"UNIT 
PRICE"	"PROC 
NAME"		
			
$235.00	1ST CARE PR DAY NML NB XCPT HOSP/BIRTH		
$302.00	1ST HOSP/BIRTHING CENTER NB ADMIT&DSCH		
"$2,507.00"	1ST INPATIENT CRITICAL CARE PR DAY AGE		
$82.00	ACOUSTIC IMMIT TEST TYMPANOM/ACOUST RE		
$111.00	ACTIGRAPHY TESTING RECORDING ANALYSIS 		
$178.00	ALCOHOL/SUBS INTERV >30 MIN		
$91.00	ALCOHOL/SUBS INTERV 15-30MN		
"$1,920.00"	ANTERIOR INSTRUMENTATION 2-3 VERTEBRAL		
"$1,994.00"	ANTERIOR INSTRUMENTATION 4-7 VERTEBRAL		
"$2,181.00"	ANTERIOR INSTRUMENTATION 8/> VERTEBRAL		
$408.00	APPL STRTCTC HEADFRAME STEREOTACTIC RA		
"$9,128.00"	A-ROOT TLCJ VSD PULM STNS RPR W/ RIMPL		
"$8,447.00"	A-ROOT TLCJ VSD PULM STNS RPR W/O C OS		
$574.00	ATT/R ANY AREA DEFECT EA ADDL 30SQCM O		
$486.00	AUTOGRAFT SPINE SURGERY BICORT/TRICORT		
$439.00	AUTOGRAFT SPINE SURGERY MORSELIZED SEP		
$721.00	BLOOD ADMINISTRATION PER DAY		
$721.00	"BLOOD ADMINISTRATION,10 HRS & ABOVE"		
$721.00	"BLOOD ADMINISTRATION,UP TO 2 HRS"		
$721.00	"BLOOD ADMINISTRATION,UP TO 3 HRS"		
$721.00	"BLOOD ADMINISTRATION,UP TO 4 HRS"		
$721.00	"BLOOD ADMINISTRATION,UP TO 5 HRS"		
$721.00	"BLOOD ADMINISTRATION,UP TO 6 HRS"		
$721.00	"BLOOD ADMINISTRATION,UP TO 7 HRS"		
$721.00	"BLOOD ADMINISTRATION,UP TO 8 HRS"		
$721.00	"BLOOD ADMINISTRATION,UP TO 9 HRS"		
$141.00	"BLOOD TRANSFUSION PUSH,<2 Y/O"		
$57.00	BRAIN IMAGING < 4 STATIC VIEWS		
$64.00	BRAIN IMAGING < 4 STATIC VIEWS W VASCU		
$68.00	BRAIN IMAGING MIN 4 STATIC VIEWS		
$80.00	BRAIN IMAGING MIN 4 STATIC VIEWS W VAS		
$151.00	BRAIN IMAGING TOMOGRAPHIC SPECT		
$964.00	BX PROSTATE STRTCTC SATURATION SAMPLIN		
"$3,972.00"	BYP TIBL-TIBL/PRONEAL-TIBL/TIBL/PRONEA		
"$4,744.00"	BYPASS GRAFT W/OTHER THAN VEIN ILIO-CE		
"$5,272.00"	BYPASS GRAFT W/OTHER THAN VEIN ILIO-ME		
"$4,736.00"	BYPASS GRAFT W/OTHER THAN VEIN ILIOREN		
"$5,035.00"	BYPASS GRAFT WITH VEIN HEPATORENAL		
"$1,371.00"	"CABG, REOPERATE >1 MON ORIG"		
"$1,600.00"	CAH ROOM & NURSING W/TELEMETRY		
$109.00	CANALITH REPOSITIONING PROCEDURE		
$31.00	CARDIAC MRI FOR VELOCITY FLOW MAPPING		
$89.00	CHANGE PERCUT TUBE/DRAIN CATH W CONTRA		
$564.00	CHG 3-D RADIOTHERAPY PLAN DOSE-VOLUME 		
$25.00	CHG 3D RENDERING W/INTERP & POSTPROCES		
$25.00	CHG 3D RENDERING W/INTERP & POSTPROCES		
$102.00	CHG 3D RENDERING W/INTERP&POSTPROC DIF		
$312.00	"CHG ANALYSIS, NERVE"		
$212.00	"CHG ANALYSIS, SKELETAL MUSCLE"		
$119.00	"CHG ANALYSIS, TUMOR"		
$221.00	CHG ANGRPH CATH F-UP STD TCAT OTHER TH		
$47.00	CHG BLOOD PLATELET AGGREGATION		
$64.00	CHG BLOOD SMEAR INTERPRETATION		
$230.00	"CHG BONE MARROW,SMEAR INTERPRETATION"		
$382.00	CHG BRACHYTX ISODOSE PLN CPLX W/DOSIME		
$241.00	CHG BRACHYTX ISODOSE PLN INTERMED W/DO		
$185.00	CHG BRACHYTX ISODOSE PLN SMPL W/DOSIME		
$296.00	CHG CARDIAC MRI MORPHOLOGY & FUNCTION 		
$365.00	CHG CARDIAC MRI W/O CONTRAST W STRESS 		
$327.00	CHG CARDIAC MRI W/W/O CONTRAST & FURTH		
$375.00	CHG CARDIAC MRI W/W/O CONTRAST W STRES		
$88.00	CHG CELL ENUMERATION IMMUNE SELECTJ & 		
$97.00	"CHG CELL MARKER STUDY,DNA"		
$53.00	"CHG CLOTTING ASSAY, WHOLE BLOOD"		
$185.00	CHG COCCIDIOIDOMYCOSIS SKIN TEST		
$11.00	CHG COLLECT SWEAT FOR TEST		
$478.00	CHG COMPREHENSIVE REVIEW OF DATA		
$257.00	"CHG CT SCAN,ABDOMEN AND PELVIS,COMBO"		
$257.00	"CHG CT SCAN,ABDOMEN AND PELVIS,COMBO"		
$233.00	"CHG CT SCAN,ABDOMEN AND PELVIS,W CONTR"		
$233.00	"CHG CT SCAN,ABDOMEN AND PELVIS,W CONTR"		
$223.00	"CHG CT SCAN,ABDOMEN AND PELVIS,W/O CON"		
$223.00	"CHG CT SCAN,ABDOMEN AND PELVIS,W/O CON"		
$82.00	CHG CYTO/MOLECULAR REPORT		
$82.00	CHG CYTOPATH CERV/VAG INTERPRET		
$59.00	"CHG CYTOPATH FLUIDS,CONCENTRATN,INTERP"		
$51.00	"CHG CYTOPATH FLUIDS,FILTER,INTERP"		
$75.00	"CHG CYTOPATH FLUIDS,SMEAR,INTERP"		
$73.00	"CHG CYTOPATH, CELL ENHANCE TECH"		
$151.00	"CHG CYTOPATH, INSITU HYBRID URINE SPEC"		
$130.00	"CHG CYTOPATH, INSITU HYBRID URINE SPEC"		
$102.00	"CHG CYTOPATH,OTHR SOURC,EXTENSIVE"		
$65.00	"CHG CYTOPATH,OTHR SOURC,PREP,SCRN,INTE"		
$68.00	"CHG CYTOPATH,OTHR SOURC,SCREEN,INTERP"		
$58.00	CHG CYTP FNA EVAL EA ADDL		
$47.00	CHG DARK FIELD EXAM W SPEC COLLECTN		
$33.00	CHG DECALCIFY TISSUE		
$100.00	CHG DIAGNOSTIC MAMMOGRAPHY COMPUTER-AI		
$100.00	CHG DIAGNOSTIC MAMMOGRAPHY COMPUTER-AI		
$124.00	CHG DIAGNOSTIC MAMMOGRAPHY COMPUTER-AI		
$124.00	CHG DIAGNOSTIC MAMMOGRAPHY COMPUTER-AI		
$66.00	CHG DILATION URETERS/URETHRA RS&I		
$39.00	CHG DXA BONE DENSITY STUDY AXIAL SKELE		
$199.00	"CHG ELECTRON MICROSCOPY,DIAGNOSTIC"		
$95.00	CHG EVALUATION OF FNA SMEAR TO DETERMI		
$60.00	CHG EXAM & SELECT ARCHIVE TISSUE MOLEC		
$47.00	"CHG EXAM,SYNOVIAL FLUID CRYSTALS"		
$47.00	CHG FIBRINOLYSINS SCREEN		
$154.00	CHG FLOW CYTOMETRY TC 1ST MARKER		
$148.00	"CHG FLOWCYTOMETRY/READ, 2-8 MARKERS"		
$76.00	CHG FLUOR NEEDLE/CATH SPINE/PARASPINAL		
$47.00	CHG FLUORESCENT ANTIBODY; SCREEN		
$47.00	CHG FLUORESCENT ANTIBODY; TITER		
$72.00	CHG FLUOROSCOPIC GUIDANCE NEEDLE PLACE		
$22.00	CHG FLUOROSCOPY UP TO 1 HOUR PHYSICIAN		
$33.00	CHG FORENSIC CYTOPATHOLOGY		
$100.00	CHG GASTRIC EMPTYING IMAGING STUDY		
$47.00	CHG HEMOGLOBIN ELECTROPHORESIS		
$15.00	CHG HISTOPLASMOSIS SKIN TEST		
$259.00	CHG HYPERTHERMIA EXTERNAL GENERATED DE		
$177.00	CHG HYPERTHERMIA EXTERNAL GENERATED SU		
$242.00	CHG HYPERTHERMIA INTERSTIAL PROBE 5/> 		
$176.00	CHG HYPERTHERMIA INTERSTITIAL PROBE 5/		
$221.00	CHG HYPERTHERMIA RX INTRACAV PROBE		
$74.00	CHG IMHISTOCHEM/CYTCHM EA ADDL ANTIBOD		
$102.00	CHG IMHISTOCHEM/CYTCHM EA MULTIPLEX AN		
$93.00	CHG IMHISTOCHEM/CYTCHM INIT ANTIBODY S		
$47.00	"CHG IMMUNOELECTROPHOR,OTHER FLUIDS W/C"		
$53.00	CHG IMMUNOELECTROPHORESIS ASSAY		
$47.00	"CHG IMMUNOFIX E-PHORESIS, SERUM"		
$95.00	CHG IMMUNOFLUORESCENCE PER SPEC 1ST SI		
$92.64	"CHG IMMUNOFLUORESCENT STUDY,INDIRECT"		
$116.00	CHG IN SITU HYBRIDIZATION 1ST PROBE ST		
$91.00	CHG IN SITU HYBRIDIZATION EA ADDL PROB		
$162.00	CHG IN SITU HYBRIDIZATION EA MULTIPLEX		
$658.00	CHG INFUSE RADIOACTIVE MATERIALS		
"$1,051.00"	CHG INTEN MOD RADIOTHER PLAN W/DOSE VO		
$186.00	CHG INTERPRETATION OF FNA SMEAR		
$580.31	CHG INTERSTI RADIOELEM APPL INTERM		
$464.83	CHG INTERSTIT RADIOELEM APPL SIMPLE		
"$1,153.00"	CHG INTERSTITIAL RADIATION SOURCE APPL		
"$1,140.00"	CHG INTRACAV RADIOELEM APPL COMPLX		
$758.00	CHG INTRACAV RADIOELEM APPL INTERM		
$503.00	CHG INTRACAV RADIOELEM APPL SIMPLE		
$101.00	"CHG INTRAOPERATIVE CYTO PATH CONSULT, "		
$69.00	CHG INTRO LONG GI TUBE W/MULT FLUORO &		
$187.00	CHG LAB PATHOLOGY CONSULT-COMPLETE		
$59.00	CHG LAB PATHOLOGY CONSULT-LTD		
$106.00	CHG M/PHMTRC ALYS IN SITU HYBRIDIZATIO		
$91.00	CHG M/PHMTRC ALYS ISH CPTR-ASST TECH 1		
$72.00	CHG M/PHMTRC ALYS ISH QUANT/SEMIQ CPTR		
$116.00	CHG M/PHMTRC ALYS ISH QUANT/SEMIQ CPTR		
$83.00	CHG M/PHMTRC ALYS ISH QUANT/SEMIQ MNL 		
$167.00	CHG M/PHMTRC ALYS ISH QUANT/SEMIQ MNL 		
$143.00	CHG M/PHMTRC ALYS TUMOR IMHCHEM EA ANT		
$152.00	CHG M/PHMTRC ALYS TUMOR IMHCHEM EA ANT		
$154.00	CHG MANUAL APPL STRESS PFRMD PHYS/QHP 		
$65.00	"CHG MICRODISSECTION, MANUAL"		
$262.00	CHG MICROSLIDE CONSULT		
$226.00	CHG MICROSLIDE CONSULT W SLIDE PREP		
$47.00	"CHG MONOCLONAL PROTEIN, URINE"		
$544.00	CHG MRI GUIDANCE FOR PARENCHYMAL TISSU		
$190.00	CHG MRI GUIDANCE NEEDLE PLACEMENT RS&I		
$286.00	CHG NERVE TEASING PREPARATIONS		
$245.00	CHG NUC THERAPY INTRA-ARTERIAL		
$224.00	CHG NUC THERAPY INTRACAVITARY RADIOCOL		
$117.00	CHG OPTICAL ENDOMICROSCOPIC IMAGE INTE		
$195.00	CHG PARATHYROID IMAGING W/TOMOGRAPHIC 		
$100.00	CHG PARATHYROID PLANAR IMAGING		
$150.00	CHG PARATHYROID PLANAR IMAGING W/WO SU		
$82.00	"CHG PATH CONSULT IN SURG,W ADDN FRZ SE"		
$165.00	"CHG PATH CONSULT IN SURG,W FRZ SEC"		
$133.00	CHG PATH CONSULT IN SURGERY		
$143.00	"CHG PHYS BLD BANK SERV,DEV STD"		
$143.00	"CHG PHYS BLD BANK SERV,DIFF XMTCH"		
$143.00	"CHG PHYS BLD BANK SERV,XFUSN RX"		
$47.00	CHG PROTEIN ANALYSIS W/PROBE		
$47.00	"CHG PROTEIN E-PHORESIS, SERUM"		
$47.00	"CHG PROTEIN, WESTERN BLOT TISSUE"		
$89.00	CHG RADEX GI TRACT UPPER W/WO DELAYED 		
$89.00	CHG RADEX GI TRACT UPPER W/WO DELAYED 		
$117.00	CHG RADEX GI TRACT UPR W/SM INT W/MULT		
$24.00	CHG RADEX HIP UNILATERAL WITH PELVIS 1		
$24.00	CHG RADEX HIP UNILATERAL WITH PELVIS 1		
$29.00	CHG RADEX HIP UNILATERAL WITH PELVIS 2		
$29.00	CHG RADEX HIP UNILATERAL WITH PELVIS 2		
$30.00	CHG RADEX HIPS BILATERAL WITH PELVIS 2		
$30.00	CHG RADEX HIPS BILATERAL WITH PELVIS 2		
$39.00	CHG RADEX HIPS BILATERAL WITH PELVIS 3		
$39.00	CHG RADEX HIPS BILATERAL WITH PELVIS 3		
$89.00	CHG RADEX SM INT W/MLT SRL IMGES VIA E		
$61.00	CHG RADEX SMALL INTESTINE W/MULTIPLE S		
$29.00	CHG RADEX SPINE CERVICAL 2 OR 3 VIEWS		
$29.00	CHG RADEX SPINE CERVICAL 2 OR 3 VIEWS		
$40.00	CHG RADEX SPINE CERVICAL 4 OR 5 VIEWS		
$40.00	CHG RADEX SPINE CERVICAL 4 OR 5 VIEWS		
$47.00	CHG RADEX SPINE CERVICAL 6 OR MORE VIE		
$47.00	CHG RADEX SPINE CERVICAL 6 OR MORE VIE		
$28.00	CHG RADEX SPINE THORACOLUMBAR JUNCTION		
$28.00	CHG RADEX SPINE THORACOLUMBAR JUNCTION		
$89.00	CHG RADEX UPPER GI W/WO GLUCAGON/DELAY		
$89.00	CHG RADEX UPPER GI W/WO GLUCAGON/DELAY		
$325.00	CHG RADIATION THERAPY MANAGEMENT		
$528.00	CHG RADIATION THERAPY PLAN COMPLEX		
$360.00	CHG RADIATION THERAPY PLAN INTERM		
