,,Fee Schedule, ,,0.01,102.5,,Fee Schedule, ,,0.01,100,,Fee Schedule, ,,0.01,100,,Fee Schedule, ,,0.01,101,,Fee Schedule, ,,0.01,101,,Fee Schedule, ,,0.01,101,,Fee Schedule, ,,0.01,101,,Fee Schedule, ,,0.01,101,,Fee Schedule, ,,0.01,101,,Fee Schedule, ,,0.01,104,,Fee Schedule, ,, ,,,,,,,,,, ,, ,,,, ,,0.01,104.00,,																																							
Inj, fulvestrant (teva),9102,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,104.45,467.75,,Fee Schedule,57.03,,104.45,467.75,,Fee Schedule,60.89,,104.45,467.75,,Fee Schedule,48.78,,104.45,467.75,,Fee Schedule,51.7,,104.45,467.75,,Fee Schedule,58.18,,104.45,467.75,,Fee Schedule,61,,92.98,416.41,,Fee Schedule,48.82,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,22.33,100,,Fee Schedule,3.84,,22.78,102,,Fee Schedule,2.64,,22.89,102.5,,Fee Schedule,3.48,,22.33,100,,Fee Schedule,3.86,,22.33,100,,Fee Schedule,2.66,,22.55,101,,Fee Schedule,3.5,,22.55,101,,Fee Schedule,3.5,,22.78,101,,Fee Schedule,4.33,,22.78,101,,Fee Schedule,3.48,,22.78,101,,Fee Schedule,4.15,,22.78,101,,Fee Schedule,3.69,,23.45,104,,Fee Schedule,2.51,, ,,,,,,,,,, ,, ,,,, ,,22.33,104.45,,																																							
Inj, fulvestrant (fresenius),9103,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,261.1,467.75,,Fee Schedule,142.56,,261.1,467.75,,Fee Schedule,152.22,,261.1,467.75,,Fee Schedule,121.93,,261.1,467.75,,Fee Schedule,129.24,,261.1,467.75,,Fee Schedule,145.43,,261.1,467.75,,Fee Schedule,152.48,,232.44,416.41,,Fee Schedule,122.03,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,55.82,100,,Fee Schedule,9.6,,56.94,102,,Fee Schedule,6.6,,57.22,102.5,,Fee Schedule,8.7,,55.82,100,,Fee Schedule,9.66,,55.82,100,,Fee Schedule,6.64,,56.38,101,,Fee Schedule,8.74,,56.38,101,,Fee Schedule,8.74,,56.94,101,,Fee Schedule,10.82,,56.94,101,,Fee Schedule,8.71,,56.94,101,,Fee Schedule,10.36,,56.94,101,,Fee Schedule,9.22,,58.61,104,,Fee Schedule,6.27,, ,,,,,,,,,, ,, ,,,, ,,55.82,261.10,,																																							
Antithymocyte globuln rabbit,9104,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,4538.06,467.75,,Fee Schedule,2477.78,,4538.06,467.75,,Fee Schedule,2645.69,,4538.06,467.75,,Fee Schedule,2119.28,,4538.06,467.75,,Fee Schedule,2246.34,,4538.06,467.75,,Fee Schedule,2527.7,,4538.06,467.75,,Fee Schedule,2650.23,,4039.97,416.41,,Fee Schedule,2120.98,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,970.19,100,,Fee Schedule,166.87,,989.59,102,,Fee Schedule,114.79,,994.44,102.5,,Fee Schedule,151.16,,970.19,100,,Fee Schedule,167.84,,970.19,100,,Fee Schedule,115.45,,979.89,101,,Fee Schedule,151.88,,979.89,101,,Fee Schedule,151.88,,989.59,101,,Fee Schedule,188.02,,989.59,101,,Fee Schedule,151.41,,989.59,101,,Fee Schedule,180.11,,989.59,101,,Fee Schedule,160.31,,1018.7,104,,Fee Schedule,109,, ,,,,,,,,,, ,, ,,,, ,,970.19,4538.06,,																																							
Inj pemetrexed (teva) 10mg,9105,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,98.32,467.75,,Fee Schedule,53.68,,98.32,467.75,,Fee Schedule,57.32,,98.32,467.75,,Fee Schedule,45.92,,98.32,467.75,,Fee Schedule,48.67,,98.32,467.75,,Fee Schedule,54.76,,98.32,467.75,,Fee Schedule,57.42,,87.53,416.41,,Fee Schedule,45.95,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,21.02,100,,Fee Schedule,3.62,,21.44,102,,Fee Schedule,2.49,,21.55,102.5,,Fee Schedule,3.27,,21.02,100,,Fee Schedule,3.64,,21.02,100,,Fee Schedule,2.5,,21.23,101,,Fee Schedule,3.29,,21.23,101,,Fee Schedule,3.29,,21.44,101,,Fee Schedule,4.07,,21.44,101,,Fee Schedule,3.28,,21.44,101,,Fee Schedule,3.9,,21.44,101,,Fee Schedule,3.47,,22.07,104,,Fee Schedule,2.36,, ,,,,,,,,,, ,, ,,,, ,,21.02,104.00,,																																							
Inj, bupivacaine (posimir),9106,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,2.53,467.75,,Fee Schedule,1.38,,2.53,467.75,,Fee Schedule,1.47,,2.53,467.75,,Fee Schedule,1.18,,2.53,467.75,,Fee Schedule,1.25,,2.53,467.75,,Fee Schedule,1.41,,2.53,467.75,,Fee Schedule,1.48,,2.25,416.41,,Fee Schedule,1.18,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,0.54,100,,Fee Schedule,0.09,,0.55,102,,Fee Schedule,0.06,,0.55,102.5,,Fee Schedule,0.08,,0.54,100,,Fee Schedule,0.09,,0.54,100,,Fee Schedule,0.06,,0.55,101,,Fee Schedule,0.08,,0.55,101,,Fee Schedule,0.08,,0.55,101,,Fee Schedule,0.1,,0.55,101,,Fee Schedule,0.08,,0.55,101,,Fee Schedule,0.1,,0.55,101,,Fee Schedule,0.09,,0.57,104,,Fee Schedule,0.06,, ,,,,,,,,,, ,, ,,,, ,,0.54,104.00,,																																							
Inj, aponvie, 1 mg,9107,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,9.26,467.75,,Fee Schedule,5.06,,9.26,467.75,,Fee Schedule,5.4,,9.26,467.75,,Fee Schedule,4.33,,9.26,467.75,,Fee Schedule,4.58,,9.26,467.75,,Fee Schedule,5.16,,9.26,467.75,,Fee Schedule,5.41,,8.24,416.41,,Fee Schedule,4.33,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,1.98,100,,Fee Schedule,0.34,,2.02,102,,Fee Schedule,0.23,,2.03,102.5,,Fee Schedule,0.31,,1.98,100,,Fee Schedule,0.34,,1.98,100,,Fee Schedule,0.24,,2,101,,Fee Schedule,0.31,,2,101,,Fee Schedule,0.31,,2.02,101,,Fee Schedule,0.38,,2.02,101,,Fee Schedule,0.31,,2.02,101,,Fee Schedule,0.37,,2.02,101,,Fee Schedule,0.33,,2.08,104,,Fee Schedule,0.22,, ,,,,,,,,,, ,, ,,,, ,,1.98,104.00,,																																							
Thyrotropin injection,9108,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,9908.35,467.75,,Fee Schedule,5409.96,,9908.35,467.75,,Fee Schedule,5776.57,,9908.35,467.75,,Fee Schedule,4627.2,,9908.35,467.75,,Fee Schedule,4904.63,,9908.35,467.75,,Fee Schedule,5518.95,,9908.35,467.75,,Fee Schedule,5786.48,,8820.81,416.41,,Fee Schedule,4630.93,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,2118.3,100,,Fee Schedule,364.35,,2160.67,102,,Fee Schedule,250.64,,2171.26,102.5,,Fee Schedule,330.03,,2118.3,100,,Fee Schedule,366.47,,2118.3,100,,Fee Schedule,252.08,,2139.48,101,,Fee Schedule,331.62,,2139.48,101,,Fee Schedule,331.62,,2160.67,101,,Fee Schedule,410.53,,2160.67,101,,Fee Schedule,330.58,,2160.67,101,,Fee Schedule,393.24,,2160.67,101,,Fee Schedule,350.03,,2224.22,104,,Fee Schedule,237.99,, ,,,,,,,,,, ,, ,,,, ,,2118.30,9908.35,,																																							
Inj, elahere, 1 mg,9109,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,323.92,467.75,,Fee Schedule,176.86,,323.92,467.75,,Fee Schedule,188.84,,323.92,467.75,,Fee Schedule,151.27,,323.92,467.75,,Fee Schedule,160.34,,323.92,467.75,,Fee Schedule,180.42,,323.92,467.75,,Fee Schedule,189.17,,288.36,416.41,,Fee Schedule,151.39,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,69.25,100,,Fee Schedule,11.91,,70.64,102,,Fee Schedule,8.19,,70.98,102.5,,Fee Schedule,10.79,,69.25,100,,Fee Schedule,11.98,,69.25,100,,Fee Schedule,8.24,,69.94,101,,Fee Schedule,10.84,,69.94,101,,Fee Schedule,10.84,,70.64,101,,Fee Schedule,13.42,,70.64,101,,Fee Schedule,10.81,,70.64,101,,Fee Schedule,12.86,,70.64,101,,Fee Schedule,11.44,,72.71,104,,Fee Schedule,7.78,, ,,,,,,,,,, ,, ,,,, ,,69.25,323.92,,																																							
Inj, tremelimumabactl, 1 mg,9110,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,671.5,467.75,,Fee Schedule,366.64,,671.5,467.75,,Fee Schedule,391.49,,671.5,467.75,,Fee Schedule,313.59,,671.5,467.75,,Fee Schedule,332.39,,671.5,467.75,,Fee Schedule,374.03,,671.5,467.75,,Fee Schedule,392.16,,597.8,416.41,,Fee Schedule,313.84,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,143.56,100,,Fee Schedule,24.69,,146.43,102,,Fee Schedule,16.99,,147.15,102.5,,Fee Schedule,22.37,,143.56,100,,Fee Schedule,24.84,,143.56,100,,Fee Schedule,17.08,,145,101,,Fee Schedule,22.47,,145,101,,Fee Schedule,22.47,,146.43,101,,Fee Schedule,27.82,,146.43,101,,Fee Schedule,22.4,,146.43,101,,Fee Schedule,26.65,,146.43,101,,Fee Schedule,23.72,,150.74,104,,Fee Schedule,16.13,, ,,,,,,,,,, ,, ,,,, ,,143.56,671.50,,																																							
Inj teclistamab cqyv 0.5 mg,9111,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,152.21,467.75,,Fee Schedule,83.1,,152.21,467.75,,Fee Schedule,88.74,,152.21,467.75,,Fee Schedule,71.08,,152.21,467.75,,Fee Schedule,75.34,,152.21,467.75,,Fee Schedule,84.78,,152.21,467.75,,Fee Schedule,88.89,,135.5,416.41,,Fee Schedule,71.14,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,32.54,100,,Fee Schedule,5.6,,33.19,102,,Fee Schedule,3.85,,33.35,102.5,,Fee Schedule,5.07,,32.54,100,,Fee Schedule,5.63,,32.54,100,,Fee Schedule,3.87,,32.87,101,,Fee Schedule,5.09,,32.87,101,,Fee Schedule,5.09,,33.19,101,,Fee Schedule,6.31,,33.19,101,,Fee Schedule,5.08,,33.19,101,,Fee Schedule,6.04,,33.19,101,,Fee Schedule,5.38,,34.17,104,,Fee Schedule,3.66,, ,,,,,,,,,, ,, ,,,, ,,32.54,152.21,,																																							
Inj teplizumab mzwv 5 mcg,9112,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,178.49,467.75,,Fee Schedule,97.46,,178.49,467.75,,Fee Schedule,104.06,,178.49,467.75,,Fee Schedule,83.36,,178.49,467.75,,Fee Schedule,88.35,,178.49,467.75,,Fee Schedule,99.42,,178.49,467.75,,Fee Schedule,104.24,,158.9,416.41,,Fee Schedule,83.42,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,38.16,100,,Fee Schedule,6.56,,38.92,102,,Fee Schedule,4.52,,39.11,102.5,,Fee Schedule,5.95,,38.16,100,,Fee Schedule,6.6,,38.16,100,,Fee Schedule,4.54,,38.54,101,,Fee Schedule,5.97,,38.54,101,,Fee Schedule,5.97,,38.92,101,,Fee Schedule,7.4,,38.92,101,,Fee Schedule,5.96,,38.92,101,,Fee Schedule,7.08,,38.92,101,,Fee Schedule,6.31,,40.07,104,,Fee Schedule,4.29,, ,,,,,,,,,, ,, ,,,, ,,38.16,178.49,,																																							
Inj olipudase alfarpcp 1mg,9113,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,1857.81,467.75,,Fee Schedule,1014.36,,1857.81,467.75,,Fee Schedule,1083.1,,1857.81,467.75,,Fee Schedule,867.6,,1857.81,467.75,,Fee Schedule,919.62,,1857.81,467.75,,Fee Schedule,1034.8,,1857.81,467.75,,Fee Schedule,1084.96,,1653.9,416.41,,Fee Schedule,868.3,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,397.18,100,,Fee Schedule,68.31,,405.12,102,,Fee Schedule,46.99,,407.11,102.5,,Fee Schedule,61.88,,397.18,100,,Fee Schedule,68.71,,397.18,100,,Fee Schedule,47.26,,401.15,101,,Fee Schedule,62.18,,401.15,101,,Fee Schedule,62.18,,405.12,101,,Fee Schedule,76.97,,405.12,101,,Fee Schedule,61.98,,405.12,101,,Fee Schedule,73.73,,405.12,101,,Fee Schedule,65.63,,417.04,104,,Fee Schedule,44.62,, ,,,,,,,,,, ,, ,,,, ,,397.18,1857.81,,																																							
Inj eflapegrastimxnst 0.1mg,9114,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,154.4,467.75,,Fee Schedule,84.3,,154.4,467.75,,Fee Schedule,90.02,,154.4,467.75,,Fee Schedule,72.11,,154.4,467.75,,Fee Schedule,76.43,,154.4,467.75,,Fee Schedule,86,,154.4,467.75,,Fee Schedule,90.17,,137.46,416.41,,Fee Schedule,72.16,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,33.01,100,,Fee Schedule,5.68,,33.67,102,,Fee Schedule,3.91,,33.84,102.5,,Fee Schedule,5.14,,33.01,100,,Fee Schedule,5.71,,33.01,100,,Fee Schedule,3.93,,33.34,101,,Fee Schedule,5.17,,33.34,101,,Fee Schedule,5.17,,33.67,101,,Fee Schedule,6.4,,33.67,101,,Fee Schedule,5.15,,33.67,101,,Fee Schedule,6.13,,33.67,101,,Fee Schedule,5.45,,34.66,104,,Fee Schedule,3.71,, ,,,,,,,,,, ,, ,,,, ,,33.01,154.40,,																																							
Inj, spesolimabsbzo, 1 mg,9115,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,296.69,467.75,,Fee Schedule,161.99,,296.69,467.75,,Fee Schedule,172.97,,296.69,467.75,,Fee Schedule,138.56,,296.69,467.75,,Fee Schedule,146.86,,296.69,467.75,,Fee Schedule,165.26,,296.69,467.75,,Fee Schedule,173.27,,264.13,416.41,,Fee Schedule,138.67,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,63.43,100,,Fee Schedule,10.91,,64.7,102,,Fee Schedule,7.51,,65.02,102.5,,Fee Schedule,9.88,,63.43,100,,Fee Schedule,10.97,,63.43,100,,Fee Schedule,7.55,,64.06,101,,Fee Schedule,9.93,,64.06,101,,Fee Schedule,9.93,,64.7,101,,Fee Schedule,12.29,,64.7,101,,Fee Schedule,9.9,,64.7,101,,Fee Schedule,11.78,,64.7,101,,Fee Schedule,10.48,,66.6,104,,Fee Schedule,7.13,, ,,,,,,,,,, ,, ,,,, ,,63.43,296.69,,																																							
Chloroprocaine opht gel, 1mg,9116,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,3.46,467.75,,Fee Schedule,1.89,,3.46,467.75,,Fee Schedule,2.02,,3.46,467.75,,Fee Schedule,1.62,,3.46,467.75,,Fee Schedule,1.71,,3.46,467.75,,Fee Schedule,1.93,,3.46,467.75,,Fee Schedule,2.02,,3.08,416.41,,Fee Schedule,1.62,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,0.74,100,,Fee Schedule,0.13,,0.75,102,,Fee Schedule,0.09,,0.76,102.5,,Fee Schedule,0.12,,0.74,100,,Fee Schedule,0.13,,0.74,100,,Fee Schedule,0.09,,0.75,101,,Fee Schedule,0.12,,0.75,101,,Fee Schedule,0.12,,0.75,101,,Fee Schedule,0.14,,0.75,101,,Fee Schedule,0.12,,0.75,101,,Fee Schedule,0.14,,0.75,101,,Fee Schedule,0.12,,0.78,104,,Fee Schedule,0.08,, ,,,,,,,,,, ,, ,,,, ,,0.74,104.00,,																																							
Inj, cimerli, 0.1 mg,9117,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,1346.23,467.75,,Fee Schedule,735.04,,1346.23,467.75,,Fee Schedule,784.85,,1346.23,467.75,,Fee Schedule,628.69,,1346.23,467.75,,Fee Schedule,666.38,,1346.23,467.75,,Fee Schedule,749.85,,1346.23,467.75,,Fee Schedule,786.2,,1198.47,416.41,,Fee Schedule,629.2,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,287.81,100,,Fee Schedule,49.5,,293.57,102,,Fee Schedule,34.05,,295.01,102.5,,Fee Schedule,44.84,,287.81,100,,Fee Schedule,49.79,,287.81,100,,Fee Schedule,34.25,,290.69,101,,Fee Schedule,45.06,,290.69,101,,Fee Schedule,45.06,,293.57,101,,Fee Schedule,55.78,,293.57,101,,Fee Schedule,44.92,,293.57,101,,Fee Schedule,53.43,,293.57,101,,Fee Schedule,47.56,,302.2,104,,Fee Schedule,32.34,, ,,,,,,,,,, ,, ,,,, ,,287.81,1346.23,,																																							
Inj, fylnetra, 0.5 mg,9118,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,1028.63,467.75,,Fee Schedule,561.63,,1028.63,467.75,,Fee Schedule,599.69,,1028.63,467.75,,Fee Schedule,480.37,,1028.63,467.75,,Fee Schedule,509.17,,1028.63,467.75,,Fee Schedule,572.95,,1028.63,467.75,,Fee Schedule,600.72,,915.73,416.41,,Fee Schedule,480.76,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,219.91,100,,Fee Schedule,37.82,,224.31,102,,Fee Schedule,26.02,,225.41,102.5,,Fee Schedule,34.26,,219.91,100,,Fee Schedule,38.04,,219.91,100,,Fee Schedule,26.17,,222.11,101,,Fee Schedule,34.43,,222.11,101,,Fee Schedule,34.43,,224.31,101,,Fee Schedule,42.62,,224.31,101,,Fee Schedule,34.32,,224.31,101,,Fee Schedule,40.82,,224.31,101,,Fee Schedule,36.34,,230.91,104,,Fee Schedule,24.71,, ,,,,,,,,,, ,, ,,,, ,,219.91,1028.63,,																																							
Inj sodium thiosulfate 100mg,9119,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,473.88,467.75,,Fee Schedule,258.74,,473.88,467.75,,Fee Schedule,276.27,,473.88,467.75,,Fee Schedule,221.3,,473.88,467.75,,Fee Schedule,234.57,,473.88,467.75,,Fee Schedule,263.95,,473.88,467.75,,Fee Schedule,276.74,,421.86,416.41,,Fee Schedule,221.48,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,101.31,100,,Fee Schedule,17.43,,103.34,102,,Fee Schedule,11.99,,103.84,102.5,,Fee Schedule,15.78,,101.31,100,,Fee Schedule,17.53,,101.31,100,,Fee Schedule,12.06,,102.32,101,,Fee Schedule,15.86,,102.32,101,,Fee Schedule,15.86,,103.34,101,,Fee Schedule,19.63,,103.34,101,,Fee Schedule,15.81,,103.34,101,,Fee Schedule,18.81,,103.34,101,,Fee Schedule,16.74,,106.38,104,,Fee Schedule,11.38,, ,,,,,,,,,, ,, ,,,, ,,101.31,473.88,,																																							
Injection, fulvestrant,9120,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,41.16,467.75,,Fee Schedule,22.47,,41.16,467.75,,Fee Schedule,24,,41.16,467.75,,Fee Schedule,19.22,,41.16,467.75,,Fee Schedule,20.38,,41.16,467.75,,Fee Schedule,22.93,,41.16,467.75,,Fee Schedule,24.04,,36.64,416.41,,Fee Schedule,19.24,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,8.8,100,,Fee Schedule,1.51,,8.98,102,,Fee Schedule,1.04,,9.02,102.5,,Fee Schedule,1.37,,8.8,100,,Fee Schedule,1.52,,8.8,100,,Fee Schedule,1.05,,8.89,101,,Fee Schedule,1.38,,8.89,101,,Fee Schedule,1.38,,8.98,101,,Fee Schedule,1.71,,8.98,101,,Fee Schedule,1.37,,8.98,101,,Fee Schedule,1.63,,8.98,101,,Fee Schedule,1.45,,9.24,104,,Fee Schedule,0.99,, ,,,,,,,,,, ,, ,,,, ,,8.80,104.00,,																																							
Triptorelin pamoate,9122,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,1979.19,467.75,,Fee Schedule,1080.64,,1979.19,467.75,,Fee Schedule,1153.87,,1979.19,467.75,,Fee Schedule,924.28,,1979.19,467.75,,Fee Schedule,979.7,,1979.19,467.75,,Fee Schedule,1102.41,,1979.19,467.75,,Fee Schedule,1155.85,,1761.96,416.41,,Fee Schedule,925.03,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,423.13,100,,Fee Schedule,72.78,,431.59,102,,Fee Schedule,50.06,,433.71,102.5,,Fee Schedule,65.92,,423.13,100,,Fee Schedule,73.2,,423.13,100,,Fee Schedule,50.35,,427.36,101,,Fee Schedule,66.24,,427.36,101,,Fee Schedule,66.24,,431.59,101,,Fee Schedule,82,,431.59,101,,Fee Schedule,66.03,,431.59,101,,Fee Schedule,78.55,,431.59,101,,Fee Schedule,69.92,,444.29,104,,Fee Schedule,47.54,, ,,,,,,,,,, ,, ,,,, ,,423.13,1979.19,,																																							
