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Procedure Pricing Action Maximum Co
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00402 ANESTH, SURGERY OF BREAST A $
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00794 ANESTH, PANCREAS REMOVAL A $0
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0111T RBC MEMBRANES FATTY ACIDS 9 $
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01634 ANESTH, SHOULDER JOINT AMPUT
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0195T ARTHROD PRESAC INTERBODY 9 $0
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10141 INCISION AND DRAINAGE OF HEMA
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11422 EXC H-F-NK-SP B9+MARG 1.1-2 3
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12021 CLOSURE OF SPLIT WOUND 3 $144
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15343 CULTURE SKN GRAFT ADDL 25 CM
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15876 SUCTION ASSISTED LIPECTOMY 5
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17313 MOHS, 1 STAGE, T/A/L 3 $575.2
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20251 OPEN BONE BIOPSY 3 $381.57 20
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21015 RESECT FACE TUM < 2 CM 3 $589
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21260 REVISE EYE SOCKETS 3 $1,189.5
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21742 REPAIR STERN/NUSS W/O SCOPE 5
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22842 INSERT SPINE FIXATION DEVICE
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23515 TREAT CLAVICLE FRACTURE 3 $65
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24358 REPAIR ELBOW W/DEB, OPEN 3 $4
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25107 REMOVE WRIST JOINT CARTILAGE
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25570 TREATMENT OF OPEN RADIAL AND
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26262 RESECT DISTAL FINGER TUMOR 3
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26610 TREATMENT OF OPEN METACARPAL
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27093 INJECTION FOR HIP X-RAY 3 $17
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27307 INCISION OF THIGH TENDONS 3 $
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27506 TREATMENT OF THIGH FRACTURE 3
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27704 REMOVAL OF ANKLE IMPLANT 3 $5
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28050 BIOPSY OF FOOT JOINT LINING 3
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28406 TREATMENT OF HEEL FRACTURE 3
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29280 STRAPPING OF HAND OR FINGER 3
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29901 MCP JOINT ARTHROSCOPY, SURG 3
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30901 CONTROL OF NOSEBLEED 3 $96.29
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31368 PARTIAL REMOVAL OF LARYNX 3 $
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31725 CLEARANCE OF AIRWAYS 3 $91.78
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32655 THORACOSCOPY, SURGICAL 3 $923
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33214 UPGRADE OF PACEMAKER SYSTEM 3
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33471 VALVOTOMY, PULMONARY VALVE 3
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3374F AJCC BRST CNCR STAGE 1+DOCD 9
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34101 REMOVAL OF ARTERY CLOT 3 $613
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35226 REPAIR BLOOD VESSEL LESION 3
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35570 ARTERY BYPASS GRAFT 3 $1,495.
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36261 REVISION OF INFUSION PUMP 3 $
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36821 AV FUSION DIRECT ANY SITE 3 $
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38240 BONE MARROW/STEM TRANSPLANT 3
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40527 RECONSTRUCT LIP WITH FLAP 3 $
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4149F HEP B VAC INJXN ADMIN/RECVD 9
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42326 CREATE SALIVARY CYST DRAIN O
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43100 EXCISION OF ESOPHAGUS LESION
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43360 GASTROINTESTINAL REPAIR 3 $2,
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44110 EXCISE INTESTINE LESION(S) 3
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44615 INTESTINAL STRICTUROPLASTY 3
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45505 REPAIR OF RECTUM 3 $522.20 45
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46947 HEMORRHOIDOPEXY BY STAPLING 3
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48140 PARTIAL REMOVAL OF PANCREAS 3
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49507 PRP I/HERN INIT BLOCK >5 YR 3
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50392 INSERT KIDNEY DRAIN 3 $183.67
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5100F RSK FX REF W/N 24 HRS X-RAY 9
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52305 CYSTOSCOPY AND TREATMENT 3 $2
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53661 DILATION OF URETHRA 3 $72.79
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54670 REPAIR TESTIS INJURY 3 $412.0
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56342 LAPAROSCOPIC CHOLECYSTECTOMY
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57295 REVISE VAG GRAFT VIA VAGINA 3
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58548 LAP RADICAL HYST 3 $1,693.35
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59160 D & C AFTER DELIVERY 3 $198.1
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61150 PIERCE SKULL FOR DRAINAGE 3 $