$242.00	CHG RADIATION THERAPY PLAN SIMPLE		
$82.00	"CHG RADIATION THERAPY,DOSIMETRY PLAN"		
$99.00	CHG RADIATION TX DELIVERY SUPERFICIAL&		
$590.00	"CHG RADIATION,MANGEMENT,5 TX'S"		
$23.00	CHG RADIOLOGIC EXAM ABDOMEN 1 VIEW		
$30.00	CHG RADIOLOGIC EXAM ABDOMEN 2 VIEWS		
$35.00	CHG RADIOLOGIC EXAM ABDOMEN 3+ VIEWS		
$28.00	CHG RADIOLOGIC EXAM CHEST 2 VIEWS		
$36.00	CHG RADIOLOGIC EXAM CHEST 3 VIEWS		
$41.00	CHG RADIOLOGIC EXAM CHEST 4+ VIEWS		
$23.00	CHG RADIOLOGIC EXAM CHEST SINGLE VIEW		
$22.00	CHG RADIOLOGIC EXAMINATION FEMUR 1 VIE		
$22.00	CHG RADIOLOGIC EXAMINATION FEMUR 1 VIE		
$24.00	CHG RADIOLOGIC EXAMINATION FEMUR MINIM		
$24.00	CHG RADIOLOGIC EXAMINATION FEMUR MINIM		
$315.00	CHG RADN PHYSICS CONSULT CONTINUING		
$485.00	CHG RADN PHYSICS CONSULT SPECIAL		
$151.00	CHG RADN TREATMENT AID(S) COMPLX		
$99.00	CHG RADN TREATMENT AID(S) INTERM		
$60.00	CHG RADN TREATMENT AID(S) SIMPLE		
$14.00	CHG REAGENT STRIP/BLOOD GLUCOSE		
"$1,152.00"	CHG RESPIRATORY MOTION MANAGEMENT SIMU		
$94.00	CHG SCREENING MAMMOGRAPHY BI 2-VIEW BR		
$94.00	CHG SCREENING MAMMOGRAPHY BI 2-VIEW BR		
$47.00	CHG SERUM IMMUNOELECTROPHORESIS		
$206.00	CHG SET RADN THERAPY FIELD COMPLEX		
$139.00	CHG SET RADN THERAPY FIELD INTERME		
$92.00	CHG SET RADN THERAPY FIELD SIMPLE		
$13.00	CHG SKIN TEST UNLISTED ANTIGEN EACH		
$47.00	"CHG SMEAR,SPECIAL STAIN"		
$115.00	CHG SPECIAL RADIATION DOSIMETRY		
$41.00	CHG SPUTUM SPECIMEN COLLECTION		
$151.00	CHG SURFACE APPLIC LOW DOSE RATE RADIO		
$12.00	"CHG SURG PATH,GROSS,LEVEL I"		
$19.00	"CHG SURG PATH,LEVEL II"		
$30.00	"CHG SURG PATH,LEVEL III"		
$100.00	"CHG SURG PATH,LEVEL IV"		
$220.00	"CHG SURG PATH,LEVEL V"		
$388.00	"CHG SURG PATH,LEVEL VI"		
$21.00	CHG TB INTRADERMAL TEST		
$125.00	CHG TELETHER ISO-PORT PLAN		
$382.00	CHG TELETHX ISODOSE PLN CPLX W/BASIC D		
$185.00	CHG TELETHX ISODOSE PLN SMPL W/DOSIMET		
$44.00	CHG THERAPEUTIC RADIOLOGY PORT IMAGES(		
$47.00	CHG THYROID IMAGING WITH VASCULAR FLOW		
$24.00	CHG THYROID UPTAKE SINGLE/MULTIPLE QUA		
$64.00	CHG THYROID UPTAKE W/BLOOD FLOW SNGLE/		
$77.00	CHG TOMOSYNTHESIS SCREENING BILATERAL		
$66.77	CHG TRANSCATHETER INFUSION OTHER THAN 		
$15.00	CHG URINALYSIS NONAUTO W/O SCOPE		
$93.00	CHG US BREAST UNI REAL TIME WITH IMAGE		
$87.00	CHG US BREAST UNI REAL TIME WITH IMAGE		
$81.00	CHG US COMPL JOINT R-T W/IMAGE DOCUMEN		
$81.00	CHG US COMPL JOINT R-T W/IMAGE DOCUMEN		
$93.00	CHG US DOPPLER FETAL MID CEREBRAL ARTE		
$66.00	CHG US DOPPLER FETAL UMBILICAL ARTERY		
$95.00	CHG US INFT HIPS R-T IMG DYNAMIC REQ P		
$76.00	CHG US INFT HIPS R-T IMG LMTD STATIC P		
$63.00	CHG US LMTD JOINT/OTH NONVASC XTR STRU		
$63.00	CHG US LMTD JOINT/OTH NONVASC XTR STRU		
$22.00	CHG VERTEBRAL FRACTURE ASSESSMENT VIA 		
$117.00	"CHG X-RAY,UPPER GI TRACT W/CONT,SMALL "		
"$1,153.00"	CLOSED TX ULNAR FRACTURE PROX END W MA		
$740.00	CLOSED TX ULNAR FRACTURE PROX END W/O 		
$42.00	CM 10FR 3CC PED FOLEY CATH		
$50.00	CM 12 FR 5CC COUDE TIP CATH		
$31.00	CM 12 FR 5CC FOLEY CATH		
$48.20	CM 12IN UNIV ABDOMIAL BINDER		
$56.00	CM 14FR COUDE CATH		
$27.00	CM 16 FR.  5CC FOLEY CATH		
$32.00	"CM 18 FR, 30 CC FOLEY CATH"		
$31.00	CM 18 FR. 5 CC FOLEY CATH		
$51.00	CM 18FR COUDE CATH		
$39.00	CM 20 FR 30 CC FOLEYCATH		
$31.00	"CM 24 FR, 5 CC FOLEY CATH"		
$59.00	CM 24 FR. 30 CC 3 WAY CATH		
$44.00	CM 26 FR 30 CC FOLEY CATH		
$60.25	CM 26IN BICRO KNEE IMMOBILIZER W/STRAP		
$49.00	"CM 2IN STOCKINET, PER YD"		
$5.00	"CM 3IN J-SPLINT, PER INCH"		
$36.00	"CM 3IN STOCKINET, PER YD"		
$34.00	CM 4FT SCOTCHCAST		
$35.00	CM 4IN ACE HESIVE		
$5.00	"CM 4IN J-SPLINT, PER INCH"		
$72.00	"CM 4IN STOCKINET, PER YD"		
$43.00	CM 4X4 POLYMEN DRESSING		
$61.00	"CM 6IN STOCKINET, PER YD"		
$157.00	"CM ACAPELLA DH, FLUTTER VALVE GREEN"		
$69.00	CM ACCAPELLA EXERCISE VALVE PURCHASE		
$52.00	CM ACETONE OR OTHER KETONE BODIES; QUA		
$74.00	CM ACTIVATED PROTEIN C RESISTANCE ASSA		
$298.00	CM ACUTE HEPATITIS PANEL		
$244.00	CM ADRENOCORTICOTROPIC (ACTH)		
$56.00	CM ADULT OXISENSOR		
$53.00	CM AEROBIC ID; PER ISOLATE		
$27.00	CM AEROCHAMBER MDI SPACER PURCHASE		
$42.00	CM AEROCHAMBER PLUS W/O ADULT MASK		
$80.00	CM AEROCHAMBER PLUS W/O MASK		
$76.00	CM AGENT NOS ASSAY W/ OPTIC		
$32.00	CM ALBUMIN; SERUM		
$61.00	CM ALDOLASE		
$258.00	CM ALDOSTERONE		
$93.00	CM ALK PHOS ISOENZYMES		
$34.00	CM ALKALINE PHOSPHATASE		
$30.00	CM ALLERGEN SPECIFIC IGE; QUANTITATIVE		
$110.00	CM ALPHA PROTEIN/ALPHA-FETOPROTEIN		
$85.00	CM ALPHA-1-ANTITRYPSIN; TOTAL		
$35.00	"CM ALT, SGPT, ALANINE AMINO"		
$95.00	CM AMIKACIN; THERAPEUTIC DRUG ASSAY		
$88.00	"CM AMINO ACIDS; MULTIPLE, QUAL, EA SPE"		
$107.00	"CM AMINO ACIDS; SINGLE, QUANTITATIVE, "		
$95.00	CM AMPHETAMINE CONFIRMATION		
$42.00	CM AMYLASE SERUM		
$92.00	CM ANGIOTENSIN I (ACE)		
$118.00	CM ANKLE BRACE NON-PNEUMATIC ALL SIZES		
$133.00	CM ANKLE BRACE PNEUMATIC ALL SIZES		
$116.00	CM ANTIBODY ID; PLATELET ANTIBODIES		
$374.00	CM ANTIBODY IDENTIFICATION		
$81.00	"CM ANTIBODY SCREEN, RBC"		
$75.00	"CM ANTIBODY; ACTINOMYCES, CHLAMYDIA"		
$80.00	"CM ANTIBODY; ACTINOMYCES, CHLAMYDIA, I"		
$71.00	CM ANTIBODY; BLASTOMYCES		
$71.00	CM ANTIBODY; COCCIDIOIDES		
$94.00	"CM ANTIBODY; CYTOMEGALOVIRUS (CMV), IG"		
$64.00	CM ANTIBODY; EHRLICHIA		
$71.00	CM ANTIBODY; HISTOPLASMA		
$86.00	CM ANTIBODY; INFLUENZA VIRUS		
$95.00	"CM ANTIBODY; INFLUENZA VIRUS,PARVOVIRU"		
$90.00	CM ANTIBODY; LEGIONELLA		
$82.00	CM ANTIBODY; MUMPS		
$84.00	CM ANTIBODY; MYCOPLASMA		
$94.00	CM ANTIBODY; RUBELLA		
$81.00	CM ANTIBODY; RUBEOLA		
$94.00	CM ANTIBODY; TETANUS		
$91.00	CM ANTIBODY; TOXOPLASMA		
$90.00	"CM ANTIBODY; TOXOPLASMA, IGM"		
$81.00	CM ANTIBODY; VARICELLA-ZOSTER		
$48.00	CM ANTISTREPTOLYSIN 0; TITER		
$98.00	"CM APOLIPOPROTEIN, EA"		
$74.75	CM ARM ESCORT MED LEFT		
$26.60	CM ARM SLING LG ENVELOPE		
$11.90	CM ARM SLING PADDED ALL SIZES		
$120.00	CM ARSENIC		
$122.00	CM ARTERIAL BLOOD GAS ANALYSIS		
$186.00	CM ARTERIAL BLOOD GASES		
$111.00	CM ARTERIAL PUNCTURE		
$37.00	CM ASPERGINUS ANTIBODY		
$118.00	CM ASSAY CYCLOSPORINE		
$187.00	CM ASSAY OF HISTAMINE		
$25.00	CM ASSAY OF URINE HEMOGLOBIN		
$34.00	"CM AST, SGOT, TRANSFERASE; ASPARTATE"		
"$2,040.00"	CM AUTOPAP PURCHASE		
$315.00	CM AUTOPAP RENTAL		
$54.30	CM BAND IT ELBOW BAND		
$64.00	CM BARTONELLA		
$55.00	CM BASIC METABOLIC PANEL		
$117.00	CM BENZODIOZEPINE 13 OR MORE		
$135.00	CM BETA 2 GLYCOPROTEIN 1 ANTIBODY; EA		
$102.00	CM BETA-2 MICROGLOBULIN		
$31.00	CM BETALACTAMASE TESTING		
$33.00	CM BILIRUBIN/DIRECT		
$12.00	CM BIOPSY PUNCH 6MM		
$52.00	CM BIPAP DISPOSAL HEADGEAR SM/LG		
$439.40	CM BIPAP TFW/EE		
$32.80	CM BIPAP VISION DISP CIRCUIT		
$104.00	CM BLD OCLT FECAL HGB DETER IA QUAL FE		
$64.00	CM BLOOD ALCOHOL (ETHANOL)		
$42.00	CM BLOOD COUNT; HEMOGRAM & PLATELET CN		
$70.00	CM BLOOD LACTATE LEVEL		
$20.00	"CM BLOOD TYPE (A, B, O ONLY)"		
$20.00	CM BLOOD TYPE (RH (D) ONLY)		
$24.00	"CM BLOOD TYPING; ANTIGEN TESTING , EA"		
$30.00	CM BODY FLUID CELL COUNT		
$61.00	CM BOND-IT ELBOW BAND		
$222.00	CM BORDETELLA PERTUSSIS		
$86.00	CM BORDETELLA PERTUSSIS AB IGG/IGM		
$112.00	CM BORRELIA BURGDORFERI (LYME DISEASE)		
$98.00	"CM BORRELIA BURGDORFERI, CONF TEST"		
$52.00	CM BRUCELLA		
$26.00	CM BUN/UREA NITROGEN; QUANTITATIVE		
$34.00	CM C REACTIVE PROTEIN		
$76.00	CM C. DIFFICILE TOXIN		
$136.00	CM CA 125		
$132.00	CM CA 15-3		
$146.00	CM CALCIUM		
$90.00	CM CALCIUM; IONIZED		
$34.00	CM CALCIUM; TOTAL		
$76.00	CM CALCULI ANALYSIS		
$82.00	CM CALCULUS; INFRARED SPECTROSCOPY		
$37.00	CM CANDID ABY QUAL		
$50.00	"CM CARBON MONOXIDE, QUANTITATIVE"		
$135.00	"CM CARDIOLIPIN ANTIBODY, EACH LG CLASS"		
$58.00	CM CAROTENE		
$160.00	CM CATECHOLAMINES;FRACTIONATED		
$44.00	CM CATH 2-WAY 18FR/30CC LATEX		
$12.45	CM CATH TRAY W/O CATH INCL PROC		
$124.00	CM CEA-CARCINOEMBRYONIC ANTIGEN		
$36.00	CM CELL COUNT (WITH DIFF) BODY FLUID		
$32.00	CM CENTRAL LINE DRESSING TRAY		
$68.00	CM CERULOPLASMIN		
$196.00	CM CERVICAL COLLAR PHIL ALL SIZES		
$39.00	CM CERVICLE COLLAR FOAM ALL SIZES		
$34.00	CM CHIN STRAP PURCHASE		
$230.00	"CM CHLAMYDIA TRACHOMATIS,AMP PROBE TEC"		
$33.00	CM CHLORIDE URINE		
$30.00	CM CHLORIDE; BLOOD		
$29.00	"CM CHOLESTROL,SERUM"		
$176.00	CM CITRATE		
$76.00	CM CKMB FRACTION ONLY		
$164.00	CM CLAVICLE SHOULDER IMMOBILIZER		
$8.00	CM CLINICAL PATHOLOGY CONSULT; LIMITED		
$68.00	CM CLOTTING INHIBITORS ANTITHROMBIN II		
$75.00	CM CLOTTING INHIBITORS OR ANTICOAGULAN		
$76.00	"CM CLOTTING INHIBITORS PROTEIN C, ANTI"		
$87.00	"CM CLOTTING INHIBITORS, PROTEIN C, ACT"		
$73.00	"CM CLOTTING INHIBITORS, PROTEIN S TOTA"		
$74.00	"CM CLOTTING INHIBITORS, PROTEIN S, FRE"		
$82.00	"CM CLOTTING; FACTOR II, PROTHROMBIN"		
$125.00	CM CLOTTING; FACTOR IX (PTC OR CHRISTM		
$116.00	"CM CLOTTING; FACTOR V, LABILE FACTOR"		
$117.00	CM CLOTTING; FACTOR VII		
$78.00	"CM CLOTTING; FACTOR VIII, AHG,ONE STAG"		
$117.00	CM CLOTTING; FACTOR X (STUART-PROWER)		
$113.00	CM CLOTTING; FACTOR XI (PTA)		
$90.00	CM CMV AB'S		
$32.00	CM CO2/CARBON DIOXIDE (BICARBONATE)		
$38.00	CM COLD AGGLUTININ; TITER		
$118.00	"CM COLLAGEN CROSS LINKS, ANY METHOD"		
$36.00	CM COLLECTION OF SPECIMEN		