Inj pemetrexed, hospira 10mg,9123,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,24.51,467.75,,Fee Schedule,13.38,,24.51,467.75,,Fee Schedule,14.29,,24.51,467.75,,Fee Schedule,11.45,,24.51,467.75,,Fee Schedule,12.13,,24.51,467.75,,Fee Schedule,13.65,,24.51,467.75,,Fee Schedule,14.31,,21.82,416.41,,Fee Schedule,11.46,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,5.24,100,,Fee Schedule,0.9,,5.34,102,,Fee Schedule,0.62,,5.37,102.5,,Fee Schedule,0.82,,5.24,100,,Fee Schedule,0.91,,5.24,100,,Fee Schedule,0.62,,5.29,101,,Fee Schedule,0.82,,5.29,101,,Fee Schedule,0.82,,5.34,101,,Fee Schedule,1.02,,5.34,101,,Fee Schedule,0.82,,5.34,101,,Fee Schedule,0.97,,5.34,101,,Fee Schedule,0.87,,5.5,104,,Fee Schedule,0.59,, ,,,,,,,,,, ,, ,,,, ,,5.24,104.00,,																																							
Inj risperdal consta, 0.5 mg,9125,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,59.83,467.75,,Fee Schedule,32.66,,59.83,467.75,,Fee Schedule,34.88,,59.83,467.75,,Fee Schedule,27.94,,59.83,467.75,,Fee Schedule,29.61,,59.83,467.75,,Fee Schedule,33.32,,59.83,467.75,,Fee Schedule,34.94,,53.26,416.41,,Fee Schedule,27.96,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,12.79,100,,Fee Schedule,2.2,,13.05,102,,Fee Schedule,1.51,,13.11,102.5,,Fee Schedule,1.99,,12.79,100,,Fee Schedule,2.21,,12.79,100,,Fee Schedule,1.52,,12.92,101,,Fee Schedule,2,,12.92,101,,Fee Schedule,2,,13.05,101,,Fee Schedule,2.48,,13.05,101,,Fee Schedule,2,,13.05,101,,Fee Schedule,2.37,,13.05,101,,Fee Schedule,2.11,,13.43,104,,Fee Schedule,1.44,, ,,,,,,,,,, ,, ,,,, ,,12.79,104.00,,																																							
Natalizumab injection,9126,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,121.19,467.75,,Fee Schedule,66.17,,121.19,467.75,,Fee Schedule,70.66,,121.19,467.75,,Fee Schedule,56.6,,121.19,467.75,,Fee Schedule,59.99,,121.19,467.75,,Fee Schedule,67.51,,121.19,467.75,,Fee Schedule,70.78,,107.89,416.41,,Fee Schedule,56.64,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,25.91,100,,Fee Schedule,4.46,,26.43,102,,Fee Schedule,3.07,,26.56,102.5,,Fee Schedule,4.04,,25.91,100,,Fee Schedule,4.48,,25.91,100,,Fee Schedule,3.08,,26.17,101,,Fee Schedule,4.06,,26.17,101,,Fee Schedule,4.06,,26.43,101,,Fee Schedule,5.02,,26.43,101,,Fee Schedule,4.04,,26.43,101,,Fee Schedule,4.81,,26.43,101,,Fee Schedule,4.28,,27.21,104,,Fee Schedule,2.91,, ,,,,,,,,,, ,, ,,,, ,,25.91,121.19,,																																							
Inj pemetrexed (accord) 10mg,9127,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,47.57,467.75,,Fee Schedule,25.97,,47.57,467.75,,Fee Schedule,27.73,,47.57,467.75,,Fee Schedule,22.22,,47.57,467.75,,Fee Schedule,23.55,,47.57,467.75,,Fee Schedule,26.5,,47.57,467.75,,Fee Schedule,27.78,,42.35,416.41,,Fee Schedule,22.23,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,10.17,100,,Fee Schedule,1.75,,10.37,102,,Fee Schedule,1.2,,10.42,102.5,,Fee Schedule,1.58,,10.17,100,,Fee Schedule,1.76,,10.17,100,,Fee Schedule,1.21,,10.27,101,,Fee Schedule,1.59,,10.27,101,,Fee Schedule,1.59,,10.37,101,,Fee Schedule,1.97,,10.37,101,,Fee Schedule,1.59,,10.37,101,,Fee Schedule,1.89,,10.37,101,,Fee Schedule,1.68,,10.68,104,,Fee Schedule,1.14,, ,,,,,,,,,, ,, ,,,, ,,10.17,104.00,,																																							
Inj pemetrexed (sandoz) 10mg,9128,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,11.27,467.75,,Fee Schedule,6.15,,11.27,467.75,,Fee Schedule,6.57,,11.27,467.75,,Fee Schedule,5.26,,11.27,467.75,,Fee Schedule,5.58,,11.27,467.75,,Fee Schedule,6.28,,11.27,467.75,,Fee Schedule,6.58,,10.04,416.41,,Fee Schedule,5.27,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,2.41,100,,Fee Schedule,0.41,,2.46,102,,Fee Schedule,0.29,,2.47,102.5,,Fee Schedule,0.38,,2.41,100,,Fee Schedule,0.42,,2.41,100,,Fee Schedule,0.29,,2.43,101,,Fee Schedule,0.38,,2.43,101,,Fee Schedule,0.38,,2.46,101,,Fee Schedule,0.47,,2.46,101,,Fee Schedule,0.38,,2.46,101,,Fee Schedule,0.45,,2.46,101,,Fee Schedule,0.4,,2.53,104,,Fee Schedule,0.27,, ,,,,,,,,,, ,, ,,,, ,,2.41,104.00,,																																							
Inj, stimufend, 0.5 mg,9129,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,1720.01,467.75,,Fee Schedule,939.13,,1720.01,467.75,,Fee Schedule,1002.77,,1720.01,467.75,,Fee Schedule,803.24,,1720.01,467.75,,Fee Schedule,851.41,,1720.01,467.75,,Fee Schedule,958.05,,1720.01,467.75,,Fee Schedule,1004.49,,1531.22,416.41,,Fee Schedule,803.89,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,367.72,100,,Fee Schedule,63.25,,375.07,102,,Fee Schedule,43.51,,376.91,102.5,,Fee Schedule,57.29,,367.72,100,,Fee Schedule,63.62,,367.72,100,,Fee Schedule,43.76,,371.4,101,,Fee Schedule,57.57,,371.4,101,,Fee Schedule,57.57,,375.07,101,,Fee Schedule,71.26,,375.07,101,,Fee Schedule,57.39,,375.07,101,,Fee Schedule,68.26,,375.07,101,,Fee Schedule,60.76,,386.11,104,,Fee Schedule,41.31,, ,,,,,,,,,, ,, ,,,, ,,367.72,1720.01,,																																							
Inj, imm glob bivigam, 500mg,9130,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,359.47,467.75,,Fee Schedule,196.27,,359.47,467.75,,Fee Schedule,209.57,,359.47,467.75,,Fee Schedule,167.87,,359.47,467.75,,Fee Schedule,177.94,,359.47,467.75,,Fee Schedule,200.22,,359.47,467.75,,Fee Schedule,209.93,,320.01,416.41,,Fee Schedule,168.01,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,76.85,100,,Fee Schedule,13.22,,78.39,102,,Fee Schedule,9.09,,78.77,102.5,,Fee Schedule,11.97,,76.85,100,,Fee Schedule,13.3,,76.85,100,,Fee Schedule,9.15,,77.62,101,,Fee Schedule,12.03,,77.62,101,,Fee Schedule,12.03,,78.39,101,,Fee Schedule,14.89,,78.39,101,,Fee Schedule,11.99,,78.39,101,,Fee Schedule,14.27,,78.39,101,,Fee Schedule,12.7,,80.69,104,,Fee Schedule,8.63,, ,,,,,,,,,, ,, ,,,, ,,76.85,359.47,,																																							
Inj, adotrastuzumab emt 1mg,9131,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,188.88,467.75,,Fee Schedule,103.13,,188.88,467.75,,Fee Schedule,110.12,,188.88,467.75,,Fee Schedule,88.21,,188.88,467.75,,Fee Schedule,93.49,,188.88,467.75,,Fee Schedule,105.2,,188.88,467.75,,Fee Schedule,110.3,,168.15,416.41,,Fee Schedule,88.28,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,40.38,100,,Fee Schedule,6.95,,41.19,102,,Fee Schedule,4.78,,41.39,102.5,,Fee Schedule,6.29,,40.38,100,,Fee Schedule,6.99,,40.38,100,,Fee Schedule,4.81,,40.78,101,,Fee Schedule,6.32,,40.78,101,,Fee Schedule,6.32,,41.19,101,,Fee Schedule,7.83,,41.19,101,,Fee Schedule,6.3,,41.19,101,,Fee Schedule,7.5,,41.19,101,,Fee Schedule,6.67,,42.4,104,,Fee Schedule,4.54,, ,,,,,,,,,, ,, ,,,, ,,40.38,188.88,,																																							
Prothrombin complex kcentra,9132,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,11.23,467.75,,Fee Schedule,6.13,,11.23,467.75,,Fee Schedule,6.54,,11.23,467.75,,Fee Schedule,5.24,,11.23,467.75,,Fee Schedule,5.56,,11.23,467.75,,Fee Schedule,6.25,,11.23,467.75,,Fee Schedule,6.56,,9.99,416.41,,Fee Schedule,5.25,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,2.4,100,,Fee Schedule,0.41,,2.45,102,,Fee Schedule,0.28,,2.46,102.5,,Fee Schedule,0.37,,2.4,100,,Fee Schedule,0.42,,2.4,100,,Fee Schedule,0.29,,2.42,101,,Fee Schedule,0.38,,2.42,101,,Fee Schedule,0.38,,2.45,101,,Fee Schedule,0.47,,2.45,101,,Fee Schedule,0.37,,2.45,101,,Fee Schedule,0.45,,2.45,101,,Fee Schedule,0.4,,2.52,104,,Fee Schedule,0.27,, ,,,,,,,,,, ,, ,,,, ,,2.40,104.00,,																																							
Rabies ig im/sc,9133,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,1368.31,467.75,,Fee Schedule,747.1,,1368.31,467.75,,Fee Schedule,797.72,,1368.31,467.75,,Fee Schedule,639,,1368.31,467.75,,Fee Schedule,677.31,,1368.31,467.75,,Fee Schedule,762.15,,1368.31,467.75,,Fee Schedule,799.09,,1218.12,416.41,,Fee Schedule,639.52,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,292.53,100,,Fee Schedule,50.32,,298.38,102,,Fee Schedule,34.61,,299.84,102.5,,Fee Schedule,45.58,,292.53,100,,Fee Schedule,50.61,,292.53,100,,Fee Schedule,34.81,,295.46,101,,Fee Schedule,45.8,,295.46,101,,Fee Schedule,45.8,,298.38,101,,Fee Schedule,56.69,,298.38,101,,Fee Schedule,45.65,,298.38,101,,Fee Schedule,54.31,,298.38,101,,Fee Schedule,48.34,,307.16,104,,Fee Schedule,32.87,, ,,,,,,,,,, ,, ,,,, ,,292.53,1368.31,,																																							
Rabies ig heat treated,9134,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,841.95,467.75,,Fee Schedule,459.7,,841.95,467.75,,Fee Schedule,490.86,,841.95,467.75,,Fee Schedule,393.19,,841.95,467.75,,Fee Schedule,416.77,,841.95,467.75,,Fee Schedule,468.97,,841.95,467.75,,Fee Schedule,491.7,,749.54,416.41,,Fee Schedule,393.51,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,180,100,,Fee Schedule,30.96,,183.6,102,,Fee Schedule,21.3,,184.5,102.5,,Fee Schedule,28.04,,180,100,,Fee Schedule,31.14,,180,100,,Fee Schedule,21.42,,181.8,101,,Fee Schedule,28.18,,181.8,101,,Fee Schedule,28.18,,183.6,101,,Fee Schedule,34.88,,183.6,101,,Fee Schedule,28.09,,183.6,101,,Fee Schedule,33.42,,183.6,101,,Fee Schedule,29.74,,189,104,,Fee Schedule,20.22,, ,,,,,,,,,, ,, ,,,, ,,180.00,841.95,,																																							
Varicellazoster ig im,9135,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,10095.4,467.75,,Fee Schedule,5512.09,,10095.4,467.75,,Fee Schedule,5885.62,,10095.4,467.75,,Fee Schedule,4714.55,,10095.4,467.75,,Fee Schedule,4997.22,,10095.4,467.75,,Fee Schedule,5623.14,,10095.4,467.75,,Fee Schedule,5895.71,,8987.34,416.41,,Fee Schedule,4718.35,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,2158.29,100,,Fee Schedule,371.23,,2201.46,102,,Fee Schedule,255.37,,2212.25,102.5,,Fee Schedule,336.26,,2158.29,100,,Fee Schedule,373.38,,2158.29,100,,Fee Schedule,256.84,,2179.87,101,,Fee Schedule,337.88,,2179.87,101,,Fee Schedule,337.88,,2201.46,101,,Fee Schedule,418.28,,2201.46,101,,Fee Schedule,336.82,,2201.46,101,,Fee Schedule,400.66,,2201.46,101,,Fee Schedule,356.64,,2266.2,104,,Fee Schedule,242.48,, ,,,,,,,,,, ,, ,,,, ,,2158.29,10095.40,,																																							
Leuprolide depot cipla 7.5mg,9136,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,1783.62,467.75,,Fee Schedule,973.86,,1783.62,467.75,,Fee Schedule,1039.85,,1783.62,467.75,,Fee Schedule,832.95,,1783.62,467.75,,Fee Schedule,882.89,,1783.62,467.75,,Fee Schedule,993.48,,1783.62,467.75,,Fee Schedule,1041.64,,1587.85,416.41,,Fee Schedule,833.62,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,381.32,100,,Fee Schedule,65.59,,388.95,102,,Fee Schedule,45.12,,390.85,102.5,,Fee Schedule,59.41,,381.32,100,,Fee Schedule,65.97,,381.32,100,,Fee Schedule,45.38,,385.13,101,,Fee Schedule,59.7,,385.13,101,,Fee Schedule,59.7,,388.95,101,,Fee Schedule,73.9,,388.95,101,,Fee Schedule,59.51,,388.95,101,,Fee Schedule,70.79,,388.95,101,,Fee Schedule,63.01,,400.39,104,,Fee Schedule,42.84,, ,,,,,,,,,, ,, ,,,, ,,381.32,1783.62,,																																							
Rabies vaccine im,9139,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,1618.56,467.75,,Fee Schedule,883.73,,1618.56,467.75,,Fee Schedule,943.62,,1618.56,467.75,,Fee Schedule,755.87,,1618.56,467.75,,Fee Schedule,801.18,,1618.56,467.75,,Fee Schedule,901.54,,1618.56,467.75,,Fee Schedule,945.24,,1440.9,416.41,,Fee Schedule,756.47,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,346.03,100,,Fee Schedule,59.52,,352.95,102,,Fee Schedule,40.94,,354.68,102.5,,Fee Schedule,53.91,,346.03,100,,Fee Schedule,59.86,,346.03,100,,Fee Schedule,41.18,,349.49,101,,Fee Schedule,54.17,,349.49,101,,Fee Schedule,54.17,,352.95,101,,Fee Schedule,67.06,,352.95,101,,Fee Schedule,54,,352.95,101,,Fee Schedule,64.24,,352.95,101,,Fee Schedule,57.18,,363.33,104,,Fee Schedule,38.88,, ,,,,,,,,,, ,, ,,,, ,,346.03,1618.56,,																																							
Rabies vaccine id,9140,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,1256.94,467.75,,Fee Schedule,686.29,,1256.94,467.75,,Fee Schedule,732.79,,1256.94,467.75,,Fee Schedule,586.99,,1256.94,467.75,,Fee Schedule,622.18,,1256.94,467.75,,Fee Schedule,700.11,,1256.94,467.75,,Fee Schedule,734.05,,1118.98,416.41,,Fee Schedule,587.46,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,268.72,100,,Fee Schedule,46.22,,274.09,102,,Fee Schedule,31.79,,275.44,102.5,,Fee Schedule,41.87,,268.72,100,,Fee Schedule,46.49,,268.72,100,,Fee Schedule,31.98,,271.41,101,,Fee Schedule,42.07,,271.41,101,,Fee Schedule,42.07,,274.09,101,,Fee Schedule,52.08,,274.09,101,,Fee Schedule,41.94,,274.09,101,,Fee Schedule,49.89,,274.09,101,,Fee Schedule,44.4,,282.16,104,,Fee Schedule,30.19,, ,,,,,,,,,, ,, ,,,, ,,268.72,1256.94,,																																							
Fecal microbiota jslm 1 ml,9142,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,307.55,467.75,,Fee Schedule,167.92,,307.55,467.75,,Fee Schedule,179.3,,307.55,467.75,,Fee Schedule,143.62,,307.55,467.75,,Fee Schedule,152.24,,307.55,467.75,,Fee Schedule,171.3,,307.55,467.75,,Fee Schedule,179.61,,273.79,416.41,,Fee Schedule,143.74,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,65.75,100,,Fee Schedule,11.31,,67.07,102,,Fee Schedule,7.78,,67.39,102.5,,Fee Schedule,10.24,,65.75,100,,Fee Schedule,11.37,,65.75,100,,Fee Schedule,7.82,,66.41,101,,Fee Schedule,10.29,,66.41,101,,Fee Schedule,10.29,,67.07,101,,Fee Schedule,12.74,,67.07,101,,Fee Schedule,10.26,,67.07,101,,Fee Schedule,12.21,,67.07,101,,Fee Schedule,10.86,,69.04,104,,Fee Schedule,7.39,, ,,,,,,,,,, ,, ,,,, ,,65.75,307.55,,																																							
Inj, panzyga, 500 mg,9144,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,323.68,467.75,,Fee Schedule,176.73,,323.68,467.75,,Fee Schedule,188.71,,323.68,467.75,,Fee Schedule,151.16,,323.68,467.75,,Fee Schedule,160.22,,323.68,467.75,,Fee Schedule,180.29,,323.68,467.75,,Fee Schedule,189.03,,288.16,416.41,,Fee Schedule,151.28,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,69.2,100,,Fee Schedule,11.9,,70.58,102,,Fee Schedule,8.19,,70.93,102.5,,Fee Schedule,10.78,,69.2,100,,Fee Schedule,11.97,,69.2,100,,Fee Schedule,8.23,,69.89,101,,Fee Schedule,10.83,,69.89,101,,Fee Schedule,10.83,,70.58,101,,Fee Schedule,13.41,,70.58,101,,Fee Schedule,10.8,,70.58,101,,Fee Schedule,12.85,,70.58,101,,Fee Schedule,11.43,,72.66,104,,Fee Schedule,7.77,, ,,,,,,,,,, ,, ,,,, ,,69.20,323.68,,																																							
Inj, invega hafyera/trinza,9145,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,60.11,467.75,,Fee Schedule,32.82,,60.11,467.75,,Fee Schedule,35.04,,60.11,467.75,,Fee Schedule,28.07,,60.11,467.75,,Fee Schedule,29.75,,60.11,467.75,,Fee Schedule,33.48,,60.11,467.75,,Fee Schedule,35.1,,53.51,416.41,,Fee Schedule,28.09,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,12.85,100,,Fee Schedule,2.21,,13.11,102,,Fee Schedule,1.52,,13.17,102.5,,Fee Schedule,2,,12.85,100,,Fee Schedule,2.22,,12.85,100,,Fee Schedule,1.53,,12.98,101,,Fee Schedule,2.01,,12.98,101,,Fee Schedule,2.01,,13.11,101,,Fee Schedule,2.49,,13.11,101,,Fee Schedule,2.01,,13.11,101,,Fee Schedule,2.39,,13.11,101,,Fee Schedule,2.12,,13.49,104,,Fee Schedule,1.44,, ,,,,,,,,,, ,, ,,,, ,,12.85,104.00,,																																							
Inj, ixinity, 1 i.u.,9146,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,8.7,467.75,,Fee Schedule,4.75,,8.7,467.75,,Fee Schedule,5.07,,8.7,467.75,,Fee Schedule,4.06,,8.7,467.75,,Fee Schedule,4.31,,8.7,467.75,,Fee Schedule,4.85,,8.7,467.75,,Fee Schedule,5.08,,7.75,416.41,,Fee Schedule,4.07,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,1.86,100,,Fee Schedule,0.32,,1.9,102,,Fee Schedule,0.22,,1.91,102.5,,Fee Schedule,0.29,,1.86,100,,Fee Schedule,0.32,,1.86,100,,Fee Schedule,0.22,,1.88,101,,Fee Schedule,0.29,,1.88,101,,Fee Schedule,0.29,,1.9,101,,Fee Schedule,0.36,,1.9,101,,Fee Schedule,0.29,,1.9,101,,Fee Schedule,0.35,,1.9,101,,Fee Schedule,0.31,,1.95,104,,Fee Schedule,0.21,, ,,,,,,,,,, ,, ,,,, ,,1.86,104.00,,																																							
Inj ublituximabxiiy, 1 mg,9149,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,330.47,467.75,,Fee Schedule,180.43,,330.47,467.75,,Fee Schedule,192.66,,330.47,467.75,,Fee Schedule,154.33,,330.47,467.75,,Fee Schedule,163.58,,330.47,467.75,,Fee Schedule,184.07,,330.47,467.75,,Fee Schedule,192.99,,294.19,416.41,,Fee Schedule,154.45,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,70.65,100,,Fee Schedule,12.15,,72.06,102,,Fee Schedule,8.36,,72.42,102.5,,Fee Schedule,11.01,,70.65,100,,Fee Schedule,12.22,,70.65,100,,Fee Schedule,8.41,,71.36,101,,Fee Schedule,11.06,,71.36,101,,Fee Schedule,11.06,,72.06,101,,Fee Schedule,13.69,,72.06,101,,Fee Schedule,11.03,,72.06,101,,Fee Schedule,13.12,,72.06,101,,Fee Schedule,11.67,,74.18,104,,Fee Schedule,7.94,, ,,,,,,,,,, ,, ,,,, ,,70.65,330.47,,																																							
Inj mosunetuzumabaxgb, 1 mg,9150,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,3102.21,467.75,,Fee Schedule,1693.81,,3102.21,467.75,,Fee Schedule,1808.59,,3102.21,467.75,,Fee Schedule,1448.73,,3102.21,467.75,,Fee Schedule,1535.59,,3102.21,467.75,,Fee Schedule,1727.93,,3102.21,467.75,,Fee Schedule,1811.69,,2761.71,416.41,,Fee Schedule,1449.9,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,663.22,100,,Fee Schedule,114.07,,676.48,102,,Fee Schedule,78.47,,679.8,102.5,,Fee Schedule,103.33,,663.22,100,,Fee Schedule,114.74,,663.22,100,,Fee Schedule,78.92,,669.85,101,,Fee Schedule,103.83,,669.85,101,,Fee Schedule,103.83,,676.48,101,,Fee Schedule,128.53,,676.48,101,,Fee Schedule,103.5,,676.48,101,,Fee Schedule,123.12,,676.48,101,,Fee Schedule,109.59,,696.38,104,,Fee Schedule,74.51,, ,,,,,,,,,, ,, ,,,, ,,663.22,3102.21,,																																							