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61606 RESECT/EXCISE CRANIAL LESION
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62225 REPLACE/IRRIGATE CATHETER 3 $
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63198 INCISE SPINAL COLUMN & CORD 3
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64475 INJ PARAVERTEBRAL L/S O $0.00
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64823 REMOVE SYMPATHETIC NERVES 3 $
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65782 OCULAR RECONST, TRANSPLANT 3
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67120 REMOVE EYE IMPLANT MATERIAL 3
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68020 INCISE/DRAIN EYELID LINING 3
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69620 REPAIR OF EARDRUM 3 $646.90 6
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70482 CT ORBIT/EAR/FOSSA W/O&W/DYE
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72195 MRI PELVIS W/O DYE 3 $430.97
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74181 MRI ABDOMEN W/O DYE 3 $430.73
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75564 HT MRI W/FLO/VEL/STRS & DYE O
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75804 LYMPHANGIOGRAPHY, EXTREMITY O
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76013 PERCUT VERTEBROPLASTY, CT O $
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76831 ECHO EXAM, UTERUS 3 $118.55 7
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77371 SRS, MULTISOURCE 3 $1,188.49
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78191 PLATELET SURVIVAL 3 $177.47 7
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78591 VENT IMAGE, 1 BREATH, 1 PROJ
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80049 METABOLIC PANEL, BASIC 9 $0.0
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80439 TRH STIMULATION PANEL 3 $94.3
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82210 BARBITURATES QUANTITATIVE AND
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82536 CORTISOL AFTER ADRENOCORTICOT
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82784 ASSAY, IGA/IGD/IGG/IGM EACH 3
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83486 HYDROXYBUTYRIC DEHYDROGENASE,
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83785 ASSAY OF MANGANESE 3 $15.28 8
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84061 PHOSPHATASE, FORENSIC EXAM 3
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84377 SUGARS, MULTIPLE, QUAL 3 $7.7
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85012 BLOOD COUNT EOSINOPHIL COUNT,
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85420 FIBRINOLYTIC PLASMINOGEN 3 $9
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86085 BLOOD TYPING ANTIGEN SCREENIN
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86360 T CELL, ABSOLUTE COUNT/RATIO
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86704 HEP B CORE ANTIBODY, TOTAL 3
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87040 BLOOD CULTURE FOR BACTERIA 3
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87301 ADENOVIRUS AG, EIA 3 $15.45 8
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87652 STREP A, DNA, QUANT 3 $39.83
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88261 CHROMOSOME ANALYSIS, 5 3 $248
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89259 CRYOPRESERVATION, SPERM 9 $0.
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90460 REST HOME (EG, BOARDING HOME)
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90723 DTAP-HEP B-IPV VACCINE, IM 5
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90857 INTAC GROUP PSYTX 3 $35.20 90
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92014 EYE EXAM & TREATMENT 3 $108.6
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92562 LOUDNESS BALANCE TEST 3 $25.3
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93024 CARDIAC DRUG STRESS TEST 3 $1
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93547 COMBINED LEFT HEART CATHETERI
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93971 EXTREMITY STUDY 3 $122.45 939
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95031 INTRACUTANEOUS (INTRADERMAL)
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95904 SENSE NERVE CONDUCTION TEST 3
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96413 CHEMO, IV INFUSION, 1 HR 3 $1
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97605 NEG PRESS WOUND TX, < 50 CM 3
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99183 HYPERBARIC OXYGEN THERAPY 3 $
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99336 DOMICIL/R-HOME VISIT EST PAT
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99499 UNLISTED E&M SERVICE 5 $0.00
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A0396 ALS ESOPHAGEAL INTUB SUPPLS 9
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A4321 CATH THERAPEUTIC IRRIG AGENT
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A4427 OST PCH DRAIN/BARR LK FLNG/F
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A4635 UNDERARM CRUTCH PAD 3 $4.16 A
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A5062 DRNBLE OSTOMY POUCH W/O BARR
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A6246 HYDROGEL DRG >16 48 SQ IN W/B
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A7008 DISPOSABLE NEBULIZER PREFILL
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A9518 I-131 SODIUM IODIDE SOLUTION
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B4150 EF COMPLET W/INTACT NUTRIENT
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C1068 PULSAR DDD PMKR 9 $0.00 C1069
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C1178 BUSULFAN IV, 6 MG O $0.00 C11
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C1721 AICD, DUAL CHAMBER 9 $0.00 C1
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C1869 GORE THYROPLASTY DEVICE 9 $0.