$14.00	"CM COLLECTION OF VENOUS BLOOD, VENIPUN"		
$169.00	CM COMP TEST EA UNIT; IMMED SPIN TECH		
$169.00	CM COMPATIBILITY EA UNIT ELEC		
$167.00	CM COMPATIBILITY TEST INCUNATE		
$79.00	"CM COMPLEMENT;ANTIGEN, EA COMPONENT"		
$20.00	CM COMPLETE URINALYSIS		
$114.00	CM COMPLEX SPEC. STAIN; OVA & PARASITE		
$69.00	CM COMPREHENSIVE METABOLIC PANEL		
$69.00	CM COMPRILAN 10CM		
$42.00	"CM CONCENTRATION, FOR INFECTIOUS AGENT"		
$78.00	"CM CONSULT,COMPREHENSIVE; REVIEW OF RE"		
$66.75	CM CONTOUR MEMORY PILLOW		
$67.50	CM CONTOUR PILLOW		
$35.00	CM COOMBS-DIRECT		
$78.00	CM COPPER		
$106.00	CM CORTISOL; FREE		
$51.00	"CM COUDE CATH 16 FR, 15 CC"		
$10.00	CM CPAP DISPOSABLE  FILTER PURCHASE		
"$1,430.00"	CM CPAP PURCHASE P RENTAL		
$185.00	CM CPAP RENTAL		
$66.00	CM CPAP TUBING PURCHASE		
$21.90	CM CPAP/BIPAP OUTLET FILTER PURCHASE		
$132.00	CM C-PEPTIDE		
$85.00	CM C-REACTIVE PROTEIN; HIGH SENSITIVIT		
$43.00	"CM CREATINE KINASE (CK),(CPK);TOTAL"		
$85.00	CM CREATINE KINASE ISOENZYME		
$62.00	CM CREATININE CLEARANCE		
$34.00	CM CREATININE; URINE		
$34.00	CM CREATININE;BLOOD		
$169.00	CM CROSSMATCH & TYPING UNIT (PER UNIT)		
$87.00	CM CRUTCHES ALL SIZES		
$56.00	CM CRYOFIBRINOGEN		
$34.00	"CM CRYOGLOBULIN, QUALITATIVE OR SEMI"		
$79.00	CM CRYPTOSPORIDIAN; INFECTIOUS ANTIGEN		
$47.00	CM CRYSTAL ID BY LIGHT MICROSCOPY		
$62.00	"CM CULT, BACTERIA; ANAEROBIC PRESUMP I"		
$53.00	"CM CULT, BACTERIA; ANAEROBIC, ADD METH"		
$68.00	"CM CULT, EACH ISOLATE; MOLD ID"		
$68.00	"CM CULT, EACH ISOLATE; YEAST ID"		
$51.00	"CM CULT, FUNGI; SKIN, HAIR, OR NAILS"		
$56.00	"CM CULTURE, ANY OTHER SOURCE"		
$62.00	"CM CULTURE, BACT; STOOL, ADD PATHOGENS"		
$68.00	"CM CULTURE, BACTERIAL; BLOOD"		
$62.00	"CM CULTURE, BACTERIAL; STOOL"		
$55.00	"CM CULTURE, FUNGI, OTHER SOURCE"		
$127.00	"CM CULTURE, ID BY NUCLEIC ACID PROBE"		
$222.00	"CM CULTURE, ID BY NUCLEIC ACID PROBE, "		
$729.00	"CM CULTURE, ID BY NUCLEIC ACID SEQUENC"		
$69.00	"CM CULTURE, MYCOBACTERIAL,DEFINITIVE I"		
$37.00	"CM CULTURE, PRESUMPTIVE, PATHO SCREENI"		
$25.00	"CM CULTURE, TUBERCLE OR OTHER ACID-FAS"		
$53.00	"CM CULTURE; URINE, QUANT COLONY COUNT"		
$99.00	CM CYANOCOBALAMIN (VITAMIN B-12)		
$82.00	"CM CYCLIC CITRULLINATED PEPTIDE,ANTIBO"		
$70.00	CM CYSTATIN C		
$98.00	CM CYTOGENETICS & MOLECULAR;INTERP/REP		
$132.00	CM CYTOLOGY CELL ENHANCE		
$94.00	CM CYTOMEGALOVIRUS IGG		
$222.00	"CM CYTOMEGALOVIRUS, AMPLIFIED PROBE TE"		
$128.00	"CM CYTOPATHOLOGY, CERVICAL/VAGINAL COL"		
$150.00	"CM CYTOPATHOLOGY, CONCENTRATION TECHNI"		
$141.00	"CM CYTOPATHOLOGY, FLUIDS, EXCEPT CERV"		
$145.00	"CM CYTOPATHOLOGY, SMEARS, ANY OTHER SO"		
"$1,760.00"	"CM CYTOPATHOLOGY,IN SITU HYBRIDIZATION"		
$67.00	"CM CYTOPATHOLOGY,SLIDES,CERVICAL/VAGIN"		
$175.00	"CM CYTOPATHOLOGY,W/SCREEN BY AUTO SYST"		
$45.00	CM D-DIMER; FIBRIN DEGRADATION PRODUCT		
$53.00	CM D-DIMER; QUANTITATIVE		
$160.00	CM DEHYDROEPIANDROSTERONE (DHEA)		
$146.00	CM DEHYDROEPIANDROSTERONE-SULFATE (DHE		
$84.00	"CM DEOXYRIBONUCLEASE, ANTIBODY"		
$65.00	"CM DIETARY CONSULT,GRP ASSESSMENT,EA 3"		
$124.00	"CM DIETARY CONSULT,REASSESS,EA 15 MIN"		
$84.00	CM DIGOXIN; LANOXIN		
$252.00	"CM DIHYDROXYVITAMIN D, 1,25-"		
$87.00	CM DILANTIN LEVEL;PHENYTOIN; TOTAL		
$87.00	CM DNA ANTIBODY; NATIVE OR DOUBLE STRA		
$381.00	"CM DRUG SCREEN,URINE"		
$310.00	CM DRUG SCREENING		
$37.00	CM DUO NG TUBE		
$90.00	CM EBV AB'S		
$46.00	CM ELECTROLYTE PANEL		
$217.00	"CM ELECTROPHORETIC TEST, NOT ELSEWHERE"		
$83.00	CM EPSTEIN BARR VIRAL TITER		
$119.00	CM ERYTHROPOIETIN		
$183.00	CM ESTRADIOL		
$153.00	CM ESTRIOL		
$204.00	CM ESTROGEN		
$158.00	CM ESTRONE		
$42.50	CM ETHILON 5.0 SUTURES		
$0.00	CM EXERCISE EQUIPMENT		
$192.00	CM EXTRACTABLE NUCLEAR ANTIGEN EVALUAT		
$113.00	"CM EXTRACTABLE NUCLEAR ANTIGEN,ANTIBOD"		
$20.00	CM EYE FLUSH		
$311.00	CM F2 GENE		
$79.00	CM FANA/ANA		
$72.00	CM FASTING INSULIN LEVEL/INSULIN; TOTA		
$106.00	"CM FAT OR LIPIDS, FECES; QUANTITATIVE"		
$25.00	CM FAT STAIN FECAL		
$32.00	CM FATS/LIPIDS FECES QUAL		
$18.00	"CM FECES OCCULT BLOOD,DIAGNOSTIC 3 TES"		
$18.00	"CM FECES OCCULT BLOOD,DIAGNOSTIC 3 TES"		
$58.00	CM FECES-OVA AND PARASITES		
$89.00	CM FERRITIN		
$56.00	CM FIBRINOGEN; ACTIVITY		
$24.20	CM FINGER SPLINT 4 1/4 IN		
$16.30	CM FINGER STAX ALL SIZES		
$76.00	CM FLOUR. NONINFECTIOUS ANTIBODY TITER		
$232.00	"CM FLOW CYTOMETRY, CELL SURFACE, CYTOP"		
$141.00	"CM FLOW CYTOMETRY, EACH ADDITIONAL MAR"		
$0.00	"CM FLOW CYTOMETRY,INTERPRETATION; 9-15"		
$0.00	CM FLU VACCINE		
$76.00	CM FLUOR. NONINFECTIOUS AGENT ANTIBODY		
$82.20	CM FMRI GENE CHARACTERIZATION		
$0.00	CM FOAM INSERTS		
$51.00	CM FOLEY CATH TRAY16FR		
$96.00	CM FOLIC ACID; FOLATE SERUM		
$109.00	CM FOLIC ACID; RBC		
$121.00	CM FREE PSA		
$53.00	CM FREE T4		
$77.00	CM FRONT WHEELED WALKER		
$95.00	CM FRUCTOSAMINE		
$122.00	"CM FSH, GONADOTROPIN;FOLLICLE STIM HOR"		
$46.10	CM FULL ARM AIR SPLINT		
$269.00	CM FULL FACE MASK W/POS AIRWAY DEVICE		
$99.90	CM FULL FACE RPLC CSHN PURCHASE		
$89.00	CM FULL LEG AIR SPLINT		
$36.00	CM FULL LEG LRG TENSOSHAPE		
$55.00	CM FULL RANGE PEAK FLO METER		
$55.00	CM FUNGUS BLOOD CULTURE		
$71.00	"CM FUNGUS, NOT ELSEWHERE SPECIFIED"		
$61.00	CM G6PD ENZYME		
$92.00	CM GABAPENTIN - NON BLOOD		
$108.00	CM GAMMAGLOBULIN; IGE		
$61.00	"CM GAMMAGLOBULIN;IGA,IGD,IGG,IGM,EACH"		
$111.00	CM GASTRIN		
$107.00	CM GENTAMICIN PEAK AND TROUGH		
$31.00	CM GESTATIONAL TOLERANCE		
$47.00	"CM GGT, GLUTAMYLTRANSFERASE, GAMMA"		
"$2,731.00"	CM GI COMPLETE PANEL BY PCR		
$79.00	"CM GIARDIA, INFECTIOS AGENT ANTIGEN"		
$26.00	"CM GLUCOSE TOLERANCE 3,4 OR 5 HR EA"		
$84.00	"CM GLUCOSE,(TOLER) FASTING 1 & 2 HOUR"		
$26.00	CM GLUCOSE; QUANTITATIVE		
$64.00	CM GLYCOSYLATED A1C/GLYCATED HGB		
$61.00	CM GLYCOSYLATED A1C/GLYCATED HGB		
$49.00	"CM GONADOTROPIN, QUALITATIVE"		
$121.00	CM GONADOTROPIN; LUTEINIZING HORMONE		
$41.00	CM GONDATROPIN - URINE TEST		
$40.00	CM GONDATROPIN - URINE TEST		
$28.00	CM GRAM STAIN		
$105.00	CM GROWTH HORMONE		
$66.10	CM HALF ARM AIR SPLINT		
$82.00	CM HAPTOGLOBIN; QUANTITATIVE		
$46.00	CM HDL CHOLESTEROL		
$69.00	CM HEADGEAR PURCHASE		
$244.80	CM HEADMASTER COLLAR & EXT.		
$25.00	CM HEEL GEL CUSHION REMOVEABLE		
$118.00	CM HEEL LIFT		
$18.00	CM HEELBO PROCTECTOR ALL SIZES		
$98.31	CM HEELCUP (SHOCK ABSORB/PROTECTOR/PR)		
$92.00	CM HELICOBACTER PYLORI		
$79.00	"CM HELICOBACTER PYLORI, STOOL"		
$16.00	CM HEMATOCRIT-HCT		
$114.00	CM HEMOGLOBIN FRACT & QUANT; CHROMATOG		
$18.00	CM HEMOGLOBIN FRACTIONATION & QUANT		
$16.00	CM HEMOGLOBIN-HGB		
$15.00	CM HEMOGLOBIN-HGB		
$51.00	"CM HEMOGRAM, CBC & AUTO DIFFERENTIAL"		
$63.00	CM HEPATITIS A ANTIBODY		
$77.00	CM HEPATITIS B CORE ANTIBODY-IGM		
$76.00	CM HEPATITIS B CORE ANTIBODY-TOTAL		
$70.00	CM HEPATITIS B SURFACE ANTIBODY		
$64.00	CM HEPATITIS B SURFACE ANTIGEN		
$73.00	CM HEPATITIS BE AG EIA		
$94.00	CM HEPATITIS C ANTIBODY		
"$1,628.00"	CM HEPATITIS C VIRUS		
$222.00	"CM HEPATITIS C, AMPLIFIED PROBE TECH"		
$271.00	"CM HEPATITIS C, QUANTIFICATION"		
$81.00	CM HEPATITIUS A TOTAL ANTI-BODY		
$83.00	CM HERPES SIMPLEX		
$122.00	CM HERPES SIMPLEX TYPE 2		
$222.00	"CM HERPES SIMPLEX VIRUS, DIRECT PROBE "		
$91.00	"CM HERPES SIMPLEX, NON-SPECIFIC TYPE T"		
$77.50	CM HINGED KNEE SUPPORT		
$74.60	CM HINGED KNEE SUPPORT ALL SIZES		
$79.00	"CM HISTOPLASMA ANTIGEN,URINE"		
$65.00	"CM HIV-1 AND HIV-2, SINGLE ASSAY"		
$144.00	CM HIV-1 ANTIGENS WITH HIV1&2 ANTIBODI		
$163.00	"CM HLA TYPE A,B OR C"		
$114.00	CM HOMOCYSTEINE LEVEL/QUANTITATIVE		
$111.00	CM HOMOCYSTINE		
$222.00	CM HPV HIGH RISK TYPE		
$402.00	"CM HPV, IN SITU HYDRIDIZATION, EA PROB"		
$48.00	CM HUMIDIFIER CHAMBER RPLCMNT PURCHASE		
$82.00	"CM HYDROXYINDOLACETIC ACID, 5-(HIAA)"		
$172.00	"CM HYDROXYPROGESTERONE, 17-D"		
$222.00	CM IADNA CHLAMYDIA PNEUMONIA		
$222.00	CM IADNA MYCOPLSM PNEUMONIAE		
$34.00	"CM IMMUMOLOGICAL METHOD, PER ANTISERUM"		
$154.00	CM IMMUNE COMPLEX		
$136.00	CM IMMUNO.FOR TUMOR ANTIGEN;CA19-9		
$82.00	"CM IMMUNOASAY, ANALYTE, QUANT; NOT SPE"		
$73.00	CM IMMUNOASSAY FOR ANALYTE;MULTI STEP		
$95.00	CM IMMUNOASSAY FOR INFECTIOUS AGENT AN		
$136.00	CM IMMUNOASSAY FOR TUMOR ANTIGEN		
$51.00	"CM IMMUNOASSAY, ANALYTE, QUANTITATIVE"		
$141.00	CM IMMUNOELECTROPHORESIS; OTHER FLUID		
$141.00	CM IMMUNOFIXATION ELECTROPHORESIS		
$186.00	CM IMMUNOFIXATION ELECTROPHORESIS; OTH		
$62.00	CM IMMUNOHISTO ANT B ADD SLIDE		
$222.00	CM IMMUNOHISTO ANT B FIRST STAIN		
$11.25	CM INCENTIVE SPIROMETER		
$76.00	CM INFECTIOUS AGENT ANTIGEN DETECTION		
$281.00	CM INFECTIOUS AGENT ANTIGEN;CYTOMEGALO		
$79.00	CM INFECTIOUS AGENT ANTIGEN;INFLUENZA		
$76.00	CM INFECTIOUS AGENT ANTIGEN;INFLUENZA		
$312.00	CM INFECTIOUS AGENT QUANTIFICATION;EAC		
$76.00	"CM INFECTIOUS AGENT,NOT SPEC., EA ORGA"		
$230.00	CM INFECTIOUS AGENT; CLOSTRIDIUM DIFFI		
$131.00	CM INFLUENZA DNA AMP PROBE ADDL		
$538.00	CM INFLUENZA DNA AMP PROVE		
$76.00	"CM INFLUENZA, A,B OR EACH;INFECTIOUS I"		
$82.00	CM INHIBIN A		
$135.00	CM INSULIN ANTIBODIES		
$95.00	CM INTRINSIC FACTOR ANITIBODIES		
$27.00	CM IODO FLEX PADS 5GRAM		
$57.00	CM IRON BINDING CAPACITY		
$58.00	"CM IRRIDATION OF BLOOD PRODUCT, EA UNI"		