Inj apotex/bendamustine 1 mg,9151,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,162.87,467.75,,Fee Schedule,88.93,,162.87,467.75,,Fee Schedule,94.95,,162.87,467.75,,Fee Schedule,76.06,,162.87,467.75,,Fee Schedule,80.62,,162.87,467.75,,Fee Schedule,90.72,,162.87,467.75,,Fee Schedule,95.12,,144.99,416.41,,Fee Schedule,76.12,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,34.82,100,,Fee Schedule,5.99,,35.52,102,,Fee Schedule,4.12,,35.69,102.5,,Fee Schedule,5.42,,34.82,100,,Fee Schedule,6.02,,34.82,100,,Fee Schedule,4.14,,35.17,101,,Fee Schedule,5.45,,35.17,101,,Fee Schedule,5.45,,35.52,101,,Fee Schedule,6.75,,35.52,101,,Fee Schedule,5.43,,35.52,101,,Fee Schedule,6.46,,35.52,101,,Fee Schedule,5.75,,36.56,104,,Fee Schedule,3.91,, ,,,,,,,,,, ,, ,,,, ,,34.82,162.87,,																																							
Paclitaxel (american regent),9152,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,79.94,467.75,,Fee Schedule,43.65,,79.94,467.75,,Fee Schedule,46.6,,79.94,467.75,,Fee Schedule,37.33,,79.94,467.75,,Fee Schedule,39.57,,79.94,467.75,,Fee Schedule,44.53,,79.94,467.75,,Fee Schedule,46.68,,71.16,416.41,,Fee Schedule,37.36,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,17.09,100,,Fee Schedule,2.94,,17.43,102,,Fee Schedule,2.02,,17.52,102.5,,Fee Schedule,2.66,,17.09,100,,Fee Schedule,2.96,,17.09,100,,Fee Schedule,2.03,,17.26,101,,Fee Schedule,2.68,,17.26,101,,Fee Schedule,2.68,,17.43,101,,Fee Schedule,3.31,,17.43,101,,Fee Schedule,2.67,,17.43,101,,Fee Schedule,3.17,,17.43,101,,Fee Schedule,2.82,,17.94,104,,Fee Schedule,1.92,, ,,,,,,,,,, ,, ,,,, ,,17.09,104.00,,																																							
Inj bendamustine, baxter 1mg,9153,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,113.94,467.75,,Fee Schedule,62.21,,113.94,467.75,,Fee Schedule,66.43,,113.94,467.75,,Fee Schedule,53.21,,113.94,467.75,,Fee Schedule,56.4,,113.94,467.75,,Fee Schedule,63.47,,113.94,467.75,,Fee Schedule,66.54,,101.44,416.41,,Fee Schedule,53.25,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,24.36,100,,Fee Schedule,4.19,,24.85,102,,Fee Schedule,2.88,,24.97,102.5,,Fee Schedule,3.8,,24.36,100,,Fee Schedule,4.21,,24.36,100,,Fee Schedule,2.9,,24.6,101,,Fee Schedule,3.81,,24.6,101,,Fee Schedule,3.81,,24.85,101,,Fee Schedule,4.72,,24.85,101,,Fee Schedule,3.8,,24.85,101,,Fee Schedule,4.52,,24.85,101,,Fee Schedule,4.03,,25.58,104,,Fee Schedule,2.74,, ,,,,,,,,,, ,, ,,,, ,,24.36,113.94,,																																							
Inj, bendamustine, 1 mg,9154,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,163.48,467.75,,Fee Schedule,89.26,,163.48,467.75,,Fee Schedule,95.31,,163.48,467.75,,Fee Schedule,76.34,,163.48,467.75,,Fee Schedule,80.92,,163.48,467.75,,Fee Schedule,91.06,,163.48,467.75,,Fee Schedule,95.47,,145.54,416.41,,Fee Schedule,76.41,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,34.95,100,,Fee Schedule,6.01,,35.65,102,,Fee Schedule,4.14,,35.82,102.5,,Fee Schedule,5.45,,34.95,100,,Fee Schedule,6.05,,34.95,100,,Fee Schedule,4.16,,35.3,101,,Fee Schedule,5.47,,35.3,101,,Fee Schedule,5.47,,35.65,101,,Fee Schedule,6.77,,35.65,101,,Fee Schedule,5.45,,35.65,101,,Fee Schedule,6.49,,35.65,101,,Fee Schedule,5.78,,36.7,104,,Fee Schedule,3.93,, ,,,,,,,,,, ,, ,,,, ,,34.95,163.48,,																																							
Inj, lenacapavir, 1 mg,9155,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,107.35,467.75,,Fee Schedule,58.61,,107.35,467.75,,Fee Schedule,62.58,,107.35,467.75,,Fee Schedule,50.13,,107.35,467.75,,Fee Schedule,53.14,,107.35,467.75,,Fee Schedule,59.79,,107.35,467.75,,Fee Schedule,62.69,,95.57,416.41,,Fee Schedule,50.17,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,22.95,100,,Fee Schedule,3.95,,23.41,102,,Fee Schedule,2.72,,23.52,102.5,,Fee Schedule,3.58,,22.95,100,,Fee Schedule,3.97,,22.95,100,,Fee Schedule,2.73,,23.18,101,,Fee Schedule,3.59,,23.18,101,,Fee Schedule,3.59,,23.41,101,,Fee Schedule,4.45,,23.41,101,,Fee Schedule,3.58,,23.41,101,,Fee Schedule,4.26,,23.41,101,,Fee Schedule,3.79,,24.1,104,,Fee Schedule,2.58,, ,,,,,,,,,, ,, ,,,, ,,22.95,107.35,,																																							
Inj pemetrexed ditromethamin,9156,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,34.85,467.75,,Fee Schedule,19.03,,34.85,467.75,,Fee Schedule,20.32,,34.85,467.75,,Fee Schedule,16.27,,34.85,467.75,,Fee Schedule,17.25,,34.85,467.75,,Fee Schedule,19.41,,34.85,467.75,,Fee Schedule,20.35,,31.02,416.41,,Fee Schedule,16.29,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,7.45,100,,Fee Schedule,1.28,,7.6,102,,Fee Schedule,0.88,,7.64,102.5,,Fee Schedule,1.16,,7.45,100,,Fee Schedule,1.29,,7.45,100,,Fee Schedule,0.89,,7.52,101,,Fee Schedule,1.17,,7.52,101,,Fee Schedule,1.17,,7.6,101,,Fee Schedule,1.44,,7.6,101,,Fee Schedule,1.16,,7.6,101,,Fee Schedule,1.38,,7.6,101,,Fee Schedule,1.23,,7.82,104,,Fee Schedule,0.84,, ,,,,,,,,,, ,, ,,,, ,,7.45,104.00,,																																							
Inj, lecanemabirmb,9157,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,6.64,467.75,,Fee Schedule,3.63,,6.64,467.75,,Fee Schedule,3.87,,6.64,467.75,,Fee Schedule,3.1,,6.64,467.75,,Fee Schedule,3.29,,6.64,467.75,,Fee Schedule,3.7,,6.64,467.75,,Fee Schedule,3.88,,5.91,416.41,,Fee Schedule,3.1,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,1.42,100,,Fee Schedule,0.24,,1.45,102,,Fee Schedule,0.17,,1.46,102.5,,Fee Schedule,0.22,,1.42,100,,Fee Schedule,0.25,,1.42,100,,Fee Schedule,0.17,,1.43,101,,Fee Schedule,0.22,,1.43,101,,Fee Schedule,0.22,,1.45,101,,Fee Schedule,0.28,,1.45,101,,Fee Schedule,0.22,,1.45,101,,Fee Schedule,0.26,,1.45,101,,Fee Schedule,0.23,,1.49,104,,Fee Schedule,0.16,, ,,,,,,,,,, ,, ,,,, ,,1.42,104.00,,																																							
Inj, pegcetacoplan, 1mg,9158,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,756.3,467.75,,Fee Schedule,412.94,,756.3,467.75,,Fee Schedule,440.93,,756.3,467.75,,Fee Schedule,353.19,,756.3,467.75,,Fee Schedule,374.37,,756.3,467.75,,Fee Schedule,421.26,,756.3,467.75,,Fee Schedule,441.68,,673.29,416.41,,Fee Schedule,353.48,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,161.69,100,,Fee Schedule,27.81,,164.92,102,,Fee Schedule,19.13,,165.73,102.5,,Fee Schedule,25.19,,161.69,100,,Fee Schedule,27.97,,161.69,100,,Fee Schedule,19.24,,163.31,101,,Fee Schedule,25.31,,163.31,101,,Fee Schedule,25.31,,164.92,101,,Fee Schedule,31.34,,164.92,101,,Fee Schedule,25.23,,164.92,101,,Fee Schedule,30.02,,164.92,101,,Fee Schedule,26.72,,169.77,104,,Fee Schedule,18.17,, ,,,,,,,,,, ,, ,,,, ,,161.69,756.30,,																																							
Inj, vegzelma, 10 mg,9159,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,343.75,467.75,,Fee Schedule,187.69,,343.75,467.75,,Fee Schedule,200.41,,343.75,467.75,,Fee Schedule,160.53,,343.75,467.75,,Fee Schedule,170.16,,343.75,467.75,,Fee Schedule,191.47,,343.75,467.75,,Fee Schedule,200.75,,306.02,416.41,,Fee Schedule,160.66,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,73.49,100,,Fee Schedule,12.64,,74.96,102,,Fee Schedule,8.7,,75.33,102.5,,Fee Schedule,11.45,,73.49,100,,Fee Schedule,12.71,,73.49,100,,Fee Schedule,8.75,,74.22,101,,Fee Schedule,11.5,,74.22,101,,Fee Schedule,11.5,,74.96,101,,Fee Schedule,14.24,,74.96,101,,Fee Schedule,11.47,,74.96,101,,Fee Schedule,13.64,,74.96,101,,Fee Schedule,12.14,,77.16,104,,Fee Schedule,8.26,, ,,,,,,,,,, ,, ,,,, ,,73.49,343.75,,																																							
Factor ix idelvion inj,9171,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,24.28,467.75,,Fee Schedule,13.25,,24.28,467.75,,Fee Schedule,14.15,,24.28,467.75,,Fee Schedule,11.34,,24.28,467.75,,Fee Schedule,12.02,,24.28,467.75,,Fee Schedule,13.52,,24.28,467.75,,Fee Schedule,14.18,,21.61,416.41,,Fee Schedule,11.35,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,5.19,100,,Fee Schedule,0.89,,5.29,102,,Fee Schedule,0.61,,5.32,102.5,,Fee Schedule,0.81,,5.19,100,,Fee Schedule,0.9,,5.19,100,,Fee Schedule,0.62,,5.24,101,,Fee Schedule,0.81,,5.24,101,,Fee Schedule,0.81,,5.29,101,,Fee Schedule,1.01,,5.29,101,,Fee Schedule,0.81,,5.29,101,,Fee Schedule,0.96,,5.29,101,,Fee Schedule,0.86,,5.45,104,,Fee Schedule,0.58,, ,,,,,,,,,, ,, ,,,, ,,5.19,104.00,,																																							
Injection, fulphila,9173,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,475.23,467.75,,Fee Schedule,259.48,,475.23,467.75,,Fee Schedule,277.06,,475.23,467.75,,Fee Schedule,221.93,,475.23,467.75,,Fee Schedule,235.24,,475.23,467.75,,Fee Schedule,264.71,,475.23,467.75,,Fee Schedule,277.54,,423.07,416.41,,Fee Schedule,222.11,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,101.6,100,,Fee Schedule,17.48,,103.63,102,,Fee Schedule,12.02,,104.14,102.5,,Fee Schedule,15.83,,101.6,100,,Fee Schedule,17.58,,101.6,100,,Fee Schedule,12.09,,102.62,101,,Fee Schedule,15.91,,102.62,101,,Fee Schedule,15.91,,103.63,101,,Fee Schedule,19.69,,103.63,101,,Fee Schedule,15.86,,103.63,101,,Fee Schedule,18.86,,103.63,101,,Fee Schedule,16.79,,106.68,104,,Fee Schedule,11.41,, ,,,,,,,,,, ,, ,,,, ,,101.60,475.23,,																																							
Inj, durolane 1 mg,9174,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,30.87,467.75,,Fee Schedule,16.86,,30.87,467.75,,Fee Schedule,18,,30.87,467.75,,Fee Schedule,14.42,,30.87,467.75,,Fee Schedule,15.28,,30.87,467.75,,Fee Schedule,17.2,,30.87,467.75,,Fee Schedule,18.03,,27.48,416.41,,Fee Schedule,14.43,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,6.6,100,,Fee Schedule,1.14,,6.73,102,,Fee Schedule,0.78,,6.77,102.5,,Fee Schedule,1.03,,6.6,100,,Fee Schedule,1.14,,6.6,100,,Fee Schedule,0.79,,6.67,101,,Fee Schedule,1.03,,6.67,101,,Fee Schedule,1.03,,6.73,101,,Fee Schedule,1.28,,6.73,101,,Fee Schedule,1.03,,6.73,101,,Fee Schedule,1.23,,6.73,101,,Fee Schedule,1.09,,6.93,104,,Fee Schedule,0.74,, ,,,,,,,,,, ,, ,,,, ,,6.60,104.00,,																																							
Inj., meropenem, vaborbactam,9178,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,10.24,467.75,,Fee Schedule,5.59,,10.24,467.75,,Fee Schedule,5.97,,10.24,467.75,,Fee Schedule,4.78,,10.24,467.75,,Fee Schedule,5.07,,10.24,467.75,,Fee Schedule,5.71,,10.24,467.75,,Fee Schedule,5.98,,9.12,416.41,,Fee Schedule,4.79,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,2.19,100,,Fee Schedule,0.38,,2.23,102,,Fee Schedule,0.26,,2.24,102.5,,Fee Schedule,0.34,,2.19,100,,Fee Schedule,0.38,,2.19,100,,Fee Schedule,0.26,,2.21,101,,Fee Schedule,0.34,,2.21,101,,Fee Schedule,0.34,,2.23,101,,Fee Schedule,0.42,,2.23,101,,Fee Schedule,0.34,,2.23,101,,Fee Schedule,0.41,,2.23,101,,Fee Schedule,0.36,,2.3,104,,Fee Schedule,0.25,, ,,,,,,,,,, ,, ,,,, ,,2.19,104.00,,																																							
Inj., aristada initio, 1 mg,9179,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,15.06,467.75,,Fee Schedule,8.22,,15.06,467.75,,Fee Schedule,8.78,,15.06,467.75,,Fee Schedule,7.03,,15.06,467.75,,Fee Schedule,7.46,,15.06,467.75,,Fee Schedule,8.39,,15.06,467.75,,Fee Schedule,8.8,,13.41,416.41,,Fee Schedule,7.04,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,3.22,100,,Fee Schedule,0.55,,3.28,102,,Fee Schedule,0.38,,3.3,102.5,,Fee Schedule,0.5,,3.22,100,,Fee Schedule,0.56,,3.22,100,,Fee Schedule,0.38,,3.25,101,,Fee Schedule,0.5,,3.25,101,,Fee Schedule,0.5,,3.28,101,,Fee Schedule,0.62,,3.28,101,,Fee Schedule,0.5,,3.28,101,,Fee Schedule,0.6,,3.28,101,,Fee Schedule,0.53,,3.38,104,,Fee Schedule,0.36,, ,,,,,,,,,, ,, ,,,, ,,3.22,104.00,,																																							
Inj., patisiran, 0.1 mg,9180,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,493.48,467.75,,Fee Schedule,269.44,,493.48,467.75,,Fee Schedule,287.7,,493.48,467.75,,Fee Schedule,230.45,,493.48,467.75,,Fee Schedule,244.27,,493.48,467.75,,Fee Schedule,274.87,,493.48,467.75,,Fee Schedule,288.19,,439.31,416.41,,Fee Schedule,230.64,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,105.5,100,,Fee Schedule,18.15,,107.61,102,,Fee Schedule,12.48,,108.14,102.5,,Fee Schedule,16.44,,105.5,100,,Fee Schedule,18.25,,105.5,100,,Fee Schedule,12.55,,106.56,101,,Fee Schedule,16.52,,106.56,101,,Fee Schedule,16.52,,107.61,101,,Fee Schedule,20.45,,107.61,101,,Fee Schedule,16.46,,107.61,101,,Fee Schedule,19.59,,107.61,101,,Fee Schedule,17.43,,110.78,104,,Fee Schedule,11.85,, ,,,,,,,,,, ,, ,,,, ,,105.50,493.48,,																																							
Inj., perseris, 0.5 mg,9181,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,57.35,467.75,,Fee Schedule,31.31,,57.35,467.75,,Fee Schedule,33.43,,57.35,467.75,,Fee Schedule,26.78,,57.35,467.75,,Fee Schedule,28.39,,57.35,467.75,,Fee Schedule,31.94,,57.35,467.75,,Fee Schedule,33.49,,51.05,416.41,,Fee Schedule,26.8,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,12.26,100,,Fee Schedule,2.11,,12.51,102,,Fee Schedule,1.45,,12.57,102.5,,Fee Schedule,1.91,,12.26,100,,Fee Schedule,2.12,,12.26,100,,Fee Schedule,1.46,,12.38,101,,Fee Schedule,1.92,,12.38,101,,Fee Schedule,1.92,,12.51,101,,Fee Schedule,2.38,,12.51,101,,Fee Schedule,1.91,,12.51,101,,Fee Schedule,2.28,,12.51,101,,Fee Schedule,2.03,,12.87,104,,Fee Schedule,1.38,, ,,,,,,,,,, ,, ,,,, ,,12.26,104.00,,																																							
Inj mogamulizumabkpkc, 1 mg,9182,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,1119.98,467.75,,Fee Schedule,611.51,,1119.98,467.75,,Fee Schedule,652.95,,1119.98,467.75,,Fee Schedule,523.03,,1119.98,467.75,,Fee Schedule,554.39,,1119.98,467.75,,Fee Schedule,623.83,,1119.98,467.75,,Fee Schedule,654.07,,997.05,416.41,,Fee Schedule,523.45,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,239.44,100,,Fee Schedule,41.18,,244.23,102,,Fee Schedule,28.33,,245.43,102.5,,Fee Schedule,37.3,,239.44,100,,Fee Schedule,41.42,,239.44,100,,Fee Schedule,28.49,,241.83,101,,Fee Schedule,37.48,,241.83,101,,Fee Schedule,37.48,,244.23,101,,Fee Schedule,46.4,,244.23,101,,Fee Schedule,37.37,,244.23,101,,Fee Schedule,44.45,,244.23,101,,Fee Schedule,39.57,,251.41,104,,Fee Schedule,26.9,, ,,,,,,,,,, ,, ,,,, ,,239.44,1119.98,,																																							
Inj., plazomicin, 5 mg,9183,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,17.63,467.75,,Fee Schedule,9.63,,17.63,467.75,,Fee Schedule,10.28,,17.63,467.75,,Fee Schedule,8.24,,17.63,467.75,,Fee Schedule,8.73,,17.63,467.75,,Fee Schedule,9.82,,17.63,467.75,,Fee Schedule,10.3,,15.7,416.41,,Fee Schedule,8.24,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,3.77,100,,Fee Schedule,0.65,,3.85,102,,Fee Schedule,0.45,,3.86,102.5,,Fee Schedule,0.59,,3.77,100,,Fee Schedule,0.65,,3.77,100,,Fee Schedule,0.45,,3.81,101,,Fee Schedule,0.59,,3.81,101,,Fee Schedule,0.59,,3.85,101,,Fee Schedule,0.73,,3.85,101,,Fee Schedule,0.59,,3.85,101,,Fee Schedule,0.7,,3.85,101,,Fee Schedule,0.62,,3.96,104,,Fee Schedule,0.42,, ,,,,,,,,,, ,, ,,,, ,,3.77,104.00,,																																							
Inj., rituximab, 10 mg,9186,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,395.06,467.75,,Fee Schedule,215.7,,395.06,467.75,,Fee Schedule,230.32,,395.06,467.75,,Fee Schedule,184.49,,395.06,467.75,,Fee Schedule,195.56,,395.06,467.75,,Fee Schedule,220.05,,395.06,467.75,,Fee Schedule,230.72,,351.7,416.41,,Fee Schedule,184.64,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,84.46,100,,Fee Schedule,14.53,,86.15,102,,Fee Schedule,9.99,,86.57,102.5,,Fee Schedule,13.16,,84.46,100,,Fee Schedule,14.61,,84.46,100,,Fee Schedule,10.05,,85.3,101,,Fee Schedule,13.22,,85.3,101,,Fee Schedule,13.22,,86.15,101,,Fee Schedule,16.37,,86.15,101,,Fee Schedule,13.18,,86.15,101,,Fee Schedule,15.68,,86.15,101,,Fee Schedule,13.96,,88.68,104,,Fee Schedule,9.49,, ,,,,,,,,,, ,, ,,,, ,,84.46,395.06,,																																							
Injection, burosumabtwza 1m,9187,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,2135.7,467.75,,Fee Schedule,1166.09,,2135.7,467.75,,Fee Schedule,1245.11,,2135.7,467.75,,Fee Schedule,997.37,,2135.7,467.75,,Fee Schedule,1057.17,,2135.7,467.75,,Fee Schedule,1189.58,,2135.7,467.75,,Fee Schedule,1247.25,,1901.29,416.41,,Fee Schedule,998.18,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,456.59,100,,Fee Schedule,78.53,,465.72,102,,Fee Schedule,54.02,,468,102.5,,Fee Schedule,71.14,,456.59,100,,Fee Schedule,78.99,,456.59,100,,Fee Schedule,54.33,,461.16,101,,Fee Schedule,71.48,,461.16,101,,Fee Schedule,71.48,,465.72,101,,Fee Schedule,88.49,,465.72,101,,Fee Schedule,71.26,,465.72,101,,Fee Schedule,84.76,,465.72,101,,Fee Schedule,75.45,,479.42,104,,Fee Schedule,51.3,, ,,,,,,,,,, ,, ,,,, ,,456.59,2135.70,,																																							
Inj crotalidae im f(ab')2 eq,9188,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,5485.63,467.75,,Fee Schedule,2995.15,,5485.63,467.75,,Fee Schedule,3198.12,,5485.63,467.75,,Fee Schedule,2561.79,,5485.63,467.75,,Fee Schedule,2715.39,,5485.63,467.75,,Fee Schedule,3055.5,,5485.63,467.75,,Fee Schedule,3203.61,,4883.53,416.41,,Fee Schedule,2563.85,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,1172.77,100,,Fee Schedule,201.72,,1196.23,102,,Fee Schedule,138.76,,1202.09,102.5,,Fee Schedule,182.72,,1172.77,100,,Fee Schedule,202.89,,1172.77,100,,Fee Schedule,139.56,,1184.5,101,,Fee Schedule,183.6,,1184.5,101,,Fee Schedule,183.6,,1196.23,101,,Fee Schedule,227.28,,1196.23,101,,Fee Schedule,183.02,,1196.23,101,,Fee Schedule,217.71,,1196.23,101,,Fee Schedule,193.79,,1231.41,104,,Fee Schedule,131.76,, ,,,,,,,,,, ,, ,,,, ,,1172.77,5485.63,,																																							