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C2607 SPINECATH INTRADISCAL CATH 9
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C4602 TENDRIL SDX, 1488K PMKR LEAD
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C6036 BARD EPTFE: 50/75SQCM-1,2MM 9
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C8830 GIANTURCO-ROUBIN COR SNT 9 $0
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C9224 INJECTION, GALSULFASE O $0.00
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C9700 WATER INDUCED THERMO 9 $0.00
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D1320 TOBACCO COUNSELING 1 $0.00 D1
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D2975 COPING 9 $0.00 D2980 CROWN RE
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D5640 REPLACE PART DENTURE TEETH 1
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D6067 IMPLANT SUPPORTED MTL CROWN 9
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D7140 EXTRACTION ERUPTED TOOTH/EXR
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D7877 TMJ ARTHROSCOPY DEBRIDEMENT 9
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D9941 FABRICATION ATHLETIC GUARD 9
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E0232 WARMING CARD FOR NWT 5 $0.00
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E0480 PERCUSSOR ELECT/PNEUM HOME M
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E0754 PULSEGENERATOR PT PROGRAMMER
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E1001 WHEELCHAIR WHEEL O $0.00 E100
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E1298 WHEELCHAIR SPEC SEAT DEPTH/W
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E2206 COMPLETE WHEEL LOCK ASSEMBLY
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E2599 SGD ACCESSORY NOC 6 $0.00 E26
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G0073 INDIVIDUAL PSYCHOTHERAPY, INS
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G0194 SENSORYTESTINGENDOSCOPICSTUD
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G0304 PRE-OP SERVICE LVRS 1-9 DOS 9
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G0415 OPEN TX POST PELVIC FXCTURE 9
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G8153 PT NOT DOC FOR AB 1 HR PRIOR
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G8268 PT NOT DOC REC CARE URIN INC
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G8366 PT DOC TO HAVE EMPIRIC AB 9 $
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G8473 ACE/ARB THXPY RX'D 9 $0.00 G8
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G8573 STK/CVA CABG 9 $0.00 G8574 NO
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G9052 ONC SURVEILLANCE FOR DISEASE
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H0007 ALCOHOL AND/OR DRUG SERVICES
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H5200 NURSING CARE, OTHER 9 $0.00 H
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J0390 CHLOROQUINE INJECTION 5 $0.00
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J1070 TESTOSTERONE CYPIONAT 100 MG
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J1675 HISTRELIN ACETATE 6 $0.00 J16
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J2469 PALONOSETRON HCL 3 $17.51 J24
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J3265 INJECTION TORSEMIDE 10 MG/ML
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J7321 HYALGAN/SUPARTZ INJ PER DOSE
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J7672 METAPROTERENOL SULFATE .6% O
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J9240 MEDROXYPROGESTERONE ACETATE,
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K0064 ZERO PRESSURE TUBE FLAT FREE
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K0169 DISPOSABLE NEBULIZER SMALL 9
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K0276 OSTOMY FACEPLATE; CONVEX; CUS
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K0531 HEATED HUMIDIFIER USED W PAP
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K0663 POSITION BACK CUSH WDTH GREAT
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L0180 CER POST COL OCC/MAN SUP ADJ
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L0974 TLSO FULL CORSET 3 $128.76 L0
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L1971 AFO W/ANKLE JOINT, PREFAB 6 $