$125.00	CM ISLET CELL ANTIBODY		
$601.00	CM JAK2		
$36.75	CM KNEE & SHOULDER TAPE KIT		
$902.00	CM KNEE BRACE ROM HINGED ALL SIZES		
$210.00	CM KNEE BRACE SUPP/STAB ALL SIZES		
$137.00	CM KNEE IMMOBILIZER ALL SIZES		
$50.00	CM KNEE SLEEVE ALL SIZES		
$26.00	CM KNEE-HI ALL SIZES		
$26.00	CM KNEE-HI ALL SIZES		
$125.35	CM KO BRACE W/JOINTS-INCL FIT & ADJUST		
$206.84	CM KO-ELASTIC INCLUDES FIT & ADJ		
$68.30	CM KO-ELASTIC KNEE CAP-INCL FIT & ADJ		
$28.00	CM KOH		
$40.00	"CM LACTATE DEHYDROGENASE (LD), (LDH)"		
$81.00	"CM LACTATE DEHYDROGENASE,ISOENZYMES,SE"		
$129.00	"CM LACTOFERRIN, FECAL; QUANTATIVE"		
$87.00	CM LAMOTRIGINE		
$49.00	CM LARGE K-PAD		
$45.80	CM LARGE RHINO ROCKET		
$49.30	CM LARGE TULIS HEEL CUP		
$79.00	CM LEAD		
$27.00	"CM LEUKOCYTE ASSESS, FECAL, QUALITATIV"		
$374.00	"CM LEUKOCYTE POOR RBC, EACH UNIT"		
$473.00	CM LEVEL V TRAUMA		
$87.00	CM LEVETIRACETAM LEVEL		
$50.00	CM LIFE INSURANCE PHYSICALS		
$45.00	CM LIPASE		
$80.00	CM LIPID PANEL		
$82.00	CM LIPOPROTEIN A		
$157.00	CM LIPOPROTEIN BLD HR FRACTION		
$43.00	CM LITHIUM		
$54.00	CM LIVER FUNCTION PANEL/HEPATIC PANEL		
$42.00	"CM MACROBROTH DILUTION METHOD, EA AGEN"		
$28.00	CM MACROSCOPIC EXAM; ARTHROPOD ID		
$28.00	CM MACROSCOPIC EXAM; PARASITE ID		
$44.00	CM MAGNESIUM		
$23.00	CM MANUAL WBC DIFFERENTIAL		
$112.00	CM MASS/TANDEM SPECTROMETRY; QUALITATI		
$56.00	"CM MED NUTRITION THERAPY,SUBSQUENT"		
$106.00	CM MED NUTRITION THERAPY;REASSESS 15 M		
$75.00	CM MEDIBEAD NECK WRAP		
$29.00	CM MEDIUM K-PAD		
$52.00	CM MEPILEX BORDER 10CM X 10CM		
$103.00	CM MERCURY; QUANTITATIVE		
$107.00	CM METANEPHRINES		
$29.00	CM MICROALBUMIN SEMIQUANT		
$38.00	"CM MICROALBUMIN, QUANTITATIVE"		
$45.00	CM MICROBE SUSCEPTIBLE DISK		
$66.00	"CM MICRODILUTION OR AGAR DILUTION, MLC"		
$20.00	CM MICROSCOPIC URINALYSIS		
$92.00	"CM MICROSOMAL ANTIBODIES, EACH"		
$0.00	CM MISC CENTRAL SUPPLIES		
$75.80	CM MISCELLANEOUS SPLINTS		
$135.00	CM MOLECULAR CYTOGENETICS; DNA PROBE		
$254.00	CM MOLECULAR CYTOGENETICS;ANALYZE 100-		
$34.00	CM MONOSPOT		
$33.00	CM MONOSPOT		
$230.00	"CM MRSA, AMPLIFED PROBE TECHNIQUE"		
$276.00	CM MTHFR GENE		
$38.00	"CM MUCIN, SYNOVIAL FLUID"		
$351.90	CM MULTI PODUS BOOT		
$84.89	"CM MUTATION ID BY ENZ LIG/PRIMER EXT,E"		
$215.00	CM MYELOPEROXIDASE (MPO); ASSAY		
$85.00	CM MYOGLOBIN		
$105.00	CM MYSALINE LD/PRIMIDONE		
$68.00	CM NASAL CUSHION CFTGEL RPLC CUSHN PUR		
$206.00	"CM NASAL INTERFACE, MASK"		
$44.00	CM NASAL PILLOW RPLCMT PURCH		
$31.00	CM NASAL SMEAR FOR EOSINOPHILS		
$222.00	CM NATRIURETIC PEPTIDE		
$1.40	CM NEB COMPRESSOR FILTER PURCHASE		
$45.00	CM NEB COMPRESSOR PORTABLE RENT		
$200.00	CM NEB COMPRESSOR STATIONARY PURCHASE		
$45.00	CM NEB COMPRESSOR STATIONARY RENT		
$4.35	CM NEBULIZER ADMINISTRATION SET		
$4.00	CM NEBULIZER-AERO. MASK PURCHASE		
$3.50	CM NEBULIZER-AEROSOL MASK PURCHASE		
$7.75	CM NEBULIZER-PORTABLE RPLC PURCHASE		
$230.00	"CM NEISSERIA GONORRHOEAE,AMP PROBE TEC"		
$67.45	CM NEOPRIN KNEE SUPPORT LARGE		
$67.45	CM NEOPRIN KNEE SUPPORT MED		
$67.45	CM NEOPRIN KNEE SUPPORT SMALL		
$67.45	CM NEOPRIN KNEE SUPPORT XL		
$67.45	CM NEOPRIN KNEE SUPPORT XXL		
$70.00	"CM NEPHELOMETRY,EA ANALYTE NOT SPECIFI"		
$63.50	CM NIGHT SPLINT		
$51.20	CM NONDISPOSABLE NEBULIZER SET		
$119.00	CM NORTRIPTYLINE		
$70.00	CM NUCLEOTIDASE 5-		
$143.00	"CM NUTRITION THERAPY,INITIAL,EA 15 MIN"		
$104.00	"CM OCCULT BLOOD, FECAL, IA- SCREENING"		
$108.00	"CM ORGANIC ACID, SINGLE, QUANTITATIVE"		
$104.00	"CM ORGANIC ACIDS; QUALITATIVE, EACH SP"		
$80.27	CM ORTHO SHOE ADDITION-SOLE-FULL/LIFT		
$45.00	CM OSMOLALITY; URINE		
$81.00	CM OXALATE		
$84.00	CM OXYCARBAZEPINE DRUG SCREEN		
$2.90	CM OXYGEN 25FT TUBING PURCHASE		
$5.00	CM OXYGEN 35FT/50FT TUBING PURCHASE		
$250.00	CM OXYGEN/DAY		
$8.15	CM PADDED FINGER COT ALL SIZES		
$7.10	"CM PADDING FOR COMPRESSION BANDAGE,ROL"		
$431.00	CM PAP HEATER/HUMIDIFIER PURCHASE		
$48.00	CM PAP HEATER/HUMIDIFIER RENT		
$271.00	CM PARATHORMONE (PARATHYROID HORMONE)		
$64.00	"CM PARTICLE AGGLUTINATION; SCREEN, EAC"		
$68.45	CM PATELLAR TENDON STRAP		
$39.00	CM PEAK FLOW METER PURCHASE		
$171.00	CM PEDS ACAPELLA FLUTTER BLUE		
$59.00	CM PEDS OXISENSOR		
$0.00	CM PERIPHERAL BLOOD SMEAR TO PATH		
$102.00	CM PESSARY		
$79.25	"CM PESSARY, NONRUBBER, ANY TYPE"		
$23.00	"CM PH, BODY FLUID, EXCEPT BLOOD"		
$75.00	CM PHENOBARBITAL LEVEL		
$36.00	"CM PHENYLALANINE (PKU), BLOOD"		
$87.00	CM PHENYTOIN; FREE		
$31.00	CM PHOSPHORUS INORGANIC (PHOSPHATE)		
$34.00	CM PHOSPHORUS INORGANIC; URINE		
$27.00	CM PINWORM EXAM		
$6.20	CM PLASTIC FINGER SPLINT ALL SIZES		
$29.00	CM PLATELET COUNT		
$97.00	CM PLATELET NEUTRALIZATION		
$992.00	"CM PLATELETS, PHERESIS, LEUKOCYTES RED"		
$443.00	CM PNEUMATIC WALKING BOOT ALL SIZES		
$0.00	CM PNEUMO VACCINE		
$53.00	CM PORPHOBILINOGEN		
$30.00	CM POTASSIUM; SERUM		
$28.00	CM POTASSIUM; URINE		
$37.00	CM PREALBUMIN		
$137.00	CM PROGESTERONE		
$127.00	CM PROLACTIN		
$116.00	"CM PROSTATE CANCER SCREENING, PSA"		
$61.00	CM PROSTATIC ACID PHOSPHATASE		
$33.00	CM PROTEIN TOT REFRACTOMETRY ANY SOURC		
$70.00	"CM PROTEIN, ELECTROPHORESIS"		
$23.00	"CM PROTEIN, TOTAL; URINE"		
$117.00	CM PROTEIN;ELECTROPHORETIC FRACT & QUA		
$25.00	CM PROTHROMBIN TIME; SUB PLASMA FRACT.		
$91.00	"CM PROTOPORPHYRIN, RBC; QUANTITATIVE"		
$121.00	CM PSA		
$26.00	"CM PT, INR, PROTIME/PROTHOMBIN TIME"		
$25.00	"CM PT, INR, PROTIME/PROTHOMBIN TIME"		
$89.00	CM PTHRP (CHEMILUMINESCENT ASSAY)		
$39.00	"CM PTT, THROMBOPLASTIN TIME, PARTIAL"		
$66.00	CM QUAD CANE		
$84.00	CM QUAN LAMOTRIGINE		
$99.00	"CM QUANTITATIVE HCG, BETA"		
$107.00	CM RABIES		
$71.00	CM RAPID DRUGS OF ABUSE PANEL PROFILE 		
$24.00	"CM RBC ANTIGENS, OTHER THAN ABO OR RH("		
$296.00	"CM RED BLOOD CELLS,EACH UNIT"		
$20.00	CM RED BLOOD COUNT (RBC) ONLY		
$57.00	CM RENAL FUNCTION PANEL		
$139.00	CM RENIN		
$62.00	CM REPTILASE TEST		
"$1,349.00"	CM RESP VIRAL PANEL		
"$2,635.00"	CM RESP VIRUS 12/-25		
$76.00	CM RESPIRATORY SYNCYTIAL VIRUS		
$79.00	CM RESPIRATORY SYNCYTIAL VIRUS (RSV)		
$76.00	CM RESPIRATORY SYNCYTIAL VIRUS (RSV)		
$25.00	"CM RETICULOCYTE, AUTOMATED"		
$35.00	"CM RETICULOCYTES, AUTOMATED;1 OR MORE"		
$100.00	CM REVERSE T3		
$36.00	CM RHEUMATOID FACTOR; QUALITATIVE		
$37.00	CM RHEUMATOID FACTOR; QUANTITATIVE		
$128.00	"CM RIBOFLAVIN, VITAMIN B-2"		
$145.00	"CM RISTOCETIN COFACTOR, FACTOR VIII, V"		
$79.00	"CM ROTAVIRUS, ENZYME IMMUNOASSAY"		
$61.00	CM RUSSELL VIPER VENOM TIME; DILUTED		
$23.00	CM SEDIMENTATION RATE(ESR)		
$46.00	"CM SENSITIVITIES, EACH ISOLATE"		
$96.00	CM SERUM AMMONIA		
$110.00	CM SERUM CORTISOL/TOTAL		
$42.00	CM SERUM IRON		
$43.00	CM SERUM OSMOLALITY		
$142.00	CM SEX HORMONE GLOBUL		
$76.00	CM SHIGA-LIKE TOXIN AG EIA		
$44.00	CM SHOULDER IMMOBILIZER		
$16.00	CM SINGLE TEST URINALYSIS/NON-AUTOMATE		
$16.00	CM SINGLE TEST URINALYSIS/NON-AUTOMATE		
$104.00	CM SKELETAL MUSCLE RELAXANTS; 3 OR MOR		
$86.00	CM SLINGS (ALL SIZES)		
$29.00	CM SMALL K-PAD		
$35.00	"CM SMEAR, STAIN FOR BACTERIA, FUNGI,ET"		
$32.00	CM SODIUM; SERUM		
$32.00	CM SODIUM; URINE		
$124.00	CM SOMATOMEDIN		
$38.00	"CM SPECIAL STAIN;MALARIA, COCCIDIA, ET"		
$214.00	CM SPECIAL STAINS GROUP 1		
$172.00	"CM SPECIAL STAINS, GRP II, ALL OTHER"		
$50.00	CM SPUTUM SPECIMEN COLLECTION IP		
$60.00	CM STAYFIX FIXATION DEVICE		
$0.00	CM STERILE SUPPLIES		
$230.00	"CM STREP, GROUP B, AMPLIFIED PROBE TEC"		
$79.00	"CM STREPTOCOCCUS, GROUP A  RAPID TEST"		
$76.00	"CM STREPTOCOCCUS, GROUP A  RAPID TEST"		
$76.00	"CM STREPTOCOCCUS,GRP A; SCREEN"		
$30.00	CM SULFATE		
$43.00	"CM SURGICAL BOOT/SHOE, EACH ALL SIZES"		
$39.50	"CM SURGICAL STOCKING ABOVE KNEE, EACH"		
$20.00	"CM SURGICAL STOCKING BELOW KNEE, EACH"		
$49.75	"CM SURGICAL STOCKING FULL-LENGTH, EACH"		
$26.40	"CM SURGICAL STOCKING THIGH LENGTH, EAC"		
$31.00	"CM SUSCEPTIBILITY STUDIES,ANTIMICRIBIA"		
$28.00	"CM SYPHILIS TEST; QUALITATIVE (EG,VDRL"		
$33.00	CM T. BILIRUBIN		
$90.00	"CM TACROLIMUS, THERAPEUTIC DRUG ASSAY"		
$0.00	CM TAKE HOME SUPPLIES		
$392.00	CM TB TEST CELL IMMUN MEASURE		
$104.00	CM TECHNICAL COMPONENT TISSUE EXAM LEV		
$95.00	CM TEGRETOL/CARBAMAZEPINE		
$36.00	"CM TENSOSHAPE, MEDIUM"		
$36.00	"CM TENSOSHAPE, SMALL"		
$167.00	CM TESTOSTERONE; FREE		
$169.00	CM TESTOSTERONE; TOTAL		
$93.00	CM THEOPHYLLINE		
$87.00	CM THERAPEUTIC DRUG ASSAY; SIROLIMUS		
$35.00	CM THIGH HIGH ALL SIZES		
$34.00	CM THIGH HIGH ALL SIZES		
$36.00	CM THROMBIN TIME; PLASMA		
$41.00	"CM THROMBOPLASTIN TIME,PARTIAL;SUB FRA"		
$102.00	CM THYROGLOBULIN		
$101.00	CM THYROGLOBULIN ANTIBODY		
$41.00	CM THYROID UPTAKE/BINDING RATIO T3/T4		
$93.00	CM THYROXINE BINDING GLOBULIN		
$92.00	CM TISSUE EXAM BY PATHOLOGIST		
$71.00	CM TITER ON POSITIVE ANA		
$106.00	CM TOBRAMYCIN; ASSAY		
$24.00	CM TOTAL PROTEIN		
$90.00	CM TOTAL T3/TT-3		
$45.00	CM TOTAL T4/THYROXINE; TOTAL		
$81.00	CM TRANSFERRIN		
$40.00	CM TREATMENT ROOM NURSE VISIT		
$38.00	CM TRIGLYCERIDES		
$111.00	CM TRIIODOTHYRONINE T3; FREE		
$44.00	"CM TROPONIN, QUANTITATIVE"		
$110.00	"CM TSH, THYROID STIMULATING HORMONE"		
$24.00	"CM TUBERCULOSIS, INTRADERMAL"		
$89.00	CM UNIV ABDOMINAL BINDER ALL SIZES		