Inj., ibalizumabuiyk, 10 mg,9189,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,366.81,467.75,,Fee Schedule,200.28,,366.81,467.75,,Fee Schedule,213.85,,366.81,467.75,,Fee Schedule,171.3,,366.81,467.75,,Fee Schedule,181.57,,366.81,467.75,,Fee Schedule,204.31,,366.81,467.75,,Fee Schedule,214.22,,326.55,416.41,,Fee Schedule,171.44,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,78.42,100,,Fee Schedule,13.49,,79.99,102,,Fee Schedule,9.28,,80.38,102.5,,Fee Schedule,12.22,,78.42,100,,Fee Schedule,13.57,,78.42,100,,Fee Schedule,9.33,,79.2,101,,Fee Schedule,12.28,,79.2,101,,Fee Schedule,12.28,,79.99,101,,Fee Schedule,15.2,,79.99,101,,Fee Schedule,12.24,,79.99,101,,Fee Schedule,14.56,,79.99,101,,Fee Schedule,12.96,,82.34,104,,Fee Schedule,8.81,, ,,,,,,,,,, ,, ,,,, ,,78.42,366.81,,																																							
Nivestym,9193,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,1.45,467.75,,Fee Schedule,0.79,,1.45,467.75,,Fee Schedule,0.85,,1.45,467.75,,Fee Schedule,0.68,,1.45,467.75,,Fee Schedule,0.72,,1.45,467.75,,Fee Schedule,0.81,,1.45,467.75,,Fee Schedule,0.85,,1.29,416.41,,Fee Schedule,0.68,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,0.31,100,,Fee Schedule,0.05,,0.32,102,,Fee Schedule,0.04,,0.32,102.5,,Fee Schedule,0.05,,0.31,100,,Fee Schedule,0.05,,0.31,100,,Fee Schedule,0.04,,0.31,101,,Fee Schedule,0.05,,0.31,101,,Fee Schedule,0.05,,0.32,101,,Fee Schedule,0.06,,0.32,101,,Fee Schedule,0.05,,0.32,101,,Fee Schedule,0.06,,0.32,101,,Fee Schedule,0.05,,0.33,104,,Fee Schedule,0.03,, ,,,,,,,,,, ,, ,,,, ,,0.31,104.00,,																																							
Injection, udenyca 0.5 mg,9195,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,742.79,467.75,,Fee Schedule,405.56,,742.79,467.75,,Fee Schedule,433.04,,742.79,467.75,,Fee Schedule,346.88,,742.79,467.75,,Fee Schedule,367.68,,742.79,467.75,,Fee Schedule,413.73,,742.79,467.75,,Fee Schedule,433.79,,661.26,416.41,,Fee Schedule,347.16,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,158.8,100,,Fee Schedule,27.31,,161.98,102,,Fee Schedule,18.79,,162.77,102.5,,Fee Schedule,24.74,,158.8,100,,Fee Schedule,27.47,,158.8,100,,Fee Schedule,18.9,,160.39,101,,Fee Schedule,24.86,,160.39,101,,Fee Schedule,24.86,,161.98,101,,Fee Schedule,30.78,,161.98,101,,Fee Schedule,24.78,,161.98,101,,Fee Schedule,29.48,,161.98,101,,Fee Schedule,26.24,,166.74,104,,Fee Schedule,17.84,, ,,,,,,,,,, ,, ,,,, ,,158.80,742.79,,																																							
Inj, trivisc 1 mg,9196,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,42.19,467.75,,Fee Schedule,23.04,,42.19,467.75,,Fee Schedule,24.6,,42.19,467.75,,Fee Schedule,19.7,,42.19,467.75,,Fee Schedule,20.88,,42.19,467.75,,Fee Schedule,23.5,,42.19,467.75,,Fee Schedule,24.64,,37.56,416.41,,Fee Schedule,19.72,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,9.02,100,,Fee Schedule,1.55,,9.2,102,,Fee Schedule,1.07,,9.25,102.5,,Fee Schedule,1.41,,9.02,100,,Fee Schedule,1.56,,9.02,100,,Fee Schedule,1.07,,9.11,101,,Fee Schedule,1.41,,9.11,101,,Fee Schedule,1.41,,9.2,101,,Fee Schedule,1.75,,9.2,101,,Fee Schedule,1.41,,9.2,101,,Fee Schedule,1.67,,9.2,101,,Fee Schedule,1.49,,9.47,104,,Fee Schedule,1.01,, ,,,,,,,,,, ,, ,,,, ,,9.02,104.00,,																																							
Inj., fremanezumabvfrm 1 mg,9197,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,9.68,467.75,,Fee Schedule,5.29,,9.68,467.75,,Fee Schedule,5.64,,9.68,467.75,,Fee Schedule,4.52,,9.68,467.75,,Fee Schedule,4.79,,9.68,467.75,,Fee Schedule,5.39,,9.68,467.75,,Fee Schedule,5.65,,8.62,416.41,,Fee Schedule,4.53,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,2.07,100,,Fee Schedule,0.36,,2.11,102,,Fee Schedule,0.24,,2.12,102.5,,Fee Schedule,0.32,,2.07,100,,Fee Schedule,0.36,,2.07,100,,Fee Schedule,0.25,,2.09,101,,Fee Schedule,0.32,,2.09,101,,Fee Schedule,0.32,,2.11,101,,Fee Schedule,0.4,,2.11,101,,Fee Schedule,0.32,,2.11,101,,Fee Schedule,0.38,,2.11,101,,Fee Schedule,0.34,,2.17,104,,Fee Schedule,0.23,, ,,,,,,,,,, ,, ,,,, ,,2.07,104.00,,																																							
Inj andexxa, 10 mg,9198,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,647.23,467.75,,Fee Schedule,353.39,,647.23,467.75,,Fee Schedule,377.33,,647.23,467.75,,Fee Schedule,302.25,,647.23,467.75,,Fee Schedule,320.38,,647.23,467.75,,Fee Schedule,360.5,,647.23,467.75,,Fee Schedule,377.98,,576.19,416.41,,Fee Schedule,302.5,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,138.37,100,,Fee Schedule,23.8,,141.14,102,,Fee Schedule,16.37,,141.83,102.5,,Fee Schedule,21.56,,138.37,100,,Fee Schedule,23.94,,138.37,100,,Fee Schedule,16.47,,139.75,101,,Fee Schedule,21.66,,139.75,101,,Fee Schedule,21.66,,141.14,101,,Fee Schedule,26.82,,141.14,101,,Fee Schedule,21.59,,141.14,101,,Fee Schedule,25.69,,141.14,101,,Fee Schedule,22.86,,145.29,104,,Fee Schedule,15.55,, ,,,,,,,,,, ,, ,,,, ,,138.37,647.23,,																																							
Injection, caplacizumabyhdp,9199,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,3673.38,467.75,,Fee Schedule,2005.67,,3673.38,467.75,,Fee Schedule,2141.58,,3673.38,467.75,,Fee Schedule,1715.47,,3673.38,467.75,,Fee Schedule,1818.32,,3673.38,467.75,,Fee Schedule,2046.07,,3673.38,467.75,,Fee Schedule,2145.25,,3270.19,416.41,,Fee Schedule,1716.85,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,785.33,100,,Fee Schedule,135.08,,801.04,102,,Fee Schedule,92.92,,804.96,102.5,,Fee Schedule,122.35,,785.33,100,,Fee Schedule,135.86,,785.33,100,,Fee Schedule,93.45,,793.18,101,,Fee Schedule,122.94,,793.18,101,,Fee Schedule,122.94,,801.04,101,,Fee Schedule,152.2,,801.04,101,,Fee Schedule,122.56,,801.04,101,,Fee Schedule,145.79,,801.04,101,,Fee Schedule,129.77,,824.6,104,,Fee Schedule,88.23,, ,,,,,,,,,, ,, ,,,, ,,785.33,3673.38,,																																							
Inj, remdesivir, 1 mg,9200,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,29.84,467.75,,Fee Schedule,16.29,,29.84,467.75,,Fee Schedule,17.4,,29.84,467.75,,Fee Schedule,13.94,,29.84,467.75,,Fee Schedule,14.77,,29.84,467.75,,Fee Schedule,16.62,,29.84,467.75,,Fee Schedule,17.43,,26.57,416.41,,Fee Schedule,13.95,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,6.38,100,,Fee Schedule,1.1,,6.51,102,,Fee Schedule,0.75,,6.54,102.5,,Fee Schedule,0.99,,6.38,100,,Fee Schedule,1.1,,6.38,100,,Fee Schedule,0.76,,6.44,101,,Fee Schedule,1,,6.44,101,,Fee Schedule,1,,6.51,101,,Fee Schedule,1.24,,6.51,101,,Fee Schedule,1,,6.51,101,,Fee Schedule,1.18,,6.51,101,,Fee Schedule,1.05,,6.7,104,,Fee Schedule,0.72,, ,,,,,,,,,, ,, ,,,, ,,6.38,104.00,,																																							
Rabies ig ht&sol human im/sc,9201,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,1234.02,467.75,,Fee Schedule,673.77,,1234.02,467.75,,Fee Schedule,719.43,,1234.02,467.75,,Fee Schedule,576.29,,1234.02,467.75,,Fee Schedule,610.84,,1234.02,467.75,,Fee Schedule,687.35,,1234.02,467.75,,Fee Schedule,720.67,,1098.57,416.41,,Fee Schedule,576.75,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,263.82,100,,Fee Schedule,45.38,,269.1,102,,Fee Schedule,31.22,,270.42,102.5,,Fee Schedule,41.1,,263.82,100,,Fee Schedule,45.64,,263.82,100,,Fee Schedule,31.39,,266.46,101,,Fee Schedule,41.3,,266.46,101,,Fee Schedule,41.3,,269.1,101,,Fee Schedule,51.13,,269.1,101,,Fee Schedule,41.17,,269.1,101,,Fee Schedule,48.98,,269.1,101,,Fee Schedule,43.59,,277.01,104,,Fee Schedule,29.64,, ,,,,,,,,,, ,, ,,,, ,,263.82,1234.02,,																																							
Difelikefalin, esrd on dialy,9202,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,0.98,467.75,,Fee Schedule,0.54,,0.98,467.75,,Fee Schedule,0.57,,0.98,467.75,,Fee Schedule,0.46,,0.98,467.75,,Fee Schedule,0.49,,0.98,467.75,,Fee Schedule,0.55,,0.98,467.75,,Fee Schedule,0.57,,0.87,416.41,,Fee Schedule,0.46,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,0.21,100,,Fee Schedule,0.04,,0.21,102,,Fee Schedule,0.02,,0.22,102.5,,Fee Schedule,0.03,,0.21,100,,Fee Schedule,0.04,,0.21,100,,Fee Schedule,0.02,,0.21,101,,Fee Schedule,0.03,,0.21,101,,Fee Schedule,0.03,,0.21,101,,Fee Schedule,0.04,,0.21,101,,Fee Schedule,0.03,,0.21,101,,Fee Schedule,0.04,,0.21,101,,Fee Schedule,0.03,,0.22,104,,Fee Schedule,0.02,, ,,,,,,,,,, ,, ,,,, ,,0.21,104.00,,																																							
Inj cyclophosphamd auromedic,9203,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,19.04,467.75,,Fee Schedule,10.39,,19.04,467.75,,Fee Schedule,11.1,,19.04,467.75,,Fee Schedule,8.89,,19.04,467.75,,Fee Schedule,9.42,,19.04,467.75,,Fee Schedule,10.6,,19.04,467.75,,Fee Schedule,11.12,,16.95,416.41,,Fee Schedule,8.9,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,4.07,100,,Fee Schedule,0.7,,4.15,102,,Fee Schedule,0.48,,4.17,102.5,,Fee Schedule,0.63,,4.07,100,,Fee Schedule,0.7,,4.07,100,,Fee Schedule,0.48,,4.11,101,,Fee Schedule,0.64,,4.11,101,,Fee Schedule,0.64,,4.15,101,,Fee Schedule,0.79,,4.15,101,,Fee Schedule,0.64,,4.15,101,,Fee Schedule,0.76,,4.15,101,,Fee Schedule,0.67,,4.27,104,,Fee Schedule,0.46,, ,,,,,,,,,, ,, ,,,, ,,4.07,104.00,,																																							
Inj tisotu vedotintftv, 1mg,9204,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,828.95,467.75,,Fee Schedule,452.6,,828.95,467.75,,Fee Schedule,483.28,,828.95,467.75,,Fee Schedule,387.12,,828.95,467.75,,Fee Schedule,410.33,,828.95,467.75,,Fee Schedule,461.72,,828.95,467.75,,Fee Schedule,484.1,,737.96,416.41,,Fee Schedule,387.43,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,177.22,100,,Fee Schedule,30.48,,180.76,102,,Fee Schedule,20.97,,181.65,102.5,,Fee Schedule,27.61,,177.22,100,,Fee Schedule,30.66,,177.22,100,,Fee Schedule,21.09,,178.99,101,,Fee Schedule,27.74,,178.99,101,,Fee Schedule,27.74,,180.76,101,,Fee Schedule,34.35,,180.76,101,,Fee Schedule,27.66,,180.76,101,,Fee Schedule,32.9,,180.76,101,,Fee Schedule,29.28,,186.08,104,,Fee Schedule,19.91,, ,,,,,,,,,, ,, ,,,, ,,177.22,828.95,,																																							
Inj lon tesirinlpyl 0.075mg,9205,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,965.25,467.75,,Fee Schedule,527.03,,965.25,467.75,,Fee Schedule,562.74,,965.25,467.75,,Fee Schedule,450.77,,965.25,467.75,,Fee Schedule,477.8,,965.25,467.75,,Fee Schedule,537.64,,965.25,467.75,,Fee Schedule,563.71,,859.3,416.41,,Fee Schedule,451.13,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,206.36,100,,Fee Schedule,35.49,,210.49,102,,Fee Schedule,24.42,,211.52,102.5,,Fee Schedule,32.15,,206.36,100,,Fee Schedule,35.7,,206.36,100,,Fee Schedule,24.56,,208.42,101,,Fee Schedule,32.31,,208.42,101,,Fee Schedule,32.31,,210.49,101,,Fee Schedule,39.99,,210.49,101,,Fee Schedule,32.2,,210.49,101,,Fee Schedule,38.31,,210.49,101,,Fee Schedule,34.1,,216.68,104,,Fee Schedule,23.18,, ,,,,,,,,,, ,, ,,,, ,,206.36,965.25,,																																							
Inj plasminogen tvmh 1mg,9206,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,156.65,467.75,,Fee Schedule,85.53,,156.65,467.75,,Fee Schedule,91.33,,156.65,467.75,,Fee Schedule,73.16,,156.65,467.75,,Fee Schedule,77.54,,156.65,467.75,,Fee Schedule,87.25,,156.65,467.75,,Fee Schedule,91.48,,139.46,416.41,,Fee Schedule,73.21,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,33.49,100,,Fee Schedule,5.76,,34.16,102,,Fee Schedule,3.96,,34.33,102.5,,Fee Schedule,5.22,,33.49,100,,Fee Schedule,5.79,,33.49,100,,Fee Schedule,3.99,,33.82,101,,Fee Schedule,5.24,,33.82,101,,Fee Schedule,5.24,,34.16,101,,Fee Schedule,6.49,,34.16,101,,Fee Schedule,5.23,,34.16,101,,Fee Schedule,6.22,,34.16,101,,Fee Schedule,5.53,,35.16,104,,Fee Schedule,3.76,, ,,,,,,,,,, ,, ,,,, ,,33.49,156.65,,																																							
Injection, bortezomib, 0.1mg,9207,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,11.27,467.75,,Fee Schedule,6.15,,11.27,467.75,,Fee Schedule,6.57,,11.27,467.75,,Fee Schedule,5.26,,11.27,467.75,,Fee Schedule,5.58,,11.27,467.75,,Fee Schedule,6.28,,11.27,467.75,,Fee Schedule,6.58,,10.04,416.41,,Fee Schedule,5.27,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,2.41,100,,Fee Schedule,0.41,,2.46,102,,Fee Schedule,0.29,,2.47,102.5,,Fee Schedule,0.38,,2.41,100,,Fee Schedule,0.42,,2.41,100,,Fee Schedule,0.29,,2.43,101,,Fee Schedule,0.38,,2.43,101,,Fee Schedule,0.38,,2.46,101,,Fee Schedule,0.47,,2.46,101,,Fee Schedule,0.38,,2.46,101,,Fee Schedule,0.45,,2.46,101,,Fee Schedule,0.4,,2.53,104,,Fee Schedule,0.27,, ,,,,,,,,,, ,, ,,,, ,,2.41,104.00,,																																							
Agalsidase beta injection,9208,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,1071.99,467.75,,Fee Schedule,585.31,,1071.99,467.75,,Fee Schedule,624.97,,1071.99,467.75,,Fee Schedule,500.62,,1071.99,467.75,,Fee Schedule,530.63,,1071.99,467.75,,Fee Schedule,597.1,,1071.99,467.75,,Fee Schedule,626.04,,954.33,416.41,,Fee Schedule,501.02,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,229.18,100,,Fee Schedule,39.42,,233.76,102,,Fee Schedule,27.12,,234.91,102.5,,Fee Schedule,35.71,,229.18,100,,Fee Schedule,39.65,,229.18,100,,Fee Schedule,27.27,,231.47,101,,Fee Schedule,35.88,,231.47,101,,Fee Schedule,35.88,,233.76,101,,Fee Schedule,44.42,,233.76,101,,Fee Schedule,35.77,,233.76,101,,Fee Schedule,42.54,,233.76,101,,Fee Schedule,37.87,,240.64,104,,Fee Schedule,25.75,, ,,,,,,,,,, ,, ,,,, ,,229.18,1071.99,,																																							
Laronidase injection,9209,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,184.43,467.75,,Fee Schedule,100.7,,184.43,467.75,,Fee Schedule,107.52,,184.43,467.75,,Fee Schedule,86.13,,184.43,467.75,,Fee Schedule,91.29,,184.43,467.75,,Fee Schedule,102.73,,184.43,467.75,,Fee Schedule,107.71,,164.19,416.41,,Fee Schedule,86.2,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,39.43,100,,Fee Schedule,6.78,,40.22,102,,Fee Schedule,4.67,,40.42,102.5,,Fee Schedule,6.14,,39.43,100,,Fee Schedule,6.82,,39.43,100,,Fee Schedule,4.69,,39.82,101,,Fee Schedule,6.17,,39.82,101,,Fee Schedule,6.17,,40.22,101,,Fee Schedule,7.64,,40.22,101,,Fee Schedule,6.15,,40.22,101,,Fee Schedule,7.32,,40.22,101,,Fee Schedule,6.52,,41.4,104,,Fee Schedule,4.43,, ,,,,,,,,,, ,, ,,,, ,,39.43,184.43,,																																							
Inj. pemetrexed nos 10mg,9213,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,15.86,467.75,,Fee Schedule,8.66,,15.86,467.75,,Fee Schedule,9.24,,15.86,467.75,,Fee Schedule,7.41,,15.86,467.75,,Fee Schedule,7.85,,15.86,467.75,,Fee Schedule,8.83,,15.86,467.75,,Fee Schedule,9.26,,14.12,416.41,,Fee Schedule,7.41,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,3.39,100,,Fee Schedule,0.58,,3.46,102,,Fee Schedule,0.4,,3.47,102.5,,Fee Schedule,0.53,,3.39,100,,Fee Schedule,0.59,,3.39,100,,Fee Schedule,0.4,,3.42,101,,Fee Schedule,0.53,,3.42,101,,Fee Schedule,0.53,,3.46,101,,Fee Schedule,0.66,,3.46,101,,Fee Schedule,0.53,,3.46,101,,Fee Schedule,0.63,,3.46,101,,Fee Schedule,0.56,,3.56,104,,Fee Schedule,0.38,, ,,,,,,,,,, ,, ,,,, ,,3.39,104.00,,																																							
Bevacizumab injection,9214,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,363.63,467.75,,Fee Schedule,198.54,,363.63,467.75,,Fee Schedule,212,,363.63,467.75,,Fee Schedule,169.81,,363.63,467.75,,Fee Schedule,180,,363.63,467.75,,Fee Schedule,202.54,,363.63,467.75,,Fee Schedule,212.36,,323.72,416.41,,Fee Schedule,169.95,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,77.74,100,,Fee Schedule,13.37,,79.29,102,,Fee Schedule,9.2,,79.68,102.5,,Fee Schedule,12.11,,77.74,100,,Fee Schedule,13.45,,77.74,100,,Fee Schedule,9.25,,78.52,101,,Fee Schedule,12.17,,78.52,101,,Fee Schedule,12.17,,79.29,101,,Fee Schedule,15.07,,79.29,101,,Fee Schedule,12.13,,79.29,101,,Fee Schedule,14.43,,79.29,101,,Fee Schedule,12.85,,81.63,104,,Fee Schedule,8.73,, ,,,,,,,,,, ,, ,,,, ,,77.74,363.63,,																																							
Cetuximab injection,9215,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,356.05,467.75,,Fee Schedule,194.4,,356.05,467.75,,Fee Schedule,207.58,,356.05,467.75,,Fee Schedule,166.28,,356.05,467.75,,Fee Schedule,176.25,,356.05,467.75,,Fee Schedule,198.32,,356.05,467.75,,Fee Schedule,207.93,,316.97,416.41,,Fee Schedule,166.41,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,76.12,100,,Fee Schedule,13.09,,77.64,102,,Fee Schedule,9.01,,78.02,102.5,,Fee Schedule,11.86,,76.12,100,,Fee Schedule,13.17,,76.12,100,,Fee Schedule,9.06,,76.88,101,,Fee Schedule,11.92,,76.88,101,,Fee Schedule,11.92,,77.64,101,,Fee Schedule,14.75,,77.64,101,,Fee Schedule,11.88,,77.64,101,,Fee Schedule,14.13,,77.64,101,,Fee Schedule,12.58,,79.93,104,,Fee Schedule,8.55,, ,,,,,,,,,, ,, ,,,, ,,76.12,356.05,,																																							