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L2750 PLATING CHROME/NICKEL PR BAR
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L3560 O SHOE ADD HORSESHOE TOE TAP
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L3960 SEWHO AIRPLAN DESIG ABDU POS
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L5580 PREP AK ISCHIAL THERMO MOLD 3
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L5781 LOWER LIMB PROS VACUUM PUMP 5
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L6611 ADDITIONAL SWITCH, EXT POWER
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L6873 HAND MECH INF STEEPER OR EQU
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L8120 COMPRESSION STOCKING BK40-50
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M0023 ROUTINE NEWBORN CARE, INHOSPI
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P9052 PLATELETS, HLA-M, L/R, UNIT 9
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Q0185 METABOLIC ACTIVE D/E TISSUE 9
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Q4011 CAST SUP SHT ARM PED PLASTER
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Q9924 EPOETIN WITH HCT = 24 O $0.00
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S0128 INJ FOLLITROPIN BETA 75 IU 9
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S0518 SUNGLASS FRAMES 9 $0.00 S0580
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S2340 CHEMODENERVATION OF ABDUCTOR
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S4028 MICROSURG EPI SPERM ASP 9 $0.
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S8042 MRI LOW FIELD 5 $0.00 S8048 I
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S9129 OCCUPATIONAL THERAPY, IN THE
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S9476 VESTIBULAR REHAB PER DIEM 9 $
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T2004 N-ET; COMMERC CARRIER PASS 9
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V2105 SPHEROCYLINDER 4.00D/4.25-6D
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V2710 GLASS/PLASTIC SLAB OFF PRISM
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V5298 HEARING AID NOC 5 $0.00 V5299
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WW524 VISION PROGRAM UNDER EPSDT-UN
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WW851 OXYGEN CONTENT, GASEOUS, PER
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YY409 DPH TUBERCULOSIS CLINIC VISIT
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YY645 HOME & COMMUNITY-BASED WAIVER
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ZR002 MCO SPECIFIC CODE: HOME INFUS
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Procedure Code Description Pricing
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D2791 CROWN FULL CAST BASE METAL 80
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D4276 CON TISSUE W DBLE PED GRAFT 8
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D5937 TRISMUS APPLIANCE 80 D5951 FE
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D7970 EXCISION HYPERPLASTIC TISSUE
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Procedure Code Description RVU RVU
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00567 ANESTH, CABG W/PUMP 18 16.05
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00936 ANESTH, PENIS, NODES REMOVAL
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01652 ANESTH, SHOULDER VESSEL SURG
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33031 PARTIAL REMOVAL OF HEART SAC
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33414 REPAIR OF AORTIC VALVE 62.02
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33676 CLOSE MULT VSD W/RESECTION 53
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33916 SURGERY OF GREAT VESSEL 46.93
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35102 REPAIR DEFECT OF ARTERY 55.37
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35481 ATHERECTOMY, OPEN 11.67 1.00
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35651 ARTERY BYPASS GRAFT 40.71 1.0
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36425 VEIN ACCESS CUTDOWN > 1 YR 1.
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36831 OPEN THROMBECT AV FISTULA 12.