$26.00	CM UNLISTED TRANSFUSION MEDICINE PROC		
$31.00	CM UNLSTD HEMATOLOGY & COAGULATION PRO		
$31.00	"CM UREA NITROGEN, URINE"		
$31.00	CM URIC ACID; OTHER SOURCE		
$30.00	CM URIC ACID; SERUM		
$21.00	"CM URINALYSIS, AUTOMATED, W/MICROSCOPY"		
$15.00	CM URINALYSIS; AUTOMATED W/OUT MICROSC		
$40.00	CM URINE CALCIUM		
$20.00	CM URINE METER BAG		
$53.00	"CM URINE, PRESUMPTIVE IDENTIFICATION"		
$89.00	"CM VALPROIC ACID, DIPROPYLACETIC ACID"		
$89.00	"CM VANCOMYCIN, PEAK & TROUGH"		
$223.00	CM VASOACTIVE INTESTINAL PEPTIDE (VIP)		
$215.00	CM VASOPRESSIN (ADH)		
$5.60	CM VELCRO TIE STRAP		
$132.00	"CM VIRUS ISOLATION;TISSUE CULT, ADD ST"		
$171.00	CM VIRUS ISOLATON; HERPES SIMPLEX CULT		
$87.20	CM VISCOPO HEEL CUSHION M/L		
$68.00	CM VISCOPO HEEL CUSHION S/M		
$184.00	CM VIT B 6		
$194.00	CM VIT D 25  HYDROXY SERUM		
$114.00	"CM VIT D3, QUANTITATIVE, SINGLE STATIO"		
$90.00	CM VIT E/TOCOPHEROL ALPHA		
$73.00	CM VITAMIN A		
$20.00	CM VOLUME MEASURE/TIMED COLLECTION		
$145.00	"CM VON WILLEBRAND FACTOR, FACTOR VIII"		
$154.50	"CM WALKER ATTACHMENT, EQUALIZER"		
$90.20	CM WALKER BOOT LARGE		
$90.20	CM WALKER BOOT MED		
$254.00	CM WALKER BOOT NON-PNEUMATIC ALL SIZES		
$90.20	CM WALKER BOOT SM		
$102.00	CM WALKER BOOT XLRG		
$102.00	CM WALKER BOOT XS		
$42.00	CM WBC AUTO DIFFERENTIAL		
$23.00	"CM WBC, MICRO EXAM, NO DIFFERENTIAL"		
$90.00	"CM WEST NILE VIRUS, IGM"		
$81.00	"CM WEST NILE VIRUS, NOT ELSEWHERE SPEC"		
$28.00	CM WET MOUNT FOR INFECTIOUS AGENTS		
$17.00	CM WHITE BLOOD CELL (WBC)		
$87.00	CM WRIST BRACE/THUMB SPICA COCK-UP ALL		
$520.85	"CM WRIST/HAND/FINGER ORTHOSIS, W/OUT J"		
$72.00	CM ZINC		
$277.00	COMPLEX CYSTOMETROGRAM URETHRAL PRESS 		
$271.00	COMPLEX CYSTOMETROGRAM VOIDING PRESSUR		
$327.00	COMPLX CYSTOMETRO W/VOID PRESS&URETHRA		
$308.00	CT COLONOGRPHY DX IMAGE POSTPROCESS NO		
$321.00	CT COLONOGRPHY DX IMAGE POSTPROCESS W/		
$221.00	CT HEART CONTRAST EVAL CARDIAC STRUCTU		
$74.00	CT HEART NO CONTRAST QUANT EVAL CORONR		
$323.00	CT HRT CONTRST CARDIAC STRUCT&MORPH CO		
$303.00	CTA HRT CORNRY ART/BYPASS GRFTS CONTRS		
"$2,609.00"	DCMPRN FASCIOTOMY PELVIC CMPRT DBRDMT 		
"$2,286.00"	DECOMPRESSION FASCIOTOMY PELVIC COMPAR		
$526.00	DESTRUCTION INTERNAL HEMORRHOID THERMA		
$218.00	DSTRJ NEUROLYTIC PLANTAR COMMON DIGITA		
$210.00	"DX ANAL COCHLEAR IMP,PT <7 YRS,REPROG"		
$376.00	"DX ANAL COCHLEAR IMP,PT <7 YRS,W/PROG"		
$43.00	"ELECTROCARDIOGRAM,COMPLET IPPE"		
$22.00	"ELECTROCARDIOGRAM,TRACING IPPE"		
$46.00	ESRD RELATED SVC <FULL MONTH < 2 YR OL		
$39.00	ESRD RELATED SVC <FULL MONTH 12-19 YR 		
$20.00	ESRD RELATED SVC <FULL MONTH 20&> YR O		
$39.00	ESRD RELATED SVC <FULL MONTH 2-11 YR O		
"$1,379.00"	ESRD SVC HOME DIALYSIS FULL MONTH <2YR		
"$1,147.00"	ESRD SVC HOME DIALYSIS FULL MONTH 12-1		
$601.00	ESRD SVC HOME DIALYSIS FULL MONTH 20 Y		
"$1,206.00"	ESRD SVC HOME DIALYSIS FULL MONTH 2-11		
"$1,411.00"	EX TUM/VASC MAL SFT TIS HAND/FNGR SUBF		
"$1,074.00"	EX TUM/VASC MALF SFT TISS HAND/FNGR SU		
"$2,098.00"	EXC RCT TUM INCL MUSCULARIS PROPRIA		
"$1,374.00"	EXC TUMOR SFT TISS FOREARM&//WRIST SUB		
"$1,711.00"	EXC TUMOR SOFT TISS BACK/FLANK SUBFASC		
"$1,908.00"	EXC TUMOR SOFT TISS BACK/FLANK SUBFASC		
"$1,328.00"	EXC TUMOR SOFT TISS FACE&SCALP SUBFASC		
"$1,345.00"	EXC TUMOR SOFT TISS FACE&SCALP SUBFASC		
"$1,097.00"	EXC TUMOR SOFT TISS FOREARM AND/WRIST 		
"$1,788.00"	EXC TUMOR SOFT TISS UPPER ARM/ELBW SUB		
"$1,724.00"	EXC TUMOR SOFT TISSUE ABDL WALL SUBFAS		
"$1,123.00"	EXC TUMOR SOFT TISSUE ABDOMINAL WALL S		
"$1,134.00"	EXC TUMOR SOFT TISSUE ABDOMINAL WALL S		
"$1,180.00"	EXC TUMOR SOFT TISSUE FOOT/TOE SUBFASC		
"$1,769.00"	EXC TUMOR SOFT TISSUE LEG/ANKLE SUBFAS		
"$1,889.00"	EXC TUMOR SOFT TISSUE NECK/THORAX SUBF		
"$1,933.00"	EXC TUMOR SOFT TISSUE PELVIS & HIP SUB		
"$1,794.00"	EXC TUMOR SOFT TISSUE SHOULDER SUBFASC		
"$1,946.00"	EXC TUMOR SOFT TISSUE THIGH/KNEE SUBFA		
"$1,047.00"	EXC TUMOR SOFT TISSUE UPPER ARM/ELBOW 		
$890.00	EXCISION TUMOR SOFT TISS FACE/SCALP SU		
$874.00	EXCISION TUMOR SOFT TISS FACE/SCALP SU		
"$1,066.00"	EXCISION TUMOR SOFT TISSUE LEG/ANKLE S		
"$1,215.00"	EXCISION TUMOR SOFT TISSUE PELVIS&HIP 		
"$1,078.00"	EXCISON TUMOR SOFT TISSUE THIGH/KNEE S		
"$4,633.00"	H REMOVAL OF ANKLE BONE		
$666.00	HARVEST UPPER EXTREMITY ART 1 SEGMENT 		
$66.00	HC 3D RECON W/O POST PROCESSING		
$144.00	HC ABDOMEN 4 VIEWS		
$126.00	HC AC JOINTS		
$40.65	HC ADMINISTER FLU SHOT		
$40.65	HC ADMINISTER PNEUMMOVAX INJ		
$76.00	HC AIRWAY INHALATION TRMT		
$113.00	HC ANKLE MIN 3 VIEWS		
$110.00	HC ANKLE STANDING 2 VIEWS		
$104.00	HC APPLY FINGER SPLINT		
$419.00	HC APPLY FOREARM CAST		
$190.00	"HC APPLY FOREARM SPLINT,STATIC"		
$238.00	HC APPLY HAND/WRIST CAST		
$238.00	HC APPLY LONG ARM SPLINT		
$419.00	HC APPLY LONG LEG CAST		
$238.00	HC APPLY LONG LEG SPLINT		
$238.00	HC APPLY LOWER LEG SPLINT		
$249.00	HC APPLY PASTE BOOT		
$419.00	HC APPLY SHORT LEG CAST		
$442.00	HC ASSESS APHASIA-PER HOUR		
$0.01	HC ATTN CURRENT STATUS		
$0.01	HC ATTN D/C STATUS		
$0.01	HC ATTN GOAL STATUS		
$324.00	HC AUDIT REHAB/PRE-LING LOSS		
$324.00	HC AUDITORY REHAB POST-LING LOSS		
$10.00	HC BEHAV COUNSELING OBESITY 15MIN		
$365.00	HC BEHAVIORAL QUALIT ANALYS VOICE		
$134.00	HC BIOFEEDBACK ANY METHOD		
$238.00	HC BIOFEEDBACK WOMENS HEALTH		
"$1,169.00"	HC BIOPSY OF CERVIX		
$605.00	HC BIOPSY OF EYELID		
"$4,633.00"	HC BIOPSY OF FOOT JOINT LINING		
"$4,633.00"	HC BIOPSY OF FOOT JOINT LINING		
"$4,633.00"	HC BIOPSY OF TOE JOINT LINING		
$0.00	HC BLOOD ADMIN 0-2 HRS		
$0.01	HC BODY POS CURRENT STATUS		
$0.01	HC BODY POS D/C STATUS		
$0.01	HC BODY POS GOAL STATUS		
$177.00	"HC CANALITH REPOS,PER TX DAY"		
$653.00	HC CARDIOVERSION		
$668.00	HC CAROTID DOPPLER		
$426.00	HC CAROTID UNILAT/LTD DOPPLER		
$0.01	HC CARRY CURRENT STATUS		
$0.01	HC CARRY D/C STATUS		
$0.01	HC CARRY GOAL STATUS		
$182.00	HC CBT 1ST HOUR		
$60.00	HC CBT EA ADDL HOUR		
$111.00	HC CERVICAL SPINE 2/3 VIEWS		
$148.00	HC CERVICAL SPINE 4 OR 5 VIEWS		
$394.00	HC CHANGE OF BLADDER TUBE SMPL		
$109.00	"HC CHEST PHYSIOTHERAPY,INITIAL"		
$121.00	"HC CHEST PHYSIOTHERAPY,SUBSEQUENT"		
$97.00	HC CLAVICLE COMPLETE		
$353.00	HC CLINIC EVAL/SWALLOW		
$380.00	HC CLOSE RX DIST FINGR FX		
$380.00	"HC CLOSE RX PROX/MID FING SHFT FX,MANI"		
$380.00	"HC CLOSED RX A-C JT DISLOC,MANIPULATN"		
$380.00	HC CLOSED RX ANKLE DISLOCATN		
"$2,313.00"	"HC CLOSED RX DIST RAD/ULNA FX,MANIPUL"		
"$2,313.00"	"HC CLOSED RX HUM SUPRACONDYLR FX,MANIP"		
$380.00	HC CLOSED RX IP JT DISLOCATION		
$380.00	"HC CLOSED RX METACARPAL FX,MANIP"		
$380.00	HC CLOSED RX METATARSAL FX		
"$2,313.00"	"HC CLOSED RX POST HIP FIX DISLOC,ANEST"		
$380.00	HC CLOSED RX PROX/MID FING SHFT FX		
"$2,313.00"	"HC CLOSED RX RAD/ULNA SHAFT FX,MANIP"		
$380.00	"HC CLOSED RX RADIAL HEAD DISLOC,CHILD"		
$380.00	HC CLOSED RX SHLDR DISLOCATION		
$477.00	HC COGNITIVE TEST/HR + REPORT		
$163.00	HC COLLECT BLOOD PICC		
$163.00	HC COLLECT BLOOD VENOUS DEVICE		
$125.00	HC COM/WORK RE-INTEGRA 15 MIN		
"$4,130.00"	HC CONTOUR OF FACE BONE LESION		
$74.00	HC CONTRAST BATHS 15 MIN		
$157.00	"HC CONTROL NOSE BLEED,INITIAL"		
$157.00	"HC CONTROL NOSE BLEED,SMPL"		
$262.00	HC CPAP/DAY		
"$1,252.00"	HC CPR		
"$2,062.00"	HC CRITICAL CARE 1ST HOUR		
$346.00	HC CRITICAL CARE ADDL 30 MIN		
"$1,428.00"	HC CT ABD W/DYE		
$769.00	HC CT ABD W/O DYE		
"$1,644.00"	HC CT ABD W/WO DYE		
"$1,881.00"	HC CT ABD/PELVIS W/CONTRAST		
$970.00	HC CT ABD/PELVIS W/O CONTRAST		
"$2,161.00"	HC CT ABD/PELVIS W/O&W CONTRAST		
$903.00	HC CT BRAIN W/DYE		
$626.00	HC CT BRAIN W/O DYE		
"$1,094.00"	HC CT BRAIN W/WO DYE		
$824.00	HC CT FACIAL BONES W/O DYE		
"$1,104.00"	HC CT LOWER EXTREM W/DYE		
"$1,109.00"	HC CT LOWER EXTREM W/O DYE		
"$1,821.00"	HC CT LOWER EXTREM W/WO DYE		
$948.00	HC CT MAXILOFACIAL W/DYE		
"$1,444.00"	HC CT ORBITS/FOSSA/SELLA/IAC		
"$1,766.00"	HC CT ORBITS/FOSSA/SELLA/IAC W/DYE		
"$1,954.00"	HC CT ORBITS/FOSSA/SELLA/IAC W/WO DYE		
"$1,435.00"	HC CT PELVIS W/DYE		
$781.00	HC CT PELVIS W/O DYE		
"$1,702.00"	HC CT PELVIS W/WO DYE		
"$1,419.00"	HC CT SOFT TISSUE NECK W/DYE		
"$1,100.00"	HC CT SOFT TISSUE NECK W/O DYE		
"$1,754.00"	HC CT SOFT TISSUE NECK W/WO DYE		
"$1,431.00"	HC CT SPINE CERVICAL W/DYE		
"$1,121.00"	HC CT SPINE CERVICAL W/O DYE		
"$1,428.00"	HC CT SPINE LUMBAR W/DYE		
"$1,109.00"	HC CT SPINE LUMBAR W/O DYE		
"$1,438.00"	HC CT SPINE THORACIC W/DYE		
"$1,115.00"	HC CT SPINE THORACIC W/O DYE		
$827.00	HC CT STEALTH SCAN		
"$1,428.00"	HC CT THORAX W CONTRAST		
"$1,760.00"	HC CT THORAX W+WO CONTRAST		
"$1,106.00"	HC CT THORAX WO CONTRAST		
"$1,106.00"	HC CT UPPER EXTREM W/O DYE		
$110.00	HC CYSTOGRAM		
$531.00	HC DEBRIDE SKIN/TISSUE		
$71.00	HC DEMO/EVAL-AEROSOL		
$278.00	"HC DESTRUCT BENIGN LESION, 1-14"		
$0.01	"HC DESTRUCT PREMALG LES, 2-14"		
$278.00	HC DESTRUCT PREMALG LESION		
$200.00	HC DEXASCAN		
$43.00	HC DIABETES EDUCATION		
$162.00	HC DIABETES TRAIN/INDIV 30 MIN		
$196.00	HC DIAGNOSTIC ANOSCOPY		
$589.00	HC DIAGNOSTIC MAMMO CAD BILATERAL		
$460.00	HC DIAGNOSTIC MAMMO CAD UNILATERAL		
$92.00	HC DOPPLER COLOR FLOW ADDON		
$147.00	HC DOPPLER ECHO EXAM COMPLETE		