Leuprolide acetate suspnsion,9217,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,821.18,467.75,,Fee Schedule,448.37,,821.18,467.75,,Fee Schedule,478.75,,821.18,467.75,,Fee Schedule,383.49,,821.18,467.75,,Fee Schedule,406.49,,821.18,467.75,,Fee Schedule,457.4,,821.18,467.75,,Fee Schedule,479.57,,731.05,416.41,,Fee Schedule,383.8,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,175.56,100,,Fee Schedule,30.2,,179.07,102,,Fee Schedule,20.77,,179.95,102.5,,Fee Schedule,27.35,,175.56,100,,Fee Schedule,30.37,,175.56,100,,Fee Schedule,20.89,,177.32,101,,Fee Schedule,27.48,,177.32,101,,Fee Schedule,27.48,,179.07,101,,Fee Schedule,34.02,,179.07,101,,Fee Schedule,27.4,,179.07,101,,Fee Schedule,32.59,,179.07,101,,Fee Schedule,29.01,,184.34,104,,Fee Schedule,19.72,, ,,,,,,,,,, ,, ,,,, ,,175.56,821.18,,																																							
Inj., retisert, 0.01 mg,9225,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,1681.89,467.75,,Fee Schedule,918.31,,1681.89,467.75,,Fee Schedule,980.54,,1681.89,467.75,,Fee Schedule,785.44,,1681.89,467.75,,Fee Schedule,832.53,,1681.89,467.75,,Fee Schedule,936.81,,1681.89,467.75,,Fee Schedule,982.22,,1497.29,416.41,,Fee Schedule,786.07,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,359.57,100,,Fee Schedule,61.85,,366.76,102,,Fee Schedule,42.54,,368.56,102.5,,Fee Schedule,56.02,,359.57,100,,Fee Schedule,62.21,,359.57,100,,Fee Schedule,42.79,,363.17,101,,Fee Schedule,56.29,,363.17,101,,Fee Schedule,56.29,,366.76,101,,Fee Schedule,69.68,,366.76,101,,Fee Schedule,56.11,,366.76,101,,Fee Schedule,66.75,,366.76,101,,Fee Schedule,59.42,,377.55,104,,Fee Schedule,40.4,, ,,,,,,,,,, ,, ,,,, ,,359.57,1681.89,,																																							
Ibandronate sodium injection,9229,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,122.69,467.75,,Fee Schedule,66.99,,122.69,467.75,,Fee Schedule,71.53,,122.69,467.75,,Fee Schedule,57.3,,122.69,467.75,,Fee Schedule,60.73,,122.69,467.75,,Fee Schedule,68.34,,122.69,467.75,,Fee Schedule,71.65,,109.22,416.41,,Fee Schedule,57.34,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,26.23,100,,Fee Schedule,4.51,,26.75,102,,Fee Schedule,3.1,,26.89,102.5,,Fee Schedule,4.09,,26.23,100,,Fee Schedule,4.54,,26.23,100,,Fee Schedule,3.12,,26.49,101,,Fee Schedule,4.11,,26.49,101,,Fee Schedule,4.11,,26.75,101,,Fee Schedule,5.08,,26.75,101,,Fee Schedule,4.09,,26.75,101,,Fee Schedule,4.87,,26.75,101,,Fee Schedule,4.33,,27.54,104,,Fee Schedule,2.95,, ,,,,,,,,,, ,, ,,,, ,,26.23,122.69,,																																							
Abatacept injection,9230,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,210.35,467.75,,Fee Schedule,114.85,,210.35,467.75,,Fee Schedule,122.63,,210.35,467.75,,Fee Schedule,98.23,,210.35,467.75,,Fee Schedule,104.12,,210.35,467.75,,Fee Schedule,117.16,,210.35,467.75,,Fee Schedule,122.84,,187.26,416.41,,Fee Schedule,98.31,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,44.97,100,,Fee Schedule,7.73,,45.87,102,,Fee Schedule,5.32,,46.09,102.5,,Fee Schedule,7.01,,44.97,100,,Fee Schedule,7.78,,44.97,100,,Fee Schedule,5.35,,45.42,101,,Fee Schedule,7.04,,45.42,101,,Fee Schedule,7.04,,45.87,101,,Fee Schedule,8.72,,45.87,101,,Fee Schedule,7.02,,45.87,101,,Fee Schedule,8.35,,45.87,101,,Fee Schedule,7.43,,47.22,104,,Fee Schedule,5.05,, ,,,,,,,,,, ,, ,,,, ,,44.97,210.35,,																																							
Ranibizumab injection,9233,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,972.36,467.75,,Fee Schedule,530.91,,972.36,467.75,,Fee Schedule,566.89,,972.36,467.75,,Fee Schedule,454.09,,972.36,467.75,,Fee Schedule,481.32,,972.36,467.75,,Fee Schedule,541.6,,972.36,467.75,,Fee Schedule,567.86,,865.63,416.41,,Fee Schedule,454.46,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,207.88,100,,Fee Schedule,35.76,,212.04,102,,Fee Schedule,24.6,,213.08,102.5,,Fee Schedule,32.39,,207.88,100,,Fee Schedule,35.96,,207.88,100,,Fee Schedule,24.74,,209.96,101,,Fee Schedule,32.54,,209.96,101,,Fee Schedule,32.54,,212.04,101,,Fee Schedule,40.29,,212.04,101,,Fee Schedule,32.44,,212.04,101,,Fee Schedule,38.59,,212.04,101,,Fee Schedule,34.35,,218.27,104,,Fee Schedule,23.36,, ,,,,,,,,,, ,, ,,,, ,,207.88,972.36,,																																							
Alglucosidase alfa injection,9234,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,603.77,467.75,,Fee Schedule,329.66,,603.77,467.75,,Fee Schedule,352,,603.77,467.75,,Fee Schedule,281.96,,603.77,467.75,,Fee Schedule,298.87,,603.77,467.75,,Fee Schedule,336.3,,603.77,467.75,,Fee Schedule,352.6,,537.5,416.41,,Fee Schedule,282.19,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,129.08,100,,Fee Schedule,22.2,,131.66,102,,Fee Schedule,15.27,,132.31,102.5,,Fee Schedule,20.11,,129.08,100,,Fee Schedule,22.33,,129.08,100,,Fee Schedule,15.36,,130.37,101,,Fee Schedule,20.21,,130.37,101,,Fee Schedule,20.21,,131.66,101,,Fee Schedule,25.02,,131.66,101,,Fee Schedule,20.14,,131.66,101,,Fee Schedule,23.96,,131.66,101,,Fee Schedule,21.33,,135.53,104,,Fee Schedule,14.5,, ,,,,,,,,,, ,, ,,,, ,,129.08,603.77,,																																							
Panitumumab injection,9235,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,737.55,467.75,,Fee Schedule,402.7,,737.55,467.75,,Fee Schedule,429.99,,737.55,467.75,,Fee Schedule,344.44,,737.55,467.75,,Fee Schedule,365.09,,737.55,467.75,,Fee Schedule,410.81,,737.55,467.75,,Fee Schedule,430.73,,656.6,416.41,,Fee Schedule,344.71,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,157.68,100,,Fee Schedule,27.12,,160.83,102,,Fee Schedule,18.66,,161.62,102.5,,Fee Schedule,24.57,,157.68,100,,Fee Schedule,27.28,,157.68,100,,Fee Schedule,18.76,,159.26,101,,Fee Schedule,24.68,,159.26,101,,Fee Schedule,24.68,,160.83,101,,Fee Schedule,30.56,,160.83,101,,Fee Schedule,24.61,,160.83,101,,Fee Schedule,29.27,,160.83,101,,Fee Schedule,26.06,,165.56,104,,Fee Schedule,17.72,, ,,,,,,,,,, ,, ,,,, ,,157.68,737.55,,																																							
Eculizumab injection,9236,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,1109.74,467.75,,Fee Schedule,605.92,,1109.74,467.75,,Fee Schedule,646.98,,1109.74,467.75,,Fee Schedule,518.25,,1109.74,467.75,,Fee Schedule,549.32,,1109.74,467.75,,Fee Schedule,618.12,,1109.74,467.75,,Fee Schedule,648.09,,987.93,416.41,,Fee Schedule,518.66,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,237.25,100,,Fee Schedule,40.81,,242,102,,Fee Schedule,28.07,,243.18,102.5,,Fee Schedule,36.96,,237.25,100,,Fee Schedule,41.04,,237.25,100,,Fee Schedule,28.23,,239.62,101,,Fee Schedule,37.14,,239.62,101,,Fee Schedule,37.14,,242,101,,Fee Schedule,45.98,,242,101,,Fee Schedule,37.03,,242,101,,Fee Schedule,44.04,,242,101,,Fee Schedule,39.2,,249.11,104,,Fee Schedule,26.66,, ,,,,,,,,,, ,, ,,,, ,,237.25,1109.74,,																																							
Lanreotide injection,9237,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,252.02,467.75,,Fee Schedule,137.6,,252.02,467.75,,Fee Schedule,146.93,,252.02,467.75,,Fee Schedule,117.7,,252.02,467.75,,Fee Schedule,124.75,,252.02,467.75,,Fee Schedule,140.38,,252.02,467.75,,Fee Schedule,147.18,,224.36,416.41,,Fee Schedule,117.79,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,53.88,100,,Fee Schedule,9.27,,54.96,102,,Fee Schedule,6.38,,55.23,102.5,,Fee Schedule,8.39,,53.88,100,,Fee Schedule,9.32,,53.88,100,,Fee Schedule,6.41,,54.42,101,,Fee Schedule,8.43,,54.42,101,,Fee Schedule,8.43,,54.96,101,,Fee Schedule,10.44,,54.96,101,,Fee Schedule,8.41,,54.96,101,,Fee Schedule,10,,54.96,101,,Fee Schedule,8.9,,56.57,104,,Fee Schedule,6.05,, ,,,,,,,,,, ,, ,,,, ,,53.88,252.02,,																																							
Buprenorphine xr over 100 mg,9239,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,9296.06,467.75,,Fee Schedule,5075.65,,9296.06,467.75,,Fee Schedule,5419.61,,9296.06,467.75,,Fee Schedule,4341.26,,9296.06,467.75,,Fee Schedule,4601.55,,9296.06,467.75,,Fee Schedule,5177.91,,9296.06,467.75,,Fee Schedule,5428.9,,8275.73,416.41,,Fee Schedule,4344.76,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,1987.4,100,,Fee Schedule,341.83,,2027.15,102,,Fee Schedule,235.15,,2037.09,102.5,,Fee Schedule,309.64,,1987.4,100,,Fee Schedule,343.82,,1987.4,100,,Fee Schedule,236.5,,2007.27,101,,Fee Schedule,311.13,,2007.27,101,,Fee Schedule,311.13,,2027.15,101,,Fee Schedule,385.16,,2027.15,101,,Fee Schedule,310.15,,2027.15,101,,Fee Schedule,368.94,,2027.15,101,,Fee Schedule,328.4,,2086.77,104,,Fee Schedule,223.28,, ,,,,,,,,,, ,, ,,,, ,,1987.40,9296.06,,																																							
Ixabepilone injection,9240,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,628.47,467.75,,Fee Schedule,343.14,,628.47,467.75,,Fee Schedule,366.4,,628.47,467.75,,Fee Schedule,293.49,,628.47,467.75,,Fee Schedule,311.09,,628.47,467.75,,Fee Schedule,350.06,,628.47,467.75,,Fee Schedule,367.03,,559.49,416.41,,Fee Schedule,293.73,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,134.36,100,,Fee Schedule,23.11,,137.05,102,,Fee Schedule,15.9,,137.72,102.5,,Fee Schedule,20.93,,134.36,100,,Fee Schedule,23.24,,134.36,100,,Fee Schedule,15.99,,135.7,101,,Fee Schedule,21.03,,135.7,101,,Fee Schedule,21.03,,137.05,101,,Fee Schedule,26.04,,137.05,101,,Fee Schedule,20.97,,137.05,101,,Fee Schedule,24.94,,137.05,101,,Fee Schedule,22.2,,141.08,104,,Fee Schedule,15.1,, ,,,,,,,,,, ,, ,,,, ,,134.36,628.47,,																																							
Inj sirolimus prot part 1 mg,9241,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,530.38,467.75,,Fee Schedule,289.59,,530.38,467.75,,Fee Schedule,309.21,,530.38,467.75,,Fee Schedule,247.69,,530.38,467.75,,Fee Schedule,262.54,,530.38,467.75,,Fee Schedule,295.42,,530.38,467.75,,Fee Schedule,309.74,,472.17,416.41,,Fee Schedule,247.89,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,113.39,100,,Fee Schedule,19.5,,115.66,102,,Fee Schedule,13.42,,116.22,102.5,,Fee Schedule,17.67,,113.39,100,,Fee Schedule,19.62,,113.39,100,,Fee Schedule,13.49,,114.52,101,,Fee Schedule,17.75,,114.52,101,,Fee Schedule,17.75,,115.66,101,,Fee Schedule,21.97,,115.66,101,,Fee Schedule,17.7,,115.66,101,,Fee Schedule,21.05,,115.66,101,,Fee Schedule,18.74,,119.06,104,,Fee Schedule,12.74,, ,,,,,,,,,, ,, ,,,, ,,113.39,530.38,,																																							
Inj., treanda 1 mg,9243,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,56.22,467.75,,Fee Schedule,30.7,,56.22,467.75,,Fee Schedule,32.78,,56.22,467.75,,Fee Schedule,26.26,,56.22,467.75,,Fee Schedule,27.83,,56.22,467.75,,Fee Schedule,31.32,,56.22,467.75,,Fee Schedule,32.83,,50.05,416.41,,Fee Schedule,26.28,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,12.02,100,,Fee Schedule,2.07,,12.26,102,,Fee Schedule,1.42,,12.32,102.5,,Fee Schedule,1.87,,12.02,100,,Fee Schedule,2.08,,12.02,100,,Fee Schedule,1.43,,12.14,101,,Fee Schedule,1.88,,12.14,101,,Fee Schedule,1.88,,12.26,101,,Fee Schedule,2.33,,12.26,101,,Fee Schedule,1.88,,12.26,101,,Fee Schedule,2.23,,12.26,101,,Fee Schedule,1.99,,12.62,104,,Fee Schedule,1.35,, ,,,,,,,,,, ,, ,,,, ,,12.02,104.00,,																																							
Romiplostim injection,9245,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,471.73,467.75,,Fee Schedule,257.56,,471.73,467.75,,Fee Schedule,275.02,,471.73,467.75,,Fee Schedule,220.3,,471.73,467.75,,Fee Schedule,233.5,,471.73,467.75,,Fee Schedule,262.75,,471.73,467.75,,Fee Schedule,275.49,,419.95,416.41,,Fee Schedule,220.47,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,100.85,100,,Fee Schedule,17.35,,102.87,102,,Fee Schedule,11.93,,103.37,102.5,,Fee Schedule,15.71,,100.85,100,,Fee Schedule,17.45,,100.85,100,,Fee Schedule,12,,101.86,101,,Fee Schedule,15.79,,101.86,101,,Fee Schedule,15.79,,102.87,101,,Fee Schedule,19.54,,102.87,101,,Fee Schedule,15.74,,102.87,101,,Fee Schedule,18.72,,102.87,101,,Fee Schedule,16.66,,105.89,104,,Fee Schedule,11.33,, ,,,,,,,,,, ,, ,,,, ,,100.85,471.73,,																																							
Inj, abilify asimtufii, 1 mg,9246,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,28.77,467.75,,Fee Schedule,15.71,,28.77,467.75,,Fee Schedule,16.77,,28.77,467.75,,Fee Schedule,13.43,,28.77,467.75,,Fee Schedule,14.24,,28.77,467.75,,Fee Schedule,16.02,,28.77,467.75,,Fee Schedule,16.8,,25.61,416.41,,Fee Schedule,13.44,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,6.15,100,,Fee Schedule,1.06,,6.27,102,,Fee Schedule,0.73,,6.3,102.5,,Fee Schedule,0.96,,6.15,100,,Fee Schedule,1.06,,6.15,100,,Fee Schedule,0.73,,6.21,101,,Fee Schedule,0.96,,6.21,101,,Fee Schedule,0.96,,6.27,101,,Fee Schedule,1.19,,6.27,101,,Fee Schedule,0.96,,6.27,101,,Fee Schedule,1.14,,6.27,101,,Fee Schedule,1.02,,6.46,104,,Fee Schedule,0.69,, ,,,,,,,,,, ,, ,,,, ,,6.15,104.00,,																																							
Inj, amisulpride, 1 mg,9247,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,47.01,467.75,,Fee Schedule,25.67,,47.01,467.75,,Fee Schedule,27.41,,47.01,467.75,,Fee Schedule,21.95,,47.01,467.75,,Fee Schedule,23.27,,47.01,467.75,,Fee Schedule,26.18,,47.01,467.75,,Fee Schedule,27.45,,41.85,416.41,,Fee Schedule,21.97,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,10.05,100,,Fee Schedule,1.73,,10.25,102,,Fee Schedule,1.19,,10.3,102.5,,Fee Schedule,1.57,,10.05,100,,Fee Schedule,1.74,,10.05,100,,Fee Schedule,1.2,,10.15,101,,Fee Schedule,1.57,,10.15,101,,Fee Schedule,1.57,,10.25,101,,Fee Schedule,1.95,,10.25,101,,Fee Schedule,1.57,,10.25,101,,Fee Schedule,1.87,,10.25,101,,Fee Schedule,1.66,,10.55,104,,Fee Schedule,1.13,, ,,,,,,,,,, ,, ,,,, ,,10.05,104.00,,																																							
Inj buprenorph (brixadi) 1mg,9249,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,63.24,467.75,,Fee Schedule,34.53,,63.24,467.75,,Fee Schedule,36.87,,63.24,467.75,,Fee Schedule,29.53,,63.24,467.75,,Fee Schedule,31.3,,63.24,467.75,,Fee Schedule,35.22,,63.24,467.75,,Fee Schedule,36.93,,56.3,416.41,,Fee Schedule,29.56,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,13.52,100,,Fee Schedule,2.33,,13.79,102,,Fee Schedule,1.6,,13.86,102.5,,Fee Schedule,2.11,,13.52,100,,Fee Schedule,2.34,,13.52,100,,Fee Schedule,1.61,,13.66,101,,Fee Schedule,2.12,,13.66,101,,Fee Schedule,2.12,,13.79,101,,Fee Schedule,2.62,,13.79,101,,Fee Schedule,2.11,,13.79,101,,Fee Schedule,2.51,,13.79,101,,Fee Schedule,2.23,,14.2,104,,Fee Schedule,1.52,, ,,,,,,,,,, ,, ,,,, ,,13.52,104.00,,																																							
Inj epcoritamabbysp,0.16 mg   ,9250,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,257.54,467.75,,Fee Schedule,140.62,,257.54,467.75,,Fee Schedule,150.15,,257.54,467.75,,Fee Schedule,120.27,,257.54,467.75,,Fee Schedule,127.48,,257.54,467.75,,Fee Schedule,143.45,,257.54,467.75,,Fee Schedule,150.41,,229.28,416.41,,Fee Schedule,120.37,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,55.06,100,,Fee Schedule,9.47,,56.16,102,,Fee Schedule,6.51,,56.44,102.5,,Fee Schedule,8.58,,55.06,100,,Fee Schedule,9.53,,55.06,100,,Fee Schedule,6.55,,55.61,101,,Fee Schedule,8.62,,55.61,101,,Fee Schedule,8.62,,56.16,101,,Fee Schedule,10.67,,56.16,101,,Fee Schedule,8.59,,56.16,101,,Fee Schedule,10.22,,56.16,101,,Fee Schedule,9.1,,57.81,104,,Fee Schedule,6.19,, ,,,,,,,,,, ,, ,,,, ,,55.06,257.54,,																																							
C1 esterase, cinryze,9251,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,299.17,467.75,,Fee Schedule,163.35,,299.17,467.75,,Fee Schedule,174.42,,299.17,467.75,,Fee Schedule,139.71,,299.17,467.75,,Fee Schedule,148.09,,299.17,467.75,,Fee Schedule,166.64,,299.17,467.75,,Fee Schedule,174.72,,266.34,416.41,,Fee Schedule,139.83,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,63.96,100,,Fee Schedule,11,,65.24,102,,Fee Schedule,7.57,,65.56,102.5,,Fee Schedule,9.96,,63.96,100,,Fee Schedule,11.07,,63.96,100,,Fee Schedule,7.61,,64.6,101,,Fee Schedule,10.01,,64.6,101,,Fee Schedule,10.01,,65.24,101,,Fee Schedule,12.4,,65.24,101,,Fee Schedule,9.98,,65.24,101,,Fee Schedule,11.87,,65.24,101,,Fee Schedule,10.57,,67.16,104,,Fee Schedule,7.19,, ,,,,,,,,,, ,, ,,,, ,,63.96,299.17,,																																							
Plerixafor injection,9252,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,2113.72,467.75,,Fee Schedule,1154.09,,2113.72,467.75,,Fee Schedule,1232.3,,2113.72,467.75,,Fee Schedule,987.11,,2113.72,467.75,,Fee Schedule,1046.29,,2113.72,467.75,,Fee Schedule,1177.34,,2113.72,467.75,,Fee Schedule,1234.41,,1881.72,416.41,,Fee Schedule,987.9,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,451.89,100,,Fee Schedule,77.73,,460.93,102,,Fee Schedule,53.47,,463.19,102.5,,Fee Schedule,70.4,,451.89,100,,Fee Schedule,78.18,,451.89,100,,Fee Schedule,53.77,,456.41,101,,Fee Schedule,70.74,,456.41,101,,Fee Schedule,70.74,,460.93,101,,Fee Schedule,87.58,,460.93,101,,Fee Schedule,70.52,,460.93,101,,Fee Schedule,83.89,,460.93,101,,Fee Schedule,74.67,,474.48,104,,Fee Schedule,50.77,, ,,,,,,,,,, ,, ,,,, ,,451.89,2113.72,,																																							
Temozolomide injection,9253,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,51.22,467.75,,Fee Schedule,27.97,,51.22,467.75,,Fee Schedule,29.86,,51.22,467.75,,Fee Schedule,23.92,,51.22,467.75,,Fee Schedule,25.35,,51.22,467.75,,Fee Schedule,28.53,,51.22,467.75,,Fee Schedule,29.91,,45.6,416.41,,Fee Schedule,23.94,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,10.95,100,,Fee Schedule,1.88,,11.17,102,,Fee Schedule,1.3,,11.22,102.5,,Fee Schedule,1.71,,10.95,100,,Fee Schedule,1.89,,10.95,100,,Fee Schedule,1.3,,11.06,101,,Fee Schedule,1.71,,11.06,101,,Fee Schedule,1.71,,11.17,101,,Fee Schedule,2.12,,11.17,101,,Fee Schedule,1.71,,11.17,101,,Fee Schedule,2.03,,11.17,101,,Fee Schedule,1.81,,11.5,104,,Fee Schedule,1.23,, ,,,,,,,,,, ,, ,,,, ,,10.95,104.00,,																																							