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38221 BONE MARROW BIOPSY 2.07 1.00
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56800 REPAIR OF VAGINA 6.56 1.00 56
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57455 BIOPSY OF CERVIX W/SCOPE 3.01
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58559 HYSTEROSCOPY, LYSIS 9.37 1.00
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61314 OPEN SKULL FOR DRAINAGE 47.7
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61584 ORBITOCRANIAL APPROACH/SKULL
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61880 REVISE/REMOVE NEUROELECTRODE
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63001 REMOVAL OF SPINAL LAMINA 32.2
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63281 BIOPSY/EXCISE SPINAL TUMOR 54
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64492 INJ PARAVERT F JNT C/T 3 LEV
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64774 REMOVE SKIN NERVE LESION 10.7
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65155 REINSERT OCULAR IMPLANT 21.52
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66600 REMOVE IRIS AND LESION 19.97
- Page 479 and 480:
67316 REVISE TWO EYE MUSCLES 20.51
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67973 RECONSTRUCTION OF EYELID 24.2
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70332 X-RAY EXAM OF JAW JOINT 2.23
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72074 X-RAY EXAM OF THORACIC SPINE
- Page 487 and 488:
73220 MRI UPPR EXTREMITY W/O&W/DYE
- Page 489 and 490:
74320 CONTRAST X-RAY OF BILE DUCTS
- Page 491 and 492:
75952 ENDOVASC REPAIR ABDOM AORTA 6
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77402 RADIATION TREATMENT DELIVERY
- Page 495 and 496:
78230 SALIVARY GLAND IMAGING 4.2 1.
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78730 URINARY BLADDER RETENTION 1.9
- Page 499 and 500: 93270 ECG RECORDING 0.46 1.00 93271
- Page 501 and 502: 93722 PLETHYSMOGRAPHY REPORT 0.23 1
- Page 503 and 504: E0189 RR 3 3.63 E0155 RR 3 3.68 E04
- Page 505 and 506: 94010 26 3 8.16 73000 26 3 8.18 760
- Page 507 and 508: E0276 UE 3 10.07 K0053 RR 3 10.14 E
- Page 509 and 510: 73520 26 3 13.1 71021 26 3 13.22 71
- Page 511 and 512: 74455 26 3 16.85 92542 26 3 16.85 7
- Page 513 and 514: 73070 TC 3 19.1 92543 TC 3 19.1 E09
- Page 515 and 516: 78201 26 3 21.99 93979 26 3 21.99 7
- Page 517 and 518: 94260 TC 3 24.65 74410 26 3 24.66 7
- Page 519 and 520: 76080 26 3 27.18 77332 26 3 27.18 K
- Page 521 and 522: 76100 26 3 29.83 77003 TC 3 29.83 9
- Page 523 and 524: 88332 26 3 33.09 95867 TC 3 33.15 7
- Page 525 and 526: E1298 RR 3 36.55 72275 26 3 36.76 7
- Page 527 and 528: E0480 RR 3 42.04 75801 26 3 42.06 9
- Page 529 and 530: 95922 26 3 47 88360 TC 3 47.05 E097
- Page 531 and 532: 88365 26 3 52.43 93615 26 3 52.62 7
- Page 533 and 534: 75889 26 3 57.49 75891 26 3 57.49 7
- Page 535 and 536: 76998 26 3 62.24 95864 TC 3 62.38 7
- Page 537 and 538: 93616 26 3 67.38 70540 26 3 67.44 7
- Page 539 and 540: K0069 UE 3 74.56 75984 TC 3 74.58 E
- Page 541 and 542: 73222 26 3 81.04 70015 TC 3 81.23 E
- Page 543 and 544: 72159 26 3 89.58 70549 26 3 89.69 7
- Page 545 and 546: E1100 RR 3 99.32 93890 TC 3 99.49 9
- Page 547 and 548: 93318 26 3 112.63 72197 26 3 112.91
- Page 549: 78466 TC 3 137.32 51725 TC 3 138.56
- Page 553 and 554: 95816 TC 3 190.21 73200 TC 3 190.71
- Page 555 and 556: 95813 TC 3 232.61 93508 26 3 232.99
- Page 557 and 558: 93609 26 3 282.25 78807 TC 3 282.3
- Page 559 and 560: 77295 TC 3 370.93 E0550 UE 3 373.5
- Page 561 and 562: E1070 UE 3 544.05 70543 TC 3 548.34
- Page 563: E0781 UE 3 1335.9 K0005 UE 3 1379.6