"$2,350.00"	"HC DRAIN FINGER ABSCESS,CMPLX"		
$291.00	"HC DRAIN FINGER ABSCESS,SMPL"		
"$4,083.00"	HC DRAIN THIGH/KNEE LESION		
$439.00	HC DRAIN/INJECT MEDIUM JOINT/BURSA		
$439.00	HC DRAIN/INJECT SMALL JOINT/BURSA		
$196.00	HC DRAINAGE OF GUM LESION		
$531.00	HC DRESS/DEBRID LARGE BURN NO ANESTH		
$278.00	HC DRESS/DEBRID MED BURN NO ANESTH		
$278.00	HC DRESS/DEBRID SMALL BURN NO ANES		
$353.00	HC DYSPHAGIA STUDY		
$109.00	HC ECG MONITOR/RECORD UP TO 48 HRS		
$424.00	HC ECHO EXAM OF HEAD		
$348.00	HC ECHO EXAM OF HEART COMPLETE		
$144.00	HC ED LEVEL I		
$261.00	HC ED LEVEL II		
$472.00	HC ED LEVEL III		
$779.00	HC ED LEVEL IV		
"$1,145.00"	HC ED LEVEL V		
$97.00	HC ELBOW 2 VIEWS		
$114.00	HC ELBOW MIN 3 VIEWS		
$79.00	HC E-STIM 15 MIN		
$49.00	HC E-STIM-UNATTENDED		
$99.00	HC EVACUATION SUBUNGUAL HEMATOMA		
$457.00	HC EVAL OF SPEECH FLUENCY		
$378.00	HC EVAL OF SPEECH PRODUCTION		
$807.00	HC EVAL OF SPEECH SOUND LANG COMPREHEN		
$525.00	HC EVAL SPEECH GENERATE DEVICE 1ST HOU		
$384.00	HC EVAL/PRESCRIPT NON-SPEECH		
$978.00	"HC EXC BENIG .1-.5CM TRUNK,ARM,LEG"		
"$2,350.00"	HC EXC FAC LESION SC < 2 CM		
"$2,350.00"	HC EXC FAC TUM DEEP <2CM		
"$2,350.00"	HC EXC FACE LES SBQ 2CM/<		
"$4,083.00"	HC EXC FACE TUM DEEP=2CM		
"$4,083.00"	HC EXC FOOT/TOE DEEP 1.5CM+		
$978.00	"HC EXC SKIN BENIG <5MM FACE,FACIAL"		
"$2,244.00"	HC EXC SKIN BENIG <5MM REMAINDR BODY		
"$3,899.00"	"HC EXC SKIN BENIG >4CM FACE,FACIAL"		
"$3,899.00"	HC EXC SKIN BENIG >4CM REMAINDR BODY		
"$2,244.00"	"HC EXC SKIN BENIG >4CM TRUNK,ARM,LEG"		
$978.00	"HC EXC SKIN BENIG 0.6-1CM FACE,FACIAL"		
$978.00	HC EXC SKIN BENIG 0.6-1CM REMAINDR BOD		
$531.00	"HC EXC SKIN BENIG 0.6-1CM TRUNK,ARM,LE"		
$978.00	"HC EXC SKIN BENIG 1.1-2CM FACE,FACIAL"		
"$2,244.00"	HC EXC SKIN BENIG 1.1-2CM REMAINDR BOD		
$978.00	"HC EXC SKIN BENIG 1.1-2CM TRUNK,ARM,LE"		
"$2,244.00"	"HC EXC SKIN BENIG 2.1-3CM FACE,FACIAL"		
"$2,244.00"	HC EXC SKIN BENIG 2.1-3CM REMAINDR BOD		
$978.00	"HC EXC SKIN BENIG 2.1-3CM TRUNK,ARM,LE"		
"$2,244.00"	"HC EXC SKIN BENIG 3.1-4CM FACE,FACIAL"		
"$2,244.00"	HC EXC SKIN BENIG 3.1-4CM REMAINDR BOD		
"$2,244.00"	"HC EXC SKIN BENIG 3.1-4CM TRUNK,ARM,LE"		
$978.00	"HC EXC SKIN MALIG <5CM FACE,FACIAL"		
"$2,244.00"	HC EXC SKIN MALIG <5MM REMAINDR BODY		
$978.00	"HC EXC SKIN MALIG <5MM TRUNK,ARM,LEG"		
"$3,899.00"	"HC EXC SKIN MALIG >4CM FACE,FACIAL"		
"$3,899.00"	HC EXC SKIN MALIG >4CM REMAINDR BODY		
"$2,244.00"	"HC EXC SKIN MALIG >4CM TRUNK,ARM,LEG"		
$978.00	"HC EXC SKIN MALIG 0.6-1CM FACE,FACIAL"		
$978.00	HC EXC SKIN MALIG 0.6-1CM REMAINDR BOD		
$978.00	"HC EXC SKIN MALIG 0.6-1CM TRUNK,ARM,LE"		
$978.00	"HC EXC SKIN MALIG 1.1-2CM FACE,FACIAL"		
$978.00	HC EXC SKIN MALIG 1.1-2CM REMAINDR BOD		
$531.00	"HC EXC SKIN MALIG 1.1-2CM TRUNK,ARM,LE"		
"$2,244.00"	"HC EXC SKIN MALIG 2.1-3CM FACE,FACIAL"		
"$2,244.00"	HC EXC SKIN MALIG 2.1-3CM REMAINDR BOD		
$978.00	"HC EXC SKIN MALIG 2.1-3CM TRUNK,ARM,LE"		
"$2,244.00"	"HC EXC SKIN MALIG 3.1-4CM FACE,FACIAL"		
"$2,244.00"	HC EXC SKIN MALIG 3.1-4CM REMAINDR BOD		
$978.00	"HC EXC SKIN MALIG 3.1-4CM TRUNK,ARM,LE"		
"$3,899.00"	"HC EXC SWEAT GLAND LESN AXILL,COMPLX"		
"$3,899.00"	"HC EXC SWEAT GLAND LESN AXILL,SIMPL"		
"$3,899.00"	"HC EXC SWEAT GLAND LESN INGUIN,SIMPL"		
"$3,899.00"	"HC EXC SWEAT GLAND LESN PERINEAL,COMPL"		
"$3,899.00"	"HC EXC SWEAT GLAND LESN PERINEAL,SIMPL"		
"$4,083.00"	"HC EXCIS FOOT TUMOR,DEEP"		
"$3,237.00"	"HC EXCIS FOOT TUMOR,SUBCUTANEOUS"		
"$7,849.00"	HC EXCIS UPPR JAW CYST W/REPAIR		
"$4,633.00"	HC EXCISE FOOT TENDON SHEATH		
"$7,849.00"	HC EXCISE LWR JAW CYST W/REPAIR		
"$7,849.00"	HC EXCISE MAX/ZYGOMA MAL TUMOR		
"$7,849.00"	"HC EXCISION OF BONE, LOWER JAW"		
"$7,849.00"	HC EXCISION OF FACIAL BONE(S)		
$737.00	HC FACIAL BONES MIN 3 VIEWS		
$124.00	HC FINGER MIN 2 VIEWS		
$93.00	HC FOOT 2 VIEWS		
$104.00	HC FOOT MIN 3 VIEWS		
"$4,083.00"	HC FOOT/TOE TUM SC>1.5 CM		
$88.00	HC FOREARM 2 VIEWS		
"$4,633.00"	"HC FULL EXCIS 2,3 OR 4TH METATAR HEAD"		
"$4,633.00"	HC FULL EXCIS 5TH METATARSAL HEAD		
$116.00	HC GAIT TRAINING		
$456.00	"HC GASTRIC INTUB & ASP,THER"		
$103.00	HC GLUCOSE MONITOR REPORT READING		
$647.00	"HC GLUCOSE MONITORING,CONTINUOUS"		
$90.00	HC HAND 2 VIEWS		
$112.00	HC HAND MIN 3 VIEWS		
$97.00	HC HEEL MIN 2 VIEWS		
$25.00	HC HOT OR COLD PACKS		
	HC HOURLY OBSERVATION		
	HC HOURLY OBSERVATION W/MONITOR		
$104.00	HC HUMERUS 2 VIEWS		
$65.00	HC HYDRATION IV INFUSION ADD-ON		
$337.00	"HC HYDRATION IV INFUSION,INIT"		
$531.00	"HC I & D ABSCESS, CMPLX"		
$278.00	"HC I & D ABSCESS, SMPL"		
$70.00	HC IMMUN ADM THRU 18YRS ANY ROUTE		
$35.00	HC IMMUN ADM THRU 18YRS ANY ROUTE ADDL		
$35.00	HC IMMUNIZATION ADMIN EA ADDL		
$70.00	HC IMMUNIZATION ADMINISTRATION		
"$2,313.00"	HC INCISION FOOT FASCIA		
$278.00	HC INITIAL RX BURN(S) 1ST DEGREE		
$439.00	HC INJ TENDON ORIGIN/INSERTION		
$439.00	"HC INJ TRIGGER POINT,1 OR 2"		
$439.00	"HC INJ TRIGGER POINT,3 OR MORE"		
$182.00	HC INSERT BLADDER CATHETER		
"$2,092.00"	HC INSERT CATH PLEURA W/O IMAGING		
$181.00	HC INSERT DRUG IMPLANT DEVICE		
$278.00	HC INSERT EMERGENCY AIRWAY		
$182.00	HC INSERT TEMP BLADDER CATHETER		
"$1,072.00"	HC INSERTION OF CHEST TUBE		
$90.00	HC IONTOPHORESIS 15 MIN		
$437.00	HC IVP		
$115.00	HC KNEE 1 OR 2 VIEWS		
$143.00	HC KNEE 4 OR MORE VIEWS		
$133.00	HC KNEE MIN 3 VIEWS		
$0.01	HC LANG COMP CURRENT STATUS		
$0.01	HC LANG COMP D/C STATUS		
$0.01	HC LANG COMP GOAL STATUS		
$0.01	HC LANG EXPRESS CURRENT STATUS		
$0.01	HC LANG EXPRESS D/C STATUS		
$0.01	HC LANG EXPRESS GOAL STATUS		
$313.00	HC LARYNGEAL FUNCTION STUDY		
$531.00	"HC LAYR CLOS WND FACE,FACIAL 2.5-5"		
$278.00	HC LAYR CLOS WND FACIAL<2.5CM		
$531.00	HC LAYR CLOS WND REST BODY <2.5CM		
$531.00	HC LAYR CLOS WND REST BODY 2.6-7.5		
$822.00	HC LAYR CLOS WND REST BODY 7.6-12.5		
$531.00	"HC LAYR CLOS WND TRUNK,ARM,LEG <2.5CM"		
$531.00	"HC LAYR CLOS WND TRUNK,ARM,LEG 2.6-7.5"		
$531.00	"HC LAYR CLOS WND TRUNK,ARM,LEG 7.6-12."		
$718.00	HC LDCT FOR LUNG CANCER SCREEN		
$289.00	HC LOOPOGRAM		
$121.00	HC LUMBAR SPINE 2 VIEWS		
$166.00	HC LUMBAR SPINE COM		
$121.00	HC MANDIBLE LESS THAN 4 VIEWS		
$129.00	HC MANUAL MUSCLE TEST-EXTREMITY/TRUNK		
$128.00	HC MANUAL MUSCLE TEST-HAND		
$124.00	HC MANUAL THERAPY 15MIN		
$108.00	HC MASSAGE		
$0.01	HC MEMORY CURRENT STATUS		
$0.01	HC MEMORY D/C STATUS		
$0.01	HC MEMORY GOAL STATUS		
$280.00	HC MIP/MEP		
$0.01	HC MOBILITY CURRENT STATUS		
$0.01	HC MOBILITY D/C STATUS		
$0.01	HC MOBILITY GOAL STATUS		
$0.01	HC MOTOR SPEECH CURRENT STATUS		
$0.01	HC MOTOR SPEECH D/C STATUS		
$0.01	HC MOTOR SPEECH GOAL STATUS		
"$3,098.00"	HC MRI ABDOMEN W/WO DYE		
"$2,082.00"	HC MRI C-SPINE W/WO DYE		
"$2,340.00"	HC MRI LOWER EXT W/O DYE		
"$2,077.00"	HC MRI L-SPINE W/WO DYE		
"$3,030.00"	HC MRI ORBIT/FACE/NECK W/WO DYE		
"$2,376.00"	HC MRI PELVIS WO DYE		
"$2,088.00"	HC MRI T-SPINE W/WO DYE		
"$2,844.00"	HC MRI UPPER EXT JOINT W/WO DYE		
"$2,340.00"	HC MRI UPPER EXT W/O DYE		
"$2,067.00"	HC MRI-BRAIN W/WO DYE		
"$1,229.00"	HC MRI-BRAIN/BRAIN STEM		
"$1,850.00"	HC MRI-CERVICAL W/DYE		
"$1,176.00"	HC MRI-C-SPINE W/O DYE		
"$1,324.00"	HC MRI-LOWER EXT JOINT W/O DYE		
"$3,110.00"	HC MRI-LOWER EXT W/WO DYE		
"$1,167.00"	HC MRI-L-SPINE W/O DYE		
"$1,176.00"	HC MRI-T-SPINE W/O DYE		
"$1,322.00"	HC MRI-UPPER EXT JOINT W/O DYE		
$517.00	HC NASAL/OROGASTRIC W/STENT		
$201.00	"HC NEG PRESSURE WOUND TX, > 50 CM"		
$170.00	"HC NEG PRESSURE WOUND TX,< 50 CM"		
"$2,971.00"	HC NEURECTOMY FOOT		
$140.00	HC NEUROMUSC RE-ED 15MIN		
$800.00	HC NM BONE LIMITED		
"$1,015.00"	HC NM BONE MULTIPLE AREAS		
$952.00	HC NM BONE SCAN W/SPECT		
"$1,585.00"	HC NM BONE THREE-PHASE		
"$1,121.00"	HC NM BONE WHOLE BODY/JOINT SCAN		
$718.00	HC NON-SELECTIVE DEBRIDEMENT		
$121.00	HC NOSE BONES MIN 3 VIEWS		
$157.00	HC ORTHO MGT/TRAINING INITIAL		
$198.00	HC ORTHO MGT/TRAINING SUBSEQUENT		
$381.00	HC OT EVAL HIGH COMPLEX 60 MIN		
$381.00	HC OT EVAL LOW COMPLEX 30 MIN		
$381.00	HC OT EVAL MOD COMPLEX 45 MIN		
$253.00	HC OT RE-EVAL EST PLAN OF CARE		
$0.01	HC OTHER PT/OT CURRENT STATUS		
$0.01	HC OTHER PT/OT D/C STATUS		
$0.01	HC OTHER PT/OT GOAL STATUS		
$100.00	HC OXIMETRY CONTINUOUS		
$45.00	HC PARAFFIN BATH		
"$4,633.00"	HC PART EXCIS 5TH METATARSAL HEAD		
"$4,633.00"	HC PART REMOVAL OF METATARSAL		
"$4,633.00"	HC PART REMV PHALANX OF TOE		
"$4,633.00"	HC PARTIAL REMOVAL OF ANKLE/HEEL		
"$4,633.00"	HC PARTIAL REMOVAL OF FOOT BONE		
"$4,633.00"	"HC PARTIAL REMOVAL,FOOT FASCIA"		
$117.00	HC PELVIS		
$760.00	HC PENTAMIDINE TREATMENT		
$412.00	HC PHLEBOTOMY IN INFUSION CTR		
$135.00	HC PHYS PER TEST/MEAS 15 MIN		
$102.00	HC PIC/PORT FLUSH		
$536.00	HC PLCMT OF NEEDLE INTRAOSSEO		
"$2,055.00"	HC POLYSOMNOGRAM;SLEEP STG;4+		
"$2,164.00"	HC POLYSOMNOGRAM;SLEEP STG;4+CPAP		
$337.00	HC PORTABLE PUMP REFILL/MAINT		
$196.00	HC PRE/POST SPIRO		
$137.00	HC PROSTHETIC TRAINING 15 MIN		
$335.00	HC PT EVAL HIGH COMPLEX 45 MIN		
$335.00	HC PT EVAL LOW COMPLEX 20 MIN		
$335.00	HC PT EVAL MOD COMPLEX 30 MIN		
$225.00	HC PT RE-EVAL EST PLAN OF CARE		
$105.00	HC PULMONARY STRESS TESTING		
$0.00	HC PULSE OXIMETRY MULTIPLE		