Flotufolastat f18, dia 1 mci,9254,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,3028.68,467.75,,Fee Schedule,1653.66,,3028.68,467.75,,Fee Schedule,1765.72,,3028.68,467.75,,Fee Schedule,1414.39,,3028.68,467.75,,Fee Schedule,1499.2,,3028.68,467.75,,Fee Schedule,1686.98,,3028.68,467.75,,Fee Schedule,1768.75,,2696.25,416.41,,Fee Schedule,1415.53,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,647.5,100,,Fee Schedule,111.37,,660.45,102,,Fee Schedule,76.61,,663.69,102.5,,Fee Schedule,100.88,,647.5,100,,Fee Schedule,112.02,,647.5,100,,Fee Schedule,77.05,,653.98,101,,Fee Schedule,101.37,,653.98,101,,Fee Schedule,101.37,,660.45,101,,Fee Schedule,125.49,,660.45,101,,Fee Schedule,101.05,,660.45,101,,Fee Schedule,120.2,,660.45,101,,Fee Schedule,106.99,,679.88,104,,Fee Schedule,72.75,, ,,,,,,,,,, ,, ,,,, ,,647.50,3028.68,,																																							
Inj, invega sustenna, 1 mg,9255,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,70.63,467.75,,Fee Schedule,38.56,,70.63,467.75,,Fee Schedule,41.18,,70.63,467.75,,Fee Schedule,32.98,,70.63,467.75,,Fee Schedule,34.96,,70.63,467.75,,Fee Schedule,39.34,,70.63,467.75,,Fee Schedule,41.25,,62.88,416.41,,Fee Schedule,33.01,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,15.1,100,,Fee Schedule,2.6,,15.4,102,,Fee Schedule,1.79,,15.48,102.5,,Fee Schedule,2.35,,15.1,100,,Fee Schedule,2.61,,15.1,100,,Fee Schedule,1.8,,15.25,101,,Fee Schedule,2.36,,15.25,101,,Fee Schedule,2.36,,15.4,101,,Fee Schedule,2.93,,15.4,101,,Fee Schedule,2.36,,15.4,101,,Fee Schedule,2.8,,15.4,101,,Fee Schedule,2.5,,15.86,104,,Fee Schedule,1.7,, ,,,,,,,,,, ,, ,,,, ,,15.10,104.00,,																																							
Dexamethasone intra implant,9256,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,1013.29,467.75,,Fee Schedule,553.25,,1013.29,467.75,,Fee Schedule,590.75,,1013.29,467.75,,Fee Schedule,473.2,,1013.29,467.75,,Fee Schedule,501.58,,1013.29,467.75,,Fee Schedule,564.4,,1013.29,467.75,,Fee Schedule,591.76,,902.07,416.41,,Fee Schedule,473.59,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,216.63,100,,Fee Schedule,37.26,,220.96,102,,Fee Schedule,25.63,,222.05,102.5,,Fee Schedule,33.75,,216.63,100,,Fee Schedule,37.48,,216.63,100,,Fee Schedule,25.78,,218.8,101,,Fee Schedule,33.91,,218.8,101,,Fee Schedule,33.91,,220.96,101,,Fee Schedule,41.98,,220.96,101,,Fee Schedule,33.81,,220.96,101,,Fee Schedule,40.22,,220.96,101,,Fee Schedule,35.8,,227.46,104,,Fee Schedule,24.34,, ,,,,,,,,,, ,, ,,,, ,,216.63,1013.29,,																																							
Inj., emicizumabkxwh 0.5 mg,9257,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,252.35,467.75,,Fee Schedule,137.78,,252.35,467.75,,Fee Schedule,147.12,,252.35,467.75,,Fee Schedule,117.85,,252.35,467.75,,Fee Schedule,124.91,,252.35,467.75,,Fee Schedule,140.56,,252.35,467.75,,Fee Schedule,147.37,,224.65,416.41,,Fee Schedule,117.94,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,53.95,100,,Fee Schedule,9.28,,55.03,102,,Fee Schedule,6.38,,55.3,102.5,,Fee Schedule,8.41,,53.95,100,,Fee Schedule,9.33,,53.95,100,,Fee Schedule,6.42,,54.49,101,,Fee Schedule,8.45,,54.49,101,,Fee Schedule,8.45,,55.03,101,,Fee Schedule,10.46,,55.03,101,,Fee Schedule,8.42,,55.03,101,,Fee Schedule,10.02,,55.03,101,,Fee Schedule,8.91,,56.65,104,,Fee Schedule,6.06,, ,,,,,,,,,, ,, ,,,, ,,53.95,252.35,,																																							
Telavancin injection,9258,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,35.22,467.75,,Fee Schedule,19.23,,35.22,467.75,,Fee Schedule,20.53,,35.22,467.75,,Fee Schedule,16.45,,35.22,467.75,,Fee Schedule,17.43,,35.22,467.75,,Fee Schedule,19.62,,35.22,467.75,,Fee Schedule,20.57,,31.36,416.41,,Fee Schedule,16.46,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,7.53,100,,Fee Schedule,1.3,,7.68,102,,Fee Schedule,0.89,,7.72,102.5,,Fee Schedule,1.17,,7.53,100,,Fee Schedule,1.3,,7.53,100,,Fee Schedule,0.9,,7.61,101,,Fee Schedule,1.18,,7.61,101,,Fee Schedule,1.18,,7.68,101,,Fee Schedule,1.46,,7.68,101,,Fee Schedule,1.18,,7.68,101,,Fee Schedule,1.4,,7.68,101,,Fee Schedule,1.24,,7.91,104,,Fee Schedule,0.85,, ,,,,,,,,,, ,, ,,,, ,,7.53,104.00,,																																							
Pralatrexate injection,9259,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,1468.97,467.75,,Fee Schedule,802.06,,1468.97,467.75,,Fee Schedule,856.41,,1468.97,467.75,,Fee Schedule,686.01,,1468.97,467.75,,Fee Schedule,727.14,,1468.97,467.75,,Fee Schedule,818.22,,1468.97,467.75,,Fee Schedule,857.88,,1307.74,416.41,,Fee Schedule,686.56,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,314.05,100,,Fee Schedule,54.02,,320.33,102,,Fee Schedule,37.16,,321.9,102.5,,Fee Schedule,48.93,,314.05,100,,Fee Schedule,54.33,,314.05,100,,Fee Schedule,37.37,,317.19,101,,Fee Schedule,49.16,,317.19,101,,Fee Schedule,49.16,,320.33,101,,Fee Schedule,60.86,,320.33,101,,Fee Schedule,49.01,,320.33,101,,Fee Schedule,58.3,,320.33,101,,Fee Schedule,51.89,,329.75,104,,Fee Schedule,35.28,, ,,,,,,,,,, ,, ,,,, ,,314.05,1468.97,,																																							
Ofatumumab injection,9260,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,315.08,467.75,,Fee Schedule,172.03,,315.08,467.75,,Fee Schedule,183.69,,315.08,467.75,,Fee Schedule,147.14,,315.08,467.75,,Fee Schedule,155.96,,315.08,467.75,,Fee Schedule,175.5,,315.08,467.75,,Fee Schedule,184,,280.49,416.41,,Fee Schedule,147.26,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,67.36,100,,Fee Schedule,11.59,,68.71,102,,Fee Schedule,7.97,,69.04,102.5,,Fee Schedule,10.49,,67.36,100,,Fee Schedule,11.65,,67.36,100,,Fee Schedule,8.02,,68.03,101,,Fee Schedule,10.55,,68.03,101,,Fee Schedule,10.55,,68.71,101,,Fee Schedule,13.05,,68.71,101,,Fee Schedule,10.51,,68.71,101,,Fee Schedule,12.5,,68.71,101,,Fee Schedule,11.13,,70.73,104,,Fee Schedule,7.57,, ,,,,,,,,,, ,, ,,,, ,,67.36,315.08,,																																							
Ustekinumab sub cu inj, 1 mg,9261,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,746.15,467.75,,Fee Schedule,407.4,,746.15,467.75,,Fee Schedule,435.01,,746.15,467.75,,Fee Schedule,348.45,,746.15,467.75,,Fee Schedule,369.35,,746.15,467.75,,Fee Schedule,415.61,,746.15,467.75,,Fee Schedule,435.75,,664.26,416.41,,Fee Schedule,348.74,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,159.52,100,,Fee Schedule,27.44,,162.71,102,,Fee Schedule,18.87,,163.51,102.5,,Fee Schedule,24.85,,159.52,100,,Fee Schedule,27.6,,159.52,100,,Fee Schedule,18.98,,161.12,101,,Fee Schedule,24.97,,161.12,101,,Fee Schedule,24.97,,162.71,101,,Fee Schedule,30.91,,162.71,101,,Fee Schedule,24.89,,162.71,101,,Fee Schedule,29.61,,162.71,101,,Fee Schedule,26.36,,167.5,104,,Fee Schedule,17.92,, ,,,,,,,,,, ,, ,,,, ,,159.52,746.15,,																																							
Inj, tofersen, 1 mg,9262,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,722.07,467.75,,Fee Schedule,394.25,,722.07,467.75,,Fee Schedule,420.96,,722.07,467.75,,Fee Schedule,337.2,,722.07,467.75,,Fee Schedule,357.42,,722.07,467.75,,Fee Schedule,402.19,,722.07,467.75,,Fee Schedule,421.69,,642.81,416.41,,Fee Schedule,337.48,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,154.37,100,,Fee Schedule,26.55,,157.46,102,,Fee Schedule,18.27,,158.23,102.5,,Fee Schedule,24.05,,154.37,100,,Fee Schedule,26.71,,154.37,100,,Fee Schedule,18.37,,155.91,101,,Fee Schedule,24.17,,155.91,101,,Fee Schedule,24.17,,157.46,101,,Fee Schedule,29.92,,157.46,101,,Fee Schedule,24.09,,157.46,101,,Fee Schedule,28.66,,157.46,101,,Fee Schedule,25.51,,162.09,104,,Fee Schedule,17.34,, ,,,,,,,,,, ,, ,,,, ,,154.37,722.07,,																																							
Ecallantide injection,9263,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,2622.07,467.75,,Fee Schedule,1431.65,,2622.07,467.75,,Fee Schedule,1528.66,,2622.07,467.75,,Fee Schedule,1224.5,,2622.07,467.75,,Fee Schedule,1297.92,,2622.07,467.75,,Fee Schedule,1460.49,,2622.07,467.75,,Fee Schedule,1531.29,,2334.27,416.41,,Fee Schedule,1225.49,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,560.57,100,,Fee Schedule,96.42,,571.78,102,,Fee Schedule,66.33,,574.58,102.5,,Fee Schedule,87.34,,560.57,100,,Fee Schedule,96.98,,560.57,100,,Fee Schedule,66.71,,566.18,101,,Fee Schedule,87.76,,566.18,101,,Fee Schedule,87.76,,571.78,101,,Fee Schedule,108.64,,571.78,101,,Fee Schedule,87.48,,571.78,101,,Fee Schedule,104.06,,571.78,101,,Fee Schedule,92.63,,588.6,104,,Fee Schedule,62.98,, ,,,,,,,,,, ,, ,,,, ,,560.57,2622.07,,																																							
Tocilizumab injection,9264,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,30.5,467.75,,Fee Schedule,16.65,,30.5,467.75,,Fee Schedule,17.78,,30.5,467.75,,Fee Schedule,14.24,,30.5,467.75,,Fee Schedule,15.1,,30.5,467.75,,Fee Schedule,16.99,,30.5,467.75,,Fee Schedule,17.81,,27.15,416.41,,Fee Schedule,14.25,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,6.52,100,,Fee Schedule,1.12,,6.65,102,,Fee Schedule,0.77,,6.68,102.5,,Fee Schedule,1.02,,6.52,100,,Fee Schedule,1.13,,6.52,100,,Fee Schedule,0.78,,6.59,101,,Fee Schedule,1.02,,6.59,101,,Fee Schedule,1.02,,6.65,101,,Fee Schedule,1.26,,6.65,101,,Fee Schedule,1.02,,6.65,101,,Fee Schedule,1.21,,6.65,101,,Fee Schedule,1.08,,6.85,104,,Fee Schedule,0.73,, ,,,,,,,,,, ,, ,,,, ,,6.52,104.00,,																																							
Inj, uzedy, 1 mg,9266,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,125.03,467.75,,Fee Schedule,68.27,,125.03,467.75,,Fee Schedule,72.89,,125.03,467.75,,Fee Schedule,58.39,,125.03,467.75,,Fee Schedule,61.89,,125.03,467.75,,Fee Schedule,69.64,,125.03,467.75,,Fee Schedule,73.02,,111.31,416.41,,Fee Schedule,58.44,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,26.73,100,,Fee Schedule,4.6,,27.26,102,,Fee Schedule,3.16,,27.4,102.5,,Fee Schedule,4.16,,26.73,100,,Fee Schedule,4.62,,26.73,100,,Fee Schedule,3.18,,27,101,,Fee Schedule,4.18,,27,101,,Fee Schedule,4.18,,27.26,101,,Fee Schedule,5.18,,27.26,101,,Fee Schedule,4.17,,27.26,101,,Fee Schedule,4.96,,27.26,101,,Fee Schedule,4.42,,28.07,104,,Fee Schedule,3,, ,,,,,,,,,, ,, ,,,, ,,26.73,125.03,,																																							
Inj, rezafungin, 1 mg,9267,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,49.49,467.75,,Fee Schedule,27.02,,49.49,467.75,,Fee Schedule,28.85,,49.49,467.75,,Fee Schedule,23.11,,49.49,467.75,,Fee Schedule,24.5,,49.49,467.75,,Fee Schedule,27.56,,49.49,467.75,,Fee Schedule,28.9,,44.06,416.41,,Fee Schedule,23.13,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,10.58,100,,Fee Schedule,1.82,,10.79,102,,Fee Schedule,1.25,,10.84,102.5,,Fee Schedule,1.65,,10.58,100,,Fee Schedule,1.83,,10.58,100,,Fee Schedule,1.26,,10.69,101,,Fee Schedule,1.66,,10.69,101,,Fee Schedule,1.66,,10.79,101,,Fee Schedule,2.05,,10.79,101,,Fee Schedule,1.65,,10.79,101,,Fee Schedule,1.96,,10.79,101,,Fee Schedule,1.75,,11.11,104,,Fee Schedule,1.19,, ,,,,,,,,,, ,, ,,,, ,,10.58,104.00,,																																							
Inj. acthar gel to 40 units,9268,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,20149.55,467.75,,Fee Schedule,11001.65,,20149.55,467.75,,Fee Schedule,11747.19,,20149.55,467.75,,Fee Schedule,9409.84,,20149.55,467.75,,Fee Schedule,9974.03,,20149.55,467.75,,Fee Schedule,11223.3,,20149.55,467.75,,Fee Schedule,11767.34,,17937.94,416.41,,Fee Schedule,9417.42,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,4307.76,100,,Fee Schedule,740.93,,4393.92,102,,Fee Schedule,509.69,,4415.45,102.5,,Fee Schedule,671.15,,4307.76,100,,Fee Schedule,745.24,,4307.76,100,,Fee Schedule,512.62,,4350.84,101,,Fee Schedule,674.38,,4350.84,101,,Fee Schedule,674.38,,4393.92,101,,Fee Schedule,834.84,,4393.92,101,,Fee Schedule,672.27,,4393.92,101,,Fee Schedule,799.69,,4393.92,101,,Fee Schedule,711.81,,4523.15,104,,Fee Schedule,483.98,, ,,,,,,,,,, ,, ,,,, ,,4307.76,20149.55,,																																							
C1 esterase, berinert,9269,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,317.27,467.75,,Fee Schedule,173.23,,317.27,467.75,,Fee Schedule,184.97,,317.27,467.75,,Fee Schedule,148.17,,317.27,467.75,,Fee Schedule,157.05,,317.27,467.75,,Fee Schedule,176.72,,317.27,467.75,,Fee Schedule,185.29,,282.45,416.41,,Fee Schedule,148.29,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,67.83,100,,Fee Schedule,11.67,,69.19,102,,Fee Schedule,8.03,,69.53,102.5,,Fee Schedule,10.57,,67.83,100,,Fee Schedule,11.73,,67.83,100,,Fee Schedule,8.07,,68.51,101,,Fee Schedule,10.62,,68.51,101,,Fee Schedule,10.62,,69.19,101,,Fee Schedule,13.15,,69.19,101,,Fee Schedule,10.59,,69.19,101,,Fee Schedule,12.59,,69.19,101,,Fee Schedule,11.21,,71.22,104,,Fee Schedule,7.62,, ,,,,,,,,,, ,, ,,,, ,,67.83,317.27,,																																							
Gammaplex injection,9270,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,280.84,467.75,,Fee Schedule,153.34,,280.84,467.75,,Fee Schedule,163.73,,280.84,467.75,,Fee Schedule,131.15,,280.84,467.75,,Fee Schedule,139.01,,280.84,467.75,,Fee Schedule,156.43,,280.84,467.75,,Fee Schedule,164.01,,250.01,416.41,,Fee Schedule,131.26,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,60.04,100,,Fee Schedule,10.33,,61.24,102,,Fee Schedule,7.1,,61.54,102.5,,Fee Schedule,9.35,,60.04,100,,Fee Schedule,10.39,,60.04,100,,Fee Schedule,7.14,,60.64,101,,Fee Schedule,9.4,,60.64,101,,Fee Schedule,9.4,,61.24,101,,Fee Schedule,11.64,,61.24,101,,Fee Schedule,9.37,,61.24,101,,Fee Schedule,11.15,,61.24,101,,Fee Schedule,9.92,,63.04,104,,Fee Schedule,6.75,, ,,,,,,,,,, ,, ,,,, ,,60.04,280.84,,																																							
Velaglucerase alfa,9271,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,1805,467.75,,Fee Schedule,985.53,,1805,467.75,,Fee Schedule,1052.32,,1805,467.75,,Fee Schedule,842.94,,1805,467.75,,Fee Schedule,893.48,,1805,467.75,,Fee Schedule,1005.39,,1805,467.75,,Fee Schedule,1054.12,,1606.88,416.41,,Fee Schedule,843.61,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,385.89,100,,Fee Schedule,66.37,,393.61,102,,Fee Schedule,45.66,,395.54,102.5,,Fee Schedule,60.12,,385.89,100,,Fee Schedule,66.76,,385.89,100,,Fee Schedule,45.92,,389.75,101,,Fee Schedule,60.41,,389.75,101,,Fee Schedule,60.41,,393.61,101,,Fee Schedule,74.79,,393.61,101,,Fee Schedule,60.22,,393.61,101,,Fee Schedule,71.64,,393.61,101,,Fee Schedule,63.76,,405.18,104,,Fee Schedule,43.35,, ,,,,,,,,,, ,, ,,,, ,,385.89,1805.00,,																																							
Denosumab injection,9272,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,119.32,467.75,,Fee Schedule,65.15,,119.32,467.75,,Fee Schedule,69.57,,119.32,467.75,,Fee Schedule,55.72,,119.32,467.75,,Fee Schedule,59.06,,119.32,467.75,,Fee Schedule,66.46,,119.32,467.75,,Fee Schedule,69.68,,106.23,416.41,,Fee Schedule,55.77,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,25.51,100,,Fee Schedule,4.39,,26.02,102,,Fee Schedule,3.02,,26.15,102.5,,Fee Schedule,3.97,,25.51,100,,Fee Schedule,4.41,,25.51,100,,Fee Schedule,3.04,,25.77,101,,Fee Schedule,3.99,,25.77,101,,Fee Schedule,3.99,,26.02,101,,Fee Schedule,4.94,,26.02,101,,Fee Schedule,3.98,,26.02,101,,Fee Schedule,4.74,,26.02,101,,Fee Schedule,4.22,,26.79,104,,Fee Schedule,2.87,, ,,,,,,,,,, ,, ,,,, ,,25.51,119.32,,																																							
Sipuleucelt auto cd54+,9273,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,263430.72,467.75,,Fee Schedule,143833.17,,263430.72,467.75,,Fee Schedule,153580.11,,263430.72,467.75,,Fee Schedule,123022.15,,263430.72,467.75,,Fee Schedule,130398.21,,263430.72,467.75,,Fee Schedule,146730.91,,263430.72,467.75,,Fee Schedule,153843.54,,234516.7,416.41,,Fee Schedule,123121.27,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,56318.7,100,,Fee Schedule,9686.82,,57445.07,102,,Fee Schedule,6663.63,,57726.67,102.5,,Fee Schedule,8774.45,,56318.7,100,,Fee Schedule,9743.14,,56318.7,100,,Fee Schedule,6701.93,,56881.89,101,,Fee Schedule,8816.69,,56881.89,101,,Fee Schedule,8816.69,,57445.07,101,,Fee Schedule,10914.56,,57445.07,101,,Fee Schedule,8789.1,,57445.07,101,,Fee Schedule,10455,,57445.07,101,,Fee Schedule,9306.1,,59134.64,104,,Fee Schedule,6327.41,, ,,,,,,,,,, ,, ,,,, ,,56318.70,263430.72,,																																							
Crotalidae poly immune fab,9274,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,10229.55,467.75,,Fee Schedule,5585.34,,10229.55,467.75,,Fee Schedule,5963.83,,10229.55,467.75,,Fee Schedule,4777.2,,10229.55,467.75,,Fee Schedule,5063.63,,10229.55,467.75,,Fee Schedule,5697.86,,10229.55,467.75,,Fee Schedule,5974.06,,9106.76,416.41,,Fee Schedule,4781.05,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,2186.97,100,,Fee Schedule,376.16,,2230.71,102,,Fee Schedule,258.76,,2241.64,102.5,,Fee Schedule,340.73,,2186.97,100,,Fee Schedule,378.35,,2186.97,100,,Fee Schedule,260.25,,2208.84,101,,Fee Schedule,342.37,,2208.84,101,,Fee Schedule,342.37,,2230.71,101,,Fee Schedule,423.83,,2230.71,101,,Fee Schedule,341.3,,2230.71,101,,Fee Schedule,405.99,,2230.71,101,,Fee Schedule,361.37,,2296.32,104,,Fee Schedule,245.71,, ,,,,,,,,,, ,, ,,,, ,,2186.97,10229.55,,																																							
Inj. (ani), up to 40 units,9275,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,17131.91,467.75,,Fee Schedule,9354.02,,17131.91,467.75,,Fee Schedule,9987.9,,17131.91,467.75,,Fee Schedule,8000.6,,17131.91,467.75,,Fee Schedule,8480.29,,17131.91,467.75,,Fee Schedule,9542.47,,17131.91,467.75,,Fee Schedule,10005.03,,15251.52,416.41,,Fee Schedule,8007.05,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,3662.62,100,,Fee Schedule,629.97,,3735.87,102,,Fee Schedule,433.36,,3754.19,102.5,,Fee Schedule,570.64,,3662.62,100,,Fee Schedule,633.63,,3662.62,100,,Fee Schedule,435.85,,3699.25,101,,Fee Schedule,573.38,,3699.25,101,,Fee Schedule,573.38,,3735.87,101,,Fee Schedule,709.82,,3735.87,101,,Fee Schedule,571.59,,3735.87,101,,Fee Schedule,679.93,,3735.87,101,,Fee Schedule,605.21,,3845.75,104,,Fee Schedule,411.5,, ,,,,,,,,,, ,, ,,,, ,,3662.62,17131.91,,																																							
Cabazitaxel injection,9276,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,1031.3,467.75,,Fee Schedule,563.09,,1031.3,467.75,,Fee Schedule,601.25,,1031.3,467.75,,Fee Schedule,481.61,,1031.3,467.75,,Fee Schedule,510.49,,1031.3,467.75,,Fee Schedule,574.43,,1031.3,467.75,,Fee Schedule,602.28,,918.1,416.41,,Fee Schedule,482,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,220.48,100,,Fee Schedule,37.92,,224.89,102,,Fee Schedule,26.09,,225.99,102.5,,Fee Schedule,34.35,,220.48,100,,Fee Schedule,38.14,,220.48,100,,Fee Schedule,26.24,,222.68,101,,Fee Schedule,34.52,,222.68,101,,Fee Schedule,34.52,,224.89,101,,Fee Schedule,42.73,,224.89,101,,Fee Schedule,34.41,,224.89,101,,Fee Schedule,40.93,,224.89,101,,Fee Schedule,36.43,,231.5,104,,Fee Schedule,24.77,, ,,,,,,,,,, ,, ,,,, ,,220.48,1031.30,,																																							
Altuviiio per factor viii iu,9277,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,23.29,467.75,,Fee Schedule,12.72,,23.29,467.75,,Fee Schedule,13.58,,23.29,467.75,,Fee Schedule,10.88,,23.29,467.75,,Fee Schedule,11.53,,23.29,467.75,,Fee Schedule,12.97,,23.29,467.75,,Fee Schedule,13.6,,20.74,416.41,,Fee Schedule,10.89,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,4.98,100,,Fee Schedule,0.86,,5.08,102,,Fee Schedule,0.59,,5.1,102.5,,Fee Schedule,0.78,,4.98,100,,Fee Schedule,0.86,,4.98,100,,Fee Schedule,0.59,,5.03,101,,Fee Schedule,0.78,,5.03,101,,Fee Schedule,0.78,,5.08,101,,Fee Schedule,0.97,,5.08,101,,Fee Schedule,0.78,,5.08,101,,Fee Schedule,0.92,,5.08,101,,Fee Schedule,0.82,,5.23,104,,Fee Schedule,0.56,, ,,,,,,,,,, ,, ,,,, ,,4.98,104.00,,																																							
Incobotulinumtoxin a,9278,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,25.59,467.75,,Fee Schedule,13.97,,25.59,467.75,,Fee Schedule,14.92,,25.59,467.75,,Fee Schedule,11.95,,25.59,467.75,,Fee Schedule,12.67,,25.59,467.75,,Fee Schedule,14.25,,25.59,467.75,,Fee Schedule,14.94,,22.78,416.41,,Fee Schedule,11.96,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,5.47,100,,Fee Schedule,0.94,,5.58,102,,Fee Schedule,0.65,,5.61,102.5,,Fee Schedule,0.85,,5.47,100,,Fee Schedule,0.95,,5.47,100,,Fee Schedule,0.65,,5.52,101,,Fee Schedule,0.86,,5.52,101,,Fee Schedule,0.86,,5.58,101,,Fee Schedule,1.06,,5.58,101,,Fee Schedule,0.85,,5.58,101,,Fee Schedule,1.02,,5.58,101,,Fee Schedule,0.9,,5.74,104,,Fee Schedule,0.61,, ,,,,,,,,,, ,, ,,,, ,,5.47,104.00,,																																							
Inj. mycophenolate mofetil,9279,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,3.65,467.75,,Fee Schedule,1.99,,3.65,467.75,,Fee Schedule,2.13,,3.65,467.75,,Fee Schedule,1.7,,3.65,467.75,,Fee Schedule,1.81,,3.65,467.75,,Fee Schedule,2.03,,3.65,467.75,,Fee Schedule,2.13,,3.25,416.41,,Fee Schedule,1.71,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,0.78,100,,Fee Schedule,0.13,,0.8,102,,Fee Schedule,0.09,,0.8,102.5,,Fee Schedule,0.12,,0.78,100,,Fee Schedule,0.13,,0.78,100,,Fee Schedule,0.09,,0.79,101,,Fee Schedule,0.12,,0.79,101,,Fee Schedule,0.12,,0.8,101,,Fee Schedule,0.15,,0.8,101,,Fee Schedule,0.12,,0.8,101,,Fee Schedule,0.14,,0.8,101,,Fee Schedule,0.13,,0.82,104,,Fee Schedule,0.09,, ,,,,,,,,,, ,, ,,,, ,,0.78,104.00,,																																							
Inj, retifanlimabdlwr, 1 mg,9280,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,144.53,467.75,,Fee Schedule,78.92,,144.53,467.75,,Fee Schedule,84.26,,144.53,467.75,,Fee Schedule,67.5,,144.53,467.75,,Fee Schedule,71.54,,144.53,467.75,,Fee Schedule,80.51,,144.53,467.75,,Fee Schedule,84.41,,128.67,416.41,,Fee Schedule,67.55,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,30.9,100,,Fee Schedule,5.31,,31.52,102,,Fee Schedule,3.66,,31.67,102.5,,Fee Schedule,4.81,,30.9,100,,Fee Schedule,5.35,,30.9,100,,Fee Schedule,3.68,,31.21,101,,Fee Schedule,4.84,,31.21,101,,Fee Schedule,4.84,,31.52,101,,Fee Schedule,5.99,,31.52,101,,Fee Schedule,4.82,,31.52,101,,Fee Schedule,5.74,,31.52,101,,Fee Schedule,5.11,,32.45,104,,Fee Schedule,3.47,, ,,,,,,,,,, ,, ,,,, ,,30.90,144.53,,																																							
Pegloticase injection,9281,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,16291.97,467.75,,Fee Schedule,8895.41,,16291.97,467.75,,Fee Schedule,9498.22,,16291.97,467.75,,Fee Schedule,7608.35,,16291.97,467.75,,Fee Schedule,8064.52,,16291.97,467.75,,Fee Schedule,9074.63,,16291.97,467.75,,Fee Schedule,9514.51,,14503.77,416.41,,Fee Schedule,7614.48,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,3483.05,100,,Fee Schedule,599.08,,3552.71,102,,Fee Schedule,412.11,,3570.13,102.5,,Fee Schedule,542.66,,3483.05,100,,Fee Schedule,602.57,,3483.05,100,,Fee Schedule,414.48,,3517.88,101,,Fee Schedule,545.27,,3517.88,101,,Fee Schedule,545.27,,3552.71,101,,Fee Schedule,675.02,,3552.71,101,,Fee Schedule,543.56,,3552.71,101,,Fee Schedule,646.59,,3552.71,101,,Fee Schedule,575.54,,3657.2,104,,Fee Schedule,391.32,, ,,,,,,,,,, ,, ,,,, ,,3483.05,16291.97,,																																							
Ipilimumab injection,9284,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,830.4,467.75,,Fee Schedule,453.4,,830.4,467.75,,Fee Schedule,484.12,,830.4,467.75,,Fee Schedule,387.8,,830.4,467.75,,Fee Schedule,411.05,,830.4,467.75,,Fee Schedule,462.53,,830.4,467.75,,Fee Schedule,484.95,,739.25,416.41,,Fee Schedule,388.11,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,177.53,100,,Fee Schedule,30.54,,181.08,102,,Fee Schedule,21.01,,181.97,102.5,,Fee Schedule,27.66,,177.53,100,,Fee Schedule,30.71,,177.53,100,,Fee Schedule,21.13,,179.31,101,,Fee Schedule,27.79,,179.31,101,,Fee Schedule,27.79,,181.08,101,,Fee Schedule,34.41,,181.08,101,,Fee Schedule,27.71,,181.08,101,,Fee Schedule,32.96,,181.08,101,,Fee Schedule,29.34,,186.41,104,,Fee Schedule,19.95,, ,,,,,,,,,, ,, ,,,, ,,177.53,830.40,,																																							
Belatacept injection,9286,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,18.66,467.75,,Fee Schedule,10.19,,18.66,467.75,,Fee Schedule,10.88,,18.66,467.75,,Fee Schedule,8.72,,18.66,467.75,,Fee Schedule,9.24,,18.66,467.75,,Fee Schedule,10.4,,18.66,467.75,,Fee Schedule,10.9,,16.61,416.41,,Fee Schedule,8.72,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,3.99,100,,Fee Schedule,0.69,,4.07,102,,Fee Schedule,0.47,,4.09,102.5,,Fee Schedule,0.62,,3.99,100,,Fee Schedule,0.69,,3.99,100,,Fee Schedule,0.47,,4.03,101,,Fee Schedule,0.62,,4.03,101,,Fee Schedule,0.62,,4.07,101,,Fee Schedule,0.77,,4.07,101,,Fee Schedule,0.62,,4.07,101,,Fee Schedule,0.74,,4.07,101,,Fee Schedule,0.66,,4.19,104,,Fee Schedule,0.45,, ,,,,,,,,,, ,, ,,,, ,,3.99,104.00,,																																							
Brentuximab vedotin inj,9287,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,1094.21,467.75,,Fee Schedule,597.44,,1094.21,467.75,,Fee Schedule,637.92,,1094.21,467.75,,Fee Schedule,510.99,,1094.21,467.75,,Fee Schedule,541.63,,1094.21,467.75,,Fee Schedule,609.47,,1094.21,467.75,,Fee Schedule,639.02,,974.11,416.41,,Fee Schedule,511.41,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,233.93,100,,Fee Schedule,40.24,,238.61,102,,Fee Schedule,27.68,,239.78,102.5,,Fee Schedule,36.45,,233.93,100,,Fee Schedule,40.47,,233.93,100,,Fee Schedule,27.84,,236.27,101,,Fee Schedule,36.62,,236.27,101,,Fee Schedule,36.62,,238.61,101,,Fee Schedule,45.34,,238.61,101,,Fee Schedule,36.51,,238.61,101,,Fee Schedule,43.43,,238.61,101,,Fee Schedule,38.65,,245.63,104,,Fee Schedule,26.28,, ,,,,,,,,,, ,, ,,,, ,,233.93,1094.21,,																																							
Erwinaze injection,9289,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,2104.92,467.75,,Fee Schedule,1149.29,,2104.92,467.75,,Fee Schedule,1227.17,,2104.92,467.75,,Fee Schedule,983,,2104.92,467.75,,Fee Schedule,1041.94,,2104.92,467.75,,Fee Schedule,1172.44,,2104.92,467.75,,Fee Schedule,1229.27,,1873.89,416.41,,Fee Schedule,983.79,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,450.01,100,,Fee Schedule,77.4,,459.01,102,,Fee Schedule,53.25,,461.26,102.5,,Fee Schedule,70.11,,450.01,100,,Fee Schedule,77.85,,450.01,100,,Fee Schedule,53.55,,454.51,101,,Fee Schedule,70.45,,454.51,101,,Fee Schedule,70.45,,459.01,101,,Fee Schedule,87.21,,459.01,101,,Fee Schedule,70.23,,459.01,101,,Fee Schedule,83.54,,459.01,101,,Fee Schedule,74.36,,472.51,104,,Fee Schedule,50.56,, ,,,,,,,,,, ,, ,,,, ,,450.01,2104.92,,																																							
Inj, taliglucerase alfa 10 u,9294,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,222.56,467.75,,Fee Schedule,121.52,,222.56,467.75,,Fee Schedule,129.75,,222.56,467.75,,Fee Schedule,103.93,,222.56,467.75,,Fee Schedule,110.16,,222.56,467.75,,Fee Schedule,123.96,,222.56,467.75,,Fee Schedule,129.97,,198.13,416.41,,Fee Schedule,104.02,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,47.58,100,,Fee Schedule,8.18,,48.53,102,,Fee Schedule,5.63,,48.77,102.5,,Fee Schedule,7.41,,47.58,100,,Fee Schedule,8.23,,47.58,100,,Fee Schedule,5.66,,48.06,101,,Fee Schedule,7.45,,48.06,101,,Fee Schedule,7.45,,48.53,101,,Fee Schedule,9.22,,48.53,101,,Fee Schedule,7.43,,48.53,101,,Fee Schedule,8.83,,48.53,101,,Fee Schedule,7.86,,49.96,104,,Fee Schedule,5.35,, ,,,,,,,,,, ,, ,,,, ,,47.58,222.56,,																																							
Injection, carfilzomib, 1 mg,9295,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,231.02,467.75,,Fee Schedule,126.14,,231.02,467.75,,Fee Schedule,134.69,,231.02,467.75,,Fee Schedule,107.89,,231.02,467.75,,Fee Schedule,114.36,,231.02,467.75,,Fee Schedule,128.68,,231.02,467.75,,Fee Schedule,134.92,,205.66,416.41,,Fee Schedule,107.97,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,49.39,100,,Fee Schedule,8.5,,50.38,102,,Fee Schedule,5.84,,50.62,102.5,,Fee Schedule,7.69,,49.39,100,,Fee Schedule,8.54,,49.39,100,,Fee Schedule,5.88,,49.88,101,,Fee Schedule,7.73,,49.88,101,,Fee Schedule,7.73,,50.38,101,,Fee Schedule,9.57,,50.38,101,,Fee Schedule,7.71,,50.38,101,,Fee Schedule,9.17,,50.38,101,,Fee Schedule,8.16,,51.86,104,,Fee Schedule,5.55,, ,,,,,,,,,, ,, ,,,, ,,49.39,231.02,,																																							
Inj, zivaflibercept, 1mg,9296,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,38.45,467.75,,Fee Schedule,20.99,,38.45,467.75,,Fee Schedule,22.42,,38.45,467.75,,Fee Schedule,17.96,,38.45,467.75,,Fee Schedule,19.03,,38.45,467.75,,Fee Schedule,21.42,,38.45,467.75,,Fee Schedule,22.45,,34.23,416.41,,Fee Schedule,17.97,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,8.22,100,,Fee Schedule,1.41,,8.38,102,,Fee Schedule,0.97,,8.43,102.5,,Fee Schedule,1.28,,8.22,100,,Fee Schedule,1.42,,8.22,100,,Fee Schedule,0.98,,8.3,101,,Fee Schedule,1.29,,8.3,101,,Fee Schedule,1.29,,8.38,101,,Fee Schedule,1.59,,8.38,101,,Fee Schedule,1.28,,8.38,101,,Fee Schedule,1.53,,8.38,101,,Fee Schedule,1.36,,8.63,104,,Fee Schedule,0.92,, ,,,,,,,,,, ,, ,,,, ,,8.22,104.00,,																																							
Inj, omacetaxine mep, 0.01mg,9297,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,19.51,467.75,,Fee Schedule,10.65,,19.51,467.75,,Fee Schedule,11.37,,19.51,467.75,,Fee Schedule,9.11,,19.51,467.75,,Fee Schedule,9.66,,19.51,467.75,,Fee Schedule,10.86,,19.51,467.75,,Fee Schedule,11.39,,17.36,416.41,,Fee Schedule,9.12,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,4.17,100,,Fee Schedule,0.72,,4.25,102,,Fee Schedule,0.49,,4.27,102.5,,Fee Schedule,0.65,,4.17,100,,Fee Schedule,0.72,,4.17,100,,Fee Schedule,0.5,,4.21,101,,Fee Schedule,0.65,,4.21,101,,Fee Schedule,0.65,,4.25,101,,Fee Schedule,0.81,,4.25,101,,Fee Schedule,0.65,,4.25,101,,Fee Schedule,0.77,,4.25,101,,Fee Schedule,0.69,,4.38,104,,Fee Schedule,0.47,, ,,,,,,,,,, ,, ,,,, ,,4.17,104.00,,																																							
Inj, ocriplasmin, 0.125 mg,9298,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,458.25,467.75,,Fee Schedule,250.21,,458.25,467.75,,Fee Schedule,267.16,,458.25,467.75,,Fee Schedule,214,,458.25,467.75,,Fee Schedule,226.84,,458.25,467.75,,Fee Schedule,255.25,,458.25,467.75,,Fee Schedule,267.62,,407.96,416.41,,Fee Schedule,214.18,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,97.97,100,,Fee Schedule,16.85,,99.93,102,,Fee Schedule,11.59,,100.42,102.5,,Fee Schedule,15.26,,97.97,100,,Fee Schedule,16.95,,97.97,100,,Fee Schedule,11.66,,98.95,101,,Fee Schedule,15.34,,98.95,101,,Fee Schedule,15.34,,99.93,101,,Fee Schedule,18.99,,99.93,101,,Fee Schedule,15.29,,99.93,101,,Fee Schedule,18.19,,99.93,101,,Fee Schedule,16.19,,102.87,104,,Fee Schedule,11.01,, ,,,,,,,,,, ,, ,,,, ,,97.97,458.25,,																																							
Inj. jivi 1 iu,9299,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,11.55,467.75,,Fee Schedule,6.31,,11.55,467.75,,Fee Schedule,6.74,,11.55,467.75,,Fee Schedule,5.4,,11.55,467.75,,Fee Schedule,5.72,,11.55,467.75,,Fee Schedule,6.44,,11.55,467.75,,Fee Schedule,6.75,,10.29,416.41,,Fee Schedule,5.4,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,2.47,100,,Fee Schedule,0.42,,2.52,102,,Fee Schedule,0.29,,2.53,102.5,,Fee Schedule,0.38,,2.47,100,,Fee Schedule,0.43,,2.47,100,,Fee Schedule,0.29,,2.49,101,,Fee Schedule,0.39,,2.49,101,,Fee Schedule,0.39,,2.52,101,,Fee Schedule,0.48,,2.52,101,,Fee Schedule,0.39,,2.52,101,,Fee Schedule,0.46,,2.52,101,,Fee Schedule,0.41,,2.59,104,,Fee Schedule,0.28,, ,,,,,,,,,, ,, ,,,, ,,2.47,104.00,,																																							
Omalizumab injection,9300,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,192.57,467.75,,Fee Schedule,105.14,,192.57,467.75,,Fee Schedule,112.27,,192.57,467.75,,Fee Schedule,89.93,,192.57,467.75,,Fee Schedule,95.32,,192.57,467.75,,Fee Schedule,107.26,,192.57,467.75,,Fee Schedule,112.46,,171.44,416.41,,Fee Schedule,90,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,41.17,100,,Fee Schedule,7.08,,41.99,102,,Fee Schedule,4.87,,42.2,102.5,,Fee Schedule,6.41,,41.17,100,,Fee Schedule,7.12,,41.17,100,,Fee Schedule,4.9,,41.58,101,,Fee Schedule,6.45,,41.58,101,,Fee Schedule,6.45,,41.99,101,,Fee Schedule,7.98,,41.99,101,,Fee Schedule,6.42,,41.99,101,,Fee Schedule,7.64,,41.99,101,,Fee Schedule,6.8,,43.23,104,,Fee Schedule,4.63,, ,,,,,,,,,, ,, ,,,, ,,41.17,192.57,,																																							
Aminolevulinic acid, 10% gel,9301,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,8.19,467.75,,Fee Schedule,4.47,,8.19,467.75,,Fee Schedule,4.77,,8.19,467.75,,Fee Schedule,3.82,,8.19,467.75,,Fee Schedule,4.05,,8.19,467.75,,Fee Schedule,4.56,,8.19,467.75,,Fee Schedule,4.78,,7.29,416.41,,Fee Schedule,3.83,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,1.75,100,,Fee Schedule,0.3,,1.79,102,,Fee Schedule,0.21,,1.79,102.5,,Fee Schedule,0.27,,1.75,100,,Fee Schedule,0.3,,1.75,100,,Fee Schedule,0.21,,1.77,101,,Fee Schedule,0.27,,1.77,101,,Fee Schedule,0.27,,1.79,101,,Fee Schedule,0.34,,1.79,101,,Fee Schedule,0.27,,1.79,101,,Fee Schedule,0.32,,1.79,101,,Fee Schedule,0.29,,1.84,104,,Fee Schedule,0.2,, ,,,,,,,,,, ,, ,,,, ,,1.75,104.00,,																																							
Inj daunorubicin, cytarabine,9302,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,1122.93,467.75,,Fee Schedule,613.12,,1122.93,467.75,,Fee Schedule,654.67,,1122.93,467.75,,Fee Schedule,524.41,,1122.93,467.75,,Fee Schedule,555.85,,1122.93,467.75,,Fee Schedule,625.47,,1122.93,467.75,,Fee Schedule,655.79,,999.68,416.41,,Fee Schedule,524.83,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,240.07,100,,Fee Schedule,41.29,,244.87,102,,Fee Schedule,28.41,,246.07,102.5,,Fee Schedule,37.4,,240.07,100,,Fee Schedule,41.53,,240.07,100,,Fee Schedule,28.57,,242.47,101,,Fee Schedule,37.58,,242.47,101,,Fee Schedule,37.58,,244.87,101,,Fee Schedule,46.53,,244.87,101,,Fee Schedule,37.47,,244.87,101,,Fee Schedule,44.57,,244.87,101,,Fee Schedule,39.67,,252.07,104,,Fee Schedule,26.97,, ,,,,,,,,,, ,, ,,,, ,,240.07,1122.93,,																																							
Inj., cemiplimabrwlc, 1 mg,9304,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,132.61,467.75,,Fee Schedule,72.4,,132.61,467.75,,Fee Schedule,77.31,,132.61,467.75,,Fee Schedule,61.93,,132.61,467.75,,Fee Schedule,65.64,,132.61,467.75,,Fee Schedule,73.86,,132.61,467.75,,Fee Schedule,77.44,,118.05,416.41,,Fee Schedule,61.98,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,28.35,100,,Fee Schedule,4.88,,28.92,102,,Fee Schedule,3.35,,29.06,102.5,,Fee Schedule,4.42,,28.35,100,,Fee Schedule,4.9,,28.35,100,,Fee Schedule,3.37,,28.63,101,,Fee Schedule,4.44,,28.63,101,,Fee Schedule,4.44,,28.92,101,,Fee Schedule,5.49,,28.92,101,,Fee Schedule,4.42,,28.92,101,,Fee Schedule,5.26,,28.92,101,,Fee Schedule,4.68,,29.77,104,,Fee Schedule,3.19,, ,,,,,,,,,, ,, ,,,, ,,28.35,132.61,,																																							