$0.00	HC PULSE OXIMETRY SINGLE		
$531.00	HC PUNCTURE DRAINAGE OF LESION		
$439.00	HC RAD INJECT/ASPIR JNTMAJOR		
"$2,313.00"	"HC RAD RESEC PHALANX,TOE"		
"$7,849.00"	HC REMOVAL JAW JOINT		
"$7,849.00"	HC REMOVAL JAW JOINT CARTILAGE		
"$7,849.00"	HC REMOVAL OF FACE BONE LESION		
"$4,633.00"	HC REMOVAL OF FOOT JOINT LINING		
"$4,633.00"	HC REMOVAL OF FOOT JOINT LINING		
"$4,633.00"	HC REMOVAL OF METASAL HEADS		
"$4,633.00"	HC REMOVAL OF METATARSAL		
$278.00	HC REMOVAL OF SKIN TAGS		
"$3,899.00"	HC REMOVAL OF SWEAT GLAND		
"$4,633.00"	HC REMOVAL OF TOE		
"$2,313.00"	HC REMOVAL OF TOE LESIONS		
"$4,633.00"	HC REMOVE ANKLE/HEEL LESION		
"$7,849.00"	HC REMOVE CORONOID PROCESS		
$478.00	HC REMOVE DRUG IMPLANT DEVICE		
"$4,130.00"	"HC REMOVE EXOSTOSIS, MAXILLA"		
"$4,130.00"	"HC REMOVE EXOSTOSIS,MANDIBLE"		
$594.00	HC REMOVE FB FROM EYE CORNEA NO SLIT		
$594.00	HC REMOVE FB FROM EYE EMBED CONJUNC		
$225.00	HC REMOVE FB FROM EYE SUPERF CONJUNC		
"$4,633.00"	HC REMOVE FOOT BONE CYST/ TUMOR		
"$4,633.00"	HC REMOVE FOOT FASCIA		
"$2,313.00"	HC REMOVE FOOT LESION SNGL EA		
"$4,633.00"	"HC REMOVE FOOT LESION,TENDON,SHEALTH,C"		
"$2,244.00"	"HC REMOVE FOREIGN BODY,CMPLX"		
$531.00	"HC REMOVE FOREIGN BODY,SMPL"		
"$4,633.00"	HC REMOVE HEEL BONE		
"$4,633.00"	HC REMOVE HEEL SPUR		
$131.00	HC REMOVE IMPACTED EAR WAX		
"$7,849.00"	HC REMOVE MANDIBLE CYST CMPLX		
"$7,849.00"	HC REMOVE MAXILLA CYST CMPLX		
$531.00	HC REMOVE NAIL BED		
$278.00	HC REMOVE NAIL PLATE		
$127.00	HC REMOVE NASAL FOREIGN BODY		
"$2,313.00"	HC REMOVE TOE LESIONS		
"$9,922.00"	HC REMOVE/GRAFT FOOT LESION		
"$9,922.00"	HC REMOVE/GRAFT FOOT LESION		
"$9,922.00"	HC REMOVE/GRAFT FOOT LESION		
"$9,922.00"	HC REMOVE/GRAFT FOOT LESION		
$478.00	HC REMOVE/INSERT DRUG IMPLANT		
"$4,130.00"	HC REMV BENIGN JAW BONE SMPL		
"$7,849.00"	HC REMV MALIG JAW BONE LESION		
$347.00	"HC REPAIR MOUTH LACERATION,<2.5CM"		
$531.00	"HC REPR CMPL WND HEAD,FAC,HAND 1.1-2.5"		
$278.00	HC REPR SUP NPTERF WND BODY 2.6-7.5		
$278.00	HC REPR SUPERF WND BODY <2.5CM		
$278.00	HC REPR SUPERF WND BODY 7.6-12.5		
$278.00	HC REPR SUPERF WND FACE <2.5CM		
$278.00	HC REPR SUPERF WND FACE 2.6-5		
$278.00	HC REPR SUPERF WND FACE 5.1-7.5		
$278.00	HC REPR SUPERF WND FACE 7.6-12.5		
"$4,083.00"	"HC RESCETION OF TUMOR,FOOT"		
"$2,313.00"	"HC RESEC HEAD OF PHALANX,TOE"		
"$4,633.00"	"HC RESEC ONE TOE PHALANGEAL BASE,EA"		
"$4,633.00"	"HC RESEC TOE AT I-P JT,SINGLE,EA"		
"$4,083.00"	HC RESECT FOOT/TOE TUMOR 3CM>		
"$4,633.00"	HC RESECT METATARSAL TUMOR		
"$4,633.00"	HC RESECT TARSAL TUMOR		
"$4,083.00"	HC RESECTION FACIAL/SCALP TUMOR <2CM		
"$4,083.00"	HC RESECTION FACIAL/SCALP TUMOR 2CM >		
$300.00	HC RESPITE CARE		
"$4,633.00"	HC REVISION OF FOOT		
$110.00	HC RIB 2 VIEWS		
$115.00	HC RIBS UNILATERAL 2 V PA CHEST		
$64.00	HC ROM HAND		
"$1,300.00"	HC ROOM & NURSING SP		
$75.00	HC ROUTINE EKG		
$119.00	HC SACROILIAC JOINTS		
$99.00	HC SACRUN COCCYX MIN 2 VIEWS		
$106.00	HC SCAPULA COMPLETE		
$486.00	HC SCREENING MAMMO CAD BILATERAL		
$310.00	HC SELECT DEBRIDE 20 SQ CENT OR <		
$0.01	HC SELF CARE CURRENT STATUS		
$0.01	HC SELF CARE D/C STATUS		
$0.01	HC SELF CARE GOAL STATUS		
$144.00	HC SELF-CARE/HM MGMT TX 15MIN		
$278.00	"HC SHAV SKIN LES <5MM FACE,FACIAL"		
$278.00	HC SHAV SKIN LES <5MM REMAINDR BODY		
$278.00	"HC SHAV SKIN LES <5MM TRUNK,ARM,LEG"		
$278.00	"HC SHAV SKIN LES 6-10MM FACE,FACIAL"		
$278.00	HC SHAV SKIN LES 6-10MM REMAINDR BODY		
$278.00	"HC SHAV SKIN LES 6-10MM TRUNK,ARM,LEG"		
$77.00	HC SHOULDER 1 VIEW		
$99.00	HC SHOULDER MIN 2 VIEWS		
$99.00	HC SI JOINT 1 OR 2 VIEWS		
$126.00	HC SINUSES COMPLETE MIN 3 VIEWS		
$106.00	HC SINUSES LESS THAN 3 VIEWS		
$119.00	HC SKULL <4 VIEWS		
$142.00	HC SKULL COMPLETE MIN 4 VIEWS		
"$4,176.00"	HC SLEEP STUDY/TITRATION <6 YEARS		
$59.00	HC SMOKING/TOBACCO CESSATION COUNSELIN		
$114.00	HC SMOKING/TOBACCO CESSATION COUNSELIN		
$0.01	HC SPEECH LANG CURRENT STATUS		
$0.01	HC SPEECH LANG D/C STATUS		
$0.01	HC SPEECH LANG GOAL STATUS		
$95.00	HC SPEECH/HEARING THERAPY GROUP		
$324.00	HC SPEECH/HEARING THERAPY INDIV		
"$1,132.00"	"HC SPINAL PUNCTURE,DIAGNOSTIC"		
$73.00	HC SPINE SINGLE VIEW		
$115.00	HC SPINE THORACIC 2 VIEWS		
$112.00	HC SPIROMETRY		
$137.00	HC STANDING KNEES		
$0.00	HC STAT THERAPIST DIRECT TIME		
$99.00	HC STERNUM MIN 2 VIEWS		
$104.00	HC STRAPPING OF SHOULDER		
$238.00	"HC STRAPPING,ANKLE OR FOOT"		
$161.00	HC STRESS TEST		
$114.00	HC STRESS VIEW OF JOINT		
$254.00	HC SUCTIONING		
$0.01	HC SWALLOW CURRENT STATUS		
$0.01	HC SWALLOW D/C STATUS		
$0.01	HC SWALLOW GOAL STATUS		
$800.00	HC SWING BED		
$63.00	HC TELEHEALTH		
$59.60	HC THER/DIAG CONCURRENT INFUSION		
$100.00	HC THER/PROP/DG ADDL SEQ IV INF		
$65.00	HC THER/PROPH/DIAF INJ/INF PROS		
$337.00	"HC THER/PROPH/DIAG INJ,IA"		
$337.00	"HC THER/PROPH/DIAG INJ,IV PUSH"		
$100.00	"HC THER/PROPH/DIAG INJ,SC/IM"		
$65.00	HC THER/PROPH/DIAG IV INF ADD-ON		
$337.00	"HC THER/PROPH/DIAG IV INF,INIT"		
$144.00	HC THERAP ACTIVITY 15MIN		
$134.00	HC THERAP EX 15MIN		
$342.00	HC THERAP NON-SPEECH DEVICE		
$71.00	HC THERAPEUTIC GROUP 15 MIN		
$439.00	"HC THERAPEUTIC INJ, CARPAL TUNNEL"		
$109.00	HC THERAPEUTIC INTERVENTION-COGNITIVE 		
$121.00	HC THORACIC SPINE 3 VIEWS		
$101.00	HC THORACOLUMBAR 2 VIEWS		
$102.00	HC TIBIA FIBULA 2 VIEW		
$110.00	HC TOE MIN 2 VIEWS		
$67.00	HC TRACTION MECHANICAL		
$454.00	HC TRAIN SPEECH GENERAT DEVICE		
$300.00	HC TRANSITIONAL CARE		
$380.00	HC TREAT FRACTURE OF ULNA		
$394.00	HC TREATMENT OF BLADDER LESION		
$675.00	HC TTE W/DOPPLER COMPLETE		
$380.00	HC TX OF SPONTANEOUS HIP DISLOCATION		
$65.00	HC TX/PROP/DG INJ NEW DRUG ADDON		
$100.00	HC TX/PROP/DG INJ SAME DRUG ADDON		
$52.00	HC ULTRASOUND 15 MIN		
$427.00	HC ULTRASOUND OF EXTREMITY		
$243.00	"HC ULTRASOUND PROCEDURE,UNLISTED"		
$65.00	HC UNATTEND E-STIM		
$403.00	HC UNILAT/LTD VENOUS		
$70.00	HC UNLISTED THERAPEUTIC PROC		
$306.00	HC US ECHO EXAM OF ABDOMEN		
$405.00	HC US EXAM ABDOMEN COMPLETE		
$302.00	HC US EXAM CHEST		
$436.00	HC US EXAM HEAD/NECK		
$342.00	HC US FETAL BIOPSY PROFILE W/NST		
$376.00	HC US OB COMPLETE(<14 WKS)		
$373.00	HC US PELVIC COMPLETE		
$115.00	HC US PELVIC LIMITED		
$455.00	HC US PREGNANCY >=14WKS SNGL FETUS		
$257.00	HC US PREGNANCY LMTD		
$377.00	HC US RETROPERIT (RENAL LAAA)		
$146.00	"HC US RETROPERIT LTD (RENAL,LAAA)"		
$177.00	HC US SCROTUM		
$432.00	HC US TRANSVAGINAL		
$305.00	HC US TRANSVAGINAL(OB)		
$100.00	HC US URINE CAPACITY MEASURE		
$56.00	HC US XTR NON-VASC LMTD		
$80.00	HC VASOPNEUMATIC DEVICE		
$668.00	HC VENOUS IMAGING		
$383.00	"HC VENTILATION ASSIST,INITIAL"		
$276.00	"HC VENTILATION ASSIST,SUBSQ DAY"		
$0.01	HC VOICE CURRENT STATUS		
$0.01	HC VOICE D/C STATUS		
$0.01	HC VOICE GOAL STATUS		
$127.00	HC WHEELCHAIR MGMT/PROP 15 MIN		
$97.00	HC WHIRLPOOL		
$238.00	HC WINDOWING OF CAST		
$96.00	HC WOUND CLOS/TISSUE ADHESIV ONLY		
$104.00	HC WRIST 2 VIEWS		
$135.00	HC WRIST COMP MIN 3 VIEWS		
$121.00	HC XRAY ABDOMEN 1 VIEW		
$121.00	HC XRAY ABDOMEN 2 VIEWS		
$68.00	HC XRAY CHEST 1 VIEW		
$102.00	HC XRAY CHEST 2 VIEWS		
$99.00	HC X-RAY EXAM FEMUR 1 VW		
$117.00	HC X-RAY EXAM FEMUR 2/>		
$142.00	HC X-RAY EXAM HIP BIL 2 VW		
$172.00	HC X-RAY EXAM HIP BIL 3-4 VWS		
$102.00	HC X-RAY EXAM HIP UNI 1 VW		
$153.00	HC X-RAY EXAM HIP UNI 2-3 VW		
$696.00	IMPLANT MESH HERNIA REPAIR/DEBRIDEMENT		
$585.00	"INCISION OF ANAL SEPTUM, INFANT"		
"$1,455.00"	INITIAL PED CRITICAL CARE 2 THRU 5 YEA		
"$2,180.00"	INITIAL PED CRITICAL CARE 29 D THRU 24		
$178.00	"INJECTION INTO SKIN LESIONS, 8 OR MORE"		
$252.00	INPT/ED TELECONSULT30		
$342.00	INPT/ED TELECONSULT50		
$510.00	INPT/ED TELECONSULT70		
$98.00	INPT/TELE FOLLOW UP 15		
$182.00	INPT/TELE FOLLOW UP 25		
$262.00	INPT/TELE FOLLOW UP 35		
"$1,980.00"	INSERT TEMP PROSTATIC URETH STENT W/ME		
"$1,099.00"	"INSERT/ PREPLACE INFUSN PUMP,NONPROGRA"		
$996.00	"INSERT/ REPLACE INFUSN PUMP,PROGRAMMAB"		
$212.00	INSTLJ CH TUBE/CATH AGENT FBRNLYSIS SB		
$237.00	INSTLJ VIA CH TUBE/CATH AGENT FBRNLYSI		
$52.00	IV NFS THERAPY PROPHYLAXIS/DX CONCURRE		
"$3,011.00"	KERATOPLASTY ENDOTHELIAL		
"$3,248.00"	LAM W/O FACETEC FORAMOT/DSKC 1/2 VRT S		
"$3,243.00"	LAM W/O FACETEC FORAMOT/DSKC 1/2 VRT S		
"$3,088.00"	LAM W/O FACETEC FORAMOT/DSKC 1/2 VRT S		
"$2,843.00"	LAM W/O FACETEC FORAMOT/DSKC 1/2 VRT S		
"$3,369.00"	"LAMINEC/FACETECT/FORAMIN,CERVICAL 1 SE"		
"$2,874.00"	"LAMINEC/FACETECT/FORAMIN,LUMBAR 1 SEG"		
"$3,189.00"	"LAMINEC/FACETECT/FORAMIN,THORACIC 1 SE"		
"$2,406.00"	LAP RPR HRNA XCPT INCAL/INGUN NCRC8/ST		
"$3,309.00"	"LAP, CHANGE ADJUST GAST RESTRICT DEVIC"		
"$2,907.00"	"LAP, PLACE ADJUST GAST RESTRICT DEVICE"		
"$2,459.00"	"LAP, REMOVE ADJUST GAST RESTRICT DEVIC"		
"$2,489.00"	"LAP, REMOVE ADJUST GAST RESTRICT DEVIC"		
"$3,301.00"	"LAP, REVISE ADJUST GAST RESTRICT DEVIC"		
"$2,193.00"	LAPAROSCOPY REPAIR INCISIONAL HERNIA R		
"$3,355.00"	LAPS ESOPHAGOMYOTOMY W/FUNDOPLASTY IF 		
"$1,928.00"	LAPS REPAIR HERNIA EXCEPT INCAL/INGUN 		
"$2,677.00"	LAPS RPR INCISIONAL HERNIA NCRC8/STRAN		
"$4,014.00"	LAPS RPR PARAESPHGL HRNA INCL FUNDPLST		
"$4,515.00"	LAPS RPR PARAESPHGL HRNA INCL FUNDPLST		