Inj., lumoxiti, 0.01 mg,9305,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,115.25,467.75,,Fee Schedule,62.93,,115.25,467.75,,Fee Schedule,67.19,,115.25,467.75,,Fee Schedule,53.82,,115.25,467.75,,Fee Schedule,57.05,,115.25,467.75,,Fee Schedule,64.2,,115.25,467.75,,Fee Schedule,67.31,,102.6,416.41,,Fee Schedule,53.87,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,24.64,100,,Fee Schedule,4.24,,25.13,102,,Fee Schedule,2.92,,25.26,102.5,,Fee Schedule,3.84,,24.64,100,,Fee Schedule,4.26,,24.64,100,,Fee Schedule,2.93,,24.89,101,,Fee Schedule,3.86,,24.89,101,,Fee Schedule,3.86,,25.13,101,,Fee Schedule,4.78,,25.13,101,,Fee Schedule,3.85,,25.13,101,,Fee Schedule,4.57,,25.13,101,,Fee Schedule,4.07,,25.87,104,,Fee Schedule,2.77,, ,,,,,,,,,, ,, ,,,, ,,24.64,115.25,,																																							
Inj., tildrakizumab, 1 mg,9306,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,700.64,467.75,,Fee Schedule,382.55,,700.64,467.75,,Fee Schedule,408.47,,700.64,467.75,,Fee Schedule,327.2,,700.64,467.75,,Fee Schedule,346.82,,700.64,467.75,,Fee Schedule,390.26,,700.64,467.75,,Fee Schedule,409.18,,623.74,416.41,,Fee Schedule,327.46,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,149.79,100,,Fee Schedule,25.76,,152.79,102,,Fee Schedule,17.72,,153.53,102.5,,Fee Schedule,23.34,,149.79,100,,Fee Schedule,25.91,,149.79,100,,Fee Schedule,17.83,,151.29,101,,Fee Schedule,23.45,,151.29,101,,Fee Schedule,23.45,,152.79,101,,Fee Schedule,29.03,,152.79,101,,Fee Schedule,23.38,,152.79,101,,Fee Schedule,27.81,,152.79,101,,Fee Schedule,24.75,,157.28,104,,Fee Schedule,16.83,, ,,,,,,,,,, ,, ,,,, ,,149.79,700.64,,																																							
Inj. tagraxofusperzs 10 mcg,9309,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,1598.54,467.75,,Fee Schedule,872.8,,1598.54,467.75,,Fee Schedule,931.95,,1598.54,467.75,,Fee Schedule,746.52,,1598.54,467.75,,Fee Schedule,791.28,,1598.54,467.75,,Fee Schedule,890.38,,1598.54,467.75,,Fee Schedule,933.54,,1423.08,416.41,,Fee Schedule,747.12,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,341.75,100,,Fee Schedule,58.78,,348.59,102,,Fee Schedule,40.44,,350.29,102.5,,Fee Schedule,53.24,,341.75,100,,Fee Schedule,59.12,,341.75,100,,Fee Schedule,40.67,,345.17,101,,Fee Schedule,53.5,,345.17,101,,Fee Schedule,53.5,,348.59,101,,Fee Schedule,66.23,,348.59,101,,Fee Schedule,53.33,,348.59,101,,Fee Schedule,63.44,,348.59,101,,Fee Schedule,56.47,,358.84,104,,Fee Schedule,38.4,, ,,,,,,,,,, ,, ,,,, ,,341.75,1598.54,,																																							
Inj., emapalumablzsg, 1 mg,9310,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,1922.08,467.75,,Fee Schedule,1049.45,,1922.08,467.75,,Fee Schedule,1120.57,,1922.08,467.75,,Fee Schedule,897.61,,1922.08,467.75,,Fee Schedule,951.43,,1922.08,467.75,,Fee Schedule,1070.6,,1922.08,467.75,,Fee Schedule,1122.49,,1711.11,416.41,,Fee Schedule,898.33,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,410.92,100,,Fee Schedule,70.68,,419.14,102,,Fee Schedule,48.62,,421.19,102.5,,Fee Schedule,64.02,,410.92,100,,Fee Schedule,71.09,,410.92,100,,Fee Schedule,48.9,,415.03,101,,Fee Schedule,64.33,,415.03,101,,Fee Schedule,64.33,,419.14,101,,Fee Schedule,79.64,,419.14,101,,Fee Schedule,64.13,,419.14,101,,Fee Schedule,76.28,,419.14,101,,Fee Schedule,67.9,,431.47,104,,Fee Schedule,46.17,, ,,,,,,,,,, ,, ,,,, ,,410.92,1922.08,,																																							
Inj., omadacycline, 1 mg,9311,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,17.77,467.75,,Fee Schedule,9.7,,17.77,467.75,,Fee Schedule,10.36,,17.77,467.75,,Fee Schedule,8.3,,17.77,467.75,,Fee Schedule,8.8,,17.77,467.75,,Fee Schedule,9.9,,17.77,467.75,,Fee Schedule,10.38,,15.82,416.41,,Fee Schedule,8.31,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,3.8,100,,Fee Schedule,0.65,,3.88,102,,Fee Schedule,0.45,,3.9,102.5,,Fee Schedule,0.59,,3.8,100,,Fee Schedule,0.66,,3.8,100,,Fee Schedule,0.45,,3.84,101,,Fee Schedule,0.59,,3.84,101,,Fee Schedule,0.59,,3.88,101,,Fee Schedule,0.74,,3.88,101,,Fee Schedule,0.59,,3.88,101,,Fee Schedule,0.71,,3.88,101,,Fee Schedule,0.63,,3.99,104,,Fee Schedule,0.43,, ,,,,,,,,,, ,, ,,,, ,,3.80,104.00,,																																							
Inj., ravulizumabcwvz 10 mg,9312,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,1092.06,467.75,,Fee Schedule,596.26,,1092.06,467.75,,Fee Schedule,636.67,,1092.06,467.75,,Fee Schedule,509.99,,1092.06,467.75,,Fee Schedule,540.57,,1092.06,467.75,,Fee Schedule,608.28,,1092.06,467.75,,Fee Schedule,637.76,,972.19,416.41,,Fee Schedule,510.4,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,233.47,100,,Fee Schedule,40.16,,238.14,102,,Fee Schedule,27.62,,239.31,102.5,,Fee Schedule,36.37,,233.47,100,,Fee Schedule,40.39,,233.47,100,,Fee Schedule,27.78,,235.8,101,,Fee Schedule,36.55,,235.8,101,,Fee Schedule,36.55,,238.14,101,,Fee Schedule,45.25,,238.14,101,,Fee Schedule,36.44,,238.14,101,,Fee Schedule,43.34,,238.14,101,,Fee Schedule,38.58,,245.14,104,,Fee Schedule,26.23,, ,,,,,,,,,, ,, ,,,, ,,233.47,1092.06,,																																							
Inj. belrapzo/bendamustine,9313,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,74.04,467.75,,Fee Schedule,40.43,,74.04,467.75,,Fee Schedule,43.17,,74.04,467.75,,Fee Schedule,34.58,,74.04,467.75,,Fee Schedule,36.65,,74.04,467.75,,Fee Schedule,41.24,,74.04,467.75,,Fee Schedule,43.24,,65.92,416.41,,Fee Schedule,34.61,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,15.83,100,,Fee Schedule,2.72,,16.15,102,,Fee Schedule,1.87,,16.23,102.5,,Fee Schedule,2.47,,15.83,100,,Fee Schedule,2.74,,15.83,100,,Fee Schedule,1.88,,15.99,101,,Fee Schedule,2.48,,15.99,101,,Fee Schedule,2.48,,16.15,101,,Fee Schedule,3.07,,16.15,101,,Fee Schedule,2.47,,16.15,101,,Fee Schedule,2.94,,16.15,101,,Fee Schedule,2.62,,16.62,104,,Fee Schedule,1.78,, ,,,,,,,,,, ,, ,,,, ,,15.83,104.00,,																																							
Inj. herceptin hylecta, 10mg,9314,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,325.13,467.75,,Fee Schedule,177.52,,325.13,467.75,,Fee Schedule,189.55,,325.13,467.75,,Fee Schedule,151.84,,325.13,467.75,,Fee Schedule,160.94,,325.13,467.75,,Fee Schedule,181.1,,325.13,467.75,,Fee Schedule,189.88,,289.45,416.41,,Fee Schedule,151.96,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,69.51,100,,Fee Schedule,11.96,,70.9,102,,Fee Schedule,8.22,,71.25,102.5,,Fee Schedule,10.83,,69.51,100,,Fee Schedule,12.03,,69.51,100,,Fee Schedule,8.27,,70.21,101,,Fee Schedule,10.88,,70.21,101,,Fee Schedule,10.88,,70.9,101,,Fee Schedule,13.47,,70.9,101,,Fee Schedule,10.85,,70.9,101,,Fee Schedule,12.9,,70.9,101,,Fee Schedule,11.49,,72.99,104,,Fee Schedule,7.81,, ,,,,,,,,,, ,, ,,,, ,,69.51,325.13,,																																							
Inj hydroxyprogst capoat nos,9318,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,43.59,467.75,,Fee Schedule,23.8,,43.59,467.75,,Fee Schedule,25.42,,43.59,467.75,,Fee Schedule,20.36,,43.59,467.75,,Fee Schedule,21.58,,43.59,467.75,,Fee Schedule,24.28,,43.59,467.75,,Fee Schedule,25.46,,38.81,416.41,,Fee Schedule,20.37,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,9.32,100,,Fee Schedule,1.6,,9.51,102,,Fee Schedule,1.1,,9.55,102.5,,Fee Schedule,1.45,,9.32,100,,Fee Schedule,1.61,,9.32,100,,Fee Schedule,1.11,,9.41,101,,Fee Schedule,1.46,,9.41,101,,Fee Schedule,1.46,,9.51,101,,Fee Schedule,1.81,,9.51,101,,Fee Schedule,1.45,,9.51,101,,Fee Schedule,1.73,,9.51,101,,Fee Schedule,1.54,,9.79,104,,Fee Schedule,1.05,, ,,,,,,,,,, ,, ,,,, ,,9.32,104.00,,																																							
Somatropin injection,9319,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,835.35,467.75,,Fee Schedule,456.1,,835.35,467.75,,Fee Schedule,487.01,,835.35,467.75,,Fee Schedule,390.11,,835.35,467.75,,Fee Schedule,413.5,,835.35,467.75,,Fee Schedule,465.29,,835.35,467.75,,Fee Schedule,487.85,,743.67,416.41,,Fee Schedule,390.42,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,178.59,100,,Fee Schedule,30.72,,182.16,102,,Fee Schedule,21.13,,183.05,102.5,,Fee Schedule,27.82,,178.59,100,,Fee Schedule,30.9,,178.59,100,,Fee Schedule,21.25,,180.38,101,,Fee Schedule,27.96,,180.38,101,,Fee Schedule,27.96,,182.16,101,,Fee Schedule,34.61,,182.16,101,,Fee Schedule,27.87,,182.16,101,,Fee Schedule,33.15,,182.16,101,,Fee Schedule,29.51,,187.52,104,,Fee Schedule,20.06,, ,,,,,,,,,, ,, ,,,, ,,178.59,835.35,,																																							
Carbidopa levodopa ent 100ml,9320,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,1117.31,467.75,,Fee Schedule,610.05,,1117.31,467.75,,Fee Schedule,651.39,,1117.31,467.75,,Fee Schedule,521.79,,1117.31,467.75,,Fee Schedule,553.07,,1117.31,467.75,,Fee Schedule,622.34,,1117.31,467.75,,Fee Schedule,652.51,,994.68,416.41,,Fee Schedule,522.21,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,238.87,100,,Fee Schedule,41.09,,243.65,102,,Fee Schedule,28.26,,244.84,102.5,,Fee Schedule,37.22,,238.87,100,,Fee Schedule,41.32,,238.87,100,,Fee Schedule,28.43,,241.26,101,,Fee Schedule,37.4,,241.26,101,,Fee Schedule,37.4,,243.65,101,,Fee Schedule,46.29,,243.65,101,,Fee Schedule,37.28,,243.65,101,,Fee Schedule,44.34,,243.65,101,,Fee Schedule,39.47,,250.81,104,,Fee Schedule,26.84,, ,,,,,,,,,, ,, ,,,, ,,238.87,1117.31,,																																							
Inj. romosozumabaqqg 1 mg,9327,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,50.98,467.75,,Fee Schedule,27.84,,50.98,467.75,,Fee Schedule,29.72,,50.98,467.75,,Fee Schedule,23.81,,50.98,467.75,,Fee Schedule,25.24,,50.98,467.75,,Fee Schedule,28.4,,50.98,467.75,,Fee Schedule,29.78,,45.39,416.41,,Fee Schedule,23.83,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,10.9,100,,Fee Schedule,1.87,,11.12,102,,Fee Schedule,1.29,,11.17,102.5,,Fee Schedule,1.7,,10.9,100,,Fee Schedule,1.89,,10.9,100,,Fee Schedule,1.3,,11.01,101,,Fee Schedule,1.71,,11.01,101,,Fee Schedule,1.71,,11.12,101,,Fee Schedule,2.11,,11.12,101,,Fee Schedule,1.7,,11.12,101,,Fee Schedule,2.02,,11.12,101,,Fee Schedule,1.8,,11.45,104,,Fee Schedule,1.22,, ,,,,,,,,,, ,, ,,,, ,,10.90,104.00,,																																							
Inj., yutiq, 0.01 mg,9328,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,2606.4,467.75,,Fee Schedule,1423.09,,2606.4,467.75,,Fee Schedule,1519.53,,2606.4,467.75,,Fee Schedule,1217.19,,2606.4,467.75,,Fee Schedule,1290.17,,2606.4,467.75,,Fee Schedule,1451.76,,2606.4,467.75,,Fee Schedule,1522.14,,2320.32,416.41,,Fee Schedule,1218.17,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,557.22,100,,Fee Schedule,95.84,,568.36,102,,Fee Schedule,65.93,,571.15,102.5,,Fee Schedule,86.81,,557.22,100,,Fee Schedule,96.4,,557.22,100,,Fee Schedule,66.31,,562.79,101,,Fee Schedule,87.23,,562.79,101,,Fee Schedule,87.23,,568.36,101,,Fee Schedule,107.99,,568.36,101,,Fee Schedule,86.96,,568.36,101,,Fee Schedule,103.44,,568.36,101,,Fee Schedule,92.08,,585.08,104,,Fee Schedule,62.6,, ,,,,,,,,,, ,, ,,,, ,,557.22,2606.40,,																																							
Inj mvasi 10 mg,9329,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,137.24,467.75,,Fee Schedule,74.93,,137.24,467.75,,Fee Schedule,80.01,,137.24,467.75,,Fee Schedule,64.09,,137.24,467.75,,Fee Schedule,67.93,,137.24,467.75,,Fee Schedule,76.44,,137.24,467.75,,Fee Schedule,80.15,,122.17,416.41,,Fee Schedule,64.14,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,29.34,100,,Fee Schedule,5.05,,29.93,102,,Fee Schedule,3.47,,30.07,102.5,,Fee Schedule,4.57,,29.34,100,,Fee Schedule,5.08,,29.34,100,,Fee Schedule,3.49,,29.63,101,,Fee Schedule,4.59,,29.63,101,,Fee Schedule,4.59,,29.93,101,,Fee Schedule,5.69,,29.93,101,,Fee Schedule,4.58,,29.93,101,,Fee Schedule,5.45,,29.93,101,,Fee Schedule,4.85,,30.81,104,,Fee Schedule,3.3,, ,,,,,,,,,, ,, ,,,, ,,29.34,137.24,,																																							
Inj., kanjinti, 10 mg,9330,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,119.93,467.75,,Fee Schedule,65.48,,119.93,467.75,,Fee Schedule,69.92,,119.93,467.75,,Fee Schedule,56.01,,119.93,467.75,,Fee Schedule,59.37,,119.93,467.75,,Fee Schedule,66.8,,119.93,467.75,,Fee Schedule,70.04,,106.77,416.41,,Fee Schedule,56.05,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,25.64,100,,Fee Schedule,4.41,,26.15,102,,Fee Schedule,3.03,,26.28,102.5,,Fee Schedule,3.99,,25.64,100,,Fee Schedule,4.44,,25.64,100,,Fee Schedule,3.05,,25.9,101,,Fee Schedule,4.01,,25.9,101,,Fee Schedule,4.01,,26.15,101,,Fee Schedule,4.97,,26.15,101,,Fee Schedule,4,,26.15,101,,Fee Schedule,4.76,,26.15,101,,Fee Schedule,4.24,,26.92,104,,Fee Schedule,2.88,, ,,,,,,,,,, ,, ,,,, ,,25.64,119.93,,																																							
Inj, polatuzumab vedotin 1mg,9331,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,597.27,467.75,,Fee Schedule,326.11,,597.27,467.75,,Fee Schedule,348.21,,597.27,467.75,,Fee Schedule,278.93,,597.27,467.75,,Fee Schedule,295.65,,597.27,467.75,,Fee Schedule,332.68,,597.27,467.75,,Fee Schedule,348.81,,531.71,416.41,,Fee Schedule,279.15,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,127.69,100,,Fee Schedule,21.96,,130.24,102,,Fee Schedule,15.11,,130.88,102.5,,Fee Schedule,19.89,,127.69,100,,Fee Schedule,22.09,,127.69,100,,Fee Schedule,15.2,,128.97,101,,Fee Schedule,19.99,,128.97,101,,Fee Schedule,19.99,,130.24,101,,Fee Schedule,24.75,,130.24,101,,Fee Schedule,19.93,,130.24,101,,Fee Schedule,23.7,,130.24,101,,Fee Schedule,21.1,,134.07,104,,Fee Schedule,14.35,, ,,,,,,,,,, ,, ,,,, ,,127.69,597.27,,																																							
Inj., brexanolone, 1 mg,9333,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,355.82,467.75,,Fee Schedule,194.28,,355.82,467.75,,Fee Schedule,207.44,,355.82,467.75,,Fee Schedule,166.17,,355.82,467.75,,Fee Schedule,176.13,,355.82,467.75,,Fee Schedule,198.19,,355.82,467.75,,Fee Schedule,207.8,,316.76,416.41,,Fee Schedule,166.3,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,76.07,100,,Fee Schedule,13.08,,77.59,102,,Fee Schedule,9,,77.97,102.5,,Fee Schedule,11.85,,76.07,100,,Fee Schedule,13.16,,76.07,100,,Fee Schedule,9.05,,76.83,101,,Fee Schedule,11.91,,76.83,101,,Fee Schedule,11.91,,77.59,101,,Fee Schedule,14.74,,77.59,101,,Fee Schedule,11.87,,77.59,101,,Fee Schedule,14.12,,77.59,101,,Fee Schedule,12.57,,79.87,104,,Fee Schedule,8.55,, ,,,,,,,,,, ,, ,,,, ,,76.07,355.82,,																																							
Inj truxima 10 mg,9336,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,185.37,467.75,,Fee Schedule,101.21,,185.37,467.75,,Fee Schedule,108.07,,185.37,467.75,,Fee Schedule,86.57,,185.37,467.75,,Fee Schedule,91.76,,185.37,467.75,,Fee Schedule,103.25,,185.37,467.75,,Fee Schedule,108.26,,165.02,416.41,,Fee Schedule,86.64,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,39.63,100,,Fee Schedule,6.82,,40.42,102,,Fee Schedule,4.69,,40.62,102.5,,Fee Schedule,6.17,,39.63,100,,Fee Schedule,6.86,,39.63,100,,Fee Schedule,4.72,,40.03,101,,Fee Schedule,6.2,,40.03,101,,Fee Schedule,6.2,,40.42,101,,Fee Schedule,7.68,,40.42,101,,Fee Schedule,6.18,,40.42,101,,Fee Schedule,7.36,,40.42,101,,Fee Schedule,6.55,,41.61,104,,Fee Schedule,4.45,, ,,,,,,,,,, ,, ,,,, ,,39.63,185.37,,																																							
Synojoynt, inj., 1 mg,9337,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,58.28,467.75,,Fee Schedule,31.82,,58.28,467.75,,Fee Schedule,33.98,,58.28,467.75,,Fee Schedule,27.22,,58.28,467.75,,Fee Schedule,28.85,,58.28,467.75,,Fee Schedule,32.46,,58.28,467.75,,Fee Schedule,34.04,,51.88,416.41,,Fee Schedule,27.24,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,12.46,100,,Fee Schedule,2.14,,12.71,102,,Fee Schedule,1.47,,12.77,102.5,,Fee Schedule,1.94,,12.46,100,,Fee Schedule,2.16,,12.46,100,,Fee Schedule,1.48,,12.58,101,,Fee Schedule,1.95,,12.58,101,,Fee Schedule,1.95,,12.71,101,,Fee Schedule,2.41,,12.71,101,,Fee Schedule,1.94,,12.71,101,,Fee Schedule,2.31,,12.71,101,,Fee Schedule,2.06,,13.08,104,,Fee Schedule,1.4,, ,,,,,,,,,, ,, ,,,, ,,12.46,104.00,,																																							
Iodine i131 iobenguane 1mci,9339,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,, , ,, ,,, , ,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,1665.42,467.75,,Fee Schedule,909.32,,1665.42,467.75,,Fee Schedule,970.94,,1665.42,467.75,,Fee Schedule,777.75,,1665.42,467.75,,Fee Schedule,824.38,,1665.42,467.75,,Fee Schedule,927.64,,1665.42,467.75,,Fee Schedule,972.61,,1482.63,416.41,,Fee Schedule,778.38,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,,356.05,100,,Fee Schedule,61.24,,363.17,102,,Fee Schedule,42.13,,364.95,102.5,,Fee Schedule,55.47,,356.05,100,,Fee Schedule,61.6,,356.05,100,,Fee Schedule,42.37,,359.61,101,,Fee Schedule,55.74,,359.61,101,,Fee Schedule,55.74,,363.17,101,,Fee Schedule,69,,363.17,101,,Fee Schedule,55.57,,363.17,101,,Fee Schedule,66.1,,363.17,101,,Fee Schedule,58.83,,373.85,104,,Fee Schedule,40,, ,,,,,,,,,, ,, ,,,, ,,356.05,1665.42,,																																							
Inj, brolucizumabdbll, 1 mg,9340,APC,,,,OUTPATIENT, , , , , , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, , ,,, ,, ,,,