"$3,428.00"	LAPS RPR RECURRENT INCAL HRNA NCRC8/ST		
"$2,380.00"	LAPS RPR RECURRENT INCISIONAL HERNIA R		
"$1,435.00"	LIG PRFRATR VEIN SUBFSCAL OPEN INCL US		
$63.00	MACR EXM DISS&PRP NONMICR IMPRNT/CONSL		
$78.00	MACRO EXAM DISSECT&PREP TISS NONMICRO 		
$143.00	"MICRODISSECTION, LASER"		
$564.00	MLC IMRT DESIGN & CONSTRUCTION PER IMR		
$7.00	MOTOR &/SENS NRV CNDJ  PRECONF ELTRD A		
$126.00	MYOCARDIAL PERFUSION PLANAR 1 STUDY RE		
$170.00	MYOCARDIAL PERFUSION PLANAR MULTIPLE S		
$201.00	MYOCARDIAL SPECT MULTIPLE STUDIES		
$171.00	MYOCARDIAL SPECT SINGLE STUDY AT REST 		
$122.00	NJX ANES&/STEROID PLANTAR COMMON DIGIT		
$480.00	NJX DX/THER AGT PVRT FACET JT CRV/THRC		
$238.00	NJX DX/THER AGT PVRT FACET JT CRV/THRC		
$238.00	NJX DX/THER AGT PVRT FACET JT CRV/THRC		
$435.00	NJX DX/THER AGT PVRT FACET JT LMBR/SAC		
$219.00	NJX DX/THER AGT PVRT FACET JT LMBR/SAC		
$220.00	NJX DX/THER AGT PVRT FACET JT LMBR/SAC		
$143.00	NJX RP LOCLZJ NON-IMG PROBE STUDY INTR		
"$3,205.00"	OPEN PROX HUMERAL FRACTURE PROSHETIC R		
"$2,020.00"	OPEN RDL SHAFT FX CLOSED RAD/ULN JT DI		
"$2,450.00"	OPEN RDL SHAFT FX OPEN RAD/ULN JT DISL		
"$1,987.00"	OPEN TREATMENT BIMALLEOLAR ANKLE FRACT		
"$2,896.00"	OPEN TREATMENT CALCANEAL FRACTURE		
"$3,282.00"	OPEN TREATMENT CALCANEAL FRACTURE W BO		
"$1,855.00"	OPEN TREATMENT CLAVICULAR FRACTURE INT		
"$3,389.00"	OPEN TREATMENT FRACTURE DISTAL TIBIA &		
"$2,190.00"	OPEN TREATMENT FRACTURE DISTAL TIBIA F		
"$2,833.00"	OPEN TREATMENT FRACTURE DISTAL TIBIA O		
"$1,916.00"	OPEN TREATMENT GREATER TROCHANTERIC FR		
"$1,511.00"	OPEN TREATMENT INTERPHALANGEAL JOINT D		
"$1,567.00"	OPEN TREATMENT MEDIAL MALLEOLUS FRACTU		
"$1,468.00"	OPEN TREATMENT METACARPOPHALANGEAL DIS		
"$1,395.00"	OPEN TREATMENT METATARSAL FRACTURE EAC		
"$1,602.00"	OPEN TREATMENT OF ULNAR SHAFT FRACTURE		
"$2,279.00"	OPEN TREATMENT PROX HUMERAL FRACTURE		
"$1,841.00"	OPEN TREATMENT PROXIMAL FIBULA/SHAFT F		
"$1,719.00"	OPEN TREATMENT RADIAL SHAFT FRACTURE		
"$2,232.00"	OPEN TREATMENT TALOTARSAL JOINT DISLOC		
"$2,743.00"	OPEN TREATMENT TALUS FRACTURE		
"$2,270.00"	OPEN TREATMENT TARSAL BONE DISLOCATION		
"$2,072.00"	OPEN TREATMENT TARSOMETATARSAL JOINT D		
"$1,907.00"	OPEN TX ARTICULAR FRACTURE MCP/IP JOIN		
"$1,854.00"	OPEN TX CARPAL SCAPHOID NAVICULAR FRAC		
"$1,477.00"	OPEN TX CARPOMETACARPAL DISLOCATE NOT 		
"$1,611.00"	OPEN TX CARPOMETACARPAL FRACTURE DISLO		
"$2,305.00"	OPEN TX DISTAL FEMORAL EPIPHYSEAL SEPA		
"$1,680.00"	OPEN TX DISTAL FIBULAR FRACTURE LAT MA		
"$1,284.00"	OPEN TX DISTAL PHALANGEAL FRACTURE EAC		
"$1,791.00"	OPEN TX DISTAL TIBIOFIBULAR JOINT DISR		
"$2,497.00"	OPEN TX FEMORAL FRACTURE DISTAL MED/LA		
"$2,576.00"	OPEN TX FEMORAL SUPRACONDYLAR FRACTURE		
"$3,206.00"	OPEN TX FEMORAL SUPRACONDYLAR FRACTURE		
"$1,730.00"	OPEN TX FRACTURE GREAT TOE/PHALANX/PHA		
"$1,458.00"	OPEN TX FRACTURE PHALANX/PHALANGES NOT		
"$2,151.00"	OPEN TX HUMERAL CONDYLAR FRACTURE		
"$1,889.00"	OPEN TX HUMERAL EPICONDYLAR FRACTURE		
"$2,395.00"	OPEN TX HUMERAL SUPRACONDYLAR FRACTURE		
"$2,680.00"	OPEN TX HUMERAL SUPRACONDYLAR FRACTURE		
"$2,091.00"	OPEN TX INTERCONDYLAR SPINE/TUBRST FRA		
"$1,405.00"	OPEN TX INTERPHALANGEAL JOINT DISLOCAT		
"$2,639.00"	OPEN TX KNEE DISLOCATION W LIGAMENTOUS		
"$3,092.00"	OPEN TX KNEE DISLOCATION W REPAIR/RECO		
"$2,228.00"	OPEN TX KNEE DISLOCATION W/O LIGAMENTO		
"$1,478.00"	OPEN TX METACARPAL FRACTURE SINGLE EA 		
"$1,698.00"	OPEN TX METATARSOPHALANGEAL JOINT DISL		
"$1,731.00"	OPEN TX MONTEGGIA FRACTURE DISLOCATION		
"$1,531.00"	OPEN TX PHALANGEAL SHAFT FRACTURE PROX		
"$1,950.00"	OPEN TX PROX TIBFIB JOINT DISLOCATE EX		
"$1,734.00"	OPEN TX RADIAL & ULNAR SHAFT FX FIX RA		
"$2,320.00"	OPEN TX RADIAL & ULNAR SHAFT FX FIX RA		
"$1,678.00"	OPEN TX RADIAL HEAD/NECK FRACTURE		
"$1,887.00"	OPEN TX RADIAL HEAD/NECK FRACTURE PROS		
"$1,619.00"	OPEN TX TARSAL FRACTURE XCP TALUS &CAL		
"$2,317.00"	OPEN TX TIBIAL FRACTURE PROXIMAL UNICO		
"$2,508.00"	OPEN TX TRIMALLEOLAR ANKLE FX W FIX PS		
"$2,211.00"	OPEN TX TRIMALLEOLAR ANKLE FX W/O FIX 		
"$1,681.00"	OPEN TX ULNAR FRACTURE PROX END		
"$2,081.00"	PARAVAGINAL DEFECT REPAIR OPEN ABDOMIN		
$943.00	PELVIC FIXATION OTHER THAN SACRUM		
$305.00	PET IMAGING CT ATTENUATION SKULL BASE 		
$277.00	PET IMAGING CT FOR ATTENUATION LIMITED		
$308.00	PET IMAGING FOR CT ATTENUATION WHOLE B		
$196.00	PET IMAGING LIMITED AREA CHEST HEAD/NE		
$239.00	PET IMAGING SKULL BASE TO MID-THIGH		
$249.00	PET IMAGING WHOLE BODY		
"$2,184.00"	PLACEMENT ENTEROSTOMY/CECOSTOMY TUBE O		
"$1,995.00"	POSTERIOR NON-SEGMENTAL INSTRUMENTATIO		
"$2,586.00"	POSTERIOR SEGMENTAL INSTRUMENTATION 13		
"$2,003.00"	POSTERIOR SEGMENTAL INSTRUMENTATION 3-		
"$2,143.00"	POSTERIOR SEGMENTAL INSTRUMENTATION 7-		
"$4,265.00"	RADIATION DELIVERY STEREOTACTIC CRANIA		
$777.09	REMOTE AFTLD RADIONUCLIDE BRACHYTX  > 		
$238.12	REMOTE AFTLD RADIONUCLIDE BRACHYTX  1 		
$487.40	REMOTE AFTLD RADIONUCLIDE BRACHYTX  2-		
$535.00	"REMOVAL ADENOIDS,PRIMARY,<12 Y/O"		
$470.00	"REMOVAL ADENOIDS,SECOND,<12 Y/O"		
$677.00	"REMOVAL OF TONSILS,<12 Y/O"		
$714.00	REMOVE MESH FROM ABD WALL FOR INFECTIO		
$746.00	"REMOVE TONSILS/ADENOIDS,<12 Y/O"		
"$1,405.00"	"REPAIR ING HERNIA,<6MO,STRANG"		
"$1,020.00"	"REPAIR ING HERNIA,6MO-5YR,REDUC"		
$980.00	"REPAIR ING HERNIA,FULL/PRETERM INF,RED"		
"$2,483.00"	"REPAIR ING HERNIA,PRETERM INFANT,INCAR"		
"$2,030.00"	"REPAIR ING HERNIA,PRETERM INFANT,REDUC"		
"$1,541.00"	"REPAIR OF ANAL SPHINCTER,CHILD"		
$848.00	"REPAIR UMBILICAL HERN,<5Y/O,REDUC"		
"$1,196.00"	"REPAIR UMBILICAL HERN,<5Y/O,STRANG"		
"$1,152.00"	"REPAIR UMBILICAL HERN,5+Y/O,REDUC"		
"$1,230.00"	"REPAIR UMBILICAL HERN,5+Y/O,STRANG"		
$301.00	REPOSITION GASTRIC FEEDING TUBE THRU D		
"$2,790.00"	REPR PDA BY DIVISION <18 Y/O		
"$4,996.00"	"REVISION GASTROPLASTY,OBESITY, NON-GAS"		
"$2,149.00"	REVISION PROSTHETIC VAGINAL GRAFT LAPA		
"$2,252.00"	REVJ INCL RPLCMT NSTIM ELTRD PLT/PDLE 		
"$2,000.00"	REVJ INCL RPLCMT NSTIM ELTRD PRQ RA IN		
"$5,110.00"	REVJ RPLCMT DISC ARTHROPLASTY ANT 1 NT		
"$5,411.00"	RMVL DISC ARTHROPLASTY ANT 1 INTERSPAC		
$473.00	RMVL NDWELLG TUN PLEURAL CATH W/CUFF		
"$2,181.00"	RMVL SPINAL NSTIM ELTRD PLATE/PADDLE I		
"$1,483.00"	RMVL SPINAL NSTIM ELTRD PRQ ARRAY INCL		
"$1,218.00"	RPR ANORECTAL FISTULA W/ PLUG		
"$2,303.00"	RPR CONGEN PSEUDOARTHROSIS TIBIA		
"$2,254.00"	RPR NON/MALUNION TIBIA		
"$3,076.00"	"RPR NON/MALUNION TIBIA,FUSE W FIBULA"		
"$3,265.00"	RPR NON/MALUNION TIBIA+AUTOGRAFT		
"$2,297.00"	RPR NON/MALUNION TIBIA+SLIDING GRAFT		
"$4,157.00"	"STEREO IMPLANT BRAIN ELECTRODES, SEIZU"		
"$1,330.00"	STEREOTACTIC RADIATION TX MANAGEMENT C		
"$3,640.00"	STEREOTACTIC RADIOSURGERY 1 COMPLEX CR		
"$2,674.00"	STEREOTACTIC RADIOSURGERY 1 SIMPLE CRA		
"$2,947.00"	STEREOTACTIC RADIOSURGERY 1 SPINAL LES		
$664.00	STEREOTACTIC RADIOSURGERY EA ADDL SPIN		
$584.00	STRTCTC RADIOSURGERY EA ADDL CRANIAL L		
$809.00	STRTCTC RADIOSURGERY EA ADDL CRANIAL L		
$39.00	SUBCUTANEOUS INFUSION EACH ADDITIONAL 		
$451.00	SUBCUTANEOUS INFUSION INITIAL 1 HR W/P		
"$3,981.00"	"SUBDUR IMPLNT ELECTR, CRAN BONE FLAP"		
"$2,520.00"	SUBMUCOSAL ABLTJ TONGUE RF 1/> SITES P		
"$1,008.00"	SUBQ I/P CRITICAL CARE PR DAY AGE 28 D		
$173.00	SUBQ INFUSION ADDITIONAL PUMP INFUSION		
$354.00	SUBSEQUENT INTENSIVE CARE INFANT < 150		
$315.00	SUBSEQUENT INTENSIVE CARE INFANT 1500-		
$304.00	SUBSEQUENT INTENSIVE CARE INFANT 2501-		
$869.00	SUBSEQUENT PED CRITICAL CARE 2 THRU 5 		
"$1,040.00"	SUBSEQUENT PED CRITICAL CARE 29 D THRU		
"$1,924.00"	SUTURE 1 NERVE HAND/FOOT COMMON SENSOR		
"$2,080.00"	SUTURE 1 NERVE MEDIAN MOTOR THENAR		
"$2,126.00"	SUTURE 1 NERVE ULNAR MOTOR		
$48.00	THERAPEUTIC PROPHYLACTIC/DX NJX INTRA-		
"$1,718.00"	TONGUE BASE SUSPENSION PERMANENT SUTUR		
$547.00	"TRACHEOSTOMY, <2 Y/O"		
$166.00	TRIM BENIGN HYPERKERATOTIC SKIN LESION		
$54.00	TYMPANOMETRY AND REFLEX THRESHOLD MEAS		
$75.00	"US, ABDOMEN LIMITED"		
$75.00	"US, ABDOMEN LIMITED"		
$69.00	"US, CHEST,REAL TIME"		
$69.00	"US, CHEST,REAL TIME"		
$135.00	"US, EYE A-SCAN"		
$79.00	"US, EYE BIOMETRY"		
$80.00	"US, EYE BIOMETRY W LENS CALC"		
$134.00	"US, EYE B-SCAN"		
$82.00	"US, EYE F.B. LOCALIZATION"		
$226.00	"US, EYE, B-SCAN & QUANT A-SCAN"		
$25.00	"US, EYE, FOR CORNEAL THICKNESS"		
$91.00	"US, EYE,ANTERIOR"		
$82.00	"US, HEAD, REAL TIME"		
$82.00	"US, HEAD, REAL TIME"		
$108.00	"US, OB < 14 WKS, ADD'L FETUS"		
$128.00	"US, OB < 14 WKS, SINGLE FETUS"		
$128.00	"US, OB >/= 14 WKS, ADDL FETUS"		
$129.00	"US, OB >/= 14 WKS, SNGL FETUS"		
$129.00	"US, OB >/= 14 WKS, SNGL FETUS"		
$153.00	"US, SPINAL CANAL & CONTENTS"		
$103.00	"US,ABDOM,B-SCAN &/OR REAL TIME,COMPLET"		
$103.00	"US,ABDOM,B-SCAN &/OR REAL TIME,COMPLET"		
$71.00	"US,HEAD/NECK TISSUES,B-SCAN/REAL TIME"		
$72.00	"US,HEAD/NECK TISSUES,B-SCAN/REAL TIME"		
$86.00	USE OF ECHO CONTRAST AGENT DURING STRE		
$140.00	VENOUS CUTDOWN <1 Y/O		
$104.00	VOIDING PRESS STUDY INTRA-ABDOMINAL VO		
$203.00	VSTBLR FUNCJ NYSTAG FOVL&PERPH STIMJ O		
$41.00	"X-RAY CYSTOGRAM, MIN 3 VIEW"		
"$3,117.00"	XTRNL FIXJ W/STEREOTACTIC ADJUSTMENT 1		
"$5,354.00"	XTRNL FIXJ W/STRTCTC ADJUSTMENT EXCHAN